Obat Anti Depjresi
Transcript of Obat Anti Depjresi
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OBAT ANTI - DEPRESIOBAT ANTI - DEPRESI
SAPTANDIA WULAN C.L2007.04.0.0135
ILMU KESEHATAN JIWARS BHAYANGKARA SURABAYA
20 Fe!"#!$ 2012
A%&$ De'!e((#%&( ) &*+,-e'&$/( ) P(+/*$/ E%e!$e!(
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PenggolonganPenggolongan
Trisiklik) TCA T!$/+/$/ #%&$e'!e((#%& A,$&!$'&$$%6 I,$'!#,$%e6 C-,$'!#,$%e6
T$#%e'&$%eTetrasiklik A,-#'$%e6 M#'!-&$$%e6M$#%(e$%MAOI reversible) RIMA !e8e!($e $%*$$&-!
-9 M-%-#,$%e :+#(e M-/-e,$e
SSRI (selective serotonin ReuptakeInibitors! Se!&!#$%e6 F"8-#,$%6F"-e&$%e6 C$-'!#,At"pical T!#--%e6 M$!#'$%e6
;e%#9#$%e
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In#ikasiIn#ikasi
Ge R#(# *#&$ ,"!"% ,-- e'!e($ > H$#% ,$%#& #% !#(# (e%#% > K"!#% &e%##6 ,"#* e#*Se#,# 2 ,$%" #% *#,'$! &e! P$?$!#% 'e!$*# -(# > P#%#%#% ("!#, #% 'e($,$( > G##(#% "%"* $!$ > G#%"#% &$"!6 'e%"!"%#% %#9(" ,#?#%
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Mekanis$e %er&aMekanis$e %er&a
H#,#& !e>"'?e #,$%e!$/ %e"!-&!#%(,$&&e!H#,#& 'e%*#%/"!#% -e* e%$, ,-%-#,$%e :$#(e
Se*$%# &e!
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E'ek Sa$pingE'ek Sa$ping
Se#($ !#(# ,e%#%&"?6 ?e#('###% e!?"!#%6 ?$%e! e&*# D-(e T!$($?$? 10 &*e!#'e"&$/ -(e
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Interaksi ObatInteraksi Obat
AD CNS De'!e((#%&( ,-!9$%6 #?-*-6 BD e9e?(e#($ ,e%$%?#& #% 'e%e?#%#% '"(#& %#9#( >!e('$!#&-!+ 9#$"!e
T!$($?$? *#-'e!$- ) '*e%-&*$#$%e ?e/e'#%e?(?!e($ &!$($?$? ,e%"!"% > ?##! ##, '#(,#,e%$%?#& > e9e? #%&$?-$%e!$? ,e%$%?#& > #%"#%#(-!($6 $e"(6 '#!#$&$?6 $("!$#
MA:I -#& ($,'#&-,$,e&$? '*e%+'!-'#%-#,$%e6
'(e"-e9e!$% -#& 9")#(,#6 NA #%e(&e($ -?#6 e!$8#&A,9e,$%6 L>D-'# )(e%+## &+!#,$%e ?e !e($?- (e!#%#% (&!-?e
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Pengaturan DosisPengaturan Dosis D##, 'e%#&"!#% -($( 'e!" ,e,'e!&$,#%?#%= :%(e& e9e? '!$,e! = (e?$! 2>4 ,$%"
:%(e& e9e? (e?"%e! = (e?$! 12>24 mulai dosis anjuran sampai
mencapai dosis efektif ->dosis optimal3. Stabilizing dosage (stabilization dose) -> -($( -'&$,# (e#,# 2>3
"#% > $&"!"%?#% (#,'#$ -($( 'e,e$*#!##%. !aintaining dosage (maintenance dose) -> (e#,# 3> "#%". Tapering dosage (tapering dose) -> (e#,# 1 "#%
De%#% e,$?$#% -#& #%&$ e'!e($ #'#& $e!*e%&$?#% &-. K##"
?e,"$#% S$%!-, De'!e($ ?#,"* #$6 '!-(e( $,"#$ #$ #!$ ###% (e&e!"(%+#. P## -($( 'e,e$*#!##% $#%
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Peratian %ususPeratian %usus
Pe%+e# ?e###% &e!#'$ AD =C-,'$#%/e ) ?e'#&"*#% '#($e%
,e%"%#?#% -#&Pe%#&"!#% -($( e", #e?"#&T$#? /"?"' #,# $'e!*#%?#% -($(
-'&$,#%+#D##, ,e%$#$ e9e? -#& &e!'e%#!"* -e*'e!(e'($ '#($e% +#% &e%e%($ %e#&$96(e*$%# 'e%$#$#% ,e%
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%ontra In#ikasi%ontra In#ikasi
E'$e'($6 G#"?-,#6 #%"#% 9"%($ *#&$6!e&e%($ "!$%6 *$'e!&!-9$ '!-(&Pe%"%##% $&*$", ?e#$%#% 9"%($
&*+!-$6