{"id":131718,"date":"2025-08-10T14:24:18","date_gmt":"2025-08-10T07:24:18","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=131718"},"modified":"2025-08-10T14:26:21","modified_gmt":"2025-08-10T07:26:21","slug":"betaloc-zok-25mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/betaloc-zok-25mg\/","title":{"rendered":"Betaloc Zok 25mg"},"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 Betaloc Zok 25mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi AstraZeneca AB c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-17243-13<\/strong><\/p>\n<h2>Betaloc Zok 25mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>vi\u00ean u\u1ed1ng Betaloc Zok 25mg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Metoprolol succinat&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;. 23,75 mg<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 vi\u00ean<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n ph\u00f3ng th\u00edch k\u00e9o d\u00e0i<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-17243-13<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 v\u1ec9 x 14 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: Th\u1ee5y \u0110i\u1ec3n<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Betaloc Zok 25mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Metoprolol l\u00e0 ch\u1ea5t ch\u1eb9n beta-1 ch\u1ecdn l\u1ecdc, \u01b0u ti\u00ean t\u00e1c \u0111\u1ed9ng l\u00ean th\u1ee5 th\u1ec3 beta-1 c\u1ee7a tim \u1edf li\u1ec1u th\u1ea5p h\u01a1n nhi\u1ec1u so v\u1edbi li\u1ec1u c\u1ea7n \u0111\u1ec3 \u1ee9c ch\u1ebf beta-2. Ho\u1ea1t ch\u1ea5t n\u00e0y gi\u00fap gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a catecholamine (adrenaline, noradrenaline) l\u00ean tim, nh\u1edd \u0111\u00f3 l\u00e0m ch\u1eadm nh\u1ecbp tim, gi\u1ea3m s\u1ee9c co b\u00f3p c\u01a1 tim, gi\u1ea3m cung l\u01b0\u1ee3ng tim v\u00e0 h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>Betaloc Zok \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf theo d\u1ea1ng gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i, gi\u00fap duy tr\u00ec n\u1ed3ng \u0111\u1ed9 thu\u1ed1c \u1ed5n \u0111\u1ecbnh trong m\u00e1u su\u1ed1t 24 gi\u1edd, gi\u1ea3m bi\u1ebfn \u0111\u1ed9ng n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh \u2013 \u0111\u00e1y, t\u1eeb \u0111\u00f3 h\u1ea1n ch\u1ebf c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 nh\u1ecbp ch\u1eadm qu\u00e1 m\u1ee9c ho\u1eb7c c\u1ea3m gi\u00e1c l\u1ea1nh tay ch\u00e2n.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Metoprolol succinate \u0111\u01b0\u1ee3c h\u1ea5p thu ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng u\u1ed1ng, nh\u01b0ng do chuy\u1ec3n h\u00f3a l\u1ea7n \u0111\u1ea7u m\u1ea1nh \u1edf gan n\u00ean sinh kh\u1ea3 d\u1ee5ng kho\u1ea3ng 50%.<\/p>\n<p>Ph\u00e2n b\u1ed1: T\u1ef7 l\u1ec7 g\u1eafn k\u1ebft protein huy\u1ebft t\u01b0\u01a1ng th\u1ea5p (5\u201310%).<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Ch\u1ee7 y\u1ebfu qua enzym CYP2D6 t\u1ea1i gan, t\u1ea1o th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh \u1ee9c ch\u1ebf beta \u0111\u00e1ng k\u1ec3.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Tr\u00ean 95% li\u1ec1u \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u, kho\u1ea3ng 5% \u1edf d\u1ea1ng nguy\u00ean v\u1eb9n. Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh kho\u1ea3ng 3,5 gi\u1edd. \u1ede b\u1ec7nh nh\u00e2n suy gan n\u1eb7ng c\u00f3 th\u1ec3 t\u0103ng sinh kh\u1ea3 d\u1ee5ng v\u00e0 gi\u1ea3m \u0111\u1ed9 thanh th\u1ea3i.<\/p>\n<h2>Thu\u1ed1c Betaloc Zok 25mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, gi\u00fap gi\u1ea3m nguy c\u01a1 t\u1eed vong do bi\u1ebfn c\u1ed1 tim m\u1ea1ch.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh, gi\u1ea3m t\u1ea7n su\u1ea5t c\u01a1n v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c.<\/p>\n<p>H\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh (t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng) c\u00f3 gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i (EF \u2264 40%), ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c chu\u1ea9n nh\u01b0 \u1ee9c ch\u1ebf men chuy\u1ec3n, l\u1ee3i ti\u1ec3u, digitalis.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng l\u00e2u d\u00e0i sau nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n<p>Ki\u1ec3m so\u00e1t m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh nh\u01b0 rung nh\u0129, nh\u1ecbp nhanh tr\u00ean th\u1ea5t, nh\u1ecbp nhanh th\u1ea5t.<\/p>\n<figure id=\"attachment_131731\" aria-describedby=\"caption-attachment-131731\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-131731\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Betaloc-Zok-25mg.jpg\" alt=\"Betaloc Zok 25mg\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Betaloc-Zok-25mg.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Betaloc-Zok-25mg-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Betaloc-Zok-25mg-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Betaloc-Zok-25mg-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-131731\" class=\"wp-caption-text\">Thu\u1ed1c Betaloc Zok 25mg thu\u1ed9c nh\u00f3m thu\u1ed1c ch\u1eb9n ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 beta-1, \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c, suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh v\u00e0 m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh.<\/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>T\u0103ng huy\u1ebft \u00e1p: Kh\u1edfi \u0111\u1ea7u 50 mg\/ng\u00e0y (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 2 vi\u00ean Betaloc Zok 25mg), u\u1ed1ng 1 l\u1ea7n bu\u1ed5i s\u00e1ng. C\u00f3 th\u1ec3 t\u0103ng t\u1edbi 100\u2013200 mg\/ng\u00e0y ho\u1eb7c ph\u1ed1i h\u1ee3p thu\u1ed1c kh\u00e1c n\u1ebfu c\u1ea7n.<\/p>\n<p>\u0110au th\u1eaft ng\u1ef1c: 100\u2013200 mg\/ng\u00e0y, d\u00f9ng 1 l\u1ea7n, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c ch\u1ed1ng \u0111au th\u1eaft ng\u1ef1c kh\u00e1c.<\/p>\n<p>Suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh (EF \u2264 40%):<\/p>\n<p>\u0110\u1ed9 II\u2013III (NYHA): Kh\u1edfi \u0111\u1ea7u 25 mg\/ng\u00e0y, t\u0103ng g\u1ea5p \u0111\u00f4i li\u1ec1u m\u1ed7i 2 tu\u1ea7n \u0111\u1ebfn t\u1ed1i \u0111a 200 mg\/ng\u00e0y.<\/p>\n<p>\u0110\u1ed9 IV: Kh\u1edfi \u0111\u1ea7u 12,5 mg\/ng\u00e0y (n\u1eeda vi\u00ean 25 mg), t\u0103ng li\u1ec1u th\u1eadn tr\u1ecdng m\u1ed7i 2 tu\u1ea7n.<\/p>\n<p>R\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh: 100\u2013200 mg\/ng\u00e0y.