{"id":125197,"date":"2025-06-28T12:41:44","date_gmt":"2025-06-28T05:41:44","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=125197"},"modified":"2025-07-24T11:47:48","modified_gmt":"2025-07-24T04:47:48","slug":"levothyrox-75mcg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/levothyrox-75mcg\/","title":{"rendered":"Levothyrox 75mcg"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Levothyrox 75mcg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Merck Healthcare KGaA c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-23234-22<\/strong><\/p>\n<h2>Levothyrox 75mcg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>vi\u00ean u\u1ed1ng Levothyrox 75mcg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<p>Levothyroxine natri\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.75mcg<\/p>\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-23234-22<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 15 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u0110\u1ee9c<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Levothyrox 75mcg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Levothyroxine l\u00e0 m\u1ed9t d\u1ea1ng t\u1ed5ng h\u1ee3p c\u1ee7a hormone tuy\u1ebfn gi\u00e1p thyroxine (T4), c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong \u0111i\u1ec1u h\u00f2a chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a nhi\u1ec1u c\u01a1 quan. Sau khi \u0111\u01b0\u1ee3c h\u1ea5p thu, levothyroxine s\u1ebd chuy\u1ec3n \u0111\u1ed5i th\u00e0nh triiodothyronine (T3) t\u1ea1i c\u00e1c m\u00f4 ngo\u1ea1i bi\u00ean \u2013 \u0111\u00e2y l\u00e0 d\u1ea1ng ho\u1ea1t \u0111\u1ed9ng sinh h\u1ecdc ch\u00ednh, gi\u00fap duy tr\u00ec qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<ul>\n<li>H\u1ea5p thu: Levothyroxine \u0111\u01b0\u1ee3c h\u1ea5p thu kh\u00f4ng ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, v\u00e0 m\u1ee9c \u0111\u1ed9 h\u1ea5p thu c\u00f3 th\u1ec3 kh\u00e1c nhau gi\u1eefa t\u1eebng c\u00e1 nh\u00e2n.<\/li>\n<li>Ph\u00e2n b\u1ed1: Thu\u1ed1c g\u1eafn m\u1ea1nh v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, ch\u1ee7 y\u1ebfu l\u00e0 thyroxin-binding globulin. Th\u1eddi gian b\u00e1n h\u1ee7y dao \u0111\u1ed9ng kho\u1ea3ng 7 ng\u00e0y \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, k\u00e9o d\u00e0i h\u01a1n \u1edf b\u1ec7nh nh\u00e2n suy gi\u00e1p n\u1eb7ng ho\u1eb7c mang thai.<\/li>\n<li>Chuy\u1ec3n h\u00f3a: Ch\u1ee7 y\u1ebfu t\u1ea1i gan, m\u1ed9t ph\u1ea7n levothyroxine \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh T3 \u2013 d\u1ea1ng hormone ho\u1ea1t t\u00ednh.<\/li>\n<li>Th\u1ea3i tr\u1eeb: \u0110\u00e0o th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng thu\u1ed1c g\u1ed1c v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a; m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf c\u00f3 th\u1ec3 qua ph\u00e2n.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Levothyrox 75mcg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<ul>\n<li>B\u1ec7nh suy gi\u00e1p \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em<\/li>\n<li>B\u01b0\u1edbu gi\u00e1p \u0111\u01a1n thu\u1ea7n l\u00e0nh t\u00ednh<\/li>\n<li>Ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t b\u01b0\u1edbu gi\u00e1p h\u1eadu ph\u1eabu thu\u1eadt<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb \u1ee9c ch\u1ebf t\u00e1i ph\u00e1t ung th\u01b0 tuy\u1ebfn gi\u00e1p th\u1ec3 bi\u1ec7t h\u00f3a<\/li>\n<li>Ph\u1ed1i h\u1ee3p trong \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p<\/li>\n<\/ul>\n<figure id=\"attachment_125247\" aria-describedby=\"caption-attachment-125247\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-125247\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Ban-sao-Levothyrox-75mcg.jpg\" alt=\"Levothyrox 75mcg\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Ban-sao-Levothyrox-75mcg.