Pharmacovigilance of compounded drugs - Part 2: Adverse event notifications and technical complaints in Brazil

Introduction: Compounded drug is a pharmaceutical preparation obtained by a pharmacotechnical procedure from a prescription of a qualified professional intended for an individualized patient, or whose formula is registered in the National or International Form. Objective: To describe  the profile of...

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Detalles Bibliográficos
Autores: Passos, Márcia Maria Barros dos, Pimenta, Thamires Lemos, Oliveira, Danilo Ribeiro de, Freitas, Zaida Maria Faria de, Monteiro, Mariana Sato de Souza Bustamante
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Vigilância Sanitária em Debate
Idioma:portugués
inglés
OAI Identifier:oai:ojs.visaemdebate.incqs.fiocruz.br:article/1996
Acceso en línea:https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1996
Access Level:acceso abierto
Palabra clave:Farmacovigilância
Medicamento Manipulado
Farmácia de Manipulação
Farmacovigilância de Farmácias Magistrais
Pharmacovigilance
Compounded Drug
Pharmaceutical Compounding Service
Descripción
Sumario:Introduction: Compounded drug is a pharmaceutical preparation obtained by a pharmacotechnical procedure from a prescription of a qualified professional intended for an individualized patient, or whose formula is registered in the National or International Form. Objective: To describe  the profile of notifications related to compounded drugs, reported to the National Health Surveillance Notification  System (Notivisa). Method: Descriptive exploratory study, retrospective to the period 2006-2016, of the notifications of compounded drugs reported to Notivisa. Data were recorded and analyzed using the Excel program, version for Windows 3.5.4. Results: Of a total of 108,400 notifications referring to medicines in the studied period, 335 (0.32%) were related to reports of compounded drugs. Technical complaints (QT) obtained 90.40% of the notifications, while adverse events (AE) obtained 9.60%. The Southeast region was the main notifier (66.00%), and the state of São Paulo was responsible for 54.00% of the total notifications. Hospitals were the institutions with the highest frequency of notification (81.00%). It was possible to evaluate the reasons that generated the notifications, of which the  changes related to the aspect of the pharmaceutical preparation were the predominant among the QT, while for the AEs, the adverse drug reactions stood out. Conclusions: The occurrences observed in the pharmacovigilance of compounded drugs are specific to each product with its particularities, although, what is sought is a pattern. In this way, such observation can prevent the occurrence of damages to the population exposed to similar situations, if it is duly notified and widely disseminated.