Farma-male Sexual Dysfunction
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Transcript of Farma-male Sexual Dysfunction
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MALE SEXUAL DYSFUNCTION
ERECTILE DYSFUNCTION ( ED )
KEGAGALAN MEMPERTAHANKAN EREKSI PENIS ~ IMPOTEN
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PSIKOTERAPIVACUUM ERECTION DEVICES (VEDs)
TERAPI FARMAKOLOGISOPERASI
PENATALAKSANAANNYA
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VACUUM ERECTION DEVICES (VEDs)
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Cara kerja : ↓ katabolisme cGMP → neurotransmiter vasodilator pada jaringan corporal
Terapi lini pertama terutama utk pasien usia muda
Diberikan 30-60 menit sebelum sexual intercourse dan dalam keadaan perut kosong
SILDENAFIL
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Makanan berlemak dapat memperlambat onset puncak
Tidak boleh diberikan bersamaan dengan obat E.D lainnya
Single dose
E.S: Sakit kepala, flushing, dispepsia,nasal congestion, dizzines
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UNTUK PASIEN DENGAN HYPOGONADISM
PER ORAL, PARENTERAL ( LEBIH SERING DIGUNAKAN), TOPIKAL (GEL & PATCH)
PEMBERIAN PADA PASIEN USIA > 40 TAHUN →PERIKSA APAKAH ADA BPH / Ca PROSTAT
E.S : RETENSI SODIUM, MENAIKKAN B.B, HIPERTENSI, CHF, GYNECOMASTIA, PERUBAHAN LIPOPROTEIN,
POLISITEMIA, HEPATOTOKSIK
TESTOSTERONE
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MERUPAKAN PROSTAGLANDIN E1
DAPAT DIGUNAKAN MONOTERAPI
CARA KERJA : MENINGKATKAN PRODUKSI cAMP → PENINGKATAN ALIRAN DARAH KE CORPORA & PENGISIAN DARAH KE DALAM CORPORA
SEDIAAN INJEKSI INTRA CAVERNOSAL & INTRA URETHRAL
INTRA CAVERNOSAL › EFEKTIF INTRA URETHRAL
ALPROSTADIL
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NEOPLASMA BENIGNA YANG PALING BANYAK MENGENAI LAKI-LAKI → HORMON PROSTAT
TERAPI FARMAKOLOGIS UNTUK PASIEN BPH SEDANG ATAU BERAT
BPH
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EFEK STIMULASI TESTOSTERONE
ONSET KERJA PANJANG : 6 – 12 BULAN
MENURUNKAN KADAR PROSTATE SPECIFIC ANTIGEN (PSA) SEBESAR 50%
PENURUNAN PSA < 50% → PRIKSA Ca PROSTAT
FINASTERIDE
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TERAZOSIN, TAMSULOSIN
MERELAKSASI OTOT POLOS PROSTAT & LEHER KANDUNG KEMIH → ↑ URINARY FLOW RATE & MENURUNKAN RESIDUAL URINE VOLUME
TIDAK MENURUNKAN KADAR PSA
E.S : SYNCOPE, HIPOTENSI ORTOSTATIK,
DIZZINESS
α ADRENERGIK ANTAGONIS
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KELUARNYA URINE SECARA TIDAK SADAR
TUJUAN TERAPI : 1.MEMPERBAIKI PENUTUPAN URETHRAL DENGAN STIMULASI α ADRENERGIK RESEPTOR PADA OTOT POLOS BLADDER NECK DAN PROXIMAL URETHRA
2.MENINGKATKAN SUPPORTIVE STRUCTURE YANG MENDASARI URETHRAL EPITHELIUM
INKONTINENSIA URINE
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UNTUK STRESS URINARY INCONTINENSIA
SEDIAAN : ORAL, SUPPOSITORIA, I.M, TRANSDERMAL, VAGINAL CREAM
ESTROGEN
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EPHEDRINE, NOREPHINEFRINE, PHENYLPROPANILAMIN (PPA), MIDODRINE
K.I : HT, TACHYARYTHMIA, CAD, INFARK MYOCARD, COR PULMONALE, HYPERTIROID, RENAL FAILURE, GLAUKOMA SUDUT TERTUTUP
α RESEPTOR AGONIS
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DOC UTK URGE URINARY INKONTINENSIA
DIBERIKAN SECARA BERTAHAP
CARA KERJA : 1. MENURUNKAN JUMLAH RATA-RATA
EPISODE INKONTINESIA URINE 2. MENURUNKAN JUMLAH MIKSI PER HARI
3. MENINGKATKAN VOLUME URINE SETIAP
MIKSI
OXYBUTYNIN
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DOC TERAPI INKONTINENSIA URINE
CARA KERJA : MENURUNKAN JUMLAH RATA – RATA EPISODE INKONTINENSIA
DIELIMINASI VIA METABOLISME HEPATIK
TOLTERODINE