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Culture Documents
E.S.:
Hypertension,
back pain,
myalgia,
peripheral oedema,
influenza-like
symptoms,
dizziness,
abdominal pain,
diarrhoea,
dyspepsia,
flatulence, nausea,
myalgia, sinusitis.
Potentially Fatal:
Toxic epidermal
necrolysis,
exfoliative
dermatitis.
Digoxin, lithium,
dan
methotrexate,
efeknya
meningkatkan
kadar obat-obat
tersebut dalam
darah.
Cholestyramine,
efeknya
menurunkan
efektivitas
meloxicam.
Nyeri
traumatic
tendinitis
Dewasa: 3%
gel/krim:
Aplikasikan
secara tipis di
area yang
terkilir 2-3
kali sehari
selama 7-15
hari
E.S :
Significant: Na
and fluid retention,
oedema, HTN,
liver function
abnormalities (e.g.
increased liver,
transaminase,
enzyme levels),
anaemia, rare
severe blood
dyscrasias (e.g.
agranulocytosis,
thrombocytopenia,
aplastic anaemia),
risk of
hyperkalaemia;
keratitis
(ophthalmic).
Cardiac
disorders: Chest
pain.
Ear and labyrinth
disorders:
Tinnitus.
Eye disorders:
Blurred vision;
transient burning
or stinging of the
eyes, lacrimation,
increased
intraocular
pressure
(ophthalmic).
Gastrointestinal
disorders: Nausea,
vomiting,
diarrhoea,
constipation,
dyspepsia,
flatulence,
abdominal pain.
General disorders
and
administration site
conditions:
Injection site
reactions (e.g.
pain), application
site reactions (e.g.
irritation,
erythema,
itchiness, dryness,
oedema, pyrexia.
Infections and
infestations:
Influenza.
Metabolism and
nutrition
disorders:
Anorexia.
Musculoskeletal
and connective
tissue disorders:
Arthralgia,
osteoarthritis, back
pain, limb pain.
Nervous system
disorders:
Headache,
dizziness.
Psychiatric
disorders:
Insomnia,
somnolence.
Renal and urinary
disorders: UTI,
renal function
abnormality,
haematuria.
Respiratory,
thoracic and
mediastinal
disorders: Upper
respiratory tract
infection,
nasopharyngitis,
sinusitis,
bronchitis, cough.
Skin and
subcutaneous
tissue disorders:
Rash, pruritus.
Vascular
disorders:
Hypotension.
Potentially Fatal:
Anaphylaxis
reaction, CV
thrombotic events
(e.g. MI, stroke),
gastrointestinal
ulceration,
perforation or
haemorrhage,
bronchospasm;
rarely,
hepatotoxicity
(e.g. fulminant
hepatitis, hepatic
necrosis or
failure), Stevens-
Johnson
syndrome,
exfoliative
dermatitis, toxic
epidermal
necrolysis.
Eclofenamat
e
Tomoxiprol
Piroksikam mengatasi Dosis yang Ki Should be taken
peradangan sendi, umum Hypersensitivity with food.
misalnya akibat diberikan (including history
penyakit asam urat. bagi pasien of asthma, Meningkatkan
Piroxicam dapat dewasa bronchospasm, risiko tukak
mengurangi gejala- adalah 20 mg nasal polyps, lambung dan
gejala radang sendi, per hari yang rhinitis, perdarahan
seperti nyeri dan dapat angioedema, saluran
pembengkakan. dikonsumsi urticaria, or other pencernaan, jika
sebanyak 1 allergic-type digunakan
kali per hari. reactions) to bersama obat
Khusus bagi piroxicam, aspirin antikoagulan,
pasien lansia, or other NSAIDs. seperti warfarin.
dosis Active peptic
piroxicam ulcer, Menyebabkan
akan gastrointestinal penurunan fungsi
dikurangi dari bleeding, ginjal hingga
dosis orang inflammatory menyebabkan
dewasa. bowel disease; gagal ginjal, jika
history of digunakan
gastrointestinal bersama
disorders that angiotensin II
predispose to receptor blockers
bleeding disorders (ARB).
