{"id":36345,"date":"2021-10-05T09:34:26","date_gmt":"2021-10-05T02:34:26","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=36345"},"modified":"2025-01-07T22:44:05","modified_gmt":"2025-01-07T15:44:05","slug":"lamivudine-3tc-lamivudin-vidipha","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/lamivudine-3tc-lamivudin-vidipha\/","title":{"rendered":"Lamivudine (3TC) &#8211; Lamivudin Vidipha"},"content":{"rendered":"<p><em>Thu\u1ed1c Lamivudin Vidipha 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 Lamivudin Vidipha (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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine-3tc-lamivudin-vidipha\/#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\/lamivudine\/\"><strong>Lamivudine (3TC)<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c kh\u00e1ng virus.<\/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): J05AF05.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/lamivudine-zeffix\/\">Zeffix<\/a><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Lamivudin<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Trung \u01b0\u01a1ng Vidipha<\/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 bao phim: 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>LAMIVUDIN 100MG<\/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>Lamivudine<\/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=\"696\" height=\"233\" class=\"wp-image-36346\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/10\/word-image-29.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/10\/word-image-29.png 696w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/10\/word-image-29-300x100.png 300w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/p>\n<h1><span class=\"ez-toc-section\" id=\"3-video-by-pharmog\"><\/span>3. Video by Pharmog:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong>[VIDEO D\u01af\u1ee2C L\u00dd]<\/strong><\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>\u25ba K\u1ecbch B\u1ea3n: PharmogTeam<\/p>\n<p>\u25ba Youtube: https:\/\/www.youtube.com\/c\/pharmog<\/p>\n<p>\u25ba Facebook: https:\/\/www.facebook.com\/pharmog\/<\/p>\n<p>\u25ba Group : H\u1ed9i nh\u1eefng ng\u01b0\u1eddi m\u00ea d\u01b0\u1ee3c l\u00fd<\/p>\n<p>\u25ba Instagram : https:\/\/www.instagram.com\/pharmogvn\/<\/p>\n<p>\u25ba Website: pharmog.com<\/p>\n<h1><span class=\"ez-toc-section\" id=\"4-ung-dung-lam-sang\"><\/span>4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"41-chi-dinh\"><\/span>4.1. Ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb vi\u00eam gan si\u00eau vi B m\u00e3n t\u00ednh \u1edf ng\u01b0\u1eddi l\u1edbn v\u1edbi:<\/p>\n<p>B\u1ec7nh gan c\u00f3 b\u1eb1ng ch\u1ee9ng t\u00e1i t\u1ea1o virus c\u00f3 ho\u1ea1t t\u00ednh, m\u1ee9c alanin aminotransferase (ALT) trong huy\u1ebft thanh t\u0103ng cao li\u00ean t\u1ee5c v\u00e0 c\u00f3 b\u1eb1ng ch\u1ee9ng m\u00f4 h\u1ecdc c\u1ee7a vi\u00eam gan ho\u1ea1t \u0111\u1ed9ng v\u00e0 ch\u1ee9ng x\u01a1 h\u00f3a gan.<\/p>\n<p>B\u1ec7nh gan m\u1ea5t b\u00f9: ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c b\u1eadc hai kh\u00f4ng \u0111\u1ec1 kh\u00e1ng ch\u00e9o lamivudin.<\/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>D\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o b\u1eefa \u0103n.