{"id":35309,"date":"2021-09-18T16:09:05","date_gmt":"2021-09-18T09:09:05","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=35309"},"modified":"2025-01-07T22:50:55","modified_gmt":"2025-01-07T15:50:55","slug":"sertraline-sertil","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/sertraline-sertil\/","title":{"rendered":"Sertraline &#8211; Sertil"},"content":{"rendered":"<p><em>Thu\u1ed1c Sertil 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 Sertil (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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline-sertil\/#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\/sertraline\/\"><strong>Sertraline<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m lo\u1ea1i \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc t\u00e1i h\u1ea5p thu serotonin.<\/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): N06AB06.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/sertraline-zoloft\/\">Zoloft<\/a><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Sertil<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: Kwality Pharmaceutical PVT. Ltd.<br \/>\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" 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 bao phim: 50 mg v\u00e0 100 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>SERTIL 50<\/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>Sertraline<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>50 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=\"560\" height=\"375\" class=\"wp-image-35310\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/09\/word-image-13.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/09\/word-image-13.png 560w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/09\/word-image-13-300x201.png 300w\" sizes=\"auto, (max-width: 560px) 100vw, 560px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>SERTIL 100<\/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>Sertraline<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>100 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=\"316\" class=\"wp-image-35311\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/09\/word-image-14.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/09\/word-image-14.png 618w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/09\/word-image-14-300x153.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<br \/>\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" 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=\"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>B\u1ec7nh tr\u1ea7m c\u1ea3m; H\u1ed9i ch\u1ee9ng ho\u1ea3ng s\u1ee3; R\u1ed1i lo\u1ea1n xung l\u1ef1c c\u01b0\u1ee1ng b\u1ee9c \u00e1m \u1ea3nh; R\u1ed1i lo\u1ea1n stress sau ch\u1ea5n th\u01b0\u01a1ng; R\u1ed1i lo\u1ea1n lo \u00e2u tr\u01b0\u1edbc k\u1ef3 kinh; R\u1ed1i lo\u1ea1n xu\u1ea5t tinh s\u1edbm.<\/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 m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y, v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c chi\u1ec1u. Th\u1ee9c \u0103n \u1ea3nh h\u01b0\u1edfng \u00edt \u0111\u1ebfn h\u1ea5p thu thu\u1ed1c.<\/p>\n<p>Mu\u1ed1n ng\u1eebng thu\u1ed1c ph\u1ea3i gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb. Kh\u00f4ng n\u00ean ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t \u0111\u1ec3 tr\u00e1nh h\u1ed9i ch\u1ee9ng cai thu\u1ed1c. Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf ng\u01b0\u1eddi suy th\u1eadn. D\u00f9ng th\u1eadn tr\u1ecdng v\u00e0 gi\u1ea3m li\u1ec1u ho\u1eb7c gi\u1ea3m s\u1ed1 l\u1ea7n d\u00f9ng \u1edf ng\u01b0\u1eddi suy gan do thu\u1ed1c chuy\u1ec3n ho\u00e1 nhi\u1ec1u \u1edf gan.