(e.g. ulcerative
colitis, Crohn’s May slightly
disease, cancer, delay the rate of
diverticulitis); absorption with
history of food. Increased
gastrointestinal risk of
ulceration, gastrointestinal
bleeding or bleeding with
perforation; alcohol.
history of serious
cutaneous allergic
reactions (e.g.
erythema
multiforme,
Stevens-Johnson
syndrome, toxic
epidermal
necrolysis); severe
heart failure.
Treatment of
perioperative pain
in the setting of
CABG surgery.
Pregnancy (3rd
trimester).
Concomitant use
with aspirin,
anticoagulants,
and other NSAIDs
including COX-2
inhibitors.
Patients with mild
to moderate CHF,
ischaemic heart
disease, peripheral
arterial disease,
cerebrovascular
disease, CV events
risk factors (e.g.
hypertension,
hyperlipidaemia,
diabetes mellitus,
smoking);
bronchial asthma,
coagulation
disorders,
cirrhosis,
nephrotic
syndrome, overt
renal disease,
dehydration,
hypovolaemia;
undergoing
surgical or dental
procedures.
Women with
conceiving
difficulties,
undergoing
infertility
treatment or on
investigation of
infertility.
Debilitated
patients. Renal and
hepatic
impairment.
Elderly. Children
(topical).
Pregnancy (1st-
2nd trimester) and
lactation. CYP2C9
poor metabolisers.
E.S. :
Significant: New
onset or
exacerbation of
hypertension,
hyperkalaemia, Na
and fluid retention,
oedema,
bronchospasm,
reversible female
infertility, delayed
ovulation, serum
sickness,
haematologic
effects (e.g.
anaemia,
decreased platelet
aggregation,
prolonged
bleeding time).
Rarely, interstitial
nephritis, papillary
necrosis, nephrotic
syndrome, renal
failure.
Blood and
lymphatic system
disorders:
Leucopenia,
eosinophilia,
thrombocytopenia.
Cardiac
disorders:
Palpitation.
Ear and labyrinth
disorders:
Tinnitus.
Eye disorders:
Blurred vision, eye
irritation and
swelling.
Gastrointestinal
disorders: Nausea,
vomiting,
constipation,
flatulence,
abdominal pain,
diarrhoea,
dyspepsia,
stomatitis.
General disorders
and admin site
conditions:
Malaise,
application site
reactions (e.g.
irritation,
erythema, pruritus,
dermatitis).
Hepatobiliary
disorders:
Jaundice.
Investigations:
Increased LFTs,
increased weight.
Metabolism and
nutrition
disorders:
Anorexia,
hyperglycaemia,
hypoglycaemia.
Nervous system
disorders:
Headache,
dizziness,
somnolence,
vertigo,
paraesthesia.
Psychiatric
disorders:
Depression,
insomnia,
confusion, mood
alterations,
nervousness,
hallucination.
Respiratory,
thoracic and
mediastinal
disorders:
Dyspnoea.
Skin and
subcutaneous
tissue disorders:
Rash, pruritus,
photosensitivity
(topical).
Vascular
disorders:
Vasculitis,
epistaxis.
Potentially Fatal:
Gastrointestinal
inflammation,
ulceration,
bleeding and
perforation; CV
thrombotic events
including MI and
stroke, severe
hepatic reactions
(e.g. fulminant
hepatitis, hepatic
necrosis, hepatic
failure),
exfoliative
dermatitis,
Stevens-Johnson
syndrome, toxic
epidermal
necrolysis,
anaphylactoid
reactions.
