Início Riscos do uso indiscriminado de AINES em idosos
uso indiscriminado
Riscos do uso indiscriminado de AINES em idosos
Resumo:
Introduction: Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most prescribed and marketed drugs worldwide. The increase in the number of chronic diseases in the elderly is considered one of the main diseases of the aging process, and because of this the consumption of medicines has also increased in this age group. A study conducted in several Brazilian cities shows that an average of 70-90% in this age group use medications continuously, with an average of two to five medications per person. Review: The present study is a bibliographical survey of an exploratory nature, based on the survey of secondary scientific data and the systematization of information. From databases such as SCIELO, MEDLINE, PUBMED, PUBSAUDE, Manuals of the Ministry of Health, using as cut-off date the last 20 years (2000-2020). Studies published in Spanish, Portuguese and English were considered suitable. Studies not dealing with the subject, about the elderly, self-medication or anti-inflammatory drugs, studies in other languages, or studies prior to the cut-off date were excluded from the search. Discussion: NSAIDs should be prescribed with more caution and specific orientation for each individual patient, specifically the older ones. Even with all its quality and effectiveness in the treatment of pain and inflammation of chronic diseases. The sale of this class of drugs needs to be more restricted, and the easy access to this class in drugstores contributes to indiscriminate use and the worsening of the general health condition of the elderly, who already have some disease in their clinical diagnosis, contributing to possible drug interactions. Final considerations: Nonsteroidal anti-inflammatory drugs can cause several risks to the patient's health if not used correctly. It is necessary to pay special attention to the dispensation and orientation of the elderly patient on the correct use of the drug and possible interventions with other methods to treat their diseases
Keywords: anti-inflammatorium, idoses, indiscriminated use, health risks, adverse reactions.
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Uso indiscriminado dos opioides e suas consequências
Resumo:
Introduction: Opioids belong to a class of drugs used as analgesics for acute and chronic pain, are classified as natural, semi-synthetic and synthetic. They are prescribed in the treatment of postoperative pain and chronic when there is no response of common or weaker analgesics being effective in painful managements, however the use indiscriminately rings several health risks both physical and psychological. Review: From the methodology, 34 articles were selected because they were in accordance with the theme. This is a systematic literature review the search was done through the Google Academic and Scientific Electronic Library Online databases. Discussion: They are drugs widely administered for their powerful and rapid action, however, the adverse effects of opioids are also common, among them: respiratory depression, constipation, itching, drowsiness and nausea/vomiting. Prescribing opioids consciously and rationally is still a challenge for trained health professionals. Final considerations: Pharmacists may contribute to adequate prescriptions of opioids also understanding the needs of access to opioids so more research on pain and the disorder of the abuse of these drugs is essential, constant reinforcement in the education of prescribers and guarantee access to effective treatments of these medicines.
Keywords: toxicological effects, opioids, indiscriminate use.
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