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P e n y e m b u h a t a u R a c u n
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O l e h : L y a n l i e W i n a r t o F a r m a s i U n p a d P E R N A H K A H a n d a p e r h a t i k a n c e t a k a n E x p d a l a m s e t i a p m a k a n a n , m i n u m a n . a t a u o b a t ? J i k a a n d a c e r m a t i , s e t e l a h c e t a k a n E x p p a s t i t e r t u l i s s e b u a h t a n g g a l , m i s a l E x p : 1 1 M a r e t . 2 0 \ 3 .T a h u k a h a n d a ? S e b e n a r n y a a r t i d a r i c e t a k a n E x p t e r s e b u t a d a l a h k e p a n j a n g a n d a r i E x p i r e d y a i t u k a t a d a l a m b a h a s a i n g g r i s y a n g a r t i n y a a d a l a h h a b i s w a k t u a t a u k e d a l u w a r s a . S e g a l a s e s u a t u y a n g d i k o n s u m s i k e d a l a m t u b u h k i t a , b a i k i t u m a k a n a n , m i n u m a n a t a u o b a t y a n g m e m p u n y a i s u a t u k a n d u n g a n h a h a n - b a h a n k i m i a p a s t i m e m p u n y a i b a t a s a n w a k t u k e t i k a t i d a k d a p a t d i k o n s u m s i k a r e n a b e r b a h a y a . P a d a m a k a n a n d a n r n i -n u m a -n b i a s a n y a t i m b u l e f e k f i s i k y a n g t e r l i h a t d a r i w a r n a n y a , b i a s a n y a l e b i h k u s a m a t a u k e r u h , b e n t u k n y a , m u n g k i n a g a k k e r i p u t , a t a u m u n g k i n l e w a t b a u n y a y a n g b i a s a n y a b e r b a u b u s u k a t a u m e n y e n g a t s e h i n g g a a n d a d a p a t m e -m i l i h d a n b e r h a t i - h a t i .
T a p i , b a g a i m a n a d e n g a n o b a t ? b i s a k a h . a n d a m e m b e d a k a n b a g a i m a n a w u j u d o b a t y a n g s u d a h e x p i r e d a t a u b e l u m ? A p a k a h b e r b a h a y a b a g i k i t a s e p e r t i m a k a n a n d a n m i n u m a n y a n g k e d a l u a r s a ? S u a t u o b a t y a n g s u d a h m e l e w a t i b a t a s
e x p i r e d s a n g a t b e r b a h a y a b i l a d i k o n s u m s i , k a r e n a b i s a m e n j a d i t o k s i k b a g i t u b u h k i t a . K a r e n a o b a t t e r s e b u t k e r j a n y a s u d a h t i d a k o p t i m a l l a g i a t a u k e c e p a t a n b e r e a k s i n y a m e n u r u n . T i d a k o p t i m a l n y a k e r j a o b a t d i s e b a b k a n o l e h t u r u n n y a k a d a r / p o t e n s i o b a t , d a p a t m e m b e r i k a n d a m p a k y a n g s a n g a t l u a s , s e p e r t i d a p a t m e n g a n c a m p a d a k e s e -l a m a t a n j i w a , m e n g a c a u k a n d i a g n o s a p e n y a k i t , m e n i m b u l k a n l m e n i n g k a t k a n
k a s u s r e s i s t e n s i ( u n t u k a n t i b i o t i k ) . O b a t y a n g s u d a h m e l e w a t i t a n g g a l b a t a s k a d a l u a r s a a r t i n y a k o n d i s i o b a t b i l a k o n s e n t r a s i n y a s u d a h b e r k u r a n g a n t a r a 2 5 - 3 0 % d a r < e n t r a s i a w a l n y a . O b a t y a n ; r a s i n y a b e r k u r a n g t e r s e b u t s , f a y a n g b e r b a h a y a d i d a l a m n y a a d a l a h z a t y a n g k o n s e n t r a s i n y a b e r k u r a n g t e r s e b u t t e r u r a i d a n m e n j a d i z a t y a n g b e r b a h a y a b a g i t u b u h . ( * )
