{"id":42099,"date":"2022-01-28T11:56:57","date_gmt":"2022-01-28T04:56:57","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=42099"},"modified":"2025-01-07T22:33:03","modified_gmt":"2025-01-07T15:33:03","slug":"pregabalin-avucibe","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/pregabalin-avucibe\/","title":{"rendered":"Pregabalin &#8211; Avucibe"},"content":{"rendered":"<p><em>Thu\u1ed1c Avucibe 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 Avucibe (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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabalin-avucibe\/#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\/pregabaline\/\"><strong>Pregabalin (Pregabaline)<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c ch\u1ed1ng co gi\u1eadt, thu\u1ed1c gi\u1ea3m \u0111au.<\/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): N03AX16.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/pregabalin-lyrica\/\">Lyrica<\/a>.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Avucibe<\/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 H\u00e0 T\u00e2y<\/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 nang c\u1ee9ng: 75 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>AVUCIBE<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean nang c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Pregabaline<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>75 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=\"600\" height=\"379\" class=\"wp-image-42112\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-993.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-993.png 600w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/01\/word-image-993-300x190.png 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/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>\u0110au th\u1ea7n kinh: Pregabalin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 ngo\u1ea1i vi \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Pregabalin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9, c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo \u0111\u1ed9ng kinh to\u00e0n b\u1ed9 th\u1ee9 ph\u00e1t \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>R\u1ed1i lo\u1ea1n lo \u00e2u lan t\u1ecfa: Pregabalin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lo \u00e2u lan t\u1ecfa (Generalized Anxiety Disorder &#8211; GAD) \u1edf ng\u01b0\u1eddi l\u1edbn<\/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>Thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. C\u00f3 th\u1ec3 u\u1ed1ng c\u00f9ng th\u1ee9c \u0103n ho\u1eb7c kh\u00f4ng.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>Kho\u1ea3ng li\u1ec1u d\u00f9ng t\u1eeb 150 mg \u0111\u1ebfn 600 mg m\u1ed7i ng\u00e0y \u0111\u01b0\u1ee3c chia th\u00e0nh 2-3 l\u1ea7n<\/p>\n<p><em>\u0110au th\u1ea7n kinh:<\/em><\/p>\n<p>\u0110i\u1ec1u tr\u1ecb v\u1edbi pregabalin c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u v\u1edbi li\u1ec1u 150 mg m\u1ed7i ng\u00e0y \u0111\u01b0\u1ee3c chia th\u00e0nh 2-3 l\u1ea7n. T\u00f9y theo \u0111\u00e1p \u1ee9ng v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, li\u1ec1u d\u00f9ng c\u00f3 th\u1ec3 t\u0103ng l\u00ean 300 mg\/ng\u00e0y sau kho\u1ea3ng th\u1eddi gian 3-7 ng\u00e0y v\u00e0 n\u1ebfu c\u1ea7n, c\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 600 mg\/ng\u00e0y sau kho\u1ea3ng 7 ng\u00e0y \u0111i\u1ec1u tr\u1ecb th\u00eam.<\/p>\n<p><em>\u0110\u1ed9ng kinh:<\/em><\/p>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u 150 mg\/ng\u00e0y \u0111\u01b0\u1ee3c chia th\u00e0nh 2-3 l\u1ea7n. T\u00f9y theo \u0111\u00e1p \u1ee9ng v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, li\u1ec1u d\u00f9ng c\u00f3 th\u1ec3 t\u0103ng l\u00ean 300 mg\/ng\u00e0y sau 1 tu\u1ea7n. C\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 600 mg\/ng\u00e0y sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00eam.<\/p>\n<p><em>R\u1ed1i lo\u1ea1n lo \u00e2u lan t\u1ecfa:<\/em><\/p>\n<p>Kho\u1ea3ng li\u1ec1u d\u00f9ng t\u1eeb 150 mg &#8211; 600 mg m\u1ed7i ng\u00e0y, chia th\u00e0nh 2 ho\u1eb7c 3 l\u1ea7n. c\u1ea7n th\u01b0\u1eddng xuy\u00ean \u0111\u00e1nh gi\u00e1 l\u1ea1i nhu c\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>C\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng pregabalin v\u1edbi li\u1ec1u 150 mg\/ng\u00e0y. D\u1ef1a tr\u00ean m\u1ee9c \u0111\u00e1p \u1ee9ng v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1edbi 300 mg\/ng\u00e0y sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb. Sau khi \u0111i\u1ec1u tr\u1ecb th\u00eam 1 tu\u1ea7n li\u1ec1u d\u00f9ng c\u00f3 th\u1ec3 t\u0103ng t\u1edbi 450 mg\/ng\u00e0y. C\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 600 mg\/ng\u00e0y sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00eam.<\/p>\n<p><em>Ng\u01b0ng s\u1eed d\u1ee5ng Pregabalin:<\/em><\/p>\n<p>N\u1ebfu ph\u1ea3i ng\u01b0ng s\u1eed d\u1ee5ng pregabalin, c\u1ea7n gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb trong th\u1eddi gian t\u1ed1i thi\u1ec3u l\u00e0 1 tu\u1ea7n.<\/p>\n<p><em>Li\u1ec1u d\u00f9ng cho m\u1ed9t s\u1ed1 nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t:.<\/em><\/p>\n<p><em>B\u1ec7nh nh\u00e2n suy th\u1eadn:<\/em><\/p>\n<p>Gi\u1ea3m li\u1ec1u tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u1eadn ph\u1ea3i t\u00f9y theo t\u1eebng c\u00e1 nh\u00e2n v\u00e0 theo h\u1ec7 s\u1ed1 thanh th\u1ea3i creatinin (Clcr).