{"id":113672,"date":"2025-04-03T14:46:00","date_gmt":"2025-04-03T07:46:00","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=113672"},"modified":"2025-07-24T13:16:55","modified_gmt":"2025-07-24T06:16:55","slug":"twynsta-80mg-5mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/twynsta-80mg-5mg\/","title":{"rendered":"Twynsta 80mg\/5mg"},"content":{"rendered":"<p><b>Trong b\u00e0i vi\u1ebft n\u00e0y, <\/b><a href=\"https:\/\/vnras.com\/drug\/\"><b>d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a><b> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m <a href=\"https:\/\/vnras.com\/drug\/twynsta-80mg-5mg\/\">thu\u1ed1c Twynsta 80mg\/5mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi M\/s Cipla Ltd., c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-18168-14.<\/b><\/p>\n<h2>Twynsta 80mg\/5mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p><b>Thu\u1ed1c u\u1ed1ng Twynsta 80mg\/5mg <\/b>g\u1ed3m c\u00e1c th\u00e0nh ph\u1ea7n sau:<\/p>\n<table>\n<tbody>\n<tr>\n<td>Th\u00e0nh ph\u1ea7n<\/td>\n<td>H\u00e0m l\u01b0\u1ee3ng<\/td>\n<\/tr>\n<tr>\n<td>Telmisartan<\/td>\n<td>80mg<\/td>\n<\/tr>\n<tr>\n<td>Amlodipin<\/td>\n<td>5mg<\/td>\n<\/tr>\n<tr>\n<td>T\u00e1 d\u01b0\u1ee3c<\/td>\n<td>V\u1eeba \u0111\u1ee7<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n.<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-16590-13.<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 14 v\u1ec9 x 7 vi\u00ean.<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u0110\u1ee9c.<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Twynsta 80mg\/5mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<table>\n<tbody>\n<tr>\n<td>Th\u00e0nh ph\u1ea7n<\/td>\n<td>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/td>\n<\/tr>\n<tr>\n<td>Telmisartan<\/td>\n<td>Telmisartan c\u00f3 t\u00ednh \u0111\u1ed1i kh\u00e1ng \u0111\u1eb7c hi\u1ec7u \u0111\u1ed1i v\u1edbi th\u1ee5 th\u1ec3 Angiotensin II. Thu\u1ed1c s\u1ebd chi\u1ebfm v\u1ecb tr\u00ed c\u1ee7a Angiotensin II, t\u1ea1o ra m\u1ed9t \u00e1i l\u1ef1c m\u1ea1nh v\u1edbi th\u1ee5 th\u1ec3 AT1. S\u1ef1 g\u1eafn k\u1ebft c\u1ee7a Telmisartan \u1edf th\u1ee5 th\u1ec3 AT1 c\u00f3 \u0111\u1eb7c t\u00ednh ch\u1ecdn l\u1ecdc v\u00e0 kh\u00f4ng th\u1ec3 hi\u1ec7n \u00e1i l\u1ef1c \u1edf th\u1ee5 th\u1ec3 AT kh\u00e1c, k\u1ec3 c\u1ea3 AT2.<\/p>\n<p>N\u1ed3ng \u0111\u1ed9 c\u1ee7a Aldosteron s\u1ebd gi\u1ea3m xu\u1ed1ng do t\u00e1c \u0111\u1ed9ng c\u1ee7a Telmisartan. M\u1eb7t kh\u00e1c, thu\u1ed1c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf kinase II v\u00e0 renin huy\u1ebft t\u01b0\u01a1ng.<\/td>\n<\/tr>\n<tr>\n<td>Amlodipin<\/td>\n<td>Amlodipin c\u1ea3n tr\u1ee3 s\u1ef1 di chuy\u1ec3n c\u1ee7a d\u00f2ng ion calci v\u00e0o b\u00ean trong c\u00e1c t\u1ebf b\u00e0o. N\u00f3 g\u00e2y \u1ee9c ch\u1ebf d\u00f2ng ion calci \u0111i v\u00e0o trong c\u01a1 tr\u01a1n m\u1ea1ch m\u00e1u v\u00e0 c\u01a1 tim.