Beers-Fick criteria and drugs available through the Farmácia Dose Certa program
CONTEXT AND OBJECTIVE: Farmácia Dose Certa is a program available in the State of São Paulo that is a national reference for providing drugs free of charge to the population. Elderly people receiving care deserve special attention regarding drugs that are appropriate for their age group. The objecti...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2011-01-01
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| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802011000100004&lng=en&tlng=en |
| _version_ | 1828541247853166592 |
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| author | Giancarlo Lucchetti Alessandra Lamas Granero Lucchetti Sueli Luciano Pires Milton Luiz Gorzoni |
| author_facet | Giancarlo Lucchetti Alessandra Lamas Granero Lucchetti Sueli Luciano Pires Milton Luiz Gorzoni |
| author_sort | Giancarlo Lucchetti |
| collection | DOAJ |
| description | CONTEXT AND OBJECTIVE: Farmácia Dose Certa is a program available in the State of São Paulo that is a national reference for providing drugs free of charge to the population. Elderly people receiving care deserve special attention regarding drugs that are appropriate for their age group. The objective was to assess the drugs in the program considered to be inappropriate for the elderly. DESIGN AND SETTING: Descriptive study evaluating free drug distribution in the State of São Paulo, Brazil. METHODS: Following the criteria proposed by Beers and Fick (drugs or drug classes that should be avoided among elderly people, independent of the diagnosis or clinical condition, because of the high risk of side effects and because other, safer drugs are available), the drugs in the Farmácia Dose Certa program that might be inappropriate for elderly people and the levels of evidence for each drug included were assessed. RESULTS: Among the available drugs, 10 (25.6%) were included within the Beers-Fick criteria. The drugs selected were: amitriptyline, cimetidine, diazepam, digoxin, fluoxetine, methyldopa, nifedipine, promethazine, thioridazine and ferrous sulfate. CONCLUSION: The list of drugs available within the Farmácia Dose Certa program may be considered appropriate for the general population, but not completely for the elderly population. Adjusting this list to the pharmacological aspects of aging will reduce the risks of drug interactions, falls, mental confusion and excessive sedation that result from drugs that are considered inappropriate for consumption by elderly people |
| first_indexed | 2024-12-12T01:38:13Z |
| format | Article |
| id | doaj.art-e8dd9c97fe9b406ba680a36a83dfd1ad |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-12T01:38:13Z |
| publishDate | 2011-01-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-e8dd9c97fe9b406ba680a36a83dfd1ad2022-12-22T00:42:48ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602011-01-011291172210.1590/S1516-31802011000100004S1516-31802011000100004Beers-Fick criteria and drugs available through the Farmácia Dose Certa programGiancarlo Lucchetti0Alessandra Lamas Granero Lucchetti1Sueli Luciano Pires2Milton Luiz Gorzoni3Irmandade da Santa Casa de Misericórdia de São PauloInterdisciplinary Center for Aging Research and CareIrmandade da Santa Casa de Misericórdia de São PauloIrmandade da Santa Casa de Misericórdia de São PauloCONTEXT AND OBJECTIVE: Farmácia Dose Certa is a program available in the State of São Paulo that is a national reference for providing drugs free of charge to the population. Elderly people receiving care deserve special attention regarding drugs that are appropriate for their age group. The objective was to assess the drugs in the program considered to be inappropriate for the elderly. DESIGN AND SETTING: Descriptive study evaluating free drug distribution in the State of São Paulo, Brazil. METHODS: Following the criteria proposed by Beers and Fick (drugs or drug classes that should be avoided among elderly people, independent of the diagnosis or clinical condition, because of the high risk of side effects and because other, safer drugs are available), the drugs in the Farmácia Dose Certa program that might be inappropriate for elderly people and the levels of evidence for each drug included were assessed. RESULTS: Among the available drugs, 10 (25.6%) were included within the Beers-Fick criteria. The drugs selected were: amitriptyline, cimetidine, diazepam, digoxin, fluoxetine, methyldopa, nifedipine, promethazine, thioridazine and ferrous sulfate. CONCLUSION: The list of drugs available within the Farmácia Dose Certa program may be considered appropriate for the general population, but not completely for the elderly population. Adjusting this list to the pharmacological aspects of aging will reduce the risks of drug interactions, falls, mental confusion and excessive sedation that result from drugs that are considered inappropriate for consumption by elderly peoplehttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802011000100004&lng=en&tlng=enAgedPharmaceutical preparationsDrug prescriptionsIatrogenic diseaseAdverse effects |
| spellingShingle | Giancarlo Lucchetti Alessandra Lamas Granero Lucchetti Sueli Luciano Pires Milton Luiz Gorzoni Beers-Fick criteria and drugs available through the Farmácia Dose Certa program São Paulo Medical Journal Aged Pharmaceutical preparations Drug prescriptions Iatrogenic disease Adverse effects |
| title | Beers-Fick criteria and drugs available through the Farmácia Dose Certa program |
| title_full | Beers-Fick criteria and drugs available through the Farmácia Dose Certa program |
| title_fullStr | Beers-Fick criteria and drugs available through the Farmácia Dose Certa program |
| title_full_unstemmed | Beers-Fick criteria and drugs available through the Farmácia Dose Certa program |
| title_short | Beers-Fick criteria and drugs available through the Farmácia Dose Certa program |
| title_sort | beers fick criteria and drugs available through the farmacia dose certa program |
| topic | Aged Pharmaceutical preparations Drug prescriptions Iatrogenic disease Adverse effects |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802011000100004&lng=en&tlng=en |
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