IT 23 - Pengobatan Topikal Penyakit Kulit & Kelamin (Dermatoterapi) - MAT

7/17/2019 IT 23 - Pengobatan Topikal Penyakit Kulit & Kelamin (Dermatoterapi) - MAT

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PENGOBATAN TOPIKAL

PENYAKIT KULIT DAN KELAMIN

M. ATHUF THAHA

1



OBAT TOPIKALVEHIKULUM

BAHAN AKTIF

LAIN-LAIN :

BAHAN PENSUSPENSI,

BAHAN PENGEMULSI, PENGAWET,

ZAT WARNA, ANTI OKSIDAN, PARFUM,BAHAN YG MENINGKATKAN

PENETRASI BAHAN AKTIF, CHELATING AGENTS,

THICKENING AGENTS.

2



23

PRINSIP UMUM PENGGUNAAN OBAT TOPIKAL

1. Memahami anatomi, !io"o#i, $io%imia, &an 'ato"o#i %("

). Memahami !ine*#i, anta#oni!, e+e% !am'in#,

to%!i!ita!, %nt*ain&i%a!i, %e!e!(aian anta* $ahan a%ti+,&an $ioaai"a$i"it-. Se&a'at m(n#%in te*a'i %a(!a", &i!am'in#te*a'i !im'tomati!

/. Kom'o!i!i $ahan a%ti+ !e!e&e*hana m(n#%in

0. Mem'e*tim$an#%an %on&i!i %e!e"(*(han 'a!ien!i%, '!i%o"o#i!, &an e%onomi2

3. In&ii&(a"i!ti%



4EHIKULUM

SUBSTANSI PEMBA5A BAHAN AKTIF OBAT SPESIFIK 2AGAR BERKONTAK DAN BERINTERAKSI DENGAN KULIT.

TIDAK MEMILIKI EFEK SPESIFIK TERAPETIK 2 TERHADAP KULIT.EFEK MENDINGINKAN, PROTEKTIF, OKLUSIF, MELEMBABKAN,

ASTRINGEN.

MENENTUKAN BENTUK OBAT TOPIKAL KOMPRES, KRIM, SALAP DLL2.

3



4

BUBUK/ POWDER

LEMAK/ GREASE,MINYAK/OLEUM

WATER SOLUBLE BASE

CAIRAN/ LIQUID

PASTA DINGIN

( LINIMENT

P A S

T A

B E D A K K O

C O K / L O

T I O

W/O ! KRIM ! O/W ----- GEL

VEHIKULUM

VEHIKULUM DASAR ( MONOFASIK/ TUNGGAL

VEHIKULUM BIFASIK

VEHIKULUM TRIFASIKZINC OXIDE

CALAMIN (zinc oksid !"#$%2$ &'ic o)id'*ZINC STEA+AT

TALC,M -ENET,M

BENTONIT,M

TITANI,M DIOKSIDA

-ASELIN ALB,M .

LA-,M (SOT PA+AIN*

LANOLIN

PA+AIN/MINE+AL OIL

OLE,M/MIN0AK

A,AE

LIME ATE+ (SOL"CALCII 0D+OXIDI*

ALKOOL

POLIME+ O+ANIK (CA+BOPOL*

KOLODI,M5 ASETON5

ETE+5 SPI+IT,S5 6o78'9:87'n ;78co7 (PE*

CERA ALBACETACEUM

CERA LANETTECERA CETOMACROGOL

Bedak ≥ 15 bag (20-40%)S!"e#d$#g age# 3 & 15 bag

Bbk ≥ 15 bag(50-'0%)

AM0L,M (9'6<n;* A" o8z=' (>'=s*

A" 9i9ici (;=nd<?*

A" so7=n=' (k'n9=n;*

A"?=8dis (@=;<n;*

O7" o7i=i<? (z=i9<n*

O7" s's=?i (i@'n*

O7" ==c:idis (k=c=n; 9=n=:*

O7" icini (c=s9o7 oi75 @==k*

O7" =?8;d=7=' (=7?ond*

O7"cocos (k'7=6=*

O7"i'cois =s'77i (ik=n*

O7" =6=' (7o>=k*O7"7ini (=?i*



BEDAK6 PO5DER

Men#e*in#%an, anti *a&an#, men&in#in%an, men#(*an#i #e!e%an'*ote%!i me%ani%2, anti #ata"

