The use of analgesics and anti-inflammatories in an oral surgery service in Medellin, Colombia, 2013-2015/Uso de analgesicos y antiinflamatorios en un servicio de cirugia bucal en Medellin, 2013-2015

Introduction: dental surgical procedures trigger an inflammatory response, for which dental practitioners prescribe analgesic and anti-inflammatory medications using pharmacological guidelines that require knowledge on the use of medicines in a given environment. The aim of the present study was to identify the analgesics and anti-inflammatory drugs most commonly prescribed at the oral surgery service of the Universidad de Antioquia School of Dentistry. Methods: this retrospective descriptive study reviewed the clinical records of the oral surgery service in the period January 2013-August 2015. A total of 1,177 records were reviewed, and 709 were selected for analysis. Results: 53.1% of the drugs prescribed were non-selective Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). Ibuprofen was formulated in 26.7% of all cases, followed by nimesulide with 24.1% and the combination of acetaminophen plus meloxicam with 10.2%. This same prescription pattern was observed in patients reporting no additional relevant medical history. In the case of gastric history, nimesulide was the drug of choice. 84% of all procedures were surgical extractions of third molars, with ibuprofen 600 mg postoperative for three days as the main therapeutic scheme. Conclusion: ibuprofen, nimesulide, and the combination acetaminophen plus meloxicam were the main analgesics and anti-inflammatory drugs prescribed in this study, according to medical and surgical records. Keywords: analgesics, anti-inflammatory drugs, medical prescriptions, oral surgical procedures Introduccion: la realizacion de procedimientos quirurgicos odontologicos desencadena una respuesta inflamatoria, por la cual el profesional prescribe medicamentos analgesicos y antiinflamatorios teniendo como apoyo guias farmacologicas cuya construccion requiere del conocimiento del uso de los medicamentos en un determinado entorno. El objetivo del presente estudio consistio en identificar los analgesicos y antiinflamatorios mas prescritos en el servicio de cirugia bucal de la Facultad de Odontologia de la Universidad de Antioquia. Metodos: estudio descriptivo retrospectivo en el que se revisaron las historias clinicas del servicio de cirugia bucal en el periodo comprendido entre enero del 2013 y agosto del 2015. De una revision de 1.177 registros se incluyeron 709 para el analisis de la informacion. Resultados: el 53,1% de los medicamentos prescritos fueron AINEs no selectivos, el ibuprofeno fue formulado en el 26,7% de los casos, seg