{"id":33449,"date":"2021-06-01T19:38:53","date_gmt":"2021-06-01T12:38:53","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=33449"},"modified":"2025-01-07T23:01:23","modified_gmt":"2025-01-07T16:01:23","slug":"meloxicam-fenxicam-m","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/meloxicam-fenxicam-m\/","title":{"rendered":"Meloxicam &#8211; Fenxicam-M"},"content":{"rendered":"<p><em>Thu\u1ed1c Fenxicam-M 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 Fenxicam-M (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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam-fenxicam-m\/#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\/meloxicam\/\"><strong>Meloxicam<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u00f4\u0301c kha\u0301ng vi\u00eam Non-steroid (NSAIDS).<\/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): M01AC06.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/meloxicam-mobic\/\">Mobic<\/a><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Fenxicam-M<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: C\u00f4ng ty c\u1ed5 ph\u1ea7n Traphaco<\/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: 7,5 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>FENXICAM-M<\/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>Meloxicam<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>7,5 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=\"461\" height=\"352\" class=\"wp-image-33450\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/06\/word-image-27.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/06\/word-image-27.png 461w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/06\/word-image-27-300x229.png 300w\" sizes=\"auto, (max-width: 461px) 100vw, 461px\" \/><\/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 10] - D\u01b0\u1ee3c l\u00fd v\u1ec1 Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid - NSAIDs\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/uIvbbYNDCZ8?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>Ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<p>Tho\u00e1i ho\u00e1 kh\u1edbp<\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n<p>Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp.<\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p thanh thi\u1ebfu ni\u00ean.<\/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>N\u00ean u\u1ed1ng thu\u1ed1c v\u00e0o l\u00fac no.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>Li\u1ec1u d\u00f9ng khuy\u1ebfn c\u00e1o:<\/p>\n<p><em>Ng\u01b0\u1eddi l\u1edbn:<\/em><\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp: kh\u1edfi \u0111\u1ea7u 1 vi\u00ean\/ ng\u00e0y, t\u1ed1i \u0111a 2 vi\u00ean\/1 l\u1ea7n\/ ng\u00e0y.<\/p>\n<p>\u0110\u1ee3t \u0111au c\u1ea5p c\u1ee7a tho\u00e1i h\u00f3a kh\u1edbp: 1 vi\u00ean\/ l\u1ea7n\/ ng\u00e0y. Khi c\u1ea7n (ho\u1eb7c kh\u00f4ng \u0111\u1ee1) c\u00f3 th\u1ec3 t\u0103ng t\u1edbi 2 vi\u00ean\/ l\u1ea7n\/ ng\u00e0y.<\/p>\n<p>Khi \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i, nh\u1ea5t l\u00e0 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i ho\u1eb7c ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u nguy c\u01a1 tai bi\u1ebfn ph\u1ee5, li\u1ec1u khuy\u1ebfn c\u00e1o l\u00e0 1 vi\u00ean\/ 1 l\u1ea7n\/ ng\u00e0y. Kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 li\u1ec1u 2 vi\u00ean\/ ng\u00e0y.<\/p>\n<p><em>Tr\u1ebb em tr\u00ean 2 tu\u1ed5i:<\/em><\/p>\n<p>Li\u1ec1u d\u00f9ng 0,125mg\/kg\/ng\u00e0y, t\u1ed1i \u0111a kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 15mg\/ng\u00e0y.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 2 tu\u1ed5i: \u0110\u1ed9 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/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>Qu\u00e1 m\u1eabn v\u1edbi Meloxicam ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c<\/p>\n<p>Ti\u1ec1n s\u1eed hen ph\u1ebf qu\u1ea3n, m\u00e0y \u0111ay ho\u1eb7c c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng kh\u00e1c sau khi d\u00f9ng Aspirin ho\u1eb7c NSAIDs kh\u00e1c.<\/p>\n<p>Lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng ti\u1ebfn tri\u1ec3n.<\/p>\n<p>Ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y, ch\u1ea3y m\u00e1u n\u00e3o.