Interaksi Obat Sistem Kardiovaskular - Copy

Embed Size (px)

Citation preview

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    1/13

    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

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    2/13

    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

    B"! 2!%2!% .,-!, ' '!*!"- +!,- */ .2*!, $7!*! 2*$!!!, 6 *$/,

    !.%9 !%!& $,*-% 2!$!,+! %*!. 5 K.&! 2!% %*$2&% .!/!% !%!& %.! .!/!% 2*! /!.!

    *$/%* +!,- $!! &,%& ,2&"!, ' %*$2&% 5 S2!",+! 6 2!% +!,- .,-!, ' 

    '!*!"- +!,- 2*"!!,!, .!/!% ,&*&,!, *$/, %*#!.!/ $!%& !%!& .&! 2!% 5P!.! 2,!$ /,--&,!!, .&! !7! 2!% !%!& "2# 6 $%!/ 2!% +!,- /&,+! ' 

    %$ /!.! *'-!, +!,- $!! 6 ./!% ,,-!%!, &,-,!, *&$!!, *-!, %*$2&% 5

    B2*!/! 2!% +!,- .!/!% ,,-!%!, %$$%!$ 2!% "!, %*#!.!/ $&!%& *-!, $/&, 2!%

    +!,- ,,-!!%!, ' %*$2&% /!.! #!!%,+! %.! /&,+! ' %$ %*#!.!/ *-!,

    %*$2&% 5

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    3/13

    PEMBAHASAN INTERAKSI OBAT

    OBAT 1

    Norvasc

    GENERIK 

    A"./,!6$2!-! -!*! !"./, 2$"!% !%!& !"./, !$%!%5

    INDIKASI

    H/*%,$ %*!/ %&,--!" !%!& -!,.!6%*!/ %&,--!" &,%& ,%*" %!,!, .!*!#6%*!/ -!,.!

    .!/!% .2,!$!, .,-!, 2%! !.*,$/%*6 !%!& ,#2%* ,; /,-&2!# !,-%$,6&-!

    .!/!% .-&,!!, &,%& %*!/ $! !*.!6%*!$& !,-,! .!, !%!&

    9!$$/!$&$

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    4/13

    .!, &*%!*!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

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    5/13

    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

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    6/13

    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:

      B*2!-! !,$ /,&*&,!, %!,!, .!*!# !2!% /2*!, 2%! 2"7* .!/!% .!%!,

    .,-!, #!2!%!, *$/%* 2%!16 !,%!*! "!,:

    15 P,&*&,!, '*&,$ .,+&% !,%&,- .!, ,%*!%"%!$ !*. $#,--! ,&*&,!, 7&*!#

     !,%&,-

    5 H!2!%!, $*$ *,, . $"$" &$%!-**&"!* -,!" .,-!, !2!% /,&*&,!, /*.&$

    !,-%,$, II

    35 E' $,%*!" +!,- /,-!* !%'%!$ $!*!' $/!%$6 /*&2!#!, /!.! $,$%'%!$

     2!**$/%*6 /*&2!#!, !%9%!$ ,&*, !.*,*- /*'* .!, /,,-!%!, 2$,%$$

     /*$%!$",

    P,&*&,!,  %!,!, .!*!# "# 2%! 2"7* +!,- .2*!, /**!" 2*"!,-$&,- "!2!%5 E' , &"!

    %*"#!% .!"! 4 ! $!/! 1 ,--& $%"!# %*!/ .&"! .!, %.! ./*"# /,&*&,!, %!,!,

    .!*!# "2# "!,&% $%"!# ,--& 2"! .$$,+! %%!/5 O2!% , %.! ,2&"!, #/%,$ *%$%!% 

    .!, %.! ,2&"!, *%,$ !* .!, -!*!5

    S#*iaa(

    T!2"%: ?0-6 100-

    Dosis

    D$$ !!": ?-< #!*

    D$$ !$!": 100-< #!*

    I(*i%asiA%,"" .-&,!!, &,%& ,-2!% 2*2!-! /,+!%6 $!"!# $!%&,+! #/*%,$5 P2*!,

    $7!*! *, /!.! /!$, #/*%,$ ,&*&,!, %!,!, .!*!# $7!*! /*"!#!,"!#!,5 O2!% , /!.!