<\/p>\n<p>CrCl, mL \/ ph\u00fat = (140 \u2013 tu\u1ed5i) \u00d7 (tr\u1ecdng l\u01b0\u1ee3ng, kg) \u00d7 (0,85 n\u1ebfu l\u00e0 n\u1eef) \/ (72 \u00d7 Cr)<\/p>\n<p>Pregabalin \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf hi\u1ec7u qu\u1ea3 t\u1eeb huy\u1ebft t\u01b0\u01a1ng b\u1eb1ng c\u00e1ch th\u1ea9m t\u00e1ch m\u00e1u (50% thu\u1ed1c trong 4 gi\u1edd). \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang ph\u1ea3i th\u1ea9m t\u00e1ch m\u00e1u, li\u1ec1u h\u00e0ng ng\u00e0y c\u1ee7a pregabalin c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh t\u00f9y theo ch\u1ee9c n\u0103ng th\u1eadn. B\u00ean c\u1ea1nh li\u1ec1u d\u00f9ng h\u00e0ng ng\u00e0y, n\u00ean d\u00f9ng m\u1ed9t li\u1ec1u b\u1ed5 sung ngay sau m\u1ed7i 4 gi\u1edd th\u1ea9m t\u00e1ch m\u00e1u.<\/p>\n<p><em>B\u1ea3ng 1: \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u Pregabalin theo ch\u1ee9c n\u0103ng th\u1eadn:<\/em><\/p>\n<table>\n<tbody>\n<tr>\n<td rowspan=\"2\"><strong>\u0110\u1ed9 thanh l\u1ecdc creatinin (CLcr)(mL\/min)<\/strong><\/td>\n<td colspan=\"2\"><strong>T\u1ed5ng li\u1ec1u d\u00f9ng h\u1eb1ng ng\u00e0y *<\/strong><\/td>\n<td rowspan=\"2\"><strong>L\u1ea7n d\u00f9ng m\u1ed7i ng\u00e0y<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>Li\u1ec1u kh\u1edfi \u0111\u1ea7u (mg\/ng\u00e0y)<\/strong><\/td>\n<td><strong>Li\u1ec1u t\u1ed1i \u0111a (mg\/ng\u00e0y)<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u2265 60<\/td>\n<td>150<\/td>\n<td>600<\/td>\n<td>BID ho\u1eb7c TID<\/td>\n<\/tr>\n<tr>\n<td>\u2265 30 &#8211; &lt; 60<\/td>\n<td>75<\/td>\n<td>300<\/td>\n<td>BID ho\u1eb7c TID<\/td>\n<\/tr>\n<tr>\n<td>\u2265 15 &#8211; &lt; 30<\/td>\n<td>25-50<\/td>\n<td>150<\/td>\n<td>M\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y ho\u1eb7c BID<\/td>\n<\/tr>\n<tr>\n<td>&lt; 15<\/td>\n<td>25<\/td>\n<td>75<\/td>\n<td>M\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\"><strong>Li\u1ec1u b\u1ed5 sung sau th\u1ea9m ph\u00e2n m\u00e1u (mg)<\/strong><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td>25<\/td>\n<td>100<\/td>\n<td>Li\u1ec1u duy nh\u1ea5t**<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>BID=chia 2 l\u1ea7n\/ng\u00e0y<\/p>\n<p>TID= chia 3 l\u1ea7n\/ng\u00e0y<\/p>\n<p>*T\u1ed5ng li\u1ec1u h\u00e0ng ng\u00e0y (mg\/ng\u00e0y) c\u1ea7n chia nh\u01b0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh b\u1edfi ch\u1ebf \u0111\u1ed9 li\u1ec1u \u0111\u1ec3 cung c\u1ea5p mg\/li\u1ec1u.<\/p>\n<p>** Li\u1ec1u b\u1ed5 sung l\u00e0 li\u1ec1u b\u1ed5 sung th\u00eam duy nh\u1ea5t.<\/p>\n<p><em>B\u1ec7nh nh\u00e2n suy gan:<\/em> Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u tr\u00ean b\u1ec7nh nh\u00e2n suy gan.<\/p>\n<p><em>Tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i v\u00e0 thi\u1ebfu ni\u00ean (12 &#8211; 17 tu\u1ed5i):<\/em> S\u1ef1 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a pregabalin cho tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i v\u00e0 thi\u1ebfu ni\u00ean ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp. Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/p>\n<p><em>Ng\u01b0\u1eddi cao tu\u1ed5i (tr\u00ean 65 tu\u1ed5i):<\/em> Ng\u01b0\u1eddi cao tu\u1ed5i c\u00f3 th\u1ec3 c\u1ea7n gi\u1ea3m li\u1ec1u do ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m.<\/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 pregabalin ho\u1eb7c b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/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>M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng b\u1ecb t\u0103ng c\u00e2n khi d\u00f9ng pregabalin c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh vi\u1ec7c d\u00f9ng c\u00e1c thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>C\u1ea7n ng\u01b0ng s\u1eed d\u1ee5ng pregabalin ngay n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng ph\u00f9 m\u1ea1ch nh\u01b0 ph\u00f9 m\u1eb7t, ph\u00f9 quanh mi\u1ec7ng ho\u1eb7c ph\u00f9 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng pregabalin th\u01b0\u1eddng x\u1ea3y ra ch\u00f3ng m\u1eb7t v\u00e0 bu\u1ed3n ng\u1ee7, c\u00f3 th\u1ec3 t\u0103ng nguy co x\u1ea3y ra c\u00e1c tai n\u1ea1n do ch\u1ea5n th\u01b0\u01a1ng (ng\u00e3) \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. \u0110\u00e3 c\u00f3 c\u00e1c b\u00e1o c\u00e1o v\u1ec1 m\u1ea5t \u00fd th\u1ee9c, l\u00fa l\u1eabn v\u00e0 sa s\u00fat tinh th\u1ea7n. Do v\u1eady, b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c ch\u1ec9 d\u00e2n c\u1ea7n th\u1eadn tr\u1ecdng cho \u0111\u00ean khi quen v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi thu\u1ed1c.<\/p>\n<p>U\u1ed1ng thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng m\u1edd m\u1eaft nh\u1ea5t th\u1eddi v\u00e0 m\u1ed9t s\u1ed1 thay \u0111\u1ed5i kh\u00e1c v\u1ec1 th\u1ecb l\u1ef1c. Khi ng\u01b0ng d\u00f9ng thu\u1ed1c, c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 th\u1ecb l\u1ef1c n\u00e0y c\u00f3 th\u1ec3 s\u1ebd h\u1ebft ho\u1eb7c gi\u1ea3m b\u1edbt.<\/p>\n<p>Suy th\u1eadn: M\u1eb7c d\u00f9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a vi\u1ec7c d\u00f9ng thu\u1ed1c tr\u00ean b\u1ec7nh nh\u00e2n suy th\u1eadn c\u00f3 h\u1ed3i ph\u1ee5c ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u m\u1ed9t c\u00e1ch c\u00f3 h\u1ec7 th\u1ed1ng, \u0111\u00e3 c\u00f3 b\u00e1o c\u00e1o r\u1eb1ng ch\u1ee9c n\u0103ng th\u1eadn \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n sau khi ng\u1eebng ho\u1eb7c gi\u1ea3m li\u1ec1u pregabalin.<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n v\u1edbi pregabalin, sau khi ng\u01b0ng thu\u1ed1c, \u0111\u00e3 quan s\u00e1t th\u1ea5y h\u1ed9i ch\u1ee9ng cai thu\u1ed1c tr\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n g\u1ed3m: m\u1ea5t ng\u1ee7, \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n, lo l\u1eafng, v\u00e3 m\u1ed3 h\u00f4i v\u00e0 ti\u00eau ch\u1ea3y.