Natrium
salisilat
Niflumic/nifl Pain and Oral Should be taken May increase
umic acid inflammation Pain and with food. Take w/ concentration of
associated w/ inflammatio or immediately methotrexate,
musculoskeletal and n associated after meals. cardiac
joint disorders. with KI : glycosides.
musculoskele Active peptic Increased risk of
tal and joint ulceration, severe nephrotoxicity
disorders heart failure. with ACE
Adult: 250 Larangan khusus : inhibitors,
mg 3 or 4 Discontinue if ciclosporin,
times daily. hypersensitivity tacrolimus,
Max: 1500 skin reactions diuretics.
mg daily. occur. Pregnancy, Increased risk of
lactation. Elderly, GI bleeding with
Topical/Cuta patients with corticosteroids,
neous haemorrhagic SSRIs,
Pain and disorders; venlafaxine,
inflammatio hypertension; clopidogrel,
n associated impaired renal, ticlopidine,
with hepatic, cardiac iloprost,
musculoskele function; asthma; erlotinib,
tal and joint infections; left sibutramine,
disorders ventricular failure; alcohol,
Adult: 3% oedema; history of bisphosphonates,
cream or CHF. pentoxifylline.
ointment or E.S.: Potentially
2.5% gel to CNS disturbances, Fatal: May
be applied to hypersensitivity reduce lithium
affected reactions, excretion leading
areas. renal/hepatic to lithium
disorders, GI toxicity. May
disturbances, increase effects
cutaneous of
reactions, anticoagulants.
agranulocytosis,
neutropenia. Fluid
retention,
photosensitivity,
alveolitis,
pulmonary
eosinophilia,
pancreatitis,
Stevens-Johnson
syndrome,
exacerbation of
colitis.
Zomepirac
Fenoprofen meredakan nyeri Dosis Dewasa Nyeri asam ncreased risk of
ringan sampai sedang untuk lambung GI bleeding w/
yang disebabkan oleh Osteoarthritis Mual, anticoagulants,
berbagai macam muntah bisphosphonates,
kondisi. Obat ini juga 300 sampai Konstipasi clopidogrel, oral
dapat mengurangi 600 mg sakit perut, corticosteroids,
rasa sakit, bengkak, diminum 3 diare dabigatran,
dan sendi kaku yang sampai 4 kali Sakit rivaroxaban,
disebabkan penyakit sehari. kepala, salicylates and
arthritis pusing SSRIs. May
Dosis Dewasa Mengantuk reduce
untuk Tremor antihypertensive
Rheumatoid Kebingung effect of ACE
Arthritis an inhibitors.
Peningkata Increased
300 sampai n keringat nephrotoxicity
600 mg Pruritus, w/ ciclosporin.
diminum 3 ruam Decrease in
sampai 4 kali Gangguan plasma half-life
sehari. penglihatan w/ phenobarbital.
Gangguan May reduce the
Dosis Dewasa pendengara natriuretic
untuk n effects of loop
meredakan Jantung and thiazide
sakit berdebar- diuretics. May
debar increase toxicity
200 mg Takikardia of lithium and
diminum Perubahan methotrexate.
setiap 4 EKG Increased risk of
sampai 6 jam Gangguan CNS stimulation
sesuai saluran and seizures w/
kebutuhan. kandung quinolones.
kemih Rate and extent
Dosis Dewasa Infeksi of absorption
untuk encok saluran may be reduced
pernapasan when taken w/
akut atas food. Increased
risk of GI
800 mg bleeding w/
diminum per alcohol.
dosis.
Pemberian Should be taken
dosis ini with food
harus diberi
mulai 400
sampai 800
mg per dosis
setiap 6
sampai 8 jam
sampai
serangan
encok akut
semuh,
biasanya
sekitar 2
sampai 3 hari.
