Olopatadine
Kelas obat: Agen Antineoplastik
Panganggone Olopatadine
Konjungtivitis Alergi
Digunakake kanthi ophthalmically kanggo manajemen gejala gatal okular sing ana gandhengane karo konjungtivitis alergi.
Rhinitis Alergi Musiman
Digunakake sacara intranasal kanggo nyediakake gejala rhinitis alergi musiman (contone, demam hay).
Nyedhiyakake gejala nyeri hidung, rhinorrhea, gatal irung, lan ngiyup.
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Carane nggunakake Olopatadine
Administrasi
Atur intranasal utawa topikal menyang mripat.
Administrasi Intranasal
Administrasi intranasal kaping pindho saben dina, nggunakake pompa semprotan irung dosis meter. Aja nyemprotake menyang mripat.
Sadurunge nggunakake wiwitan, prima pompa kanthi ngeculake 5 semprotan utawa nganti katon kedhul alus. Yen semprotan irung ora digunakake nganti >7 dina, reprime pompa kanthi ngeculake 2 semprotan.
Kanggo ngaktifake pompa, tahan botol ing tangan siji; kanthi driji telunjuk lan driji tengah ing pundhak unit pompa lan jempol ing sisih ngisor botol, pencet mudhun ing pundhak pompa kanggo ngasilake kabut sing apik.
Sadurunge administrasi, jeblugan alon-alon. irung kanggo ngresiki saluran irung. Kanggo ngatur, tutup siji bolongan irung; banjur, karo sirah tipped mudhun (uwang menyang dhadha), lebokake aplikator irung ¼ kanggo setengah inci menyang bolongan irung liyane, terus botol vertikal mujur, lan ngarahake tip semprotan menyang sisih pipi irung (adoh saka tengah irung). Nalika ambegan alon-alon liwat irung, pencet kanthi kuat lan cepet ing pompa kanggo ngeculake semprotan. Ambegan metu saka tutuk.
Aja ngetung sirah utawa nyebul irung sanalika sawise dosis; sirah mumbul bisa nyebabake rasa pait ing tutuk.
Baleni prosedur kanggo bolongan irung liyane. Ganti bolongan irung ing antarane saben aktuasi.
Sawise administrasi, usap aplikator irung nganggo tisu sing resik lan ganti tutup plastik biru.
Yen aplikator irung macet, aja nyoba ngresiki kanthi nglebokake. obyek sing landhep. Nanging, copot aplikator irung kanthi alon-alon narik munggah; yen wis dibusak, wisuh (nalika ngarahake aplikator irung mudhun) kanthi mbukak banyu tunyuk anget kanggo bab siji menit. Goyangake aplikator kanggo mbusak banyu lan pasang maneh aplikator ing botol. Perdana kanthi nyemprotake kaping 2 utawa nganti katon kabut sing alus.
Buang sawise 240 semprotan.
Administrasi Ophthalmic
Olesake ing mripat minangka solusi ophthalmic. Ora kanggo injeksi utawa oral.
Yen luwih saka siji obat ophthalmic topikal digunakake, wenehake obat kasebut kanthi interval paling sethithik 5 menit.
Aja kontaminasi wadhah solusi.
Dosis
Kasedhiya minangka olopatadine hidroklorida; dosis ditulis ing syarat-syarat olopatadine.
Semprotan irung ngirimake babagan 665 mcg olopatadine hidroklorida (padha karo 600 mcg saka olopatadine) saben semprotan meter lan kira-kira 240 semprotan meter saben botol 30,5-g.
< h4>Pasien Anak Konjungtivitis Alergi Ophthalmic0,1% solusi ophthalmic: Ing bocah-bocah ≥3 taun, 1 tetes ing mripat sing kena pengaruh kaping pindho saben dina (kanthi interval 6-8 jam).
Solusi ophthalmic 0,2%: Ing bocah-bocah ≥2 taun, 1 tetes ing mripat sing kena pengaruh sapisan dina.
Sawise perbaikan gejala ditetepake, terusake terapi nganti suwe. perlu kanggo njaga perbaikan.
Rinitis Alergi Musiman IntranasalBocah 6-11 taun: 1 semprotan (600 mcg) ing saben bolongan irung kaping pindho saben dina.
Bocah ≥12 taun: 2 semprotan (1200 mcg) ing saben bolongan irung kaping pindho saben dina.
Dewasa
Konjungtivitis Alergi OphthalmicSolusi ophthalmic 0,1%: 1 tetes ing mripat sing kena pengaruh kaping pindho saben dina (kanthi interval 6-8 jam).
Solusi ophthalmic 0,2%: 1 tetes ing mripat sing kena pengaruh. ) sapisan saben dina.
Sawise perbaikan gejala ditetepake, terusake terapi sajrone perlu kanggo njaga perbaikan.
Rinitis Alergi Musiman Intranasal2 semprotan (1200 mcg) ing saben bolongan irung kaping pindho saben dina. .
Populasi Khusus
Gangguan Hepatik
Semprotan Nasal: Ora perlu nyetel dosis.
Gangguan Hepatik
Semprotan irung: Ora perlu nyetel dosis.
