{"id":54838,"date":"2023-11-04T13:02:22","date_gmt":"2023-11-04T06:02:22","guid":{"rendered":"https:\/\/vnras.com\/drug\/?p=54838"},"modified":"2024-05-06T11:06:25","modified_gmt":"2024-05-06T04:06:25","slug":"cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/","title":{"rendered":"C\u00e1c lo\u1ea1i thu\u1ed1c d\u1ecb \u1ee9ng hi\u1ec7u qu\u1ea3, th\u00f4ng d\u1ee5ng hi\u1ec7n nay"},"content":{"rendered":"<p><strong>D\u1ecb \u1ee9ng l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i v\u1edbi nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 d\u1ecb \u1ee9ng r\u1ea5t \u0111a d\u1ea1ng. C\u00f3 ng\u01b0\u1eddi m\u1eafc d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft, d\u1ecb \u1ee9ng r\u01b0\u1ee3u, d\u1ecb \u1ee9ng \u0111\u1ed3 \u0103n gi\u00e0u \u0111\u1ea1m hay c\u0169ng c\u00f3 ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh g\u00e2y kh\u00f3 ch\u1ecbu th\u1eadm ch\u00ed c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong cho ng\u01b0\u1eddi g\u1eb7p ph\u1ea3i. Trong b\u00e0i vi\u1ebft n\u00e0y, h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 m\u1ed9t s\u1ed1 thu\u1ed1c d\u1ecb \u1ee9ng th\u00f4ng d\u1ee5ng v\u00e0 hi\u1ec7u qu\u1ea3.<\/strong><\/p>\n<h2>T\u00ecm hi\u1ec3u v\u1ec1 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng<\/h2>\n<h3>D\u1ecb \u1ee9ng l\u00e0 g\u00ec? Nguy\u00ean nh\u00e2n d\u1ecb \u1ee9ng do \u0111\u00e2u?<\/h3>\n<p>Tr\u01b0\u1edbc khi t\u00ecm hi\u1ec3u v\u1ec1 thu\u1ed1c, ch\u00fang ta c\u1ea7n n\u1eafm \u0111\u01b0\u1ee3c s\u01a1 qua v\u1ec1 c\u01a1 ch\u1ebf g\u00e2y ra t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng. T\u1eeb \u0111\u00f3, c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng s\u1ebd t\u00e1c \u0111\u1ed9ng v\u00e0o m\u1ed9t s\u1ed1 nh\u1eefng c\u01a1 ch\u1ebf g\u00e2y d\u1ecb \u1ee9ng \u0111\u00f3.<\/p>\n<p>D\u1ecb \u1ee9ng l\u00e0 m\u1ed9t d\u1ea1ng qu\u00e1 m\u1eabn, x\u1ea3y ra khi h\u1ec7 mi\u1ec5n d\u1ecbch b\u1ecb \u0111\u00e1p \u1ee9ng qu\u00e1 m\u1ee9c c\u1ea7n thi\u1ebft. D\u1ecb \u1ee9ng thu\u1ed9c v\u00e0o lo\u1ea1i I trong 4 typ qu\u00e1 m\u1eabn, l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi kh\u00e1ng th\u1ec3 IgE, t\u1ebf b\u00e0o Mast, b\u1ea1ch c\u1ea7u \u00e1i ki\u1ec1m b\u1ecb k\u00edch ho\u1ea1t m\u1ed9t c\u00e1ch qu\u00e1 m\u1ee9c. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng l\u00e0 do c\u00e1c ch\u1ea5t trung gian c\u1ee7a t\u1ebf b\u00e0o Mast g\u00e2y ra:<\/p>\n<ul>\n<li>Histamin: g\u00e2y ho\u1ea1t h\u00f3a t\u1ebf b\u00e0o Mast, l\u00e0m gi\u00e3n m\u1ea1ch, t\u0103ng t\u00ednh th\u1ea5m m\u1ea1ch v\u00e0 g\u00e2y co c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n, ti\u00eau h\u00f3a, .. v\u00e0 g\u00e2y ng\u1ee9a.<\/li>\n<li>Heparin: ch\u1ed1ng \u0111\u00f4ng m\u00e1u,<\/li>\n<li>ECF: g\u00e2y t\u1eadp trung v\u00e0 ho\u1ea1t h\u00f3a b\u1ea1ch c\u1ea7u \u00e1i toan<\/li>\n<li>PAF: g\u00e2y t\u1eadp trung v\u00e0 ho\u1ea1t h\u00f3a ti\u1ec3u c\u1ea7u<\/li>\n<li>Leucotrien C2, D2: g\u00e2y ph\u00f9 da, ni\u00eam m\u1ea1c, ti\u1ebft nh\u00e0y.<\/li>\n<\/ul>\n<p>Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu bao g\u1ed3m di truy\u1ec1n, gi\u1edbi t\u00ednh, ch\u1ee7ng t\u1ed9c, v\u00e0 \u0111\u1ed9 tu\u1ed5i, trong \u0111\u00f3 y\u1ebfu t\u1ed1 di truy\u1ec1n \u0111\u01b0\u1ee3c xem l\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu g\u00e2y n\u00ean d\u1ecb \u1ee9ng. Ngo\u00e0i ra, hi\u1ec7n nay c\u00f2n c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng kh\u00e1c nh\u01b0: ti\u1ebfp x\u00fac v\u1edbi c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m trong th\u1eddi th\u01a1 \u1ea5u, \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng, c\u00e1c lo\u1ea1i ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng, v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng thay \u0111\u1ed5i. Nh\u01b0 c\u00e1c b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y, nguy\u00ean nh\u00e2n d\u1ecb \u1ee9ng c\u00f3 r\u1ea5t nhi\u1ec1u v\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu \u0111\u1ebfn t\u1eeb ch\u00ednh y\u1ebfu t\u1ed1 di truy\u1ec1n trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi v\u00ec v\u1eady kh\u00f3 m\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n c\u1ee7a d\u1ecb \u1ee9ng.<\/p>\n<figure id=\"attachment_54840\" aria-describedby=\"caption-attachment-54840\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-2\/#main\" rel=\"attachment wp-att-54840\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54840\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-2.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-2.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-2-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-2-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-2-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-2-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54840\" class=\"wp-caption-text\">Nguy\u00ean nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng<\/figcaption><\/figure>\n<h3>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng<\/h3>\n<p>M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng l\u00e0:<\/p>\n<ul>\n<li>C\u00e1ch ly v\u1edbi kh\u00e1ng nguy\u00ean ho\u1eb7c d\u1ecb nguy\u00ean g\u00e2y d\u1ecb \u1ee9ng: \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n nh\u1ea5t tuy nhi\u00ean v\u1edbi m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n, d\u1ecb nguy\u00ean nh\u01b0 ph\u1ea5n hoa hay y\u1ebfu t\u1ed1 th\u1eddi ti\u1ebft th\u00ec ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng qu\u00e1 kh\u1ea3 quan.<\/li>\n<li>Li\u1ec7u ph\u00e1p d\u00f9ng thu\u1ed1c: C\u00e1c thu\u1ed1c \u0111\u1ed1i kh\u00e1ng s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi m\u1ee5c \u0111\u00edch \u201c\u0111\u00e1nh\u201d v\u00e0o qu\u00e1 tr\u00ecnh g\u00e2y d\u1ecb \u1ee9ng, l\u1ee3i d\u1ee5ng qu\u00e1 tr\u00ecnh sinh h\u1ecdc c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch: \u0110\u00e2y l\u00e0 li\u1ec7u ph\u00e1p \u0111\u00f2i h\u1ecfi c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 theo d\u00f5i y t\u1ebf. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u00eam c\u00e1c ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng v\u1edbi li\u1ec1u t\u0103ng d\u1ea7n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng ho\u1eb7c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n qu\u00e1 m\u1eabn. Li\u1ec7u ph\u00e1p n\u00e0y l\u00e0m l\u1ec7ch ti\u1ebfn \u0111\u1ed9 s\u1ea3n xu\u1ea5t kh\u00e1ng th\u1ec3 IgG, \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ea3n xu\u1ea5t qu\u00e1 m\u1ee9c IgE trong atopys.<\/li>\n<\/ul>\n<h3>Thu\u1ed1c d\u1ecb \u1ee9ng c\u00f3 m\u1ea5y lo\u1ea1i?<\/h3>\n<p>Nh\u01b0 \u0111\u00e3 bi\u1ebft, c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng l\u00e0 c\u00e1c thu\u1ed1c \u0111\u1ed1i kh\u00e1ng v\u1edbi qu\u00e1 tr\u00ecnh g\u00e2y d\u1ecb \u1ee9ng, m\u1ed7i nh\u00f3m thu\u1ed1c s\u1ebd c\u00f3 m\u1ed9t c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng l\u00ean qu\u00e1 tr\u00ecnh d\u1ecb \u1ee9ng kh\u00e1c nhau:<\/p>\n<ul>\n<li>Thu\u1ed1c kh\u00e1ng Histamin H1: Clorpheniramin, Alimemazin, Cetirizin, Loratadin, \u2026<\/li>\n<li>Glucocorticoid: Dexamethasone, Betamethasone, Methylprednisolone,&#8230;<\/li>\n<li>Thu\u1ed1c t\u00e1c \u0111\u1ed9ng l\u00ean h\u1ec7 Adrenergic: Adrenalin.<\/li>\n<li>Thu\u1ed1c \u1ed5n \u0111\u1ecbnh d\u01b0\u1ee1ng b\u00e0o: Natri Cromolyn.<\/li>\n<li>Thu\u1ed1c kh\u00e1ng Leukotriene: Montelukast.<\/li>\n<li>Thu\u1ed1c kh\u00e1ng kh\u00e1ng th\u1ec3 IgE: Omalizumab.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c kh\u00e1ng Histamin H1<\/h2>\n<p>Histamin ph\u00e1t huy t\u00e1c d\u1ee5ng th\u00f4ng qua 3 receptor H1, H2, H3. T\u00e1c d\u1ee5ng g\u00e2y kh\u00f3 ch\u1ecbu nh\u01b0 g\u00e2y \u0111au g\u00e2y ng\u1ee9a, co c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n c\u1ee7a Histamin \u0111\u01b0\u1ee3c ph\u00e1t huy th\u00f4ng qua receptor H1 l\u00e0 ch\u1ee7 y\u1ebfu. V\u00ec v\u1eady m\u00e0 \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng, ng\u01b0\u1eddi ta s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng Histamin H1.<\/p>\n<p>C\u00e1c thu\u1ed1c kh\u00e1ng Histamin H1 \u0111\u1ed1i kh\u00e1ng c\u1ea1nh tranh v\u1edbi Histamin t\u1ea1i receptor H1 c\u1ee7a t\u1ebf b\u00e0o \u0111\u00edch, v\u00ec v\u1eady n\u00f3 ng\u0103n \u0111\u01b0\u1ee3c t\u00e1c d\u1ee5ng g\u00e2y \u0111au g\u00e2y ng\u1ee9a, g\u00e2y th\u1ea5m mao m\u1ea1ch, co c\u01a1 tr\u01a1n c\u1ee7a Histamin.<\/p>\n<table style=\"border-collapse: collapse;width: 100%;height: 776px\">\n<tbody>\n<tr style=\"height: 21px\">\n<td style=\"width: 33.3333%;height: 21px\"><\/td>\n<td style=\"width: 33.3333%;height: 21px\">Thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 1<\/td>\n<td style=\"width: 33.3333%;height: 21px\">Thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 2<\/td>\n<\/tr>\n<tr style=\"height: 223px\">\n<td style=\"width: 33.3333%;height: 223px\">T\u00e1c d\u1ee5ng<\/td>\n<td style=\"width: 33.3333%;height: 223px\">Kh\u00e1ng Histamin, l\u00e0m gi\u1ea3m c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng do Histamin g\u00e2y ra.<\/p>\n<p>\u1ee8c ch\u1ebf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, an th\u1ea7n, g\u00e2y bu\u1ed3n ng\u1ee7.<\/p>\n<p>Kh\u00e1ng Cholinergic, ch\u1ed1ng bu\u1ed3n n\u00f4n.<\/p>\n<p>Kh\u00e1ng Serotonin, m\u1ed9t s\u1ed1 ch\u1ea5t \u0111\u1eb7c bi\u1ec7t g\u00e2y kh\u00e1ng \u03b1-Adrenergic, g\u00e2y t\u00ea (Promethazin)<\/td>\n<td style=\"width: 33.3333%;height: 223px\">C\u00e1c thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 2 ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng Histamin \u0111\u01a1n thu\u1ea7n.