Search Results (20)

Introduction: Omeprazole is commonly prescribed for conditions associated with excess gastric acid, including gastroesophageal reflux and Helicobacter pylori infection. Spain ranks highest among Organization for Economic Co-operation and Development (OECD) countries in omeprazole consumption (measured in doses per 1000 inhabitants per day, DHD), indicating potential overuse and misuse. Community pharmacists are pivotal in collaborating with healthcare professionals to address safety risks and improve patient outcomes. Objective: This study aims to profile omeprazole users to inform pharmaceutical care (PC) strategies that address patient-specific needs and improve treatment safety. Methods: We conducted an observational, cross-sectional study (CEIm Code FCF-OME-2023-01) involving 100 omeprazole users at a community pharmacy in Barcelona from November 2023 to May 2024. Data were collected via clinical interviews using a Data Collection Questionnaire. Results: Among the omeprazole users, 49% were male, 51% female, and 56% were over the age of 65. A significant proportion (71%) exhibited long-term omeprazole use, and 30% were polymedicated (taking five or more medications). Notably, 52% of patients reported no history of gastric symptoms. Additionally, 22% reported using omeprazole occasionally, following short-term, on-demand treatment regimens, while 78% adhered to a chronic daily dosing schedule. Among these patients, 29.5% demonstrated poor treatment adherence. The analysis of medication-related problems (MRPs) among the 78 patients using omeprazole daily and chronically revealed that the most prevalent MRPs were “unnecessary medication”, “lack of adherence”, “wrong administration”, “drug interactions”, and “lack of knowledge regarding medication use”. Based on STOPP criteria, 45% of users were candidates for deprescribing or dose adjustment. Conclusions: The high incidence of MRPs among omeprazole users highlights the need for enhanced pharmaceutical care (PC). Proactive pharmacist interventions, including deprescribing, dose adjustments, and prescriber collaboration, can reduce adverse medication outcomes and promote safer omeprazole use. Full article

Coffee is part of our daily lives since it is a drink with a symbolic value, both in our social relationships and as a stimulating drink. The main objective of this paper is to conduct a risk characterization of fluoride overexposure from the consumption of these beverages; for this purpose, in the present study, the fluoride concentration was determined in 80 samples of different brands of coffee commonly consumed in the Canary Islands, and the risk derived from their intake was then evaluated. Significant differences (p < 0.05) were found between the coffee brands soluble Nescafé Classic^®, Saimaza^®, Auchan^®, Tirma^® soft blend, and Hacendado^® and the other analyzed brands. The brand that recorded the highest mean fluoride levels is “Hacendado descafeinado^®” (0.308 mg/L). The problem with coffee is not the fluoride it contains but the fact that, according to the survey results, most coffee drinkers brew their coffee with tap water (over 51% of respondents use tap water). The results of the fluoride content in coffee prepared with tap water from the different areas of Tenerife in the Canary Islands (metropolitan, northern, and southern areas) have reported higher concentrations of fluoride: north (max. concentration found of 16.68 mg/L), south (max. concentration found of 8.47 mg/L) and metropolitan (max. concentration found of 4.73 mg/L). Coffee has not been identified as a risk of dietary overexposure to fluoride; however, the use of tap water for its brewing has been identified as a factor that considerably increases its concentration. Therefore, the use of bottled water is recommended, especially in regions such as the Canary Islands, which have high concentrations of fluoride in their water. Full article

Background: Tolerance and dependence stand out as the most relevant risks observed during benzodiazepine (BZD) treatments. Objectives: To evaluate the degree of dependence of patients on BZD treatments using the Tyrer test; to define a profile of patients at risk of developing BZD dependence; and to discuss the role of the pharmaceutical care offered by the community pharmacy during dispensing. Methods: Prospective cross-sectional descriptive observational study (August 2020–February 2021) involving 127 patients using BZD. They voluntarily answered a questionnaire during the dispensing pharmaceutical care service. The study was evaluated and codified (code: DAA-CLO-2020-01) by the Spanish Agency for Drugs and Health Products (AEMPS), and statistical analysis was performed with SPSS 25.0. Results: 19.05% of patients using BZD were suspected of suffering from BZD tolerance, and 77.88% of all patients were identified as being at a high risk of BZD dependence. The Tyrer test for dependence indicated a mean score of 5.59 out of 13 points. An 18-fold increased risk of developing dependence was detected in the case of coexistence of high anxiety or depression. Conclusions: The community pharmacy, through protocolized care practices and supported by tools such as the Tyrer test, can play a decisive role in the detection, prevention, and resolution of the risks associated with BZD treatments. Full article

