{"id":4046,"date":"2019-03-01T15:46:06","date_gmt":"2019-03-01T08:46:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=4046"},"modified":"2019-04-13T09:43:59","modified_gmt":"2019-04-13T02:43:59","slug":"su-dung-hop-ly-cac-thuoc-giam-dau-thong-dung","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/su-dung-hop-ly-cac-thuoc-giam-dau-thong-dung\/","title":{"rendered":"S\u1eed d\u1ee5ng h\u1ee3p l\u00fd c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng d\u1ee5ng"},"content":{"rendered":"<p>Trong m\u1ed9t b\u00e1o c\u00e1o c\u1ee7a ANSM th\u00e1ng 6\/2014 v\u1ec1 \u201c<strong>ph\u00e2n t\u00edch t\u00ecnh h\u00ecnh ti\u00eau th\u1ee5 thu\u1ed1c \u1edf Ph\u00e1p trong n\u0103m 2013<\/strong>\u201d, thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c ti\u00eau th\u1ee5 nhi\u1ec1u nh\u1ea5t t\u1ea1i c\u00e1c nh\u00e0 thu\u1ed1c. Tuy nhi\u00ean, i\u1ec7c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c c\u00e1c thu\u1ed1c n\u00e0y kh\u00f4ng g\u00e2y ra ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i v\u00e0 kh\u00f4ng c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng. Vidal Ph\u00e1p \u0111\u00e3 c\u00f3 m\u1ed9t h\u01b0\u1edbng d\u1eabn chi ti\u1ebft v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng h\u1ee3p l\u00fd c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au ph\u1ed5 bi\u1ebfn hi\u1ec7n nay.<\/p>\n<p>Trong m\u1ed9t b\u00e1o c\u00e1o c\u1ee7a ANSM th\u00e1ng 6\/2014 v\u1ec1 \u201cph\u00e2n t\u00edch t\u00ecnh h\u00ecnh ti\u00eau th\u1ee5 thu\u1ed1c \u1edf Ph\u00e1p trong n\u0103m 2013\u201d,<strong> thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c ti\u00eau th\u1ee5 nhi\u1ec1u nh\u1ea5t t\u1ea1i c\u00e1c nh\u00e0 thu\u1ed1c.<\/strong><\/p>\n<p>Trong \u0111\u00f3, paracetamol \u0111\u1ee9ng \u0111\u1ea7u danh s\u00e1ch c\u00e1c ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c ti\u00eau th\u1ee5 nhi\u1ec1u nh\u1ea5t, v\u1edbi h\u01a1n 500 tri\u1ec7u h\u1ed9p \u0111\u01b0\u1ee3c b\u00e1n m\u1ed7i n\u0103m. Thu\u1ed1c ch\u1ee9a paracetamol th\u01b0\u1eddng c\u00f3 gi\u00e1 th\u00e0nh th\u1ea5p, \u1edf d\u1ea1ng \u0111\u01a1n \u0111\u1ed9c c\u00f3 m\u1eb7t trong h\u01a1n 100 ch\u1ebf ph\u1ea9m (nh\u01b0 Dolipran, Dafalgan v\u00e0 Effralgan) hay ph\u1ed1i h\u1ee3p v\u1edbi ho\u1ea1t ch\u1ea5t kh\u00e1c trong trong h\u01a1n 90 ch\u1ebf ph\u1ea9m s\u1eed d\u1ee5ng trong gi\u1ea3m \u0111au, \u0111i\u1ec1u tr\u1ecb c\u1ea3m l\u1ea1nh v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng c\u1ea3m c\u00fam. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) nh\u01b0 ibuprofen (bi\u1ec7t d\u01b0\u1ee3c Advil, Nurofen\u2026) c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng thu\u1ed1c c\u00f3 l\u01b0\u1ee3ng ti\u00eau th\u1ee5 l\u1edbn nh\u1ea5t.<\/p>\n<p>Paracetamol v\u00e0 NSAID c\u00f3 hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au v\u1edbi h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i \u0111au ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u1ed3ng th\u1eddi c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1 s\u1ed1t, d\u00f9ng trong c\u00e1c b\u1ec7nh th\u01b0\u1eddng g\u1eb7p v\u00e0o m\u00f9a \u0111\u00f4ng nh\u01b0 c\u1ea3m l\u1ea1nh. M\u1ed9t s\u1ed1 thu\u1ed1c c\u00f3 ch\u1ee9a c\u00e1c ho\u1ea1t ch\u1ea5t n\u00e0y \u0111\u01b0\u1ee3c b\u00e1n kh\u00f4ng c\u1ea7n \u0111\u01a1n. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ef1 mua thu\u1ed1c d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au m\u1ee9c \u0111\u1ed9 nh\u1eb9 h\u00e0ng ng\u00e0y (\u0111au \u0111\u1ea7u, \u0111au trong chu k\u1ef3 kinh nguy\u1ec7t, \u0111au kh\u1edbp ho\u1eb7c \u0111au c\u01a1). Tuy nhi\u00ean vi\u1ec7c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c c\u00e1c thu\u1ed1c n\u00e0y kh\u00f4ng g\u00e2y ra ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i v\u00e0 kh\u00f4ng c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng.<\/p>\n<h2>Paracetamol<\/h2>\n<p>Paracetamol l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c ti\u00eau th\u1ee5 nhi\u1ec1u nh\u1ea5t \u1edf Ph\u00e1p. Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho tr\u1ebb nh\u1ecf, ph\u1ee5 n\u1eef c\u00f3 thai ho\u1eb7c cho con b\u00fa v\u00e0 n\u1ebfu kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 m\u1ee9c li\u1ec1u khuy\u1ebfn c\u00e1o, c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i th\u01b0\u1eddng r\u1ea5t hi\u1ebfm g\u1eb7p khi s\u1eed d\u1ee5ng paracetamol.<\/p>\n<h3>S\u1eed d\u1ee5ng paracetamol<\/h3>\n<p>Paracetamol (c\u00f2n c\u00f3 t\u00ean chung qu\u1ed1c t\u1ebf l\u00e0 acetaminophen) l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u nh\u1ea5t. Paracetamol c\u00f3 hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au v\u1edbi nhi\u1ec1u lo\u1ea1i \u0111au (v\u00ed d\u1ee5: \u0111au \u0111\u1ea7u, \u0111au r\u0103ng ho\u1eb7c kh\u1edbp, tri\u1ec7u ch\u1ee9ng c\u00fam, \u0111au trong chu k\u1ef3, v.v.). Thu\u1ed1c c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1 s\u1ed1t.<\/p>\n<p>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t c\u1ee7a paracetamol v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5. T\u00e1c d\u1ee5ng xu\u1ea5t hi\u1ec7n kho\u1ea3ng 20 ph\u00fat sau khi d\u00f9ng thu\u1ed1c v\u00e0 k\u00e9o d\u00e0i trong v\u00f2ng 4 gi\u1edd. Thu\u1ed1c an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u ki\u1ec7n s\u1eed d\u1ee5ng th\u00f4ng th\u01b0\u1eddng v\u00e0 c\u00f3 th\u1ec3 d\u00f9ng cho tr\u1ebb em. Thu\u1ed1c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng trong thai k\u00ec khi c\u00f3 \u0111au ho\u1eb7c s\u1ed1t, v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 trong th\u1eddi gian ng\u1eafn \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng. So v\u1edbi aspirin v\u00e0 c\u00e1c NSAID, paracetamol c\u00f3 \u01b0u \u0111i\u1ec3m h\u01a1n v\u00ec kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng d\u1ea1 d\u00e0y nh\u01b0ng thu\u1ed1c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam v\u00e0 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au kh\u00f4ng r\u00f5 r\u1ec7t trong c\u00e1c c\u01a1n \u0111au c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb vi\u00eam.