Avaliação do conhecimento e papel do farmacêutico para orientação do paciente sobre a interação medicamento-alimento : uma revisão sistemática

Abstract

Food-drug interactions represent a growing concern for health services and are clinically significant. There is a lack of published studies in this area. In clinical practice, these interactions can cause problems for the patient, resulting in treatment failure, adverse reactions, and nutritional deficiency. However, the addition of a pharmacist to the multidisciplinary treatment team can improve the identification, prevention, and resolution of problems for the patients that involve drug interactions, as well as, food-drug interactions. Objective: To review the literature to identify the role with respect to patients’ education about food-drug interactions. Methods: The online database search was carried out in the following databases: Pubmed, Scopus, Lilacs, Scielo, and Ebsco in Januaruy, 2017. A new survey was carried out in January 2017 to update the search for articles. The descriptors were "patient education," "knowledge," "patient," "pharmacists," "counseling," "food-drug interaction," and "role," and these words were arranged in different combinations. Then, there were an evaluation of studies, in which the title, abstract, and full text of the studies were eligible. The review was written according to the PRISMA criterion (Preferred Reporting Items for Systematic reviews and Meta-Analyses). Results: The search identified 393 related articles, however, only four articles were eligible. The pharmacist's role in the care and guidance of patients is linked to the application of their skills such as optimizing drug therapy, decreasing unwanted adverse effects, therapeutic drug monitoring, adjusting medications based on organ function to the reduction of unfavorable occurrences caused by the interactions between drugs and food. Thus, when the pharmacist is included as an active member of the healthcare team, problems related to food-drug interactions can be reduced and therefore have a large benefit for the patient. Conclusion: These studies revealed that the pharmacist has an important role in the detection, prevention, and resolution of problems related to the interaction between drugs and food. The pharmacist also can improve the patient's pharmacotherapy through the development of programs and methods that will help them in clinical practice.