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p><em>B\u1ec7nh tr\u1ea7m c\u1ea3m:\u00a0<\/em><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn, li\u1ec1u kh\u1edfi \u0111\u1ea7u 50mg, ng\u00e0y 1 l\u1ea7n. C\u1ee9 sau \u00edt nh\u1ea5t 1 tu\u1ea7n, n\u1ebfu kh\u00f4ng c\u00f3 \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 t\u0103ng th\u00eam t\u1eebng b\u1eadc 50mg cho \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 200mg m\u1ed7i ng\u00e0y. \u0110a s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec1u 50-100mg m\u1ed7i ng\u00e0y. M\u1ed7i \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng (th\u01b0\u1eddng kho\u1ea3ng 6 th\u00e1ng) \u0111\u1ec3 \u0111\u1ec1 ph\u00f2ng nguy c\u01a1 t\u00e1i ph\u00e1t. Kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng cho ng\u01b0\u1eddi d\u01b0\u1edbi 18 tu\u1ed5i.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n xung l\u1ef1c c\u01b0\u1ee1ng b\u1ee9c \u00e1m \u1ea3nh:<\/em><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 13 tu\u1ed5i tr\u1edf l\u00ean, li\u1ec1u kh\u1edfi \u0111\u1ea7u 50mg;<\/p>\n<p>Tr\u1ebb em 6-12 tu\u1ed5i 25mg, ng\u00e0y 1 l\u1ea7n. C\u1ee9 sau \u00edt nh\u1ea5t 1 tu\u1ea7n, n\u1ebfu b\u1ec7nh kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u00ec t\u0103ng th\u00eam m\u1ed7i ng\u00e0y 50mg (tr\u1ebb em 6-12 tu\u1ed5i t\u0103ng 25mg) cho \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 200mg m\u1ed7i ng\u00e0y. \u0110a s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec1u 50-100 m\u1ed7i ng\u00e0y (tr\u1ebb em 6-12 tu\u1ed5i 25-50mg). Kh\u00f4ng d\u00f9ng cho tr\u1ebb d\u01b0\u1edbi 6 tu\u1ed5i.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n ho\u1ea3ng s\u1ee3:<\/em><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn li\u1ec1u kh\u1edfi \u0111\u1ea7u 25mg, ng\u00e0y 1 l\u1ea7n. C\u1ee9 sau 1 tu\u1ea7n, n\u1ebfu b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n th\u00ec t\u0103ng th\u00eam m\u1ed7i ng\u00e0y 25mg cho \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 200mg m\u1ed7i ng\u00e0y.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n stress sau ch\u1ea5n th\u01b0\u01a1ng:<\/em><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn, li\u1ec1u kh\u1edfi \u0111\u1ea7u 25mg, ng\u00e0y 1 l\u1ea7n. Sau m\u1ed9t tu\u1ea7n, ph\u1ea3i t\u0103ng li\u1ec1u l\u00ean th\u00e0nh 50mg, ng\u00e0y 1 l\u1ea7n. N\u1ebfu kh\u00f4ng c\u00f3 c\u1ea3i thi\u1ec7n l\u00e2m s\u00e0ng r\u00f5 r\u1ec7t, c\u1ee9 sau \u00edt nh\u1ea5t 1 tu\u1ea7n c\u00f3 th\u1ec3 t\u0103ng th\u00eam t\u1eebng b\u1eadc cho \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 200mg m\u1ed7i ng\u00e0y. Kh\u00f4ng d\u00f9ng cho tr\u1ebb em.<\/p>\n<p>Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi 4 tr\u01b0\u1eddng h\u1ee3p tr\u00ean c\u1ea7n nhi\u1ec1u th\u00e1ng ho\u1eb7c l\u00e2u h\u01a1n n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh\u00a0 \u0111\u00e1p \u1ee9ng. Nh\u01b0ng \u0111\u1ecbnh k\u1ef3 c\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u1ea3m li\u1ec1u \u0111\u1ebfn m\u1ee9c th\u1ea5p nh\u1ea5t c\u00f2n hi\u1ec7u qu\u1ea3 ho\u1eb7c tr\u01b0\u1edbc khi mu\u1ed1n ng\u01b0ng thu\u1ed1c ho\u1eb7c chuy\u1ec3n sang thu\u1ed1c kh\u00e1c.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n lo \u00e2u tr\u01b0\u1edbc k\u1ef3 kinh:<\/em>\u00a0Li\u1ec1u trung b\u00ecnh 50-150mg\/ng\u00e0y.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n xu\u1ea5t tinh s\u1edbm:<\/em>\u00a0Li\u1ec1u trung b\u00ecnh 25-50mg\/ng\u00e0y.<\/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>M\u1eabn c\u1ea3m v\u1edbi thu\u1ed1c<\/p>\n<p>D\u00f9ng dung d\u1ecbch u\u1ed1ng Sertralin \u0111\u1ed3ng th\u1eddi v\u1edbi disulfiram v\u00ec trong dung d\u1ecbch c\u00f3 12% ethanol v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ph\u1ea3n \u1ee9ng gi\u1ed1ng disulfiram (th\u00ed d\u1ee5 metronidazol).