{"id":3808,"date":"2019-02-24T12:20:06","date_gmt":"2019-02-24T05:20:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=3808"},"modified":"2019-02-25T12:42:22","modified_gmt":"2019-02-25T05:42:22","slug":"hsa-canh-bao-ve-cac-san-pham-thuoc-ngoai-nhap-bi-nhiem-chat-cam","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/hsa-canh-bao-ve-cac-san-pham-thuoc-ngoai-nhap-bi-nhiem-chat-cam\/","title":{"rendered":"HSA: C\u1ea3nh b\u00e1o v\u1ec1 c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c ngo\u1ea1i nh\u1eadp b\u1ecb nhi\u1ec5m ch\u1ea5t c\u1ea5m"},"content":{"rendered":"<p>Trong Qu\u00fd cu\u1ed1i c\u1ee7a n\u0103m 2018,<strong> HAS nh\u1eadn \u0111\u01b0\u1ee3c nhi\u1ec1u b\u00e1o c\u00e1o ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i li\u00ean quan \u0111\u1ebfn nh\u1eefng s\u1ea3n ph\u1ea9m thu\u1ed1c ngo\u1ea1i nh\u1eadp qua c\u00e1c \u0111\u01b0\u1eddng kh\u00f4ng ch\u00ednh th\u1ed1ng b\u1ecb nhi\u1ec5m ch\u1ea5t c\u1ea5m<\/strong>, g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi d\u00f9ng. Do v\u1eady HAS kh\u1ea9n c\u1ea5p ra th\u00f4ng c\u00e1o r\u1ed9ng r\u00e3i cho CBYT v\u00e0 c\u1ed9ng \u0111\u1ed3ng nh\u1eb1m t\u0103ng c\u01b0\u1eddng c\u1ea3nh gi\u00e1c khi s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng, ch\u1ebf ph\u1ea9m b\u1ed5 sung, m\u1ef9 ph\u1ea9m v\u1edbi ngu\u1ed3n g\u1ed1c nh\u1eadp ngo\u1ea1i ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m ch\u1ee9ng r\u00f5 r\u00e0ng. HSA c\u0169ng \u0111i\u1ec3m t\u00ean m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m v\u00e0 ho\u1ea1t ch\u1ea5t b\u1ea5t h\u1ee3p ph\u00e1p trong danh s\u00e1ch \u0111\u00ednh k\u00e8m.<\/p>\n<p>C\u00e1c s\u1ea3n ph\u1ea9m n\u00e0y v\u1ed1n kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n l\u01b0u h\u00e0nh theo \u0111\u01b0\u1eddng ch\u00ednh ng\u1ea1ch t\u1ea1i Singapore m\u00e0 ph\u1ea7n l\u1edbn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o Singapore th\u00f4ng qua c\u00e1c \u0111\u01b0\u1eddng ti\u1ec3u ng\u1ea1ch, qua mua b\u00e1n online v\u00e0 x\u00e1ch tay m\u00e0 C\u01a1 quan qu\u1ea3n l\u00fd kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/p>\n<h2>Khuy\u1ebfn c\u00e1o c\u1ee7a HAS<\/h2>\n<p>Tr\u00e1nh mua c\u00e1c s\u1ea3n ph\u1ea9m h\u1ed7 tr\u1ee3, t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe, m\u1ef9 ph\u1ea9m tr\u00f4i n\u1ed5i \u1edf n\u01b0\u1edbc ngo\u00e0i.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi mua c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c tr\u1ef1c tuy\u1ebfn ho\u1eb7c t\u1eeb c\u00e1c ngu\u1ed3n (\u1edf \u0111\u1ecba ph\u01b0\u01a1ng ho\u1eb7c \u1edf n\u01b0\u1edbc ngo\u00e0i) kh\u00f4ng quen thu\u1ed9c, ngay c\u1ea3 khi b\u1ea1n b\u00e8 ho\u1eb7c ng\u01b0\u1eddi th\u00e2n \u0111\u00e3 gi\u1edbi thi\u1ec7u ch\u00fang. Ng\u01b0\u1eddi ti\u00eau d\u00f9ng kh\u00f4ng th\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c ngu\u1ed3n g\u1ed1c v\u00e0 xu\u1ea5t x\u1ee9 c\u00e1c s\u1ea3n ph\u1ea9m n\u00e0y.Ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh b\u1ea5t h\u1ee3p ph\u00e1p,h\u00e0ng gi\u1ea3 m\u1ea1o ho\u1eb7c kh\u00f4ng \u0111\u1ea1t ti\u00eau chu\u1ea9n, v\u00e0 c\u00f3 th\u1ec3 ch\u1ee9a c\u00e1c th\u00e0nh ph\u1ea7n kh\u00f4ng \u0111\u01b0\u1ee3c khai b\u00e1o c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi s\u1eed d\u1ee5ng. N\u1ebfu mua s\u1ea3n ph\u1ea9m thu\u1ed1c tr\u1ef1c tuy\u1ebfn, ng\u01b0\u1eddi ti\u00eau d\u00f9ng n\u00ean mua t\u1eeb c\u00e1c trang web ch\u00ednh th\u1ed1ng c\u1ee7a Singapore.