Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions

Detalhes bibliográficos
Autor(a) principal: Cruz, Liliane Oliveira
Data de Publicação: 2021
Outros Autores: Dolabela, Maria Fani
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/13087
Resumo: This study outlined the profile of drug treatment for patients treated at a specialized service, evaluating aspects related to adherence, adverse reactions (ADR) and drug interactions (IM), as well as the pharmacological response. The research was carried out in a specialized service located in São Miguel do Guamá-Pará, from August to September 2020, including patients who were under treatment and over 18 years old. To assess the pharmacological response, clinical aspects were considered before and after treatment. In the case of adherence, the Morisky Scale was used, the RAM, the Naranjo Algorithm and the IM were searched in specialized sites. The subjects, after treatment, had new symptoms or symptoms prior to treatment, despite being treated with 2 or more medications. Some problems were detected in this study, such as: more than 50% of patients had low adherence, had ADR and had at least one serious drug interaction. These results suggest that drug treatment may present a potential risk to the patient, requiring pharmacotherapeutic follow-up aimed at problems diagnosis of drug related problems, as well as resolving them.
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spelling Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactionsTratamiento farmacológico de pacientes con esquizofrenia: adherencia, interacciones medicamentosas y reacciones adversasTratamento medicamentoso de portadores da esquizofrenia: adesão, interações medicamentosas e reações adversasEsquizofreniaAdesãoInterações medicamentosasReações adversas medicamentosas.EsquizofreniaAdherenciaInteracciones farmacológicasReacciones adversas a medicamentos. SchizophreniaAdherenceDrug interactionsAdverse drug reactions.This study outlined the profile of drug treatment for patients treated at a specialized service, evaluating aspects related to adherence, adverse reactions (ADR) and drug interactions (IM), as well as the pharmacological response. The research was carried out in a specialized service located in São Miguel do Guamá-Pará, from August to September 2020, including patients who were under treatment and over 18 years old. To assess the pharmacological response, clinical aspects were considered before and after treatment. In the case of adherence, the Morisky Scale was used, the RAM, the Naranjo Algorithm and the IM were searched in specialized sites. The subjects, after treatment, had new symptoms or symptoms prior to treatment, despite being treated with 2 or more medications. Some problems were detected in this study, such as: more than 50% of patients had low adherence, had ADR and had at least one serious drug interaction. These results suggest that drug treatment may present a potential risk to the patient, requiring pharmacotherapeutic follow-up aimed at problems diagnosis of drug related problems, as well as resolving them.Este estudio esbozó el perfil del tratamiento farmacológico de los pacientes atendidos en un servicio especializado, evaluando aspectos relacionados con la adherencia, reacciones adversas (RAM) e interacciones medicamentosas (MI), así como la respuesta farmacológica. La investigación se realizó en un servicio especializado ubicado en São Miguel do Guamá-Pará, de agosto a septiembre de 2020, incluyendo pacientes en tratamiento y mayores de 18 años. Para evaluar la respuesta farmacológica, se consideraron aspectos clínicos antes y después del tratamiento. En el caso de la adherencia se utilizó la Escala de Morisky, la RAM, el Algoritmo de Naranjo y la IM se buscaron en sitios especializados. Los sujetos, después del tratamiento, tenían nuevos síntomas o síntomas antes del tratamiento, a pesar de haber sido tratados con 2 o más medicamentos. En este estudio se detectaron algunos problemas, tales como: más del 50% de los pacientes tenían baja adherencia, tenían RAM y tenían al menos una interacción medicamentosa grave. Estos resultados sugieren que el tratamiento farmacológico puede presentar un riesgo potencial para el paciente, requiriendo un seguimiento farmacoterapéutico dirigido a diagnosticar problemas relacionados con las drogas, así como a resolverlos.Objetivo: Presente estudo traçou o perfil do tratamento medicamentoso dos pacientes atendidos em serviço especializado, avaliando os aspectos relacionados a adesão, reações adversas medicamentosas (RAM) e interações medicamentosas (IM), bem como a resposta farmacológica. Metodologia: A pesquisa foi realizada em serviço especializado localizado em São Miguel do Guamá-Pará, no período de agosto a setembro de 2020, sendo incluídos os pacientes que estavam em tratamento e com mais de 18 anos. Para avaliar a resposta farmacológica considerou-se aspectos clínicos antes e pós tratamento. No caso da adesão utilizou-se a Escala de