{"id":119163,"date":"2025-05-16T16:51:47","date_gmt":"2025-05-16T09:51:47","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=119163"},"modified":"2025-12-23T13:26:06","modified_gmt":"2025-12-23T06:26:06","slug":"selec-200","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/selec-200\/","title":{"rendered":"SELEC 200"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y,<\/strong> <a href=\"https:\/\/vnras.com\/drug\/\"><strong>d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/strong><\/a><strong> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c<\/strong> <strong>SELEC 200 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Baroque Pharmaceuticals Pvt. Ltd.<\/strong><\/p>\n<h2>SELEC 200 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>M\u1ed7i vi\u00ean nang c\u1ee9ng <strong>Selec 200mg<\/strong> ch\u1ee9a:<\/p>\n<ul>\n<li>Ho\u1ea1t ch\u1ea5t: <strong>Celecoxib<\/strong> h\u00e0m l\u01b0\u1ee3ng 200mg<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: v\u1eeba \u0111\u1ee7 m\u1ed9t vi\u00ean<\/li>\n<\/ul>\n<figure id=\"attachment_119187\" aria-describedby=\"caption-attachment-119187\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-119187\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/05\/SELEC-200.jpg\" alt=\"SELEC 200 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/05\/SELEC-200.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/05\/SELEC-200-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/05\/SELEC-200-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/05\/SELEC-200-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-119187\" class=\"wp-caption-text\">SELEC 200 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/figcaption><\/figure>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: ch\u01b0a c\u1eadp nh\u1eadt<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u1ea4n \u0110\u1ed9<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c SELEC 200<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Celecoxib l\u00e0 m\u1ed9t thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3m vi\u00eam, gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng ch\u00ednh c\u1ee7a celecoxib l\u00e0 \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc enzym cyclooxygenase-2 (COX-2), t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p prostaglandin &#8211; m\u1ed9t ch\u1ea5t trung gian g\u00e2y vi\u00eam v\u00e0 \u0111au. \u1ede li\u1ec1u \u0111i\u1ec1u tr\u1ecb, celecoxib \u00edt t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn enzym cyclooxygenase-1 (COX-1), enzym c\u00f3 vai tr\u00f2 trong vi\u1ec7c b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 ch\u1ee9c n\u0103ng ti\u1ec3u c\u1ea7u. Trong c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt, celecoxib c\u0169ng cho th\u1ea5y kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u trong m\u00f4 h\u00ecnh ung th\u01b0 \u0111\u1ea1i tr\u00e0ng.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<h4>H\u1ea5p thu<\/h4>\n<p>Celecoxib \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1ed1t qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng sau kho\u1ea3ng 2 \u0111\u1ebfn 3 gi\u1edd sau khi u\u1ed1ng. Vi\u1ec7c d\u00f9ng thu\u1ed1c c\u00f9ng v\u1edbi th\u1ee9c \u0103n, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1eefa \u0103n gi\u00e0u ch\u1ea5t b\u00e9o, c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh h\u1ea5p thu kho\u1ea3ng 1 gi\u1edd.<\/p>\n<h4>Ph\u00e2n b\u1ed1<\/h4>\n<p>Kho\u1ea3ng 97% celecoxib sau khi h\u1ea5p thu s\u1ebd li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<h4>Chuy\u1ec3n h\u00f3a<\/h4>\n<p>C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a celecoxib kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh \u1ee9c ch\u1ebf COX-1 ho\u1eb7c COX-2.<\/p>\n<h4>Th\u1ea3i tr\u1eeb<\/h4>\n<p>Celecoxib ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua gan. D\u01b0\u1edbi 3% li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i trong ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u. Ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong c\u1ea3 ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u l\u00e0 m\u1ed9t d\u1eabn xu\u1ea5t acid carboxylic, chi\u1ebfm kho\u1ea3ng 73% li\u1ec1u \u0111\u00e3 d\u00f9ng.<\/p>\n<h2>Thu\u1ed1c SELEC 200 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Selec 200mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh tho\u00e1i h\u00f3a kh\u1edbp v\u00e0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p. Th\u00eam v\u00e0o \u0111\u00f3, thu\u1ed1c c\u00f2n \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au c\u1ea5p t\u00ednh v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng \u0111au b\u1ee5ng kinh nguy\u00ean ph\u00e1t.<\/p>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c SELEC 200<\/h2>\n<ul>\n<li>Tho\u00e1i h\u00f3a kh\u1edbp: Li\u1ec1u khuy\u1ebfn c\u00e1o th\u00f4ng th\u01b0\u1eddng l\u00e0 200mg m\u1ed7i ng\u00e0y, c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t l\u1ea7n duy nh\u1ea5t ho\u1eb7c chia th\u00e0nh hai l\u1ea7n u\u1ed1ng v\u1edbi li\u1ec1u l\u01b0\u1ee3ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng.<\/li>\n<li>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p: Li\u1ec1u th\u01b0\u1eddng d\u00f9ng l\u00e0 100mg \u0111\u1ebfn 200mg, u\u1ed1ng hai l\u1ea7n m\u1ed7i ng\u00e0y.<\/li>\n<li>\u0110au c\u1ea5p t\u00ednh v\u00e0 \u0111au b\u1ee5ng kinh: Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u01b0\u1eddng l\u00e0 400mg trong ng\u00e0y \u0111\u1ea7u ti\u00ean. Sau \u0111\u00f3, c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c d\u00f9ng li\u1ec1u 200mg m\u1ed7i ng\u00e0y, chia l\u00e0m hai l\u1ea7n n\u1ebfu c\u1ea7n thi\u1ebft.<\/li>\n<li>\u0110\u1ed1i t\u01b0\u1ee3ng l\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i: Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u00f9ng.<\/li>\n<li>B\u1ec7nh nh\u00e2n suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c gan: Do ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7, kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng Selec 200mg cho nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/li>\n<\/ul>\n<h2>C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c SELEC 200<\/h2>\n<p>U\u1ed1ng nguy\u00ean vi\u00ean nang c\u1ee9ng SELEC 200 v\u1edbi m\u1ed9t l\u01b0\u1ee3ng n\u01b0\u1edbc v\u1eeba \u0111\u1ee7. Th\u1eddi \u0111i\u1ec3m u\u1ed1ng thu\u1ed1c kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi b\u1eefa \u0103n \u0111\u1ed1i v\u1edbi li\u1ec1u 200mg m\u1ed7i ng\u00e0y. Tuy nhi\u00ean, khi s\u1eed d\u1ee5ng li\u1ec1u 400mg m\u1ed7i ng\u00e0y, n\u00ean u\u1ed1ng thu\u1ed1c c\u00f9ng v\u1edbi th\u1ee9c \u0103n \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng h\u1ea5p thu.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c SELEC 200 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<ul>\n<li>C\u00f3 ti\u1ec1n s\u1eed m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a SELEC 200.<\/li>\n<li>Suy tim n\u1eb7ng, suy th\u1eadn n\u1eb7ng, suy gan n\u1eb7ng, ho\u1eb7c m\u1eafc b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng.<\/li>\n<li>D\u1ecb \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c nh\u00f3m sulfonamid.<\/li>\n<li>C\u00f3 ti\u1ec1n s\u1eed hen suy\u1ec5n, n\u1ed5i m\u00e0y \u0111ay, ho\u1eb7c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi aspirin ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid kh\u00e1c.<\/li>\n<li>\u0110\u00e3 t\u1eebng c\u00f3 c\u00e1c ph\u1ea3n \u1ee9ng d\u1ea1ng s\u1ed1c ph\u1ea3n v\u1ec7 khi s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid.<\/li>\n<\/ul>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c SELEC 200<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>Celecoxib c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 ti\u00eau h\u00f3a nghi\u00eam tr\u1ecdng nh\u01b0 lo\u00e9t, th\u1ee7ng ho\u1eb7c ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao (ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, ng\u01b0\u1eddi \u0111ang d\u00f9ng NSAID kh\u00e1c, ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd ti\u00eau h\u00f3a). C\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng celecoxib chung v\u1edbi aspirin do c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 n\u00e0y.