{"id":31646,"date":"2021-05-11T22:12:53","date_gmt":"2021-05-11T15:12:53","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=31646"},"modified":"2022-03-22T10:52:02","modified_gmt":"2022-03-22T03:52:02","slug":"norfloxacin-norfloxacin-khahaco","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/","title":{"rendered":"Norfloxacin &#8211; Norfloxacin Khahaco"},"content":{"rendered":"<p><em>Thu\u1ed1c Norfloxacin Khapharco l\u00e0 thu\u1ed1c g\u00ec ? D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng g\u1ed1c c\u1ee7a Thu\u1ed1c Norfloxacin Khapharco (Th\u00f4ng tin bao g\u1ed3m li\u1ec1u d\u00f9ng, c\u00e1ch d\u00f9ng, ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, th\u1eadn tr\u1ecdng, d\u01b0\u1ee3c l\u00fd&#8230;)<\/em><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">N\u1ed9i dung ch\u00ednh<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#1-ten-hoat-chat-va-biet-duoc\" >1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#2-dang-bao-che-%e2%80%93-ham-luong\" >2. D\u1ea1ng b\u00e0o ch\u1ebf &#8211; H\u00e0m l\u01b0\u1ee3ng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#3-video-by-pharmog\" >3. Video by Pharmog:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#4-ung-dung-lam-sang\" >4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#41-chi-dinh\" >4.1. Ch\u1ec9 \u0111\u1ecbnh:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#42-lieu-dung-%e2%80%93-cach-dung\" >4.2. Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#43-chong-chi-dinh\" >4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#44-than-trong\" >4.4 Th\u1eadn tr\u1ecdng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#45-su-dung-cho-phu-nu-co-thai-va-cho-con-bu\" >4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#46-tac-dung-khong-mong-muon-adr\" >4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#47-huong-dan-cach-xu-tri-adr\" >4.7 H\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed tr\u00ed ADR:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#48-tuong-tac-voi-cac-thuoc-khac\" >4.8 T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#49-qua-lieu-va-xu-tri\" >4.9 Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#5-co-che-tac-dung-cua-thuoc\" >5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#51-duoc-luc-hoc\" >5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#52-duoc-dong-hoc\" >5.2. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#53-giai-thich\" >5.3 Gi\u1ea3i th\u00edch:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#54-thay-the-thuoc\" >5.4 Thay th\u1ebf thu\u1ed1c :<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#6-phan-thong-tin-kem-theo-cua-thuoc\" >6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#61-danh-muc-ta-duoc\" >6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#62-tuong-ky\" >6.2. T\u01b0\u01a1ng k\u1ef5 :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#63-bao-quan\" >6.3. B\u1ea3o qu\u1ea3n:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#64-thong-tin-khac\" >6.4. Th\u00f4ng tin kh\u00e1c :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#65-tai-lieu-tham-khao\" >6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/pharmog.com\/wp\/norfloxacin-norfloxacin-khahaco\/#7-nguoi-dang-tai-tac-gia\" >7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<\/a><\/li><\/ul><\/nav><\/div>\n\n<h1><span class=\"ez-toc-section\" id=\"1-ten-hoat-chat-va-biet-duoc\"><\/span>1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong><em>Ho\u1ea1t ch\u1ea5t :<\/em> <\/strong><a href=\"https:\/\/pharmog.com\/wp\/norfloxacin\/\"><strong>Norfloxacin<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c Kh\u00e1ng sinh nh\u00f3m quinolon. Fluoroquinolon th\u1ebf h\u1ec7 2<\/em><\/p>\n<p><strong><em>Nh\u00f3m<\/em><\/strong> <strong><em>ph\u00e1p l\u00fd: <\/em><\/strong><em>Thu\u1ed1c k\u00ea \u0111\u01a1n ETC \u2013 (Ethical drugs, prescription drugs, Prescription only medicine)<\/em><\/p>\n<p><strong><em>M\u00e3 ATC<\/em><\/strong> (Anatomical Therapeutic Chemical): J01MA06, S01AE02.