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RIWAYAT PENGOBATAN

Allopurinol Domperidon Salmeterol


Simvastatin Estazolam Fluticasone hisap
Candersartan Alprazolam
Omeprazole Celecoxib

POLIFARMASI (Terrie, 2004)


1. Tanpa indikasi jelas
2. Terapi sama penyakit sama
3. Obat-obat berinterkasi dipakai bersamaan
4. Dosis tidak tepat
5. Obat-obat lain untuk mengatasi ESO yang lain

Bailie, George R. dkk. 2015. MEDfacts Pocket Guide of Drug Interactions Second Edition. Bone Care Natinal.
Gomella, Leonard G. dkk. 2016. Clinicians Pocket Drug Reference 2016 : The Scut Monkey Drug Manual. New York: McGraw Hill.
RIWAYAT PENGOBATAN
OBAT GOL. INTERAKSI MANAJEMEN ALASAN
Allopurinol XOI - STOP. Periksa darah
Periksa darah dahulu
Simvastatin Statin Alprazolam, Fluticasone, STOP. Periksa darah
Salmeterol Periksa darah dahulu
Candesartan ARB Paracetamol, Albuterol, Turunkan dosis ES minimal
(Anti HTN) Alprazolam
Omeprazole PPI Fluticasone, Salmeterol, Berikan. Perhatikan dosis ES minimal
Albuterol, Alprazolam
Domperidon Anti Emetik Alprazolam, Salmeterol STOP ES dan geriatri
Estazolam Hipnotik Alprazolam Seperlunya Ketergantungan
sedatif ES banyak
Alprazolam Anti Cemas Fluticasone, salmeterol, STOP ES banyak
acetaminophen,
albuterol

Bailie, George R. dkk. 2015. MEDfacts Pocket Guide of Drug Interactions Second Edition. Bone Care Natinal.
Gomella, Leonard G. dkk. 2016. Clinicians Pocket Drug Reference 2016 : The Scut Monkey Drug Manual. New York: McGraw Hill.
RIWAYAT PENGOBATAN
OBAT GOL. INTERAKSI MANAJEMEN ALASAN
Celecoxib NSAID Omeprazole, simvastatin STOP. Ganti ES fatal (FDA
(Coxibs) Acetamenophen alert)
Salmeterol Inhalan Fluticasone, STOP. Ganti Albuterol ES banyak
Respirasi Acetaminophen,
Albuterol, Alprazolam,
Simvastatin, Omeprazole
Fluticasone Inhalan Salmeterol, Omeprazole,
hisap Respirasi Acetaminophen,
Alprazolam, Simvastatin

Bailie, George R. dkk. 2015. MEDfacts Pocket Guide of Drug Interactions Second Edition. Bone Care Natinal.
Gomella, Leonard G. dkk. 2016. Clinicians Pocket Drug Reference 2016 : The Scut Monkey Drug Manual. New York: McGraw Hill.
KESIMPULAN TATALAKSANA
Non Farmakologis :
1. Perbaiki gaya hidup
2. Edukasi keluarga
3. Kurangi aktivitas

Farmakologis :
1. Omeprazole : 20-40 mg/d PO ac
2. Candesartan : max 8 mg/d PO pc
3. Estazolam : 1-2 mg PO qhs PRN
4. Paracetamol : max 400 mg/d PO pc PRN
5. Salbutamol : 24 mg PO tid-qid PRN

Tindak lanjut :
Rujuk ke psikiater (terapi kausal depresi)
Bailie, George R. dkk. 2015. MEDfacts Pocket Guide of Drug Interactions Second Edition. Bone Care Natinal.
Gomella, Leonard G. dkk. 2016. Clinicians Pocket Drug Reference 2016 : The Scut Monkey Drug Manual. New York: McGraw Hill.