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p><em>Vi\u00eam gan si\u00eau vi B m\u00e3n t\u00ednh:<\/em><\/p>\n<p>Li\u1ec1u c\u1ee7a ng\u01b0\u1eddi l\u1edbn l\u00e0 100mg x 1 l\u1ea7n\/ng\u00e0y, u\u1ed1ng li\u00ean t\u1ee5c trong 9 &#8211; 12 th\u00e1ng cho \u0111\u1ebfn khi n\u1ed3ng \u0111\u1ed9 ADN-HBV huy\u1ebft thanh tr\u1edf n\u00ean \u1ea5m t\u00ednh (d\u01b0\u1edbi ng\u01b0\u1ee1ng ph\u00e1t hi\u1ec7n v\u00e0 ALT tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ph\u1ea3i theo d\u00f5i \u0111\u1ecbnh k\u1ef3 b\u1ec7nh nh\u00e2n b\u1edfi b\u00e1c s\u1ef9 c\u00f3 kinh nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb vi\u00eam gan B m\u1ea1n t\u00ednh nh\u1eb1m \u0111\u00e1nh gi\u00e1 thu\u1ed1c c\u00f2n hi\u1ec7u qu\u1ea3 kh\u00f4ng v\u00e0 thay \u0111\u1ed5i tr\u1ecb li\u1ec7u n\u1ebfu c\u1ea7n.<\/p>\n<p>Ph\u1ea3i th\u00f4ng b\u00e1o cho b\u1ec7nh nh\u00e2n v\u1ec1 kh\u1ea3 n\u0103ng kh\u00e1ng thu\u1ed1c, v\u1ec1 kh\u1ea3 n\u0103ng b\u1ec7nh n\u1eb7ng l\u00ean khi ng\u1eebng d\u00f9ng lamivudin v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u1ef9 nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1edbi xu\u1ea5t hi\u1ec7n.<\/p>\n<p><em>B\u1ec7nh nh\u00e2n nhi\u1ec5m \u0111\u1ed3ng th\u1eddi HIV v\u00e0 nhi\u1ec5m vi\u00eam gan si\u00eau vi B:<\/em> d\u00f9ng li\u1ec1u th\u00edch h\u1ee3p kh\u00e1ng virus HIV.<\/p>\n<p>Li\u1ec1u d\u00f9ng cho b\u1ec7nh nh\u00e2n suy th\u1eadn: n\u00ean gi\u1ea3m li\u1ec1u lamivudin \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy th\u1eadn v\u1eeba v\u00e0 n\u1eb7ng (\u0111\u1ed9 thanh th\u1ea3i creatinin (CC) d\u01b0\u1edbi 50ml\/ph\u00fat).<\/p>\n<p><em>Ng\u01b0\u1eddi l\u1edbn vi\u00eam gan si\u00eau vi B m\u00e3n t\u00ednh:<\/em><\/p>\n<p>CC 30 &#8211; 49 ml\/ph\u00fat: li\u1ec1u \u0111\u1ea7u ti\u00ean 100mg, sau \u0111\u00f3 50mg x 1 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>CC 15 &#8211; 20 ml\/ph\u00fat: li\u1ec1u \u0111\u1ea7u ti\u00ean 100mg, sau \u0111\u00f3 25mg x 1 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>CC 5 &#8211; 14 ml\/ph\u00fat: li\u1ec1u \u0111\u1ea7u ti\u00ean 35mg, sau \u0111\u00f3 15mg x 1 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>CC nh\u1ecf h\u01a1n 5 ml\/ph\u00fat: li\u1ec1u \u0111\u1ea7u ti\u00ean 35mg, sau \u0111\u00f3 10mg x 1 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>B\u1ec7nh nh\u00e2n th\u1ea9m ph\u00e2n m\u00e1u: kh\u00f4ng c\u00f3 s\u1ef1 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u n\u00e0o kh\u00e1c h\u01a1n l\u00e0 d\u1ef1a v\u00e0o CC.<\/p>\n<p>B\u1ec7nh nh\u00e2n th\u1ea9m ph\u00e2n m\u00e0ng b\u1ee5ng: kh\u00f4ng khuy\u1ebfn c\u00e1o.<\/p>\n<p><em>Tr\u1ebb em:<\/em> thu\u1ed1c n\u00e0y kh\u00f4ng d\u00f9ng cho tr\u1ebb nh\u1ecf.<\/p>\n<p><em>Suy gan<\/em>: d\u1eef li\u1ec7u thu \u0111\u01b0\u1ee3c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy gan m\u1ee9c \u0111\u1ed9 v\u1eeba \u0111\u1ebfn n\u1eb7ng cho th\u1ea5y \u0111\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a lamivudin kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 b\u1edfi vi\u1ec7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan.[Pharmog]. D\u1ef1a tr\u00ean nh\u1eefng d\u1eef li\u1ec7u n\u00e0y, kh\u00f4ng c\u1ea7n thi\u1ebft \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy gan v\u1eeba ho\u1eb7c n\u1eb7ng tr\u1eeb khi k\u00e8m theo suy th\u1eadn.