A prescrição de medicação psicotrópica e o conhecimento da portaria regulatória brasileira por cirurgiões-dentistas

Avelar, Luanne Priscilla Pereira; Castilho, Lia Silva de; Abreu, Mauro Henrique Nogueira Guimarães de; Vilaça, Ênio Lacerda; Resende, Vera Lúcia Silva; Silva, Maria Elisa Souza e

doi:10.1590/1414-462x201900030382

Cited by 4 publications

(5 citation statements)

References 12 publications

(35 reference statements)

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“…The great problem on this issue is that patients show dissatisfaction with pain management, especially when compared to patients in developed countries, where the prescription of opioid analgesics is higher. In a way, the lack of knowledge and training on the use of opioids among health professionals 6 , associated with inadequate and restrictive public policies, make these professionals see opioids as a "last case" alternative. Furthermore, the practice of self-medication with analgesics is frequent among individuals with chronic diseases, which can cause professionals to fear prescribing more potent analgesics.…”

Section: Resultsmentioning

confidence: 99%

“…Another important aspect to be evaluated is the influence of socioeconomic factors related to health and to the Brazilian states, reflecting the existence of differences in access to these drugs according to geographical distribution. A survey with dentists noticed that Brazilian states with greater access to dentists have greater sales of opioid analgesics 6 . Albeit contradictory, the 2015 Brazilian National Household Survey on Substance Use showed an opioid analgesic use higher in older age individuals and lower among people from higher income groups, which may be related to distinct socioeconomic conditions 1 .…”

Section: Low Priority Of Chronic Pain As a Health Policymentioning

confidence: 99%

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Opioid consumption and prescription in Brazil: integrative review

Piovezan,

Sousa,

e-Silva

et al. 2022

BRJP

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BACKGROUND AND OBJECTIVES:In the past twenty years, the number of deaths caused by opioid overdose has tripled in the United States. There is, in literature, a scarcity of up-to-date evidence regarding opioids consumption in the Brazilian scenario. The objectives of this study was to know, through a literary review, the pattern of opioid analgesics consumption in Brazil. METHODS: An integrative review of the literature, performed in the PubMed, BVS and Scielo databases from August 30 to October 22, 2020. The search strategy included the following terms, "Opioid-related disorders" or "Opioid epidemic" or "Opioid analgesics" and "Brazil". Inclusion criteria: published in the last five years; studies on humans. Exclusion criteria: studies not related to the objective of this review; letters, editorials, commentaries and secondary studies. RESULTS:The results showed patients' dissatisfaction with pain management when compared to patients from developed countries, the lack of knowledge and adequate public policies on the use of opioids among health professionals make them view opioids as the last treatment alternative. The practice of analgesic self-medication is frequent in patients with chronic diseases, which may be the cause of the low prescription of opioid analgesics by health professionals.

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Section: Resultsmentioning

confidence: 99%

Section: Low Priority Of Chronic Pain As a Health Policymentioning

confidence: 99%

Opioid consumption and prescription in Brazil: integrative review

Piovezan,

Sousa,

e-Silva

et al. 2022

BRJP

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“…Among 126 nurses at an oncology center in Rio de Janeiro/RJ, half (48 %) believed that opioids harm patients, while the belief that opioids do not cause harm (52 %) was associated with adequate knowledge on cancer pain management [ 47 ]. Among 257 opioid-prescribing dental surgeons from the state of Minas Gerais, almost two-thirds (62 %) reported lack of knowledge of Brazilian opioid-related regulatory legislation, and legislation knowledge was associated with higher prescription frequency [ 48 ].…”

Section: Resultsmentioning

confidence: 99%

Opioid use, regulation, and harms in Brazil: a comprehensive narrative overview of available data and indicators

Maia

Daldegan‐Bueno

Fischer

2021

Subst Abuse Treat Prev Policy

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Background Global opioid consumption increased multifold post-2000, disproportionately in high-income countries, with severe mortality/morbidity consequences. Latin America features comparatively low opioid availability; Brazil, the region’s most populous country, makes an interesting case study concerning opioid use/harms. In this comprehensive overview, we aimed to identify and summarize medical and non-medical data and indicators of opioid availability and use, regulation/control, and harm outcomes in Brazil since 2000. Methods We searched multiple scientific databases to identify relevant publications and conducted additional ‘grey’ literature searches to identify other pertinent information. Results Despite some essential indicators, opioid-related data are limited for Brazil. Data indicate that population-level availability of prescription opioids represents only a small fraction of use in comparison to high-income countries. However, within Latin America, Brazil ranks mid-level for opioid consumption, indicating relatively moderate consumption compared to neighboring jurisdictions. Brazil has implemented restrictive regulations to opioid prescribing and is considered ‘highly restricted’ for opioid access. Codeine remains the major opioid analgesic utilized, but stronger opioids such as oxycodone are becoming more common. Professional knowledge regarding medical opioid use and effects appears limited. National surveys indicate increases in non-medical use of prescription opioids, albeit lower than observed in North America, while illicit opioids (e.g., heroin) are highly uncommon. Conclusions Overall population-level opioid availability and corresponding levels of opioid-related harms in Brazil remain substantially lower than rates reported for North America. However, the available surveillance and analytical data on opioid use, policy/practice, and harms in Brazil are limited and insufficient. Since existing and acute (e.g., pain-related) needs for improved opioid utilization and practice appear to be substantiated, improved indicators for and understanding of opioid use, practice, and harms in Brazil are required.

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“…Também segundo Costa et al (2013) de acordo com a legislação vigente, o cirurgiãodentista pode prescrever o medicamento que julgar mais adequado para curar, diminuir ou estabilizar a enfermidade diagnosticada, e não existe restrição dos medicamentos no cotidiano terapêutico do cirurgião-dentista, desde que tenha uso indicado e comprovado na Odontologia Avelar et al (2019) complementam que o cirurgião dentista pode trabalhar em casos de pacientes extremamente ansiosos em relação ao tratamento odontológico e/ou com um baixo nível cognitivo, que os leva a não cooperar para o sucesso da realização do tratamento, e o cirurgião dentista pode prescrever medicamentos psicotrópicos.…”

Section: Introductionunclassified

Análise do processo de prescrição digital na odontologia

Kawamoto Júnior,

Dias,

Matsumura

et al. 2024

Refas

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Quando se faz uma informatização de processos, é necessário analisar seus impactos, então o objetivo desta pesquisa é analisar o processo de prescrição digital em consultórios odontológicos; não é escopo dessa pesquisa analisar impactos na saúde do paciente. Primeiro foi feita uma revisão bibliográfica para se saber os possíveis impactos de utilizar receita digital; depois elaborado um questionário Likert cinco fatores, que foi validado por cinco dentistas em relação ao entendimento; em seguida o questionário foi entregue para ser respondido por trinta cirurgiões dentistas. Os resultados mostraram que os cirurgiões dentistas acreditam que a prescrição digital é mais segura, ajuda no processo, diminui erros, facilita o registro histórico, e não houve necessidade de grandes investimentos; porém foi difícil aprender a usar o sistema, induz a reutilizar receitas antigas sem conferência, e há grande resistência por parte das farmácias, não houve consenso em relação à redução no tempo para fazer a prescrição.

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A prescrição de medicação psicotrópica e o conhecimento da portaria regulatória brasileira por cirurgiões-dentistas

Cited by 4 publications

References 12 publications

Opioid consumption and prescription in Brazil: integrative review

Opioid consumption and prescription in Brazil: integrative review

Opioid use, regulation, and harms in Brazil: a comprehensive narrative overview of available data and indicators

Análise do processo de prescrição digital na odontologia

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