<\/td>\n<\/tr>\n<tr style=\"height: 331px\">\n<td style=\"width: 33.3333%;height: 331px\">Ch\u1ec9 \u0111\u1ecbnh<\/td>\n<td style=\"width: 33.3333%;height: 331px\">V\u00ec c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng tr\u00ean c\u1ea3 Histamin v\u00e0 h\u1ec7 th\u1ea7n kinh, c\u00e1c thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<p>Ch\u1ed1ng d\u1ecb \u1ee9ng do c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0 vi\u00eam m\u0169i d\u1ecb \u1ee9ng, n\u1ed5i m\u1ec1 \u0111ay, ban da, vi\u00eam da d\u1ecb \u1ee9ng, vi\u00eam da ti\u1ebfp x\u00fac,&#8230;<\/p>\n<p>Ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb ho, \u0111i\u1ec1u tr\u1ecb c\u1ea3m c\u00fam.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh kh\u00e1c: Ch\u1ed1ng say t\u00e0u xe, m\u00e1y bay. Ch\u1ed1ng n\u00f4n sau ph\u1eabu thu\u1eadt, do d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0. H\u1ed9i ch\u1ee9ng Meniere. Ti\u1ec1n m\u00ea.<\/td>\n<td style=\"width: 33.3333%;height: 331px\">Ch\u1ec9 \u0111\u1ecbnh d\u00f9ng c\u1ee7a thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 2 l\u00e0:<\/p>\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng: Vi\u00eam m\u0169i d\u1ecb \u1ee9ng, m\u00e0y \u0111ay, m\u1ea9n ng\u1ee9a, ho khan,..<\/p>\n<p>Ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb c\u1ea3m c\u00fam.<\/td>\n<\/tr>\n<tr style=\"height: 180px\">\n<td style=\"width: 33.3333%;height: 180px\">T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/td>\n<td style=\"width: 33.3333%;height: 180px\">T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng x\u1ea3y ra \u1edf c\u00e1c thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 1:<\/p>\n<p>Bu\u1ed3n ng\u1ee7, ng\u1ee7 g\u00e0,, ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi,&#8230;<\/p>\n<p>\u0102n k\u00e9m ngon, bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y,..<\/p>\n<p>G\u00e2y kh\u00f4 mi\u1ec7ng, c\u0103ng ng\u1ef1c, h\u1ed3i h\u1ed9p,..<\/td>\n<td style=\"width: 33.3333%;height: 180px\">C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng x\u1ea3y ra khi ng\u01b0\u1eddi d\u00f9ng d\u00f9ng qu\u00e1 li\u1ec1u so v\u1edbi quy \u0111\u1ecbnh. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra l\u00e0 \u0111au \u0111\u1ea7u, kh\u00f4 mi\u1ec7ng, ch\u00f3ng m\u1eb7t,&#8230; Nh\u01b0ng nh\u00ecn chung, kh\u1ea3 n\u0103ng xu\u1ea5t hi\u1ec7n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u1edf nh\u00f3m n\u00e0y th\u1ea5p h\u01a1n so v\u1edbi c\u00e1c thu\u1ed1c th\u1ebf h\u1ec7 1.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 33.3333%;height: 21px\">Ho\u1ea1t ch\u1ea5t<\/td>\n<td style=\"width: 33.3333%;height: 21px\">Cinnarizin, Promethazin, Clorpheniramin, Alimemazin, Diphenhydramin,&#8230;<\/td>\n<td style=\"width: 33.3333%;height: 21px\">Loratadine, Fexofenadine,&#8230;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"color: #ed1c24\"><strong>\u0110a ph\u1ea7n c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng th\u00f4ng d\u1ee5ng hi\u1ec7n nay l\u00e0 c\u00e1c thu\u1ed1c kh\u00e1ng Histamin th\u1ebf h\u1ec7 2 do ch\u1ec9 \u0111\u01a1n thu\u1ea7n kh\u00e1ng Histamin, h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c nhi\u1ec1u t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n h\u01a1n so v\u1edbi thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 1<\/strong><\/span>. M\u1ed9t s\u1ed1 \u00edt c\u00e1c thu\u1ed1c th\u1ebf h\u1ec7 1 c\u00f2n \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng nh\u01b0: Clorpheniramin, Alimemazin, Diphenhydramin,&#8230;<\/p>\n<h3>Thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 1<\/h3>\n<h4>Diphenhydramin<\/h4>\n<p>Thu\u1ed1c thu\u1ed9c nh\u00f3m Ethanolamine, th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng ho\u1eb7c ph\u1ed1i h\u1ee3p d\u00f9ng trong c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u1ea3m c\u00fam. Diphenhydramin c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y ng\u1ee7 v\u00e0 kh\u00e1ng Muscarinic.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng do m\u1ecdi nguy\u00ean nh\u00e2n, gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01a1n hen ph\u1ebf qu\u1ea3n m\u1ea1n.<\/p>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn: U\u1ed1ng 25 &#8211; 50 mg\/l\u1ea7n, 3 &#8211; 4 l\u1ea7n\/ng\u00e0y. N\u1ebfu kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng u\u1ed1ng, chuy\u1ec3n sang ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch li\u1ec1u 10 &#8211; 50 mg\/l\u1ea7n m\u1ed7i 4 &#8211; 6 gi\u1edd n\u1ebfu c\u1ea7n, c\u00f3 th\u1ec3 t\u1edbi 100 mg\/l\u1ea7n, li\u1ec1u t\u1ed1i \u0111a 400 mg\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em: U\u1ed1ng 12,5 &#8211; 25 mg\/l\u1ea7n, 3 &#8211; 4 l\u1ea7n\/ng\u00e0y. Li\u1ec1u d\u00f9ng c\u00f3 th\u1ec3 t\u00ednh theo c\u00e2n n\u1eb7ng 5 mg\/kg\/ng\u00e0y, ho\u1eb7c di\u1ec7n t\u00edch da c\u01a1 th\u1ec3 150 mg\/ m2\/ng\u00e0y, li\u1ec1u t\u1ed1i \u0111a 300 mg\/ng\u00e0y. N\u1ebfu kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng u\u1ed1ng, chuy\u1ec3n sang ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch li\u1ec1u 5 mg\/kg\/ng\u00e0y ho\u1eb7c 150 mg\/m3\/ng\u00e0y chia 4 l\u1ea7n, li\u1ec1u t\u1ed1i \u0111a 300 mg\/ng\u00e0y.<\/li>\n<\/ul>\n<p>Ch\u1ebf ph\u1ea9m:<\/p>\n<p>Nautamine c\u00f3 ch\u1ec9 \u0111\u1ecbnh ch\u1ed1ng say t\u00e0u xe, nh\u01b0ng v\u1eabn c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng t\u01b0\u01a1ng \u0111\u1ed1i t\u1ed1t, thu\u1ed1c do T\u1eadp \u0111o\u00e0n Sanofi s\u1ea3n xu\u1ea5t v\u00e0 c\u00f3 gi\u00e1 b\u00e1n t\u1ea1i Vi\u1ec7t Nam kho\u1ea3ng 320.000 \u0111\u1ed3ng\/ h\u1ed9p 80 vi\u00ean.<\/p>\n<figure id=\"attachment_54318\" aria-describedby=\"caption-attachment-54318\" style=\"width: 250px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/vnras.com\/drug\/nautamine\/\" rel=\"attachment wp-att-54318\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54318\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" width=\"250\" height=\"100\" title=\"\"><\/a><figcaption id=\"caption-attachment-54318\" class=\"wp-caption-text\">\u0110\u1eb7t h\u00e0ng<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Mypara Flu Nighttime l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa Diphenhydramin v\u1edbi Paracetamol, Phenylephrin hydroclorid \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea3m c\u00fam. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n S.P.M v\u00e0 c\u00f3 gi\u00e1 120.000 \u0111\u1ed3ng \/ h\u1ee3p 16 vi\u00ean.<\/p>\n<figure id=\"attachment_54841\" aria-describedby=\"caption-attachment-54841\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-3\/#main\" rel=\"attachment wp-att-54841\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54841\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-3.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-3.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-3-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-3-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-3-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-3-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54841\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Diphenhydramin<\/figcaption><\/figure>\n<h4>Clorpheniramin<\/h4>\n<p>Clorpheniramin l\u00e0 thu\u1ed1c kh\u00e1ng histamin th\u1ebf h\u1ec7 th\u1ee9 nh\u1ea5t, thu\u1ed1c c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng an th\u1ea7n (m\u1ee9c trung b\u00ecnh) nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 k\u00edch th\u00edch ngh\u1ecbch th\u01b0\u1eddng (\u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb nh\u1ecf), v\u00e0 kh\u00e1ng cholinergic. Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng ch\u1ee7 y\u1ebfu \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng nh\u01b0 vi\u00eam m\u0169i d\u1ecb \u1ee9ng, m\u00e0y \u0111ay, ng\u1ee9a.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng do th\u1eddi ti\u1ebft, ph\u1ea5n hoa, thu\u1ed1c, th\u1ee9c \u0103n,&#8230;<\/li>\n<li>Gi\u1ea3m ng\u1ee9a do th\u1ee7y \u0111\u1eadu.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ph\u1ea3n v\u1ec7 (\u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3).<\/li>\n<\/ul>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<ul>\n<li>Tr\u1ebb em 1 &#8211; d\u01b0\u1edbi 2 tu\u1ed5i: 1 mg, 2 l\u1ea7n\/ng\u00e0y; Tr\u1ebb em 2 &#8211; d\u01b0\u1edbi 6 tu\u1ed5i: 1mg, c\u00e1ch 4 &#8211; 6 gi\u1edd\/l\u1ea7n, t\u1ed1i \u0111a 6 mg\/ng\u00e0y;<\/li>\n<li>Tr\u1ebb em 6 &#8211; d\u01b0\u1edbi 12 tu\u1ed5i: 2mg, c\u00e1ch 4 &#8211; 6 gi\u1edd\/l\u1ea7n, t\u1ed1i \u0111a: 12 mg\/ ng\u00e0y. Vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i: U\u1ed1ng vi\u00ean 8mg, 1 l\u1ea7n\/ng\u00e0y l\u00fac \u0111i ng\u1ee7 ho\u1eb7c trong ng\u00e0y.<\/li>\n<li>Tr\u1ebb em 12 &#8211; d\u01b0\u1edbi 18 tu\u1ed5i: 4mg, c\u00e1ch 4 &#8211; 6 gi\u1edd\/l\u1ea7n, t\u1ed1i \u0111a 24 mg\/ ng\u00e0y. Vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i: U\u1ed1ng vi\u00ean 8mg, 2 l\u1ea7n\/ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 bu\u1ed5i t\u1ed1i, kh\u00f4ng d\u00f9ng qu\u00e1 24 mg\/ng\u00e0y.<\/li>\n<li>Ng\u01b0\u1eddi l\u1edbn: 4mg, c\u00e1ch 4 &#8211; 6 gi\u1edd\/l\u1ea7n. T\u1ed1i \u0111a 24mg\/ng\u00e0y (ng\u01b0\u1eddi cao tu\u1ed5i t\u1ed1i \u0111a 12 mg\/ng\u00e0y). Vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i: U\u1ed1ng vi\u00ean 8mg ho\u1eb7c 12 mg, 2 l\u1ea7n\/ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 bu\u1ed5i t\u1ed1i, kh\u00f4ng d\u00f9ng qu\u00e1 24 mg\/ng\u00e0y.<\/li>\n<\/ul>\n<p>N\u1ebfu d\u00f9ng \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 ph\u1ea3n v\u1ec7, s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng ti\u00eam b\u1eafp, ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c ti\u00eam d\u01b0\u1edbi da.<\/p>\n<p>Ch\u1ebf ph\u1ea9m: Ho\u1ea1t ch\u1ea5t n\u00e0y th\u01b0\u1eddng c\u00f3 trong c\u00e1c ch\u1ebf ph\u1ea9m v\u1edbi li\u1ec1u<strong> Clorpheniramin 4mg.<\/strong><\/p>\n<ul>\n<li>Datrieuchung-New c\u00f3 gi\u00e1 60.000 \u0111\u1ed3ng \/ h\u1ed9p 12 g\u00f3i, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m ho, gi\u1ea3m bi\u1ec3u hi\u1ec7n c\u1ee7a c\u1ea3m c\u00fam. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Trung \u01b0\u01a1ng 1 &#8211; Pharbaco.<\/li>\n<li>Clorpheniramin 4mg Imexpharm c\u1ee7a C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m Imexpharm c\u00f3 gi\u00e1 50.000 \u0111\u1ed3ng \/ l\u1ecd 200 vi\u00ean.