<\/p>\n<p>D\u1ef1 ph\u00f2ng sau nh\u1ed3i m\u00e1u c\u01a1 tim: 200 mg\/ng\u00e0y, u\u1ed1ng 1 l\u1ea7n.<\/p>\n<p>Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u00f9ng <strong>vi\u00ean n\u00e9n Betaloc Zok 25mg<\/strong> \u1edf ng\u01b0\u1eddi cao tu\u1ed5i ho\u1eb7c b\u1ec7nh nh\u00e2n suy th\u1eadn. \u1ede b\u1ec7nh nh\u00e2n suy gan n\u1eb7ng, c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc gi\u1ea3m li\u1ec1u.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>U\u1ed1ng nguy\u00ean vi\u00ean ho\u1eb7c n\u1eeda vi\u00ean (n\u1ebfu c\u00f3 r\u00e3nh chia), kh\u00f4ng nhai ho\u1eb7c nghi\u1ec1n.<\/p>\n<p>N\u00ean u\u1ed1ng Betaloc Zok 25mg v\u00e0o bu\u1ed5i s\u00e1ng, c\u00f3 th\u1ec3 u\u1ed1ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Betaloc Zok 25mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi metoprolol ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c c\u00f3 trong Betaloc Zok 25mg<\/p>\n<p>Suy tim c\u1ea5p ho\u1eb7c suy tim m\u1ea5t b\u00f9 c\u1ea7n thu\u1ed1c t\u0103ng co b\u00f3p tim.<\/p>\n<p>S\u1ed1c tim, block nh\u0129\u2013th\u1ea5t \u0111\u1ed9 2 ho\u1eb7c 3, h\u1ed9i ch\u1ee9ng n\u00fat xoang b\u1ec7nh l\u00fd, block n\u00fat xoang.<\/p>\n<p>Nh\u1ecbp tim ch\u1eadm (\u2264 50\u201355 l\u1ea7n\/ph\u00fat tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb).<\/p>\n<p>Huy\u1ebft \u00e1p t\u00e2m thu &lt; 100 mmHg.<\/p>\n<p>Hen ph\u1ebf qu\u1ea3n n\u1eb7ng ho\u1eb7c b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh nghi\u00eam tr\u1ecdng.<\/p>\n<p>B\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i vi n\u1eb7ng, h\u1ed9i ch\u1ee9ng Raynaud nghi\u00eam tr\u1ecdng.<\/p>\n<p>U t\u1ebf b\u00e0o \u01b0a cr\u00f4m ch\u01b0a \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7.<\/p>\n<p>\u0110ang d\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp lo\u1ea1i I (tr\u1eeb lidocain) ho\u1eb7c verapamil.<\/p>\n<p>Ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa.<\/p>\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<p>\u1ed4n \u0111\u1ecbnh suy tim m\u1ea1n c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1eb1ng \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c.<\/p>\n<p>Tr\u00e1nh ng\u1eebng \u0111\u1ed9t ng\u1ed9t, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n m\u1ea1ch v\u00e0nh.<\/p>\n<p>Theo d\u00f5i s\u00e1t nh\u1ecbp tim, huy\u1ebft \u00e1p, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng khi b\u1eaft \u0111\u1ea7u ho\u1eb7c t\u0103ng li\u1ec1u.<\/p>\n<p>C\u1ea9n tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n suy tim n\u1eb7ng (NYHA IV), ti\u1ec3u \u0111\u01b0\u1eddng ph\u1ee5 thu\u1ed9c insulin, b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf, tim b\u1ea9m sinh, b\u1ec7nh van tim huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p thu\u1ed1c \u1ea3nh h\u01b0\u1edfng co b\u00f3p tim, d\u1eabn truy\u1ec1n ho\u1eb7c huy\u1ebft \u00e1p.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>R\u1ed1i lo\u1ea1n to\u00e0n th\u00e2n: Th\u01b0\u1eddng g\u1eb7p suy nh\u01b0\u1ee3c.