8/16/2019 Farmakologi Practice
1/82
FARMAKOLOGI
PRAKTIS
8/16/2019 Farmakologi Practice
2/82
APA TUJUANNYA ?
TIU : Memahami terapi
farmakoloi
TIK : Me!etah"i Pe!olo!a!
O#at $a! Mamp" me!e!t"ka!
terapi pe!o#ata! %a! tepat
8/16/2019 Farmakologi Practice
3/82
&ASAR
FARMAKOLOGIS'&IAAN( )ARA P'M*'RIAN(
+AKTU PARU,
8/16/2019 Farmakologi Practice
4/82
S'&IAAN
PADAT
CAIR
AEROSOL
CREAM/
SALEP
8/16/2019 Farmakologi Practice
5/82
)ARA P'M*'RIAN
Si-temik : oral, parenteral /
injeksi (IC,SC,IM,IV), inhalasi,
mukosa (sublingual, per rectal,
per vaginam)
Lokal : topikal, intraokuler
8/16/2019 Farmakologi Practice
6/82
+AKTU PARU,
Ukuran masa kerja obat Waktu yang dibutuhkan
konsentrasi obat dalam serumdarah tinggal setengahnya Metabolisme ?
Efek obat ?
8/16/2019 Farmakologi Practice
7/82
ANTI*IOTIK
GOLONGAN P'NI)ILLIN'
8/16/2019 Farmakologi Practice
8/82
Golo!a! Pe!i.illi!
Amoxicillin
Ampicillin
*a.ampi.illi!
)ar#e!i.illi!
)lo/a.illi!
&i.lo/a.illi!
Fl".lo/a.illi! Methi.illi!
Penicillin G
Penicillin V
O/a.illi!
Pi0ampi.illi!
8/16/2019 Farmakologi Practice
9/82
Amo/i.illi! I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"e
i!fe.tio!- KI : ,iper-e!-itif & : &2- 3 A!ak 4 56 K :
5768766 m 9/hr
A!ak ; 56 K :
768
8/16/2019 Farmakologi Practice
10/82
Ampi.illi! I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!-
KI : ,iper-e!-itif & : &2- 3 A!ak 4 56 K :
5768766 m 9/hr
A!ak ; 56 K :
768
8/16/2019 Farmakologi Practice
11/82
Pe!i.illi! G I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!- KI : ,iper-e!-itif & : &2- : 96616668661666 U!it
IM
8/16/2019 Farmakologi Practice
12/82
ANTI*IOTIK
GOLONGAN T'TRA)Y)LIN'
8/16/2019 Farmakologi Practice
13/82
Golo!a! Tetra.%.li!e
&eme.lo.%.li!e
Doxycycline
Mi!o.%.li!e Oxytetracycline
Tetracycline
8/16/2019 Farmakologi Practice
14/82
&o/%.%.li!e I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!-
KI : ,iper-e!-itif & : &2- :
8/16/2019 Farmakologi Practice
15/82
O/%tetra.%.li!e I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!-( -pektr"m l"a- KI : ,iper-e!-itif & : &2- :
8/16/2019 Farmakologi Practice
16/82
Tetra.%.li!e I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!-( Spektr"m l"a-
KI : ,iper-e!-itif( Selama ,amil(Me!%"-"i
& : &2- : 576 m oral tiap
Bam A!ak : 57876 mK**hari$o-i- ter#ai >58E kali
'S : G!1 GI( Reak-i Aleri( A!afilak-i-( a!"a! pa$a
Ba!i! $a! pert"m#"ha!
a!ak( -akit kepala he#at Se$iaa! :
Kap-"l 576 m( 766 m
8/16/2019 Farmakologi Practice
17/82
ANTI*IOTIK
GOLONGAN TRIM'T,OPRIM8
SULFAM'T,OAOL'
8/16/2019 Farmakologi Practice
18/82
Golo!a! Trimethoprim8
S"lfametho/aHole
S"lfa$iaHi!e8Trimethoprim
Sulfamethoxazole-
Trimethoprim
8/16/2019 Farmakologi Practice
19/82
Trimethoprim8S"lfametho/aHole
I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!- KI : ,iper-e!-itif( ,amil(
Me!%"-"i( *a%i( Gaali!Bal
& : &2- : 6m8
8/16/2019 Farmakologi Practice
20/82
ANTI*IOTIK
GOLONGAN
),LORAMP,'NI)OL
8/16/2019 Farmakologi Practice
21/82
Golo!a! )hloramphe!i.ol
Chloramfenicol
Thiamfenicol
8/16/2019 Farmakologi Practice
22/82
)hloramfe!ikol I : 'fektif "!t"k i!fek-i S1 t%pii $a!