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Norfloxacin, Kaxacin<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Kh\u00e1nh Ho\u00e0<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h1><span class=\"ez-toc-section\" id=\"2-dang-bao-che-%e2%80%93-ham-luong\"><\/span>2. D\u1ea1ng b\u00e0o ch\u1ebf &#8211; H\u00e0m l\u01b0\u1ee3ng:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong><em>D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng<\/em><\/strong><\/p>\n<p>Vi\u00ean n\u00e9n 400 mg<\/p>\n<p><strong><em>Thu\u1ed1c tham kh\u1ea3o:<\/em><\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>NORFLOXACIN<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Norfloxacin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>400 mg<\/td>\n<\/tr>\n<tr>\n<td>T\u00e1 d\u01b0\u1ee3c<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>v\u1eeba \u0111\u1ee7 (Xem m\u1ee5c 6.1)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"271\" class=\"wp-image-31647\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-231.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-231.png 576w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-231-300x141.png 300w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><\/p>\n<h1><span class=\"ez-toc-section\" id=\"3-video-by-pharmog\"><\/span>3. Video by Pharmog:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong>[VIDEO D\u01af\u1ee2C L\u00dd]<\/strong><\/p>\n<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe loading=\"lazy\" title=\"[Pharmog SS1 - T\u1eadp 08] - D\u01b0\u1ee3c l\u00fd c\u00e1c thu\u1ed1c kh\u00e1ng sinh\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/0TIIfoiJFwA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>\u25ba K\u1ecbch B\u1ea3n: PharmogTeam<\/p>\n<p>\u25ba Youtube: https:\/\/www.youtube.com\/c\/pharmog<\/p>\n<p>\u25ba Facebook: https:\/\/www.facebook.com\/pharmog\/<\/p>\n<p>\u25ba Group : H\u1ed9i nh\u1eefng ng\u01b0\u1eddi m\u00ea d\u01b0\u1ee3c l\u00fd<\/p>\n<p>\u25ba Instagram : https:\/\/www.instagram.com\/pharmogvn\/<\/p>\n<p>\u25ba Website: pharmog.com<\/p>\n<h1><span class=\"ez-toc-section\" id=\"4-ung-dung-lam-sang\"><\/span>4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"41-chi-dinh\"><\/span>4.1. Ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Norfloxacin \u0111\u01b0\u1ee3c d\u00f9ng ch\u1ee7 y\u1ebfu \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng v\u00e0 vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t do c\u00e1c vi khu\u1ea9n nh\u1ea1y c\u1ea3m.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"42-lieu-dung-%e2%80%93-cach-dung\"><\/span>4.2. Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong><em>C\u00e1ch d\u00f9ng<\/em><\/strong> :<\/p>\n<p>Ph\u1ea3i u\u1ed1ng norfloxacin 1 gi\u1edd tr\u01b0\u1edbc b\u1eefa \u0103n hay 2 gi\u1edd sau b\u1eefa \u0103n v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc \u0111\u1ea7y. Trong ng\u00e0y ph\u1ea3i u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc \u0111\u1ec3 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u \u0111\u00e0o th\u1ea3i \u00edt nh\u1ea5t t\u1eeb 1200 ml \u0111\u1ebfn 1500 ml m\u1ed7i ng\u00e0y \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>Li\u00ea\u1ec1u \u0111i\u1ec1u tr\u1ecb:<\/p>\n<p>Do nguy c\u01a1 t\u1ea1o tinh th\u1ec3-ni\u1ec7u, kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 li\u1ec1u th\u01b0\u1eddng d\u00f9ng 400mg\/l\u1ea7n, ng\u00e0y u\u1ed1ng 2 l\u1ea7n \u1edf ng\u01b0\u1eddi l\u1edbn, ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Vi\u00eam b\u00e0ng quang c\u1ea5p v\u00e0 vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u1ea5p: 400mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y, trong 7-10 ng\u00e0y (trong 3 ng\u00e0y \u0111\u1ed1i v\u1edbi nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u kh\u00f4ng bi\u1ebfn ch\u1ee9ng \u1edf n\u1eef), ho\u1eb7c d\u00f9ng li\u1ec1u tr\u00ean \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u kh\u00f4ng bi\u1ebfn ch\u1ee9ng do vi khu\u1ea9n nh\u1ea1y c\u1ea3m nh\u01b0 E. coli, Klebsiella pneumoniae hoac Proteus mirabilis.<\/p>\n<p>Nhi\u1ec5m khu\u1ea9n m\u1ea1n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi t\u00e1i ph\u00e1t: 400mg, 2 l\u1ea7n\/ng\u00e0y trong 12 tu\u1ea7n; li\u1ec1u c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng 400mg, 1 l\u1ea7n\/ng\u00e0y n\u1ebfu c\u00f3 \u0111\u00e1p \u1ee9ng th\u1ecfa \u0111\u00e1ng trong 4 tu\u1ea7n \u0111\u1ea7u.<\/p>\n<p>Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t m\u1ea1n: 400mg, 2 l\u1ea7n\/ng\u00e0y, trong 28 ng\u00e0y.<\/p>\n<p>Li\u1ec1u trong suy th\u1eadn: C\u1ea7n gi\u1ea3m li\u1ec1u. \u0110\u1ed1i v\u1edbi nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u: 400mg\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y khi CLCR \u2264 300ml\/ph\u00fat\/1,73m\u00b2.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"43-chong-chi-dinh\"><\/span>4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ng\u01b0\u1eddi qu\u00e1 m\u1eabn v\u1edbi norfloxacin ho\u1eb7c v\u1edbi c\u00e1c ch\u1ea5t kh\u00e1ng khu\u1ea9n c\u00f3 li\u00ean quan v\u1ec1 m\u1eb7t h\u00f3a h\u1ecdc v\u1edbi quinolon.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed b\u1ecb vi\u00eam g\u00e2n ho\u1eb7c \u0111\u1ee9t g\u00e2n li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng thu\u1ed1c nh\u00f3m quinolon.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 18 tu\u1ed5i..<\/p>\n<h2><span class=\"ez-toc-section\" id=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Vi\u00eam g\u00e2n ho\u1eb7c \u0111\u1ee9t g\u00e2n \u0111\u00e3 x\u1ea3y ra khi d\u00f9ng kh\u00e1ng sinh nh\u00f3m quinolon, \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, nh\u01b0ng nguy c\u01a1 n\u00e0y t\u0103ng l\u00ean khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c corticosteroid, ng\u01b0\u1eddi c\u1ea5y gh\u00e9p t\u1ea1ng v\u00e0 ng\u01b0\u1eddi b\u1ec7nh tr\u00ean 60 tu\u1ed5i.<\/p>\n<p>Th\u1eadn tr\u1ecdng v\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i c\u00f3 gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn, d\u00f9ng li\u1ec1u b\u1eb1ng \u00bd so v\u1edbi li\u1ec1u c\u1ee7a ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Ph\u1ea3i d\u00f9ng th\u1eadn tr\u1ecdng cho c\u00e1c ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111\u1ed9ng kinh hay c\u00f3 ti\u1ec1n s\u1eed v\u1ec1 c\u00e1c r\u1ed1i lo\u1ea1n th\u1ea7n kinh trung \u01b0\u01a1ng.