﻿{"id":9260,"date":"2019-05-07T13:05:55","date_gmt":"2019-05-07T06:05:55","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=9260"},"modified":"2019-05-09T13:06:24","modified_gmt":"2019-05-09T06:06:24","slug":"than-trong-khi-ke-don-va-cap-phat-san-pham-co-chua-levodopa","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/than-trong-khi-ke-don-va-cap-phat-san-pham-co-chua-levodopa\/","title":{"rendered":"Th\u1eadn tr\u1ecdng khi k\u00ea \u0111\u01a1n v\u00e0 c\u1ea5p ph\u00e1t s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a levodopa"},"content":{"rendered":"<h2>Medsafe: Th\u1eadn tr\u1ecdng khi k\u00ea \u0111\u01a1n v\u00e0 c\u1ea5p ph\u00e1t s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a levodopa (Bi\u1ec7t d\u01b0\u1ee3c l\u00e0 Madopar, Sinemet, Kinson, Syndopa).<\/h2>\n<p>Trung t\u00e2m C\u1ea3nh gi\u00e1c d\u01b0\u1ee3c New Zealand nh\u1eadn \u0111\u01b0\u1ee3c c\u00e1c b\u00e1o c\u00e1o li\u00ean quan \u0111\u1ebfn vi\u1ec7c thay \u0111\u1ed5i bi\u1ec7t d\u01b0\u1ee3c c\u00f3 ch\u1ee9a <strong>levodopa<\/strong> khi k\u00ea \u0111\u01a1n cho b\u1ec7nh nh\u00e2n. V\u00ec v\u1eady, Medsafe c\u1ea3nh b\u00e1o v\u1ec1 kh\u1ea3 n\u0103ng nh\u1ea7m l\u1eabn gi\u1eefa c\u00e1c thu\u1ed1c c\u00f3 ch\u1ee9a levodopa: Madopar (benserazid + levodopa), Sinemet (carbidopa + levodopa), Kinson (carbidopa + levodopa), Syndopa.<\/p>\n<figure id=\"attachment_9261\" aria-describedby=\"caption-attachment-9261\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9261\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/05\/levodopa.jpg\" alt=\"levodopa\" width=\"450\" height=\"450\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/levodopa.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/levodopa-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/levodopa-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/levodopa-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/levodopa-100x100.jpg 100w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-9261\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: C\u00f4ng th\u1ee9c c\u1ea5u t\u1ea1o c\u1ee7a levodopa<\/figcaption><\/figure>\n<p>C\u00e1c ch\u1ebf ph\u1ea9m c\u00f3 ch\u1ee9a levodopa \u0111a d\u1ea1ng v\u1ec1 h\u00e0m l\u01b0\u1ee3ng v\u00e0 d\u1ea1ng b\u00e0o ch\u1ebf, v\u00ec v\u1eady d\u1ec5 g\u00e2y nh\u1ea7m l\u1eabn, \u0111\u1eb7c bi\u1ec7t l\u00e0 cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>C\u00e1n b\u1ed9 y t\u1ebf c\u1ea7n th\u1eadn tr\u1ecdng h\u01a1n khi k\u00ea \u0111\u01a1n v\u00e0 c\u1ea5p ph\u00e1t c\u00e1c s\u1ea3n ph\u1ea9m n\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang thu\u1ed1c lo\u1ea1i thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c k\u00ea.<\/p>\n<h2>C\u00e1c s\u1ea3n ph\u1ea9m b\u1ecb \u1ea3nh h\u01b0\u1edfng<\/h2>\n<p>C\u00e1c s\u1ea3n ph\u1ea9m ch\u1ee9a levodopa \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb Parkinson. Nh\u1eefng ch\u1ebf ph\u1ea9m c\u00f3 ch\u1ee9a levodopa c\u00f3 th\u00e0nh ph\u1ea7n ph\u1ed1i h\u1ee3p, d\u1ea1ng b\u00e0o ch\u1ebf v\u00e0 h\u00e0m l\u01b0\u1ee3ng kh\u00e1c nhau, chi ti\u1ebft \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong B\u1ea3ng 1.