{"id":55016,"date":"2022-10-13T23:00:24","date_gmt":"2022-10-13T16:00:24","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=55016"},"modified":"2025-01-07T21:25:30","modified_gmt":"2025-01-07T14:25:30","slug":"gabapentin-methylcobalamin-bazato","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/","title":{"rendered":"Gabapentin + Methylcobalamin &#8211; Bazato"},"content":{"rendered":"<h1><span class=\"ez-toc-section\" id=\"thong-tin-to-huong-dan-su-dung-cua-thuoc-bazato\"><\/span>Th\u00f4ng tin t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a thu\u1ed1c Bazato<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><em>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a Thu\u1ed1c Bazato (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\/gabapentin-methylcobalamin-bazato\/#thong-tin-to-huong-dan-su-dung-cua-thuoc-bazato\" >Th\u00f4ng tin t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a thu\u1ed1c Bazato<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#3-video-by-pharmog\" >3. Video by Pharmog:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#4-ung-dung-lam-sang\" >4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#41-chi-dinh\" >4.1. Ch\u1ec9 \u0111\u1ecbnh:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#43-chong-chi-dinh\" >4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#44-than-trong\" >4.4 Th\u1eadn tr\u1ecdng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#53-hieu-qua-lam-sang\" >5.3. Hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#54-du-lieu-tien-lam-sang\" >5.4. D\u1eef li\u1ec7u ti\u1ec1n l\u00e2m s\u00e0ng:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#62-tuong-ky\" >6.2. T\u01b0\u01a1ng k\u1ef5 :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#63-bao-quan\" >6.3. B\u1ea3o qu\u1ea3n:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#64-thong-tin-khac\" >6.4. Th\u00f4ng tin kh\u00e1c :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#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-2'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin-bazato\/#7-nguoi-dang-tai-tac-gia\" >7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<h2><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><\/h2>\n<p><strong><em>Ho\u1ea1t ch\u1ea5t :<\/em> <\/strong><a href=\"https:\/\/pharmog.com\/wp\/gabapentin-methylcobalamin\/\"><strong>Gabapentin + Methylcobalamin<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh. D\u1ea1ng k\u1ebft h\u1ee3p<\/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): N03AX12.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Bazato<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: C\u00f4ng ty TNHH Ha san-Dermapharm<\/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=\"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><\/h2>\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 ch\u1ee9a Gabapentin 300 mg v\u00e0 Methylcobalamin 500 mcg.<\/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>BAZATO<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean nang c\u1ee9ng c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Gabapentin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>300 mg<\/td>\n<\/tr>\n<tr>\n<td>Methylcobalamin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>500 mcg<\/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\" class=\"alignnone wp-image-55022\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/10\/bazato-gabapentin-methylcobalamin.png\" alt=\"Bazato (Gabapentin + Methylcobalamin)\" width=\"685\" height=\"514\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/10\/bazato-gabapentin-methylcobalamin.png 885w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/10\/bazato-gabapentin-methylcobalamin-300x225.png 300w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/10\/bazato-gabapentin-methylcobalamin-768x576.png 768w\" sizes=\"auto, (max-width: 685px) 100vw, 685px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"3-video-by-pharmog\"><\/span>3. Video by Pharmog:<span class=\"ez-toc-section-end\"><\/span><\/h2>\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<h2><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><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"41-chi-dinh\"><\/span>4.1. Ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au th\u1ea7n kinh \u1edf ng\u01b0\u1eddi l\u1edbn bao g\u1ed3m \u0111au th\u1ea7n kinh ngo\u1ea1i bi\u00ean, \u0111au d\u00e2y th\u1ea7n kinh sinh ba, \u0111au th\u1ea7n kinh \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<h3><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><\/h3>\n<p><strong><em>C\u00e1ch d\u00f9ng<\/em><\/strong> :<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng qua \u0111\u01b0\u1eddng u\u1ed1ng, th\u1eddi \u0111i\u1ec3m u\u1ed1ng kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o b\u1eefa \u0103n. N\u1ebfu b\u1ec7nh nh\u00e2n bu\u1ed3n n\u00f4n, n\u00ean \u0103n tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>D\u00f9ng thu\u1ed1c theo ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>Li\u1ec1u khuy\u1ebfn c\u00e1o:<\/p>\n<p>Ng\u00e0y \u0111\u1ea7u ti\u00ean: 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Ng\u00e0y th\u1ee9 hai: 1 vi\u00ean\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Ng\u00e0y th\u1ee9 ba: 1 vi\u00ean\/l\u1ea7n x 3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Sau \u0111\u00f3, li\u1ec1u c\u00f3 th\u1ec3 t\u0103ng d\u1ea7n \u0111\u1ebfn 2 vi\u00ean\/l\u1ea7n x 3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Li\u1ec1u trung b\u00ecnh c\u00f3 hi\u1ec7u qu\u1ea3 c\u1ee7a Mecobalamin l\u00e0 1500 \u00b5g\/ng\u00e0y (\u00edt nh\u1ea5t 3 vi\u00ean\/ng\u00e0y).<\/p>\n<h3><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><\/h3>\n<p>M\u1eabn c\u1ea3m v\u1edbi Gabapentin, Mecobalamin, nh\u1eefng ch\u1ebf ph\u1ea9m c\u1ee7a cobalamin, coban hay b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb qu\u00e1 l\u00e2u n\u1ebfu kh\u00f4ng th\u1ea5y \u0111\u00e1p \u1ee9ng b\u1ec7nh sau th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Ph\u1ea3i d\u00f9ng thu\u1ed1c theo s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. Kh\u00f4ng d\u00f9ng thu\u1ed1c b\u1eeba b\u00e3i v\u00ec c\u00f3 th\u1ec3 g\u00e2y ph\u1ea3n \u1ee9ng huy\u1ebft h\u1ecdc \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n thi\u1ebfu h\u1ee5t folat ho\u1eb7c l\u00e0m che gi\u1ea5u d\u1ea5u hi\u1ec7u ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng Mecobalamin li\u1ec1u cao k\u00e9o d\u00e0i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ebfp x\u00fac v\u1edbi th\u1ee7y ng\u00e2n hay nh\u1eefng h\u1ee3p ch\u1ea5t th\u1ee7y ng\u00e2n.