<\/p>\n<p>\u0110ang d\u00f9ng ho\u1eb7c \u0111\u00e3 d\u00f9ng IMAO trong v\u00f2ng hai tu\u1ea7n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong.<br \/>\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" 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=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Do ng\u01b0\u1eddi b\u1ec7nh tr\u1ea7m c\u1ea3m hay c\u00f3 \u00fd t\u01b0\u1edfng ho\u1eb7c h\u00e0nh vi t\u1ef1 s\u00e1t nh\u1ea5t l\u00e0 khi m\u1edbi d\u00f9ng thu\u1ed1c, v\u00ec v\u1eady c\u1ea7n gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd ng\u01b0\u1eddi b\u1ec7nh v\u00e0 kh\u1edfi \u0111\u1ea7u n\u00ean d\u00f9ng li\u1ec1u th\u1ea5p \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 qu\u00e1 li\u1ec1u. Trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n xung l\u1ef1c c\u01b0\u1ee1ng b\u1ee9c \u00e1m \u1ea3nh, \u0111\u1eb7c bi\u1ec7t\u00a0 \u1edf tr\u1ebb em c\u1ea7n ph\u1ea3i gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd.<\/p>\n<p>D\u00f9ng th\u1eadn tr\u1ecdng v\u1edbi ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u<\/p>\n<p>M\u1eb7c d\u00f9 Sertralin \u00edt c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y bu\u1ed3n ng\u1ee7 h\u01a1n c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m kh\u00e1c, nh\u01b0ng v\u1eabn ph\u1ea3i th\u1eadn tr\u1ecdng v\u1edbi ng\u01b0\u1eddi l\u00e1i t\u00e0u xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c v\u00e0 nh\u1ea5t l\u00e0 khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng.<\/p>\n<p>D\u00f9ng th\u1eadn t\u1ecdng v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9ng kinh, h\u01b0ng c\u1ea3m, r\u1ed1i lo\u1ea1n m\u00e1u, suy gan, suy th\u1eadn, h\u1ea1 natri huy\u1ebft, ch\u00e1n \u0103n, gi\u1ea3m c\u00e2n, suy tuy\u1ebfn gi\u00e1p. N\u00ean gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi b\u1ec7nh suy gan.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng d\u00f9ng Sertralin cho ng\u01b0\u1eddi cao tu\u1ed5i v\u00ec d\u1ec5 b\u1ecb h\u1ea1 natri huy\u1ebft v\u00e0 h\u1ed9i ch\u1ee9ng ti\u1ebft hormon kh\u00e1ng ni\u1ec7u kh\u00f4ng th\u00edch h\u1ee3p (SIADH). C\u1ea7n gi\u00e1m s\u00e1t \u0111\u1ecbnh k\u1ef3 (\u0111\u1eb7c bi\u1ec7t trong v\u00e0i th\u00e1ng \u0111\u1ea7u) natri huy\u1ebft.<\/p>\n<p>Sertralin c\u00f3 th\u1ec3 g\u00e2y ch\u00e1n \u0103n v\u00e0 s\u1ee5t c\u00e2n, n\u00ean c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng cho ng\u01b0\u1eddi b\u1ec7nh nh\u1eb9 c\u00e2n.<\/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 n\u00ean d\u00f9ng khi \u0111ang l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c..<\/p>\n<h2><span class=\"ez-toc-section\" id=\"45-su-dung-cho-phu-nu-co-thai-va-cho-con-bu\"><\/span>4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>X\u1ebfp h\u1ea1ng c\u1ea3nh b\u00e1o<\/em><\/p>\n<p>AU TGA pregnancy category: C<\/p>\n<p>US FDA pregnancy category: NA<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Ch\u01b0a c\u00f3 t\u00e0i li\u1ec7u nghi\u00ean c\u1ee9u v\u1ec1 Sertralin cho ph\u1ee5 n\u1eef mang thai. Tuy nhi\u00ean, do thu\u1ed1c qua \u0111\u01b0\u1ee3c nhau thai n\u00ean c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean th\u1ea7n kinh c\u1ee7a thai nhi. V\u00ec v\u1eady, kh\u00f4ng d\u00f9ng Sertralin trong th\u1eddi k\u1ef3 mang thai tr\u1eeb khi th\u1eadt c\u1ea7n thi\u1ebft, khi c\u00e2n nh\u1eafc th\u1ea5y l\u1ee3i \u00edch l\u1edbn h\u01a1n r\u1ee7i ro.