Replacing short-acting nifedipine with alternative medications at a large health maintenance organization

Robert C. Kaplan, Bruce M. Psaty, David Kriesel, Susan R. Heckbert, Nicholas L. Smith, Clayton Gillett, Alan G. Golston

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

In response to recent evidence about the safety of calcium channel blockers, Group Health Cooperative of Puget Sound (GHC), a large health maintenance organization, implemented a plan in April 1996 to reevaluate the medications of 1349 patients who were taking short-acting nifedipine. Following the intervention, 79.8% of patients taking short-acting nifedipine discontinued use, and 45.6% switched to once-daily felodipine. By presenting physicians and patients with recent evidence about the safety of short- acting nifedipine, a large health maintenance organization was able to motivate broad-scale changes to safer alternative drug therapies.

Original languageEnglish (US)
Pages (from-to)471-477
Number of pages7
JournalAmerican Journal of Hypertension
Volume11
Issue number4 I
DOIs
StatePublished - Apr 1998
Externally publishedYes

Fingerprint

Health Maintenance Organizations
Nifedipine
Felodipine
Safety
Calcium Channel Blockers
Complementary Therapies
Physicians
Drug Therapy
Health

Keywords

  • Calcium channel blockers
  • Drug safety
  • Formulary
  • Health maintenance organization
  • Hypertension
  • Nifedipine

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Replacing short-acting nifedipine with alternative medications at a large health maintenance organization. / Kaplan, Robert C.; Psaty, Bruce M.; Kriesel, David; Heckbert, Susan R.; Smith, Nicholas L.; Gillett, Clayton; Golston, Alan G.

In: American Journal of Hypertension, Vol. 11, No. 4 I, 04.1998, p. 471-477.

Research output: Contribution to journalArticle

Kaplan, Robert C. ; Psaty, Bruce M. ; Kriesel, David ; Heckbert, Susan R. ; Smith, Nicholas L. ; Gillett, Clayton ; Golston, Alan G. / Replacing short-acting nifedipine with alternative medications at a large health maintenance organization. In: American Journal of Hypertension. 1998 ; Vol. 11, No. 4 I. pp. 471-477.
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