Main Article Content
Abstract
Background: The global prevalence of hypertension continues to rise, with projections indicating that approximately 29% of adults will be affected by 2025. Hypertension is often accompanied by comorbidities and complications. Hypertension treatment usually involves more than one drug or polypharmacy, increasing the risk of potential interactions. Objective: To examine the association between polypharmacy and potential drug-drug interactions in outpatient hypertensive patients. Material and Method: Retrospective observational study using a purposive sampling technique. A total of 96 patients were included from January-December 2023. The instruments used were medical records, the Drugs Interaction Checker application on the Drugs.com application, and Medscape. Results: Most patients were male (59.38%) and aged 56–65 years (37.50%). Polypharmacy was observed in the majority of patients, with major polypharmacy (>4 drugs) accounting for 48.96%. Potential drug interactions were identified in 65.63% of patients. Pharmacodynamic interactions were more common (58.57%) than pharmacokinetic interactions (41.43%), with moderate severity predominating (78.09%). The number of medications and comorbidities were significantly associated with potential drug interactions (p < 0.05). Conclusion: The number of drugs and the number of comorbidities affect the potential for drug–drug interactions in outpatients with hypertension at Dr. Iskak Tulungagung Hospital.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
- Balitbangkes RI (2018) “Laporan Riskesdas 2018 Nasional.pdf,” Lembaga Penerbit Balitbangkes, hal. 156.
- Chaliks, R. et al. (2021) “Analisis Faktor Yang Berpengaruh Terhadap Kejadian Interaksi Obat Pada Pasien Hipertensi Di Rumah Sakit Umum X Kota Makassar Analysis Of Factors That Affect The Incidence Of Drug Interactions In Hypertensive Patients At A Regional General Hospitals In Mak,” Media Farmasi, XVI(1), hal. 55–61.
- Ekasafitri, D. et al. (2022) “Analisis Faktor Yang Berpengaruh Terhadap Kejadian Interaksi Obat Pada Pasien Gagal Ginjal Kronik Rawat Inap Di Rsud Labuang Baji Makassar,” 1, hal. 11–26. Gaol, R.L. dan Simbolon, F.N. (2022) “Gambaran Karakteristik Pasien Hipertensi Di Rumah Sakit Umum Bethesda Medan Tahun 2021,” Jurnal Online Keperawatan Indonesia, 5(1), hal. 30–37. Iskandar, H. et al. (2021) “Gambaran Potensi Interaksi Obat Hipertensi di Instalasi Farmasi Rawat Jalan Rumah Sakit Metropolitan Medical Center Periode Oktober – Desember 2018 (KTI),” Jurnal Farmasi IKIF A, 1(1)(1), hal. 1–9.l
- Katzung, B.G. et al. (2018) Basic & Clinical Pharmacology. 14th ed. Washington: McGraw Hill Education.
- Kemenkes (2021) “Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa,” Kementerian Kesehatan RI, hal. 1–85.
- Kemenkes RI (2013) “Pedoman Teknis Penemuan dan Tatalaksana Hipertensi (Technical Guidelines for the Discovery and Management of Hypertension),” hal. 30.
- Mahamudu, Y.S. et al. (2017) “Kajian Potensi Interaksi Obat Antihipertensi Pada Pasien Hipertensi Primer di Instalasi Rawat Jalan RSUD Luwuk Periode Januari – Maret 2016,” Jurnal Ilmiah Farmasi, 6(3), hal. 1–9.
- Mukete, B.N. dan Ferdinand, K.C. (2016) “Polypharmacy in Older Adults With Hypertension: A Comprehensive Review,” Journal of Clinical Hypertension, 18(1), hal. 10–18.
- Oktianti, D. et al. (2023) “Identfikasi Potensi Interaksi Obat Antihipertensi Pada Pasien Rawat Jalan Di Rs X Denpasar Periode Oktober-Desember 2021,” INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal), 6(2), hal. 82.
- Parulian et al (2019) “Indonesian Journal of Pharmacy and Natural Product,” 02(September), hal. 4–7.
- Parulian, L.P. et al. (2019) “Analisis Hubungan Polifarmasi Dan Interaksi Obat Pada Pasien Rawat Jalan Yang Mendapat Obat Hipertensi Di Rsp. Dr. Ario Wirawan Periode Januari-Maret 2019,” Indonesian Journal of Pharmacy and Natural Product, 2(2), hal. 79–86.
- Rahmawati et al. (2021) “Prediksi Jumlah Peserta Bpjs Penerima Bantuan Iuran (Pbi) Apbn Menggunakan Metode Fuzzy Time Series Cheng,” BAREKENG: Jurnal Ilmu Matematika dan Terapan, 15(2), hal. 373–384.
- Razoki, R. et al. (2023) “Skrining Resep Polifarmasi Secara Klinis Pada Pasien Hipertensi Di Rumah Sakit Advent,” Journal of Pharmaceutical and Sciences, 6(2), hal. 707–712.
- Riskesdas (2013) “National Health Survey,” Science, 127(3309), hal. 1275–1279.
- Romadhoni, N. et al. (2022) “Hubungan Polifarmasi Dengan Potensi Dan Tingkat Keparahan Interaksi Obat Pada Resep Antihipertansi Di KRIMS.”
- Sakti Pambudi, R. dan Rista Rini, H. (2024) “Indonesian Journal of Pharmacy and Natural Product Potensi Interaksi Penggunaan Obat Antihipertensi di Klinik X Boyolali Tahun 2023 Potential Interactions with the Use of Antihypertensive Drugs at Clinic X Boyolali in 2023,” 07, hal. 41–46.Sari, A. et al. (2012) “Identifikasi Potensi Interaksi Obat Pada Pasien Rawat Inap Penyakit Dalam Di RSUD Prof. Dr. Margono Soekarjo Purwokerto Dengan Metode Observasional Retrospektif Periode November 2009 - Januari 2010,” Pharmaciana, 2(2).
- Setyoningsih, H. dan Zaini, F. (2022) “Hubungan Interaksi Obat Terhadap Efektivitas Obat Antihipertensi Di RSUD dr. R. Soetrasno Rembang,” Cendekia Journal of Pharmacy, 6(1), hal. 76–88.
- Tumanduk, W.M. et al. (2019) “Faktor-faktor risiko hipertensi yang berperan di Rumah Sakit Robert Wolter Mongisidi,” e-CliniC, 7(2), hal. 119–125.
- Yuswar, M.A. et al. (2022) “Identifikasi Dampak Interaksi Obat Antihipertensi Terhadap Tekanan Darah Pada Pasien Geriatri Hipertensi Yang Dirawat Inap Di Rsud Dr Soedarso Pontianak,” Jurnal Ilmiah Manuntung, 8(1), hal. 163–172.
- Yuwono, G.A., Ridwan, M. dan Hanafi, M. (2017) “Pengaruh Pendidikan Kesehatan Tentang Hipertensi Terhadap Tingkat Kecemasan Pada Penderita Hipertensi Di Kabupaten Magelang,” Jurnal Keperawatan Soedirman, 12(1), hal. 55–66.
