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Polifarmasi dan Interaksi Obat Pasien Usia Lanjut Rawat Jalan dengan Penyakit Metabolik Dasopang, Eva S.; Harahap, Urip; Lindarto, Dharma
Indonesian Journal of Clinical Pharmacy Vol 4, No 4 (2015)
Publisher : Indonesian Journal of Clinical Pharmacy

Penyakit metabolik merupakan penyakit yang berkaitan dengan peningkatan usia seperti hipertensi, diabetes melitus, dislipidemia, dan obesitas. Penyakit-penyakit tersebut ditangani dengan terapi obat yang sifatnya polifarmasi sehingga dapat menyebabkan risiko terjadi interaksi obat-obat. Penelitian ini dilakukan secara restropektif dengan menggunakan rekam medis pasien usia lanjut dengan penyakit metabolik yang di rawat jalan di Rumah Sakit Umum Pusat Haji Adam Malik Medan. Sebanyak 328 sampel yang termasuk ke dalam kriteria inklusi diperoleh data bahwa jumlah interaksi obat-obat yang terjadi cukup tinggi sebesar 78,96%. Pola mekanisme yang terbanyak adalah farmakokinetik (63,6%) dengan tingkat keparahan yang terbanyak adalah moderat (69,8%). Penelitian ini menunjukan adanya korelasi antara jumlah interaksi dengan jumlah obat (r= 0,728; p= 0,0001), dan jumlah interaksi dengan jumlah diagnosis (r= 0,264; p= 0,0001).Kata kunci: Interaksi obat, penyakit metabolik, polifarmasiPolipharmacy and Drug Interactions in Elderly Patients with Metabolic DiseasesMetabolic disease is a disease that is associated with increasing age such as hypertension, diabetes mellitus, dyslipidemia and obesity. Such diseases are treated with polypharmacy therapy that can cause increased risk of drug interactions. This study was conducted using a restropective method using the medical records of elderly patients with metabolic diseases in outpatient unit of H. Adam Malik General Hospital Medan. A total of 328 samples were included in the inclusion criteria data showed that the numberof drug-drug interactions that occur quite high at 78.96%. The pattern of drug interaction mechanism that most frequently occur is pharmacokinetic (63.6%) and the highest severity was moderate (69.8%). This study shown a correlation between the number of interactions with a number of drugs (r= 0.728; p=0.0001), and the number of interactions with a number of diagnoses (r= 0.264; p= 0.0001).Keywords: Drug-interactions, metabolic-disease, polypharmacy

Effect of Ethanol Extract of Chayote (Sechiumedule.Jacq.Swartz) on the Activity of Glutathione Peroxide (GPx) in House Mice (Musmusculus L) Strain DD Webster Hyperglycemia Induced by Streptozotocin (STZ) Siahaan, Jekson Martiar; Harahap, Urip; Loesnihari, Ricke
Indonesian Journal of Medicine Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.277 KB)

Background: Streptozotocin can cause hyperglycemia in guinea pig through the mechanism of oxidative stress which damages pancreatic b cells. Ethanol extract of chayote can decrease oxidative stress.Â This study aimed to determine the effect of Ethanol Extract of Chayote ((EEBLS) Ekstrak Etanol Buah Labu Siam) on decreasing blood sugar content and increasing the activity of glutathione peroxide enzyme.Â Subjects and Method: This was an experimental study. The samples were using random sampling technique. The control group was using male white mice (Musmusculus L.) Strain DD Webster which randomized into four groups: negative control group, positive control group, group which got EEBLS of 100 mg/kgBB, and group which got EEBLS of 200 mg/kgBB.Results: The result of the research showed that there was significant decrease in blood sugar, compared with the control group. There was insignificant decrease in the activity of glutathione peroxide enzyme, compared with the control group.Conclusion: The conclusion of the research was that EEBLS of 200 mg/kgBB decreased blood sugar content of mice significantly, but there was no significant change in the activity of glutathione peroxide enzyme when EEBLS was given to the mice.Â Â Keywords: streptozotocin, oxidative stress, antioxidant, flavonoidCorrespondence:Â Jekson Martiar Siahaan. Biomedical Science, Faculty of Medicine, North Sumatera University.Indonesian Journal of Medicine (2016), 1(1): 44-49https://doi.org/10.26911/theijmed.2016.01.01.06

Evaluasi Asuhan Kefarmasian terhadap Hasil Terapi dan Kualitas Hidup Pasien Hipertensi Primer di Rumah Sakit Sitepu, Nadroh Br; Harahap, Urip; Nasution, Salli Roseffi
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 7, No 1 (2014)
Publisher : Indonesian Research Gateway

