Farmacovigilância no Brasil: A relação entre polimorfismo de fármacos, efetividade e segurança dos medicamentos

In spite of the stated Brazilian policy on medicines that their quality, effectiveness and safety should be ensured at reasonable cost, hospitals in the ANVISA Surveillance Network have been receiving notifications of technical complaints, adverse reactions and suspected therapeutic ineffectiveness (STI) of medicines. The purpose of this study was to identify the medicines notified for suspicion of therapeutic ineffectiveness, at a university hospital participating in the national Surveillance Network, and to investigate the existence of polymorphs of any of the drugs involved, by examining the literature. There were 31 notifications of STI in a period of 18 months, concerning 11 different drugs, all of which were 'similar' drugs (neither original nor licensed by originator); five of these could contain polymorphs, according to the literature. However, this does not mean that the other drugs could not contain some unknown polymorphs, more studies being needed on polymorphism, especially in the cases of reported therapeutic ineffectiveness. Therefore, tests of polymorphism should be made part of the routine quality control of the raw materials during the development of medicines and in the studies of pharmaceutical equivalence to 'reference' medicines (innovative brands). The stability test should also involve a study of polymorphism, in order to confirm the solid state stability of the drug. All these measures will assure the effectiveness of medicines, since the reproducibility in the quality of pharmaceutical products could be monitored, as well as the equivalence of each production batch with the batch selected to determine the bioequivalence with the reference brand.

Análise dos aspectos legais das prescrições de medicamentos

This article describes a survey of prescriptions dispensed in drugstores and pharmacies in the city of Araraquara in the state of São Paulo, Brazil, in May 2006. Their contents were assessed for compliance with the laws in force on drug prescription and dispensing. A total of 1,335 prescriptions were examined: 40 (3%) were unsigned, 212 (15.9%) did not contain the prescribing physician's stamp, 170 (12.7%) were undated. There were prescriptions containing corrections (4.6%), and written in code (4.4%). Only 58.8% were legible and easy to understand; nevertheless all of them were dispensed. Some did not specify the name of the patient (7.2%). On how to use the medication prescribed, not a single prescription contained all the information required by law. Specifically, 7.6% lacked information on dosage, 54.3% on presentation, 33.6% on how to take the drug, and 51.2% on duration of treatment. The data show a general failure to comply with the laws on drug prescription and dispensing. Incomplete information on the drugs and their correct use could lead to irrational use and errors in medication. The lack of prescribers' signature and stamp, date of emission and name of patient can lead to fraudulent and counterfeit prescriptions. Thus, the data found point to the need for capacitation of prescribing and dispensing professionals and the importance of the role of professional associations in guiding their members.

Acesso a medicamentos essenciais em farmácias e drogarias do Município de Araraquara

A survey to determine the availability of 20 essential medicines for the diseases with highest prevalence in primary health care was conducted in the city of Araraquara. The presence and the price of these medicines in private sector pharmacies and drugstores of the city were recorded. Two forms, recommended by the WHO, were used in the survey, one for availability and the other for prices. The drugs most commonly available in pharmacies and drugstores were: propranolol (90.5%), captopril (96%) and ranitidine (96%), while the least available were ferrous sulfate (27%), beclomethasone (33.8%) and ibuprofen (41.9%). The drugs that showed the greatest variation among the prices charged were: propranolol (97.1%), hydrochlorothiazide (96.4%) and glibenclamide (95.0%), while the least variable were salbutamol (30.8%) and trimethoprim-sulfamethoxazole (30.2%). Generic drugs, which were half (10) of those assessed, had the lowest prices. The indicators of access, referring to the ability of patients to acquire drugs for the treatment of major diseases at the primary health care level, showed that no establishment stocked all 20 essential drugs and that wide variations existed in their prices, undermining their availability to drug users, whose only sources are pharmacies and drugstores. These data demonstrate the importance of the popular pharmacy to improve the access to medicines, by lowering the cost and increasing the availability of the items selected for the National List of Essential Drugs (RENAME).

Polimorfismo na produção de medicamentos

Polymorphism can cause quality deviations during the production of medicines and can influence their effectiveness. Therefore, an understanding of this phenomenon and its implications opens a wide field of possibilities to be explored in the pharmaceutical field, including the emergence of new paradigms and tools for the quality assurance of medicines. This paper presents an introduction to basic aspects of the polymorphism phenomenon and its implications for the production and control of medicines, with emphasis on drug polymorphs.