<\/p>\n<p>N\u00f3i chung, ph\u1ea3i d\u00f9ng th\u1eadn tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c ng\u01b0\u1eddi b\u1ec7nh thi\u1ec3u n\u0103ng gan ho\u1eb7c suy th\u1eadn n\u1ebfu \u0111\u1ed9 thanh th\u1ea3i creatinin d\u01b0\u1edbi 10 ml\/ph\u00fat; ph\u1ea3i gi\u1ea3m li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c v\u00e0 theo d\u00f5i s\u1ef1 thanh th\u1ea3i creatinin.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng m\u1ecdi fluoroquinolon cho tr\u1ebb em v\u00e0 thi\u1ebfu ni\u00ean. C\u00e1c thu\u1ed1c fluoroquinolon v\u00e0 c\u00e1c quinolon kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o g\u00e2y b\u1ec7nh kh\u1edbp \u1edf nhi\u1ec1u lo\u00e0i \u0111\u1ed9ng v\u1eadt ch\u01b0a tr\u01b0\u1edfng th\u00e0nh..<\/p>\n<p><strong>T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c tr\u00ean ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/strong><\/p>\n<p>Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00ean th\u1ea7n kinh trung \u01b0\u01a1ng nh\u01b0 tr\u1ea7m c\u1ea3m, lo l\u1eafng, t\u00ecnh tr\u1ea1ng k\u00edch \u0111\u1ed9ng, s\u1ea3ng kho\u00e1i, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, \u1ea3o gi\u00e1c,\u2026 n\u00ean kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c cho ng\u01b0\u1eddi l\u00e1i xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"45-su-dung-cho-phu-nu-co-thai-va-cho-con-bu\"><\/span>4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>X\u1ebfp h\u1ea1ng c\u1ea3nh b\u00e1o<\/em><\/p>\n<p>AU TGA pregnancy category: B3<\/p>\n<p>US FDA pregnancy category: C<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>N\u00f3i chung vi\u1ec7c d\u00f9ng norfloxacin trong th\u1eddi gian mang thai ch\u01b0a th\u1ea5y c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n t\u0103ng nguy c\u01a1 d\u1ecb d\u1ea1ng b\u1ea9m sinh. Tuy v\u1eady c\u0169ng kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb nguy\u00ean nh\u00e2n c\u00f3 li\u00ean quan \u0111\u1ebfn m\u1ed9t s\u1ed1 khuy\u1ebft t\u1eadt c\u1ee7a thai nhi. Kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh norfloxacin cho ng\u01b0\u1eddi mang thai v\u00ec c\u00f3 c\u00e1c thu\u1ed1c kh\u00e1c an to\u00e0n h\u01a1n.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Trong th\u1eddi gian cho con b\u00fa kh\u00f4ng n\u00ean d\u00f9ng norfloxacin v\u00ec c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh kh\u1edbp v\u00e0 ng\u1ed9 \u0111\u1ed9c n\u1eb7ng cho c\u00e1c tr\u1ebb \u0111ang b\u00fa. N\u1ebfu kh\u00f4ng thay th\u1ebf \u0111\u01b0\u1ee3c b\u1eb1ng m\u1ed9t kh\u00e1ng sinh kh\u00e1c m\u00e0 ng\u01b0\u1eddi m\u1eb9 v\u1eabn ph\u1ea3i d\u00f9ng fluoroquinolon th\u00ec n\u00ean ng\u1eebng cho con b\u00fa..<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"46-tac-dung-khong-mong-muon-adr\"><\/span>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Norfloxacin th\u01b0\u1eddng d\u1ec5 dung n\u1ea1p. T\u1ef7 l\u1ec7 to\u00e0n b\u1ed9 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n kho\u1ea3ng 3%.<\/p>\n<p><em>Th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/100<\/em><\/p>\n<p>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, \u1ec9a ch\u1ea3y, \u0111au\/co c\u1ee9ng c\u01a1 b\u1ee5ng.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/1000 &lt; ADR &lt; 1\/100<\/em><\/p>\n<p>Th\u1ea7n kinh: \u00d0au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t hoa m\u1eaft, \u1ee3 n\u00f3ng.<\/p>\n<p>Da: Ph\u00e1t ban, ng\u1ee9a, nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng, ngo\u1ea1i ban.