{"id":43126,"date":"2022-02-06T16:22:15","date_gmt":"2022-02-06T09:22:15","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=43126"},"modified":"2025-01-07T22:23:38","modified_gmt":"2025-01-07T15:23:38","slug":"paracetamol-avoir-bamyrol-medi-paracetamol","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/paracetamol-avoir-bamyrol-medi-paracetamol\/","title":{"rendered":"Paracetamol &#8211; Avoir\/Bamyrol\/Medi-Paracetamol"},"content":{"rendered":"<p><em>Thu\u1ed1c Avoir , Bamyrol , Bamyrol Sol, Medi-Paracetamol , Medi-Paracetamol Fort 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 Avoir , Bamyrol , Bamyrol Sol, Medi-Paracetamol , Medi-Paracetamol Fort (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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol-avoir-bamyrol-medi-paracetamol\/#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\/paracetamol\/\"><strong>Paracetamol (Acetaminophen)<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c gia\u0309m \u0111au ha\u0323 s\u00f4\u0301t.<\/em><\/p>\n<p><strong><em>Nh\u00f3m<\/em><\/strong> <strong><em>ph\u00e1p l\u00fd: <\/em><\/strong><em>Thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 \u0111\u1eb7t h\u1eadu m\u00f4n l\u00e0 thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n OTC \u2013 (Over the counter drugs). Thu\u1ed1c ti\u00eam truy\u1ec1n l\u00e0 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): N02BE01.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/paracetamol-perfalgan\/\">Perfalgan Inj<\/a><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Avoir , Bamyrol , Bamyrol Sol, Medi-Paracetamol , Medi-Paracetamol Fort<\/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 Me Di Sun<\/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>Thu\u1ed1c b\u1ed9t s\u1ee7i b\u1ecdt: 150 mg, 250mg<\/p>\n<p>Vi\u00ean n\u00e9n 500 mg; 650mg.<\/p>\n<p>Dung d\u1ecbch u\u1ed1ng: 120 mg\/6 ml; 250mg\/5ml<\/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>MEDI-PARACETAMOL FORT<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Paracetamol<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>650 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><strong><img loading=\"lazy\" decoding=\"async\" width=\"533\" height=\"357\" class=\"wp-image-43136\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-398.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-398.png 533w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-398-300x201.png 300w\" sizes=\"auto, (max-width: 533px) 100vw, 533px\" \/><\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>BAMYROL 250<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i g\u00f3i thu\u1ed1c b\u1ed9t c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Paracetamol<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>250 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=\"489\" height=\"303\" class=\"wp-image-43137\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-399.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-399.png 489w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-399-300x186.png 300w\" sizes=\"auto, (max-width: 489px) 100vw, 489px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>BAMYROL 150 SOL<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i \u1ed1ng 5ml c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Paracetamol<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>150 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=\"564\" height=\"400\" class=\"wp-image-43139\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-401.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-401.png 564w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-401-300x213.png 300w\" sizes=\"auto, (max-width: 564px) 100vw, 564px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>AVOIR 120<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i g\u00f3i thu\u1ed1c 6ml c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Paracetamol<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>120 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=\"488\" height=\"361\" class=\"wp-image-43141\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-403.