{"id":57090,"date":"2022-10-21T14:20:38","date_gmt":"2022-10-21T07:20:38","guid":{"rendered":"https:\/\/www.dexagroup.com\/sub-brand\/zometa-4-mg-solution-for-infusion-id\/"},"modified":"2024-08-06T09:41:46","modified_gmt":"2024-08-06T02:41:46","slug":"zometa-4-mg-cairan-infus-id","status":"publish","type":"sub-brand","link":"https:\/\/www.dexagroup.com\/id\/produk\/zometa-4-mg-cairan-infus-id\/","title":{"rendered":"Zometa 4 mg"},"content":{"rendered":"","protected":false},"author":12,"featured_media":60978,"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":[5999],"sub_brand_manufacturer":[6031],"sub_brand_dosage_forms":[6599],"sub_brand_drug_classes":[],"sub_brand_marketer":[6085],"sub_brand_flavour":[],"sub_brand_warning_alcohol":[6193],"sub_brand_warning_machinery":[6199],"sub_brand_warning_pregnancy":[6206],"sub_brand_warning_lactation":[6214],"sub_brand_atc_1":[6226],"sub_brand_atc_2":[6296],"sub_brand_atc_3":[6508],"class_list":["post-57090","sub-brand","type-sub-brand","status-publish","has-post-thumbnail","hentry","brand_category-obat-generik-bermerek","brand_market-indonesia-id","sub_brand_manufacturer-fresenius-kabi-austria-gmbh-austria","sub_brand_dosage_forms-cairan-infus","sub_brand_marketer-ferron-par-pharmaceuticals","sub_brand_warning_alcohol-konsultasikan-ke-dokter-anda","sub_brand_warning_machinery-hati-hati","sub_brand_warning_pregnancy-tidak-direkomendasikan","sub_brand_warning_lactation-tidak-direkomendasikan","sub_brand_atc_1-m","sub_brand_atc_2-m05","sub_brand_atc_3-m05b"],"acf":{"sub-brand_grouping_basic_info":{"sub-brand_dosage_forms":6599,"sub-brand_flavour":false,"sub-brand_available_in":5999,"sub-brand_category":5991,"sub-brand_parent_brand":"","sub-brand_manufacturer":6031,"sub-brand_marketer":6085,"sub-brand_drug_class":false,"sub-brand_package":"1 botol berisi 100 ml","sub-brand_atc_1":6226,"sub-brand_atc_2":6296,"sub-brand_atc_3":6508,"sub-brand_distribution_permit":"","sub-brand_website":"","sub-brand_product_leaflet":""},"sub-brand_indication":"<ul>\r\n\t<li>Pencegahan skeletal related events (fraktur patologis, kompresi tulang belakang, radiasi atau operasi tulang, atau hiperkalsemia yang disebabkan tumor) pada pasien dengan kanker stadium lanjut yang melibatkan tulang<\/li>\r\n\t<li>Pengobatan Hypercalcemia of malignancy<\/li>\r\n<\/ul>","sub-brand_composition":"Zoledronic acid monohydrate 4 mg","sub-brand_grouping_warning":{"sub-brand_warning_alcohol":6193,"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\">18 Tahun ke Atas<\/h3>\r\n<strong>Pencegahan skeletal related events pada pasien kanker stadium lanjut yang melibatkan tulang:<\/strong>\r\nDosis yang direkomendasikan adalah 4 mg zoledronic acid setiap 3-4 minggu. Pasien juga harus diberikan suplemen kalsium oral 500 mg dan vitamin D 400 IU setiap hari.\r\n\r\n<strong>Pengobatan hypercalcemia of malignancy:<\/strong>\r\nDosis yang direkomendasikan pada hiperkalsemia (kalsium serum setelah dikoreksi albumin serum \u226512,0 mg\/dl atau 3,0 mmol\/l) adalah 4 mg zoledronic acid dosis tunggal. Pasien harus dijaga agar terhidrasi dengan baik sebelum dan selama pemberian zoledronic acid.\r\n\r\nZometa hanya boleh diberikan kepada pasien oleh tenaga kesehatan profesional yang berpengalaman dalam pemberian bifosfonat secara intravena.\r\n\r\nZometa tidak boleh dicampur dengan kalsium atau kation divalen lain yang terkandung dalam larutan infus, seperti larutan Ringer Laktat dan harus diberikan sebagai larutan infus intravena tunggal dalam selang infus yang terpisah dari obat lain selama tidak kurang dari 15 menit.\r\n\r\nPasien harus dijaga agar terhidrasi dengan baik sebelum dan selama pemberian Zometa.