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Sertralin ph\u00e2n b\u1ed1 v\u00e0o s\u1eefa m\u1eb9 n\u00ean c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n \u0111\u1ed1i v\u1edbi tr\u1ebb b\u00fa m\u1eb9. V\u00ec v\u1eady, ph\u1ee5 n\u1eef \u0111ang nu\u00f4i con b\u00fa d\u00f9ng Sertralin ph\u1ea3i r\u1ea5t th\u1eadn tr\u1ecdng.<\/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>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0: ti\u00eau ch\u1ea3y, \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, gi\u1ea3m ngon mi\u1ec7ng, run ch\u00e2n tay, kh\u00f3 ng\u1ee7, \u0111\u1ed5 m\u1ed3 h\u00f4i, kh\u00f4 mi\u1ec7ng v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng xu\u1ea5t tinh \u1edf nam gi\u1edbi.<\/p>\n<p>\u0110\u00f4i khi b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0 tim \u0111\u1eadp nhanh, gi\u1ea3m tr\u00ed nh\u1edb, \u0111au d\u1ea7u, bu\u1ed3n ng\u1ee7, ng\u1ee9a, t\u00ea li\u1ec7t, b\u1ecb k\u00edch \u0111\u1ed9ng ho\u1eb7c hung h\u00e3n h\u01a1n th\u01b0\u1eddng l\u1ec7 do t\u00ednh c\u00e1ch b\u1ecb thay \u0111\u1ed5i, \u1ea3o gi\u00e1c, cu\u1ed3ng, \u0111au c\u01a1 b\u1eafp ho\u1eb7c c\u00e1c kh\u1edbp, vi\u00eam l\u00e1 l\u00e1ch ho\u1eb7c th\u1eadn, vi\u00eam gan, b\u1ecb v\u00e0ng da, b\u00ed ti\u1ec3u, kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u, gi\u1ea3m kh\u1ea3 n\u0103ng ti\u1ebft s\u1eefa \u1edf ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa; ph\u00e1t ban, d\u1ec5 b\u1ecb th\u00e2m t\u00edm khi va \u0111\u1eadp, ng\u1ee9a v\u00e0 nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, ch\u1ea3y m\u00e1u v\u00e0 c\u1ea3m th\u1ea5y m\u1ec7t. C\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean s\u1ebd h\u1ebft v\u00e0i ng\u00e0y sau khi ng\u01b0ng thu\u1ed1c.<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 \u00fd \u0111\u1ecbnh t\u1ef1 s\u00e1t (hi\u1ebfm g\u1eb7p). N\u1ebfu c\u00f3, h\u00e3y b\u00e1o ngay cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>H\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 n\u1ebfu c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf, b\u1ea7m t\u00edm s\u01b0ng t\u1ea5y ho\u1eb7c ph\u00e1t ban.<\/p>\n<p>\u0110\u1ed1i v\u1edbi tr\u1ebb em c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u00e2n l\u00e0 \u0111au \u0111\u1ea7u, \u0103n k\u00e9m ngon, run ch\u00e2n tay, m\u1ea5t ng\u1ee7 ho\u1eb7c r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng lo \u00e2u.<\/p>\n<p>\u0110a s\u1ed1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean \u0111\u1ec1u nh\u1eb9 v\u00e0 th\u01b0\u1eddng t\u1ef1 m\u1ea5t \u0111i khi b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c. H\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 n\u1ebfu v\u1eabn g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00f3.<\/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><br \/>\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" 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=\"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\u00e1c ADR th\u01b0\u1eddng th\u1ea5y trong tu\u1ea7n \u0111\u1ea7u ho\u1eb7c 2 tu\u1ea7n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. T\u1ef7 l\u1ec7 ADR t\u0103ng khi t\u0103ng li\u1ec1u.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u ti\u1ec1n l\u00e2m s\u00e0ng kh\u00f4ng th\u1ea5y sertralin g\u00e2y quen thu\u1ed1c v\u00e0 h\u1ed9i ch\u1ee9ng cai thu\u1ed1c sau khi ng\u1eebng d\u00f9ng. Tuy nhi\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng cho th\u1ea5y h\u1ed9i ch\u1ee9ng cai thu\u1ed1c c\u00f3 th\u1ec3 x\u1ea3y ra sau v\u00e0i ng\u00e0y ng\u1eebng thu\u1ed1c. Kho\u1ea3ng 15% s\u1ed1 ng\u01b0\u1eddi l\u1edbn ph\u1ea3i ng\u1eebng li\u1ec7u ph\u00e1p sertralin trong th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u00ec c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 t\u00e2m tr\u00ed nh\u01b0 bu\u1ed3n ng\u1ee7, m\u1ea5t ng\u1ee7, v\u1eadt v\u00e3, run; c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh kh\u00e1c nh\u01b0 ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u; ti\u00eau h\u00f3a nh\u01b0 bu\u1ed3n n\u00f4n, \u1ec9a ch\u1ea3y, ch\u00e1n \u0103n, m\u1ec7t m\u1ecfi, ch\u1eadm xu\u1ea5t tinh.