![\"\"](\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-03-at-20.34.22.jpeg?resize=618%2C348&ssl=1\")
<\/figure>\n<\/div>\n\n\n<\/p>\n\n\n\n
<\/p>\n\n\n
PERLU KE MAKAN PANTOPRAZOLE JIKA AMBIL ASPIRIN + CLOPIDOGREL?<\/strong><\/p>\n \u00a0<\/p>\n Jawaban mudah : YA \u2013 disarankan, tetapi bergantung pada risiko pesakit terhadap masalah gastrik atau pendarahan perut.<\/p>\n \u00a0<\/p>\n Dapatkan info bermanfaat mengenai kesihatan dan ubat-ubatan di Dr Zubaidi Hj Ahmad Logiknya kenapa perlu ambil pantoprazole?<\/strong> 1. Aspirin dan Clopidogrel boleh menyebabkan iritasi dan hakisan lapisan perut (gastric mucosa)\u2192 Ini boleh menyebabkan gastritis, ulser dan pendarahan gastrousus atas.<\/p>\n 2. Pantoprazole ialah ubat jenis Proton Pump Inhibitor (PPI) \u2192 Ia mengurangkan pengeluaran asid gastrik dan melindungi dinding perut dari hakisan.<\/p>\n 3. Kombinasi antiplatelet (aspirin + clopidogrel) meningkatkan risiko pendarahan 2\u20133 kali ganda. Oleh itu, perlindungan tambahan dengan PPI (pantoprazole) sangat digalakkan, terutamanya jika:<\/p>\n 1. Umur > 60 tahun<\/p>\n 2. Ada sejarah gastritis atau ulser<\/p>\n 3. Penggunaan NSAIDs serentak<\/p>\n 4. Merokok, alkohol, atau H. pylori positif<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n KESAN JANGKA PANJANG PENGGUNAAN PANTAPRAZOLE (jika dimakan berterusan)<\/strong><\/p>\n Walaupun pantoprazole sangat berguna, penggunaan jangka panjang boleh beri kesan sampingan tertentu, antaranya:<\/p>\n \u00a0<\/p>\n 1. Penyerapan Nutrien Terjejas<\/p>\n Vitamin B12, Magnesium, Zat Besi dan Kalsium sukar diserap jika asid perut terlalu kurang.<\/p>\n \u279c Risiko anemia dan osteopenia \/ osteoporosis meningkat<\/p>\n \u00a0<\/p>\n 2. Risiko Jangkitan Usus<\/p>\n Kurangnya asid perut meningkatkan risiko jangkitan bakteria seperti Clostridium difficile, Salmonella dan Campylobacter<\/p>\n \u00a0<\/p>\n 3. Peningkatan Risiko Batu Buah Pinggang & Batu Hempedu<\/p>\n \u00a0<\/p>\n 4. Potensi Perubahan Mikrobiom Usus<\/p>\n Menjejaskan kesihatan usus dan sistem imun<\/p>\n \u00a0<\/p>\n 5. Interaksi Ubat<\/p>\n PPI boleh kurangkan keberkesanan clopidogrel (tetapi pantoprazole paling minimal kesannya berbanding omeprazole)<\/p>\n \u00a0<\/p>\n CADANGAN PRAKTIKAL SAYA<\/strong><\/p>\n Situasi Pesakit Perlu Pantoprazole?<\/p>\n -Aspirin + clopidogrel,dan tiada risiko gastrik : Mungkin tidak perlu pantoprazole setiap hari, boleh PRN (jika perlu)<\/p>\n -Aspirin + clopidogrel, dan ada sejarah gastrik\/ulser : Perlu pantoprazole harian<\/p>\n – Aspirin sahaja, dan dos rendah, tiada risiko gastritis : Tidak semestinya perlu pantoprazole<\/p>\n \u00a0<\/p>\n KESIMPULAN<\/strong><\/p>\n Pantoprazole bukan wajib untuk semua pesakit yang ambil aspirin + clopidogrel, tetapi amat disarankan jika ada risiko komplikasi gastrousus. \u00a0<\/p>\n Dr Zubaidi Hj Ahmad PERLU KE MAKAN PANTOPRAZOLE JIKA AMBIL ASPIRIN + CLOPIDOGREL? \u00a0 Jawaban mudah : YA \u2013 disarankan, tetapi bergantung pada risiko pesakit terhadap masalah gastrik atau pendarahan perut. \u00a0 Dapatkan info bermanfaat mengenai kesihatan dan ubat-ubatan di Dr Zubaidi Hj Ahmad Logiknya kenapa perlu ambil pantoprazole? 