RESUMO Objetivou-se verificar a adesão ao tratamento farmacológico da hipertensão arterial e fatores associados à baixa adesão em hipertensos adstritos à Atenção Primária à Saúde. Estudo transversal, realizado em duas Estratégias Saúde da Família em um município da região Noroeste do estado do Rio Grande do Sul. A coleta de dados foi realizada em domicílio no período de janeiro a maio de 2016. Para verificar a adesão ao tratamento, utilizou-se o Brief Medication Questionnaire. Participaram do estudo 145 hipertensos de ambos os sexos. Identificaram-se valores pressóricos mais elevados entre os hipertensos com baixa adesão do que entre os aderentes. Em relação à associação de medicamentos anti-hipertensivos, verificou-se que quanto maior o número de medicamentos utilizados, menor a adesão. Os fatores relacionados com a diminuição da adesão foram: baixa renda, uso de dois ou mais anti--hipertensivos e dificuldades para ler a embalagem dos medicamentos.PALAVRAS-CHAVE Adesão à medicação. Anti-hipertensivos. Atenção Primária à Saúde. Doença crônica. ABSTRACT The objective was to verify adherence to the pharmacological treatment of arterial hypertension and factors associated with the low adhesion of hypertensive people attached to

Objective: to verify the association between the health-related quality of life of chronic renal patients on hemodialysis with sociodemographic, clinical, depression and medication adherence characteristics. Method: a cross-sectional study with 183 chronic renal patients undergoing hemodialysis in the state of Rio Grande do Sul, Brazil. A sociodemographic and clinical questionnaire, Kidney Disease and Quality of Life Short-Form, Beck Depression Inventory and Morisky Medication Adherence Scale - eight items were used. Among the variables, comorbidities, complications of kidney disease and intercurrences during and after hemodialysis were evaluated. The analysis was performed with descriptive and analytical statistics. Results: 55.2% of the patients were 60 years old or older, 35.0% were hypertensive, with regular quality of life, average of 62.61. Scores below average in the dimensions of quality of life were mainly associated with repetitive infections and edema as complications of the disease, pain during hemodialysis and weakness afterwards. Low drug adherence resulted in a worse quality of life, impacting ten of the 20 dimensions evaluated and depression in all, except for patient satisfaction. Conclusion: reduced quality of life in this population is associated with depressive symptoms, complications such as repetitive infections, pain and anemia, weakness after the dialysis session and low medication adherence. Actions aimed at changing these factors can promote well-being.

Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. Embora nem todas as interações medicamentosas possam ser prevenidas, a propagação do conhecimento entre os profissionais de saúde, através do profissional farmacêutico, quanto aos principais fatores de risco de interações medicamentosas, constitui um dos principais instrumentos de prevenção das interações medicamentosas. Backgound and Objectives:In hospitals, especially in ICUs, there is a greater chance of selection and spread of antimicrobial resistant strains, due to the overuse of antibiotics and poor compliance with protocols. Therefore, the objective of this study was to analyze the antibiotics used, the indication, the treatment period, the identification of potential drug interactions between these drugs and others used by patients. Method: Sectional and descriptive study in a hospital level IV of Rio Grande do Sul, was conducted from drug prescriptions in the Intensive Care Unit for the period April-May 2011, who received at least one antibiotic during hospitalization. Since all the prescriptions were assessed every day. Results: The majority (54%) patients were female. The average age was 61.8 years. Most patients (63%) were discharged from the ICU. The average number of drugs prescribed per patient was 12.5 ± 3.6. The most commonly prescribed antibiotics were vancomycin, piperacillin + tazobactam and cefepime. Among the possible interactions, the most serious were: haloperidol and levofloxacin and levofloxacin x Regular insulin. Conclusions: Although not all drug interactions can be prevented, the spread of knowledge among health professionals through the pharmacist, as the main risk factors for drug interactions, is one of the main instruments for the prevention of drug interactions. RESUMO ABSTRACT ARTIGO ORIGINALPerfil de uso de antimicrobianos e suas interações medicamentosas em uma uti adulto do Rio Grande do Sul

Objective: to investigate the use of drugs, potential drug interactions and iatrogenesis, as factors associated with frailty. Method: an observational, cross-sectional, population-based study of elderly persons registered with the Family Health Strategies of the urban area of a municipal region in the south of Brazil was carried out. The sample was probabilistic and involved 554 elderly persons; and the proportional stratified sampling technique by FHS and gender was used. Data collection was performed in the home, with the gathering of information regarding sociodemographic characteristics and pharmacotherapeutic profile and the evaluation of frailty based on Fried et al. (2001). Results: medications were taken by 86.3% of the elderly and there was a prevalence of frailty of 63.0%. A total of 39.4% of the elderly were exposed to polypharmacy, 49.1% used potentially inappropriate medications and 52.2% were exposed to potential drug interactions, the most frequent being enalapril and metformin. An association between increased risk of frailty and the variables: polypharmacy; use of potentially inappropriate medications; potential drug interactions; more than two potential drug interactions with the presence or absence of potentially inappropriate medication was identified. Conclusion: an association was found between frailty and polypharmacy, the use of potentially inappropriate medication and the presence of drug interactions. The findings underscore the importance of the monitoring of drug therapy in this population group with a view to the early detection, prevention and resolution of iatrogenesis arising from the use of medicines.