Drug interactions and adverse events in elderly heart disease patients

Chronic and multiple diseases are more prevalent in elderly individuals and, epidemiological highlight can be given to cardiovascular conditions requiring multi-drug therapies, which favor the occurrence of drug interactions. This study aims to analyze potential drug interactions and correlate them with adverse events in elderly heart-disease patients in a hospital setting. This is a prospective description of the analysis of medical prescriptions and records of 80 patients, with data collection performed by using validated instruments during a seven-month period. The drug interactions found were indicated by scientifically recognized databases and subsequently treated statistically with adequate software. 1841 potential interactions between drugs were detected, of which 74.1% did not show any therapeutic benefits, with antithrombotic and analgesic drugs accounting for the worst results. The number of potential interactions was proportional to the occurrence of adverse events, classified at 87.3% as moderate to severe. It is concluded from such results that there is a proportionality between the occurrence of potential drug interactions and the detection of adverse events, with therapeutic management being of great importance for safety, quality and affordability of the treatment.

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Main Authors: Evangelista,Fernanda Carolina Cruz, Meireles,George César Ximenes, Carvalho,Maria Fernanda
Format: Digital revista
Language:English
Published: Universidade de São Paulo, Faculdade de Ciências Farmacêuticas 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502021000100501
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spelling oai:scielo:S1984-825020210001005012021-09-24Drug interactions and adverse events in elderly heart disease patientsEvangelista,Fernanda Carolina CruzMeireles,George César XimenesCarvalho,Maria Fernanda Drug interactions Elderly Heart diseases. Chronic and multiple diseases are more prevalent in elderly individuals and, epidemiological highlight can be given to cardiovascular conditions requiring multi-drug therapies, which favor the occurrence of drug interactions. This study aims to analyze potential drug interactions and correlate them with adverse events in elderly heart-disease patients in a hospital setting. This is a prospective description of the analysis of medical prescriptions and records of 80 patients, with data collection performed by using validated instruments during a seven-month period. The drug interactions found were indicated by scientifically recognized databases and subsequently treated statistically with adequate software. 1841 potential interactions between drugs were detected, of which 74.1% did not show any therapeutic benefits, with antithrombotic and analgesic drugs accounting for the worst results. The number of potential interactions was proportional to the occurrence of adverse events, classified at 87.3% as moderate to severe. It is concluded from such results that there is a proportionality between the occurrence of potential drug interactions and the detection of adverse events, with therapeutic management being of great importance for safety, quality and affordability of the treatment.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Faculdade de Ciências FarmacêuticasBrazilian Journal of Pharmaceutical Sciences v.57 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502021000100501en10.1590/s2175-979020200004181011
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Evangelista,Fernanda Carolina Cruz
Meireles,George César Ximenes
Carvalho,Maria Fernanda
spellingShingle Evangelista,Fernanda Carolina Cruz
Meireles,George César Ximenes
Carvalho,Maria Fernanda
Drug interactions and adverse events in elderly heart disease patients
author_facet Evangelista,Fernanda Carolina Cruz
Meireles,George César Ximenes
Carvalho,Maria Fernanda
author_sort Evangelista,Fernanda Carolina Cruz
title Drug interactions and adverse events in elderly heart disease patients
title_short Drug interactions and adverse events in elderly heart disease patients
title_full Drug interactions and adverse events in elderly heart disease patients
title_fullStr Drug interactions and adverse events in elderly heart disease patients
title_full_unstemmed Drug interactions and adverse events in elderly heart disease patients
title_sort drug interactions and adverse events in elderly heart disease patients
description Chronic and multiple diseases are more prevalent in elderly individuals and, epidemiological highlight can be given to cardiovascular conditions requiring multi-drug therapies, which favor the occurrence of drug interactions. This study aims to analyze potential drug interactions and correlate them with adverse events in elderly heart-disease patients in a hospital setting. This is a prospective description of the analysis of medical prescriptions and records of 80 patients, with data collection performed by using validated instruments during a seven-month period. The drug interactions found were indicated by scientifically recognized databases and subsequently treated statistically with adequate software. 1841 potential interactions between drugs were detected, of which 74.1% did not show any therapeutic benefits, with antithrombotic and analgesic drugs accounting for the worst results. The number of potential interactions was proportional to the occurrence of adverse events, classified at 87.3% as moderate to severe. It is concluded from such results that there is a proportionality between the occurrence of potential drug interactions and the detection of adverse events, with therapeutic management being of great importance for safety, quality and affordability of the treatment.
publisher Universidade de São Paulo, Faculdade de Ciências Farmacêuticas
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502021000100501
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