{"id":36,"date":"2014-02-20T00:07:48","date_gmt":"2014-02-20T00:07:48","guid":{"rendered":"http:\/\/lupusgalicia.org\/Noticias\/?p=36"},"modified":"2014-03-14T09:05:11","modified_gmt":"2014-03-14T09:05:11","slug":"se-pueden-mejorar-las-terapias-farmaceuticas","status":"publish","type":"post","link":"https:\/\/lupusgalicia.org\/?p=36","title":{"rendered":"Se pueden mejorar las terapias farmac\u00e9uticas"},"content":{"rendered":"<h2>Existen posibilidades de mejora en la farmacoterapia m\u00e1s habitual<\/h2>\n<p><b><\/b> \u00a0 Esta es la conclusi\u00f3n que se desprende de las recomendaciones a favor de la eficiencia recogidas en el proyecto <b><i>Compromiso por la Calidad de las Sociedades Cient\u00edficas en Espa\u00f1a<\/i><\/b>, del Ministerio de Sanidad, de diciembre. \u00a0 Entre las recomendaciones de 12 sociedades m\u00e9dicas espa\u00f1olas ( Sociedad Espa\u00f1ola de Cardiolog\u00eda, Sociedad Espa\u00f1ola de Medicina Interna, SE de Neurolog\u00eda&#8230;) est\u00e1n evitar abusos o mezclar medicaciones. <strong>Patolog\u00eda digestiva:<\/strong><\/p>\n<ul>\n<li>El consumo excesivo de IBP (Inhibidores de la Bomba de Protones) est\u00e1 en el ojo del hurac\u00e1n.\u00a0 Miguel M\u00fa\u00f1oz-Navas, de la SEPD (Soc Esp de Patolog\u00eda Digestiva) recuerda que no es necesario su uso \u00abcomo protector g\u00e1strico\u00bb en pacientes sin riesgo de complicaciones gastrointestinales.<\/li>\n<li>Tampoco se debe dar profilaxis antibi\u00f3tica a personas con pancreatitis aguda leve.<\/li>\n<\/ul>\n<p><strong>Cardiolog\u00eda:<\/strong><\/p>\n<ul>\n<li>Ni usar \u00e1cido acetilsalic\u00edlico como prevenci\u00f3n primaria en personas sin enfermedad cardiovascular.<\/li>\n<li>Pero tambi\u00e9n se vio que se recetan tratamientos hipertensivos de manera inmediata tras detectar una cifra de presi\u00f3n arterial elevada que no est\u00e1 justificada en la mayor\u00eda de las ocasiones.<\/li>\n<\/ul>\n<p><strong>Neumolog\u00eda:<\/strong><\/p>\n<ul>\n<li>No usar LABA (broncodilatadores betamim\u00e9ticos inhalados de acci\u00f3n prolongada) como \u00fanico tratamiento en el asma bronquial.<\/li>\n<li>Ni usar sistem\u00e1ticamente antibi\u00f3ticos para el tratamiento de pacientes con agudizaciones de EPOC sin datos de gravedad y con un solo criterio de Antonhisen (que no sea la purulencia de esputo).<\/li>\n<\/ul>\n<p><strong>Diabetes:<\/strong><\/p>\n<ul>\n<li>No usar sulfonilureas en el tratamiento de pacientes ancianos con insuficiencia renal.<\/li>\n<li>Ni utilizar gitazonas en pacientes diab\u00e9ticos con insuficiencia card\u00edaca.<\/li>\n<\/ul>\n<p><strong>Sistema Nervioso Central SNC:<\/strong><\/p>\n<ul>\n<li>No abusar de las benzodiacepinas para el tratamiento del insomnio, la agitaci\u00f3n o el delirio en personas de edad avanzada.<\/li>\n<li>Tampoco usar dos o mas antiinflamatorios no esteroideos (AINE) de manera simult\u00e1nea, ya que no incrementa la eficacia pero s\u00ed la toxicidad.<\/li>\n<\/ul>\n<p><strong>Pediatr\u00eda:<\/strong><\/p>\n<ul>\n<li>No retrasar el tratamiento antibi\u00f3tico ante la sospecha de enfermeda meningoc\u00f3cica invasiva para obtener cultivos (de sangre o\/y l\u00edquido cefaloraqu\u00eddeo)<\/li>\n<li>No dar tratamiento antibi\u00f3tico de forma rutinaria a ni\u00f1@s con gastroenteritis.<\/li>\n<\/ul>\n<p><strong>Nefrolog\u00eda:<\/strong><\/p>\n<ul>\n<li>En el paciente anciano con enfermedad renal cr\u00f3nica (ERC) y proteinuria no se deber\u00e1 procurar un objetivo de presi\u00f3n arterial inferior a 130\/80 de forma rutinaria.<\/li>\n<li>No se debe usar rutinariamente la asociaci\u00f3n de un inhibidor directo de la renina y un inhibidor del enzima convertidor de al angiotesina (IECA) o antagonista de los receptores de angiotensina II ( ARAII).<\/li>\n<\/ul>\n<p>Informaci\u00f3n obtenida de noticia realizada por <a href=\"http:\/\/www.fesemi.org\/documentos\/1389785410\/prensa\/2014\/farmacoterapia\/1.pdf\">Naiara Brocal Carrasco para Correo Farmac\u00e9utico.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Existen posibilidades de mejora en la farmacoterapia m\u00e1s habitual \u00a0 Esta es la conclusi\u00f3n que se desprende de las recomendaciones a favor de la eficiencia recogidas en el proyecto Compromiso por la Calidad de las Sociedades Cient\u00edficas en Espa\u00f1a, del Ministerio de Sanidad, de diciembre. \u00a0 Entre las recomendaciones de 12 sociedades m\u00e9dicas espa\u00f1olas ( [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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