    &&,+! .2,!$ .,-!, .&*%5 A%,"" %*&%!! 2*-&,! ! .2*!, .,-!, 2,!$

    .,-!, 9!$."!%* *!,! 2!% , .!/!% 2" *'"$ %!!*. .!, /,,-!%!, 7&*!# !,%&,- !2!%

    9!$."!%*5 S"!, %&6 2!% , %*2&% '%' &,%& /,7-!#!, $&,.* $%"!# ,'!* !*. *%,+!

    &,%& ,-&*!,- ,$.,$ ,'!* &"!,- .!, !%!, /!.! /!$, +!,- $"!!% .!* $*!,-!, !&% ,'!* 

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    7/13

    !*.5 O2!% , .2*!, $7/!%,+! $%"!# %*!. $*!,-!, ,'!* (.!"! !%& 22*!/! !)6 &"!

    &"! ,%*!9,&$ .!, &.!, .$!2&,- *!"5 A%,"" .2* $"!! #!* (&"!&"! ?10- IV

    "!"& 100-% $#!* *!") ,-&*!,- !%!, ., .,-!, 145 O2!% , .,.!$ 2*.!$!*!, *!,+!

    ,-#!2!% *$/%* 2%! 1 . !,%&,- $#,--! ",.&,- !,%&,- %*#!.!/ /*!,-$!,-!, $/!%$

    +!,- ,,-!% $7!*! 2*"2#!, /!.! $!!% ,'!* !*. 2!*& %*!. !&/&, !!, %*!.5 J! %*!/

    , #,.! .#,%!,6 #!*&$ $7!*! 2*%!#!/5 S"!, %&6 .-&,!!, &-! &,%& ,-2!% !,-,! /%*$6

    !**%!6 -!-!" !,%&,- $$%"6 !*./!% 2$%*&%' #/*%*'6 '*$%!6 %*%$$$6

    -*,6 -"!&!6 $*$$ .,-!, 9!*$$5

    E,#% Sa$pi(-

      K2!,+!!, ' $!/,- 2%! 2"7* !.!"!# !2!% #!2!%!, *$/%* 2%!5 A,%!*! ' 

    $!/,- +!,- .!/!% .%2&"!, !.!"!# -!-!" !,%&,- /!.! /!$, .,-!, -!,--&!, '&,-$ !*.6

     2*!.!**%!6 2*,$/!$ !"!&/&, 2!% , &*!,- ,2&"!, 2*,$/!$ %%!/ .!/!% %*!.

     /!.! /!$, +!,- /!5 S"!, %& ' $!/,- "!, !"!# -!--&!, $*&"!$ /*'* +!,- ,+2!2!,

    $%*%!$ .,-,6 /!.! 22*!/! /!$,6 -!,--&!, 9!$&"!* , .!/!% $.!, #2!% $!/!

    ,2&"!, $!,$$ .!, -!,--*,5 P,--&,!!, *, 2!% , &-! .!/!% ,2&"!,

    $&/*$,$%9%!$ *!,! ./**!!, %*!. /,,-!%!, &"!# *$/%* 2%! $2!-! !,$

    !.!/%!$5 O"# %&6 2"! .#,%!, $7!*! ,.!.!6 !, %*!. ' 2%! 2"7* +!,- 2*"2#!,

    (*2&,. /#,,,)5 E' "!, !.!"!# $/*% #/-"6 ' $,%*!" 2*&/! *!$! ""!#6 -!,--&!,

    %.&* .!, ./*$ $*%! .!/!% ,+2!2!, -!,--&!, $!"&*!, 7*,! .!, -!,--&!, '&,-$ $$&!"5

    Far$a%o%i(#!i% 

    1) Absorpsi

    A%,"" &.!# "!*&% .!"! !*5 A2$*/$,+! .!* $!"&*!, 7*,! &*!,- 2! $#,--! 2!9!"!2"%!$ *!",+! *,.!# "2# &*!,- ?05 O2!% , /!",- $&!* "!*&% .!"! "! .!, "#

