News
“Three-in-one blood pressure pill can significantly reduce risk of recurrent strokes”
A major international clinical trial has found that a once-daily, three-in-one blood pressure pill can significantly reduce the risk of recurrent strokes among patients who have survived a brain bleed, or haemorrhagic stroke, Kelaniya University’s media division announced yesterday.
The TRIDENT trial, coordinated in Sri Lanka by a team led by Senior Professor Asita de Silva of the Clinical Trials Unit, Faculty of Medicine, University of Kelaniya, showed that the low-dose combination pill reduced the risk of a repeat stroke by up to 40 per cent and the risk of another brain bleed by 60 per cent among high-risk patients. The findings were published on April 23 in the New England Journal of Medicine.
The pill combines three commonly used antihypertensive medications—amlodipine, telmisartan and indapamide—into a single daily dose. Researchers said the simplified regimen improves patient adherence and supports better blood pressure control, a key factor in preventing further strokes, heart attacks and other cardiovascular complications.
The trial followed 1,670 stroke survivors across 11 countries over a seven-year period, including participants from 11 specialist neurology centres in Sri Lanka. Nearly 73 per cent of participants were Asian, with close to 70 per cent from Sri Lanka, making the findings particularly relevant to the country and the wider South Asian region.
An estimated 60,000 people in Sri Lanka suffer strokes annually, while cardiovascular disease accounts for more than 40 per cent of all deaths. Around 40 per cent of Sri Lankan adults aged 30 to 79 are affected by high blood pressure, the leading risk factor for stroke.
Professor de Silva said a decade of clinical trials involving Sri Lankan and international researchers had consistently shown the effectiveness of a triple low-dose combination therapy in controlling blood pressure. He noted that the drug has recently been approved by the U.S. Food and Drug Administration and included in the World Health Organization’s Model List of Essential Medicines. He described the findings as a “game changer” in reducing recurrent stroke risk through sustained blood pressure control.
He also highlighted Sri Lanka’s significant contribution to the study, noting that nearly 70 per cent of the trial data was generated locally, underscoring the country’s growing role in global medical research.
Dr. Bimsara Senanayake, Specialist Neurologist and Lead Investigator at the National Hospital of Sri Lanka, said the findings address longstanding gaps in the treatment of intracerebral haemorrhage, where effective strategies for intensive blood pressure management have remained uncertain for decades. He noted that improved blood pressure control could substantially reduce the risk of further life-threatening events among survivors.
In a statement, World Stroke Organization President Professor Jeyaraj Pandian described the trial as a major advance in stroke prevention, highlighting the benefits of effective blood pressure management following intracerebral haemorrhage.
The findings are expected to inform changes in clinical practice, particularly as the triple-combination pill used in the trial has already received regulatory approval and global recognition for the treatment of hypertension.
Dr. Ajantha Keshavaraj, President of the Association of Sri Lankan Neurologists and a co-author of the study, said the results could significantly change the management of post-stroke blood pressure, adding that the treatment—combined with lifestyle measures such as reduced salt intake—has the potential to save thousands of lives.
An accompanying editorial in the New England Journal of Medicine also underscored the importance of strict blood pressure control as a priority in preventing cardiovascular disease.
Latest News
Heat Index at Caution Level at some places in the Northern, North-central, Eastern, Sabaragamuwa and North-western provinces and in Monaragala district during the day time
Warm Weather Advisory
Issued by the Natural Hazards Early Warning Centre
Issued at 3.30 p.m. on 30 April 2026, valid for 01 May 2026.
The Heat index, the temperature felt on human body is likely to increase up to ‘Caution level’ at some places in the Northern, North-central, Eastern, Sabaragamuwa, and North-western provinces and in Monaragala district during the day time.
The Heat Index Forecast is calculated by using relative humidity and maximum temperature and this is the condition that is felt on your body. This is not the forecast of maximum temperature. It is generated by the Department of Meteorology for the next day period and prepared by using global numerical weather prediction model data.