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-403.png 488w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/02\/word-image-403-300x222.png 300w\" sizes=\"auto, (max-width: 488px) 100vw, 488px\" \/><\/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><em>Hapacol 500mg, 650mg:<\/em><\/p>\n<p>L\u00e0m gi\u1ea3m c\u00e1c c\u01a1n \u0111au nh\u01b0: \u0110au \u0111\u1ea7u, \u0111au h\u1ecdng, \u0111au b\u1ee5ng kinh, \u0111au r\u0103ng, \u0111au nh\u1ee9c c\u01a1, g\u00e2n, \u0111au do ch\u1ea5n th\u01b0\u01a1ng, \u0111au nh\u1ee9c do vi\u00eam xoang, c\u1ea3m l\u1ea1nh, c\u1ea3m c\u00fam.<\/p>\n<p><em>Avoir \/ Bamyrol:<\/em><\/p>\n<p>H\u1ea1 s\u1ed1t cho tr\u1ebb em<\/p>\n<p>Gi\u1ea3m \u0111au nh\u1eb9 v\u00e0 v\u1eeba \u1edf tr\u1ebb em.<\/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>Vi\u00ean n\u00e9n: \u0111\u01b0\u1ee3c d\u00f9ng theo \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n<p><em>Dung d\u1ecbch\/h\u1ed7n d\u1ecbch u\u1ed1ng<\/em>: d\u00f9ng qua \u0111\u01b0\u1eddng u\u1ed1ng, b\u1ebb \u1ed1ng nh\u1ef1a v\u00e0 u\u1ed1ng tr\u1ef1c ti\u1ebfp dung d\u1ecbch trong \u1ed1ng. c\u00f3 th\u1ec3 pha lo\u00e3ng v\u1edbi n\u01b0\u1edbc\/ ho\u1eb7c u\u1ed1ng n\u01b0\u1edbc sau khi u\u1ed1ng thu\u1ed1c. M\u1ed7i ng\u00e0y d\u00f9ng kh\u00f4ng qu\u00e1 5 li\u1ec1u..<\/p>\n<p><em>Thu\u1ed1c b\u1ed9t:<\/em> H\u00f2a tan thu\u1ed1c v\u00e0o l\u01b0\u1ee3ng n\u01b0\u1edbc (th\u00edch h\u1ee3p cho b\u00e9) \u0111\u1ebfn khi h\u1ebft s\u1ee7i b\u1ecdt.<\/p>\n<p><em>L\u01b0u \u00fd:<\/em><\/p>\n<p>kh\u00f4ng n\u00ean k\u00e9o d\u00e0i vi\u1ec7c t\u1ef1 s\u1eed d\u1ee5ng thu\u1ed1c cho tr\u1ebb m\u00e0 c\u1ea7n c\u00f3 \u00fd ki\u1ebfn b\u00e1c s\u0129 khi: C\u00f3 tri\u1ec7u ch\u1ee9ng m\u1edbi xu\u1ea5t hi\u1ec7n. S\u1ed1t cao (39,5 \u0111\u1ed9 C) v\u00e0 k\u00e9o d\u00e0i h\u01a1n 3 ng\u00e0y ho\u1eb7c t\u00e1i ph\u00e1t. \u0110au nhi\u1ec1u v\u00e0 k\u00e9o d\u00e0i h\u01a1n 5 ng\u00e0y.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p><em>Vi\u00ean 500mg, 650mg<\/em><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 12 tu\u1ed5i: u\u1ed1ng t\u1eeb 1-2 vi\u00ean\/l\u1ea7n, m\u1ed7i 4 \u0111\u1ebfn 6 gi\u1edd. T\u1ed1i \u0111a 8 vi\u00ean\/ ng\u00e0y.<\/p>\n<p>Tr\u1ebb em 7-12 tu\u1ed5i: u\u1ed1ng 1\/2 vi\u00ean-1 vi\u00ean\/l\u1ea7n, m\u1ed7i 4 \u0111\u1ebfn 6 gi\u1edd. T\u1ed1i \u0111a 4 vi\u00ean\/ ng\u00e0y.<\/p>\n<p>Ho\u1eb7c theo s\u1ef1 ch\u1ec9 d\u1eabn c\u1ee7a th\u1ea7y thu\u1ed1c.<\/p>\n<p><em>Tr\u1ebb em:<\/em><\/p>\n<p>Trung b\u00ecnh t\u1eeb 10-15 mg\/kg th\u1ec3 tr\u1ecdng\/l\u1ea7n. T\u1ed5ng li\u1ec1u t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 60 mg\/kg th\u1ec3 tr\u1ecdng\/ 24 gi\u1edd. Ho\u1eb7c chia li\u1ec1u nh\u01b0 sau:<\/p>\n<p>B\u1ec7nh nh\u00e2n m\u1ed7i l\u1ea7n d\u00f9ng c\u00e1ch nhau 4-6 gi\u1edd.<\/p>\n<p>Tr\u1ebb s\u01a1 sinh \u0111\u1ebfn 3 th\u00e1ng tu\u1ed5i: 40 mg\/ l\u1ea7n<\/p>\n<p>Tr\u1ebb em 4\u2014 11 th\u00e1ng tu\u1ed5i: 80 mg\/l\u1ea7n.<\/p>\n<p>Tr\u1ebb em 1 \u20142 tu\u1ed5i: 120 mg\/l\u1ea7n.<\/p>\n<p>Tr\u1ebb em 2\u20143 tu\u1ed5i: 160 mg\/l\u1ea7n.<\/p>\n<p>Tr\u1ebb em 4\u2014 5 tu\u1ed5i: 240 mg\/ l\u1ea7n.<\/p>\n<p>Tr\u1ebb em 6 \u2013 8 tu\u1ed5i: 320 mg\/l\u1ea7n.<\/p>\n<p>Tr\u1ebb em 9 \u2014 10 tu\u1ed5i: 400 mg\/l\u1ea7n.<\/p>\n<p>Tr\u1ebb em 11 tu\u1ed5i: 480 mg\/l\u1ea7n.<\/p>\n<p>Tr\u1ebb em tr\u00ean 11 tu\u1ed5i: 325 \u2013 650 mg\/l\u1ea7n, ng\u00e0y kh\u00f4ng qu\u00e1 4g.<\/p>\n<p>Ho\u1eb7c theo ch\u1ec9 d\u1eabn c\u1ee7a th\u1ea7y thu\u1ed1c.