    !*,! %&6 $&!* &,%& ,2&$ $!!* .!*!# %!5

    ) Dis!rib"si

    B*!%!, .,-!, /*%, /"!$! *!*! @ #,--! 1@5

    3) M#!abois$#

    O2!% , %.! ,-!"! %!2"$ ",%!$ /*%!!5

    4) E%s%r#si

    H!/* $"&*,+! .$*$ &% "!"& -,!"5 W!%& /!* ",!$ !.!"!# $"!! @ #,--!

    !5

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    8/13

    Far$a*i(a$i% 

      A%,"" ,-#!2!% $7!*! /%%' ' 2!% !.*,*-6 2! NE .!, E/ ,.-, !&/&,

    2!% !.*,*- $-,6 /!.! !.*,$/%* 2%!5 P%,$ #!2!%!, ."#!% .!* !/&!, 2!% ,

    .!"! ,-#!2!% %!!*.! +!,- .%2&", "# $/*%*, !%!& "# "!#*!-!5 K*!,! #!2!%!,

    , 2*$'!% /%%' *9*$2"6 !! .!/!% .!%!$ .,-!, ,,-!%!, !.!* 2!% !.*,*-5 S'!%

    !*.$"%' *%,+! /&,+! !',%!$ +!,- "2# %,-- %*#!.!/ *$/%* 2%! 1 .!*/!.! *$/%* 

     2%! 5 T%!/ $'!% !*.$"%9%!$ , *"!%' *%,+! /!.! .$$ +!,- "2# %,-- 2%! 2"7* +!,-

    !*.$"%' &-! 2" *$/%* 2%! 5 E' %*#!.!/ $$% !*.9!$&"!* *&/!!, ' 2%!

     2"7* +!,- %*/,%,-5 B%! 2"7* ,-&*!,- .,+&% !,%&,- .!, ,%*!%"%!$ !*.5 P2*!,

     !,-! /,. ,-&*!,- 7&*!# !,%&,-6 *$$%,$ /*'* ,,-!% !2!% *'"$ $/!%$ +!,-

    *!,-$!,- *$/%* !"'! /2&" .!*!#5 P!.! /2*!, *,6 *$$%,$ /*'* 2!" ,"! !!"

    !%!& ,&*&, /!.! /!$, #/*%,$5

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    9/13

    Oba! .:

    ESILGAN

    E$%!;"! !"!# 2!% .*9!% .!* 2,;.!;/,5 I! /&,+! ' !,>"+%76!,%,9&"$!,6 $.!%9 .!, $'!% *"!$!, %% $"%5 I! %"!# ,&,&!, /!.! $$%,-!#

    !$&$ +!,- ! "2# /%, .!* .!;/! !%!& ,%*;/!5 M* ,!! "!, 2!- +!,-

    ,-!,.&,. $%!;"! !"!# C!,,76 D 40TA6 $"-!,6 &*.,6&".,6 N&*"6 N&7%!",6P*S .,! S,!%*"5 E$"-!" .2* ."! 2,%& %!2"% *!"5 N!! ! IUPAC !"!# 8

    "*@/#,+"4HG1664%*!;"G463!G1642,;.!;/, .!, '*&"! ! !"!#

    C1@H11CIN45 D$$ $%!;"! 2!- ,&*$$ !"!# 1- /!.! !%& %.&*6 /$$$ !"!# 4- /!.! !%& %.&* .!, !"! $2"& /*!$ 1- /!.! !%& %.&*5 E$%!;"! 2$! .!2"

     2*$!! !!,!, !%!&/&, %.!5

    I,.!$

    E$%!;"! !.!"!# 2!% +!,- .,.!$!, &,%& /*!!%!, $,%!*! 2!- $$%,-!# "!,!,%.&*5 I! !.!"!# 2!% #/,% +!,- ,&,&!, '!$ /!.! /,,-!%!, !$! %.&* .!,,-&*!,-!, %*$!.!* /!.! !%& !"!5 K2,!$ .,!,- /"#!, ,,'!*!! &,%&

     /,-&*&$!, %.&* ,-!2!%!, /*2!!, !,-! /!,!,-."! &!"%!$ %.&*5 E$%!;"! &-!

