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Sri Teguh Rahayu
"[ABSTRAK
Asaro valproat adalah satu dari banyak obat yang digunakan sebagai antiepilepsi dan memiliki banyak efek samping, sehingga direkomendasikan untuk menentukan konsentrasinya di dalam plasma. Penelitian ini bertujuan untuk memvalidasi metode analisis asam valproat setelah diderivatisasi dengan 2,4-dibromoasetofenon di dalam plasma in-vitro dan in-vivo, menggunakan kromatografi cair kinerja tinggi- Photo Diode Array.
Asam valproat dan asam nonanoat sebagai baku dalam diekstraksi dari plasma dengan etil asetat. Supematan yang diperoleh dinetralkan dan diuapkan, kemudian residu kering direkonstitusi dengan larutan penderivat-katalis dalam asetonitril kemudian diderivatisasi pada suhu 75°C selama 25 menit. Pemisahan dilakukan menggunakan kolom C18 Sunfire ® (250 mm x 4,6, 5 Jlm) dengan elusi isokratik menggunakan fase gerak asetonitril-air (73 :27). Pengukuran dilakukan pada panjang gelombang 294 nm dengan kecepatan alir 1,5 mL/menit. Metode ini valid berdasarkan hasil LOQ 4,75 flg/mL, perolehan kembali relatif konsentrasi rendah, sedang dan tinggi berturut-turut 100,67%, 99,78%, dan 93,16%. Koefisien variasi intra dan inter day dan persen penyimpangan (SD) dari metode ini masuk dalam kriteria penerimaan, yaitu dibawah ± 15%. Kurva kalibrasi linier dalam plasma in-vitro (Y = 0,0123 + 0,0085X) pada konsentrasi 4,75-237,75 Jlg/mL dengan nilai r =0,9999. Metode yang dihasilkan dapat diaplikasikan untuk menetapkan kadar asam valproat dalam plasma setelah pemberian secara oral tablet natrium divalproat 500 mg.

ABSTRACT
Valproic acid is one of mostly used antiepileptic drug which have side effects, so it is highly recommended to evaluate its plasma concentration The aim of the research was to validate a method for the determination valproic acid in plasma in-vitro and in-vivo after derivatization with 2,4-dibromasetofenon using high performance liquid chromatography-photo diode array. Valproic acid and internal standard nonanoic acid were extracted from plasma sample with ethyl acetate. Then supematan was neutralizatied and evaporated. dried residue reconsituted in derivate-catalyst solution then derivatized at 75°C for
25 minutes. The resulting derivatives were separated on a Sunfire C18 (250 mm x 4.6, 5 Jlm) reverse phase column with acetonitrile-water (73:27) as
mobile phase, were detected at 294 nm and analysis were tun at flow rate 1.5 mL/minute. The calibration curve in plasma in-vitro ( Y =0.0123 + 0.0085 x) presented good linier (r = 0.9999) between 4.75-237.75 Jlg/mL with LLOQ
4.75 Jlg/mL. The mean of relative recovery at low concentration, middle concentration and high concentration are 100.67%, 99.78%, and 93.16 %, respectively. Intra- and inter- day coefficient of variation and percent error value of the assay method were all acceptable range ± 15%. The presented method was might be applied to the determine of the valproic acid concentration in plasma after oral administration of 500 mg sodium divalproate.
, Valproic acid is one of mostly used antiepileptic drug which have side effects, so it is highly recommended to evaluate its plasma concentration The aim of the research was to validate a method for the determination valproic acid in plasma in-vitro and in-vivo after derivatization with 2,4-dibromasetofenon using high performance liquid chromatography-photo diode array. Valproic acid and internal standard nonanoic acid were extracted from plasma sample with ethyl acetate. Then supematan was neutralizatied and evaporated. dried residue reconsituted in derivate-catalyst solution then derivatized at 75°C for
25 minutes. The resulting derivatives were separated on a Sunfire C18 (250 mm x 4.6, 5 Jlm) reverse phase column with acetonitrile-water (73:27) as
mobile phase, were detected at 294 nm and analysis were tun at flow rate 1.5 mL/minute. The calibration curve in plasma in-vitro ( Y =0.0123 + 0.0085 x) presented good linier (r = 0.9999) between 4.75-237.75 Jlg/mL with LLOQ
4.75 Jlg/mL. The mean of relative recovery at low concentration, middle concentration and high concentration are 100.67%, 99.78%, and 93.16 %, respectively. Intra- and inter- day coefficient of variation and percent error value of the assay method were all acceptable range ± 15%. The presented method was might be applied to the determine of the valproic acid concentration in plasma after oral administration of 500 mg sodium divalproate.
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2011
T44141
UI - Tesis Membership  Universitas Indonesia Library
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Natasha Kurnia Salma S.
"Golongan obat antikonvulsan memerlukan perhatian khusus untuk dipantau karena tingkat konsekuensi kegagalan terapi yang tinggi dan beberapa obat memiliki indeks terapi sempit. Obat indeks terapi sempit dapat menimbulkan masalah terkait obat yang terdiri dari efektivitas pengobatan, efek samping obat, dan biaya pengobatan. Tujuan dari penelitian ini adalah untuk melakukan monitoring efek samping pada pasien epilepsi yang mendapatkan karbamazepin, fenitoin, asam valproat, atau kombinasi obat-obat tersebut di Instalasi Rawat Jalan RSUP Fatmawati periode Maret-Mei 2017. Penelitian ini merupakan penelitian deskriptif analitik yang dilakukan secara prospektif pada pasien dewasa yang memenuhi kriteria inklusi secara total sampling. Data didapatkan dari data primer yang berasal dari hasil wawancara dan data sekunder yang berasal dari rekam medis. Data yang terkumpul dianalisis menggunakan Algoritma Naranjo. Subjek penelitian yang didapatkan sebanyak 54 pasien dengan 38 pasien 70,37 mengalami efek samping dan 16 pasien 29,63 tidak mengalami efek samping. Kategori efek samping yang paling banyak ditemukan adalah probable dengan persentase 48,15. Tidak ada hubungan antara usia p=0,903 dan jenis kelamin p=1,000 dengan efek samping yang terjadi.
......
Anticonvulsant drugs must get special attention to be monitored due to the concequence's rate that they have. This group comprises of some drugs which have narrow therapeutic index. Thus, the group causes drug related problem, such as therapeutic efficiency, drug side effect, and cost of the treatment. The purpose of this research was to monitor drug side effects that were severed by adult patients of epilepsy who got carbamazepine, or phenytoin, or valproic acid, or combination of the drugs at Outpatient Department, Fatmawati Central General Hospital from March to May 2017. The research was running prospectively and the data were collected from patients who fit to inclusion criteria with total sampling. There were 54 patients selected as samples, 38 patients 70.37 experienced drugs side effects and 16 patients 26.93 didn't experience drugs side effects. The data of patients were from primer data's source that is the answer of interview and secondary data's source that is medical record that were analyzed with Naranjo Algorithm. The most drug side effect category that found is probable with percentage 53.70 . Age p 0.903 and gender p 1.000 didn't have correlation with the rising of side effects."
Depok: Fakultas Farmasi Universitas Indonesia, 2017
S68666
UI - Skripsi Membership  Universitas Indonesia Library