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"43-chong-chi-dinh\"><\/span>4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>M\u1eabn c\u1ea3m v\u1edbi b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec1u l\u1ea7n thi\u1ebfu m\u00e1u ho\u1eb7c c\u00f3 b\u1ec7nh tim, ph\u1ed5i, th\u1eadn ho\u1eb7c gan.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh thi\u1ebfu h\u1ee5t Glucose \u2013 6 \u2013 Phosphat Dehydrogenase.<\/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>Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n s\u1ed1t cao (tr\u00ean 39,5\u00b0C), k\u00e9o d\u00e0i qu\u00e1 3 ng\u00e0y ho\u1eb7c s\u1ed1t t\u00e1i ph\u00e1t, b\u00e1c s\u0129 c\u1ea7n chu\u1ea9n \u0111o\u00e1n k\u1ef9 l\u01b0\u1ee1ng tr\u01b0\u1edbc khi cho b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng paracetamol.<\/p>\n<p>B\u00e1c s\u0129 c\u1ea7n c\u1ea3nh b\u00e1o b\u1ec7nh nh\u00e2n v\u1ea7 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a ph\u1ea3n \u1ee9ng tr\u00ean da nghi\u00eam tr\u1ecdng nh\u01b0 h\u1ed9i ch\u1ee9ng Steven-Jonhson (SJS), h\u1ed9i ch\u1ee9ng ho\u1ea1i t\u1eed da nhi\u1ec5m \u0111\u1ed9c (TEN) hay h\u1ed9i ch\u1ee9ng Lyell, h\u1ed9i ch\u1ee9ng ngo\u1ea1i ban m\u1ee5n m\u1ee7 to\u00e0n th\u00e2n c\u1ea5p t\u00ednh (AGEP).<\/p>\n<p>Gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u, v\u00e0 gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u \u0111\u00e3 x\u1ea3y ra v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng nh\u1eefng d\u1eabn ch\u1ea5t p-aminophenol, \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng k\u00e9o d\u00e0i c\u00e1c li\u1ec1u l\u1edbn. Gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh v\u00e0 ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u \u0111\u00e3 x\u1ea3y ra khi d\u00f9ng paracetamol. Hi\u1ebfm g\u1eb7p m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t \u1edf ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng paracetamol.<\/p>\n<p>Ph\u1ea3i d\u00f9ng paracetamol th\u1eadn tr\u1ecdng \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 thi\u1ebfu m\u00e1u t\u1eeb tr\u01b0\u1edbc, v\u00ec ch\u1ee9ng xanh t\u00edm c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ec3u l\u1ed9 r\u00f5, m\u1eb7c d\u00f9 c\u00f3 nh\u1eefng n\u1ed3ng \u0111\u1ed9 cao nguy hi\u1ec3m c\u1ee7a methemoglobin trong m\u00e1u.<\/p>\n<p>U\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u c\u00f3 th\u1ec3 g\u00e2y t\u0103ng \u0111\u1ed9c t\u00ednh v\u1edbi gan c\u1ee7a paracetamol, n\u00ean tr\u00e1nh ho\u1eb7c h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u..<\/p>\n<p><strong>T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c tr\u00ean ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/strong><\/p>\n<p>Kh\u00f4ng \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: A<\/p>\n<p>US FDA pregnancy category: NA<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u00ednh an to\u00e0n c\u1ee7a paracetamol d\u00f9ng khi thai ngh\u00e9n li\u00ean quan \u0111\u1ebfn t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 c\u00f3 \u0111\u1ed1i v\u1edbi ph\u00e1t tri\u1ec3n thai. Do \u0111\u00f3, ch\u1ec9 n\u00ean d\u00f9ng paracetamol \u1edf ng\u01b0\u1eddi mang thai khi th\u1eadt c\u1ea7n.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Nghi\u00ean c\u1ee9u \u1edf ng\u01b0\u1eddi m\u1eb9 cho con b\u00fa, d\u00f9ng paracetamol kh\u00f4ng th\u1ea5y c\u00f3 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n \u1edf tr\u1ebb nh\u1ecf b\u00fa m\u1eb9.<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"46-tac-dung-khong-mong-muon-adr\"><\/span>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ban da v\u00e0 nh\u1eefng ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng kh\u00e1c th\u1ec9nh tho\u1ea3ng x\u1ea3y ra. Th\u01b0\u1eddng l\u00e0 ban \u0111\u1ecf ho\u1eb7c m\u00e0y \u0111ay, nh\u01b0ng \u0111\u00f4i khi n\u1eb7ng h\u01a1n v\u00e0 c\u00f3 th\u1ec3 k\u00e8m theo s\u1ed1t do thu\u1ed1c v\u00e0 th\u01b0\u01a1ng t\u1ed5n ni\u00eam m\u1ea1c. Ng\u01b0\u1eddi b\u1ec7nh m\u1eabn c\u1ea3m v\u1edbi salicylat hi\u1ebfm khi m\u1eabn c\u1ea3m v\u1edbi paracetamol v\u00e0 nh\u1eefng thu\u1ed1c c\u00f3 li\u00ean quan. Trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p ri\u00eang l\u1ebb, paracetamol \u0111\u00e3 g\u00e2y gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00e0 gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/1000 &lt; ADR &lt; 1\/100<\/em><\/p>\n<p>Da: Ban.