﻿{"id":132304,"date":"2025-08-13T23:53:41","date_gmt":"2025-08-13T16:53:41","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=132304"},"modified":"2025-08-14T00:04:08","modified_gmt":"2025-08-13T17:04:08","slug":"captopril-25mg-domesco","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/captopril-25mg-domesco\/","title":{"rendered":"Captopril 25mg Domesco"},"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 Captopril 25mg Domesco \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n Xu\u1ea5t nh\u1eadp kh\u1ea9u Y t\u1ebf Domesco c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110088424 (S\u0110K c\u0169: VD-30013-18)<\/strong><\/p>\n<h2>Captopril 25mg Domesco l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>vi\u00ean u\u1ed1ng Captopril 25mg Domesco<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<p>Captopril\u2026\u2026\u2026\u2026..25mg<\/p>\n<p>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7<\/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: 893110088424 (S\u0110K c\u0169: VD-30013-18)<\/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<p>H\u1ea1n s\u1eed d\u1ee5ng: 48 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Captopril 25mg Domesco<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Captopril \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE), ng\u0103n kh\u00f4ng cho angiotensin\u202fI chuy\u1ec3n th\u00e0nh angiotensin\u202fII \u2014 ch\u1ea5t g\u00e2y co m\u1ea1ch kh\u00e1 m\u1ea1nh.<\/p>\n<p>S\u1ef1 gi\u1ea3m angiotensin\u202fII d\u1eabn \u0111\u1ebfn gi\u1ea3m co m\u1ea1ch, gi\u1ea3m ti\u1ebft aldosteron, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng th\u1ea3i natri v\u00e0 n\u01b0\u1edbc, gi\u1eef l\u1ea1i kali.<\/p>\n<p>V\u00ec ACE ch\u1ecbu tr\u00e1ch nhi\u1ec7m bi\u1ebfn \u0111\u1ed5i bradykinin \u2014 m\u1ed9t ch\u1ea5t gi\u00e3n m\u1ea1ch \u2014 n\u00ean khi ACE b\u1ecb \u1ee9c ch\u1ebf, bradykinin t\u00edch l\u0169y, g\u00f3p ph\u1ea7n gi\u00e3n m\u1ea1ch.<\/p>\n<p>Captopril kh\u00f4ng l\u00e0m thay \u0111\u1ed5i l\u01b0\u1ee3ng norepinephrin trong m\u00e1u, nh\u01b0ng nh\u1edd ng\u0103n h\u00ecnh th\u00e0nh angiotensin\u202fII, c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn gi\u1ea3i ph\u00f3ng ho\u1eb7c t\u00e1i h\u1ea5p thu norepinephrin v\u00e0 l\u00e0m gi\u1ea3m \u0111\u1ed9 nh\u1ea1y m\u1ea1ch v\u1edbi c\u00e1c t\u00e1c nh\u00e2n l\u00e0m t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: U\u1ed1ng khi \u0111\u00f3i, 60\u201375\u202f% thu\u1ed1c h\u1ea5p thu nhanh; th\u1ee9c \u0103n l\u00e0m gi\u1ea3m h\u1ea5p thu c\u00f2n 25\u201340\u202f% nh\u01b0ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3. Sau li\u1ec1u \u0111\u01a1n 100\u202fmg khi \u0111\u00f3i, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trung b\u00ecnh kho\u1ea3ng 800\u202fng\/ml trong v\u00f2ng 1 gi\u1edd.<\/p>\n<p>Ph\u00e2n b\u1ed1: Ph\u00e2n b\u1ed1 r\u1ed9ng \u0111\u1ebfn h\u1ea7u h\u1ebft m\u00f4, c\u00f3 th\u1ec3 qua h\u00e0ng r\u00e0o m\u00e1u\u2011n\u00e3o, qua nhau thai v\u00e0 v\u00e0o s\u1eefa m\u1eb9 (kho\u1ea3ng 1\/6 n\u1ed3ng \u0111\u1ed9 \u1edf m\u1eb9). G\u1eafn v\u00e0o protein huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 25\u201330\u202f%, ch\u1ee7 y\u1ebfu l\u00e0 albumin.