ABSTRACT. The population of elderly and non-elderly users of a Basic Health Unit (UBS) was interviewed regarding the use of cardiovascular and anti-diabetic medications, as well as the adverse effects that were noted. Hypertension and diabetes mellitus are conditions involving complications and compromise the quality of life of patients. The objective was to build a profile of these users. The crosssectional study was carried out on patients older than 18 years of age and users of cardiovascular or antidiabetic drugs in Centro Social Urbano UBS, located in Londrina -PR, Brazil. The result revealed the following statistically significant variables: lower use of beta blockers (p = 0.012) and metformin (p = 0.05) among the elderly compared to the overall average, and higher acetylsalicylic acid (ASA) (p = 0.006) use in people over 64 years of age. Reported adverse symptoms were lower among those over 64 years old (p = 0.03). Angiotensin-converting enzyme (ACE) inhibitors are the most used (63.5%), followed by diuretics (54.9%) and beta-blockers (27.7%). Among diabetic patients, 23.2% were using biguanides and 15.9% sulfonylureas; only 6.6% were insulin-dependent. The conclusion is that drug therapies within the sample were mostly in accordance with current guidelines.Keywords: medicine, adverse effects, hypertension, diabetes mellitus, primary health care.Análise do uso de medicamentos cardiovasculares e antidiabéticos em atenção primária de saúde de acordo com a faixa etária RESUMO. A população de idosos e não-idosos usuários de uma unidade básica de saúde (UBS) foi entrevistada quanto ao uso de medicamentos cardiovasculares e antidiabéticos e, também, aos efeitos adversos que eram notados pelos próprios entrevistados. A Hipertensão Arterial Sistêmica e o Diabetes Mellitus são afecções relacionadas a complicações e comprometimento da qualidade de vida dos pacientes. O objetivo foi montar o perfil desses usuários. O estudo foi transversal, realizado com pacientes maiores de 18 anos de idade usuários de medicamentos cardiovasculares e ou antidiabéticos da UBS -Centro Social Urbano, em Londrina, Estado do Paraná. O resultado revelou, estatisticamente significativas, as variáveis: uso de betabloqueadores (p = 0,012) e de metformina (p = 0,05) menor entre os idosos em relação ao total e de ácido acetilsalicílico (AAS) (p = 0,006) maior nas pessoas acima de 64 anos. Os sintomas adversos referidos foi estatisticamente menor entre aqueles com mais de 64 anos (p = 0,03). Os inibidores da enzima de conversão da angiotensina (IECA) são os mais utilizados (63,5%), seguidos por diuréticos tiazídicos (54,9%) e beta-bloqueadores (27,7%). Entre os pacientes diabéticos, 23,2% utilizam biguanidas e 15,9% sulfanilureias, apenas 6,6% fazem uso de insulina. Conclui-se que as terapias medicamentosas da amostra estavam, em sua maioria, de acordo com as diretrizes atuais.Palavras-chave: medicamentos, efeitos adversos, hipertensão, diabetes mellitus, atenção primária à saúde.
Introduction: Ramsay Hunt Syndrome, a rare clinical entity, is caused by the reactivation of the varicella zoster virus, which results in inflammation of the geniculate ganglion of the facial nerve. Characterized by the triad: ipsilateral facial paralysis, otalgia and herpetic vesicles in the external ear. Due to the broad symptomatology, which encompasses atypical symptoms and present in several other pathologies, it is often underdiagnosed. Case report: A 62-year-old woman admitted to Hospital Evangélico de Londrina due to paresthesia in the left hemiface, associated with vertigo and severe headache. On physical examination, peripheral facial paralysis on the left and vesicles on the palate and left external ear were observed. AVC protocol exams were requested (normal) and liquor was collected (clear, colorless appearance, 92% lymphocytes). New serologies and magnetic resonance imaging of the skull with contrast were requested. Prescribed acyclovir, prednisone, eye drops and ocular occlusion. The patient evolved with maintenance of headache and otalgia. Prednisone was replaced by intravenous dexamethasone, gabapentin and topical lidocaine were added, and other medications were maintained. Non-reactive requested serologies. Analysis of the herpes simplex virus by polymerase chain reaction > 30. In view of the data, a diagnosis of viral meningitis due to herpes associated with Ramsay Hunt syndrome was diagnosed. Maintained treatment, patient evolved with improvement of the condition. Conclusion: Based on the clinical correlation and unfavorable prognosis, the importance of early identification and treatment lies in order to reduce the time of active disease and neural damage, avoiding possible complications.
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