Ampyrone
Ibuprofen Meredakan Dosis ibuprofen untuk Beberapa efek Konsumsilah
nyeri dan mengatasi nyeri dan samping yang tablet atau
peradangan, peradangan, seperti dapat terjadi kapsul ibuprofen
misalnya radang sendi atau nyeri saat bersama
sakit gigi, haid, serta demam menggunakan makanan untuk
nyeri haid, adalah 200-800 mg, 3-4 obat ini adalah: mengurangi
dan radang kali sehari. Dosis risiko sakit maag.
sendi Perut
maksimal per hari Jangan berbaring
adalah 3,2 gram. kembun sampai 10 menit
g setelah
Mual mengonsumsi
dan obat
muntah
Diare
atau beberapa jenis
malah obat dan efek
sembelit interaksi yang
Sakit dapat terjadi bila
maag digunakan
Demam
Sakit bersamaan
kepala dengan
Perubah ibuprofen:
an
mood Obat
Gejala antiinfla
alergi masi
obat, nonsteroi
seperti d,
gatal- pengence
gatal, r darah,
wajah dan
tampak kortikost
bengkak eroid,
, dan dapat
sesak meningka
napas. tkan efek
Muntah samping
darah perdarah
atau an
BAB saluran
berdara cerna.
h. Ciclospori
Leher n dan
kaku. tacrolimu
Ganggua s, dapat
n fungsi meningka
ginjal tkan efek
yang samping
ditandai hiperkale
dengan mia dan
pemben gangguan
gkakan fungsi
di ginjal.
tungkai ACE
dan inhibitor
frekuens dan ARB,
i BAK dapat
yang menurun
berkura kan efek
ng. antihipert
Ganggua ensi dari
n irama kedua
jantung. obat
tersebut.
Ibuprofen tidak Lithium
boleh dan
digunakan pada methotre
penderita gagal xate,
jantung, dapat
gangguan menaikka
fungsi ginjal dan n risiko
hati, serta keracuna
pasien yang n
hendak ibuprofen
menjalani .
operasi bypass
jantung.
Ibuprofen dapat
menyebabkan
gangguan ginjal,
terutama pada
lansia, serta
orang yang
sudah
menderita
dehidrasi,
penyakit ginjal,
atau gagal hati
Jangan
merokok dan
mengonsumsi
minuman
beralkohol
selama
menggunakan
ibuprofen,
karena dapat
meningkatkan
risiko terjadinya
perdarahan
saluran
pencernaan.
Ibuprofen
dapat
menyebabkan
kulit lebih
sensitif
terhadap sinar
matahari.
Hindari paparan
sinar matahari
langsung serta
gunakan tabir
surya dan
pakaian yang
melindungi kulit
ketika
beraktivitas di
luar ruangan
pada siang hari.
Ibuprofen
dapat
menyebabkan
pusing dan
kantuk. Hindari
melakukan
aktivitas yang
membutuhkan
kewaspadaan
tinggi, seperti
mengemudi,
setelah
mengonsumsi
obat ini.
E.S.:
Significant:
Hyperkalaemia,
elevated
ALT/AST
levels,
hypertension,
oedema, peptic
ulcer, jaundice,
weight changes
(gain/loss);
renal papillary
necrosis, acute
interstitial
nephritis,
nephrotic
syndrome
(long-term use).
Cardiac
disorders:
Chest pain.
Ear and
labyrinth
disorders:
Tinnitus.
Eye disorders:
Visual
disturbance.
Gastrointestinal
disorders:
Abdominal
pain, diarrhoea,
dyspepsia,
flatulence,
gastrointestinal
distress, nausea,
vomiting,
constipation,
gastritis.
General
disorders and
administration
site conditions:
Asthenia, fever.
Nervous system
disorders:
Dizziness,
headache.
Psychiatric
disorders:
Depression,
drowsiness.
Renal and
urinary
disorders: UTI,
increased BUN.
Skin and
subcutaneous
tissue
disorders:
Irritation.
Potentially
Fatal:
Anaphylactoid
reactions (e.g.
swelling of the
face or throat,
breathing
difficulty),
exfoliative
dermatitis,
Stevens-
Johnson
syndrome, toxic
epidermal
necrolysis, MI,
stroke,
gastrointestinal
bleeding,
ulceration, and
perforation,
severe blood
dyscrasias (e.g.
agranulocytosis,
thrombocytopen
ia, aplastic
anaemia),
hepatic failure,
liver necrosis,
fulminant
hepatitis.
