Análise de relatos de usuários de clonazepam no estado do Rio de Janeiro: um estudo exploratório.

• Autor(a) principal: Marca, Renata Gomes da Costa de
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4361
• topic: Clonazepam; Benzodiazepines; Pharmaceutical anthropology; Clonazepam; Benzodiazepínicos; Antropologia dos medicamentos; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

According to National System of Controlled Product Management (SNGPC in the original abbreviation), from ANVISA, clonazepam was the most consumed psychotropic in 21 of the 27 Brazilian states, in 2009, raising up to 22, in 2010, and up to 24, in 2011. Taking into account this drug s sales success in Brazil, it was sought, in general, to ascertain what this social phenomenon would point out about the current sociocultural context and the place taken by anxiolytics in the contemporary culture. In order to make such critical thinking, pharmaceutical anthropology was used as the theoretical scope, demonstrating that drugs, beyond Chemistry, are a social object, symbol, representation and device. It makes the drug, as a social fact, to be able to portray several meanings and to follow varied paths, according to the context where it is inserted. Aiming to investigate the meanings given to clonazepam, it was developed a qualitative exploratory study approaching the users view about their own experiences regarding its consumption. Thus, there were made 13 semi-structured interviews with long-term users (more than a year) inhabitants of Rio de Janeiro state, approaching subjects such as intake, usage motivation, management and handling of the substance, expectations, expected and non-expected effects, among others. The interviews were transcribed and the reports were analyzed, hence analytical axis were formulated, gathering specific topics approached by the participants, enabling the apprehension of the multiple meanings elaborated by them. From the very beginning, there were identified different conceptions about clonazepam (medicine, drug, black stripe , among others). The reasons for consumption vary since specific disorders until pervasive conditions such as tension and anxiety; sometimes they have been characterized by triggering factors such as social and family issues. The consumption trajectories showed distinct settings, clonazepam being treated as central for some and as secondary for others, straying into different positions, depending on the experienced life moment. The ways on how to manage the doses were since the prompt acceptance of medical recommendations until the self-medication practice, passing through hybrid management ways, including the dosage. The relation with this substance emerged highlighted by distinct rationalities about the evaluation on the risk-benefit ratio and by the ambiguity about whom or what would have been assigned to take responsibilities on the medication intake: would it be the users themselves or would it be the benzodiazepine chemical effect? Also, there was noticed how much clonazepam could affect the users perception about themselves and there was noticed as well the ambivalence seems to be a feeling which pass through all the analytical axis, being more drastically observed on the addiction topic, something recurring in the reports. The meanings which have been approached by this research are heterogeneous and varied and it may be only partially realized given the multifaceted nature of clonazepam social phenomenon and the complex dynamics of consumption trajectories.