<\/p>\n<p>C\u01a1 ch\u1ebf ch\u1ed1ng huy\u1ebft \u00e1p t\u0103ng c\u1ee7a Amlodipin t\u1edbi t\u1eeb k\u1ebft qu\u1ea3 l\u00e0m gi\u00e3n c\u01a1 tr\u01a1n m\u1ea1ch m\u00e1u tr\u1ef1c ti\u1ebfp. T\u1eeb \u0111\u00f3 khi\u1ebfn kh\u00e1ng l\u1ef1c ngo\u1ea1i vi gi\u1ea3m v\u00e0 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<table>\n<tbody>\n<tr>\n<td>Th\u00e0nh ph\u1ea7n<\/td>\n<td>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/td>\n<\/tr>\n<tr>\n<td>Telmisartan<\/td>\n<td>H\u1ea5p thu Telmisartan di\u1ec5n ra nhanh, kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i c\u1ee7a n\u00f3 kho\u1ea3ng 50%.<\/p>\n<p>Tr\u00ean 99,5% g\u1eafn v\u00e0o protein huy\u1ebft t\u01b0\u01a1ng, ch\u1ee7 y\u1ebfu l\u00e0 v\u1edbi Alpha-1 Acid Glycoprotein v\u00e0 Albumin. Vss g\u1ea7n 500 l\u00edt.<\/p>\n<p>Chuy\u1ec3n h\u00f3a c\u1ee7a Telmisartan th\u00f4ng qua con \u0111\u01b0\u1eddng g\u1eafn k\u1ebft v\u1edbi glucuronid.<\/p>\n<p>Th\u1eddi gian b\u00e1n h\u1ee7y c\u1ee7a Telmisartan h\u01a1n 20 ti\u1ebfng. Thu\u1ed1c h\u1ea7u nh\u01b0 \u0111\u01b0\u1ee3c th\u1ea3i qua ph\u00e2n, ch\u1ee7 y\u1ebfu l\u00e0 d\u1ea1ng g\u1ed1c. Th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi 2% li\u1ec1u.<\/td>\n<\/tr>\n<tr>\n<td>Amlodipin<\/td>\n<td>Cmax c\u1ee7a Amlodipin c\u00f3 sau 6-12 ti\u1ebfng s\u1eed d\u1ee5ng, gi\u00e1 tr\u1ecb sinh kh\u1ea3 d\u1ee5ng t\u1eeb 64 t\u1edbi 80%. Th\u1ee9c \u0103n kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng cho sinh kh\u1ea3 d\u1ee5ng c\u1ee7a Amlodipin.<\/p>\n<p>Vd c\u1ee7a Amlodipin kho\u1ea3ng 21 l\u00edt\/kg, c\u00f3 kho\u1ea3ng 97,5% thu\u1ed1c Amlodipin \u1edf tu\u1ea7n ho\u00e0n g\u1eafn l\u00ean protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>C\u00f3 t\u1edbi 90% Amlodipin \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a \u1edf gan, t\u1ea1o ra s\u1ea3n ph\u1ea9m kh\u00f4ng ho\u1ea1t t\u00ednh.<\/p>\n<p>Th\u1ea3i tr\u1eeb c\u1ee7a Amlodipin \u1edf huy\u1ebft t\u01b0\u01a1ng th\u00f4ng qua 2 pha, th\u1eddi gian b\u00e1n h\u1ee7y kho\u1ea3ng 30 t\u1edbi 50 ti\u1ebfng. C\u00f3 kho\u1ea3ng 10% thu\u1ed1c g\u1ed1c c\u00f9ng v\u1edbi 60% d\u1ea1ng chuy\u1ec3n h\u00f3a th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Thu\u1ed1c Twynsta 80mg\/5mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Thu\u1ed1c Twynsta 80mg\/5mg ch\u1ec9 \u0111\u1ecbnh \u1edf tr\u01b0\u1eddng h\u1ee3p b\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n.<\/p>\n<figure id=\"attachment_113703\" aria-describedby=\"caption-attachment-113703\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-113703\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/thuoc-twynsta-80mg-5mg-9.jpg\" alt=\"Thu\u1ed1c Twynsta 80mg\/5mg \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/thuoc-twynsta-80mg-5mg-9.