Morisky, as RAM o Algoritmo de Naranjo e as IM foram pesquisadas em sítios especializados. Resultados: Os sujeitos, após o tratamento, apresentavam novos sintomas ou sintomas anterior ao tratamento, apesar de serem tratados com 2 ou mais medicamentos. Alguns problemas foram detectados neste estudo, tais como: mais de 50% dos pacientes tiveram baixa adesão, apresentavam RAM e tiveram, pelo menos, uma interação medicamentosa grave. Conclusão: Estes resultados sugerem que o tratamento medicamentoso pode apresentar um potencial risco ao paciente, sendo necessário um acompanhamento farmacoterapêutico que vise o diagnóstico dos problemas relacionados aos medicamentos, bem como, sua resolução.Research, Society and Development2021-03-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1308710.33448/rsd-v10i3.13087Research, Society and Development; Vol. 10 No. 3; e2010313087Research, Society and Development; Vol. 10 Núm. 3; e2010313087Research, Society and Development; v. 10 n. 3; e20103130872525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/13087/11679Copyright (c) 2021 Liliane Oliveira Cruz; Maria Fani Dolabelahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCruz, Liliane Oliveira Dolabela, Maria Fani 2021-03-28T12:03:35Zoai:ojs.pkp.sfu.ca:article/13087Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:34:30.808359Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
Tratamiento farmacológico de pacientes con esquizofrenia: adherencia, interacciones medicamentosas y reacciones adversas
Tratamento medicamentoso de portadores da esquizofrenia: adesão, interações medicamentosas e reações adversas
title Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
spellingShingle Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
Cruz, Liliane Oliveira
Esquizofrenia
Adesão
Interações medicamentosas
Reações adversas medicamentosas.
Esquizofrenia
Adherencia
Interacciones farmacológicas
Reacciones adversas a medicamentos.
Schizophrenia
Adherence
Drug interactions
Adverse drug reactions.
title_short Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
title_full Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
title_fullStr Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
title_full_unstemmed Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
title_sort Drug treatment of patients with schizophrenia: adherence, drug interactions and adverse reactions
author Cruz, Liliane Oliveira
author_facet Cruz, Liliane Oliveira
Dolabela, Maria Fani
author_role author
author2 Dolabela, Maria Fani
author2_role author
dc.contributor.author.fl_str_mv Cruz, Liliane Oliveira
Dolabela, Maria Fani
dc.subject.por.fl_str_mv Esquizofrenia
Adesão
Interações medicamentosas
Reações adversas medicamentosas.
Esquizofrenia
Adherencia
Interacciones farmacológicas
Reacciones adversas a medicamentos.
Schizophrenia
Adherence
Drug interactions
Adverse drug reactions.
topic Esquizofrenia
Adesão
Interações medicamentosas
Reações adversas medicamentosas.
Esquizofrenia
Adherencia
Interacciones farmacológicas
Reacciones adversas a medicamentos.
Schizophrenia
Adherence
Drug interactions
Adverse drug reactions.
description This study outlined the profile of drug treatment for patients treated at a specialized service, evaluating aspects related to adherence, adverse reactions (ADR) and drug interactions (IM), as well as the pharmacological response. The research was carried out in a specialized service located in São Miguel do Guamá-Pará, from August to September 2020, including patients who were under treatment and over 18 years old. To assess the pharmacological response, clinical aspects were considered before and after treatment. In the case of adherence, the Morisky Scale was used, the RAM, the Naranjo Algorithm and the IM were searched in specialized sites. The subjects, after treatment, had new symptoms or symptoms prior to treatment, despite being treated with 2 or more medications. Some problems were detected in this study, such as: more than 50% of patients had low adherence, had ADR and had at least one serious drug interaction. These results suggest that drug treatment may present a potential risk to the patient, requiring pharmacotherapeutic follow-up aimed at problems diagnosis of drug related problems, as well as resolving them.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/13087
10.33448/rsd-v10i3.13087
url https://rsdjournal.org/index.php/rsd/article/view/13087
identifier_str_mv 10.33448/rsd-v10i3.13087
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/13087/11679
dc.rights.driver.fl_str_mv Copyright (c) 2021 Liliane Oliveira Cruz; Maria Fani Dolabela
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Liliane Oliveira Cruz; Maria Fani Dolabela
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 3; e2010313087
Research, Society and Development; Vol. 10 Núm. 3; e2010313087
Research, Society and Development; v. 10 n. 3; e2010313087
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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