In&i%a!i 7 &e*mato!i! %e*in#, "(a!, !('e*!ia" he*'e! 8o!te*, a*i!e"a $e*"e'(h2

Kont*ain&i%a!i 7 &e*mato!i! $a!ah6 ma&i&an!, %*n '(!6e%!(&atme*($ah $e&a% 9a&i ma!a #*an(" %a!a*6%e*a! i*ita!i : mem

'e*m(&ah in+e%!i t*tm &ae*ah $e*am$(t.

Be&a% t&% $e*man+aat (nt(% '*o!e! -# &a"am : %*oni%

;a*a a'"i%a!i $e&a%7 %*n %(*an# "e%at '& %("it %e*in#, !e$e"(mn-a $a!ahi %("it &#n #"i!e*in 0< &a"am a"%oho" )=<

Be*$a#ai $ent(% o$at to'i%a"



R6 A>i&. Sa"i>-"i>(m )< mentho"i =,)0< Ta">. eneti )0 #* m+ '(". S($ti"i! s u e 6 s u c

Re!e' $e&a% a!a"

R 8in> o?i&i 1=< Ta"> eneti )= #*

*



Be&a% %o>o%6!ha%e "otion6"o!io

Bedak k+,+k ed$$ aa! ,a."a# 2 /e$k. da!a (,a$a# bbk)d$a.ba baa# "e# !!"e#!$ (!!"e#d$#g age#) g,e$# g. aab$

Re!e" da!a +!$+R $#, +6$d$

a, /e#e g,e$# a7ae aa 25

Tea ke#a da# ,e#de#g ,e"a .e#ge$#g

Bag$a# bbk a#a 8 40% +!$+ da#g,e$# (25%) d$ka#g$ .e#9ad$ 8 15%

R $#, +6$d Ta, /e#e aa 20

G,e$# 15 ak++

a7ae aa 7! ad :;

<



Be&a% %o>o%

k$= g da"a d$a.baka#

baa# a#g a daa. ,a$a#.a ke,$ (e!+,$#+ 2% $,+ 2%) dk "e .e#ga#g$g$a# ,a$a#.a ba#ak 9.a#a ! .e#ga#g$ bag ,a$a# !a.a ba#ak

9.a .e#ga#g$ bag$a# bbk !a.aba#ak

10



BEDAK KO;OK6 LOTIO

Be&a% %o>o% &a!a*7 BSM2R6 A>i& $o*i>(m < @in>i o?-&i 1< Ta"> eneti )=< G"->e*ini 10< A(ae 1== m" m+ !ha%e "otion Lotio K(mme*+e"&i7

R6 ;am'ho*ae

S("+(* '*ae>.)= M(>i"a#o #(mmi a*a$i>i1=

So". ;a">ii h-&*o?i&i1/ A(ae *o!ae1 m+ "otio

Lotio >a"amin $e*min-a% R ,aa.$# 15 o". o"i 0= !o". ;a">ii h-&*o?i&i a& 1==

11

Lotio >a"amin7R6 >a"amin 10 8in> o?i& 0 #"->e*in 0 a"%oho" a(ae aa ! a& CC..