Pregnant :
PO: C (Avoid
during 3rd
trimester or near
delivery)
Indometasin meredakan Radang otot dan sendi : sebaiknya erikut ini adalah
nyeri ringan 25 – 200 mg per hari, 2- dikonsumsi saat interaksi yang
hingga 3 kali sehari. atau segera kemungkinan
sedang. Nyeri haid : setelah makan. dapat terjadi jika
Biasanya, 75 mg/hari Hal ini demi menggunakan
indomethaci Radang sendi ec asam mencegah indometacin
n digunakan urat : timbulnya efek bersama dengan
150-200 mg per hari, samping, seperti sejumlah obat
untuk
dibagi menjadi gangguan berikut ini:
mengatasi
beberapa jadwal pencernaan.
gejala-gejala
konsumsi. Methotre
bengkak dan
xate;
nyeri sendi Efek samping indometa
pada yang mungkin chin
osteoarthritis saja dapat
atau
rheumatoid terjadi setelah dapat
arthritis. mengonsumsi meningka
indometacin tkan
adalah: kadar
obat
Sakit tersebut
kepala, dalam
pusing, darah.
atau Haloperi
vertigo. dol;
Depresi. menaikka
Lelah. n efek
Mual obat,
dan seperti
muntah. mengant
Selera uk.
makan Warfarin;
berkura meningka
ng. tkan
Konstipa risiko
si. perdarah
Diare. an pada
Tukak saluran
lambung pencerna
. an.
Beta
blockers
(misalnya
atenolol
dan
proprano
lol) dan
diuretik
furosemi
de dan
thiazide;
indometh
acin
dapat
mengura
ngi
kinerja
obat-
obatan
tersebut
dalam
menurun
kan
tekanan
darah.
Diuretik
hemat
kalium,
obat
darah
tinggi
ACE
inhibitor
(misalnya
ramipril),
dan
supleme
n kalium;
meningka
tkan
risiko
hiperkale
mia.
Ciclospor
in;
meningka
tkan
risiko
kerusaka
n ginjal.
E.S. :
Significant:
Renal papillary
necrosis
(prolonged use).
Rarely,
anaphylactoid
reactions, blood
dyscrasias (e.g.
agranulocytosis,
thrombocytopen
ia, aplastic
anaemia),
hyperkalaemia.
Cardiac
disorders:
Cardiac failure.
Ear and
labyrinth
disorders:
Tinnitus.
Eye disorders:
Eye irritation,
eye pain, eye
haemorrhage,
prolonged
mydriasis, eye
hyperaemia,
visual
disturbance,
miosis.
Gastrointestinal
disorders:
Nausea,
vomiting,
diarrhoea,
dyspepsia,
flatulence,
constipation,
abdominal pain,
melaena,
haematemesis,
ulcerative
stomatitis,
gastritis.
Lozenge/throat
spray: Throat
irritation, mouth
ulceration, oral
pain or
discomfort, oral
paraesthesia,
oropharyngeal
pain.
General
disorders and
admin site
conditions:
Fatigue,
malaise.
Hepatobiliary
disorders:
Rarely,
jaundice.
Investigations:
Increased liver
enzymes,
prolonged
bleeding time.
Metabolism and
nutrition
disorders: Fluid
retention.
Nervous system
disorders:
Headache,
dizziness,
paraesthesia,
tremor.
Psychiatric
disorders:
Anxiety,
insomnia,
amnesia,
depression,
nervousness,
somnolence.
Respiratory,
thoracic and
mediastinal
disorders:
Rhinitis.
Skin and
subcutaneous
tissue
disorders:
Rash,
photosensitivity
.
Vascular
disorders:
Hypertension.
Potentially
Fatal:
Gastrointestinal
inflammation,
bleeding,
ulceration or
perforation, CV
thrombotic
events (e.g.
myocardial
infarction,
stroke),
bronchospasm.
Rarely,
hepatotoxicity
(e.g. fulminant
hepatitis,
hepatic
necrosis,
hepatic failure),
exfoliative
dermatitis,
Stevens-
Johnson
syndrome, toxic
epidermal
necrolysis.