<\/p>\n<p>H\u00e3y c\u1ea3nh gi\u00e1c v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m cam k\u1ebft mang l\u1ea1i hi\u1ec7u qu\u1ea3 nhanh ch\u00f3ng v\u00e0 k\u1ef3 di\u1ec7u ho\u1eb7c \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o ph\u00f3ng \u0111\u1ea1i nh\u01b0 \u201c100% an to\u00e0n\u201d, \u201c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5\u201d ho\u1eb7c \u201c\u0111\u00e3 \u0111\u01b0\u1ee3c khoa h\u1ecdc ch\u1ee9ng minh\u201d. Ng\u01b0\u1eddi ti\u00eau d\u00f9ng c\u0169ng n\u00ean th\u1eadn tr\u1ecdng v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 t\u00e1c d\u1ee5ng ch\u1eefa b\u1ec7nh nhanh ch\u00f3ng b\u1ea5t ng\u1edd.<\/p>\n<p>Tham kh\u1ea3o \u00fd ki\u1ebfn \u200b\u200bb\u00e1c s\u0129 ho\u1eb7c d\u01b0\u1ee3c s\u0129 khi c\u1ea7n gi\u00fap \u0111\u1ee1 \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh (b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh ch\u00e0m).<\/p>\n<p>Danh s\u00e1ch c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c ngo\u1ea1i nh\u1eadp ph\u00e1t hi\u1ec7n c\u00f3 ch\u1ee9a ch\u1ea5t c\u1ea5m xin tham kh\u1ea3o \u1edf link \u0111\u00ednh k\u00e8m cu\u1ed1i b\u00e0i.<\/p>\n<h2>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 c\u00f3 c\u1ee7a c\u00e1c th\u00e0nh ph\u1ea7n kh\u00f4ng \u0111\u01b0\u1ee3c k\u00ea khai<\/h2>\n<h3>2- diphenylmethylpyrolidin<\/h3>\n<p>2- diphenylmethylpyrolidine l\u00e0 m\u1ed9t h\u00f3a ch\u1ea5t nghi\u00ean c\u1ee9u c\u00f3 \u0111\u1eb7c t\u00ednh k\u00edch th\u00edch. H\u00f3a ch\u1ea5t n\u00e0y b\u1ecb c\u1ea5m \u1edf c\u00e1c qu\u1ed1c gia nh\u01b0 V\u01b0\u01a1ng qu\u1ed1c Anh. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng n\u00f3 bao g\u1ed3m \u1ea3o gi\u00e1c, h\u00e0nh vi b\u1ea1o l\u1ef1c, huy\u1ebft \u00e1p cao v\u00e0 nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u.<\/p>\n<h3>Acetaminophen<\/h3>\n<p>Acetaminophen ho\u1eb7c paracetamol \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au nh\u01b0 \u0111au \u0111\u1ea7u, \u0111au b\u1ee5ng kinh v\u00e0 h\u1ea1 s\u1ed1t. C\u00e1c s\u1ea3n ph\u1ea9m b\u1ed5 sung ho\u1eb7c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng c\u00f3 ch\u1ee9a paracetamol nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean nh\u00e3n g\u00e2y nguy hi\u1ec3m cho ng\u01b0\u1eddi ti\u00eau d\u00f9ng v\u00ec qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng gan.<\/p>\n<h3>Caffeine<\/h3>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng caffeine kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t ng\u1ee7, k\u00edch \u0111\u1ed9ng, b\u1ed3n ch\u1ed3n, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c v\u00e0 t\u0103ng nh\u1ecbp tim.<\/p>\n<h3>Cardarine<\/h3>\n<p>Cadarine l\u00e0 m\u1ed9t h\u00f3a ch\u1ea5t nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng.Tuy nhi\u00ean, n\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n th\u00e0nh thu\u1ed1c v\u00ec c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng n\u00f3 g\u00e2y ra ung th\u01b0.<\/p>\n<h3>Clobetasol<\/h3>\n<p>Clobetasol l\u00e0 m\u1ed9t steroid m\u1ea1nh. S\u1eed d\u1ee5ng kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 k\u00edch \u1ee9ng da, l\u00e0m m\u1ecfng da v\u00e0 t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/p>\n<h3>Cyproheptadine<\/h3>\n<p>Cyproheptadine l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng. S\u1eed d\u1ee5ng kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 t\u0103ng c\u00e2n, th\u00e8m \u0103n, ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 bu\u1ed3n ng\u1ee7.