<\/p>\n<p>H\u1ec7 th\u1ea7n kinh: Ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u (th\u01b0\u1eddng g\u1eb7p); tr\u1ea7m c\u1ea3m, bu\u1ed3n ng\u1ee7, m\u1ea5t ng\u1ee7, \u00e1c m\u1ed9ng (\u00edt g\u1eb7p); c\u0103ng th\u1eb3ng, lo \u00e2u (hi\u1ebfm g\u1eb7p); suy gi\u1ea3m tr\u00ed nh\u1edb, l\u00fa l\u1eabn, \u1ea3o gi\u00e1c (r\u1ea5t hi\u1ebfm).<\/p>\n<p>Tim m\u1ea1ch: L\u1ea1nh tay ch\u00e2n (th\u01b0\u1eddng g\u1eb7p); ch\u1eadm nh\u1ecbp tim, h\u1ea1 huy\u1ebft \u00e1p, \u0111au ng\u1ef1c, suy tim, s\u1ed1c tim \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea1ch v\u00e0nh (\u00edt g\u1eb7p); k\u00e9o d\u00e0i d\u1eabn truy\u1ec1n nh\u0129-th\u1ea5t, r\u1ed1i lo\u1ea1n nh\u1ecbp (hi\u1ebfm); h\u1ed9i ch\u1ee9ng Raynaud, ph\u00f9 (r\u1ea5t hi\u1ebfm); ho\u1ea1i t\u1eed \u1edf b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n ngo\u1ea1i bi\u00ean n\u1eb7ng, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o (r\u1ea5t hi\u1ebfm).<\/p>\n<p>H\u00f4 h\u1ea5p: Kh\u00f3 th\u1edf do g\u1eafng s\u1ee9c (th\u01b0\u1eddng g\u1eb7p); co th\u1eaft ph\u1ebf qu\u1ea3n (hi\u1ebfm); vi\u00eam m\u0169i (hi\u1ebfm).<\/p>\n<p>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n (th\u01b0\u1eddng g\u1eb7p); kh\u00f4 mi\u1ec7ng (hi\u1ebfm).<\/p>\n<p>Gan: T\u0103ng men gan (hi\u1ebfm); vi\u00eam gan (r\u1ea5t hi\u1ebfm).<\/p>\n<p>Da v\u00e0 m\u00f4 d\u01b0\u1edbi da: Ph\u00e1t ban, n\u1ed5i m\u1ec1 \u0111ay, ng\u1ee9a, b\u1ec7nh v\u1ea3y n\u1ebfn, r\u1ee5ng t\u00f3c (\u00edt g\u1eb7p); t\u0103ng b\u1ec7nh v\u1ea3y n\u1ebfn, nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng (r\u1ea5t hi\u1ebfm).<\/p>\n<p>C\u01a1 x\u01b0\u01a1ng kh\u1edbp: Chu\u1ed9t r\u00fat (hi\u1ebfm).<\/p>\n<p>Chuy\u1ec3n h\u00f3a: H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, t\u0103ng c\u00e2n (\u00edt g\u1eb7p).<\/p>\n<p>M\u1eaft v\u00e0 tai: Kh\u00f4 m\u1eaft, k\u00edch \u1ee9ng, vi\u00eam k\u1ebft m\u1ea1c, khi\u1ebfm khuy\u1ebft th\u1ecb gi\u00e1c (hi\u1ebfm); \u00f9 tai (r\u1ea5t hi\u1ebfm).<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Chuy\u1ec3n h\u00f3a qua CYP2D6 \u2192 thu\u1ed1c \u1ee9c ch\u1ebf\/ c\u1ea3m \u1ee9ng enzym n\u00e0y l\u00e0m thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9.<\/p>\n<p>M\u1ed9t s\u1ed1 thu\u1ed1c l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9: thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp, kh\u00e1ng H1, kh\u00e1ng H2, ch\u1ed1ng tr\u1ea7m c\u1ea3m, ch\u1ed1ng lo\u1ea1n th\u1ea7n, \u1ee9c ch\u1ebf COX-2.<\/p>\n<p>Rifampicin l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9.<\/p>\n<p>R\u01b0\u1ee3u, hydralazine: t\u0103ng t\u00e1c d\u1ee5ng.<\/p>\n<p>Kh\u00f4ng ph\u1ed1i h\u1ee3p v\u1edbi ch\u1eb9n beta kh\u00e1c, thu\u1ed1c \u1ee9c ch\u1ebf h\u1ea1ch giao c\u1ea3m, MAO n\u1ebfu kh\u00f4ng theo d\u00f5i ch\u1eb7t.<\/p>\n<p>Clonidine: ng\u1eebng ch\u1eb9n beta v\u00e0i ng\u00e0y tr\u01b0\u1edbc khi ng\u01b0ng clonidine.<\/p>\n<p>Verapamil, diltiazem, quinidin, amiodaron: t\u0103ng nguy c\u01a1 nh\u1ecbp ch\u1eadm, gi\u1ea3m co b\u00f3p tim.<\/p>\n<p>Digitalis: k\u00e9o d\u00e0i d\u1eabn truy\u1ec1n nh\u0129\u2013th\u1ea5t.<\/p>\n<p>Thu\u1ed1c m\u00ea h\u00f4 h\u1ea5p: t\u0103ng gi\u1ea3m co b\u00f3p tim.<\/p>\n<p>NSAID (indomethacin): gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p.<\/p>\n<p>Adrenaline: ph\u1ea3n \u1ee9ng t\u0103ng huy\u1ebft \u00e1p \u00edt h\u01a1n so v\u1edbi ch\u1eb9n beta kh\u00f4ng ch\u1ecdn l\u1ecdc.