all about ap.pptx
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ANTIPSIKOTIK
Ria Maria Theresa
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PsikofarmakologiObat-obatan psikotropik mempengaruhi sel-sel syaraf (neuron !an
berbagai neurotransmitter
"ntuk !apat lebih memahami konsep !asar tentangpsikofarmakologi# maka penting bagi kita untuk memahami terlebih!ahulu tentang tiga fenomena pa!a sel saraf# yaitu$
• Polarisasi pa!a sel$ sel mengirimkan sinyal (%ring atau ti!ak# sama!engan ter&a!i !epolarisasi atau ti!ak a!a !epolarisasi'
• Potensial aksi a!alah bagaimana proses !epolarisasi tersebut bisater&a!i
• Ion hannel a!alah ion-ion yang ikut terlibat !alam proses potensial
aksi'
Ketiga konsep ta!i men&elaskan !asar biologiktentangpsikofarmakologi ) namun ti!ak akan !ibahas se*aramen!alam'
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Prinsip Pengobatan
• Tentukan ge&ala sasaran
• +ila AP sebelumnya baik gunakanlagi'
• ,aluasi obat tiap .-/ minggu
• Monoterapi
•
0osis efektif yang seren!ah mungkinuntuk pengen!alian ge&ala'
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AP Konentional
• Memblok reseptor 0.,PS
• Muskarinik ngantuk
•
9istamin (94
ngantuk# beratba!an naik
• : 4 T0 menurun# pusing# ngantuk
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AP Atipikal
• Nigrostriatal $ serotonin menghambat pelepasan!opamin' 0A berkompetisi !engan S0A men!apatkanreseptor 0. shg ,PS berkurang'
• Mesolimbik $ S0A memblok reseptor 0. ;5-356target
ge&ala positif • Mesokortikal $ ge&ala negatif# memblok reseptor
S,melepas 0Akompensasi !e%siensi 0Age& negatifberkurang
• Tuberoinfun!ibular $ 0A menghambat pelepasan
prolaktin# S, menstimulasi pelepasan prolaktin# 0A !anS, resiprokalmenghambat reseptor S, !an 0A yanglain# 0. !i blokprolaktin !ilepas# S, !iblokprolaktin!ihambat'
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,fek Samping
• ,PS $ tremor# rigi!itas# kaku#bra!ikinesia# &alan seperti robot'
Terapi $ antikolinergik 4-2 mg
• Akathisia $ perasaan keteganganmotorik# gelisah mon!ar-man!ir#!u!uk-ber!iri' Terapi$
Propanolol(in!eral 45-25 mg'• 0istonia akut $ tortikolis# krisis
okulogirik# opistotonus' Terapi
!ifenhi!ramin .<-<5mg'
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Tar!ie !iskinesia
• Pemakaian AP &angka pan&ang reseptor!opamin !i blok terus menerusregulasi!opamin meningkat'
• =erakan koreoatetoi! $ mulut men&ulur#li!ah mengulum# gerakan spt break!an*e'
• Perioral tremor
•
+ibir bergetar'• AP !osis ren!ah# ganti AP !g *lo>apine#
obserasi
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Sin!rom NeuroleptikMalignan
• hiperpireksia# rigi!itas berat# T0meningkat# kesa!aran menurun# akutrenal failurekematian .5-25
persen'
• Stop AP
• Koreksi *airan
• +romokriptin .5-25 mg ?hr
• Mus*le rela@ant $ !antrolene 455-.55mg?hr