﻿{"id":22028,"date":"2019-09-27T15:04:57","date_gmt":"2019-09-27T08:04:57","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=22028"},"modified":"2020-09-16T17:08:11","modified_gmt":"2020-09-16T10:08:11","slug":"loratadin-dieu-tri-viem-mui-di-ung","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/loratadin-dieu-tri-viem-mui-di-ung\/","title":{"rendered":"Loratadin \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng"},"content":{"rendered":"<p><a href=\"https:\/\/www.vnras.com\/drug\/2019\/09\/loratadin-dieu-tri-viem-mui-di-ung.html\"><strong>Loratadin<\/strong><\/a> \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111i\u1ec1u tr\u1ecb t\u1eeb nh\u1eefng n\u0103m cu\u1ed1i th\u1ebf k\u1ec9 XX, ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u0169i d\u1ecb \u1ee9ng, t\u00ecnh tr\u1ea1ng m\u1ec1 \u0111ay, m\u1ea9n ng\u1ee9a. Loratadin l\u00e0 thu\u1ed1c th\u1ebf h\u1ec7 th\u1ee9 hai trong nh\u00f3m thu\u1ed1c kh\u00e1ng Histamin. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang t\u00f4i s\u1ebd gi\u1ea3i \u0111\u00e1p cho \u0111\u1ed9c gi\u1ea3 nh\u1eefng th\u00f4ng tin quan tr\u1ecdng nh\u1ea5t v\u1ec1 Loratadin: <strong>Loratadin l\u00e0 thu\u1ed1c g\u00ec<\/strong>? <strong>T\u00e1c d\u1ee5ng<\/strong>, <strong>C\u00f4ng d\u1ee5ng<\/strong>, li\u1ec1u d\u00f9ng v\u00e0 nh\u1eefng l\u01b0u \u00fd khi s\u1eed d\u1ee5ng Loratadin.<\/p>\n<h2>Loratadin l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<p><strong>Loratadin<\/strong> l\u00e0 thu\u1ed1c kh\u00e1ng histamin th\u1ebf h\u1ec7 hai \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam da v\u00e0 n\u1ed5i m\u1ec1 \u0111ay.<\/p>\n<p>Loratadin \u0111\u01b0\u1ee3c d\u00f9ng d\u01b0\u1edbi c\u00e1c d\u1ea1ng:<\/p>\n<p>Vi\u00ean n\u00e9n 10 mg; vi\u00ean n\u00e9n r\u00e3 nhanh 10 mg.<\/p>\n<p>Siro: 5 mg\/ 5ml<\/p>\n<p>D\u1ea1ng k\u1ebft h\u1ee3p: Vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng ch\u1eadm g\u1ed3m 5 mg Loratadin v\u00e0 120 mg Pseudoephedrin sulphat.<\/p>\n<p>Loratadin \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p \u0111\u1ec3 \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng b\u1edfi FDA n\u0103m 1993, \u0111\u1ebfn n\u0103m 1998 thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e1n d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng k\u00ea \u0111\u01a1n (OTC). Hi\u1ec7n thu\u1ed1c n\u00e0y n\u1eb1m trong danh m\u1ee5c thu\u1ed1c t\u00e2n d\u01b0\u1ee3c thu\u1ed9c ph\u1ea1m vi qu\u1ef9 thanh to\u00e1n c\u1ee7a b\u1ea3o hi\u1ec3m y t\u1ebf.<\/p>\n<p>T\u00ean thu\u01a1ng m\u1ea1i: Aerius, Aleradin, Alertin, Bilodin, Clamidin, Clarityne, Delopedil, Loratadine 10mg, Mediclary, Opelodil, Ticevis, Usalota, \u2026<\/p>\n<figure id=\"attachment_22031\" aria-describedby=\"caption-attachment-22031\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-22031\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Aerius-400x400.jpg\" alt=\"Thu\u1ed1c Aerius\" width=\"400\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Aerius-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Aerius-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Aerius-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Aerius-100x100.jpg 100w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Aerius.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-22031\" class=\"wp-caption-text\">Thu\u1ed1c Aerius<\/figcaption><\/figure>\n<figure id=\"attachment_22032\" aria-describedby=\"caption-attachment-22032\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-22032\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/aleradin_1-400x400.jpg\" alt=\"Thu\u1ed1c Aleradin\" width=\"400\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/aleradin_1-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/aleradin_1-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/aleradin_1-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/aleradin_1-100x100.jpg 100w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/aleradin_1.