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Background: General medical practitioners are responsible for providing care for most hypertensive patients in developing countries, including Nigeria. Concerns have been raised about the pattern of anti-hypertensive medications prescription in some countries. Most previous studies that have assessedphysicians’ anti-hypertensive prescription patterns were carried out in tertiary care institutions. The aim of this study was to assess the anti-hypertensive prescription pattern of nonspecialist general medical practitioners in Kano State, Northwestern Nigeria. Methods: This was a cross – sectional survey carried out among non – specialist general practitioners practicing within Kano State, Nigeria. A total of 138 doctors completed questionnaires about their demographics, duration and location of practice, and anti-hypertensive prescription patterns.Continuous variables were presented as mean ± standard deviation. Qualitative variables were expressed as proportions and percentages. Results: One hundred and fourteen (82.6%) doctors directly care for hypertensive patients routinely, with only 31 (22.5%) attending to less than 20 patients per month.Majority (47%) considered thiazide diuretics their first choice antihypertensive.Angiotensin converting enzyme inhibitors (ACEIs) were the commonest used drugs as single agent (55.7%) or in combination with other classes. The frequently used combinations were ACEIs/ thiazides (43.5%), ACEI/ Calcium channel blockers (CCBs) (24.6%) and CCBs/ thiazides (8.7%). The most frequently considered factors when prescribing antihypertensive medications were cost of the medications (84.7%), side effect profile of the medications (68.1%), presence of compelling indications and contraindications (57.2%), blood pressure at the time of presentation (56.2%) and the dosage frequency. Conclusion: The anti-hypertensive prescription pattern for the majority of the non-specialist general medical practitioners in Kano is in accordance with the current hypertension treatment guidelines.

Anti-hypertensive prescription pattern among general medical practitioners in Kano, Northern Nigeria