<\/p>\n<p>Thu\u1ed1c tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: c\u00f3 th\u1ec3 c\u1ea7n ch\u1ec9nh li\u1ec1u.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Ch\u01b0a th\u1ea5y g\u00e2y d\u1ecb t\u1eadt b\u1ea9m sinh \u1edf ng\u01b0\u1eddi, nh\u01b0ng c\u00f3 th\u1ec3 gi\u1ea3m t\u01b0\u1edbi m\u00e1u nhau thai \u2192 nguy c\u01a1 ch\u1eadm ph\u00e1t tri\u1ec3n thai, s\u1ea3y, sinh non.<\/p>\n<p>Theo d\u00f5i s\u00e1t m\u1eb9 v\u00e0 thai n\u1ebfu d\u00f9ng khi mang thai.<\/p>\n<p>Tr\u1ebb s\u01a1 sinh t\u1eeb m\u1eb9 d\u00f9ng thu\u1ed1c tr\u01b0\u1edbc sinh: nguy c\u01a1 nh\u1ecbp ch\u1eadm, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, suy h\u00f4 h\u1ea5p \u2192 theo d\u00f5i 3\u20135 ng\u00e0y sau sinh.<\/p>\n<p>B\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 \u2192 nguy c\u01a1 nh\u1ecbp ch\u1eadm, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf tr\u1ebb b\u00fa m\u1eb9; ch\u1ec9 d\u00f9ng khi th\u1eadt c\u1ea7n thi\u1ebft.<\/p>\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>Hi\u1ec7n t\u01b0\u1ee3ng ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, bu\u1ed3n ng\u1ee7,&#8230; c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi d\u00f9ng Betaloc Zok 25mg, v\u00ec v\u1eady ng\u01b0\u1eddi d\u00f9ng n\u00ean theo d\u00f5i ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ea3n th\u00e2n tr\u01b0\u1edbc khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh thi\u1ebft b\u1ecb \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Bi\u1ec3u hi\u1ec7n: Ng\u01b0\u1eddi l\u1edbn d\u00f9ng li\u1ec1u t\u1eeb 7,5g c\u00f3 th\u1ec3 g\u00e2y ng\u1ed9 \u0111\u1ed9c n\u1eb7ng; c\u00f2n tr\u1ebb em th\u00ec t\u1eeb 100 mg c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng n\u1ebfu x\u1eed tr\u00ed s\u1edbm. Qu\u00e1 li\u1ec1u th\u01b0\u1eddng g\u00e2y r\u1ed1i lo\u1ea1n tim m\u1ea1ch (nh\u1ecbp ch\u1eadm, bl\u1ed1c nh\u0129-th\u1ea5t, t\u1ee5t huy\u1ebft \u00e1p, s\u1ed1c tim, suy tim), c\u00f3 th\u1ec3 k\u00e8m tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh (l\u00fa l\u1eabn, h\u00f4n m\u00ea, co gi\u1eadt), h\u00f4 h\u1ea5p (suy h\u00f4 h\u1ea5p, ng\u1eebng th\u1edf), h\u1ea1 ho\u1eb7c t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, t\u0103ng kali m\u00e1u, co th\u1eaft ph\u1ebf qu\u1ea3n. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n t\u1eeb 20 ph\u00fat \u0111\u1ebfn 2 gi\u1edd sau khi u\u1ed1ng.<\/p>\n<p>X\u1eed tr\u00ed:<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb t\u1ea1i c\u01a1 s\u1edf y t\u1ebf c\u00f3 \u0111\u1ea7y \u0111\u1ee7 ph\u01b0\u01a1ng ti\u1ec7n h\u1ed3i s\u1ee9c.<\/li>\n<li>C\u00f3 th\u1ec3 r\u1eeda d\u1ea1 d\u00e0y, cho than ho\u1ea1t t\u00ednh n\u1ebfu ph\u00f9 h\u1ee3p.<\/li>\n<li>Nh\u1ecbp ch\u1eadm v\u00e0 r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n c\u00f3 th\u1ec3 x\u1eed tr\u00ed b\u1eb1ng atropin, thu\u1ed1c k\u00edch th\u00edch giao c\u1ea3m ho\u1eb7c m\u00e1y t\u1ea1o nh\u1ecbp.<\/li>\n<li>Suy h\u00f4 h\u1ea5p c\u1ea7n \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 th\u1edf m\u00e1y.