<\/li>\n<\/ul>\n<figure id=\"attachment_54842\" aria-describedby=\"caption-attachment-54842\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-4\/#main\" rel=\"attachment wp-att-54842\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54842\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-4.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-4.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-4-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-4-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-4-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-4-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54842\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Clorpheniramin<\/figcaption><\/figure>\n<h4>Alimemazin<\/h4>\n<p>Alimemazin l\u00e0 d\u1eabn ch\u1ea5t phenothiazin, c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng histamin H1, kh\u00e1ng serotonin m\u1ea1nh v\u00e0 c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng an th\u1ea7n, ch\u1ed1ng n\u00f4n.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng, m\u00e0y \u0111ay m\u1ea9n ng\u1ee9a. Thu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng l\u00e0m thu\u1ed1c ti\u1ec1n m\u00ea tr\u01b0\u1edbc ph\u1eabu thu\u1eadt cho tr\u1ebb.<\/p>\n<p>Li\u1ec1u d\u00f9ng: Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i ng\u01b0\u1eddi d\u00f9ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh:<\/p>\n<ul>\n<li>Tr\u1ebb em 2 &#8211; 4 tu\u1ed5i: 2,5 mg\/l\u1ea7n, ng\u00e0y 3 &#8211; 4 l\u1ea7n.<\/li>\n<li>Tr\u1ebb em 5 &#8211; 11 tu\u1ed5i: 5 mg\/l\u1ea7n, ng\u00e0y 3 \u2013 4 l\u1ea7n.<\/li>\n<li>Tr\u1ebb em \u2265 12 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi l\u1edbn: 10 mg\/l\u1ea7n, 2 &#8211; 3 l\u1ea7n\/ng\u00e0y; c\u00f3 th\u1ec3 t\u0103ng t\u1edbi 100 mg\/ng\u00e0y trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p dai d\u1eb3ng kh\u00f3 ch\u1eefa.<\/li>\n<li>Ng\u01b0\u1eddi cao tu\u1ed5i n\u00ean gi\u1ea3m li\u1ec1u: 10 mg\/l\u1ea7n, ng\u00e0y d\u00f9ng 1 &#8211; 2 l\u1ea7n.<\/li>\n<\/ul>\n<p>Ch\u1ebf ph\u1ea9m:<\/p>\n<ul>\n<li>Theralene ch\u1ee9a Alimemazin c\u1ee7a c\u00f4ng ty Sanofi, thu\u1ed1c c\u00f3 d\u1ea1ng vi\u00ean n\u00e9n v\u00e0 d\u1ea1ng siro u\u1ed1ng, ph\u00f9 h\u1ee3p d\u00f9ng cho c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em. Siro u\u1ed1ng c\u00f3 gi\u1ea3 kho\u1ea3ng 70.000 \u0111\u00f4ng\/ chai 90ml v\u00e0 Theralene d\u1ea1ng vi\u00ean n\u00e9n c\u00f3 gi\u00e1 kho\u1ea3ng 1000.000 \u0111\u1ed3ng \/ h\u1ed9p 40 vi\u00ean.<\/li>\n<li>Alimazin 5mg Imexpharm \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t trong n\u01b0\u1edbc n\u00ean c\u00f3 gi\u00e1 th\u00e0nh r\u1ebb h\u01a1n so v\u1edbi c\u00e1c thu\u1ed1c nh\u1eadp kh\u1ea9u. Thu\u1ed1c c\u00f3 gi\u00e1 b\u00e1n kho\u1ea3ng 90.000 \u0111\u1ed3ng \/ l\u1ecd 200 vi\u00ean.<\/li>\n<\/ul>\n<figure id=\"attachment_54843\" aria-describedby=\"caption-attachment-54843\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-5\/#main\" rel=\"attachment wp-att-54843\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54843\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-5.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-5.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-5-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-5-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-5-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-5-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54843\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Alimemazine<\/figcaption><\/figure>\n<h3>Thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 2<\/h3>\n<h4>Cetirizin<\/h4>\n<p>Cetirizin l\u00e0 d\u1eabn ch\u1ea5t c\u1ee7a piperazin v\u00e0 l\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a hydroxyzine. Cetirizin l\u00e0 thu\u1ed1c kh\u00e1ng histamin th\u1ebf h\u1ec7 hai, thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i kh\u00e1ng m\u1ea1nh v\u00e0 ch\u1ecdn l\u1ecdc \u1edf th\u1ee5 th\u1ec3 H1 ngo\u1ea1i vi, \u00edt t\u00e1c d\u1ee5ng l\u00ean c\u00e1c th\u1ee5 th\u1ec3 kh\u00e1c n\u00ean \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n c\u00e1c thu\u1ed1c th\u1ebf h\u1ec7 1.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 d\u1ecb \u1ee9ng nh\u01b0: vi\u00eam m\u0169i d\u1ecb \u1ee9ng quanh n\u0103m, vi\u00eam m\u0169i d\u1ecb \u1ee9ng theo m\u00f9a, m\u00e0y \u0111ay, m\u00e0y \u0111ay m\u1ea1n t\u00ednh v\u00f4 c\u0103n, vi\u00eam da d\u1ecb \u1ee9ng.<\/p>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em \u2265 12 tu\u1ed5i: U\u1ed1ng 10 mg\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em 6 &#8211; d\u01b0\u1edbi 12 tu\u1ed5i: U\u1ed1ng 5 mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em 2 &#8211; d\u01b0\u1edbi 6 tu\u1ed5i: U\u1ed1ng 2,5 mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em 12 th\u00e1ng &#8211; d\u01b0\u1edbi 2 tu\u1ed5i: U\u1ed1ng 2,5 mg\/l\u1ea7n\/ng\u00e0y, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1ed1i \u0111a u\u1ed1ng 2,5 mg c\u1eed trong 12 gi\u1edd.<\/li>\n<li>Tr\u1ebb em 6 th\u00e1ng &#8211; d\u01b0\u1edbi 12 th\u00e1ng: U\u1ed1ng 2,5 mg\/l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em &lt; 6 th\u00e1ng tu\u1ed5i: Kh\u00f4ng s\u1eed d\u1ee5ng.<\/li>\n<\/ul>\n<p>Ch\u1ebf ph\u1ea9m:<\/p>\n<ul>\n<li>Zyrtec l\u00e0 bi\u1ec7t d\u01b0\u1ee3c ch\u1ee9a Cetirizin \u0111\u01b0\u1ee3c C\u00f4ng ty GSK &#8211; Th\u1ee5y S\u0129 nghi\u00ean c\u1ee9u v\u00e0 s\u1ea3n xu\u1ea5t. Thu\u1ed1c c\u00f3 2 d\u1ea1ng b\u00e0o ch\u1ebf l\u00e0 d\u1ea1ng vi\u00ean n\u00e9n Zyrtec 10mg \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 80.000 \u0111\u1ed3ng \/ h\u1ed9p 10 vi\u00ean v\u00e0 d\u1ea1ng siro Zyrtec 60ml c\u00f3 gi\u00e1 115.000 \u0111\u1ed3ng \/ chai 60ml.<\/li>\n<li>T\u1ea1i Vi\u1ec7t Nam, c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng t\u00ecm \u0111\u01b0\u1ee3c c\u00e1c thu\u1ed1c generic ch\u1ee9a Cetirizin v\u1edbi gi\u00e1 th\u00e0nh r\u1ebb h\u01a1n. Cetirizine EG 10mg do C\u00f4ng ty c\u1ed5 ph\u1ea7n Pymepharco &#8211; Vi\u1ec7t Nam c\u00f3 gi\u00e1 65.000 \u0111\u1ed3ng \/ h\u1ed9p 100 vi\u00ean. Ho\u1eb7c Mekozitex 10 c\u1ee7a C\u00f4ng ty C\u1ed5 ph\u1ea7n Ho\u00e1 &#8211; D\u01b0\u1ee3c ph\u1ea9m Mekophar c\u00f3 gi\u00e1 50.000 \u0111\u1ed3ng \/ h\u1ed9p 150 vi\u00ean.<\/li>\n<\/ul>\n<figure id=\"attachment_54844\" aria-describedby=\"caption-attachment-54844\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-6\/#main\" rel=\"attachment wp-att-54844\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54844\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-6.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-6.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-6-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-6-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-6-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-6-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54844\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Cetirizin<\/figcaption><\/figure>\n<h4>Loratadin<\/h4>\n<p>Loratadin l\u00e0 thu\u1ed1c kh\u00e1ng Histamin 3 v\u00f2ng c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i \u0111\u1ed1i kh\u00e1ng ch\u1ecdn l\u1ecdc tr\u00ean th\u1ee5 th\u1ec3 H1 ngo\u1ea1i bi\u00ean v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean th\u1ea7n kinh trung \u01b0\u01a1ng. Loratadine \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1eaft h\u01a1i, s\u1ed5 m\u0169i, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, n\u1ed5i m\u1ec1 \u0111ay, ph\u00e1t ban tr\u00ean da, vi\u00eam m\u0169i d\u1ecb \u1ee9ng\/d\u1ecb \u1ee9ng ph\u1ea5n hoa, ng\u1ee9a v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea3m l\u1ea1nh ho\u1eb7c d\u1ecb \u1ee9ng kh\u00e1c.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh<\/p>\n<p>Li\u1ec1u d\u00f9ng: Thu\u1ed1c ch\u1ec9 c\u1ea7n s\u1eed d\u1ee5ng 1 l\u1ea7n trong v\u00f2ng 24 gi\u1edd.<\/p>\n<ul>\n<li>Tr\u1ebb em tr\u00ean 12 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi l\u1edbn d\u00f9ng li\u1ec1u 10mg\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em t\u1eeb 2-12 tu\u1ed5i t\u00ednh li\u1ec1u theo c\u00e2n n\u1eb7ng: tr\u1ebb n\u1eb7ng h\u01a1n 30kg, s\u1eed d\u1ee5ng li\u1ec1u 10mg\/ng\u00e0y; tr\u1ebb nh\u1eb9 h\u01a1n 30kg, s\u1eed d\u1ee5ng li\u1ec1u 5mg\/ng\u00e0y.<\/li>\n<\/ul>\n<p>L\u01b0u \u00fd: Kh\u00f4ng d\u00f9ng qu\u00e1 10mg\/ng\u00e0y, c\u00f3 th\u1ec3 g\u00e2y t\u00ecnh tr\u1ea1ng kh\u00f4 mi\u1ec7ng, ch\u00f3ng m\u1eb7t, ng\u1ed9 \u0111\u1ed9c thu\u1ed1c,&#8230;<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c chung v\u1edbi Cimetidin, Ketoconazol, Erythromycin.<\/p>\n<p>Bi\u1ec7t d\u01b0\u1ee3c: <strong>Thu\u1ed1c \u0111\u1eb7c tr\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng<\/strong> Erolin do C\u00f4ng ty Egis Pharmaceuticals Public Limited &#8211; Hungary s\u1ea3n xu\u1ea5t. Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e1n tr\u00ean th\u1ecb tr\u01b0\u1eddng v\u1edbi gi\u00e1 105.000 \u0111\u1ed3ng \/ h\u1ed9p 30 vi\u00ean n\u00e9n v\u00e0 80.000 \u0111\u1ed3ng \/ l\u1ecd 120ml siro u\u1ed1ng.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/erolin\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<p>Ch\u1ebf ph\u1ea9m Generic: Loratadine SPM 10mg (ODT) c\u1ee7a C\u00f4ng ty C\u1ed5 ph\u1ea7n S.P.M &#8211; Vi\u1ec7t Nam c\u00f3 gi\u00e1 135.000 \u0111\u1ed3ng \/ h\u1ed9p 30 vi\u00ean.<\/p>\n<figure id=\"attachment_54845\" aria-describedby=\"caption-attachment-54845\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-7\/#main\" rel=\"attachment wp-att-54845\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54845\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-7.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-7.