<\/p>\n<p><em>Ng\u01b0\u1eddi gi\u00e0<\/em>: kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u c\u1ee5 th\u1ec3; Tuy nhi\u00ean, n\u00ean ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t cho l\u1ee9a tu\u1ed5i n\u00e0y do s\u1ef1 thay \u0111\u1ed5i tu\u1ed5i t\u00e1c n\u00ean b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 thay \u0111\u1ed5i th\u00f4ng s\u1ed1 huy\u1ebft h\u1ecdc.<\/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=\"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 b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c..<\/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>N\u00ean ng\u01b0ng d\u00f9ng lamivudin khi c\u00f3 x\u1ea3y ra \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n hay c\u00e1c k\u1ebft qu\u1ea3 th\u1eed nghi\u1ec7m sinh h\u00f3a b\u1ea5t th\u01b0\u1eddng cho \u0111\u1ebfn khi \u0111\u00e3 lo\u1ea1i tr\u1eeb t\u00ecnh tr\u1ea1ng vi\u00eam t\u1ee5y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb v\u1edbi lamivudin c\u00f3 th\u1ec3 c\u00f3 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng nhi\u1ec5m acid lactic, n\u00ean ng\u1eebng thu\u1ed1c n\u1ebfu n\u1ed3ng \u0111\u1ed9 aminotransferase t\u0103ng nhanh, gan to ti\u1ebfn tri\u1ec3n, nhi\u1ec5m toan chuy\u1ec3n h\u00f3a hay nhi\u1ec5m acid lactic kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n<p>N\u00ean d\u00f9ng thu\u1ed1c th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n gan to ho\u1eb7c c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c g\u00e2y b\u1ec7nh gan.<\/p>\n<p>\u1ede nh\u1eefng ng\u01b0\u1eddi vi\u00eam gan si\u00eau vi B m\u1ea1n t\u00ednh, sau khi ng\u01b0ng d\u00f9ng lamivudin c\u00f3 th\u1ec3 g\u00e2y t\u00e1i ph\u00e1t b\u1ec7nh vi\u00eam gan, n\u00ean theo d\u00f5i ch\u1ee9c n\u0103ng gan \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p><em>Vi\u00eam gan Delta v\u00e0 vi\u00eam gan C<\/em>: hi\u1ec7u qu\u1ea3 c\u1ee7a lamivudin \u1edf b\u1ec7nh nh\u00e2n \u0111\u1ed3ng nhi\u1ec5m vi\u00eam gan B Delta ho\u1eb7c vi\u00eam gan C ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn v\u00e0 n\u00ean th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng.<\/p>\n<p>\u0110\u1ed3ng nhi\u1ec5m HIV: \u0110\u1ed1i v\u1edbi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111\u1ed3ng nhi\u1ec5m HIV v\u00e0 hi\u1ec7n \u0111ang s\u1eed d\u1ee5ng ho\u1eb7c c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb v\u1edbi lamivudin ho\u1eb7c k\u1ebft h\u1ee3p lamivudin v\u1edbi zidovudin ,li\u1ec1u lamivudin quy \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi nhi\u1ec5m HIV (th\u01b0\u1eddng l\u00e0 150mg\/l\u1ea7n m\u1ed7i ng\u00e0y k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c kh\u00e1ng retrovirus kh\u00e1c) n\u00ean \u0111\u01b0\u1ee3c duy tr\u00ec. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u1ed3ng nhi\u1ec5m HIV kh\u00f4ng \u0111i\u1ec1u tr\u1ecb kh\u00e1ng virus, c\u00f3 nguy c\u01a1 \u0111\u1ed9t bi\u1ebfn HIV khi s\u1eed d\u1ee5ng lamivudin m\u1ed9t minh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam gan B m\u00e3n t\u00ednh.