Acesso, segurança e uso de medicamentos por usuários

The present study aims to identify families who have stock and are making use of medications, as well as assess the conditions of storage, security and use of these drugs. The study was conducted in a city of São Paulo, the interviews were conducted in households enrolled in one of ten units of the Estratégia de Saúde da Família (ESF) that the city provides and the sample was defined by means of stratified random sampling (134households, IC 95%). Data collection was conducted through interviews with a semistructured questionnaire during the first half of 2011. We interviewed 118 (88.0%) households, of which 112 (95.0%) had medications that were stored n insecure or inadequate places in 75.4% of households, non-prescription self-medication was a common practice in 46 (47 4%) households, and lack of identification and security of medications stored was observed in 60 (53.6%) households. Most households had stock of medicines, which were done improperly or unsecure, or have specialties with lack of identification and security, which can lead to poisoning or e ineffective therapy. The Pharmaceutical Assistance under SUS lacks social initiatives, with actions directed for medications users, which can be supplied by the presence of the pharmacist in the ESF, essential for the promotion of racional use of medicines, that, through the Pharmaceutical Care, can identify, correct and prevent possible problems related to drugs.

Bulas e Cartelas de Medicamentos: Possíveis soluções de leiturabilidade através do Design Gráfico

The package inserts for drugs represent the main source of written information provided to patients, but the deficiency in the page layouts of informational texts (readability), the excess of information and use of techno-scientific language hamper the effectiveness of communication between the author (manufacturer) and player (patient) in addition to the physiological conditions of patients are often elderly. This article discusses these issues from theoretical predictions, and proposes solutions to the adequacy of information graphics package inserts of drugs and facilitating the identification of drug cards.

Método para controle da qualidade de medicamentos sólidos por difração de raios X

Pós-graduação em Química - IQ

Queixas técnicas e eventos adversos a medicamentos notificados em um hospital sentinela do interior de São Paulo, 2009-2010

Objective: to describe technical complaints and adverse drug events reported in a sentinel hospital in São Paulo state in 2009 and 2010. Methods: This is a descriptive study. Information was obtained from the sentinel hospital Risk Management database. Results: we found 199 reports related to drugs: 70.0% were technical complaints, 21.0% ineffective therapy and 9.0% adverse reaction to medication. The pharmacological groups with highest number of reports were: drugs that act on alimentary tract and metabolism (25.1%), the nervous system (25.1%) and anti-infective drugs for systemic use (22.1%). Conclusion: technical complaints and adverse drug events were frequent, despite recognized underreporting. The characterization of these events could inform the adoption of control measures and permanent educational actions in health services in order to prevent their occurrence.

Medicamentos anti-hipertensivos na gestação e puerpério

Pregnancy toxemia is a multisystemic disease, which occurs mainly at the end of pregnancy, characterized by clinical manifestations such as hypertension, edema and proteinuria. It is the most commonly occurred medical complication in pregnancies and the main cause for perinatal and maternal morbimortalities. The purpose of this article is to review the main aspects concerning the use of antihypertensive agents during pregnancy and puerperium. The data has been collected from Pubmed and Bireme, from 2006 to 2010 using the words “anti-hipertensivo e gravidez” and “antihypertensive and pregnancy”. The knowledge regarding hypertension during pregnancy and its therapy is evolving; the search for medication that could protect the mother from acute dangers and to ensure a healthy newborn must be the focus. Evidence is still lacking regarding the best therapy, beginning period, duration and results. In spite of the pharmacological advances, there are still no drugs completely exempt of compromises to the mother and the conceptus.

Avaliação do uso de medicamentos psicotrópicos pelos pacientes de uma Unidade Básica de Saúde de um município de pequeno porte do Estado de São Paulo

Pós-graduação em Saúde Coletiva - FMB

Promoção da saúde Materno-Infantil: grupo reflexivo sobre o uso de plantas medicinais e medicamentos fitoterápicos na gravidez e lactação

O uso de plantas medicinais por mulheres grávidas e em período de lactação é uma prática comum em diversos países. Entretanto, muitas plantas medicinais são contra-indicadas durante a gravidez e amamentação devido a vários efeitos adversos que podem apresentar, como embriotoxicidade, teratogenicidade e efeitos abortivos. Esse fato acaba expondo essas mulheres, seus fetos e bebês, a riscos de saúde desconhecidos. Assim, a proposta desse trabalho foi analisar a percepção a respeito do uso de plantas medicinais por mulheres grávidas e lactantes na ONG Bebê a Bordo, em Araraquara, São Paulo, entre 2013 e 2014. O grupo foi constituído por 96 mulheres ao todo, entre o primeiro e o último trimestre de gestação. Os dados foram coletados em encontros com grupos de gestantes utilizando questionários como roteiro e também através de entrevista oral. Esse estudo promove uma análise de natureza qualitativa. Os resultados foram baseados nos relatos de mulheres grávidas sobre o uso de plantas medicinais, a indicação de uso e conhecimento dos riscos avindos do uso. Todas as participantes foram informadas oralmente e por escrito sobre o estudo e assinaram um termo de consentimento. O uso de plantas medicinais é uma realidade entre as mulheres gestantes e lactantes da ONG Bebê a Bordo. Elas reportaram acreditar que produtos naturais não oferecem perigo à saúde. As principais fontes de informação sobre o uso de plantas medicinais durante a gravidez são familiares, vizinhos, amigos e internet. As plantas mais citadas são: hortelã, camomila, boldo, capim-cidreira e erva-doce. Tais plantas eram indicadas para náusea, indigestão, gases, constipação, ansiedade, e também para produzir leite. As mulheres gestantes e lactantes demonstraram que falta conhecimento sobre os riscos à saúde que as plantas medicinais e os medicamentos fitoterápicos podem oferecer nessas fases. Elas também comentaram sobre as dificuldades em...