Uso indiscriminado de benzodiazepínicos na Atenção Primária à Saúde: revisão da literatura e proposta de enfrentamento

Abstract

Among the problems found in patient care in the enrolled area of Unidade Básica de Saúde Centro (UBS Centro) in the city of Governador Valadares, the benzodiazepine indiscriminate usage has detached. These drugs are used more commonly in the treatment of primary insomnia and anxiety disorders and the mostly prescribed ones are clonazepam and diazepam. It is recommended their use to be restricted to 2 months as the chronic use can lead to several complications. The objective of this work was to elaborate an intervention project towards the prevalence reduction of the chronic benzodiazepine usage in UBS Centro of Governador Valadares city by the early tapering and the avoidance of the initial prescription in the situations these drugs are not appropriate. A literature review through Medline, Pubmed and Scielo databases was held and an intervention project was elaborated from the Strategic-situational Planning principles with the determination of the most important problems and the critical nodes from the situational diagnosis. The project was organized in 4 operations: Capacitation (use of a poster and lectures for the education of physicians about the benzodiazepine management), + Conscious patient (flyers, lectures and radio program to teach patients about benzodiazepines), Is it difficult to sleep? (flyers, lectures and radio program to teach patients about habits related to sleep), Under control usage (permanent data collection and creation of a chronic benzodiazepine users control notebook). It is expected that the project, which was considered viable, help the insomnia and the anxiety disorders approach as well as diminish the number of chronic benzodiazepine users.