<\/p>\n<p>D\u1ea1 d\u00e0y &#8211; ru\u1ed9t: Bu\u1ed3n n\u00f4n, n\u00f4n.<\/p>\n<p>Huy\u1ebft h\u1ecdc: Lo\u1ea1n t\u1ea1o m\u00e1u (gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u), thi\u1ebfu m\u00e1u.<\/p>\n<p>Th\u1eadn: B\u1ec7nh th\u1eadn, \u0111\u1ed9c t\u00ednh th\u1eadn khi l\u1ea1m d\u1ee5ng d\u00e0i ng\u00e0y.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p, ADR &lt; 1\/1000<\/em><\/p>\n<p>Kh\u00e1c: Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn.<\/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>N\u1ebfu x\u1ea3y ra ADR nghi\u00eam tr\u1ecdng, ph\u1ea3i ng\u1eebng d\u00f9ng paracetamol. v\u1ec1 \u0111i\u1ec1u tr\u1ecb, xin \u0111\u1ecdc ph\u1ea7n: \u201cQu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed\u201d.<\/p>\n<p><em>Khuy\u1ebfn c\u00e1o:<\/em> C\u00e1c th\u1ea7y thu\u1ed1c n\u1ebfu k\u00ea \u0111\u01a1n c\u00e1c ch\u1ebf ph\u1ea9m ph\u1ed1i h\u1ee3p ch\u1ee9a paracetamol th\u00ec ch\u1ebf ph\u1ea9m n\u00e0y ch\u1ec9 ch\u1ee9a b\u1eb1ng ho\u1eb7c \u00edt h\u01a1n 325 mg paracetamol. Tuy li\u1ec1u 2 vi\u00ean v\u1eabn c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n, n\u1ebfu th\u00edch h\u1ee3p, nh\u01b0ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, t\u1ed5ng li\u1ec1u paracetamol l\u00e0 650 mg. Ph\u1ea3i lu\u00f4n nh\u1edb \u0111\u1ebfn li\u1ec1u thu\u1ed1c th\u1ee9 2 ph\u1ed1i h\u1ee3p.<\/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>U\u1ed1ng d\u00e0i ng\u00e0y li\u1ec1u cao paracetamol l\u00e0m t\u0103ng nh\u1eb9 t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng c\u1ee7a coumarin v\u00e0 d\u1eabn ch\u1ea5t indandion. T\u00e1c d\u1ee5ng n\u00e0y c\u00f3 v\u1ebb \u00edt ho\u1eb7c kh\u00f4ng quan tr\u1ecdng v\u1ec1 l\u00e2m s\u00e0ng, n\u00ean paracetamol \u0111\u01b0\u1ee3c \u01b0a d\u00f9ng h\u01a1n salicylat khi c\u1ea7n gi\u1ea3m \u0111au nh\u1eb9 ho\u1eb7c h\u1ea1 s\u1ed1t cho ng\u01b0\u1eddi b\u1ec7nh \u0111ang d\u00f9ng coumarin ho\u1eb7c d\u1eabn ch\u1ea5t indandion.<\/p>\n<p>C\u1ea7n ph\u1ea3i ch\u00fa \u00fd \u0111\u1ebfn kh\u1ea3 n\u0103ng g\u00e2y h\u1ea1 s\u1ed1t nghi\u00eam tr\u1ecdng \u1edf ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng \u0111\u1ed3ng th\u1eddi phenothiazin v\u00e0 li\u1ec7u ph\u00e1p h\u1ea1 nhi\u1ec7t.<\/p>\n<p>U\u1ed1ng r\u01b0\u1ee3u qu\u00e1 nhi\u1ec1u v\u00e0 d\u00e0i ng\u00e0y c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y \u0111\u1ed9c cho gan c\u1ee7a paracetamol.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng co gi\u1eadt (g\u1ed3m phenytoin, barbiturat, carbamazepin) g\u00e2y c\u1ea3m \u1ee9ng enzym \u1edf microsom gan, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00ednh \u0111\u1ed9c h\u1ea1i gan c\u1ee7a paracetamol do t\u0103ng chuy\u1ec3n h\u00f3a thu\u1ed1c th\u00e0nh nh\u1eefng ch\u1ea5t \u0111\u1ed9c h\u1ea1i v\u1edbi gan. Ngo\u00e0i ra, d\u00f9ng \u0111\u1ed3ng th\u1eddi isoniazid v\u1edbi paracetamol c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh v\u1edbi gan, nh\u01b0ng ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u01a1 ch\u1ebf ch\u00ednh x\u00e1c c\u1ee7a t\u01b0\u01a1ng t\u00e1c n\u00e0y. Nguy c\u01a1 paracetamol g\u00e2y \u0111\u1ed9c t\u00ednh gan gia t\u0103ng \u0111\u00e1ng k\u1ec3 \u1edf ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng li\u1ec1u paracetamol l\u1edbn h\u01a1n li\u1ec1u khuy\u00ean d\u00f9ng trong khi \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng co gi\u1eadt ho\u1eb7c isoniazid.