<\/p>\n<p>Chuy\u1ec3n h\u00f3a &amp; th\u1ea3i tr\u1eeb: Kho\u1ea3ng m\u1ed9t n\u1eeda li\u1ec1u h\u1ea5p thu b\u1ecb chuy\u1ec3n h\u00f3a nhanh th\u00e0nh captopril\u2011cystein disulfid v\u00e0 dimercaptopril disulfid. Thu\u1ed1c v\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u; ng\u01b0\u1eddi ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng th\u1ea3i &gt;\u202f95\u202f% li\u1ec1u trong 24 gi\u1edd, kho\u1ea3ng 40\u201350\u202f% \u1edf d\u1ea1ng kh\u00f4ng chuy\u1ec3n h\u00f3a. M\u1ed9t ph\u1ea7n nh\u1ecf c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c th\u1ea3i trong v\u00f2ng 5 ng\u00e0y. Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a captopril kh\u00f4ng chuy\u1ec3n h\u00f3a &lt;\u202f2 gi\u1edd \u1edf th\u1eadn b\u00ecnh th\u01b0\u1eddng; nh\u01b0ng t\u0103ng l\u00ean \u0111\u1ebfn 20\u201340 gi\u1edd n\u1ebfu creatinin clearance &lt;\u202f20\u202fml\/ph\u00fat, v\u00e0 c\u00f3 th\u1ec3 \u0111\u1ebfn 6,5 ng\u00e0y \u1edf ng\u01b0\u1eddi v\u00f4 ni\u1ec7u.<\/p>\n<h2>Thu\u1ed1c Captopril 25mg Domesco \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>T\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>Suy tim m\u1ea1n.<\/p>\n<p>Sau nh\u1ed3i m\u00e1u c\u01a1 tim:<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p \u1ed5n \u0111\u1ecbnh trong v\u00f2ng 24\u202fgi\u1edd \u0111\u1ea7u.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng nh\u01b0ng \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>B\u1ec7nh th\u1eadn \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng typ\u202f1.<\/p>\n<figure id=\"attachment_132317\" aria-describedby=\"caption-attachment-132317\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-132317\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Captopril-25mg-Domesco.jpg\" alt=\"Captopril 25mg Domesco\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Captopril-25mg-Domesco.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Captopril-25mg-Domesco-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Captopril-25mg-Domesco-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Captopril-25mg-Domesco-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-132317\" class=\"wp-caption-text\">Thu\u1ed1c Captopril 25mg Domesco ch\u1ee9a ho\u1ea1t ch\u1ea5t Captopril thu\u1ed9c nh\u00f3m \u1ee9c ch\u1ebf enzym chuy\u1ec3n angiotensin, th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim.<\/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:<\/p>\n<ul>\n<li>Li\u1ec1u th\u00f4ng th\u01b0\u1eddng: 25\u202fmg x 2\u20133 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Kh\u1edfi \u0111\u1ea7u th\u1ea5p: 6,25\u202fmg x 2 l\u1ea7n\/ng\u00e0y ho\u1eb7c 12,5\u202fmg x 3 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>N\u1ebfu ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c sau 1\u20132 tu\u1ea7n, t\u0103ng \u0111\u1ebfn 50\u202fmg x 2\u20133 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>Li\u1ec1u t\u1ed1i \u0111a: 150\u202fmg\/ng\u00e0y; c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p thiazid (hydrochlorothiazid 15\u202fmg) n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n<p>Suy tim m\u1ea1n:<\/p>\n<ul>\n<li>B\u1eaft \u0111\u1ea7u ph\u1ed1i h\u1ee3p v\u1edbi l\u1ee3i ti\u1ec3u: 6,25\u201325\u202fmg x 3 l\u1ea7n\/ng\u00e0y; c\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn 50\u202fmg x 3 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>V\u1edbi b\u1ec7nh nh\u00e2n gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n ho\u1eb7c natri &lt;\u202f130\u202fmmol\/l: kh\u1edfi \u0111\u1ea7u li\u1ec1u th\u1ea5p (6,25\u201312,5\u202fmg x 3 l\u1ea7n\/ng\u00e0y).