PURPOSE: To determine whether primary care physicians take into consideration age, gender and @entity6 as risk factors for @entity250 ( @entity250 ) when prescribing antihypertensives. METHODS: A prescribing survey on hyperternsive @entity1 with or without @entity6 in primary care setting of Bahrain was carried out. RESULTS: In 5301 @entity101 @entity1 , we found that a beta-blocker ( @entity2165 ) was the most commonly prescribed drug and was significantly more often prescribed for young male @entity101 (< 45 years). A relatively high dose of @entity2165 (100 mg/d) was extensively used as both mono- and combination-therapies. With the exception of middle-aged @entity101 (45-64 years) and elderly @entity101 (> or = 65 years), no significant age- and gender-related differences were observed regarding the prescription of @entity2740 diuretics. A significant trend of prescribing @entity12833 in females as monotherapy was evident. @entity1289 ( @entity1289 ) inhibitors, the second most commonly prescribed drugs, were significantly more often prescribed for young, middle-aged @entity101 males and for middle-aged @entity101 . beta-blocker/diuretic combination was prescribed least for the young and elderly @entity101 males. However, prescription of an @entity1289 inhibitor with either a diuretic or a @entity460 channel blocker (CCBs) was less frequent and lacked gender-related differences. CONCLUSIONS: We infer that antihypertensive-induced @entity250 received little attention as was evident from: (a) over-prescription of relatively high dose of beta-blockers to young @entity101 males; (b) lack of gender- and age-related difference regarding the type and dose of diuretics prescribed; (c) underutilization of effective and complementary combinations expected to cause least impact on sexual function, such as @entity1289 inhibitors with either a diuretic or with a CCB; and (d) a relative lack of discrimination while selecting antihypertensive drugs, particularly as monotherapy between @entity101 versus @entity101 @entity1 . With the exception of @entity1289 inhibitors alone and combination of diuretic/beta-blocker, the choice of antihypertensives did not conform to international guidelines. In view of drug-induced @entity250 adversely influencing the quality of life and thereby drug-compliance, interventions aimed at improving physicians' awareness should be attempted.

Antihypertensive drug-associated XXXX : a prescription analysis-based study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1289 :: ('1636', 'Gene') :: ['Angiotensin converting enzyme', 'ACE'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertensives', 'diabetic-hypertensive males', 'diabetic-hypertensives', 'hypertensive', 'diabetic-hypertensive'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity12833 :: ('MESH:D008750', 'Chemical') :: ['methyldopa'] @entity2740 :: ('CHEBI:50264', 'Chemical') :: ['thiazide'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium'] @entity2165 :: ('MESH:D001262', 'Chemical') :: ['atenolol'] @entity250 :: ('MESH:D012735', 'Disease') :: ['sexual dysfunction', 'SD']
@entity250 :: (MESH:D012735,Disease) :: ['sexual dysfunction']
