Início
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Arquivos
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v. 1 n. 3 (2020): Edição Especial: Anais do I Congresso Brasileiro de Saúde On-line
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Anais de Evento
USO CRÔNICO DE BENZODIAZEPÍNICOS EM IDOSOS
Autores
Monique Marianne Santana Santos
Mayra Lílian Rezende
Patrícia Alves Maia Guidine
Maria Fernanda Silveira Dias
Sarah Fonseca Silva
Palavras-chave:
benzodiazepínas, idosos, uso indevido de medicamentos sob prescrição
Resumo
Introdução: Os benzodiazepínicos (BZDs) representam a terceira classe de fármacos mais prescrita atualmente, tendo como indicações terapêuticas primárias a insônia (42%) e transtornos de ansiedade (36%) em idosos, que os utilizam de forma crônica. Segundo o IBGE a população idosa se encontra em expansão, devendo triplicar até 2050, logo seu acompanhamento adequado é essencial. Objetivos: Objetiva-se discutir as consequências do uso crônico de benzodiazepínicos em idosos. Material e métodos: Realizou-se uma busca nas bases de dados BVS, SciElo e PubMed, com os descritores: idosos, benzadiazepinas, uso crônico, insônia e ansiedade. Selecionaram-se textos em inglês e português, publicados entre 2004 e 2017. Resultados: Verificou-se uma grande utilização de benzodiazepínicos de forma crônica na população idosa. As principais características desse consumo foram doses elevadas, uso contínuo, mesmo sem prescrição e não seguimento da posologia prescrita. Além disso, observou-se que a prescrição é usualmente realizada sem uma análise prévia da condição do paciente e com o intuito de resolver o problema da forma mais rápida. Ademais, contatou-se que essa classe medicamentosa para esse grupo apresenta vários riscos, como aumento de pneumonia, dependência e tolerância. Além de gerar déficit de atenção cognitiva e de memória, sonolência, hipotensão e ataxia aumentando os riscos de queda. Similarmente, recentemente está implicado que seu uso aumenta em 50% a predisposição para a ocorrência de demência. Por fim, verificou-se que a utilização crônica pode resultar em redução na qualidade do sono e aumento do risco de mortalidade. Conclusão: O uso de BZDs pelos idosos parece atenuar algumas dificuldades trazidas pela velhice. No entanto, o uso crônico dessa classe farmacológica deve ser analisado com cautela, em função dos riscos apresentados e, quando possível, deve ser diminuído ou substituído por outro tratamento.
Como Citar
Santos, M. M. S., Rezende, M. L., Guidine, P. A. M., Dias, M. F. S., & Silva, S. F. (2020). USO CRÔNICO DE BENZODIAZEPÍNICOS EM IDOSOS. Revista Multidisciplinar Em Saúde , 1 (3), 86. Recuperado de https://editoraime.com.br/revistas/rems/article/view/462
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