<\/li>\n<\/ul>\n<p>Nh\u1ed3i m\u00e1u c\u01a1 tim:<\/p>\n<ul>\n<li>Ng\u1eafn h\u1ea1n: b\u1eaft \u0111\u1ea7u s\u1edbm sau khi b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng. Li\u1ec1u th\u1eed: 6,25\u202fmg, sau 2\u202fgi\u1edd t\u0103ng l\u00ean 12,5\u202fmg, sau \u0111\u00f3 12\u202fgi\u1edd l\u00e0 25\u202fmg. T\u1eeb ng\u00e0y h\u00f4m sau: t\u1ed5ng 100\u202fmg\/ng\u00e0y chia 2 l\u1ea7n, trong 4 tu\u1ea7n.<\/li>\n<li>D\u00e0i h\u1ea1n: n\u1ebfu kh\u00f4ng b\u1eaft \u0111\u1ea7u trong 24\u202fgi\u1edd \u0111\u1ea7u, c\u00f3 th\u1ec3 kh\u1edfi \u0111\u1ea7u t\u1eeb ng\u00e0y th\u1ee9 3 \u0111\u1ebfn 16 sau nh\u1ed3i m\u00e1u, sau khi huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh. Li\u1ec1u b\u1eaft \u0111\u1ea7u th\u1ea5p, t\u0103ng tu\u1ea7n t\u1ef1: 6,25\u202fmg \u2192 12,5\u202fmg x 3 l\u1ea7n\/ng\u00e0y trong 2 ng\u00e0y \u2192 25\u202fmg x 3 l\u1ea7n\/ng\u00e0y n\u1ebfu dung n\u1ea1p t\u1ed1t. Li\u1ec1u duy tr\u00ec hi\u1ec7u qu\u1ea3: 75\u2013150\u202fmg\/ng\u00e0y chia 2\u20133 l\u1ea7n.<\/li>\n<\/ul>\n<p>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i sau nh\u1ed3i m\u00e1u: B\u1eaft \u0111\u1ea7u s\u1edbm (~3 ng\u00e0y sau nh\u1ed3i m\u00e1u). Li\u1ec1u kh\u1edfi \u0111\u1ea7u 6,25\u202fmg, t\u0103ng l\u00ean 12,5\u202fmg x 3 l\u1ea7n\/ng\u00e0y, sau \u0111\u00f3 25\u202fmg x 3 l\u1ea7n\/ng\u00e0y, r\u1ed3i c\u00f3 th\u1ec3 l\u00ean 50\u202fmg x 3 l\u1ea7n\/ng\u00e0y n\u1ebfu dung n\u1ea1p.<\/p>\n<p>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ\u202f1: 25\u202fmg x 3 l\u1ea7n\/ng\u00e0y d\u00f9ng d\u00e0i h\u1ea1n; n\u1ebfu ch\u01b0a \u0111\u1ea1t hi\u1ec7u qu\u1ea3, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p th\u00eam c\u00e1c thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p kh\u00e1c.<\/p>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i: Kh\u1edfi \u0111\u1ea7u 6,25\u202fmg x 2 l\u1ea7n\/ng\u00e0y; n\u1ebfu c\u1ea7n sau 2 tu\u1ea7n c\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn 25\u202fmg x 2 l\u1ea7n\/ng\u00e0y. D\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n<p>Tr\u1ebb em (&gt;\u202f8\u202fkg): 0,3\u20130,5\u202fmg\/kg\/l\u1ea7n, c\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn t\u1ed1i \u0111a 6\u202fmg\/kg\/ng\u00e0y, chia 2\u20134 l\u1ea7n.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>D\u00f9ng <strong>vi\u00ean n\u00e9n Captopril 25mg Domesco<\/strong> b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng; c\u00f3 th\u1ec3 u\u1ed1ng tr\u01b0\u1edbc, trong ho\u1eb7c sau b\u1eefa \u0103n. Vi\u1ec7c d\u00f9ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00e1c d\u1ee5ng.