{"id":56456,"date":"2022-11-17T10:14:25","date_gmt":"2022-11-17T03:14:25","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=56456"},"modified":"2025-01-07T21:24:03","modified_gmt":"2025-01-07T14:24:03","slug":"codeine-terpine-pharcoter-pharcoter-forte","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/codeine-terpine-pharcoter-pharcoter-forte\/","title":{"rendered":"Codeine + Terpine &#8211; Pharcoter\/Pharcoter Forte"},"content":{"rendered":"<h1><span class=\"ez-toc-section\" id=\"thong-tin-to-huong-dan-su-dung-cua-thuoc-pharcoter-pharcoter-forte\"><\/span>Th\u00f4ng tin t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a thu\u1ed1c Pharcoter, Pharcoter Forte<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 Pharcoter, Pharcoter Forte (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\/codeine-terpine-pharcoter-pharcoter-forte\/#thong-tin-to-huong-dan-su-dung-cua-thuoc-pharcoter-pharcoter-forte\" >Th\u00f4ng tin t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a thu\u1ed1c Pharcoter, Pharcoter Forte<\/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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine-pharcoter-pharcoter-forte\/#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\/codeine-terpine\/\"><strong>Codeine + Terpine<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u00f4\u0301c ch\u00f4\u0301ng ho.<\/em> <em>Da\u0323ng k\u00ea\u0301t h\u01a1\u0323p<\/em><\/p>\n<p><strong><em>Nh\u00f3m<\/em><\/strong> <strong><em>ph\u00e1p l\u00fd: <\/em><\/strong><em>Thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n OTC \u2013 (Over the counter drugs)<\/em><\/p>\n<p><strong><em>M\u00e3 ATC<\/em><\/strong> (Anatomical Therapeutic Chemical): N02AA59.<\/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> Pharcoter, Pharcoter Forte<\/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 Trung \u01b0\u01a1ng 1 &#8211; Pharbaco<\/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>Pharcoter Forte: Vi\u00ean n\u00e9n Terpine 100mg, codeine 15mg.<\/p>\n<p>Pharcoter: Vi\u00ean n\u00e9n Terpine 100mg, codeine 10mg.<\/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>PHARCOTER<\/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>Codeine<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>10 mg<\/td>\n<\/tr>\n<tr>\n<td>Terpine<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>100 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\" class=\"alignnone wp-image-56463\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-codeine-terpine.png\" alt=\"Pharcoter (codeine + Terpine)\n\" width=\"592\" height=\"412\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-codeine-terpine.png 792w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-codeine-terpine-300x209.png 300w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-codeine-terpine-768x534.png 768w\" sizes=\"auto, (max-width: 592px) 100vw, 592px\" \/><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>PHARCOTER FORTE<\/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>Codeine<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>15 mg<\/td>\n<\/tr>\n<tr>\n<td>Terpine<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>100 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\" class=\"alignnone wp-image-56464\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-forte-codeine-terpine.png\" alt=\"Pharcoter Forte (Codeine + Terpine)\" width=\"564\" height=\"405\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-forte-codeine-terpine.png 664w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2022\/11\/pharcoter-forte-codeine-terpine-300x216.png 300w\" sizes=\"auto, (max-width: 564px) 