{"id":3962,"date":"2019-02-12T15:39:24","date_gmt":"2019-02-12T08:39:24","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=3962"},"modified":"2025-01-08T22:27:47","modified_gmt":"2025-01-08T15:27:47","slug":"lornoxicam","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/lornoxicam\/","title":{"rendered":"Lornoxicam"},"content":{"rendered":"<p><em>Thu\u1ed1c Lornoxicam 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 Lornoxicam (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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/#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\/lornoxicam\/\"><strong>Lornoxicam\u00a0<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u00f4\u0301c kha\u0301ng vi\u00eam Non-steroid (NSAIDS).<\/em><\/p>\n<p><strong><em>Nh\u00f3m<\/em><\/strong> <strong><em>ph\u00e1p l\u00fd: <\/em><\/strong><em>Thu\u1ed1c k\u00ea \u0111\u01a1n ETC \u2013 (Ethical drugs, prescription drugs, Prescription only medicine)<\/em><\/p>\n<p><strong><em>M\u00e3 ATC<\/em><\/strong> (Anatomical Therapeutic Chemical): M01AC05.<\/p>\n<p><strong>Brand name:<\/strong><\/p>\n<p><strong>Generic <\/strong>: Antilus , Noximaid, <a href=\"https:\/\/pharmog.com\/wp\/lornoxicam-arbuntec-vocfor\/\">Arbuntec , Vocfor<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/lornoxicam-focgo\/\">Focgo<\/a>, Sozfax , Lornomeyer , <a href=\"https:\/\/pharmog.com\/wp\/lornoxicam-flexilor\/\">Flexilor<\/a> , <a href=\"https:\/\/pharmog.com\/wp\/lornoxicam-larfix-tablets\/\">Larfix Tablets<\/a> , <a href=\"https:\/\/pharmog.com\/wp\/lornoxicam-lorakam\/\">Lorakam<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/lornoxicam-livorax\/\">Livorax<\/a><\/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 4 mg, 8 mg.<\/p>\n<p>B\u1ed9t \u0111\u00f4ng kh\u00f4 \u0111\u1ec3 pha dung d\u1ecbch ti\u00eam b\u1eafp \/t\u0129nh m\u1ea1ch 8mg<\/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>LORNOXICAM INJECTION<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i l\u1ecd b\u1ed9t \u0111\u00f4ng kh\u00f4 c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Lornoxicam<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>8 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=\"460\" height=\"448\" class=\"wp-image-32972\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/02\/word-image-32.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/02\/word-image-32.png 460w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/02\/word-image-32-300x292.png 300w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/><\/p>\n<h1><span class=\"ez-toc-section\" id=\"3-video-by-pharmog\"><\/span>3. Video by Pharmog:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong>[VIDEO D\u01af\u1ee2C L\u00dd]<\/strong><\/p>\n<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe loading=\"lazy\" title=\"[Pharmog SS1 - T\u1eadp 10] - D\u01b0\u1ee3c l\u00fd v\u1ec1 Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid - NSAIDs\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/uIvbbYNDCZ8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>\u25ba K\u1ecbch B\u1ea3n: PharmogTeam<\/p>\n<p>\u25ba Youtube: https:\/\/www.youtube.com\/c\/pharmog<\/p>\n<p>\u25ba Facebook: https:\/\/www.facebook.com\/pharmog\/<\/p>\n<p>\u25ba Group : H\u1ed9i nh\u1eefng ng\u01b0\u1eddi m\u00ea d\u01b0\u1ee3c l\u00fd<\/p>\n<p>\u25ba Instagram : https:\/\/www.instagram.com\/pharmogvn\/<\/p>\n<p>\u25ba Website: pharmog.com<\/p>\n<h1><span class=\"ez-toc-section\" id=\"4-ung-dung-lam-sang\"><\/span>4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"41-chi-dinh\"><\/span>4.1. Ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n t\u1eeb \u0111au nh\u1eb9 \u0111\u1ebfn \u0111au v\u1eeba. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111au trong vi\u00eam x\u01b0\u01a1ng kh\u1edbp v\u00e0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p.