<\/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<\/em><\/p>\n<p>Nhi\u1ec5m \u0111\u1ed9c paracetamol c\u00f3 th\u1ec3 do d\u00f9ng m\u1ed9t li\u1ec1u \u0111\u1ed9c duy nh\u1ea5t, ho\u1eb7c do u\u1ed1ng l\u1eb7p l\u1ea1i li\u1ec1u l\u1edbn paracetamol (v\u00ed d\u1ee5, 7,5 &#8211; 10 g m\u1ed7i ng\u00e0y, trong 1 &#8211; 2 ng\u00e0y), ho\u1eb7c do u\u1ed1ng thu\u1ed1c d\u00e0i ng\u00e0y. Ho\u1ea1i t\u1eed gan ph\u1ee5 thu\u1ed9c li\u1ec1u l\u00e0 t\u00e1c d\u1ee5ng \u0111\u1ed9c c\u1ea5p t\u00ednh nghi\u00eam tr\u1ecdng nh\u1ea5t do qu\u00e1 li\u1ec1u v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n<p>Bu\u1ed3n n\u00f4n, n\u00f4n, v\u00e0 \u0111au b\u1ee5ng th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng 2 &#8211; 3 gi\u1edd sau khi u\u1ed1ng li\u1ec1u \u0111\u1ed9c c\u1ee7a thu\u1ed1c. Methemoglobin m\u00e1u, d\u1eabn \u0111\u1ebfn ch\u1ee9ng xanh t\u00edm da, ni\u00eam m\u1ea1c v\u00e0 m\u00f3ng tay l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng nhi\u1ec5m \u0111\u1ed9c c\u1ea5p t\u00ednh d\u1eabn ch\u1ea5t p-aminophenol;<\/p>\n<p>m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf sulfhemoglobin c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1ea3n sinh. Tr\u1ebb em c\u00f3 khuynh h\u01b0\u1edbng t\u1ea1o methemoglobin d\u1ec5 h\u01a1n ng\u01b0\u1eddi l\u1edbn sau khi u\u1ed1ng paracetamol.<\/p>\n<p>Khi b\u1ecb ng\u1ed9 \u0111\u1ed9c n\u1eb7ng, ban \u0111\u1ea7u c\u00f3 th\u1ec3 c\u00f3 k\u00edch th\u00edch h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, k\u00edch \u0111\u1ed9ng, v\u00e0 m\u00ea s\u1ea3ng. Ti\u1ebfp theo c\u00f3 th\u1ec3 l\u00e0 \u1ee9c ch\u1ebf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng: s\u1eefng s\u1edd, h\u1ea1 th\u00e2n nhi\u1ec7t, m\u1ec7t l\u1ea3, th\u1edf nhanh, n\u00f4ng; m\u1ea1ch nhanh, y\u1ebfu, kh\u00f4ng \u0111\u1ec1u, huy\u1ebft \u00e1p th\u1ea5p v\u00e0 suy tu\u1ea7n ho\u00e0n. Tr\u1ee5y m\u1ea1ch do gi\u1ea3m oxy huy\u1ebft t\u01b0\u01a1ng \u0111\u1ed1i v\u00e0 do t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf trung t\u00e2m, t\u00e1c d\u1ee5ng n\u00e0y ch\u1ec9 x\u1ea3y ra v\u1edbi li\u1ec1u r\u1ea5t l\u1edbn. S\u1ed1c c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu gi\u00e3n m\u1ea1ch nhi\u1ec1u. C\u01a1n co gi\u1eadt ngh\u1eb9t th\u1edf g\u00e2y t\u1eed vong c\u00f3 th\u1ec3 x\u1ea3y ra. Th\u01b0\u1eddng h\u00f4n m\u00ea x\u1ea3y ra tr\u01b0\u1edbc khi ch\u1ebft \u0111\u1ed9t ng\u1ed9t ho\u1eb7c sau v\u00e0i ng\u00e0y h\u00f4n m\u00ea.<\/p>\n<p>D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng th\u01b0\u01a1ng t\u1ed5n gan tr\u1edf n\u00ean r\u00f5 r\u1ec7t trong v\u00f2ng 2 \u0111\u1ebfn 4 ng\u00e0y sau khi u\u1ed1ng li\u1ec1u \u0111\u1ed9c. Aminotransferase huy\u1ebft t\u01b0\u01a1ng t\u0103ng (\u0111\u00f4i khi t\u0103ng r\u1ea5t cao) v\u00e0 n\u1ed3ng \u0111\u1ed9 bilirubin trong huy\u1ebft t\u01b0\u01a1ng c\u0169ng c\u00f3 th\u1ec3 t\u0103ng; th\u00eam n\u1eefa, khi th\u01b0\u01a1ng t\u1ed5n gan lan r\u1ed9ng, th\u1eddi gian prothrombin s\u1ebd k\u00e9o d\u00e0i. C\u00f3 th\u1ec3 10% ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ng\u1ed9 \u0111\u1ed9c kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u \u0111\u00e3 c\u00f3 th\u01b0\u01a1ng t\u1ed5n gan nghi\u00eam tr\u1ecdng; trong s\u1ed1 \u0111\u00f3 10% \u0111\u1ebfn 20% cu\u1ed1i c\u00f9ng ch\u1ebft v\u00ec suy gan. Suy th\u1eadn c\u1ea5p c\u0169ng x\u1ea3y ra \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>Sinh thi\u1ebft gan ph\u00e1t hi\u1ec7n ho\u1ea1i t\u1eed trung t\u00e2m ti\u1ec3u th\u00f9y tr\u1eeb v\u00f9ng quanh t\u0129nh m\u1ea1ch c\u1eeda.<\/p>\n<p>\u1ede nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng t\u1eed vong, th\u01b0\u01a1ng t\u1ed5n gan ph\u1ee5c h\u1ed3i sau nhi\u1ec1u tu\u1ea7n ho\u1eb7c nhi\u1ec1u th\u00e1ng.