Perfil Farmacoepidemiológico de Medicamentos Utilizados no Manejo e Controle da Dor em Pacientes Idosos Atendidos na Atenção Primária de Saúde de Campo Grande/MS

Abstract

The Brazilian population is in an aging process, where there is an increase in chronic diseases, occurrence of polypharmacy, and the appearance of painful processes. This study aims to carry out a situational diagnosis regarding the pharmacoepidemiological profile of drugs used in the management and control of pain in elderly patients treated in Primary Health Care (PHC) in Campo Grande/MS. Develop a pharmacotherapeutic support manual for pain management in these patients, aiming at the rational use of medications for pain management and control. This is a cross-sectional study, with secondary data, carried out in 21 PHC units in Campo Grande/MS. 839 forms of pharmaceutical consultations from April/2016 to August/2019 were analyzed. After applying the inclusion and exclusion criteria, 112 consultations were selected. Most consultations were female 87.50% and were in the age groups of 60-69 years and 70-79 years (45.92% both), 62.5% had up to Elementary School, were housewives (58, 18%), and the origin of the query occurred through active search (67.86%). It found that 14.41% of the elderly drank alcohol and smoked frequently (12.61%), 41.82% are obese. In the self-report of pain, we have that 55.36% complained of headache, accompanied by muscle pain 17.86%. In the pharmacotherapeutic characterization, it was found that 58.04% used home medicines as alternative therapy and 73.02% reported not self-medicating. It was found that 32.99% are continuous use medications for pain, 26.80% use gastric protectors continuously, and 15.63% have difficulty in accessing them due to the lack of medication and 91.96% with prescription problems. Pain medications increased with age, 36.7% (60-69 years), 38.5% (70-79 years), 54.5% (80 years or more). Data analysis allowed the development of an application aimed at helping health professionals and users regarding the rational use of medicines, being a safe source of information for prescribers and patients. We conclude that through this work we can help in the treatment and management of pain in elderly patients seen in PHC. This manual will be guiding and informative so that professionals have a list of therapies available at the PHC in Campo Grande/MS, as well as the application that will be a tool to aid treatment and a safe source of drug information for patients, with a view to that the app will be managed by pharmaceutical professionals.