<\/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\u1ea1ng vi\u00ean: S\u1eed d\u1ee5ng theo \u0111\u01b0\u1eddng u\u1ed1ng. N\u00ean u\u1ed1ng thu\u1ed1c tr\u01b0\u1edbc b\u1eefa \u0103n v\u00e0 u\u1ed1ng v\u1edbi nhi\u1ec1u n\u01b0\u1edbc.<\/p>\n<p>Thu\u1ed1c b\u1ed9t pha ti\u00eam: D\u00f9ng \u0111\u01b0\u1eddng ti\u00eam b\u1eafp ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>\u0110\u01b0\u1eddng u\u1ed1ng:<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 18 tu\u1ed5i.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb \u0111au:<\/em><\/p>\n<p>U\u1ed1ng t\u1eeb 1-2 vi\u00ean 4mg\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>T\u1ed5ng li\u1ec1u h\u00e0ng ng\u00e0y kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 4 vi\u00ean 4mg.<\/p>\n<p><em>Vi\u00eam x\u01b0\u01a1ng kh\u1edbp v\u00e0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p:<\/em><\/p>\n<p>Li\u1ec1u h\u00e0ng ng\u00e0y ban \u0111\u1ea7u: 1 vi\u00ean 4mg \/l\u1ea7n x 3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Li\u1ec1u duy tr\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 4 vi\u00ean 4mg m\u1ed7i ng\u00e0y.<\/p>\n<p><em>Gi\u1ea3m li\u1ec1u trong nh\u00f3m \u0111\u1eb7c bi\u1ec7t:<\/em><\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n suy th\u1eadn ho\u1eb7c gan, \u0111\u1ec1 ngh\u1ecb li\u1ec1u duy tr\u00ec gi\u1ea3m xu\u1ed1ng c\u00f2n 3 vi\u00ean 4mg m\u1ed7i ng\u00e0y.<\/p>\n<p>\u0110\u01b0\u1eddng ti\u00eam:<\/p>\n<p><em>Gi\u1ea3m \u0111au<\/em><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn: 8 mg x 1 l\u1ea7n ho\u1eb7c 2 l\u1ea7n m\u1ed7i ng\u00e0y b\u1eb1ng ti\u00eam ti\u00eam b\u1eafp\/ti\u00eam t\u0129nh m\u1ea1ch. T\u1ed1i \u0111a: 24 mg\/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>B\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn (co th\u1eaft ph\u1ebf qu\u1ea3n, vi\u00eam m\u0169i, ph\u00f9 m\u1ea1ch ho\u1eb7c n\u1ed5i m\u1ec1 \u0111ay) v\u1edbi thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid kh\u00e1c, bao g\u1ed3m axit acetylic salicylic.<\/p>\n<p>D\u1ea1 d\u00e0y &#8211; ru\u1ed9t ch\u1ea3y m\u00e1u, xu\u1ea5t huy\u1ebft m\u1ea1ch m\u00e1u n\u00e3o.<\/p>\n<p>R\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u v\u00e0 \u0111\u00f4ng m\u00e1u.<\/p>\n<p>B\u1ec7nh nh\u00e2n lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed t\u00e1i ph\u00e1t lo\u00e9t d\u1ea1 d\u00e0y.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy gan n\u1eb7ng.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng (creatinin huy\u1ebft thanh &gt; 700 micromol\/L).<\/p>\n<p>B\u1ec7nh nh\u00e2n gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy tim n\u1eb7ng.<\/p>\n<p>B\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i (&gt; 65 tu\u1ed5i) v\u00e0 c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng d\u01b0\u1edbi 50 kg v\u00e0 ph\u1eabu thu\u1eadt c\u1ea5p.<\/p>\n<p>Ph\u1ee5 n\u1eef c\u00f3 thai ho\u1eb7c cho con b\u00fa.<\/p>\n<p>B\u1ec7nh nh\u00e2n d\u01b0\u1edbi 18 tu\u1ed5i.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u00f3 ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 ch\u1ea3y m\u00e1u; xu\u1ea5t huy\u1ebft m\u1ea1ch m\u00e1u n\u00e3o tr\u01b0\u1edbc, vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, b\u1ec7nh Crohn, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a porphyrin, r\u1ed1i lo\u1ea1n t\u1ea1o m\u00e1u, b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng tim gi\u1ea3m. Khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng tim t\u1eeb nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh, ph\u1ea3i ch\u00fa \u00fd \u0111\u1ebfn nguy c\u01a1 gi\u1eef n\u01b0\u1edbc v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>B\u1ec7nh gan.