<\/p>\n<figure id=\"attachment_3417\" aria-describedby=\"caption-attachment-3417\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3417\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/02\/thuoc_madopar.jpg\" alt=\"madopar\" width=\"450\" height=\"450\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/02\/thuoc_madopar.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/02\/thuoc_madopar-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/02\/thuoc_madopar-150x150.jpg 150w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/02\/thuoc_madopar-300x300.jpg 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/02\/thuoc_madopar-100x100.jpg 100w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-3417\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c Madopar<\/figcaption><\/figure>\n<p>Sinemet 25\/100 v\u00e0 Kinson \u0111\u1ec1u ch\u1ee9a carbidopa 25mg v\u00e0 levodopa 100mg. Trong c\u00e1c thu\u1ed1c ch\u1ee9a levodopa, Sinemet 25\/100 v\u00e0 Kinson l\u00e0 hai thu\u1ed1c duy nh\u1ea5t \u0111\u01b0\u1ee3c coi l\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng sinh h\u1ecdc. Tuy nhi\u00ean, c\u1ea7n h\u1ea1n ch\u1ebf vi\u1ec7c thay \u0111\u1ed5i t\u1eeb bi\u1ec7t d\u01b0\u1ee3c n\u00e0y sang bi\u1ec7t d\u01b0\u1ee3c kh\u00e1c kh\u00f4ng c\u1ea7n thi\u1ebft tr\u00ean b\u1ec7nh nh\u00e2n.<\/p>\n<figure id=\"attachment_9113\" aria-describedby=\"caption-attachment-9113\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9113\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/05\/sinemet_1.jpg\" alt=\"sinemet\" width=\"450\" height=\"450\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/sinemet_1.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/sinemet_1-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/sinemet_1-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/sinemet_1-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/05\/sinemet_1-100x100.jpg 100w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-9113\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c sinemet<\/figcaption><\/figure>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed7i b\u1ec7nh nh\u00e2n Parkinson, kho\u1ea3ng \u0111i\u1ec1u tr\u1ecb c\u1ee7a levodopa b\u1ecb thu h\u1eb9p d\u1ea7n theo th\u1eddi gian. Do \u0111\u00f3, nh\u1eefng b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i c\u00f3 nguy c\u01a1 g\u1eb7p bi\u1ebfn ch\u1ee9ng khi thay \u0111\u1ed5i bi\u1ec7t d\u01b0\u1ee3c. C\u1ea7n theo d\u00f5i th\u00eam tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n khi thay \u0111\u1ed5i bi\u1ec7t d\u01b0\u1ee3c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a vi\u1ec7c thay \u0111\u1ed5i thu\u1ed1c n\u00e0y tr\u00ean m\u1ed7i c\u00e1 nh\u00e2n.<\/p>\n<figure id=\"attachment_3059\" aria-describedby=\"caption-attachment-3059\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3059\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/01\/syndopa_gia-bao_nhieu.jpg\" alt=\"syndopa\" width=\"450\" height=\"450\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/01\/syndopa_gia-bao_nhieu.