﻿{"id":124597,"date":"2025-06-25T11:21:11","date_gmt":"2025-06-25T04:21:11","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=124597"},"modified":"2025-07-24T11:47:59","modified_gmt":"2025-07-24T04:47:59","slug":"medlon-4","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/medlon-4\/","title":{"rendered":"Medlon 4"},"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>Medlon 4 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 Ph\u1ea7n D\u01b0\u1ee3c H\u1eadu Giang \u2013 Chi nh\u00e1nh nh\u00e0 m\u00e1y d\u01b0\u1ee3c ph\u1ea9m DHG t\u1ea1i H\u1eadu Giang, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-21783-14.<\/strong><\/p>\n<h2>Medlon 4 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p><strong>Medlon 4<\/strong> l\u00e0 thu\u1ed1c vi\u00ean n\u00e9n bao phim, ch\u1ee9a ho\u1ea1t ch\u1ea5t <strong>Methylprednisolone<\/strong> 4mg.<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-21783-14<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: h\u1ed9p 10 v\u1ec9 x 10 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n<figure id=\"attachment_124601\" aria-describedby=\"caption-attachment-124601\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-124601\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Medlon-4.jpg\" alt=\"Medlon 4 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng vi\u00eam, d\u1ecb \u1ee9ng\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Medlon-4.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Medlon-4-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Medlon-4-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Medlon-4-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-124601\" class=\"wp-caption-text\">Medlon 4 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng vi\u00eam, d\u1ecb \u1ee9ng<\/figcaption><\/figure>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Medlon 4<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Methylprednisolone ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n s\u1ef1 gi\u1ea3i ph\u00f3ng c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam trong c\u01a1 th\u1ec3. C\u01a1 ch\u1ebf ch\u00ednh bao g\u1ed3m vi\u1ec7c li\u00ean k\u1ebft v\u1edbi th\u1ee5 th\u1ec3 glucocorticoid n\u1ed9i b\u00e0o, t\u1eeb \u0111\u00f3 \u0111i\u1ec1u h\u00f2a bi\u1ec3u hi\u1ec7n gen, d\u1eabn \u0111\u1ebfn:<\/p>\n<ul>\n<li>Gi\u1ea3m s\u1ef1 gi\u00e3n m\u1ea1ch v\u00e0 t\u00ednh th\u1ea5m mao m\u1ea1ch.<\/li>\n<li>\u1ee8c ch\u1ebf phospholipase A2, l\u00e0m gi\u1ea3m h\u00ecnh th\u00e0nh c\u00e1c d\u1eabn xu\u1ea5t c\u1ee7a axit arachidonic (ch\u1ea5t g\u00e2y vi\u00eam).<\/li>\n<li>\u1ee8c ch\u1ebf c\u00e1c y\u1ebfu t\u1ed1 phi\u00ean m\u00e3 g\u00e2y vi\u00eam nh\u01b0 NF-Kappa B.<\/li>\n<li>H\u1ea1n ch\u1ebf s\u1ef1 t\u1eadp trung c\u1ee7a b\u1ea1ch c\u1ea7u t\u1ea1i \u1ed5 vi\u00eam.<\/li>\n<li>K\u00edch ho\u1ea1t bi\u1ec3u hi\u1ec7n gen ch\u1ed1ng vi\u00eam, v\u00ed d\u1ee5 interleukin-10.<\/li>\n<\/ul>\n<p>\u1ede li\u1ec1u th\u1ea5p, Methylprednisolone c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, trong khi \u1edf li\u1ec1u cao h\u01a1n, n\u00f3 c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<ul>\n<li>H\u1ea5p thu: Methylprednisolone \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng qua \u0111\u01b0\u1eddng u\u1ed1ng, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 1.5 &#8211; 2.3 gi\u1edd sau khi d\u00f9ng. Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i kho\u1ea3ng 82% &#8211; 89%.