Aim:
Background: Hypertension and diabetes cause most cardiovascular deaths and morbidity, and the coexistence of these disorders requires attention and reasonable care. Studies on drug usage offer valuable insights into healthcare systems, providing an avenue to evaluate and enhance current practices. Diabetic individuals are twice as likely to develop hypertension as non-diabetics of equivalent age. Blood pressure (BP) regulation holds the key to mitigating both micro- and macrovascular complications. Aims: This research aims to comprehensively assess the prescribing practices of anti-hypertensive medications in a sample of Iraqi patients with diabetes. Specifically, exploring medication types and classes, adherence to clinical guidelines for managing hypertension in the context of diabetes, and factors influencing prescribing decisions.

Material and methods:
Materials and Methods: This descriptive cross-sectional retrospective study investigates medication usage in an outpatient clinic in Najaf, Iraq, utilizing systematic sampling. A total of 157 prescriptions from hypertensive outpatients aged 18 and above with comorbid diabetes were randomly selected.

Results:
Results: In our study, diabetic hypertensive patients were found to be administered antihypertensive medicines. The usage patterns revealed that a substantial proportion relied on CCBs (48.4%), followed by ARBs (34.4%), ACEIs (32.5%) and Diuretics (32.5%). Notably, single-drug therapy with CCB was more common than multiple-drug therapy among diabetic hypertensive patients in this investigation.

Conclusions:
Conclusion: Our findings indicate that CCBs were the most frequently used group of drugs. Diabetes-specific problems are more likely in hypertension patients with diabetes; thus, prompt diagnosis and treatment are needed to decrease macro and micro-vascular consequences.