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb<\/em><\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n s\u1edbm r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u paracetamol. C\u00f3 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p x\u00e1c \u0111\u1ecbnh nhanh n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng. Tuy v\u1eady, kh\u00f4ng \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb trong khi ch\u1edd k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m n\u1ebfu b\u1ec7nh s\u1eed g\u1ee3i \u00fd l\u00e0 qu\u00e1 li\u1ec1u n\u1eb7ng. Khi nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 t\u00edch c\u1ef1c. C\u1ea7n r\u1eeda d\u1ea1 d\u00e0y trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p, t\u1ed1t nh\u1ea5t trong v\u00f2ng 4 gi\u1edd sau khi u\u1ed1ng.<\/p>\n<p>Li\u1ec7u ph\u00e1p gi\u1ea3i \u0111\u1ed9c ch\u00ednh l\u00e0 d\u00f9ng nh\u1eefng h\u1ee3p ch\u1ea5t sulfhydryl, c\u00f3 l\u1ebd t\u00e1c \u0111\u1ed9ng m\u1ed9t ph\u1ea7n do b\u1ed5 sung d\u1ef1 tr\u1eef glutathion \u1edf gan. N-acetylcystein c\u00f3 t\u00e1c d\u1ee5ng khi u\u1ed1ng ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch. Ph\u1ea3i d\u00f9ng thu\u1ed1c gi\u1ea3i \u0111\u1ed9c ngay l\u1eadp t\u1ee9c, c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t n\u1ebfu ch\u01b0a \u0111\u1ebfn 36 gi\u1edd k\u1ec3 t\u1eeb khi u\u1ed1ng paracetamol. \u0110i\u1ec1u tr\u1ecb v\u1edbi N-acetylcystein c\u00f3 hi\u1ec7u qu\u1ea3 h\u01a1n khi cho thu\u1ed1c trong th\u1eddi gian d\u01b0\u1edbi 10 gi\u1edd sau khi u\u1ed1ng paracetamol. Khi cho u\u1ed1ng, h\u00f2a lo\u00e3ng dung d\u1ecbch N-acetylcystein v\u1edbi n\u01b0\u1edbc ho\u1eb7c \u0111\u1ed3 u\u1ed1ng kh\u00f4ng c\u00f3 r\u01b0\u1ee3u \u0111\u1ec3 \u0111\u1ea1t dung d\u1ecbch 5% v\u00e0 ph\u1ea3i u\u1ed1ng trong v\u00f2ng 1 gi\u1edd sau khi pha. Cho u\u1ed1ng N-acetylcystein v\u1edbi li\u1ec1u \u0111\u1ea7u ti\u00ean l\u00e0 140mg\/kg, sau \u0111\u00f3 cho ti\u1ebfp 17 li\u1ec1u n\u1eefa, m\u1ed7i li\u1ec1u 70mg\/kg c\u00e1ch nhau 4 gi\u1edd m\u1ed9t l\u1ea7n. Ch\u1ea5m d\u1ee9t \u0111i\u1ec1u tr\u1ecb n\u1ebfu x\u00e9t nghi\u1ec7m paracetamol trong huy\u1ebft t\u01b0\u01a1ng cho th\u1ea5y nguy c\u01a1 \u0111\u1ed9c h\u1ea1i gan th\u1ea5p.<\/p>\n<p>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a N-acetylcystein g\u1ed3m ban da (g\u1ed3m c\u1ea3 m\u00e0y \u0111ay, kh\u00f4ng y\u00eau c\u1ea7u ph\u1ea3i ng\u1eebng thu\u1ed1c), bu\u1ed3n n\u00f4n, n\u00f4n, \u1ec9a ch\u1ea3y, v\u00e0 ph\u1ea3n \u1ee9ng ki\u1ec3u ph\u1ea3n v\u1ec7.<\/p>\n<p>N\u1ebfu kh\u00f4ng c\u00f3 N-acetylcystein, c\u00f3 th\u1ec3 d\u00f9ng methionin (xem chuy\u00ean lu\u1eadn Methionin). N\u1ebfu \u0111\u00e3 d\u00f9ng than ho\u1ea1t tr\u01b0\u1edbc khi d\u00f9ng methionin th\u00ec ph\u1ea3i h\u00fat than ho\u1ea1t ra kh\u1ecfi d\u1ea1 d\u00e0y tr\u01b0\u1edbc. Ngo\u00e0i ra c\u00f3 th\u1ec3 d\u00f9ng than ho\u1ea1t v\u00e0\/ho\u1eb7c thu\u1ed1c t\u1ea9y mu\u1ed1i do ch\u00fang c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m h\u1ea5p th\u1ee5 paracetamol.<\/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>Nh\u00f3m d\u01b0\u1ee3c l\u00fd: Thu\u1ed1c gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t<\/p>\n<p>M\u00e3 ATC: N02BE01<\/p>\n<p>Paracetamol (Acetaminophen hay N &#8211; Acetyl &#8211; p &#8211; Aminophenol) l\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh c\u1ee7a Phenacetin, l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au &#8211; h\u1ea1 s\u1ed1t h\u1eefu hi\u1ec7u c\u00f3 th\u1ec3 thay th\u1ebf Aspirin; tuy v\u1eady, kh\u00e1c v\u1edbi Aspirin, Paracetamol kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb vi\u00eam. V\u1edbi li\u1ec1u ngang nhau t\u00ednh theo gam, Paracetamol c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t t\u01b0\u01a1ng t\u1ef1 nh\u01b0 Aspirin.