<\/li>\n<li>Celecoxib c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch, \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng \u1edf li\u1ec1u cao v\u00e0 k\u00e9o d\u00e0i. C\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd \u1edf b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch. Thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y gi\u1eef n\u01b0\u1edbc, ph\u00f9 v\u00e0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim, th\u1eadn ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng \u0111\u1ed3ng th\u1eddi celecoxib v\u1edbi warfarin ho\u1eb7c c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u kh\u00e1c c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd v\u1ec1 th\u1eddi gian prothrombin v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<h4>Th\u01b0\u1eddng g\u1eb7p<\/h4>\n<ul>\n<li>\u0110au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, \u1ee3 n\u00f3ng, c\u1ea3m gi\u00e1c \u0111\u1ea7y h\u01a1i, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, bu\u1ed3n n\u00f4n, n\u00f4n.<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u1ea3m l\u1ea1nh th\u00f4ng th\u01b0\u1eddng (ngh\u1eb9t m\u0169i, h\u1eaft h\u01a1i, \u0111au h\u1ecdng).<\/li>\n<li>S\u01b0ng \u1edf tay ho\u1eb7c ch\u00e2n.<\/li>\n<li>C\u1ea3m gi\u00e1c ch\u00f3ng m\u1eb7t.<\/li>\n<\/ul>\n<h4>Nghi\u00eam tr\u1ecdng<\/h4>\n<ul>\n<li>Xu\u1ea5t hi\u1ec7n ph\u00e1t ban tr\u00ean da (d\u00f9 \u1edf m\u1ee9c \u0111\u1ed9 n\u00e0o).<\/li>\n<li>C\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch: s\u01b0ng ph\u00f9, t\u0103ng c\u00e2n nhanh ch\u00f3ng, kh\u00f3 th\u1edf.<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y: ph\u00e2n c\u00f3 m\u00e1u ho\u1eb7c m\u00e0u \u0111en, ho ra m\u00e1u, n\u00f4n ra ch\u1ea5t l\u1ee3n c\u1ee3n nh\u01b0 b\u00e3 c\u00e0 ph\u00ea.<\/li>\n<li>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 gan: bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng (v\u00f9ng tr\u00ean b\u00ean ph\u1ea3i), ng\u1ee9a ng\u00e1y, m\u1ec7t m\u1ecfi, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u, v\u00e0ng da ho\u1eb7c v\u00e0ng m\u1eaft.<\/li>\n<li>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn: \u0111i ti\u1ec3u \u00edt h\u01a1n ho\u1eb7c kh\u00f4ng \u0111i ti\u1ec3u, s\u01b0ng \u1edf m\u1eaft c\u00e1 ch\u00e2n ho\u1eb7c b\u00e0n ch\u00e2n, m\u1ec7t m\u1ecfi, kh\u00f3 th\u1edf.<\/li>\n<li>Thi\u1ebfu m\u00e1u (s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u th\u1ea5p): da xanh xao, m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng, c\u1ea3m th\u1ea5y ch\u00f3ng m\u1eb7t ho\u1eb7c kh\u00f3 th\u1edf, ch\u00e2n tay l\u1ea1nh.<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<ul>\n<li>Celecoxib khi k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 h\u1ea1 huy\u1ebft \u00e1p.<\/li>\n<li>Khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi fluconazol, n\u00ean s\u1eed d\u1ee5ng celecoxib \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/li>\n<li>Celecoxib ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a b\u1edfi enzym cytochrom P450 isoenzym CYP2C9, do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ho\u1eb7c c\u1ea3m \u1ee9ng enzym n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 celecoxib trong m\u00e1u.<\/li>\n<li>Celecoxib c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf isoenzym CYP2D6, c\u00f3 th\u1ec3 g\u00e2y t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a b\u1edfi enzym n\u00e0y.<\/li>\n<li>Celecoxib c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng l\u1ee3i ti\u1ec3u c\u1ee7a furosemid v\u00e0 c\u00e1c thiazid do gi\u1ea3m b\u00e0i ti\u1ebft natri.<\/li>\n<li>C\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi v\u1edbi aspirin.<\/li>\n<li>Celecoxib c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 \u0111\u00e0o th\u1ea3i lithi qua th\u1eadn, d\u1eabn \u0111\u1ebfn t\u0103ng n\u1ed3ng \u0111\u1ed9 lithi trong huy\u1ebft t\u01b0\u01a1ng.