<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592025000200363</article-id>
<article-id pub-id-type="doi">10.19136/hs.a24.2.5963</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Los consultorios de farmacias, actores del cúmulo y desecho inadecuado de medicamentos: Revisión Sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Pharmacy offices, actors in the cluster and inadequate disposal of medications: A Systematic Review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Quiroz]]></surname>
<given-names><![CDATA[Ivan Ulises]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Ramos]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sevilla Godinez]]></surname>
<given-names><![CDATA[Rosa Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma del Estado de México Centro Universitario UAEM Amecameca ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma del Estado de México Centro Universitario UAEM Amecameca ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Guadalajara Centro Universitario de Ciencias de la Salud Departamento de Ciencias Sociales]]></institution>
<addr-line><![CDATA[ Guadalajara]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>363</fpage>
<lpage>380</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592025000200363&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592025000200363&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592025000200363&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Sintetizar y evaluar la evidencia disponible (2015-2024) sobre la asociación entre los consultorios adyacentes a farmacias y la acumulación, disposición inadecuada de medicamentos, y sus implicaciones para la salud pública.  Materiales y métodos:  Se realizó una búsqueda estructurada en PubMed de artículos publicados en inglés y español durante los últimos diez años, siguiendo la guía PRISMA 2020 y aplicando la herramienta de evaluación crítica del Joanna Briggs Institute (JBI). Se incluyeron estudios originales y revisiones que abordaran prácticas de almacenamiento y desecho de medicamentos en hogares, el papel de los consultorios de farmacias en la prescripción y la acumulación de fármacos, y los efectos sociales, sanitarios y ambientales derivados de estas prácticas.  Resultados:  De un total de 16 artículos identificados, 14 cumplieron con los criterios de inclusión. Los hallazgos se agrupan en tres ejes: 1) prácticas de eliminación de medicamentos caducos en hogares y servicios de salud, predominantemente a través de la basura común y el drenaje; 2) influencia de los consultorios adyacentes a farmacias en la sobreprescripción y el incremento de botiquines domésticos, vinculada a incentivos laborales y de mercado; y 3) consecuencias socioambientales del desecho inadecuado, entre ellas la resistencia bacteriana, intoxicaciones en el hogar y contaminación de agua y suelos.  Conclusiones:  Se evidencia que el modelo de comercialización farmacéutica y las condiciones laborales de los médicos en consultorios adyacentes a farmacias contribuyen de manera indirecta al cúmulo y disposición inadecuada de medicamentos. Este escenario configura un problema emergente de salud pública y justicia ambiental. Se identifican como áreas prioritarias la promoción de programas de ecofarmacovigilancia, la creación de normativas específicas para la disposición final de medicamentos y la implementación de campañas de educación sanitaria orientadas al uso responsable y a la donación de fármacos con vida útil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To analyze, through a systematic review of the literature, the association between pharmacy-adjacent medical offices and the accumulation and improper disposal of medicines, as well as the implications of this phenomenon for public health and the environment.  Materials and methods:  A structured search was conducted in PubMed for articles published in English and Spanish during the last ten years, following the PRISMA 2020 guidelines and applying the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Eligible studies included original research and reviews addressing practices of medication storage and disposal in households, the role of pharmacy offices in prescription patterns and drug accumulation, and the social, health, and environmental effects derived from these practices.  Results:  Out of 16 studies initially identified, 14 met the inclusion criteria. The findings were grouped into three main themes: (1) disposal practices of expired medications in households and health services, predominantly through household waste and sewage systems; (2) the influence of pharmacy-adjacent medical offices on overprescription and the growth of household medicine cabinets, linked to labor and market incentives; and (3) the socio-environmental consequences of improper disposal, including bacterial resistance, household poisonings, and contamination of water and soil.  Conclusions:  The review highlights that pharmaceutical marketing models and the working conditions of physicians in pharmacy-adjacent medical offices indirectly contribute to the accumulation and inadequate disposal of medicines. This scenario constitutes an emerging issue of public health and environmental justice. Priority areas identified include the promotion of eco-pharmacovigilance programs, the development of specific regulations for the final disposal of medicines, and the implementation of health education campaigns aimed at responsible use and the donation of medicines with remaining shelf life.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Almacenaje de medicamentos]]></kwd>
<kwd lng="es"><![CDATA[Farmacia]]></kwd>
<kwd lng="es"><![CDATA[Salud pública]]></kwd>
<kwd lng="es"><![CDATA[Ambiente]]></kwd>
<kwd lng="es"><![CDATA[Ecofarmacovigilancia]]></kwd>
<kwd lng="en"><![CDATA[Medication storage]]></kwd>
<kwd lng="en"><![CDATA[Pharmacy]]></kwd>
<kwd lng="en"><![CDATA[Public health]]></kwd>
<kwd lng="en"><![CDATA[Environment]]></kwd>
<kwd lng="en"><![CDATA[Ecopharmacovigilance]]></kwd>
</kwd-group>
</article-meta>
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