Penggolonga Obat
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Transcript of Penggolonga Obat
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1. Hipertensi
a. Algoritma Hipertensi
b. Penggolongan Obat Hipertensi
Klass Subklass Obat (nama dagang) dosis Pemakaian
perhari
Diuretik
Thiazid
hlortalidone (H!grotone) 1"#$ % "$ 1
H!dro&hlorotalidone ('i&rozide) 1"#$ % "$ 1
ndapamide (azol) 1#"$ * "#$ 1
'etolazone (+aro,ol!n) "#$ * $ 1
oop Diuretik -umetanide (-ume,) #$ * / "0urosemide (asi,) " * "
Torsemide (Demade,) $ % 1 1
Potassium
Sparing
Amiloride ('idamor) $ * 1 1 or "
Amirolide 2 HT ('odureti&) $ * 1 1
Triamterene (D!erenum) $ * 1 1 or "
Triamterene 2 HT (D!azide) 34#$ % 4$ 1
AldosteronAntagonis
5plerenone (nspra) $ * 1 1 or "
Spirinola&tone (Alda&ton) "$ * $ 1 or "
Spirinola&tone 2 HT (Alda&tazide) "$ % $ 1
Angiotensin
on6erting
5nzime
nhibitor (A5 in)
-enazepril (otensin) 1 * / 1 or "
aptopril (aptopen) 1"#$ * 1$ " or 3
5nalapril (7asote&) $ * / 1 or "
0osinopril ('onopril) 1 * / 1
isinopril (Prini6il 2 +estril) 1 * / 1
'oe,ipril (8ni6as&) 4#$ * 3 1 or "
Perindopril (A&eon) / * 19 1
:uinapril (A&&upril) 1 * 1 or "
;amipril (Alta&e) "#$ %" 1or "
Trandolapril ('a6ik) 1 * / 1
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Angiotensin ;e&eprot
-loker (A;-)
andesartan (Ata&and) * 3" 1 or "
5posartan (Te6eten) 9 * 1 or "
bersartan (A6apro) 1$ * 3 1
osartan (ozaar) $ * 1 1 or "
Olmesartan (-eni&ar) " * / 1
Telmisartan ('i&ardis) " * 1
7alsartan (Dio6an) * 3" 1
al&ium
anal
-lo&ker (-)
Dih!dropiridi
n
Amlodipin (<or6as&) "#$ * 1 1
0elodipine (Plendii) $ * " 1
sradipine (D!na&ir&) $ * 1 "
sradipine S; (D!na&ir& S;) $ * " 1
<i&ardipin S; (ardene S;) 9 * 1" "
<i=edipin ong%A&ting (Adalat ) 3 * > 1
<isoldipin (Sular) 1 % / 1
<on%D!hidropiridi
n
Diltiazem S; (ardizem S;) 1 * 39 "
Ditiazem 5,tended%release (ardizem A) 1" * / 1
7erapamil S; (alan S; 2 soptin S;) 1" * $/ 1
7erapamil O5; (o6era HS) 1 * /" 1
7erapamil Oral Absorption (7arelan P') 1 % / 1
-eta -lo&ker
ardio
sele&ti6e
Atenolol (Tenormin) "$ * 1 1
-eta,olol (karlone) $ * " 1
-isoprolol (+ebeta) ".$ * 1 1
'etopolol tartrate (opressor) 1 * / "
'etoprolol Su&&inate 5; (Toprol ?) 1 % $ 1
<on%Sele&ti6e
<adolol (ogard) / * 1" 1
Propanolol (nderal) 19 * / "
Propanolol ong%a&ting (nderal A) * 3" 1
Timolol (-lo&adren) 1 % / 1
Akti6itas
ntrinsik S!mtomimetik
A&ebutolol (Se&tral) " * "
arteolol (artrol) ".$ * 1 1
Penbutolol (e6atol) 1 * / 1
Pindolol (7isken) 1 * 9 "
ampuran
Al=a dan -eta
-lo&ker
ar6edilol (oreg) 1".$ * $ "
ar6edilol 0os=at (oreg ;) " * 1
abetelol (<ormod!ne) " * "
". H!perlipidemia
a. 'ekanisme aksi obat
Klass Mechanism of Action Effect on LipidEffect on
LipoproteinResin @ D &atabolism
absorpsi Kolesterol
kolesterol Dl
@ 7D
Niacin D 7D sintess
Trigliseride Kolesterol
D 7D
@ HD
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Fibrate @ 7D learean&e
7D sintesis
Trigliseride
Kolesterol
D
7D
@ HD
Inhibitor HMG-
CoA
@ D &atabolism
D sintesis
Kolesterol D
Ezetimibe
b. Penggolongan Obat
Golonan !bat "nama pasaran#
$osis
pen%naan
perhari
$osis
ma&sim%m
perhari
0ibrate0eno=ibrate (Tri&or) $/ mg 2 93 mg "1 mg
Bemi=ibrozil (opid) 9 mg (",1) 1#$ gr
nhibitor H'B%oA
o6astatin ('e6a&or) " * / mg mg
Pra6astatin (Pra6a&hol) 1 * " mg / mg
Sim6astatin (+o&or) 1 * " mg mgAtro6astain (ipitor) 1 mg mg
;osu6astatin (restor) $ mg / mg
;esin
holest!ramin (:uestran) gr (3,1) 3" gr
olestipol H!dro&loride (olestid) 1 gr (",1) 3 gr
olese6elam (Cel&hol) 1#4$ mg (",1) /#34$ mg
<ia&in <ia&in " gr (",1) > gr
3. Diabetes 'elitus
a. a=d
/. Diare
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$. 'ual 'untah
9. Depresi
4. Kosntipasi
. Asma
>. Pirai 2 Asam 8rat