SURYADI
MUHAMMAD DARMAWANGSAH
MUH. ALMUIZZU T.
EKO PRAKASAWAN L.
L.D. MUH. AL-FIQRA
ARDIANSYAH
IQRA RISWAN
MUH. FARID
ANITA ROHAYA
NI KADEK DWI ANGGRAENI
AYU
http://www.free-powerpoint-templates-design.com
Apa itu diii Sulfonilamida
Efek samping yang paling sering adalah reaksi alergi dan meliputi
ruam kulit, kadang – kadang di sertai demam. Yang lebih jarang
terjadi adalah reaksi yang lebih serius, misalnya sindrom Stevens –
Johnson yang merupakan bentuk eritema multiforme dengan
tingkat mortalitas yang tinggi.
Penggantian cincin
benzen dengan
sistem cincin yang
1 Gugus amino primer 2 lain dan pemasukan
Bentuk yang aktif sebagai 3
aromatik sangat penting substituen lain pada
antibakteri adalah bentuk
untuk aktifitas,karena cincin benzen akan
garam N1-terionisasi ( N1-
banyak modifikasi pada menurunkan atau
monosubstitusi), sedang N1-
gugus tersebut ternyata menghilangkan
disubstitusi tidak aktif
menghilangkan aktivitas aktivitas.
sebagai antibakteri.
antibakteri
Sulfonamida
untuk infeksi Sulfonamida Sulfonamida
sistemik untuk infeksi untuk infeksi
usus mata.
Sulfonamida Sulfonamida
Sulfonamida untuk untuk
untuk infeksi pengobatan Penggunaan
saluran seni luka bakar Lain-Lain.
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Sulfonamida
dengan masa
kerja sedang
Obat golongan ini dirancang agar sedikit
diabsorbsii dalam saluran cerna, yaitu
dengan memasukan gugus yang bersifat
hidrofil kuat seperti ptalil, suksinil atau
guanil, membentuk turunan sulfonamida
yang lebih polar. Dari usus besar,
senyawa dihidrolisis oleh bakteri usus,
Sulfonamida untuk infeksi usus
melepaskan secara perlahan-lahan
sulfonamida induk aktif. Contoh :
ptalilsulfatiazol, suksinil sulfatiazol,
sulfaguanidin dan sulfasalazin.
Obat golongan ini digunakan secara setempat untuk
pengobatan konjungtivitis, infeksi mata superfisial
Sulfonamida untuk
lain dan trakom. Contoh : sulfasetamid natrium dan
sulfisoksazol diolamin
infeksi mata
Sulfasetamid Na, digunakan untuk pengobatan
konjungtifitis yang disebabkan oleh haemophylus
aegyptius, streptococcus pneumonia dan
streptococcus aureus. Sulfasetamid sering pula
digunakan untuk infeksi pada kulit dan membrane
mukosa. Waktu paronya ± 10 jam. Dosis setempat
untuk konjungtisifitis, larutan atau salep mata ±20%,
0,1 ml 3 dd.
Sulfonamida untuk infeksi saluran seni
Golongan ini digunakan untuk
pengobatan infeksi saluran seni
karena cepat diabsorbsii dalam
saluran cerna sedang eksresi
melalui ginjal lambat sehingga kadar
obat di ginjal cukup tinggi. Contoh:
sulfasetamid,sulfadiazine,sulfaetidol, Sulfameter, absorbsi dalam
sulfameter,sulfametazin,sulfametoks saluran cerna cepat tetapi
azol, sulfasomidin dan sulfisoksazol eksresinya sangat lambat, kadar
serum tertinggi dicapai 4-8 jam
setelah pemberian secara oral,
dengan waktu paro plasma ± 48
jam. Kadar obat dalam darah
yang tidak terasetilasi ± 90%.
Dosis awal : 1,5g diikuti 0,5 g
/hari.
Sulfonamida untuk pengobatan
luka bakar
Distribusi
Semua sulfonamid terikat pada protein
plasma terutama albumin dalam derajat
yang berbeda-beda. Obat ini tersebar ke
seluruh jaringan tubuh, karena itu
berguna untuk infeksi sistemik
Famakokinetika
Sulfonamida Metabolisme
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