1. Aspirin dan Clopidogrel boleh menyebabkan iritasi dan hakisan lapisan …<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[4],"tags":[],"class_list":["post-21957","post","type-post","status-publish","format-standard","","category-farmasi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p10sZy-5I9","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":21960,"url":"https:\/\/drzubaidi.com\/blog\/boleh-ke-jika-kita-ambil-aspirin-glycide-selepas-makan-dan-jaga-pemakanan-tanpa-perlu-ambil-pantaprazole\/","url_meta":{"origin":21957,"position":0},"title":"BOLEH KE JIKA KITA AMBIL ASPIRIN + GLYCIDE SELEPAS MAKAN DAN JAGA PEMAKANAN TANPA PERLU AMBIL PANTAPRAZOLE?","author":"admin","date":"05\/08\/2025","format":false,"excerpt":"BOLEH KE JIKA KITA AMBIL ASPIRIN + GLYCIDE SELEPAS MAKAN DAN JAGA PEMAKANAN TANPA PERLU AMBIL PANTAPRAZOLE?Jom dapatkan info bermanfaat mengenai kesihatan dan ubat-ubatan di Dr Zubaidi Hj Ahmad. \u00a0 Ya, dalam kes tertentu, adalah MUNGKIN untuk tidak mengambil pantoprazole jika seseorang: 1. \u2705 Mengambil aspirin (atau aspirin + clopidogrel)\u2026","rel":"","context":"In "Farmasi"","block_context":{"text":"Farmasi","link":"https:\/\/drzubaidi.com\/blog\/category\/farmasi-3\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-03-at-21.00.12.jpeg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-03-at-21.00.12.jpeg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-03-at-21.00.12.jpeg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-03-at-21.00.12.jpeg?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":21993,"url":"https:\/\/drzubaidi.com\/blog\/troponin-saya-tinggi-apa-yang-perlu-dibuat\/","url_meta":{"origin":21957,"position":1},"title":"TROPONIN SAYA TINGGI. APA YANG PERLU DIBUAT?","author":"admin","date":"11\/08\/2025","format":false,"excerpt":"TROPONIN SAYA TINGGI. APA YANG PERLU DIBUAT? \u00a0 \"Assalamualaikum Dr Zubaidi. Mohon lihat keputusan darah saya. Adakah ia tinggi, dan apakah yang perlu lakukan. Terima kasih.\" \u00a0 Walaikumusalam. \u00a0 Saya akan jelaskan maksud bacaan ini dan tindakan yang biasanya disarankan bila Troponin I tinggi seperti dalam rekod tu (3.8). \u00a0\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-10-at-21.44.101.jpeg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-10-at-21.44.101.jpeg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-10-at-21.44.101.jpeg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-10-at-21.44.101.jpeg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-10-at-21.44.101.jpeg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-10-at-21.44.101.jpeg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":20581,"url":"https:\/\/drzubaidi.com\/blog\/bolehkah-ambil-amlodipine-dan-aspirin-serentak\/","url_meta":{"origin":21957,"position":2},"title":"BOLEHKAH AMBIL AMLODIPINE DAN ASPIRIN SERENTAK?","author":"admin","date":"10\/12\/2024","format":false,"excerpt":"\u00a0 \"Assalamualaikum. Saya ingin bertanya. Bolehkah ubat anti-hipertensif Amlodipine 10mg dimakan bersama serentak dengan ubat cair darah Aspirin? Terima kasih.\" \u00a0 Walaikumusalam. \u00a0 Amlodipine 10mg boleh diambil bersama aspirin, tetapi ada beberapa perkara yang perlu diambil kira. Penggunaan kedua-dua ubat ini serentak boleh menyebabkan tekanan darah meningkat, jadi pemantauan tekanan\u2026","rel":"","context":"In "Farmasi"","block_context":{"text":"Farmasi","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/farmasi\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x-300x254.