<\/p>\n<h3>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 th\u1eadn tr\u1ecdng<\/h3>\n<p>Paracetamol c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh duy nh\u1ea5t v\u1edbi c\u00e1c b\u1ec7nh l\u00fd gan nghi\u00eam tr\u1ecdng. Thu\u1ed1c th\u01b0\u1eddng dung n\u1ea1p t\u1ed1t v\u00e0 r\u1ea5t hi\u1ebfm khi c\u00f3 m\u1ed1i li\u00ean h\u1ec7 v\u1edbi c\u00e1c bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i (ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ngo\u00e0i da v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u). Tuy nhi\u00ean, \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd trong s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y l\u00e0 do nhi\u1ec1u ch\u1ebf ph\u1ea9m hi\u1ec7n nay c\u00f3 ch\u1ee9a paracetamol v\u00e0 khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn qu\u00e1 li\u1ec1u v\u00e0 g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng gan nghi\u00eam tr\u1ecdng. L\u1ea1m d\u1ee5ng paracetamol l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u cho can thi\u1ec7p gh\u00e9p gan c\u00f3 ngu\u1ed3n g\u1ed1c do thu\u1ed1c t\u1ea1i Ph\u00e1p. Do \u0111\u00f3, ph\u1ea3i \u0111\u1eb7c bi\u1ec7t tu\u00e2n th\u1ee7 c\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 li\u1ec1u v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. Nguy c\u01a1 \u0111\u1ed9c t\u00ednh \u1edf gan t\u0103ng l\u00ean trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, khi b\u1ec7nh nh\u00e2n c\u00f3 suy dinh d\u01b0\u1ee1ng, m\u1ea5t n\u01b0\u1edbc, nghi\u1ec7n r\u01b0\u1ee3u, vi\u00eam gan vi-r\u00fat ho\u1eb7c n\u1eb7ng d\u01b0\u1edbi 50 kg. Trong tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng paracetamol v\u1edbi li\u1ec1u t\u1ed1i \u0111a tr\u00ean 4 ng\u00e0y v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi v\u1edbi m\u1ed9t thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng kh\u00e1ng vitamin K, c\u1ea7n theo d\u00f5i \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng \u0111\u00f4ng (ki\u1ec3m so\u00e1t INR) v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u khi c\u1ea7n thi\u1ebft.<\/p>\n<h3>C\u00e1c thu\u1ed1c ch\u1ee9a Paracetamol<\/h3>\n<p>Paracetamol l\u00e0 ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c ti\u00eau th\u1ee5 nhi\u1ec1u nh\u1ea5t \u1edf Ph\u00e1p. Ho\u1ea1t ch\u1ea5t l\u00e0 th\u00e0nh ph\u1ea7n c\u1ee7a nhi\u1ec1u thu\u1ed1c b\u00e1n c\u00f3 \u0111\u01a1n ho\u1eb7c kh\u00f4ng k\u00ea \u0111\u01a1n. Paracetamol c\u00f3 th\u1ec3 \u1edf d\u1ea1ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p trong c\u00e1c ch\u1ebf ph\u1ea9m gi\u1ea3m \u0111au, \u0111i\u1ec1u tr\u1ecb c\u1ea3m l\u1ea1nh v\u00e0 c\u1ea3m c\u00fam. \u1ede ng\u01b0\u1eddi l\u1edbn, li\u1ec1u khuy\u1ebfn c\u00e1o t\u1ed1i \u0111a khi \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u01a1n l\u00e0 1g\/l\u1ea7n, 3 l\u1ea7n\/ng\u00e0y v\u00e0 m\u1ed7i l\u1ea7n d\u00f9ng c\u00e1ch nhau \u00edt nh\u1ea5t 6 gi\u1edd. \u1ede li\u1ec1u cao h\u01a1n, paracetamol c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c cho gan v\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng.<\/p>\n<p>Thu\u1ed1c gi\u1ea3m \u0111au ch\u1ee9a paracetamol \u0111\u01a1n \u0111\u1ed9c c\u00f3 nhi\u1ec1u h\u00e0m l\u01b0\u1ee3ng ph\u00f9 h\u1ee3p cho m\u1ecdi l\u1ee9a tu\u1ed5i v\u00e0 c\u00f3 nhi\u1ec1u d\u1ea1ng b\u00e0o ch\u1ebf kh\u00e1c nhau: vi\u00ean n\u00e9n, vi\u00ean nang, thu\u1ed1c \u0111\u1ea1n, h\u1ed7n d\u1ecbch u\u1ed1ng ho\u1eb7c b\u1ed9t pha dung d\u1ecbch u\u1ed1ng.