Download - Kuliah Steroid
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FARMAKOLOGI STEROID
Cholis Abrori
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s t e r o i d
s t e r o i d
adrenocorticoids
adrenocorticoids
Glucocorticoid
Glucocorticoid
mineralocorticoids
mineralocorticoids
Sex steroid
Sex steroid
Estrogen &
antiestrogen
Estrogen &
antiestrogen
Progestin &antiprogestin
Progestin &antiprogestin
Androgen &
antiandrogen
Androgen &
antiandrogen
GnRH agonis &
antagonis
GnRH agonis &
antagonis
PDE5 Inhibitor
PDE5 Inhibitor
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ADRENOCORTICOSTEROID
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Adrenocorticosteroid
Diproduksi oleh cortex adrenal
Efek farmakologi merupakan ekstensi dari efek
fisiologisnya Seluruh steroid memiliki efek metabolik
maupun efek regulasi elektrolit
Berikatan dengan reseptor intrasel pada seltarget
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Adrenocorticosteroid 2 grup
1. Glucocorticoid metabolik
± Cortisol
±
Deksametason ± Prednison
2. Mineralocorticoid regulasi elektrolit
± aldosteron
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Glucocorticoids
Merangsang katabolisme protein dan
glukoneogenesis
Menghambat inflamasi dan respon imun ± Sebagai dasar terapi
± Meningkatkan reisiko infeksi
Komplikasi muncul di seluruh organ sistem
Komplikasi serius jangka panjang
osteoporosis
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Mineralocorticoids
Obat: aldosteron
Berperan dalam keseimbangan garam dan air
±Meningkatkan reabsorbsi natrium, bikarbonat,dan air
± Meningkatkan sekresi kalium
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HORMON SEX STEROID
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Estrogen
Estradiol, estrone, estriol
Sebagai alat kontrasepsi oral
Efek samping nausea, vomiting
Dietilstilbestrol Ca cervix dan vagina
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Progestin
Progesteron
Sebagai kontrasepsi oral
Efek samping: peningkatan BB, edema, depresi
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Kontrasepsi oral
Pencegahan kehamilan menggunakan
estrogen dan progestin untuk mencegah
ovulasi
± Estrogen memberikan feedback negatif ke
hipotalamus mencegah pelepasan LH dan FSH
± Progestin mencegah LH bleeding
Progestin tunggal minipil or implant
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ANDROGEN
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Androgen
Testosteron
Terapi primer replacement therapy pada
pasien defisiensi testis Efek samping sesuai dengan efek fisiologisnya