{"id":126255,"date":"2025-07-07T11:56:47","date_gmt":"2025-07-07T04:56:47","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=126255"},"modified":"2025-07-24T11:46:34","modified_gmt":"2025-07-24T04:46:34","slug":"digoxin-anfarm-0-5mg-2ml","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/digoxin-anfarm-0-5mg-2ml\/","title":{"rendered":"Digoxin\/Anfarm 0.5mg\/2ml"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, <a href=\"https:\/\/vnras.com\/drug\/\">d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Digoxin\/Anfarm 0.5mg\/2ml \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Anfarm Hellas S.A. c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 520110518724 (S\u0110K c\u0169: VN-21737-19)<\/strong><\/p>\n<h2>Digoxin\/Anfarm 0.5mg\/2ml l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i 2ml <strong>dung d\u1ecbch Digoxin\/Anfarm 0.5mg\/2ml<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<p>Digoxin \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u20260,5mg<\/p>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 520110518724 (S\u0110K c\u0169: VN-21737-19)<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 6 \u1ed1ng x 2ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: Hy L\u1ea1p<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Digoxin\/Anfarm 0.5mg\/2ml<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Digoxin ho\u1ea1t \u0111\u1ed9ng ch\u1ee7 y\u1ebfu b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf enzym Na\u207a\/K\u207a-ATPase t\u1ea1i m\u00e0ng t\u1ebf b\u00e0o c\u01a1 tim, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 n\u1ed9i b\u00e0o ion calci \u2013 y\u1ebfu t\u1ed1 tr\u1ef1c ti\u1ebfp gi\u00fap t\u0103ng s\u1ee9c co b\u00f3p c\u01a1 tim. Ngo\u00e0i ra, thu\u1ed1c c\u00f2n t\u00e1c \u0111\u1ed9ng l\u00ean h\u1ec7 th\u1ea7n kinh t\u1ef1 ch\u1ee7, l\u00e0m gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng giao c\u1ea3m, t\u0103ng tr\u01b0\u01a1ng l\u1ef1c ph\u00f3 giao c\u1ea3m v\u00e0 l\u00e0m ch\u1eadm d\u1eabn truy\u1ec1n qua n\u00fat nh\u0129 th\u1ea5t, gi\u00fap \u1ed5n \u0111\u1ecbnh nh\u1ecbp tim trong c\u00e1c lo\u1ea1n nh\u1ecbp tr\u00ean th\u1ea5t.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<ul>\n<li>Sau khi ti\u00eam t\u0129nh m\u1ea1ch, digoxin ph\u00e1t huy t\u00e1c d\u1ee5ng sinh h\u1ecdc trong kho\u1ea3ng 5\u201330 ph\u00fat, \u0111\u1ea1t \u0111\u1ec9nh sau 1\u20135 gi\u1edd. Thu\u1ed1c ph\u00e2n b\u1ed1 nhanh v\u00e0o c\u00e1c m\u00f4, \u0111\u1eb7c bi\u1ec7t l\u00e0 tim, gan v\u00e0 th\u1eadn \u2013 n\u01a1i n\u1ed3ng \u0111\u1ed9 c\u00f3 th\u1ec3 g\u1ea5p 30 l\u1ea7n so v\u1edbi huy\u1ebft t\u01b0\u01a1ng.<\/li>\n<li>Digoxin c\u00f3 \u00e1i l\u1ef1c m\u1ea1nh v\u1edbi m\u00f4 c\u01a1 x\u01b0\u01a1ng, \u0111\u00e2y l\u00e0 kho d\u1ef1 tr\u1eef thu\u1ed1c quan tr\u1ecdng. Kho\u1ea3ng 25% digoxin g\u1eafn k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/li>\n<li>B\u00e0i ti\u1ebft ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i, v\u1edbi t\u1ed1c \u0111\u1ed9 th\u1ea3i tr\u1eeb ph\u1ee5 thu\u1ed9c v\u00e0o ch\u1ee9c n\u0103ng th\u1eadn. Th\u1eddi gian b\u00e1n th\u1ea3i k\u00e9o d\u00e0i r\u00f5 r\u1ec7t \u1edf ng\u01b0\u1eddi suy th\u1eadn ho\u1eb7c tr\u1ebb s\u01a1 sinh.