Proposta de intervenção sobre o uso prolongado dos benzodiazepínicos da Equipe de Atenção Básica Alterosas II do município de Betim-MG

Abstract

Maingoal: To capacitate enable the team (staff) at UBS Alterosas II in thecity of Betim state Minas Gerais to approach patients on chronic usage of benzodiazepines.Methods: this study consistsof a bibliographic review ons cientific articles, medical consensus, text-books and other sources that talk about the chronicus age of benzodiazepines. The search for scientific articles has been done on the site http://www.scielo.br using the key-word benzodiazepines. The books and other sources had been selected from several places considering their relevant scientific value.Results: Benzodiazepines in acton present five pharmacologic properties. They are: sedative, hypnotic, anti-anxiety, muscle relaxant and anticonvulsant. Some properties are more noticed in one than in other. When exceeding periods from 4 to 6 weeks, the use of benzodiazepines can lead to tolerance development, abstinence or dependency. After a long-term treatment and abrupt withdrawal of benzodiazepines, some clinical conditions may appear. Rebote is the returnof the original symptom, with higher intensity and with transitory characteristic. The relapse is the same former symptom pattern as that previous to the medication, but with higher intensity and showing more persistence. The withdrawal symptom is the appearance of new signs, symptoms and worsening of the previously existing ones. Relapse, recorrence and withdrawal symptoms can be added. All the presented symptoms improve within one to four weeks, except those of recorrence. Daily dose and long-term usage of benzodiazepines are important factors that may cause a dependency situation. The pharmacosurveillance plays a relevant role in the collective health protection in any country, since it is responsible for evaluating adverse events, medicine interaction, non effectiveness, misusage, forgery, dependency or poisoning caused by medications. The capability of the UBS-team at Alterosas II, when facing the use of the chronic usage of benzodiazepinesis strictly related to the understanding and learning, as well as the abilities to transmit these concepts in a convincing way. The intervention plan was created with the drawing of the critical knots, identification of the resources, search of partnership with the actors that control the critical resources, getting someone responsible for each operation.Conclusion: Interventions not only to control the access to benzodiazepinesby the users, but also to educate physicians, pharmacies, nurses, nursing technicians, community health agents and patients to the rational usage of these substances. Seem to be the most promising way of action facing this reality.