Pharmacoepidemiological study of the sale and adverse effects of oxycodone in Brazil: Systematic review

Authors

  • Isadora Rodrigues Rocha Instituto de Pesquisa Clínica e Patológica Da Silva - IDS
  • Gabriel Labre-Nascimento Instituto de Pesquisa Clínica e Patológica Da Silva - IDS
  • Emanuelle Silva da Costa Instituto de Pesquisa Clínica e Patológica Da Silva - IDS
  • Daiane de Paula Matos Instituto de Pesquisa Clínica e Patológica Da Silva - IDS
  • Marcello Henrique Araujo Da Silva Instituto de Pesquisa Clínica e Patológica Da Silva - IDS/ Universidade Estácio de Sá- UNESA

DOI:

https://doi.org/10.24859/SaberDigital.2024v17n2.1520

Keywords:

Social vulnerability, Oxycodone, Pharmaceutical industry, Public health

Abstract

Introduction: Oxycodone is an opioid medication prescribed for
patients with chronic, moderate or severe pain. However, this drug
can generate physical and psychological dependence. Currently, in
Brazil, we do not know how many units of this drug are sold.
Objective: To demonstrate the impacts of Oxycodone on the health
of patients who use this medication with the concepts of social
vulnerability and principlist theory. Materials and methods: We
analyzed data from the National Health Surveillance Agency
[ANVISA] obtained from 2014 to November 2021 on the sale of this
medicine throughout the national territory. Results and Discussion:
Approximately 1,253,293 units of Oxycodone were sold in Brazil
during this period. However, the sale of Oxycodone in Brazil has been
decreasing since 2017. In 2021, the quantity sold was lower than in
2014. The Southeast region is the one that consumes this drug the
most, followed by the South, Northeast, Central-West and North.
Conclusion: Since 2021, ANVISA has not monitored the sale of
psychoactive medications in Brazil. The absence of public policies to
control and track the sale of pharmaceuticals may be masking a risk
to public health.

Downloads

Download data is not yet available.

References

ALVES, E.F.; DA SILVA, M.H.A.; OLIVEIRA, F.A.; et al. Vulnerabilidade social diante

da fosfoetanolamina a partir da teoria principialista. Revista Bioetica - Conselho

Federal de Medicina, v. 27, p.173-178, 2019.

ANDERSON, D.T.; FRITZ, K.L.; MUTO, J.J. Oxycontin: the concept of a "ghost pill"

and the postmortem tissue distribution of oxycodone in 36 cases. J Anal Toxicol, v.

, n. 7, p. 448-459, 2002.

AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA 2024). Venda de

medicamentos industrializados e manipulados. Disponível em:

https://app.powerbi.com/view?r=eyJrIjoiZjg0ZmFkYjItZmNmOC00M2M1LWI2YjQtMzU

OGMzNjA2NzcwIiwidCI6ImI2N2FmMjNmLWMzZjMtNGQzNS04MGM3LWI3MDg1Zj

VlZGQ4MSJ9. Acesso em: 10 de janeiro de 2024.

AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA 2001). Consulta de

registro de medicamentos. Disponível em:

https://consultas.anvisa.gov.br/#/medicamentos/250000280909721/?substancia=2979

&situacaoRegistro=C. Acesso em: 05 de fevereiro de 2023.

AZAMBUJA, L.E.; GARRAFA, G.A. Teoria da moralidade comum na obra de

Beauchamp e Childress. Revista Bioética, v. 23, n. 3, p. 634-644, 2015.

BAUMRUCKER, S.J. OxyContin, the media, and law enforcement. Am J Hosp Palliat

Care, v. 18, n. 3, p. 154-156, 2001.

BRASIL 1998. Portaria nº 344, de 12 de maio de 1998. Disponível em:

https://bvsms.saude.gov.br/bvs/saudelegis/svs/1998/prt0344_12_05_1998_rep.html.

Acesso em: 21 de fevereiro de 2024.

BRASIL 2002. Resolução-RDC nº 171, de 17 de junho de 2002. Disponível em:

https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2006/res0171_04_09_2006.html.

Acesso em: 22 de fevereiro de 2024.

BRASIL 2003. Resolução nº 137, de 29 de maio de 2003. Disponível em:

https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2003/rdc0137_29_05_2003.html.

Acesso: em: 29 de fevereiro de 2024.

BRASIL 2018. Resolução nº 2.802, de 10 de outubro de 2018. Disponível em:

https://www.gov.br/mme/pt-br/arquivos/do-15-10-2018-s1.pdf/@@download/file.

Acesso: em: 4 de março de 2024.

BRASIL 2021. Resolução nº 586, de 17 de dezembro de 2021. Disponível em:

https://antigo.anvisa.gov.br/documents/10181/6368141/RDC_586_2021_.pdf/8691710

-fc43-4b4f-97e2-3a5f3fcf9e67. Acesso: em: 05 mar. 2023.