<\/p>\n<p>C\u0169ng nh\u01b0 b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c t\u00e1c \u0111\u1ed9ng tr\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng n\u00e0o, c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 ti\u1ec1n s\u1eed l\u1ea1m d\u1ee5ng thu\u1ed1c v\u00e0 quan s\u00e1t c\u00e1c d\u1ea5u hi\u1ec7u d\u00f9ng sai hay l\u1ea1m d\u1ee5ng pregabalin tr\u00ean b\u1ec7nh nh\u00e2n (v\u00ed d\u1ee5: bi\u1ec3u hi\u1ec7n t\u0103ng dung n\u1ea1p thu\u1ed1c, t\u0103ng li\u1ec1u thu\u1ed1c, h\u00e0nh vi t\u00ecm ki\u1ebfm thu\u1ed1c).<\/p>\n<p>M\u1eb7c d\u00f9 ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ed1i quan h\u1ec7 nh\u00e2n qu\u1ea3 gi\u1eefa vi\u1ec7c d\u00f9ng pregabalin v\u00e0 b\u1ec7nh suy tim sung huy\u1ebft nh\u01b0ng \u0111\u00e3 c\u00f3 m\u1ed9t s\u1ed1 b\u00e1o c\u00e1o v\u1ec1 b\u1ec7nh suy tim sung huy\u1ebft \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n d\u00f9ng pregabalin. Trong m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m ng\u1eafn h\u1ea1n tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a c\u00e1c b\u1ec7nh v\u1ec1 tim ho\u1eb7c m\u1ea1ch ngo\u1ea1i vi, kh\u00f4ng c\u00f3 m\u1ed1i li\u00ean h\u1ec7 r\u00f5 r\u00e0ng gi\u1eefa ph\u00f9 ngo\u1ea1i vi v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch nh\u01b0 t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c suy tim sung huy\u1ebft. Do d\u1eef li\u1ec7u tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n suy tim sung huy\u1ebft n\u1eb7ng c\u00f2n h\u1ea1n ch\u1ebf, c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng pregabalin tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh trung \u01b0\u01a1ng do ch\u1ea5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng, t\u1ef7 l\u1ec7 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n n\u00f3i chung, t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean h\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 bu\u1ed3n ng\u1ee7 t\u0103ng l\u00ean.<\/p>\n<p><em>H\u00e0nh vi v\u00e0 \u00fd \u0111\u1ecbnh t\u1ef1 t\u1eed:<\/em> \u00dd \u0111\u1ecbnh v\u00e0 h\u00e0nh vi t\u1ef1 t\u1eed \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf nh\u1eefng b\u1ec7nh nh\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. M\u1ed9t ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c ng\u1eabu nhi\u00ean v\u1ec1 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh c\u0169ng cho th\u1ea5y nguy c\u01a1 t\u1ef1 t\u1eed v\u00e0 h\u00e0nh vi t\u1ef1 t\u1eed t\u0103ng l\u00ean. C\u01a1 ch\u1ebf c\u1ee7a nguy c\u01a1 n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 d\u1eef li\u1ec7u s\u1eb5n c\u00f3 kh\u00f4ng lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng t\u0103ng nguy c\u01a1 cho pregabalin.<\/p>\n<p><em>Gi\u1ea3m ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a d\u01b0\u1edbi<\/em>: Xu\u1ea5t hi\u1ec7n khi d\u00f9ng pregabalin c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u00e1o b\u00f3n, ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c gi\u1ea3m \u0111au opioid c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a d\u01b0\u1edbi (v\u00ed d\u1ee5 nh\u01b0 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ru\u1ed9t, t\u1eafc ru\u1ed9t , t\u00e1o b\u00f3n). Khi s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p pregabalin v\u00e0 c\u00e1c opioid, c\u1ea7n c\u00e2n nh\u1eafc c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba t\u00e1o b\u00f3n (\u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n n\u1eef v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i).<\/p>\n<p>B\u1ec7nh n\u00e3o: C\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh n\u00e3o \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o, ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 ti\u1ec1m \u1ea9n c\u1ee7a b\u1ec7nh n\u00e3o<\/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>Pregabalin c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t, bu\u1ed3n ng\u1ee7 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c. Do v\u1eady, kh\u00f4ng n\u00ean l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng m\u1ea1o hi\u1ec3m kh\u00e1c cho \u0111\u1ebfn khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c thu\u1ed1c c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng n\u00e0y hay kh\u00f4ng..<\/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>Ch\u01b0a c\u00f3 c\u00e1c d\u1eef li\u1ec7u \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 vi\u1ec7c d\u00f9ng pregabalin tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt \u0111\u00e3 cho th\u1ea5y t\u00e1c d\u1ee5ng g\u00e2y \u0111\u1ed9c tr\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n. Ch\u01b0a bi\u1ebft r\u00f5 v\u1ec1 nguy c\u01a1 c\u00f3 th\u1ec3 x\u1ea3y ra tr\u00ean ng\u01b0\u1eddi. Do v\u1eady, kh\u00f4ng n\u00ean d\u00f9ng pregabalin khi \u0111ang mang thai tr\u1eeb khi l\u1ee3i \u00edch mang l\u1ea1i cho ng\u01b0\u1eddi m\u1eb9 v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi nguy c\u01a1 c\u00f3 th\u1ec3 x\u1ea3y ra cho thai nhi. N\u00ean s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai hi\u1ec7u qu\u1ea3 cho ph\u1ee5 n\u1eef \u0111ang trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Pregabalin \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9. Do t\u00ednh an to\u00e0n c\u1ee7a pregabalin \u1edf tr\u1ebb nh\u1ecf ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft, n\u00ean kh\u00f4ng khuy\u1ebfn c\u00e1o nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 khi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng pregabalin. Khi quy\u1ebft \u0111\u1ecbnh n\u00ean ng\u01b0ng nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 hay ng\u01b0ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng pregabalin th\u00ec c\u1ea7n c\u00e2n nh\u0103c gi\u1eefa l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 \u0111\u1ed1i v\u1edbi tr\u1ebb v\u00e0 l\u1ee3i \u00edch khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c n\u00e0y \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eb9.