<\/p>\n<p>D\u00f9ng trong giai \u0111o\u1ea1n ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/p>\n<p>Suy gan n\u1eb7ng, suy th\u1eadn n\u1eb7ng kh\u00f4ng l\u1ecdc m\u00e1u.<\/p>\n<p>Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/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>M\u1eb7c d\u00f9 Meloxicam \u1ee9c ch\u1ebf \u01b0u ti\u00ean COX-2 nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAIDs) kh\u00e1c n\u00ean khi d\u00f9ng Meloxicam ph\u1ea3i h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng.<\/p>\n<p><em>Nguy c\u01a1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch:<\/em> C\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAIDs), kh\u00f4ng ph\u1ea3i Aspirin, d\u00f9ng \u0111\u01b0\u1eddng to\u00e0n th\u00e2n, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch, bao g\u1ed3m c\u1ea3 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u1eed vong. Nguy c\u01a1 n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n s\u1edbm trong v\u00e0i tu\u1ea7n \u0111\u1ea7u d\u00f9ng thu\u1ed1c v\u00e0 c\u00f3 th\u1ec3 t\u0103ng cao l\u00ean theo th\u1eddi gian d\u00f9ng thu\u1ed1c. Nguy c\u01a1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch \u0111\u01b0\u1ee3c ghi nh\u1eadn ch\u1ee7 y\u1ebfu \u1edf li\u1ec1u cao.<\/p>\n<p>B\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch, ngay c\u1ea3 khi b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch tr\u01b0\u1edbc \u0111\u00f3. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o v\u1ec1 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea7n th\u0103m kh\u00e1m b\u00e1c s\u0129 ngay khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<p>\u0110\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i, c\u1ea7n s\u1eed d\u1ee5ng Meloxicam \u1edf li\u1ec1u h\u00e0ng ng\u00e0y th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n<p><em>Bi\u1ebfn c\u1ed1 ti\u00eau h\u00f3a:<\/em> NSAIDs, bao g\u1ed3m Meloxicam c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GI) bao g\u1ed3m: vi\u00eam, ch\u1ea3y m\u00e1u, lo\u00e9t v\u00e0 th\u1ee7ng d\u1ea1 d\u00e0y, ru\u1ed9t, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 x\u1ea3y ra b\u1ea5t c\u1ee9 l\u00fac n\u00e0o, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ea3nh b\u00e1o. Nguy c\u01a1 x\u1ea3y ra t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u00e0ng cao n\u1ebfu th\u1eddi gian s\u1eed d\u1ee5ng c\u00e0ng k\u00e9o d\u00e0i, t\u1ea7n su\u1ea5t x\u1ea3y ra kho\u1ea3ng 1% b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb v\u1edbi NSAIDs trong v\u00f2ng 3-6 th\u00e1ng, kho\u1ea3ng 2-4% s\u1ed1 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t n\u0103m. Tuy nhi\u00ean, ngay c\u1ea3 khi \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n c\u0169ng kh\u00f4ng ph\u1ea3i l\u00e0 kh\u00f4ng c\u00f3 r\u1ee7i ro. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a bao g\u1ed3m: s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi corticosteroid u\u1ed1ng ho\u1eb7c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng r\u01b0\u1ee3u, tu\u1ed5i gi\u00e0, v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe k\u00e9m c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c nguy c\u01a1 ti\u1ec1m \u1ea9n x\u1ea3y ra t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, n\u00ean d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u l\u1ef1c trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3. C\u1ea7n c\u1ea3nh gi\u00e1c v\u1edbi nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam, lo\u00e9t v\u00e0 ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a trong khi \u0111i\u1ec1u tr\u1ecb, k\u1ecbp th\u1eddi nh\u1eadn bi\u1ebft, ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi n\u1ebfu nghi ng\u1edd c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 x\u1ea3y ra. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao.<\/p>\n<p><em>\u0110\u1ed9c t\u00ednh tr\u00ean gan:<\/em> T\u0103ng men gan (ALT ho\u1eb7c AST) t\u0103ng cao x\u1ea3y ra v\u1edbi t\u1ea7n su\u1ea5t l\u00ean \u0111\u1ebfn 15% \u1edf b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng NSAIDs, bao g\u1ed3m c\u1ea3 Meloxicam. M\u1ee9c t\u0103ng ALT v\u00e0 AST tr\u00ean 3 l\u1ea7n gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng x\u1ea3y ra \u1edf kho\u1ea3ng 1% b\u1ec7nh nh\u00e2n d\u00f9ng NSAIDs, hi\u1ebfm khi g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan nghi\u00eam tr\u1ecdng: vi\u00eam gan, ho\u1ea1i t\u1eed gan, suy gan d\u1eabn t\u1edbi t\u1eed vong. B\u1ec7nh nh\u00e2n d\u00f9ng Meloxicam c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m \u0111\u1ed9c gan nh\u01b0 bu\u1ed3n n\u00f4n, m\u1ec7t m\u1ecfi, ng\u1ee9a, v\u00e0ng da, ti\u00eau ch\u1ea3y, t\u0103ng men gan, tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam&#8230; Ng\u01b0ng s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh gan ph\u00e1t tri\u1ec3n ho\u1eb7c n\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n: ph\u00e1t ban, t\u0103ng b\u1ea1ch c\u1ea7u \u01b0a eosin&#8230;.<\/p>\n<p><em>\u0110\u1ed9c t\u00ednh tr\u00ean th\u1eadn<\/em>: S\u1eed d\u1ee5ng d\u00e0i h\u1ea1n c\u1ee7a NSAIDs, bao g\u1ed3m Meloxicam, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed th\u1eadn nh\u00fa, suy th\u1eadn, suy th\u1eadn c\u1ea5p, v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1eadn kh\u00e1c. \u0110\u1ed9c t\u00ednh tr\u00ean th\u1eadn c\u0169ng quan s\u00e1t th\u1ea5y \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u00e0 prostaglandin th\u1eadn \u0111\u00f3ng vai tr\u00f2 b\u00f9 trong vi\u1ec7c duy tr\u00ec t\u01b0\u1edbi m\u00e1u th\u1eadn. Th\u1eadn tr\u1ecdng khi d\u00f9ng thu\u1ed1c \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn, suy tim, m\u1ea5t n\u01b0\u1edbc, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, \u0111ang d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, thu\u1ed1c \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 angiotensin II, ng\u01b0\u1eddi gi\u00e0. Theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y, Meloxicam c\u00f3 th\u1ec3 l\u00e0m x\u1ea5u \u0111i t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh th\u1eadn t\u1eeb tr\u01b0\u1edbc. Tr\u00e1nh s\u1eed d\u1ee5ng Meloxicam \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh th\u1eadn ti\u1ebfn tri\u1ec3n tr\u1eeb khi l\u1ee3i \u00edch d\u1ef1 ki\u1ebfn l\u1edbn h\u01a1n nguy c\u01a1 ch\u1ee9c n\u0103ng th\u1eadn x\u1ea5u \u0111i.<\/p>\n<p>T\u0103ng n\u1ed3ng \u0111\u1ed9 kali m\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o khi d\u00f9ng NSAIDs, th\u1eadm ch\u00ed \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 suy th\u1eadn. Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 kali m\u00e1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><em>Suy tim sung huy\u1ebft v\u00e0 ph\u00f9<\/em>: Gi\u1eef n\u01b0\u1edbc v\u00e0 ph\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n d\u00f9ng NSAIDs. C\u00e2n nh\u1eafc v\u00e0 s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng Meloxicam \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb gi\u1eef n\u01b0\u1edbc, t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c suy tim.<\/p>\n<p><em>T\u0103ng huy\u1ebft \u00e1p:<\/em> S\u1eed d\u1ee5ng NSAIDs, bao g\u1ed3m Meloxicam, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p huy\u1ebft ho\u1eb7c l\u00e0m x\u1ea5u \u0111i t\u00ecnh tr\u1ea1ng b\u1ec7nh cao huy\u1ebft \u00e1p \u0111ang c\u00f3, g\u00f3p ph\u1ea7n v\u00e0o vi\u1ec7c t\u0103ng t\u1ef7 l\u1ec7 t\u1ea1i<\/p>\n<p>bi\u1ebfn tim m\u1ea1ch. V\u00ec th\u1ebf, Meloxicam n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p. C\u1ea7n theo d\u00f5i huy\u1ebft \u00e1p ch\u1eb7t ch\u1ebd trong th\u1eddi gian trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>B\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, thiazide, ho\u1eb7c thu\u1ed1c l\u1ee3i ti\u1ec3u quai c\u00f3 th\u1ec3 gi\u1ea3m \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi NSAIDs.