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/thuoc-twynsta-80mg-5mg-9-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/thuoc-twynsta-80mg-5mg-9-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/thuoc-twynsta-80mg-5mg-9-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-113703\" class=\"wp-caption-text\">Thu\u1ed1c Twynsta 80mg\/5mg \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n<\/figcaption><\/figure>\n<h2>C\u00e1ch d\u00f9ng v\u00e0 li\u1ec1u d\u00f9ng thu\u1ed1c Twynsta 80mg\/5mg<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p>N\u00ean u\u1ed1ng Twynsta m\u1ed7i ng\u00e0y 1 l\u1ea7n:<\/p>\n<ul>\n<li>Ch\u1eefa tr\u1ecb thay th\u1ebf: C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng Twynsta nh\u1eb1m thay th\u1ebf cho vi\u1ec7c d\u00f9ng ri\u00eang l\u1ebb Telmisartan v\u00e0 Amlodipin.<\/li>\n<li>Ch\u1eefa tr\u1ecb b\u1ed5 sung: D\u00f9ng khi m\u00e0 huy\u1ebft \u00e1p ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t ho\u00e0n to\u00e0n khi u\u1ed1ng Amlodipin ho\u1eb7c Telmisartan \u0111\u01a1n l\u1ebb. Ng\u01b0\u1eddi \u0111ang u\u1ed1ng 10mg Amlodipin g\u1eb7p ph\u1ea3i bi\u1ec3u hi\u1ec7n ph\u00f9 v\u00e0 kh\u00f4ng th\u1ec3 t\u0103ng th\u00eam li\u1ec1u th\u00ec c\u00f3 th\u1ec3 u\u1ed1ng Twynsta 40mg\/5mg, ng\u00e0y 1 vi\u00ean.<\/li>\n<li>Ch\u1eefa tr\u1ecb kh\u1edfi \u0111\u1ea7u: Th\u00f4ng th\u01b0\u1eddng kh\u1edfi \u0111\u1ea7u v\u1edbi 1 vi\u00ean Twynsta 40mg\/5mg. N\u1ebfu c\u1ea7n t\u00e1c \u0111\u1ed9ng m\u1ea1nh h\u01a1n th\u00ec u\u1ed1ng d\u1ea1ng Twynsta 80mg\/5mg, ng\u00e0y 1 vi\u00ean.<\/li>\n<\/ul>\n<p>C\u00f3 th\u1ec3 t\u0103ng t\u1edbi l\u01b0\u1ee3ng t\u1ed1i \u0111a l\u00e0 80mg\/10mg m\u1ed7i ng\u00e0y n\u1ebfu nh\u01b0 c\u1ea7n ph\u1ea3i h\u1ea1 huy\u1ebft \u00e1p th\u00eam sau \u00edt nh\u1ea5t 2 tu\u1ea7n ch\u1eefa tr\u1ecb.<\/p>\n<p>Ng\u01b0\u1eddi suy gan kh\u00f4ng n\u00ean u\u1ed1ng qu\u00e1 40mg Telmisartan m\u1ed7i ng\u00e0y.<\/p>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>C\u00f3 th\u1ec3 u\u1ed1ng Twynsta 80mg\/5mg c\u00f9ng thu\u1ed1c ch\u1ed1ng t\u0103ng \u00e1p kh\u00e1c, d\u00f9ng c\u00f9ng hay kh\u00f4ng c\u00f9ng v\u1edbi th\u1ee9c \u0103n.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng Twynsta 80mg\/5mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>D\u1ecb \u1ee9ng v\u1edbi Amlodipin, Telmisartan hay ph\u1ee5 li\u1ec7u c\u1ee7a Twynsta 80mg\/5mg.<\/p>\n<p>C\u00f3 b\u1ec7nh t\u1eafc ngh\u1ebdn \u1edf \u0111\u01b0\u1eddng m\u1eadt.<\/p>\n<p>S\u1ed1c tim.<\/p>\n<p>Ph\u1ee5 n\u1eef \u1edf giai \u0111o\u1ea1n 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i c\u1ee7a thai k\u1ef3.<\/p>\n<p>B\u00e0 m\u1eb9 \u0111ang nu\u00f4i con b\u00fa.<\/p>\n<p>B\u1ecb m\u1eafc suy gan n\u1eb7ng.<\/p>\n<p>B\u1ecb qu\u00e1 m\u1eabn \u0111\u1ed1i v\u1edbi nh\u1eefng d\u1eabn xu\u1ea5t c\u1ee7a dihydropyridin.<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Twynsta 80mg\/5mg<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>D\u00f9ng Twynsta th\u1eadn tr\u1ecdng tr\u00ean ng\u01b0\u1eddi c\u00f3 ch\u1ee9c n\u0103ng gan k\u00e9m.