{"id":40337,"date":"2022-01-21T11:39:42","date_gmt":"2022-01-21T04:39:42","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=40337"},"modified":"2022-01-21T11:39:42","modified_gmt":"2022-01-21T04:39:42","slug":"trimetazidine-vaspycar","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/trimetazidine-vaspycar\/","title":{"rendered":"Trimetazidine &#8211; Vaspycar"},"content":{"rendered":"<p><em>Thu\u1ed1c Vaspycar MR, Vaspycar 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 Vaspycar MR, Vaspycar (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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine-vaspycar\/#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\/trimetazidine\/\"><strong>Trimetazidine<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c ch\u00f4\u0301ng \u0111au th\u0103\u0301t ng\u01b0\u0323c.<\/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): C01EB15.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/trimetazidine-vastarel\/\">Vastarel, Vastarel MR<\/a><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Vaspycar MR, Vaspycar<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: C\u00f4ng ty c\u1ed5 ph\u1ea7n Pymepharco<\/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 bao phim 20 mg.<\/p>\n<p>Vi\u00ean n\u00e9n bao phim gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i (MR) 35 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>VASPYCAR MR 35mg<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Trimetazidin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>35 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=\"498\" height=\"429\" class=\"wp-image-40349\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-301.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-301.png 498w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-301-300x258.png 300w\" sizes=\"auto, (max-width: 498px) 100vw, 498px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>VASPYCAR 20mg<\/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>Trimetazidin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>20 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=\"551\" height=\"360\" class=\"wp-image-40350\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-302.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-302.png 551w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-302-300x196.png 300w\" sizes=\"auto, (max-width: 551px) 100vw, 551px\" \/><\/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>Ch\u1ec9 \u0111\u1ecbnh cho ng\u01b0\u1eddi l\u1edbn trong li\u1ec7u ph\u00e1p b\u1ed5 sung\/h\u1ed7 tr\u1ee3 v\u00e0o bi\u1ec7n ph\u00e1p tr\u1ecb li\u1ec7u hi\u1ec7n c\u00f3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u1edf b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c kh\u00e1c.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"42-lieu-dung-%e2%80%93-cach-dung\"><\/span>4.2. Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong><em>C\u00e1ch d\u00f9ng<\/em><\/strong> :<\/p>\n<p>U\u1ed1ng 1 vi\u00ean bu\u1ed5i s\u00e1ng v\u00e0 1 vi\u00ean bu\u1ed5i t\u1ed1i v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc v\u00e0o b\u1eefa \u0103n.<\/p>\n<p>Khi qu\u00ean m\u1ed9t ho\u1eb7c nhi\u1ec1u l\u1ea7n d\u00f9ng thu\u1ed1c: ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng. Kh\u00f4ng d\u00f9ng li\u1ec1u g\u1ea5p \u0111\u00f4i \u0111\u1ec3 b\u00f9 v\u00e0o li\u1ec1u \u0111\u00e3 qu\u00ean u\u1ed1ng.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>Vaspycar MR<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn: M\u1ed9t vi\u00ean 35 mg\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y, d\u00f9ng c\u00f9ng b\u1eefa \u0103n.