<\/p>\n<p>S\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, b\u1ec7nh nh\u00e2n cao huy\u1ebft \u00e1p, b\u1ec7nh tim m\u1ea1ch, b\u1ec7nh ph\u1ed5i, suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, th\u1eadn v\u00e0 th\u1ea9m ph\u00e2n m\u00e1u. Lo\u1ea1n nh\u1ecbp tim th\u1ee9 ph\u00e1t do h\u1ea1 kali m\u00e1u trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<p>C\u1ea7n theo d\u00f5i n\u1ed3ng \u0111\u1ed9 Mecobalamin trong huy\u1ebft t\u01b0\u01a1ng v\u00e0 ch\u1ec9 s\u1ed1 t\u1ebf b\u00e0o m\u00e1u ngo\u1ea1i vi 3 &#8211; 6 th\u00e1ng\/l\u1ea7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y d\u01b0\u01a1ng t\u00ednh gi\u1ea3 khi x\u00e9t nghi\u1ec7m protein ni\u1ec7u.<\/p>\n<p>Kh\u00f4ng n\u00ean ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ea7n su\u1ea5t c\u00e1c c\u01a1n \u0111\u1ed9ng kinh.<\/p>\n<p>N\u1ebfu nghi ng\u1edd c\u00f3 h\u1ed9i ch\u1ee9ng Stevens-Johnson, ph\u1ea3i ng\u1eebng thu\u1ed1c.<\/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>Gabapentin c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, bu\u1ed3n ng\u1ee7, hoa m\u1eaft, gi\u1ea3m th\u1ecb l\u1ef1c&#8230;Do \u0111\u00f3, c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c th\u1eadn tr\u1ecdng khi v\u1eadn h\u00e0nh t\u00e0u xe, m\u00e1y m\u00f3c.<\/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<h3><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><\/h3>\n<p><em>X\u1ebfp h\u1ea1ng c\u1ea3nh b\u00e1o<\/em><\/p>\n<p>AU TGA pregnancy category: NA<\/p>\n<p>US FDA pregnancy category: NA<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Ch\u1ec9 d\u00f9ng thu\u1ed1c cho ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa khi th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft v\u00e0 c\u00f3 c\u00e2n nh\u1eafc k\u1ef9 l\u1ee3i \u00edch cao h\u01a1n nguy c\u01a1 r\u1ee7i ro.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Ch\u1ec9 d\u00f9ng thu\u1ed1c cho ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa khi th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft v\u00e0 c\u00f3 c\u00e2n nh\u1eafc k\u1ef9 l\u1ee3i \u00edch cao h\u01a1n nguy c\u01a1 r\u1ee7i ro.<\/p>\n<h3><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><\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: V\u1eadn \u0111\u1ed9ng m\u1ea5t ph\u1ed1i h\u1ee3p, rung gi\u1eadt nh\u00e3n c\u1ea7u, m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, ph\u00f9, bu\u1ed3n ng\u1ee7, gi\u1ea3m tr\u00ed nh\u1edb. Tr\u1ebb em t\u1eeb 3 \u0111\u1ebfn 12 tu\u1ed5i g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 th\u1ea7n kinh nh\u01b0 lo \u00e2u, thay \u0111\u1ed5i c\u00e1ch \u1ee9ng x\u1eed (qu\u1ea5y kh\u00f3c, c\u1ea3m gi\u00e1c s\u1ea3ng kho\u00e1i ho\u1eb7c tr\u1ea7m c\u1ea3m, qu\u00e1 k\u00edch \u0111\u1ed9ng, th\u00e1i \u0111\u1ed9 ch\u1ed1ng \u0111\u1ed1i&#8230;). Kh\u00f3 ti\u00eau, kh\u00f4 mi\u1ec7ng, t\u00e1o b\u00f3n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y; ph\u00f9 m\u1ea1ch ngo\u1ea1i bi\u00ean; vi\u00eam m\u0169i, vi\u00eam h\u1ecdng &#8211; h\u1ea7u, ho, vi\u00eam ph\u1ed5i; hoa m\u1eaft, gi\u1ea3m th\u1ecb l\u1ef1c; \u0111au kh\u1edbp, \u0111au c\u01a1; m\u1eabn c\u1ea3m, ban da; gi\u1ea3m b\u1ea1ch c\u1ea7u; li\u1ec7t d\u01b0\u01a1ng, nhi\u1ec5m virus.<\/p>\n<p>\u00cdt g\u1eb7p: M\u1ea5t tr\u00ed nh\u1edb, m\u1ea5t ng\u00f4n ng\u1eef, tr\u1ea7m c\u1ea3m, c\u00e1u g\u1eaft ho\u1eb7c thay \u0111\u1ed5i t\u00e2m th\u1ea7n, t\u00ednh kh\u00ed, li\u1ec7t nh\u1eb9, gi\u1ea3m ho\u1eb7c m\u1ea5t d\u1ee5c c\u1ea3m, nh\u1ee9c \u0111\u1ea7u; r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, ch\u1ea3y m\u00e1u l\u1ee3i, vi\u00eam mi\u1ec7ng, m\u1ea5t ho\u1eb7c r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c; h\u1ea1 huy\u1ebft \u00e1p, \u0111au th\u1eafc ng\u1ef1c, r\u1ed1i lo\u1ea1n m\u1ea1ch ngo\u1ea1i vi, h\u1ed3i h\u1ed9p; t\u0103ng c\u00e2n, gan to.