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng t\u1ee5t huy\u1ebft \u00e1p hay suy th\u1eadn n\u1eb7ng tr\u00ean ng\u01b0\u1eddi c\u00f3 h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn hai b\u00ean.<\/p>\n<p>N\u00ean ch\u00fa \u00fd \u0111\u00e1nh gi\u00e1 creatinin v\u00e0 kali huy\u1ebft thanh \u0111\u1ecbnh k\u1ef3 khi \u0111ang s\u1eed d\u1ee5ng Twynsta cho ng\u01b0\u1eddi b\u1ecb suy th\u1eadn.<\/p>\n<p>Tr\u01b0\u1edbc khi cho s\u1eed d\u1ee5ng Twynsta, n\u00ean ch\u1eefa tr\u1ecb t\u00ecnh tr\u1ea1ng suy gi\u1ea3m th\u1ec3 t\u00edch ho\u1eb7c gi\u1ea3m natri n\u1ebfu c\u00f3.<\/p>\n<p>M\u1eb7c d\u00f9 c\u00f3 th\u1ec3 d\u00f9ng v\u1edbi nh\u1eefng thu\u1ed1c ch\u1eefa huy\u1ebft \u00e1p cao kh\u00e1c, tuy nhi\u00ean khuy\u1ebfn c\u00e1o kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p phong b\u1ebf k\u00e9p h\u1ec7 RAA.<\/p>\n<p>\u1ede tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn hay tr\u01b0\u01a1ng l\u1ef1c m\u1ea1ch ph\u1ee5 thu\u1ed9c m\u1ea1nh v\u00e0o h\u1ec7 RAA th\u00ec vi\u1ec7c ch\u1eefa tr\u1ecb b\u1eb1ng thu\u1ed1c t\u00e1c \u0111\u1ed9ng t\u1edbi h\u1ec7 RAA c\u00f3 th\u1ec3 khi\u1ebfn thi\u1ec3u ni\u1ec7u, huy\u1ebft \u00e1p t\u1ee5t c\u1ea5p t\u00ednh, t\u0103ng nit\u01a1 m\u00e1u.<\/p>\n<p>Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng Telmisartan cho \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 aldosteron t\u0103ng nguy\u00ean ph\u00e1t.<\/p>\n<p>L\u01b0u \u00fd khi d\u00f9ng Twynsta cho tr\u01b0\u1eddng h\u1ee3p b\u1ecb h\u1eb9p van hai l\u00e1 ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 hay ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd c\u01a1 tim ph\u00ec \u0111\u1ea1i t\u1eafc ngh\u1ebdn.<\/p>\n<p>Khuy\u1ebfn c\u00e1o \u0111\u00e1nh gi\u00e1 Kali huy\u1ebft thanh tr\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1.<\/p>\n<p>Kh\u00f4ng d\u00f9ng Twynsta v\u1edbi tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 dung n\u1ea1p fructose.<\/p>\n<p>C\u1ea7n ph\u00e1t hi\u1ec7n c\u0169ng nh\u01b0 ch\u1eefa tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00ean ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u01b0\u1edbc khi u\u1ed1ng Twynsta.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>M\u1ed9t s\u1ed1 ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a Twynsta 80mg\/5mg nh\u01b0:<\/p>\n<ul>\n<li>\u0110\u00e1nh tr\u1ed1ng ng\u1ef1c, ho, ch\u00e0m, ng\u1ee9a, \u0111au l\u01b0ng, kh\u1edbp.<\/li>\n<li>\u0110i ti\u1ec3u \u0111\u00eam, cho\u00e1ng v\u00e1ng, d\u1ecb c\u1ea3m, run, \u0111au c\u01a1, chi, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng.<\/li>\n<li>Nh\u1ecbp tim ch\u1eadm, kh\u00f4 mi\u1ec7ng, ph\u00e1t ban, ch\u00f3ng m\u1eb7t, \u0111au nh\u1ee9c \u0111\u1ea7u, suy nh\u01b0\u1ee3c c\u01a1 th\u1ec3.<\/li>\n<li>T\u0103ng men gan hay acid uric huy\u1ebft.<\/li>\n<li>Kh\u00f3 ch\u1ecbu, kh\u00f3 ti\u00eau, bu\u1ed3n \u00f3i, lo\u1ea1n v\u1ecb gi\u00e1c, lo l\u1eafng, m\u1ea5t ng\u1ee7.