RESUME dr. LIZA (140.366.660) DOSIS THERAPEUTIK ANTI PSIKOTIK
• CHLORPROMAZINE (GENERIK 25 MG, 100 MG
PERTAB) 150-1800 MG/R (3X50-600MG) • DOSIS AWAL 25 MG X 3/HR ATAU 75 MG MALAM, • ANAK SKIZP-AUTISME, 1-5 TH, 500 MCG/KG SETIAP 4-6 JAM.(MAKS 40 MG/HR), 6-12 TH, 1/3- 1/2 DWS. • GEGUKAN YANG SULIT DIOBATI 25 MG X 3 ** CEPEZET (TABCO 100 MG, AMP 50MG/2ML) DOSIS ADULT 10-20 MG EVERY 4-6 HOURS, PSiCHOSIS 200-800 MG DAILY, CHILDREN 0,5 MG/KGBB EVERY 4-6 HRS **MEPROSETIL (FILOTAB 25 MG, 100 MG) **PROMACTIL (FILM CO TAB 100 MG) ** LARGAGTIL TAB 25, 100 MG KLORPROMAZIN HIDROKLORIDA HINDARI KONTAK LANGSUNG PERINGATAN: PENYAKIT KARDIOVASKULAR, DAN SEREBROVASKULAR, PENYAKIT PERNAFASAN, PARKINSONISM, EPILEPSI, INFEKSI AKUT, HAMIL, MENYUSUI, GANGGUAN GINJAL, HATI, RIWAYAT KUNING LEUKOPENIA, HIPOTIROIDISME, HIPERTROPI PROSTAT, HATI HATI PADA PS USILA, HINDARI PEMUTUSAN OBAT MENDADAK, SETELAH INJEKSI IM PS HARIS TETAP TIDURAN 30 MNT KONTRAINDIKASI: KOMA KRN DEPRESAN SSP, DEPRESI SUMSUM TULANG, HINDARI PADA FEIKROMOSITOMA, GANGGUAN HATI DAN GINJAL BERAT EFEK SAMPINGl GEJALA EKSTRAPIRAMIDAL, TARDIVE DYSKINESIA, HIPOTERMIA, KADANG KADANG PANAS, MENGANTUK, APATIS, PUCAT, BERMIMP BURUK, INSOMNIA, DEPRESI, AGITASI, PERUBAHAN EEG, KEJANG PADA GEJALA ANTI MUSKARINIK YANG TERDIRI ATAS : MULUT KERING, HIDUNG TERSUMBAT, KONSTIPASI, KESULITAN BUANG AIR KECIL, PANDANGAN KABUR, GEJALA KARDIOVASKULAR, MELIPUTI HIPOTENSI, TAKIKARDIA, ARITMIA, TERJADI PERUBAHAN EKG, PENGARUH ENDOKRIN SEPERTI GG MENSTRUASI, GALAKTORE, GINEKOMASTIA, IMPOTENSI, PERUBAHAN BB, TERJADI REAKSI SENSITIVITAS, AGRANULOSITOSIS, LEUKOPENIA, LEUKOSITOSIS, ANEMIA HEMOLITIK, FOTOSINTESIS, SENSITISASI KONTAK, RUAM, SAKIT KUNING, PERUBAHAN FUNGSI HATI, SINDROM NEUROLEPTIK MALIGNA, SINDROM YANG MENYERUPAI LUPUS ERITEMATOSIS, JUGA DILAPORKAN, PERUPAHAN LENSA KORNEA, KONJUNGTIVA, RETINA, PIGMENTASI KEUNGUAN KULIT. INJEKSI IM SBK NYERI, HIPOTENSI , TAKIKARDIA • THIORIDAZINE 100-800 MG/HR (2X50- 400MG) **MELLERIL @ TAB (50 MG), 100 MG D DOSIS MELLERIL ANXIOLITIC ANTIDEPRESAN ADULT 10-75 MG DAILY, CHILDREN ADJUCTIVE THERAPY IN CONCDIFFICULTIES, BEHAVIOUR DISORDERS, HIPERACTIVITY, AGGRESSIVENESS, SLEEP