100vw, 564px\" \/><\/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<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe loading=\"lazy\" title=\"[Pharmog SS2- T\u1eadp 2] D\u01b0\u1ee3c l\u00fd c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ho v\u00e0 long \u0111\u1eddm\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/YWUMd6UveZA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>\u25ba K\u1ecbch B\u1ea3n: PharmogTeam<\/p>\n<p>\u25ba Youtube: https:\/\/www.youtube.com\/c\/pharmog<\/p>\n<p>\u25ba Facebook: https:\/\/www.facebook.com\/pharmog\/<\/p>\n<p>\u25ba Group : H\u1ed9i nh\u1eefng ng\u01b0\u1eddi m\u00ea d\u01b0\u1ee3c l\u00fd<\/p>\n<p>\u25ba Instagram : https:\/\/www.instagram.com\/pharmogvn\/<\/p>\n<p>\u25ba Website: pharmog.com<\/p>\n<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>Pharcoter forte \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n tr\u00ean 12 tu\u1ed5i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ho gi\u00f3, ho khan, ho do vi\u00eam kh\u00ed qu\u1ea3n, ho do vi\u00eam ph\u1ebf qu\u1ea3n.<\/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>D\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n<p>C\u00e1c l\u1ea7n u\u1ed1ng ph\u1ea3i c\u00e1ch xa nhau \u00edt nh\u1ea5t 6 gi\u1edd.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn: U\u1ed1ng m\u1ed7i l\u1ea7n 1 \u0111\u1ebfn 2 vi\u00ean, l\u1eb7p l\u1ea1i sau 6 gi\u1edd n\u1ebfu c\u1ea7n thi\u1ebft, kh\u00f4ng u\u1ed1ng qu\u00e1 8 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i ho\u1eb7c suy gan: Gi\u1ea3m n\u1eeda li\u1ec1u d\u00f9ng d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Tr\u1ebb em t\u1eeb 12 \u2013 18 tu\u1ed5i: \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ho, Pharcoter forte kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng cho tr\u1ebb em c\u00f3 suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Pharcoter forte \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ho.<\/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 codein ho\u1eb7c terpin hay b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Suy h\u00f4 h\u1ea5p.<\/p>\n<p>Ho do hen suy\u1ec5n.<\/p>\n<p>\u0110\u1ed9ng kinh ho\u1eb7c ti\u1ec1n s\u1eed \u0111\u1ed9ng kinh.<\/p>\n<p>Ph\u1ee5 n\u1eef cho con b\u00fa.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n mang gen chuy\u1ec3n h\u00f3a thu\u1ed1c qua CYP2D6 si\u00eau nhanh.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ho do c\u00f3 nguy c\u01a1 x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i ngi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 \u0111e do\u1ea1 t\u00ednh m\u1ea1ng. Kh\u00f4ng s\u1eed d\u1ee5ng codein cho tr\u1ebb em t\u1eeb 12 \u0111\u1ebfn 18 tu\u1ed5i b\u1ecb suy gi\u1ea3m h\u00f4 h\u1ea5p.<\/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=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>C\u00e1c b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u01b0 hen, kh\u00ed ph\u1ebf th\u0169ng. Suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, th\u1eadn. C\u00f3 ti\u1ec1n s\u1eed nghi\u1ec7n thu\u1ed1c.<\/p>\n<p>Kh\u00f4ng d\u00f9ng \u0111\u1ec3 gi\u1ea3m ho trong ho c\u00f3 \u0111\u00e0m, c\u00e1c b\u1ec7nh nung m\u1ee7 ph\u1ed5i, ph\u1ebf qu\u1ea3n khi c\u1ea7n kh\u1ea1c \u0111\u1eddm m\u1ee7. Khi d\u00f9ng thu\u1ed1c k\u00e9o d\u00e0i c\u00f3 kh\u1ea3 n\u0103ng l\u1ec7 thu\u1ed9c Codein .<\/p>\n<p><em>Chuy\u1ec3n ho\u00e1 qua CYP2D6:<\/em><\/p>\n<p>Codein \u0111\u01b0\u1ee3c chuy\u1ec3n ho\u00e1 th\u00e0nh Morphin (ch\u1ea5t d\u1eabn ho\u00e1 c\u00f3 ho\u1ea1t t\u00ednh) qua enzym gan CYP2D6 t\u1ea1i gan. N\u1ebfu thi\u1ebfu h\u1ee5t m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 enzym n\u00e0y, b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. \u01af\u1edbc t\u00ednh c\u00f3 \u0111\u1ebfn 7% d\u00e2n s\u1ed1 da tr\u1eafng c\u00f3 th\u1ec3 thi\u1ebfu h\u1ee5t enzym n\u00e0y. Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n mang gen chuy\u1ec3n ho\u00e1 m\u1ea1nh v\u00e0 si\u00eau nhanh s\u1ebd t\u0103ng nguy c\u01a1 x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i do ng\u1ed9 \u0111\u1ed9c opioid ngay c\u1ea3 \u1edf li\u1ec1u k\u00ea \u0111\u01a1n th\u01b0\u1eddng d\u00f9ng. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng chuy\u1ec3n ho\u00e1 codein th\u00e0nh morphin nhanh h\u01a1n, d\u1eabn \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh cao h\u01a1n so v\u1edbi d\u1ef1 ki\u1ebfn.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a ng\u1ed9 \u0111\u1ed9c opioid bao g\u1ed3m c\u00e1c r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, bu\u1ed3n ng\u1ee7, th\u1edf n\u00f4ng, co \u0111\u1ed3ng t\u1eed, bu\u1ed3n n\u00f4n, n\u00f4n, t\u00e1o b\u00f3n v\u00e0 ch\u00e1n \u0103n. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u1ea3m tu\u1ea7n ho\u00e0n v\u00e0 h\u00f4 h\u1ea5p, c\u00f3 th\u1ec3 \u0111e do\u1ea1 t\u00ednh m\u1ea1ng v\u00e0 r\u1ea5t hi\u1ebfm khi g\u00e2y t\u1eed vong.<\/p>\n<p>T\u1ef7 l\u1ec7 \u01b0\u1edbc t\u00ednh ng\u01b0\u1eddi mang gen chuy\u1ec3n ho\u00e1 thu\u1ed1c qua CYP2D6 si\u00eau nhanh trong c\u00e1c ch\u1ee7ng t\u1ed9c kh\u00e1c nhau \u0111\u01b0\u1ee3c t\u00f3m t\u1eaft trong b\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n<table>\n<tbody>\n<tr>\n<td>Ch\u1ee7ng t\u1ed9c<\/td>\n<td>T\u1ef7 l\u1ec7 %<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi Ch\u00e2u Phi Ethiopia<\/td>\n<td>29%<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi M\u1ef9 g\u1ed1c Phi<\/td>\n<td>3,4%-6,5%<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi Ch\u00e2u \u00c1<\/td>\n<td>1,2%-2%<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi da tr\u1eafng<\/td>\n<td>3,6%-6,5%<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi Hy L\u1ea1p<\/td>\n<td>6%<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi Hungary<\/td>\n<td>1,9%<\/td>\n<\/tr>\n<tr>\n<td>Ng\u01b0\u1eddi B\u1eafc \u00c2u<\/td>\n<td>1%-2%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>B\u1ec7nh nh\u00e2n suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p:<\/em><\/p>\n<p>Codein kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng \u1edf nh\u1eefng tr\u1ebb em c\u00f3 suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, bao g\u1ed3m r\u1ed1i lo\u1ea1n th\u1ea7n kinh c\u01a1, b\u1ec7nh l\u00fd n\u1eb7ng v\u1ec1 tim ho\u1eb7c h\u00f4 h\u1ea5p, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u00e0 ph\u1ed5i, \u0111a ch\u1ea5n th\u01b0\u01a1ng hay v\u1eeba tr\u1ea3i qua ph\u1eabu thu\u1eadt l\u1edbn. C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng h\u01a1n c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ed9 \u0111\u1ed9c morphin.<\/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>Thu\u1ed1c g\u00e2y bu\u1ed3n ng\u1ee7, ch\u00fa \u00fd khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u00e1i t\u00e0u xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/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>Kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai. N\u1ebfu ph\u00e1t hi\u1ec7n mang thai trong khi \u0111i\u1ec1u tr\u1ecb, ph\u1ea3i ng\u01b0ng d\u00f9ng thu\u1ed1c, n\u1ebfu kh\u00f4ng s\u1ebd l\u00e0m m\u1ea5t ti\u1ebfng \u1edf tr\u1ebb s\u01a1 sinh.