Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil

Detalhes bibliográficos
Autor(a) principal: Fonteles, Marta Maria de França
Data de Publicação: 2009
Outros Autores: Francelino, Eudiana Vale, Santos, Luciana Kelly Ximenes dos, Silva, Karla Marques, Siqueira, Rodrigo, Viana, Glauce Socorro de Barros, Vasconcelos, Silvânia Maria Mendes de, Sousa, Francisca Cléa Florenço de, Monteiro, Mirian Parente
Tipo de documento: Artigo
Idioma: por
Título da fonte: Archives of Clinical Psychiatry
Texto Completo: https://www.revistas.usp.br/acp/article/view/17243
Resumo: BACKGROUND: The morbi-mortality by the use of medicines is a major health problem. The drug adverse reactions may result in death, increased hospitalizations and healthcare costs. OBJECTIVES: Describe and analyze reports of suspected adverse reactions caused by drugs that act on the nervous system (SN-ADR), registered in the database of the Pharmacovigilance Centre of Ceará, from January 1997 to March 2008. METHODS: All the NS-ADRs were classified according to criteria of the World Health Organization. The causality between the drug administered and the adverse reaction was established, as well as the analysis regarding to the severity of the reaction. RESULTS: The Centre recorded 176 notifications of RAM-SN. The most of the reactions occurred in the hospital. The main reporter was the pharmacist. All the RAM-SN were classified as possible (n = 110), probable (n = 37) and definite (n = 17). With regard to severity, the NS-ADRs were considered: light (n = 21), moderate (n = 127), serious (n = 15) and fatal (n = 1). The fatal case was reported by physician, and involved anesthetic drugs. In general the adverse reactions observed were caused predominantly by analgesics, anesthetics and antiepileptics. DISCUSSION: The data demonstrate the potential values of accessing to a local system of pharmacovigilance to report possible risks with the use of nervous system drugs.
id USP-5_3a410750df1458091bb353e4afdaa315
oai_identifier_str oai:revistas.usp.br:article/17243
network_acronym_str USP-5
network_name_str Archives of Clinical Psychiatry
repository_id_str
spelling Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil Reações adversas causadas por fármacos que atuam no sistema nervoso: análise de registros de um centro de farmacovigilância do Brasil Reação adversafármacossistema nervosofarmacovigilânciaAdverse reactionmedicinesnervous systempharmacovigilance BACKGROUND: The morbi-mortality by the use of medicines is a major health problem. The drug adverse reactions may result in death, increased hospitalizations and healthcare costs. OBJECTIVES: Describe and analyze reports of suspected adverse reactions caused by drugs that act on the nervous system (SN-ADR), registered in the database of the Pharmacovigilance Centre of Ceará, from January 1997 to March 2008. METHODS: All the NS-ADRs were classified according to criteria of the World Health Organization. The causality between the drug administered and the adverse reaction was established, as well as the analysis regarding to the severity of the reaction. RESULTS: The Centre recorded 176 notifications of RAM-SN. The most of the reactions occurred in the hospital. The main reporter was the pharmacist. All the RAM-SN were classified as possible (n = 110), probable (n = 37) and definite (n = 17). With regard to severity, the NS-ADRs were considered: light (n = 21), moderate (n = 127), serious (n = 15) and fatal (n = 1). The fatal case was reported by physician, and involved anesthetic drugs. In general the adverse reactions observed were caused predominantly by analgesics, anesthetics and antiepileptics. DISCUSSION: The data demonstrate the potential values of accessing to a local system of pharmacovigilance to report possible risks with the use of nervous system drugs. CONTEXTO: A morbimortalidade por uso de medicamentos é um grande problema de saúde. As reações adversas a medicamentos podem resultar em óbito, aumento de internações hospitalares e dos custos com a saúde. OBJETIVOS: Descrever e analisar as notificações de suspeitas de reações adversas causadas por medicamentos que atuam no sistema nervoso (RAM-SN), registradas no Centro de Farmacovigilância do Ceará, de janeiro de 1997 a março de 2008. MÉTODOS: As RAM-SN foram classificadas segundo os critérios da Organização Mundial da Saúde. Uma relação de causalidade entre o fármaco administrado e a reação adversa identificada foi realizada, bem como a análise da reação quanto à gravidade. RESULTADOS: Foram registradas 176 notificações de RAM-SN. A maioria (n = 145; 82,4%) ocorreu no ambiente hospitalar. O principal notificador foi o farmacêutico. As RAM-SN foram classificadas como: possíveis (n = 110), prováveis (n = 37) e definidas (n = 17). Quanto à gravidade, foram consideradas: leves (n = 21), moderadas (n = 127), graves (n = 15) e fatais (n = 1). O caso fatal foi notificado por médico e envolveu medicamentos anestésicos. Geralmente, as reações adversas observadas foram causadas predominantemente por analgésicos, anestésicos e antiepilépticos. DISCUSSÃO: Os dados demonstram o valor potencial de se ter acesso a sistemas de farmacovigilância local para registrar possíveis riscos com o uso de fármacos. Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria2009-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/acp/article/view/1724310.1590/S0101-60832009000400003Revista de Psiquiatria Clínica; Vol. 36 Núm. 4 (2009); 137-144Archives of Clinical Psychiatry; v. 36 n. 4 (2009); 137-144Archives of Clinical Psychiatry; Vol. 36 No. 4 (2009); 137-1441806-938X0101-6083reponame:Archives of Clinical Psychiatryinstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/acp/article/view/17243/19255Fonteles, Marta Maria de FrançaFrancelino, Eudiana ValeSantos, Luciana Kelly Ximenes dosSilva, Karla MarquesSiqueira, RodrigoViana, Glauce Socorro de BarrosVasconcelos, Silvânia Maria Mendes deSousa, Francisca Cléa Florenço deMonteiro, Mirian Parenteinfo:eu-repo/semantics/openAccess2012-09-26T11:48:51Zoai:revistas.usp.br:article/17243Revistahttp://www.hcnet.usp.br/ipq/revista/index.htmlPUBhttps://old.scielo.br/oai/scielo-oai.php||archives@usp.br1806-938X0101-6083opendoar:2012-09-26T11:48:51Archives of Clinical Psychiatry - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
Reações adversas causadas por fármacos que atuam no sistema nervoso: análise de registros de um centro de farmacovigilância do Brasil
title Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
spellingShingle Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
Fonteles, Marta Maria de França
Reação adversa
fármacos
sistema nervoso
farmacovigilância
Adverse reaction
medicines
nervous system
pharmacovigilance
title_short Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
title_full Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
title_fullStr Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
title_full_unstemmed Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
title_sort Adverse reaction caused by drugs acting in nervous system: records analysis of a farmacovigilance center in Brazil
author Fonteles, Marta Maria de França
author_facet Fonteles, Marta Maria de França
Francelino, Eudiana Vale
Santos, Luciana Kelly Ximenes dos
Silva, Karla Marques
Siqueira, Rodrigo
Viana, Glauce Socorro de Barros
Vasconcelos, Silvânia Maria Mendes de
Sousa, Francisca Cléa Florenço de
Monteiro, Mirian Parente
author_role author
author2 Francelino, Eudiana Vale
Santos, Luciana Kelly Ximenes dos
Silva, Karla Marques
Siqueira, Rodrigo
Viana, Glauce Socorro de Barros
Vasconcelos, Silvânia Maria Mendes de
Sousa, Francisca Cléa Florenço de
Monteiro, Mirian Parente
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fonteles, Marta Maria de França
Francelino, Eudiana Vale
Santos, Luciana Kelly Ximenes dos
Silva, Karla Marques
Siqueira, Rodrigo
Viana, Glauce Socorro de Barros
Vasconcelos, Silvânia Maria Mendes de
Sousa, Francisca Cléa Florenço de
Monteiro, Mirian Parente
dc.subject.por.fl_str_mv Reação adversa
fármacos
sistema nervoso
farmacovigilância
Adverse reaction
medicines
nervous system
pharmacovigilance
topic Reação adversa
fármacos
sistema nervoso
farmacovigilância
Adverse reaction
medicines
nervous system
pharmacovigilance
description BACKGROUND: The morbi-mortality by the use of medicines is a major health problem. The drug adverse reactions may result in death, increased hospitalizations and healthcare costs. OBJECTIVES: Describe and analyze reports of suspected adverse reactions caused by drugs that act on the nervous system (SN-ADR), registered in the database of the Pharmacovigilance Centre of Ceará, from January 1997 to March 2008. METHODS: All the NS-ADRs were classified according to criteria of the World Health Organization. The causality between the drug administered and the adverse reaction was established, as well as the analysis regarding to the severity of the reaction. RESULTS: The Centre recorded 176 notifications of RAM-SN. The most of the reactions occurred in the hospital. The main reporter was the pharmacist. All the RAM-SN were classified as possible (n = 110), probable (n = 37) and definite (n = 17). With regard to severity, the NS-ADRs were considered: light (n = 21), moderate (n = 127), serious (n = 15) and fatal (n = 1). The fatal case was reported by physician, and involved anesthetic drugs. In general the adverse reactions observed were caused predominantly by analgesics, anesthetics and antiepileptics. DISCUSSION: The data demonstrate the potential values of accessing to a local system of pharmacovigilance to report possible risks with the use of nervous system drugs.
publishDate 2009
dc.date.none.fl_str_mv 2009-01-01
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://www.revistas.usp.br/acp/article/view/17243
10.1590/S0101-60832009000400003
url https://www.revistas.usp.br/acp/article/view/17243
identifier_str_mv 10.1590/S0101-60832009000400003
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/acp/article/view/17243/19255
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
dc.source.none.fl_str_mv Revista de Psiquiatria Clínica; Vol. 36 Núm. 4 (2009); 137-144
Archives of Clinical Psychiatry; v. 36 n. 4 (2009); 137-144
Archives of Clinical Psychiatry; Vol. 36 No. 4 (2009); 137-144
1806-938X
0101-6083
reponame:Archives of Clinical Psychiatry
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Archives of Clinical Psychiatry
collection Archives of Clinical Psychiatry
repository.name.fl_str_mv Archives of Clinical Psychiatry - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||archives@usp.br
_version_ 1787713902581121024