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/01\/syndopa_gia-bao_nhieu-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/01\/syndopa_gia-bao_nhieu-150x150.jpg 150w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/01\/syndopa_gia-bao_nhieu-300x300.jpg 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/01\/syndopa_gia-bao_nhieu-100x100.jpg 100w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-3059\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh:thu\u1ed1c syndopa<\/figcaption><\/figure>\n<table border=\"1\" width=\"624\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td colspan=\"4\"><strong>B\u1ea3ng 1: C\u00e1c s\u1ea3n ph\u1ea9m ch\u1ee9a benserazide + levodopa ho\u1eb7c carbidopa + levodopa<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">Benserazide + levodopa<\/td>\n<\/tr>\n<tr>\n<td>Bi\u1ec7t d\u01b0\u1ee3c<\/td>\n<td>D\u1ea1ng b\u00e0o ch\u1ebf<\/td>\n<td>H\u00e0m l\u01b0\u1ee3ng<\/td>\n<td>Nh\u00e0 s\u1ea3n xu\u1ea5t<\/td>\n<\/tr>\n<tr>\n<td>Madopar Rapid<\/td>\n<td>Vi\u00ean n\u00e9n ph\u00e2n t\u00e1n<\/td>\n<td>12.5mg\/50mg<\/td>\n<td rowspan=\"4\">Roche<\/td>\n<\/tr>\n<tr>\n<td>Madopar 62.5<\/td>\n<td>Vi\u00ean nang<\/td>\n<td>12.5mg\/50mg<\/td>\n<\/tr>\n<tr>\n<td>Madopar 125<\/td>\n<td>Vi\u00ean nang<\/td>\n<td>25mg\/100mg<\/td>\n<\/tr>\n<tr>\n<td>Madopar HBS<\/td>\n<td>Vi\u00ean nang t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i<\/td>\n<td>50mg\/200mg<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\"><strong>Carbidopa + levodopa<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Sinemet 25\/100<\/td>\n<td>Vi\u00ean n\u00e9n<\/td>\n<td>25mg\/100mg<\/td>\n<td rowspan=\"3\">Merck Sharp &amp; Dohme<\/td>\n<\/tr>\n<tr>\n<td>Sinemet 25\/250<\/td>\n<td>Vi\u00ean n\u00e9n<\/td>\n<td>25mg\/250mg<\/td>\n<\/tr>\n<tr>\n<td>Sinemet CR<\/td>\n<td>Vi\u00ean n\u00e9n t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i<\/td>\n<td>50mg\/200mg<\/td>\n<\/tr>\n<tr>\n<td>Kinson<\/td>\n<td>Vi\u00ean n\u00e9n<\/td>\n<td>25mg\/100mg<\/td>\n<td>Mylan<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Khuy\u1ebfn c\u00e1o cho b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c<\/h2>\n<p>Nh\u1eadn di\u1ec7n r\u00f5 bi\u1ec7t d\u01b0\u1ee3c (Madopar, Sinemet, Kinson) v\u1edbi ng\u01b0\u1eddi k\u00ea \u0111\u01a1n v\u00e0 d\u01b0\u1ee3c s\u0129.<\/p>\n<p>Ki\u1ec3m tra vi\u00ean n\u00e9n ho\u1eb7c vi\u00ean nang \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e1t \u1edf hi\u1ec7u thu\u1ed1c c\u00f3 quen thu\u1ed9c v\u1edbi m\u00ecnh kh\u00f4ng<\/p>\n<p>Li\u00ean h\u1ec7 v\u1edbi ng\u01b0\u1eddi k\u00ea \u0111\u01a1n ho\u1eb7c d\u01b0\u1ee3c s\u0129 c\u1ee7a b\u1ea1n n\u1ebfu b\u1ea1n th\u1ea5y b\u1ea5t k\u1ef3 s\u1ef1 thay \u0111\u1ed5i n\u00e0o trong vi\u1ec7c ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Li\u00ean h\u1ec7 v\u1edbi ng\u01b0\u1eddi k\u00ea \u0111\u01a1n ho\u1eb7c d\u01b0\u1ee3c s\u0129 c\u1ee7a b\u1ea1n n\u1ebfu b\u1ea1n