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1. Muhammad bagus sumarsono 201610410311035
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1 TINJAUAN FARMAKOLOGI BAHAN OBAT

2 TINJAUAN SIFAT FISIKOKIMIA BAHAN OBAT

3 BENTUK SEDIAAN, DOSIS DAN CARA PEMBERIAN

4 FORMULASI DAN PELAKSANAAN


Tetes mata
Dengan bahan obat chloramphenicol
TINJAUAN FARMAKOLOGI BAHAN OBAT

KLORAMFENIKOL….?

Kloramfenikol adalah salah satu antibiotik yang secara kimiawi diketahui paling stabil
dalam segala pemakaian. Dia memiliki stabilitas yang sangat baik pada suhu kamar dan
kisaran pH 2 sampai 7, stabilitas maksimumnya dicapaipada pH 6. Pada suhu 25℃ dan
pH 6, memiliki waktu paruh hampir 3 tahun. Yang menjadi penyebab utama terjadinya
degradasi kloramfenikol dalam media air adalah pemecahan hidrolitik pada pemecahan
amida. Laju reaksinya berlangsung dibawah orde pertama dan tidak tergantung pada
kekuatan ionik media (Connors, 1986).
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1 2
INDIKASI PERINGATAN
Kloramfenikol merupakan antibiotik Hindari pemberian berulang dan
spektrum luasKloramfenikol juga jangka panjang. Turunkan dosis
digunakan pada fibrosis sistik untuk pada gangguan fungsi hati dan
mengatasi infeksi pernafasan ginjal. Pada neonatus dapat
karena Burkholderia cepacia yang menimbulkan grey baby
resisten terhadap antibiotik lain
syndrome.

3 4
KONTRAINDIKASI EFEKSAMPING
wanita hamil, menyusui dan pasien kelainan darah yang reversibel
porfiria. dan ireversibel seperti anemia
aplastik (dapat berlanjut menjadi
leukemia), neuritis perifer, neuritis
DOSIS optik, eritema multiforme, mual,

5
oral, injeksi intravena atau infus: 50 mg/kg muntah, diare, stomatitis, glositis,
bb/hari dibagi dalam 4 dosis. ANAK: hemoglobinuria nokturnal.
epiglotitis hemofilus, meningitis purulenta, 50-
100 mg/kg bb/hari dalam dosis terbagi. BAYI
di bawah 2 minggu, 25 mg/kg bb/hari (dibagi
dalam 4 dosis). 2 minggu-1 tahun, 50 mg/kg
bb/hari (dibagi 4 dosis).
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Rumus molekul
C11H12Cl2N2O5

Bobot molekul
323,13g/mol

Kelarutan
Sukar larut dalam air; mudah larut dalam
etanol, dalam propilen glikol, dalam aseton
dan dalam etil asetat.
( Farmakope indonesia ed V. Hal 673)

Stabilitas
Stabilitas baik pada suhu kamar dan kisaran
pH 2-7, suhu 25oC dan pH mempunyai waktu
paruh hampir 3 tahun. Sangat tidak stabil
dalam suasana basa.
( Farmakope indonesia ed V. Hal 673)
Inkompaktibilatas
inkompatibilitas dengan adanya kandungan
seperti aminofilin, ampisilin, asam
askorbat, kalsium klorida, chlorpromasin
HCl, garam eritromisin, gentamisin sulfat,
natrium hidrokortison suksinat, natrium
Tinjauan sifat fisika kimia nitrofurantoin (Lund,1994).
Bentuk sediaan,dosis,cara pemberian
Tetes mata chloramphenicol

Permasalahan formulasi Cara mengatasi


• Tetes mata :
0.5 % (larutan) dan 1 % (salep); 1. Dilarutkan dalam pelarut netral
tiap 10 ml mengandung 50 mg atau agak asam jadi dilarutkan
kloramfenikol. 1. Zat aktif tidak larut dalam natrii tetraboras dan
• pH : Antara 4,5 dan 7,5 (FI ed dikombinasikan dengan asam
IV) dalam air ? borak karena merupakan larutan
• pH sediaan : Antara 7,0 dan 7,5; 2. Air mudah asam yang tidak terlalu kuat.
kecuali obat tetes mata tanpa Asam borak ditambahkan untuk
larutan dapar atau digunakan ditumbuhi jamur ? meningkatkan efektifitas natrii
untuk hewan antara 3,0 dan 6,0. 3. Sediaa harus tetraboras.
(FI ed IV) 2. Digunakan bahan pengawet
• Suhu lebur : 149° C - 153° C Isohidris ? Phenylhydrargyri Nitras.
• Kestabilan : Terurai oleh cahaya 3. Digunakan dapar pH 7 Natrii
Name Here
(FI ed III) tetraboras. Selain itu Natrii
tetraboras juga berfungsi
Programmer sebagai buffering agent
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Formulasi
Tetes mata chloramphenicol

Berdasarkan Formularium Nasional hal 65 :


Chloramphenicoli guttae opthalmicae
Tetes Mata Kloramfenikol
Komposisi. Tiap 10 ml mengandung
Chloramphenicolum 50 mg
Acidum Boricum 150 mg
Natrii Tetraboras 30 mg
Phenylhydrargyri Nitras 200 µg
Aqua destilata hingga 10 ml
Formulasi yang direncanakan
Tetes mata chloramphenicol

