Slide Diskusi Topik Psikofarmaka

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Diskusi Topik Psikofarmaka

Pembimbing: dr. Wilson, Sp. KJ Disusun oleh:

Jessica Juniarta Sihombing

Kepaniteraan Klinik Stase Ilmu Kesehatan Jiwa RSJ Provinsi Kalimantan Barat

Fakultas Kedokteran Universitas Tanjungpura 2023

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ANTIPSIKOTIK

01

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ANTIPSIKOTIK

Obat antipsikotik sering dikenal dengan neuroleptik karena memiliki efek samping gambaran seperti gangguan neurologi (pseudoneurologi). Dikenal juga sebagai major tranquilzer karena memiliki efek sedasi.

Sylvia D. Elvira danGitayantiHadisukanto. BukuAjar Psikiatri. EdisiKetigaJakarta: BadanPenerbitFK UI. 2013.

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Klasifikasi Antipsikotik

Berdasarkan cara kerjanya

APG 1 (Tipikal) Dopamine Receptor

Antagonist (DA)

APG 2 (Atipikal) Serotonin Dopamine Receptor Antagonist (SDA)

Stahl, Stephen M. Stahl’s Essential Psychopharmacology Neuroscientific Basis and Practical Application fourth edition. New York. Cambrige Medicine Press. 2013.

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FARMAKODINAMIK

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Skizofrenia tidak diobati Jalur dopamine mesolimbic hiperaktif Gejala positif seperti delusi dan halusinasi.

Pemberian antagonis D2 (antipsikotik konvensional) memblok dopamine dari reseptor D2 hiperaktivitas berkurang mengurangi gejala positif

Skizofrenia tidak diobati Jalur dopamine mesolimbic hiperaktif Gejala positif seperti delusi dan halusinasi.

Pemberian antagonis D2 (antipsikotik konvensional) memblok dopamine dari reseptor D2 hiperaktivitas berkurang mengurangi gejala positif

Antipsikotik golongan 1 (Tipikal)

Stahl, Stephen M. Stahl’s Essential Psychopharmacology Neuroscientific Basis and Practical Application fourth edition. New York. Cambrige Medicine Press. 2013.

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About alcoholism treatment drugs

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Alcoholism treatment drugs

25%

Mercury is a very small planet

Mercury

50%

Venus has a beautiful name

Venus

75%

Mars is actually a cold place

Mars

100%

Neptune is far away from us

Neptune

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Alcoholism treatment drugs

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here

60% 60%

Mercury 40% 40%

Venus

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Alcoholism treatment drugs

25%

Venus is the second planet from the Sun

Venus

75%

Despite being red, Mars is a cold place

Mars

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Alcoholism treatment drugs

Sun Mon Thu Wed Thu Fri Sat

01 02 03

04 05 06 07 08 09 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

Mercury is small

Mercury Venus

Venus is very hot

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Alcoholism treatment drugs

Mercury is the closest planet to

the Sun and the smallest of them all

Mercury

Venus has a beautiful name and

is the second planet from the

Sun

Venus

Despite being red, Mars is actually a cold place. It's full of iron oxide dust

Mars

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Alcoholism treatment drugs

Saturn is not the only planet with rings

Manage mood

Venus has a very beautiful name

Get support

Earth is the only planet with life

Be realistic

Mercury is the smallest planet

Plan ahead

Jupiter doesn’t have a solid surface

Think positive

Mars is actually a very cold place

Reward self Relapse

prevention

Relapse

prevention

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Alcoholism treatment drugs

Nalmefene

Venus has a really beautiful name

Acamprosate

Jupiter is the biggest planet of them all

Naltrexone

Disulfiram

Earth is the planet where we all live

Topiramate

Baclofen

Mechanisms of action of alcoholism medications

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Alcoholism treatment drugs

Medication

Venus has a really beautiful name

Treatment

Get support

Medical help

Make a plan

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Alcoholism treatment drugs

Possible side effects

● Saturn is a gas giant with rings

● Neptune is very far away from the Sun

● Jupiter doesn’t have a solid surface

Disulfiram Disulfiram

● Mercury is a very small planet

● The Sun is the star we orbit around

● Pluto is considered a dwarf planet

Acamprosate Acamprosate

● Despite being red, Mars is very cold

● Earth is the planet where we all live

● Venus has a beautiful name

Topiramate

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Alcoholism treatment drugs

Severity of the disorder

Mild

25%

Moderate

50%

Severe

75%

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Alcoholism treatment drugs

1 - 7 Days

1 - 7 Days 14 Days 14 Days 2 months - 1 year 2 months - 1 year

Symptoms: Mercury is the closest planet to the Sun

and the smallest one Symptoms: Mercury is the

closest planet to the Sun and the smallest one

Symptoms: Venus has a beautiful name and a very

poisonous atmosphere Symptoms: Venus has a beautiful name and a very

poisonous atmosphere

Symptoms: Despite being red, Mars is a cold place.

It's full of iron oxide dust Symptoms: Despite being

red, Mars is a cold place.

