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2019, vol. 69, br. 1, str. 15-27
Uloga farmaceuta u lečenju nekih od najčešćih akutnih bolnih stanja
Univerzitet u Beogradu, Farmaceutski fakultet

e-adresaanamicov@pharmacy.bg.ac.rs
Ključne reči: uloga farmaceuta; OTC analgetici; glavobolja tenzionog tipa (GTT); dismenoreja; nesteroidni antiinflamatorni lekovi (NSAIL)
Sažetak
Terapija bola izazov je i imperativ za sve zdravstvene stručnjake, uključujući i farmaceute. Najčešći razlog zbog čega se pacijenti obraćaju farmaceutu u javnoj apoteci je neko akutno bolno stanje, poput glavobolje tenzionog tipa (GTT) i dismenoreje. Kako su farmaceuti prva linija zdravstvenih radnika sa kojima se ovi pacijenti susreću, oni imaju važnu ulogu u prepoznavanju bola koji može biti simptom nekog životno ugrožavajućeg zdravstvenog problema kada pacijenta treba uputiti lekaru. Dalje, farmaceut može na osnovu verovatne dijagnoze da izvrši izbor odgovarajućeg OTC analgetika, njegove doze/farmaceutskog oblika/puta primene, preporuči nefarmakološke mere, izvrši savetovanje i edukaciju pacijenta o bolnom stanju, isprati efikasnost/podnošljivost terapije i spreči nastanak nepovoljnih ishoda terapije (npr. razvoj glavobolje usled prekomerne upotrebe analgetika). Kao lekove prvog izbora u lečenju GTT farmaceut treba da preporuči OTC nesteroidne antiinflamatorne lekove (NSAIL) ili paracetamol, dok se za lečenje dismenoreje prednost daje NSAIL-ima (ibuprofenu). Izbor leka prevashodno zavisi od prethodnog iskustva pacijenta sa lekom. U pacijenata sa GTT treba ograničiti upotrebu monokomponentnih preparata NSAIL/paracetamola na najviše 14, a kombinovanih preparata sa kofeinom/kodeinom na najviše 9 dana u mesecu, da bi se sprečio razvoj glavobolje usled prekomerne upotrebe analgetika. Samo partnerskim odnosom na relaciji pacijent-farmaceut-lekar može da se ostvari efikasna i bezbedna terapija akutnih bolnih stanja.
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O članku

jezik rada: srpski
vrsta rada: stručni članak
DOI: 10.5937/arhfarm1901015M
objavljen u SCIndeksu: 07.07.2020.

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