Polifarmácia e Sobredosagem Antipsicótica num Serviço Comunitário do Interior de Portugal

Autores

  • Sara Ramos Departamento de Psiquiatria e Saúde Mental da Unidade Local de Saúde da Guarda, EPE, Guarda, Portugal https://orcid.org/0000-0002-7376-7531
  • Diana Cruz Departamento de Psiquiatria e Saúde Mental da Unidade Local de Saúde da Guarda, EPE, Guarda, Portugal
  • Bianca Jesus Departamento de Psiquiatria e Saúde Mental da Unidade Local de Saúde da Guarda, EPE, Guarda, Portugal
  • João Correia Departamento de Psiquiatria e Saúde Mental da Unidade Local de Saúde da Guarda, EPE, Guarda, Portugal
  • Isabel Vaz Departamento de Psiquiatria e Saúde Mental da Unidade Local de Saúde da Guarda, EPE, Guarda, Portugal
  • João Mendes Departamento de Psiquiatria e Saúde Mental da Unidade Local de Saúde da Guarda, EPE, Guarda, Portugal

DOI:

https://doi.org/10.51338/rppsm.2021.v7.i3.163

Palavras-chave:

Antipsicóticos, Centros Comunitários de Saúde Mental, Prescrição Inadequada, Polimedicação

Resumo

Introdução: A polifarmácia e a sobredosagem antipsicóticas permanecem uma prática comum no tratamento de doenças mentais graves, embora as normas mais atuais não o recomendem.

Métodos: Procurou‑se identificar os padrões de prescrição antipsicótica num serviço comunitário com enquadramento rural, de forma a determinar a prevalência de polifarmácia e sobredosagem antipsicótica e fatores associados.

Resultados: Foram identificados 284 doentes. A polifármacia antipsicótica foi observada em 46,5% dos doentes e associava‑se a idades mais jovens, ser solteiro, internamentos psiquiátricos prévios e prescrição de anticolinérgicos. Por outro lado, a sobredosagem antipsicótica foi encontrada em 14,4% dos doentes e associava‑se a internamentos psiquiátricos prévios, estar medicado com um antipsicótico injetável de primeira geração de longa duração de ação e com um anticolinérgico. Observou‑se também que a sobredosagem e a polifármacia estavam associadas.

Conclusão: Apesar das recomendações internacionais, identificaram‑se prevalências de polifarmácia e sobredosagem antipsicótica de 46,5% e 14,4%, respetivamente. São necessários mais estudos para melhor caracterizar os padrões de prescrição antipsicótica em Portugal.

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Publicado

2021-09-08

Como Citar

Ramos, S., Cruz, D., Jesus, B., Correia, J., Vaz, I., & Mendes, J. (2021). Polifarmácia e Sobredosagem Antipsicótica num Serviço Comunitário do Interior de Portugal. Revista Portuguesa De Psiquiatria E Saúde Mental, 7(3), 109–116. https://doi.org/10.51338/rppsm.2021.v7.i3.163

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