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p, ADR&lt;1\/1000<\/em><\/p>\n<p>Th\u1ea7n kinh trung \u01b0\u01a1ng: Ch\u00e1n \u0103n, ng\u1ee7 kh\u00f4ng y\u00ean gi\u1ea5c, tr\u1ea7m c\u1ea3m, lo l\u1eafng, t\u00ecnh tr\u1ea1ng k\u00edch \u0111\u1ed9ng, b\u1ecb k\u00edch th\u00edch, s\u1ea3ng kho\u00e1i, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, \u1ea3o gi\u00e1c.<\/p>\n<p>Ti\u00eau h\u00f3a: Vi\u00eam mi\u1ec7ng, vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3.<\/p>\n<p>C\u01a1 &#8211; x\u01b0\u01a1ng: \u00d0au kh\u1edbp.<\/p>\n<p><em>Th\u00f4ng b\u00e1o cho B\u00e1c s\u0129 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/em><\/p>\n<h2><span class=\"ez-toc-section\" id=\"47-huong-dan-cach-xu-tri-adr\"><\/span>4.7 H\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed tr\u00ed ADR:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c. V\u1edbi c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i nh\u1eb9, th\u01b0\u1eddng ch\u1ec9 c\u1ea7n ng\u1eebng thu\u1ed1c. Tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m n\u1eb7ng ho\u1eb7c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, c\u1ea7n ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 (gi\u1eef tho\u00e1ng kh\u00ed v\u00e0 d\u00f9ng epinephrin, th\u1edf oxygen, d\u00f9ng kh\u00e1ng histamin, corticoid&#8230;).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"48-tuong-tac-voi-cac-thuoc-khac\"><\/span>4.8 T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Nh\u1eefng c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u, m\u1ed9t s\u1ed1 c\u00e1c b\u00e1o c\u00e1o n\u00eau l\u00ean: C\u00e1c ch\u1ea5t ch\u1ed1ng acid c\u00f3 ch\u1ee9a nh\u00f4m, magnesi hydroxyd l\u00e0m gi\u1ea3m s\u1ef1 h\u1ea5p thu t\u1eeb 50 &#8211; 98% norfloxacin trong huy\u1ebft thanh. D\u00f9ng Maalox 2 gi\u1edd sau khi u\u1ed1ng norfloxacin, l\u01b0\u1ee3ng norfloxacin h\u1ea5p thu b\u1ecb gi\u1ea3m kho\u1ea3ng 1\/3. Norfloxacin d\u00f9ng c\u00f9ng calci carbonat l\u00e0m gi\u1ea3m t\u1eeb 50 &#8211; 60% s\u1ef1 h\u1ea5p thu. Norfloxacin kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi bismut subsalicylat. C\u01a1 ch\u1ebf gi\u1ea3m h\u1ea5p thu norfloxacin khi c\u00f3 m\u1eb7t c\u00e1c ion nh\u00f4m v\u00e0 magnesi \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch nh\u01b0 sau: M\u1ed9t v\u00e0i nh\u00f3m ch\u1ee9c (3 &#8211; carbonyl v\u00e0 4 &#8211; oxo) c\u1ee7a c\u00e1c kh\u00e1ng sinh k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ion tr\u00ean t\u1ea1o ra trong ru\u1ed9t c\u00e1c chelat kh\u00f4ng tan v\u00e0 l\u00e0m gi\u1ea3m h\u1ea5p thu, h\u01a1n n\u1eefa c\u00e1c chelat t\u1ea1o th\u00e0nh \u00edt c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n.<\/p>\n<p>S\u1eed d\u1ee5ng c\u00f9ng v\u1edbi probenecid kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi n\u1ed3ng \u0111\u1ed9 norfloxacin trong huy\u1ebft thanh nh\u01b0ng s\u1ef1 b\u00e0i ti\u1ebft thu\u1ed1c trong n\u01b0\u1edbc ti\u1ec3u gi\u1ea3m.<\/p>\n<p>Khi d\u00f9ng norfloxacin c\u00f9ng v\u1edbi theophylin v\u00e0 cyclosporin, n\u1ed3ng \u0111\u1ed9 c\u1ee7a hai ch\u1ea5t n\u00e0y t\u0103ng trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>Norfloxacin c\u0169ng nh\u01b0 c\u00e1c quinolon kh\u00e1c l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a ch\u1ea5t ch\u1ed1ng \u0111\u00f4ng m\u00e1u d\u1ea1ng u\u1ed1ng warfarin ho\u1eb7c nh\u1eefng d\u1eabn xu\u1ea5t c\u1ee7a n\u00f3. Khi s\u1eed d\u1ee5ng ch\u00fang c\u1ea7n ph\u1ea3i theo d\u00f5i th\u1eddi gian \u0111\u00f4ng m\u00e1u b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m th\u00edch h\u1ee3p.