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-22032\" class=\"wp-caption-text\">Thu\u1ed1c Aleradin<\/figcaption><\/figure>\n<figure id=\"attachment_22033\" aria-describedby=\"caption-attachment-22033\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-22033\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Alertin-400x400.jpg\" alt=\"Thu\u1ed1c Alertin\" width=\"400\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Alertin-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Alertin-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Alertin-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Alertin-100x100.jpg 100w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Alertin.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-22033\" class=\"wp-caption-text\">Thu\u1ed1c Alertin<\/figcaption><\/figure>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a Loratadin<\/h2>\n<p>Loratadin c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i kh\u00e1ng ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 Histamin H1 ngo\u1ea1i vi th\u1ebf h\u1ec7 th\u1ee9 hai, kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean th\u1ee5 th\u1ec3 serotonergic v\u00e0 cholinergic n\u00ean kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng an th\u1ea7n v\u00e0 t\u00e1c d\u1ee5ng tr\u00ean th\u1ea7n kinh ph\u00f3 giao c\u1ea3m. Thu\u1ed1c l\u00e0m gi\u1ea3m nh\u1eb9 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng, m\u1ec1 \u0111ay do gi\u1ea3i ph\u00f3ng histamin. Tuy nhi\u00ean trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p gi\u1ea3i ph\u00f3ng histamin n\u1eb7ng nh\u01b0 s\u1ed1c ph\u1ea3n v\u1ec7, loratadin kh\u00f4ng cho th\u1ea5y hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng, trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu b\u1eb1ng thu\u1ed1c v\u1eadn m\u1ea1ch v\u00e0 corticosteroid. Thu\u1ed1c c\u0169ng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n. T\u00e1c d\u1ee5ng k\u00e9o d\u00e0i \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ee7a loratadin l\u00e0 do thu\u1ed1c chuy\u1ec3n ho\u00e1 th\u00e0nh desloratadin l\u00e0 ch\u1ea5t c\u00f3 ho\u1ea1t t\u00ednh ho\u1eb7c ph\u00e2n ly ch\u1eadm sau khi g\u1eafn v\u1edbi th\u1ee5 th\u1ec3 Histamin H1<\/p>\n<figure id=\"attachment_22030\" aria-describedby=\"caption-attachment-22030\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-22030\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/khang_histamin_h2-400x400.jpg\" alt=\"Thu\u1ed1c Kh\u00e1ng Histamin\" width=\"400\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/khang_histamin_h2-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/khang_histamin_h2-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/khang_histamin_h2-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/khang_histamin_h2-100x100.jpg 100w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/khang_histamin_h2.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-22030\" class=\"wp-caption-text\">Thu\u1ed1c Kh\u00e1ng Histamin<\/figcaption><\/figure>\n<h2>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h2>\n<p>H\u1ea5p thu: Thu\u1ed1c h\u1ea5p thu nhanh sau khi u\u1ed1ng, t\u00e1c d\u1ee5ng kh\u00e1ng histamin xu\u1ea5t hi\u1ec7n trong kho\u1ea3ng 1 \u2013 4 gi\u1edd, \u0111\u1ea1t t\u1ed1i \u0111a sau 8 gi\u1edd v\u00e0 k\u00e9o d\u00e0i \u0111\u1ebfn h\u01a1n 24 gi\u1edd. N\u1ed3ng \u0111\u1ed9 Loratadin v\u00e0 Desloratadin \u0111\u1ea1t \u1ed5n \u0111\u1ecbnh v\u00e0o kho\u1ea3ng ng\u00e0y th\u1ee9 5 d\u00f9ng thu\u1ed1c. Th\u1ee9c \u0103n l\u00e0m ch\u1eadm h\u1ea5p thu nh\u01b0ng t\u0103ng sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c.