<\/p>\n<p>H\u1ed9i ch\u1ee9ng cai thu\u1ed1c (ch\u01b0a x\u00e1ch \u0111\u1ecbnh h\u1eb3n l\u00e0 do thu\u1ed1c) x\u1ea3y ra d\u01b0\u1edbi 0,5% \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb sertralin. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 h\u1ed9i ch\u1ee9ng gi\u1ed1ng c\u00fam nh\u01b0: M\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu \u1edf d\u1ea1 d\u00e0y (bu\u1ed3n n\u00f4n), ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u nh\u1eb9, run, lo \u00e2u, l\u1ea1nh, to\u00e1t m\u1ed3 h\u00f4i, r\u1ed1i lo\u1ea1n \u0111i\u1ec1u ph\u1ed1i. Ngo\u00e0i ra r\u1ed1i lo\u1ea1n tr\u00ed nh\u1edb, m\u1ea5t ng\u1ee7, d\u1ecb c\u1ea3m, nh\u1ee9c \u0111\u1ea7u, c\u1ea3m gi\u00e1c gi\u1ed1ng cho\u00e1ng, h\u1ed3i h\u1ed9p, k\u00edch \u0111\u1ed9ng ho\u1eb7c c\u00f4ng k\u00edch. C\u00e1c ph\u1ea3n \u1ee9ng lo\u1ea1i n\u00e0y th\u01b0\u1eddng t\u1ef1 gi\u1ea3m \u0111i ho\u1eb7c \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n sau m\u1ed9t v\u00e0i tu\u1ea7n. \u0110\u1ec3 tr\u00e1nh h\u1ed9i ch\u1ee9ng cai thu\u1ed1c, n\u00ean gi\u1ea3m d\u1ea7n li\u1ec1u c\u1ee7a sertralin tr\u01b0\u1edbc khi ng\u1eebng thu\u1ed1c.<\/p>\n<p>C\u0169ng gi\u1ed1ng c\u00e1c thu\u1ed1c t\u00e1c d\u1ee5ng tr\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng kh\u00e1c, n\u00ean \u0111\u00e1nh gi\u00e1 c\u1ea5n th\u1eadn t\u00ecnh tr\u1ea1ng quen thu\u1ed1c \u1edf ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi d\u00f9ng sertralin. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed quen thu\u1ed1c v\u1edbi m\u1ed9t thu\u1ed1c n\u00e0o \u0111\u00f3 th\u00ec khi \u0111i\u1ec1u tr\u1ecb c\u1ea7n ph\u1ea3i gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd c\u00e1c d\u1ea5u hi\u1ec7u quen thu\u1ed1c.<\/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>M\u1ed9t s\u1ed1 thu\u1ed1c d\u00f9ng Sertralin c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng Serotonin: Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m lo\u1ea1i \u1ee9c ch\u1ebf t\u00e1i thu h\u1ed3i serotinin v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m kh\u00e1c, thu\u1ed1c c\u01b0\u1eddng h\u1ec7 serotininergic (g\u00e2y ti\u1ebft serotinin).<\/p>\n<p>\u0110\u1eb7c bi\u1ec7t,\u00a0kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p Sertralin v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf MAO ho\u1eb7c trong v\u00f2ng 2 tu\u1ea7n sau khi ng\u01b0ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf MAO<strong>\u00a0<\/strong>v\u00ec c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng serotinin n\u1eb7ng, nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n<p>Sumariptan: Sertralin khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi Sumatriptan c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ea7n su\u1ea5t c\u01a1n \u0111au n\u1eeda \u0111\u1ea7u g\u00e2y m\u1ec7t m\u1ecfi, gi\u1ea3m ph\u1ea3n x\u1ea1 v\u00e0 m\u1ea5t ph\u1ed1i h\u1ee3p \u0111\u1ed9ng t\u00e1c.