<\/p>\n<h3>Hi\u1ec7n nay \u1edf Ph\u00e1p, c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au ch\u1ee9a paracetamol g\u1ed3m c\u00f3:<\/h3>\n<p>Paracetamol \u0111\u01a1n \u0111\u1ed9c (Algodol, Claradol, Dafalgan\u2026)<br \/>\nParacetamol d\u1ea1ng ph\u1ed1i h\u01a1p : c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi vitamin C, cafein ho\u1eb7c thu\u1ed1c gi\u1ea3m \u0111au m\u1ea1nh kh\u00e1c (codein ho\u1eb7c tramadol) trong c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng.<\/p>\n<p>Thu\u1ed1c gi\u1ea3m \u0111au c\u1ea5p II : codein + paracetamol (Algisedal, Claradol Codein, Codoliprane); codein + paracetamol + cafein(Prontalgine, Parac\u00e9tamol\/Caf\u00e9ine\/Codeine Mylan); Tramadol + paracetamol (Ixprim, Tramadol\/Paracetamol Arrow\u2026); aspirin + paracetamol+ cafein ho\u1eb7c vitamin C (Actron) ; Paracetamol + cafein ho\u1eb7c vitamin C (Algodol cafein, C\u00e9faline hauth\u2026)<\/p>\n<h2>ASPIRIN<\/h2>\n<p>Aspirin (t\u00ean kh\u00e1c: acid acetylsalicylic) l\u00e0 m\u1ed9t trong nh\u1eefng thu\u1ed1c \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn nhi\u1ec1u nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi. M\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 25 t\u1ef7 vi\u00ean n\u00e9n aspirin \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t. M\u1eb7c d\u00f9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u01b0ng aspirin kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t thu\u1ed1c v\u00f4 h\u1ea1i: c\u00e1c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng \u0111\u01a1n hi\u1ec7n ch\u1ec9 c\u00f3 trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p nh\u1ea5t \u0111\u1ecbnh.<\/p>\n<h3>C\u00e1c c\u00f4ng d\u1ee5ng kh\u00e1c nhau c\u1ee7a aspirin<\/h3>\n<p>Aspirin c\u00f3 nhi\u1ec1u \u0111\u1eb7c t\u00ednh: gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t, ch\u1ed1ng vi\u00eam \u1edf li\u1ec1u cao v\u00e0 ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u (gi\u1eef cho m\u00e1u \u0111\u01b0\u1ee3c l\u01b0u th\u00f4ng).<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb \u0111au v\u00e0 s\u1ed1t, li\u1ec1u t\u1ed1i \u0111a s\u1eed d\u1ee5ng kh\u00f4ng \u0111\u01a1n \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 1g aspirin m\u1ed7i 8 gi\u1edd (ho\u1eb7c 3g\/ng\u00e0y). T\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam c\u00f3 \u0111\u01b0\u1ee3c \u1edf li\u1ec1u cao v\u00e0 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 trong \u0111au c\u01a1 ho\u1eb7c \u0111au kh\u1edbp.<\/p>\n<p>Hi\u1ec7n nay, aspirin ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi li\u1ec1u th\u1ea5p (75 mg \u0111\u1ebfn 300 mg m\u1ed7i ng\u00e0y) v\u1edbi t\u00e1c d\u1ee5ng gi\u1eef cho m\u00e1u \u0111\u01b0\u1ee3c l\u01b0u th\u00f4ng. Aspirin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tim m\u1ea1ch ho\u1eb7c cho ng\u01b0\u1eddi \u0111\u1eb7t stent \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. Aspirin li\u1ec1u th\u1ea5p c\u0169ng c\u00f3 vai tr\u00f2 trong vi\u1ec7c ng\u0103n ng\u1eeba m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd ung th\u01b0. C\u00e1c nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng n\u00e0y.