Browsing by Author "Coelho, Joana"
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- Armazenamento de medicamentos em casa: avaliação das condições do armazenamento domiciliar de medicamentos nos municípios de Bragança, Melgaço e Mondim de BastosPublication . Rei, Ana; Ribeiro, Francisca; Pereira, Márcia; Ferreira, Marta Daniela; Pereira, Sara; Coelho, Joana; Nascimento, LuísOs medicamentos são frequentemente armazenados em casa para situações de emergência ou para o tratamento de doenças agudas e crónicas. Contudo, o armazenamento inadequado — como a exposição ao calor, à humidade ou a locais de fácil acesso — pode comprometer a eficácia e representar riscos para a segurança. Estas práticas estão, muitas vezes, associadas a baixos níveis de literacia em saúde e à ausência de aconselhamento farmacêutico. A idade, o género e o município não influenciaram significativamente os hábitos de armazenamento (p > 0,05), mas o nível de escolaridade revelou-se significativo em Melgaço (p < 0,05). Os participantes armazenavam os medicamentos em locais variados, como armários da cozinha ou da casa de banho. Os residentes de Melgaço demonstraram maior preocupação com a temperatura e a humidade. Foram identificadas práticas adequadas (ex.: manutenção da embalagem original) e inadequadas (ex.: exposição à humidade).
- Attention deficit hyperactivity disorder adhd drug use in the context of a sars cov 2 pandemicPublication . Magalhães, Ismael; Nascimento, Luís; Coelho, JoanaAttention Deficit Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood. Pharmacological treatment, primarily with methylphenidate, is widely used [2,3]. This study evaluates ADHD drug consumption patterns before and during the SARS-CoV-2 pandemic. Objectives: To analyse the consumption of ADHD medicines in community pharmacies in Bragança before and during the SARSCoV-2 pandemic. Methods: A retrospective, observational, and quantitative study was conducted using data from eight pharmacies between 2018 and 2021. Data were collected through Sifarma and 4DigitalCare software and analysed using SPSS and Excel. Results: Medicine consumption was higher in the pre-pandemic period (2018–2019, 50.97%) than during the pandemic (2020–2021, 49.19%). However, 2021 recorded the highest annual consumption (27%). Ritalin© LA 20mg was the most dispensed medicine. The autumn season showed the highest usage. There was variability in dispensing volumes between pharmacies. Conclusions: The pandemic led to a temporary reduction in ADHD medicine use. Nevertheless, the increased consumption in 2021 suggests a possible delayed pharmacological response due to prolonged confinement. These findings underscore the impact of public health crises on the management of chronic conditions and highlight the need for consistent support for individuals with neurodevelopmental disorders.
- Home medicine storage assessment of domestic medication storage conditions in the municipalities of bragança melgaço and mondim de bastoPublication . Rei, Ana; Ribeiro, Francisca; Pereira, Márcia; Ferreira, Marta Daniela; Pereira, Sara; Coelho, Joana; Nascimento, LuísBackground: Medicines are often stored at home for emergencies or the treatment of acute and chronic conditions. However, improper storage—such as exposure to heat or humidity, or easy accessibility—can reduce efficacy and pose safety risks. These practices are frequently linked to limited health literacy and lack of pharmaceutical guidance. This study aimed to evaluate household medication storage conditions in Bragança, Melgaço, and Mondim de Basto, examining the influence of sociodemographic variables and residents’ awareness of proper storage. Methods: A cross-sectional, quantitative, descriptive-correlational study was carried out using a structured online questionnaire with four sections: sociodemographic data, education, storage habits, and self-perceived knowledge. The questionnaire, while not formally validated, was based on existing literature. A nonprobabilistic sample of 1126 residents aged ⩾18 years participated. Data were analysed using SPSS, with descriptive statistics and ANOVA to explore associations between storage practices and gender, age, and education. Results: Age, gender, and municipality did not significantly influence storage habits (p > 0.05), but education level was significant in Melgaço (p < 0.05). Participants stored medicines in diverse locations, such as kitchen or bathroom cabinets. Melgaço residents more often considered temperature and humidity. Examples of appropriate (e.g., keeping original packaging) and inappropriate (e.g., exposure to moisture) practices were reported. Conclusions: Educational level may influence medication storage practices. Tailored public health strategies and pharmaceutical counselling are essential to promote safe and rational medicine storage. Despite the absence of post-training evaluation, the findings highlight the need for awareness-raising interventions.