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":21341,"url":"https:\/\/drzubaidi.com\/blog\/berbahayakah-aspirin\/","url_meta":{"origin":21957,"position":3},"title":"BERBAHAYAKAH ASPIRIN?","author":"admin","date":"12\/03\/2025","format":false,"excerpt":"\"Assalamualaikum Dr Zubaidi. Saya ada ambil aspirin 100mg. Adakah itu dos tinggi? Terima kasih.\" Waalaikumussalam. Aspirin 100mg sehari adalah dos rendah dan biasanya digunakan untuk mencegah serangan jantung dan strok pada individu yang berisiko tinggi, termasuk pesakit: \u2714 Penyakit jantung koronari (contohnya, selepas serangan jantung atau pemasangan stent) \u2714 Hipertensi\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":17374,"url":"https:\/\/drzubaidi.com\/blog\/saya-ingin-bertanya\/","url_meta":{"origin":21957,"position":4},"title":"SAYA INGIN BERTANYA","author":"admin","date":"27\/12\/2023","format":false,"excerpt":"PERLUKAH AMBIL SEMULA UBAT ASPIRIN? \u00a0 ASSALAMUALAIKUM Dr Zubaidi. Kalau berhenti ambil ubat cair darah aspirin dalam tempoh lebih kurang satu tahun, boleh ke ambil semula aspirin sebab khuatir darah pekat? Perlu jumpa doktor dahulu ke untuk mula semula ubat cair darah tersebut atau saya boleh ambil olivie 30 plus\u2026","rel":"","context":"In "Wanita"","block_context":{"text":"Wanita","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/wanita\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x-300x254.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":9720,"url":"https:\/\/drzubaidi.com\/blog\/sakit-kepala-selepas-makan-ubat-gastrik-panto\/","url_meta":{"origin":21957,"position":5},"title":"SAKIT KEPALA SELEPAS MAKAN UBAT GASTRIK PANTO","author":"drzubaidi","date":"09\/08\/2018","format":false,"excerpt":"\"Assalamualaikum Dr Zubaidi. Doc saya ingin bertanya, saya ada gastrik baru-baru ini. Saya buat scop, doc kata ada radang. Doc bagi ubat panto saya tapi tidak boleh makan kerana saya alami pening yg amat teruk. Ada kah ubat lain yang sesuai. Saya juga mempunyai penyakit hyperthyroidism dan makan ubat proponolol\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2018\/08\/panto-300x168.jpg?resize=350%2C200","width":350,"height":200},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/21957","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/comments?post=21957"}],"version-history":[{"count":1,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/21957\/revisions"}],"predecessor-version":[{"id":21959,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/21957\/revisions\/21959"}],"wp:attachment":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/media?parent=21957"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/categories?post=21957"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/tags?post=21957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/p>\n
<\/p>\n
<\/p>\n
Ia melindungi perut, tetapi tidak sesuai diambil sepanjang hayat tanpa pemantauan. Gunakan secara bijak dan berpandu doktor.<\/p>\n
Semoga bermanfaat.<\/p>\n
Doktor. Motivator Islamik. Coach Wellness A’aFIYAT.<\/p>\n\n","protected":false},"excerpt":{"rendered":"