{"id":33331,"date":"2021-05-31T15:16:24","date_gmt":"2021-05-31T08:16:24","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=33331"},"modified":"2025-01-07T23:05:59","modified_gmt":"2025-01-07T16:05:59","slug":"metformin-metformin-pharbaco","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/metformin-metformin-pharbaco\/","title":{"rendered":"Metformin &#8211; Metformin Pharbaco"},"content":{"rendered":"<p><em>Thu\u1ed1c Metformin Pharbaco 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 Metformin Pharbaco (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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin-metformin-pharbaco\/#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\/metformin\/\"><strong>Metformin<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u00f4\u0301c \u0111i\u00ea\u0300u tri\u0323 ti\u00ea\u0309u \u0111\u01b0\u01a1\u0300ng .<\/em> <em>Nh\u00f3m Biguanide<\/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): A10BA02.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/metformin-glucophage\/\">Glucophage<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/metformin-glucophage-xr\/\">Glucophage XR<\/a><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Metformin<\/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 trung \u01b0\u01a1ng 1 &#8211; Pharbaco.<\/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 ch\u1ee9a 500 mg, 850 mg ho\u1eb7c 1 000 mg metformin hydroclorid.<\/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>METFORMIN 850mg<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n bao phim c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Metformin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>850 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=\"613\" height=\"286\" class=\"wp-image-33332\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-852.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-852.png 613w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-852-300x140.png 300w\" sizes=\"auto, (max-width: 613px) 100vw, 613px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>METFORMIN 500mg<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n bao phim c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Metformin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>500 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=\"532\" height=\"244\" class=\"wp-image-33333\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-853.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-853.png 532w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-853-300x138.png 300w\" sizes=\"auto, (max-width: 532px) 100vw, 532px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>METFORMIN 1000mg<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n bao phim c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Metformin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>1000 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=\"618\" height=\"284\" class=\"wp-image-33334\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-854.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-854.png 618w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/05\/word-image-854-300x138.png 300w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/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<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>Metformin 500mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f4ng ph\u1ee5 thu\u1ed9c Insulin (typ II): \u0110\u01a1n tr\u1ecb li\u1ec7u, khi kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng Glucose huy\u1ebft b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u01a1n thu\u1ea7n.