<\/li>\n<li>Tr\u1ea7m c\u1ea3m, ph\u00f9, m\u1ec7t m\u1ecfi,&#8230;<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<table>\n<tbody>\n<tr>\n<td>Thu\u1ed1c<\/td>\n<td>T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n<tr>\n<td>C\u00e1c thu\u1ed1c ch\u1eefa huy\u1ebft \u00e1p cao kh\u00e1c, Amifostin v\u00e0 Baclofen<\/td>\n<td>T\u0103ng th\u00eam hi\u1ec7u qu\u1ea3 h\u1ea1 \u00e1p cho Twynsta<\/td>\n<\/tr>\n<tr>\n<td>Corticosteroid to\u00e0n th\u00e2n<\/td>\n<td>Khi\u1ebfn hi\u1ec7u l\u1ef1c h\u1ea1 \u00e1p c\u1ee7a Twynsta 80mg\/5mg suy gi\u1ea3m<\/td>\n<\/tr>\n<tr>\n<td>Ch\u1ea5t g\u00e2y nghi\u1ec7n, ch\u1ed1ng tr\u1ea7m c\u1ea3m, r\u01b0\u1ee3u hay barbiturat<\/td>\n<td>L\u00e0m t\u1ee5t huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng nghi\u00eam tr\u1ecdng<\/td>\n<\/tr>\n<tr>\n<td>Lithium<\/td>\n<td>C\u1ea7n ti\u1ebfn h\u00e0nh ki\u1ec3m so\u00e1t v\u00e0 theo d\u00f5i Lithium huy\u1ebft thanh n\u1ebfu ph\u1ed1i h\u1ee3p<\/td>\n<\/tr>\n<tr>\n<td>NSAID<\/td>\n<td>C\u00f3 kh\u1ea3 n\u0103ng l\u00e0m suy th\u1eadn c\u1ea5p t\u00ednh \u1edf ng\u01b0\u1eddi \u0111ang b\u1ecb m\u1ea5t n\u01b0\u1edbc v\u00e0 gi\u1ea3m hi\u1ec7u l\u1ef1c c\u1ee7a Telmisartan trong ch\u1ed1ng t\u0103ng \u00e1p<\/td>\n<\/tr>\n<tr>\n<td>B\u01b0\u1edfi<\/td>\n<td>Khuy\u1ebfn c\u00e1o kh\u00f4ng d\u00f9ng v\u1edbi Twynsta<\/td>\n<\/tr>\n<tr>\n<td>Ch\u1ea5t l\u00e0m \u1ee9c ch\u1ebf CYP3A4<\/td>\n<td>C\u00f3 th\u1ec3 t\u0103ng n\u1ed3ng \u0111\u1ed9 v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a Amlodipin<\/td>\n<\/tr>\n<tr>\n<td>Ch\u1ea5t c\u1ea3m \u1ee9ng v\u1edbi CYP3A4<\/td>\n<td>Khi\u1ebfn n\u1ed3ng \u0111\u1ed9 Amlodipin \u1edf huy\u1ebft t\u01b0\u01a1ng suy gi\u1ea3m<\/td>\n<\/tr>\n<tr>\n<td>Simvastatin<\/td>\n<td>C\u1ea7n ch\u00fa \u00fd gi\u1edbi h\u1ea1n li\u1ec1u l\u01b0\u1ee3ng Simvastatin trong m\u1ee9c li\u1ec1u 40mg m\u1ed7i ng\u00e0y<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho m\u1eb9 mang thai v\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<p>Kh\u00f4ng n\u00ean u\u1ed1ng Twynsta 80mg\/5mg n\u1ebfu \u1edf giai \u0111o\u1ea1n c\u00f3 con b\u00fa, 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i c\u1ee7a th\u1eddi k\u1ef3 mang thai.<\/p>\n<h3>L\u01b0u \u00fd s\u1eed d\u1ee5ng khi \u0111ang l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng b\u1edfi c\u00e1c nguy c\u01a1 nh\u01b0 cho\u00e1ng v\u00e1ng, ng\u1ea5t, ch\u00f3ng m\u1eb7t hay ng\u1ee7 g\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Bi\u1ec3u hi\u1ec7n qu\u00e1 li\u1ec1u Twynsta c\u00f3 th\u1ec3 li\u00ean quan v\u1edbi s\u1ef1 gia t\u0103ng t\u00e1c \u0111\u1ed9ng d\u01b0\u1ee3c l\u00fd. \u0110\u1eb7c tr\u01b0ng c\u1ee7a qu\u00e1 li\u1ec1u l\u01b0\u1ee3ng Telmisartan g\u1ed3m tim \u0111\u1eadp nhanh, huy\u1ebft \u00e1p t\u1ee5t. C\u00f2n v\u1edbi Amlodipin g\u1ed3m h\u1ea1 huy\u00eat \u00e1p to\u00e0n th\u00e2n, gi\u00e3n m\u1ea1ch ngo\u1ea1i vi qu\u00e1 m\u1ee9c.