<\/p>\n<h3>L\u01b0\u1ee3c s\u1eed c\u1ee7a aspirin<\/h3>\n<p>Aspirin l\u00e0 m\u1ed9t nh\u1eefng lo\u1ea1i thu\u1ed1c l\u00e2u \u0111\u1eddi nh\u1ea5t. Ng\u01b0\u1eddi Hy L\u1ea1p t\u1eebng s\u1eed d\u1ee5ng v\u1ecf c\u00e2y li\u1ec5u tr\u1eafng, c\u00f3 ch\u1ee9a ho\u1ea1t ch\u1ea5t aspirin \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t. V\u00e0o th\u1ebf k\u1ec9 XIX, m\u1ed9t s\u1ed1 nh\u00e0 h\u00f3a h\u1ecdc \u0111\u00e3 b\u1eaft \u0111\u1ea7u t\u1ed5ng h\u1ee3p axit acetylsalicylic. C\u00f4ng nghi\u1ec7p s\u1ea3n xu\u1ea5t n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Bayer, c\u00f4ng ty \u0111\u1ea7u ti\u00ean \u0111\u01b0a ra nh\u00e3n hi\u1ec7u &#8220;Aspirin&#8221; v\u00e0o n\u0103m 1899. Aspirin, s\u1ea3n xu\u1ea5t b\u1edfi Hi\u1ec7p h\u1ed9i h\u00f3a h\u1ecdc th\u1ef1c v\u1eadt Rhone, \u0111\u00e3 \u0111\u1ebfn Ph\u00e1p t\u1eeb n\u0103m 1908 v\u00e0 b\u1eb1ng s\u00e1ng ch\u1ebf c\u1ee7a \u0110\u1ee9c m\u1ea5t b\u1ea3n quy\u1ec1n 10 n\u0103m sau \u0111\u00f3 \u1edf trong cu\u1ed9c \u0111\u00e0m ph\u00e1n c\u1ee7a Hi\u1ec7p \u01b0\u1edbc Versailles. Ng\u00e0y nay, b\u00ean c\u1ea1nh vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ea1 s\u1ed1t v\u00e0 gi\u1ea3m \u0111au, ch\u1ec9 \u0111\u1ecbnh c\u1ee7a aspirin \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng trong ng\u0103n ng\u1eeba c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n<h3>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 th\u1eadn tr\u1ecdng<\/h3>\n<p>Aspirin kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau \u0111\u00e2y:<\/p>\n<p>C\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c trong c\u00f9ng nh\u00f3m v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID)<br \/>\nC\u00f3 lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng.<br \/>\nC\u00f3 nguy c\u01a1 xu\u1ea5t huy\u1ebft (trong chu k\u00ec kinh nguy\u1ec7t, d\u1ec5 b\u1ecb ch\u1ea3y m\u00e1u\u2026)<br \/>\nSuy gan n\u1eb7ng<br \/>\nSuy th\u1eadn n\u1eb7ng<br \/>\nSuy tim kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ki\u1ec3m so\u00e1t<br \/>\nPh\u1ee5 n\u1eef mang thai t\u1eeb th\u00e1ng th\u1ee9 6 c\u1ee7a thai k\u00ec.<br \/>\nC\u1ea7n th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng, b\u1ec7nh hen suy\u1ec5n, b\u1ec7nh gout, suy th\u1eadn v\u1eeba v\u00e0 \u1edf ph\u1ee5 n\u1eef \u0111ang \u0111\u1eb7t v\u00f2ng tr\u00e1nh thai. Aspirin c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi nhi\u1ec1u thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 NSAID, thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u01b0\u1eddng u\u1ed1ng, lithium v\u00e0 methotrexat.<\/p>\n<h3>T\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i c\u00f3 th\u1ec3 g\u1eb7p c\u1ee7a aspirin<\/h3>\n<p>Aspirin c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u m\u0169i ho\u1eb7c n\u01b0\u1edbu, xu\u1ea5t huy\u1ebft hi\u1ebfm g\u1eb7p kh\u00f3 ph\u00e1t hi\u1ec7n tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, l\u00e0m kh\u1edfi ph\u00e1t t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u t\u1eeb t\u1eeb. Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng d\u1eabn \u0111\u1ebfn ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3>Thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 ch\u1ee9a aspirin<\/h3>\n<p>Trong \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t, c\u00f3 nhi\u1ec1u d\u1ea1ng b\u00e0o ch\u1ebf kh\u00e1c nhau c\u1ee7a aspirin: vi\u00ean n\u00e9n th\u00f4ng th\u01b0\u1eddng ho\u1eb7c vi\u00ean s\u1ee7i, b\u1ed9t h\u00f2a tan. T\u1ea1i Ph\u00e1p, c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 ch\u1ee9a aspirin \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea sau \u0111\u00e2y:<\/p>\n<p>Aspirin: Aspegic, Aspro, Aspirin UPSA<br \/>\nAspirin trong \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi ho\u1ea1t ch\u1ea5t kh\u00e1c: paracetamol, codein, cafein, vitamin C<br \/>\nThu\u1ed1c gi\u1ea3m \u0111au c\u1ea5p II: codein+ aspirin + paracetamol (Novac\u00e9tol); Aspirin + cafein ho\u1eb7c vitamin C (Antigrippine, Aspirin UPSA vitamin C); Aspirin + Paracetamol + Cafein ho\u1eb7c vitamin C (Actron)<\/p>\n<h2>NSAID<\/h2>\n<p>Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) l\u00e0 thu\u1ed1c ng\u0103n s\u1ef1 h\u00ecnh th\u00e0nh prostaglandin g\u00e2y ra t\u00ecnh tr\u1ea1ng vi\u00eam. B\u00ean c\u1ea1nh hi\u1ec7u qu\u1ea3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh, c\u00e1c thu\u1ed1c NSAID v\u1eabn c\u00f3 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n.<\/p>\n<p>Nh\u00f3m thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c l\u1edbn, v\u1edbi nhi\u1ec1u ho\u1ea1t ch\u1ea5t kh\u00e1c nhau, trong \u0111\u00f3 c\u00f3 ibuprofen. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t v\u00e0 ch\u1ed1ng vi\u00eam \u1edf li\u1ec1u cao h\u01a1n.<\/p>\n<h3>S\u1eed d\u1ee5ng v\u00e0 \u0111\u01b0\u1eddng d\u00f9ng c\u1ee7a NSAID<\/h3>\n<p>\u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c \u0111\u01b0\u1eddng d\u00f9ng (u\u1ed1ng, \u0111\u1eb7t tr\u1ef1c tr\u00e0ng, ti\u00eam), ch\u1ec9 \u0111\u1ecbnh c\u1ee7a NSAID thay \u0111\u1ed5i t\u00f9y thu\u1ed9c t\u1eebng ho\u1ea1t ch\u1ea5t: s\u1ed1t, nh\u1ee9c \u0111\u1ea7u, \u0111au n\u1eeda \u0111\u1ea7u, \u0111au do kinh nguy\u1ec7t, \u0111au sau ch\u1ea5n th\u01b0\u01a1ng (bong g\u00e2n, vi\u00eam g\u00e2n), vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p v\u00e0 vi\u00eam x\u01b0\u01a1ng kh\u1edbp. M\u1ed9t s\u1ed1 NSAID c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au c\u1ea5p t\u00ednh nh\u01b0 l\u00e0 \u0111au b\u1ee5ng ho\u1eb7c gout. Do c\u00f3 nguy c\u01a1 g\u1eb7p ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i nghi\u00eam tr\u1ecdng, thu\u1ed1c kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c c\u01a1n \u0111au \u0111\u01a1n thu\u1ea7n.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng NSAID ph\u1ea3i \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n, ngo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ee9a ibuprofen v\u00e0 ketoprofen kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n d\u00f9ng khi c\u00f3 \u0111au \u0111\u1ea7u ho\u1eb7c s\u1ed1t. NSAID c\u0169ng c\u00f3 trong c\u00e1c lo\u1ea1i thu\u1ed1c d\u00f9ng ngo\u00e0i da d\u01b0\u1edbi d\u1ea1ng gel, kem.. v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au x\u01b0\u01a1ng kh\u1edbp ho\u1eb7c sau ch\u1ea5n th\u01b0\u01a1ng (nhi\u1ec5m tr\u00f9ng, bong g\u00e2n\u2026) v\u1edbi vai tr\u00f2 ch\u1ed1ng vi\u00eam t\u1ea1i ch\u1ed7. \u0110i\u1ec1u tr\u1ecb ngo\u00e0i da v\u1edbi ketoprofen l\u00e0m t\u0103ng nguy c\u01a1 nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng.<\/p>\n<p>NSAID c\u00f3 th\u1ec3 c\u00f3 trong thu\u1ed1c nh\u1ecf m\u1eaft, \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt \u0111\u1ee5c th\u1ee7y tinh th\u1ec3.<\/p>\n<h3>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 t\u01b0\u01a1ng t\u00e1c c\u1ee7a NSAID<\/h3>\n<p>NSAID kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<p>C\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng ho\u1eb7c hen suy\u1ec5n do d\u00f9ng thu\u1ed1c c\u00f9ng nh\u00f3m ho\u1eb7c aspirin<br \/>\nC\u00f3 ti\u1ec1n s\u1eed xu\u1ea5t huy\u1ebft ho\u1eb7c th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a li\u00ean quan \u0111\u1ebfn NSAID<br \/>\nC\u00f3 o\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng.<br \/>\nB\u1ec7nh gan nghi\u00eam tr\u1ecdng<br \/>\nSuy tim ho\u1eb7c suy th\u1eadn n\u1eb7ng.<br \/>\nPh\u1ee5 n\u1eef c\u00f3 thai t\u1eeb th\u00e1ng th\u1ee9 6 c\u1ee7a thai k\u1ef3 (m\u1ed9t s\u1ed1 NSAID ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong su\u1ed1t th\u1eddi k\u1ef3 mang thai)<\/p>\n<p>Ngo\u00e0i ra, m\u1ed9t s\u1ed1 NSAID nh\u01b0 diclofenac, aceclofenac v\u00e0 celecoxib c\u00f3 th\u00eam m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7c bi\u1ec7t (ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c \u0111\u1ed9t qu\u1ef5, vi\u00eam \u0111\u1ed9ng m\u1ea1ch, \u0111au th\u1eaft ng\u1ef1c)<\/p>\n<p>C\u00e1c thu\u1ed1c trong nh\u00f3m NSAID c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi nhi\u1ec1u lo\u1ea1i thu\u1ed1c bao g\u1ed3m c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, lithium, methotrexat, c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n v\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf angiotensin II. Ngo\u00e0i ra, do l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u, kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p 2 thu\u1ed1c c\u00f9ng nh\u00f3m NSAID (bao g\u1ed3m c\u1ea3 aspirin v\u1edbi li\u1ec1u ch\u1ed1ng vi\u00eam).<\/p>\n<h3>Ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u00f3 th\u1ec3 g\u1eb7p v\u1edbi c\u00e1c NSAID<\/h3>\n<p>NSAID c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y \u0111au \u0111\u1ea7u ho\u1eb7c ch\u00f3ng m\u1eb7t, c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i tr\u00ean ti\u00eau h\u00f3a v\u1edbi c\u00e1c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng kh\u00e1c nhau (bu\u1ed3n n\u00f4n, \u0111au ho\u1eb7c \u1ee3 n\u00f3ng, lo\u00e9t ho\u1eb7c xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a), ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng (ph\u00e1t ban, hen suy\u1ec5n) v\u00e0 suy th\u1eadn hi\u1ebfm g\u1eb7p.