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Kortikosteroid adalah suatu kelompok hormon steroid yang dihasilkan dibagian korteks kelenjar adrenal sebagai tanggapan atas hormon adrenokortikotropik (ACTH) yang dilepaskan oleh kelenjar hipofisis. Hormon ini berperan pada banyak sistem fisiologis pada tubuh, misalnya tanggapan terhadap stres, tanggapan sistem kekebalan tubuh, dan pengaturan inflamasi, metabolisme karbohidrat, pemecahan protein, kadar elektrolit darah, serta tingkah laku
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6. Terangkan sediaan injeksi, peroral, topikal, paten, generic Kortikosteroid
Tabel. Beberapa Sediaan Kortikosteroid
Nama generik Bentuk oral
Parenteral Topical Topical pada mata
Desoksikortikosteron asetat
5 mg/ml (minyak)
Fluodrokortison asetat 0,1 mg
Kortisol/hidrokortison 5-20 mg 25, 50 mg/ml (suspensi)
0,1-2% (krim, salep,
losion)
0,2% (suspensi,
salep)Kortisol asetat 25 mg/5 ml
(suspensi)0,1-1%
(krim, salep, losion)
1,5% (salep)
Kortisol sipionat 2 mg/ml (suspensi)
Kortison asetat 5-25 mg 25, 50 mg/ml (suspensi)
Prednisone 5 mg
Prednisolon 5 mg
Metilprednisolon 4 mg 40 mg/ml
6-metil prednisolon 4 mg 20, 40, 80 mg/ml
(suspensi)
0,25, 1%
Metilprednisolon Na suksinat
40-1.000 mg bubuk
Deksametason 0,5 mg (eliksir)
4 mg/ml 0,01-0,1% 0,1%
Deksametason asetat 2-16 mg/ml (suspensi)
Deksametason Na-fosfat 4-24 mg/ml 0,1% 0,05; 0,1%
Parametason asetat 1,2 mg
Flusinolon asetonid 0,01-0,2%
Flumetason pivalat 0,025% (krim)
Betametason 0,6 mg
Betametason dipropionat 0,05; 0,1%
Betametason valerat 0,01; 0,1%
Triamsinolon 4 mg
Triamsinolon asetonid 40 mg/ml (suspensi)
0,1; 0,5 mg (krim, dll)
Triamsinolon diasetat 2 dan 4 mg/ 5 ml (sirup)
25, 40 mg/ml (suspensi)
Halsinonid 0,025; 0,1%
Tabel. Sediaan Kortikosteroid Peroral dan Injeksi
Nama Obat Dosis Sediaan Nama patenDexamethason Anak: 0,006-0,4 mg/kgBB/hari
Dewasa : 0,2-0,5 mg/kgBB/hariTab 0,5 mgInj 5 mg/ml
Cortidex Kalmetason
Metilprednisolon 0,4-1,6 mg/kgBB/hari Tab 4, 8, 16 mgInj 125mg/2ml, 500mg/ml
Lameson Medixon
Prednison 1-2 mg/kgBB/hari (3x) Tab 5 mg Pehacort
Tabel. Sediaan Kortikosteroid Topikal
Obat
Potensi (kelompok) Generic Umum Merek
Dosage vehicle Tersedia ukuran
Ultra high (I) Ultra tinggi (I)
Augmented betametason dipropionate 0,05%
Diprolene* Diprolene *
G,† O G, † O
15, 45, 50 g 15, 45, 50 g
Clobetasol propionat 0,05% Clobex Clobex L, Sh L, Sh
59, 118 mL (L); 118 mL (Sh) 59, 118 mL (L); 118 mL (Sh)
Olux* Olux * F F 50, 100 g 50, 100 g Temovate* Temovate *
C, G, O C, G, O
15, 30, 45 g (C, O); 15, 30, 60 g (G) 15, 30, 45 g (C, O), 15, 30, 60 g (G)
Temovate E* Temovate E *
C C 15, 30, 60 g 15, 30, 60 g
Diflorasone diacetate 0.05% Diflorasone diasetat 0,05%
Apexicon* Apexicon *
O O 15, 30, 60 g 15, 30, 60 g
Fluocinonide 0.1% Fluocinonide 0,1%
Vanos Vanos C C 30, 60 g 30, 60 g
Flurandrenolide 4 mcg per m 2 Flurandrenolide 4 mcg per m 2
Cordran Cordran
T T 24” × 3” and 80” × 3” rolls 24 "× 3" dan 80 "× 3" gulungan
Halobetasol propionate Ultravate* C, O C, 15, 50 g 15, 50 g
Obat
Potensi (kelompok) Generic Umum Merek
Dosage vehicle Tersedia ukuran
0.05% Halobetasol propionat 0,05%
Ultravate * O
High (II) Tinggi (II)
Amcinonide 0.1% Amcinonide 0,1%
— - O O 15, 30, 60 g 15, 30, 60 g
Augmented betamethasone dipropionate 0.05% Augmented betametason dipropionate 0,05%
Diprolene* Diprolene *
L L 30, 60 mL 30, 60 mL
Diprolene AF* Diprolene AF *
C C 15, 50 g 15, 50 g
Betamethasone dipropionate 0.05% Betametason dipropionate 0,05%