<\/li>\n<li>T\u1ee5t huy\u1ebft \u00e1p, suy tim c\u1ea5p ho\u1eb7c s\u1ed1c c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng b\u00f9 d\u1ecbch, ti\u00eam glucagon (truy\u1ec1n t\u0129nh m\u1ea1ch n\u1ebfu c\u1ea7n), thu\u1ed1c k\u00edch th\u00edch giao c\u1ea3m nh\u01b0 dobutamin, v\u00e0 b\u1ed5 sung thu\u1ed1c v\u1eadn m\u1ea1ch khi c\u00f3 gi\u00e3n m\u1ea1ch. C\u00f3 th\u1ec3 d\u00f9ng dung d\u1ecbch Ca\u00b2\u207a ti\u00eam t\u0129nh m\u1ea1ch.<\/li>\n<li>Co th\u1eaft ph\u1ebf qu\u1ea3n x\u1eed tr\u00ed b\u1eb1ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n.<\/li>\n<\/ul>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Betaloc Zok 25mg \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<\/p>\n<p>Kh\u00f4ng \u0111\u1ec3 Betaloc Zok 25mg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Betaloc Zok 25mg khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\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 Betaloc Zok 25mg nh\u01b0:<\/span><\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/egilok-100mg\/\">Egilok 100mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 metoprolol Tartrate, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Egis Pharmaceuticals PLC, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 \u0111au th\u1eaft ng\u1ef1c<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/betaloc-zok\/\">Betaloc Zok 50mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Metoprolol\u00a0succinate, \u0111\u1ea3ng s\u00e2m, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty AstraZeneca A.B \u2013 TH\u1ee4Y \u0110I\u1ec2N, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 \u0111au th\u1eaft ng\u1ef1c<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>T\u1edd H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Betaloc Zok 25mg \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\/08\/To-huong-dan-su-dung-Betaloc-Zok-25mg-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 10 th\u00e1ng 8 n\u0103m 2025.<\/li>\n<li>Benfield P, Clissold SP, Brogden RN. Metoprolol (1986). An updated review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy, in hypertension, ischaemic heart disease and related cardiovascular disorders. Drugs. Truy c\u1eadp ng\u00e0y 10 th\u00e1ng 8 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2940080\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/2940080\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p><span style=\"font-weight: 400;\">Thu\u1ed1c Betaloc Zok 25mg thu\u1ed9c nh\u00f3m thu\u1ed1c ch\u1eb9n ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 beta-1, \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c, suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh v\u00e0 m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh.<\/span><\/p>\n","protected":false},"author":1,"featured_media":131720,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-131718","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\/131718","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=131718"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/131720"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=131718"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=131718"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=131718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}