<\/li>\n<li>Ph\u00e2n b\u1ed1: Thu\u1ed1c ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i trong c\u00e1c m\u00f4, c\u00f3 kh\u1ea3 n\u0103ng qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o v\u00e0 ti\u1ebft v\u00e0o s\u1eefa m\u1eb9. Kho\u1ea3ng 77% Methylprednisolone li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/li>\n<li>Chuy\u1ec3n h\u00f3a: Ch\u1ee7 y\u1ebfu t\u1ea1i gan b\u1edfi enzym CYP3A4 th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<li>Th\u1ea3i tr\u1eeb: Methylprednisolone v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u. Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh kho\u1ea3ng 1.8 &#8211; 5.2 gi\u1edd.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Medlon 4 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Medlon 4 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ho\u1ea1t t\u00ednh glucocorticoid nh\u01b0:<\/p>\n<ul>\n<li>R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft: Suy v\u1ecf th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t v\u00e0 th\u1ee9 ph\u00e1t, t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh.<\/li>\n<li>R\u1ed1i lo\u1ea1n th\u1ea5p kh\u1edbp: Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p (c\u1ea5p v\u00e0 m\u00e3n t\u00ednh), vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp.<\/li>\n<li>B\u1ec7nh collagen (b\u1ec7nh h\u1ec7 th\u1ed1ng): Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, vi\u00eam da c\u01a1 to\u00e0n th\u00e2n, s\u1ed1t th\u1ea5p kh\u1edbp k\u00e8m vi\u00eam tim n\u1eb7ng, vi\u00eam \u0111\u1ed9ng m\u1ea1ch t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3.<\/li>\n<li>B\u1ec7nh da li\u1ec5u: B\u1ec7nh Pemphigus Vulgaris.<\/li>\n<li>B\u1ec7nh l\u00fd ti\u00eau h\u00f3a: Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, b\u1ec7nh Crohn.<\/li>\n<li>B\u1ec7nh d\u1ecb \u1ee9ng: Vi\u00eam m\u0169i d\u1ecb \u1ee9ng n\u1eb7ng theo m\u00f9a v\u00e0 quanh n\u0103m, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c, b\u1ec7nh huy\u1ebft thanh, vi\u00eam da ti\u1ebfp x\u00fac d\u1ecb \u1ee9ng, hen ph\u1ebf qu\u1ea3n, s\u1ed1c ph\u1ea3n v\u1ec7.<\/li>\n<li>B\u1ec7nh nh\u00e3n khoa: Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o tr\u01b0\u1edbc v\u00e0 sau, vi\u00eam th\u1ea7n kinh th\u1ecb gi\u00e1c.<\/li>\n<li>B\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: B\u1ec7nh Sarcoid ph\u1ed5i, lao ph\u1ed5i th\u1ec3 lan t\u1ecfa ho\u1eb7c b\u00f9ng ph\u00e1t (d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi h\u00f3a tr\u1ecb kh\u00e1ng lao), vi\u00eam ph\u1ed5i h\u00edt.<\/li>\n<li>R\u1ed1i lo\u1ea1n huy\u1ebft h\u1ecdc: Xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00f4 c\u0103n \u1edf ng\u01b0\u1eddi l\u1edbn, thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft (t\u1ef1 mi\u1ec5n), gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t.<\/li>\n<li>B\u1ec7nh ung th\u01b0: B\u1ec7nh b\u1ea1ch c\u1ea7u (c\u1ea5p t\u00ednh v\u00e0 b\u1ea1ch huy\u1ebft), u lympho \u00e1c t\u00ednh, ung th\u01b0 v\u00fa, ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/li>\n<li>C\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c: H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 nguy\u00ean ph\u00e1t, lao m\u00e0ng n\u00e3o (khi d\u00f9ng \u0111\u1ed3ng th\u1eddi h\u00f3a tr\u1ecb li\u1ec7u ch\u1ed1ng lao), c\u1ea5y gh\u00e9p t\u1ea1ng.