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Digoxin\/Anfarm 0.5mg\/2ml \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh c\u00f3 k\u00e8m gi\u1ea3m ch\u1ee9c n\u0103ng co b\u00f3p tim, \u0111\u1eb7c bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 rung nh\u0129 \u0111i k\u00e8m.<\/li>\n<li>Ki\u1ec3m so\u00e1t c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tr\u00ean th\u1ea5t, bao g\u1ed3m rung nh\u0129 ho\u1eb7c cu\u1ed3ng \u0111\u1ed9ng nh\u0129 m\u1ea1n t\u00ednh, nh\u1eb1m l\u00e0m ch\u1eadm nh\u1ecbp th\u1ea5t.<\/li>\n<\/ul>\n<figure id=\"attachment_126267\" aria-describedby=\"caption-attachment-126267\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-126267\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/DigoxinAnfarm-0.5mg-2ml.jpg\" alt=\"Digoxin\/Anfarm 0.5mg\/2ml\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/DigoxinAnfarm-0.5mg-2ml.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/DigoxinAnfarm-0.5mg-2ml-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/DigoxinAnfarm-0.5mg-2ml-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/DigoxinAnfarm-0.5mg-2ml-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-126267\" class=\"wp-caption-text\">Thu\u1ed1c Digoxin\/Anfarm 0.5mg\/2ml l\u00e0 thu\u1ed1c ti\u00eam thu\u1ed9c nh\u00f3m glycosid tr\u1ee3 tim, c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng co b\u00f3p c\u01a1 tim v\u00e0 ki\u1ec3m so\u00e1t nh\u1ecbp tim trong c\u00e1c r\u1ed1i lo\u1ea1n nh\u01b0 suy tim v\u00e0 lo\u1ea1n nh\u1ecbp nh\u0129.<\/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<p><span style=\"text-decoration: underline;\">Ng\u01b0\u1eddi l\u1edbn:<\/span><\/p>\n<ul>\n<li>Li\u1ec1u kh\u1edfi \u0111\u1ea7u ti\u00eam t\u0129nh m\u1ea1ch: 0,5mg \u2013 1mg (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 2ml \u2013 4ml), chia th\u00e0nh nhi\u1ec1u li\u1ec1u nh\u1ecf c\u00e1ch nhau 4\u20138 gi\u1edd.<\/li>\n<li>Li\u1ec1u ban \u0111\u1ea7u th\u01b0\u1eddng d\u00f9ng kho\u1ea3ng m\u1ed9t n\u1eeda t\u1ed5ng li\u1ec1u, ph\u1ea7n c\u00f2n l\u1ea1i chia th\u00e0nh 1\u20132 li\u1ec1u nh\u1ecf theo d\u00f5i \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng tr\u01b0\u1edbc khi ti\u1ebfp t\u1ee5c.<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\">Tr\u1ebb em (li\u1ec1u ti\u00eam t\u0129nh m\u1ea1ch h\u00e0ng ng\u00e0y theo c\u00e2n n\u1eb7ng):<\/span><\/p>\n<ul>\n<li>Tr\u1ebb sinh non &lt;1,5kg: 20 mcg\/kg<\/li>\n<li>Tr\u1ebb sinh non 1,5\u20132,5kg: 30 mcg\/kg<\/li>\n<li>Tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i: 35 mcg\/kg<\/li>\n<li>Tr\u1ebb 2\u20135 tu\u1ed5i: 35 mcg\/kg<\/li>\n<li>Tr\u1ebb 5\u201310 tu\u1ed5i: 25 mcg\/kg<\/li>\n<\/ul>\n<p>Li\u1ec1u d\u00f9ng n\u00ean chia th\u00e0nh 2\u20133 l\u1ea7n, c\u00e1ch nhau 4\u20138 gi\u1edd.<\/p>\n<p><span style=\"text-decoration: underline;\">\u0110i\u1ec1u tr\u1ecb duy tr\u00ec:<\/span><\/p>\n<ul>\n<li>Tr\u1ebb sinh non: 20% li\u1ec1u n\u1ea1p\/ng\u00e0y<\/li>\n<li>Tr\u1ebb s\u01a1 sinh v\u00e0 d\u01b0\u1edbi 10 tu\u1ed5i: 25% li\u1ec1u n\u1ea1p\/ng\u00e0y<\/li>\n<\/ul>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 b\u1ec7nh nh\u00e2n suy th\u1eadn: Li\u1ec1u c\u1ea7n hi\u1ec7u ch\u1ec9nh d\u1ef1a tr\u00ean m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn. N\u00ean theo d\u00f5i n\u1ed3ng \u0111\u1ed9 digoxin huy\u1ebft \u0111\u1ec3 tr\u00e1nh qu\u00e1 li\u1ec1u.