<\/p>\n<p><em>Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7<\/em>: Gi\u1ed1ng nh\u01b0 v\u1edbi c\u00e1c NSAIDs kh\u00e1c, ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u00e0 kh\u00f4ng c\u1ea7n ti\u1ebfp x\u00fac tr\u01b0\u1edbc v\u1edbi Meloxicam. T\u00ecm s\u1ef1 gi\u00fap \u0111\u1ee1 kh\u1ea9n c\u1ea5p trong tr\u01b0\u1eddng h\u1ee3p x\u1ea3y ra m\u1ed9t ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7. Ph\u1ea3n \u1ee9ng ch\u00e9o gi\u1eefa aspirin v\u00e0 NSAIDs kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi aspirin. V\u00ec v\u1eady, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Meloxicam cho b\u1ec7nh nh\u00e2n hen, vi\u00eam m\u0169i d\u1ecb \u1ee9ng, co th\u1eaft ph\u1ebf qu\u1ea3n &#8230; do m\u1eabn c\u1ea3m aspirin. Theo d\u00f5i khi d\u00f9ng thu\u1ed1c cho ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng, hen (kh\u00f4ng ph\u1ea3i do nh\u1ea1y c\u1ea3m v\u1edbi aspirin).<\/p>\n<p><em>Ph\u1ea3n \u1ee9ng tr\u00ean da:<\/em> NSAIDs, bao g\u1ed3m Meloxicam, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng tr\u00ean da nh\u01b0 vi\u00eam da tr\u00f3c v\u1ea3y, h\u1ed9i ch\u1ee9ng Stevens-Johnson (SJS), \u0111\u1ed9c ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec (TEN), c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong. Nh\u1eefng s\u1ef1 ki\u1ec7n nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 c\u1ea3nh b\u00e1o. Ng\u01b0ng s\u1eed d\u1ee5ng thu\u1ed1c ngay khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean c\u1ee7a ph\u00e1t ban da ho\u1eb7c b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u qu\u00e1 m\u1eabn n\u00e0o.<\/p>\n<p><em>Ph\u1ea3n \u1ee9ng huy\u1ebft h\u1ecdc:<\/em> Thi\u1ebfu m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng NSAIDs, bao g\u1ed3m Meloxicam. B\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i v\u1edbi Meloxicam n\u00ean ki\u1ec3m tra hemoglobin ho\u1eb7c hematocrit n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh thi\u1ebfu m\u00e1u. \u0110\u1ed3ng th\u1eddi, NSAIDs c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u. C\u1ea9n th\u1eadn theo d\u00f5i nguy c\u01a1 ch\u1ea3y m\u00e1u \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh k\u00e8m theo nh\u01b0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u ho\u1eb7c d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi warfarin, thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u kh\u00e1c, thu\u1ed1c kh\u00e1ng ti\u1ec3u c\u1ea7u (v\u00ed d\u1ee5, aspirin), thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin (SSRI) v\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf serotonin reuptake inhibitors norepinephrine (SNRIs). Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y, ch\u1ea3y m\u00e1u n\u00e3o.<\/p>\n<p>Meloxicam c\u00f3 th\u1ec3 g\u00e2y \u0111\u00f3ng s\u1edbm \u1ed1ng \u0111\u1ed9ng m\u1ea1ch c\u1ee7a b\u00e0o thai Tr\u00e1nh s\u1eed d\u1ee5ng NSAIDs, bao g\u1ed3m Meloxicam \u1edf ph\u1ee5 n\u1eef mang thai b\u1eaft \u0111\u1ea7u t\u1eeb tu\u1ea7n th\u1ee9 30 c\u1ee7a thai k\u1ef3 (ba th\u00e1ng cu\u1ed1i).<\/p>\n<p>Meloxicam c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam n\u00ean c\u00f3 th\u1ec3 che d\u1ea5u c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam s\u1ed1t trong c\u00e1c nhi\u1ec5m tr\u00f9ng kh\u00e1c.<\/p>\n<p>V\u00ec c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nghi\u00eam tr\u1ecdng nh\u01b0 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, t\u1ed5n th\u01b0\u01a1ng gan, th\u1eadn c\u00f3 th\u1ec3 x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng b\u00e1o tr\u01b0\u1edbc, n\u00ean theo d\u00f5i th\u01b0\u1eddng xuy\u00ean c\u00f4ng th\u1ee9c m\u00e1u v\u00e0 sinh h\u00f3a m\u00e1u v\u1edbi b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng NSAIDs k\u00e9o d\u00e0i<\/p>\n<p>Thu\u1ed1c c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n lactose, b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 di truy\u1ec1n hi\u1ebfm g\u1eb7p kh\u00f4ng dung n\u1ea1p galactose ho\u1eb7c thi\u1ebfu h\u1ee5t men Lapp-lactase ho\u1eb7c k\u00e9m h\u1ea5p thu glucose- galactose kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y<\/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 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y nh\u01b0ng do c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 ch\u00f3ng m\u1eb7t, bu\u1ed3n ng\u1ee7 n\u00ean t\u1ed1t nh\u1ea5t kh\u00f4ng d\u00f9ng Meloxicam khi tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng n\u00e0y<\/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: C (30 tu\u00e2\u0300n \u0111\u00e2\u0300u) &#8211; D (tr\u00ean 30 tu\u00e2\u0300n)<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/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>Gi\u1ed1ng nh\u01b0 c\u00e1c thu\u1ed1c NSAIDs kh\u00e1c trong nh\u00f3m, \u0111i\u1ec1u tr\u1ecb v\u1edbi Meloxicam c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n sau:<\/p>\n<p>Nguy c\u01a1 huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch (xem th\u00eam ph\u1ea7n th\u1eadn tr\u1ecdng)<\/p>\n<p>Ph\u00f9, t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim.<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 tr\u00ean h\u1ec7 ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y, \u0111\u1ea7y h\u01a1i, t\u00e1o b\u00f3n, kh\u00f3 ti\u00eau, \u0111au b\u1ee5ng, n\u00f4n ra m\u00e1u, vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, vi\u00eam \u0111\u1ea1i tr\u00e0ng tr\u1ea7m tr\u1ecdng v\u00e0 b\u1ec7nh Crohn. \u00cdt khi g\u00e2y vi\u00eam d\u1ea1 d\u00e0y. Tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng: lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, th\u1ee7ng ho\u1eb7c xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u01b0\u1eddi gi\u00e0.<\/p>\n<p>Ph\u1ea3n \u1ee9ng da nghi\u00eam tr\u1ecdng: h\u1ed9i ch\u1ee9ng Stevens-Johnson v\u00e0 ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec \u0111\u1ed9c h\u1ea1i.<\/p>\n<p>Ph\u00e2n lo\u1ea1i t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n theo h\u1ec7 c\u01a1 quan v\u00e0 t\u1ea7n su\u1ea5t g\u1eb7p:<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo t\u1ea7n s\u1ed1 g\u1eb7p b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng ph\u00e2n lo\u1ea1i sau: r\u1ea5t th\u01b0\u1eddng g\u1eb7p (&gt; 1\/10); th\u01b0\u1eddng g\u1eb7p (&gt; 1\/100, &lt;1\/10); \u00edt g\u1eb7p (&gt; 1\/1000, &lt;1\/100); hi\u1ebfm g\u1eb7p (&gt; 1\/10 000, &lt;1\/1000); r\u1ea5t hi\u1ebfm g\u1eb7p (&lt;1\/10 000), kh\u00f4ng \u01b0\u1edbc t\u00ednh \u0111\u01b0\u1ee3c t\u1ea7n s\u1ed1.<\/p>\n<p><em>M\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: thi\u1ebfu m\u00e1u<\/p>\n<p>Hi\u1ebfm g\u1eb7p: b\u1ea5t th\u01b0\u1eddng th\u1ee9c m\u00e1u c\u00f4ng th\u1ee9c, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/p>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p: m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t<\/p>\n<p><em>H\u1ec7 mi\u1ec5n d\u1ecbch:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng kh\u00f4ng ph\u1ea3i l\u00e0 ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7<\/p>\n<p>Kh\u00f4ng \u01b0\u1edbc t\u00ednh \u0111\u01b0\u1ee3c t\u1ea7n s\u1ed1: ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7<\/p>\n<p><em>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n:<\/em><\/p>\n<p>Hi\u1ebfm g\u1eb7p: t\u00e2m tr\u1ea1ng thay \u0111\u1ed5i, c\u01a1n \u00e1c m\u1ed9ng.<\/p>\n<p>Kh\u00f4ng \u01b0\u1edbc t\u00ednh \u0111\u01b0\u1ee3c t\u1ea7n s\u1ed1: nh\u1ea7m l\u1eabn, m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng.<\/p>\n<p><em>H\u1ec7 th\u1ea7n kinh:<\/em><\/p>\n<p>Th\u01b0\u1eddng g\u1eb7p: \u0111au \u0111\u1ea7u.<\/p>\n<p>\u00cdt g\u1eb7p: ch\u00f3ng m\u1eb7t, bu\u1ed3n ng\u1ee7.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n m\u1eaft:<\/em><\/p>\n<p>Hi\u1ebfm g\u1eb7p: r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c bao g\u1ed3m m\u1edd m\u1eaft, vi\u00eam k\u1ebft m\u1ea1c.<\/p>\n<p><em>Tai v\u00e0 m\u00ea cung:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: ch\u00f3ng m\u1eb7t.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: \u00f9 tai.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n tim:<\/em><\/p>\n<p>Hi\u1ebfm g\u1eb7p: \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c.<\/p>\n<p>Suy tim \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o trong \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c thu\u1ed1c NSAIDs.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: t\u0103ng huy\u1ebft \u00e1p<\/p>\n<p><em>H\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t:<\/em><\/p>\n<p>Hi\u1ebfm g\u1eb7p: b\u1ec7nh hen suy\u1ec5n \u1edf ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi aspirin ho\u1eb7c c\u00e1c NSAID kh\u00e1c.