<\/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>C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o g\u1ed3m ch\u00f3ng m\u1eb7t v\u00e0 bu\u1ed3n ng\u1ee7. C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n th\u01b0\u1eddng g\u1eb7p \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 v\u1eeba.<\/p>\n<p>C\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i x\u1ea3y ra \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea theo nh\u00f3m v\u00e0 t\u1ea7n su\u1ea5t nh\u01b0 sau: r\u1ea5t th\u01b0\u1eddng g\u1eb7p (ADR \u2265 1\/10), th\u01b0\u1eddng g\u1eb7p (1\/100 \u2264 ADR &lt;1\/10), \u00edt g\u1eb7p (1\/1.000 \u2264 ADR &lt; 1\/100), hi\u1ebfm g\u1eb7p (1\/1.000 \u2264 ADR &lt; 1\/10.000), r\u1ea5t hi\u1ebfm g\u1eb7p (ADR &lt; 1\/10.000).<\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>H\u1ec7 c\u01a1 quan<\/strong><\/td>\n<td><strong>T\u00e1c d\u1ee5ng ph\u1ee5<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>Nhi\u1ec5m tr\u00f9ng v\u00e0 nhi\u1ec5m k\u00fd sinh tr\u00f9ng<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Vi\u00eam m\u0169i h\u1ecdng<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 b\u1ea1ch huy\u1ebft<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n h\u1ec7 mi\u1ec5n d\u1ecbch<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>\u00a0Qu\u00e1 m\u1eabn<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>Ph\u00f9 m\u1ea1ch, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>T\u0103ng s\u1ef1 th\u00e8m \u0103n<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Ch\u00e1n \u0103n, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>H\u01b0ng c\u1ea3m, l\u00fa l\u1eabn, c\u00e1u k\u1ec9nh, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, m\u1ea5t ng\u1ee7, gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c.<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>\u1ea2o gi\u00e1c, c\u01a1n ho\u1ea3ng lo\u1ea1n, b\u1ed3n ch\u1ed3n, k\u00edch \u0111\u1ed9ng, lo l\u1eafng, tr\u1ea7m c\u1ea3m, ph\u1ea5n ch\u1ea5n, hung h\u0103ng, t\u00e2m tr\u1ea1ng th\u1ea5t th\u01b0\u1eddng, m\u1ea5t nh\u00e2n c\u00e1ch, kh\u00f3 nh\u1edb t\u1eeb, gi\u1ea5c m\u01a1 b\u1ea5t th\u01b0\u1eddng, t\u0103ng ham mu\u1ed1n t\u00ecnh d\u1ee5c, m\u1ea5t kh\u1ea3 n\u0103ng \u0111\u1ea1t c\u1ef1c kho\u00e1i, v\u00f4 c\u1ea3m.<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>M\u1ea5t ki\u1ec3m so\u00e1t<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n th\u1ea7n kinh<\/em><\/td>\n<\/tr>\n<tr>\n<td>r\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Ch\u00f3ng m\u1eb7t. bu\u1ed3n ng\u1ee7, nh\u1ee9c \u0111\u1ea7u<\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Th\u1ea5t \u0111i\u1ec1u, ph\u1ed1i h\u1ee3p b\u1ea5t th\u01b0\u1eddng, run, r\u1ed1i lo\u1ea1n v\u1eadn ng\u00f4n, qu\u00ean, suy gi\u1ea3m tr\u00ed nh\u1edb, r\u1ed1i lo\u1ea1n ch\u00fa \u00fd, d\u1ecb c\u1ea3m, gi\u1ea3m c\u1ea3m gi\u00e1c, an th\u00e2n, r\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng, li b\u00ec.<\/td>\n<\/tr>\n<tr>\n<td>\u00edt g\u1eb7p<\/td>\n<td>Ng\u1ea5t, s\u1eefng s\u1edd, co c\u01a1, m\u1ea5t \u00fd th\u1ee9c, t\u0103ng \u0111\u1ed9ng, lo\u1ea1n \u0111\u1ed9ng, ch\u00f3ng m\u1eb7t t\u01b0 th\u1ebf, run khi v\u1eadn \u0111\u1ed9ng h\u1eefu \u00fd, rung gi\u1eadt nh\u00e3n c\u1ea7u, r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c, sa s\u00fat t\u00e2m th\u1ea7n, r\u1ed1i lo\u1ea1n ng\u00f4n ng\u1eef gi\u1ea3m ph\u1ea3n x\u1ea1, t\u0103ng c\u1ea3m gi\u00e1c, c\u1ea3m gi\u00e1c b\u1ecfng, m\u1ea5t v\u1ecb gi\u00e1c, kh\u00f3 ch\u1ecbu.<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>Co gi\u1eadt, lo\u1ea1n kh\u1ee9u gi\u00e1c, gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, r\u1ed1i lo\u1ea1n vi\u1ebft ch\u1eef.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n m\u1eaft<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Nh\u00ecn m\u1edd, song th\u1ecb<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>M\u1ea5t th\u1ecb gi\u00e1c ngo\u1ea1i vi, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, s\u01b0ng m\u1eaft, thu h\u1eb9p th\u1ecb tr\u01b0\u1eddng, gi\u1ea3m th\u1ecb l\u1ef1c, \u0111au m\u1eaft, m\u1ecfi m\u1eaft, hoa m\u1eaft, kh\u00f4 m\u1eaft, t\u0103ng ch\u1ea3y n\u01b0\u1edbc m\u1eaft, k\u00edch \u1ee9ng m\u1eaft.<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>M\u1ea5t th\u1ecb l\u1ef1c, vi\u00eam gi\u00e1c m\u1ea1c, rung gi\u1eadt nh\u00e3n c\u1ea7u, thay \u0111\u1ed5i c\u1ea3m nh\u1eadn th\u1ecb gi\u00e1c v\u1ec1 chi\u1ec1u s\u00e2u, gi\u00e3n \u0111\u1ed3ng t\u1eed, l\u00e1c, l\u00f3a s\u00e1ng<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n tai v\u00e0 m\u00ea nh\u0129<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Ch\u00f3ng m\u1eb7t<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>T\u0103ng th\u00ednh<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n tim m\u1ea1ch<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Nh\u1ecbp tim nhanh, block nh\u0129 th\u1ea5t \u0111\u1ed9 I, nh\u1ecbp xoang ch\u1eadm, suy tim sung huy\u1ebft.<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>K\u00e9o d\u00e0i kho\u00e1ng QT, nh\u1ecbp xoang nhanh, lo\u1ea1n nh\u1ecbp xoang.