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.697 KB)

The management of hypertension ideally requires collaboration between health professionals which includes in the three aspects: medical care, pharmaceutical care, and nursing care. The purpose of this study was to determine the impact of pharmacist counseling conducted on therapeutic outcomes in systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI), blood glucose levels (BGL) period, total cholesterol, and quality of life of patients were measured Short-Form Health Survey 36 (SF-36). This study was conducted at RSUD dr.R.M. Djoelham Binjai involved 60 primary hypertensive patients. Patients were divided into two groups: group counseling and with out conseling. Data were analyzed by independent sample t-test. The result of this study showed significant differences in SBP (p=0.048), BMI(p=0.014), BGL(p=0.002) and total cholesterol (p=0.000) and value of quality of life who received counseling (63.17%) and without counseling (54.80%) with p=0.001. But obtained no significant differences between DBP (p=0.068).Keywords : primary hypertension, pharmaceutical care, counseling.

Evaluasi Asuhan Kefarmasian terhadap Hasil Terapi dan Kualitas Hidup Pasien Hipertensi Primer di Rumah Sakit Harahap, Urip; Nasution, Salli Roseffi; Sitepu, Nadroh Br
Jurnal Farmasi Indonesia Vol 7, No 1 (2014)
Publisher : Jurnal Farmasi Indonesia

The management of hypertension ideally requires collaboration between health professionals which includes in the three aspects: medical care, pharmaceutical care, and nursing care. The purpose of this study was to determine the impact of pharmacist counseling conducted on therapeutic outcomes in systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI), blood glucose levels (BGL) period, total cholesterol, and quality of life of patients were measured Short-Form Health Survey 36 (SF-36). This study was conducted at RSUD dr.R.M. Djoelham Binjai involved 60 primary hypertensive patients. Patients were divided into two groups: group counseling and with out conseling. Data were analyzed by independent sample t-test. The result of this study showed significant differences in SBP (p=0.048), BMI(p=0.014), BGL(p=0.002) and total cholesterol (p=0.000) and value of quality of life who received counseling (63.17%) and without counseling (54.80%) with p=0.001. But obtained no significant differences between DBP (p=0.068).Keywords : primary hypertension, pharmaceutical care, counseling.

EKSTRAK ETANOL DAUN SIRIH MERAH (Piper crocatum) MENURUNKAN KADAR GULA DARAH MENCIT DIABETES Siregar, Ambali Azwar; Harahap, Urip; Mardianto, Mardianto
Jurnal Ilmiah Manuntung Vol 1 No 1 (2015): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung akademi farmasi samarinda

Diabetes mellitus is one of desease that have a large population and trend to increase. sulfonylurea and biguanide are almost used treatment but have unexpected side effects. The research still necessary to seek alternative medicine, such as Piper crocatum.This study aimed to determine the effect of ethanol extract of red betel leaves on blood sugar levels and body weight of mice (Mus musculus L.) diabetes. This riset was started to produce simplicia and drilled become powders, continued extract with 70% ethanol. The extract was evaporated with rotary evaporator until obtaine crude extract. And then screen it that determine phytochemical. To continued test on tolerance of level of glucose then mice diabetes induced aloxan.In summary, extract of red betle ethanolic has contained alkaloid, quercetin flavonoid, steroid and fenolic compounds and decreased level of glucose in blood mice diabetes. Besides, it can reduce lose of weight symptom.

ANALISA COST OF ILLNESS AKIBAT PENGGUNAAN NSAIDS DI SEBUAH APOTEK DI KOTA MEDAN, INDONESIA Tanjung, Hari Ronaldo; Sarriff, Azmi; Harahap, Urip
Jurnal Ilmiah Manuntung Vol 1 No 1 (2015): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung akademi farmasi samarinda