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a:<\/em><\/p>\n<p>R\u1ea5t th\u01b0\u1eddng g\u1eb7p: r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a nh\u01b0 kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au b\u1ee5ng, t\u00e1o b\u00f3n, \u0111\u1ea7y h\u01a1i, ti\u00eau ch\u1ea3y<\/p>\n<p>\u00cdt g\u1eb7p: xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, vi\u00eam mi\u1ec7ng, vi\u00eam d\u1ea1 d\u00e0y, \u1ee3 h\u01a1i.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: vi\u00eam \u0111\u1ea1i tr\u00e0ng, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, vi\u00eam th\u1ef1c qu\u1ea3n.<\/p>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p: th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<p>Ch\u1ea3y m\u00e1u, lo\u00e9t ho\u1eb7c th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, \u0111\u00f4i khi c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n cao tu\u1ed5i.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n gan m\u1eadt:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: b\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng gan, t\u0103ng transaminase hay bilirubin.<\/p>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p: vi\u00eam gan.<\/p>\n<p><em>Da v\u00e0 m\u00f4 d\u01b0\u1edbi da:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: ph\u00f9 m\u1ea1ch, ng\u1ee9a, ph\u00e1t ban.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: h\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec g\u00e2y \u0111\u1ed9c, n\u1ed5i m\u1ec1 \u0111ay.<\/p>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p: vi\u00eam da b\u00f3ng n\u01b0\u1edbc, h\u1ed3ng ban \u0111a d\u1ea1ng.<\/p>\n<p>Kh\u00f4ng \u01b0\u1edbc t\u00ednh \u0111\u01b0\u1ee3c t\u1ea7n s\u1ed1: nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng.<\/p>\n<p><em>Th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: Gi\u1eef natri v\u00e0 n\u01b0\u1edbc, t\u0103ng kali m\u00e1u, ki\u1ec3m tra b\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng th\u1eadn (t\u0103ng creatinin huy\u1ebft thanh v\u00e0 \/ ho\u1eb7c ur\u00ea huy\u1ebft).<\/p>\n<p>R\u1ea5t hi\u1ebfm: suy th\u1eadn c\u1ea5p t\u00ednh, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n chung v\u00e0 nh\u1eefng b\u1ea5t th\u01b0\u1eddng to\u00e0n th\u00e2n:<\/em><\/p>\n<p>\u00cdt g\u1eb7p: ph\u00f9 n\u1ec1, bao g\u1ed3m c\u1ea3 ph\u00f9 chi d\u01b0\u1edbi.<\/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>\u0110\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a meloxicam, c\u1ea7n u\u1ed1ng thu\u1ed1c ngay sau khi \u0103n ho\u1eb7c d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c kh\u00e1ng acid v\u00e0 b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y<\/p>\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>Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng hi\u1ec7p \u0111\u1ed3ng t\u0103ng m\u1ee9c tr\u00ean s\u1ef1 \u1ee9c ch\u1ebf cyclo-oxygenase v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid kh\u00e1c \u1edf li\u1ec1u cao l\u00e0m t\u0103ng nguy c\u01a1 lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng v\u00e0 ch\u1ea3y m\u00e1u, cho n\u00ean kh\u00f4ng d\u00f9ng meloxicam c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid kh\u00e1c.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u d\u1ea1ng u\u1ed1ng, ticlopidin, heparin, thu\u1ed1c l\u00e0m tan huy\u1ebft kh\u1ed1i: Meloxicam l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u, do v\u1eady tr\u00e1nh ph\u1ed1i h\u1ee3p. Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/p>\n<p>Lithi: Meloxicam l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 lithi trong m\u00e1u, do v\u1eady c\u1ea7n ph\u1ea3i theo d\u00f5i n\u1ed3ng \u0111\u1ed9 lithi trong m\u00e1u trong qu\u00e1 tr\u00ecnh d\u00f9ng k\u1ebft h\u1ee3p hai thu\u1ed1c v\u1edbi nhau.<\/p>\n<p>Methotrexat: Meloxicam l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh c\u1ee7a methotrexat tr\u00ean h\u1ec7 th\u1ed1ng huy\u1ebft h\u1ecdc, do \u0111\u00f3 c\u1ea7n ph\u1ea3i \u0111\u1ebfm t\u1ebf b\u00e0o m\u00e1u \u0111\u1ecbnh k\u1ef3.<\/p>\n<p>V\u00f2ng tr\u00e1nh thai: Thu\u1ed1c l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 tr\u00e1nh thai c\u1ee7a v\u00f2ng tr\u00e1nh thai trong t\u1eed cung.