1 Use Treatment of active duodenal ulcer Treatment of peptic ulcer 2 Pregnancy Risk C 3 Pregnancy Consideration Adverse events were observed in some animal reproduction studies. Based on data collected by the Teratogen information system, it was concluded that therapeutic dose used during pregnancy would be unlikely to pose a substantial teratogenic risk. Because the possibility of harm still exists, the manufactuter recommend use during pregnancy only if the potential benefit to the mother outweighs the possible risk to the fetus. 4 Lactation Enter breast milk 5 Precautions Bioavailability may be increased in patients with hepatic dysfunction, consider dosage reductions. 6 Adverse Reactions Cardiovaskuler : tachycardia, bradycardia, palpitations, hypertension. CNS : Headache, vertigo, insomnia, confusion, fever. Dermatologic : Urtikaria, rash, dry skin, pruritus Gastrointestinal : Diarrhea, nausea, abdominal pain, vomiting, constipations, flatulence. Hematologic : thrombocytopenia, anemia, hemolytic anemia. Renal : hematuria, proteinuria 7 Mechanism of Actions Suppresses gastric acid secretion by inhibiting the parietal cell membrane enzyme APTase or proton pump; demonstrates antimicrobial activity against Helicobacter pylori. 8 Pharmacodynamics Onset of actions : 1 hour Maximum effect : 2 hours Duration : 72 hours 9 Pharmacokinetics Absorption : rapid Protein binding : 95% Metabolism : extensively hepatic by cytochrome P450 CYP 2C9. 10 Patienst Informations May cause dry mouth. Do not chew or crush garanule
1. Apa indikasi dari omeprazole?
2. Apa efek terapi dari omeprazole? bagaimana cara kerja omperazole sehingga dapat memberikan efek terapi tersebut? 3. Bagaimana cara meminum obat omeprazole. Apakah boleh dikunyah? Berikan penjelasan secara singkat ! 4. Bagaimana keamanan omeprazole untuk pasien yang tengah hamil dan ibu menyusui? Jelaskan secara singkat! 5. Apakah obat omeprazole dikontraindikasikan untuk pasien dengan gangguan fungsi hati? Jika “ya”, apa yang harus dilakukan? Jelaskan secara singkat! 6. Jika pasien mengalami gangguan fungsi hati, apa yang terjadi pada proses metabolism obat omeprazole? 7. Seorang pasien mengeluh bahwa kepalanya sakit stelah meminum obat omeprazole. Selain itu, pasien mengeluh bahwa jantungnya sering berdebar. Pasien juga mengalami gata-gatal seperti biduran di kulitnya. Apa yang terjadi pada pasien tsb?
Finally, “BILA KAU TAK TAHAN LELAHNYA BELAJAR, MAKA KAU HARUS TAHAN MENANGGUNG PERIHNYA KEBODOHAN”