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Kh\u00f4ng d\u00f9ng thu\u1ed1c cho ph\u1ee5 n\u1eef cho con b\u00fa. \u1ede li\u1ec1u \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng, codein v\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh c\u00f3 th\u1ec3 c\u00f3 m\u1eb7t trong s\u1eefa m\u1eb9 \u1edf li\u1ec1u r\u1ea5t th\u1ea5p v\u00e0 d\u01b0\u1eddng nh\u01b0 kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i \u0111\u1ebfn tr\u1ebb b\u00fa m\u1eb9. Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n l\u00e0 ng\u01b0\u1eddi mang gen chuy\u1ec3n h\u00f3a thu\u1ed1c qua CYP2D6 si\u00eau nhanh, morphin (ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh c\u1ee7a codein) c\u00f3 th\u1ec3 c\u00f3 trong s\u1eefa m\u1eb9 v\u1edbi n\u1ed3ng \u0111\u1ed9 cao h\u01a1n v\u00e0 trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p r\u1ea5t hi\u1ebfm g\u1eb7p, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ed9 \u0111\u1ed9c opioid \u1edf tr\u1ebb s\u01a1 sinh, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/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=\"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><em>Th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/100<\/em><\/p>\n<p>Th\u1ea7n kinh: \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, kh\u00e1t v\u00e0 c\u00f3 c\u1ea3m gi\u00e1c kh\u00e1c l\u1ea1.<\/p>\n<p>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, n\u00f4n, t\u00e1o b\u00f3n.<\/p>\n<p>Ti\u1ebft ni\u1ec7u: B\u00ed \u0111\u00e1i, \u0111\u00e1i \u00edt.<\/p>\n<p>Tim m\u1ea1ch: m\u1ea1ch nhanh, m\u1ea1ch ch\u1eadm, h\u1ed3i h\u1ed9p, y\u1ebfu m\u1ec7t, h\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/1000 &lt; ADR &lt; 1\/100 <\/em><\/p>\n<p>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: Ng\u1ee9a, m\u00e0y \u0111ay.<\/p>\n<p>Th\u1ea7n kinh: Suy h\u00f4 h\u1ea5p, an d\u1ecbu, s\u1ea3ng kho\u00e1i, b\u1ed3n ch\u1ed3n.<\/p>\n<p>Ti\u00eau h\u00f3a: \u0110au d\u1ea1 d\u00e0y, co th\u1eaft \u1ed1ng m\u1eadt.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p, ADR &lt; 1\/100 <\/em><\/p>\n<p>D\u1ecb \u1ee9ng: Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7.<\/p>\n<p>Th\u1ea7n kinh: \u00c1o gi\u00e1c, m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, co gi\u1eadt.<\/p>\n<p>Tim m\u1ea1ch: Suy tu\u1ea7n ho\u00e0n.<\/p>\n<p>Lo\u1ea1i kh\u00e1c: \u0110\u1ecf m\u1eb7t, to\u00e1t m\u1ed3 h\u00f4i, m\u1ec7t m\u1ecfi.<\/p>\n<p><em>* Nghi\u1ec7n thu\u1ed1c:<\/em><\/p>\n<p>D\u00f9ng codein trong th\u1eddi gian d\u00e0i v\u1edbi li\u1ec1u t\u1eeb 240 \u2013 540 mg\/ng\u00e0y c\u00f3 th\u1ec3 g\u00e2y nghi\u1ec7n thu\u1ed1c. C\u00e1c bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng g\u1eb7p khi thi\u1ebfu thu\u1ed1c l\u00e0 b\u1ed3n ch\u1ed3n, run, co gi\u1eadt c\u01a1, to\u00e1t m\u1ed3 h\u00f4i, ch\u1ea3y n\u01b0\u1edbc m\u0169i. C\u00f3 th\u1ec3 g\u00e2y l\u1ec7 thu\u1ed9c thu\u1ed1c v\u1ec1 t\u00e2m l\u00fd, v\u1ec1 th\u00e2n th\u1ec3 v\u00e0 g\u00e2y quen thu\u1ed1c.<\/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>C\u00e1ch x\u1eed tr\u00ed: u\u1ed1ng thu\u1ed1c v\u1edbi nhi\u1ec1u n\u01b0\u1edbc \u0111\u1ec3 gi\u1ea3m k\u00edch \u1ee9ng d\u1ea1 d\u00e0y. N\u1eb1m ngh\u1ec9 ng\u01a1i n\u1ebfu g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00f3ng m\u1eb7t. Trong tr\u01b0\u1eddng h\u1ee3p t\u00e1o b\u00f3n, c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c thu\u1ed1c nhu\u1eadn tr\u01b0\u1eddng l\u00e0m t\u0103ng nhu \u0111\u1ed9ng ru\u1ed9t nh\u01b0 bisacodin ho\u1eb7c natri picosulfat.