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>H\u1ea1 huy\u1ebft \u00e1p, t\u0103ng huy\u1ebft \u00e1p, n\u00f3ng b\u1eebng, \u0111\u1ecf b\u1eebng m\u1eb7t, l\u1ea1nh tay ch\u00e2n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Kh\u00f3 th\u1edf, ch\u00e0y m\u00e1u cam, ho, sung huy\u1ebft m\u0169i, vi\u00eam m\u0169i, ng\u00e1y, kh\u00f4 m\u0169i<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>Ph\u00f9 ph\u1ed5i, h\u1eb9p thanh qu\u1ea3n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>N\u00f4n, bu\u1ed3n n\u00f4n, t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y, \u0111\u1ea7y h\u01a1i. ch\u01b0\u1edbng b\u1ee5ng, kh\u00f4 mi\u1ec7ng<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt, gi\u1ea3m x\u00fac gi\u00e1c \u1edf mi\u1ec7ng<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>C\u1ed5 n\u01b0\u1edbng, vi\u00eam t\u1ee5y, s\u01b0ng l\u01b0\u1ee1i, kh\u00f3 nu\u1ed1t<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n gan m\u1eadt<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>T\u0103ng men gan (AST, ALT)<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>V\u00e0ng da<\/td>\n<\/tr>\n<tr>\n<td>R\u1ea5t hi\u1ebfm g\u1eb7p<\/td>\n<td>Suy gan, vi\u00eam gan<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Ph\u00e1t ban d\u00e1t s\u1ea7n, n\u1ed5i m\u00e0y \u0111ay, t\u0103ng ti\u1ebft m\u1ed3 h\u00f4i, ng\u1ee9a<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>H\u1ed9i ch\u1ee9ng Stevens Johnson, \u0111\u1ed5 m\u1ed3 h\u00f4i l\u1ea1nh<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng v\u00e0 m\u00f4 li\u00ean k\u1ebft<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Chu\u1ed9t r\u00fat, \u0111au kh\u1edbp, \u0111au l\u01b0ng, \u0111au chi. co th\u1eaft c\u1ed5 t\u1eed cung<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>S\u01b0ng kh\u1edbp, \u0111au c\u01a1, co gi\u1eadt c\u01a1, \u0111au c\u1ed5, c\u1ee9ng c\u01a1<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>Ti\u00eau c\u01a1 v\u00e2n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u<\/em><\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7, kh\u00f3 ti\u1ec3u<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>Suy th\u1eadn, thi\u1ec3u ni\u1ec7u, b\u00ed ti\u1ec3u<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n sinh s\u1ea3n v\u00e0 v\u00fa<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>R\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, xu\u1ea5t tinh ch\u1eadm, \u0111au b\u1ee5ng kinh, \u0111au v\u00fa<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>V\u00f4 kinh, v\u00fa ti\u1ebft d\u1ecbch, t\u0103ng k\u00edch th\u01b0\u1edbc v\u00fa, v\u00fa to \u1edf \u0111\u00e0n \u00f4ng<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>R\u1ed1i lo\u1ea1n to\u00e0n th\u00e2n v\u00e0 t\u1ea1i n\u01a1i \u0111i\u1ec1u tr\u1ecb<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>Ph\u00f9 m\u1ea1ch ngo\u1ea1i vi, ph\u00f9 m\u1ea1ch, d\u00e1ng \u0111i b\u1ea5t th\u01b0\u1eddng, ng\u00e3, c\u1ea3m gi\u00e1c say, c\u1ea3m gi\u00e1c b\u1ea5t th\u01b0\u1eddng, m\u1ec7t m\u1ecfi<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Ph\u00f9 n\u1ec1 to\u00e0n th\u00e2n, ph\u00f9 m\u1eb7t \u0111au ng\u1ef1c, \u0111au, s\u1ed1t, kh\u00e1t, \u1edbn l\u1ea1nh, suy nh\u01b0\u1ee3c<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><em>Th\u0103m kh\u00e1m<\/em><\/td>\n<\/tr>\n<tr>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>T\u0103ng c\u00e2n<\/td>\n<\/tr>\n<tr>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>T\u0103ng creatin phosphokinase m\u00e1u, t\u0103ng glucose m\u00e1u, gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, t\u0103ng creatinin m\u00e1u, gi\u1ea3m kali m\u00e1u, gi\u1ea3m c\u00e2n<\/td>\n<\/tr>\n<tr>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>Gi\u1ea3m t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u, t\u0103ng Creatinin huy\u1ebft<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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<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=\"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>M\u1ed9t s\u1ed1 ADR l\u00e0m ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i ng\u1eebng thu\u1ed1c. 4% ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ch\u00f3ng m\u1eb7t ho\u1eb7c bu\u1ed3n ng\u1ee7 ph\u1ea3i ng\u1eebng \u0111i\u1ec1u tr\u1ecb. \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb nh\u00ecn m\u1edd t\u1ef1 h\u1ebft khi ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb, d\u01b0\u1edbi 1% ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i ng\u1eebng \u0111i\u1ec1u tr\u1ecb. N\u1ebfu r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c k\u00e9o d\u00e0i, c\u1ea7n cho th\u0103m kh\u00e1m m\u1eaft.<\/p>\n<p>Ph\u1ea3i ng\u1eebng thu\u1ed1c khi b\u1ecb b\u1ec7nh c\u01a1, ho\u1eb7c khi th\u1ea5y n\u1ed3ng \u0111\u1ed9 CPK huy\u1ebft thanh t\u0103ng cao \u00edt nh\u1ea5t g\u1ea5p 3 l\u1ea7n m\u1ee9c cao c\u1ee7a gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng. Ph\u1ea3i ng\u1eebng thu\u1ed1c khi c\u00f3 t\u0103ng c\u00e2n, ph\u00f9 ngo\u1ea1i bi\u00ean \u1edf ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 b\u1ec7nh tim t\u1eeb tr\u01b0\u1edbc.<\/p>\n<p>Ph\u00f9 m\u1ea1ch tuy hi\u1ebfm x\u1ea3y ra nh\u01b0ng th\u01b0\u1eddng x\u1ea3y ra ngay khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb pregabalin; do \u0111\u00f3, tr\u01b0\u1edbc khi cho b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng pregabalin, c\u1ea7n h\u1ecfi k\u1ef9 ti\u1ec1n s\u1eed m\u1eabn c\u1ea3m v\u00e0 chu\u1ea9n b\u1ecb ph\u01b0\u01a1ng ti\u1ec7n c\u1ea5p c\u1ee9u th\u00edch h\u1ee3p.<\/p>\n<p>Ngo\u00e0i ra, c\u1ea7n th\u00f4ng b\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh bi\u1ebft v\u1ec1 ti\u1ec1m n\u0103ng nguy c\u01a1 t\u1ef1 s\u00e1t khi d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh. Ph\u1ea3i ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00e1o hi\u1ec7u nh\u01b0 lo \u00e2u, v\u1eadt v\u00e3, hung h\u00e3n, t\u1ea5n c\u00f4ng, ch\u1ed1ng \u0111\u1ed1i, thao cu\u1ed3ng, m\u1ea5t ng\u1ee7 v\u00e0 tr\u1ea7m c\u1ea3m. Gia \u0111\u00ecnh c\u1ea7n theo d\u00f5i s\u00e1t ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>Khi ng\u1eebng thu\u1ed1c, tr\u00e1nh ng\u1eebng \u0111\u1ed9t ng\u1ed9t, gi\u1ea3m d\u1ea7n li\u1ec1u trong kho\u1ea3ng \u00edt nh\u1ea5t m\u1ed9t tu\u1ea7n.