- Medication use during pregnancy: patterns and associated factorsPublication . Medina, Flávia; Rodrigues, Leandra; Coelho, Joana; Nascimento, LuísPregnancy causes physiological changes that can increase vulnerability to illness and alter drug pharmacokinetics, while some medications cross the placenta and affect foetal development, especially during organogenesis. These risks highlight the importance of careful monitoring and support regulatory updates such as the FDA’s 2015 revision of pregnancy risk categories. Objectives: To identify factors associated with medicine use during pregnancy and describe consumption patterns among pregnant women in northeastern Trás-os-Montes, Portugal. Methods: A cross-sectional, quantitative, descriptive and correlational study was conducted with 205 women from Bragança and Mirandela, all of whom had experienced at least one pregnancy. Data were collected between April and June 2023 using a structured questionnaire adapted from Guerra et al. (2008) [2]. Results: A total of 79.5% reported using medication during pregnancy. The most used substances were folic acid (12.2%), paracetamol (29.3%), and doxylamine-pyridoxine (23.4%). The most frequent groups included dietary supplements, analgesics, and antiemetics. Although supplements are not classified as medicines, their inclusion is justified due to widespread use and relevance during pregnancy. A statistically significant association was found between age and medicine use (p < 0.01). Most women reported having received professional guidance and being aware of the associated risks. Conclusion: Women in northeastern Trás-os-Montes demonstrated awareness of medication risks and used medicines under professional supervision, despite few reporting complications. These results underline the importance of ongoing education and the role of healthcare professionals in ensuring safe medicine use during pregnancy.
- Transtorno de déficit de atenção e hiperatividade (tdah): consumo de medicamentos em contexto de pandemia por sars-cov-2Publication . Magalhães, Ismael; Nascimento, Luís; Coelho, JoanaO Transtorno do Déficit de Atenção e Hiperatividade (TDAH) é um dos transtornos do neurodesenvolvimento mais comuns na infância (Posner et al., 2020). O tratamento farmacológico, principalmente com metilfenidato, é amplamente utilizado (INFARMED, 2015; Brant & Carvalho, 2012). Este estudo avalia os padrões de consumo de medicamentos para TDAH antes e durante a pandemia de SARS-CoV-2. Foi realizado um estudo quantitativo, descritivo, retrospetivo e observacional recorrendo aos dados de oito farmácias comunitárias na zona urbana de Bragança entre 2018 e 2021. A recolha de dados relativamente ao consumo de medicamentos para a TDAH realizou-se através do software Sifarma e 4DigitalCare.Os dados foram analisados no SPSS versão 22 e Excel versão 2016.A pandemia resultou numa redução temporária do uso de medicamentos para a TDAH. No entanto, o aumento do consumo em 2021 sugere um possível atraso na resposta farmacológica devido ao confinamento prolongado. Esses resultados evidenciam o impacto das crises de saúde pública na gestão de doenças crónicas e salientam a importância de assegurar um acompanhamento consistente e contínuo a indivíduos com transtornos do neurodesenvolvimento.
- Uso de medicamentos na gravidez: padrões e fatores associadosPublication . Medina, Flávia; Rodrigues, Leandra; Coelho, Joana; Nascimento, LuísA gravidez causa alterações fisiológicas que podem aumentar a vulnerabilidade ao aparecimento de doenças e modificar a farmacocinética dos medicamentos Além disso, alguns medicamentos atravessam a placenta e afetam o desenvolvimento fetal, especialmente durante o período da organogénese Esses fatores evidenciam a necessidade de uma monitorização mais cuidadosa e fundamentam iniciativas regulatórias recentes, como a revisão das categorias de risco na gravidez promovida pela FDA em 2015 (US Food and Drug Administration 2015 Este estudo tem como objetivo identificar fatores associados ao uso de medicamentos durante a gravidez e descrever os padrões de consumo entre gestantes no nordeste de Trás os Montes, Portugal