Clinical Pharmacists Role in the Management of Hypertension in Jordan
Clinical Pharmacists Role in the Management of Hypertension in Jordan
Background: studies have demonstrated the crucial role of clinical pharmacists as integrated
 part of heath care team. Not only in Jordan but also in the Middle East region, clinical
 pharmacy practice is not well established. This current study is the first to evaluate
 physicians - pharmacists' collaborative approach to uncontrolled blood pressure in Jordan and
 the Middle East.
Objective: this study aimed to evaluate clinical pharmacists' role in the management of
 uncontrolled hypertensive patients in Jordan. Design: single blinded randomized controlled
 clinical trial. Patients: 253 patients with uncontrolled hypertension specified as higher
 blood pressure readings than the recommended goals by the seventh report of the Joint
 National Committee on prevention, detection, evaluation, and treatment of high blood pressure
 (JNC VII) at the time of enrollment.

 Interventions: patients were randomly allocated to an intervention or control group: 130 and
 123 patients, respectively. Patients in both arms were followed up for 6 months. In the
 intervention group, patients were managed by physician-clinical pharmacist team. In the
 control group, patients were managed by physician(s) only and were not provided
 pharmaceutical care services.
Inclusion Criteria:

 -  Patients with uncontrolled BP, receiving 0-3 antihypertensive drugs with no change in
 the regimen or dose within the past 3 month.

 Exclusion Criteria:

 -  Patients with hypertensive urgency or emergency with BP more than (180/110).

 -  Patients with recent stroke or myocardial infraction (within past 6 months).

 -  Patients with Class III or IV Chronic heart Failure (CHF).

 -  Patients with Unstable angina.

 -  Patients with Serious renal or hepatic disease.

 -  Pregnant patients.

 -  Patients with Dementia or cognitive impairment.

 -  If the patient is unable to provide informed written consent.