DISTURBANCES, 0,5 – 2 MG/KGB DAILY ALCHOHOLIC PATIENTS DURING WITHDRAWAL 100 -200 MG DAILY SEVERE NEUROSIS 25-15- MG DAILY MAX 800 MG DAILY CHILDREN CHILDHOOD SCHIZOFRENIA, SEVERE BEHAVIOURAL DISORDERS IN MENTAL RETARDATION AND PSYCHOPATHY 1-4 MG/KG DAILY IN DIVIDED DOSES HALOPERIDOL 1,5 MG-30 MG/HR (3X0,5-10MG) • HALDOL 2 MG, 5 MG DOSIS NERVOUSNESS, ANXIETY STATES, TICS, STUTTER GI UPSET 0,5 MG 2 TIMES DAILY • Ederly 0.5-2 mg 2-3 times daily • MANIA , ACUTE AND CHRONIC SCHIZOFRENIA, PARANOIA, BEHAVIOR & CHARACTER DISORDER IN CHILD MODERATE 0,5 – 2 MG 2-3 TIMES DAILY. Severe 3-5 mg 2-3 times daily • Children 3-12 yr 0.05-0.15 mg/kgbb in divided dose • Chronic schizofrenia adult&child >12 y initialy 6-15 mg in 2-3 divided dosis • Eat with meals to minimise gi imtation DORES (1,5 MG, TAB), CAP 5 MG Govotil tab 2 mg, tab 5 mg Haldol decanoas ampul 50 mg/ml (1 ml), serenace (0,5. 1,5. 5 mg, liq 2 mg/ml 15 ml, amp 5 RISPERIDONE • I: acute & chronic schizophrenia & other psychotic condition, alleviates affective symptoms associated with schizophrenia • D: 1 st day 2 mg daily un 1-2 divided doses 2nd day 4 mg daily 1-2 divided doses 3rd day 6 mg daily in 102 divided doses General doses 4-8 mg daily Eiderly renal, hepatic disease initial 0,5 mg twice daily doses maybe increased to 1-2 mg twice daily Tab 1 mg , 2 mg tab > risperdal consta, risperdal , zofredal (1 mg,2 mg,3 mg tabco) Aripiprazol • ABILIFY @ I : SCHIZOFRENIA D: 10 OR 15 MG ONCE DAILY SP: REDUCE OR DISCONTINUE DOSE IF SIGN OR SYMPTOMS OF TARDIVE DYSKENESIA, NEUROLEPTIC MALIGNANT SYNDROME APPEAR, HISTORY OF SEIZURE, PREGNANCY & LACTATION, MAY IMPAIR ABILITY TO DRIVE OR OPERATE MACHINERY AR: HEADACHE, NAUSEA, VOMITING, CONSTIPATION, ANXIETY, INSOMNIA, LIGHTHEADEDNESS, SOMNOLENCE, AKATHISIA RISPERIDONE • INDIKASI : SKIZOFRENIA AKUT & KRONIK • PERINGATAN: PENYAKIT KARDIOVASKULAR BILA TERJADI HIPOTENSI DOSIS DITURUNKAN, INSUFISIENSI GINJAL, HATI, USIA LANJUT PARKINSONISME, EPILEPSI, MENGEMUDI, MENJALANKAN MESIN, HAMIL, MENYUSUI, PANTAU TANDA TARDIVE DYSKINESIA • EFEK SAMPING : INSOMNIA, AGITASI, ANSIETAS, NYERI KEPALA, PUSING, SOMNOLEN, LESU, DISPEPSIA, MUAL, NYERI