CHONG, D.; SHAO, L.; YANG, Y.; et al. Correlations of cancer pain degree with levels

of beta-EP, CGRP and PGE2 and the effects of oxycontin on them. J BUON, v. 23, n.

, p. 1552-1557, 2018.

EGILMAN, D.S.; COLLINS, G.; FALENDER, J.; et al. The marketing of OxyContin(R):

A cautionary tale. Indian J Med Ethics, v. 4, n, 3, p. 183-193, 2019.

DA SILVA, M.H.A. Erros de notificação e subnotificação de casos de Covid - 19:

Revisão integrativa. Revista Saber Digital., v. 16, n. 3, p. e20231605, 2023.

FISCHER, B.; VOJTILA, L.; KURDYAK, P. ‘Delisting’ OxyContin® to reduce

prescription opioid-related harms in Ontario (Canada)—gauging effects 5 years later.

Pharmacoepidemiology and Drug Safety, v. 26, n. 9, p. 1040-1043, 2017.

GULLAND, A. Sixty seconds on . . . OxyContin. BMJ, v. 360, p. k914, 2018

HAYS, L.; KIRSH, K.L.; PASSIK, S.D. Seeking drug treatment for OxyContin abuse: a

chart review of consecutive admissions to a substance abuse treatment facility in

Kentucky. J Natl Compr Canc Netw, v. 1, n. 3, p. 423-428, 2003.

HEIDRICH, D.E. Controlled-release oxycodone hydrochloride (OxyContin). Clin Nurse

Spec, v. 15, n. 5, p. 207-209, 2001.

HENTSCHKE-LOPES, M.; BOTTON, M.R.; BORGES, P.; et al. Sales of "COVID kit"

drugs and adverse drug reactions reported by the Brazilian Health Regulatory Agency.

Cad Saude Publica, v. 38, n. 7, p. e00001022, 2022.

HUGHES, J.; KALE, N.; DAY, P. OxyContin and the McDonaldization of chronic pain

therapy in the USA. Fam Med Community Health, v. 7, n. 1, p. e000069, 2019.

KINNUNEN, M.; PIIRAINEN, P.; KOKKI, H.; et al. Updated Clinical Pharmacokinetics

and Pharmacodynamics of Oxycodone. Clin Pharmacokinet, v. 58, n. 6, p. 705-725,

KRAWCZYK, N.; GREENE, M.C.; ZORZANELLI, R.; et al. Rising Trends of

Prescription Opioid Sales in Contemporary Brazil, 2009-2015. Am J Public Health, v.

, n. 5, p. 666-668, 2018.

LIPMAN, A.G. What have we learned from OxyContin? J Pain Palliat Care

Pharmacother, v. 17, n. 1, p. 1-4, 2003.

PASSIK, S.D. Responding rationally to recent report of abuse/diversion of Oxycontin. J

Pain Symptom Manage, v. 21, n. 5, p. 359, 2001.

SCHNEIR, A.B.; VADEBONCOEUR, T.F.; OFFERMAN, S.R.; et al. Massive OxyContin

ingestion refractory to naloxone therapy. Ann Emerg Med, v. 40, n. 4, p. 425-428,

Sistema de Notificação de Efeitos Adversos Notificados (VigiMed 2024).

[Disponível em: https://www.gov.br/anvisa/pt-

br/acessoainformacao/dadosabertos/informacoes-analiticas/notificacoes-de-

farmacovigilancia. Acesso: em: 14 março 2024.

SKOLNICK, P. Treatment of overdose in the synthetic opioid era. Pharmacol Ther, v.

, p. 108019, 2022.

SOUZA, L.A.F.; PESSOA, A.P.C.; BARBOSA, M.A.; et al. O modelo bioético

principialista aplicado ao manejo da dor. Rev Gaúcha Enferm, v. 1, p. 187-95, 2013.

SUN, N.; LI, Y.; NIE, P. Standardized nursing and clinical efficacy of OxyContin in

reducing oral mucosal pain in patients with nasopharyngeal carcinoma: A randomized,

double-blind, placebo-controlled study protocol. Medicine (Baltimore), v. 99, n. 49, p.

e23205, 2020.

VOSBURG, S.K.; HAYNES, C.; BESHARAT, A.; et al. Changes in drug use patterns

reported on the web after the introduction of ADF OxyContin: findings from the

Researched Abuse, Diversion, and Addiction-Related Surveillance (RADARS) System

Web Monitoring Program. Pharmacoepidemiol Drug Saf, v. 26, n. 9, p. 1044-1052,

Published

2024-06-13

How to Cite

Rodrigues Rocha, I. ., Labre-Nascimento , G. ., Silva da Costa, E. ., de Paula Matos, D. ., & Henrique Araujo Da Silva, M. . (2024). Pharmacoepidemiological study of the sale and adverse effects of oxycodone in Brazil: Systematic review. Revista Saber Digital, 17(2), e20241704. https://doi.org/10.24859/SaberDigital.2024v17n2.1520

Issue

Section

Pharmaceutic