Olanzapin: Perbedaan antara revisi

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WanaraLima (bicara | kontrib)
Artikel baru tentang topik farmasi yang masih memerlukan tambahan dan pengembangan. Artikel ini merupakan terjemahan wikipedia bahasa Inggris masih perlu ditinjau ulang juga disesuaikan dengan padanan bahasa Indonesia
Mr. Ibrahem (bicara | kontrib)
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<!-- Pharmacokinetic data -->|bioavailability=60-65%<ref>{{cite journal| last1 = Kassahun| first1 = Kelem| last2 = Mattiuz| first2 = Edward| last3 = Nyhart| first3 = Eldon| title = DISPOSITION AND BIOTRANSFORMATION OF THE ANTIPSYCHOTIC AGENT OLANZAPINE IN HUMANS| issue = 1| pages = 81–93| journal = Drug Metabolism and Disposition| volume = 25| date = January 1, 1997| url = http://dmd.aspetjournals.org/content/25/1/81.long| doi = | pmid = 9010634| id = | access-date = February 22, 2019| archive-date = February 22, 2019| archive-url = https://web.archive.org/web/20190222151933/http://dmd.aspetjournals.org/content/25/1/81.long| url-status = live}}</ref><ref>{{cite journal | vauthors= Callaghan JT, Bergstrom RF, Ptak LR, et al| title = Olanzapine: pharmacokinetic and pharmacodynamic profile. | journal = Clin Pharmacokinetics| volume = 37 | issue = 3 | pages = 177–193 | date = September 1999 | pmid = 10511917| doi = 10.2165/00003088-199937030-00001 }}</ref><ref>{{cite journal | vauthors = Mauri MC, Volonteri LS, Colasanti A, et al| s2cid = 43859718 | title = Clinical pharmacokinetics of atypical antipsychotics: a critical review of the relationship between plasma concentrations and clinical response. | journal = Clinical Pharmacokinetics | volume = 46 | issue = 5 | pages = 359–88 | date = 2007 | pmid = 17465637| doi = 10.2165/00003088-200746050-00001 }}</ref>|protein_bound=93%<ref name = TGA>{{cite web|title=PRODUCT INFORMATION OLANZAPINE SANDOZ® 2.5mg/5mg/7.5mg/10mg/15mg/20mg FILM-COATED TABLETS|work=TGA eBusiness Services|publisher=Sandoz Pty Ltd|date=8 June 2012|accessdate=26 November 2013|url=https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2011-PI-02375-3|format=PDF|archive-date=17 October 2015|archive-url=https://web.archive.org/web/20151017030253/https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2011-PI-02375-3|url-status=live}}</ref>|metabolism=Liver (direct glucuronidation and [[CYP1A2]] mediated oxidation)|elimination_half-life=33 hours, 51.8 hours (elderly)<ref name = TGA>{{cite web|title=PRODUCT INFORMATION OLANZAPINE SANDOZ® 2.5mg/5mg/7.5mg/10mg/15mg/20mg FILM-COATED TABLETS|work=TGA eBusiness Services|publisher=Sandoz Pty Ltd|date=8 June 2012|accessdate=26 November 2013|url=https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2011-PI-02375-3|format=PDF|archive-date=17 October 2015|archive-url=https://web.archive.org/web/20151017030253/https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2011-PI-02375-3|url-status=live}}</ref>|excretion=Urine (57%; 7% as unchanged drug), faeces (30%)<ref name = TGA>{{cite web|title=PRODUCT INFORMATION OLANZAPINE SANDOZ® 2.5mg/5mg/7.5mg/10mg/15mg/20mg FILM-COATED TABLETS|work=TGA eBusiness Services|publisher=Sandoz Pty Ltd|date=8 June 2012|accessdate=26 November 2013|url=https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2011-PI-02375-3|format=PDF|archive-date=17 October 2015|archive-url=https://web.archive.org/web/20151017030253/https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2011-PI-02375-3|url-status=live}}</ref><ref name = MSR>{{cite web|title=Zyprexa, Zyprexa Relprevv (olanzapine) dosing, indications, interactions, adverse effects, and more|accessdate=26 November 2013|work=Medscape Reference|publisher=WebMD|url=http://reference.medscape.com/drug/zyprexa-relprevv-olanzapine-342979#showall|archive-date=2 December 2013|archive-url=https://web.archive.org/web/20131202221232/http://reference.medscape.com/drug/zyprexa-relprevv-olanzapine-342979#showall|url-status=live}}</ref>
 
