Perbandingan Outcome Terapi Pasien Hipertiroid Yang Menggunakan dan Tidak Menggunakan Propranolol Sebagai Obat Off-Label di RSUD Kudungga Sangatta Utara

Comparison of Therapeutic Outcomes in Hyperthyroid Patients Using and Not Using Propranolol as an Off-Label Drug at Kudungga Regional General Hospital, North Sangatta

Authors

  • Tulus Pieter Jonathan Sihaloho SIHALOHO Program Studi Farmasi Klinis, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia Author
  • Nurus Sobah Laboratorium Penelitian Dan Pengembangan Kefarmasian “Farmaka Tropis”, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Kalimantan Timur, Indonesia Author

DOI:

https://doi.org/10.30872/

Keywords:

hipertiroid, propranolol, Beta-blocker, offlabel

Abstract

Hipertiroidisme adalah kondisi peningkatan hormon tiroid yang menimbulkan gejala seperti jantung berdebar, tremor, dan kecemasan. Propranolol, β -blocker yang sering digunakan secara off-label , dapat meredakan gejala adrenergik serta sedikit mempengaruhi konversi T4 menjadi T3. Penelitian ini bertujuan menentukan karakteristik dan membandingkan hasil terapi pasien hipertiroidisme yang menggunakan dan tidak menggunakan propranolol di RSUD Kudungga Sangatta Utara. Penelitian retrospektif ini melibatkan 87 pasien, namun hanya 73 data yang dianalisis, terdiri dari 40 pasien pengguna propranolol dan 33 non-pengguna. Analisis menggunakan uji Mann-Whitney dan t-independen menunjukkan propranolol secara signifikan menurunkan denyut nadi (p = 0,002), tetapi tidak mempengaruhi kadar FT4 (p = 0,311). Mayoritas pasien pengguna propranolol berusia dewasa awal dan perempuan. Thiamazole 10 mg menjadi dosis paling umum pada kelompok propranolol, sementara dosis 5 mg lebih banyak pada kelompok non-propranolol. Kesimpulannya, propranolol efektif meredakan gejala adrenergik tanpa mempengaruhi kadar FT4.

Author Biography

  • Nurus Sobah, Laboratorium Penelitian Dan Pengembangan Kefarmasian “Farmaka Tropis”, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Kalimantan Timur, Indonesia

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References

[1] Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid 2016;26:1343–421. https://doi.org/10.1089/thy.2016.0229.

[2] Manual of Pharmacology and Therapeutics. vol. XXVII. 2008.

[3] Sharma A, Shivgotra VK. Risk and prevalence of thyroid disorder among Indian population : A meta-analysis. Int J Recent Trends Sci Technol 2018;2:16–20. https://doi.org/10.26611/202621.

[4] Ahmad M, Iqbal S, Ahmad N, Khan I. Prevalence of thyroid dysfunction in the patients visiting Tertiary Health Care Hospital, Firozabad; Uttar Pradesh. Int J Med Sci Public Heal 2016;5:2143. https://doi.org/10.5455/ijmsph.2016.01032016435.

[5] Mahato R, Jha B, Singh K, Yadav B, Shah S, Lamsal M. Status of Thyroid Disorders in Central Nepal: A Tertiary Care Hospital Based Study. Int J Appl Sci Biotechnol 2015;3:119–22. https://doi.org/10.3126/ijasbt.v3i1.12218.

[6] Persidis A. Drug repositioning and off-label use - Finding the balance and understanding the differences: Interview with David Cavalla, MA, PhD, Founder, Numedicus. Assay Drug Dev Technol 2015;13:294–6. https://doi.org/10.1089/adt.2015.29005.dcadrrr.

[7] Daud NS, Musdalipah M, Karmilah K, Hikma EN, Tee SA, Rusli N, et al. Formulasi Krim Tabir Surya Ekstrak Daun Stroberi (Fragaria x ananassa A.N. Duch) Asal Malino, Sulawesi Selatan. J Mandala Pharmacon Indones 2022;8:165–76. https://doi.org/10.35311/jmpi.v8i2.211.

[8] Nuradha S, Nurmainah, Robiyanto. Kajian penggunaan obat off-label pada resep anak di poliklinik anak rsud sultan syarief mohamad alkadrie pontianak. Fak Kedokt Univ Tanjungpura Pontianak 2017:1–10.

[9] Brent GA. Graves ’ Disease 2008:2594–605.

[10] De Leo S, Lee SY, Braverman LE. Hyperthyroidism. Lancet 2016;388:906–18. https://doi.org/10.1016/S0140-6736(16)00278-6.

[11] Brix TH, Kyvik KO, Christensen K, Heged�s L. Evidence for a major role of heredity in Graves’ disease. A�population-Based Study Two Danish Twin Cohorts 2001;86:930–4.

[12] Wartofsky L, Dickey RA. The evidence for a narrower thyrotropin reference range is compelling. J Clin Endocrinol Metab 2005;90:5483–8. https://doi.org/10.1210/jc.2005-0455.

[13] Bahn RS, Burch HB, Cooper DS, Garber JR, Carol Greenlee M, Klein I, et al. Hyperthyroidism and other causes of thyrotoxicosis: Management guidelines of the american thyroid association and American association of clinical endocrinoloigists. Endocr Pract 2011;17:456–520. https://doi.org/10.4158/EP.17.3.456.

[14] Dedon J. Thyroid Disease in Aging. Mo Med 2022;119:351–3.

[15] Niedziela M. Hyperthyroidism in adolescents. Endocr Connect 2021;10:R279–92. https://doi.org/10.1530/EC-21-0191.

[16] Mooij CF, Cheetham TD, Verburg FA, Eckstein A, Pearce SH, Léger J, et al. 2022 European Thyroid Association Guideline for the management of pediatric Graves’ disease. Eur Thyroid J 2022;11. https://doi.org/10.1530/ETJ-21-0073.

[17] Klein I, Danzi S. Thyroid disease and the heart. Circulation 2007;116:1725–35. https://doi.org/10.1161/CIRCULATIONAHA.106.678326.

[18] Kshatri JS, Satpathy P, Sharma S, Bhoi T, Mishra SP, Sahoo SS. Health research in the state of Odisha, India: A decadal bibliometric analysis (2011‑2020). J Fam Med Prim Care 2022;6:169–70. https://doi.org/10.4103/jfmpc.jfmpc.

[19] Leso V, Vetrani I, De Cicco L, Cardelia A, Fontana L, Buonocore G, et al. The impact of thyroid diseases on the working life of patients: A systematic review. Int J Environ Res Public Health 2020;17:1–24. https://doi.org/10.3390/ijerph17124295.

[20] Nachar N. The Mann-Whitney U: A Test for Assessing Whether Two Independent Samples Come from the Same Distribution. Tutor Quant Methods Psychol 2008;4:13–20. https://doi.org/10.20982/tqmp.04.1.p013.

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Published

2026-05-28

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How to Cite

[1]
T. P. J. S. SIHALOHO and Nurus Sobah, “Perbandingan Outcome Terapi Pasien Hipertiroid Yang Menggunakan dan Tidak Menggunakan Propranolol Sebagai Obat Off-Label di RSUD Kudungga Sangatta Utara: Comparison of Therapeutic Outcomes in Hyperthyroid Patients Using and Not Using Propranolol as an Off-Label Drug at Kudungga Regional General Hospital, North Sangatta”, J. Sains. Kes, vol. 7, no. 2, pp. 11–23, May 2026, doi: 10.30872/.

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