<\/p>\n<p>Thu\u1ed1c l\u1ee3i ni\u1ec7u: Meloxicam c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 suy th\u1eadn c\u1ea5p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb m\u1ea5t n\u01b0\u1edbc. Tr\u01b0\u1eddng h\u1ee3p ph\u1ea3i d\u00f9ng ph\u1ed1i h\u1ee3p th\u00ec c\u1ea7n ph\u1ea3i b\u1ed3i ph\u1ee5 \u0111\u1ee7 n\u01b0\u1edbc cho b\u1ec7nh nh\u00e2n v\u00e0 ph\u1ea3i theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn c\u1ea9n th\u1eadn.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p nh\u01b0 thu\u1ed1c \u1ee9c ch\u1ebf \u03b1-adrenergic, thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n d\u1ea1ng angiotensin, c\u00e1c thu\u1ed1c gi\u00e3n m\u1ea1ch: Do meloxicam \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin n\u00ean l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng gi\u00e3n m\u1ea1ch, h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a c\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p.<\/p>\n<p>Cholestyramin: Cholestyramin g\u1eafn v\u1edbi meloxicam \u1edf \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 l\u00e0m gi\u1ea3m h\u1ea5p thu, t\u0103ng th\u1ea3i tr\u1eeb meloxicam.<\/p>\n<p>Cyclosporin: Meloxicam l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn do v\u1eady, khi ph\u1ed1i h\u1ee3p c\u1ea7n theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn c\u1ea9n th\u1eadn.<\/p>\n<p>Warfarin: Meloxicam c\u00f3 th\u1ec3 l\u00e0m t\u0103ng qu\u00e1 tr\u00ecnh ch\u1ea3y m\u00e1u, do v\u1eady c\u1ea7n ph\u1ea3i theo d\u00f5i th\u1eddi gian ch\u1ea3y m\u00e1u khi d\u00f9ng k\u00e8m.<\/p>\n<p>Furosemid v\u00e0 thiazid: Thu\u1ed1c l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng l\u1ee3i ni\u1ec7u c\u1ee7a furosemid, nh\u00f3m thiazid.<\/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=\"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>Hi\u1ec7n nay ch\u01b0a c\u00f3 thu\u1ed1c \u0111\u1ed1i kh\u00e1ng \u0111\u1eb7c hi\u1ec7u meloxicam n\u00ean trong tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u, ngo\u00e0i bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, h\u1ed3i s\u1ee9c c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p t\u0103ng th\u1ea3i tr\u1eeb v\u00e0 gi\u1ea3m h\u1ea5p thu thu\u1ed1c nh\u01b0: r\u1eeda d\u1ea1 d\u00e0y, u\u1ed1ng cholestyramin.<\/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>Fenxicam M c\u00f3 ch\u1ee9a Meloxicam l\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid thu\u1ed9c nh\u00f3m oxicam, c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t. Meloxicam \u1ee9c ch\u1ebf s\u1ef1 t\u1ed5ng h\u1ee3p prostaglandin, ch\u1ea5t trung gian c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam, s\u1ed1t, \u0111au. Meloxicam l\u00e0 lo\u1ea1i \u1ee9c ch\u1ebf \u01b0u ti\u00ean tr\u00ean COX-2, \u1ee9c ch\u1ebf COX-2 g\u1ea5p kho\u1ea3ng 10 l\u1ea7n COX-1. M\u1ee9c \u0111\u1ed9 \u1ee9c ch\u1ebf COX-1 ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u d\u00f9ng v\u00e0 s\u1ef1 kh\u00e1c nhau gi\u1eefa c\u00e1c c\u00e1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh, li\u1ec1u 7,5 mg\/ng\u00e0y \u1ee9c ch\u1ebf COX-1 \u00edt h\u01a1n li\u1ec1u 15 mg\/ng\u00e0y. Meloxicam \u1ee9c ch\u1ebf COX-1 tr\u00ean ti\u1ec3u c\u1ea7u l\u00e0m gi\u1ea3m t\u1ed5ng h\u1ee3p thromboxan A2 n\u00ean c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u. Trong th\u1ef1c nghi\u1ec7m l\u00e2m s\u00e0ng, Meloxicam \u00edt c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 ti\u00eau ho\u00e1 so v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf kh\u00f4ng ch\u1ecdn l\u1ecdc COX.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Meloxicam l\u00e0 d\u1eabn xu\u1ea5t c\u1ee7a oxicam c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t. C\u0169ng gi\u1ed1ng nh\u01b0 m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid kh\u00e1c, meloxicam \u1ee9c ch\u1ebf cyclooxygenase (COX) l\u00e0m gi\u1ea3m t\u1ed5ng h\u1ee3p prostaglandin, ch\u1ea5t trung gian c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam, s\u1ed1t, \u0111au.