<\/li>\n<\/ul>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Medlon 4<\/h2>\n<table width=\"602\">\n<tbody>\n<tr>\n<td width=\"301\">\u0110\u1ed1i t\u01b0\u1ee3ng \/ Ch\u1ec9 \u0111\u1ecbnh<\/td>\n<td width=\"301\">Li\u1ec1u d\u00f9ng<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">C\u01a1n hen c\u1ea5p t\u00ednh<\/td>\n<td width=\"301\">32 &#8211; 48 mg\/ng\u00e0y trong 5 ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/td>\n<td width=\"301\">\u0110\u1ee3t c\u1ea5p t\u00ednh: 16 &#8211; 32 mg\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">\u0110\u1ee3t c\u1ea5p t\u00ednh vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng m\u00e3n t\u00ednh<\/td>\n<td width=\"301\">8 &#8211; 24 mg\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft do mi\u1ec5n d\u1ecbch<\/td>\n<td width=\"301\">64 mg\/ng\u00e0y, \u00edt nh\u1ea5t 6 &#8211; 8 tu\u1ea7n<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p (li\u1ec1u duy tr\u00ec)<\/td>\n<td width=\"301\">4 &#8211; 8 mg\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/td>\n<td width=\"301\">20 &#8211; 100 mg\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">C\u1ea5y gh\u00e9p n\u1ed9i t\u1ea1ng<\/td>\n<td width=\"301\">L\u00ean \u0111\u1ebfn 3.6 mg\/kg\/ng\u00e0y<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Medlon 4<\/h2>\n<p>Thu\u1ed1c Medlon 4 \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng. Nu\u1ed1t nguy\u00ean vi\u00ean v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc. Kh\u00f4ng t\u1ef1 \u00fd t\u0103ng ho\u1eb7c gi\u1ea3m li\u1ec1u hay k\u00e9o d\u00e0i th\u1eddi gian s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Medlon 4 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<ul>\n<li>Qu\u00e1 m\u1eabn v\u1edbi Methylprednisolone ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c Medlon 4.<\/li>\n<li>Nhi\u1ec5m khu\u1ea9n n\u1eb7ng to\u00e0n th\u00e2n (tr\u1eeb s\u1ed1c nhi\u1ec5m khu\u1ea9n v\u00e0 lao m\u00e0ng n\u00e3o khi d\u00f9ng k\u00e8m h\u00f3a tr\u1ecb li\u1ec7u th\u00edch h\u1ee3p).<\/li>\n<li>\u0110ang s\u1eed d\u1ee5ng v\u1eafc-xin virus s\u1ed1ng ho\u1eb7c v\u1eafc-xin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m n\u1ea5m to\u00e0n th\u00e2n.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng da do nhi\u1ec5m tr\u00f9ng (virus, n\u1ea5m, lao).<\/li>\n<\/ul>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Medlon 4<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>Nhi\u1ec5m khu\u1ea9n: Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m suy y\u1ebfu h\u1ec7 mi\u1ec5n d\u1ecbch, t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n ho\u1eb7c l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n \u0111\u00e3 c\u00f3. C\u1ea7n th\u1eadn tr\u1ecdng \u0111\u1eb7c bi\u1ec7t v\u1edbi th\u1ee7y \u0111\u1eadu v\u00e0 s\u1edfi \u1edf b\u1ec7nh nh\u00e2n ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t: Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng, ng\u01b0\u1eddi m\u1edbi n\u1ed1i th\u00f4ng m\u1ea1ch m\u00e1u, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, lo\u00e9t d\u1ea1 d\u00e0y, lo\u00e9t t\u00e1 tr\u00e0ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, suy tim, suy gan, x\u01a1 gan, suy th\u1eadn, b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim g\u1ea7n \u0111\u00e2y, r\u1ed1i lo\u1ea1n co gi\u1eadt, nh\u01b0\u1ee3c c\u01a1, t\u0103ng nh\u00e3n \u00e1p v\u00e0 tr\u1ebb \u0111ang l\u1edbn.<\/li>\n<li>Ng\u01b0\u1eddi cao tu\u1ed5i: C\u1ea7n s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t v\u00e0 th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3 do nguy c\u01a1 cao c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng (lo\u00e3ng x\u01b0\u01a1ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, m\u1ecfng da).<\/li>\n<li>T\u00e2m th\u1ea7n: C\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i nghi\u00eam tr\u1ecdng v\u1ec1 t\u00e2m th\u1ea7n c\u00f3 th\u1ec3 x\u1ea3y ra. B\u1ec7nh nh\u00e2n\/ng\u01b0\u1eddi ch\u0103m s\u00f3c n\u00ean t\u00ecm t\u01b0 v\u1ea5n y t\u1ebf n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m ho\u1eb7c \u00fd \u0111\u1ecbnh t\u1ef1 t\u1eed.