<\/p>\n<p>C\u1ea7n ch\u1eefa tr\u1ecb h\u1ed7 tr\u1ee3, kh\u1eafc ph\u1ee5c \u1ea3nh h\u01b0\u1edfng b\u1eb1ng vi\u1ec7c d\u00f9ng Calci gluconat qua t\u0129nh m\u1ea1ch.<\/p>\n<h2>Thu\u1ed1c Twynsta 80mg\/5mg gi\u00e1 bao nhi\u00eau? mua \u1edf \u0111\u00e2u?<\/h2>\n<p>Thu\u1ed1c Twynsta 80mg\/5mg hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, <b>gi\u00e1 thu\u1ed1c Twynsta 80mg\/5mg <\/b>c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p Twynsta 80mg\/5mg t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c s\u1ea3n ph\u1ea9m kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng v\u1edbi Twynsta 80mg\/5mg nh\u01b0:<\/p>\n<ul>\n<li><a href=\"https:\/\/vnras.com\/drug\/twynsta\/\">Twynsta 40mg\/5mg<\/a>: Bao g\u1ed3m Amlodipin v\u00e0 Telmisartan v\u1edbi h\u00e0m l\u01b0\u1ee3ng l\u00e0 4mg v\u00e0 40mg, d\u00f9ng ch\u1eefa huy\u1ebft \u00e1p t\u0103ng v\u00f4 c\u0103n. S\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c Boehringer Ingelheim s\u1ea3n xu\u1ea5t, gi\u00e1 dao \u0111\u1ed9ng t\u1eeb 2.950.000-3.500.000 \u0111\u1ed3ng.<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/telmisartan-40mg-and-amlodipine-5mg-tablets\/\">Telmisartan 40mg and Amlodipine 5mg tablets Evertogen<\/a>: Gi\u00fap ch\u1eefa tr\u1ecb huy\u1ebft \u00e1p cao v\u00f4 c\u0103n nh\u1edd c\u00e1c th\u00e0nh ph\u1ea7n Amlodipin 5mg v\u00e0 Telmisartan 40mg. S\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c Evertogen Life Sciences Limited s\u1ea3n xu\u1ea5t, gi\u00e1 dao \u0111\u1ed9ng t\u1eeb 450.000-600.000 \u0111\u1ed3ng.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng do C\u1ee5c qu\u1ea3n l\u00fd D\u01b0\u1ee3c ph\u00ea duy\u1ec7t. T\u1ea3i v\u1ec1 pdf <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/huong-dan-su-dung-thuoc-twynsta-80mg-5mg-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/li>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t cung c\u1ea5p. T\u1ea3i v\u1ec1 pdf<a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/04\/huong-dan-su-dung-thuoc-twynsta-80mg-5mg-vnras-1.pdf\"> t\u1ea1i \u0111\u00e2y<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Twynsta 80mg\/5mg c\u00f3 ch\u1ee9a hai ho\u1ea1t ch\u1ea5t Telmisartan 80mg v\u00e0 Amlodipin 5mg. Thu\u1ed1c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n.<\/p>\n","protected":false},"author":1,"featured_media":113696,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-113672","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product\/113672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"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=113672"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/113696"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=113672"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=113672"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=113672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}