<\/p>\n<h3>Dehydroepiandrosterone (DHEA)<\/h3>\n<p>DHEA l\u00e0 m\u1ed9t lo\u1ea1i ho\u00f3c m\u00f4n \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ch\u1ee9ng r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng v\u00e0 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe v\u00e0 t\u00ecnh d\u1ee5c c\u1ee7a \u0111\u00e0n \u00f4ng v\u00e0 ph\u1ee5 n\u1eef kh\u1ecfe m\u1ea1nh b\u1ecb thi\u1ebfu hormone gi\u1edbi t\u00ednh m\u1eb7c d\u00f9 c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng v\u1ec1 t\u00e1c d\u1ee5ng c\u1ee7a n\u00f3. DHEA c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 r\u1ee5ng t\u00f3c, gi\u1ecdng n\u00f3i tr\u1ea7m, kh\u00e1ng insulin, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, \u0111au b\u1ee5ng v\u00e0 huy\u1ebft \u00e1p cao. Khi s\u1eed d\u1ee5ng v\u1edbi li\u1ec1u l\u01b0\u1ee3ng r\u1ea5t cao c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t ng\u1ee7 nh\u1eb9.<\/p>\n<h3>Dexamethasone<\/h3>\n<p>Dexamethasone l\u00e0 m\u1ed9t steroid m\u1ea1nh. S\u1eed d\u1ee5ng l\u00e2u d\u00e0i m\u1ed9t lo\u1ea1i thu\u1ed1c u\u1ed1ng steroid m\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t y t\u1ebf c\u00f3 th\u1ec3 g\u00e2y ra huy\u1ebft \u00e1p cao, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 h\u1ed9i ch\u1ee9ng Cushing (\u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a khu\u00f4n m\u1eb7t tr\u00f2n ho\u1eb7c \u2018m\u1eb7t tr\u0103ng\u2019 v\u00e0 b\u1ee5ng ph\u1ec7 nh\u01b0ng chi g\u1ea7y).<\/p>\n<h3>Diclofenac<\/h3>\n<p>Diclofenac l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 c\u00f3 th\u1ec3 g\u00e2y xu\u1ea5t huy\u1ebft d\u1ea1 d\u00e0y nghi\u00eam tr\u1ecdng, c\u0169ng nh\u01b0 c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch nh\u01b0 \u0111au tim hay \u0111\u1ed9t qu\u1ef5 khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i. Thu\u1ed1c n\u00e0y n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t y t\u1ebf ch\u1eb7t ch\u1ebd, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch, xu\u1ea5t huy\u1ebft hay vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y.<\/p>\n<h3>1, 3-dimethylamylamine (DMAA)<\/h3>\n<p>DMAA l\u00e0 m\u1ed9t ch\u1ea5t k\u00edch th\u00edch.S\u1eed d\u1ee5ng DMAA c\u00f3 th\u1ec3 g\u00e2y t\u0103ng huy\u1ebft \u00e1p, kh\u00f3 th\u1edf, nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u, c\u1ea3m gi\u00e1c b\u00f3p ngh\u1eb9t \u1edf ng\u1ef1c, \u0111au tim, co gi\u1eadt.<\/p>\n<h3>Hydroquinone<\/h3>\n<p>Hydroquinone l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c thu\u1ed1c k\u00ea \u0111\u01a1n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 da.Th\u00e0nh ph\u1ea7n n\u00e0y b\u1ecb c\u1ea5m trong c\u00e1c s\u1ea3n ph\u1ea9m m\u1ef9 ph\u1ea9m ch\u0103m s\u00f3c da v\u00e0 ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t y t\u1ebf, v\u00ec hydroquinone c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch. Vi\u1ec7c s\u1eed d\u1ee5ng hydroquinone kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn thay \u0111\u1ed5i m\u00e0u da v\u00e0 ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn nh\u01b0 ph\u00e1t ban, \u0111\u1ecf, ng\u1ee9a ran v\u00e0 b\u1ecfng r\u00e1t da.<\/p>\n<h3>MK667<\/h3>\n<p>MK667 ho\u1eb7c ibutamoren, l\u00e0 m\u1ed9t h\u00f3a ch\u1ea5t nghi\u00ean c\u1ee9u c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng hormone t\u0103ng tr\u01b0\u1edfng. H\u00f3a ch\u1ea5t nghi\u00ean c\u1ee9u n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t \u0111\u1ec3 s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t lo\u1ea1i thu\u1ed1c v\u00e0 v\u1eabn \u0111ang ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u.C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft h\u1ebft.