Martins Eduardo Luiz Mendonça, do Amaral Maria da Penha Henriques, Ferreira Maria Beatriz Cardoso, de Mendonça Alessandra Ésther, Pereira Mônica Cecília Santana, Pereira Denise Campos, Ribeiro Paula Maria, Brumano Larissa Pereira
Universidade Federal de Juiz de Fora UFJF, 36307-970 São João del-Rei, MG.
Cien Saude Colet. 2012 Dec;17(12):3331-42. doi: 10.1590/s1413-81232012001200018.
Obesity is a serious public health issue of epidemic proportions. Although drug therapy is one of the therapeutic approaches, it should be preceded by a change in eating habits along with regular exercise. This study assessed prescription of such drugs in 2009, in Juiz de Fora, Minas Gerais, Brazil. Data were collected from consumption bulletins sent monthly to the municipal sanitary surveillance agency (VISA), and from the Brazilian National Management System of Controlled Products. Of the 7,759 notifications assessed, 93.3% were dispensed by prescription pharmacies and 6.7% by drugstores. Of that total, 55.4% were for amphepramone, 33.1% for femproporex, and 11.5% for mazindol. The three drugs had a larger consumption rate in the municipality (daily defined dose/1,000 inhabitants/day) than in the country as a whole, during the period under study. The professional with the highest prescription rate was responsible for 3,535 prescriptions. All of these were dispensed by prescription pharmacies, a single outlet being responsible for 99.5% of these prescriptions. This scenario shows that anorectic psychotropic drug prescription is a relevant public health issue and the criteria for monitoring the prescription and consumption of these drugs should be re-evaluated.
肥胖是一个具有流行趋势的严重公共卫生问题。尽管药物治疗是治疗方法之一，但在此之前应改变饮食习惯并定期锻炼。本研究评估了2009年巴西米纳斯吉拉斯州茹伊斯迪福拉市此类药物的处方情况。数据收集自每月发送给市卫生监督机构（VISA）的消费公告以及巴西国家管制产品管理系统。在评估的7759份通知中，93.3%由处方药药房配药，6.7%由药店配药。其中，55.4%为安非拉酮，33.1%为芬普雷司，11.5%为马吲哚。在所研究期间，这三种药物在该市的消费率（每日规定剂量/每千居民/天）高于全国整体水平。处方率最高的专业人员开出了3535份处方。所有这些处方均由处方药药房配药，其中一家药店负责99.5%的此类处方。这种情况表明，食欲抑制剂类精神药物的处方是一个相关的公共卫生问题，应重新评估监测这些药物处方和消费的标准。