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-7-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-7-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-7-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-7-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54845\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Loratadin<\/figcaption><\/figure>\n<h4>Fexofenadine<\/h4>\n<p>Fexofenadine l\u00e0 thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 2 m\u1edbi \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n g\u1ea7n \u0111\u00e2y. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng c\u00e1c thu\u1ed1c kh\u00e1ng Histamin kh\u00e1c nh\u01b0ng r\u1ea5t \u00edt g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean trung \u01b0\u01a1ng. Fexofenadine h\u1ea5p thu nhanh, t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i l\u00ean t\u1edbi 24 gi\u1edd. Fexofenadine th\u1ec3 hi\u1ec7n t\u00e1c d\u1ee5ng t\u1ed1t \u0111\u1ed1i v\u1edbi c\u00e1c t\u00ecnh tr\u1ea1ng m\u00e0y \u0111ay, m\u1ea9n ng\u1ee9a, vi\u00eam m\u0169i d\u1ecb \u1ee9ng, ti\u1ebft d\u1ecbch m\u0169i.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: <span style=\"color: #ed1c24\"><strong>thu\u1ed1c d\u00f9ng cho t\u1ea5t c\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng do m\u1ecdi l\u00fd do.<\/strong><\/span><\/p>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<ul>\n<li>Vi\u00eam m\u0169i d\u1ecb \u1ee9ng theo m\u00f9a:\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn, tr\u1ebb &gt;12 tu\u1ed5i: 60-180mg\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb 2-12 tu\u1ed5i: 30mg\/ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n<li>M\u1ec1 \u0111ay m\u1ea1n t\u00ednh\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn, tr\u1ebb &gt;12 tu\u1ed5i: 60-180mg\/ngay.<\/li>\n<li>Tr\u1ebb 2-12 tu\u1ed5i: 30mg\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb 6 th\u00e1ng-2 tu\u1ed5i: 15mg\/ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Ch\u1ebf ph\u1ea9m:<\/p>\n<ul>\n<li><strong>Thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng Telfast HD<\/strong> 180mg n\u1ed5i ti\u1ebfng tr\u00ean th\u1ecb tr\u01b0\u1eddng \u0111\u01b0\u1ee3c C\u00f4ng ty Sanofi s\u1ea3n xu\u1ea5t, thu\u1ed1c c\u00f3 gi\u00e1 90.000 \u0111\u1ed3ng \/ h\u1ed9p 10 vi\u00ean. Hay Telfast BD 60mg v\u1edbi li\u1ec1u nh\u1ecf h\u01a1n d\u00e0nh cho tr\u1ebb em c\u00f3 gi\u00e1 55.000 \u0111\u1ed3ng \/ h\u1ed9p 10 vi\u00ean.<\/li>\n<li>Oralegic 10ml ch\u1ee9a 60 mg Fexofenadine c\u1ee7a C\u00f4ng ty TNHH Novopharm c\u00f3 gi\u00e1 150.000 \u0111\u1ed3ng \/ h\u1ed9p 10 \u1ed1ng.<\/li>\n<\/ul>\n<figure id=\"attachment_54846\" aria-describedby=\"caption-attachment-54846\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-8\/#main\" rel=\"attachment wp-att-54846\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54846\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-8.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-8.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-8-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-8-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-8-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-8-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54846\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Fexofenadine<\/figcaption><\/figure>\n<h2>C\u00e1c Glucocorticoid<\/h2>\n<p>C\u00e1c Glucocorticoid do v\u1ecf th\u01b0\u1ee3ng th\u1eadn ti\u1ebft ra c\u00f3 3 t\u00e1c d\u1ee5ng \u0111i\u1ec3n h\u00ecnh l\u00e0: Ch\u1ed1ng vi\u00eam &#8211; Ch\u1ed1ng d\u1ecb \u1ee9ng &#8211; \u1ee8c ch\u1ebf mi\u1ec5n d\u1ecbch. C\u01a1 ch\u1ebf c\u1ee7a t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng l\u00e0 c\u00e1c Glucocorticoid s\u1ebd \u1ee9c ch\u1ebf phospholipase C (m\u1ed9t enzyme x\u00fac t\u00e1c cho qu\u00e1 tr\u00ecnh l\u00e0m v\u1ee1 b\u1ea1ch c\u1ea7u, gi\u1ea3i ph\u00f3ng ch\u1ea5t trung gian d\u1ecb \u1ee9ng nh\u01b0 Histamin, Bradykinin,&#8230;). Khi \u0111\u00f3, qu\u00e1 tr\u00ecnh gi\u1ea3i ph\u00f3ng ch\u1ea5t trung gian d\u1ecb \u1ee9ng s\u1ebd b\u1ecb ng\u0103n c\u1ea3n, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng kh\u00f4ng th\u1ec3 x\u1ea3y ra. Nh\u00ecn v\u00e0o c\u01a1 ch\u1ebf s\u1ebd th\u1ea5y c\u00e1c<span style=\"color: #ed1c24\"><strong> Glucocorticoid c\u00f3 th\u1ec3 mang l\u1ea1i t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng m\u1ea1nh h\u01a1n so v\u1edbi thu\u1ed1c kh\u00e1ng Histamin H1<\/strong> <\/span>do ch\u1eb7n \u0111\u1ee9ng giai \u0111o\u1ea1n ph\u00f3ng th\u00edch c\u00e1c ch\u1ea5t trung gian g\u00e2y d\u1ecb \u1ee9ng. <span style=\"color: #ed1c24\"><strong>Th\u1ebf n\u00ean c\u00e1c thu\u1ed1c Corticoid d\u1ec5 b\u1ecb l\u1ea1m d\u1ee5ng v\u00e0 mang l\u1ea1i nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3<\/strong><\/span>:<\/p>\n<ul>\n<li>G\u00e2y ph\u00f9, g\u00e2y t\u0103ng huy\u1ebft \u00e1p.<\/li>\n<li>G\u00e2y lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng.<\/li>\n<li>L\u00e0m ch\u1eadm li\u1ec1n s\u1eb9o, khi\u1ebfn v\u1ebft th\u01b0\u01a1ng d\u1ec5 nhi\u1ec5m tr\u00f9ng.<\/li>\n<li>Nh\u01b0\u1ee3c c\u01a1, teo c\u01a1, lo\u00e3ng x\u01b0\u01a1ng, x\u1ed1p x\u01b0\u01a1ng,..<\/li>\n<li>Suy th\u01b0\u1ee3ng th\u1eadn n\u1ebfu d\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t.<\/li>\n<\/ul>\n<p>V\u00ec v\u1eady, kh\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng Histamin kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n, c\u00e1c Corticoid \u0111\u00f2i h\u1ecfi ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n c\u00f3 ch\u1ec9 \u0111\u1ecbnh, k\u00ea \u0111\u01a1n c\u1ee7a b\u00e1c s\u0129 m\u1edbi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. C\u00e1c Corticoid th\u01b0\u1eddng d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng l\u00e0 c\u00e1c thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng trung b\u00ecnh t\u1edbi d\u00e0i: Methylprednisolone, Dexamethasone, Betamethasone,&#8230;<\/p>\n<h3>Corticoid t\u00e1c d\u1ee5ng to\u00e0n th\u00e2n<\/h3>\n<h4>Methylprednisolone<\/h4>\n<p>Methylprednisolone \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u t\u00ecnh tr\u1ea1ng vi\u00eam kh\u00e1c nhau nh\u01b0 vi\u00eam kh\u1edbp, d\u00f9ng trong c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng &#8211; mi\u1ec5n d\u1ecbch nh\u01b0: lupus ban \u0111\u1ecf, v\u1ea9y n\u1ebfn, d\u1ecb \u1ee9ng do m\u1ecdi nguy\u00ean nh\u00e2n, c\u01a1n co th\u1eaft kh\u00ed ph\u1ebf qu\u1ea3n do hen, d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft g\u00e2y ra.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh n\u1ed9i ti\u1ebft, th\u1ea5p kh\u1edbp, b\u1ec7nh d\u1ecb \u1ee9ng nh\u01b0 vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng, d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft, n\u1ed5i m\u1ec1 \u0111ay, ng\u1ee9a,&#8230;<\/p>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<p>D\u1ecb \u1ee9ng: ng\u00e0y \u0111\u1ea7u 24mg, sau \u0111\u00f3 gi\u1ea3m 4mg m\u1ed7i ng\u00e0y.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1c ph\u1ea3n v\u1ec7 \u0111e d\u1ecda t\u00ednh m\u1ea1ng, c\u00f3 th\u1ec3 d\u00f9ng Methylprednisolon \u0111\u01b0\u1eddng ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c truy\u1ec1n ch\u1eadm: d\u00f9ng li\u1ec1u ban \u0111\u1ea7u l\u00e0 30mg\/kg, l\u1eb7p l\u1ea1i sau 4-6 gi\u1edd ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch tr\u1ef1c ti\u1ebfp trong 3-15 ph\u00fat.<\/p>\n<p>Bi\u1ec7t d\u01b0\u1ee3c: Medrol c\u00f3 h\u00e0m l\u01b0\u1ee3ng 4mg v\u00e0 16mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Pfizer &#8211; M\u1ef9, c\u00f3 gi\u00e1 70.000 \u0111\u1ed3ng \/ h\u1ed9p 30 vi\u00ean h\u00e0m l\u01b0\u1ee3ng 4mg v\u00e0 160.000 \u0111\u1ed3ng \/ h\u1ed9p 30 vi\u00ean h\u00e0m l\u01b0\u1ee3ng 16mg.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/medrol\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/medrol-16mg\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<p>Ngo\u00e0i ra, Pfizer c\u00f2n \u0111\u01b0a ra th\u1ecb tr\u01b0\u1eddng ch\u1ebf ph\u1ea9m d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam v\u1edbi t\u00ean Solu-Medrol. \u0110\u00e2y l\u00e0 c\u00e1c thu\u1ed1c kinh \u0111i\u1ec3n v\u1edbi c\u00e1c b\u00e1c s\u0129 trong x\u1eed tr\u00ed c\u00e1c ph\u1ea3n \u1ee9ng nghi\u00eam tr\u1ecdng hay s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/solu-medrol\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<figure id=\"attachment_54847\" aria-describedby=\"caption-attachment-54847\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-9\/#main\" rel=\"attachment wp-att-54847\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54847\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-9.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-9.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-9-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-9-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-9-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-9-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54847\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Methylprednisolon<\/figcaption><\/figure>\n<h4>Dexamethasone<\/h4>\n<p>Dexamethason l\u00e0 m\u1ed9t glucocorticoid t\u1ed5ng h\u1ee3p, h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng gi\u1eef mu\u1ed1i n\u01b0\u1edbc. C\u00e1c glucocorticoid t\u00e1c d\u1ee5ng th\u00f4ng qua g\u1eafn k\u1ebft v\u1edbi th\u1ee5 th\u1ec3 \u1edf t\u1ebf b\u00e0o ch\u1ea5t, chuy\u1ec3n v\u1ecb v\u00e0o nh\u00e2n t\u1ebf b\u00e0o v\u00e0 \u0111i\u1ec1u h\u00f2a l\u00ean m\u1ed9t s\u1ed1 gen ch\u1ee9c n\u0103ng. C\u00e1c thu\u1ed1c n\u00e0y c\u0169ng c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng tr\u1ef1c ti\u1ebfp, c\u00f3 th\u1ec3 kh\u00f4ng qua trung gian g\u1eafn k\u1ebft v\u1edbi th\u1ee5 th\u1ec3. Dexamethason c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng ch\u00ednh c\u1ee7a glucocorticoid l\u00e0 ch\u1ed1ng vi\u00eam, ch\u1ed1ng d\u1ecb \u1ee9ng v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, h\u1ea7u nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh:<span style=\"color: #ed1c24\"><strong> Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng<\/strong><\/span>, kh\u00f4ng \u0111\u00e1p \u1ee9ng ho\u1eb7c \u0111\u00e1p \u1ee9ng k\u00e9m v\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng kh\u00e1c: hen ph\u1ebf qu\u1ea3n, vi\u00eam da d\u1ecb \u1ee9ng, vi\u00eam da ti\u1ebfp x\u00fac, d\u1ecb \u1ee9ng thu\u1ed1c, vi\u00eam m\u0169i d\u1ecb \u1ee9ng theo m\u00f9a ho\u1eb7c quanh n\u0103m, b\u1ec7nh huy\u1ebft thanh&#8230;<\/p>\n<p>Li\u1ec1u d\u00f9ng: N\u00ean \u01b0u ti\u00ean s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng, ch\u1ec9 d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam trong tr\u01b0\u1eddng h\u1ee3p b\u1ea5t kh\u1ea3 kh\u00e1ng. Li\u1ec1u th\u01b0\u1eddng d\u00f9ng theo \u0111\u01b0\u1eddng u\u1ed1ng \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 0,5 &#8211; 10 mg dexamethason\/ng\u00e0y, \u1edf tr\u1ebb em l\u00e0 10 &#8211; 100 microgam dexamethason\/ ng\u00e0y.