Análise das propagandas dos medicamentos isentos de prescrição veiculadas em revistas para prescritores na área médica

This article presents an analysis of the quality of advertisements for over-the-counter (OTC) drugs addressed to the medical profession, based on the new Anvisa resolution RDC 96 (17/12/2008). For this analysis, 16 volumes of the Brazilian Journal of Medicine (RBM) were collected, from August 2009 to December 2010. To investigate the quality of the adverts, we prepared a questionnaire divided into three parts. In total, 160 advertisements were found, of which 27 were related to drugs exempt from prescription, from 9 laboratories. It was observed that none of the advertisements complied fully with the new rules, as required by legislation (RDC 96/08), with violations ranging from identification of the advert to prohibitions of human figures and subjective messages. Therefore, it was concluded that there is a need to implement more effective monitoring, so as to improve the quality of the adverts, so they can be used as a reliable source of information and update by prescribers.

Intervenções educativas com usuários de medicamentos como estratégias terapêuticas

A review and analysis of the literature on educative interventions (EI) for medicine users was carried out. For this purpose, databases were searched by employing descriptors related to pharmaceutical care, education and health, covering the period from 1997 to early 2011. A set of 21 articles related to EI with medicine users were selected, 18 (85.7%) of which referred to studies on basic health care. The EI most commonly reported in the articles were: talks, group discussions and educative material. The positive outcomes reported were: improvement in quality of life (better acceptance of the disease), economic advantages (reduction in number of medical consultations) and clinical improvement (risk reduction, prevention of complications).

Avaliação do potencial tripanocida de substâncias extraídas da Família Piperaceae em formas epimastigotas de Trypanosoma cruzi

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Polimorfismo em medicamentos genéricos e similares

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desenvolvimento de procedimento em fluxo com detecção espectrofotométrica para análise de bromoprida em medicamentos e/ou fluido biológico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Arrecadação de medicamentos como estratégia em educação e saúde

O Projeto de Extensão foi desenvolvido na Farmácia-Escola Prof. Dr. Antônio Alonso Martinez, que faz parte do NAC (Núcleo de Atendimento à Comunidade), pertencente à Faculdade de Ciências Farmacêuticas da UNESP. Desenvolveu-se um Sistema de Gestão Interno para o controle das amostras grátis e medicamentos que são destinados à doação para a população de Araraquara e região. Realizou-se a orientação e conscientização da população sobre o reaproveitamento de medicamentos e amostras grátis que não seriam mais utilizados e que estavam dentro do prazo de validade. A divulgação foi efetuada com folder explicativo que foi distribuído na Farmácia-Escola, em consultórios médicos e nas faculdades da UNESP do Câmpus de Araraquara. Além disso, houve divulgação na Semana de Atenção Farmacêutica Estudantil (SAFE) e no site e jornal da EPTV. O prazo de validade de cada produto foi verificado e a dispensação desses medicamentos foi feita mediante a apresentação de prescrição médica. Além disso, realizou-se a Assistência Farmacêutica ao informar ao paciente os detalhes da posologia e possíveis interações medicamentosas, de modo a esclarecer eventuais dúvidas dos pacientes. Os medicamentos mais doados foram anti-hipertensivos e hormônios, refletindo no maior número de formas farmacêuticas doadas como sendo comprimidos e cápsulas. O objetivo da divulgação foi alcançado com o aumento de doações realizadas nos meses subsequentes ao início da mesma e com o aumento de 61,9 % em relação ao ano de 2012

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

Pós-graduação em Química - IQ

Revisión de la literatura científica sobre publicidad de medicamentos de venta libre y comportamiento del consumidor

El consumo de medicamentos es un asunto que actualmente se ha convertido en una preocupación a nivel global, ya que no todos los medicamentos están sujetos a prescripción médica, y esto implica que su consumo dependa de otras fuentes de información, como la publicidad masiva o el consejo de personas legas, entre otros. Esta revisión se basó en la publicidad y el impacto que tiene esta frente al consumidor. La presente revisión se dividió en dos categorías dado la relevancia del tema, en la primera se encuentra las características de los medicamentos de venta libre donde se evidenció cómo funciona el sector de la industria farmacéutica, las características de los medicamentos en general y los riesgos del abuso de este comportamiento. Así mismo, en la segunda categoria se habló sobre la publicidad y mercadeo de ventas libres donde se evidenció el alto impacto que tiene la publicidad en el consumidor, las restricciones que hay en el contexto nacional e internacional.