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh (\u0111\u1ed9 thanh th\u1ea3i creatinin [30-60] mlph\u00fat): Li\u1ec1u d\u00f9ng khuy\u1ebfn c\u00e1o l\u00e0 1 vi\u00ean 35mg d\u00f9ng bu\u1ed5i s\u00e1ng, d\u00f9ng c\u00f9ng b\u1eefa \u0103n.<\/p>\n<p>B\u1ec7nh nh\u00e2n cao tu\u1ed5i: B\u1ec7nh nh\u00e2n cao tu\u1ed5i c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 nh\u1ea1y c\u1ea3m trimetazidin cao h\u01a1n b\u00ecnh th\u01b0\u1eddng do s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn theo tu\u1ed5i t\u00e1c.<\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh (\u0111\u1ed9 thanh th\u1ea3i creatinin [30-60] ml\/ph\u00fat), li\u1ec1u d\u00f9ng khuy\u1ebfn c\u00e1o l\u00e0 1 vi\u00ean 35mg, d\u00f9ng bu\u1ed5i s\u00e1ng, trong b\u1eefa \u0103n.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi t\u00ednh to\u00e1n li\u1ec1u d\u00f9ng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n cao tu\u1ed5i.<\/p>\n<p>Tr\u1ebb em: M\u1ee9c \u0111\u1ed9 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a trimetazidin \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 18 tu\u1ed5i ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1. Hi\u1ec7n kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p>Vaspycar<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn: M\u1ed9t vi\u00ean 20 mg\/l\u1ea7n x 3 l\u1ea7n\/ng\u00e0y, d\u00f9ng c\u00f9ng b\u1eefa \u0103n.<\/p>\n<p><em>C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t:<\/em><\/p>\n<p>B\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh (\u0111\u1ed9 thanh th\u1ea3i creatinin 30 &#8211; 60ml\/ph\u00fat): li\u1ec1u d\u00f9ng khuy\u1ebfn c\u00e1o l\u00e0 1 vi\u00ean 20 mg\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y, s\u00e1ng v\u00e0 t\u1ed1i, d\u00f9ng c\u00f9ng b\u1eefa \u0103n.<\/p>\n<p>B\u1ec7nh nh\u00e2n cao tu\u1ed5i: B\u1ec7nh nh\u00e2n cao tu\u1ed5i c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 nh\u1ea1y c\u1ea3m trimetazidin cao h\u01a1n b\u00ecnh th\u01b0\u1eddng do s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn theo tu\u1ed5i t\u00e1c.<\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh (\u0111\u1ed9 thanh th\u1ea3i creatinin [30-60] ml\/ph\u00fat), li\u1ec1u d\u00f9ng khuy\u1ebfn c\u00e1o l\u00e0 1 vi\u00ean 20mg\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y, d\u00f9ng bu\u1ed5i s\u00e1ng, trong b\u1eefa \u0103n.<\/p>\n<p>Tr\u1ebb em: m\u1ee9c \u0111\u1ed9 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a Trimetazidin \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 18 tu\u1ed5i ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1. Hi\u1ec7n kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\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>Qu\u00e1 m\u1eabn v\u1edbi Trimetazidin hay b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>B\u1ec7nh nh\u00e2n Parkinson, c\u00f3 tri\u1ec7u ch\u1ee9ng Parkinson, run, h\u1ed9i ch\u1ee9ng ch\u00e2n kh\u00f4ng ngh\u1ec9 v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u00f3 li\u00ean quan kh\u00e1c.<\/p>\n<p>Suy th\u1eadn n\u1eb7ng (\u0111\u1ed9 thanh th\u1ea3i creatinin &lt; 30ml\/ph\u00fat).<\/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=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au th\u1eaft ng\u1ef1c ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u1ed1i \u0111\u1ea7u cho c\u01a1n \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh. Kh\u00f4ng d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c trong giai \u0111o\u1ea1n tr\u01b0\u1edbc nh\u1eadp vi\u1ec7n c\u0169ng nh\u01b0 trong nh\u1eefng ng\u00e0y \u0111\u1ea7u nh\u1eadp vi\u1ec7n.