<\/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>Do Pregabalin \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u00ednh qua n\u01b0\u1edbc ti\u1ec3u \u1edf d\u1ea1ng ch\u01b0a chuy\u1ec3n h\u00f3a, m\u1ed9t l\u01b0\u1ee3ng kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a (&lt; 2% c\u1ee7a li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong n\u01b0\u1edbc ti\u1ec3u \u1edf d\u1ea1ng chuy\u1ec3n h\u00f3a), kh\u00f4ng k\u00ecm h\u00e3m chuy\u1ec3n h\u00f3a thu\u1ed1c trong \u1ed1ng nghi\u1ec7m (in vitro), v\u00e0 kh\u00f4ng g\u1eafn v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, Pregabalin kh\u00f4ng t\u1ea1o ra t\u01b0\u01a1ng t\u00e1c, ho\u1eb7c b\u1ecb t\u01b0\u01a1ng t\u00e1c d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc.<\/p>\n<p>Trong c\u00e1c nghi\u00ean c\u1ee9u in vivo, kh\u00f4ng quan s\u00e1t th\u1ea5y t\u01b0\u01a1ng t\u00e1c d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc l\u00e2m s\u00e0ng gi\u1eefa Pregabalin v\u1edbi Phenytoin, Carbamazepine, Acid valproic, Lamotrigine, Gabapentin, Lorazepam, Oxycodone ho\u1eb7c Ethanol. \u0110\u00e1nh gi\u00e1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u, insulin, Phenobarbital, Tiagabine v\u00e0 Topiramate, kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u00e2m s\u00e0ng \u0111\u00e1ng k\u1ec3 n\u00e0o \u0111\u1ebfn thanh th\u1ea3i Pregabalin.<\/p>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi Pregabalin v\u1edbi c\u00e1c thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng Norethisterone v\u00e0\/ho\u1eb7c Ethinyl oestradiol kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 \u1ed5n \u0111\u1ecbnh v\u1ec1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a c\u1ea3 2 lo\u1ea1i thu\u1ed1c.<\/p>\n<p>Pregabalin c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a Ethanol v\u00e0 Lorazepam. Trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng, d\u00f9ng nhi\u1ec1u li\u1ec1u prebagalin \u0111\u01b0\u1eddng u\u1ed1ng k\u1ebft h\u1ee3p v\u1edbi oxycodon, loraz\u00e9pam, ho\u1eb7c ethanol kh\u00f4ng g\u00e2y t\u00e1c \u0111\u1ed9ng l\u00e2m s\u00e0ng quan tr\u1ecdng n\u00e0o \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng h\u00f4 h\u1ea5p. Pregabalin l\u00e0m t\u0103ng th\u00eam r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c v\u00e0 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng t\u1ed5ng th\u1ec3 g\u00e2y ra b\u1edfi oxycodon<\/p>\n<p>\u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o v\u1ec1 suy h\u00f4 h\u1ea5p v\u00e0 h\u00f4n m\u00ea \u1edf b\u1ec7nh nh\u00e2n d\u00f9ng pregabalin v\u00e0 c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng kh\u00e1c.<\/p>\n<p>\u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o v\u1ec1 c\u00e1c bi\u1ebfn c\u1ed1 li\u00ean quan \u0111\u1ebfn gi\u1ea3m ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a d\u01b0\u1edbi nh\u01b0: t\u1eafc ru\u1ed9t, li\u1ec7t ru\u1ed9t g\u00e2y t\u1eafc ngh\u1ebdn, t\u00e1o b\u00f3n) khi d\u00f9ng pregabalin v\u1edbi c\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u00e1o b\u00f3n, v\u00ed d\u1ee5 nh\u01b0 thu\u1ed1c gi\u1ea3m \u0111au nh\u00f3m opioid..<\/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>Bi\u1ec3u hi\u1ec7n c\u1ee7a qu\u00e1 li\u1ec1u bao g\u1ed3m:<\/em> Bu\u1ed3n ng\u1ee7, t\u00ecnh tr\u1ea1ng l\u00fa l\u1eabn, tr\u1ea7m c\u1ea3m, lo \u00e2u v\u00e0 b\u1ed3n ch\u1ed3n. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm hoi c\u00f3 th\u1ec3 x\u1ea3y ra h\u00f4n m\u00ea.<\/p>\n<p><em>C\u00e1ch x\u1eed tr\u00ed<\/em>: \u0110i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u pregabalin c\u1ea7n bao g\u1ed3m c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 t\u1ed5ng qu\u00e1t v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m c\u1ea3 th\u1ea9m t\u00e1ch m\u00e1u n\u1ebfu c\u1ea7n thi\u1ebft.<\/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>Pregabalin l\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c l\u00e0 g\u1eafn v\u1edbi 1 ti\u1ec3u \u0111\u01a1n v\u1ecb (\u03b1<sub>2<\/sub>&#8211; \u03b4 protein) c\u1ee7a k\u00eanh calci \u0111\u00f3ng m\u1edf b\u1eb1ng \u0111i\u1ec7n th\u1ebf trong h\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng. B\u1eb1ng ch\u1ee9ng t\u1eeb m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ch\u1ec9 ra r\u1eb1ng pregabalin gi\u1ea3m gi\u1ea3i ph\u00f3ng ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u1ea3m th\u1ee5 \u0111au ph\u1ee5 thu\u1ed9c v\u00e0o canxi \u1edf t\u1ee7y s\u1ed1ng, c\u00f3 th\u1ec3 th\u00f4ng qua s\u1ef1 ng\u0103n c\u1ea3n v\u1eadn chuy\u1ec3n canxi v\u00e0\/ho\u1eb7c gi\u1ea3m d\u00f2ng canxi. B\u1eb1ng ch\u1ee9ng t\u1eeb c\u00e1c m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt kh\u00e1c c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh cho th\u1ea5y ho\u1ea1t t\u00ednh gi\u1ea3m \u0111au c\u1ee7a pregabalin c\u0169ng c\u00f3 th\u1ec3 gi\u00e1n ti\u1ebfp qua c\u00e1c t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c con \u0111\u01b0\u1eddng ph\u00f3 giao c\u1ea3m v\u00e0 serotonin.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Pregabalin g\u1eafn v\u1edbi 1 ti\u1ec3u \u0111\u01a1n v\u1ecb ph\u1ee5 (\u03b1<sub>2<\/sub>&#8211; \u03b4 protein) c\u1ee7a k\u00eanh calci c\u1ed5ng \u0111i\u1ec7n th\u1ebf trong h\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng.<\/p>\n<p>B\u1eb1ng ch\u1ee9ng t\u1eeb m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ch\u1ec9 ra r\u1eb1ng pregabalin gi\u1ea3m gi\u1ea3i ph\u00f3ng ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u1ea3m th\u1ee5 \u0111au ph\u1ee5 thu\u1ed9c v\u00e0o canxi \u1edf t\u1ee7y s\u1ed1ng, c\u00f3 th\u1ec3 th\u00f4ng qua s\u1ef1 ng\u0103n c\u1ea3n v\u1eadn chuy\u1ec3n canxi v\u00e0\/ho\u1eb7c gi\u1ea3m d\u00f2ng canxi. B\u1eb1ng ch\u1ee9ng t\u1eeb c\u00e1c m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt kh\u00e1c c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh cho th\u1ea5y ho\u1ea1t t\u00ednh gi\u1ea3m \u0111au c\u1ee7a pregabalin c\u0169ng c\u00f3 th\u1ec3 gi\u00e1n ti\u1ebfp qua c\u00e1c t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c con \u0111\u01b0\u1eddng ph\u00f3 giao c\u1ea3m v\u00e0 serotonin.<\/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>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc \u1ed5n \u0111\u1ecbnh c\u1ee7a Pregabalin l\u00e0 gi\u1ed1ng nhau tr\u00ean nh\u1eefng ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n kh\u1ecfe m\u1ea1nh, c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh v\u00e0 c\u00e1c b\u1ec7nh nh\u00e2n \u0111au m\u00e3n t\u00ednh.<\/p>\n<p><em>H\u1ea5p thu:<\/em><\/p>\n<p>Pregabalin \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh khi u\u1ed1ng l\u00fac \u0111\u00f3i, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c sau 1 gi\u1edd trong c\u1ea3 d\u00f9ng li\u1ec1u \u0111\u01a1n v\u00e0 li\u1ec1u \u0111a. Kh\u1ea3 d\u1ee5ng sinh h\u1ecdc d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng c\u1ee7a Pregabalin kho\u1ea3ng 90% v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u d\u00f9ng. Khi d\u00f9ng nh\u1eafc l\u1ea1i, t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh \u0111\u1ea1t \u0111\u01b0\u1ee3c trong 24 &#8211; 48 gi\u1edd. T\u1ec9 l\u1ec7 h\u1ea5p thu c\u1ee7a Pregabalin gi\u1ea3m khi d\u00f9ng c\u00f9ng th\u1ee9c \u0103n d\u1eabn \u0111\u1ebfn C<sub>max<\/sub>\u00a0gi\u1ea3m kho\u1ea3ng 25-30% v\u00e0 k\u00e9o d\u00e0i t<sub>max<\/sub>\u00a0sau kho\u1ea3ng 2,5 gi\u1edd. Tuy nhi\u00ean, d\u00f9ng Pregabalin c\u00f9ng th\u1ee9c \u0103n kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u00e2m s\u00e0ng \u0111\u00e1ng k\u1ec3 n\u00e0o \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 h\u1ea5p thu Pregabalin.<\/p>\n<p><em>Ph\u00e2n b\u1ed1:<\/em><\/p>\n<p>\u1ede ng\u01b0\u1eddi, th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a Pregabalin sau khi d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng kho\u1ea3ng 0,56L\/kg. Pregabalin kh\u00f4ng li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p><em>Chuy\u1ec3n h\u00f3a:<\/em><\/p>\n<p>Pregabalin \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a kh\u00f4ng \u0111\u00e1ng k\u1ec3 trong c\u01a1 th\u1ec3 ng\u01b0\u1eddi. Sau khi d\u00f9ng Pregabalin ph\u00f3ng x\u1ea1 \u0111\u00e1nh d\u1ea5u, kho\u1ea3ng 98% t\u00ecm th\u1ea5y trong n\u01b0\u1edbc ti\u1ec3u \u1edf d\u1ea1ng Pregabalin ch\u01b0a chuy\u1ec3n h\u00f3a. D\u1eabn xu\u1ea5t N-methylated c\u1ee7a pregabalin, ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh c\u1ee7a Pregabalin \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong n\u01b0\u1edbc ti\u1ec3u, chi\u1ebfm kho\u1ea3ng 0,9% li\u1ec1u d\u00f9ng. Trong nghi\u00ean c\u1ee9u ti\u1ec1n l\u00e2m s\u00e0ng, kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u n\u00e0o v\u1ec1 s\u1ef1 bi\u1ebfn \u0111\u1ed5i pregabalin \u0111\u1ed3ng ph\u00e2n t\u1ea3 tuy\u1ec1n th\u00e0nh \u0111\u1ed3ng ph\u00e2n h\u1eefu tuy\u1ec1n.<\/p>\n<p><em>Th\u1ea3i tr\u1eeb:<\/em><\/p>\n<p>Pregabalin \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb kh\u1ecfi h\u1ec7 tu\u1ea7n ho\u00e0n ch\u1ee7 y\u1ebfu do b\u00e0i ti\u1ebft qua th\u1eadn \u1edf d\u1ea1ng kh\u00f4ng \u0111\u1ed5i. Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh c\u1ee7a Pregabalin kho\u1ea3ng 6,3 gi\u1edd. T\u1ed1c \u0111\u1ed9 thanh th\u1ea3i pregabalin huy\u1ebft t\u01b0\u01a1ng v\u00e0 t\u1ed1c \u0111\u1ed9 thanh th\u1ea3i th\u1eadn t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi t\u1ed1c \u0111\u1ed9 thanh th\u1ea3i creatinin.<\/p>\n<p><em>Tuy\u1ebfn t\u00ednh\/kh\u00f4ng tuy\u1ebfn t\u00ednh:<\/em><\/p>\n<p>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a Pregabalin l\u00e0 tuy\u1ebfn t\u00ednh trong ph\u1ea1m vi li\u1ec1u khuy\u1ebfn c\u00e1o h\u1eb1ng ng\u00e0y. C\u00e1c \u0111\u1eb7c t\u00ednh d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a li\u1ec1u \u0111\u00e3 c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n t\u1eeb c\u00e1c d\u1eef li\u1ec7u c\u1ee7a li\u1ec1u \u0111\u01a1n. S\u1ef1 thay \u0111\u1ed5i d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc \u0111\u1ed1i v\u1edbi pregabalin th\u1ea5p (&lt;20%). D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc \u0111a li\u1ec1u c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c t\u1eeb d\u1eef li\u1ec7u \u0111\u01a1n li\u1ec1u. Do \u0111\u00f3 kh\u00f4ng c\u1ea7n ph\u1ea3i theo d\u00f5i th\u01b0\u1eddng xuy\u00ean n\u1ed3ng \u0111\u1ed9 c\u1ee7a pregabalin trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc \u1edf nh\u1eefng nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t:<\/p>\n<p><em>Gi\u1edbi t\u00ednh<\/em>: C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u00e3 cho th\u1ea5y gi\u1edbi t\u00ednh kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u00e2m s\u00e0ng \u0111\u00e1ng k\u1ec3 n\u00e0o \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 c\u1ee7a pregabalin trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p><em>Suy th\u1eadn:<\/em> T\u1ed1c \u0111\u1ed9 thanh th\u1ea3i pregabalin t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi t\u1ed1c \u0111\u1ed9 thanh th\u1ea3i creatinin. Pregabalin \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf hi\u1ec7u qu\u1ea3 kh\u1ecfi huy\u1ebft t\u01b0\u01a1ng qua th\u1ea9m t\u00e1ch m\u00e1u (sau 4 gi\u1edd th\u1ea9m t\u00e1ch m\u00e1u n\u1ed3ng \u0111\u1ed9 c\u1ee7a pregabalin trong huy\u1ebft t\u01b0\u01a1ng gi\u1ea3m kho\u1ea3ng 50%). B\u1edfi v\u00ec th\u1ea3i tr\u1eeb qua th\u1eadn l\u00e0 \u0111\u01b0\u1eddng th\u1ea3i tr\u1eeb ch\u00ednh, c\u1ea7n ph\u1ea3i gi\u1ea3m li\u1ec1u cho b\u1ec7nh nh\u00e2n suy th\u1eadn v\u00e0 d\u00f9ng li\u1ec1u b\u1ed5 sung cho b\u1ec7nh nh\u00e2n th\u1ea9m t\u00e1ch m\u00e1u.