<\/p>\n<p>Paracetamol l\u00e0m gi\u1ea3m th\u1eeba nhi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh s\u1ed1t, nh\u01b0ng hi\u1ebfm khi l\u00e0m gi\u1ea3m th\u00e2n nhi\u1ec7t \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. Thu\u1ed1c t\u00e1c \u0111\u1ed9ng l\u00ean v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i g\u00e2y h\u1ea1 s\u1ed1t, t\u1ecfa nhi\u1ec7t t\u0103ng do gi\u00e3n m\u1ea1ch v\u00e0 t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u ngo\u1ea1i bi\u00ean.<\/p>\n<p>Paracetamol, v\u1edbi li\u1ec1u \u0111i\u1ec1u tr\u1ecb, \u00edt t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn h\u1ec7 tim m\u1ea1ch v\u00e0 h\u00f4 h\u1ea5p, kh\u00f4ng l\u00e0m thay \u0111\u1ed5i c\u00e2n b\u1eb1ng Acid &#8211; Base, kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng, ho\u1eb7c ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y nh\u01b0 khi d\u00f9ng salicylat, v\u00e0 Paracetamol kh\u00f4ng t\u00e1c d\u1ee5ng tr\u00ean Cyclooxygenase to\u00e0n th\u00e2n, ch\u1ec9 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn Cyclooxygenase\/Prostaglandin c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Paracetamol kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean ti\u1ec3u c\u1ea7u ho\u1eb7c th\u1eddi gian ch\u1ea3y m\u00e1u.<\/p>\n<p>Khi d\u00f9ng qu\u00e1 li\u1ec1u Paracetamol m\u1ed9t ch\u1ea5t chuy\u1ec3n h\u00f3a l\u00e0 N &#8211; Acetyl &#8211; Benzoquinonimin g\u00e2y \u0111\u1ed9c n\u1eb7ng cho gan. Li\u1ec1u b\u00ecnh th\u01b0\u1eddng, Paracetamol dung n\u1ea1p t\u1ed1t, kh\u00f4ng c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a Aspirin. Tuy v\u1eady, qu\u00e1 li\u1ec1u c\u1ea5p t\u00ednh (tr\u00ean 10 g) l\u00e0m th\u01b0\u01a1ng t\u1ed5n gan g\u00e2y ch\u1ebft ng\u01b0\u1eddi v\u00e0 nh\u1eefng v\u1ee5 ng\u1ed9 \u0111\u1ed9c v\u00e0 t\u1ef1 v\u1eabn b\u1eb1ng paracetamol \u0111\u00e3 t\u0103ng l\u00ean m\u1ed9t c\u00e1ch \u0111\u00e1ng lo ng\u1ea1i trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. Ngo\u00e0i ra, nhi\u1ec1u ng\u01b0\u1eddi trong \u0111\u00f3 c\u00f3 c\u1ea3 th\u1ea7y thu\u1ed1c, d\u01b0\u1eddng nh\u01b0 kh\u00f4ng bi\u1ebft t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam k\u00e9m c\u1ee7a paracetamol.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Paracetamol l\u00e0 m\u1ed9t ch\u1ea5t gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c \u0111\u01b0\u1ee3c cho l\u00e0 \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin, ch\u1ee7 y\u1ebfu t\u1ea1i th\u1ea7n kinh trung \u01b0\u01a1ng.<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=uIvbbYNDCZ8\"><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/a><\/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><em>H\u1ea5p thu:<\/em><\/p>\n<p>Paracetamol \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh v\u00e0 h\u1ea7u nh\u01b0 ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Th\u1ee9c \u0103n c\u00f3 th\u1ec3 l\u00e0m vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i paracetamol ch\u1eadm \u0111\u01b0\u1ee3c h\u1ea5p thu m\u1ed9t ph\u1ea7n. Th\u1ee9c \u0103n gi\u00e0u carbohydrat l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 h\u1ea5p thu c\u1ee7a paracetamol. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t trong v\u00f2ng 30 &#8211; 60 ph\u00fat sau khi u\u1ed1ng v\u1edbi li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><em>Ph\u00e2n b\u1ed1:<\/em><\/p>\n<p>Paracetamol ph\u00e2n b\u1ed1 nhanh v\u00e0 \u0111\u1ed3ng \u0111\u1ec1u trong ph\u1ea7n l\u1edbn c\u00e1c m\u00f4 c\u1ee7a c\u01a1 th\u1ec3. Kho\u1ea3ng 25% paracetamol trong m\u00e1u k\u1ebft h\u1ee3p v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p><em>Th\u1ea3i tr\u1eeb:<\/em><\/p>\n<p>N\u1eeda \u0111\u1eddi huy\u1ebft t\u01b0\u01a1ng c\u1ee7a paracetamol l\u00e0 1,25 &#8211; 3 gi\u1edd, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u1edbi li\u1ec1u g\u00e2y \u0111\u1ed9c ho\u1eb7c \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u01b0\u01a1ng t\u1ed5n gan.