<\/p>\n<p><em>L\u00e2y nhi\u1ec5m vi\u00eam gan B:<\/em><\/p>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin v\u1ec1 vi\u1ec7c l\u00e2y nhi\u1ec5m virus vi\u00eam gan B gi\u1eefa m\u1eb9 v\u00e0 thai nhi \u1edf ph\u1ee5 n\u1eef mang thai \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi lamivudin. Tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb \u00e1p d\u1ee5ng qui tr\u00ecnh chu\u1ea9n ti\u00eam ch\u1ee7ng ph\u00f2ng ng\u1eeba virus vi\u00eam gan B.<\/p>\n<p>B\u1ec7nh nh\u00e2n n\u00ean bi\u1ebft vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u1edbi lamivudin ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y truy\u1ec1n c\u1ee7a virus vi\u00eam gan B cho ng\u01b0\u1eddi kh\u00e1c, do \u0111\u00f3 v\u1eabn c\u1ea7n th\u1ef1c hi\u1ec7n bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba th\u00edch h\u1ee3p<\/p>\n<p><em>T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c<\/em><\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng lamivudin c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 ch\u1ee9a lamivudin ho\u1eb7c c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c c\u00f3 ch\u1ee9a emtricitabin (xem m\u1ee5c T\u01b0\u01a1ng t\u00e1c thu\u1ed1c).<\/p>\n<p>Kh\u00f4ng n\u00ean k\u1ebft h\u1ee3p lamivudin v\u1edbi cladribin (xem m\u1ee5c T\u01b0\u01a1ng t\u00e1c thu\u1ed1c).<\/p>\n<p>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p galactose, thi\u1ebfu h\u1ee5t Lapp lactase, r\u1ed1i lo\u1ea1n h\u1ea5p thu glucose-galactose.<\/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>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y nh\u1ee9c \u0111\u1ea7u ch\u00f3ng m\u1eb7t.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"45-su-dung-cho-phu-nu-co-thai-va-cho-con-bu\"><\/span>4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>X\u1ebfp h\u1ea1ng c\u1ea3nh b\u00e1o<\/em><\/p>\n<p>AU TGA pregnancy category: B3<\/p>\n<p>US FDA pregnancy category: C<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Nghi\u00ean c\u1ee9u tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai cho th\u1ea5y thu\u1ed1c kh\u00f4ng g\u00e2y h\u1ea1i tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai. C\u00f3 th\u1ec3 d\u00f9ng lamivudin n\u1ebfu th\u1ea5y c\u1ea7n thi\u1ebft.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Sau khi u\u1ed1ng, lamivudin \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft trong s\u1eefa m\u1eb9 v\u1edbi n\u1ed3ng \u0111\u1ed9 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a thu\u1ed1c trong huy\u1ebft thanh. Do v\u1eady, nh\u1eefng ng\u01b0\u1eddi m\u1eb9 \u0111ang d\u00f9ng lamivudin kh\u00f4ng n\u00ean cho con b\u00fa.<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"46-tac-dung-khong-mong-muon-adr\"><\/span>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>Th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/100<\/em><\/p>\n<p>Th\u1ea7n kinh trung \u01b0\u01a1ng: nh\u1ee9c \u0111\u1ea7u, m\u1ea5t ng\u1ee7, kh\u00f3 ch\u1ecbu, m\u1ec7t m\u1ecfi, \u0111au, ch\u00f3ng m\u1eb7t, tr\u1ea7m c\u1ea3m, s\u1ed1t, r\u00e9t run.<\/p>\n<p>Ti\u00eau h\u00f3a: bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y, ch\u00e1n \u0103n, \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau, t\u0103ng amylase.<\/p>\n<p>Th\u1ea7n kinh &#8211; c\u01a1 v\u00e0 x\u01b0\u01a1ng: b\u1ec7nh d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean, d\u1ecb c\u1ea3m, \u0111au c\u01a1, \u0111au kh\u1edbp.