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb c\u01a1n \u0111au th\u1eaft ng\u1ef1c, n\u00ean \u0111\u00e1nh gi\u00e1 l\u1ea1i b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh v\u00e0 xem x\u00e9t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/p>\n<p>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa.<\/p>\n<p>Trimetazidin c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam tri\u1ec7u ch\u1ee9ng Parkinson (run, v\u1eadn \u0111\u1ed9ng ch\u1eadm v\u00e0 kh\u00f3 kh\u0103n, t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1), do \u0111\u00f3 b\u1ec7nh nh\u00e2n, nh\u1ea5t l\u00e0 c\u00e1c b\u1ec7nh nh\u00e2n cao tu\u1ed5i c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a t\u1edbi c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa th\u1ea7n kinh \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u00edch h\u1ee3p.<\/p>\n<p>Khi g\u1eb7p ph\u1ea3i c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng nh\u01b0 c\u00e1c tri\u1ec7u ch\u1ee9ng Parkinson, h\u1ed9i ch\u1ee9ng ch\u00e2n b\u1ee9t r\u1ee9t, run, d\u00e1ng \u0111i kh\u00f4ng v\u1eefng c\u1ea7n ngay l\u1eadp t\u1ee9c ng\u1eebng s\u1eed d\u1ee5ng trimetazidin.<\/p>\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y \u00edt x\u1ea3y ra v\u00e0 th\u01b0\u1eddng h\u1ed3i ph\u1ee5c sau khi ng\u1eebng thu\u1ed1c. Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c sau khi ng\u1eebng thu\u1ed1c kho\u1ea3ng 4 th\u00e1ng. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng Parkinson ti\u1ebfp t\u1ee5c x\u1ea3y ra qu\u00e1 4 th\u00e1ng sau khi d\u1eebng thu\u1ed1c, c\u1ea7n tham v\u1ea5n c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa th\u1ea7n kinh.<\/p>\n<p>C\u00f3 th\u1ec3 g\u1eb7p bi\u1ec3u hi\u1ec7n ng\u00e3, d\u00e1ng \u0111i kh\u00f4ng v\u1eefng ho\u1eb7c t\u1ee5t huy\u1ebft \u00e1p, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi k\u00ea \u0111\u01a1n Trimetazidin cho \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c \u0111\u1ed9 nh\u1ea1y c\u1ea3m cao nh\u01b0:<\/p>\n<p>B\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh.<\/p>\n<p>B\u1ec7nh nh\u00e2n tr\u00ean 75 tu\u1ed5i.<\/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>Trimetazidin c\u00f3 th\u1ec3 g\u00e2y c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ch\u00f3ng m\u1eb7t v\u00e0 l\u01a1 m\u01a1, do v\u1eady c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng 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>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"46-tac-dung-khong-mong-muon-adr\"><\/span>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>Th\u01b0\u1eddng g\u1eb7p:<\/em> ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u; \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n; m\u1ea9n ng\u1ee9a, m\u00e0y \u0111ay; suy nh\u01b0\u1ee3c.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p<\/em>: R\u1ed1i lo\u1ea1n tr\u00ean tim: \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, h\u1ed3i h\u1ed9p, ngo\u1ea1i t\u00e2m thu, tim \u0111\u1eadp nhanh, R\u1ed1i lo\u1ea1n tr\u00ean m\u1ea1ch: h\u1ea1 huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch; h\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn kh\u00f3 ch\u1ecbu, ch\u00f3ng m\u1eb7t ho\u1eb7c ng\u00e3, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p, \u0111\u1ecf b\u1eebng m\u1eb7t.