Avaliação da qualidade do uso de medicamentos em idosos

Abstract

VOLUME 33 NÚMERO 5 OUTUBRO 1999© Copyright Faculdade de Saúde Pública da USP. Proibida a reprodução mesmo que parcial sem a devida autorização do Editor Científico. Proibida a utilização de matérias para fins comerciais. All rights reserved. Revista de Saúde Pública ResultadosDas 634 mulheres estudadas, 9,1% não tomam qualquer tipo de medicamento. A média de medicamentos consumidos foi de 4,0 por mulher. Das 2.510 especialidades farmacêuticas citadas, há 538 princípios ativos diferentes. Cerca de 26% dos medicamentos são concordantes com as recomendações da Organização Mundial da Saúde, e 17%, com as da Relação Nacional de Medicamentos Essenciais. Cerca de 17% dos medicamentos são inadequados para o uso. No que diz respeito a redundâncias, 14,1% das mulheres podem sofrer conseqüências decorrentes desse evento. Quanto às interações medicamentosas, 15,5% das entrevistadas estão expostas às principais interações. Conclusões Os dados sugerem que o padrão do uso dos medicamentos entre as idosas é bastante influenciado pela prescrição médica e que sua qualidade é prejudicada pela baixa seletividade do mercado farmacêutico. Abstract IntroductionThe objective is to evaluate the quality of medication utilization through the analysis of the pattern of usage, the degree of compliance to essential drug lists, therapeutic value and by drug interactions found among women over 60 years of age. Methods Six hundred thirty-four women enrolled at the Open University of the Third Age were studied. Data was collected through pattern-oriented, tested questionnaires.

Epidemiologia do uso de medicamentos entre idosos em area urbana do Nordeste do Brasil

“…20 The mean number of medications being taken at the time of the interview was lower than that observed in Rio de Janeiro, RJ, 16 in the South Region 7 and in Belo Horizonte, MG. 15,20 However, it was higher than that found in Fortaleza, 5 the population which is closest to the population of this study, which suggests regional differences in the intensity of medication use.…”

“…5,6,15 On the other hand, the proportion of elderly individuals using non-prescribed medication was lower than that reported in the literature. 5,6,15,16 This may be linked to the fact that this study dealt with a population dependent on the SUS and therefore needing a prescription for any kind of medication. The frequency with which medications judged unsafe for use by the elderly 3 were found was greater than that found in Rio de Janeiro 16 and in Fortaleza, 5 but the values were lower than those obtained for elderly individuals not dependent on the SUS.…”

“…5,6,15,16 This may be linked to the fact that this study dealt with a population dependent on the SUS and therefore needing a prescription for any kind of medication. The frequency with which medications judged unsafe for use by the elderly 3 were found was greater than that found in Rio de Janeiro 16 and in Fortaleza, 5 but the values were lower than those obtained for elderly individuals not dependent on the SUS. 19 Even so, it was observed that 2.2% of the elderly individuals took diazepam.…”

“…16,22,b High levels of medication use by the elderly population, in Brazil and worldwide, has been described. 7,9,15,16,20 Biologically, the elderly have less capacity to metabolize medication, they suffer adverse effects more frequently and effi cacy of the treatment is reduced. This is due to a combination of factors: higher prevalence of chronic illness, polypharmacy and, often, malnutrition.…”

Utilização de medicamentos em adultos: prevalência e determinantes individuais

“…Essa tendência é consistente com a literatura revisada 1,16 e, provavelmente, se deve à maior prevalência de morbidades com o avanço da idade. Mosegui et al, 14 estudando mulheres acima de 60 anos, encontraram prevalência (90,9%) praticamente idêntica à encontrada no presente estudo (90,5%).…”