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Patients balance reservations about drugs generally against positive
experiences with doctors, perceived benefits of medication, or a
consideration of pragmatic issues. Patients receiving treatment for
chronic conditions often hold reservations about their drugs and make
active decisions about continuing to use them. Benson and Britten
(p 873) interviewed patients taking antihypertensive drugs and
developed a taxonomy of patients' reservations about drugs and their
reasons for taking them. Patients' ideas may derive from
considerations unrelated to drugs' pharmacological properties. Different patients may balance similar perceptions differently, and a
single patient may balance multiple reservations against different
reasons to take a drug. Taking patients' views into account when
reviewing or initiating hypertensive treatment may be helped by
directly asking about their reservations, their reasons for taking
drugs, and the balance between them.

(Credit: REX)