<\/p>\n<p><em>Nguy c\u01a1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch:<\/em><\/p>\n<p>C\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAIDs), kh\u00f4ng ph\u1ea3i aspirin, d\u00f9ng \u0111\u01b0\u1eddng to\u00e0n th\u00e2n, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch, bao g\u1ed3m c\u1ea3 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. Nguy c\u01a1 n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n s\u1edbm trong v\u00e0i tu\u1ea7n \u0111\u1ea7u d\u00f9ng thu\u1ed1c v\u00e0 c\u00f3 th\u1ec3 t\u0103ng l\u00ean theo th\u1eddi gian d\u00f9ng thu\u1ed1c. Nguy c\u01a1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch \u0111\u01b0\u1ee3c ghi nh\u1eadn ch\u1ee7 y\u1ebfu \u1edf li\u1ec1u cao.<\/p>\n<p>B\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch, ngay c\u1ea3 khi b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch tr\u01b0\u1edbc \u0111\u00f3. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a bi\u1ebfn c\u1ed1 tim m\u1ea1ch nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea7n th\u0103m kh\u00e1m b\u00e1c s\u0129 ngay khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<p>\u0110\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i, c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c \u1edf li\u1ec1u h\u00e0ng ng\u00e0y th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n<p><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>V\u00ec thu\u1ed1c kh\u00f4ng g\u00e2y bu\u1ed3n ng\u1ee7 n\u00ean d\u00f9ng \u0111\u01b0\u1ee3c cho ng\u01b0\u1eddi 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: NA<\/p>\n<p>US FDA pregnancy category: NA<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Do ch\u01b0a c\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00f3 ki\u1ec3m so\u00e1t \u1edf ph\u1ee5 n\u1eef mang thai, n\u00ean kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y cho ph\u1ee5 n\u1eef \u0111ang mang thai.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Do kh\u00f4ng bi\u1ebft lornoxicam c\u00f3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 hay kh\u00f4ng, n\u00ean kh\u00f4ng s\u1eeb d\u1ee5ng cho ng\u01b0\u1eddi m\u1eb9 \u0111ang cho con b\u00fa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"46-tac-dung-khong-mong-muon-adr\"><\/span>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>R\u1ea5t th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/10<\/em><\/p>\n<p>Nh\u1ee9c \u0111au nh\u1eb9 v\u00e0 ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y v\u00e0 n\u00f4n m\u1eeda.<\/p>\n<p><em>Th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/100<\/em><\/p>\n<p>H\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng: Tr\u1ea7m c\u1ea3m, m\u1ea5t ng\u1ee7.<\/p>\n<p>M\u1eaft: Vi\u00eam k\u1ebft m\u1ea1c, r\u1ed1i lo\u1ea1n th\u1ecb l\u1ef1c.<\/p>\n<p>Th\u1ea7n kinh: Ch\u00f3ng m\u1eb7t, \u00f9 tai.<\/p>\n<p>Suy tim, nh\u1ecbp tim nhanh, nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, c\u1ea3m gi\u00e1c \u0111\u1ecf m\u1eb7t.<\/p>\n<p>D\u1ea1 d\u00e0y-ru\u1ed9t: \u0110au b\u1ee5ng, kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111\u1ea7y h\u01a1i, kh\u00f3 nu\u1ed1t, t\u00e1o b\u00f3n, vi\u00eam d\u1ea1 d\u00e0y, lo\u00e9t mi\u1ec7ng, kh\u00f4 mi\u1ec7ng.<\/p>\n<p>Gan: T\u0103ng transaminae.<\/p>\n<p>Da: Ph\u1ea3n \u1ee9ng da d\u1ecb \u1ee9ng nh\u01b0 vi\u00eam da, \u0111\u1ecf b\u1eebng v\u00e0 ng\u1ee9a, ph\u00f9 m\u1ea1ch, n\u1ed5i m\u1ec1 \u0111ay.<\/p>\n<p>R\u1ee5ng t\u00f3c.<\/p>\n<p>\u0110au kh\u1edbp.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/100 &gt; ADR &gt; 1\/1000<\/em><\/p>\n<p>H\u00f4 h\u1ea5p: Vi\u00eam h\u1ecdng.<\/p>\n<p>Huy\u1ebft h\u1ecdc: Thi\u1ebfu m\u00e1u, gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u, suy nh\u01b0\u1ee3c.<\/p>\n<p>Da: Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn, s\u1ed1c ph\u1ea3n v\u1ec7 (ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 th\u01b0\u1eddng g\u1eb7p do s\u01b0ng m\u1eb7t, \u0111\u1ecf b\u1eebng, kh\u00f3 th\u1edf v\u00e0 ch\u00f3ng m\u1eb7t).