Protein supplements (PS) are trendy foods, especially those made from whey. In addition to providing protein, these products are a source of metals, providing essential elements (Na, K, Mg, Ca, Mo, Mn, Fe, Co, Cu, and Zn) and other potentially toxic elements (Al, B, Sr, V Ba, and Ni). In this study, 47 whey PS samples were analyzed for mineral elements by ICP-OES, and their dietary exposures were assessed for three consumption scenarios. Elements found in higher concentrations were K (4689.10 mg/kg) and Ca (3811.27 mg/kg). The intake of 30 g PS (average recommended amount/day) provides about 20% of the established reference value (NRI) for Cr (18.30% for men and 25.63% for women) and Mo (26.99%). In a high daily consumption scenario (100 g PS/day) and when the maximum concentrations are considered, Cr, Zn, Fe, Mo, and Mg dietary intakes of these metals exceed the daily recommended intakes and could pose a risk. The daily intake of 30, 60, and 100 g of whey PS for 25 years does not pose a health risk since the hazard index (HI) is less than one in these consumption scenarios, and the essential elements contributing most to HI are Co, followed by Mo and Cr. It is recommended to improve the information to the consumers of these new products. Furthermore, to help in the management and prevention of these potential health risks, it would be advisable to improve the regulation of these dietary supplements and their labeling. Full article

The objective of this study was to study whether the metal concentrations in Sparisoma cretense and Serranus atricauda differ between different coastal areas around the island of Tenerife, Canary Islands and to study whether these species are good bioindicators of pollution. Thirty samples of each species were collected from three parts of the coastline around the island, and samples of muscle and liver tissue were taken from the collected specimens. The determination of the metal content (Al, Cd, Pb, Ca, K, Mg, Na, B, Ba, Cr, Cu, Fe, Li, Mn, Mo, Ni, Zn) was performed by inductively coupled plasma optical emission spectrometry (ICP-OES) before conducting a PERMANOVA analysis. The mean metal concentration was significantly higher in the liver tissue than in the muscle tissue of the two species studied. S. atricauda specimens had a larger number of metals with a higher concentration, and the samples from the northern and eastern zones were found to have a higher concentration of elements than those from the southern zone. The northern and eastern zones were found to have a higher concentration of metals and trace elements than the southern zone, which could be explained by the fact that these zones are more polluted due to their higher population density. Full article

The Canary Islands, located in the Atlantic Ocean, are an archipelago of volcanic origin which, for decades, has been affected by natural fluoride contamination in the water supply of some of its islands, mainly the island of Tenerife. In addition, recent volcanic eruptions in the archipelago and the increased demand for water supply have led to an increase in the fluoride content in other areas which, historically, were not affected. Fluoride content was determined in 274 water supply samples from the most populated islands of the Canary Islands (Tenerife and Gran Canaria) collected during the months of June 2021 to May 2022. The samples were analysed by fluoride ion selective potentiometry. The highest concentrations in Tenerife were found in the municipalities of Sauzal (7.00 mg/L) and Tegueste (5.39 mg/L), both water samples are over the parametric value of 1.5 mg/L set in the supply water legislation. In the Gran Canaria Island, the highest fluoride levels were found in Valsequillo and Mogán with 1.44 mg/L in both locations, but under the parametric fluoride value abovementioned. Consumption of just 1 L of water per day in the El Sauzal area would result in a contribution rate of 77% for adults and children over 15 years of age (Upper Level value of 7 mg/day) and 108% for children 9–14 years of age (UL value of 5 mg/day). The contribution rates increase considerably, reaching or exceeding 100% of the reference value (UL) with increasing consumption of 1 to 2 L of water per day. Therefore, it is considered that there is a health risk of overexposure to fluoride on the island of Tenerife. In the case of the island of Gran Canaria, it has been shown that even the consumption of 2 litres of water per day does not confer contribution rates that pose a health risk. Full article

Users of benzodiazepines (BZDs) should have their quality of life monitored to minimize the risks associated with long-term treatments. The aim of this study is to use the EuroQol 5D-3L to analyze the quality of life of 127 patients under treatment with BZDs during the COVID-19 pandemic. The results show that lorazepam comprises 25.49% of all dispensing requests, and that the mean duration of BZDs treatments is four years (range: 0.3–25). When rating their general health status, BZDs users reported 59.29 points out of 100. Thirty-two percent of patients reported mobility problems; 16.5% reported having a lot of pain or discomfort despite being treated with BZDs, and 16.54% used a BZD together with an opioid analgesic. The EuroQol 5D-3L dimension “anxiety/depression” showed that, despite the use of BZDs, 48.2% of the patients reported being moderately anxious or depressed and 13.4% described themselves as very anxious or depressed. Nevertheless, 37.8% of BZDs users were identified as potential candidates to follow a BZD deprescription plan. In conclusion, BZDs users showed a low quality of life during the COVID-19 pandemic. Older patients and females have been identified as groups of patients that could benefit from integrating the use of the EuroQol 5D-3L instrument into the protocols of the pharmaceutical care follow up. Full article