ABDOMEN, GEJALA EKSTRAPIRAMIDAL • RISPERDAL 1,2,3 MG CLOZAPINE • CLORILEX TAB 25 MG, 100 MG • CLOZARIL TAB 25 MG, 100 MG • LUFTEN • DOSIS : 12,5 MG ONCE OR TWICE DAILY ON THE 1 ST DAY, FOLLOWED BY STEPWISE INCREASE W/DAILY INCREMENTS DOSES MAX 600 MG/DAY EXCEPTIONS 900 MG OLANZAPINE • ZYPREZA TAB 5 MG, 10 MG, VIAL 10 MG • DOSIS: TAB SCHIZOPHRENIA & RELATED DISORDERS STARTING DOSE 10 MG/DAY • MANIC EPISODES STARTING DOSE 15 MG/DAY AS A SINGLE DOSE IN MONOTHERAPY OR 10 MG/DAY IN COMBINATION WITH LITHIUM OR VALPROATE • PREVENTING RECURRENCE IN BIPOLAR DISORDER 10 MG.DAY • DURING TREATMENT FOR BOTH SCHIZOPHRENIA & MANIC EPISODES DAILY DOSAGE SUBSEQUENTLY BE ADJUSTED ACCORDING TO CLINICAL RESPONSE WITHIN THE RANGE 0F 5-20 MG/DAY . VIAL 10 MG AS SINGLE IM INJ APG II DOSIS THER FREK DOSIS KEUNTUNGAN KERUGIAN AWAL MG/HR MAKS
CLOZA 25-50 300- 2X/HR 900 SKISOFRENIA AGRANULUSI
REFRAKTER , EPS TOSIS, BB PINE 600 RENDAH NAIK, KEJANG
OLAN 5- 10 15-20 1 20 DITOLERANSI DENGAN BERAT
BAIK, EFEKTIF UNTUK BADAN NAIK ZAPIN X/HR MANIA AKUT E QUE 25 -50 400- 2–3 800 DITOLERANSI DENGAN TITRASI 600 X/HR BAIK DOSIS TIAPI RESIKO EPS RENDAH SEDASI DINE
RISPE 1-2 4-8 2X/HR 16 DITOLERANSI DGN BAIK DOSIS
WELL DEFINED DOSE TERGANTUN RIDON RANGE G EPS E
ZIPRAS 40-80 80-160 2X/HR 160 DITOLERANSI QT
IDONE DENGAN BAIK PROLONGE, BB TIDAK NAIK’ADA BERSAMA INJ MAKANAN APG 1 DOSIS/ HR ORAL WAKTU EFEK SAMPING PARUH JAM HALO 5-20 MG 2 MG 12-36 EPS +++, SEDASI +, PERI (2X/HR) OTONOM + DOL TRI 5-30 MG 5 MG - EPS +++, SEDASI ++. FLUO (2x/HR) OTONOM + PERA ZINE CHLOR 200-600 MG 100 MG 8-35 SEDASI +++, OTONOM PROMAZINE (2X/HR) +++, EPS +
FLUPHENA 2-20 MG 2 MG 14-24 EPS +++, SEDASI +
ZINE (2-3x/HR) OTONOM +
THIORIDAZI 200-600MG 100 9-30 EPS +++, SEDASI +,
NE 2X/HR OTONOM + SULPIRIDE 400-2400 400 - - (2x) GAMBA JENIS OBAT EFEK KLINIS OBAT TERSEBUT RAN MEMBERI GAMBARAN NEURO GEJALA SEPERTI TRANS SKIZOFRENIA MITER O/OBAT DOPA AMFETAMIN EKSITASI, PENINGKATAN GEJALA POSITIF, MIN MENYEBABKAN INSOMNIA, HALUSINASI, HALUSINASI, PELEPASAN DAN KEWASPADAAN, TERUTAMA MENCEGAH REUPTAKE HOSTILITAS, PENGLIHATAN, (PENGAMBILAN KEMBALI KETERGANTUNGAN PERABAAN, WAHAM DARI DOPAMIN KEJAR