Interacciones entre plantas medicinales y medicamentos en pacientes crónicos complejos en Atención Primaria
2021
Background: Taking medicinal herbs (MH) is frequent
in patients and can cause interactions with others medications.
Consumption of MH could be high in chronic patients
with complexity (CPC) and produce interactions with drugs
and knowledge about these drugs in primary health care (PC)
professionals about these interactions is low. The aim was to
measure the prevalence of potencial interactions between HM
and drugs in CPC and evaluate the degree of knowledge of
PC professionals.
Methods: Descriptive observational study in a population
of CPC assigned to two PC teams. We investigated
MH consumption through interviews and review potential
drug interactions. We evaluated the degree of professionals
knowledge through a survey designed for the study. A descriptive
analysis was carried out. The Student-t test for paired
data was used to compare the means.The statistical significance
was established at p <0.05.
Results: The survey was distributed among 179 patients,
mean age 76.9 years old (DE 9.7), 54.6% women.
62.57% (112) take MH. We detected 88 potentially relevant
interactions in 51 patients (45.54%). Of the 219 professionals
interviewed 51.1% consider that their knowledge about MH
were low and 64,4% thought that was important to know the
mH consumption of their patients.
Conclusions: We detected a high prevalence of MH
consumption in CPC and interactions between herbs medicinal
and drugs. Lack of knowledge of PC health professionals
is important. It’s necessary to record this consumption in the
medical history and improve the knowledge of professionals
about MH to detect possible interactions, reduce the associated
risk and improve the quality of care.
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