No. Bahan Fungsi Jumlah

1. Chloramphenicolum Bahan Aktif 50 mg

2. Acidum Boricum Pengawet 150 mg


3. Natrii Tetraboras Penstabil 30 mg
4. Aqua destilata Pelarut Ad 10 ml
Formulasi yang direncanakan
Tetes mata chloramphenicol
Nama Bahan Fungsi Kelarutan pH Stabil Cara Sterilisasi
Chloramphenicolum Bahan Aktif Sukar larut dalam air; Antara 4,5 dan  
    mudah larut dalam 7,5 (FI ed IV)
  etanol, dalam  
propilenglikol, dalam
aseton dan dalam etil
asetat.
Acidum Boricum Pengawet Larut dalam 20 bagian 3.5–4.1  
air, dalam 3 bagian air (5% b/v
mendidih, dalam 16 larutan
bagian etanol (95 %) cairan)
dan dalam 5 bagian
gliserol

 
Natrii Tetraboras penstabil Larut dalam 20 bagian 9.0–9.6  
air, dalam 0,6 bagian (4% w/v
air endidih dan dalam aqueous
lebih kurang 1 bagian solution)
gliserol; praktis tidak
larut dalam etanol (95
%)
Aqua destilata pelarut Larut dalam berbagai pelarut    
polar
Formulasi yang direncanakan
Tetes mata chloramphenicol

PERHITUNGAN VOLUME DAN BERAT


 
ΔTf = Liso x berat x 1000
BM x V
Kloramfenikol 0,5%
ΔTf = 1,86x 50/1000 x 1000
323,13 x 10
= 0,02878= 0,03
Acidum Boricum 1,5%
ΔTf asam borat 1% = 0,28
ΔTf asam borat 1,5% = x 0,28 = 0,42
Natrii Boras 0,3%
ΔTf natrii borat 1% = 0,24
ΔTf natrii borat 0,3% = x 0,24 = 0,07
B = 0,52 – (0,03 + 0,42 + 0,07)
= 0 (isotonis)
PENIMBANGAN BAHAN
Volume yang dibuat = (n x v) + 6
= (2 x 10,5 ml) + 6
= 27 ml ≈ 35 ml
Volume yang dibuat untuk total sediaan tetes mata adalah 20 ml, untuk antisipasi maka volumenya dilebihkan menjadi 35 ml.
Jadi bahan yang ditimbang :
Kloramfenikol = 0,5% x 35 ml = 0,175 gram
Acidum Boricum = 0,15% x 35 ml = 0,0525 gram
Natrii tetraboras = 0,3% x 35 ml = 0,105 gram
API ad 30 ml
Alat dan wadah dan cara sterilisasi
Tetes mata chloramphenicol

Nama alat Jumlah Cara sterilisasi Waktu


Spatel logam 1 Oven 170⁰ C 30 menit
Pinset logam 1 Oven 170⁰ C 30 menit
Batang pengaduk 1 Oven 170⁰ C 30 menit
Kaca arloji 2 Oven 170⁰ C 30 menit
Cawan penguap 2 Oven 170⁰ C 30 menit
Gelas ukur 2 Autoklaf (115 - 116 ⁰ C) 30 menit
Pipet tetes tanpa karet 1 Autoklaf (115 - 116 ⁰ C) 30 menit
Karet pipet 1 Rebus 30 menit
Corong gelas dan kertas saring lipat 1 Autoklaf (115 - 116 ⁰ C) 30 menit
terpasang
Kapas   Autoklaf (115 - 116 ⁰ C) 30 menit
Erlenmeyer 2 Oven 170⁰ C 30 menit
Beacker glass 3 Oven 170⁰ C 30 menit
Wadah tetes mata tanpa tutup 2 Direndam dengan alkohol  
Tutup wadah tetes mata 2 Direndam dengan alkohol  
Prosedur kerja
Tetes mata chloramphenicol

1. Disiapkan alat dan bahan yang akan digunakan


2. Disiapkan Aqua Pro Injeksi bebas O2
3. Ditimbang masing-masing bahan yang akan digunakan pada neraca timbangan dengan kaca arloji yang
sebelumnya telah disterilkan secara aseptis.
4. Dikalibrasi beaker glass dan botol tetes mata yang akan digunakan (10,5 ml)
5. Dilarutkan masing-masing bahan dalam API.
6. Larutkan asam borat dan natrii borat pada masing-masing beaker. Kemudian dicampur untuk digunakan
dalam melarutkan kloramfenikol sedikit demi sedikit dimasukan ke larutan tersebut. Kemudian dimasukan
sisa API. Lakukan pengecekan pH (pH yang diinginkan yaitu 7).
7. Melapisi corong dengan kertas saring dan dibasahi dengan API kemudian pindahkan corong ke beaker
glass yang sudah dikalibrasi. Kemudian disaring larutan ke dalam erlenmeyer.
8. Sisa 2/5 bagian API digunakan untuk membilas kemudian disaring lagi ke dalam beaker glass yang berisi
filtrat.
9. Ditambahkan API sampai batas kalibrasi
10.Diambil sebanyak 10,5 ml untuk tiap wadah dan mengisikan larutan ke dalam wadah, ditutup dengan
penutupnya.
11.Lakukan sterilisasi akhir.
12.Diberi etiket dan dilakukan evaluasi.
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