Dispensações de psicotrópicos anorexígenos no município de Juiz de Fora, Minas Gerais, Brasil

Abstract

Obesity is a serious public health issue of epidemic proportions. Although drug therapy is one of the therapeutic approaches, it should be preceded by a change in eating habits along with regular exercise. This study assessed prescription of such drugs in 2009, in Juiz de Fora, Minas Gerais, Brazil. Data were collected from consumption bulletins sent monthly to the municipal sanitary surveillance agency (VISA), and from the Brazilian National Management System of Controlled Products. Of the 7,759 notifications assessed, 93.3% were dispensed by prescription pharmacies and 6.7% by drugstores. Of that total, 55.4% were for amphepramone, 33.1% for femproporex, and 11.5% for mazindol. The three drugs had a larger consumption rate in the municipality (daily defined dose/1,000 inhabitants/day) than in the country as a whole, during the period under study. The professional with the highest prescription rate was responsible for 3,535 prescriptions. All of these were dispensed by prescription pharmacies, a single outlet being responsible for 99.5% of these prescriptions. This scenario shows that anorectic psychotropic drug prescription is a relevant public health issue and the criteria for monitoring the prescription and consumption of these drugs should be re-evaluated.

Prevalência do consumo de medicamentos em adultos brasileiros: uma revisão sistemática

“…These systems are comprehensive in informing public and private data on the consumption of all types of drugs, not only those subject to special control 67 . In Brazil, electronic systems are fragmented, not providing complete and comprehensive information: the same patient may appear in more than one system and identifying that it is the same person is not always possible 63,65,68 . These limitations make cross-sectional population-based studies a necessity to properly assess the patterns of access and use of these technologies.…”

Administrative Data Linkage in Brazil: Potentials for Health Technology Assessment

“…The main operational actors of the SNGPC are the pharmacists in charge of the pharmacies and drug stores, and SNVS health surveillance professionals. SNGPC has been used in studies to examine the consumption of appetite suppressant drugs (Mota et al, 2014), the consumption of psychotropic anorectic drugs (Martins et al, 2012), and the frequency as well as distribution of the consumption of benzodiazepine anxiolytics in private pharmacies and drug stores (Azevedo et al, 2016).…”

Análise De Prescrições Destinadas Ao Emagrecimento Em Farmácia Magistral Antes E Após a Vigência Da RDC Nº 52

“…O mesmo foi relatado no estudo de Martins et al (2012), onde 62,2% consumidores de anorexígenos eram mulheres (16). Os resultados do presente estudo concordam com os autores acima indicados.…”

“…Desse modo, o cancelamento do registro dos anorexígenos e, assim, a consequente proibição da comercialização dos mesmos já era uma realidade em outros países, como nos da Europa, onde a anfepramona, o femproporex e o mazindol foram retirados do mercado no ano de 2000 (16), e, no Brasil, isso só foi acontecer com a vigência da RDC nº52/2011 (10). Nos Estados Unidos, o femproporex nunca chegou a ser comercializado, pois não recebeu autorização do FDA (Food and Drug Admnistration) para ser vendido (16).…”

“…Nos Estados Unidos, o femproporex nunca chegou a ser comercializado, pois não recebeu autorização do FDA (Food and Drug Admnistration) para ser vendido (16).…”