{"id":11363,"date":"2019-06-21T10:11:36","date_gmt":"2019-06-21T03:11:36","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?post_type=product&p=11363"},"modified":"2025-07-24T14:45:46","modified_gmt":"2025-07-24T07:45:46","slug":"meseca","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/meseca\/","title":{"rendered":"Meseca\u00a0"},"content":{"rendered":"

Trong b\u00e0i vi\u1ebft n\u00e0y,\u00a0nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng<\/a>\u00a0gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m\u00a0thu\u1ed1c\u00a0Meseca<\/a><\/strong>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n t\u1eadp \u0111o\u00e0n Merap, s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh s\u1ea3n ph\u1ea9m t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-23880-15, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n t\u1eadp \u0111o\u00e0n Merap<\/p>\n

Meseca l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n

Thu\u1ed1c Meseca<\/strong>\u00a0l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0\u00a0fluticason propionat v\u1edbi h\u00e0m l\u01b0\u1ee3ng 50mcg, ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 t\u00e1 d\u01b0\u1ee3c kh\u00e1c th\u00eam v\u00e0o v\u1eeba \u0111\u1ee7 1 li\u1ec1u 0.05ml.<\/p>\n

D\u1ea1ng b\u00e0o ch\u1ebf: d\u1ea1ng l\u1ecd x\u1ecbt<\/p>\n

Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: M\u1ed7i h\u1ed9p thu\u1ed1c Meseca c\u00f3 1 l\u1ecd, m\u1ed7i l\u1ecd g\u1ed3m 60 li\u1ec1u x\u1ecbt.<\/p>\n

B\u1ea3o qu\u1ea3n thu\u1ed1c Meseca \u1edf nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30 \u0111\u1ed9 C, tr\u00e1nh \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi chi\u1ebfu tr\u1ef1c ti\u1ebfp, \u0111\u1ec3 xa t\u1ea7m v\u1edbi c\u1ee7a tr\u1ebb em.<\/p>\n

\"C\u00f4ng<\/a>
C\u00f4ng d\u1ee5ng c\u1ee7a Meseca<\/figcaption><\/figure>\n

Thu\u1ed1c\u00a0Meseca gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n

Thu\u1ed1c Meseca<\/strong> gi\u00e1 98.000 \u0111\u1ed3ng 1 h\u1ed9p b\u00e1n t\u1ea1i nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng, ch\u00fang t\u00f4i giao h\u00e0ng to\u00e0n qu\u1ed1c.<\/p>\n

K\u00ednh m\u1eddi qu\u00fd kh\u00e1ch xem th\u00eam m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m kh\u00e1c t\u1ea1i nh\u00e0 thu\u1ed1c c\u1ee7a ch\u00fang t\u00f4i c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng:<\/p>\n

thu\u1ed1c\u00a0Tienam<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ea1i Merck & Co. Inc – M\u1ef8<\/p>\n

thu\u1ed1c\u00a0Bambec<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ea1i c\u00f4ng ty AstraZeneca A.B, Th\u1ee5y \u0110i\u1ec3n<\/p>\n

thu\u1ed1c\u00a0Cialis<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ea1i c\u00f4ng ty Eli Lilly Pharma<\/p>\n

Thu\u1ed1c Meseca c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/h2>\n

Thu\u1ed1c Meseca \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb:<\/p>\n

– \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng vi\u00eam m\u0169i d\u1ecb \u1ee9ng do c\u00e1c t\u00e1c nh\u00e2n theo m\u00f9a ho\u1eb7c c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u0169i d\u1ecb \u1ee9ng quanh n\u0103m.<\/p>\n

– Gi\u1ea3m thi\u1ec3u tri\u1ec7u ch\u1ee9ng \u0111au nh\u1ee9c m\u0169i, xoang, \u0111au nh\u1ee9c tr\u00e1n ho\u1eb7c c\u0103ng xoang trong do vi\u00eam m\u0169i d\u1ecb \u1ee9ng.<\/p>\n

Li\u1ec1u d\u00f9ng v\u00e0 C\u00e1ch d\u00f9ng thu\u1ed1c Meseca nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

Thu\u1ed1c Meseca \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng x\u1ecbt, c\u1ea7n \u0111i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t 3 \u2013 4 ng\u00e0y m\u1edbi c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 v\u1edbi li\u1ec1u l\u01b0\u1ee3ng khuy\u1ebfn c\u00e1o nh\u01b0 sau:<\/p>\n

