Analysis of the Effectiveness of Antihypertensive Drugs on Blood Pressure Reduction in Patients Receiving Calcium Channel Blocker and Angiotensin Receptor Blocker Therapy

Authors

  • Fauziah Universitas Harapan Bangsa
  • Reina Meilani Jurusan Farmasi, Universitas Harapan Bangsa, Jl Raden Patah No. 100, Banyumas, Jawa Tengah, Indonesia
  • Zahra Amalia Ristiana Jurusan Farmasi, Universitas Harapan Bangsa, Jl Raden Patah No. 100, Banyumas, Jawa Tengah, Indonesia
  • Khamdiyah Indah Kurniasih Jurusan Farmasi, Universitas Harapan Bangsa, Jl Raden Patah No. 100, Banyumas, Jawa Tengah, Indonesia
  • Amelia Sari Jurusan Farmasi, Poltekes Kemenkes Aceh, Jl Soekarno-Hatta, Aceh Besar, Aceh, Indonesia
  • Nurmalia Zakaria Akademi Analis Farmasi dan Makanan, Jl Teuku Cik Ditiro No. 15, Kota Banda Aceh, Aceh, Indonesia

DOI:

https://doi.org/10.35960/vm.v19i2.2088

Keywords:

Hypertension, Calcium Channel Blocker, Angiotensin Receptor Blocker, Combination therapy, Effectiveness

Abstract

This study aimed to analyze the effectiveness of antihypertensive drugs from the Calcium Channel Blocker (CCB) and Angiotensin Receptor Blocker (ARB) classes in reducing blood pressure among hypertensive patients. The study employed a retrospective observational design using medical record data collected from November 2024 to February 2025 and was conducted in four primary healthcare centers in Banyumas Regency. A total of 70 patients enrolled in the PROLANIS program were selected using purposive sampling. Data were analyzed based on changes in blood pressure and statistically tested using the One-Way ANOVA test. The results showed that the ARB + CCB combination therapy was the most frequently used regimen (50%) and achieved the lowest mean blood pressure value (129.94/77.25 mmHg) among the therapy groups. Statistical analysis indicated a significant difference in systolic and diastolic blood pressure between patients receiving monotherapy and combination therapy (p < 0.05). These findings suggest that the ARB + CCB combination therapy was associated with greater blood pressure reduction compared to monotherapy among hypertensive patients in primary healthcare settings.

References

Anshari, Z. (2019). Komplikasi Hipertensi dalam Kaitan dengan Pengetahuan Pasien terhadap Hipertensi dan Upaya Pencegahannya. In Jurnal Penelitian Keperawatan Medik (Vol. 2, Issue 2). http://ejournal.delihusada.ac.id/index.php/JPKM

Ayu, M. S. (2021). Analisis Klasifikasi Hipertensi dan Gangguan Fungsi Kognitif pada Lanjut Usia. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan), 6(2), 131. https://doi.org/10.30829/jumantik.v6i2.8246

Baroroh, F., & Sari, A. (2017). Cost Effectiveness Analysis of the Therapy Combination of Candesartan-Amlodipine and Candesartan-Diltiazem on Hypertensive Outpatients. Pharmacy, 14(2), 188–198.

Cheng, H. M., Lin, H. J., Wang, T. D., & Chen, C. H. (2020). Asian management of hypertension: Current status, home blood pressure, and specific concerns in Taiwan. In Journal of Clinical Hypertension (Vol. 22, Issue 3, pp. 511–514). Blackwell Publishing Inc. https://doi.org/10.1111/jch.13747

Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T., & Roccella, E. J. (2003). Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. In Hypertension (Vol. 42, Issue 6, pp. 1206–1252).

Dinas Kesehatan Jawa Tengah. (2023). Pelayanan Kesehatan Hipertensi Tahun 2023. Data Portal Jawa Tengah.

Fauziah, Y., Musdalipah, M., Rahmawati, R., & Dongge, S. H. (2019). Analisis Tingkat Kepatuhan Pasien Hipertensi Dalam Minum Obat Di RSUD Kota Kendari Yulianti Fauziah Analisis Tingkat Kepatuhan Pasien Hipertensi Dalam Minum Obat Di RSUD Kota Kendari. Warta Farmasi, 8(2), 63–70. https://poltek-binahusada.e-journal.id/wartafarmasi

Febri Nilansari, A., Munif Yasin, N., & Ayu Puspandari, D. (2020). Gambaran Pola Penggunaan Obat Antihipertensi Pada Pasien Rawat Inap di RSUD Panembahan Senopati. Jurnal Ilmu Kefarmasian, 1(2).

Hadidi, I., Furdiyanti, N. H., & Susilo, J. (2019). Profil Penggunaan Obat Pada Pasien Hipertensi dengan Penyakit Penyerta Rawat Inap di Rumah Sakit Dr. Asmir DKT Salagita Periode Januari-Juli 2019. Indonesia Journal of Pharmacy and Natural Product, 02(02), 1–11.

Hastuti, D. (2022). Profil Peresepan Obat Antihipertensi Pada Pasien Hipertensi di Apotek Afina. Majalah Farmaseutik, 18(3), 363. https://doi.org/10.22146/farmaseutik.v18i3.77737

Indrajaya, T. (2017). The Rationale to Use Combination Therapy: When to Start and What to Expect. In Risk Factor Management of Cardiometabolic Continuum: From Primary to Tertiary Care. Lembaga Penerbit Ilmu Penyakit Dalam FK UNSRI, 331–337.

Lestari, P., Yudanari, Y., & Saparwati, M. (2020). Hubungan Aktifitas Fisik Dengan Kejadian Hipertensi Pada Usia Dewasa Di Puskesmas Kedu Kabupaten Temanggung. Jurnal Kesehatan Primer, 5(2), 21–30.

Mancia, G., Kjeldsen, S. E., Zappe, D. H., Holzhauer, B., Hua, T. A., Zanchetti, A., Julius, S., & Weber, M. A. (2016). Cardiovascular outcomes at different on-treatment blood pressures in the hypertensive patients of the VALUE trial. European Heart Journl, 37(12), 955–964.

Ristiyorini, I., Sari, I. P., & Utami, P. I. (2024). Perbandingan Efektivitas Terapi Antihipertensi Pada Pasien Prolanis: Studi Di Apotek Luk Ulo Kabupaten Kebumen. In Jurnal Ilmiah Farmasi (Vol. 13, Issue 3).

Ulfa Azhar, M., Islam Negeri Aluddin Makassar, U., & Penulis, K. (2019). The Indonesian Journal of Health Promotion Open Access Terapi Non Farmakologi dalam Pengendalian Tekanan Darah Pada Pasien Hipertensi: Systematic Review Non Pharmacological Therapy in Blood Pressure Control in Hypertensive Patients: Systematic Review. MPPKI, 2(3). https://doi.org/10.31934/mppki.v2i3

Wulandari, T., & Cahyaningtyas, A. Y. (2021). The Analysis Effectivity of Two Antihypertensive Drugs Combination for Hypertension Outpatients in Karanganyar District Hospital. Jurnal Farmasi Indonesia, 18(1).

Downloads

Published

2026-07-21

How to Cite

Fauziah, Meilani, R., Ristiana, Z. A., Kurniasih, K. I., Sari, A., & Zakaria, N. (2026). Analysis of the Effectiveness of Antihypertensive Drugs on Blood Pressure Reduction in Patients Receiving Calcium Channel Blocker and Angiotensin Receptor Blocker Therapy. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 19(2), 144–150. https://doi.org/10.35960/vm.v19i2.2088

Issue

Section

Articles