Internet App Could Increase Access to Statins for Primary Prevention

Use of an internet app to determine eligibility and access to a statin without a prescription could expand the numbers of primary prevention patients taking these drugs and lead to a reduction in subsequent major cardiovascular events, a new trial suggests.

"I am terribly troubled by the fact that we have a class of lifesaving drugs that are not being used by half the population who could benefit from them," Nissen concluded."This is addressing primary prevention. We are generally getting our secondary prevention patients treated, but we really are not getting the job done with primary prevention. Our hope is that if this is approved by the regulatory agency, it will allow some of these patients to be treated.

If users did not know their cholesterol and blood pressure levels, they were given instructions on how to get this information. The app would then give one of three results: that a statin was indicated, was not appropriate, or that the individual should talk to their doctor . Compliance with LDL retesting was 83.8% for the full population and 92.9% for those qualified at all reassessments. Adherence based on pill counts was 95.1%, and compliance with Ask a Doctor and Do Not Use warnings were 83% and 80%, respectively. Instances of noncompliance were not associated with a significant safety risk, and no participants experienced a Stop Use warning.

Source: Healthcare Press (healthcarepress.net)

Internet App Eligibility Access Statins Prescription Primary Prevention Cardiovascular Disease Trial

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