<\/p>\n<p><em>Thu\u1ed1c chuy\u1ec3n ho\u00e1 qua gan ho\u1eb7c \u1ea3nh h\u01b0\u1edfng t\u1edbi enzym microsom gan:<\/em>\u00a0Sertralin b\u1ecb chuy\u1ec3n ho\u00e1 b\u1edfi enzym cytochom P450 (CYP)2D6, \u0111\u1ed3ng th\u1eddi \u1ee9c ch\u1ebf ho\u1ea1t t\u00ednh c\u1ee7a enzym. V\u00ec v\u1eady, c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng Sertralin \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c ch\u1ea5t chuy\u1ec3n ho\u00e1 b\u1edfi CYP2D6 nh\u1ea5t l\u00e0 nh\u1eefng thu\u1ed1c c\u00f3 ch\u1ec9 s\u1ed1 \u0111i\u1ec1u tr\u1ecb h\u1eb9p nh\u01b0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng, ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim nh\u00f3m IC (propafenon, flecainid) v\u00e0 m\u1ed9t s\u1ed1 phenothiazin nh\u01b0 thioridazin v\u00ec c\u00f3 th\u1ec3 g\u00e2y t\u0103ng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n.<\/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>G\u00e2y t\u0103ng qu\u00e1 m\u1ee9c t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p khi qu\u00e1 li\u1ec1u bao g\u1ed3m: Bu\u1ed3n ng\u1ee7, lo \u00e2u, n\u00f4n, bu\u1ed3n n\u00f4n, nh\u1ecbp tim nhanh, thay \u0111\u1ed5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, gi\u00e3n \u0111\u1ed3ng t\u1eed. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 nh\u1ecbp tim nhanh, t\u0103ng huy\u1ebft \u00e1p, s\u1ed1t cao, m\u1eb7t \u0111\u1ecf, run c\u00e1c \u0111\u1ea7u chi \u0111\u00e3 g\u1eb7p \u1edf nh\u1eefng tr\u1ebb em khi u\u1ed1ng nh\u1ea7m Sertralin, ph\u1ea3n \u1ee9ng gi\u1ed1ng nh\u01b0 h\u1ed9i ch\u1ee9ng serotonin.<\/p>\n<p><em>X\u1eed tr\u00ed:<\/em> Sertralin kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u. V\u00ec v\u1eady, khi qu\u00e1 li\u1ec1u th\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3. N\u1ebfu m\u1edbi ng\u1ed9 \u0111\u1ed9c, c\u00f3 th\u1ec3 g\u00e2y n\u00f4n. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh h\u00f4n m\u00ea ho\u1eb7c l\u00ean c\u01a1n co gi\u1eadt kh\u00f4ng c\u00f3 ph\u1ea3n x\u1ea1 n\u00f4n th\u00ec r\u1eeda d\u1ea1 d\u00e0y sau khi \u0111\u00e3 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n \u0111\u1ec3 tr\u00e1nh h\u00edt ph\u1ea3i n\u01b0\u1edbc r\u1eeda d\u1ea1 d\u00e0y. D\u00f9ng than ho\u1ea1t (c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi sorbitol) ngay t\u1eeb \u0111\u1ea7u ho\u1eb7c sau khi g\u00e2y n\u00f4n r\u1eeda d\u1ea1 d\u00e0y. C\u1ea7n duy tr\u00ec h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, th\u00f4ng kh\u00ed v\u00e0 cho th\u1edf oxygen. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u1ea9m ph\u00e2n m\u00e1u, th\u1ea9m ph\u00e2n m\u00e0ng b\u1ee5ng, l\u1ee3i ti\u1ec3u c\u01b0\u1ee1ng b\u1ee9c truy\u1ec1n m\u00e1u kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 do th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a Sertralin l\u1edbn v\u00e0 li\u00ean k\u1ebft nhi\u1ec1u v\u1edbi protein.<br \/>\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" 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>Sertralin l\u00e0 d\u1eabn ch\u1ea5t c\u1ee7a naphthylamin, c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng tr\u1ea7m c\u1ea3m do \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc t\u00e1i thu h\u1ed3i serotonin (5-hydroxytryptamin, 5-HT). Thu\u1ed1c \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf t\u00e1i thu h\u1ed3i noradrenalin ho\u1eb7c dopamin v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng histamin ho\u1eb7c ch\u1eb9n \u03b1 ho\u1eb7c \u03b2-adrenergic \u1edf li\u1ec1u \u0111i\u1ec1u tr\u1ecb. Do \u0111\u00f3, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn do ch\u1eb9n c\u00e1c th\u1ee5 th\u1ec3 muscarin (nh\u01b0 kh\u00f4 m\u1ed3m, nh\u00ecn m\u1edd, b\u00ed \u0111\u00e1i, t\u00e1o b\u00f3n, l\u00fa l\u1eabn), chenj th\u1ee7 th\u1ec3 \u03b1-adrenergic (g\u00e2y gi\u1ea3m huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng) v\u00e0 ch\u1eb9n th\u1ee7 th\u1ec3 H1 v\u00e0 H2 histamin (v\u00ed d\u1ee5 bu\u1ed3n ng\u1ee7) th\u1ea5p h\u01a1n \u1edf ng\u01b0\u1eddi d\u00f9ng Sertralin so v\u1edbi ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng v\u00e0 m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m kh\u00e1c. Sertralin kh\u00f4ng \u1ee9c ch\u1ebf monoarninoxidase.