<\/p>\n<p>C\u00e1c ch\u1ebf ph\u1ea9m \u0111a sinh t\u1ed1 c\u00f3 ch\u1ee9a s\u1eaft v\u00e0 k\u1ebdm kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng ho\u1eb7c trong v\u00f2ng 2 gi\u1edd v\u1edbi norfloxacin v\u00ec c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i \u0111\u1ed9 h\u1ea5p thu, l\u00e0m cho n\u1ed3ng \u0111\u1ed9 norfloxacin trong huy\u1ebft thanh v\u00e0 n\u01b0\u1edbc ti\u1ec3u th\u1ea5p xu\u1ed1ng.<\/p>\n<p>Norfloxacin c\u0169ng nh\u01b0 c\u00e1c quinolon kh\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi chuy\u1ec3n h\u00f3a c\u1ee7a cafein, l\u00e0m gi\u1ea3m \u0111\u1ed9 thanh th\u1ea3i cafein v\u00e0 k\u00e9o d\u00e0i n\u1eeda \u0111\u1eddi c\u1ee7a cafein trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>Tr\u00e1nh d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp lo\u1ea1i III v\u00e0 lo\u1ea1i Ia; c\u00e1c thu\u1ed1c chuy\u1ec3n h\u00f3a qua CYP P450 1A2 nh\u01b0 (theophylin, cafein, clozapin, tacrin, tizanidin&#8230;); c\u00e1c thu\u1ed1c k\u00e9o d\u00e0i kho\u1ea3ng QT (erythromycin, thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng) v\u00e0 kh\u00e1ng sinh nh\u00f3m aminoglycosid.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"49-qua-lieu-va-xu-tri\"><\/span>4.9 Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tri\u1ec7u ch\u1ee9ng: Bu\u1ed3n n\u00f4n, \u1ec9a ch\u1ea3y, \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, k\u00e9o d\u00e0i kho\u1ea3ng QT, vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3, \u0111au, vi\u00eam g\u00e2n c\u01a1.<\/p>\n<p>X\u1eed tr\u00ed: V\u00ec kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u \u0111\u1ed1i v\u1edbi norfloxacin qu\u00e1 li\u1ec1u, ch\u1ee7 y\u1ebfu \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3, g\u1ed3m c\u00f3:<\/p>\n<p>G\u00e2y n\u00f4n ho\u1eb7c r\u1eeda d\u1ea1 d\u00e0y.<\/p>\n<p>B\u1ed3i ph\u1ee5 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i \u0111\u1ea7y \u0111\u1ee7.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3..<\/p>\n<h1><span class=\"ez-toc-section\" id=\"5-co-che-tac-dung-cua-thuoc\"><\/span>5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"51-duoc-luc-hoc\"><\/span>5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Norfloxacin \u1ee9c ch\u1ebf DNA &#8211; gyrase, m\u1ed9t enzym c\u1ea7n thi\u1ebft cho s\u1ef1 sao ch\u00e9p DNA c\u1ee7a vi khu\u1ea9n.<\/p>\n<p>Norfloxacin c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t khu\u1ea9n v\u1edbi c\u1ea3 vi khu\u1ea9n \u01b0a kh\u00ed Gram d\u01b0\u01a1ng v\u00e0 Gram \u00e2m. Norfloxacin c\u00f3 t\u00e1c d\u1ee5ng v\u1edbi h\u1ea7u h\u1ebft c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u th\u00f4ng th\u01b0\u1eddng nh\u1ea5t nh\u01b0: Escherichia coli, Proteus mirabilis, Staphylococcus saprophyticus. Ngo\u00e0i ra, norfloxacin c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t c\u00e1c khu\u1ea9n g\u00e2y b\u1ec7nh \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u kh\u00e1c nh\u01b0 Klebsiella spp., Enterobacter spp., Proteus spp. indol d\u01b0\u01a1ng, Pseudomonas aeruginosa v\u00e0 Streptococcus faecalis.<\/p>\n<p>Norfoxacin c\u0169ng di\u1ec7t Salmonella spp., Shigella spp., Campylobacter spp., Vibrio cholerae v\u00e0 Yersina enterocolitica, v\u00e0 c\u00e1c vi khu\u1ea9n c\u00f3 li\u00ean quan. N\u00f3 c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t Neisseria gonorrhoeae (c\u1ea3 c\u00e1c ch\u1ee7ng t\u1ea1o penicilinase ho\u1eb7c kh\u00f4ng t\u1ea1o ra penicilinase).