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: Li\u1ec7t d\u00e2y th\u1ea7n kinh, r\u1ed1i lo\u1ea1n nh\u00e2n c\u00e1ch, t\u0103ng d\u1ee5c c\u1ea3m, gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n; lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng, vi\u00eam th\u1ef1c qu\u1ea3n, vi\u00eam \u0111\u1ea1i tr\u00e0ng, vi\u00eam tr\u1ef1c tr\u00e0ng; ho, kh\u1ea3n ti\u1ebfng, vi\u00eam ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, gi\u1ea3m th\u00f4ng kh\u00ed ph\u1ed5i, ph\u00f9 ph\u1ed5i; ng\u1ee9a m\u1eaft, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, b\u1ec7nh v\u00f5ng m\u1ea1c, vi\u00eam m\u1ed1ng m\u1eaft; vi\u00eam s\u1ee5n, lo\u00e3ng x\u01b0\u01a1ng, \u0111au l\u01b0ng; gi\u1ea3m b\u1ea1ch c\u1ea7u (th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng), th\u1eddi gian ch\u1ea3y m\u00e1u k\u00e9o d\u00e0i; s\u1ed1t ho\u1eb7c r\u00e9t run; h\u1ed9i ch\u1ee9ng Stevens-Johnson.<\/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<h3><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><\/h3>\n<p>Ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c. V\u1edbi c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i nh\u1eb9, th\u01b0\u1eddng ch\u1ec9 c\u1ea7n ng\u1eebng thu\u1ed1c. Tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m n\u1eb7ng ho\u1eb7c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, c\u1ea7n ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 (gi\u1eef tho\u00e1ng kh\u00ed v\u00e0 d\u00f9ng epinephrin, th\u1edf oxygen, d\u00f9ng kh\u00e1ng histamin, corticoid&#8230;).<\/p>\n<h3><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><\/h3>\n<p>Khi d\u00f9ng \u0111\u1ed3ng th\u1eddi, Gabapentin kh\u00f4ng l\u00e0m thay \u0111\u1ed5i d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh th\u01b0\u1eddng d\u00f9ng nh\u01b0: carbamazepin, phenytoin, acid valproic, phenobarbital, diazepam.<\/p>\n<p>Thu\u1ed1c kh\u00e1ng acid l\u00e0m gi\u1ea3m sinh kh\u1ea3 d\u1ee5ng c\u1ee7a Gabapentin kho\u1ea3ng 20% do \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ea5p thu thu\u1ed1c. Ph\u1ea3i d\u00f9ng Gabapentin sau thu\u1ed1c kh\u00e1ng acid \u00edt nh\u1ea5t 2 gi\u1edd.<\/p>\n<p>Neomycin, acid aminosalicylic, thu\u1ed1c kh\u00e1ng histamin H2, omeprazol v\u00e0 colchicin l\u00e0m gi\u1ea3m h\u1ea5p thu Mecobalamin qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<p>Thu\u1ed1c tr\u00e1nh thai l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh c\u1ee7a Mecobalamin.<\/p>\n<p>Ti\u00eam chloramphenicol c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a Mecobalamin trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh thi\u1ebfu m\u00e1u.<\/p>\n<h3><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><\/h3>\n<p>Qu\u00e1 li\u1ec1u Gabapentin c\u00f3 th\u1ec3 g\u00e2y hoa m\u1eaft, n\u00f3i l\u00edu r\u00edu, u \u00e1m, h\u00f4n m\u00ea v\u00e0 ti\u00eau ch\u1ea3y. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u \u0111\u1ec1u h\u1ed3i ph\u1ee5c sau khi s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p di\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3. C\u00f3 th\u1ec3 lo\u1ea1i thu\u1ed1c ra kh\u1ecfi c\u01a1 th\u1ec3 b\u1eb1ng c\u00e1ch th\u1ea9m ph\u00e2n m\u00e1u.<\/p>\n<p>Kh\u00f4ng c\u00f3 b\u00e1o c\u00e1o v\u1ec1 tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u c\u1ee7a Mecobalamin.