Effect of the heat index on human body is mentioned in the above table and it is prepared on the advice of the Ministry of Health and Indigenous Medical Services.
ACTION REQUIRED
Job sites: Stay hydrated and takes breaks in the shade as often as possible.
Indoors: Check up on the elderly and the sick.
Vehicles: Never leave children unattended.
Outdoors: Limit strenuous outdoor activities, find shade and stay hydrated.
Dress: Wear lightweight and white or light-colored clothing.
Note:
In addition, please refer to advisories issued by the Disaster Preparedness & Response Division, Ministry of Health in this regard as well. For further clarifications please contact 011-7446491.
News
USD 2.5 mn fraud probe: Interdicted MoF official found dead at home
An Assistant Director of the External Resources Department (ERD) of the Ministry of Finance, interdicted pending an investigation into the diversion of US$2.5 million in Treasury funds to a rogue account was found dead at his residence in Kuliyapitiya.
The deceased has been identified as Ranga Nishantha, 50.
Police said the officer had been found in the garden of his house and they believed that the officila had committed suicide. However, investigators have not ruled out other possibilities, and inquiries are continuing.
The official was interdicted along with three other senior Finance Ministry officials over a cyber-enabled financial fraud.
Those interdicted include a Director and an Assistant Director from the ERD, as well as a Director and an Additional Director General from the Public Debt Management Office (PDMO).
Police sources said that the CID had on two occasions asked Nishantha to make a statement in connection with the ongoing investigation, but he had failed to comply.
Police said the CID probe into the alleged cyber fraud is continuing, with investigators examining the circumstances surrounding the diversion of funds through compromised communication channels.Kuliyapitiya Police said further investigations were underway to establish the exact cause of death.
News
Alarm raised over plan to share Lanka’s biometric data with blacklisted Indian firm
FSP accuses govt. of reducing Sri Lanka to a puppet of India by giving away sensitive data
Jana Aragalaya Movement, affiliated to the Frontline Socialist Party, yesterday raised alarm over a move to hand over Sri Lankans’ fingerprint and iris biometric data to a blacklisted foreign company.
Speaking at a media briefing in front of the Ministry of Fisheries yesterday Jana Aragalaya Movement National Operational Committee Member Wasantha Mudalige alleged that India was seeking access to Sri Lanka’s sensitive national data systems in a bid to exert influence over the country.
He said that decision-making authority over the proposed biometric identity card system was being ceded to India.
Mudalige said the electronic identity card project, launched in 2012, had already cost Rs. 5.6 billion in software development, with a further Rs. 600 million needed for completion. However, he alleged that in 2021 the Gotabaya Rajapaksa administration had moved to integrate the project
with India for biometric implementation, despite substantial local investment already made.
He said a government tender process had been initiated but later stalled after bidders failed to meet required qualifications.
He alleged that in 2023 the Ranil Wickremesinghe administration had attempted to award the project to Madras Security Printers, a company blacklisted over an excise-related fraud case, and that the move was halted following public opposition.
Mudalige added that after President Anura Kumara Dissanayake assumed office, Sri Lanka had signed an agreement with India in January 2025 under which tendering authority was also transferred.
He alleged that while five Indian companies were initially registered, a sixth company—Madras Security Printers—was later added by March 2026, raising further concerns.
Calling for urgent clarification, Mudalige warned that Sri Lanka risked undermining its sovereignty and national security, insisting the country must not be reduced to what he termed a foreign “puppet state.”
by Chaminda Silva
-
News4 days agoBIA drug bust: 25 monks including three masterminds arrested
-
News2 days agoTreasury chief’s citizenship details sought from Australia
-
Business5 days agoNestlé Lanka Announces Change in Leadership
-
News4 days agoBanks alert customers to phishing attacks
-
News5 days agoHackers steal $3.2 Mn from Finance Ministry
-
News3 days agoGovt. assures UN of readiness to introduce ‘vetting process’ for troops on overseas missions
-
Business3 days agoADB-backed grid upgrade tender signals next phase of Sri Lanka’s energy transition
-
Sports2 days agoWell done AKD!