<br \/>\nKhi d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam, thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam b\u1eafp, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u1eaft qu\u00e3ng ho\u1eb7c li\u00ean t\u1ee5c.<\/p>\n<p>Ch\u1ebf ph\u1ea9m: C\u00e1c ch\u1ebf ph\u1ea9m ch\u1ee9a Dexamethason t\u01b0\u01a1ng \u0111\u1ed1i d\u1ec5 t\u00ecm mua v\u1edbi gi\u00e1 r\u1ebb tr\u00ean th\u1ecb tr\u01b0\u1eddng, c\u00e1c ch\u1ebf ph\u1ea9m c\u0169ng \u0111a d\u1ea1ng b\u00e0o ch\u1ebf t\u1eeb vi\u00ean n\u00e9n, dung d\u1ecbch d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng cho t\u1edbi dung d\u1ecbch d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam v\u00e0 c\u00e1c thu\u1ed1c d\u00f9ng ngo\u00e0i da.<\/p>\n<p>Dehatacil 0,5mg c\u00f3 gi\u00e1 125.000 \u0111\u1ed3ng \/ h\u1ed9p 600 vi\u00ean n\u00e9n d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng ch\u1ee9a 0,5mg Dexamethason do c\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m H\u00e0 T\u00e2y s\u1ea3n xu\u1ea5t. Dexamethasone 4mg\/Ml Vinphaco c\u00f3 gi\u00e1 35.000 \u0111\u1ed3ng \/ h\u1ed9p 10 \u1ed1ng dung d\u1ecbch ti\u00eam \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ea1i Vi\u1ec7t Nam.<\/p>\n<figure id=\"attachment_54848\" aria-describedby=\"caption-attachment-54848\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-10\/#main\" rel=\"attachment wp-att-54848\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54848\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-10.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-10.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-10-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-10-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-10-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-10-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54848\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Dexamethasone<\/figcaption><\/figure>\n<h4>Betamethasone<\/h4>\n<p>Betamethason l\u00e0 m\u1ed9t corticosteroid t\u1ed5ng h\u1ee3p, c\u00f3 t\u00e1c d\u1ee5ng glucocorticoid r\u1ea5t m\u1ea1nh, k\u00e8m theo t\u00e1c d\u1ee5ng chuy\u1ec3n h\u00f3a mu\u1ed1i n\u01b0\u1edbc kh\u00f4ng \u0111\u00e1ng k\u1ec3. Betamethason c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, ch\u1ed1ng th\u1ea5p kh\u1edbp, ch\u1ed1ng d\u1ecb \u1ee9ng, li\u1ec1u cao c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n<p>Thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, ti\u00eam b\u1eafp, ti\u00eam ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch, ti\u00eam ho\u1eb7c b\u00f4i t\u1ea1i ch\u1ed7 \u0111\u1ec3 tr\u1ecb nhi\u1ec1u b\u1ec7nh c\u1ea7n ch\u1ec9 \u0111\u1ecbnh d\u00f9ng corticosteroid.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u1ea1ng th\u00e1i d\u1ecb \u1ee9ng: Hen ph\u1ebf qu\u1ea3n, vi\u00eam m\u0169i d\u1ecb \u1ee9ng theo m\u00f9a ho\u1eb7c quanh n\u0103m, vi\u00eam da d\u1ecb \u1ee9ng, vi\u00eam da ti\u1ebfp x\u00fac, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c, b\u1ec7nh huy\u1ebft thanh, ph\u1ea3n \u1ee9ng truy\u1ec1n m\u00e1u.<\/p>\n<p>Li\u1ec1u d\u00f9ng: Li\u1ec1u th\u01b0\u1eddng d\u00f9ng theo \u0111\u01b0\u1eddng u\u1ed1ng \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 0,5 &#8211; 5 mg m\u1ed7i ng\u00e0y.<\/p>\n<p>Ngo\u00e0i \u0111\u01b0\u1eddng u\u1ed1ng, thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam b\u1eafp, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm, truy\u1ec1n t\u0129nh m\u1ea1ch v\u1edbi li\u1ec1u th\u01b0\u1eddng d\u00f9ng \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em \u2265 12 tu\u1ed5i l\u00e0 4 &#8211; 20 mg\/l\u1ea7n, c\u00f3 th\u1ec3 l\u1eb7p 3 &#8211; 4 l\u1ea7n\/ng\u00e0y n\u1ebfu c\u1ea7n thi\u1ebft (t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb).<\/p>\n<p>Ch\u1ebf ph\u1ea9m: Betamethasone c\u00f3 nhi\u1ec1u d\u1ea1ng b\u00e0o ch\u1ebf v\u00e0 \u0111\u01b0\u1eddng d\u00f9ng kh\u00e1c nhau. Albaflo 4mg\/2ml d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam c\u00f3 gi\u00e1 450.000 \u0111\u1ed3ng \/ h\u1ed9p 3 \u1ed1ng, thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Esseti Farmaceitici S.r.l &#8211; \u00dd.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/thuoc-albaflo-4mg-2ml\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<p>Vi\u1ec7t Nam \u0111\u00e3 c\u00f3 th\u1ec3 s\u1ea3n xu\u1ea5t ch\u1ebf ph\u1ea9m d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng t\u1eeb l\u00e2u v\u1edbi gi\u00e1 th\u00e0nh r\u1ebb h\u01a1n thu\u1ed1c nh\u1eadp kh\u1ea9u m\u00e0 t\u00e1c d\u1ee5ng v\u1eabn t\u01b0\u01a1ng \u0111\u01b0\u01a1ng: Tanacelest (L\u1ecd 500 vi\u00ean) c\u00f3 gi\u00e1 80.000 \u0111\u1ed3ng \/ l\u1ecd 500 vi\u00ean hay Cestasin c\u00f3 gi\u00e1 95.000 \u0111\u1ed3ng \/ h\u1ed9p 500 vi\u00ean.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/tanacelest\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<figure id=\"attachment_54849\" aria-describedby=\"caption-attachment-54849\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-11\/#main\" rel=\"attachment wp-att-54849\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54849\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-11.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-11.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-11-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-11-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-11-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-11-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54849\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Betamethasone<\/figcaption><\/figure>\n<h3>Corticoid t\u00e1c d\u1ee5ng t\u1ea1i ch\u1ed7<\/h3>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 vi\u00eam da d\u1ecb \u1ee9ng, hen suy\u1ec5n, vi\u00eam k\u1ebft m\u1ea1c k\u00edch \u1ee9ng, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ch\u1ec9 t\u1eadp trung khi tr\u00fa t\u1ea1i m\u1ed9t s\u1ed1 c\u01a1 quan nh\u1ea5t \u0111\u1ecbnh, ng\u01b0\u1eddi ta th\u01b0\u1eddng d\u00f9ng c\u00e1c lo\u1ea1i Corticoid c\u00f3 t\u00e1c d\u1ee5ng t\u1ea1i ch\u1ed7 \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 v\u00e0 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n.<\/p>\n<figure id=\"attachment_54850\" aria-describedby=\"caption-attachment-54850\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-12\/#main\" rel=\"attachment wp-att-54850\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54850\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-12.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-12.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-12-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-12-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-12-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-12-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54850\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng t\u00e1c d\u1ee5ng t\u1ea1i ch\u1ed7<\/figcaption><\/figure>\n<table style=\"border-collapse: collapse;width: 100%;height: 105px\">\n<tbody>\n<tr style=\"height: 21px\">\n<td style=\"width: 25%;height: 21px\">D\u1ea1ng thu\u1ed1c &#8211; \u0111\u01b0\u1eddng d\u00f9ng<\/td>\n<td style=\"width: 25%;height: 21px\">Ho\u1ea1t ch\u1ea5t<\/td>\n<td style=\"width: 25%;height: 21px\">Ch\u1ec9 \u0111\u1ecbnh &#8211; L\u01b0u \u00fd<\/td>\n<td style=\"width: 25%;height: 21px\">Ch\u1ebf ph\u1ea9m<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 25%;height: 21px\">Thu\u1ed1c x\u1ecbt m\u0169i<\/td>\n<td style=\"width: 25%;height: 21px\">Fluticasone, Mometasone, Budesonide,..<\/td>\n<td style=\"width: 25%;height: 21px\">D\u00f9ng cho c\u00e1c tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng c\u1ee7a vi\u00eam m\u0169i d\u1ecb \u1ee9ng, gi\u00fap \u0111\u1ee1 ngh\u1eb9t m\u0169i, h\u1eaft h\u01a1i v\u00e0 ng\u1ee9a, ch\u1ea3y n\u01b0\u1edbc m\u0169i.<\/p>\n<p><span style=\"color: #ed1c24\"><strong>S\u1eed d\u1ee5ng l\u00e2u d\u00e0i c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng ni\u00eam m\u1ea1c m\u0169i, ch\u1ea3y m\u00e1u cam, l\u1ea1m d\u1ee5ng nhi\u1ec1u, thu\u1ed1c v\u1eabn c\u00f3 th\u1ec3 \u0111i v\u00e0o tu\u1ea7n ho\u00e0n v\u00e0 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n<\/strong><\/span>.<\/td>\n<td style=\"width: 25%;height: 21px\">Flixonase c\u1ee7a GSK ch\u1ee9a Fluticasone propionate 0,05% c\u00f3 gi\u00e1 300.000 \u0111\u1ed3ng \/ l\u1ecd 60 li\u1ec1u<\/p>\n<p>Benita c\u1ee7a C\u00f4ng ty c\u1ed5 ph\u1ea7n t\u1eadp \u0111o\u00e0n Merap ch\u1ee9a Budesonide c\u00f3 gi\u00e1 110.00 \u0111\u1ed3ng \/ l\u1ecd 120 li\u1ec1u x\u1ecbt.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/benita\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 25%;height: 21px\">Thu\u1ed1c h\u00edt<\/td>\n<td style=\"width: 25%;height: 21px\">Fluticasone, Budesonid, Beclomethason,&#8230;<\/td>\n<td style=\"width: 25%;height: 21px\">D\u1ea1ng h\u00edt th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng m\u1eafc hen suy\u1ec5n.<\/p>\n<p><span style=\"color: #ed1c24\"><strong>L\u01b0u \u00fd c\u1ea7n s\u00fac mi\u1ec7ng sau khi s\u1eed d\u1ee5ng n\u1ebfu kh\u00f4ng c\u00f3 th\u1ec3 g\u1eb7p t\u00ecnh tr\u1ea1ng b\u1ed9i nhi\u1ec5m vi khu\u1ea9n, n\u1ea5m \u1edf h\u1ecdng.