Background:Â A drug therapy problem is any undesirable event experienced by a patient which involves, or is suspected to involve drug therapy and that interferes with achieving the desired goals of therapy. Drug Therapy Problems (DTPs) can lead to ineffective pharmacotherapy and may cause drug-related morbidity and mortality.Objective: TheÂ study aimedÂ toÂ estimates the direct medical cost of illness caused by the drug morbidity or mortality related to NSAIDÂ utilizationÂ in a community pharmacy setting at Medan, Indonesia.Method: ThisstudyÂ used 7 (seven) categories probabilities and costs associated with the therapeutic outcomesÂ to estimate the direct medical cost of illness resulting fromÂ morbidity related NSAIDs utilization.Â Direct non medical costs, indirect costs, and intangible costs related to drug-related-morbidity and mortality were not valued in this cost-of-illness analysis.The duration of the study was from July 2009 to October 2010.Result:Â The patient that experienced NSAIDs-relatedÂ morbidity estimated to spend Rp.467.848,- each and Rp.11.696.200,- in total to managing the morbidity. Every Rp.1,- spent on NSAIDs therapy, an additional Rp.1,45,- was estimated to spent in managingÂ morbidity related NSAIDs utilization.Conclusion: This result showedÂ the cost ofÂ illnessrelatedÂ morbidityÂ of NSAIDs utilizationÂ exceeds the cost of the medications themselves

Utilization Of Glycerol By Product From Transesterification Of Waste Cooking Oil As A Cosurfactant In Nanocream Preparation Rani, Zulmai; Julia Reveny; Urip Harahap
International Journal of Science, Technology & Management Vol. 2 No. 4 (2021): July 2021
Publisher : International Journal of Science, Technology & Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v2i4.264

Waste cooking oil (used cooking oil ) is oil derived from leftover cooking oil for frying food. Waste cooking oil is still considered as waste by some people and waste cooking oil that should not be suitable for consumption is sometimes still widely reused in food processing, this can endanger health and reduce the nutritional value of food. In order to be used and have economic value, it is overcome by synthesizing waste cooking oil into glycerol so it can be used as cosurfactant. Besides as cosurfactant, this waste cooking oil glycerol also can be used for various chemical industies, foods, cosmetics, and pharmaceuticals industries. For cosmetic preparation, it can make a nanocream preparation. The purpose of this research was to utilize waste cooking oil into a glycerol which is used as a cosurfactant, to characterize the synthesis results based on IR Spectroscopy data and to formulate it to nanocream preparation. The research was conducted in an experimentally by making glycerol from side product of waste cooking oil. Separating glycerol process conducted by transesterification reaction. Glycerol of waste cooking oil by product was characterized with IR Spectroscopy and evaluated include organoleptic, glycerol contents, density, viscosity, ash content, and moisture content. Formulation of nanocream preparation using 30% of Tween 80 as surfactant, glycerol by-product as cosurfactant 7,5% concentration, and 20% of VCO as oil phase. The nanocream preparation was measured for its particle size with the aim of being able to determine the particle size of the formula to form nanoparticle size. The results showed that glycerol of waste cooking oil by product shows the presence of OH, CH-aliphatic, C=O carbonyl and C-O. particle size of nanocream preparation obtained was 397,76 nm. Based on the result of this research, the conclusion is glycerol of waste cooking oil by-product can form nano size with presence of glycerol as cosurfactant. The particle size of the nanocream preparation obtained was still in the nanocream requirement range, namely 20-500 nm.

Potential Drug Interactions Of Oral Antidiabetic In Prescriptions Of Type 2 Diabetes Mellitus Patients At Kumpulan Pane Hospital Rumanda Nurhasanah; Khairunnisa; Urip Harahap
International Journal of Science, Technology & Management Vol. 2 No. 4 (2021): July 2021
Publisher : Publisher Cv. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v2i4.278

Diabetes Mellitus is a disease that can cause complications of other diseases so that the treatment to be given becomes more and this has the potential for interactions between drugs that can affect the physiological condition of the patient. The aim of this study is to analyze the potential of oral antidiabetic interactions on prescription at Kumpulan Pane Hospital. Analysis of potential oral antidiabetic interactions on a prescription using quantitative research methods is retrospective descriptive. Prescriptions used are inpatient and outpatient prescriptions for the period January-December 2020 that get oral antidiabetics. Analyze data using Medscape and Drugs.com sites. Based on analysis of 9.818 prescription sheets of diabetes mellitus patients, there were found 6.454 (65.73%) prescription of potential oral antidiabetic interactions. Potential interaction of an oral antidiabetic group of 10.759 (91.45%) drug, the pattern of interaction mechanisms most often is pharmacodynamic 73.25%. The most common type of oral antidiabetic drugs that have potential interactions is the biguanide group (metformin) 36.76%. The severity of the most frequent interactions was 92.21%. The conclusion of the potential interactions oral antidiabetic are still found in prescriptions that is 65.73% at Kumpulan Pane Hospital. Keyword: Potential Drug Interactions, Oral Antidiabetics, Prescription

Polifarmasi dan Interaksi Obat Pasien Usia Lanjut Rawat Jalan dengan Penyakit Metabolik Eva S. Dasopang; Urip Harahap; Dharma Lindarto
Indonesian Journal of Clinical Pharmacy Vol 4, No 4 (2015)
Publisher : Universitas Padjadjaran

