le prosta tik
TRANSCRIPT
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LEPROSTATIKLEPROSTATIK
dr. Yora Ninditadr. Yora Nindita20092009
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SULFONSULFON
Derivat 4.4 diamino difeni !"fonDerivat 4.4 diamino difeni !"fon
DDS# Da$!on# S"fo%!onDDS# Da$!on# S"fo%!on &a%terio!tati%&a%terio!tati%
Kom$etitif in'i(itor PA&AKom$etitif in'i(itor PA&A
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SULFONSULFON
FarmakokinetikFarmakokinetik
) A(!or$!i *A(!or$!i * Lam(at di tr. +ILam(at di tr. +I
&an,a% ter("an- eat fe!e!&an,a% ter("an- eat fe!e! Kadar $"n/a% 1 3am# 01Kadar $"n/a% 1 3am# 0155-6m-6m
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SULFONSULFON
FarmakokinetikFarmakokinetik
) Di!tri("!i *Di!tri("!i * !e"r"' 3arin-an 7 /airan t"("'!e"r"' 3arin-an 7 /airan t"("'
0180 teri%at $ada $rotein $a!ma0180 teri%at $ada $rotein $a!ma
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SULFONSULFON
FarmakokinetikFarmakokinetik
) :eta(oi!me *:eta(oi!me * daam 'e$ardaam 'e$ar
%e/e$atan a!etia!i ditent"%an oe'%e/e$atan a!etia!i ditent"%an oe'fa%tor -eneti%fa%tor -eneti%
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SULFONSULFON
FarmakokinetikFarmakokinetik
) E%!%re!i *E%!%re!i * 801;0 eat "rine daam (ent"%801;0 eat "rine daam (ent"%
meta(oitn,ameta(oitn,a
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SULFONSULFON
Efek SampingEfek Samping
)
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SULFONSULFON
Efek SampingEfek Samping
) Sindroma S"fonSindroma S"fon 1= m--1= m-- fe(ri!# maai!e# dermatiti!fe(ri!# maai!e# dermatiti!
e%!foiatif# i%ter"!# ne%ro!i! 'e$ar#e%!foiatif# i%ter"!# ne%ro!i! 'e$ar#imfadeno$ati# met'emo-o(inemia#imfadeno$ati# met'emo-o(inemia#
anemiaanemia
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SULFONSULFONTerapi DAPSONTerapi DAPSON
) 2 m-6m-- !eama 2 m--2 m-6m-- !eama 2 m--
) Tia$ 2 m-- dinai%%an @ !m$Tia$ 2 m-- dinai%%an @ !m$@6m--@6m--
) 0 m-# @6m-- (nB0 m-# @6m-- (nB) 0 m-# 4@6m-- (nB0 m-# 4@6m-- (nB
) 0 m-# @6m-- (nB0 m-# @6m-- (nB
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SULFONSULFON
Terapi DAPSONTerapi DAPSON) 00 m-# @6m-- (nB00 m-# @6m-- (nB) 00 m-# 4@6m-- ta% ter(ata!B00 m-# 4@6m-- ta% ter(ata!B
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RIFAMPISINRIFAMPISIN
Kom(ina!i den-an Da$!onKom(ina!i den-an Da$!on Do!i! =00 m-6'ariDo!i! =00 m-6'ari
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LOFA!IMINLOFA!IMIN
Kom(ina!i den-an Rifam$i!inKom(ina!i den-an Rifam$i!in(ia re!i!ten den-an Da$!on(ia re!i!ten den-an Da$!on
Efe% anti radan-Efe% anti radan-
&a%teri!id !etea' 0 'ari&a%teri!id !etea' 0 'aritera$itera$i
00 m-6'r /a$!"B00 m-6'r /a$!"B
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AMITIO!ONAMITIO!ON
T"r"nan tio!emi%ar(aConT"r"nan tio!emi%ar(aCon
Le$ra 3eni! t"(er/"oidLe$ra 3eni! t"(er/"oid Re!i!ten!iRe!i!ten!i
) t'n %e 2 $er(ai%an meam(at#t'n %e 2 $er(ai%an meam(at#) t'n %e $en,a%it %am("'t'n %e $en,a%it %am("'
&ia Da$!on td% d$t diterima&ia Da$!on td% d$t diterima
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AMITIO!ONAMITIO!ON
Efe% !am$in- * anore%!ia#Efe% !am$in- * anore%!ia#na"!ea# vomit"!# anemiana"!ea# vomit"!# anemia'emoiti%# e"%o$enia#'emoiti%# e"%o$enia#a-rano"!ito!i!a-rano"!ito!i!
Do!i! * 0 m-6'r 12 m--# d$tDo!i! * 0 m-6'r 12 m--# d$tdinai%%an !m$ 200 m-dinai%%an !m$ 200 m-