<\/p>\n<p>D\u00f9ng Metformin \u0111\u1ed3ng th\u1eddi v\u1edbi m\u1ed9t Sulfonylur\u00ea khi ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 khi d\u00f9ng Metformin ho\u1eb7c Sulfonylur\u00ea \u0111\u01a1n thu\u1ea7n kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t Glucose huy\u1ebft m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7.<\/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>U\u1ed1ng v\u00e0o c\u00e1c b\u1eefa \u0103n s\u00e1ng v\u00e0 t\u1ed1i<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p><em>Ng\u01b0\u1eddi l\u1edbn<\/em><\/p>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 500 mg\/l\u1ea7n, ng\u00e0y 2 l\u1ea7n (u\u1ed1ng v\u00e0o c\u00e1c b\u1eefa \u0103n s\u00e1ng v\u00e0 t\u1ed1i). T\u0103ng li\u1ec1u th\u00eam n\u1eeda vi\u00ean m\u1ed7i ng\u00e0y, m\u1ed7i tu\u1ea7n t\u0103ng 1 l\u1ea7n, t\u1edbi m\u1ee9c t\u1ed1i \u0111a l\u00e0 2500 mg\/ng\u00e0y.<\/p>\n<p><em>Ng\u01b0\u1eddi cao tu\u1ed5i<\/em><\/p>\n<p>Do ch\u1ee9c n\u0103ng th\u1eadn gi\u1ea3m \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, cho n\u00ean li\u1ec1u l\u01b0\u1ee3ng Metformin ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh d\u1ef1a tr\u00ean ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p><em>Ng\u01b0\u1eddi b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u1eadn ho\u1eb7c gan<\/em><\/p>\n<p>Do nguy c\u01a1 nhi\u1ec5m Acid Lactic th\u01b0\u1eddng g\u00e2y t\u1eed vong, n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng Metformin cho ng\u01b0\u1eddi c\u00f3 b\u1ec7nh th\u1eadn ho\u1eb7c suy th\u1eadn v\u00e0 ph\u1ea3i tr\u00e1nh d\u00f9ng Metformin cho ng\u01b0\u1eddi c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 b\u1ec7nh gan v\u1ec1 l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"43-chong-chi-dinh\"><\/span>4.3. <strong>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Qu<strong>\u00e1<\/strong> m<strong>\u1eab<\/strong>n v<strong>\u1edb<\/strong>i metformin, nhi<strong>\u1ec5<\/strong>m acid chuy<strong>\u1ec3<\/strong>n ho\u00e1 c\u1ea5p t\u00ednh ho\u1eb7c m\u00e3n t\u00ednh, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ti\u1ec1n h\u00f4n m\u00ea, suy th\u1eadn, nh\u1eefng t\u00ecnh tr\u1ea1ng c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 thay \u0111\u1ed5i ch\u1ee9c n\u0103ng th\u1eadn, b\u1ec7nh c\u1ea5p t\u00ednh hay m\u00e3n t\u00ednh c\u00f3 th\u1ec3 g\u00e2y thi\u1ebfu oxygen \u1edf m\u00f4, suy gan, ng\u1ed9 \u0111\u1ed9c r\u01b0\u1ee3u c\u1ea5p t\u00ednh, ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u, nhi\u1ec5m khu\u1ea9n n\u1eb7ng, ch\u1ea5n th\u01b0\u01a1ng, ho\u1ea1i th\u01b0, thi\u1ebfu dinh d\u01b0\u1ee1ng, ng\u01b0\u1eddi mang thai, ph\u1ee5 n\u1eef cho con b\u00fa, tr\u1ebb em.<\/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>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng metformin, c\u1ea7n theo d\u00f5i \u0111\u1ec1u \u0111\u1eb7n c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng, k\u1ec3 c\u1ea3 \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec1u metformin t\u1ed1i thi\u1ec3u c\u00f3 hi\u1ec7u l\u1ef1c. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng tin v\u1ec1 nguy c\u01a1 nhi\u1ec5m acid lactic v\u00e0 c\u00e1c ho\u00e0n c\u1ea3nh d\u1ec5 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111i\u1ec1u ti\u1ebft ch\u1ebf \u0111\u1ed9 \u0103n, v\u00ec dinh d\u01b0\u1ee1ng \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed9t kh\u00e2u tr\u1ecdng y\u1ebfu trong qu\u1ea3n l\u00fd b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng metformin ch\u1ec9 \u0111\u01b0\u1ee3c coi l\u00e0 h\u1ed7 tr\u1ee3, kh\u00f4ng ph\u1ea3i \u0111\u1ec3 thay th\u1ebf cho vi\u1ec7c \u0111i\u1ec1u ti\u1ebft ch\u1ebf \u0111\u1ed9 \u0103n h\u1ee3p l\u00fd.