Wednesday, November 5, 2025

Brazilian Dentists Prescribe Risky Medications to Children and Adolescents

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Navigating the complexities of pediatric drug prescriptions, a recent study highlights the concerning trends of inappropriate medication use among young patients in Brazil. As dental practitioners urgently require tailored clinical guidelines, the focus on improving safety measures has never been more crucial. This comprehensive research reveals a pressing issue clinicians and parents alike must address: ensuring children’s health remains uncompromised by unnecessary pharmaceutical risks.

This investigation delves into the practice of prescribing antimicrobial and psychotropic medications by Brazilian dentists to children and adolescents, identifying the potential for inappropriate medication (PIM) usage. A cross-sectional study utilized data from the National System for Controlled Products Management (SNGPC), spanning December 2020 to November 2021, to examine prescription trends.

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Disturbing Trends in Pediatric Prescriptions

Out of 204,026 dental prescriptions issued to those under 18, a staggering 2.2 risky medications were issued per 10,000 pediatric patients. Antibiotics emerged as the most frequently prescribed risk, with azithromycin comprising 68.5% of these prescriptions. Key figures indicate the Southeast regions’ disproportionate prescription rates, raising red flags on the widespread misuse and misapplication of antibiotics.

Populations at Greater Risk

Data highlighted that males and infants have encountered higher rates of risky medications, suggesting particular demographic vulnerabilities. The link between age and inappropriate drug usage emphasizes the necessity for age-specific prescription guidelines. These insights compel a re-evaluation of existing standards and call for more stringent monitoring systems.

Evidence points to:

  • Azithromycin’s dominance in prescriptions requires regulatory scrutiny.
  • Examinations of regional disparities may unveil systemic prescription biases.
  • Demographics such as males and infants are subject to enhanced scrutiny based on evident trends.

Implementing personalized clinical guidelines tailored to pediatric needs can significantly alleviate the risk associated with PIMs, reducing adversities in young patients. Brazilian healthcare sectors may need to adopt advanced monitoring systems similar to those in more regulated environments, curtailing the misuse of drugs at the grassroots level. Exploring educational initiatives could further ensure healthcare providers and parents are well-informed about potential risks associated with improper drug prescriptions. This strategic stance not only prioritizes safety but also ensures qualified care in pediatric dentistry.

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