<\/p>\n<p>Ph\u00e2n b\u1ed1: Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a thu\u1ed1c l\u00e0 80 \u2013 120 l\/kg, t\u1ef7 l\u1ec7 li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng l\u00e0 98%, thu\u1ed1c h\u1ea7u nh\u01b0 kh\u00f4ng qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o. Loratadin qua \u0111\u01b0\u1ee3c s\u1eefa m\u1eb9 v\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh t\u01b0\u01a1ng \u0111\u01b0\u01a1ng trong huy\u1ebft t\u01b0\u01a1ng<\/p>\n<p>Chuy\u1ec3n ho\u00e1 v\u00e0 th\u1ea3i tr\u1eeb: \u0110\u1ed9 thanh th\u1ea3i t\u1eeb 57 \u2013 142 ml\/ph\u00fat\/kg, gi\u1ea3m tr\u00ean ng\u01b0\u1eddi b\u1ec7nh suy gi\u1ea3m ch\u1ee9c n\u0103ng gan do Loratadin chuy\u1ec3n ho\u00e1 nhi\u1ec1u khi qua gan t\u1ea1o th\u00e0nh Desloratadin, l\u00e0 ch\u1ea5t chuy\u1ec3n ho\u00e1 c\u00f3 t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd. Kho\u1ea3ng 80% t\u1ed5ng li\u1ec1u b\u00e0i ti\u1ebft ngang nhau ra n\u01b0\u1edbc ti\u1ec3u v\u00e0 ph\u00e2n d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t chuy\u1ec3n ho\u00e1. Th\u1eddi gian b\u00e1n th\u1ea3i thay \u0111\u1ed5i tr\u00ean nhi\u1ec1u c\u00e1 th\u1ec3, t\u0103ng l\u00ean \u1edf ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 ng\u01b0\u1eddi b\u1ec7nh x\u01a1 gan.<\/p>\n<h2>C\u00f4ng d\u1ee5ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a Loratadin<\/h2>\n<p>Vi\u00eam m\u0169i d\u1ecb \u1ee9ng<\/p>\n<p>Vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng<\/p>\n<p>Ng\u1ee9a v\u00e0 m\u00e0y \u0111ay li\u00ean quan \u0111\u1ebfn histamin.<\/p>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch d\u00f9ng<\/h2>\n<p>Loratadin \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, d\u1ea1ng k\u1ebft h\u1ee3p v\u1edbi pseudoephedrin ph\u1ea3i \u0111\u01b0\u1ee3c nu\u1ed1t nguy\u00ean vi\u00ean m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ebb, nhai ho\u1eb7c ho\u00e0 tan.<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 12 tu\u1ed5i: D\u00f9ng m\u1ed9t l\u1ea7n trong ng\u00e0y li\u1ec1u 10 mg vi\u00ean n\u00e9n ho\u1eb7c siro ho\u1eb7c d\u1ea1ng k\u1ebft h\u1ee3p Pseudoephedrin.<\/p>\n<p>Tr\u1ebb em 2 \u2013 12 tu\u1ed5i:<\/p>\n<ul>\n<li>\u00adTr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 &gt;30kg: s\u1eed d\u1ee5ng 10 mg, chia l\u00e0m 1 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 &lt;30kg: 5 ml siro (1mg\/ml) 1 l\u1ea7n\/ng\u00e0y, kh\u00f4ng d\u00f9ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n.<\/li>\n<\/ul>\n<p>An to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 khi d\u00f9ng loratadin cho tr\u1ebb em d\u01b0\u1edbi 2 tu\u1ed5i ch\u01b0a \u0111u\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/p>\n<p>Suy gan n\u1eb7ng: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 10 mg, 2 ng\u00e0y m\u1ed9t l\u1ea7n cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 &gt;30kg.<\/p>\n<p>Suy th\u1eadn nh\u1eb9 v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i: Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u.<\/p>\n<p>Suy th\u1eadn c\u00f3 Cl\u00ad<sub>Cr<\/sub> &lt; 30 ml\/ph\u00fat: 10 mg, 2 ng\u00e0y 1 l\u1ea7n cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 6 tu\u1ed5i; 5 mg, 2 ng\u00e0y 1 l\u1ea7n cho tr\u1ebb em 2 \u2013 5 tu\u1ed5i.<\/p>\n<h2>T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a Loratadin<\/h2>\n<p>Th\u01b0\u1eddng g\u1eb7p:<\/p>\n<ul>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Th\u1ea7n kinh: \u0110au \u0111\u1ea7u<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Ti\u00eau ho\u00e1: Kh\u00f4 mi\u1ec7ng<\/li>\n<\/ul>\n<p>\u00cdt g\u1eb7p:<\/p>\n<ul>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Th\u1ea7n kinh: Ch\u00f3ng m\u1eb7t<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean H\u00f4 h\u1ea5p: Kh\u00f4 m\u0169i v\u00e0 h\u1eaft h\u01a1i<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 Kh\u00e1c: Vi\u00eam k\u1ebft m\u1ea1c<\/li>\n<\/ul>\n<p>Hi\u1ebfm g\u0103p:<\/p>\n<ul>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Th\u1ea7n kinh: Tr\u1ea7m c\u1ea3m<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Tim m\u1ea1ch: Nh\u1ecbp tim nhanh, lo\u1ea1n nh\u1ecbp nhanh tr\u00ean th\u1ea5t, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Ti\u00eau ho\u00e1: Bu\u1ed3n n\u00f4n<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean Chuy\u1ec3n ho\u00e1: Ch\u1ee9c n\u0103ng gan b\u1ea5t th\u01b0\u1eddng, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t<\/li>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean da, ni\u00eam m\u1ea1c: ph\u00e1t ban, n\u1ed5i m\u00e0y \u0111ay v\u00e0 cho\u00e1ng ph\u1ea3n v\u1ec7.