There is a high rate of non-compliance with Western antihypertensive medications in non-English speaking Chinese with hypertension (Huff & Kline, 1999). Many less acculturated Chinese-Americans may believe that Western medications are too strong and may not take prescribed doses.
Older Chinese-Americans may be at risk for drug interactions due to metabolic factors which alter the metabolism of drugs, and the concurrent use of herbs and other Chinese medications.