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PRINSIP TERAPIDERMATOLOGI
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CARA PENGOBATAN
CARA
PENGOBATAN
TOPIKAL
PRIMER SEKUNDER
BEDAH
LISTRIK
LASER
SINAR UV
RADIOTERAPI
SISTEMIK
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Pemilihan Obat Topial
Um!"
Pemilihan a#en $an# tepat
Loa%i &an l!a% t!b!h $an# te"ena
Sta&i!m pen$ait &an 'eni% le%i
Kon%ent"a%i bahan ati( &alam )ehi!l!m
Meto&e aplia%i
Penent!an lama pemaaian
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Kha%iat Obat Topial
Poten%i obat
Kemamp!an penet"a%i
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Penet"a%i obat topial &i !lit
melal!i*
St"at!m o"ne!m
⇓Epi&e"mi%
⇓
papila &e"mi%
⇓ali"an &a"ah
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Ab%o"p%i Obat Topial
St"at!m o"ne!m
Ol!%i
+"e!en%i pemaaian
,!mlah pemaaian
+ato" lain-lain
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TOPIKAL
PEDOMAN
TERAPI
Semain a!t * bahan %emain lemahI( &"$ .et it/ i( .et &"$ it
a0 ba%ah &en#an
ba%ah 1ba%i% ai"2
b0 e"in# &en#an
e"in# 1ba%i% 3al(2
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Obat Topial
Bahan ati( Vehi!l!m
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Vehi!l!m
P"epa"at pemba.a 3at ati( %!at! obat0
Ke#!naan )ehi!l!m non %pe%i(i*40Men&in#inan/ melin&!n#i/ emolien/ ol!%i( &ana%t"in#en
50Vehi!l!m optimal bila %tabil 1imia/ (i%i2 &an ti&a
menonati(an obat060Nonale"#i/ noni"itan/ &apat &ite"ima %e7a"a o%meti&an m!&ah &ipaai
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Vehi!l!m
CAIRAN BEDAK
KOCOK
BEDAK
PASTA
PENDINGINKRIM
SALAP
PASTA
BERLEMAK
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Cai"an
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KOMPRES TERBUKA
8 Pen#!apan &i%!%!l ab%o"b%ie%!&at
8 In&ia%i * !l!% oto" / in(e%i1e"i%ipela%2/ &e"mato%i%ma&i&an%
8 E(e * K!lit e"in#/)a%oon%t"i%i/ !lit &in#in/e"itema be"!"an#
8 Ca"a * a%a
KOMPRES TERTUTUP
8 Va%o&ilata%i
8 In&ia%i * elainan $# &alam1lim(o#"an!loma )ene"i!m2
8 Ca"a * pembal!t tebal 9&it!t!p pla%ti
Cai"an
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Be&a
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Campuran air dan bedak, yang biasanya ditambahdengan gliserin sebagai bahan perekat
Be&a Ko7o
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Bahan lemak atau mirip lemak yang pada suhu kamarknsistensi seperti mentega!
Salap
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Salap
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KRIM
Bahan .ate" 9 oil 9 em!l#ato"
In&ia%i
A!t:S!ba!t
Ko%meti
,eni%
be"amb!t
Lipatan
1.:o2
1o:.2 Men&in#inan
E(e Emolien
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PASTA
PASTA PENDINGIN : LINIMEN PASTA BERLEMAK
Bahan * 7ai"an 9 be&a
9 %alap
In&ia%i * &e"mato%i%
%!b a!t
Konta * &e"mato%i%ma&i&ane%
Bahan * be&a 9 )a%elin
+!n#%i *
- p"oteti( 9 men#e"in#an
- p"ote%i : tabi" %!"$a
In&ia%i * &e"mato%i% $# a#a
ba%ah
Kont"a * &ae"ah be"amb!t: lipatan :
#enital
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Se&iaan hi&"ooloi& ata! hi&"o(ili be"!pa %!%pen%i $an#&ib!at &a"i %en$a.a o"#ani0
;at !nt! membent! #el &ianta"an$a ialah a"bome"/
meti%el!lo%a/ &an t"a#aan0
Gel
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Bahan Ati(
8 Al!min!m a%etat8 Al!mini!m lo"i&a8 A%am a%etat8 A%am ben3oat8 A%am bo"at
8 A%am %ali%ilat8 A%am t"ilo"a%etat8 A%am !n&e%ilenat8 A%am )it A8 Ben3il ben3oa%
8 Ben3oain8 Campho"a8 Anti 'am!" 8 Antibioti
8 Dit"anol8 +o"malin8 +l!o"o!"a7il8 Io&olo"hi&"o%i!inolin
8 Krtiksterid tpikal8 K"otamiton8 Mentol8 Po&opilin8 Seleni!m %!l(i&a