<\/li>\n<\/ul>\n<h2>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p>B\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi Loratadin ho\u1eb7c v\u1edbi b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c<\/p>\n<p>Ch\u1ebf ph\u1ea9m k\u1ebft h\u1ee3p Pseudoephedrin v\u1edbi b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf MAO ho\u1eb7c ng\u1eebng thu\u1ed1c ch\u01b0a \u0111\u1ee7 2 tu\u1ea7n<\/p>\n<h2>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng Loratadin<\/h2>\n<p>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng tr\u00ean b\u1ec7nh nh\u00e2n suy gan: c\u1ea7n gi\u1ea3m li\u1ec1u<\/p>\n<p>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng tr\u00ean b\u1ec7nh nh\u00e2n suy th\u1eadn v\u1eeba ho\u1eb7c n\u1eb7ng v\u00e0 ng\u01b0\u1eddi \u0111ang th\u1ea9m ph\u00e2n th\u1eadn nh\u00e2n t\u1ea1o: c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u ph\u1ee5 thu\u1ed9c \u0111\u1ed9 thanh th\u1ea3i creatinin<\/p>\n<p>Khi d\u00f9ng loratadin c\u00f3 nguy c\u01a1 g\u00e2y kh\u00f4 mi\u1ec7ng d\u1ec5 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng s\u00e2u r\u0103ng do \u0111\u00f3 c\u1ea7n v\u1ec7 sinh r\u0103ng mi\u1ec7ng th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p>Th\u1eddi k\u1ef3 mang thai: Ch\u01b0a c\u00f3 nghi\u00ean c\u00f3 \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai do \u0111\u00f3 kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y khi \u0111ang mang thai<\/p>\n<p>Th\u1eddi k\u1ef3 cho con b\u00fa: Loratadin v\u00e0 ch\u1ea5t chuy\u1ec3n ho\u00e1 b\u00e0i ti\u1ebft qua s\u1eefa, v\u00ec v\u1eady kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c khi cho con b\u00fa ho\u1eb7c n\u1ebfu d\u00f9ng th\u00ec ph\u1ea3i ng\u1eebng cho con b\u00fa.<\/p>\n<h2>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/h2>\n<p>Loratadin \u0111\u01b0\u1ee3c chuy\u1ec3n ho\u00e1 qua isoenzym CYP3A4 v\u00e0 CYP2D6 c\u1ee7a cytochrom P<sub>450\u00ad<\/sub>, do \u0111\u00f3 s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi nh\u0169ng thu\u1ed1c \u1ee9c ch\u1ebf ho\u1eb7c b\u1ecb chuy\u1ec3n ho\u00e1 b\u1edfi nh\u1eefng enzym n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 c\u1ee7a thu\u1ed1c, c\u00e1c thu\u1ed1c g\u00e2y t\u01b0\u01a1ng t\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft g\u1ed3m: Cimetidin, Erythromycin, Ketoconazole, Quinidin, Fluconazol v\u00e0 Fluoxetin. Tuy nhi\u00ean ch\u01b0a th\u1ea5y h\u1eadu qu\u1ea3 l\u00e2m s\u00e0ng n\u00e0o v\u1ec1 vi\u1ec7c thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 Loratadin trong m\u00e1u.<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng ch\u1ebf ph\u1ea9m ph\u1ed1i h\u1ee3p c\u00f3 ch\u1ee9a Pseudoephedrin v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf MAO ho\u1eb7c ng\u1eebng thu\u1ed1c ch\u01b0a \u0111\u1ee7 2 tu\u1ea7n do l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng tr\u00ean huy\u1ebft \u00e1p c\u1ee7a Pseudoephedrin<\/p>\n<figure id=\"attachment_22029\" aria-describedby=\"caption-attachment-22029\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-22029\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/cytochrom_P450-400x400.jpg\" alt=\"Cytochrom P450\" width=\"400\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/cytochrom_P450-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/cytochrom_P450-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/cytochrom_P450-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/cytochrom_P450-100x100.jpg 100w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/cytochrom_P450.