<\/p>\n<p>Th\u1ea7n kinh: Nh\u1ea7m l\u1eabn, c\u0103ng th\u1eb3ng, k\u00edch \u0111\u1ed9ng, c\u1ea3m th\u1ea5y bu\u1ed3n ng\u1ee7 (bu\u1ed3n ng\u1ee7), m\u1ea5t ng\u1ee7 (c\u1ea3m gi\u00e1c ng\u1ee9a ran), c\u1ea3m gi\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 v\u1ecb gi\u00e1c, run, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c.<\/p>\n<p>Cao huy\u1ebft \u00e1p.<\/p>\n<p>Ch\u1ea3y m\u00e1u, b\u1ea7m t\u00edm, th\u1eddi gian ch\u1ea3y m\u00e1u k\u00e9o d\u00e0i.<\/p>\n<p>Kh\u00f3 th\u1edf (th\u1edf nhanh), ho, co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n<p>D\u1ea1 d\u00e0y-ru\u1ed9t: Lo\u00e9t, \u00f3i ra m\u00e1u, ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y ru\u1ed9t, ph\u00e2n \u0111en.<\/p>\n<p>Vi\u00eam \u1edf mi\u1ec7ng, vi\u00eam th\u1ef1c v\u1eadt (vi\u00eam d\u1ea1 d\u00e0y), tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y-th\u1ef1c qu\u1ea3n, kh\u00f3 nu\u1ed1t, vi\u00eam stomatitis aphthous (vi\u00eam lo\u00e9t), vi\u00eam l\u01b0\u1ee1i.<\/p>\n<p>Gan: Ch\u1ee9c n\u0103ng gan b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 da: Nh\u01b0 ch\u00e0m, ph\u00e1t ban.<\/p>\n<p>\u0110au x\u01b0\u01a1ng, chu\u1ed9t r\u00fat c\u01a1, \u0111au c\u01a1.<\/p>\n<p>C\u00e1c v\u1ea5n \u0111\u1ec1 ti\u1ebft ni\u1ec7u nh\u01b0 ti\u1ec3u \u0111\u00eam ho\u1eb7c s\u1ef1 gia t\u0103ng m\u1ee9c \u0111\u1ed9 ur\u00ea v\u00e0 creatinin trong m\u00e1u.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p, ADR &lt; 1\/1000<\/em><\/p>\n<p>T\u1ed5n th\u01b0\u01a1ng gan, vi\u00eam gan, v\u00e0ng da, \u1ee9 m\u1eadt.<\/p>\n<p>B\u1ea7m t\u00edm, ph\u00f9 n\u1ec1, r\u1ed1i lo\u1ea1n da nghi\u00eam tr\u1ecdng (h\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed l\u1edbp bi\u1ec3u b\u00ec \u0111\u1ed9c).<\/p>\n<p>Vi\u00eam m\u00e0ng n\u00e3o v\u00f4 tr\u00f9ng.<\/p>\n<p>T\u00e1c d\u1ee5ng c\u1ee7a NSAID: Gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, t\u0103ng b\u1ea1ch c\u1ea7u h\u1ea1t, thi\u1ebfu m\u00e1u b\u1ea5t \u0111\u1ecbnh, thi\u1ebfu m\u00e1u tan huy\u1ebft, \u0111\u1ed9c t\u00ednh \u1edf th\u1eadn.<\/p>\n<p>Nguy c\u01a1 huy\u1ebft kh\u1ed1i tim m\u1ea1ch (xem th\u00eam ph\u1ea7n C\u1ea3nh b\u00e1o v\u00e0 th\u1eadn tr\u1ecdng).<\/p>\n<p><em> Th\u00f4ng b\u00e1o cho B\u00e1c s\u0129 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/em><\/p>\n<h2><span class=\"ez-toc-section\" id=\"47-huong-dan-cach-xu-tri-adr\"><\/span>4.7 H\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed tr\u00ed ADR:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c. V\u1edbi c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i nh\u1eb9, th\u01b0\u1eddng ch\u1ec9 c\u1ea7n ng\u1eebng thu\u1ed1c. Tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m n\u1eb7ng ho\u1eb7c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, c\u1ea7n ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 (gi\u1eef tho\u00e1ng kh\u00ed v\u00e0 d\u00f9ng epinephrin, th\u1edf oxygen, d\u00f9ng kh\u00e1ng histamin, corticoid&#8230;).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"48-tuong-tac-voi-cac-thuoc-khac\"><\/span>4.8 T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi lornoxicam v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u ho\u1eb7c ch\u1ea5t \u1ee9c ch\u1ebf k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u: C\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u1eddi gian ch\u1ea3y m\u00e1u.<\/p>\n<p>Sulphonylure: C\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid kh\u00e1c v\u00e0 aspirin: T\u0103ng nguy c\u01a1 ph\u1ea3n \u1ee9ng ph\u1ee5.<\/p>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u: Gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c l\u1ee3i ti\u1ec3u vong, NSAID ch\u1ed1ng l\u1ea1i t\u00e1c d\u1ee5ng l\u1ee3i ti\u1ec3u furosemid.<\/p>\n<p>\u1ee8c ch\u1ebf men chuy\u1ec3n: \u1ea2nh h\u01b0\u1edfng c\u1ee7a c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf ACE c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m v\u00e0 c\u00f3 nguy c\u01a1 suy th\u1eadn c\u1ea5p.