– Li\u1ec1u d\u00f9ng d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 12 tu\u1ed5i:\u00a0m\u1ed7i b\u00ean m\u0169i x\u1ecbt 2 l\u1ea7n; ch\u1ec9 c\u1ea7n x\u1ecbt m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng. N\u1ebfu t\u00ecnh tr\u1ea1ng qu\u00e1 n\u1eb7ng th\u00ec c\u00f3 th\u1ec3 x\u1ecbt g\u1ea5p \u0111\u00f4i li\u1ec1u th\u00f4ng th\u01b0\u1eddng.<\/p>\n

Tuy nhi\u00ean kh\u00f4ng n\u00ean x\u1ecbt 4 li\u1ec1u cho 1 b\u00ean m\u0169i.<\/p>\n

– Li\u1ec1u d\u00f9ng d\u00e0nh cho tr\u1ebb em t\u1eeb 4 – 12 tu\u1ed5i:\u00a0m\u1ed7i b\u00ean m\u0169i x\u1ecbt 1 li\u1ec1u; ch\u1ec9 c\u1ea7n x\u1ecbt 1 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng. T\u00ecnh tr\u1ea1ng b\u1ec7nh n\u1eb7ng c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc g\u1ea5p \u0111\u00f4i li\u1ec1u d\u00f9ng th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean kh\u00f4ng n\u00ean x\u1ecbt qu\u00e1 2 li\u1ec1u \u1edf 1 b\u00ean m\u0169i.<\/p>\n

Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Meseca khi n\u00e0o?<\/h2>\n

– Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Meseca cho ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c<\/p>\n

Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Meseca<\/h2>\n

– \u0110\u1ec1 ph\u00f2ng c\u00f3 th\u1ec3 x\u1ea3y ra nhi\u1ec5m khu\u1ea9n t\u1ea1i ch\u1ed7: do trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng b\u1ec7nh nh\u00e2n v\u1ec7 sinh kh\u00f4ng k\u0129, ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ph\u00e1t sinh nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng m\u0169i<\/p>\n

– Theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n chuy\u1ec3n t\u1eeb \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c steroid to\u00e0n th\u00e2n sang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Meseca.<\/p>\n

– Theo d\u00f5i bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ed9i ch\u1ee9ng Cushing v\u00e0 t\u00ecnh tr\u1ea1ng suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u01b0\u1ee3ng th\u1eadn \u1edf b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb c\u00f9ng l\u00fac Meseca v\u00e0 ritonavir.<\/p>\n

– \u0110\u1ec1 ph\u00f2ng nhi\u1ec5m n\u1ea5m sau khi d\u00f9ng thu\u1ed1c trong 1 th\u1eddi gian d\u00e0i. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nhi\u1ec5m n\u1ea5m candida, khi \u0111\u00f3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 t\u1ea1i ch\u1ed7 ho\u1eb7c to\u00e0n th\u00e2n cho b\u1ec7nh nh\u00e2n.<\/p>\n

– S\u00e0ng l\u1ecdc b\u1ec7nh lao th\u1ec3 \u1ea9n ho\u1eb7c lao ho\u1ea1t \u0111\u1ed9ng khi d\u00f9ng thu\u1ed1c.<\/p>\n

– thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm th\u1eddi gian l\u00e0nh v\u1ebft th\u01b0\u01a1ng do \u0111\u00f3 kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c \u1edf n\u01a1i c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf, m\u1edbi ph\u1eabu thu\u1eadt m\u0169i\u2026<\/p>\n

– C\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ng\u1eebng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c.<\/p>\n

T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n khi s\u1eed d\u1ee5ng thu\u1ed1c Meseca<\/h2>\n

Fluticason propionat \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 th\u00e0nh ph\u1ea7n \u00edt g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 g\u00e2y d\u1ecb \u1ee9ng ho\u1eb7c k\u00edch \u1ee9ng t\u1ea1i ch\u1ed7 nh\u01b0 c\u00e1c corticosteroid kh\u00e1c.<\/p>\n

– T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p, ADR > 1\/100<\/p>\n

+ Tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: t\u1eafc m\u0169i, s\u1ed5 m\u0169i, ng\u1ee9a m\u0169i, r\u00e1t ni\u00eam m\u1ea1c m\u0169i, ch\u1ea3y m\u00e1u m\u0169i ho\u1eb7c c\u00f3 l\u1eabn m\u00e1u trong d\u1ecbch ti\u1ebft m\u0169i; vi\u00eam h\u1ecdng.<\/p>\n

+ T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c: g\u00e2y \u0111au nh\u1ee9c \u0111\u1ea7u, nh\u1ea1y c\u1ea3m v\u1edbi m\u00f9i v\u00e0 v\u1ecb.<\/p>\n