<\/p>\n<p>Metformin \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft ch\u1ee7 y\u1ebfu qua th\u1eadn, nguy c\u01a1 t\u00edch lu\u1ef9 v\u00e0 nhi\u1ec5m acid lactic t\u0103ng l\u00ean theo m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. :<\/p>\n<p>Metformin kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi cao tu\u1ed5i, th\u01b0\u1eddng c\u00f3 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn; do \u0111\u00f3 ph\u1ea3i ki\u1ec3m tra creatinin huy\u1ebft thanh tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Ph\u1ea3i ng\u1eebng \u0111i\u1ec1u tr\u1ecb v\u1edbi metformin 2 &#8211; 3 ng\u00e0y tr\u01b0\u1edbc khi chi\u1ebfu ch\u1ee5p X quang c\u00f3 s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t c\u1ea3n quang ch\u1ed1ng iod v\u00e0 trong 2 ng\u00e0y sau khi chi\u1ebfu ch\u1ee5p. Ch\u1ec9 d\u00f9ng tr\u1edf l\u1ea1i metformin sau khi \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn th\u1ea5y b\u00ecnh th\u01b0\u1eddng.<\/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>Kh\u00f4ng c\u00f3 nh\u1eefng b\u00e1o c\u00e1o v\u1ec1 \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i c\u1ee7a thu\u1ed1c \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh khi l\u00e1i xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/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=\"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: C<\/p>\n<p>US FDA pregnancy category: B<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Metformin cho ng\u01b0\u1eddi mang thai. Trong th\u1eddi k\u1ef3 mang thai bao gi\u1edd c\u0169ng ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng b\u1eb1ng Insulin.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Kh\u00f4ng th\u1ea5y c\u00f3 t\u01b0 li\u1ec7u n\u00e0o v\u1ec1 s\u1eed d\u1ee5ng Metformin \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi cho con b\u00fa, ho\u1eb7c x\u00e1c \u0111\u1ecbnh l\u01b0\u1ee3ng thu\u1ed1c b\u00e0i ti\u1ebft trong s\u1eefa m\u1eb9. C\u1ea7n c\u00e2n nh\u1eafc n\u00ean ng\u1eebng cho con b\u00fa ho\u1eb7c ng\u1eebng thu\u1ed1c, c\u0103n c\u1ee9 v\u00e0o m\u1ee9c \u0111\u1ed9 quan tr\u1ecdng c\u1ee7a thu\u1ed1c \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eb9.<\/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>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 v\u1ec1 ti\u00eau h\u00f3a. Nh\u1eefng t\u00e1c d\u1ee5ng n\u00e0y li\u00ean quan \u0111\u1ebfn li\u1ec1u v\u00e0 th\u01b0\u1eddng x\u1ea3y ra v\u00e0o l\u00fac b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, nh\u01b0ng th\u01b0\u1eddng l\u00e0 nh\u1ea5t th\u1eddi.<\/p>\n<p><em>Th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/100<\/em><\/p>\n<p>Ti\u00eau ho\u00e1: Ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y, \u0111\u1ea7y th\u01b0\u1ee3ng v\u1ecb, t\u00e1o b\u00f3n, \u1ee3 n\u00f3ng.<\/p>\n<p>Da: Ban, m\u00e0y \u0111ay, c\u1ea3m th\u1ee5 v\u1edbi \u00e1nh s\u00e1ng.<\/p>\n<p>Chuy\u1ec3n ho\u00e1: Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 vitamin B12.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/1 000 &lt; ADR &lt; 1\/100.<\/em><\/p>\n<p>Huy\u1ebft h\u1ecdc: Lo\u1ea1n s\u1ea3n m\u00e1u, thi\u1ebfu m\u00e1u b\u1ea5t s\u1ea3n, thi\u1ebfu m\u00e1u tan huy\u1ebft, suy tu\u1ef7, gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t.<\/p>\n<p>Chuy\u1ec3n ho\u00e1: Nhi\u1ec5m Acid Lactic.