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    Martha Grogan, M.D.

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Question

Polypill: Does it treat heart disease?

What is the polypill? Can it prevent or treat heart disease?

Answer

from Martha Grogan, M.D.

The term "polypill" describes a pill that's a combination of several medications commonly used to treat heart disease and high blood pressure. Doctors aren't sure what exact combination of medications should be included in a polypill. It's thought that low doses of each of these medications could be effective:

  • Aspirin
  • Water pills (diuretics)
  • Cholesterol-lowering medications (statins)
  • Medications to make your heart beat with less force (beta blockers)
  • Medications to help keep your blood vessels open (ACE inhibitors)

The polypill is still being studied, and isn't available for sale yet in the United States. Who should take the polypill is a controversial issue. Doctors are still trying to see if the polypill should be given as a preventive measure to people who haven't had a heart attack or stroke, or as a treatment option for people who have already had a heart attack or stroke.

Next question
Coronary artery disease: Angioplasty or bypass surgery?
References
  1. The Indian Polycap Study (TIPS). Effects of a polypill (Polycap) on risk factors in middle-aged individuals without cardiovascular disease (TIPS): A phase II, double-blind, randomised trial. The Lancet. 2009;373:1341.
  2. Wald NJ, et al. The polypill concept. Heart. 2010;96:1.
  3. Furster V. Prime time for a polypill after myocardial infarction? Nature Clinical Practice Cardiovascular Medicine. 2009;6:83.
  4. Wald DS, et al. The polypill in the primary prevention of cardiovascular disease. Fundamental and Clinical Pharmacology. 2010;24:29.
AN02066 Feb. 27, 2010

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