<\/li>\n<li>M\u1eaft: S\u1eed d\u1ee5ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng nh\u00e3n \u00e1p, l\u1ed3i m\u1eaft. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra m\u1eaft \u0111\u1ecbnh k\u1ef3.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<ul>\n<li>Th\u01b0\u1eddng g\u1eb7p: M\u1ea5t ng\u1ee7, d\u1ec5 b\u1ecb k\u00edch \u0111\u1ed9ng, t\u0103ng ngon mi\u1ec7ng, kh\u00f3 ti\u00eau, r\u1eadm l\u00f4ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111au kh\u1edbp, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, gl\u00f4c\u00f4m, ch\u1ea3y m\u00e1u cam, nhi\u1ec5m khu\u1ea9n, h\u1ed9i ch\u1ee9ng Cushing, gi\u1eef natri, gi\u1eef n\u01b0\u1edbc, r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac, teo da, m\u1ee5n, y\u1ebfu c\u01a1, ch\u1eadm ph\u00e1t tri\u1ec3n, ch\u1eadm l\u00e0nh v\u1ebft th\u01b0\u01a1ng, gi\u1ea3m kali m\u00e1u.<\/li>\n<li>\u00cdt g\u1eb7p: C\u00e1c r\u1ed1i lo\u1ea1n th\u1ea7n kinh nh\u01b0 ch\u00f3ng m\u1eb7t, co gi\u1eadt, lo\u1ea1n th\u1ea7n, gi\u1ea3 u n\u00e3o, \u0111au \u0111\u1ea7u, bi\u1ebfn \u0111\u1ed5i t\u00e2m tr\u1ea1ng (m\u00ea s\u1ea3ng, \u1ea3o gi\u00e1c, h\u01b0ng ph\u1ea5n). C\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c g\u1ed3m: ph\u00f9, t\u0103ng huy\u1ebft \u00e1p, m\u1ee5n tr\u1ee9ng c\u00e1, teo da, b\u1ea7m t\u00edm, t\u0103ng s\u1eafc t\u1ed1, \u1ee9c ch\u1ebf tr\u1ee5c h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; th\u01b0\u1ee3ng th\u1eadn, lo\u00e9t d\u1ea1 d\u00e0y, bu\u1ed3n n\u00f4n, n\u00f4n, ch\u01b0\u1edbng b\u1ee5ng, vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n, vi\u00eam t\u1ee5y, lo\u00e3ng x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng, v\u00e0 ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn.<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<ul>\n<li>Thu\u1ed1c l\u00e0m gi\u1ea3m hi\u1ec7u l\u1ef1c c\u1ee7a Methylprednisolone: Phenytoin, Phenobarbital, Rifampin, thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1ea3m kali huy\u1ebft.<\/li>\n<li>Thu\u1ed1c l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Methylprednisolone trong huy\u1ebft t\u01b0\u01a1ng: Cyclosporin, Erythromycin, Ketoconazol, Itraconazol, Diltiazem, thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng (Ethinyl Estradiol\/Norethindron), n\u01b0\u1edbc \u00e9p b\u01b0\u1edfi ch\u00f9m, thu\u1ed1c \u1ee9c ch\u1ebf HIV-protease (Indinavir, Ritonavir), Cobicistat, Aprepitant, Fosaprepitant.<\/li>\n<li>T\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5 khi d\u00f9ng \u0111\u1ed3ng th\u1eddi:\n<ul>\n<li>NSAID (Aspirin li\u1ec1u cao): T\u0103ng nguy c\u01a1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a v\u00e0 lo\u00e9t d\u1ea1 d\u00e0y.<\/li>\n<li>Thu\u1ed1c kh\u00e1ng cholinergic (thu\u1ed1c ch\u1eb9n th\u1ea7n kinh c\u01a1): Nguy c\u01a1 b\u1ec7nh c\u01a1 c\u1ea5p t\u00ednh.<\/li>\n<li>Thu\u1ed1c tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: Methylprednisolone c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n<li>Thu\u1ed1c kh\u00e1ng \u0111\u00f4ng \u0111\u01b0\u1eddng u\u1ed1ng: C\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng, c\u1ea7n theo d\u00f5i INR\/th\u1eddi gian prothrombin.<\/li>\n<li>Thu\u1ed1c l\u00e0m gi\u1ea3m kali (thu\u1ed1c l\u1ee3i ti\u1ec3u, Amphotericin B, Xanthen, thu\u1ed1c ch\u1ee7 v\u1eadn beta-2): T\u0103ng nguy c\u01a1 h\u1ea1 kali huy\u1ebft.