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8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy
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JURNAL PRAKTIKUM
FARMAKOLOGI
INTERAKSI OBAT
(BLOK KARDIOVASKULAR)
DISUSUN OLEH:
ESANIKARUPPIAH : 080100413 NAANTHINI DILLY KANAN : 080100
FRANKLIN OSWALD : 080100
PERDANA SIDAURUK : 080100
SULOCHANA MOHAN : 080100
KELOMPOK : A1
MEJA : 10
FAKULTAS KEDOKTERAN UNIVERSITAS
SUMATERA UTARA 010
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PENDAHULUAN
S!"!# $!%& '!%* +!,- .!/!% ,-&2!# *$/, %*#!.!/ 2!% !.!"!# /2*!,
2*$!!!, .,-!, 2!%2!% "!, 5 A.! 22*!/! !,$ . !,! 2!% .!/!% 2*,%*!$ 6
%%!/ 2!,+!!, .!/!% .!%*-*!, $7!*! '!*!,% 6 '!*!.,! 6 %$$%!$
2,!$5
A2$*/$ 2!% .$!"&*!, /,7*,!!, .!/!% ./,-!* "# /,--&,!!, 2*$!!!!,
.,-!, 2!%2!% "!, +!,- : ( 1 ) /&,+! .!*!# /*&!!, +!,- "&!$ .!* 2!% +!,- .!/!%
.!2$*/$ 6 ( ) ,-!% !%!& "!$ 6 ( 3 ) ,-&2!# /H "!2&,- 6 ( 4 ) ,-&2!# %"%!$
$!"&*!, /,7*,!!, 5
M!,$ .!,! ,%*!$ 2!% ,-&2!# .$%*2&$ 2!% %*!$& : ( 1 ) /%$
%*#!.!/ /,-!%!, /*%, /"!$! .!, ( ) /,.!#!, .!* %/!% /,-!%!, !*,-!, 5
M$/&, /%$$ &,%& /,-!%!, /"!$! /*%, .!/!% ,,-!%!, ,$,%*!$ 22!$
.!* 2!% +!,- ./,.!#!, .!"! /"!$! 6 /,,-!%!, %*$2&% 7,.*&,- $,%!*! !2!%
/,,-!%!, /,+&$&,!, 2!% $2!-! /,--!,% 5 P,.!#!, .!* %/!% /,-!%!, !*,-!,
!!, 7,.*&,- ,,-!%!, ,$,%*!$ 2!% +!,- ./,.!#!, .!"! .!*!# 5 M!,$
%*$2&% ,+,- /,,-!%!, ,$,%*!$$ .-$, $*& 2"! .-&,!!, 2*$!! %*!/
&,., 5
E$*$ 2!% "!"& -,!" .!/!% &-! ./,-!* "# %*!/ 2!% 2*$!!!, 5 E$*$
2!%2!% %*%,%& . -,!" +!,- 2*$'!% !$! "!# !%!& 2!$! "!# .!/!% ./,-!* "#
2!%2!% "!, +!,- /,-!* /H &*, 5 H!" %*$2&% .$2!2!, /*&2!#!, ,$!$ 2!% 6
$#,--! ,-&2!# "!*&%!,,+! .!"! "/. .!, !/&!,,+! &,%& .!2$*/$ 2!"
.!"! .!*!# "!"& %&2&"&$ -,!" 5
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!.%9 !%!& $,*-% 2!$!,+! %*!. 5 K.&! 2!% %*$2&% .!/!% !%!& %.! .!/!% 2*! /!.!
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+!,- ,,-!!%!, ' %*$2&% /!.! #!!%,+! %.! /&,+! ' %$ %*#!.!/ *-!,
%*$2&% 5
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PEMBAHASAN INTERAKSI OBAT
OBAT 1
Norvasc
GENERIK
A"./,!6$2!-! -!*! !"./, 2$"!% !%!& !"./, !$%!%5
INDIKASI
H/*%,$ %*!/ %&,--!" !%!& -!,.!6%*!/ %&,--!" &,%& ,%*" %!,!, .!*!#6%*!/ -!,.!
.!/!% .2,!$!, .,-!, 2%! !.*,$/%*6 !%!& ,#2%* ,; /,-&2!# !,-%$,6&-!
.!/!% .-&,!!, &,%& %*!/ $! !*.!6%*!$& !,-,! .!, !%!&
9!$$/!$&$
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.!, &*%!*!5 E' /!.! S!"&*!, /,7*,!!,: &!"6 ,+* /*&%6 *!6 .!, %.! ,!'$& !!,5
E' /!.! $!"&*!, /*,!'!$!,: ,!'!$ ,!. /,./,.6 .+$/,!6 .!, #;,-5 E'
$!/,- "!,: F"&$#,-6 ,+* %%6 .!, ,+* !%!& ,'"!!$5 P!.! /,"%!, ",$ .,-!,
,%*" /"!$2 +!,- ,7!&/ /,.*%! #/*%,$ .!, !,-,!6 ' $!/,- +!,- &&
%*!. !.!"!# $!% /!"!6 .!6 ""!#6 flushing 6 .!, /&$,-5
KEMASAN
D$$ 3>10 %!2"% ?- R/51@?0006 3>10 %!2"% 10 - R/5?50?6 2%" 30 %!2"% ? -
DOSIS
H/*%,$5D$$ !!" 1>$#!* ?-6.!/!% .,!!, #,--! .$$ !$& 10 -5
FABRIK
P';*
FARMAKOKINETIK
Absorpsi:
A2$*/$ ,,-!% $%"!# .$$ /*.&$ ,$,%*!$ /&,7! /"!$! !,%!*! @ .!, 1!
