The challenge of rational use of medicines

Your evaluation is necessary for us to continue improving the Pebmed portal

The PEBMED portal is dedicated to Doctors and other health professionals. Our contents illustrate modern panoramic images of medicine.

If you are interested in publishing your CV online, connecting with patients and increasing your differences, create a free profile on AgendarConsulta, PEBMED partner site.

According to the World Health Organization (WHO), it is understood as the rational use of medicines when a patient, given his clinical condition, receives medicines in doses appropriate to his individual needs for a sufficient time and at a lower cost to himself. the society.

It is estimated that more than half of the medicines prescribed, dispensed, or sold are manufactured incorrectly, plus half of patients do not use them properly. One of the biggest problems worldwide is the irrational use of medicines.

Read also: Caffeine use in the treatment of apnea of ​​prematurity

A new global challenge launched by the World Health Organization in 2017, “Medication Without Harm,” highlighted the following three priority areas as a focus of action to protect patients from harm associated with drug use: high-risk situations (extreme ages), transition of care and polypharmacy.

Examples of irrational use of drugs include overuse of drugs (too many drugs used by the patient), inappropriate use of antimicrobials (inadequate dosage, without clinical indications), and inappropriate self-medication, among others.

The challenge of rational use of medicines

Too much medicine

For purposes of definition, the concept of polypharmacy includes the routine use of four or more drugs simultaneously by a patient, whether prescribed, over-the-counter or conventional.

The topic is of paramount importance, therefore, on May 5, the National Day of the Rational Use of Medicines is celebrated. The date was set in 1998 by the National Council of Student Pharmacy Entities to alert the population about health risks in the event of indiscriminate use of medication and the practice of self-medication.

Primary health care (PHC) is an environment that has discussed the topic through the term “evidence-based health” in order to ensure appropriate treatment of the patient and to manage public health resources more rationally through scientific evidence. Family Health Units (USFs) are known to be suitable places to develop health education procedures and to clarify to the population that there are situations in which ‘less is more’.

Given the above, it is worth noting that there is a global campaign called “Choose Wisely” that began in the United States in 2012, which refers to an increase in testing and treatments. The campaign encourages the participation of the health professional and the patient in the treatment approach so that the choice of treatment is wise. Additionally, it aims to instruct users about overuse and how it can cause more harm than health benefits. In this sense, excessive use of drugs can lead to adverse effects and lead to more serious health problems for users.

It is important to stress that changes in the mindset of health professionals and users are necessary to ensure the rational use of medicines. Another necessary factor is dialogue with the private sector so that conflicting political and economic interests do not interfere with the individual’s treatment option.

As strategies for improving drug use in the primary care setting, implementing clinical and treatment protocols, continuing education procedures for professionals involved in prescribing, storing, dispensing, and managing drugs, using information technology resources, implementing drug reconciliation and standardizing drugs with similar appearance and names, and enhancing safety procedures.

know more: Paxlovid approved for emergency use against Covid-19 in Brazil

A study aimed at analyzing the rational use of medicines in primary health care based on indicators recommended by the World Health Organization (prescription, service or assistance) determined that no one fully complied with the recommendations, revealing the practices of irrational use of medicines in this scenario.

In short, polypharmacy is a danger sign. That is, the more drugs an individual uses, the higher the priority in individual and group strategies focused on prevention and active research on harm associated with drug use.

Authors:

Mariana Marines:
Family health nurse. Master of Education from the Federal University of Fluminense. Experience in managing a basic health unit in the municipality of Rio de Janeiro and currently the director of health in the municipality of Marica.

Camila Tinoto:
Examples of irrational use of drugs include overuse of drugs (too many drugs used by the patient), inappropriate use of antimicrobials (inadequate dosage, without clinical indications), and inappropriate self-medication, among others.

See more benefits of being a PEBMED portal user:

See more benefits of being a user
From the PEBMED portal:

7 days free with Whitebook

The application is made to you, Doctor, with the aim of achieving safety and objectivity in your clinical decision.

Free access to Nursebook

Access essential information in your daily life such as anamnesis, biology.

Free entry to the forum

A space for exchanging experiences and constructive comments on topics related to medicine and health.

Unlimited access

Get access to news, studies, updates and more content written and referenced by experts

test your knowledge

Answer our quizzes and study in a simple and fun way

Custom content

Receive studies, updates, new behaviors, and other content segmented by discipline via email

a test

With regard to the follow-up of this patient and other cases of induced abortion, which of the following alternatives should you consider most appropriate? Click the banner below and reply in our forum.

# Brazil. Ministry of Health. Secretariat for Science, Technology, Innovation and Strategic Inputs in Health. Department of Pharmaceutical Assistance and Strategic Input. Contributions to promoting the rational use of medicines [recurso eletrônico] / Ministry of Health, Division of Science, Technology, Innovation and Strategic Health Inputs, Division of Pharmaceutical Assistance and Strategic Inputs. – Brasilia: Ministry of Health, 2021. 127 p. # Institute for Safe Practices in the Use of Medicines. Global Patient Safety Challenge: Harmless Medicines [Internet]. ISMP Brazil Bulletin. 2018; 8 (1): 1-6. [acesso em abril 2022] Available at: http://www.ismp-brasil.org/site/wp-content/uploads/2018/02/198-BOLETIM-ISMP-FEBRUARY.pdf #Institute for Safe Practices in the Use of Medicines. Too much medication: When it is too much of it. [Internet]. ISMP Brazil Bulletin. 2018; 7 (3): 1-8. [acesso em abril 2022] Available at: https://www.ismp-brasil.org/site/wp-content/uploads/2018/12/BOLETIM-ISMP-NOVEMBRO.pdf #Levinson W, Kallewaard M, Bhatia RS on behalf of Wisdom Choice International. Working Group et al. “Choice Wisely”: A Growing International Campaign for Quality and Safety BMJ 2015; 24: 167-174. [acesso em abril 2022] Available at: https://qualitysafety.bmj.com/content/24/2/167.citation-tools #Silva AS, Maciel GA, Wanderley LSL, Wanderley AG. Indications for substance abuse in primary health care: a systematic review. Reverend Salud Pública Panama. 2017; 41: 132. doi: 10.26633/RPSP.2017.132

Leave a Comment