Ischemic Heart Disease

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Cost of Medication

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Cardiovascular diseases are known to be a leading cause of mortality worldwide. In most cases medical treatment is required for prevention purposes as well as for controlling the risk factors as well as the evolution of the, disease in addition to lifestyle changes. In ischemic heart disease, most common drugs prescribed are: aspirin, digitalis, the ACE (angiotensin converting enzyme) inhibitor, beta blockers, nitrate including nitroglycerine, calcium-channel blockers, diuretic drugs, and blood cholesterol-lowering agents, but there are only few studies about the monthly costs of medication for a patient suffering from ischemic heart disease.
The cost of ischemic heart disease medication has been of bought for the patients as well as for the family physicians, as their cost has a great impact upon family budget and patient’s compliance.
According to a study made in USA West Virginia, the average monthly cost of medications for an ischemic heart disease patient is $220 of which cardiovascular medications represent $105 and $115 are other related medications.
Third party payers must also be taken into consideration for example medication assistance program, medication discount program, or insurance companies that have perceptual reimbursements; a patient can pay 36% of the cost of his medication if he is involved in medication assistance program as the program reimburses 64% of the costs, 20% if is a well-insured employee, or 90% as the medication discount program only reimburses 10% of the costs and also there is a small number of patients who do not benefit of a third part payer nor of discounts.
Special programs were implemented for those who cannot afford medications that involve the currant physicians and pharmaceuticals companies.
Special attention should be played to prevention and to eliminating risk factors as smoking for example; the reduction of risk factors can be beneficial for the patient and create a $1257 annual saving.
The research results are whatsoever imitated, but it raises another difficult problem for cardiac patients as well for their doctors the problem of patients with ischemic heart disease from rural areas that may require special attention.
Life changes and a strict control could mean lowering the cost of medications.
Studies related to the costs of medications should be centered on the individual and not on drug’s costs in selected category for example antihypertensive medication’s costs; also large health plans aren’t always relevant.

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