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HORMONE & HORMONE ANTAGONIST

Anom Murdhana

COMMON HORMONE
PROGESTERON & ESTROGEN
TESTOSTERONE

GLUKOKORTIKOID ( KORTIKOSTEROID)

THYROXINE

INSULIN

REGULASI

HYPOPHYSE

GLAND, DUCTLESS

FEED BACK

HORMONE

TISSUE physiologic

BLOODSTREAM

HYPERSECRETION

HYPOPHYSE

GLAND, DUCTLESS

FEED BACK

HORMONE

TISSUE

BLOODSTREAM

HYPOSECRETION

HYPOPHYSE

GLAND, DUCTLESS

FEED BACK

HORMONE

TISSUE

BLOODSTREAM

CLINICAL USE

SIDE EFFECT / TOXICITY

HYPER HORMONAL

NON HORMONAL ?
HORMONE HORMONE

PHYSIOLOGIC / BALANCE

SIDE EFFECT / TOXICITY

HYPO HORMONAL

HORMONE PREPARAT

ESTROGEN & ANTI ESTROGEN


Natural & sintetis

PROGESTERON
Natural & sintetis

SIKLUS MENSTRUASI
FSH LH HYPHOPHYSIS

OVARIUM

ESTROGEN PROGESTERON
UTERUS; VAGINA; MAMMA Sex secondair Metabolisme Cardiovascular Darah

HORMONE PREPARAT
EFEK FISIOLOGIS
ESTROGEN
Natural & sintetis

PROGESTERON
Natural & sintetis

UTERUS; VAGINA; MAMMA Sex secondair Metabolisme Cardiovascular Darah

HORMONE PREPARAT
ESTROGEN
Natural & sintetis

* * * * * *

Pharmacodynamics Uterus proliferation: endometrial, cervical mucus Breast glandular development Skeletal growth, antiresorptive effectsl Behaviora libido, mood CNS feedback, vasomotor stability Hepatic binding glob, lipoprotein, coagulant protein

Pharmacokinetics
Absorpsi Sirkulasi (SHBG & Alb (99 %) Metab (Liver) Ekskresi (Usus & Ginjal)

HORMONE PREPARAT
PROGESTERONE
Natural & sintetis

Pharmacodynamics * Uterus endometrial ? * Breast glandular development * CNS feedback * Hepatic binding glob, lipoprotein, coagulant protein

Pharmacokinetics
Absorpsi Sirkulasi Metab (Liver) Ekskresi (Usus & Ginjal)

HORMONE PREPARAT
ESTROGEN & PROGESTERON

MENSTRUAL DISTURBANCE

NON HORMONAL ?
FAMILY PLANNING

PHYSIOLOGIC / BALANCE Hormone Replacement Therapy Terapi Sulih Hormon

SIDE EFFECT / TOXICITY HYPER HORMONAL HYPO HORMONAL

ANTI ESTROGEN (agonist)


ovulation-inducing agents

Clomiphene
Partial estrogen agonist stimulation ovulation 50 mg daily. 5 days plasma half life 7 days

ovary enlargement hot flushes

Tamoxifen breast cancer Raloxifene postmenopausal osteoporosis

CORTEX ADRENAL
GLUCOCORTICOID -- CORTICOSTEROID * Short acting (hidrocortisone / prednison) * Intermediate acting * Long acting

Physiologic affect * Metabolic effect * Catabolic & antianabolic effect * Anti inflammatory & immunosuppressive

HORMONE PREPARAT

CORTICOSTEROID ( PREDNISON )
ANTI INFLAMMATORY IMMUNOSUPPRESEIVE

HYPOSTEROID

( ADDISON,S DISEASE)
INFLAMATION IMMUNE RESPONSE

METABOLIC ANABOLIC

CUSHING SYNDROOM
SIDE EFFECT / TOXICITY
HYPERGLYCEMIA HYPERTENSION

TERIMA KASIH

semoga sukses

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