Uso de anti-hipertensivos e antidiabéticos por idosos: inquérito em Belo Horizonte, Minas Gerais, Brasil

Abstract

Concern over the harmful effects of drug use by the elderly has motivated studies aimed at identifying problems in such utilization. This was a household survey with retirees aged > 60 years living in Belo Horizonte, Minas Gerais State, Brazil, in 2003, who reported having a diagnosis of diabetes and/or hypertension. Quality of anti-hypertensive and anti-diabetic medication was measured by redundancy, combinations of drugs, and inappropriate drugs. Among 283 elderly patients (89%) with self-reported hypertension and use of anti-hypertensive pharmacotherapy, 68.2% were using diuretics and 37.8% ACE inhibitors. Among the 22 (64.7%) self-reported diabetic patients under pharmacotherapy, 45.5% were using insulin and 77.3% oral anti-diabetic agents. Among the 89 self-reported diabetic and hypertensive patients, 80 (90%) were using anti-hypertensive drugs and 51 (57.3%) anti-diabetic agents. The study revealed the use of dose combinations, redundant use, and inappropriate medicines, thus indicating the need to monitor treatment protocols and improve healthcare for elderly patients.

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

“…When analyzing adherence to drug treatment, it was found that 22.8% exhibited non-adhesive behavior, numbers slightly greater than a study carried out in Belo Horizonte (Minas Gerais), where non-adherents represented 22.5% of the sample 21 .…”

Fontes de obtenção de medicamentos para tratamento de hipertensão arterial no Brasil: análise da Pesquisa Nacional de Saúde, 2013

“…Hypertension is a treatable disease and, when properly controlled, the development of symptomatic cardiovascular disease can be delayed or even prevented 4 . Among the strategies aimed at controlling these diseases, there is drug treatment, which, when properly conducted, enables the control of diseases, reduces their morbidity and mortality, and improves the quality of life of users 5 . The Strategic Action Plan to Combat Chronic Non-Communicable Diseases (NCDs in Brazil), 2011 -2022, actions and investments needed to cope with such diseases were defined and prioritized.…”

Prevalência de hipertensão arterial sistêmica em idosos no Brasil entre 2006 e 2010

“…6,7 Dentre os fatores de risco para o desenvolvimento das doenças crônicas não-transmissíveis, a hipertensão arterial sistêmica (HAS) é o mais prevalente. [8][9][10] A HAS é definida como a manutenção de níveis de pressão arterial acima de 140 mmHg na sistólica e 90 mmHg na diastólica. 11 Está relacionada a fatores intrínsecos, como hereditariedade, sexo, idade e raça; e a fatores extrínsecos, como tabagismo, sedentarismo, obesidade, estresse, dislipidemia e dieta.…”

“…8 A HAS é um importante problema de saúde pública, visto que a morbimortalidade e os custos com o seu tratamento são elevados. 9,13 Por ser muitas vezes assintomática, há dificuldades para que os indivíduos procurem os serviços de saúde para o diagnóstico e adesão ao tratamento.…”