Pasien Geriatri
Semprotan irung: Pilih dosis kanthi ati-ati. (Deleng Panggunaan Geriatrik ing Caution.)
Pènget
Kontraindikasi
Semprotan irung: Produsen nyatakake ora ana sing dingerteni.
Pènget / PancegahanPenanganan sing Bener kanggo Nyegah Kontaminasi Solusi Ophthalmic
Kanggo nyegah kontaminasi tip lan solusi penetes, aja ndemek mripat, tlapukan, utawa area sakubenge nganggo ujung penetes. Tutup wadhah kanthi rapet yen ora dienggo.
Lensa Kontak
Solusi oftalmik ora dituduhake kanggo iritasi okular sing gegandhengan karo lensa kontak. Aja nganggo lensa kontak yen mripate abang.
Copot lensa kontak alus sadurunge administrasi saben dosis ophthalmic, amarga pengawet benzalkonium klorida bisa diserap dening lensa kontak alus; lensa bisa dipasang maneh sawise ≥10 menit sawise administrasi.
Efek Nasal
Epistaksis, ulkus irung, lan perforasi septum irung dilapurake nganggo semprotan irung. Nindakake pemeriksaan irung sadurunge miwiti terapi olopatadine intranasal kanggo mesthekake ora ana penyakit hidung (liyane saka rhinitis alergi). Nindakake pemeriksaan irung kanthi periodik kanggo tandha-tandha efek samping ing mukosa irung. Yen ana ulkus irung, coba nyetop semprotan irung.
Efek CNS
Somnolence dilapurake karo semprotan irung. Aja melu kegiatan sing mbutuhake kewaspadaan mental lan koordinasi motor (contone, nyopir utawa mesin operasi) sawise administrasi semprotan irung. Panganggone semprotan irung bebarengan karo alkohol utawa depresan CNS liyane bisa nyebabake depresi CNS aditif; mula, aja nganti nggunakake bebarengan.
Populasi Spesifik
KandhutanKategori C.
LaktasiDistribusi menyang susu ing tikus sawise administrasi oral.
Solusi ophthalmic: Ora dingerteni manawa disebarake menyang susu manungsa sawise aplikasi topikal kanggo mripat. Gunakake kanthi ati-ati.
Semprotan irung: Gunakake mung yen keuntungan potensial ngluwihi risiko.
Panggunaan PediatrikSolusi mata 0.1%: Keamanan lan khasiat ora ditetepake ing bocah-bocah <3 taun. Katon bisa ditrima kanthi apik ing bocah-bocah umur 3-16 taun.
Solusi ophthalmic 0,2% : Keamanan lan khasiat ora ditetepake ing bocah-bocah <2 taun.
Semprotan irung: Keamanan lan khasiat ora ditetepake ing bocah-bocah <6 taun. Ing studi klinis, insiden epistaksis luwih dhuwur ing bocah-bocah umur 6-11 taun (5,7%) dibandhingake karo remaja utawa wong diwasa (3,2%). relatif kanggo wong diwasa enom.
Semprotan irung: Pengalaman ora cukup ing pasien ≥65 taun kanggo nemtokake manawa pasien geriatrik nanggapi beda karo wong diwasa sing luwih enom. Pengalaman klinis liyane ora ngerteni bedane respon antarane pasien geriatrik lan luwih enom. Pilih dosis kanthi ati-ati amarga nyuda fungsi ati, ginjel, utawa jantung sing gegandhengan karo umur lan potensial kanggo penyakit bebarengan lan terapi obat.
Efek Samsaya Awon
Solusi ophthalmic 0,1%: Sakit sirah.
Solusi ophthalmic 0,2%: Gejala sing padha karo sindrom kadhemen, pharyngitis.
Semprotan irung: Ing wong diwasa lan bocah ≥12 taun, rasa pait, sirah, epistaksis, nyeri pharyngolaryngeal, postnasal drip, batuk, infeksi saluran kemih. Ing bocah umur 6-11 taun, epistaksis, sirah, infeksi saluran napas ndhuwur, rasa pait, pyrexia, ruam.
Apa obatan liyane bakal mengaruhi Olopatadine
Ora ana studi interaksi obat resmi sing nglibatake solusi ophthalmic utawa semprotan irung nganti saiki.
Ora nyandhet metabolisme in vitro saka substrat isoenzim CYP 1A2, 2C9, 2C19, 2D6, 2E1, utawa 3A4.
Obat sing Ngaruhi utawa Metabolisme dening Enzim Hepatik
Interaksi karo obat-obatan sing nyandhet enzim hepatik (contone, enzim mikrosomal CYP) ora mungkin amarga olopatadine diilangi utamane dening ekskresi ginjal. /p>
Obat sing kaiket protein
Interaksi karo obat sing kaiket protein (contone, kemungkinan pamindahan obat liyane sing kaiket protein) ora mungkin amarga olopatadine mung kaiket protein.
Obat Spesifik
Obat
Interaksi
Komentar
Depresan CNS (contone, alkohol)
Kamungkinan aditif CNS depresi nalika digunakake bebarengan karo semprotan irung
Aja nggunakake bebarengan karo semprotan irung
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