Pharmacist's role in reducing the number of cases of drug poisoning associated with self-medication in the elderly

Authors

DOI:

https://doi.org/10.33448/rsd-v12i12.44114

Keywords:

Intoxication; Elderly health; Pharmacovigilance; Self-medication.

Abstract

The objective was to understand the effectiveness of the pharmacist's role in preventing and reducing the number of cases of drug poisoning in the elderly attributed to self-medication. Following the recommendations adapted from the PRISMA guideline, a search was carried out in the PubMed and MEDLINE databases, considering as eligibility criteria the availability of the full text, language and year of publication, only studies published in Portuguese or English, between January 2013 and September 2023. We demonstrate that the pharmacist is essential to reduce the use of potentially inappropriate medications prescribed to the elderly, warn about possible adverse effects, identify elderly people at risk for self-medication and manage polypharmacy in the best possible way. The ease of access to such professionals makes them essential for the health education process, guidance on self-care, control of self-medication, instructions on the correct use of prescribed medications and early identification of adverse effects to avoid masking serious illnesses. Although well established, the role of the pharmacist in reducing the number of cases of poisoning due to self-medication in the elderly is still not exercised as frequently as expected. New research should identify the main barriers for pharmacists to act in preventing irresponsible self-medication in the elderly, determine strategies for identifying elderly people at higher risk and intervention protocols. Only in this way will pharmaceutical intervention be standardized and can be put into practice to reduce cases of self-medication poisoning in the elderly.

References

Advinha, A. M., Nunes, C., de Barros, C. T., Lopes, M. J., & de Oliveira-Martins, S. (2021). Key factors of the functional ability of older people to self-manage medications. Scientific reports, 11(1), 22196.

Akande-Sholabi, W., & Fafemi, A. (2022). Potentially inappropriate medication use in the elderly: physicians' and hospital pharmacists knowledge, practice, confidence, and barriers. Journal of pharmaceutical health care and sciences, 8(1), 36.

Arrais, P. S. D., Fernandes, M. E. P., Pizzol, T. d. S. D., Ramos, L. R., Mengue, S. S., Luiza, V. L., Tavares, N. U. L., Farias, M. R., Oliveira, M. A., & Bertoldi, A. D. (2016). Prevalence of self-medication in Brazil and associated factors. Revista de Saúde Pública, 50(suppl 2).

Azami-Aghdash, S., Mohseni, M., Etemadi, M., Royani, S., Moosavi, A., & Nakhaee, M. (2015). Prevalence and cause of self-medication in iran: A systematic review and meta-analysis article. Iranian Journal of Public Health, 44(12), 1580–1593.

Brandão, G. R., Teixeira, L., Araújo, L., Paúl, C., & Ribeiro, O. (2020). Self-medication in older European adults: Prevalence and predictive factors. Archives of Gerontology and Geriatrics, 91, 104189.

Ghodkhande, K. P., Choudhari, S. G., & Gaidhane, A. (2023). Self-Medication practices among the geriatric population: A systematic literature review. Cureus.

Gonçalves, K. C. P., Borges L. de O., Borges, Q. I. (2022). Avaliação das intoxicações medicamentosas em idosos na região centro-oeste no período de 2019 a 2021 [Trabalho de Conclusão de Curso]. Centro Universitário de Várzea Grande.

Gretzler, V. da S., Rodrigues, A. de S., Vargas, D. A., Pereira, H. C., & Terra Júnior, A. T. (2018). Atuação do farmacêutico no urm e na prevenção de intoxicação medicamentosa: Imagem: Conexão Saúde RJ. Revista Científica Da Faculdade De Educação E Meio Ambiente, 9, 547–550.

Heidari, M., Borujeni, M. G., Ghafourifard, M., & Sheikhi, R. A. (2018). The Evaluation of the Awareness, Attitude and Practice of the Elderly Toward Self-Medication: A Cross-Sectional Study. Drug research, 68(8), 475–480.

Jerez-Roig, J., Medeiros, L. F. B., Silva, V. A. B., Bezerra, C. L. P. A. M., Cavalcante, L. A. R., Piuvezam, G., & Souza, D. L. B. (2014). Prevalence of self-medication and associated factors in an elderly population: A systematic review. Drugs & Aging, 31(12), 883–896.

Junior, E. A. de O., Borges, H. A., Prado, L. B. B. (2021). A intoxicação medicamentosa em idosos devido à polifarmácia [Trabalho de Conclusão de Curso]. Faculdade de Inhumas.

Karłowicz-Bodalska, K., Sauer, N., Jonderko, L., & Wiela-Hojeńska, A. (2023). Over the Counter Pain Medications Used by Adults: A Need for Pharmacist Intervention. International journal of environmental research and public health, 20(5), 4505.

Lim, J., Jeong, S., Jang, S., & Jang, S. (2023). Hospitalization and emergency department visits associated with potentially inappropriate medication in older adults: self-controlled case series analysis. Frontiers in public health, 11, 1080703.