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Sertralin l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf m\u1ea1nh v\u00e0 ch\u1ecdn l\u1ecdc s\u1ef1 t\u00e1i thu h\u1ed3i serotonin (5 HT) \u1edf \u0111\u1ea7u s\u1ee3i th\u1ea7n kinh. Tr\u00ean in vitro, \u0111i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn s\u1ef1 t\u0103ng c\u01b0\u1eddng t\u00e1c d\u1ee5ng c\u1ee7a 5-HT \u1edf \u0111\u1ed9ng v\u1eadt. N\u00f3 ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng r\u1ea5t y\u1ebfu tr\u00ean vi\u1ec7c thu h\u1ed3i norepinephrin v\u00e0 dopamin \u1edf c\u00e1c \u0111\u1ea7u s\u1ee3i th\u1ea7n kinh. \u1ede c\u00e1c li\u1ec1u l\u00e2m s\u00e0ng, sertralin \u1ee9c ch\u1ebf s\u1ef1 thu h\u1ed3i sertonin v\u00e0o trong c\u00e1c ti\u1ec3u c\u1ea7u \u1edf ng\u01b0\u1eddi. N\u00f3 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch an th\u1ea7n hay t\u00e1c d\u1ee5ng kh\u00e1ng cholinergic hay g\u00e2y \u0111\u1ed9c tr\u00ean tim \u1edf \u0111\u1ed9ng v\u1eadt. C\u00e1c nghi\u00ean c\u1ee9u c\u00f3 ki\u1ec3m ch\u1ee9ng \u1edf nh\u1eefng ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n b\u00ecnh th\u01b0\u1eddng cho th\u1ea5y sertalin kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng an th\u1ea7n v\u00e0 kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng t\u00e2m th\u1ea7n. Nh\u1edd t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc s\u1ef1 thu h\u1ed3i 5-HT, sertralin kh\u00f4ng t\u0103ng c\u01b0\u1eddng ho\u1ea1t t\u00ednh c\u1ee7a h\u1ec7 catecholaminergic. Sertralin kh\u00f4ng c\u00f3 \u00e1i l\u1ef1c v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 h\u1ec7 muscarinic (h\u1ec7 cholinergic), serotonergic, dopaminergic, histaminergic, GABA hay c\u00e1c th\u1ee5 th\u1ec3 benzodiazepin. D\u00f9ng l\u00e2u d\u00e0i sertralin \u1edf \u0111\u1ed9ng v\u1eadt c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh gi\u1ea3m c\u00e1c th\u1ee5 th\u1ec3 neropinephrin \u1edf n\u00e3o c\u0169ng nh\u01b0 th\u01b0\u1eddng g\u1eb7p ph\u1ea3i \u1edf c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00e0 ch\u1ed1ng \u00e1m \u1ea3nh c\u00f3 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng kh\u00e1c.<\/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>Sertralin h\u1ea5p th\u1ee5 ch\u1eadm qua \u0111\u01b0\u1eddng ti\u00eau ho\u00e1. Sinh kh\u1ea3 d\u1ee5ng c\u1ee7a Sertralin kho\u1ea3ng 22-36% v\u00e0 sinh kh\u1ea3 d\u1ee5ng c\u1ee7a vi\u00ean u\u1ed1ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng d\u1ea1ng dung d\u1ecbch u\u1ed1ng. N\u1ebfu u\u1ed1ng vi\u00ean n\u00e9n c\u00f9ng v\u1edbi th\u1ee9c \u0103n, di\u1ec7n t\u00edch AUC t\u0103ng nh\u1eb9, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh t\u0103ng kho\u1ea3ng 25% v\u00e0 th\u1eddi gian \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh gi\u1ea3m t\u1eeb 8 gi\u1edd xu\u1ed1ng 5,5 gi\u1edd. N\u1ebfu u\u1ed1ng dung d\u1ecbch c\u00f9ng th\u1ee9c \u0103n, th\u1eddi gian \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng t\u0103ng t\u1eeb 5,9 gi\u1edd \u0111\u1ebfn 7,0 gi\u1edd. Th\u1eddi gian \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh kho\u1ea3ng 4,5 \u2013 8,5 gi\u1edd sau khi u\u1ed1ng 50-200mg ng\u00e0y 1 l\u1ea7n, trong 14 ng\u00e0y. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh v\u00e0 sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c t\u0103ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. Thu\u1ed1c \u0111\u1ea1t tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh sau khi u\u1ed1ng kho\u1ea3ng 1 tu\u1ea7n.