<\/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=\"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><\/h2>\n<h3><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><\/h3>\n<p><em>Gabapentin<\/em><\/p>\n<p>Gabapentin l\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, c\u01a1 ch\u1ebf ch\u01b0a r\u00f5 r\u00e0ng, c\u1ea5u tr\u00fac h\u00f3a h\u1ecdc c\u1ee7a Gabapentin t\u01b0\u01a1ng t\u1ef1 ch\u1ea5t \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n th\u1ea7n kinh l\u00e0 acid gama-aminobutyric (GABA), nh\u01b0ng Gabapentin kh\u00f4ng t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean c\u00e1c th\u1ee5 th\u1ec3 GABA, kh\u00f4ng l\u00e0m thay \u0111\u1ed5i c\u1ea5u tr\u00fac, gi\u1ea3i ph\u00f3ng, chuy\u1ec3n h\u00f3a v\u00e0 thu h\u1ed3i GABA.<\/p>\n<p><em>Mecobalamin<\/em><\/p>\n<p>Mecobalamin l\u00e0 m\u1ed9t coenzym B12 n\u1ed9i sinh. Mecobalamin \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ph\u1ea3n \u1ee9ng chuy\u1ec3n nh\u00f3m methyl nh\u01b0 l\u00e0 m\u1ed9t coenzym c\u1ee7a methionin synthetase trong qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p methionin t\u1eeb homocystein.<\/p>\n<p>Mecobalamin \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n hi\u1ec7u qu\u1ea3 v\u00e0o trong t\u1ebf b\u00e0o th\u1ea7n kinh, t\u0103ng c\u01b0\u1eddng t\u1ed5ng h\u1ee3p protein v\u00e0 acid nucleic.<\/p>\n<p>Mecobalamin th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh myelin h\u00f3a, t\u1ed5ng h\u1ee3p lecithin, th\u00e0nh ph\u1ea7n ch\u00ednh c\u1ee7a lipid v\u1ecf t\u1ee7y.<\/p>\n<p>Mecobalamin gi\u00fap ph\u1ee5c h\u1ed3i nh\u1eefng m\u00f4 th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 d\u1eabn truy\u1ec1n c\u00e1c xung th\u1ea7n kinh b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>Mecobalamin th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh tr\u01b0\u1edfng th\u00e0nh v\u00e0 ph\u00e2n chia c\u1ee7a nguy\u00ean h\u1ed3ng c\u1ea7u, t\u1ed5ng h\u1ee3p hem, do \u0111\u00f3 c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh thi\u1ebfu m\u00e1u.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Gabapentin \u1ee9c ch\u1ebf ph\u1ea3n x\u1ea1 co c\u1ee9ng trong co gi\u1eadt do shock \u0111i\u1ec7n. Thu\u1ed1c c\u0169ng \u1ee9c ch\u1ebf co gi\u1eadt rung g\u00e2y ra b\u1edfi pentylenetetrazol. Hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c tr\u00ean c\u1ea3 hai th\u1eed nghi\u1ec7m n\u00e0y song song v\u1edbi acid valproic v\u00e0 \u0111\u1ec3 ph\u00e2n bi\u1ec7t c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a Gabapentin so v\u1edbi phenytoin v\u00e0 carbamazepine. C\u01a1 ch\u1ebf ch\u1ed1ng co gi\u1eadt c\u1ee7a Gabapentin v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. M\u1eb7c d\u00f9 Gabapentin c\u00f3 c\u1ea5u tr\u00fac t\u01b0\u01a1ng t\u1ef1 ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh GABA, nh\u01b0ng Gabapentin kh\u00f4ng gi\u1ed1ng GABA khi truy\u1ec1n xung \u0111i\u1ec7n \u0111\u1ebfn c\u00e1c n\u01a1 ron th\u1ea7n kinh \u1edf v\u00f9ng c\u01a1 b\u1ea3n. T\u00e1c d\u1ee5ng c\u1ee7a Gabapentin c\u00f3 th\u1ec3 th\u00f4ng qua s\u1ef1 g\u1eafn k\u1ebft v\u1edbi alpha 2 delta subunits c\u1ee7a \u0111i\u1ec7n th\u1ebf \u0111\u01b0\u1ee3c ch\u1eb7n b\u1edfi k\u00eanh calci v\u00e0 \u1ee9c ch\u1ebf gi\u1ea3i ph\u00f3ng glutamide tr\u01b0\u1edbc v\u00e0 sau synape trong h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Thu\u1ed1c