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<ul>\n<li>Thu\u1ed1c ch\u1ec9 s\u1eed d\u1ee5ng b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm, truy\u1ec1n trong 10\u201320 ph\u00fat.<\/li>\n<li>Kh\u00f4ng ti\u00eam b\u1eafp v\u00ec d\u1ec5 g\u00e2y \u0111au v\u00e0 ho\u1ea1i t\u1eed.<\/li>\n<li>C\u00f3 th\u1ec3 pha lo\u00e3ng dung d\u1ecbch tr\u01b0\u1edbc khi truy\u1ec1n b\u1eb1ng dung d\u1ecbch NaCl 0,9%, glucose 5% ho\u1eb7c h\u1ed7n h\u1ee3p NaCl 0,18% + glucose 4%.<\/li>\n<li>N\u00ean pha lo\u00e3ng v\u1edbi th\u1ec3 t\u00edch \u22654 l\u1ea7n th\u1ec3 t\u00edch thu\u1ed1c \u0111\u1ec3 tr\u00e1nh k\u1ebft t\u1ee7a. Dung d\u1ecbch sau pha ph\u1ea3i s\u1eed d\u1ee5ng ngay ho\u1eb7c b\u1ea3o qu\u1ea3n 2\u20138\u00b0C t\u1ed1i \u0111a 24 gi\u1edd trong \u0111i\u1ec1u ki\u1ec7n v\u00f4 khu\u1ea9n.<\/li>\n<\/ul>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Digoxin\/Anfarm 0.5mg\/2ml trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<ul>\n<li>D\u1ecb \u1ee9ng v\u1edbi digoxin, c\u00e1c glycosid tim kh\u00e1c ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong <strong>dung d\u1ecbch ti\u00eam Digoxin\/Anfarm 0.5mg\/2ml<\/strong><\/li>\n<li>Block nh\u0129 th\u1ea5t \u0111\u1ed9 II\/III kh\u00f4ng c\u00f3 m\u00e1y t\u1ea1o nh\u1ecbp.<\/li>\n<li>Lo\u1ea1n nh\u1ecbp do ng\u1ed9 \u0111\u1ed9c glycosid tim.<\/li>\n<li>B\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i c\u00f3 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra th\u1ea5t tr\u00e1i.<\/li>\n<li>Rung th\u1ea5t ho\u1eb7c nh\u1ecbp nhanh th\u1ea5t.<\/li>\n<li>H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White k\u00e8m rung nh\u0129.<\/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>\u0110\u1ed9c t\u00ednh c\u1ee7a digoxin c\u00f3 th\u1ec3 g\u00e2y lo\u1ea1n nh\u1ecbp nghi\u00eam tr\u1ecdng, d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi r\u1ed1i lo\u1ea1n nh\u1ecbp do b\u1ec7nh tim s\u1eb5n c\u00f3.<\/li>\n<li>Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi digoxin v\u1edbi mu\u1ed1i calci ti\u00eam t\u0129nh m\u1ea1ch.<\/li>\n<li>\u0110\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 block d\u1eabn truy\u1ec1n, h\u1ed9i ch\u1ee9ng n\u00fat xoang, nh\u1ecbp ch\u1eadm.<\/li>\n<li>Ng\u01b0\u1eddi suy th\u1eadn ho\u1eb7c c\u00f3 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i (h\u1ea1 kali, h\u1ea1 magnesi, t\u0103ng calci) c\u00f3 nguy c\u01a1 cao ng\u1ed9 \u0111\u1ed9c digoxin.<\/li>\n<li>B\u1ec7nh nh\u00e2n sau nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn do nguy c\u01a1 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u01a1 tim.<\/li>\n<li>\u0110\u1ecbnh k\u1ef3 theo d\u00f5i n\u1ed3ng \u0111\u1ed9 digoxin huy\u1ebft thanh v\u00e0 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i.<\/li>\n<li>Kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n nghi\u1ec7n r\u01b0\u1ee3u do thu\u1ed1c ch\u1ee9a ethanol.<\/li>\n<li>C\u1ea7n gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi suy gi\u00e1p ho\u1eb7c tr\u1ebb s\u01a1 sinh, \u0111\u1eb7c bi\u1ec7t tr\u1ebb sinh non.