“TIDAK DITOLERIR”
TOXICOLOGY
POISON * CHARACTERISTIC
* ACTION OF DAMAGE
* CLINICAL SIGN
* THERAPEUTIC MANNER
SUBSTANCE INDIVIDUAL
PHYSIOLOGY
LIFEABILITY
PATOLOGY
DAMAGE OF ACTIONS
LOCAL SYSTHEMIC
PLACE OF ABSORBTION
* SKIN
* RESPIRATION
* G.I. TRACT
DISTRIBUTION :
DOSE
Vd = ------------------------
PLASMA CONCENTRATION
* RATE OF DETOXIFICATION
* CHARACTERISTIC PIOSON
* PROTEIN TISSUE / PLASMA BINDING
KINETIC OF POISON CONT....
EXCRETION :
* FAECES
* URINE
* BILE
* LUNG
* THE MILK ECT.
MECHANISM OF DETOXIFICATION
PHASE I :
* OXIDATION MAO, COMT
* REDUCTION ENZIM MIKROSOMAL
- DECHLORINATION
- DEHALOGENATION
* HYDROLISIS
* HYDRATION
PHASE II :
* SULFATION SULFOTRANSFERASE
* GLUCORONIDATION GLUKOROSIL TRNSFERASE
* CONYUGATION AS.GLUKORONAT
* ACETYLATION
* METYLATION
FACTORS TO INFLUENCE FOR ACTION OF
POISON
POISONING PROCESS
• ACUTE 24 HOURS
• SUBCHRONIC REPEATE UNTIL 90 DAYS
• CRONIC Up than 6 mounth
EFFECT AND ACTION OF POISON
1. LIVER AND REN DAMAGE
- CCL4
- SULFONAMIDE, ANAESTHETIC
- INSECTISIDE
5. TERATOGENIC EFFECT
6. MAIN DRUGS EFFECT TO BE MORE
7. WRONG IN DRUG APPLICATION
8. HYPERSENSITIF REACTION
9. ENZYM DAMAGE
- INSECTISIDE, METAL POISON
PATOLOGIC MOLECULAR CHANGE
1. Congestive
2. Degeneration
3. Necrosis
4. Apoptosis
PENANGANAN KERACUNAN :
PRINSIP : HENTIKAN KONTAK RACUN PENDERITA
Keterangan :
A = Dosis dibawah 50%
B = Jarak Proporsional yakni :
50% kematian-% kematian dibawahnya
% kematian diatas 50% - % dibawah 50%
C = Penambahan Dosis yakni :
Dosis diatas LD50%
Dosis dibawah LD50%
Pengujian Toksisitas Berulang
(Sub akut dan kronis) :
Tujuan : Menentukan toksisitas kumulatif dan
perubahan fisiologis dan patologis hewan coba.
Hewan coba : minimal 2 spesies hewan berbeda
Dose : maximal effect tidak mematikan.
Cara pemberian : seperti dipakai di klinik.
Lama pengujian :
Untuk pemakaian klinik 1-3 hari
lama pengujian 14 hari.
Untuk pemakaian klinik 7 hari
lama pengujian 28 hari.
Untuk pemakaian klinik 4 minggu
lama pengujian 90 hari.
Untuk pemakaian 1 bulan
lama pengujian 6 bulan.
Uji Karsinogenik :
1. TOXICOLOGI OBAT-OBATAN
2. TOXICOLOGI PESTISIDA
3. TOXICOLOGI LINGKUNGAN
4. TOXICOLOGI HEWAN BERACUN
5. TOXICOLOGI TANAMAN BERACUN
6. TOXICOLOGI LOGAM BERAT