$%"!# !.,$%*!$ *!" "# .$$ %#*!/&%7 .!* N*9!$75 Bioavaiabii!as !2$"&%
.$%!$ .!,%!*! @4 .!, 0 5 T.! ./,-!* "# ,$&$ !!,!,5
Dis!rib"si:
E V9 *$% ,&,&!, $2!,+! 3 $*&"!$ 2!% .!"! .!*!# 2*!%!, .,-!, /"!$!
/*%, /!.! /!$, +!,- #/*%,$5
M#!abois$#:
A"./, "2# &*!,- 0 .%&!*!, /!.! %2"% +!,- ,!%' "!"& $#!abois$#
#/!* .,-!, 10 .!*/!.! .$$ ,.& .!, @0 %2"% .$*$ .!"! &*,5
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E%s%r#si :
E",!$ .!* /"!$! !.!"!# 2/#!$7 .,-!, %*,!$ ",!$ !%& /!* 30?0!5
S%!.+$%!% /"!$! !"./, !!, ,7!/! $%"!# $!/! 8 #!* .,-!, .$$ 2*%*&$!,5
T.! ./,-!* "# .$'&,-$ *,!"5 P!$, .,-!, -!-!" -,!" 2$! ,*&$!, .$$ +!,-
/*%!!5P!$, "!,$! .!, /!$, +!,- #/!% ,$&''$,$ ,&,&!, /,&*&,!, 7"!*!,7
"# !"./, .,-!, /&%&$!, /,,-!%!, .!"! AUC *!%!*!%! 40 @0 .!, ,"! %*2!!#
.$$ /*%!! ./*"&!,5 N"! /,,-!%!, AUC .!/!% .%,!& /!.! /!$, +!,- -!-!" !,%&,-
.!* $.!,- *,5
FARMAKODINAMIK:
A/!2"! .2* /!.! /!$, #/*%,$62!% , ,+2!2!, 9!$."!%!$ .!,! %*!. /,&*&,!, $&/,
.!, %!,!, .!*!#5P,&*&,!, %!,! .!*!# %.! ,+2!2!, /*&2!#!, .!"!, .,+&% ,!. !%!&/&,
.!"! %,-!% /"!$! !%"!,5A.,$%*!$ ,*9!$7 $7!*! ,%*!9,! ,&*&,!, %!,!, .!*!#
!*%* .!, ,,-!%!, .,+&% !,%&,-5
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Oba! &:
TENORMIN 'A!#(oo)
K#as oba! *a( $#%a(is$# %#r+a:
A%,"" *&/!!, $,$ 2!% .!* -",-!, /,-#!2!% !.*,$/%* 2%! (2%!2"7*)5O2!% , 2*$'!% $"%' %*#!.!/ *$/%* 2%! 15 D!* 2*2!-! 2%! 2"7*6 !%,"" *&/!!, 2!%
+!,- $*,- ./"# *!,! /,%*!$,+! $$% $!*!' /&$!% ,!"6 $#,--! &*!,- ,2&"!,
' $!/,- $,%*!" .!, 7&&/ .2*!, $!" $#!* $#,--! .#!*!/!, !!, ,,-!%!,
/!%!, /!$,5
M#%a(is$# %#r+a:
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15 P,&*&,!, '*&,$ .,+&% !,%&,- .!, ,%*!%"%!$ !*. $#,--! ,&*&,!, 7&*!#
!,%&,-
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/*$%!$",
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%*"#!% .!"! 4 ! $!/! 1 ,--& $%"!# %*!/ .&"! .!, %.! ./*"# /,&*&,!, %!,!,
.!*!# "2# "!,&% $%"!# ,--& 2"! .$$,+! %%!/5 O2!% , %.! ,2&"!, #/%,$ *%$%!%
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&,%& ,-&*!,- ,$.,$ ,'!* &"!,- .!, !%!, /!.! /!$, +!,- $"!!% .!* $*!,-!, !&% ,'!*
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!*.5 O2!% , .2*!, $7/!%,+! $%"!# %*!. $*!,-!, ,'!* (.!"! !%& 22*!/! !)6 &"!
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1) Absorpsi
A%,"" &.!# "!*&% .!"! !*5 A2$*/$,+! .!* $!"&*!, 7*,! &*!,- 2! $#,--! 2!9!"!2"%!$ *!",+! *,.!# "2# &*!,- ?05 O2!% , /!",- $&!* "!*&% .!"! "! .!, "#
!*,! %&6 $&!* &,%& ,2&$ $!!* .!*!# %!5
) Dis!rib"si
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3) M#!abois$#
O2!% , %.! ,-!"! %!2"$ ",%!$ /*%!!5
4) E%s%r#si
H!/* $"&*,+! .$*$ &% "!"& -,!"5 W!%& /!* ",!$ !.!"!# $"!! @ #,--!
!5
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Oba! .:
ESILGAN
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PENDEKATAN ANALISA INTERAKSI OBAT
Oba! 1: N*9!$ (A"./,!)
Oba! &: T,*, (A%,"")
Oba! .: E$"-!, (B,;.!;/,)
Far$as#"!i%
R#a%si Oba! 1 / Oba! & Oba! 1 / Oba! . Oba! & / Oba! .
Fisi% T.! A.! T.! A.! T.! A.!
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Far$a%o%i(#!i% ABSORPSI Oba! 1 / Oba! & Oba! 1 / Oba!
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Oba! & / Oba!
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Daftar pustaka
1) F!*!"- .!, T*!/ E.$ ? D/!*%, F!*!"- .!, T*!/&% FK UI (&!$&*!%
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) 5P&2.57
3) 5.*&-"257
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