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Drug interactions in Brazilian type 2 diabetes patients
Authors:Márcio Flávio Moura de Araújo RN MSN  Priscila de Jesus dos Santos Alves RN  Vivian Saraiva Veras RN MSN  Thiago Moura de Araújo RN MSN  Maria Lúcia Zanetti RN PhD  Marta Maria Coelho Damasceno RN PhD
Affiliation:1. Nursing Department, Federal University of Ceará, , Fortaleza, Ceará, Brasil;2. Ribeir?o Preto School of Nursing, S?o Paulo University, , Ribeir?o Preto, S?o Paulo, Brasil;3. Department of General and Specialized Nursing, Ribeir?o Preto School of Nursing, S?o Paulo University, , Ribeir?o Preto, S?o Paulo, Brasil
Abstract:The aim of this paper is to identify the prevalence of the most frequent drug interactions in patients using oral antidiabéticos and their association with capillary glucose and medication adherence. In total, 579 type 2 diabetes mellitus patients from 12 health institutions in Fortaleza, Brazil were interviewed in 2009. A form was applied, including questions on medication use, comorbidities, lifestyle, body mass index and random capillary glucose. Results revealed that 26.7% used five or more different drugs simultaneously and daily. Statistically significant drug interactions occurred between antidiabéticos and diuretics, angiotensin‐converting enzyme inhibitors, anti‐lipidaemics and corticoids. No significant association was found between polypharmacy, medication adherence and glucose. It is important for nurses, in consensus with other health professionals, to consider the possibility of other drugs that mean less risk for diabetes patients’ glucose control or of increased antidiabetics doses.
Keywords:antihypertensives  drug interactions  glucose  hypoglycaemics
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