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ACP Journal Club |17 November 2015

In uncontrolled hypertension, a pharmacist-prescribing intervention reduced blood pressure at 6 months

David Siegel, MD, MPH

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Tsuyuki RT, Houle SK, Charrois TL, et al; RxACTION Investigators. Randomized trial of the effect of pharmacist prescribing on improving blood pressure in the community: the Alberta Clinical Trial in Optimizing Hypertension (RxACTION). Circulation. 2015;132:93-100. 26063762

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Cardiology:

In patients in the community with uncontrolled hypertension, does a pharmacist-prescribing intervention reduce blood pressure (BP) more than usual care?
Randomized controlled trial (Alberta Clinical Trial in Optimizing Hypertension [RxACTION]). ClinicalTrials.gov NCT00878566.
Concealed.*
Unblinded.*
6 months.
23 community, hospital outpatient, or primary care–based pharmacies in Alberta, Canada.
248 adult outpatients (mean age 64 y, 51% women, mean BP 150/84 mm Hg) who had uncontrolled hypertension based on Canadian Hypertension Education Program (CHEP) guidelines. Exclusion criteria included hypertension needing urgent or emergency attention (systolic BP ≥ 200 mm Hg or diastolic BP ≥ 130 mm Hg).
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Siegel D. In uncontrolled hypertension, a pharmacist-prescribing intervention reduced blood pressure at 6 months. Ann Intern Med. ;163:JC7. doi: 10.7326/ACPJC-2015-163-10-007

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Published: Ann Intern Med. 2015;163(10):JC7.

DOI: 10.7326/ACPJC-2015-163-10-007

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