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Captopril 25mg Domesco trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi Captopril hay t\u00e1 d\u01b0\u1ee3c c\u00f3 trong Captopril 25mg Domesco<\/p>\n<p>Ti\u1ec1n s\u1eed ph\u00f9 m\u1ea1ch li\u00ean quan \u0111\u1ebfn ACE\u2011inhibitor.<\/p>\n<p>Ph\u00f9 th\u1ea7n kinh m\u1ea1ch di truy\u1ec1n.<\/p>\n<p>Ph\u1ee5 n\u1eef mang thai t\u1eeb qu\u00fd 2 tr\u1edf \u0111i ho\u1eb7c \u0111ang cho con b\u00fa.<\/p>\n<p>\u0110\u1ed3ng th\u1eddi d\u00f9ng aliskiren \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c suy th\u1eadn (GFR &lt;\u202f60\u202fml\/ph\u00fat\/1,73\u202fm\u00b2).<\/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>C\u1ea7n theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn ch\u1eb7t ch\u1ebd, gi\u1ea3m li\u1ec1u n\u1ebfu c\u1ea7n.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng chung v\u1edbi thu\u1ed1c gi\u1eef kali, ch\u1ebf ph\u1ea9m b\u1ed5 sung kali ho\u1eb7c heparin.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m b\u1ea1ch c\u1ea7u, ti\u1ec3u c\u1ea7u; c\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ecbnh k\u1ef3 \u1edf ng\u01b0\u1eddi c\u00f3 nguy c\u01a1.<\/p>\n<p>Tr\u00e1nh d\u00f9ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c r\u1ed1i lo\u1ea1n\u00a0dung n\u1ea1p lactose<\/p>\n<p>Ng\u01b0\u1eddi da \u0111en: \u0111\u00e1p \u1ee9ng h\u1ea1 \u00e1p c\u00f3 th\u1ec3 k\u00e9m h\u01a1n.<\/p>\n<p>Tr\u1ebb em, ng\u01b0\u1eddi gi\u00e0 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u, theo d\u00f5i s\u00e1t.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: Ho khan, ch\u00f3ng m\u1eb7t, thay \u0111\u1ed5i v\u1ecb gi\u00e1c, ng\u1ee9a ho\u1eb7c ph\u00e1t ban, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a (bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n).<\/p>\n<p>\u00cdt g\u1eb7p: Nh\u1ee9c \u0111\u1ea7u, h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, m\u1ec7t m\u1ecfi, ph\u00f9 m\u1ea1ch, nh\u1ecbp tim nhanh ho\u1eb7c ch\u1eadm, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, vi\u00eam gan, v\u00e0ng da, ph\u1ea3n \u1ee9ng da n\u1eb7ng (h\u1ed3ng ban \u0111a d\u1ea1ng, h\u1ed9i ch\u1ee9ng Stevens-Johnson).<\/p>\n<p>Khi c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng, c\u1ea7n ng\u1eebng thu\u1ed1c v\u00e0 th\u00f4ng b\u00e1o cho b\u00e1c s\u0129.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali ho\u1eb7c b\u1ed5 sung kali: L\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 kali huy\u1ebft, c\u1ea7n th\u1eadn tr\u1ecdng v\u00e0 theo d\u00f5i.<\/p>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid ho\u1eb7c quai: C\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p m\u1ea1nh khi b\u1eaft \u0111\u1ea7u captopril, n\u00ean \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u ho\u1eb7c ng\u1eebng thu\u1ed1c l\u1ee3i ti\u1ec3u tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>Thu\u1ed1c h\u1ea1 \u00e1p kh\u00e1c: C\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p, \u0111\u1eb7c bi\u1ec7t khi ph\u1ed1i h\u1ee3p v\u1edbi ch\u1eb9n beta, ch\u1eb9n k\u00eanh calci k\u00e9o d\u00e0i, nitrat ho\u1eb7c thu\u1ed1c gi\u00e3n m\u1ea1ch.<\/p>\n<p>Thu\u1ed1c ch\u1eb9n alpha: L\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf.<\/p>\n<p>Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p: C\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p an to\u00e0n v\u1edbi aspirin li\u1ec1u tim m\u1ea1ch, thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft, ch\u1eb9n beta, nitrat.<\/p>\n<p>Lithi: T\u0103ng n\u1ed3ng \u0111\u1ed9 v\u00e0 \u0111\u1ed9c t\u00ednh c\u1ee7a lithi; tr\u00e1nh ph\u1ed1i h\u1ee3p ho\u1eb7c theo d\u00f5i s\u00e1t n\u1ed3ng \u0111\u1ed9 lithi.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng\/thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n: C\u00f3 th\u1ec3 l\u00e0m h\u1ea1 huy\u1ebft \u00e1p m\u1ea1nh h\u01a1n.<\/p>\n<p>Allopurinol, procainamid, thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch ho\u1eb7c k\u00ecm t\u1ebf b\u00e0o: T\u0103ng nguy c\u01a1 gi\u1ea3m b\u1ea1ch c\u1ea7u.<\/p>\n<p>NSAIDs: C\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p, t\u0103ng kali m\u00e1u, gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>Thu\u1ed1c k\u00edch th\u00edch th\u1ea7n kinh giao c\u1ea3m: C\u00f3 th\u1ec3 gi\u1ea3m hi\u1ec7u qu\u1ea3 h\u1ea1 \u00e1p.<\/p>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: Hi\u1ebfm g\u1eb7p h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, c\u00f3 th\u1ec3 c\u1ea7n gi\u1ea3m li\u1ec1u thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>X\u00e9t nghi\u1ec7m: C\u00f3 th\u1ec3 g\u00e2y d\u01b0\u01a1ng t\u00ednh gi\u1ea3 khi th\u1eed aceton trong n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>Phong b\u1ebf k\u00e9p h\u1ec7 RAAS: Ph\u1ed1i h\u1ee3p v\u1edbi ch\u1eb9n th\u1ee5 th\u1ec3 angiotensin II ho\u1eb7c aliskiren l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 \u00e1p, t\u0103ng kali m\u00e1u v\u00e0 gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Mang thai: Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng trong 3 th\u00e1ng \u0111\u1ea7u; ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i thai k\u1ef3 do nguy c\u01a1 g\u00e2y \u0111\u1ed9c cho thai v\u00e0 tr\u1ebb s\u01a1 sinh. Khi ph\u00e1t hi\u1ec7n c\u00f3 thai, c\u1ea7n ng\u01b0ng thu\u1ed1c ngay v\u00e0 thay b\u1eb1ng thu\u1ed1c an to\u00e0n h\u01a1n. N\u1ebfu \u0111\u00e3 d\u00f9ng t\u1eeb tam c\u00e1 nguy\u1ec7t th\u1ee9 hai, n\u00ean si\u00eau \u00e2m ki\u1ec3m tra th\u1eadn v\u00e0 s\u1ecd thai.<\/p>\n<p>Cho con b\u00fa: L\u01b0\u1ee3ng thu\u1ed1c v\u00e0o s\u1eefa m\u1eb9 r\u1ea5t th\u1ea5p nh\u01b0ng kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng cho tr\u1ebb sinh non ho\u1eb7c trong v\u00e0i tu\u1ea7n \u0111\u1ea7u sau sinh. V\u1edbi tr\u1ebb l\u1edbn h\u01a1n, ch\u1ec9 d\u00f9ng khi th\u1eadt c\u1ea7n thi\u1ebft v\u00e0 theo d\u00f5i s\u00e1t.<\/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>C\u00f3 th\u1ec3 g\u00e2y \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t ho\u1eb7c bu\u1ed3n ng\u1ee7 n\u1ebfu d\u00f9ng Captopril 25mg Domesco, c\u1ea7n th\u1eadn tr\u1ecdng khi l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi s\u1ef1 t\u1eadp trung.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng: H\u1ea1 huy\u1ebft \u00e1p, s\u1ed1c, r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, nh\u1ecbp tim ch\u1eadm, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, suy th\u1eadn.