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Digoxin\/Anfarm 0.5mg\/2ml c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 ph\u1ea3n \u1ee9ng kh\u00f4ng mong mu\u1ed1n, tuy m\u1ee9c \u0111\u1ed9 v\u00e0 t\u1ea7n su\u1ea5t thay \u0111\u1ed5i t\u00f9y ng\u01b0\u1eddi:<\/p>\n<ul>\n<li>H\u1ec7 tim m\u1ea1ch: Th\u01b0\u1eddng g\u1eb7p lo\u1ea1n nh\u1ecbp tim, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n, ch\u1eadm nh\u1ecbp xoang, PR k\u00e9o d\u00e0i; hi\u1ebfm g\u1eb7p h\u01a1n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nh\u1ecbp nhanh th\u1ea5t, rung th\u1ea5t ho\u1eb7c nh\u1ecbp nhanh n\u1ed1i k\u1ebft.<\/li>\n<li>Th\u1ea7n kinh trung \u01b0\u01a1ng: C\u00f3 th\u1ec3 x\u1ea3y ra ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, l\u00fa l\u1eabn, th\u1edd \u01a1, th\u1eadm ch\u00ed r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n \u1edf li\u1ec1u cao.<\/li>\n<li>M\u1eaft: Ng\u01b0\u1eddi d\u00f9ng c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1edd m\u1eaft, th\u1ecb gi\u00e1c m\u00e0u thay \u0111\u1ed5i, th\u01b0\u1eddng l\u00e0 \u00e1m v\u00e0ng.<\/li>\n<li>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y l\u00e0 c\u00e1c t\u00e1c d\u1ee5ng th\u01b0\u1eddng g\u1eb7p; hi\u1ebfm g\u1eb7p l\u00e0 thi\u1ebfu m\u00e1u ru\u1ed9t, ho\u1ea1i t\u1eed ru\u1ed9t.<\/li>\n<li>Da v\u00e0 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: Ph\u00e1t ban ki\u1ec3u m\u1ec1 \u0111ay ho\u1eb7c ban \u0111\u1ecf d\u1ea1ng s\u1ed1t ph\u00e1t ban k\u00e8m t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan.<\/li>\n<li>M\u00e1u v\u00e0 n\u1ed9i ti\u1ebft: Gi\u1ea3m ti\u1ec3u c\u1ea7u r\u1ea5t hi\u1ebfm g\u1eb7p; \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y n\u1eef h\u00f3a tuy\u1ebfn v\u00fa \u1edf nam gi\u1edbi.<\/li>\n<li>To\u00e0n th\u00e2n: M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu, y\u1ebfu s\u1ee9c.<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<ul>\n<li>Thu\u1ed1c l\u00e0m gi\u1ea3m kali huy\u1ebft (nh\u01b0 l\u1ee3i ti\u1ec3u, corticosteroid, lithium): T\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh tim.<\/li>\n<li>Thu\u1ed1c t\u0103ng n\u1ed3ng \u0111\u1ed9 digoxin: Amiodarone, verapamil, quinidine, spironolactone, erythromycin, itraconazole, alprazolam, propafenone, macrolide, tetracycline, diphenoxylate, trimethoprim,&#8230;<\/li>\n<li>Thu\u1ed1c l\u00e0m gi\u1ea3m h\u1ea5p thu digoxin: Rifampicin, antacid, colestyramine, acarbose, neomycin, metoclopramide, sulfasalazine, Hypericum perforatum,&#8230;<\/li>\n<li>Thu\u1ed1c ch\u1eb9n beta: Khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi digoxin c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n qua n\u00fat nh\u0129-th\u1ea5t, t\u1eeb \u0111\u00f3 d\u1ec5 g\u00e2y ra t\u00ecnh tr\u1ea1ng block tim.<\/li>\n<li>Calci ti\u00eam t\u0129nh m\u1ea1ch: C\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng lo\u1ea1n nh\u1ecbp \u1edf ng\u01b0\u1eddi \u0111ang d\u00f9ng digoxin.<\/li>\n<li>Suxamethonium: L\u00e0m tr\u1ea7m tr\u1ecdng t\u00ecnh tr\u1ea1ng t\u0103ng kali huy\u1ebft.<\/li>\n<li>C\u00e1c thu\u1ed1c ch\u1eb9n k\u00eanh calci: C\u00f3 th\u1ec3 l\u00e0m t\u0103ng (verapamil, felodipine) ho\u1eb7c kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 digoxin (nifedipine, isradipine).<\/li>\n<li>Milrinone: Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 digoxin.