Table 5.
Estimated annual requirement of drugs per patient and annual cost of medication (in USD) for hypertension treatment with the use of selected protocols.
Protocol | Scenario | Treatment stage-wise control assumption | Approximate annual drug requirement per patient | Annual cost of medication per patient in USD | |||||
---|---|---|---|---|---|---|---|---|---|
Amlodipine 5 mg | Telmisartan 40 mg | Chlorthalidone 12.5 mg | Total pill requirement | Private sector | Private low-cost generic | Govt. program | |||
Protocol 1: AATTC | 1 | 30:30:20:10:10 | 621 | 219 | 37 | 876 | 47.61 | 8.09 | 3.00 |
2 | 40:25:15:10:10 | 584 | 201 | 37 | 821 | 44.46 | 7.57 | 2.81 | |
3 | 50:20:15:10:5 | 548 | 164 | 18 | 730 | 38.10 | 6.46 | 2.32 | |
4 | 60:15:13:7:5 | 511 | 135 | 18 | 664 | 33.88 | 5.78 | 2.05 | |
Protocol 2: ATTAC | 1 | 30:30:20:10:10 | 438 | 402 | 37 | 876 | 58.44 | 9.57 | 3.89 |
2 | 40:25:15:10:10 | 438 | 347 | 37 | 821 | 53.12 | 8.76 | 3.52 | |
3 | 50:20:15:10:5 | 420 | 292 | 18 | 730 | 45.68 | 7.50 | 2.94 | |
4 | 60:15:13:7:5 | 409 | 237 | 18 | 664 | 39.95 | 6.61 | 2.55 | |
Scenario | Treatment stage-wise control assumption | Amlodipine 5 mg + Telmisartan 40 mg SPC | Chlorthalidone 12.5 mg | Total pill requirement | Private sector | Private low-cost generic | Govt. program | ||
WHO-HEARTS SPC protocol 3 | 1 | 30:30:30:10 | 456 | 37 | 493 | 68.83 | 9.89 | 3.98 | |
2 | 40:30:20:10 | 420 | 37 | 456 | 63.55 | 9.15 | 3.69 | ||
3 | 50:20:25:5 | 383 | 18 | 402 | 56.84 | 8.09 | 3.23 | ||
4 | 60:15:20:5 | 347 | 18 | 365 | 51.57 | 7.35 | 2.94 |
Exchange rate USD: INR used is 1:74.