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Hypertension, a widespread global health concern affecting a staggering 1.28 billion adults, poses a significant challenge due to its silent nature and inadequate management rates. This article provides an evidence-based approach to common pharmacotherapies for essential hypertension, analyzing their efficacy and safety. We will explore guidelines on target blood pressure goals and discuss first-line agents such as angiotensin-converting enzyme inhibitors (ACEIs), angiotensin 2 receptor blockers (ARBs), calcium channel blockers (CCBs), thiazide diuretics, and beta-blockers. The review highlights emerging evidence on combination therapies and addresses adverse effects. The objective of this comprehensive overview is to provide guidance for clinical decision-making and enhance patient outcomes.
Received 18 September 2023; Revised 19 December 2023; Accepted 26 December 2023