<\/p>\n<p>Sau li\u1ec1u \u0111i\u1ec1u tr\u1ecb, c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y 90 &#8211; 100% thu\u1ed1c trong n\u01b0\u1edbc ti\u1ec3u trong ng\u00e0y th\u1ee9 nh\u1ea5t, ch\u1ee7 y\u1ebfu sau khi li\u00ean h\u1ee3p trong gan v\u1edbi acid glucuronic (kho\u1ea3ng 60%), acid sulfuric (kho\u1ea3ng 35%) ho\u1eb7c cystein (kho\u1ea3ng 3%); c\u0169ng ph\u00e1t hi\u1ec7n th\u1ea5y m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf nh\u1eefng ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxyl &#8211; ho\u00e1 v\u00e0 kh\u1eed acetyl. Tr\u1ebb nh\u1ecf \u00edt kh\u1ea3 n\u0103ng glucuro li\u00ean h\u1ee3p v\u1edbi thu\u1ed1c h\u01a1n so v\u1edbi ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Paracetamol b\u1ecb N-hydroxyl h\u00f3a b\u1edfi cytochrom P<sub>450<\/sub> \u0111\u1ec3 t\u1ea1o n\u00ean N-acetyl-benzoquinonimin (NAPQ), m\u1ed9t ch\u1ea5t trung gian c\u00f3 t\u00ednh ph\u1ea3n \u1ee9ng cao. Ch\u1ea5t chuy\u1ec3n h\u00f3a n\u00e0y b\u00ecnh th\u01b0\u1eddng ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c nh\u00f3m sulfhydryl trong glutathion v\u00e0 b\u1ecb kh\u1eed ho\u1ea1t t\u00ednh. Tuy nhi\u00ean, n\u1ebfu u\u1ed1ng li\u1ec1u cao paracetamol, ch\u1ea5t chuy\u1ec3n h\u00f3a n\u00e0y \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh v\u1edbi l\u01b0\u1ee3ng \u0111\u1ee7 \u0111\u1ec3 l\u00e0m c\u1ea1n ki\u1ec7t glutathion c\u1ee7a gan; trong t\u00ecnh tr\u1ea1ng \u0111\u00f3, ch\u1ea5t NAPQ kh\u00f4ng \u0111\u01b0\u1ee3c li\u00ean h\u1ee3p v\u1edbi glutathion g\u00e2y \u0111\u1ed9c cho t\u1ebf b\u00e0o gan, d\u1eabn \u0111\u1ebfn vi\u00eam v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed gan.<\/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 b\u1ed9t: Acid citric khan, manitol, \u0111\u01b0\u1eddng tr\u1eafng, aspartam, natri hydrocarbonat, PVP K30, m\u00e0u sunset yellow, b\u1ed9t h\u01b0\u01a1ng cam v\u1eeba \u0111\u1ee7 1 g\u00f3i<\/p>\n<p>T\u00e1 d\u01b0\u1ee3c dung d\u1ecbch: Sucrose, Glycerin, Natri Citrat, Acid Citric, Sucralose, Propylene Glycol, H\u01b0\u01a1ng d\u00e2u, Natri Benzoat, Amaranth Red, N\u01b0\u1edbc tinh khi\u1ebft..<\/p>\n<p>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean n\u00e9n: Tinh b\u1ed9t m\u00ec, tinh b\u1ed9t bi\u1ebfn t\u00ednh, magnesi stearat, sodium starch glycolat, talc, aerosil, b\u1ed9t h\u01b0\u01a1ng d\u00e2u, PVP K30, natri benzoat.<\/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, nhi\u1ec7t \u0111\u1ed9 kh\u00f4ng qu\u00e1 30oC, tr\u00e1nh \u00e1nh s\u00e1ng.<\/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>Ch\u01b0a c\u00f3 th\u00f4ng tin.<\/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 Bamyrol 150 Sol do C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Me Di Sun s\u1ea3n xu\u1ea5t (2017).<\/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 Avoir , Bamyrol , Bamyrol Sol, Medi-Paracetamol , Medi-Paracetamol Fort 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 Avoir , Bamyrol , Bamyrol Sol, Medi-Paracetamol , Medi-Paracetamol Fort (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;) [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":43139,"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":[1683,446],"class_list":["post-43126","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-acetaminophen","tag-paracetamol"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/43126","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=43126"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/43126\/revisions"}],"predecessor-version":[{"id":43206,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/43126\/revisions\/43206"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/43139"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=43126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=43126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=43126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}