<\/p>\n<p>X\u1eed tr\u00ed: H\u1ed7 tr\u1ee3 c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb lo\u1ea1n nh\u1ecbp. C\u00f3 th\u1ec3 r\u1eeda d\u1ea1 d\u00e0y, d\u00f9ng ch\u1ea5t h\u1ea5p ph\u1ee5, natri sulfat trong v\u00f2ng 30 ph\u00fat sau u\u1ed1ng \u0111\u1ec3 gi\u1ea3m h\u1ea5p thu. Khi h\u1ea1 huy\u1ebft \u00e1p, \u0111\u1eb7t b\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, n\u00e2ng ch\u00e2n, b\u00f9 d\u1ecbch v\u00e0 mu\u1ed1i nhanh; c\u00e2n nh\u1eafc d\u00f9ng angiotensin II. Nh\u1ecbp tim ch\u1eadm ho\u1eb7c block nh\u0129 th\u1ea5t c\u00f3 th\u1ec3 d\u00f9ng atropin ho\u1eb7c m\u00e1y t\u1ea1o nh\u1ecbp t\u1ea1m th\u1eddi.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Captopril 25mg Domesco \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 Captopril 25mg Domesco trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Captopril 25mg Domesco 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 Captopril 25mg Domesco nh\u01b0:<\/span><\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/captopril-stada-25mg\/\">Captopril Stada 25mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n l\u00e0 Captopril 25mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Nh\u00e0 m\u00e1y Stada Vi\u1ec7t Nam, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, suy tim<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/captopril-stella-25mg-2\/\">Captopril Stella 25mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n l\u00e0 Captopril 25mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty d\u01b0\u1ee3c ph\u1ea9m Stellapharm \u2013 Vi\u1ec7t Nam, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, suy tim<\/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 Captopril 25mg Domesco \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-Captopril-25mg-Domesco-vnras-1.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 13 th\u00e1ng 8 n\u0103m 2025<\/li>\n<li>Wenting GJ, Man in&#8217;t veld AJ, Woittiez AJ, Boomsma F, Laird-Meeter K, Simoons ML, Hugenholtz PG, Schalekamp MA (1983). Effects of captopril in acute and chronic heart failure. Correlations with plasma levels of noradrenaline, renin, and aldosterone. Br Heart J. Truy c\u1eadp ng\u00e0y 13 th\u00e1ng 8 n\u0103m 2025\u00a0 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC485212\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC485212\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p><span style=\"font-weight: 400;\">Thu\u1ed1c Captopril 25mg Domesco ch\u1ee9a ho\u1ea1t ch\u1ea5t Captopril thu\u1ed9c nh\u00f3m \u1ee9c ch\u1ebf enzym chuy\u1ec3n angiotensin, th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim.<\/span><\/p>\n","protected":false},"author":1,"featured_media":132306,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-132304","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\/132304","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=132304"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/132306"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=132304"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=132304"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=132304"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}