me I am skeptical despite the fact that the concept of Polypill is not engrossed in the concept of Polypill, and passionate colleagues “to” see “in the last 20 years.
From a purely public health point of view it is an obvious winner. The current version of the components of the current version (statin and low doses) is all in cheap patents and soil, and giving to all people over 50 years of age can prevent many heart attacks and stroke, save life, reduce pain, and save NHS and social welfare systems as property.
But I can’t see this from a public health perspective, and I need to consider individual interests. My benefits are not so clear. Yes. Some can avoid stroke and heart attacks (and perhaps dementia), but will be a minority. Most of my patients are not beneficial, and some can be damaged by side effects.
Dr. Mark Porter said, “It feels like a police officer to start all middle -aged people in polypill.
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When we suggest that healthy middle -aged people start cholesterol deterioration, we are the same mystery as we face. Estimates of highly likely benefits depend on your believer, but more than 150 people must take statins for at least five years to prevent heart attack or stroke. One out of 150 is good, but the rest is not very clever, but it does not get much benefits, but statins can have side effects from muscle problems to type 2 diabetes (although unusual).
Starting all middle -aged people in polypill feels like a police. NHS is simply a position that the British public cannot actually provide customized screening, prevention and drugs. Perhaps I am naive given the pressure on NHS, but I am convinced that individualized medicines are the best way to improve health. Or in other ways, it’s a way I want to be treated.
The pros and cons of polypill every day
Should I take this preventive drug? Peta Bee asked experts
According to researchers from the University College London Health Informatics, if you pop out of one pill every day from the 50’s, you can prevent thousands of heart attacks and strokes.
Professor Aroon Hingorani, a co-author of the paper, says that taking a 4-year-in-polyfill that combines statins and three blood pressure reduction drugs can replace NHS’s five-year free health evaluation of NHS cholesterol and heart health for adults aged with 40-74 years.
Hingorani said, “The approach to the entire population can prevent more heart attacks and stroke than the current strategy, which aims to limit the limited groups.
Professor Bryan Williams, the chief science and medical officer of British Heart Foundation, says that the thoughts summarized in the new papers say that they can make greater money by treating more people more people in terms of disease prevention.
But Williams says that the components of the polypill are easily available and very effective. “Individual blood pressure and cholesterol reduced drugs are as good as being suggested in multi -files,” he says. Here are some things you need to know about Polypill:
• NHS must provide ‘polypill’ to reduce heart disease. Experts call.
What is Polypill and how does it work?
Fixed dose polypill typically contains four cardiovascular disease drugs in a single purification, and includes four cardiovascular disease drugs, including two generally used 2 blood pressure low drugs, cholesterol decreased statins and aspirin. Williams said, “If there is a risk of heart disease, some or some of these components can be prescribed individually, but the combined pills are not regulated in the UK.
“In order to produce and define polypill in NHS, there will be a regulatory obstacle that can jump to show that the exact combination is effective and the individual component is not damaged.”
Polypill is already available personally. NICHOLAS WALD, a professor of preventive medicine at the University College London and one of the author of BMJ papers, has been listed as a director of the online Polypill Prevention Program. Polypill.com) More than 10 years in England.
Is a daily pill an executable alternative to regular health checkups?
About 15 million people in the UK can receive a free five -year check to assess the side of diet and lifestyle, height, weight and blood pressure, and generally include blood tests to check cholesterol levels, diabetes and kidney problems.
According to NHS England, one in one out of 27 detects high -blood pressure that is not diagnosed, and one out of 110 is diagnosed with diabetes and checks. But NHS health checks are only effective when you take them.
HINGORANI said, “Only four out of 10 people receive a promise offer. Not everyone agrees that the polypill program throughout the population is the answer. Williams said, “Statin and blood pressure decreased drugs can prevent heart disease and save life.” “If you use polypill, the same amount of drugs will be prescribed to everyone,” he says.
Can one pill actually reduces the risk of heart disease?
The concept of using polypills to prevent and treat heart disease was introduced almost 25 years ago, and the drug was subject to strict research.
Last year, Anubha Agarwal, a medical assistant professor of cardiovascular departments at the University of Washington, reviewed data in 26 clinical trials, and POLYPILLS had a 11 % lower risk of death from all causes, so the risk of atherosclerosis heart disease was 29 % lower, compared to those who did not take.
“This discovery supports the adoption and implementation of Polypills to reduce the risk of all cause mortality to cardiovascular disease.”
Is there a side effect?
The new BMJ report emphasizes that the authors can overcome this by monitoring symptoms every 20 weeks before publishing a repeated prescription, but there are concerns about the potential side effects of polypill, including “falling from dizziness or hypotension.”
In the initial study of polypill, other side effects that contain cough, muscle pain, dizziness and pears showed side effects that experienced side effects compared to 13 %of the placebo, but nothing was serious enough to stop.
Some experts have raised concerns that taking polypill can cause more side effects when taking the same medicine separately. Dr. Jonathan Behar, a consultant at the GUY ‘S and ST Thomas’ hospital, known as London Heart Doctor, said, “The side effects on drugs are very personal. “Some people can experience more with a pill.”
Is the benefits of Polypill more important than risk?
According to the author of the BMJ papers, the National Polypill program will require only 8 %of qualified people in the UK to take the drug every day to get greater benefits than the current NHS checks.
But Williams says it’s not too simple and too early to take into account the abolition of health checkups in favor of the everyday polypill prescriptions over 50. “Reality has little side effects in the existing statins and blood pressure drugs prescribed by dangerous people,” he said. “But even a small number of people in a more extensive prescription of Polypills suggests concerns or side effects, a large number of additional NHS requests may occur.”
bhf.org.uk