<\/p>\n<p>H\u00f4 h\u1ea5p: d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng \u1edf m\u0169i, h\u1ecd.<\/p>\n<p>Da: ban.<\/p>\n<p>Huy\u1ebft h\u1ecdc: gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, thi\u1ebfu m\u00e1u.<\/p>\n<p>Gan: t\u0103ng AST, ALT.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/1000 &lt; ADR &lt; 1\/100<\/em><\/p>\n<p>Ti\u00eau h\u00f3a: vi\u00eam t\u1ee5y.<\/p>\n<p>Huy\u1ebft h\u1ecdc: gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/p>\n<p>Gan: t\u0103ng bilirubin huy\u1ebft.<\/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>Ph\u1ea3i ng\u1eebng lamivudin ngay n\u1ebfu c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng, tri\u1ec7u ch\u1ee9ng, ho\u1eb7c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y c\u00f3 th\u1ec3 x\u1ea3y ra vi\u00eam t\u1ee5y.<\/p>\n<p>Ph\u1ea3i ng\u1eebng lamivudin ngay n\u1ebfu c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng, tri\u1ec7u ch\u1ee9ng, ho\u1eb7c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y nhi\u1ec5m toan lactic, ho\u1eb7c b\u1ecb \u0111\u1ed9c l\u00ean gan (gan to, t\u00edch m\u1ee1, ngay c\u1ea3 khi transaminase t\u0103ng kh\u00f4ng cao l\u1eafm).<\/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>Nghi\u00ean c\u1ee9u t\u01b0\u01a1ng t\u00e1c ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Kh\u1ea3 n\u0103ng t\u01b0\u01a1ng t\u00e1c do chuy\u1ec3n h\u00f3a th\u1ea5p v\u00ec qu\u00e1 tr\u00ecnh chuy\u1ec3n ho\u00e1 v\u00e0 g\u1eafn v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng b\u1ecb h\u1ea1n ch\u1ebf v\u00e0 c\u00e1c ch\u1ea5t kh\u00f4ng bi\u1ebfn \u0111\u1ed5i \u0111\u01b0\u1ee3c th\u1eadn th\u1ea3i tr\u1eeb g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n.<\/p>\n<p>Lamivudin ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf b\u1eb1ng c\u00e1ch b\u00e0i ti\u1ebft c\u00e1c cation h\u1eefu c\u01a1 ho\u1ea1t \u0111\u1ed9ng. Kh\u1ea3 n\u0103ng t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c khi d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft ch\u1ee7 y\u1ebfu b\u1edfi th\u1eadn qua h\u1ec7 th\u1ed1ng v\u1eadn chuy\u1ec3n cation h\u1eefu c\u01a1 vi d\u1ee5 trimethoprim. S\u1ea3n ph\u1ea9m thu\u1ed1c kh\u00e1c (v\u00ed d\u1ee5 nh\u01b0 ranitidin, cimetidin) ch\u1ec9 th\u1ea3i tr\u1eeb m\u1ed9t ph\u1ea7n b\u1edfi c\u01a1 ch\u1ebf n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c bi\u1ebft kh\u00f4ng t\u01b0\u01a1ng t\u00e1c v\u1edbi lamivudin.<\/p>\n<p>C\u00e1c ch\u1ea5t ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua con \u0111\u01b0\u1eddng anion h\u1eefu c\u01a1 ho\u1ea1t \u0111\u1ed9ng, ho\u1eb7c b\u1eb1ng c\u00e1ch l\u1ecdc c\u1ea7u th\u1eadn kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u01b0\u01a1ng t\u00e1c c\u00f3 \u00fd ngh\u0129a l\u00e2m s\u00e0ng v\u1edbi lamivudin.<\/p>\n<p>S\u1eed d\u1ee5ng trimethoprim\/sulfamethoxazole160mg\/800mg l\u00e0m t\u0103ng sinh kh\u1ea3 d\u1ee5ng lamivudin kho\u1ea3ng 40%. Lamivudin kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a trimethoprim ho\u1eb7c sulphamethoxazol. Tuy nhi\u00ean, tr\u1eeb khi b\u1ec7nh nh\u00e2n c\u00f3 suy th\u1eadn, kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u c\u1ee7a lamivudin.