    /&,+! $'!% !,>"+%7 .!, *!,! !,-! #!+!%,+! +!,- /,.6! 2"# .-&,!!, &,%& /*!!%!, ,$,! +!,- 2*!$$!$ .,-!, !,>%+

    Far$a%o*i(a$i% 

    E$%!;"! ."!$!, /!.! 2!% 2,;.!;/, %*!;"5 E$%!;"! ,-"&!*!, '

    %*!/&% "!"& $'!% *$/%* !-,$ 2,;.!;/,5 E$%!;"! /!.! .$$ %,--

    ,-&*!,-!, %&*,9* #$%!, "!"& !$,+! /!.! /"$ *$/%* 2,;.!;/,ABA5

    http://upload.wikimedia.org/wikipedia/commons/5/55/Estazolam.svg

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    10/13

    Far$a%o%i(#!i% 

    A2$*/$ : M"!"& *!"6 /&,7! "9" /"!$! .7!/! . !,%!*! 1@ !5 J!,-! #!+!% ",!$

    $%!;"! /&,+! /&*!%! 1 !6 .,-!, *!%!*!%! 831 !5 M%!2"% !+* $%!;"!%*!$& 4#.*$$%!;"!5 O2!% , 3 2*-!2&,- .,-!, /*%,

    D$%*2&$ : $%!;"! /&,+! $"&2"%!$ /*%, +!,- %,-- .!, ,+2!2!, ' /!.!$$% $!*!' $,%*!" ,,-!% D$%*2&$ %*!,$/"!$,%!" ,-!2!%!, ./*$ $$% $!*!' /&$!%

    .!, &-! ' %#.*!!" !2!% .!* /,--&,!!, 2!% #/,% 2,;.!;/, /!.! ,--&,--& %*!#* #!"!,5

    B%*!,$'*!$ : .%!2"% . #/!* .!, .2!,%& "# $%* P4?OA 3A (CYP3A)

    E",!$ : $%"!# .%!2"$ .* ,!%' -"&7&*,.6$%!;"! .$*$ "!"& &*,

    E' $!/,-: P,,- /!"!6 !!6 *.!,$ !2,*!"6 2*&*!,-,+! /*'*!,$ ,%!"

    .!, '$!" .!, #/,$!

    T$$%!$: ,'&$6 ./*$ /*,!'!$!,6 .*$,$$ 6 &*!,-,+! *.,!$ .!, /*7!!/!, +!,-

    %.! %*!%&* I,%*!$

    A"7#" ,-!%!, $'!% #/,% $.!%9 $%!;"!5 E' 2,;.!;/, &,-,./,%$!$ "# !,%,9&"$!,6 !,%#$%!,6 !"7#"62!*2%&*!%6 ,#2%* ,!, $.!$6

    ,!*%6 /#,%#!;,6 2!% /$%*/ !%!& 2!% "!, +!,- ,!, $$% $!*!' /&$!%5 P* 

    /&,+! 7"!*!,7 +!,- %,-- .2!,.,-!, *!,- 2!$!5S2!%!, /%, +!,- /,-!* CYP3A (7!*2!!;/,6 /#,+%,6 *'!/,6 .!,

     2!*2%&*!%) .!,-! 2"# ,&*&,!, ,$,%*!$ $%!;"!5 M%!2"$ $%!;"! +!,-

    /&,+! %!2"% !+* 4#.*$$%!;"! .!, %*!;"2;.!;/, .!%!"!$ "#

    CYP3A5 O2!% +!,- ,-,#2$ CYP3A $/*% %,!;" .!, %*!,!;" #!*&$ ."!!,.-&,!!, 2*$!! .,-!, $%!;"!5

     C,%# 2!% "!, +!,- ,-,#2$ %!2"$ 2,;.!;/, !"!# :7";!/, ,,-!%!, *$ %$$%!$E%#%, ,,-!%!, %,-!% #.%, .!, ,&*&,!, %,-!% 2,;.!;/,

