{"id":52381,"date":"2022-09-02T14:14:24","date_gmt":"2022-09-02T07:14:24","guid":{"rendered":"https:\/\/www.dexagroup.com\/sub-brand\/fonkogem-200-powder-for-injection-kh\/"},"modified":"2022-09-02T14:17:56","modified_gmt":"2022-09-02T07:17:56","slug":"fonkogem-200-serbuk-injeksi-kh","status":"publish","type":"sub-brand","link":"https:\/\/www.dexagroup.com\/id\/produk\/fonkogem-200-serbuk-injeksi-kh\/","title":{"rendered":"Fonkogem 200"},"content":{"rendered":"","protected":false},"author":12,"featured_media":52376,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"brand_category":[5991],"brand_market":[6000],"sub_brand_manufacturer":[6017],"sub_brand_dosage_forms":[6157],"sub_brand_drug_classes":[],"sub_brand_marketer":[6084],"sub_brand_flavour":[],"sub_brand_warning_alcohol":[6190],"sub_brand_warning_machinery":[6199],"sub_brand_warning_pregnancy":[6206],"sub_brand_warning_lactation":[6214],"sub_brand_atc_1":[6225],"sub_brand_atc_2":[6288],"sub_brand_atc_3":[6490],"class_list":["post-52381","sub-brand","type-sub-brand","status-publish","has-post-thumbnail","hentry","brand_category-obat-generik-bermerek","brand_market-kamboja","sub_brand_manufacturer-fonko-international-pharmaceuticals","sub_brand_dosage_forms-serbuk-injeksi","sub_brand_marketer-dexa-medica","sub_brand_warning_alcohol-tidak-direkomendasikan","sub_brand_warning_machinery-hati-hati","sub_brand_warning_pregnancy-tidak-direkomendasikan","sub_brand_warning_lactation-tidak-direkomendasikan","sub_brand_atc_1-l","sub_brand_atc_2-l01","sub_brand_atc_3-l01b"],"acf":{"sub-brand_grouping_basic_info":{"sub-brand_dosage_forms":6157,"sub-brand_flavour":false,"sub-brand_available_in":6000,"sub-brand_category":5991,"sub-brand_parent_brand":"","sub-brand_manufacturer":6017,"sub-brand_marketer":6084,"sub-brand_drug_class":false,"sub-brand_package":"1 vial berisi 200 mg","sub-brand_atc_1":6225,"sub-brand_atc_2":6288,"sub-brand_atc_3":6490,"sub-brand_distribution_permit":"","sub-brand_website":"","sub-brand_product_leaflet":""},"sub-brand_indication":"<strong>Kanker ovarium<\/strong>\r\nGemcitabine, dikombinasikan dengan carboplatin, diindikasikan untuk terapi pasien kanker ovarium epitelial berulang yang mengalami kekambuhan setelah menggunakan terapi berbasis platinum.\r\n\r\n<strong>Kanker payudara<\/strong>\r\nGemcitabine, dikombinasikan dengan paclitaxel, diindikasikan untuk terapi lini pertama pada pasien kanker payudara yang telah metastasis, yang kambuh setelah dilakukan kemoterapi tambahan. Kemoterapi sebelumnya harus menggunakan anthracycline kecuali jika secara klinis dikontraindikasikan.\r\n\r\n<strong>Kanker paru jenis karsinoma bukan sel kecil (Non-Small-Cell lung cancer)<\/strong>\r\nGemcitabine, dikombinasikan dengan cisplatin, diindikasikan sebagai terapi lini pertama pada pasien kanker paru jenis karsinoma bukan sel kecil (Non-Small-Cell lung cancer) dengan stadium lanjut lokal (stadium IIIA atau IIIB) atau telah metastasis (stadium IV) yang tidak dapat dioperasi.\r\n\r\n<strong>Kanker pankreas<\/strong>\r\nGemcitabine diindikasikan untuk terapi lini pertama pada pasien dengan adenokarsinoma pankreas stadium lanjut lokal (non-resectable stadium II atau stadium III) atau yang telah metastasis (stadium IV). Gemcitabine diindikasikan untuk pasien yang sebelumnya mendapat pengobatan dengan 5-FU.","sub-brand_composition":"Gemcitabine HCl 200 mg","sub-brand_grouping_warning":{"sub-brand_warning_alcohol":6190,"sub-brand_warning_machinery":6199,"sub-brand_warning_pregnancy":6206,"sub-brand_warning_lactation":6214},"sub-brand_precaution":"","sub-brand_contraindication":"","sub-brand_dosage":"<h3 class=\"box\">Sampai Usia 18 Tahun<\/h3>\r\nTidak ada studi mengenai efikasi dan keamanan gemcitabine pada anak-anak.\r\n<h3 class=\"box\">18 Tahun ke Atas<\/h3>\r\n<span style=\"text-decoration: underline;\"><strong>Penggunaan tunggal<\/strong><\/span>\r\n<strong>Kanker pankreas:<\/strong>\r\nDosis gemcitabine yang dianjurkan adalah 1.000 mg\/m2, diberikan melalui infus intravena selama lebih dari 30 menit, seminggu sekali hingga 7 minggu, diikuti dengan periode 1 minggu istirahat. Pada siklus berikutnya, infus intravena dilakukan seminggu sekali selama 3 minggu berturut-turut kemudian 1 minggu istirahat setiap minggu ke-4.\r\n\r\n<strong>Modifikasi dosis:<\/strong>\r\nPenyesuaian dosis berdasarkan tingkat toksisitas hematologik yang dialami pasien.\r\n\r\n<span style=\"text-decoration: underline;\"><strong>Penggunaan kombinasi<\/strong><\/span>\r\n<strong>Kanker paru jenis karsinoma bukan sel kecil (non-small cell lung cancer): <\/strong>\r\nDua jadwal pemberian telah diinvestigasi dan jadwal pemberian optimum belum dapat ditentukan. Pada jadwal pemberian 4 mingguan, gemcitabine harus diberikan secara intravena dengan dosis 1.000 mg\/m2 selama lebih dari 30 menit pada hari ke-1, 8 dan 15 setiap siklus 28 hari. Pada jadwal pemberian 3 mingguan, gemcitabine diberikan secara intravena dengan dosis 1.250 mg\/m2 selama lebih dari 30 menit pada hari ke-1 dan ke-8 setiap siklus 21 hari. Cisplatin diberikan pada dosis antara 75-100 mg\/m2 setelah pemberian gemcitabine pada hari ke-1 setiap siklus 21 hari atau 28 hari. Penurunan dosis setiap atau selama satu siklus dapat dilakukan berdasarkan tingkat toksisitas yang dialami pasien.\r\n\r\n<strong>Kanker payudara:<\/strong>\r\nPemberian gemcitabine 1.250 mg\/m2 melalui infus intravena selama lebih dari 30 menit pada hari ke-1 dan ke-8 pada setiap siklus 21 hari. Sebelum pemberian gemcitabine paclitaxel harus diberikan pada dosis 175 mg\/m2 pada hari ke-1 selama 3 jam melalui infus intravena. Jumlah darah lengkap pasien harus dipantau sebelum setiap dosis diberikan, termasuk perbedaan jumlah darah. Sebelum setiap siklus dimulai, pasien harus mempunyai jumlah granulosit absolut minimal 1.500 x 106\/l dan jumlah trombosit &gt;100.000 x 106\/l. Penurunan dosis pada setiap atau selama satu siklus dapat dilakukan berdasarkan tingkat toksisitas yang dialami pasien.\r\n\r\n<strong>Kanker ovarium:<\/strong>\r\nDosis gemcitabine yang dianjurkan adalah 1.000 mg\/m2, diberikan melalui infus intravena selama lebih dari 30 menit pada hari ke-1 dan ke-8 setiap siklus 21 hari. Carboplatin (pada dosis yang diperlukan untuk memperoleh AUC 4 mg\/ml) diberikan secara intravena pada hari ke-1 setelah pemberian gemcitabine. Penurunan dosis setiap siklus atau selama satu siklus dapat dilakukan berdasarkan tingkat toksisitas yang dialami pasien.\r\n<h3 class=\"box\">65 Tahun ke Atas<\/h3>\r\nBersihan dan waktu paruh gemcitabine dipengaruhi oleh usia.\r\n<h3 class=\"box alt\">Kerusakan Hati dan Ginjal<\/h3>\r\nGemcitabine harus diberikan secara hati-hati pada pasien dengan insufisiensi hati atau kerusakan ginjal karena belum ada informasi yang cukup yang menetapkan anjuran dois terhadap populasi pasien ini.","sub-brand_how_to_use":"","sub-brand_storage_method":"","sub-brand_drug_interactions":"","sub-brand_image_1":52378,"sub-brand_image_2":"","sub-brand_image_3":"","sub-brand_image_4":"","sub-brand_image_5":"","sub-brand_image_6":"","sub-brand_image_7":"","sub-brand_image_8":"","sub-brand_image_9":"","sub-brand_video":""},"publishpress_future_action":{"enabled":false,"date":"2026-08-25 01:06:53","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"brand_category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub-brand\/52381","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub-brand"}],"about":[{"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/types\/sub-brand"}],"author":[{"embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/users\/12"}],"version-history":[{"count":0,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub-brand\/52381\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/media\/52376"}],"wp:attachment":[{"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/media?parent=52381"}],"wp:term":[{"taxonomy":"brand_category","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/brand_category?post=52381"},{"taxonomy":"brand_market","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/brand_market?post=52381"},{"taxonomy":"sub_brand_manufacturer","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_manufacturer?post=52381"},{"taxonomy":"sub_brand_dosage_forms","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_dosage_forms?post=52381"},{"taxonomy":"sub_brand_drug_classes","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_drug_classes?post=52381"},{"taxonomy":"sub_brand_marketer","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_marketer?post=52381"},{"taxonomy":"sub_brand_flavour","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_flavour?post=52381"},{"taxonomy":"sub_brand_warning_alcohol","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_alcohol?post=52381"},{"taxonomy":"sub_brand_warning_machinery","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_machinery?post=52381"},{"taxonomy":"sub_brand_warning_pregnancy","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_pregnancy?post=52381"},{"taxonomy":"sub_brand_warning_lactation","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_lactation?post=52381"},{"taxonomy":"sub_brand_atc_1","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_atc_1?post=52381"},{"taxonomy":"sub_brand_atc_2","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_atc_2?post=52381"},{"taxonomy":"sub_brand_atc_3","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_atc_3?post=52381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}