\r\n<h3 class=\"box alt\">Pasien dengan Gangguan Fungsi Ginjal<\/h3>\r\n<strong>Hypercalcemia of malignancy (HCM):<\/strong>\r\nPengobatan zoledronic acid pada pasien dewasa dengan HCM yang juga memiliki gangguan fungsi ginjal berat harus mempertimbangkan antara risiko dan manfaat pengobatan. Tidak diperlukan penyesuaian dosis pada pasien HCM dengan kreatinin serum &lt;400 \u00b5mol\/l atau &lt;4,5 mg\/dl.\r\n\r\n<strong>Pencegahan skeletal related events pada pasien kanker stadium lanjut yang melibatkan tulang:<\/strong>\r\nKetika memulai pengobatan dengan zoledronic acid pada pasien dengan multipel mieloma atau metastasis lesi tulang dari tumor padat, kadar kreatinin serum dan bersihan kreatinin (Clcr) harus diukur. Clcr dihitung dari kadar kreatinin serum menggunakan rumus Cockcroft-Gault. Zoledronic acid tidak direkomendasikan untuk pasien yang sebelumnya diketahui menderita gangguan fungsi ginjal berat (dengan Clcl &lt; 30 ml\/ menit).\r\n\r\n<strong>Berikut ini dosis zoledronic acid yang direkomendasikan:<\/strong>\r\nCrCl &gt;60 : dosis zoledronic acid yang direkomendasikan 4.0 mg\r\nCrCl 50-60 : dosis zoledronic acid yang direkomendasikan 3.5 mg *\r\nCrCl 40-49 : dosis zoledronic acid yang direkomendasikan 3.3 mg *\r\nCrCl 30-39 : dosis zoledronic acid yang direkomendasikan 3.0 mg *\r\n\r\n* Dosis dihitung dengan asumsi target AUC 0,66 (mg.jam\/l) (Clcr= 75 ml\/menit).","sub-brand_how_to_use":"","sub-brand_storage_method":"","sub-brand_drug_interactions":"","sub-brand_image_1":60980,"sub-brand_image_2":60982,"sub-brand_image_3":60984,"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 01:06:54","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\/57090","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":1,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub-brand\/57090\/revisions"}],"predecessor-version":[{"id":60986,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub-brand\/57090\/revisions\/60986"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/media\/60978"}],"wp:attachment":[{"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/media?parent=57090"}],"wp:term":[{"taxonomy":"brand_category","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/brand_category?post=57090"},{"taxonomy":"brand_market","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/brand_market?post=57090"},{"taxonomy":"sub_brand_manufacturer","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_manufacturer?post=57090"},{"taxonomy":"sub_brand_dosage_forms","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_dosage_forms?post=57090"},{"taxonomy":"sub_brand_drug_classes","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_drug_classes?post=57090"},{"taxonomy":"sub_brand_marketer","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_marketer?post=57090"},{"taxonomy":"sub_brand_flavour","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_flavour?post=57090"},{"taxonomy":"sub_brand_warning_alcohol","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_alcohol?post=57090"},{"taxonomy":"sub_brand_warning_machinery","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_machinery?post=57090"},{"taxonomy":"sub_brand_warning_pregnancy","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_pregnancy?post=57090"},{"taxonomy":"sub_brand_warning_lactation","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_warning_lactation?post=57090"},{"taxonomy":"sub_brand_atc_1","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_atc_1?post=57090"},{"taxonomy":"sub_brand_atc_2","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_atc_2?post=57090"},{"taxonomy":"sub_brand_atc_3","embeddable":true,"href":"https:\/\/www.dexagroup.com\/id\/wp-json\/wp\/v2\/sub_brand_atc_3?post=57090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}