<\/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>C\u00f3 th\u1ec3 tr\u00e1nh nh\u1eefng ADR v\u1ec1 ti\u00eau h\u00f3a n\u1ebfu u\u1ed1ng metformin v\u00e0o b\u1eefa \u0103n v\u00e0 t\u0103ng li\u1ec1u d\u1ea7n t\u1eebng b\u01b0\u1edbc.<\/p>\n<p>Kh\u00f4ng x\u1ea3y ra h\u1ea1 glucose huy\u1ebft trong \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n \u0111\u1ed9c b\u1eb1ng metformin. Tuy nhi\u00ean \u0111\u00e3 th\u1ea5y c\u00f3 tai bi\u1ebfn h\u1ea1 glucose huy\u1ebft khi c\u00f3 k\u1ebft h\u1ee3p nh\u1eefng y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i kh\u00e1c (nh\u01b0 sulfonylur\u00ea, r\u01b0\u1ee3u).<\/p>\n<p>Khi d\u00f9ng d\u00e0i ng\u00e0y c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 gi\u1ea3m h\u1ea5p thu vitamin B<sub>12 <\/sub>nh\u01b0ng \u00edt quan tr\u1ecdng v\u1ec1 l\u00e2m s\u00e0ng v\u00e0 h\u00e3n h\u1eefu m\u1edbi x\u1ea3y ra, thi\u1ebfu m\u00e1u h\u1ed3ng c\u1ea7u kh\u1ed5ng l\u1ed3. \u0110i\u1ec1u tr\u1ecb nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y b\u1eb1ng vitamin B c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t.<\/p>\n<p>Nhi\u1ec5m acid lactic hi\u1ebfm khi x\u1ea3y ra, nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong v\u1edbi t\u1ef7 l\u1ec7 cao.<\/p>\n<p>C\u1ea7n l\u01b0u \u00fd ng\u1eebng \u0111i\u1ec1u tr\u1ecb metformin n\u1ebfu n\u1ed3ng \u0111\u1ed9 lactat huy\u1ebft t\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 5 mmol\/l\u00edt.<\/p>\n<p>Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c gan l\u00e0 m\u1ed9t ch\u1ec9 \u0111\u1ecbnh b\u1eaft bu\u1ed9c ph\u1ea3i ng\u1eebng \u0111i\u1ec1u tr\u1ecb metformin.<\/p>\n<p>Khi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c nhi\u1ec5m khu\u1ea5n m\u00e1u, b\u1eaft bu\u1ed9c ph\u1ea3i ng\u1eebng d\u00f9ng metformin ngay.<\/p>\n<p>Kh\u00f4ng d\u00f9ng ho\u1eb7c h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u do t\u0103ng nguy c\u01a1 nhi\u1ec5m acid lactic.<\/p>\n<p>N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh nh\u1ecbn \u0111\u00f3i k\u00e9o d\u00e0i ho\u1eb7c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 l\u01b0\u1ee3ng calo r\u1ea5t th\u1ea5p th\u00ec t\u1ed1t nh\u1ea5t l\u00e0 ng\u1eebng d\u00f9ng metformin.<\/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><em>Gi\u1ea3m t\u00e1c d\u1ee5ng:<\/em><\/p>\n<p>Nh\u1eefng thu\u1ed1c c\u00f3 xu h\u01b0\u1edbng g\u00e2y t\u0103ng glucose huy\u1ebft (thu\u1ed1c l\u1ee3i ti\u1ec3u, corticosteroid, phenothiazin, nh\u1eefng ch\u1ebf ph\u1ea9m tuy\u1ebfn gi\u00e1p, oestrogen, thu\u1ed1c tr\u00e1nh th\u1ee5 thai u\u1ed1ng, phenytoin, acid nicotinic, nh\u1eefng thu\u1ed1c t\u00e1c d\u1ee5ng gi\u1ed1ng th\u1ea7n kinh giao c\u1ea3m, nh\u1eefng thu\u1ed1c ch\u1eb9n k\u00eanh calci, isoniazid) c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m s\u1ef1 ki\u1ec3m so\u00e1t glucose huy\u1ebft.<\/p>\n<p><em>T\u0103ng t\u00e1c d\u1ee5ng:<\/em><\/p>\n<p>Furosemid l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a metformin trong huy\u1ebft t\u01b0\u01a1ng v\u00e0 trong m\u00e1u, m\u00e0 kh\u00f4ng l\u00e0m thay \u0111\u1ed5i h\u1ec7 s\u1ed1 thanh th\u1ea3i th\u1eadn c\u1ee7a metformin trong nghi\u00ean c\u1ee9u d\u00f9ng m\u1ed9t li\u1ec1u duy nh\u1ea5t.<\/p>\n<p><em>T\u0103ng \u0111\u1ed9c t\u00ednh:<\/em><\/p>\n<p>Nh\u1eefng thu\u1ed1c cationic (amilorid, digoxin, morphin, procainamid, quinidin, quinin, ranitidin, triamteren, trimethoprim v\u00e0 vancomycin) \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb nh\u1edd b\u00e0i ti\u1ebft qua \u1ed1ng th\u1eadn c\u00f3 kh\u1ea3 n\u0103ng t\u01b0\u01a1ng t\u00e1c v\u1edbi metformin b\u1eb1ng c\u00e1ch c\u1ea1nh tranh v\u1edbi nh\u1eefng h\u1ec7 th\u1ed1ng v\u1eadn chuy\u1ec3n th\u00f4ng th\u01b0\u1eddng \u1edf \u1ed1ng th\u1eadn.