<\/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>Tr\u00e1nh d\u00f9ng chung v\u1edbi r\u01b0\u1ee3u hay c\u00e1c th\u1ee9c u\u1ed1ng v\u00e0 thu\u1ed1c c\u00f3 ch\u1ee9a alcol do l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c l\u00ean th\u1ea7n kinh trung \u01b0\u01a1ng. Vi\u1ec7c gi\u1ea3m \u00fd th\u1ee9c c\u1ea3nh gi\u00e1c v\u00e0 t\u1eadp trung c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<p>C\u1ea7n l\u01b0u \u00fd khi ph\u1ed1i h\u1ee3p v\u1edbi nh\u00f3m barbituric, nh\u00f3m odide nate 1, d\u1eabn xu\u1ea5t c\u1ee7a morphin v\u00ec l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y \u1ee9c ch\u1ebf h\u00f4 h\u1ea5p, c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m d\u1ebfn t\u00ednh m\u1ea1ng trong tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u.<\/p>\n<p>T\u00e1c d\u1ee5ng gi\u1ea3m \u0111au c\u1ee7a codein t\u0103ng l\u00ean khi ph\u1ed1i h\u1ee3p v\u1edbi aspirin v\u00e0 paracetamol, nh\u01b0ng l\u1ea1i gi\u1ea3m ho\u1eb7c m\u1ea5t t\u00e1c d\u1ee5ng b\u1edfi quinidin.<\/p>\n<p>Codein l\u00e0m gi\u1ea3m chuy\u1ec3n h\u00f3a cyclosporine do \u1ee9c ch\u1ebf men cytochrom P450..<\/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>Suy h\u00f4 h\u1ea5p (gi\u1ea3m nh\u1ecbp th\u1edf, h\u00f4 h\u1ea5p Cheyne &#8211; Stokes, xanh t\u00edm). L\u01a1 m\u01a1 d\u1eabn \u0111\u1ebfn tr\u1ea1ng th\u00e1i \u0111\u1edd \u0111\u1eabn ho\u1eb7c h\u00f4n m\u00ea, m\u1ec1m c\u1edd, da l\u1ea1nh v\u00e0 \u1ea9m, \u0111\u00f4i khi m\u1ea1ch ch\u1eadm v\u00e0 h\u1ea1 huy\u1ebft \u00e1p. Trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng: ng\u1eebng th\u1edf, tr\u1ee5y m\u1ea1ch, ng\u1eebng tim v\u00e0 c\u00f3 th\u1ec3 t\u1eed vong.<\/p>\n<p>C\u00e1ch x\u1eed tr\u00ed: Ph\u1ea3i h\u1ed3i ph\u1ee5c h\u00f4 h\u1ea5p b\u1eb1ng c\u00e1ch cung c\u1ea5p d\u01b0\u1ee1ng kh\u00ed v\u00e0 h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3 c\u00f3 ki\u1ec3m so\u00e1t. Ch\u1ec9 \u0111\u1ecbnh naloxon ngay b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eam t\u0129nh m\u1ea1ch trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/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>Terpin hydrat: c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m t\u0103ng b\u00e0i ti\u1ebft tr\u1ef1c li\u1ebfp \u1edf ph\u1ebf qu\u1ea3n n\u00ean d\u01b0\u1ee3c d\u00f9ng nh\u01b0 m\u1ed9t thu\u1ed1c ho long \u0111\u1eddm.<\/p>\n<p>Codein l\u00e0 methylmorphin, nh\u00f3m methyl thay th\u1ebf v\u1ecb tr\u00ed cua hydro \u1edf nh\u00f3m hydroxyl li\u00ean k\u1ebft v\u1edbi nh\u00e2n th\u01a1m trong ph\u00e2n t\u1eed morphin, do v\u1eady codein c\u00f3 l\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd t\u01b0\u01a1ng t\u1ef1 morphin, t\u1ee9c l\u00e0 gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m ho. So v\u1edbi morphin, codein \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1ed1t h\u01a1n \u1edf d\u1ea1ng u\u1ed1ng, \u00edt g\u00e2y t\u00e1o b\u00f3n v\u00e0 \u00edt g\u00e2y co th\u1eaft m\u1eadt h\u01a1n.<\/p>\n<p>Codein c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m ho do t\u00e1c d\u1ee5ng tr\u1ef1c ti\u1ebfp l\u00ean trung t\u00e2m g\u00e2y ho \u1edf h\u00e0nh n\u00e3o ; codein l\u00e0m kh\u00f4 d\u1ecbch ti\u1ebft ph\u1ebf qu\u1ea3n. Codein kh\u00f4ng \u0111\u1ee7 hi\u1ec7u l\u1ef1c \u0111\u1ec3 gi\u1ea3m ho n\u1eb7ng. Codein l\u00e0 thu\u1ed1c tr\u1ea5n ho trong tr\u01b0\u1eddng h\u1ee3p ho khan l\u00e0m m\u1ea5t ng\u1ee7.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Codein c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m ho do t\u00e1c d\u1ee5ng tr\u1ef1c ti\u1ebfp l\u00ean trung t\u00e2m ho \u1edf h\u00e0nh n\u00e3o; codein l\u00e0m kh\u00f4 d\u1ecbch ti\u1ebft \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 l\u00e0m t\u0103ng \u0111\u1ed9 qu\u00e1nh c\u1ee7a d\u1ecbch ti\u1ebft ph\u1ebf qu\u1ea3n. Codein kh\u00f4ng \u0111\u1ee7 hi\u1ec7u l\u1ef1c \u0111\u1ec3 gi\u1ea3m ho n\u1eb7ng. Codein l\u00e0 thu\u1ed1c tr\u1ea5n ho trong tr\u01b0\u1eddng h\u1ee3p ho khan l\u00e0m m\u1ea5t ng\u1ee7.