S1 parat%pii( ,1 i!fl"e!Ha(topikal i!fek-i k"lit $a! l"#a!
teli!a KI : ,iper-e!-itif( $epre-i -"m-"m
t"la!( Ga!"a! f/ hati Gi!Bal#erat( A!emia( Kehamila!
trime-ter III & : &2- : 76mK**hari $alam
$o-i- ter#ai E >oral(I=(I!f"- A!ak : 768E@ 5 m8< th! 76
mK**hari 'S : G!1 GI( Reak-i Aleri(
A!afilak-i-( -i!$r1 Ste0e! Boh!-o!( a!emia mealo#la-tik
Se$iaa! :Kap-1 576 m( 766 m
=ial
8/16/2019 Farmakologi Practice
23/82
ANTI*IOTIK
GOLONGAN )LIN&AMY)IN
8/16/2019 Farmakologi Practice
24/82
Kli!$ami-i! I : 'fektif "!t"k I!fek-i oleh
Strepto.o.."- a!ero#ik KI : ,iper-e!-itif & : &2- : 668566m,ari IM(
I= $o-i- ter#ai 98E $o-i-(I!f"- T$k #oleh 4
8/16/2019 Farmakologi Practice
25/82
8/16/2019 Farmakologi Practice
26/82
Golo!a! Ami!ol%.o-i$e
Amika.i!
Gentamicin
Kanamisin Neomi.i!
Netilmi.i!
Streptomicin To#rami.i!
8/16/2019 Farmakologi Practice
27/82
Ge!tami.i! I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI pemakaia! ter#ata-(
Sep-i-( Soft ti--"e i!fe.tio!-(Spektr"m l"a- "!t"k #akteri ram!eatif( t$k efektif "tk k"ma!a!aero#(
KI : ,iper-e!-itif & : &2- : 987mK**,ari $lm 9
$o-i- tiap C Bam IM(I= A!ak : 8(7mK**,ari >9
$o-i-C Bam*a%i Neo!at"- :
(7mK**,ari >9 $o-i-CBam*a%i < m : 7mK**,ari >5
$o-i-
8/16/2019 Farmakologi Practice
28/82
ANTI*IOTIK
GOLONGAN M'TRONI&AOL'
8/16/2019 Farmakologi Practice
29/82
Metro!i$aHole I : Terapi trikomia-i-( amoe#ia-i-
"-"- $a! amoe#ia-i- hati
KI : ,iper-i!-iti0ita-( Kehamila!(
Me!%"-"i( Pe!$erita SPP
& : &2- : 766 m 9 pem#eria!hr
A!ak : 97876 mK**hr $o-i-
ter#ai 'S : G! GI( a!orek-ia( -akit
kepala( reak-i aleri
Se$iaa! :
ta#1 766 m
I!f"- 766 m
8/16/2019 Farmakologi Practice
30/82
ANTI*IOTIK
GOLONGAN MA)ROLI&'S
8/16/2019 Farmakologi Practice
31/82
Golo!a! Ma.roli$e-
Erythromycin
)larithrom%.i!
AHithrom%.i!
8/16/2019 Farmakologi Practice
32/82
'r%throm%.i!
I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!-
KI : ,%per-e!-itif & : &2- :
8/16/2019 Farmakologi Practice
33/82
ANTI*IOTIK
GOLONGAN )'P,ALOSPORIN
8/16/2019 Farmakologi Practice
34/82
8/16/2019 Farmakologi Practice
35/82
Golo!a! )ephalo-pori!
Ge!era-i III :
)ef$i!ir
)efi/ime
Cefotaxime Ceftaziime
Ceftriaxone
Ge!era-i I= :
)efepime
8/16/2019 Farmakologi Practice
36/82
)efa$ro/il
I : I!f1 Tr1 Re-p1( Tr1 Uri!aria(
GI( Sep-i-( Soft ti--"ei!fe.tio!-
KI : ,%per-e!-itif & : &2- :
8/16/2019 Farmakologi Practice
37/82
ANTI*IOTIK
GOLONGAN UINOLON'
8/16/2019 Farmakologi Practice
38/82
Golo!a! "i!olo!e
Ciprofloxacin
'!o/a.i!
!e"ofloxacin
Lomeflo/a.i!
Mo/iflo/a.i!
#orfoxacin Ofloxacin
8/16/2019 Farmakologi Practice
39/82
)iproflo/a.i!