Pe*hatian (nt(% "otio

Penam$ahan $ahan a%ti+ a"a( 9(m"ah %e>i", &'tme*($ah%on!i!ten!i "otio, >ontoh7

Re!o*>ino"6i>hth-io" )<

"otio "e$ih en>e*, !h#'e*"( menam$ah $a#ian $($(% A>i& !a"i>-" )< "otio "e$ih %enta", !h# $a# >ai*an&i9a&i%an 0=<A>i& !a"i>-" )< $e*!ama *e!o*>ino" )<

%on!i!ten!i teta'Oi" &an te* %e>(a"i "i >a*$oni! &ete*#2%on!ent*a!i tin##i, t&% &'t $e*>am'(* &"m "otio %e>(a"i $i"a &itam$ah$hn 'en#em("!i

mi!. t*a#a>anth.Ka*enan a &i!a*an%an mem$(at *e!e "otio

12

14



Be&a% %o>o%

In&i%a!i "otio &e*mato!i! a%(t6!($a%(t !('e*!ia" &an "(a!

Kont*ain&i%a!i

1. &e*mato!i! e%!(&ati+ ). &ae*ah $e*am$(t . &ae*ah !%*ot(m

;a*a mem$e*!ih%an "otio

ai* !(am %(%( ata( o". o"i =< &a"am $en8ene

14



1#

;AIRAN6 LIUIDS

KOMPRES 5ET DRESSING2,RENDAM SOAK2, MANDI BATH2,TUTUL TIN;TURE2, OLES PAINT2,

SEMPROT SPRAY2R6 So". Pe*man#ana! %a"i>(! 160=== )== m"R6 So". A>i&. Sa"i>-"i>i 1 1== m"R6 So". Re!o*>ino"i ),0 0= m"R6 So". Thio!("+a! nat*i>(! )0< == m"

R6 So". T*i>h"o*oa>eti> a>i& 10< 1= m"R6 Pheno" "i(i+a>t(m 0 m"

R6 Tin>t. Po&o'h-"in )0< 0 m"R6 Tin>t. De"!o*a"en =,=/< )0 m"



Haa*!'i*it(!

R6 A>i& !a"i>-"i>(m 1

Li. >a*$oni! &ete*#. S("+(* '*ae>i'itat(m 0 Re!o*>ino" 1

G"->e*in 0 S'i*it(! &i"(t(! ......... mL

C+#+ ,a$a#



1

SALAP6 UNGUENTUM6 OINTMENT

Sa"a' )/R6 A>i& !a"i>-"i>i )< S("+(* '*ae>. /< 4a!e"in a"$(m )= #*

m+ (n#. s u c

Un#. 5hite& I6IIR6 a>i& !a"i>-"i>i 3<

A>i& $en8oi>i 3 1)< Lano"in .! 4a!e"in a"$(m /= #* m+ ".a. Un#(ent. S 3 dd ue

Boo*8a"+ R6 A>i& $o*i> < 4a!e"in a"$. #*

Boo*"ano"in8a"+ R6 A>i& $o*i> < Lano"in 1=< 4a!e"in a"$. #*

Sa"a' i%tio"R6 A>i& !a"i>-"i>(m 3 I>hth-io" Lano"in

4a!e"in aa ! a& 3= #*



21

K*im 56O 7 $a#ian >ai*an7 J )0<

R6 ;e*ae a"$ae 0 ;eta>ei 1= A&e'! "anae 1= O". Se!ami 0= A(ae )=

Tin>t. Ben8oe! 0 m+ ".a. K*im 56O S 2 dd ue

K*im $i+a!i% 7R6 Bio>*eam t($e No. I

K*im O65 7 ani!hin# >*eam6!%in mi"%7 >ai*an 1< !' =<R6 ;e*ae "anette N 10 O". Se!ami 10 A(ae .!. a& 1==

K*im

K*im O65 men#an&(n# $e*#amotR6 Pheno" =.) Be*#amot oi" =. T*a#a>anth 1

@in> o?i&e 3 ;a"amine 3 O". o"i>a* = A(ae a& 1==



1

Ge"