There are a large number of pests which are detrimental to plant production, specifically to banana cultivation, and the use of pesticides is the main method of control of these pests. Therefore, the number of active substances in pesticides has been steadily increasing since before the Second World War. There is growing consumer concern about the health effects of pesticide residues and there is certainly evidence of a link between pesticide exposure and the prevalence of chronic diseases. Therefore, it is of particular interest to study the presence of pesticide residues in bananas and their toxicological, agricultural and legal implications. In this study, the content of pesticide residues in bananas produced in the Canary Islands during a ten-year period from 2008 to 2017 was determined. A total of 733 samples of bananas were analysed during the study period, in which 191 different active substances were investigated, involving 103,641 assessments. The samples analysed were selected in such a way that they are representative of the banana sector in the Canary Islands as a whole, taking into account geographical and climatic factors, cultivation methods and the processing of bananas in packaging, which are the differentiating factors in the use of pesticides. The reference parameter for the residue investigation is the MRL (maximum residue limit). Full article

Instant soups and noodles are one of the most widely consumed commercial food products. These products are made from ingredients of animal (chicken, meat) and/or vegetable origin, in addition to various food additives that prolong the shelf life of the product. It should be noted that instant soups are a dehydrated product, whose water-removal process can increase the accumulation of contaminants, such as toxic metals (Al, Cd, or Pb), that are harmful to the health of consumers. The content of toxic metals (Al, Cd, and Pb) in a total of 130 samples of instant soups of different types (poultry, meat, and vegetables) was determined by ICP-OES (inductively coupled plasma–optical emission spectrometry). The Al content (32.28 ± 19.26), the Cd content (0.027 ± 0.016), and the Pb content (0.12 ± 0.13) in the vegetable soups were worth mentioning. Considering an intake of twenty grams (recommended by the manufacturer), the dietary intake of Al (19.56% of the TWI set at 1 mg/kg bw/week), the intake of Cd (6.59% of the TWI set at 2.5 µg/kg bw/week), and the Pb intake (16.18% of the BMDL set for nephrotoxic effects at 0.63 µg/kg bw/week and 6.84% of the BMDL set for cardiovascular effects at 1.50 µg/kg bw/week) in the population aged 3–10 years, instant soups are not recommended for the population aged 3–10 years, while their consumption does not pose a health risk for adults. However, it is necessary to consider the cooking water used in the preparation of these products, as it may increase exposure to these toxic metals, in addition to the rest of the diet. Full article

Fluoride is present in various foods ingested daily. It has been demonstrated that the intake of high concentrations of fluoride, both in adults and children, can cause pathologies, among which dental fluorosis, osteoporosis and damage to the central nervous system stand out. The objective of this study was to determine the fluoride concentrations in 60 samples of ready-to-drink cold brewed coffee of different brands and types (expresso, cappuccino, macchiato and decaffeinated) by the fluoride ion-selective potentiometric method. A statistical analysis was also performed to discern the existence of differences between these categories. The highest fluoride concentration (1.465 mg/L) was found in espresso coffee followed by Macchiato (1.254 mg/L). Decaffeinated coffee is the one that presented the lowest fluoride concentration with 0.845 mg/L. The risk assessment was conducted considering different consumption scenarios (250, 500 and 750 mL/day). The UL (upper level) established by the EFSA (European Food Safety Authority) at 7 mg/day was used. The consumption of three servings poses no health risk; however, it confers a significant value of fluoride contribution to the diet. Full article

Baby food from jars is made of meat, vegetables or fruits, and might be a valuable source of essential elements such as Na or K. However, these infant products could also be a source of toxic elements such as Al or Cd, which are dangerous to infants. In total, 45 samples of various kinds of baby food in jars (meat, vegetables, fruit and mixed) were analyzed using inductively coupled plasma spectrometry (ICP OES) with the aim of evaluating the daily intake of essential elements (K, Na, Ca, Mg, Fe, Zn, Cu, Co, Mo, Mn) and dietary exposure to toxic elements (Al, Cd, Pb, B, Ba, V, Sr, Li, Ni). Mixed jars registered the highest concentrations of Na, Ca, Zn, Fe. Al (8.22 ± 8.97 mg/kg wet weight) stands out in vegetable jars. In total, 130 g/day of mixed jars fulfills daily Zn and Ca requirements. These consumption scenarios (130 g/day, 250 g/day) supposed high Mn intakes (40 times higher than the recommended value), which could pose a risk to infants’ health. Pb, Ni, Cd and Al intakes exceed the maximum values. It is recommended to avoid the daily consumption of these products since it can pose a risk to the health of infants. Chemical compounds studied in this article: Nitric acid (PubChem: CID 944). Full article