    '$/#,+%, ,,-!%!, %,-!% #+.!,%,6.!, ,&*&,!, %,-!% 2,;.!;/,

    ,.,!9*6 ,"',!9*6 *%,!9*6 $!&,!9* !."!# ,#2%* /*%!$ +!,- ,,-!%!, ' 2,;.!;/,

    %*!,!;"6 %,!;" .!, 9*,!;" ,,-!%!, ' 2,;.!;/,

    K,%*!,.!$

    B,;.!;/, &,-, ,+2!2!, -!,--&!, /!.! '%!" ! .!!, $!%& ,-!,.&,-5

    D$%*2&$ %*!,$/"!$,%!" ,-!2!%!, ./*$ $$% $*!' /&$!% .!, &-! ' %#.*!!"!2!% .!* /,--&,!!, 2!% #/,% 2,;.!;/, /!.! ,--&,--& %*!#* #!"!,5

    5

     

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    11/13

    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.!

    Ki$ia T.! A.! T.! A.! T.! A.!

    T#r+a*i p#r"ba0a(

    ar(a

    T.! A.! T.! A.! T.! A.!

    T#r+a*i #(*apa( T.! A.! T.! A.! T.! A.!

    T#r+a*i %#r"0a( T.! A.! T.! A.! T.! A.!

    Far$a%o%i(#!i% ABSORPSI Oba! 1 / Oba! & Oba! 1 / Oba!

    .

    Oba! & / Oba!

    .

    I(!#ra%si a(-s"(- sa"ra(

    c#r(a

    Norvas%  :Bioavailabilitasabsolute diestimasi diantara 64dan

    90%T#(or$i(:2!9!"!2"%!$*!",+! *,.!# "2# &*!,-

    ?0

    Norvas%  :Bioavailabilitasabsolute diestimasidiantara 64 dan90%

    Esi-a( :puncak levelplasmadicapaidiantara 1-6

     jam

    T#(or$i(:2!9!"!2"*!",+! *,.!# "2#

    &*!,- ?0

    Esi-a( :puncak level plasmadicapaidiantara 1-6 jam

    P#r"ba0a( pH *aa$sa"ra( c#r(a T.! A.! T.! A.! T.! A.!

    2a%!" !ra(si! *aa$ "s"s T.! A.! T.! A.! T.! A.!

    P#r"ba0a( ,ora "s"s T.! A.! T.! A.! T.! A.!

    E,#% !o%sis pa*a sa"ra(

    c#r(a

    T.! A.! T.! A.! T.! A.!

    DISTRIBUSI Oba! 1 / Oba! & Oba! 1 / Oba!

    .

    Oba! & / Oba! .

    I%a!a( oba! *#(-a( pro!#i(

    pas$a

    A.!

    Norvas%:3

    T#(or$i(:

    @1@ 

    A.!

    Norvas%:3

    Esi-a(:

    3

    A.!

    T#(or$i(:@1@

    Esi-a(:

    3

    Da3a i%a!a( !#r0a*ap +ari(-a(

    !"b"0

    A.!

    T#(or$i(: 2*!%!,.,-!, *$/%* 2%!

    Ti*a% a*a A.!

    T#(or$i(: 2*!%!,.,-!, *$/%* 2%! 1

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    12/13

    1 !.*,*- (%*.!/!%

     /!.! /!.! !,%&,-)

    !.*,*- (%*.!/!% /!.

     /!.! !,%&,-)

    METABOLISME Oba! 1 / Oba! & Oba! 1 / Oba!