<\/p>\n<p>\u0110\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t tr\u00ean h\u1ec7 ti\u00eau h\u00f3a, NSAID n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 trong th\u1eddi gian ng\u1eafn nh\u1ea5t, \u0111\u1eb7c bi\u1ec7t ng\u01b0\u1eddi cao tu\u1ed5i. Th\u1ef1c t\u1ebf, \u1edf ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i, c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c th\u01b0\u1eddng g\u1eb7p h\u01a1n v\u00e0 nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng, gi\u1ea3m \u0111\u1ed9t ng\u1ed9t v\u00e0 \u0111\u00e1ng k\u1ec3 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u, ph\u00e1t ban, l\u00ean c\u01a1n hen ho\u1eb7c \u1ee3 n\u00f3ng nhi\u1ec1u, c\u1ea7n ng\u1eebng \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u1ef9, do \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i nghi\u00eam tr\u1ecdng.<\/p>\n<h3>Thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 ch\u1ee9a NSAID l\u01b0u h\u00e0nh t\u1ea1i Ph\u00e1p<\/h3>\n<p>Aceclofenac: Ac\u00e9clof\u00e9nac Accord, Ac\u00e9clof\u00e9nac Biogaran, Ac\u00e9clof\u00e9nac Eg Labo, Ac\u00e9clof\u00e9nac Mylan, Cartrex.<br \/>\nAxit mefenamic: Ponstyl.<br \/>\nAxit niflumic:Nifluril.<br \/>\nAxit tiaprofenic: Acide Tiaprof\u00e9nique Zentiva, Flanid, Surgam<br \/>\nAlminoprofene: Minalf\u00e8ne<br \/>\nCelecoxib: Celebrex, C\u00e9l\u00e9coxib Arrow, C\u00e9l\u00e9coxib Biogaran, C\u00e9l\u00e9coxib Chisters, C\u00e9l\u00e9coxib Sandoz.<br \/>\nDexketoprofen: Enantyum<br \/>\nDiclofenac: Diclof\u00e9nacMylan, Diclof\u00e9nacCristers, Diclof\u00e9nacSandoz<br \/>\nEtodolac: Lodine<br \/>\nEtoricoxib: Arcoxia, \u00c9toricoxib Mylan, \u00c9toricoxib Krka.<br \/>\nFenoprofen: Nalg\u00e9sic<br \/>\nFlurbiprofen: Antadys, Cebutid<br \/>\nIbuprofen: Advil, Advilmed, Ibupradoll, Intragils<br \/>\nIndomethacin: Chrono-indocid, Indocid.<br \/>\nKetoprofen: K\u00e9toprof\u00e8neMylan, Prof\u00e9nid<br \/>\nMeloxicam: MeloxicamSandoz, Mobic<br \/>\nNabumetone: Nabucox<br \/>\nNaproxen: Alevetabs, Antalnox, Apranax<br \/>\nPiroxicam: Brexin, Cycladol, Piroxicam Mylan<br \/>\nSulindac: Arthrocine<br \/>\nTenoxicam: Tilcotil<\/p>\n<p>Ngu\u1ed3n: <a href=\"https:\/\/eurekasante.vidal.fr\/medicaments\/bon-usage\/paracetamol-aspirine-ains.html?pb=paracetamol\" rel=\"noopener\">https:\/\/eurekasante.vidal.fr\/medicaments\/bon-usage\/paracetamol-aspirine-ains.html?pb=paracetamol<\/a><\/p>\n<p>Ng\u01b0\u1eddi t\u1ed5ng h\u1ee3p : V\u0169 \u0110\u1ee9c Ho\u00e0n \u2013 D\u01b0\u01a1ng Kh\u00e1nh Linh.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong m\u1ed9t b\u00e1o c\u00e1o c\u1ee7a ANSM th\u00e1ng 6\/2014 v\u1ec1 \u201cph\u00e2n t\u00edch t\u00ecnh h\u00ecnh ti\u00eau th\u1ee5 thu\u1ed1c \u1edf Ph\u00e1p trong n\u0103m 2013\u201d, thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c ti\u00eau th\u1ee5 nhi\u1ec1u nh\u1ea5t t\u1ea1i c\u00e1c nh\u00e0 thu\u1ed1c. Tuy nhi\u00ean, i\u1ec7c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c c\u00e1c thu\u1ed1c n\u00e0y kh\u00f4ng g\u00e2y ra ph\u1ea3n [&#8230;]\n","protected":false},"author":1,"featured_media":4047,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4046","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\/4046","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=4046"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4046\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4047"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4046"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4046"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}