降压药依普利酮纳入医保了吗

The inclusion of drugs in medical insurance means that it can reduce the medication burden of many patients, so many patients hope that the drugs they use can be included in medical insurance. So have antihypertensive drugs been included in medical insurance?

Although eplerenone was approved for clinical use by the State Food and Drug Administration in 2002, it has not been marketed in my country. Since it is not on the market, the issue of medical insurance cannot be discussed. When the original drug is relatively expensive, patients can choose eplerenone, which is available in India. The price is about $500. Since domestic and foreign exchange rates fluctuate, please consult the medical companion for the specific price.

Hypertension is the most common chronic disease and the main risk factor for cardiovascular and cerebrovascular diseases. Hypertension refers to an increase in systemic arterial blood pressure (systolic blood pressure and/or diastolic blood pressure) as the main feature (systolic blood pressure ≥ 140 mm Hg mm Hg, diastolic blood pressure ≥ 90 mm Hg mm Hg). Clinically, it may be accompanied by functional or organic damage to the heart, brain, kidney and other organs.

Eplerenone is a new generation selective aldosterone antagonist that can be used alone or in combination with other antihypertensive drugs for the treatment of hypertension. It also has a good antihypertensive effect on simple systolic hypertension and has a good antihypertensive effect on diet-induced obesity-related hypertension. In addition, eplerenone can significantly reduce the ultrafiltration effect of glomeruli and reduce albuminuria in patients with hypertension. This renal protective effect is more obvious for hypertensive patients with diabetes.

Usage and dosage of eplerenone 1. Congestive heart failure after acute myocardial infarction: The recommended dose is 50 mg/time, once/day. The initial dose should be 25 mg/time, once/day, and within 4 weeks, the dose should be gradually increased to 50 mg/time, once/day if the patient tolerates it; 2. Anti-hypertensive: Eplerenone can be used alone or in combination with other antihypertensive drugs. The recommended initial dose for use alone is 50 mg/time, once/day. Obvious antihypertensive effects appear within four weeks of taking the drug. If the antihypertensive effect of taking this medicine is not obvious, it can be increased to 50mg/time, 2 times/day. Higher dosages are not recommended, otherwise there is an increased risk of adverse reactions such as hyperkalemia.

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