lijekovi.ppt
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NAA AST I NAA SLAVA
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U RAT PROTIV BAKTERIJA I RODBINE
-ANTIBIOTICI
-ANTIBAKTERIJSKASREDSTVA
UPORABA PLIJESNI NA RANE PRIJE 4.500 GODINA U KINI.
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PENICILINI
CEFALOSPORINI
TREI OVJEK.
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AMPICILINR20/22-3/3! "#$%$&' ()' *+ +,#% '1+$( &(,(+%' )'+6PENICILIN G&% (78*$(8( *%CEFALEKSIN&% (78*$(8( *%
K+& '9%:(%1*)%
%();%.O$'8(&(
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TETRACIKLINI I MAKROLIDI
TETRACIKLIN I OTCR20/22-3! "#$%$&' ()'*% +,#% '1+$(&(,(+% )'+.
A=ITRO>ICIN ? &%:((78*$(8(&(.
R%: ,'7(&(*:+(;':.
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A>INOGLIKO=IDI
A>IKACIN R3/3@/3! "&(,(-+% ' ,#&% +$'8% )'+6TOBRA>ICIN *$' )(' 1'%
GENTA>ICIN R42/43 :'%7(78($ %'*%$8'*$+,*(&%: + ,',+ *)'':6
NEFROTOKSINOSTOTOTOKSINOST
PREPORUUJE SE PRAANJE KONCENTRACIJA U KRVI.
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ANTIBAKTERIJSKA SREDSTVA
Jednom davno u P!v!.
B'& *+'&(:, $:%$': R3/3!"&(,(+% ' )'+6
P+&' &%*'(7+:( ')'&%'$')*&'* (;%$
:%$(9'$(.
OSTAO JE SINERSUL
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NAJVANIJE JE SAUVATI IVCE
(&$*'$;(&$,%%*89%&7',(7%&*) $(&)87($'*%,($8
*'*$:+(&*(&%*$%$;(&(1%$;(&$)'&8+78
(&$()&*'&;,+1 "&. *%,*$8( 7( *(8(&%6.
APSOLUTNO NAJE"A OTROVANJA
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ANTIPSIOTICI
-%&'$(7&-$')*(&$%&-9+$'%&'&.
K'':(7& R25/2-3/3!"'$'8&' ()' *% '1+$( +,#% &(,(+% '
)'+6
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=(9(&%&'7( 8'7(%
ALOPERIDOL RR25-3/3! "'$'8&' ()' *%'1+$( &(,(+% ' )'+6
U7 ('%,' 8%7(&( '(8( %)*$((:,(&'1 *&,':(.
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ANKSIOLOTICI I ANTIDEPRESIVI
T%*)'9( B%78'&'*$
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BEN=ODIA=EPINI. P%$%&' (&)*'$; *%,($8 ( $()'% :'1+ 9$
A&$)'&8+78 "&. K'&(7%(:6 *% )'*$% )',&%*(&;%.2. $%$&% $8( * '7&()': R22 "#$%$&' ()' *% '1+$(6( LD50 : % ')' 1/)1.3. N(%#H( '$'8(&( $' +1(8&': + )':9&(; *,+1: '(*&: %)'8:(.4. I7(7$' :( 9' %$(& 7(8#%$()( )', '$'8(&(*(:' 9%&7',(7%&:(.5. P'*$' (&$,'$ +:(7%& "(&$(1'&*$6 ()' +&)'8$
()' *)+.. P()$) *8()( )+H( ,(&(* + *8'' ('$%; :(&%) ', 9%&7',(7%&(. G'%:( '$'#&(.@. D',($& '9%: % '8*&'*$.
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TRICIKLIKI I DRUGI ANTIDEPRESIVI
.N%) ', & *+ '$'8& * '7&()': R25 "'$'8&' ()'
*% '1+$(6 R4!/22 "$%$&' '(*&'*$ ', $%#)'1'#$%H%&( 7,(8( ,+%: 7(1(&+ 1+$(&%:6.N%'$')*& &%+'$')*& )(,'$')*&.2. D+1' 8%:% 7( '*$7(&% ,&(:)% (8&'$%% )',
)'&&% $%(% ",8( $%,&( 8#%6 ( *% +%*$(' $(%9'( %#%&( "&. +,(&% ,'7% * 9%7 %$',&*:+(;(63. V%) 8'+:%& (*',%% $%() 79' '$:(&%$%&)% 78(&$%%*&% %:&(;%.4. P(H%&% )'&;%&$(;( + )8 + +$& &)(, &%=(8%' 7((8' *% )'*$ 7( ';%&+ $%&%
'$'8(&(.
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FLUOKSETIN
.>(&% '$'8(& ', $;)) (&$,%%*8( *
O7&()': R22 "#$%$&' ()' *% '1+$(6.2. P+&' &+*'(8( "&%*(&;( (&'%)*( (,9,( ',&'*&' '$%&;% $,.6.
3. N(1'% *+ *+:&%+ :'1+H% $%($'1%&%+&)% ( 7( *(, &%:(H8*$ ,')(7( + +,.
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B'(& (%)$8& '%:%H(.