<\/li>\n<li>Khuy\u1ebfn c\u00e1o theo d\u00f5i s\u00e1t n\u1ed3ng \u0111\u1ed9 digoxin huy\u1ebft khi ph\u1ed1i h\u1ee3p thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n d\u00f9ng k\u00e9o d\u00e0i ho\u1eb7c c\u00f3 b\u1ec7nh n\u1ec1n.<\/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>Ph\u1ee5 n\u1eef c\u00f3 thai: Digoxin kh\u00f4ng b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i trong thai k\u1ef3. Tuy nhi\u00ean, li\u1ec1u d\u00f9ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i do sinh l\u00fd mang thai l\u00e0m thay \u0111\u1ed5i d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc. Ch\u1ec9 n\u00ean d\u00f9ng khi l\u1ee3i \u00edch cho m\u1eb9 v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi r\u1ee7i ro ti\u1ec1m \u1ea9n cho thai. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng digoxin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb suy tim v\u00e0 nh\u1ecbp nhanh \u1edf thai nhi.<\/li>\n<li>Nguy c\u01a1 cho thai nhi: N\u1ebfu m\u1eb9 b\u1ecb ng\u1ed9 \u0111\u1ed9c digoxin trong thai k\u1ef3, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i \u0111\u1ebfn thai, bao g\u1ed3m c\u1ea3 sinh non ho\u1eb7c tr\u1ebb nh\u1eb9 c\u00e2n.<\/li>\n<li>Cho con b\u00fa: Digoxin \u0111i v\u00e0o s\u1eefa m\u1eb9 v\u1edbi n\u1ed3ng \u0111\u1ed9 r\u1ea5t th\u1ea5p, kh\u00f4ng \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng. Do \u0111\u00f3, Digoxin\/Anfarm 0.5mg\/2ml d\u00f9ng an to\u00e0n cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y<\/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>Digoxin c\u00f3 th\u1ec3 g\u00e2y c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1edd m\u1eaft, ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n ho\u1eb7c r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c hay ch\u00f3ng m\u1eb7t c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 t\u1eadp trung v\u00e0 ph\u1ea3n x\u1ea1, v\u00ec v\u1eady ng\u01b0\u1eddi d\u00f9ng c\u1ea7n c\u1ea9n tr\u1ecdng khi tham gia giao th\u00f4ng ho\u1eb7c thao t\u00e1c thi\u1ebft b\u1ecb c\u01a1 gi\u1edbi. T\u1ed1t nh\u1ea5t l\u00e0 tr\u00e1nh nh\u1eefng ho\u1ea1t \u0111\u1ed9ng n\u00e0y cho \u0111\u1ebfn khi bi\u1ebft r\u00f5 ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 v\u1edbi thu\u1ed1c.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Qu\u00e1 li\u1ec1u digoxin, d\u00f9 l\u00e0 do d\u00f9ng li\u1ec1u l\u1edbn m\u1ed9t l\u1ea7n hay t\u00edch t\u1ee5 d\u1ea7n theo th\u1eddi gian, \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda, r\u1ed1i lo\u1ea1n nh\u00ecn m\u00e0u, hoa m\u1eaft, v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim nghi\u00eam tr\u1ecdng nh\u01b0 rung th\u1ea5t ho\u1eb7c nh\u1ecbp nhanh th\u1ea5t.<\/p>\n<p>\u1ede ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u00f4ng m\u1eafc b\u1ec7nh tim, d\u00f9ng t\u1eeb 10mg tr\u1edf l\u00ean digoxin c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng; \u1edf tr\u1ebb nh\u1ecf, li\u1ec1u t\u1eeb 6\u201310mg c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u0111\u00fang c\u00e1ch v\u00e0 k\u1ecbp th\u1eddi.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u, c\u1ea7n x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 digoxin v\u00e0 kali huy\u1ebft thanh ngay l\u1eadp t\u1ee9c.