Recent policies to enhance Renin-angiotensin prescribing efficiency in Europe; implications for the future

Voncina, L. and Godman, B. B. and Vlahovic-Palcevski, V. and Bennie, M. and Bishop, I. (2011) Recent policies to enhance Renin-angiotensin prescribing efficiency in Europe; implications for the future. Pharmacoepidemiology and Drug Safety, 20 (Suppl.). S210-S210. 482. ISSN 1053-8569 (https://doi.org/10.1002/pds.2206)

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Abstract

Renin - angiotensin (RA) drugs (Angiotensin Converting Enzyme Inhibitors - ACEIs - and Angiotensin Receptor Blockers - ARBs) are accepted treatments for hypertension and Congestive Heart Failure. Coughing can occur with ACEIs leading to development of ARBs. Trials showed though discontinuation due to coughing in a minority of patients on ACEIs (2- - 3%). ARB prescribing restrictions in Austria as higher costs than ACEIs moderated utilisation. Other demand side measures in Spain (Catalonia) following generic ACEIs also moderated ARB utilisation.