<!--Chemical data-->|C=17|H=20|N=4|S=1|molecular_weight=312.439|smiles=CN1CCN(CC1)C/2=N/c4ccccc4Nc3sc(C)cc\23|StdInChI_Ref={{stdinchicite|correct|chemspider}}|StdInChI=1S/C17H20N4S/c1-12-11-13-16(21-9-7-20(2)8-10-21)18-14-5-3-4-6-15(14)19-17(13)22-12/h3-6,11,19H,7-10H2,1-2H3|StdInChIKey_Ref={{stdinchicite|correct|chemspider}}|StdInChIKey=KVWDHTXUZHCGIO-UHFFFAOYSA-N|melting_point=195|solubility=Practically insoluble in water}}
 
'''Olanzapine''' adalah golongan antipsikotik atipikal yang digunakan untuk mengatasi [[skizofrenia]] dan [[gangguan bipolar]] . <ref name="AHFS2018">{{Cite web|title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live |access-date=24 December 2018}}</ref> Pada pasien skizofrenia, obat ini bisa digunakan untuk jangka pendek dan bisa digunakan terapi pemeliharaan jangka panjang. <ref name="AHFS2018">{{cite web |title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |accessdate=24 December 2018 |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live }}</ref> Rute pemberian obat melalui oral atau bisa [[penyuntikan intraotot]] . <ref name="AHFS2018">{{cite web |title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |accessdate=24 December 2018 |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live }}</ref>
 
Kemunculan efek samping yang umum pada penggunaan obat ini meliputi penambahan berat badan, gangguan pergerakan, pusing, rasa lelah, sembelit, dan mulut kering. <ref name="AHFS2018">{{Cite web|title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live |access-date=24 December 2018}}<cite class="citation web cs1" data-ve-ignore="true">[https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html "Olanzapine, Olanzapine Pamoate Monograph for Professionals"]. ''Drugs.com''. AHFS. [https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html Archived] from the original on 6 November 2018<span class="reference-accessdate">. Retrieved <span class="nowrap">24 December</span> 2018</span>.</cite></ref> Efek samping lainnya yang bisa terjadi pada penggunaan obat ini yakni [[Hipotensi ortostatik|hiptensi ostostatik]], [[Alergi|reaksi alergi]], sindrom neuroleptik maligna, [[hiperglikemia]], [[sawan]], [[ginekomastia]], [[disfungsi ereksi]], dan tardive dyskinesia . <ref name="AHFS2018">{{cite web |title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |accessdate=24 December 2018 |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live }}</ref> Penggunaan obat ini golongan lansia dengan riwayat [[demensia]], meningkatkan risiko kematian. <ref name="AHFS2018">{{cite web |title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |accessdate=24 December 2018 |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live }}</ref> Untuk penggunaan trismester akhir pada [[kehamilan]] bisa menyebabkan gangguan pergerakan pada bayi selama beberapa waktu pasca dilahirkan. <ref name="AHFS2018">{{cite web |title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |accessdate=24 December 2018 |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live }}</ref> Walaupun mekanisme kerjan dari obat ini belum sepenuhnya jelas, obat ini bisa memblokir [[Reseptor serotonin|reseptor]] dopamin dan serotonin. <ref name="AHFS2018">{{cite web |title=Olanzapine, Olanzapine Pamoate Monograph for Professionals |url=https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |website=Drugs.com |publisher=AHFS |accessdate=24 December 2018 |language=en |archive-date=6 November 2018 |archive-url=https://web.archive.org/web/20181106213841/https://www.drugs.com/monograph/olanzapine-olanzapine-pamoate.html |url-status=live }}</ref>
 
== Referensi ==