I : Terapi i!fek-i k"ma! ram
38( Sal1 Nafa-( Sal1 Kemih(Sal( )er!a $a! Go!oroe
KI : ,%per-e!-itif & : &2- : Sal1 Nafa- : 5768
76m 5 kali $lm -ehari(Sal1 Kemih 5768766m 5kali $lm -ehari( Go!oroe576 m $o-i- t"!al
A!ak : t$k $ia!B"rka!( oral(78
8/16/2019 Farmakologi Practice
40/82
ANTI=IRUS
GOLONGAN
8/16/2019 Farmakologi Practice
41/82
ANTIJAMUR
GOLONGAN
8/16/2019 Farmakologi Practice
42/82
ANALG'TIK8
ANTIPIR'TIK
A)'TAMINOP,'N
8/16/2019 Farmakologi Practice
43/82
Para.etamol
I : A!ale-ik( a!tipiretik(
a!timire! KI : G! F/ hati "!Bal(
pre!a!.%( lakta-i
& : &2- : 7668
8/16/2019 Farmakologi Practice
44/82
ANALG'TIK(ANTIPIR'TIK
(ANTI INFLAMASI >NSAI&
8/16/2019 Farmakologi Practice
45/82
Golo!a! NSAI&
Diclofenac
'to$ola.
Fe!oprofe!
Flo.tafe!i!e Flor#iprofe!
$%uprofen
I!$ometha.i! Me.lofe!amate
Ketoprofen
As& 'efenamat
'eloxicame
Napro/e! Phe!%l#"ta-o!e
Piroxicam
Te!o/i.am
8/16/2019 Farmakologi Practice
46/82
A!aletik
&i.lofe!a.
I#"profe!
Ketoprofe!
A-1Mefe!amat
8/16/2019 Farmakologi Practice
47/82
A!ti8Go"t
&i.lofe!a.
Ketoprofe!
I#"profe!
Piro/i.am
8/16/2019 Farmakologi Practice
48/82
8/16/2019 Farmakologi Practice
49/82
A!ti8&%-me!orrhoe
&i.lofe!a.
A-1Mefe!amat
Piro/i.am
Ketoprofe!
I#"profe!
8/16/2019 Farmakologi Practice
50/82
Sakit Kepala
&i.lofe!a.
I#"profe!
Ketoprofe!
A-1 Mefe!amat
I# f
8/16/2019 Farmakologi Practice
51/82
I#"profe!
I : &emam pa$a a!ak( RA(
Go"t( &%-me!orhoe KI : ,%per-e!-itif( La.ta-i
& : &2- :
8/16/2019 Farmakologi Practice
52/82
A-am Mefe!amat
I : Sakit Kepala( Rhe"mati.(
&%-me!orhoe( L*P KI : Ulk"- peptik( ! f/ hati $a!
i!Bal & : &2- : 5768766 m 9/
pem#eria!
A!ak 4 #l! : (7mK**hr $o-i- ter#ai
'S : G! GI( per$araha! -al1)er!a( "lk"- peptik
Se$iaa! :
)ap-1 576 m( 766 m
Ta#1 576 m( 766 m
A l tik L i
8/16/2019 Farmakologi Practice
53/82
A!aletik Lai!!%a
8/16/2019 Farmakologi Practice
54/82
ANTI,ISTAMIN'
Kl f i i M l t
8/16/2019 Farmakologi Practice
55/82
Klorfeniramin Maleat
I! : aleri ri!a(kemeraha! $a!
irita-i kare!a alerimaka!a! iita!
-era!a1
'- : ka!t"k( ! pe!lihata!(
me!e!talka! -ekret1
&o-i- :$2- E m >mak- 5E m
a!ak < m >mak-
8/16/2019 Farmakologi Practice
56/82
Difenhidramin HCl
I : Reak-i aleri( A!afilaktik(
A!ioe$ema( Urtikaria(rhi!iti- aleri( ko!tak$ermatiti-
KI : Premat"r( A."te A-thmaatta.k
& : &2- :
8/16/2019 Farmakologi Practice
57/82
P'N'TRAL ASAM
LAM*UNG
Antasida
8/16/2019 Farmakologi Practice
58/82
Antasida
Komp1 : Al>O,9 566 m 3 M>O,5
566 m I : Ga-triti-( $"o$e!al "l.er & : &2- :
8/16/2019 Farmakologi Practice
59/82
ANTAGONIS ,5
R')'PTOR
Cimetidine
8/16/2019 Farmakologi Practice
60/82
Cimetidine
I : Ulk"- $o"$e!al( $%-pep-ia(
re$"k-i hiper-ekre-ia-am lam#"!( Refl"k- SP : Pe!"r"!a! f"!-i i!Bal(
Pre!a!.%( Lakta-i & : Propilak-i- :
8/16/2019 Farmakologi Practice
61/82
Ranitidine
I : T"kak lam#"!( Refl"-