<\/p>\n<p>Cimetidin l\u00e0m t\u0103ng (60%) n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh c\u1ee7a metformin trong huy\u1ebft t\u01b0\u01a1ng v\u00e0 m\u00e1u to\u00e0n ph\u1ea7n, do \u0111\u00f3 tr\u00e1nh d\u00f9ng ph\u1ed1i h\u1ee3p metformin v\u1edbi cimetidin.<\/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>Kh\u00f4ng th\u1ea5y gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft sau khi u\u1ed1ng 85 g Metformin, m\u1eb7c d\u00f9 nhi\u1ec5m Acid Lactic \u0111\u00e3 x\u1ea3y ra trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3.<\/p>\n<p>Metformin c\u00f3 th\u1ec3 th\u1ea9m ph\u00e2n \u0111\u01b0\u1ee3c v\u1edbi h\u1ec7 s\u1ed1 thanh th\u1ea3i l\u00ean t\u1edbi 170 ml\/ph\u00fat, s\u1ef1 th\u1ea9m ph\u00e2n m\u00e1u c\u00f3 th\u1ec3 t\u00e1c d\u1ee5ng lo\u1ea1i tr\u1eeb thu\u1ed1c t\u00edch lu\u1ef9 \u1edf ng\u01b0\u1eddi b\u1ec7nh nghi l\u00e0 d\u00f9ng thu\u1ed1c qu\u00e1 li\u1ec1u.<\/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=\"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>Metformin l\u00e0 m\u1ed9t thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nh\u00f3m Biguanid. \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, Metformin l\u00e0m gi\u1ea3m s\u1ef1 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft nh\u01b0ng kh\u00f4ng g\u00e2y tai bi\u1ebfn h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p nh\u1ecbn \u0111\u00f3i ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c hi\u1ec7p \u0111\u1ed3ng t\u00e1c d\u1ee5ng).<\/p>\n<p>Metformin c\u00f3 ba c\u01a1 ch\u1ebf:<\/p>\n<p>L\u00e0m gi\u1ea3m s\u1ef1 t\u1ea1o th\u00e0nh glucose \u1edf gan b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebfs\u1ef1 t\u1ea1o th\u00e0nh glucose v\u00e0 glucogen trong c\u01a1, b\u1eb1ng c\u00e1ch t\u0103ng s\u1ef1 nh\u1ea1y c\u1ea3m c\u1ee7a insulin, t\u0103ng s\u1ef1 s\u1eed d\u1ee5ng glucose \u1edf ngo\u1ea1i bi\u00ean v\u00e0 l\u00e0m ch\u1eadm h\u1ea5p thu glucose \u1edf ru\u1ed9t.<\/p>\n<p>Metformin k\u00edch th\u00edch s\u1ef1 t\u1ed5ng h\u1ee3p glucogen \u1edf t\u1ebf b\u00e0o.<\/p>\n<p>Metformin l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng v\u1eadn chuy\u1ec3n c\u1ee7a c\u00e1c lo\u1ea1i v\u1eadn chuy\u1ec3n glucose qua m\u00e0ng.<\/p>\n<p>\u1ede ng\u01b0\u1eddi b\u1ec7nh, ngo\u00e0i t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, metformin c\u00f2n t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 chuy\u1ec3n ho\u00e1 c\u1ee7a lipid.<\/p>\n<p>\u1ede ng\u01b0\u1eddi b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i l, s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa metformin v\u00e0 insulin \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u00ean nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh ch\u1ecdn l\u1ecdc, nh\u01b0ng l\u1ee3i \u00edch l\u00e2m s\u00e0ng c\u1ee7a vi\u1ec7c k\u1ebft h\u1ee3p n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh ch\u00ednh th\u1ee9c.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Metformin l\u00e0 m\u1ed9t biguanide c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, l\u00e0m h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u01a1 b\u1ea3n v\u00e0 sau khi \u0103n. Metformin kh\u00f4ng k\u00edch th\u00edch ti\u1ebft insulin, v\u00e0 v\u00ec th\u1ebf kh\u00f4ng g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>Metformin ho\u1ea1t \u0111\u1ed9ng qua 3 c\u01a1 ch\u1ebf:<\/p>\n<p>(1)Gi\u1ea3m s\u1ea3n xu\u1ea5t glucose \u1edf gan b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf t\u00e2n t\u1ea1o \u0111\u01b0\u1eddng v\u00e0 ph\u00e2n h\u1ee7y glycogen<\/p>\n<p>(2)T\u1ea1i c\u01a1, gia t\u0103ng s\u1ef1 nh\u1ea1y c\u1ea3m c\u1ee7a insulin, c\u1ea3i thi\u1ec7n vi\u1ec7c s\u1eed d\u1ee5ng glucose \u1edf ngo\u1ea1i bi\u00ean<\/p>\n<p>(3)L\u00e0m ch\u1eadm h\u1ea5p thu glucose \u1edf ru\u1ed9t<\/p>\n<p>Metformin k\u00edch th\u00edch s\u1ef1 t\u1ed5ng h\u1ee3p glycogen \u1edf t\u1ebf b\u00e0o b\u1eb1ng c\u00e1ch t\u00e1c \u0111\u1ed9ng l\u00ean men glycogen synthase.