9
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Prevalence of psychotropic drug use and conformity of therapeutic dose among mental health users Translated title: Prevalencia del uso de psicotrópicos y cumplimiento de la dosis terapéutica entre los usuarios de salud mental Translated title: Prevalência do uso de psicotrópicos e conformidade da dose terapêutica entre usuários de saúde mental

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          ABSTRACT Objectives: to identify the prevalence of psychotropic drug use according to their Anatomical Therapeutic Chemical classification among Psychosocial Care Center users and assess their prescription compliance based on the recommended therapeutic dose. Methods: this is an analytical study, based on documents, from the study of 389 records between September 2017 and May 2018. Associations between the presence of underdose or overdose and participants’ characteristics were assessed using the chi-square test, adopting a significant value of p <0.05. Results: the most used drugs were antipsychotics (74.7%), 16.0% of users with at least one medication with a dose below the therapeutic level and another 3.6% above the recommended therapeutic dose. Conclusions: greater nonconformities in the prescribed dose were related to antihistamines, antipsychotics and antidepressants, with underdosage associated with females and overdose with the report of hearing voices.

          Translated abstract

          RESUMEN Objetivos: identificar la prevalencia del uso de psicofármacos según su clasificación Anatómica Terapéutica Química entre los usuarios de un Centro de Atención Psicosocial y evaluar el cumplimiento de su prescripción en base a la dosis terapéutica recomendada. Métodos: estudio analítico, basado en documentos, basado en el estudio de 389 historias clínicas entre septiembre de 2017 y mayo de 2018. Las asociaciones entre la presencia de subdosis o sobredosis y las características de los participantes se evaluaron mediante la prueba de chi-cuadrado valor significativo p<0,05. Resultados: los fármacos más utilizados fueron los antipsicóticos (74,7%), el 16,0% de los usuarios con al menos un medicamento con dosis por debajo del nivel terapéutico y otro 3,6% por encima de la dosis terapéutica recomendada. Conclusiones: las principales no conformidades en la dosis prescrita se relacionaron con antihistamínicos, antipsicóticos y antidepresivos, con infradosificación asociada a mujeres y sobredosis con el reporte de escuchar vocês.

          Translated abstract

          RESUMO Objetivos: identificar a prevalência do uso de psicotrópicos conforme sua classificação Anatômico Terapêutico Químico entre usuários de um Centro de Atenção Psicossocial e avaliar a conformidade da prescrição dos mesmos com base na dose terapêutica recomendada. Métodos: estudo analítico, de base documental, a partir do estudo de 389 prontuários entre setembro de 2017 e maio de 2018. Associações entre a presença de subdose ou sobredose e as características dos participantes foram avaliadas por meio do teste qui-quadrado, adotando como valor significativo p <0.05. Resultados: os medicamentos mais utilizados foram os antipsicóticos (74,7%), 16,0% de usuários com pelo menos uma medicação com dose abaixo da terapêutica e outros 3,6% acima da dose terapêutica recomendada. Conclusões: maiores inconformidades na dose prescrita se relacionaram aos anti-histamínicos, os antipsicóticos e antidepressivos, com subdosagem associada ao sexo feminino e sobredose com o relato de audição de vozes.

          Related collections

          Most cited references30

          • Record: found
          • Abstract: found
          • Article: not found

          Management of treatment resistance in schizophrenia.

          A systematic approach to the evaluation and characterization of treatment resistance in schizophrenia has become increasingly important since the introduction of the second-generation antipsychotics. The need for accurate evaluation will increase further as other new antipsychotic medications are developed. Patients with schizophrenia may manifest poor response to therapy because of intolerance to medication, poor adherence, inappropriate dosing, as well as true resistance of their illness to antipsychotic drug therapy. Criteria for treatment-resistance are presented to help in standardizing treatment and clinical trials. As clinicians face the decision of when to change or augment antipsychotic medications, a clear understanding of the appropriate length of a treatment trial and which target symptoms respond to antipsychotic therapy is critical for maximizing response in patients with treatment-resistant schizophrenia.
            Bookmark
            • Record: found
            • Abstract: not found
            • Book: not found

            Anatomia de uma epidemia: pílulas mágicas, drogas psiquiátricas e o aumento assombroso da doença mental

              Bookmark
              • Record: found
              • Abstract: not found
              • Book: not found

              Relação Nacional de Medicamentos Essenciais: RENAME 2020

              BRASIL (2020)
                Bookmark

                Author and article information

                Journal
                reben
                Revista Brasileira de Enfermagem
                Rev. Bras. Enferm.
                Associação Brasileira de Enfermagem (Brasília, DF, Brazil )
                0034-7167
                1984-0446
                2021
                : 74
                : 6
                : e20200679
                Affiliations
                [2] Campinas São Paulo orgnameUniversidade Estadual de Campinas Brazil
                [1] Pelotas Rio Grande do Sul orgnameUniversidade Federal de Pelotas Brazil
                Article
                S0034-71672021000600162 S0034-7167(21)07400600162
                10.1590/0034-7167-2020-0679
                531ebfcf-f7f6-47a6-82d5-f4ccffe60afc

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 19 November 2020
                : 24 July 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 0
                Product

                SciELO Brazil


                Administration and Dosage,Prevalence,Services Community Mental Health,Mental Health,Psychotropic Drugs,Administração & Dosagem,Prevalência,Serviços Comunitários de Saúde Mental,Saúde Mental,Psicotrópicos,Administración & Dosificación,Prevalencia,Servicios Comunitarios de Salud Mental,Salud Mental

                Comments

                Comment on this article