Análise das prescrições de psicofármacos em uma farmácia comunitária no curimataú paraibano.

Abstract

Mental disorders affect about one in ten people worldwide. As a therapeutic strategy, psychotropic drugs are used on a large scale, which requires attention due to the possibility of causing addiction. The present research aimed to evaluate the prescription and dispensation of psychotropic drugs in the basic pharmacy of Picuí / PB. This is a cross-sectional, quantitative and descriptive study, whose sample follow-up was composed of psychotropic users. Data collection took place through the application of a questionnaire during the period from November 2018 to May 2019. The purpose was to collect sociodemographic, socioeconomic data, knowledge of patients about the use of psychotropic drugs and verification of the suitability of prescription based on ordinance 344/98 Micromedex® was used to identify possible drug interactions and Potentially Inappropriate Medicines for the Elderly (MPI) were classified according to the Beers-Fick criterion. The project was submitted and approved by the ethics committee with opinion number 2,670,536 and the descriptive analysis of the variables was carried out with the help of SPSS 20.0. 100 users of psychotropic drugs were interviewed, with a prevalence of females (69%), adults (79%) and married (44%), with low education (57%) and retirees (33%). Of all 100 prescriptions, 17 presented some non-conformity. The most prescribed psychotropics were clonazepam (19.2%), fluoxetine (18.4%) and diazepam (12.3%). We found 20 drug interactions in which the most prevalent was the association between fluoxetine and diazepam and the presence of at least one MPI in the prescriptions of all the elderly. It is concluded that the scenario of use of psychiatric drugs in the municipality of Picuí / PB is worrying due to the indiscriminate use and inadequate prescriptions, which represents an opportunity for the pharmacist to act to guide the population and that there are actions that encourage good practices in prescription, aiming to improve the quality of life of the population.