Estudo da utilização de antidepressivos pelos usuários da farmácia clínica dos servidores da Prefeitura Municipal de Belo Horizonte

Abstract

The depression is a problem of public world-wide health, when thought the 4th biggest prebrave problem in the world. It causes serious incompetence and negative influence in the lifes capacity of the patients, of his relatives and of the society as a whole. In economic terms, there are countless impacts of the depressive upsets. The increase of cases of depression is intimately connected with the increase in the consumption of antidepressants observed in the last years. The study of use of medicine represents an important tool that allows knowing theprofile of the drugs user, to quantify this consumption, to know the physicians profile and to detect problems inherent in the use of medicines, establishing the necessity of interventions for rationalization of the therapy. Being so, there were analysed 652 prescriptions of antidepressants dispensed in the Pharmacy of the Clinic of the Servants of the Municipal Town hall of Belo Horizonte FARMASERV - in the year of 2005, pointing out to aspects connected with a patient, with the antidepressive and with the physician. The standard of consumption ofantidepressants followed the world-wide tendencies, with great predominance of consumption of SSRI, in special fluoxetine, besides most of the patients were middle age women. Another important discovered was the great number of patients with professional activities linked to the teaching. The study still demonstrated that the adhesion of the current politics of prescription by the generic denomination is linked on situations in which the generic ones represent an effective reduction of cost for the patients. Around 50 % of the prescriptions originatingfrom SUS was not by generic denomination, showing that the generics law is not the most important factor for the prescription by this category. High taxes of not obeying the standards established by the law 344/98 of the Ministry of Health - applied to the control of medicines of this category - were observed in this study, reinforcing the necessity of a most effective inspection by the sanitary authorities. Besides, a considerable consumption was observed of tricyclics in old, moreover almost 10 % of the total analysed prescriptions contained at least one drug interaction with clinical relevance, which reveals the great necessity of recycling programs directed to physicians. Among the variables for the prescription of the of the antidepressants class, there are determinative the doctorsspecialty, patients age and gender; in other words, to consult with a psychiatrist, to be aged between 19 and 59 years and to be female increases the chance of a SSRI to be prescribed. In the variables of drugs category, there are determinative the medical specialty, the service of emission of the income and the class of the drug prescribed; in other words, to consult with a neurologist, to be attended in a private medical office and to receive prescription of a tricyclic antidepressant increases the chance of an antidepressant to be prescribed by the reference category. After analysis of the data, it is possible to end that FARMASERV constitutes in place adapted for the realization of studies of use of medicines, based on the heterogeneous profile of his users,besides not presenting limitations commonly found in the public system of health care like the standardization of medicines, as well as the obligation of prescription by the generic denomination