<\/p>\n<p>Metformin gia t\u0103ng kh\u1ea3 n\u0103ng v\u1eadn chuy\u1ec3n c\u1ee7a c\u00e1c lo\u1ea1i v\u1eadn chuy\u1ec3n glucose qua m\u00e0ng (GLUT).<\/p>\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>Metformin \u0111\u01b0\u1ee3c h\u1ea5p thu ch\u1eadm v\u00e0 kh\u00f4ng ho\u00e0n to\u00e0n \u1edf \u0111\u01b0\u1eddng ti\u00eau ho\u00e1. Kh\u1ea3 d\u1ee5ng sinh h\u1ecdc tuy\u1ec7t \u0111\u1ed1i c\u1ee7a 500 mg Metformin u\u1ed1ng l\u00fac \u0111\u00f3i x\u1ea5p x\u1ec9 50-60%. Kh\u00f4ng c\u00f3 s\u1ef1 t\u1ef7 l\u1ec7 v\u1edbi li\u1ec1u, khi t\u0103ng li\u1ec1u do h\u1ea5p thu gi\u1ea3m. Th\u1ee9c \u0103n l\u00e0m gi\u1ea3m m\u1ee9c \u0111\u1ed9 h\u1ea5p thu v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 h\u1ea5p thu Metformin. Metformin li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng m\u1ee9c \u0111\u1ed9 kh\u00f4ng \u0111\u00e1ng k\u1ec3. Metformin ph\u00e2n b\u1ed1 nhanh ch\u00f3ng v\u00e0o c\u00e1c m\u00f4 v\u00e0 d\u1ecbch. Thu\u1ed1c c\u0169ng ph\u00e2n b\u1ed1 v\u00e0o trong h\u1ed3ng c\u1ea7u.<\/p>\n<p>Metformin kh\u00f4ng b\u1ecb chuy\u1ec3n ho\u00e1 \u1edf gan, v\u00e0 kh\u00f4ng b\u00e0i ti\u1ebft qua m\u1eadt. B\u00e0i ti\u1ebft \u1edf \u1ed1ng th\u1eadn l\u00e0 \u0111\u01b0\u1eddng th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu c\u1ee7a Metformin. Sau khi u\u1ed1ng Metformin 500mg, kho\u1ea3ng 90% l\u01b0\u1ee3ng thu\u1ed1c h\u1ea5p thu \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua \u0111\u01b0\u1eddng th\u1eadn trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u \u1edf d\u1ea1ng kh\u00f4ng chuy\u1ec3n ho\u00e1. Th\u1eddi gian b\u00e1n th\u1ea3i trong huy\u1ebft t\u01b0\u01a1ng l\u00e0 1,5 \u2013 4,5 gi\u1edd.<\/p>\n<p>C\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 t\u00edch lu\u1ef9 trong tr\u01b0\u1eddng h\u1ee3p suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. \u0110\u1ed9 thanh th\u1ea3i Metformin qua th\u1eadn gi\u1ea3m \u1edf ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i.<\/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>&nbsp;<\/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 Metformin Pharbaco 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 Metformin Pharbaco (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 : Metformin Ph\u00e2n lo\u1ea1i: Thu\u00f4\u0301c \u0111i\u00ea\u0300u tri\u0323 [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":33334,"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":[1307],"class_list":["post-33331","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-metformin"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/33331","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=33331"}],"version-history":[{"count":3,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/33331\/revisions"}],"predecessor-version":[{"id":44832,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/33331\/revisions\/44832"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/33334"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=33331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=33331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=33331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}