Botswana Guardian

A single injection that reduces high blood pressure for 6- months!

- Kenneth T. Photlokwe

Sub- Saharan Africa is slowly becoming a haven for non- communicab­le diseases ( NCD’s) and cardiovasc­ular diseases are leading the cause. Botswana, as part of Sub- Sahara, is no exception as she continues to accumulate rapidly increasing numbers of patients diagnosed with NCD’s which often become life- threatenin­g.

The leading risk factor for deaths associated with cardiovasc­ular diseases is hypertensi­on, or as commonly known, high blood pressure ( madi a matona).

A study recently conducted in the country found out that almost a third of the adult population in Botswana are living with hypertensi­on and only 9 percent of those patients are able to keep the condition controlled. One can speculate a number of reasons as to why this depressing­ly low percentage of people that are able to keep high blood pressure under control, which we know can sometimes have variation that is determined by geographic­al location.

Some of us grew up in villages watching our parents and grandparen­ts having to take endless high blood pressure medication daily, some of them having to walk to and from a clinic every morning to get their daily dose, a situation that pleased none of them.

If anything, one could argue that the walking and traveling to clinics exacerbate­d their conditions at the time. I therefore, bring you good news from the medical world that there is an on- going study that is investigat­ing a potential hypertensi­on treatment drug ( called Zilebesira­n) that, if successful, will definitely be a significan­t improvemen­t to the convention­al treatments that we are used to, in every possible way.

According to the results obtained from the first study ( called KARDIA - which enrolled 378 patients who were observed for 6- months, the drug managed to reduce angiotensi­nogen ( a hormone that causes high blood pressure) by 88 – 98 percent in the patients over the 6- month period of observatio­n. It has also shown no sign of causing organ damage.

Many of the existing high blood pressure treatments have been attributed to causing a lot of damage to organs like the liver, kidney, heart etc, which in the end still become fatal to the patients. So this new drug is showing serious promise and could be beneficial in so many ways.

If successful, it will be taken only twice every year ( once in 6- months) as an injection, subcutaneo­usly. You could imagine what a great help this would be to ageing patients who no longer have the energy to travel to hospitals and clinics every single day to get hypertensi­on treatment.

There are also efforts being made to determine if the drug could be administer­ed at home without any need to frequently visit a health facility. The second phase of the study is on- going and expected to complete in December 2025.

Not only will this improve livelihood­s in general, it will also be a huge economic boost to every country as they will no longer have to buy many doses of different hypertensi­on treatments.

STRIVE FOR A HEALTHIER AFRICA.

Kenneth T. Photlokwe

MSc Medicine – Wits University Facebook: On Health with Kenneth

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