According to the World Health Organization (WHO), a patient uses medication wisely and correctly when a patient receives a dose appropriate to his or her individual needs due to a clinical illness, for a sufficient period of time, and at the best cost to himself or herself and others. . community. They must be prescribed by a qualified professional, including pharmacy staff, as permitted by law.
The latest report published by the National Toxicological Pharmacology Information System (Sinitox) found that in 2017, about 25% of toxic cases were due to drugs, which was more common in children aged 1–4 years. These intoxications can sometimes be fatal, with the report reporting more than 50 deaths from drug poisoning during this time.
The data presented reflect only what has been reported to the Poison Information Centers, leaving a large discrepancy between the previous data and the actual number of complications caused by the irrational use of drugs. We know that these figures are much higher than what was reported, because a large part of the population is unaware of the importance of reporting adverse reactions to some medicines and some professionals are not prepared to face this problem of irresponsible self-medication. .
The senseless or inappropriate use of medicines is a serious problem that crosses borders and leaves many countries vigilant. The WHO estimates that more than half of all medicines are prescribed, distributed or sold improperly and that about 50% of patients do not use them properly.
Who makes this mistake most of the time: using five or more medications per patient (a “multi-pharmacy”), inappropriate use of antimicrobials, often inadequate dosing, and for non-bacterial infections. In addition to the lack of a prescription according to clinical guidelines, non-compliance with dosing instructions, insufficient consumption of pharmacological classes, concomitant use of several drugs without technical criteria, and multiple prescriptions due to lack of information provided to the prescriber. In the need for rational use of medicines, the pharmacy will become a key part of cooperation with rational use.
Despite being seen as a health care advisor, the pharmacist is the last professional that most patients deal with before starting to take medication, in addition to being an important person in dispensing medication to the patient, this activity is undergoing major changes today. In particular, with regard to easy access to information through the Internet, social networks, blogs, friends and neighbors, which demonstrate and guide the arbitrary use of medicines.
It is important for the general public to know that pharmacy staff are prepared to advise on pharmacological and non-medical measures that may help in the cure or prognosis of diseases.
In addition, the pharmacy advises on the search for medical and / or dental care (dentist), the acquisition, use, storage and disposal of obsolete or unused medicines, as well as other information that further improves the patient’s quality of life. . Do you doubt the proper use and disposal of this syrup, long and expired creams? Always talk to your pharmacist!
Álvaro Paulo Souza, Professor of Estácion and Master of Science.