Asparaginase

Asparaginase
Credit: iStock Photo.

Bagikan :


Brand

Leunase.

 

Cara Kerja

Asparaginase merupakan obat yang biasa dimanfaatkan untuk mengobati kondisi medis berupa kelainan atau kanker sel darah putih (leukemia akut), dan kanker kelenjar getah bening (limfoma). Asparaginase bekerja dengan cara berperan sebagai antikanker melalui proses menghambat produksi asparin di dalam darah sehingga menghambat sel-sel kanker untuk bertambah banyak dan akhirnya sel kanker berkurang jumlah dan ukurannya.

 

Indikasi

Kondisi medis berupa kelainan atau kanker sel darah putih (leukemia akut), dan kanker kelenjar getah bening (limfoma).

 

Kontraindikasi

Kontraindikasi penggunaan asparaginase berupa:

  • riwayat penyakit pankreatitis (radang pada organ pankreas) berat
  • riwayat hipersensitivitas atau alergi terhadap asparaginase (biduran atau bengkak pada kelopak mata)
  • riwayat kelainan pembekuan darah berat (emboli paru)
  • gangguan perdarahan yang berkaitan dengan terapi asparaginase
  • ibu menyusui
  • kelainan liver berat

 

Efek Samping

Efek samping umumnya jarang terjadi. Meskipun demikian, ada beberapa efek samping yang mungkin terjadi, misalnya:

  • mual
  • muntah
  • sakit perut
  • diare
  • sulit buang air besar
  • demam
  • bercak merah di kulit
  • biduran
  • demam
  • gangguan kadar lemak dan kolesterol di dalam darah
  • mudah mengantuk
  • depresi
  • pusing berputar
  • sakit kepala
  • nyeri otot

 

Sediaan

Beberapa sediaan asparaginase yang dapat ditemukan hingga saat ini adalah sebagai berikut:

  • Serbuk injeksi 10.000 IU

 

Dosis

  • Dosis dewasa: 5.000 IU/m2 melalui infus selama 30 menit hingga 2 jam yang diberikan tiap 3 hari sekali.
  • Dosis anak usia > 1 tahun: dosis sama seperti dosis dewasa.

 

Keamanan

Kehamilan:

Termasuk FDA kategori C (terdapat penelitian pada hewan uji coba yang menunjukkan adanya efek samping pada janin namun tidak ada penelitian terkontrol baik dan memadai pada manusia) sehingga potensi manfaat dan risiko obat perlu dipertimbangkan dan digunakan dengan hati-hati pada ibu hamil.

 

Interaksi Obat

Obat-obat kortikosteroid, misalnya prednison

Penggunaan obat yang bersamaan antara asparaginase dan prednison memiliki potensi interaksi obat berupa meningkatkan risiko kelainan pembekuan darah. Oleh karena itu, penggunaan obat yang bersamaan dengan asparaginase perlu diawasi oleh dokter untuk mencegah kejadian yang tidak diinginkan.

 

Mau tahu informasi seputar obat-obatan lainnya, cek di sini ya!

 

 

Writer : dr Apri Haryono Hafid
Editor :
  • dr Anita Larasati Priyono
Last Updated : Minggu, 16 April 2023 | 22:43

Badan Pengawas Obat dan Makanan. Asparaginase. Available from: https://pionas.pom.go.id/ioni/bab-8-keganasan-dan-imunosupresi/81-keganasan/815-antineoplastik-lain/asparaginase

Badan Pengawas Obat dan Makanan. Asparaginase. Available from:  https://pionas.pom.go.id/monografi/asparaginase

Mims Indonesia. Asparaginase. Available from: https://www.mims.com/indonesia/drug/info/asparaginase?mtype=generic

Medscape. Asparaginase. Available from: https://reference.medscape.com/drug/oncaspar-peg-l-asparaginase-pegaspargase-342225

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      Bindings
      • 0: 3778
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Bindings
      • 0: 9202
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new5.44msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7460 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7460
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Hints
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      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Hints
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      Backtrace
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      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Bindings
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      Hints
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      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new5.3msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 1851 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1851
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new5.43msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 3179 and `categories`.`deleted_at` is null
      Bindings
      • 0: 3179
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Hints
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      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::layouts.v2.web_layout:122
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Hints
      • Use SELECT * only if you need all columns from table
      • The SELECT statement has no WHERE clause and could examine many more rows than intended
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      Backtrace
      • view::layouts.v2.web_layout:547
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Hints
      • Use SELECT * only if you need all columns from table
      • The SELECT statement has no WHERE clause and could examine many more rows than intended
      Backtrace
      • view::layouts.v2.web_layout:551
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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    App\Models\Admin\Category
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