Diprosone*‡ Diprosone * ‡
O O 15, 45 g 15, 45 g
Desoximetasone Desoximetasone
Topicort 0.25%* Topicort 0,25% *
C, O C, O
15, 60 g 15, 60 g
Topicort 0.05%* Topicort 0,05% *
G G 15, 60 g 15, 60 g
Diflorasone diacetate 0.05% Diflorasone diasetat 0,05%
Apexicon E* Apexicon E *
C C 15, 30, 60 g 15, 30, 60 g
Fluocinonide 0.05% Fluocinonide 0,05%
Lidex* Lidex * C,† G,† O C, † G, † O
15, 30, 60 g 15, 30, 60 g
Halcinonide 0.1% Halcinonide 0,1%
Halog Halog C, O, So C, O, Jadi
15, 30, 60, 240 g (C, O); 30, 60 mL (So) 15, 30, 60, 240 g (C, O), 30, 60 mL (Jadi)
Medium to high (III) Sedang sampai tinggi (III)
Amcinonide 0.1% Amcinonide 0,1%
Cyclocort‡ Cyclocort ‡
C C 4, 15, 30, 60 g 4, 15, 30, 60 g
Betamethasone dipropionate 0.05% Betametason dipropionate 0,05%
Betanate* Betanate *
C C 15, 45 g 15, 45 g
Fluticasone propionate 0.005% Flutikason propionat 0,005%
Cutivate* Cutivate *
O O 15, 30, 60 g 15, 30, 60 g
Triamcinolone acetonide 0.5% Asetonid triamcinolone 0,5%
Cinalog*‡ Cinalog * ‡
C, O C, O
15 g 15 g
Medium (IV and V) Sedang (IV dan V)
Betamethasone valerate Betametason Valerat
Beta-Val 0.1%* Beta-Val 0,1% *
C, L C, L 14, 45 g (C); 60 mL (L) 14, 45 g (C); 60 mL (L)
Luxiq 0.12% Luxiq 0,12%
F F 100 g 100 g
Desoximetasone 0.05% Topicort LP* C C 15, 60 g 15, 60 g
Obat
Potensi (kelompok) Generic Umum Merek
Dosage vehicle Tersedia ukuran
Desoximetasone 0,05% Topicort LP * Fluocinolone acetonide 0.025% Fluocinolone asetonid 0,025%
Synalar*‡ Synalar * ‡
C, O C, O
15, 60 g 15, 60 g
Fluticasone propionate 0.05% Flutikason propionat 0,05%
Cutivate* Cutivate *
C C 15, 30, 60 g 15, 30, 60 g
Hydrocortisone butyrate 0.1% Hidrokortison butirat 0,1%
Locoid* Locoid *
O O 5, 10, 15, 30, 45 g 5, 10, 15, 30, 45 g
Hydrocortisone probutate 0.1% Probutate hidrokortison 0,1%
Pandel Pandel C C 15, 45, 80 g 15, 45, 80 g
Hydrocortisone valerate 0.2% Valerat hidrokortison 0,2%
Westcort* Westcort *
C, O C, O
14, 45, 60 g (C, O); 120 g (C) 14, 45, 60 g (C, O); 120 g (C)
Mometasone furoate 0.1% Mometasone furoate 0,1%
Elocon* Elocon *
C, L, O C, L, O
15, 45 g (C, O); 30, 60 mL (L) 15, 45 g (C, O), 30, 60 mL (L)
Triamcinolone acetonide 0.025% Triamcinolone asetonid 0,025%
Kenalog*‡ Kenalog * ‡
C, L, O C, L, O
15, 80, 454 g (C, O); 60 mL (L) 15, 80, 454 g (C, O); 60 mL (L)
Triamcinolone acetonide 0.1% Asetonid triamcinolone 0,1%
Triderm* Triderm *
C, L,† O† C, L, O † †
15, 80, 454 g (C, O); 15, 60 mL (L) 15, 80, 454 g (C, O), 15, 60 mL (L)
Low (VI) Rendah (VI)
Alclometasone dipropionate 0.05% Alclometasone dipropionate 0,05%
Aclovate* Aclovate *
C, O C, O
15, 45, 60 g 15, 45, 60 g
Desonide 0.05% Desonide 0,05%
Desonate Desonate
G G 15, 30, 60 g 15, 30, 60 g
Desowen* Desowen *
C, O C, O
15, 60 g 15, 60 g
Lokara Lokara L L 60, 120 mL 60, 120 mL
Verdeso Verdeso
F F 100 g 100 g
Fluocinolone 0.01% Fluocinolone 0,01%
— - C C 15, 60 g 15, 60 g
Hydrocortisone butyrate 0.1% Hidrokortison butirat 0,1%
Locoid* Locoid *
C C 5, 10, 15, 30, 45 g 5, 10, 15, 30, 45 g
Least potent Hydrocortisone 1%, 2.5% — - C, L, O 20, 30, 120 g (C, O);
Obat
Potensi (kelompok) Generic Umum Merek
Dosage vehicle Tersedia ukuran
(VII) Least kuat (VII)
Hidrokortison 1%, 2,5% C, L, O 60, 120 mL (L) 20, 30, 120 g (C, O), 60, 120 mL (L)
Keterangan: C = cream; F = foam; G = gel; L = lotion; O = ointment; Sh = shampoo; So = solution; T = tape . C = krim; F = busa; G = gel; L = lotion; O = salep; Sh = sampo. *= generik tersedia, †=Brand tidak tersedia dalam formulasi ini, ‡= Merek tidak lagi tersedia di Amerika Serikat.