<\/strong><\/span><\/td>\n<td style=\"width: 25%;height: 21px\">Seretide Evohaler 25\/250 c\u00f3 gi\u00e1 325.000 \u0111\u1ed3ng cho 1 b\u00ecnh x\u1ecbt 120 li\u1ec1u ch\u1ee9a Salmeterol xinafoate v\u00e0 Fluticasone propionate. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi GSK.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/seretide-evohaler-dc\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/p>\n<p>Symbicort Turbuhaler 120 Doses c\u1ee7a Astra Zeneca ch\u1ee9a Budesonide v\u00e0 Formoterol c\u00f3 gi\u00e1 600.000 \u0111\u1ed3ng \/ l\u1ecd.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 25%;height: 21px\">Thu\u1ed1c nh\u1ecf m\u1eaft<\/td>\n<td style=\"width: 25%;height: 21px\">Dexamethason, Fluorometholone,&#8230;<\/td>\n<td style=\"width: 25%;height: 21px\">Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng, vi\u00eam sau khi ph\u1eabu thu\u1eadt, vi\u00eam c\u1ee7ng m\u1ea1c m\u1eaft, vi\u00eam m\u1ed1ng m\u1eaft, b\u1edd mi b\u1ecb vi\u00eam, vi\u00eam m\u00e0ng m\u1ea1ch nho, gi\u00e1c m\u1ea1c-k\u1ebft m\u1ea1c b\u1ecb vi\u00eam nhi\u1ec5m,\u2026<\/td>\n<td style=\"width: 25%;height: 21px\">Flumetholon 0.1% c\u1ee7a Santen &#8211; Nh\u1eadt B\u1ea3n c\u00f3 gi\u00e1 48.000 \u0111\u1ed3ng \/ l\u1ecd 5ml.<\/p>\n<p>FML Liquifilm 0.1% 5ml c\u1ee7a Ireland c\u00f3 gi\u00e1 55.000 \u0111\u1ed3ng \/ l\u1ecd, thu\u1ed1c ch\u1ee9a Fluorometholone.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 25%;height: 21px\">Kem b\u00f4i da<\/td>\n<td style=\"width: 25%;height: 21px\">Hydrocortison, Triamcinolon, Betamethasone,..<\/td>\n<td style=\"width: 25%;height: 21px\">S\u1eed d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam da c\u01a1 \u0111\u1ecba, vi\u00eam da d\u1ecb \u1ee9ng, vi\u00eam da ti\u1ebfp x\u00fac, m\u1ec1 \u0111ay, m\u1ea9n ng\u1ee9a, ng\u1ee9a do c\u00f4n tr\u00f9ng c\u1eafn.<\/p>\n<p><span style=\"color: #ed1c24\"><strong>L\u1ea1m d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 khi\u1ebfn thu\u1ed1c th\u1ea5m qua da, v\u00e0o v\u00f2ng tu\u1ea7n ho\u00e0n, t\u1ea1o ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n.<\/strong><\/span><\/td>\n<td style=\"width: 25%;height: 21px\"><strong>Thu\u1ed1c b\u00f4i d\u1ecb \u1ee9ng m\u1ea9n ng\u1ee9a<\/strong> th\u00f4ng d\u1ee5ng l\u00e0 Gentrisone c\u00f3 xu\u1ea5t x\u1ee9 H\u00e0n Qu\u1ed1c, c\u00f3 gi\u00e1 20.000 \u0111\u1ed3ng \/ tu\u00fdp 10g v\u00e0 25.000 \u0111\u00f4ng \/ tu\u00fdp 20g.<\/p>\n<p>Fucidin H 15g l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa Hydrocortisone v\u00e0 kh\u00e1ng sinh Acid Fucidic, c\u00f3 gi\u00e1 110.000 \u0111\u1ed3ng \/ tu\u00fdp 15g. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Invida (Singapore) Private Limited &#8211; Ireland.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/fucidin-h\/\"><img decoding=\"async\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/1-1.jpg\" alt=\"\u0110\u1eb7t h\u00e0ng\" title=\"\"><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Thu\u1ed1c t\u00e1c \u0111\u1ed9ng l\u00ean h\u1ec7 Adrenergic &#8211; Adrenalin<\/h2>\n<p>Adrenalin (Epinephrine) l\u00e0m gi\u00e3n c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n nh\u1edd k\u00edch th\u00edch th\u1ee5 th\u1ec3 beta1 v\u00e0 g\u00e2y co c\u00e1c ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch ph\u1ebf qu\u1ea3n nh\u1edd k\u00edch th\u00edch th\u1ee5 th\u1ec3 alpha khi d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam ho\u1eb7c \u0111\u01b0\u1eddng h\u00edt. Tr\u00ean b\u1ec7nh nh\u00e2n b\u1ecb co th\u1eaft ph\u1ebf qu\u1ea3n, thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u00e3n ph\u1ebf qu\u1ea3n, gi\u1ea3m t\u1eafc ngh\u1ebdn, ph\u00f9 n\u1ec1 v\u00e0 l\u00e0m t\u0103ng dung t\u00edch s\u1ed1ng. Epinephrine \u1ee9c ch\u1ebf gi\u1ea3i ph\u00f3ng histamin v\u00e0 \u0111\u1ed1i kh\u00e1ng t\u00e1c d\u1ee5ng c\u1ee7a histamin, do \u0111\u00f3 thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m \u0111\u1ea3o ng\u01b0\u1ee3c t\u00e1c d\u1ee5ng co th\u1eaft ph\u1ebf qu\u1ea3n, gi\u00e3n m\u1ea1ch v\u00e0 ph\u00f9 n\u1ec1 do histamin.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Ch\u1ec9 \u0111\u1ecbnh kinh \u0111i\u1ec3n c\u1ee7a Adrenaline l\u00e0 s\u1eed d\u1ee5ng trong c\u1ea5p c\u1ee9u s\u1ed1c ph\u1ea3n v\u1ec7. Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng cho c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng c\u1ea5p t\u00ednh \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em bao g\u1ed3m ph\u1ea3n v\u1ec7 do c\u00f4n tr\u00f9ng \u0111\u1ed1t, th\u1ef1c ph\u1ea9m, thu\u1ed1c, h\u00f3a ch\u1ea5t d\u00f9ng trong ch\u1ea9n \u0111o\u00e1n, c\u00e1c ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng kh\u00e1c ho\u1eb7c c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 c\u0103n<\/p>\n<p>Li\u1ec1u d\u00f9ng: \u01afu ti\u00ean d\u00f9ng epinephrin \u0111\u01b0\u1eddng ti\u00eam b\u1eafp h\u01a1n ti\u00eam d\u01b0\u1edbi da trong \u0111i\u1ec1u tr\u1ecb ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 khi c\u00f3 s\u1ed1c, kh\u1ea3 n\u0103ng thu\u1ed1c \u0111\u01b0\u1ee3c h\u1ea5p thu v\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh sau khi ti\u00eam d\u01b0\u1edbi da ch\u1eadm h\u01a1n \u0111\u01b0\u1eddng ti\u00eam b\u1eafp.<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn: li\u1ec1u ti\u00eam b\u1eafp l\u00e0 0,5 &#8211; 1 mg (0,5 &#8211; 1 ml dung d\u1ecbch 1 : 1 000), l\u1eb7p l\u1ea1i sau 3 &#8211; 5 ph\u00fat n\u1ebfu c\u1ea7n.<\/li>\n<li>Tr\u1ebb em: khuy\u1ebfn c\u00e1o li\u1ec1u ti\u00eam b\u1eafp cho tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng &gt; 30 kg l\u00e0 0,5 mg (0,5 ml dung d\u1ecbch 1 : 1.000); tr\u1ebb kho\u1ea3ng 20 kg l\u00e0 0,3 mg (0,3 ml dung d\u1ecbch 1 : 1 000); tr\u1ebb kho\u1ea3ng 10 kg l\u00e0 0,25 mg (0,25 ml dung d\u1ecbch 1 : 1 000); tr\u1ebb s\u01a1 sinh ho\u1eb7c tr\u1ebb &lt; 10 kg l\u00e0 0,2 mg (0,2 ml dung d\u1ecbch 1 : 1.000); l\u1eb7p l\u1ea1i sau 3 &#8211; 5 ph\u00fat n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n<p>Ch\u1ebf ph\u1ea9m: Adrenalin 1mg\/1ml Vinphaco d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam c\u00f3 gi\u00e1 50.000 \u0111\u1ed3ng \/ h\u1ed9p 10 \u1ed1ng. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ea1i Vi\u1ec7t Nam.<\/p>\n<figure id=\"attachment_54851\" aria-describedby=\"caption-attachment-54851\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-13\/#main\" rel=\"attachment wp-att-54851\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54851\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-13.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-13.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-13-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-13-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-13-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-13-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54851\" class=\"wp-caption-text\">Thu\u1ed1c ch\u1ee9a Adrenalin d\u00f9ng trong s\u1ed1c ph\u1ea3n v\u1ec7<\/figcaption><\/figure>\n<h2>Thu\u1ed1c \u1ed5n \u0111\u1ecbnh d\u01b0\u1ee1ng b\u00e0o &#8211; Natri Cromolyn<\/h2>\n<p>Cromolyn Natri l\u00e0 m\u1ed9t ch\u1ea5t \u1ed5n \u0111\u1ecbnh t\u1ebf b\u00e0o Mast, \u1ee9c ch\u1ebf s\u1ef1 gi\u1ea3i ph\u00f3ng c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam, g\u00e2y ra b\u1edfi c\u00e1c kh\u00e1ng nguy\u00ean c\u1ee5 th\u1ec3 c\u0169ng nh\u01b0 c\u00e1c c\u01a1 ch\u1ebf kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1eadp th\u1ec3 d\u1ee5c, t\u1eeb t\u1ebf b\u00e0o mast. Cromolyn c\u0169ng c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c lo\u1ea1i t\u1ebf b\u00e0o kh\u00e1c g\u00e2y vi\u00eam. \u0110\u00e2y l\u00e0 thu\u1ed1c ch\u1ed1ng hen suy\u1ec5n duy nh\u1ea5t ng\u0103n ch\u1eb7n c\u1ea3 ph\u1ea3n \u1ee9ng hen s\u1edbm v\u00e0 mu\u1ed9n do h\u00edt ph\u1ea3i ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng. Do \u0111\u00f3, li\u1ec7u ph\u00e1p cromolyn c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 gia t\u0103ng ph\u1ea3n \u1ee9ng qu\u00e1 m\u1ee9c c\u1ee7a ph\u1ebf qu\u1ea3n do ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng m\u00e3n t\u00ednh. Ch\u1ea5t n\u00e0y \u00edt g\u00e2y c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n h\u01a1n so v\u1edbi Steroid v\u00e0 l\u00e0 m\u1ed9t thu\u1ed1c tri\u1ec3n v\u1ecdng \u0111\u1ec3 ng\u01b0\u1eddi d\u00f9ng c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u d\u1ea7n Corticoid.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: FDA \u0111\u00e3 ch\u1ea5p thu\u1eadn c\u00e1c ch\u1ec9 \u0111\u1ecbnh sau c\u1ee7a thu\u1ed1c: d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 vi\u00eam m\u0169i d\u1ecb \u1ee9ng v\u00e0 b\u1ec7nh t\u1ebf b\u00e0o mast to\u00e0n th\u00e2n (b\u1ec7nh t\u1ebf b\u00e0o mast) \u1edf b\u1ec7nh nhi v\u00e0 ng\u01b0\u1eddi l\u1edbn. Dung d\u1ecbch u\u1ed1ng Cromolyn Natri (\u0111\u1eadm \u0111\u1eb7c) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau ch\u1ea3y, \u0111\u1ecf b\u1eebng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u, n\u00f4n m\u1eeda, n\u1ed5i m\u1ec1 \u0111ay, \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n v\u00e0 ng\u1ee9a \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. Thu\u1ed1c x\u1ecbt Natri Cromolyn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf m\u0169i do c\u00e1c d\u1ecb \u1ee9ng m\u0169i nh\u01b0 s\u1ed5 m\u0169i ho\u1eb7c ng\u1ee9a m\u0169i, h\u1eaft h\u01a1i v\u00e0 ngh\u1eb9t m\u0169i d\u1ecb \u1ee9ng.<\/p>\n<p>Li\u1ec1u d\u00f9ng: Li\u1ec1u d\u00f9ng khuy\u1ebfn c\u00e1o c\u1ee7a thu\u1ed1c d\u00e0nh cho tr\u1ebb em &gt; 12 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi l\u1edbn: 200 mg u\u1ed1ng 4 l\u1ea7n\/ng\u00e0y; 30 ph\u00fat tr\u01b0\u1edbc b\u1eefa \u0103n. C\u00f3 th\u1ec3 t\u0103ng l\u00ean 40 mg\/kg\/ng\u00e0y n\u1ebfu kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng trong v\u00f2ng 2 \u0111\u1ebfn 3 tu\u1ea7n. Tr\u1ebb t\u1eeb 2 &#8211; 12 tu\u1ed5i c\u00f3 th\u1ec3 d\u00f9ng 100mg\/l\u1ea7n \u0111\u01b0\u1eddng u\u1ed1ng b\u1ed1n l\u1ea7n m\u1ed7i ng\u00e0y; kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 40 mg\/kg\/ng\u00e0y.