<\/p>\n<p>Terpin hydrat c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch c\u00e1c tuy\u1ebfn b\u00e0i ti\u1ebft \u1edf m\u1eb7t trong kh\u00ed qu\u1ea3n l\u00e0m t\u0103ng ti\u1ebft ch\u1ea5t d\u1ecbch, k\u1ebft qu\u1ea3 l\u00e0 l\u00e0m t\u0103ng th\u1ec3 t\u00edch v\u00e0 gi\u1ea3m \u0111\u1ed9 nh\u00e0y c\u1ee7a ch\u1ea5t ti\u1ebft kh\u00ed qu\u1ea3n<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=YWUMd6UveZA\"><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/a><\/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>Terpin hydrat h\u1ea5p thu t\u1ed1t qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. \u0110\u00e0o th\u1ea3i ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>Sau khi u\u1ed1ng, th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a codein l\u00e0 2-4 gi\u1edd, t\u00e1c d\u1ee5ng gi\u1ea3m ho xu\u1ea5t hi\u1ec7n trong v\u00f2ng 1-2 gi\u1edd v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i 4-6 gi\u1edd. Codein d\u01b0\u1ee3c chuy\u1ec3n h\u00f3a \u1edb gan v\u00e0 th\u1ea3i tr\u1eeb \u1edf th\u1eadn d\u01b0\u1edbi d\u1ea1ng t\u1ef1 do ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi acid glucuronic. Codein ho\u1eb7c s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a b\u00e0i ti\u1ebft qua ph\u00e2n r\u1ea5t \u00edt. Codein qua \u0111\u01b0\u1ee3c nhau thai v\u00e0 m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf qua \u0111\u01b0\u1ee3c h\u00e0ng r\u00e0o m\u00e1u-n\u00e3o.<\/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: Lycatab PGS, Tinh b\u1ed9t s\u1eafn, Malto dextrin, Croscarmellose natri, Magnesi stearat, Avicel PH102 v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/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>Codein c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi aspirin, paracetamol, m\u1ed9t s\u1ed1 thu\u1ed1c gi\u1ea3m ho nh\u01b0 guaifenesin.<\/p>\n<p>Ch\u1ed1ng k\u1ebft h\u1ee3p codein v\u1edbi c\u00e1c dung d\u1ecbch ch\u1ee9a aminophylin, amoni clorid, natri amobartal, natri pentobarbital, natri odide nate 1, natri methicillin, natri nitrofurantoin, natri clorothiazid, natri odide nate, natri odide, natri thiopental, natri heparin.<\/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 Pharcoter do C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Trung \u01b0\u01a1ng 1 &#8211; Pharbaco s\u1ea3n xu\u1ea5t (2019).<\/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 Pharcoter, Pharcoter Forte 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 Pharcoter, Pharcoter Forte (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 : Codeine [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":56463,"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":[1843,2234,2017],"class_list":["post-56456","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-codeine","tag-codeine-terpine","tag-terpine"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/56456","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=56456"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/56456\/revisions"}],"predecessor-version":[{"id":56487,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/56456\/revisions\/56487"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/56463"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=56456"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=56456"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=56456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}