<\/p>\n<p>Cmax t\u0103ng r\u1ea5t \u00edt (28%) \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t khi d\u00f9ng zidovudin v\u1edbi lamivudin, tuy nhi\u00ean AUC kh\u00f4ng b\u1ecb thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3. Zidovudin kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a lamivudin (xem m\u1ee5c D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc).<\/p>\n<p>Lamivudin kh\u00f4ng c\u00f3 t\u01b0\u01a1ng t\u00e1c d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc v\u1edbi alpha-interferon khi hai thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi. Kh\u00f4ng quan s\u00e1t th\u1ea5y c\u00f3 t\u01b0\u01a1ng t\u00e1c b\u1ea5t l\u1ee3i \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng \u1edf b\u1ec7nh nh\u00e2n d\u00f9ng lamivudin \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng (v\u00ed d\u1ee5 nh\u01b0 cyclosporin A). Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u t\u01b0\u01a1ng t\u00e1c ch\u00ednh th\u1ee9c ch\u01b0a \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n<p>Emtricitabin: Do t\u01b0\u01a1ng \u0111\u1ed3ng, lamivudin kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1 cytidin kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 emtricitabin. H\u01a1n n\u1eefa, lamivudin kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 ch\u1ee9a lamivudin (xem ph\u1ea7n Th\u1eadn tr\u1ecdng).<\/p>\n<p>Th\u1eed nghi\u1ec7m in vitro cho th\u1ea5y lamivudin \u1ee9c ch\u1ebf phosphoryl h\u00f3a n\u1ed9i b\u00e0o c\u1ee7a cladribin d\u1eabn \u0111\u1ebfn nguy c\u01a1 gi\u1ea3m hi\u1ec7u qu\u1ea3 cladribin trong li\u1ec7u tr\u00ecnh k\u1ebft h\u1ee3p thu\u1ed1c trong l\u00e2m s\u00e0ng. M\u1ed9t s\u1ed1 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng c\u0169ng cho th\u1ea5y c\u00f3 th\u1ec3 c\u00f3 t\u01b0\u01a1ng t\u00e1c gi\u1eefa lamivudin v\u00e0 cladribin. V\u00ec v\u1eady, vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi lamivudin v\u1edbi cladribin kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb (xem ph\u1ea7n th\u1eadn tr\u1ecdng).<\/p>\n<p>M\u1eb7c d\u00f9 AUC kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u, s\u1ef1 h\u1ea5p thu lamivudin b\u1ecb ch\u1eadm l\u1ea1i v\u00e0 n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh huy\u1ebft t\u01b0\u01a1ng th\u1ea5p h\u01a1n 40% khi cho ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng thu\u1ed1c l\u00fac no so v\u1edbi khi u\u1ed1ng thu\u1ed1c l\u00fac \u0111\u00f3i.<\/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>C\u00f3 r\u1ea5t \u00edt th\u00f4ng tin v\u1ec1 qu\u00e1 li\u1ec1u, m\u1eb7c d\u00f9 khi qu\u00e1 li\u1ec1u, kh\u00f4ng th\u1ea5y c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng, m\u1eb7t kh\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u v\u1eabn b\u00ecnh th\u01b0\u1eddng. Kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c. Lamivudin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ea3i th\u00f4ng qua l\u1ecdc m\u00e1u..