<\/p>\n<p>Ch\u1ebf ph\u1ea9m: Hi\u1ec7n ch\u01b0a c\u00f3 ch\u1ebf ph\u1ea9m ch\u1ee9a ho\u1ea1t ch\u1ea5t n\u00e0y t\u1ea1i th\u1ecb tr\u01b0\u1eddng Vi\u1ec7t Nam.<\/p>\n<h2>Thu\u1ed1c kh\u00e1ng Leukotriene &#8211; Montelukast<\/h2>\n<p>\u0110\u00e2y l\u00e0 thu\u1ed1c duy nh\u1ea5t thu\u1ed9c nh\u00f3m thu\u1ed1c \u0111\u1ed1i kh\u00e1ng Leukotriene \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t trong \u0111i\u1ec1u tr\u1ecb hen v\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng. Montelukast l\u00e0 ho\u1ea1t ch\u1ea5t thu\u1ed9c nh\u00f3m \u0111\u1ed1i kh\u00e1ng v\u1edbi leukotriene, g\u00e2y \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 cysteinyl leukotriene (receptor CysLT). Montelukast \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a LTD4, l\u00e0m gi\u1ea3m co th\u1eaft ph\u1ebf qu\u1ea3n. Montelukast c\u0169ng l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong \u0111\u01b0\u1eddng th\u1edf v\u00e0 trong m\u00e1u ngo\u1ea1i vi, \u0111\u1ed3ng th\u1eddi c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t hen tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: Montelukast c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i kh\u00e1ng v\u1edbi leukotriene l\u00e0m gi\u1ea3m co th\u1eaft ph\u1ebf qu\u1ea3n, gi\u1ea3m b\u00e0i ti\u1ebft ch\u1ea5t nh\u1ea7y, gi\u1ea3m t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch v\u00e0 ng\u0103n c\u1ea3n vi\u1ec7c huy \u0111\u1ed9ng b\u1ea1ch c\u1ea7u \u00e1i toan n\u00ean \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam m\u0169i d\u1ecb \u1ee9ng theo m\u00f9a.<\/p>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn v\u00e0 thanh thi\u1ebfu ni\u00ean (tr\u00ean 15 tu\u1ed5i): 1 vi\u00ean Montelukast 10mg m\u1ed7i ng\u00e0y, v\u00e0o bu\u1ed5i t\u1ed1i.<\/li>\n<li>Tr\u1ebb em t\u1eeb 6 \u0111\u1ebfn 14 tu\u1ed5i: 1 vi\u00ean Montelukast 5mg\/ ng\u00e0y<\/li>\n<li>Tr\u1ebb em t\u1eeb 2 \u0111\u1ebfn 5 tu\u1ed5i: 1 vi\u00ean Montelukast 4mg\/ ng\u00e0y<\/li>\n<li>Tr\u1ebb em t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 5 tu\u1ed5i: 4mg thu\u1ed1c c\u1ed1m\/ ng\u00e0y.<\/li>\n<\/ul>\n<p>Ch\u1ebf ph\u1ea9m: Ch\u1ebf ph\u1ea9m ch\u1ee9a montelukast n\u1ed5i ti\u1ebfng tr\u00ean th\u1ecb tr\u01b0\u1eddng ch\u00ednh l\u00e0 Singulair do C\u00f4ng ty Merck Sharp &amp; Dohme (Asia) Ltd. s\u1ea3n xu\u1ea5t. S\u1ea3n ph\u1ea9m c\u00f3 gi\u00e1 495.000 \u0111\u1ed3ng \/ h\u1ed9p 28 vi\u00ean v\u1edbi Singulair 5mg; 450.000 \u0111\u1ed3ng \/ h\u1ed9p 28 g\u00f3i Singulair 4mg d\u1ea1ng b\u1ed9t c\u1ed1m, 450.000 \u0111\u1ed3ng \/ h\u1ed9p 28 vi\u00ean Singulair 10mg.<\/p>\n<figure id=\"attachment_54852\" aria-describedby=\"caption-attachment-54852\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-14\/#main\" rel=\"attachment wp-att-54852\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54852\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-14.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-14.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-14-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-14-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-14-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-14-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54852\" class=\"wp-caption-text\">Thu\u1ed1c Singulair ch\u1ee9a Montelukast d\u00f9ng trong hen suy\u1ec5n d\u1ecb \u1ee9ng<\/figcaption><\/figure>\n<h2>Thu\u1ed1c kh\u00e1ng IgE &#8211; Omalizumab<\/h2>\n<p>Omalizumab l\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng t\u00e1i t\u1ed5 h\u1ee3p, li\u00ean k\u1ebft ch\u1ecdn l\u1ecdc v\u1edbi IgE t\u1ef1 do (kh\u00f4ng g\u1eafn v\u1edbi th\u1ee5 th\u1ec3). Omalizumab ng\u0103n ch\u1eb7n c\u00e1c ph\u1ea3n \u1ee9ng c\u1ea5p t\u00ednh v\u00e0 ph\u1ea3n \u1ee9ng mu\u1ed9n qua trung gian IgE do h\u00edt ho\u1eb7c nu\u1ed1t ph\u1ea3i c\u00e1c ch\u1ea5t d\u1ecb \u1ee9ng.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: FDA \u0111\u00e3 ch\u1ea5p thu\u1eadn ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Omalizumab cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p hen suy\u1ec5n d\u1ecb \u1ee9ng v\u00e0 m\u00e0y \u0111ay t\u1ef1 ph\u00e1t m\u00e3n t\u00ednh.<\/p>\n<p>Li\u1ec1u d\u00f9ng: Li\u1ec1u d\u00f9ng thu\u1ed1c Xolair \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n d\u1ecb \u1ee9ng: li\u1ec1u khuy\u1ebfn c\u00e1o l\u00e0 150-300mg (1-2 l\u1ecd Xolair) ti\u00eam d\u01b0\u1edbi da c\u00e1ch m\u1ed7i 4 tu\u1ea7n ho\u1eb7c 225-375mg ti\u00eam d\u01b0\u1edbi da c\u00e1ch m\u1ed7i 2 tu\u1ea7n. T\u00f9y thu\u1ed9c v\u00e0o k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 IgE tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e2n n\u1eb7ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb m\u00e0y \u0111ay v\u00f4 c\u0103n m\u1ea1n t\u00ednh: li\u1ec1u khuy\u1ebfn c\u00e1o l\u00e0 150-300mg (1-2 l\u1ecd Xolair) ti\u00eam d\u01b0\u1edbi da m\u1ed7i 4 tu\u1ea7n.<\/p>\n<p>Bi\u1ec7t d\u01b0\u1ee3c: Xolair l\u00e0 bi\u1ec7t d\u01b0\u1ee3c c\u1ee7a c\u00f4ng ty Novartis s\u1ea3n xu\u1ea5t c\u00f3 gi\u00e1 h\u01a1n 6.000.000 \u0111\u00f4ng \/ l\u1ecd thu\u1ed1c ti\u00eam<\/p>\n<figure id=\"attachment_54853\" aria-describedby=\"caption-attachment-54853\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-15\/#main\" rel=\"attachment wp-att-54853\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54853\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-15.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-15.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-15-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-15-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-15-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-15-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54853\" class=\"wp-caption-text\">Thu\u1ed1c d\u1ecb \u1ee9ng ch\u1ee9a Omalizumab kh\u00e1ng IgE<\/figcaption><\/figure>\n<h2>T\u01b0 v\u1ea5n c\u1ee7a d\u01b0\u1ee3c s\u0129 v\u1ec1 c\u00e1c c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/h2>\n<h3>C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng kh\u00f4ng g\u00e2y bu\u1ed3n ng\u1ee7 l\u00e0 thu\u1ed1c n\u00e0o<\/h3>\n<p>Nh\u01b0 b\u00e0i vi\u1ebft \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, c\u00f3 duy nh\u1ea5t nh\u00f3m thu\u1ed1c d\u1ecb \u1ee9ng kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 1 g\u00e2y bu\u1ed3n ng\u1ee7, ngo\u00e0i ra \u0111a ph\u1ea7n c\u00e1c nh\u00f3m thu\u1ed1c c\u00f2n l\u1ea1i nh\u01b0 Loratadin, Fexofenadin, c\u00e1c Corticoid,&#8230; \u0111\u1ec1u l\u00e0<strong> thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng kh\u00f4ng g\u00e2y bu\u1ed3n ng\u1ee7<\/strong>. C\u00e1c thu\u1ed1c kh\u00e1ng Histamin H1 th\u1ebf h\u1ec7 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng, d\u1ecb \u1ee9ng m\u00e0y \u0111ay, m\u1ea9n ng\u1ee9a, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb c\u1ea3m c\u00fam l\u00e0: Clorpheniramin, Alimemazin, Diphenhydramin,&#8230; C\u00e1c <span style=\"color: #ed1c24\">ch\u1ea5t<\/span> n\u00e0y th\u01b0\u1eddng c\u00f3 trong c\u00e1c ch\u1ebf ph\u1ea9m nh\u01b0 Decolgen Forte, Tiffy c\u1ea3m c\u00fam, Theralene,&#8230; Ng\u01b0\u1eddi ti\u00eau d\u00f9ng khi mua thu\u1ed1c c\u00f3 th\u1ec3 tr\u00e1nh c\u00e1c thu\u1ed1c n\u00e0y ra n\u1ebfu c\u1ea7n l\u00e0m nh\u1eefng c\u00f4ng vi\u1ec7c t\u1eadp trung ho\u1eb7c tr\u00e1nh u\u1ed1ng thu\u1ed1c tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u c\u00f4ng vi\u1ec7c. Ng\u01b0\u1eddi d\u00f9ng c\u0169ng c\u00f3 th\u1ec3 th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129 v\u1ec1 vi\u1ec7c kh\u00f4ng mu\u1ed1n s\u1eed d\u1ee5ng nh\u1eefng thu\u1ed1c g\u00e2y bu\u1ed3n ng\u1ee7.<\/p>\n<h3>Khi n\u00e0o th\u00ec bi\u1ebft m\u00ecnh b\u1ecb d\u1ecb \u1ee9ng?<\/h3>\n<p>D\u1ecb \u1ee9ng c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng c\u0169ng r\u1ea5t \u0111a d\u1ea1ng. Vi\u00eam m\u0169i d\u1ecb \u1ee9ng: Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam m\u0169i d\u1ecb \u1ee9ng thi\u00ean v\u1ec1 c\u1ea3m gi\u00e1c g\u00e2y kh\u00f3 ch\u1ecbu m\u0169i nhi\u1ec1u h\u01a1n, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng h\u1eaft h\u01a1i li\u00ean t\u1ee5c v\u00e0i ch\u1ee5c c\u00e1i, cay m\u1eaft, \u0111\u1ecf m\u1eaft, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, m\u0169i ch\u1ea3y n\u01b0\u1edbc \u0111\u1ea7m \u0111\u00eca, n\u01b0\u1edbc m\u0169i trong nh\u01b0 n\u01b0\u1edbc l\u00e3, n\u1ebfu \u0111\u1ec3 l\u00e2u c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi ni\u00eam m\u1ea1c m\u0169i, b\u1ed9i nhi\u1ec5m vi khu\u1ea9n.<\/p>\n<p>D\u1ecb \u1ee9ng th\u1ee9c \u0103n: Tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a d\u1ecb \u1ee9ng th\u1ee9c \u0103n th\u01b0\u1eddng l\u00e0 m\u00e0y \u0111ay, m\u1ea9n ng\u1ee9a, \u0111au b\u1ee5ng, r\u00e2m ran kh\u00f3 ch\u1ecbu, n\u1ebfu tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf, kh\u00f2 kh\u00e8, ch\u00f3ng m\u1eb7t, h\u1ea1 huy\u1ebft \u00e1p,.. l\u00fac n\u00e0y c\u1ea7n c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi n\u1ebfu kh\u00f4ng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 bi\u1ebfn chuy\u1ec3n sang s\u1ed1c ph\u1ea3n v\u1ec7 v\u00e0 t\u1eed vong.<\/p>\n<p>D\u1ecb \u1ee9ng thu\u1ed1c: <strong>ph\u1ea3n \u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a d\u1ecb \u1ee9ng thu\u1ed1c<\/strong> c\u0169ng l\u00e0 n\u1ed5i m\u00e0y \u0111ay, ban \u0111\u1ecf, m\u1ee9c \u0111\u1ed9 n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 g\u1eb7p ph\u00f9 Quincke, h\u1ed9i ch\u1ee9ng Steven &#8211; Johnson, h\u1ed9i ch\u1ee9ng Lyell. L\u00fac n\u00e0y c\u1ea7n ng\u01b0ng ngay c\u00e1c thu\u1ed1c \u0111ang d\u00f9ng v\u00e0 chuy\u1ec3n sang d\u00f9ng thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng.<\/p>\n<h3>N\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c d\u1ecb \u1ee9ng nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Ng\u01b0\u1eddi ti\u00eau d\u00f9ng th\u01b0\u1eddng \u0111\u1eb7t ra c\u00e1c c\u00e2u h\u1ecfi r\u1eb1ng n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c d\u1ecb \u1ee9ng th\u1ebf n\u00e0o \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng c\u1ee7a m\u00ecnh. Nguy\u00ean t\u1eafc khi \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng l\u00e0 l\u1ef1a ch\u1ecdn thu\u1ed1c theo m\u1ee9c \u0111\u1ed9 d\u1ecb \u1ee9ng, kh\u00f4ng l\u1ef1a ch\u1ecdn theo nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh. C\u00f3 th\u1ec3 hi\u1ec3u ngh\u0129a l\u00e0 d\u00f9 cho b\u1ea1n b\u1ecb d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft, d\u1ecb \u1ee9ng \u0111\u1ed3 \u0103n hay d\u1ecb \u1ee9ng thu\u1ed1c th\u00ec \u0111i\u1ec1u b\u00e1c s\u0129 c\u0103n c\u1ee9 v\u00e0o l\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng b\u1ea1n \u0111ang g\u1eb7p ph\u1ea3i.<\/p>\n<ul>\n<li>\u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p <strong>d\u1ecb \u1ee9ng r\u01b0\u1ee3u, d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft, b\u1ecb d\u1ecb \u1ee9ng thu\u1ed1c m\u1ea9n \u0111\u1ecf<\/strong>,&#8230; \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 (ban da, m\u1ea9n ng\u1ee9a, h\u00f4 h\u1ea5p v\u1eabn b\u00ecnh th\u01b0\u1eddng): Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 u\u1ed1ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng Histamin H1 nh\u01b0 Cetirizin, Loratadin, Alimemazin,&#8230;<\/li>\n<li>\u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p <strong>d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft dai d\u1eb3ng k\u00e9o d\u00e0i<\/strong>, d\u1ecb \u1ee9ng \u0111\u1ed3 \u0103n, thu\u1ed1c \u1edf m\u1ee9c \u0111\u1ed9 trung b\u00ecnh: Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c Corticoid t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i nh\u01b0 Dexamethason, Methylprednisolon,&#8230; k\u1ebft h\u1ee3p c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng kh\u00e1c. V\u1edbi tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u0169i d\u1ecb \u1ee9ng, hen suy\u1ec5n th\u00ec d\u00f9ng Corticoid d\u1ea1ng h\u00edt, x\u1ecbt m\u0169i; \u0111\u01b0\u1eddng u\u1ed1ng d\u00e0nh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng, m\u1ea9n ng\u1ee9a to\u00e0n th\u00e2n.<\/li>\n<li>D\u1ecb \u1ee9ng r\u01b0\u1ee3u m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng, d\u1ecb \u1ee9ng thu\u1ed1c, \u0111\u1ed3 \u0103n m\u1ee9c \u0111\u1ed9 n\u1eb7ng, c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a suy h\u00f4 h\u1ea5p, s\u1ed1c ph\u1ea3n v\u1ec7: V\u1edbi tr\u01b0\u1eddng h\u1ee3p nguy c\u1ea5p th\u1ebf n\u00e0y, thu\u1ed1c \u0111\u1ea7u tay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u1ea5p c\u1ee9u l\u00e0 Adrenalin (Ephedrin) \u0111\u01b0\u1eddng ti\u00eam b\u1eafp, n\u1ebfu kh\u00f4ng c\u00f3 th\u00ec c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng Methylprednisolon \u0111\u01b0\u1eddng ti\u00eam. Nguy\u00ean t\u1eafc khi s\u1eed d\u1ee5ng thu\u1ed1c cho tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng v\u00e0 s\u1ed1c ph\u1ea3n v\u1ec7 l\u00e0 d\u00f9ng thu\u1ed1c c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, c\u00e0ng nhanh c\u00e0ng h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n, ng\u01b0\u1eddi b\u1ec7nh c\u00e0ng c\u00f3 c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i nhanh h\u01a1n.<\/li>\n<li>T\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft g\u00e2y vi\u00eam m\u0169i d\u1ecb \u1ee9ng c\u00f3 co th\u1eaft kh\u00ed ph\u1ebf qu\u1ea3n: Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n m\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0 Montelukast, thu\u1ed1c kh\u00e1ng Histamin d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, k\u1ebft h\u1ee3p v\u1edbi x\u1ecbt m\u0169i, \u1ed1ng h\u00edt ch\u1ee9a thu\u1ed1c Corticoid,&#8230;<\/li>\n<\/ul>\n<h3>C\u1ea7n l\u01b0u \u00fd g\u00ec khi s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng<\/h3>\n<p>Trong c\u00e1c thu\u1ed1c d\u1ecb \u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c n\u00eau ra \u1edf tr\u00ean, ch\u1ec9 c\u00f3 thu\u1ed1c d\u1ecb \u1ee9ng kh\u00e1ng Histamin H1 l\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 mua thu\u1ed1c kh\u00f4ng c\u1ea7n \u0111\u01a1n. Do c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c kh\u00e1ng Histamin kh\u00f4ng qu\u00e1 nghi\u00eam tr\u1ecdng. Tuy nhi\u00ean, v\u1eabn c\u1ea7n l\u01b0u \u00fd tu\u00e2n th\u1ee7 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 ch\u1ec9 d\u1eabn c\u1ee7a d\u01b0\u1ee3c s\u0129 chuy\u00ean m\u00f4n.<\/p>\n<p>Corticoid l\u00e0 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng nhanh, m\u1ea1nh n\u00ean nhi\u1ec1u ng\u01b0\u1eddi r\u1ea5t th\u00edch s\u1eed d\u1ee5ng v\u00ec c\u1eaft \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu ngay. Nh\u01b0ng c\u1ea7n l\u01b0u \u00fd r\u1eb1ng<span style=\"color: #ed1c24\"><strong> t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a Corticoid r\u1ea5t nghi\u00eam tr\u1ecdng, nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf ( thu\u1ed1c c\u00f3 th\u1ec3 khi\u1ebfn tr\u1ebb ch\u1eadm l\u1edbn, c\u00f2i x\u01b0\u01a1ng) v\u1eady n\u00ean kh\u00f4ng t\u1ef1 \u00fd s\u1eed d\u1ee5ng Corticoid m\u1ed9t c\u00e1ch b\u1eeba b\u00e3i<\/strong>.<\/span><\/p>\n<p><span style=\"color: #ed1c24\"><strong>Kh\u00f4ng t\u1ef1 \u00fd s\u1eed d\u1ee5ng nhi\u1ec1u thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng c\u00f3 c\u00f9ng c\u01a1 ch\u1ebf<\/strong><\/span>, \u0111i\u1ec1u n\u00e0y kh\u00f4ng h\u1ec1 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c m\u00e0 c\u00f2n l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n v\u00e0 g\u00e2y th\u00eam g\u00e1nh n\u1eb7ng cho gan.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng ch\u1ec9 t\u00e1c \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u0111\u1ebfn qu\u00e1 tr\u00ecnh g\u00e2y d\u1ecb \u1ee9ng, kh\u00f4ng t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn nguy\u00ean nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng. Ng\u01b0\u1eddi b\u1ec7nh mu\u1ed1n c\u00f3 th\u1ec3 kh\u00f4ng t\u00e1i ph\u00e1t d\u1ecb \u1ee9ng th\u00ec c\u1ea7n tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean. V\u00ed d\u1ee5 nh\u01b0 kh\u00f4ng \u0103n c\u00e1c \u0111\u1ed3 \u0103n khi\u1ebfn b\u1ea3n th\u00e2n b\u1ecb d\u1ecb \u1ee9ng (m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m d\u1ec5 g\u00e2y d\u1ecb \u1ee9ng nh\u01b0 t\u00f4m, cua, h\u1ea3i s\u1ea3n, l\u1ea1c, s\u1eefa,..), b\u1ecb d\u1ecb \u1ee9ng ph\u1ea5n hoa, b\u1ee5i, l\u00f4ng \u0111\u1ed9ng v\u1eadt th\u00ec c\u1ea7n h\u1ea1n ch\u1ebf \u0111\u1ec3 d\u1ecb nguy\u00ean xu\u1ea5t hi\u1ec7n trong kh\u00f4ng gian s\u1ed1ng,&#8230;<\/p>\n<figure id=\"attachment_54854\" aria-describedby=\"caption-attachment-54854\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/cac-loai-thuoc-di-ung-hieu-qua-thong-dung-hien-nay\/thuoc-di-ung-16\/#main\" rel=\"attachment wp-att-54854\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-54854\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-16.jpg\" alt=\"Thu\u1ed1c d\u1ecb \u1ee9ng\" width=\"1200\" height=\"850\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-16.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-16-565x400.jpg 565w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-16-1129x800.jpg 1129w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-16-768x544.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/thuoc-di-ung-16-350x248.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-54854\" class=\"wp-caption-text\">L\u01b0u \u00fd khi d\u00f9ng thu\u1ed1c d\u1ecb \u1ee9ng<\/figcaption><\/figure>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>T\u00e1c gi\u1ea3 S Murphy, H W Kelly (Th\u1eddi gian ph\u00e1t h\u00e0nh th\u00e1ng 1 n\u0103m 1987). <em>Cromolyn sodium: a review of mechanisms and clinical use in asthma<\/em>, Pubmed. Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3102198\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/3102198\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 Martin K Church, Marcus Maurer(Th\u1eddi gian ph\u00e1t h\u00e0nh n\u0103m 2014). <em>Antihistamines<\/em>, Pubmed. Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24925410\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24925410\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 H Mosbech (Th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y 5 th\u00e1ng 8 n\u0103m 1996).<em> [Adrenaline in anaphylaxis]<\/em>, Pubmed. Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8759380\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/8759380\/<\/a><\/li>\n<li>B\u1ed9 Y T\u1ebf, V\u1ee5 Khoa h\u1ecdc &amp; \u0110\u00e0o t\u1ea1o. <em>Qu\u00e1 m\u1eabn<\/em>, Sinh l\u00fd b\u1ec7nh v\u00e0 mi\u1ec5n d\u1ecbch &#8211; Ph\u1ea7n Mi\u1ec5n d\u1ecbch h\u1ecdc (trang 104-118). Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>D\u1ecb \u1ee9ng l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i v\u1edbi nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 d\u1ecb \u1ee9ng r\u1ea5t \u0111a d\u1ea1ng. C\u00f3 ng\u01b0\u1eddi m\u1eafc d\u1ecb \u1ee9ng th\u1eddi ti\u1ebft, d\u1ecb \u1ee9ng r\u01b0\u1ee3u, d\u1ecb \u1ee9ng \u0111\u1ed3 \u0103n gi\u00e0u \u0111\u1ea1m hay c\u0169ng c\u00f3 ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh [&#8230;]\n","protected":false},"author":1,"featured_media":54888,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-54838","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\/54838","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=54838"}],"version-history":[{"count":1,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/54838\/revisions"}],"predecessor-version":[{"id":72464,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/54838\/revisions\/72464"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/54888"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=54838"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=54838"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=54838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}