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Profile of drugs used for self-medication by elderly attended at a referral center

机译：在转诊中心参加老年人自我药物治疗的药物简介

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Objective To determine the profile of medications used for self-medication by the elderly. Methods A cross-sectional study based on interviews with elderly seen at a reference center for Elderly Health of a teaching hospital, from July 2014 to July 2015. Clinical, demographic and pharmacotherapeutic data were collected. Results A total of 170 elderly were interviewed, 85.9% female, and the median age was 76 years. The frequency of self-medication was 80.5%. The most used medications for self-medication were central acting muscle relaxants, analgesics and antipyretics, non-steroidal anti-inflammatory and antirheumatic agents. Among the elderly who practiced self-medication, 55.5% used drugs that were inappropriate for the elderly, according to Beers criteria of 2015, and 56.9% used medications that showed therapeutic duplicity with the prescribed drugs. We identified 57 drugs used for self-medication, of which 30 (52.6%) were classified as over-the-counter and 27 (47.4%) as prescription drugs. Approximately 68.6% of elderly had at least one interaction involving drugs prescribed and those used for self-medication. Conclusion The practice of self-medication was frequent in the elderly studied. The widespread use of over-the-counter drugs and/or potentially inappropriate medications for elderly increases the risk of drug interactions and adverse events.
机译：目的确定老年人自行用药的情况。方法2014年7月至2015年7月，采用横断面研究为基础的横断面研究，该访谈是在教学医院的老年人健康参考中心进行的。该研究收集了临床，人口统计学和药物治疗数据。结果共采访了170名老年人，其中女性占85.9％，中位年龄为76岁。自我用药的频率为80.5％。用于自我药物治疗的最常用药物是中枢性肌肉松弛药，止痛药和退热药，非甾体类抗炎药和抗风湿药。根据2015年比尔斯（Beers）的标准，在实行自我用药的老年人中，有55.5％的人使用了不适合老年人的药物，有56.9％的人使用了与处方药具有治疗重复性的药物。我们确定了57种用于自我药物治疗的药物，其中30种（52.6％）被归类为非处方药，27种（47.4％）被列为处方药。大约68.6％的老年人至少有一种相互作用涉及处方药和用于自我药物治疗的药物。结论老年人进行自我用药的习惯较高。老年人广泛使用非处方药和/或可能不适当的药物会增加药物相互作用和不良事件的风险。

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