It's full of iron oxide dust

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Alcoholism treatment drugs

Actions Sobriety goals Tasks Date:

My reward Thanks

XX / XX / 20XX XX / XX / 20XX

● Mercury is a small planet

Earth is the planet where we all live Earth is the planet

where we all live Saturn is not the only planet with rings Saturn is not the only

planet with rings

● Task 01

● Task 02

● Task 03

● Task 04

● Task 05

● Task 06

● Task 07

● Task 08

● Task 09

● Task 01

● Task 02

● Task 03

● Task 04

● Task 05

● Task 06

● Task 07

● Task 08

● Task 09 80%

Despite being red, Mars is cold Despite being red,

Mars is cold

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Alcoholism treatment drugs

Medication Reduction of consumption

Relapse prevention

Improvement of quality of life

Acamprosate Yes Yes Yes

Disulfiram Yes Yes No

Naltrexone Yes Yes Yes

Topiramate Yes Yes Yes

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Alcoholism treatment drugs

01 01 Phase A

Phase A

02 02 Phase B

Phase B

Jupiter doesn’t have a solid surface

03 03 Phase C

Phase C

Venus has a very beautiful name

06 06 Phase F Phase F

Earth is the planet with life

05 05 Phase E Phase E

04 04 Phase D Phase D

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Do’s Do’s Don’ts Don’ts Treatment drugs

Treatment drugs

Alcoholism treatment drugs

Saturn is the second-largest planet

in the Solar System Venus is extremely hot, even hotter than Mercury

Jupiter is the biggest planet in the Solar System

Mercury is the smallest planet of them all

Despite being red, Mars is actually a cold place

Neptune is the fourth-largest planet in the Solar System

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Alcoholism treatment drugs

Alcohol withdrawal

symptoms Anxiety

Anxiety

Insomnia Insomnia

Tremors Tremors

Nausea

Nausea Headache Headache

Seizures

Hallucinations

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Alcoholism treatment drugs

Drinking

01 01

Craving

02 02

Mars is actually a cold place

Dependence

03 03

Neptune is far away from us

Withdrawal

04 04

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Alcoholism treatment drugs

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here

Venus is extremely hot, even hotter than Mercury

Effectiveness

Mercury is the closest planet to the Sun

Acamprosate Acamprosate

Disulfiram Disulfiram

Earth is the third planet from the Sun

Topiramate

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Alcoholism treatment drugs

03 03

Psychological treatment

02 02

Venus has a toxic atmosphere

Medical treatment

01 01

Earth is the planet with life

Prevention

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Alcoholism treatment drugs

Time Activity Time Activity

07:00 Meditation 14:00

08:00 Gym 15:00 Park walk

09:00 Support group 16:00

10:00 17:00

11:00 18:00

12:00 19:00 Therapy

13:00 Cooking class 20:00

Notes

Earth is the third planet from the Sun and the only one that harbors life in the Solar System. This is the planet where we all live

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Alcoholism treatment drugs

Young adult alcoholics Young adult

alcoholics Intermediate

familial alcoholism Intermediate familial alcoholism

Young antisocial alcoholics

Young antisocial

alcoholics Functional

alcoholics

Chronic severe alcoholics Chronic severe

alcoholics

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Alcoholism treatment drugs

Consequences of alcoholism Consequences

of alcoholism

01 01 Medical Medical

02 02 Mental Mental

Venus is extremely hot, hotter than Mercury

03 03 Social Social

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Alcoholism treatment drugs

5,1%

Venus has a beautiful name and is the second planet from the Sun.

Venus is a terribly hot planet

Alcohol’s global

impact on mortality

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Alcoholism treatment drugs

Side effects of the treatment Side effects of the treatment

Mercury is the smallest planet of

them all

01 01 Nausea Nausea

Despite being red, Mars is actually a

cold place

02 02

Asthenia Asthenia

Venus is the second planet

from the Sun

03 03

Drowsiness Drowsiness

04 04

Earth is the only planet known to

harbor life

Sweating

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Alcoholism treatment drugs

Offer options

Get expert advice

Don’t use guilt or beg

Don’t take their responsibility How to help?

How to help?

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Alcoholism treatment drugs

Detoxification 1 1

Earth is the only planet known to harbor life

Rehabilitation 2 2

Venus is extremely hot, hotter than Mercury

Medication 3 3

4 4

Support groups

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Alcoholism treatment drugs

70%

Acamprosate

Despite being red, Mars is very cold

80%

Naltrexone

Neptune is the fourth-largest planet

80%

Topiramate

Venus is the second planet from the Sun

75%

Disulfiram

Effectiveness

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Alcoholism treatment drugs

Despite being red, Mars is a cold place

Can’t stop drinking

Drinking more than intended

Withdrawal symptoms

Venus has a beautiful name but is hot

Craving alcohol

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Alcoholism treatment drugs

Jupiter is a gas giant

25%

Mars is actually cold

75%

Mars 60%

Jupiter 40%

Mercury is a small planet

Mercury

Saturn is the ringed planet

Saturn Summary

Venus has a beautiful name and is the second planet from the Sun. This planet is terribly hot, even hotter than Mercury, and we know that its atmosphere is extremely poisonous

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Alcoholism treatment drugs

1-800-662-4357 https://www.samhsa.gov

National Drug Abuse Hotline National Drug Abuse Hotline

212-870-3400 https://www.aa.org

Alcoholics Anonymous

212-269-7797 https://www.ncadd.org

SAMHSA

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