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-22029\" class=\"wp-caption-text\">Cytochrom P450<\/figcaption><\/figure>\n<h2>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed qu\u00e1 li\u1ec1u<\/h2>\n<p>Tri\u1ec7u ch\u1ee9ng<\/p>\n<p>\u1ede ng\u01b0\u1eddi l\u1edbn khi u\u1ed1ng qu\u00e1 40 mg Loratadin: Bu\u1ed3n ng\u1ee7, nh\u1ecbp tim nhanh, nh\u1ee9c \u0111\u1ea7u.<\/p>\n<p>\u1ede tr\u1ebb em khi u\u1ed1ng qu\u00e1 10 mg loratadin: bi\u1ec3u hi\u1ec7n ngo\u1ea1i th\u00e1p v\u00e0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c<\/p>\n<p>X\u1eed tr\u00ed: \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng s\u1ed1ng, c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c bi\u1ec7n ph\u00e1p lo\u1ea1i ch\u1ea5t \u0111\u1ed9c nh\u01b0 u\u1ed1ng than ho\u1ea1t, r\u1eeda d\u1ea1 d\u00e0y. Loratadin kh\u00f4ng b\u1ecb lo\u1ea1i tr\u1eeb kh\u1edfi c\u1edf th\u1ec3 b\u1eb1ng th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c v\u00e0 th\u1ea9m t\u00e1ch m\u00e1u, c\u1ea7n theo d\u00f5i b\u1ec7nh nh\u00e2n qu\u00e1 li\u1ec1u v\u00e0 ch\u0103m s\u00f3c y t\u1ebf ch\u1eb7t ch\u1ebd.<\/p>\n<p>Gi\u00e1 b\u00e1n m\u1ed9t s\u1ed1 thu\u1ed1c c\u00f3 ch\u1ee9a Loratadin:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vnras.com\/drug\/erolin\">Thu\u1ed1c\u00a0Erolin<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Egis Pharma.<\/li>\n<li><a href=\"https:\/\/www.vnras.com\/drug\/clanoz\">Thu\u1ed1c\u00a0Clanoz 10mg<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n\u00a0D\u01b0\u1ee3c H\u1eadu Giang<\/li>\n<li>Thu\u1ed1c\u00a0<a href=\"https:\/\/www.vnras.com\/drug\/biviflu\">Biviflu<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n BV Pharma<\/li>\n<li><a href=\"https:\/\/www.vnras.com\/drug\/lorucet\">Thu\u1ed1c\u00a0Lorucet<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Brown &amp; Burk Pharm., Ltd<\/li>\n<\/ul>\n<p>Ngu\u1ed3n tham kh\u1ea3o:<\/p>\n<p><a href=\"https:\/\/vi.wikipedia.org\/wiki\/Loratadin\" rel=\"noopener\">https:\/\/vi.wikipedia.org\/wiki\/Loratadin<\/a><\/p>\n<p><a href=\"https:\/\/www.drugbank.ca\/drugs\/DB00455\" rel=\"noopener\">https:\/\/www.drugbank.ca\/drugs\/DB00455<\/a><\/p>\n<p><a href=\"https:\/\/www.webmd.com\/drugs\/2\/drug-73-204\/loratadine-oral\/loratadine-oral\/details\" rel=\"noopener\">https:\/\/www.webmd.com\/drugs\/2\/drug-73-204\/loratadine-oral\/loratadine-oral\/details<\/a><\/p>\n<p><a href=\"https:\/\/www.drugs.com\/loratadine.html\" rel=\"noopener\">https:\/\/www.drugs.com\/loratadine.html<\/a><\/p>\n<p>Copy ghi ngu\u1ed3n: <a href=\"https:\/\/www.vnras.com\/drug\/\">https:\/\/www.vnras.com\/drug\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Loratadin \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111i\u1ec1u tr\u1ecb t\u1eeb nh\u1eefng n\u0103m cu\u1ed1i th\u1ebf k\u1ec9 XX, ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u0169i d\u1ecb \u1ee9ng, t\u00ecnh tr\u1ea1ng m\u1ec1 \u0111ay, m\u1ea9n ng\u1ee9a. Loratadin l\u00e0 thu\u1ed1c th\u1ebf h\u1ec7 th\u1ee9 hai trong nh\u00f3m thu\u1ed1c kh\u00e1ng Histamin. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang t\u00f4i s\u1ebd gi\u1ea3i \u0111\u00e1p cho \u0111\u1ed9c gi\u1ea3 nh\u1eefng th\u00f4ng [&#8230;]\n","protected":false},"author":490,"featured_media":22034,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-22028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/22028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/490"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=22028"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/22028\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/22034"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=22028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=22028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=22028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}