<\/p>\n<p>Liti: C\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 gia t\u0103ng n\u1ed3ng \u0111\u1ed9 liti trong m\u00e1u v\u00e0 do \u0111\u00f3 kh\u1ea3 n\u0103ng t\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5. Tr\u00e1nh s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>Methotrexat: L\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 methotrexat trong m\u00e1u, tr\u00e1nh s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>Digoxin: Gi\u1ea3m \u0111\u1ed9 thanh th\u1ea3i th\u1eadn c\u1ee7a digoxin.<\/p>\n<p>Cyclosporin: T\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn.<\/p>\n<p>Lornoxicam c\u00f3 t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c g\u00e2y c\u1ea3m \u1ee9ng v\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf enzym CYP2C9 nh\u01b0 phenytoin, amiodaron, miconazol, tranylcypromin v\u00e0 rifampicin.<\/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><em>Tri\u1ec7u ch\u1ee9ng:<\/em><\/p>\n<p>D\u00f9ng qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, ch\u00f3ng m\u1eb7t, m\u1ea5t \u0111i\u1ec1u h\u00f2a, h\u00f4n m\u00ea v\u00e0 \u0111au b\u1ee5ng gan v\u00e0 th\u1eadn, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb:<\/em><\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p d\u00f9ng qu\u00e1 li\u1ec1u th\u1eadt hay nghi ng\u1edd, c\u00e1c thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c thu h\u1ed3i. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3..<\/p>\n<h1><span class=\"ez-toc-section\" id=\"5-co-che-tac-dung-cua-thuoc\"><\/span>5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"51-duoc-luc-hoc\"><\/span>5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lornoxicam (chlortenoxicam), l\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid m\u1edbi (NSAID) c\u1ee7a nh\u00f3m oxicam, t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, ch\u1ed1ng vi\u00eam v\u00e0 h\u1ea1 s\u1ed1t.<\/p>\n<p>C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a lornoxicam m\u1ed9t ph\u1ea7n d\u1ef1a tr\u00ean s\u1ef1 \u1ee9c ch\u1ebf s\u1ef1 t\u1ed5ng h\u1ee3p prostaglandin (\u1ee9c ch\u1ebf enzym cyclo-oxygenase).<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Lornoxicam, c\u00f3 t\u00ean kh\u00e1c l\u00e0 chlortenoxicam, l\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam phi steroid m\u1edbi thu\u1ed9c nh\u00f3m Oxicam, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au v\u00e0 ch\u1ed1ng vi\u00eam. Gi\u1ed1ng nh\u01b0 c\u00e1c NSAID kh\u00e1c, ho\u1ea1t \u0111\u1ed9ng ch\u1ed1ng vi\u00eam v\u00e0 gi\u1ea3m \u0111au c\u1ee7a lornoxicam c\u00f3 li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng \u1ee9c ch\u1ebf c\u1ee7a thu\u1ed1c tr\u00ean prostaglandin v\u00e0 thromboxan t\u1ed5ng h\u1ee3p th\u00f4ng qua s\u1ef1 \u1ee9c ch\u1ebf c\u1ea3 hai COX-1 v\u00e0 COX-2. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn vi\u1ec7c ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t qua trung gian b\u1edfi prostaglandin. Tuy nhi\u00ean, c\u01a1 ch\u1ebf ch\u00ednh x\u00e1c c\u1ee7a lornoxicam, gi\u1ed1ng nh\u01b0 c\u00e1c NSAID kh\u00e1c, ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u0111\u1ea7y \u0111\u1ee7.<\/p>\n<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe loading=\"lazy\" title=\"[Pharmog SS1 - T\u1eadp 10] - D\u01b0\u1ee3c l\u00fd v\u1ec1 Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid - NSAIDs\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/uIvbbYNDCZ8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p><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>Lomoxicam \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng v\u00e0 ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<p>N\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a \u0111\u1ea1t \u0111\u01b0\u1ee3c sau kho\u1ea3ng 1 \u0111\u1ebfn 2 gi\u1edd.