<\/p>\n<ul>\n<li>H\u1ea1 kali huy\u1ebft: N\u1ebfu c\u00f3, n\u00ean b\u00f9 kali \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch t\u00f9y theo m\u1ee9c \u0111\u1ed9 v\u00e0 tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>Lo\u1ea1n nh\u1ecbp ch\u1eadm: C\u00f3 th\u1ec3 d\u00f9ng atropin.<\/li>\n<li>Lo\u1ea1n nh\u1ecbp th\u1ea5t: \u0110\u1ec3 \u0111i\u1ec1u h\u00f2a l\u1ea1i ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n tim d\u00f9ng lignocaine ho\u1eb7c phenytoin.<\/li>\n<li>Kh\u00e1ng th\u1ec3 Fab \u0111\u1eb7c hi\u1ec7u kh\u00e1ng digoxin: L\u00e0 bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng quy th\u1ea5t b\u1ea1i.<\/li>\n<li>L\u1ecdc m\u00e1u: Ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u kh\u00f4ng mang l\u1ea1i hi\u1ec7u qu\u1ea3 trong vi\u1ec7c lo\u1ea1i tr\u1eeb digoxin ra kh\u1ecfi c\u01a1 th\u1ec3, do thu\u1ed1c ph\u00e2n b\u1ed1 ch\u1ee7 y\u1ebfu trong m\u00f4 thay v\u00ec huy\u1ebft t\u01b0\u01a1ng.<\/li>\n<\/ul>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<ul>\n<li>Gi\u1eef Digoxin\/Anfarm 0.5mg\/2ml \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 Digoxin\/Anfarm 0.5mg\/2ml trong t\u1ea7m v\u1edbi tr\u1ebb em<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng Digoxin\/Anfarm 0.5mg\/2ml khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/li>\n<\/ul>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1<\/h2>\n<p><span style=\"font-size: 14.4px;\">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 Digoxin\/Anfarm 0.5mg\/2ml nh\u01b0:<\/span><\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/digoxinequaly-0-25\/\">DigoxineQualy 0.25<\/a> c\u00f3 th\u00e0nh ph\u1ea7n Digoxin 0,25mg d\u1ea1ng vi\u00ean n\u00e9n, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m 3\/2, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb suy tim<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>T\u1edd H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Digoxin\/Anfarm 0.5mg\/2ml \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t. Xem v\u00e0 t\u1ea3i v\u1ec1 b\u1ea3n PDF \u0111\u1ea7y \u0111\u1ee7 <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/To-huong-dan-su-dung-Digoxin_Anfarm-0.5mg_-2ml_vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 7 th\u00e1ng 7 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/drugbank.vn\/thuoc\/Digoxin-Anfarm&amp;VN-21737-19\" rel=\"noopener\">https:\/\/drugbank.vn\/thuoc\/Digoxin-Anfarm&amp;VN-21737-19<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Digoxin\/Anfarm 0.5mg\/ 2ml l\u00e0 thu\u1ed1c ti\u00eam thu\u1ed9c nh\u00f3m glycosid tr\u1ee3 tim, c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng co b\u00f3p c\u01a1 tim v\u00e0 ki\u1ec3m so\u00e1t nh\u1ecbp tim trong c\u00e1c r\u1ed1i lo\u1ea1n nh\u01b0 suy tim v\u00e0 lo\u1ea1n nh\u1ecbp nh\u0129.<\/p>\n","protected":false},"author":1,"featured_media":126266,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-126255","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\/126255","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=126255"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/126266"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=126255"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=126255"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=126255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}