<\/p>\n<p>R\u1ea5t hi\u1ebfm khi x\u1ea3y ra c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau: R\u1ed1i lo\u1ea1n tr\u00ean h\u1ec7 th\u1ea7n kinh: tri\u1ec7u ch\u1ee9ng Parkinson (run, v\u1eadn \u0111\u1ed9ng ch\u1eadm v\u00e0 kh\u00f3 kh\u0103n, t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1), d\u00e1ng \u0111i kh\u00f4ng v\u1eefng, h\u1ed9i ch\u1ee9ng ch\u00e2n kh\u00f4ng ngh\u1ec9, c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u00f3 li\u00ean quan kh\u00e1c, th\u01b0\u1eddng c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c sau khi d\u1eebng thu\u1ed1c. R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7: m\u1eaft ng\u1ee7, l\u01a1 m\u01a1. R\u1ed1i lo\u1ea1n tr\u00ean d\u1ea1 d\u00e0y-ru\u1ed9t: t\u00e1o b\u00f3n. R\u1ed1i lo\u1ea1n tr\u00ean da v\u00e0 m\u00f4 d\u01b0\u1edbi da: ngo\u1ea1i ban, m\u1ee5n m\u1ee7 to\u00e0n th\u00e2n c\u1eadp t\u00ednh, ph\u00f9 m\u1ea1ch. R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t, gi\u1ea3m ti\u1ec3u c\u1ea7u, ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u. R\u1ed1i lo\u1ea1n gan m\u1eadt: vi\u00eam gan.<\/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>Ch\u01b0a th\u1ea5y c\u00f3 b\u00e1o c\u00e1o.<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"49-qua-lieu-va-xu-tri\"><\/span>4.9 Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u. Trong tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u n\u00ean d\u00f9ng c\u00e1c bi\u1ec7n ph\u00e1p lo\u1ea1i tr\u1eebnthu\u1ed1c nh\u01b0 r\u1eeda d\u1ea1 d\u00e0y v\u00e0 d\u00f9ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e2ng \u0111\u1ee1 t\u1ed5ng tr\u1ea1ng..<\/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>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: Trimetazidin \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh beta oxy h\u00f3a c\u00e1c acid b\u00e9o b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf c\u00e1c enzym chu\u1ed7i d\u00e0i 3-ketoacyl-CoA thiolase \u1edf t\u1ebf b\u00e0o thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, n\u0103ng l\u01b0\u1ee3ng thu \u0111\u01b0\u1ee3c trong qu\u00e1 tr\u00ecnh oxy h\u00f3a glucose c\u1ea7n ti\u00eau th\u1ee5 oxy \u00edt h\u01a1n so v\u1edbi qu\u00e1 tr\u00ecnh beta oxy h\u00f3a. Vi\u1ec7c th\u00fac \u0111\u1ea9y oxy h\u00f3a glucose s\u1ebd gi\u00fap t\u1ed1i \u01b0u c\u00e1c qu\u00e1 tr\u00ecnh n\u0103ng l\u01b0\u1ee3ng t\u1ebf b\u00e0o, do \u0111\u00f3 duy tr\u00ec \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng th\u00edch h\u1ee3p trong th\u1eddi gian thi\u1ebfu m\u00e1u.<\/p>\n<p>T\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u1ef1c h\u1ecdc:\u1edf nh\u1eefng b\u1ec7nh nh\u00e2n thi\u1ebfu m\u00e1u tim c\u1ee5c b\u1ed9, Trimetazidin ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t ch\u1ea5t chuy\u1ec3n h\u00f3a, gi\u00fap b\u1ea3o t\u1ed3n m\u1ee9c n\u0103ng l\u01b0\u1ee3ng phosphat cao n\u1ed9i b\u00e0o trong t\u1ebf b\u00e0o c\u01a1 tim. Trimetazidin c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 nh\u01b0ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u0111\u1ed9ng.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Trimetazidin \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh beta oxy h\u00f3a c\u00e1c acid b\u00e9o b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf c\u00e1c enzyme long &#8211; chain 3 &#8211; ketoacyl &#8211; CoA thiolase \u1edf t\u1ebf b\u00e0o thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, n\u0103ng l\u01b0\u1ee3ng thu \u0111\u01b0\u1ee3c trong qu\u00e1 tr\u00ecnh oxy h\u00f3a glucose c\u1ea7n ti\u00eau th\u1ee5 oxy \u00edt h\u01a1n so v\u1edbi qu\u00e1 tr\u00ecnh beta oxy h\u00f3a. Vi\u1ec7c th\u00fac \u0111\u1ea9y oxy h\u00f3a glucose s\u1ebd gi\u00fap t\u1ed1i \u01b0u c\u00e1c qu\u00e1 tr\u00ecnh n\u0103ng l\u01b0\u1ee3ng t\u1ebf b\u00e0o, do \u0111\u00f3 duy tr\u00ec \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng th\u00edch h\u1ee3p trong th\u1eddi gian thi\u1ebfu m\u00e1u.