<\/p>\n<p>Chlamydia v\u00e0 c\u00e1c vi khu\u1ea9n y\u1ebfm kh\u00ed nh\u01b0 Bacteroides spp. kh\u00f4ng nh\u1ea1y c\u1ea3m v\u1edbi norfloxacin.<\/p>\n<p>Norfloxacin c\u0169ng th\u01b0\u1eddng c\u00f3 t\u00e1c d\u1ee5ng ngay khi vi khu\u1ea9n \u0111\u00e3 kh\u00e1ng v\u1edbi acid nalidixic.<\/p>\n<p>In vitro, norfloxacin \u1ee9c ch\u1ebf \u0111a s\u1ed1 c\u00e1c ch\u1ee7ng nh\u1ea1y c\u1ea3m g\u00e2y b\u1ec7nh \u1edf m\u1eaft nh\u01b0 Acinetobacter calcoaceticus, Aeromonas hydrophila, Hemophilus influenzae, Staphylococcus aureus. \u00d0a s\u1ed1 c\u00e1c ch\u1ee7ng Pseudomonas aeruginosa b\u1ecb \u1ee9c ch\u1ebf b\u1edfi norfloxacin \u1edf n\u1ed3ng \u0111\u1ed9 4 microgam\/ml ho\u1eb7c th\u1ea5p h\u01a1n. Norfloxacin t\u00e1c d\u1ee5ng y\u1ebfu h\u01a1n ciprofloxacin ch\u1ed1ng c\u00e1c ch\u1ee7ng g\u00e2y b\u1ec7nh nh\u1ea1y c\u1ea3m in vitro, v\u00e0 c\u0169ng y\u1ebfu h\u01a1n ciprofloxacin trong m\u1ed9t s\u1ed1 m\u00f4 h\u00ecnh vi\u00eam gi\u00e1c m\u1ea1c g\u00e2y ra b\u1edfi Pseudomonas aeruginosa in vivo.<\/p>\n<p>S\u1ef1 \u0111\u1ec1 kh\u00e1ng \u0111\u1ed1i v\u1edbi norfloxacin truy\u1ec1n qua plasmid ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh..<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Norfloxacin \u1ee9c ch\u1ebf DNA &#8211; gyrase, m\u1ed9t enzym c\u1ea7n thi\u1ebft cho s\u1ef1 sao ch\u00e9p DNA c\u1ee7a vi khu\u1ea9n.<\/p>\n<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe loading=\"lazy\" title=\"[Pharmog E SS1 - Ep. 01] - Pharmacology of all Antibiotics\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/9bo1ZCykDso?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/p>\n<h2><span class=\"ez-toc-section\" id=\"52-duoc-dong-hoc\"><\/span>5.2. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Khi d\u00f9ng li\u1ec1u 200 mg hay 400 mg norfloxacin, trong v\u00f2ng 1 &#8211; 2 gi\u1edd n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a c\u1ee7a thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1ng \u1ee9ng l\u00e0 0,8 mg\/l\u00edt v\u00e0 1,5 mg\/l\u00edt. Norfloxacin \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft theo hai \u0111\u01b0\u1eddng: L\u1ecdc c\u1ea7u th\u1eadn v\u00e0 b\u00e0i ti\u1ebft \u1edf \u1ed1ng th\u1eadn. N\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u1ed1i \u0111a trong n\u01b0\u1edbc ti\u1ec3u \u0111\u1ea1t \u0111\u01b0\u1ee3c sau khi u\u1ed1ng thu\u1ed1c 2 gi\u1edd. N\u1ed3ng \u0111\u1ed9 di\u1ec7t khu\u1ea9n c\u1ee7a thu\u1ed1c trong n\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c duy tr\u00ec trong v\u00f2ng 12 gi\u1edd. N\u1eeda \u0111\u1eddi c\u1ee7a thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 3 &#8211; 5 gi\u1edd. \u00d0\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi suy th\u1eadn \u1edf m\u1ee9c \u0111\u1ed9 trung b\u00ecnh c\u00f3 \u0111\u1ed9 thanh th\u1ea3i creatinin d\u01b0\u1edbi 30 ml\/ph\u00fat, n\u1eeda \u0111\u1eddi c\u1ee7a thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng k\u00e9o d\u00e0i g\u1ea5p \u0111\u00f4i (6 &#8211; 10 gi\u1edd).