Faktor-Faktor Yang Mempengaruhi Khasiat Obat
Faktor-Faktor Yang Mempengaruhi Khasiat Obat
Faktor-Faktor Yang Mempengaruhi Khasiat Obat
Ages
Disease
Genetics
Idiosyncratic
Drug-Food
Drug-Drug
Alcohol
Ages
Ages can affect the response in drug, because in
the old and the very young metabolism and
excretion are not as efficient in comparison to
the young healthy adult. Distribution can also be
affected due to differences in body composition
and the availability of plasma proteins for
binding . At these extreme of life, drug can
produce greater and more prolongs effects.
Disease
Many diseases states can cause individual
variation in respons to drug. Any disease
can result in alteration in pharmacokinetic
of a drug will create these variation. Disease
of liver and kidney, any disease can affect
intestinal motility, mal-absorption syndrom
and any condition that reduce plasma
protein concentration are all implicated.
Some disease can alter the physiologycal
sensivity to the drug at its site of action
Idiosincratic
Idiosincratics reactions occur when the
patients experiences to affect unrelated to
the expected action of the drug. The afect
is usually hamful and occurs in very small
proportion of individuals. It is due to
factor peculiar to the individual that may
be genetic in origin, but mechanisme are
usually poorly understood.
Drug Interactions
The administration of more than one product
simultaneusly can potentially alter the action of
any of them. These are known as drug-drug
interactions.
Clinically, drug interaction become important
when drug have smal TR.
If warfarin and aspirin used simultanously, both
drug appear in the plasma in higher than
expected concentration due to competition for
plasma protein binding.
Drug Interactions
This will increase pharmacological activity
of both drugs, but the action of warfarin is
of most important.
Drug interaction is not always adverse
reaction. In hypertension for example, the
additive effects of multiple drug therapi is
often necesssary to archive a reduction in
blood pressure.
Interaksi Obat
Interaksi Obat
Drug -Food
There are many types of complex drugnutrient and food-drug interactions that can
occur in the body
Drugs and medications have the potential to
produce many side effects including changes in
taste, appetite, digestion and metabolism
The complex interaction between food,
nutriets, and drugs, make it difficult to
accurately determine the exact effects if these
relationships in the body
Drug -Food
Grapefruit juice can interact with statin,
antihistamin, blood pressure drug,birth
control, stomach acid blockind drug, and
cough suppressant DMP
Grapefrudit juice contains a class of
compounds called furanocoumarins, which
act in the body to alter the characteristics
of these medication
Drug
Food
Exeption
stomach
Acetaminophen
BA decreases if
taken with
apple, orange or
grapefruit juice
Caffeine may
increase the rate
of absorption of
the drug
Garlic, ginger,
gingko, ginseng
folat
Metronidazole
Grapefruit or
related citrus
Antihistamine
Alcohol
It is classed as a depresssant,
meaning that it slows down vital
functions-resulting in slurred speech,
unsteady movement, disturbed
perceptions and an inability to react
quickly.
It can affect metabolism of another
drug
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