– T\u00e1c d\u1ee5ng ph\u1ee5 \u00edt g\u1eb7p, 1\/1000 < ADR < 1\/100<\/p>\n

+ Tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: s\u1ed5 m\u0169i, ch\u1ea3y n\u01b0\u1edbc m\u0169i, kh\u00f4 m\u0169i; lo\u00e9t ni\u00eam m\u1ea1c m\u0169i; vi\u00eam xoang, vi\u00eam ph\u1ebf qu\u1ea3n.<\/p>\n

+ T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c: c\u00e1c b\u1ec7nh l\u00fd \u1edf m\u1eaft, ch\u00f3ng m\u1eb7t, n\u00f4n m\u1eeda, m\u1ea9n ng\u1ee9a, m\u1ec1 \u0111ay.<\/p>\n

– T\u00e1c d\u1ee5ng ph\u1ee5 hi\u1ebfm g\u1eb7p, ADR < 1\/1000<\/p>\n

+ Tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: c\u00f3 th\u1ec3 nhi\u1ec5m n\u1ea5m Candida sau vai th\u00e1ng \u0111i\u1ec1u tr\u1ecb; ch\u1ee9ng co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n

+ T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c: b\u1ec7nh l\u00fd \u1edf m\u1eaft nh\u01b0 glocom, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3.<\/p>\n

B\u1ec7nh nh\u00e2n c\u1ea7n th\u00f4ng b\u00e1o ngay cho b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c Meseca.<\/p>\n

Ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c c\u00f3 d\u00f9ng thu\u1ed1c Meseca \u0111\u01b0\u1ee3c kh\u00f4ng?<\/h2>\n

Thu\u1ed1c Meseca c\u00f3 th\u1ec3 d\u00f9ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n

Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa c\u00f3 d\u00f9ng thu\u1ed1c Meseca \u0111\u01b0\u1ee3c kh\u00f4ng?<\/h2>\n

Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Meseca cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa. D\u00f9 ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u ch\u00ednh x\u00e1c v\u1ec1 t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c l\u00ean thai nhi nh\u01b0ng n\u00ean c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 khi d\u00f9ng thu\u1ed1c. T\u1ed1t nh\u1ea5t n\u00ean h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 n\u1ebfu mu\u1ed1n c\u00e2n nh\u1eafc d\u00f9ng cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/p>\n

T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/h2>\n

– Ritonavir g\u00e2y t\u0103ng n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u, g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 h\u1ed9i ch\u1ee9ng Cushing, suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u01b0\u1ee3ng th\u1eadn.<\/p>\n

– Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng l\u00fac v\u1edbi c\u00e1c thu\u1ed1c ketoconazol, erythromycin.<\/p>\n

Qu\u00e1 li\u1ec1u, qu\u00ean li\u1ec1u v\u00e0 c\u00e1ch x\u1eed tr\u00ed<\/h2>\n

Tri\u1ec7u ch\u1ee9ng: Khi u\u1ed1ng qu\u00e1 li\u1ec1u thu\u1ed1c, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn, gan ho\u1eb7c g\u1eb7p m\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n gi\u1ed1ng v\u1edbi t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a thu\u1ed1c.<\/p>\n

X\u1eed tr\u00ed: Theo d\u00f5i n\u1ebfu c\u00e1c bi\u1ec3u hi\u1ec7n nh\u1eb9; tuy nhi\u00ean n\u00ean \u0111\u1ec1 ph\u00f2ng v\u00ec s\u1ed1c ph\u1ea3n v\u1ec7 th\u01b0\u1eddng c\u00f3 di\u1ec5n bi\u1ebfn r\u1ea5t nhanh. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n s\u1edbm \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed an to\u00e0n.<\/p>\n

Qu\u00ean li\u1ec1u: N\u1ebfu li\u1ec1u qu\u00ean ch\u01b0a c\u00e1ch qu\u00e1 xa li\u1ec1u d\u00f9ng \u0111\u00fang th\u00ec b\u1ec7nh nh\u00e2n n\u00ean u\u1ed1ng b\u1ed5 sung ngay li\u1ec1u \u0111\u00f3. Trong tr\u01b0\u1eddng h\u1ee3p th\u1eddi gian b\u1ecf li\u1ec1u \u0111\u00e3 qu\u00e1 l\u00e2u th\u00ec b\u1ec7nh nh\u00e2n n\u00ean u\u1ed1ng li\u1ec1u ti\u1ebfp theo nh\u01b0 b\u00ecnh th\u01b0\u1eddng v\u00e0 duy tr\u00ec ti\u1ebfp t\u1ee5c.<\/p>\n

Kh\u00f4ng n\u00ean b\u1ecf li\u1ec1u qu\u00e1 2 l\u1ea7n li\u00ean ti\u1ebfp.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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