R6 Po&o'h-"in *e!in )0< ;o""o&i(m >(m o". *e>ini 0 #*

R6 A>i& !a"i>-"i>i )=<

aethe* 1=< !'i*it(! 1=< >o""o&i(m >(m o". *e>ini )= #*

R6 A*i!tami& #e" t($e No. I

R6 Th*om$o'ho$ #e" T($e No. IR6 Bio'"a>enton 9e""- T($e No. I



20

PASTA

R6 @in>i o?-&i )=< Ta">. 4eneti )=< 4a!e"in a"$(m )= #*

M+ 'a!ta S 2 dd ue

Pa!ta ABOSR6 A>i& $o*i>i <

@in>i o?-&i < O". Se!ami )= #* M+ 'a!ta S uc



22

PASTA DINGIN6 LINIMENTA

R6 @in>i o?-&i )= #* O"e(m o"ia*i(m 1= m"

So". ;a">ii h-&*o?i&i a& 0= m+ ".a. Liniment(m S (>



24

PRINSIP KHUSUS PENGGUNAAN OBAT TOPIKALSeni men("i! *e!e' &o%te* !'e!ia"i! %("it

A*! '*e!>*e$en&i

1. Pi"ihan o$at to'i%a", $e*&a!a* 7 Sta&i(m6mo*+o"o#i 'en-a%it Lo%a!i anatomi Di!t*i$(!i &an (m(*

). Hin&a*i $ahan a%ti+ to'i%a" -an# $e*!i+at !en!iti8e*. Se!(ai%an $ent(% o$at to'i%a"

&en#an 'e*%em$an#an 'en-a%it/. Kont*o" *e!e' -an# &i*a>i% a'oti% 0. O$at to'i%a" -an# ti&a% tahan "ama,

&i$e*i%an !e>(%('n-a !a9a3. Pen9e"a!an 'en##(naan o$at to'i%a". (m"ah o$at !e!(ai &en#an "(a! %e"ainan %("it, +*e%(en!i 'en##(naan6 ha*i, &an 9(m"ah ha*i 'en#o$atan.



25

(m"ah #* ata( m" o$at to'i%a" 7Pato%an 71= ? 1= >m) 1 #* $ent(% 'a&at2,

) m" $ent(% >ai*an2.

;ontoh 7L(a! "e!i %("it 7 == >m),F*e%(en!i 'ema%aian6 ha*i 7 %a"iLama 'ema%aian 7 1= ha*iO$at to'i%a" -an# a%an &i$e*i%an 7 !a"a'.

(m"ah !a"a' -an# &i*e!e'%an 7 ? ? 1= Q = #* &i$("at%an 7 1== #*



Meto&e 'en("i!an *e!e'

'ho*ae 1< =.0 #* =.0 #*

* '*ae> 3< #* #* a*a$i> /< ) #* ) #*;a">ii h-&*o? /0< )).0 #* )).0 #*e *o!ae 0= m" a& 0= m" ) m"

2?

2*



ISTILAH YANG DIPAKAI DALAM RESEP

a& man(! me&i>i a& man. Me&.27 &i!e*ah%an %e'a&a&o%te*a& (!(m '*o'i(m a& (!. '*o'. ata( (.'.27 &i'a%ai!en&i*i>ito &i!'en!at(* >ito &i!'. ata( >ito27 $(at"ah !e#e*a'e*i>("(m in mo*a '.i.m27 $e*$aha-a 'a&a 'en(n&aan&a in &imi&io &.i.&.27 $e*i%an !e'a*(hn-a&et(* &et. 27 &i!e*ah%an !e'a*(hn-aNe &et(* ne&et27 $e"(m &i!e*ah%anite*et(* ite*2 in ) i>i$(!7 ("an#i *e!e' ) %a"ine ite*et(* ne it.2 ata( non *e'etat(* non *e'.27

ti&a% $o"eh &i("an#'*o *e nata '*n27 &ima%an $i"a 'e*"(&a a& "a#enam &a a& "a#.2 6 &a a& it*e(m &a a&it*.27 $e*i%an &"m $oto"&a in o""a &a in o"".27 $e*i%an &a"am 'ot

non in "a#ema o*i#ina" non in "a#. O*i#.27 9an#an$e*i%an &"m $oto" a!"in a

2*



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IT 23 - Pengobatan Topikal Penyakit Kulit & Kelamin (Dermatoterapi) - MAT