ABSTRACT
To determine the prevalence of uncontrolled hypertensive patients on antihypertensive therapies, and to investigate the causes, accordingly. To achieve desired blood pressure goal, recommendations were projected, as well. A survey was conducted in a community pharmacy during a three- month period on all walking-in patients already identified as hypertensive on pharmacological therapies. Studied parameters mainly focused on patients demographic status, habits, medical history, drug intake, compliance/ non compliance and reasons of non-compliance. Microsoft Excel was used. Data was analyzed and interpreted to find out the reasons of unrestrained hypertension and its occurrence. A total of 46% of hypertensive patients on blood pressure lowering agents were identified as uncontrolled. Two main reasons were recognized: non- adherence to treatments, and concurrent drug intake. Complex drug regimens, medication cost, and drug adverse reactions, accounted for 37%, 35%, and 13% respectively with respect to pharmacological treatment patients' non-compliance. Besides, 67% of patients did not comply with non-pharmacological treatments; of these 33% were current smokers and around 20% were obese not following a special diet to reduce their weight. Patients taking other drugs known to cause or exacerbate blood pressure accounted for 31%. Non-steroidal anti-inflammatory drugs [NSAIDs] made out the major proportion [31%]. To achieve controlled blood pressure mainly depends on the role of health care professionals. They should tailor appropriate antihypertensive therapies based on individual basis, and educate their patients about the importance of treatment regimen adherence