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LABORATORIUM ILMU KESEHATAN JIWA
FAKULTAS KEDOKTERAN UNIVERSITAS MULAWARMAN
RSJD. ATMA HUSADA MAHAKAM SAMARINDA
2015
ARIPIPRAZOLE & DIPHENDYRAMINE
PRESENTASI
Disusun Ol!"
Putri Yekti Budiasih
1#1002$001
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Nama Generik :
Aripipra!"eNama Merk :
A#i"i$%ediaan :
'a# (m) *+,+-./,012.,3s4'a# .,m) */5(-55,012.,3s4
'a# .(m) *667-(,,012.,3s4
irup .(,mL *(.+0+(,2#t"4
In8 90(m)2.0/mL*+7+09,,2;ia"4
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GOLONGAN OBA'
antipsik!tik
)enerasi kedua
% 'R
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FARMAKODINAMIK
% &'(nis )&*si&l D2 + ,u'&
-*u)&&n &'(nis )&*si&l
*s)/(* 5HT1A &n
s)*/i &n/i)si(/i l&in-nun,u&n )*(3il
&n/&'(nis *s)/(* 5
HT2A
% A*i)i)*&4(l&n/&'(nis
*s)/(* 5HT &n &'(nis
)&*si&l *s)/(* 5HT26
u&n7& n'&n &3ini/&s
/in''i.
% A*i)i)*&4(l --ilii
&3ini/&s s&n' un/u
!is/&-in &l3& &*n*'i
&n *s)/(* D# &n ,u'&/*&ns)(*/* s*(/(nin
n&-un /i& --ilii
&3ini/&s 7&n' 8*!&*'&
un/u *s)/(* -us&*ini
(lin*'i
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FARMAKOKINETIK
% A*i)i)*&4(l -nu,u&n in/i lin&* &n >aktu paruh
e"iminasi sekitar ( 8am. K(nsn/*&si )l&s-& s/&8il
i9&)&i &l&- 1# !&*i. =!nsentrasi p"asma maksimum
di?apai /1( 8am sete"ah d!sis !ra". Bi(&:&il&8ili/&s /&8l/(*&l si/&* $0; &n (8&/ ini -n'&l&-i meta#!"isme
hepatik ekstensi$
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INDI=AI
% T*&)i &u/ si4(3*ni& )&&
&s& + *-&,&
% T*&)i /&-8&!&n un/u
'&n''u&n )*si -&7(*
% T*&)i *u-&/&n un/u
'&n''u&n 8i)(l&* )&& &n&*-&,& + &s&
E@E= AMPING
% P&& &s& " Mu&l
Mun/&! K(ns/i)&si S&i/)&l& Pusin' A&/isi&
Ani/&s Ins(-ni& Clis&!
% P&& &n&&n& " P*&s&&n
-n'&n/u S&i/ )&l&Mun/&! F&/i' Pnin'&/&n
n&3su -&&n Ins(-ni&
Mu&l Hiun' /*su-8&/
B*&/ 8&&n 8*/&-8&!Clis&! /*-(* &u (/(/
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% M/&8(li/ &/i3 s&/us&/un7& 7&n' i/&!ui &&l&!
!i*(&*i)i)*&4(l 7&n' 8i&s&n7& 8*&u-ul&si s&-)&i
si/&* #0; (nsn/*&si &*i)i)*&4(l. O8&/ )&*n/*&ln7&
is*si !&n7& s9&*& s&-&* &n -/&8(li/n7& 7&n'
&/i3 -&u)un /i& diekskresi me"e>ati $ese dan urin.
Bil& i8*i&n s/i&) !&*i (nsn/*&si &*i)i)*&4(l i (/&
&&n -nin'&/ un/u )*i( 101# !&*i s8lu-
-n9&)&i &&* s/&8il &n (ns/&n
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PERHATIAN KHUSUS
A*i)i)*&4(l tidak di)unakan)&& penderita
psik!tik den)an demensia
'&'&l ,&n/un' -&/i&n /i8&/i8& &/&u
)nu-(ni&
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% C&-8&* )*(uNama Generik :
Diphenhidramineediaan :
1 Ampu" . m" *., m)2m"4
ia" .( m" *., m)2m"4
%rup .+0( m)2( m"
e"
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GOLONGAN OBA'
Di$enhidramin
merupakan )enerasi
pertama !#atantihistamin
% 'R
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FARMAKOKINETIK
ABORBI
% Di)!n!7*&-in
-*u)&&n amines/&8il &n
9)&/ is*&) )&&)-8*i&n s9&*& (*&l
n'&n (nsn/*&si &*&!
)un9& /*,&i )&& 2# ,&-.
DI'RIB
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CON'3
% Di)!n!7*&-in --ilii&/u *,&u*&si sl&-&
# ,&-.
% --ilii &/u )&*u!
li-in&si 2 ,&-&n 1@5 ,&- )&& )&sin
'*i&/*i.
% Bi(&:&il&8ili/&s )&&
)-&&i&n (*&l -n9&)&i#0;
?0; &n si/&* ; /*i&/
)&& )*(/in
ME'ABOLIME
% S8&'i&n 8s&* (8&/ inii-/&8(lis- &l&-
!&/i &n -n'&l&-i first-
pass efect n&-un 88*&)&
i-/&8(lis- &l&- )&*u)&*u &n
s7s/- 'in,&l
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E==REI% is*si&n l&/ u*in
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FARMAKODINAMIK
% Di3n!i*&-in --8l(i*
&si !is/&-in 7&i/u su&/u
4&/ &l&- /u8u! 7&n'
-n78&8&n ',&l& &l*'i
% Di3n!i*&-in -n'!&-8&/
)l)&s&n !is/&-in
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% Di3n!i*&-in 8*,& s8&'&i &'n
&n/i(lin*'i
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INDI=AI
% R&si &l*'i R!ini/is
&l*'i& (n,un'/i:i/is&l*'i& -&8u )*,&l&n&n
)&*ins(nis-
E@E= AMPING
% SSP " s&si -n'&n/u
)usin' ins(-ni&
% M&/& " )n'li!&/&n &8u*
% Rs)i*&/(*i " s*/ 8*(ni
-n'n/&l
% K&*i(:&sul* " !i)(/nsi
)&l)i/&si /&i&*i
% CI " -u&l -un/&! i&*
)nin'&/&n n&3su -&&n
&n(*si&
% CU " */nsi u*in
s*in'sus&! BAK
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PERHATIAN KHUSUS
An&
D&)&/ -ns/i-ul&si SSP )&*(si&l
Bu-il
K&/'(*i B
/*u/&-& )&& /*i-s/* IBusui
Mn'inusi s/i-ul&si SSP )&*&(si&l )&&
8&7i &/&u ,&n' )&& 8&7i )*-&/u* +-n'!&-8&/ l&/&si
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HATIHATI
D&)&/ -n78&8&n s&si s&&/ -n'n&*&i
&/&u -n,&l&n&n -sin
Minu- ssu&i (sis
Hin&*i )n''un&&n 8*s&-&&n '
&n/i)*s&n &l(!(l &/&u )nn&n'
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'ERIMA =AIH
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