8 S!l(!" 8 Te" 8 Tio%!l(a% nat"i!%8 U"ea
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Khasiat paliati" dan supresii" antiin"lamasi,antialergi, antipruritus, antimittik, #asknstriksi
Ko"tio%te"oi& topial
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Pen##olon#an
Lemah anti in(lama%i/ anti mitoti 1-2
Se&an# anti in(lama%i/ anti mitoti %e&an#
K!at anti in(lama%i/ anti mitoti !at
S#t !at anti in(lama%i/ anti mitoti %#t !at
E(e %ampin# te"'a&i bila*
Pen##!naan lama &an be"lebihan
Pen##!naan poten%i !at ata! %an#at !at ata! %e7a"a ol!%i(
Ge'ala e(e %ampin# at"o(i/ %t"ie at"o(i%e/ telen#ieta%i%/ p!"p!"a/
&e"matiti% ane(o"mi%/ hipe"t"io%i%/ hipopi#menta%i
Ko"tio%te"oi& topial
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Ko"tio%te"oi& topial
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TOKSISITAS
Te"#ant!n# obat/ )ehi!l!m/ ol!%i/ loa%i/ ("e!en%i/
&!"a%i/ 'eni% elainan !lit/ on&i%i "enal/ hepa"
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LOKAL
I"ita%i/ ale"#i/ at"o(i/ ome&o#eni/ telean#ieta%i%/
p"!"it!%/ %tin#in#/ &an n$e"i0
p"o%e% pen#e"in#an !lit/ ata! me"!%a lapi%an !litepi&e"mi%0
SISTEMIK
Pen$e"apan pe"!tan 1SSP/ %ho ana(ilati "enal/a"&ia/te"ato#en/ &an a"%ino#en20
Non im!nolo#i &apat te"'a&i pa&a e"a7!nan pepti%i&a0
TOKSISITAS
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,UMLAH OBATAREA L$AS
PER%$KAAN &'(
)*APLIKASI&gram(
+*-ARISeminggu&gram(
.*-ARISeminggu&gram(
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TERAPI SISTEMIK DALAM
DERMATOLOGI8 AN/I 0IR$S dan DAPS1N
8 AN/I 2A%$R
8 AN/I -IS/A%IN
8 AN/I %ALARIA8 K1R/IK1S/ER1ID
8 1BA/ I%$N1S$PRESI3
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MEKANISME KER,A
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Indikasi
U"tia"ia/ ana(ila%i%/ "hiniti% ale"#ia/ on'!n#ti)iti% ale"#ia0
Kntra indikasi Dsis E"ek samping
Ti&a &apat &ibe"ianpa&a ehamilan0
- Dapat &im!lai &a"i &o%i%
"en&ah &an em!&ian
&itin#atan %e7a"abe"tahap0
- Dapat &ibe"ian
ombina%i &a"i 5
antihi%tamin &a"i ela%
$an# be"be&a
- Se&a%i0
- Pen$ait
'ant!n# %epe"ti#an##!an "itme
'ant!n#0
- E(e oline"#i
%epe"ti*
"eten%io !"in/m!l!t e"in#/
&apat
men$ebaban
%t"oe0
Class Agent Dose Sedating CommentsE h l i Di h h d i () )* , h
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Ethanolamine
Ethylenediamin
e
Piperazine
Alkylamine
Phenothiazine
Piperidine
Nonsedating H1
Thioguanidine
Triyli
antidepressant
Diphenhydrami
ne
Clemastine
Tripelennamine
Hydro!yzine
Chlorphenirami
ne
Promethazine
Cyproheptadine
Azelastine
Cetirizine"e#oetirizine
E$astine
%e!o&enadine
"oratadine
Desloratadine
'isolastineCimetidine
()-)*mg +,-h
1-( mg $.i.d
()-)* mg +,-h
1*-)*mg +-/0
)*mg HS
(-, mg +,-h
1(.)mg t.i.d-
+.i.d.0 ()mg HS
,mg +,-h
(mg $.i.d.
1*mg daily or
$.i.d
)mg daily or$.i.d
1*mg daily or
$.i.d
*mg $.i.d. or
*-1/* mg
daily
1*mg daily)mg daily
1*mg daily
** mg +.i.d.
222
2
22
22
2
222
2
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Physial
urtiarias3
nighttime use
Nighttime use
Cold urtiaria3
nighttime use0
antiserotonin
ati#ity
Not
meta$olized in
li#er
"ong hal&-li&e
"ong hal&-li&e0
notmeta$olized in
li#er
%or skin
diseases3 used
4ith H1 $loker0
also
immunomodula
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Te"api Ko"tio%te"oi& Si%temi
Ko"tio%te"oi& %i%temi e(e im!no%!p"e%an &an anti-in(lama%i
In&ia%i De"mato%i% ale"#ia ata! $an# &ian##ap memp!n$ai
&a%a" ale"#i
P"in%ip pen#obatan tapp o((
E(e %ampin#*
Hipe"%e"e%i a%am lamb!n#
Hipot"o(i
O%teopo"o%i%
Im!nita% men!"!n
Sin&"om 7!%hin#
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