<\/p>\n<p>Do meloxicam \u1ee9c ch\u1ebf COX-2 ch\u1ec9 g\u1ea5p 10 l\u1ea7n COX-1 n\u00ean \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o lo\u1ea1i \u1ee9c ch\u1ebf \u01b0u ti\u00ean tr\u00ean COX-2, kh\u00f4ng x\u1ebfp v\u00e0o lo\u1ea1i \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc tr\u00ean COX-2. M\u1ee9c \u0111\u1ed9 \u1ee9c ch\u1ebf COX-1 c\u1ee7a meloxicam ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u d\u00f9ng v\u00e0 s\u1ef1 kh\u00e1c nhau gi\u1eefa c\u00e1c c\u00e1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh. Li\u1ec1u 7,5 mg\/ng\u00e0y \u1ee9c ch\u1ebf COX-1 \u00edt h\u01a1n li\u1ec1u 15 mg\/ng\u00e0y. Meloxicam li\u1ec1u 7,5 mg\/ng\u00e0y v\u00e0 15 mg\/ng\u00e0y \u1ee9c ch\u1ebf COX-1 tr\u00ean ti\u1ec3u c\u1ea7u l\u00e0m gi\u1ea3m t\u1ed5ng h\u1ee3p thromboxan A2 n\u00ean c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u. M\u1eb7c d\u00f9 c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf COX-1 nh\u01b0ng meloxicam \u00edt c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean ti\u00eau h\u00f3a h\u01a1n so v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf kh\u00f4ng ch\u1ecdn<a id=\"post-33449-bookmark14\"><\/a> l\u1ecdc COX.<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=uIvbbYNDCZ8\"><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/a><\/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>Meloxicam h\u1ea5p thu t\u1ed1t qua \u0111\u01b0\u1eddng u\u1ed1ng, sinh kh\u1ea3 d\u1ee5ng trung b\u00ecnh l\u00e0 89%. N\u1ed3ng \u0111\u1ed9 trung b\u00ecnh trong huy\u1ebft t\u01b0\u01a1ng t\u1ef7 l\u1ec7 v\u1edbi li\u1ec1u d\u00f9ng: sau khi u\u1ed1ng 7,5mg v\u00e0 15mg, n\u1ed3ng \u0111\u1ed9 trung b\u00ecnh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u01b0\u01a1ng \u1ee9ng: t\u1eeb 0,4 \u0111\u1ebfn 1mg\/l v\u00e0 0,8 \u0111\u1ebfn 2mg\/l (Cmin v\u00e0 Cmax \u1edf t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng). Meloxicam li\u00ean k\u1ebft m\u1ea1nh v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng (kho\u1ea3ng 99%), ch\u1ee7 y\u1ebfu g\u1eafn v\u00e0o albumin. Thu\u1ed1c khuy\u1ebfch t\u00e1n t\u1ed1t v\u00e0o d\u1ecbch kh\u1edbp, n\u1ed3ng \u0111\u1ed9 trong d\u1ecbch kh\u1edbp t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 50% n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft t\u01b0\u01a1ng, nh\u01b0ng d\u1ea1ng thu\u1ed1c t\u1ef1 do trong d\u1ecbch kh\u1edbp l\u1ea1i cao g\u1ea5p 2,5 l\u1ea7n trong huy\u1ebft t\u01b0\u01a1ng. Meloxicam c\u00f3 th\u1ec3 t\u00edch ph\u00e2n ph\u1ed1i th\u1ea5p, trung b\u00ecnh 11 l\u00edt v\u00e0 dao \u0111\u1ed9ng t\u1eeb 30-40% gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n. Th\u1ec3 t\u00edch ph\u00e2n ph\u1ed1i t\u0103ng n\u1ebfu b\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng, tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 li\u1ec1u 7,5 mg\/ ng\u00e0y. Thu\u1ed1c b\u1ecb chuy\u1ec3n h\u00f3a g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n t\u1ea1i gan v\u1edbi s\u1ef1 x\u00fac t\u00e1c ch\u1ee7 y\u1ebfu c\u1ee7a CYP2C9 v\u00e0 m\u1ed9t ph\u1ea7n nh\u1ecf c\u1ee7a CYP3A4. Ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u v\u00e0 qua ph\u00e2n. N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a thu\u1ed1c trung b\u00ecnh 20 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 c\u00f3.<\/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 Fenxicam-M 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 Fenxicam-M (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 : Meloxicam Ph\u00e2n lo\u1ea1i: Thu\u00f4\u0301c kha\u0301ng vi\u00eam Non-steroid (NSAIDS). [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":33450,"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":[1211],"class_list":["post-33449","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-meloxicam"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/33449","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=33449"}],"version-history":[{"count":3,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/33449\/revisions"}],"predecessor-version":[{"id":44789,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/33449\/revisions\/44789"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/33450"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=33449"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=33449"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=33449"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}