c\u0169ng \u1ed5n \u0111\u1ecbnh m\u00e0ng th\u1ea7n kinh b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf k\u00eanh ion calci, do v\u1eady gi\u1ea3m thi\u1ec3u c\u00e1c xung \u0111i\u1ec7n m\u1ea1nh\/b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>Methylcobalamin l\u00e0 d\u1ea1ng coenzym c\u00f3 ho\u1ea1t t\u00ednh tr\u00ean th\u1ea7n kinh c\u1ee7a Vitamin B12 l\u00e0m t\u0103ng t\u1ed5ng h\u1ee3p bao mylein, h\u1ed3i ph\u1ee5c c\u00e1c neuron v\u00e0 gi\u00fap ng\u0103n ng\u1eeba ti\u1ebfn tri\u1ec3n c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/p>\n<p><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/p>\n<h3><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><\/h3>\n<p><em>Gabapentin<\/em><\/p>\n<p>H\u1ea5p thu:<\/p>\n<p>Gabapentin h\u1ea5p thu qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a theo c\u01a1 ch\u1ebf b\u00e3o h\u00f2a (khi li\u1ec1u t\u0103ng, sinh kh\u1ea3 d\u1ee5ng l\u1ea1i gi\u1ea3m). Thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng sau khi u\u1ed1ng 2 gi\u1edd v\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh sau 1-2 ng\u00e0y. N\u1ed3ng \u0111\u1ed9 huy\u1ebft thanh c\u00f3 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. N\u1ed3ng \u0111\u1ed9 huy\u1ebft t\u01b0\u01a1ng c\u1ee7a Gabapentin n\u1eb1m trong kho\u1ea3ng t\u1eeb 2 mg\/l\u00edt (2 microgam\/ml) t\u1edbi 20 mg\/l\u00edt (20 microgam\/ml). Sinh kh\u1ea3 d\u1ee5ng kho\u1ea3ng 60% khi d\u00f9ng v\u1edbi li\u1ec1u 1,8 g\/24 gi\u1edd v\u00e0 kh\u00f4ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi li\u1ec1u d\u00f9ng, n\u1ebfu u\u1ed1ng li\u1ec1u t\u0103ng tr\u00ean 1,8 g\/24 gi\u1edd th\u00ec sinh kh\u1ea3 d\u1ee5ng l\u1ea1i gi\u1ea3m. Sinh kh\u1ea3 d\u1ee5ng kho\u1ea3ng 35% khi d\u00f9ng v\u1edbi li\u1ec1u 4,8 g\/24 gi\u1edd. Th\u1ee9c \u0103n \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ed1c \u0111\u1ed9 v\u00e0 m\u1ee9c \u0111\u1ed9 h\u1ea5p thu.<\/p>\n<p>Ph\u00e2n b\u1ed1:<\/p>\n<p>Gabapentin ph\u00e2n b\u1ed1 kh\u1eafp c\u01a1 th\u1ec3, v\u00e0o \u0111\u01b0\u1ee3c s\u1eefa m\u1eb9, li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng r\u1ea5t th\u1ea5p (&lt; 3%). Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a thu\u1ed1c l\u00e0 58 \u00b1 6 l\u00edt \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Chuy\u1ec3n h\u00f3a:<\/p>\n<p>Gabapentin h\u1ea7u nh\u01b0 kh\u00f4ng chuy\u1ec3n h\u00f3a trong c\u01a1 th\u1ec3.<\/p>\n<p>Th\u1ea3i tr\u1eeb:<\/p>\n<p>Th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua th\u1eadn d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i. N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a Gabapentin kho\u1ea3ng t\u1eeb 5 \u0111\u1ebfn 7 gi\u1edd \u1edf ng\u01b0\u1eddi c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p><a id=\"post-55016-_Hlk116594026\"><\/a><em>Mecobalamin<\/em><\/p>\n<p>H\u1ea5p thu:<\/p>\n<p>Mecobalamin li\u00ean k\u1ebft v\u1edbi y\u1ebfu t\u1ed1 n\u1ed9i t\u1ea1i &#8211; m\u1ed9t glycoprotein \u0111\u01b0\u1ee3c ti\u1ebft ra t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, v\u00e0 \u0111\u01b0\u1ee3c h\u1ea5p thu ch\u1ee7 \u0111\u1ed9ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. H\u1ea5p thu gi\u1ea3m \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n thi\u1ebfu y\u1ebfu t\u1ed1 n\u1ed9i t\u1ea1i, nh\u01b0 h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu do b\u1ec7nh, b\u1ea5t th\u01b0\u1eddng c\u1ee7a ru\u1ed9t, ho\u1eb7c sau khi c\u1eaft d\u1ea1 d\u00e0y.