<\/p>\n<h3>Orlistat<\/h3>\n<p>Orlistat l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u00e9o ph\u00ec. Thu\u1ed1c n\u00e0y n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a c\u00e1n b\u1ed9 y t\u1ebf. Vi\u1ec7c s\u1eed d\u1ee5ng orlistat kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 g\u00e2y \u0111au \u0111\u1ea7u, \u0111au b\u1ee5ng v\u00e0 kh\u00f3 ch\u1ecbu, \u0111\u1ea7y h\u01a1i, ti\u1ebft d\u1ecbch nh\u1eddn t\u1eeb tr\u1ef1c tr\u00e0ng, ph\u00e2n l\u1ecfng v\u00e0 m\u1ec7t m\u1ecfi.<\/p>\n<h3>Phenolphtalein<\/h3>\n<p>Phenolphthalein c\u00f3 th\u1ec3 g\u00e2y ph\u00e1t ban, chu\u1ed9t r\u00fat b\u1ee5ng, kh\u00f3 th\u1edf, r\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 th\u00f4ng qua c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt \u0111\u00e3 ph\u00e1t hi\u1ec7n n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ung th\u01b0<\/p>\n<h3>Phenylbutazone<\/h3>\n<p>Phenylbutazone l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 ch\u1ed1ng vi\u00eam. Vi\u1ec7c s\u1eed d\u1ee5ng phenylbutazone kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y, k\u00edch \u1ee9ng da nghi\u00eam tr\u1ecdng v\u00e0 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 m\u00e1u.<\/p>\n<h3>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf Phosphodiesterase Type 5 (PDE-5)<\/h3>\n<p>Nh\u00f3m thu\u1ed1c n\u00e0y bao g\u1ed3m sildenafil, tadalafil v\u00e0 vardenafil. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 gi\u1ea3m ho\u1eb7c m\u1ea5t th\u1ecb l\u1ef1c v\u00e0 th\u00ednh gi\u00e1c, \u0111\u1ed9t qu\u1ef5, \u0111au tim v\u00e0 c\u01b0\u01a1ng \u0111au d\u01b0\u01a1ng v\u1eadt. C\u01b0\u01a1ng \u0111au d\u01b0\u01a1ng v\u1eadt n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ea5t l\u1ef1c v\u0129nh vi\u1ec5n. Thu\u1ed1c \u1ee9c ch\u1ebf PDE-5 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch ho\u1eb7c \u0111ang d\u00f9ng thu\u1ed1c tr\u1ee3 tim nh\u01b0 nitrat. C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong do s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi Sildenafil v\u00e0 nitrate \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<h3>Rauwolfia<\/h3>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng rauwolfia c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t, bu\u1ed3n ng\u1ee7, b\u1ea5t l\u1ef1c v\u00e0 lo l\u1eafng.<\/p>\n<h3>Ch\u1ea5t \u0111i\u1ec1u h\u00f2a th\u1ee5 th\u1ec3 Androgen ch\u1ecdn l\u1ecdc (SARM)<\/h3>\n<p>Ch\u1ea5t \u0111i\u1ec1u h\u00f2a th\u1ee5 th\u1ec3 Androgen ch\u1ecdn l\u1ecdc (SARM) l\u00e0 c\u00e1c h\u00f3a ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng t\u00e1c \u0111\u1ed9ng c\u1ee7a n\u1ed9i ti\u1ebft t\u1ed1 nam testosterone. M\u1ed9t s\u1ed1 h\u00f3a ch\u1ea5t n\u00e0y v\u1eabn \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 kh\u00f4ng c\u00f3 SARM n\u00e0o \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t s\u1eed d\u1ee5ng l\u00e0m thu\u1ed1c. Vi\u1ec7c s\u1eed d\u1ee5ng ch\u00fang c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m do c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7.C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 testosterone, nh\u01b0 m\u1ea5t ng\u1ee7, kh\u00f3 ch\u1ecbu, h\u00e0nh vi hung h\u0103ng, t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ea5t l\u1ef1c.