<\/p>\n<p>Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i (t\u00ednh theo AUC c\u1ee7a lornoxicam l\u00e0 90-100%).<\/p>\n<p>Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh l\u00e0 3-4 gi\u1edd.<\/p>\n<p>Lornoxicam \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong huy\u1ebft t\u01b0\u01a1ng \u1edf d\u1ea1ng kh\u00f4ng thay \u0111\u1ed5i v\u00e0 nh\u01b0 ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxy c\u1ee7a n\u00f3. C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxy kh\u00f4ng c\u00f3 t\u00e1c \u0111\u1ed9ng d\u01b0\u1ee3c l\u00fd.<\/p>\n<p>Lornoxicam li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 99% v\u00e0 kh\u00f4ng ph\u1ee5 thu\u1ed9c n\u1ed3ng \u0111\u1ed9.<\/p>\n<p>Lornoxicam \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ho\u00e0n to\u00e0n, kho\u1ea3ng 2\/3 \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua gan v\u00e0 1\/3 qua th\u1eadn d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<p>Lornoxicam \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a b\u1edfi cytochrom P450 2C9.<\/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<h1><span class=\"ez-toc-section\" id=\"6-phan-thong-tin-kem-theo-cua-thuoc\"><\/span>6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"61-danh-muc-ta-duoc\"><\/span>6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"62-tuong-ky\"><\/span>6.2. T\u01b0\u01a1ng k\u1ef5 :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng \u00e1p d\u1ee5ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"63-bao-quan\"><\/span>6.3. B\u1ea3o qu\u1ea3n:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>N\u01a1i kh\u00f4, tr\u00e1nh \u00e1nh s\u00e1ng, nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"64-thong-tin-khac\"><\/span>6.4. Th\u00f4ng tin kh\u00e1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng c\u00f3.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"65-tai-lieu-tham-khao\"><\/span>6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u01b0\u1ee3c Th\u01b0 Qu\u1ed1c Gia Vi\u1ec7t Nam<\/p>\n<p>Ho\u1eb7c HDSD Thu\u1ed1c.<\/p>\n<h1><span class=\"ez-toc-section\" id=\"7-nguoi-dang-tai-tac-gia\"><\/span>7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c s\u01b0u t\u1ea7m ho\u1eb7c vi\u1ebft b\u1edfi: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-tac-gia-bac-sy-do-my-linh\/\">B\u00e1c s\u0129 nhi khoa &#8211; \u0110\u1ed7 M\u1ef9 Linh.<\/a><\/p>\n<p>Ki\u1ec3m duy\u1ec7t , hi\u1ec7u \u0111\u00ednh v\u00e0 \u0111\u0103ng t\u1ea3i: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-ve-pharmog-team\/\">PHARMOG TEAM<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Lornoxicam 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 Lornoxicam (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 : Lornoxicam\u00a0 Ph\u00e2n lo\u1ea1i: Thu\u00f4\u0301c kha\u0301ng vi\u00eam Non-steroid (NSAIDS). [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":32977,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","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":"","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":[2],"tags":[1302],"class_list":["post-3962","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thuoc-a-z","tag-lornoxicam"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/3962","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=3962"}],"version-history":[{"count":6,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/3962\/revisions"}],"predecessor-version":[{"id":32988,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/3962\/revisions\/32988"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/32977"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=3962"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=3962"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=3962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}