<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h1><span class=\"ez-toc-section\" id=\"5-co-che-tac-dung-cua-thuoc\"><\/span>5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"51-duoc-luc-hoc\"><\/span>5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lamivudin l\u00e0 1 thu\u1ed1c t\u1ed5ng h\u1ee3p kh\u00e1ng retrovirus, thu\u1ed9c nh\u00f3m dideoxynucleosid \u1ee9c ch\u1ebf enzym phi\u00ean m\u00e3 ng\u01b0\u1ee3c c\u1ee7a virus. \u0110\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng lamivudin ph\u1ea3i \u0111\u01b0\u1ee3c enzym t\u1ebf b\u00e0o phosphoryl h\u00f3a v\u00e0 bi\u1ebfn \u0111\u1ed5i th\u00e0nh m\u1ed9t ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh, ch\u1ea5t chuy\u1ec3n h\u00f3a 5-triphosphat. [Pharmog].Ch\u1ea5t chuy\u1ec3n h\u00f3a n\u00e0y c\u00f3 c\u1ea5u tr\u00fac t\u01b0\u01a1ng t\u1ef1 deoxycytidin triphosphat l\u00e0 c\u01a1 ch\u1ea5t t\u1ef1 nhi\u00ean cho enzym phi\u00ean m\u00e3 ng\u01b0\u1ee3c. Thu\u1ed1c c\u00f3 ho\u1ea1t t\u00ednh c\u1ea1nh tranh v\u1edbi deoxycytidin triphosphat t\u1ef1 nhi\u00ean \u0111\u1ec3 h\u1ee3p nh\u1ea5t v\u00e0o DNA c\u1ee7a virus b\u1edfi enzym phi\u00ean m\u00e3 ng\u01b0\u1ee3c, g\u00e2y k\u1ebft th\u00fac s\u1edbm t\u1ed5ng h\u1ee3p DNA c\u1ee7a virus. Lamivudin c\u00f3 \u0111\u1ed9c t\u00ednh r\u1ea5t th\u1ea5p \u0111\u1ed1i v\u1edbi t\u1ebf b\u00e0o.<\/p>\n<p>Lamivudin c\u00f3 ho\u1ea1 t\u00ednh k\u00ecm virus HIV type 1 v\u00e0 2 (HIV-1, HIV-2), v\u00e0 c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf virus vi\u00eam gan B \u1edf ng\u01b0\u1eddi b\u1ec7nh m\u1ea1n t\u00ednh. Tuy \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t, nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng lamivudin \u0111\u01a1n \u0111\u1ed9c, v\u00ec d\u1ec5 sinh kh\u00e1ng thu\u1ed1c. S\u1ef1 kh\u00e1ng n\u00e0y do \u0111\u1ed9t bi\u1ebfn v\u1ec1 enzym phi\u00ean m\u00e3 ng\u01b0\u1ee3c, l\u00e0m gi\u1ea3m t\u00ednh nh\u1ea1y c\u1ea3m h\u01a1n 100 l\u1ea7n v\u00e0 l\u00e0m m\u1ea5t t\u00e1c d\u1ee5ng kh\u00e1ng virus tr\u00ean ng\u01b0\u1eddi b\u1ec7nh. Li\u1ec7u ph\u00e1p ph\u1ed1i h\u1ee3p lamivudin v\u00e0 zidovudin \u1edf ng\u01b0\u1eddi b\u1ec7nh ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y, l\u00e0m gi\u1ea3m kho\u1ea3ng 10 l\u1ea7n m\u1eadt \u0111\u1ed9 virus trong huy\u1ebft t\u01b0\u01a1ng, t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i h\u01a1n 1 n\u0103m, m\u1eb7c d\u00f9 c\u00f3 s\u1ef1 \u0111\u1ed9t bi\u1ebfn c\u1ee7a enzym phi\u00ean m\u00e3 ng\u01b0\u1ee3c..<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Lamivudin \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a n\u1ed9i b\u00e0o t\u1ea1o th\u00e0nh d\u1ea1ng triphosphat. Triphosphat n\u00e0y \u1ee9c ch\u1ebf s\u1ef1 t\u1ed5ng h\u1ee3p DNA c\u1ee7a retrovirus, bao g\u1ed3m virus HIV, th\u00f4ng qua s\u1ef1 \u1ee9c ch\u1ebf c\u1ea1nh tranh v\u1edbi enzym sao ch\u00e9p ng\u01b0\u1ee3c v\u00e0 s\u1ef1 g\u1eafn k\u1ebft v\u00e0o DNA c\u1ee7a virus. Lamivudin c\u0169ng c\u00f3 ho\u1ea1t t\u00ednh kh\u00e1ng virus g\u00e2y vi\u00eam gan B.<\/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>Sau khi u\u1ed1ng, lamivudin h\u1ea5p thu nhanh v\u00e0 n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh huy\u1ebft thanh \u0111\u1ea1t sau kho\u1ea3ng 1 gi\u1edd (u\u1ed1ng l\u00fac \u0111\u00f3i), l\u00e0 3,2 gi\u1edd (u\u1ed1ng l\u00fac no). Th\u1ee9c \u0103n l\u00e0m ch\u1eadm nh\u01b0ng kh\u00f4ng l\u00e0m gi\u1ea3m h\u1ea5p thu thu\u1ed1c. Th\u1eddi gian b\u00e1n hu\u1ef7 trong huy\u1ebft t\u01b0\u01a1ng trung b\u00ecnh l\u00e0 2,5 gi\u1edd v\u00e0 kho\u1ea3ng 70% c\u1ee7a li\u1ec7u \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb kh\u00f4ng thay \u0111\u1ed5i.