Cost Minimization Analysis of Antihypertensive Therapy with Captopril-Hydrochlorothiazide and Amlodipine-Hydrochlorothiazide in One of Hospitals in Bandung

Abstract

The successful therapy of stage 2 hypertension can be supported by the administration of antihypertensive. Existence of various antihypertensive alternative making pharmacoeconomics study is needed in order to have an effective and efficient therapy. Purpose of this study was to find the antihypertensive group therapy which is more efficient in cost (cost minimization) which used in the treatment of stage 2 hypertension in patients at one hospital in Bandung from 2011 until 2013. This study is an observational reserach with retrospective data collection. Data retrieval was done by taking the medical records of hospitalized patients who received therapy of stage 2 hypertension antihypertensive, captopril‑ hydrochlorothiazide or amlodipin‑hydrochlorothiazide. Components that were collected includes the cost of antihypertensive, supportive therapy costs, the cost of action, administrative expenses and cost of hospitalization. The result of this study of cost minimization analysis showed that the total cost of treatment with the antihypertensive captopril‑hydrochlorothiazide is lower compared to amlodipin‑ hydrochlorothiazide, with the difference amounting to Rp126,798. Keywords: