{"id":130930,"date":"2024-05-02T15:27:40","date_gmt":"2024-05-02T18:27:40","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/saude\/?p=130930"},"modified":"2024-05-02T15:48:10","modified_gmt":"2024-05-02T18:48:10","slug":"hospital-sao-jose-orienta-riscos-automedicacao-suspeita-dengue","status":"publish","type":"post","link":"https:\/\/ww16.ce.gov.br\/saude\/2024\/05\/02\/hospital-sao-jose-orienta-riscos-automedicacao-suspeita-dengue\/","title":{"rendered":"Hospital S\u00e3o Jos\u00e9 orienta popula\u00e7\u00e3o sobre os riscos da automedica\u00e7\u00e3o em caso de suspeita de dengue"},"content":{"rendered":"

\"\"Medicamentos anti-inflamat\u00f3rios, como o ibuprofeno, s\u00e3o contraindicados em caso de suspeita da doen\u00e7a<\/em><\/p>\n

\u201cEste medicamento \u00e9 contraindicado em caso de suspeita de dengue. Ao persistirem os sintomas, um m\u00e9dico dever\u00e1 ser consultado\u201d. Voc\u00ea j\u00e1 deve ter ouvido essa frase, citada ao fim de propagandas de analg\u00e9sicos e anti-inflamat\u00f3rios. Mas ser\u00e1 que voc\u00ea sabe o motivo por tr\u00e1s dessa recomenda\u00e7\u00e3o? Em meio \u00e0 atual epidemia de dengue, que j\u00e1 soma mais de 3,9 milh\u00f5es de casos em todo o Brasil, \u00e9 fundamental entender por que se automedicar em caso de suspeita da doen\u00e7a pode representar um risco \u00e0 sa\u00fade.<\/p>\n

A dengue \u00e9 uma doen\u00e7a viral transmitida por mosquitos f\u00eamea da esp\u00e9cie\u00a0Aedes aegypti<\/em>. Os sintomas caracter\u00edsticos da enfermidade que devem ligar o sinal de alerta incluem febre alta, dor no corpo, dor na cabe\u00e7a e dor retro-orbit\u00e1ria [atr\u00e1s dos olhos], conforme explica Fernanda Rem\u00edgio, infectologista do Hospital S\u00e3o Jos\u00e9, unidade da Secretaria da Sa\u00fade do Cear\u00e1 (Sesa). \u201cA dengue \u00e9 aquela doen\u00e7a que come\u00e7a de uma vez: o paciente come\u00e7a a sentir uma febre aguda, uma dor de cabe\u00e7a muito intensa. \u00c0s vezes, a pessoa dorme bem e acorda doente ou de manh\u00e3 est\u00e1 bem e \u00e0 tarde fica doente. \u00c9 bem abrupto\u201d, complementa a m\u00e9dica.<\/p>\n

Entre as repercuss\u00f5es da patologia no organismo, destaca-se a diminui\u00e7\u00e3o das plaquetas, um dos componentes do sangue respons\u00e1veis pela coagula\u00e7\u00e3o. Al\u00e9m disso, o v\u00edrus causador da dengue tamb\u00e9m lesiona o f\u00edgado. \u201cMedicamentos que atuam nessas duas vias, tanto for\u00e7ando o f\u00edgado ou interferindo na coagula\u00e7\u00e3o do sangue, n\u00f3s devemos evitar\u201d, ressalta Claudevan Freire, farmac\u00eautico do HSJ.<\/p>\n

Medicamentos contraindicados<\/h3>\n

E quais s\u00e3o esses medicamentos?\u00a0A principal classe de rem\u00e9dios a ser evitada s\u00e3o os anti-inflamat\u00f3rios, como \u00e1cido acetilsalic\u00edlico (AAS), ibuprofeno, naproxeno e diclofenaco. Do mesmo modo, tamb\u00e9m \u00e9 preciso ter aten\u00e7\u00e3o redobrada caso a pessoa com sintomas de dengue fa\u00e7a uso de\u00a0anticoagulantes, devido ao risco de hemorragias.<\/p>\n

\"\"O farmac\u00eautico Claudevan Freire tamb\u00e9m alerta sobre os riscos do uso de anticoagulantes durante o per\u00edodo agudo da doen\u00e7a<\/em><\/p>\n

