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TERAPI HIPOTIROID

Thyroid Hormone Replacement Therapy

Synthetic levothyroxine (T4) Synthetic liothyronine (T3)

Synthetic levothyroxine (T4)

Farmakodinamik Dosis : Anak 10-15 mcg/kg/hari Dewasa 1.7 mcg/kg/hari 1x/hari Farmkokinetik Diminum 30menit-1jam sebelum makan Monitor setiap 2 bulan Puncak kerja 2 pekan Waktu paruh 3 pekan

Synthetic liothyronin (T3)

Dosis : 20mcg 3-4x/hari 3-4x lebih poten Farmakokinetik : puncak kerja 3 hari Lama kerja 1 pekan

Kelebihan T4

Stabil Murah Rendah reaksi alergi Monitor mudah Dosis sekali sehari

Indikasi

Pasien muda : full replacementherapy Koma miksedema : loading dose T4 300-400 mcg I/V initially 50 mcg daily Hypothyroidism and pregnancy : daily dose, adequate, monitored

Kontraindikasi

Pasien tua Pasien dengan penyakit jantung

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