<\/p>\n<p>Ph\u00e2n b\u1ed1:<\/p>\n<p>Mecobalamin g\u1eafn m\u1ea1nh v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 transcobalamin; transcobalamin II tham gia v\u1eadn chuy\u1ec3n nhanh Mecobalamin \u0111\u1ebfn c\u00e1c m\u00f4. Mecobalamin \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef trong gan. Mecobalamin c\u0169ng khu\u1ebfch t\u00e1n qua nhau thai v\u00e0 c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong s\u1eefa m\u1eb9.<\/p>\n<p>Th\u1ea3i tr\u1eeb:<\/p>\n<p>Mecobalamin \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua m\u1eadt, t\u00e1i h\u1ea5p thu theo chu k\u1ef3 gan ru\u1ed9t v\u00e0 m\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft trong n\u01b0\u1edbc ti\u1ec3u trong 8 gi\u1edd \u0111\u1ea7u.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"53-hieu-qua-lam-sang\"><\/span>5.3. Hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"54-du-lieu-tien-lam-sang\"><\/span>5.4. D\u1eef li\u1ec7u ti\u1ec1n l\u00e2m s\u00e0ng:<span class=\"ez-toc-section-end\"><\/span><\/h3>\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><strong><em><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><\/em><\/strong><\/p>\n<h2><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><\/h2>\n<h3><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><\/h3>\n<p>T\u00e1 d\u01b0\u1ee3c: Lactose monohydrat, Talc, Tinh b\u1ed9t ng\u00f4, V\u1ecf nang s\u1ed1 1.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"62-tuong-ky\"><\/span>6.2. T\u01b0\u01a1ng k\u1ef5 :<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Kh\u00f4ng \u00e1p d\u1ee5ng.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"63-bao-quan\"><\/span>6.3. B\u1ea3o qu\u1ea3n:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>N\u01a1i kh\u00f4, tr\u00e1nh \u00e1nh s\u00e1ng, nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C.<\/p>\n<h3><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><\/h3>\n<p>Kh\u00f4ng c\u00f3.<\/p>\n<h3><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><\/h3>\n<p>HDSD Thu\u1ed1c Bazato do C\u00f4ng ty TNHH Ha san-Dermapharm s\u1ea3n xu\u1ea5t (2015).<\/p>\n<h2><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><\/h2>\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>Th\u00f4ng tin t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a thu\u1ed1c Bazato D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a Thu\u1ed1c Bazato (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 : Gabapentin + Methylcobalamin Ph\u00e2n lo\u1ea1i: [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":55022,"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":[926,2070,1231],"class_list":["post-55016","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-gabapentin","tag-gabapentin-methylcobalamin","tag-methylcobalamin"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/55016","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=55016"}],"version-history":[{"count":4,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/55016\/revisions"}],"predecessor-version":[{"id":55033,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/55016\/revisions\/55033"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/55022"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=55016"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=55016"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=55016"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}