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn: r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c th\u1ea3i tr\u1eeb lamivudin. C\u1ea7n gi\u1ea3m li\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ed9 thanh th\u1ea3i creatinin &lt; 50ml ph\u00fat (xem, ph\u1ea7n Li\u1ec1u l\u01b0\u1ee3ng).<\/p>\n<p>\u1ede b\u1ec7nh nh\u00e2n suy gan: d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a lamivudin kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng, tr\u1eeb khi k\u00e8m theo suy 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><\/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>T\u00e1 d\u01b0\u1ee3c: Microcrystallin cellulose, povidon K30, croscarmellose natri, acid stearic, colloidal silica khan, hypromellose, macrogol 6000, talc, titan dioxyd, oxyd s\u1eaft \u0111\u1ecf, oxyd s\u1eaft v\u00e0ng v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"62-tuong-ky\"><\/span>6.2. T\u01b0\u01a1ng k\u1ef5 :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng \u00e1p d\u1ee5ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"63-bao-quan\"><\/span>6.3. B\u1ea3o qu\u1ea3n:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>N\u01a1i kh\u00f4, tr\u00e1nh \u00e1nh s\u00e1ng, nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"64-thong-tin-khac\"><\/span>6.4. Th\u00f4ng tin kh\u00e1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng c\u00f3.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"65-tai-lieu-tham-khao\"><\/span>6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u01b0\u1ee3c Th\u01b0 Qu\u1ed1c Gia Vi\u1ec7t Nam<\/p>\n<p>Ho\u1eb7c HDSD Thu\u1ed1c.<\/p>\n<h1><span class=\"ez-toc-section\" id=\"7-nguoi-dang-tai-tac-gia\"><\/span>7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c s\u01b0u t\u1ea7m ho\u1eb7c vi\u1ebft b\u1edfi: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-tac-gia-bac-sy-do-my-linh\/\">B\u00e1c s\u0129 nhi khoa &#8211; \u0110\u1ed7 M\u1ef9 Linh.<\/a><\/p>\n<p>Ki\u1ec3m duy\u1ec7t , hi\u1ec7u \u0111\u00ednh v\u00e0 \u0111\u0103ng t\u1ea3i: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-ve-pharmog-team\/\">PHARMOG TEAM<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Lamivudin Vidipha 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 Lamivudin Vidipha (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 : Lamivudine (3TC) Ph\u00e2n lo\u1ea1i: Thu\u1ed1c kh\u00e1ng [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":36346,"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":[1442],"class_list":["post-36345","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-lamivudine"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/36345","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=36345"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/36345\/revisions"}],"predecessor-version":[{"id":36347,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/36345\/revisions\/36347"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/36346"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=36345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=36345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=36345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}