Hypersensitivity to one of components of polypill (excluding cough due to enalapril)
History of angioedema
History of gastrointestinal bleeding or peptic ulcer disease within 3 months of eligibility assessment
History of stroke
Pregnancy or lactation
Bleeding disorders such as hemophilia
Regular anticoagulant use (excluding aspirin)
Alcohol consumption more than 3 times a day
Advanced liver diseases defined as history of chronic liver disease and platelet count lower than 100000/μL at the time of eligibility assessment
Uncontrolled seizures defined as history of any seizure episode within 2 years of eligibility assessment either on or off the anticonvulsant treatment
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Presence of any of the followings in asthmatic patient:
Daily symptoms
Nighttime symptoms ≥ 1 night per week
History of nasal polyposis
Symptoms attributed to rhinitis without evidence of upper respiratory tract infection
History of gout
Serum creatinine > 2 mg/dL
Glomerular filtration rate (GFR) < 30 ml/min
Hemoglobin <10 mg/dL in females and <11 mg/dL in males
Systolic blood pressure <90 mmHg and diastolic blood pressure < 60 mmHg
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Medical/psychiatric comorbidities potentially affecting the adherence of the participants:
Major depression disorder, dementia, schizophrenia, manic-depressive bipolar disorder and other disorders with presentation of psychosis
Cognitive impairments
Blindness
Inability to do diurnal activities independently eg wheelchair bound patients
Disorientation with the study and its goals
Unavailability of the subjects