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Abstract The silent killer of the world, hypertension is a ticking time bomb in both industrialized and developing countries. Adherence to long-term treatment for conditions like hypertension is crucial for improving the efficacy of medication. Aim: To assess barriers facing medication adherence among patients with chronic hypertension at Out Patient Medical Clinics. Study design: cross-sectional descriptive design. Sample: Convenience sample of 200 patients was selected. Setting: Outpatient medical clinics of Minia General Hospital. Tools: Three tools were utilized; 1st tool: Contains two parts; demographic data and Medical data of patients. 2nd tool: Medication Adherence Likert Scale. 3rd tool: Assessment questionnaire of patients’ barriers to antihypertensive medication adherence. Results: the majority of participating patients were married and about two thirds of them were illiterate, in addition, more than half of them had poor adherence to antihypertensive medication,. Conclusion: The most frequent barriers of antihypertensive medication adherence were; fear from side effects, medication costs and unavailability or no access of medication. Recommendations: A collaborative care strategy should make it easier to inform patients about the advantages of taking medications and the significance of continuing to do so, particularly during treatment. |