<\/p>\n<p>Sertralin ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i v\u00e0o c\u00e1c m\u00f4 v\u00e0 d\u1ecbch c\u01a1 th\u1ec3, qua \u0111\u01b0\u1ee3c h\u00e0ng r\u00e0o m\u00e1u \u2013 n\u00e3o v\u00e0 s\u1eefa m\u1eb9. Thu\u1ed1c li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 98%, ch\u1ee7 y\u1ebfu l\u00e0 albumin v\u00e0 \u03b1-acid glycoprotcin. Sertralin \u0111\u01b0\u1ee3c chuy\u1ec3n ho\u00e1 \u1edf gan, ch\u1ea5t chuy\u1ec3n ho\u00e1 ch\u00ednh l\u00e0 N-desmethylsertralin k\u00e9m ho\u1ea1t t\u00ednh h\u01a1n Sertralin. [Pharmog]. Sertralin \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu d\u01b0\u1edbi d\u1ea1ng chuy\u1ec3n ho\u00e1 ra ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u v\u1edbi l\u01b0\u1ee3ng x\u1ea5p x\u1ec9 ngang nhau. N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a Sertralin kho\u1ea3ng 25-26 gi\u1edd v\u00e0 n\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a N-desmethylsertralin kho\u1ea3ng 62-104 gi\u1edd. \u1ede ng\u01b0\u1eddi cao tu\u1ed5i, n\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u00f3 th\u1ec3 t\u0103ng (kho\u1ea3ng 36 gi\u1edd). Tuy v\u1eady s\u1ef1 th\u1ea3i tr\u1eeb k\u00e9o d\u00e0i kh\u00f4ng quan tr\u1ecdng v\u1ec1 l\u00e2m s\u00e0ng v\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u. V\u00ec Sertralin chuy\u1ec3n ho\u00e1 m\u1ea1nh \u1edf gan n\u00ean t\u1ed5n th\u01b0\u01a1ng gann c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn \u0111\u00e0o th\u1ea3i thu\u1ed1c. Nh\u00e0 s\u1ea3n xu\u1ea5t khuy\u1ebfn c\u00e1o c\u1ea9n th\u1eadn trong d\u00f9ng thu\u1ed1c cho ng\u01b0\u1eddi b\u1ecb t\u1ed5n th\u01b0\u01a1ng gan, v\u1edbi li\u1ec1u th\u1ea5p h\u01a1n ho\u1eb7c \u00edt l\u1ea7n h\u01a1n. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a Sertralin kh\u00f4ng b\u1ecb t\u00e1c \u0111\u1ed9ng do t\u1ed5n th\u01b0\u01a1ng th\u1eadn.<\/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><br \/>\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" 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>Lactose monohydrate, Micro Crystalline Cellulose, Dibasic Calcium Phosphate Dihydrate, Magnesium Stearate, Hydroxy Propyl Methyl Cellulose, Titanium Dioxide, Purified Talc, PEG 6000. Hydroxy Propyl Cellulose.<\/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>D\u1ea1ng thu\u1ed1c dung d\u1ecbch d\u1ec5 b\u1ecb k\u1ebft t\u1ee7a khi h\u00f2a v\u1edbi n\u01b0\u1edbc.<\/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","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Sertil 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 Sertil (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 : Sertraline Ph\u00e2n lo\u1ea1i: Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m lo\u1ea1i [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":35311,"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":[1386],"class_list":["post-35309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-sertraline"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/35309","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=35309"}],"version-history":[{"count":2,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/35309\/revisions"}],"predecessor-version":[{"id":35341,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/35309\/revisions\/35341"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/35311"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=35309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=35309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=35309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}