DRUG SUBJECT TO SPECIAL CONTROL PRESCRIPTION IN A COUNTY OF SERIDÓ POTIGUAR, BRAZIL

Abstract

The prescription of medications constitutes a therapeutic intervention that  must consider technical-legal and user-centered aspects to achieve effective  therapy and patient safety. Thus, this study aimed to evaluate prescriptions  of the subject to special control drugs in primary care in Caicó, RN, Brazil,  based on the legislation in force, through a cross-sectional, descriptive- exploratory, quantitative study, based on the special control prescription  prepared by physicians during the period from July 2018 to June 2019, at  the municipal Pharmaceutical Supply Center. Pharmacological classification of prescription drugs was also analyzed and their compliance with the Municipal List of Essential Medicines. In all, 1.682 prescriptions were evaluated; 1.7%  of these were eliminated due to readability issues, meaning they already  were legislation non-compliant. There was a predominance of non-compliant  prescriptions (99.77%), whose items duration of treatment (97.1%), route  of administration (89.3%), and drug nomenclature by active ingredient  (14.6%) were the most prevalent regarding these non-conformities. As for  the pharmacological classes of the prescribed drugs, benzodiazepine  anxiolytics predominated (30.97%). All prescription drugs complied with the  municipal essential drug list. There is a need to reorient medical professional training, through insertion and/or emphasis on strategies for  preparing prescriptions in compliance with technical-legal and user-centered  precepts, in addition to interprofessional education and work, in order to  contribute to user-centered assistance, improved patient safety, access, and  effectiveness in the context of health care.