<\/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>Sinh kh\u1ea3 d\u1ee5ng t\u01b0\u01a1ng \u0111\u1ed1i &gt;85%. Sau khi u\u1ed1ng trimetazidin \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng qua h\u1ec7 ti\u00eau h\u00f3a. N\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c sau kho\u1ea3ng 2 gi\u1edd. N\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 85 ng\/ml khi d\u00f9ng li\u1ec1u duy nh\u1ea5t 40 mg, v\u00e0 \u0111\u1ea1t 55 ng\/ml khi u\u1ed1ng li\u1ec1u duy nh\u1ea5t 20 mg. T\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1eeb 24-36 gi\u1edd sau khi d\u00f9ng c\u00e1c li\u1ec1u l\u1eb7p l\u1ea1i v\u00e0 r\u1ea5t \u1ed5n \u0111\u1ecbnh trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Trimetazidin li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng \u1edf m\u1ee9c th\u1ea5p 21%.<\/p>\n<p>Th\u1ec3 t\u00edch ph\u00e2n ph\u1ed1i 4,8 l\/kg, \u0111\u1ea3m b\u1ea3o s\u1ef1 ph\u00e2n ph\u1ed1i t\u1ed1t \u0111\u1ebfn c\u00e1c m\u00f4.<\/p>\n<p>T1\/2 trung b\u00ecnh 6 gi\u1edd. Trimetazidin ch\u1ee7 y\u1ebfu b\u1ecb th\u1ea3i tr\u1eeb qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"53-giai-thich\"><\/span>5.3 Gi\u1ea3i th\u00edch:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"54-thay-the-thuoc\"><\/span>5.4 Thay th\u1ebf thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<p><strong><em>*L\u01b0u \u00fd:<\/em><\/strong><\/p>\n<p><strong><em>C\u00e1c th\u00f4ng tin v\u1ec1 thu\u1ed1c tr\u00ean Pharmog.com ch\u1ec9 mang t\u00ednh ch\u1ea5t tham kh\u1ea3o &#8211; Khi d\u00f9ng thu\u1ed1c c\u1ea7n tuy\u1ec7t \u0111\u1ed1i tu\u00e2n theo theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u00e1c s\u0129 <\/em><\/strong><\/p>\n<p><strong><em>Ch\u00fang t\u00f4i kh\u00f4ng ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 b\u1ea5t c\u1ee9 h\u1eadu qu\u1ea3 n\u00e0o x\u1ea3y ra do t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c d\u1ef1a theo c\u00e1c th\u00f4ng tin tr\u00ean Pharmog.com<\/em><\/strong><\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h1><span class=\"ez-toc-section\" id=\"6-phan-thong-tin-kem-theo-cua-thuoc\"><\/span>6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"61-danh-muc-ta-duoc\"><\/span>6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Calci hydrogen phosphat dihydrat, povidon, hydroxypropyl methyl cellulose, colloidal silicon dioxid, magnesi stearat, glycerin, polyethylen glycol, titan dioxid va oxid s\u1eaft \u0111\u1ecf..<\/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>HDSD Thu\u1ed1c Vaspycar (2015).<\/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 Vaspycar MR, Vaspycar 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 Vaspycar MR, Vaspycar (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 : Trimetazidine Ph\u00e2n lo\u1ea1i: Thu\u1ed1c [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":40350,"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":[1655],"class_list":["post-40337","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-trimetazidine"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/40337","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=40337"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/40337\/revisions"}],"predecessor-version":[{"id":40367,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/40337\/revisions\/40367"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/40350"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=40337"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=40337"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=40337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}