Efecto de diferentes niveles y formas de aplicación del nitrógeno en el crecimiento, desarrollo y rendimiento del maíz (Zea mays L.) en labranza cero y en condiciones de riego

Este experimento fue realizado en el Centro Experimental de Granos Básicos " Humberto Tapia Barquero " con el objetivo de determinar el efecto de cinco niveles y tres formas de aplicación del Nitrógeno y la interacción entre ambos factores en el crecimiento, desarrollo y rendimiento del maíz (Zea mays L.) variedad NB-12 bajo labranza cero. Los niveles estudiados fueron: 0 (testigo) 50, 100, 150 y 200 kg N/ha. Se utilizó urea como fuente de nitrógeno la cual se aplicó en tres formas diferentes: al voleo, en bandas sobre el surco y en bandas incorporadas. Los resultados indican que a partir de los 49 días después de la siembra (DDS) cada nivel de nitrógeno aplicado tuvo efectos significativos sobre las variables de crecimiento y desarrollo, obteniéndose los mayores efectos con los niveles de 150 y 200 kg N/ha los que resultaron estadísticamente similares entre sí.

Productividad de la caña de azúcar (Saccharum officinarum) en respuesta a dos formas y épocas de aplicación del nitrógeno en la variedad L-68-40

Se estudió el comportamiento agro-industrial de la variedad L-68-40, de Marzo 1995- Marzo 1996. Se evaluaron las formas y épocas de aplicación del nitrógeno sobre el cultivo de la caña de azúcar (Saccharum sp) . El diseño experimental utilizado fue de Bloques Completos al Azar, las variables analizadas fueron: Germinación, diámetro, altura, población, peso por tallo, rendimiento agrícola, rendimiento industrial y rendimiento agro industrial. Los datos obtenidos se sometieron al análisis de varianza y separación de medias según, Dtmcan al 5 por ciento. Según los resultados obtenidos de las variables evaluadas no se observaron diferencias estadísticas significativas. El mayor rendimiento agrícola fue de 153.16 toneladas de caña por hectárea, este se obtuvo aplicando el fertilizante 75 días después de la siembra. El mayor rendimiento industrial de 89.02 kg de azúcar por toneladas correspondiente a la aplicación del fertilizante de forma fraccionada al momento de la siembra + 75 días después de la siembra. El mayor rendimiento agro-industrial fue obtenido en el tratamiento 75 días después de la siembra con una aplicación de forma total con 14.59 toneladas de azúcar por hectárea.

Comportamiento agronómico de cocona (Solanum sessiliflorum Dunal var. Sessiliflorum) y de naranjilla (Solanum quitoense Lam var Septentrionale) bajo dos formas de manejo (orgánico y convencional), San Esteban 2, Jinotega

La cocona y la naranjilla, cultivos poco conocidos en el país, crecen de forma silvestre y cultivada principalmente en Jinotega y Matagalpa. Dada la necesidad de conocer más sobre estos cultivos se estableció este ensayo cuyos objetivos fueron: evaluar los efectos principales y sus interacciones de los factores variedad y forma de manejo (orgánica y convencional) y evaluar el comportamiento a través del tiempo de variables de crecimiento y del rendimiento en dependencia de los factores antes mencionados. En el ensayo se estudió una variedad de cocona y otra de naranjilla en un BCA. Los datos de campo se analizaron empleando el ANOVA y MANOVA. Los valores promedios de altura de planta, numero de hojas y de flores resultaron estadísticamente diferentes entre variedades pero no así el rendimiento (aunque naranjilla presentó el mayor número de fr utos cosechados por hectárea). En general no se apreciaron diferencias estadísticas en cuanto a las formas de manejo del cultivo para las diferentes variables en estudio. El análisis de las mediciones repetidas a través del tiempo indicó que las variedades en estudio mostraron un comportamiento (patrón) diferenciado a través de tiempo en particular para número de hojas y de flores. En ambos casos las variedades estudiadas se diferenciaron principalmente durante los últimos muestreos, presentando naranjilla cambios más rápidos en los valores promedios de las dos variables antes mencionadas. En cuanto a rendimiento ambas variedades presentaron un patrón estadísticamente similar a través del tiempo. En conclusión y en base a los análisis de los valores promedios generales y de las mediciones repetidas a través del tiempo el ensayo permitió la diferenciación de las variedades en estudio para las variables de crecimiento aunque no para el rendimiento de frutos/ha.