oe-ofa"-( ,iper-ekre-ia-am lam#"! KI : ,iper-e!-itifita- & : T"kak lam#"! $a! Refl"- :
5 kali
8/16/2019 Farmakologi Practice
62/82
KORTIKOST'ROI&
8/16/2019 Farmakologi Practice
63/82
Kortiko-teroi$
*etametha-o!e
)orti-o!e
Dexametahsone
,%$ro.orti-o!e
Metilpre$!i-olo!e
Pre$!i-olo!e Prenisone
Prednisone
8/16/2019 Farmakologi Practice
64/82
Prednisone
I! : Anti inflamasi, Alergi,
Asma bronkial KI : Ulkus peptikum,Gangguan sistemkardiovaskuler
Dosis : Asma bronkial : 30 -60 mg per
oral Erupsi obat : 40-60 mg per oral
8/16/2019 Farmakologi Practice
65/82
ANTI'M'TI)
&OPAMIN'RGI) *LO)KING
AG'NT
8/16/2019 Farmakologi Practice
66/82
&opami!eri. *lo.ki! Ae!t
Meto.loprami$e
&omperi$o!e
Metoclopramide
8/16/2019 Farmakologi Practice
67/82
Metoclopramide
I : Na"-ea( 0omiti!(
$%-pep-ia KI : epilep-i & : &2- :
8/16/2019 Farmakologi Practice
68/82
Domperidone
I : G! GI( !a"-ea( 0omoti!(
epia-tri. pai! & : &2- :
8/16/2019 Farmakologi Practice
69/82
*RON),O&ILATOR
8/16/2019 Farmakologi Practice
70/82
*ro!.ho$ilator
Al%uterol ( Sal%utamol
*itolterol
Epinephrine
Fe!oterol
Metaprotere!ol
Ter#"tali!e
Sal!tamol
8/16/2019 Farmakologi Practice
71/82
I : *ro!kho$ilator a-ma
#ro!khial( *ro!khiti- kro!i-('mph%-ema SP : ,%pertiroi$( )= &i-ea-e(
Gla"koma -"$"t tert"t"p(Pa-ie! $! a!tih%perte!-i
& : &2- : 5 m $i#erika! 98E
kali A!ak : 6(
8/16/2019 Farmakologi Practice
72/82
Adrenaline
I : S%ok A!afilaktik $a! Reak-i
,iper-e!-itif KI : Kelai!a! Ba!t"!(
Per$araha! otak(Gla"koma -"$"t tert"t"p
& : 6(5 mL < mL S)IM
'mere!.% : 6(5 mL I=>Jara! $ilak"ka!
'S : Sakit kepala( Takikar$ia(Per$araha! otak
Se$iaa! :
A$re!ali!e Amp"l < mL >< mmL
8/16/2019 Farmakologi Practice
73/82
ANTISPAMO&I)
Papa"erine
8/16/2019 Farmakologi Practice
74/82
Papa"erine
I : Kolik ka!$"! empe$"(
kolik re!al( kolik a#$ome! & : &2- :
8/16/2019 Farmakologi Practice
75/82
ANTI8&IAR'
Loperamide
8/16/2019 Farmakologi Practice
76/82
Loperamide
I : &iare %a! ak"t $a! kro!ik
KI : I!fa!t- & : $o-i- i!itial : E m@ 5 m tiap
*A* >Ma/1
8/16/2019 Farmakologi Practice
77/82
Acti"ated Attap!l#ite
I : &iare !o!8-pe-ifik >foo$
poi-o!i! KI : Gaal i!Bal $a! hati %a!#erat
& : &2- :
8/16/2019 Farmakologi Practice
78/82
ANTI8K'JANG
Dia$epam
8/16/2019 Farmakologi Practice
79/82
Dia$epam
I : KeBa!( epilep-i $a! -tat"- epilep-i( a!-ieta-(i!-om!ia
KI : Ka-"- p-iko-i- #erat( ,amil trime-ter I(Neo!at"-( Gla"koma -"$"t tert"t"p1
& : A!ti-pa-me &2- :
8/16/2019 Farmakologi Practice
80/82
ANTI8&OT'
Atropin S!lfate
8/16/2019 Farmakologi Practice
81/82
Atropin S!lfate
I : Kera."!a! ora!ofo-fat(a!ti-pa-ma
KI : ,ipertropi pro-tat(Si!$rom&ime!-ia(Gla"koma -"$"ttert"t"p
& : 6(578< m S) &2- :
8/16/2019 Farmakologi Practice
82/82
%orit
I : Kera."!a! o#at8o#ata!>me!ikat ra."! $a!
me!"ra!i a#-or#-i!%a$alam "-"-
& : < rk** -eera -etelahi!e-ti ra."!
Ula!i $o-i- 56 6 r 5 Bam kem"$ia!