\u201c\u00c9 o caso da\u00a0varfarina\u00a0e tamb\u00e9m do medicamento fitoter\u00e1pico chamado\u00a0ginkgo biloba. \u2018Ah, \u00e9 um fitoter\u00e1pico, indicado para circula\u00e7\u00e3o.\u2019 Sim, \u00e9 muito bom, mas quando h\u00e1 sinais de dengue, voc\u00ea tem que ter cautela e interromper o uso. Se o medicamento tiver sido recomendado pelo seu m\u00e9dico, voc\u00ea deve consult\u00e1-lo e ver a orienta\u00e7\u00e3o que ele vai passar\u201d, orienta o farmac\u00eautico.<\/p>\n

Freire tamb\u00e9m alerta sobre o uso da ivermectina, medicamento que n\u00e3o possui efic\u00e1cia comprovada no tratamento da dengue. \u201c\u00c9 fake news<\/em> mesmo. O pr\u00f3prio Minist\u00e9rio da Sa\u00fade j\u00e1 reconheceu que n\u00e3o h\u00e1 efic\u00e1cia da ivermectina para tratar dengue. Ela n\u00e3o vai reduzir a carga viral, pelo contr\u00e1rio: se for tomada de forma errada, ela vai aumentar essa fun\u00e7\u00e3o do f\u00edgado e pode ser mais um fator prejudicial \u00e0 sa\u00fade\u201d, informa.<\/p>\n

Tratamento<\/h3>\n

\u00c9 importante salientar que a dengue \u00e9 uma infec\u00e7\u00e3o autolimitada, ou seja, a maioria das pessoas se recupera totalmente poucos dias ap\u00f3s o in\u00edcio dos sintomas, principalmente nos casos mais leves da doen\u00e7a. \u201cNossa fun\u00e7\u00e3o, enquanto equipe assistencial, \u00e9 manter o paciente bem durante esse per\u00edodo agudo, dentro dos par\u00e2metros adequados\u201d, pontua Rem\u00edgio.<\/p>\n

\"\"A dipirona \u00e9 o medicamento mais indicado para al\u00edvio dos sintomas da dengue; em caso de alergia ao medicamento, tamb\u00e9m \u00e9 poss\u00edvel fazer uso do paracetamol<\/em><\/p>\n

O tratamento consiste no al\u00edvio dos sintomas, al\u00e9m de repouso e ingest\u00e3o de l\u00edquidos. Como os anti-inflamat\u00f3rios s\u00e3o contraindicados,\u00a0o uso de dipirona \u00e9 o mais indicado para redu\u00e7\u00e3o da febre e dor no corpo.<\/p>\n

Em caso de alergia \u00e0 dipirona, pode-se fazer uso do paracetamol, mas sempre com acompanhamento m\u00e9dico. \u201cPessoas que t\u00eam alergia \u00e0 dipirona podem tomar paracetamol durante um curto per\u00edodo, enquanto houver febre e dor, e nas doses recomendadas pelo profissional de sa\u00fade. Isso, claro, com monitoramento\u201d,\u00a0 frisa Freire.<\/p>\n","protected":false},"excerpt":{"rendered":"

Medicamentos anti-inflamat\u00f3rios, como o ibuprofeno, s\u00e3o contraindicados em caso de suspeita da doen\u00e7a \u201cEste medicamento \u00e9 contraindicado em caso de suspeita de dengue. Ao persistirem os sintomas, um m\u00e9dico dever\u00e1 ser consultado\u201d. Voc\u00ea j\u00e1 deve ter ouvido essa frase, citada ao fim de propagandas de analg\u00e9sicos e anti-inflamat\u00f3rios. Mas ser\u00e1 que voc\u00ea sabe o motivo […]<\/p>\n","protected":false},"author":767,"featured_media":130932,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[502],"tags":[1486,4289,78,830,956,760],"class_list":["post-130930","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hsj","tag-automedicacao","tag-contraindicados","tag-dengue","tag-hospital-sao-jose","tag-hsj","tag-medicamentos"],"acf":[],"yoast_head":"\nHSJ orienta sobre os riscos da automedica\u00e7\u00e3o em caso de suspeita de dengue<\/title>\n<meta name=\"description\" content=\"A principal classe de rem\u00e9dios a ser evitada em caso de dengue s\u00e3o os anti-inflamat\u00f3rios, como \u00e1cido acetilsalic\u00edlico (AAS), ibuprofeno e diclofenaco.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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