Estudo de utilização de fitoterápicos dispensados em um centro de saúde em Fortaleza: xarope de chambá (justicia pectoralis jacq var. stenophylla leonard) 5% e pomada de confrei (symphytum officinale l.) 5%

Abstract

The School Health Center Meireles (CSEM) is a Basic Health Unit (BHU) which offers to the population of the unified health system (SUS), among other activities, the prescribing and dispensing of phytotherapeutic drugs prepared in (NUFITO) a division of Pharmaceutical Assistance Coordination from the Secretariat of Health of the State of Ceará, responsible for the study and development of herbal medicines of Pharmaceutical Assistance Coordination from the Secretariat of health of the State of Ceará. The work in NUFITO is based on the scientific Project Farmácias Vivas, designed by Prof. Francisco José de Abreu Matos. The present study aims to evaluate the use of two phytoterapeutic drugs provided in the School Health Center Meireles (CSEM) - Chambá cough syrup (Justicia pectoralis Jacq.) 5% - bronchodilator and expectorant and Confrei healing ointment (Symphytum officinale L.) 5%. These species are part of the State List of Medicinal Plants (REPLAME-Ceará), (Official document nº 275/2012) Herbal form of Brazilian Pharmacopoeia, 1st Edition (2011). It is a transversal and prospective observational study, approved by the Research Ethics Committee of the Federal University of Ceará. The study was conducted at the CSEM in the year 2014 and consists of three stages: assessing the microbiological quality of herbal medicines; qualitative evaluation of the use of Chambá cough syrup 5% and utilization study of Confrei ointment 5%. It was used as a technique to interview patients in pre-and post-treatment moments. The participants were investigated about the possible adverse events occurring with the use of herbal medicines and in their socio-demographic profile. It was concluded that: all the phytotherapeutic drugs used in this research were within the microbiological standards of Brazilian Pharmacopoeia V; there was absence of possible adverse reactions related to herbal medicines; confirmation of the effectiveness of the use of Chambá syrup 5% as expectorant and bronchodilator, and the effectiveness of the use of Comfrey ointment 5% as a cicatrizant, through reports and photographic records. This work can contribute to the strengthening of phytotherapy to the extent that it adds information about the safety and effectiveness of herbal medicines, particularly those used in the primary health care of Ceará.