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Ban-sao-Levothyrox-75mcg-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Ban-sao-Levothyrox-75mcg-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/06\/Ban-sao-Levothyrox-75mcg-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-125247\" class=\"wp-caption-text\">Thu\u1ed1c Levothyrox 75mcg ch\u1ee9a ho\u1ea1t ch\u1ea5t ch\u00ednh l\u00e0 levothyroxine, d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p kh\u00e1c, thu\u1ed1c \u0111\u01b0\u1ee3c nh\u1eadp kh\u1ea9u t\u1eeb \u0110\u1ee9c<\/figcaption><\/figure>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb b\u01b0\u1edbu gi\u00e1p \u0111\u01a1n thu\u1ea7n l\u00e0nh t\u00ednh: S\u1eed d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng v\u1edbi li\u1ec1u t\u1eeb 75 \u0111\u1ebfn 200 microgam m\u1ed7i ng\u00e0y, t\u00f9y theo k\u00edch th\u01b0\u1edbc b\u01b0\u1edbu v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<li>Ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t b\u01b0\u1edbu gi\u00e1p sau ph\u1eabu thu\u1eadt: Duy tr\u00ec li\u1ec1u 75 \u2013 200 microgam m\u1ed7i ng\u00e0y \u0111\u1ec3 ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh l\u1ea1i m\u00f4 gi\u00e1p d\u01b0 th\u1eeba.<\/li>\n<li>Thay th\u1ebf hormone tuy\u1ebfn gi\u00e1p trong suy gi\u00e1p \u1edf ng\u01b0\u1eddi l\u1edbn: Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 25 \u2013 50 microgam\/ng\u00e0y. Li\u1ec1u duy tr\u00ec: \u0110i\u1ec1u ch\u1ec9nh \u0111\u1ebfn 100 \u2013 200 microgam\/ng\u00e0y \u0111\u1ec3 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 TSH m\u1ee5c ti\u00eau trong huy\u1ebft thanh.<\/li>\n<li>Thay th\u1ebf hormone tuy\u1ebfn gi\u00e1p cho tr\u1ebb em b\u1ecb suy gi\u00e1p: Kh\u1edfi \u0111\u1ea7u: 12,5 \u2013 50 microgam\/ng\u00e0y, t\u00f9y v\u00e0o \u0111\u1ed9 tu\u1ed5i v\u00e0 m\u1ee9c \u0111\u1ed9 thi\u1ebfu h\u1ee5t. Duy tr\u00ec: Li\u1ec1u t\u1ed1i \u01b0u t\u1eeb 100 \u2013 150 microgam\/m\u00b2 di\u1ec7n t\u00edch c\u01a1 th\u1ec3 m\u1ed7i ng\u00e0y.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb \u1ee9c ch\u1ebf trong ung th\u01b0 tuy\u1ebfn gi\u00e1p bi\u1ec7t h\u00f3a: C\u1ea7n li\u1ec1u cao h\u01a1n \u0111\u1ec3 \u1ee9c ch\u1ebf TSH: 150 \u2013 300 microgam\/ng\u00e0y, d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa ung b\u01b0\u1edbu v\u00e0 n\u1ed9i ti\u1ebft.<\/li>\n<li>K\u1ebft h\u1ee3p c\u00f9ng thu\u1ed1c kh\u00e1ng gi\u00e1p trong \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p: D\u00f9ng levothyroxine v\u1edbi li\u1ec1u 50 \u2013 100 microgam m\u1ed7i ng\u00e0y, song song v\u1edbi thu\u1ed1c kh\u00e1ng gi\u00e1p \u0111\u1ec3 ng\u0103n ng\u1eeba suy gi\u00e1p th\u1ee9 ph\u00e1t do \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>N\u00ean u\u1ed1ng <strong>vi\u00ean n\u00e9n Levothyrox 75mcg<\/strong> v\u00e0o bu\u1ed5i s\u00e1ng, tr\u01b0\u1edbc b\u1eefa \u0103n \u00edt nh\u1ea5t 30 ph\u00fat \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 h\u1ea5p thu t\u1ed1t nh\u1ea5t. V\u1edbi tr\u1ebb nh\u1ecf, \u0111\u1eb7c bi\u1ec7t l\u00e0 d\u01b0\u1edbi 5 tu\u1ed5i, n\u00ean d\u00f9ng d\u1ea1ng dung d\u1ecbch u\u1ed1ng do vi\u00ean n\u00e9n kh\u00f3 ph\u00e2n chia ch\u00ednh x\u00e1c v\u00e0 kh\u00f4ng d\u1ec5 ph\u00e2n t\u00e1n.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Levothyrox 75mcg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi levothyroxine ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c c\u00f3 trong Levothyrox 75mcg.<\/li>\n<li>Ng\u01b0\u1eddi \u0111ang trong c\u01a1n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p t\u00ednh, vi\u00eam c\u01a1 tim c\u1ea5p ho\u1eb7c vi\u00eam to\u00e0n b\u1ed9 tim c\u1ea5p.<\/li>\n<li>C\u01b0\u1eddng gi\u00e1p ch\u01b0a ki\u1ec3m so\u00e1t.<\/li>\n<li>B\u1ec7nh nh\u00e2n suy th\u01b0\u1ee3ng th\u1eadn ch\u01b0a \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh.<\/li>\n<li>Kh\u00f4ng ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c kh\u00e1ng gi\u00e1p trong thai k\u1ef3.<\/li>\n<\/ul>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>C\u1ea7n b\u1eaft \u0111\u1ea7u li\u1ec1u th\u1ea5p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch, suy gi\u00e1p l\u00e2u n\u0103m.<\/li>\n<li>B\u1ec7nh nh\u00e2n suy tuy\u1ebfn y\u00ean to\u00e0n ph\u1ea7n ho\u1eb7c suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea7n \u0111i\u1ec1u tr\u1ecb corticosteroid tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u levothyroxine.