g\u1eb7p b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n<h2>Th\u00f4ng tin cho c\u00e1n b\u1ed9 y t\u1ebf<\/h2>\n<p>H\u1ecfi t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 ki\u1ec3m tra h\u1ed3 s\u01a1 b\u1ec7nh nh\u00e2n khi k\u00ea \u0111\u01a1n v\u00e0 c\u1ea5p ph\u00e1t thu\u1ed1c c\u00f3 ch\u1ee9a levodopa, trong c\u00f3 \u0111\u00f3 t\u00ean s\u1ea3n ph\u1ea9m (Madopar, Sinemet, Kinson), d\u1ea1ng b\u00e0o ch\u1ebf v\u00e0 h\u00e0m l\u01b0\u1ee3ng.<\/p>\n<p>Ch\u1ec9 r\u00f5 h\u00ecnh d\u1ea1ng nh\u1eefng vi\u00ean thu\u1ed1c cho b\u1ec7nh nh\u00e2n\/ng\u01b0\u1eddi ch\u0103m s\u00f3c tr\u01b0\u1edbc khi h\u1ecd r\u1eddi kh\u1ecfi nh\u00e0 thu\u1ed1c\/qu\u1ea7y thu\u1ed1c<\/p>\n<p>Sinemet 25\/100 v\u00e0 Kinson l\u00e0 hai thu\u1ed1c duy nh\u1ea5t \u0111\u01b0\u1ee3c coi l\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng sinh h\u1ecdc. Tuy nhi\u00ean, c\u1ea7n h\u1ea1n ch\u1ebf vi\u1ec7c \u0111\u1ed5i thu\u1ed1c tr\u00ean b\u1ec7nh nh\u00e2n.<\/p>\n<p>C\u1ea7n theo d\u00f5i th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 s\u1ef1 thay \u0111\u1ed5i n\u00e0o gi\u1eefa Sinemet 25\/100 v\u00e0 Kinson \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c bi\u1ec7t \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c k\u00ea l\u00ean c\u00e1 nh\u00e2n \u0111\u00f3.<\/p>\n<p>Kinson \u0111\u00e3 \u0111\u01b0\u1ee3c Medsafe ch\u1ea5p thu\u1eadn l\u00e0 thu\u1ed1c generic cho Sinemet 25\/100 v\u00e0o n\u0103m 1994.<\/p>\n<p>Ngu\u1ed3n: <a href=\"https:\/\/www.medsafe.govt.nz\/safety\/Alerts\/Levodopa%20Containing%20Products.asp\" rel=\"noopener\">https:\/\/www.medsafe.govt.nz\/safety\/Alerts\/Levodopa%20Containing%20Products.asp<\/a><\/p>\n<p>Ng\u01b0\u1eddi t\u1ed5ng h\u1ee3p: V\u00f5 Th\u1ecb Th\u00f9y \u2013 Nguy\u1ec5n Ph\u01b0\u01a1ng Th\u00fay &#8211; Trung T\u00e2m C\u1ea3nh Gi\u00e1c D\u01b0\u1ee3c Qu\u1ed1c Gia.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medsafe: Th\u1eadn tr\u1ecdng khi k\u00ea \u0111\u01a1n v\u00e0 c\u1ea5p ph\u00e1t s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a levodopa (Bi\u1ec7t d\u01b0\u1ee3c l\u00e0 Madopar, Sinemet, Kinson, Syndopa). Trung t\u00e2m C\u1ea3nh gi\u00e1c d\u01b0\u1ee3c New Zealand nh\u1eadn \u0111\u01b0\u1ee3c c\u00e1c b\u00e1o c\u00e1o li\u00ean quan \u0111\u1ebfn vi\u1ec7c thay \u0111\u1ed5i bi\u1ec7t d\u01b0\u1ee3c c\u00f3 ch\u1ee9a levodopa khi k\u00ea \u0111\u01a1n cho b\u1ec7nh nh\u00e2n. V\u00ec v\u1eady, Medsafe c\u1ea3nh b\u00e1o [&#8230;]\n","protected":false},"author":1,"featured_media":9262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9260","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\/9260","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=9260"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/9260\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/9262"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=9260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=9260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=9260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}