Penyakit metabolik merupakan penyakit yang berkaitan dengan peningkatan usia seperti hipertensi, diabetes melitus, dislipidemia, dan obesitas. Penyakit-penyakit tersebut ditangani dengan terapi obat yang sifatnya polifarmasi sehingga dapat menyebabkan risiko terjadi interaksi obat-obat. Penelitian ini dilakukan secara restropektif dengan menggunakan rekam medis pasien usia lanjut dengan penyakit metabolik yang di rawat jalan di Rumah Sakit Umum Pusat Haji Adam Malik Medan. Sebanyak 328 sampel yang termasuk ke dalam kriteria inklusi diperoleh data bahwa jumlah interaksi obat-obat yang terjadi cukup tinggi sebesar 78,96%. Pola mekanisme yang terbanyak adalah farmakokinetik (63,6%) dengan tingkat keparahan yang terbanyak adalah moderat (69,8%). Penelitian ini menunjukan adanya korelasi antara jumlah interaksi dengan jumlah obat (r= 0,728; p= 0,0001), dan jumlah interaksi dengan jumlah diagnosis (r= 0,264; p= 0,0001).Kata kunci: Interaksi obat, penyakit metabolik, polifarmasiPolipharmacy and Drug Interactions in Elderly Patients with Metabolic DiseasesMetabolic disease is a disease that is associated with increasing age such as hypertension, diabetes mellitus, dyslipidemia and obesity. Such diseases are treated with polypharmacy therapy that can cause increased risk of drug interactions. This study was conducted using a restropective method using the medical records of elderly patients with metabolic diseases in outpatient unit of H. Adam Malik General Hospital Medan. A total of 328 samples were included in the inclusion criteria data showed that the numberof drug-drug interactions that occur quite high at 78.96%. The pattern of drug interaction mechanism that most frequently occur is pharmacokinetic (63.6%) and the highest severity was moderate (69.8%). This study shown a correlation between the number of interactions with a number of drugs (r= 0.728; p=0.0001), and the number of interactions with a number of diagnoses (r= 0.264; p= 0.0001).Keywords: Drug-interactions, metabolic-disease, polypharmacy

Pengembangan Aplikasi Digital untuk Manajemen dan Sumber Informasi Hipertensi Sri Wahyuni; Khairunnisa Khairunnisa; Urip Harahap
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 7 No. 1SI (2020): Special Issue: Seminar Inovasi Teknologi dan Digitalisasi pada Pelayanan Kefa
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v7i1SI2020.7-12

Pendahuluan: Hipertensi adalah suatu penyakit silent killer yang jika tidak terkontrol dapat menyebabkan penyakit jantung, gagal ginjal, stroke, bahkan kematian dini. Namun, penelitian menunjukkan bahwa 32,3% pasien hipertensi tidak rutin minum obat dan 13,3% tidak minum obat. Ketidakpatuhan ini terjadi karena kurangnya pengetahuan pasien. Saat ini, penggunaan ponsel semakin meningkat. Banyak aplikasi kesehatan tersedia, namun tidak memberikan informasi dan edukasi kepada pasien, termasuk edukasi tentang obat. Tujuan: Penelitian ini bertujuan untuk mengembangkan aplikasi digital yang melibatkan apoteker. Aplikasi ini memberikan informasi tentang hipertensi dan penggunaan obatnya serta membantu pasien memanajemen hipertensinya. Metode: Pengembangan aplikasi digital dilakukan melalui 4 tahap yaitu analisis kebutuhan pasien hipertensi yang melibatkan apoteker, desain aplikasi, pengembangan aplikasi dan evaluasi aplikasi. Hasil: Evaluasi aplikasi terdiri dari Alpha test dan Beta test. Alpha test yang dilakukan oleh 2 software developer dan 4 orang apoteker menunjukan bahwa aplikasi digital yang dikembangkan sudah menarik, mudah digunakan dan dapat berfungsi dengan baik. Selanjutnya Beta test yang dilakukan oleh 10 pasien hipertensi menunjukkan bahwa aplikasi digital hipertensi yang dikembangkan sudah memiliki konten yang sesuai dan nyaman digunakan. Kesimpulan: aplikasi digital yang melibatkan apoteker ini sudah siap untuk digunakan dan pasien hipertensi memiliki kesempatan untuk mendapatkan edukasi obat dan hipertensi dari apoteker melalui ponselnya.

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