<\/li>\n<li>Theo d\u00f5i ch\u1eb7t ch\u1ebd n\u1ed3ng \u0111\u1ed9 TSH huy\u1ebft thanh \u0111\u1ec3 tr\u00e1nh \u0111i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u g\u00e2y c\u01b0\u1eddng gi\u00e1p d\u01b0\u1edbi l\u00e2m s\u00e0ng, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi gi\u00e0.<\/li>\n<li>C\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, c\u1ea7n hi\u1ec7u ch\u1ec9nh thu\u1ed1c tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng n\u1ebfu c\u1ea7n.<\/li>\n<li>Tr\u00e1nh d\u00f9ng \u0111\u1ec3 gi\u1ea3m c\u00e2n, \u0111\u1eb7c bi\u1ec7t k\u1ebft h\u1ee3p v\u1edbi ch\u1ea5t gi\u1ed1ng giao c\u1ea3m v\u00ec c\u00f3 th\u1ec3 g\u00e2y nguy c\u01a1 nghi\u00eam tr\u1ecdng.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<table style=\"width: 101.146%;\">\n<thead>\n<tr>\n<th style=\"width: 47.6001%; text-align: center;\"><strong>Ph\u00e2n lo\u1ea1i h\u1ec7 c\u01a1 quan (SOC)<\/strong><\/th>\n<th style=\"width: 73.5502%; text-align: center;\"><strong>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n h\u1ec7 mi\u1ec5n d\u1ecbch<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng qu\u00e1 m\u1eabn<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">C\u01a1n c\u01b0\u1eddng gi\u00e1p c\u1ea5p (thyrotoxic crisis)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">B\u1ed3n ch\u1ed3n, k\u00edch th\u00edch, kh\u00f3 ng\u1ee7<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">Run tay ch\u00e2n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n tim m\u1ea1ch<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">\u0110au th\u1eaft ng\u1ef1c, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, h\u1ed3i h\u1ed9p, nh\u1ecbp nhanh<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">\u0110\u1ecf b\u1eebng m\u1eb7t<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, ng\u1ef1c v\u00e0 trung th\u1ea5t<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">Kh\u00f3 th\u1edf<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">Ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n\/n\u00f4n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">\u0110\u1ed5 m\u1ed3 h\u00f4i nhi\u1ec1u, r\u1ee5ng t\u00f3c, ph\u00e1t ban, ng\u1ee9a<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng kh\u1edbp<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">\u0110au kh\u1edbp, chu\u1ed9t r\u00fat, y\u1ebfu c\u01a1<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">Kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>R\u1ed1i lo\u1ea1n to\u00e0n th\u00e2n v\u00e0 t\u1ea1i v\u1ecb tr\u00ed d\u00f9ng thu\u1ed1c<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">\u0110au \u0111\u1ea7u, s\u1ed1t, m\u1ec7t m\u1ecfi, ph\u00f9<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 47.6001%; text-align: center;\"><strong>X\u00e9t nghi\u1ec7m<\/strong><\/td>\n<td style=\"width: 73.5502%; text-align: center;\">S\u1ee5t c\u00e2n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<ul>\n<li>L\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u (nh\u01b0 warfarin)<\/li>\n<li>\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/li>\n<li>L\u00e0m thay \u0111\u1ed5i \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng, glycoside tim, thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m<\/li>\n<li>Gi\u1ea3m h\u1ea5p thu n\u1ebfu d\u00f9ng c\u00f9ng antacid, s\u1eaft, calci, cholestyramin, sucralfate, PPI (omeprazole&#8230;)<\/li>\n<li>B\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi rifampicin, carbamazepine, phenytoin, St. John\u2019s Wort, amiodarone, sertraline, imatinib<\/li>\n<li>Estrogen l\u00e0m t\u0103ng nhu c\u1ea7u levothyroxine; androgen ho\u1eb7c corticosteroid l\u00e0m gi\u1ea3m<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<ul>\n<li>Trong thai k\u1ef3, duy tr\u00ec \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi. C\u1ea7n theo d\u00f5i ch\u1eb7t TSH \u0111\u1ec3 hi\u1ec7u ch\u1ec9nh li\u1ec1u.<\/li>\n<li>Kh\u00f4ng ph\u1ed1i h\u1ee3p levothyroxine v\u1edbi thu\u1ed1c kh\u00e1ng gi\u00e1p khi \u0111ang mang thai.