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"53-giai-thich\"><\/span>5.3 Gi\u1ea3i th\u00edch:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"54-thay-the-thuoc\"><\/span>5.4 Thay th\u1ebf thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<p><strong><em>*L\u01b0u \u00fd:<\/em><\/strong><\/p>\n<p><strong><em>C\u00e1c th\u00f4ng tin v\u1ec1 thu\u1ed1c tr\u00ean Pharmog.com ch\u1ec9 mang t\u00ednh ch\u1ea5t tham kh\u1ea3o &#8211; Khi d\u00f9ng thu\u1ed1c c\u1ea7n tuy\u1ec7t \u0111\u1ed1i tu\u00e2n theo theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u00e1c s\u0129 <\/em><\/strong><\/p>\n<p><strong><em>Ch\u00fang t\u00f4i kh\u00f4ng ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 b\u1ea5t c\u1ee9 h\u1eadu qu\u1ea3 n\u00e0o x\u1ea3y ra do t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c d\u1ef1a theo c\u00e1c th\u00f4ng tin tr\u00ean Pharmog.com<\/em><\/strong><\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h1><span class=\"ez-toc-section\" id=\"6-phan-thong-tin-kem-theo-cua-thuoc\"><\/span>6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"61-danh-muc-ta-duoc\"><\/span>6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&#8230;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"62-tuong-ky\"><\/span>6.2. T\u01b0\u01a1ng k\u1ef5 :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng \u00e1p d\u1ee5ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"63-bao-quan\"><\/span>6.3. B\u1ea3o qu\u1ea3n:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>N\u01a1i kh\u00f4, tr\u00e1nh \u00e1nh s\u00e1ng, nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"64-thong-tin-khac\"><\/span>6.4. Th\u00f4ng tin kh\u00e1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng c\u00f3.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"65-tai-lieu-tham-khao\"><\/span>6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u01b0\u1ee3c Th\u01b0 Qu\u1ed1c Gia Vi\u1ec7t Nam<\/p>\n<p>Ho\u1eb7c HDSD Thu\u1ed1c.<\/p>\n<h1><span class=\"ez-toc-section\" id=\"7-nguoi-dang-tai-tac-gia\"><\/span>7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c s\u01b0u t\u1ea7m ho\u1eb7c vi\u1ebft b\u1edfi: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-tac-gia-bac-sy-do-my-linh\/\">B\u00e1c s\u0129 nhi khoa &#8211; \u0110\u1ed7 M\u1ef9 Linh.<\/a><\/p>\n<p>Ki\u1ec3m duy\u1ec7t , hi\u1ec7u \u0111\u00ednh v\u00e0 \u0111\u0103ng t\u1ea3i: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-ve-pharmog-team\/\">PHARMOG TEAM<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Norfloxacin Khapharco l\u00e0 thu\u1ed1c g\u00ec ? D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng g\u1ed1c c\u1ee7a Thu\u1ed1c Norfloxacin Khapharco (Th\u00f4ng tin bao g\u1ed3m li\u1ec1u d\u00f9ng, c\u00e1ch d\u00f9ng, ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, th\u1eadn tr\u1ecdng, d\u01b0\u1ee3c l\u00fd&#8230;) 1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c: Ho\u1ea1t ch\u1ea5t : Norfloxacin Ph\u00e2n lo\u1ea1i: Thu\u1ed1c Kh\u00e1ng sinh [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":31647,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[419],"tags":[1246],"class_list":["post-31646","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-norfloxacin"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/31646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/users\/8612"}],"replies":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/comments?post=31646"}],"version-history":[{"count":2,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/31646\/revisions"}],"predecessor-version":[{"id":45490,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/31646\/revisions\/45490"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/31647"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=31646"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=31646"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=31646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}