<\/li>\n<li>\u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o v\u1ec1 c\u00e1c bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u v\u00e0 k\u00e9o d\u00e0i th\u1eddi gian prothrombin khi d\u00f9ng celecoxib c\u00f9ng v\u1edbi warfarin, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i.<\/li>\n<li>Vi\u1ec7c k\u1ebft h\u1ee3p celecoxib v\u1edbi ciclosporin ho\u1eb7c tacrolimus c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn, c\u1ea7n theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi.<\/li>\n<li>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi celecoxib v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) kh\u00e1c.<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<ul>\n<li>Ph\u1ee5 n\u1eef c\u00f3 thai: Ch\u1ec9 n\u00ean d\u00f9ng Selec 200mg khi l\u1ee3i \u00edch \u0111i\u1ec1u tr\u1ecb v\u01b0\u1ee3t tr\u1ed9i h\u01a1n nguy c\u01a1 ti\u1ec1m \u1ea9n cho thai nhi, v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng trong 3 th\u00e1ng cu\u1ed1i thai k\u1ef3.<\/li>\n<li>Ph\u1ee5 n\u1eef cho con b\u00fa: N\u00ean c\u00e2n nh\u1eafc gi\u1eefa vi\u1ec7c ng\u1eebng cho con b\u00fa ho\u1eb7c ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c do thu\u1ed1c c\u00f3 th\u1ec3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9.<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>Selec 200mg c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t v\u00e0 nh\u1ee9c \u0111\u1ea7u, do \u0111\u00f3 c\u1ea7n th\u1eadn tr\u1ecdng khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c trong th\u1eddi gian d\u00f9ng thu\u1ed1c.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng: C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p khi qu\u00e1 li\u1ec1u bao g\u1ed3m m\u1ec7t m\u1ecfi, bu\u1ed3n ng\u1ee7, n\u00f4n m\u1eeda, kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng b\u1ee5ng tr\u00ean. C\u00e1c tri\u1ec7u ch\u1ee9ng \u00edt g\u1eb7p h\u01a1n c\u00f3 th\u1ec3 l\u00e0 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn c\u1ea5p, suy h\u00f4 h\u1ea5p, h\u00f4n m\u00ea v\u00e0 ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7.<\/li>\n<li>X\u1eed tr\u00ed: Trong tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u, ch\u1ee7 y\u1ebfu \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3. C\u00f3 th\u1ec3 g\u00e2y n\u00f4n ho\u1eb7c s\u1eed d\u1ee5ng than ho\u1ea1t t\u00ednh (li\u1ec1u d\u00f9ng t\u00f9y theo \u0111\u1ed9 tu\u1ed5i v\u00e0 c\u00e2n n\u1eb7ng).<\/li>\n<\/ul>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1 thu\u1ed1c SELEC 200<\/h2>\n<p><a href=\"https:\/\/vnras.com\/drug\/renaxib-200\/\">Renaxib 200<\/a> c\u00f3 th\u00e0nh ph\u1ea7n Celecoxib 200mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m Fremed, \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng cho b\u1ec7nh nh\u00e2n b\u1ecb tho\u00e1i h\u00f3a kh\u1edbp, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Marco Krasselt, Christoph Baerwald. Celecoxib for the treatment of musculoskeletal arthritis, truy c\u1eadp ng\u00e0y 16 th\u00e1ng 05 n\u0103m 2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31339385\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31339385\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Selec 200mg c\u00f3 th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t Celecoxib h\u00e0m l\u01b0\u1ee3ng 200mg, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh tho\u00e1i h\u00f3a kh\u1edbp v\u00e0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n","protected":false},"author":1,"featured_media":119170,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-119163","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\/119163","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=119163"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/119170"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=119163"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=119163"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=119163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}