    .

    Oba! & / Oba! .

    M#ra(sa(- #(4i$ $i%roso$0a!i oba! ai(

    T.! A.! T.! A.! Esi-a(:dibantu oleh sitokrom P4!"($P#"&

    M#(-0a$ba! #(4i$ $i%roso$

    0a!i oba! ai(

    T.! A.! T.! A.! Esi-a(:inhibitor monoamine oksida

    P#r"ba0a( aira( *ara0 %#

    0#par

    Norvas%  :90% ditukarkan kepadametobolit 'aninakti)melaluimetabolismehepar 

    T#(or$i( :%.! ,-!"!

    %!2"$ ",%!$

     /*%!!

    Norvas%  :90% ditukarkankepada metobolit'an inakti) melaluimetabolisme hepar dimetabolit di hepar 

    Esi-a(: dimetabolit di hepar 

    T#(or$i( :%.! ,-!"!%!2"$ ",%!$ /*%!

    Esi-a(: dimetabolit di hepa

    EKSKRESI Oba! 1 / Oba! & Oba! 1 / Oba! . Oba! & / Oba

    Oba! 3a(- *i%#"ar%a( $#a"i

    0#$p#*":

    • Ha$ba!a( *aa$ s#%r#si oba!

    %# *aa$ 0#$p#*"

    • Ga(--"a( 5r#"p!a%#6 oba! *ari

    sa"ra( c#r(a %# si%"s 0#pa!i% 

    'si%"s #(!#ro0#pa!i%)

      T.! A.!

    T.! A.!

    T.! A.!

    T.! A.!

    T.! A.!

    T.! A.!

    Oba! 3a(- *i%#"ar%a( $#a"i

    -i(+a:

    • Fi!rasi -i(+a

    • S#%r#si !"b""s -i(+a

    • P#r"ba0a( pH "ri(

    Norvas%  :

    @0 %2"% .$*$

    .!"! &*,5

    T#(or$i(:

    .$*$!, $7!*! &%

    "!"& -,!"

    Norvas%  :

    @0 %2"%

    .$*$ .!"!

    &*,5

    Esi-a(:

    $%!;"!

    .$*$ "!"&&*,

    T#(or$i(:

    .$*$!,$7!*! &%

    "!"& -,!"

    Esi-a(:

    $%!;"!

    .$*$"!"& &*,

    A(aisa : T!.! *!$ !,%!*! 2!% N*9!$  (A"./,!)6T,*, (A%,"") !&/&, E$"-!,

    (B,;.!;/,)5

  • 8/18/2019 Interaksi Obat Sistem Kardiovaskular - Copy

    13/13

    Far$a%o*i(a$i% 

    I(!#ra%si Oba! 1 / Oba!

    &

    Oba! 1 / Oba!

    .

    Oba! & / Oba! .

    Sis!#$ r#s#p!or 3a(- sa$a T.! A.! T.! A.! T.! A.!

    Sis!#$ ,isioo-is 3a(- sa$a T.! A.! T.! A.! T.! A.!

    P#r"ba0a( *aa$ %#s#i$ba(-a(caira( ##%!roi!

    T.! A.! T.! A.! T.! A.!

    Ga(--"a( $#%a(is$# a$bia( a$i(#

    *i 0"+"(- sara, a*r#(#r-i% 

    T.! A.! T.! A.! T.! A.!

    I(!#ra%si *#(-a( p#(-0a$ba! MAO T.! A.! T.! A.! T.! A.!

    K#si$p"a(  : T!.! *!$ !,%!*! 2!% N*9!$   (A"./,!)6T,*, (A%,"") !&/&,

    E$"-!, (B,;.!;/,)5

    Daftar pustaka

    1) F!*!"- .!, T*!/ E.$ ? D/!*%, F!*!"- .!, T*!/&% FK UI (&!$&*!%

    46100 .!, 34@)

    ) 5P&2.57

    3) 5.*&-"257

    http://www.pubmed.com/http://www.pubmed.com/