Locquet, M., Honvo, G., Rabenda, V., Van Hees, T., Petermans, J., Reginster, J. Y., & Bruyère, O. (2017). Adverse Health Events Related to Self-Medication Practices Among Elderly: A Systematic Review. Drugs & aging, 34(5), 359–365.

Mira, J. J., Lorenzo, S., Guilabert, M., Navarro, I., & Pérez-Jover, V. (2015). A systematic review of patient medication error on self-administering medication at home. Expert opinion on drug safety, 14(6), 815–838.

Oliveira, S. B. V. d., Barroso, S. C. C., Bicalho, M. A. C., & Reis, A. M. M. (2018). Profile of drugs used for self-medication by elderly attended at a referral center. Einstein (São Paulo), 16(4).

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed.), 372, n71.

Perrot, S., Cittée, J., Louis, P., Quentin, B., Robert, C., Milon, J. Y., Bismut, H., & Baumelou, A. (2019). Self-medication in pain management: The state of the art of pharmacists' role for optimal Over-The-Counter analgesic use. European journal of pain (London, England), 23(10), 1747–1762.

Pietraszek, A., Agrawal, S., Dróżdż, M., Makuch, S., Domański, I., Dudzik, T., Dudek, K., & Sobieszczańska, M. (2022). Sociodemographic and health-related factors influencing drug intake among the elderly population. International Journal of Environmental Research and Public Health, 19(14), 8766.

Rafati, S., Baniasadi, T., Dastyar, N., Zoghi, G., Ahmadidarrehsima, S., Salari, N., & Rafati, F. (2023). Prevalence of self-medication among the elderly: A systematic review and meta-analysis. Journal of Education and Health Promotion, 12, 67.

Reis, V. do N. F. (2021). Intoxicação medicamentosa: O papel do profissional farmacêutico [Trabalho de Conclusão de Curso]. UniAGES.

Rohling, E. P. (2021). Mortalidade e internações hospitalares por reações adversas e intoxicações por medicamentos em idosos no Brasil: Análise de 1998 a 2019 [Dissertação de Mestrado]. Universidade Federal de Santa Catarina.

Rotta, I., Lima, T., & Tonin, F. S. (2023). Role of community pharmacy and pharmacists in self-care in Brazil. Exploratory research in clinical and social pharmacy, 10, 100274.

Sadeghian Motavali, Z., Abedi, H., & Davaridolatabadi, E. (2016). Self-medication and its effective modifiable factors among elderly referred health care centers in shahr-e-kord in 2015. Electronic Physician, 8(11), 3205–3213.

Schmiedl, S., Rottenkolber, M., Hasford, J., Rottenkolber, D., Farker, K., Drewelow, B., Hippius, M., Saljé, K., & Thürmann, P. (2014). Self-medication with over-the-counter and prescribed drugs causing adverse-drug-reaction-related hospital admissions: results of a prospective, long-term multi-centre study. Drug safety, 37(4), 225–235.

Silva, F. M. da (2020). Estudo das intoxicações medicamentosas em crianças e idosos ocorridas no Brasil entre os anos de 2014 a 2017 [Trabalho de Conclusão de Curso]. Faculdade de Educação e Meio Ambiente.

Silva, W. B. da, Murilo, B. M. da C., Silva, P. I. F. da, Costa Filho, I. da, Andrade Júnior, F. P. de, & Souza, C. M. P. de (2021). Epidemiological study of elderly people affected by drug intoxication in the state of Paraíba: a portrait of a decade. Research, Society and Development, 10(10), e176101018563.

Silva, A. F. & Silva, J. d. P. (2022). Polifarmácia, automedicação e uso de medicamentos potencialmente inapropriados: Causa de intoxicações em idosos. Revista Médica de Minas Gerais, 32, 32101.

Souza, M. T., Silva, M. D. & Carvalho, R. D. (2010). Integrative review: What is it? How to do it? Einstein, 8(1), 102–106.

Tachi, T., Yoshida, A., Kanematsu, Y., Sugita, I., Noguchi, Y., Osawa, T., Yasuda, M., Mizui, T., Goto, C., & Teramachi, H. (2018). Factors influencing the use of over-the-counter drugs and health foods/supplements. Die Pharmazie, 73(10), 598–604.

Ursi, E. S. & Gavão, C. M. (2006). Prevenção de lesões de pele no perioperatório: Revisão integrativa da literatura. Revista Latino-Americana De Enfermagem, 14(1), 124–131.

Wawruch, M., Kuzelova, M., Foltanova, T., Ondriasova, E., Luha, J., Dukat, A., Murin, J., & Shah, R. (2013). Characteristics of elderly patients who consider over-the-counter medications as safe. International journal of clinical pharmacy, 35(1), 121–128.

Published

23/11/2023

How to Cite

OLIVEIRA, H. de; SILVA, C. M. da . Pharmacist’s role in reducing the number of cases of drug poisoning associated with self-medication in the elderly. Research, Society and Development, [S. l.], v. 12, n. 12, p. e145121244114, 2023. DOI: 10.33448/rsd-v12i12.44114. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44114. Acesso em: 14 nov. 2024.

Issue

Section

Review Article