LITIJ. A)+$&( '$'8&'*$ :+ % %($8&' &*)( R22 "#$%$&' ()' *%'1+$(
2. K'&&' % &%'$')*(& #$%$&' ,%+% &( +&);+#$$&(% ( :( '7&()+ R40 "'1(&%&( *(7&(&( ')(;&'1%&: +&;:(6.3. V' +&)'8$ )(, *% %,'8$' +7:(-'9%: ;':(&;%.
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ANTIEPILEPTICI
B'%*$ 8%)(&( ( ,(&(* 79'1 $(+:(.
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antiepileptik CAS broj znakovi opasnosti oznakeupozorenja
karbamazepin 298-46-4 Xn R22
fenitoin 5-4!-" Xn
# $ar%& kat& 2
R48'22-(6
R2('24'25-45
valproi)nakiselina
99-66-! # R22-('(8-6!
fenobarbiton 5"-"6-6 # R25
etosuksimi* -6-8 Xn R22
primi*on !25-((- Xn R22
TOKSIKOLOKE =NAAJKE NEKI ANTIEPILEPTIKA
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KARBA>A=EPIN
T%#)% )'&% &+*'(8%.
. A)+$&( '$'8(&( %$)( "&. '$%&7(62. B'&% &+*'(8% ",%%*( SS )'&% &+*'(8%63. T%() $%(*) '9%: 79'1 '$%9% )':9&(;%* ,+1: (&$%%$;:( *$(& ':%&( + 97&9'$(&*':(;%.
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G!n#!va $od v!%o$!& do'a (en!)o!na.
FENITOIN. L%) 7 3!. * ,'9': +&)'8$'#H+ ( 9'&:'9%::( "'*%9&' )', )'&&% +'(9%6.
2. %*$' *% )':9&( * ,+1: (&$%%$;:( (I&$%();% *+ 9'&% "&. &,+);( %&7:(6
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FENOBARBITON
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FENOBARBITON. P(*$( %) 7 2. )'#$%& 7( (7$% *8% )',(7& 9'%*$ "S%H($% *% >(& >'&'%
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F%$(& 8('& *&,':.
VALPROINA KISELINA
.A)+$&( '$'8(&( &*+ '9%:.
2.B'&% *+ &$%();% "'$*)+% ,+1% %)'8%* (9+:&( :'% &9($*&$%7+ :)'*':(& ')*,(7(.
3. N(8%H '9%: % + *+:&&( $%($'1%&'*$.O98%7&' % (H%&% &%7&)'&;%&$(;( + )8.
4. L()' *% +)(&( 7 )8'*(&': ()(&': ,+%7':.
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ANTIPARKINSONICI
JAA OD ALIJA.
.U 8($*)' :( ')' 20.000 9'%*&)(2.T%(( % 8' *'%&( %*$' &%+&)'8$(
3.>'% *% ,%'8($ $%) &( *:$':% 9'%*$ (&+*'(8% &$%();% *+ 7(7$' %*$%.
4.P()$) &%:( ()+$&
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lijek CAS broj znakopasnosti
oznakaupozorenja
levo*opa 59-92- Xn R22-(6'('(8
tri+eksfeni*il !44-!!-6 Xn R22
*ifenil+i*ramin
!4-24-" Xn R22
benztropin 86-!(-5 Xn R2"'2!'22-4"
amanta*in 665-66- Xn R22
NAJEI ANTIPARKINSONICI
ANALGETICI I ANTIPIRETICI
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F','8( 9'.
ANALGETICI I ANTIPIRETICI
.B' % *(:( ' *%9 %*$( &% *(*8: (*&('(8( ( 9' (&(1%$)( % 7+7%$&' 8%). T(9%$%*% :'1+ &(H ()$) + *8()': ,%+.
2. N $%($+&: ',(;:(
*% &% :'% *(*8:8%'8($ #$' *% $%#$%$& +&()( % :
% () *$($+* (7$ &(
(7&: $#$:(.
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lijek CAS broj znakopasnosti
oznakeupozorenja
a%etilsali%ilnakiselina
5"-8-2 Xn R22-(6'('(8
para%etamol !"(-9"-2 Xn R22-('(8
*iklofenak !5("-9-6 # R25-(6'(8-
6(
TOKSIKOLOKE =NAAJKE NEKI OD ANALGETIKA
T+ &((8&' &%:( '& :'H& '+$ ,%8($( :'(. O&:( &( ,+1': :%*$+.
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ACETILSALICILNA KISELINA
. N(8',&' *+ 7( &%7&% %)*$()$% 7&( K&%7 '# %4.000 1',&( ( + E+' '*$' 7 . *$'%H(.2. N%:(:' +&' ()+$& '$'8(&( ( )'*$ *% 7( (7&%*8% "O%$ '*$(% :',%(& %) 7( 7(#$$+ )8& (6.3. B' &$%();( &+*'(8( % 7(7$' 8%)
4. U A:%; 9%% 7(7$'+&' '$'8(&( ( + &(* %%$)' +7') ()+$&'1 '$'8(&(.5. A)+$&( '$'8(&( *% ()'
%#(8(+ ()(&': '*(&':,+%7':.