<\/li>\n<\/ul>\n<\/li>\n<li>T\u00e1c \u0111\u1ed9ng kh\u00e1c:\n<ul>\n<li>Methylprednisolone c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 acetyl h\u00f3a v\u00e0 \u0111\u1ed9 thanh th\u1ea3i c\u1ee7a Isoniazid.<\/li>\n<li>Steroid c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf cholinesterase trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/li>\n<\/ul>\n<\/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: S\u1eed d\u1ee5ng k\u00e9o d\u00e0i corticosteroid to\u00e0n th\u00e2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m nh\u1eb9 th\u1ec3 tr\u1ecdng c\u1ee7a tr\u1ebb s\u01a1 sinh. C\u1ea7n c\u00e2n nh\u1eafc l\u1ee3i \u00edch v\u00e0 r\u1ee7i ro tr\u01b0\u1edbc khi d\u00f9ng. Tr\u1ebb s\u01a1 sinh t\u1eeb m\u1eb9 d\u00f9ng li\u1ec1u cao c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i d\u1ea5u hi\u1ec7u suy v\u1ecf th\u01b0\u1ee3ng th\u1eadn.<\/li>\n<li>B\u00e0 m\u1eb9 cho con b\u00fa: Corticosteroid \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf v\u00e0o s\u1eefa m\u1eb9. Methylprednisolone li\u1ec1u \u0111\u1ebfn 40mg\/ng\u00e0y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u00e1c d\u1ee5ng to\u00e0n th\u00e2n \u1edf tr\u1ebb. C\u1ea7n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn l\u1ee3i \u00edch v\u00e0 r\u1ee7i ro cho m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh.<\/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>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c v\u00e0 m\u1ec7t m\u1ecfi. B\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c n\u1ebfu b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<ul>\n<li>Kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u1edbi tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u c\u1ea5p t\u00ednh.<\/li>\n<li>X\u1eed tr\u00ed: \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng. C\u00f3 th\u1ec3 th\u1ea9m t\u00e1ch Methylprednisolone. Trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p, li\u00ean h\u1ec7 ngay v\u1edbi c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t.<\/li>\n<\/ul>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1 thu\u1ed1c Medlon 4<\/h2>\n<p><a href=\"https:\/\/vnras.com\/drug\/methylprednisolon-4-khapharco\/\">Thu\u1ed1c Methylprednisolon 4 Khapharco<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m Kh\u00e1nh H\u00f2a, kh\u00e1ng vi\u00eam, \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng,<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Antonio Torrelo. Methylprednisolone aceponate for atopic dermatitis, truy c\u1eadp ng\u00e0y 24 th\u00e1ng 06 n\u0103m 2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28258632\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28258632\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Medlon 4 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 Ph\u1ea7n D\u01b0\u1ee3c H\u1eadu Giang \u2013 Chi nh\u00e1nh nh\u00e0 m\u00e1y d\u01b0\u1ee3c ph\u1ea9m DHG t\u1ea1i H\u1eadu Giang, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-21783-14, \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng vi\u00eam, d\u1ecb \u1ee9ng.<\/p>\n","protected":false},"author":1,"featured_media":124600,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-124597","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\/124597","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=124597"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/124600"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=124597"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=124597"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=124597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}