<\/p>\n<h3>Sibutramin<\/h3>\n<p>Sibutramine, tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c gi\u1ea3m c\u00e2n ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u00e9o ph\u00ec, \u0111\u00e3 kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e9p l\u01b0u h\u00e0nh \u1edf Singapore k\u1ec3 t\u1eeb n\u0103m 2010 do t\u0103ng nguy c\u01a1 \u0111au tim v\u00e0 \u0111\u1ed9t qu\u1ef5. Vi\u1ec7c s\u1eed d\u1ee5ng sibutramine c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, bao g\u1ed3m huy\u1ebft \u00e1p cao, nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u, \u1ea3o gi\u00e1c v\u00e0 thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng.<\/p>\n<h3>SR 9009<\/h3>\n<p>SR 9009 l\u00e0 m\u1ed9t h\u00f3a ch\u1ea5t nghi\u00ean c\u1ee9u v\u00e0 ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 s\u1eed d\u1ee5ng l\u00e0m thu\u1ed1c. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft h\u1ebft. Tuy nhi\u00ean HAS \u0111\u00e3 ph\u00e1t hi\u1ec7n ch\u1ea5t n\u00e0y c\u00f3 m\u1eb7t trong m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c.<\/p>\n<h3>Tianeptine<\/h3>\n<p>Tianeptine l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c k\u00ea \u0111\u01a1n d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m. Vi\u1ec7c s\u1eed d\u1ee5ng tianeptine kh\u00f4ng ph\u00f9 h\u1ee3p v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m ch\u00e1n \u0103n, bu\u1ed3n ng\u1ee7, ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u, nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u, \u0111au ng\u1ef1c, kh\u00f4 mi\u1ec7ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n.<\/p>\n<h3>Tramadol<\/h3>\n<p>Tramadol l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c k\u00ea \u0111\u01a1n d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au. Vi\u1ec7c s\u1eed d\u1ee5ng tramadol kh\u00f4ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m m\u1ea5t ng\u1ee7, ch\u00f3ng m\u1eb7t, t\u00e1o b\u00f3n, bu\u1ed3n n\u00f4n, n\u00f4n, bu\u1ed3n ng\u1ee7 v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nghi\u1ec7n.<\/p>\n<h3>Topiramate<\/h3>\n<p>Topiramate l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c k\u00ea \u0111\u01a1n s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00ecnh tr\u1ea1ng co gi\u1eadt. Vi\u1ec7c s\u1eed d\u1ee5ng topiramate c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m l\u00fa l\u1eabn, bu\u1ed3n ng\u1ee7, s\u1ed1t, bu\u1ed3n n\u00f4n, kh\u00f3 ch\u1ecbu v\u00e0 \u0111au d\u1ea1 d\u00e0y.<\/p>\n<p>Ngu\u1ed3n: <a href=\"https:\/\/www.hsa.gov.sg\/\" rel=\"noopener\">https:\/\/www.hsa.gov.sg\/<\/a><\/p>\n<p>Ng\u01b0\u1eddi t\u1ed5ng h\u1ee3p: \u0110\u1ed7 Thu Thanh \u2013 Nguy\u1ec5n Ph\u01b0\u01a1ng Th\u00fay<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong Qu\u00fd cu\u1ed1i c\u1ee7a n\u0103m 2018, HAS nh\u1eadn \u0111\u01b0\u1ee3c nhi\u1ec1u b\u00e1o c\u00e1o ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i li\u00ean quan \u0111\u1ebfn nh\u1eefng s\u1ea3n ph\u1ea9m thu\u1ed1c ngo\u1ea1i nh\u1eadp qua c\u00e1c \u0111\u01b0\u1eddng kh\u00f4ng ch\u00ednh th\u1ed1ng b\u1ecb nhi\u1ec5m ch\u1ea5t c\u1ea5m, g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi d\u00f9ng. Do v\u1eady HAS kh\u1ea9n c\u1ea5p ra th\u00f4ng c\u00e1o r\u1ed9ng r\u00e3i cho CBYT [&#8230;]\n","protected":false},"author":1,"featured_media":3811,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3808","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\/3808","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=3808"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/3808\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/3811"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=3808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=3808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=3808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}