<\/li>\n<li>Levothyroxine b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 nh\u01b0ng \u1edf m\u1ee9c \u0111\u1ed9 th\u1ea5p, hi\u1ec7n ch\u01b0a c\u00f3 d\u1eef li\u1ec7u cho th\u1ea5y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb b\u00fa 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>Levothyroxine kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 \u0111i\u1ec1u khi\u1ec3n m\u00e1y m\u00f3c.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u:<\/p>\n<p>Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng ngay. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 g\u1eb7p: nh\u1ecbp tim nhanh, \u0111au ng\u1ef1c, b\u1ed3n ch\u1ed3n, run, ti\u00eau ch\u1ea3y, s\u1ed1t, m\u1ea5t ng\u1ee7, \u0111\u1ecf b\u1eebng, ho\u1eb7c co gi\u1eadt (hi\u1ebfm).<\/p>\n<p>X\u1eed tr\u00ed:<\/p>\n<ul>\n<li>Trong v\u00f2ng 1 gi\u1edd sau khi d\u00f9ng qu\u00e1 li\u1ec1u &gt;10mg (ng\u01b0\u1eddi l\u1edbn) ho\u1eb7c &gt;5mg (tr\u1ebb em), c\u00f3 th\u1ec3 d\u00f9ng than ho\u1ea1t t\u00ednh.<\/li>\n<li>L\u1ea5y m\u00e1u sau 6\u201312 gi\u1edd \u0111\u1ec3 \u0111o T4 t\u1ef1 do.<\/li>\n<li>V\u1edbi tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ec3u hi\u1ec7n c\u01b0\u1eddng gi\u00e1p, s\u1eed d\u1ee5ng thu\u1ed1c ch\u1eb9n beta (nh\u01b0 propranolol) \u0111\u1ec3 ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 T4 b\u00ecnh th\u01b0\u1eddng th\u01b0\u1eddng kh\u00f4ng c\u1ea7n theo d\u00f5i th\u00eam<\/li>\n<\/ul>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<ul>\n<li>Gi\u1eef Levothyrox 75mcg \u1edf n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t (&lt;30\u2103), tr\u00e1nh \u00e1nh n\u1eafng qu\u00e1 m\u1ea1nh t\u1eeb m\u1eb7t tr\u1eddi<\/li>\n<li>Kh\u00f4ng \u0111\u1ec3 Levothyrox 75mcg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng Levothyrox 75mcg khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Levothyrox 75mcg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Levothyrox 75mcg 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, gi\u00e1 thu\u1ed1c Levothyrox 75mcg c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp 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 Levothyrox 75mcg 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 ho\u1ea1t ch\u1ea5t v\u00e0 t\u00e1c d\u1ee5ng v\u1edbi Levothyrox 75mcg nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/disthyrox\/\">Disthyrox<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Levothyroxin natri 100 mcg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m H\u00e0 T\u00e2y, \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tuy\u1ebfn gi\u00e1p nh\u01b0 suy gi\u00e1p<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/levothyrox-50%ce%bcg\/\">Levothyrox 50\u03bcg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Levothyroxin natri 50 mcg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Merck KGaA, \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tuy\u1ebfn gi\u00e1p nh\u01b0 suy gi\u00e1p<\/p>\n<h2>T\u00e0i li\u1ec7u tham `kh\u1ea3o<\/h2>\n<p>Colucci P, Yue CS, Ducharme M, Benvenga S (2013). A Review of the Pharmacokinetics of Levothyroxine for the Treatment of Hypothyroidism. Eur Endocrinol. Truy c\u1eadp ng\u00e0y 28 th\u00e1ng 6 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6193522\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6193522\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Levothyrox 75mcg ch\u1ee9a ho\u1ea1t ch\u1ea5t ch\u00ednh l\u00e0 levothyroxine h\u00e0m l\u01b0\u1ee3ng 75mcg, d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p kh\u00e1c, thu\u1ed1c \u0111\u01b0\u1ee3c nh\u1eadp kh\u1ea9u t\u1eeb \u0110\u1ee9c.<\/p>\n","protected":false},"author":1,"featured_media":125255,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-125197","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\/125197","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=125197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/125255"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=125197"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=125197"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=125197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}