<\/p>\n<p><em>Suy gan:<\/em> Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee5 th\u1ec3 n\u00e0o \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh tr\u00ean b\u1ec7nh nh\u00e2n suy gan. V\u00ec pregabalin \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a kh\u00f4ng \u0111\u00e1ng k\u1ec3 v\u00e0 \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua th\u1eadn d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng chuy\u1ec3n h\u00f3a n\u00ean ch\u1ee9c n\u0103ng gan suy gi\u1ea3m s\u1ebd kh\u00f4ng l\u00e0m thay \u0111\u1ed5i \u0111\u00e1ng k\u1ebf n\u1ed3ng \u0111\u1ed9 pregabalin trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p><em>Tr\u1ebb em:<\/em> Nghi\u00ean c\u1ee9u tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb b\u1ecb \u0111\u1ed9ng kinh (nh\u00f3m tu\u1ed1i t\u1eeb 1 \u0111\u1ebfn 23 th\u00e1ng, t\u1eeb 2 \u0111\u1ebfn 6 tu\u1ed5i, t\u1eeb 7 \u0111\u1ebfn 11 tu\u1ed5i v\u00e0 t\u1eeb 12 \u0111\u1ebfn 16 tu\u1ed5i) \u1edf c\u00e1c li\u1ec1u 2,5; 5; 10 v\u00e0 15 mg\/kg\/ng\u00e0y.<\/p>\n<p>Sau khi u\u1ed1ng pregabalin l\u00fac \u0111\u00f3i \u1edf b\u1ec7nh l\u00e0 tr\u1ebb em, nh\u00ecn chung th\u1eddi gian \u0111\u1ec3 \u0111\u1ea1t \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng l\u00e0 t\u01b0\u01a1ng t\u1ef1 nhau \u1edf c\u00e1c nh\u00f3m tu\u1ed5i v\u00e0 di\u1ec5n ra trong kho\u1ea3ng t\u1eeb 0,5 \u0111\u1ebfn 2 gi\u1edd sau khi d\u00f9ng thu\u1ed1c.<\/p>\n<p>Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a pregabalin kho\u1ea3ng 3 \u0111\u00ean 4 gi\u1edd \u1edf tr\u1ebb em d\u01b0\u1edbi 6 tu\u1ed5i v\u00e0 t\u1eeb 4 \u0111\u00ean 6 gi\u1edd \u1edf tr\u1ebb em t\u1eeb 7 tu\u1ed5i tr\u1edf l\u00ean.<\/p>\n<p>Kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc pregabalin \u1edf b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 3 th\u00e1ng tu\u1ed5i.<\/p>\n<p><em>Ng\u01b0\u1eddi cao tu\u1ed5i (tr\u00ean 65 tu\u1ed5i):<\/em> T\u1ed1c \u0111\u1ed9 thanh th\u1ea3i creatinin c\u00f3 xu h\u01b0\u1edbng gi\u1ea3m khi tu\u1ed5i cao. M\u1ee9c gi\u1ea3m c\u1ee7a t\u1ed1c \u0111\u1ed9 thanh th\u1ea3i pregabalin theo \u0111\u01b0\u1eddng u\u1ed1ng th\u1ed1ng nh\u1ea5t v\u1edbi m\u1ee9c gi\u1ea3m c\u1ee7a t\u1ed1c \u0111\u1ed9 thanh th\u1ea3i creatinin khi tu\u1ed5i cao. C\u00f3 th\u1ec3 c\u1ea7n gi\u1ea3m li\u1ec1u pregabalin cho c\u00e1c b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u1eadn do tu\u1ed5i cao.<\/p>\n<p><em>Ph\u1ee5 n\u1eef cho con b\u00fa:<\/em> D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a li\u1ec1u pregabalin 150mg d\u00f9ng 12 gi\u1edd\/l\u1ea7n \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u1ea3o s\u00e1t \u1edf 10 ph\u1ee5 n\u1eef \u0111ang c\u00f3 ti\u1ebft s\u1eefa, c\u00e1c ph\u1ee5 n\u1eef n\u00e0y \u0111ang \u1edf giai \u0111o\u1ea1n sau khi sinh t\u1ed1i thi\u1ec3u l\u00e0 12 tu\u1ea7n. S\u1ef1 ti\u1ebft s\u1eefa \u00edt \u1ea3nh h\u01b0\u1edfng ho\u1eb7c kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a pregabalin. Pregabalin \u0111\u01b0\u1ee3c ti\u1ebft v\u00e0o s\u1eefa v\u1edbi n\u1ed3ng \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh trung b\u00ecnh v\u00e0o kho\u1ea3ng 76% so v\u1edbi n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng c\u1ee7a m\u1eb9. Li\u1ec1u pregabalin trung b\u00ecnh t\u1eeb s\u1eefa m\u1eb9 m\u00e0 tr\u1ebb nh\u1eadn h\u00e0ng ng\u00e0y (gi\u1ea3 s\u1eed l\u01b0\u1ee3ng s\u1eefa m\u1eb9 ti\u00eau th\u1ee5 trung b\u00ecnh l\u00e0 150 ml\/kg\/ng\u00e0y) l\u00e0 0,31 mg\/kg\/ng\u00e0y, li\u1ec1u n\u00e0y t\u00ednh theo mg\/kg s\u1ebd l\u00e0 kho\u1ea3ng 7% so v\u1edbi li\u1ec1u c\u1ee7a ng\u01b0\u1eddi m\u1eb9.<\/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: Microcrystalline cellulose , magnesi stearat, b\u1ed9t talc, crospovidon.<\/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>Do kh\u00f4ng c\u00f3 c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 t\u01b0\u01a1ng k\u1ef5 c\u1ee7a thu\u1ed1c, kh\u00f4ng tr\u1ed9n l\u1eabn thu\u1ed1c n\u00e0y v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c..<\/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 Avucibe do C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m H\u00e0 T\u00e2y s\u1ea3n xu\u1ea5t (2019).<\/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 Avucibe 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 Avucibe (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 : Pregabalin (Pregabaline) Ph\u00e2n lo\u1ea1i: Thu\u1ed1c ch\u1ed1ng co gi\u1eadt, [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":42112,"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":[1669],"class_list":["post-42099","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-pregabalin"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/42099","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=42099"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/42099\/revisions"}],"predecessor-version":[{"id":42153,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/42099\/revisions\/42153"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/42112"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=42099"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=42099"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=42099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}