PARACETA>OL
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PARACETA>OL. I7(7$' )'&$'8%7(& %). A:%)(&; 1( *% 9'% #+ *8()()8% *$(#&% $8( ( : &%:(:' '$'8(&(.
>',( 79'1 &%&;% ,( )', &(*&% ,'(7 + '8()' 8%): ()(-&:( &% :'% 1( *% )+$ +
*8()': ,+H(&+.2. G(8& '9%: % %($'$')*-&'*$ )()' )', ()+$& '$'8(&(T()' )', )'&&% :%&%.
3. N%:( (&$,'$( &$ ()' ,'9%$%&)% 78(&$%%*&% %:&(;%.4. D'(7 + *$'$&(:( )':9&(&%(($(.
VOLTAREN
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VOLTAREN. T(& %,*$(8&) 9'& #')' )'#$%&&%*$%',& (&$%+:($)(. S8 :'1+H (8;.
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4.B'&% &+*'(8%*&' )(' )',(;%$*(;&% )*%&%.5. S+:&8 79'1
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LIJEKOVI =A BOLESTI SRCA I KRVNI ILA
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J( '*'9&' 8#% 8': (&%$&+.
LIJEKOVI =A BOLESTI SRCA I KRVNI ILA
.=&(:' ,( 8($ &(%#H% +:+ ', $ 9'%*$.2.K(+ ,( $%9( #$' :(&% %*$ ( #$' 8#% *% )%$($
( $' *% ,(&(* 8#% &)': &% ,(. K')' *% 8 $'#$%( )')' *%,$%ICI
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K&,&*)( $':9';$'%&(
ANTIARIT>ICI. I & :( +&' )(' &. ')(&(:, )&,& 8%((:(:',('& ,7'(:, $,.
2. R(7$ %:( '$'8&'*$ ,+1'$(&: +&;:( &((8&'(:()')&%$;.3. T%#)' % 7(9($ (8 (&$($:) ( &( $#$+ ,'(7% '#+8%) 8%H&( ', & 9%7 '97( &( *$('*$ '9%:%.
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ANTIIPERTEN=IVI
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ANTIIPERTEN=IVI. N(%#H %)'8 7 *)+&% ( (7$ ' :%(&7:+D%'8(&( "&. 9%$( 9')($' ,+%$; $,. L%)'8 7( ;% 8'$.
2. A)+$&( '$'8(&( ()$) 9%7&((&( ( %*$ $%(*)P'9%: 79'1 9'& (7'1(.
3. B'&% )':)(;% '+$&. %,%:(-$'$(& '%:%H(
(:()')&%$)%.4. T%() '9%: *+(,&% *%&)': + $%( "&%*+(,&(6.5. V%) &(' (:(;%+$*)%&,+*$% + 7(, %)'8( 7(&%'*+#&%.. N%:( (&$,'$( &$ *+ '$%9&.
PLUA NAA
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PLUA NAA
A*$:($& &((, + B(&1')+.
. S(:' ', (*$:% 9'+% ')' 4 +(&*$8( ( ,( ' '*$(:+H&: 9'%*$:( &% 1'8':'.2. L%)'8( % &((8&' :&'1' + (7&: '9;:( * (7&:U&;:( ( ',+% % #')'.3. G(8& '9%: *+(,&( 9'%*&)( * %&)': ( '$'8(&(
*+ 7(7$' %$)(.4. K', &%) % 7(7$'8(&' ($$ $%(+:%%&%: )'&;%&$(;( +)8 ( %$%&' 79'1'*$7(&( +&)( ( &% 79'1
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lijek CAS broj znakoviopasnosti
oznakeupozorenja
*inatrijevkromo,likat
!5826-(-6 Xn R22
+i*rokortizon 5"-2(- Xn R2"'22-((
salbutamol !8559-94-9 Xn R22
teofilin 58-55-9 Xn
1#
R22-(6
1R2"'2!-25
terbutalin 2("(!-25-6 Xn R22
TOKSIKOLOKE =NAAJKE NEKI ODANTIAST>ATIKA
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V'$% ( * $%&':%%&%: )'&;%&$(;( +)8.. A (,'8( ' &%:+ % &(%$%
KORTIKOSTEROIDI
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N+*'(8( )'$)'*$%',(.
KORTIKOSTEROIDI
. D%++ '$+(%1*) '$++(&' ( *+ )', $%(%(*$:% 7(7$' 8(& ':'H& () 1(8& %)'8.
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3. S:($( *% '$%9&P'7'&' ($$ *8%
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OS S
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S(:' :'7() &% %*(++.
I>UNOSUPRESIVI
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CITOSTATICI
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R() &% 9( & %:( ,'9.
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DOSTA O LIJEKOVI>A
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DOSTA O LIJEKOVI>A
. A () $%9( '&'8$ ,( *:' : 8($ ,( 7(7$' :&'1'&( '78',& (*(&+ %)'8( 7( *8'% $+% '$%9%.
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