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PubMed1990

Serving the needs of older patients through private practice settings.

Current trends dictate that optometric practices will provide eye care for increasingly larger numbers of older patients throughout the foreseeable future. Trends such as demographics, optometric participation in third party plans, and expanding scope of optometric practice exert collective influence in this area of clinical care. Special skills and techniques are needed when caring for these patients, and private practitioners need to integrate newly available information and instrumentation with their existing clinical skills in order to provide optimal care.

Aged↗
PubMed1988

Multicenter private practice comparison of tripamide and hydrochlorothiazide in the treatment of hypertension.

One hundred fifty-nine patients with essential hypertension were randomly assigned to take 10 mg of tripamide or 50 mg of hydrochlorothiazide once a day for 12 weeks. Both drugs were equally effective in lowering both systolic and diastolic blood pressure in the supine (6/5 vs. 5/5 mm Hg) and standing (8/5 vs 7/6 mm Hg) positions. Tripamide had less effect on serum potassium (0.2 vs. 0.6 mEq/L decrease) and serum uric acid (0.7 vs. 1.2 mg/dL increase) than hydrochlorothiazide. The addition of propranolol to either drug produced a further reduction in blood pressure. The overall incidence and spectrum of adverse reactions were the same for both drugs.

Antihypertensive Agents↗