Análise de interações medicamento-alimento e medicamento-planta medicinal em farmácias distritais de Caicó-RN

Abstract

This study aimed to evaluate possible drug-food and drug-medicinal plant interactions involving antidiabetics and antihypertensives medication on primary health care in the city of Caicó-RN. This is a descriptive-exploratory cross-sectional study, with a quantitative approach involving two district pharmacies in Caicó-RN. The object of study consisted of duplicated drug prescriptions of medication dispensed during the period of August to December of 2019. Micromedex, Drugs.com and Up to Date, were used to assess drug-food interactions in addition to the medicinal informational leaflets provided by the National Health Surveillance Agency (ANVISA). Due to the lack of databases referring to medicinal plants, the evaluation of drug-medicinal plant interactions was based on articles indexed via CAPES and Google Scholar journals. In total 569 prescriptions were analyzed, of which, 11 contained antihypertensive and 3 contained anti-diabetic drugs. Among these prescriptions, 10 contained important interactions; 6 were considered negative (1 mild, 4 moderate and 1 moderate to severe) and 4 positives. Furthermore, we observed that 7 drugs were involved in drug-medicinal plant interactions, which were considered positive or negative depending on the dosage of the medication and medicinal plant. Therefore, it is of utmost importance to develop more studies on this topic as well as to raise awareness and instrumentalize health professionals, and users, about the proper management of pharmacological therapy in order to enjoy the beneficial interactions and avoid the negative impacts on therapeutic effectiveness and patient safety.