The consumption of vegetable milk as a substitute for cow’s milk has increased in recent years. Of all the vegetable beverages on the market, soy is the most widely consumed. Soy is exposed to contamination by different chemical elements during harvesting. In this study, the concentration of fluoride in soy beverages was analyzed. Fluoride is an element that in high concentrations can be toxic, causing dental and bone fluorosis. The aims of the study were (i) to analyze the fluoride concentration in 30 samples in the most popular brands (A-Brand, B-Brand, C-Brand) of soybean beverages by a fluoride ion selective potentiometer and (ii) to evaluate the toxicological risk derived from its consumption. The fluoride concentrations were 15.5 mg/L (A-Brand), 11.3 mg/L (B-Brand) and 8.5 mg/L (C-Brand). A consumption of 1 to 3 servings/day was established. One serving (200 mL) of soybean beverage offered a contribution percentage over the ADI (acceptable daily intake) for infants and children. Teenagers and adults did not exceed the ADI (10 mg/day). The consumption of soy beverages contributes significantly to the daily intake of fluoride, which could exceed the ADI with a consequent health risk. It is recommended to control the fluoride levels in the raw material and in the final product to assure the safety of these products. Full article

Canary Islands is a North Atlantic Ocean archipelago in the Macaronesian region that stand out for its great algae diversity and its climatic conditions. However, even in this low industrialised area, human activities tend to increase the marine pollution. Asparagopsis spp. and Liagora spp. algae are red algae frequent in the Canary Islands’ coasts. Therefore, they could be used as bio-indicators of marine pollution for trace elements. A total of 30 samples of both algae’s species from Tenerife’s southern coast, specifically in Playa Grande, Porís de Abona, in Arico (Tenerife, Spain) were used to determine trace element content (Mn, B, Ba, Cu, Cd, Co, Fe, Li, Mo, Ni, Pb, Sr, V, Zn, Al, Cr) through inductively coupled plasma atomic emission spectroscopy (ICP—OES). Highest Fe concentrations were found in Liagora spp. concentrations (1190 ± 1545 mg/kg dw) and Al (288 ± 157 mg/kg dw) was more significant in Asparagopsis spp. High concentrations of B were also registered in both species 80.2 ± 34.2 mg/kg dw and 77.9 ± 34.2 mg/kg dw, respectively. The recorded concentrations show a high contamination scenario in the collected area. Porís is known by its marine diversity and by its higher pollution levels, compared with other locations of Tenerife, due to the currents present on the Canary Island and its singular north orientation, actions must be taken to reduce pollution. Full article

Three toxic heavy metals (Cd, Pb, and Hg) were analyzed in the newly found invasive species in the Canary Islands, Cronius ruber. Its high growth rate and its widely varied diet are affecting the Canary marine ecosystem. The study was conducted using electrothermal vaporization atomic absorption spectrometry (GF-AAS) and cold-vapor atomic absorption spectrophotometry (CV-AAS). Significant differences were found in terms of the location and sex of the specimens, with the highest concentrations being found in areas with higher tourism activity and in the female specimens. On the other hand, the conclusion of the study is that human consumption of this species does not pose any toxic risk to public health, as the levels obtained in muscle tissue do not exceed the established limits for these metals. Therefore, its consumption and the fishing of this species can stop the proliferation of the same in the Canary coasts and thus not be harmful for the ecosystem. Full article

The development and consumption of genetically modified (GM) crops are surrounded by controversy. According to proponents, only molecular biology approaches and genetic engineering tools are realistic food shortage solutions for the world’s ever-growing population. The main purpose of this study is to review the impact of GM products on human, animal, and environmental health. People still reject GM crops not only because of safety concerns, but also for moral reasons. Toxicity, allergies, and possible horizontal gene transfer (HGT) to the environment or to other species have been associated with the marketing of GM products. Moreover, the scarce data available about the long-term implications of using GM crops is another opponent concern. Nevertheless, science has evidenced no harm from GM crops use to date but has, instead, reported several benefits that result from their commercialization, such as economic, environmental, and health benefits for the general public. Legislation and policies about GM product labeling standards are being discussed. To overcome emerging food security challenges, considering quality scientific information is essential rather than leaving the issue and merely moving toward moral discussion. Hence, a risk–benefit analysis is necessary. Full article