Objective:To implement a clinical pharmacy service focused on the comprehensive review of antineoplastic drugs used in therapy of hematological diseases.Methods:An interventional study was conducted in a Brazilian tertiary teaching hospital in two different periods, with and without a clinical pharmacy service, respectively. This service consisted of an antineoplastic prescription validation (analysis of patients' characteristics, laboratory tests, compliance with the therapeutic protocol and with pharmacotechnical parameters). When problems were detected, the pharmacist intervened with the physician or another health professional responsible for the patient. Inpatients and outpatients with hematological diseases were included.Results:We found an increased detection of drug-related problem by 106.5% after implementing the service. Comparing the two periods, an increase in patients' age (26.7 years versus 17.6 years), a predominance of outpatients (54% versus 38%), and an increase in multiple myeloma (13% versus 4%) and non-Hodgkin lymphoma (16% versus 3%) was noted. The most commonly found problems were related to dose (33% versus 25%) and cycle day (14% versus 30%). With regard to clinical impact, the majority had a significant impact (71% versus 58%), and in one patient from the second period could have been fatal. The main pharmaceutical interventions were dose adjustment (35% versus 25%) and drug withdrawal (33% versus 40%).Conclusion:The pharmacy service contributed to increase the detection and resolution of drug-related problems, and it was an effective method to promote the safe and rational use of antineoplastic drugs.
Foi realizada a avaliação da qualidade de amostras de boldo-do-chile (Peumus boldus Molina) comercializadas na Região Metropolitana de Curitiba. Os resultados mostraram que todas as amostras são autênticas, mas os resultados das análises físico-químicas mostraram-se discrepantes em relação aos parametros da Farmacopéia Brasileira e outras bibliografias de referência. Samples of boldo-do-chile (Peumus boldus Molina) commercialized at the metropolitan area of Curitiba/PR were evaluated to establish their quality control patterns. The results showed that all samples are authentic but the data obtained for the physico-chemical parameters differ from those related at the Brazilian Pharmacopoeia IV ed
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