{"id":132891,"date":"2025-08-17T02:04:15","date_gmt":"2025-08-16T19:04:15","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&p=132891"},"modified":"2025-08-17T02:07:11","modified_gmt":"2025-08-16T19:07:11","slug":"bisoprolol-fumarate-2-5mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/bisoprolol-fumarate-2-5mg\/","title":{"rendered":"Bisoprolol Fumarate 2.5mg"},"content":{"rendered":"

Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Bisoprolol Fumarate 2.5mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Niche Generics Limited c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-18126-14<\/strong><\/p>\n

Bisoprolol Fumarate 2.5mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n

Th\u00e0nh ph\u1ea7n<\/h3>\n

Trong m\u1ed7i vi\u00ean u\u1ed1ng Bisoprolol Fumarate 2.5mg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n

Bisoprolol fumarate\u2026\u2026\u2026\u2026\u2026\u2026.2,5mg<\/p>\n

D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/p>\n

Tr\u00ecnh b\u00e0y<\/h3>\n

S\u0110K: VN-18126-14<\/p>\n

Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 14 vi\u00ean<\/p>\n

Xu\u1ea5t x\u1ee9: Ireland<\/p>\n

H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n

T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Bisoprolol Fumarate 2.5mg<\/h2>\n

C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n

Bisoprolol l\u00e0 thu\u1ed1c ch\u1eb9n beta ch\u1ecdn l\u1ecdc, kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh \u1ed5n \u0111\u1ecbnh n\u1ed9i t\u1ea1i. Thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1c \u0111\u1ed9ng c\u1ee7a catecholamin l\u00ean th\u1ee5 th\u1ec3 beta-1 \u1edf tim, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m nh\u1ecbp tim, s\u1ee9c co b\u00f3p c\u01a1 tim v\u00e0 nhu c\u1ea7u ti\u00eau th\u1ee5 oxy. \u1ede b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p, t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p c\u1ee7a thu\u1ed1c m\u1ed9t ph\u1ea7n nh\u1edd s\u1ef1 \u1ee9c ch\u1ebf h\u1ec7 renin\u2013angiotensin. Trong \u0111au th\u1eaft ng\u1ef1c, vi\u1ec7c gi\u1ea3m nhu c\u1ea7u oxy c\u01a1 tim gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng.<\/p>\n

\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n

Bisoprolol fumarate h\u1ea5p thu g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng u\u1ed1ng, sinh kh\u1ea3 d\u1ee5ng \u0111\u1ea1t kho\u1ea3ng 90% do \u00edt b\u1ecb chuy\u1ec3n h\u00f3a l\u1ea7n \u0111\u1ea7u qua gan. T\u1ef7 l\u1ec7 g\u1eafn protein huy\u1ebft t\u01b0\u01a1ng v\u00e0o kho\u1ea3ng 30%, th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 trung b\u00ecnh 3,1 l\u00edt\/kg. Thu\u1ed1c c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i 10\u201312 gi\u1edd, \u0111\u1ee7 \u0111\u1ec3 duy tr\u00ec hi\u1ec7u qu\u1ea3 trong 24 gi\u1edd v\u1edbi li\u1ec1u d\u00f9ng 1 l\u1ea7n\/ng\u00e0y.<\/p>\n

Kho\u1ea3ng 50% li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a t\u1ea1i gan th\u00e0nh c\u00e1c ch\u1ea5t kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh r\u1ed3i th\u1ea3i qua th\u1eadn, 50% c\u00f2n l\u1ea1i \u0111\u00e0o th\u1ea3i nguy\u00ean d\u1ea1ng qua n\u01b0\u1edbc ti\u1ec3u. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc \u00edt thay \u0111\u1ed5i theo tu\u1ed5i t\u00e1c. Tuy nhi\u00ean, \u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n t\u00ednh (NYHA \u0111\u1ed9 III), n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng c\u00f3 th\u1ec3 cao h\u01a1n v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i k\u00e9o d\u00e0i, trung b\u00ecnh kho\u1ea3ng 17 \u00b1 5 gi\u1edd.<\/p>\n

Thu\u1ed1c Bisoprolol Fumarate 2.5mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n

\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/p>\n

Ki\u1ec3m so\u00e1t \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh m\u1ea1n t\u00ednh.<\/p>\n

Suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh v\u1edbi gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i, ph\u1ed1i h\u1ee3p c\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, l\u1ee3i ti\u1ec3u v\u00e0 glycosid tim.<\/p>\n

\"Bisoprolol
Thu\u1ed1c Bisoprolol Fumarate 2.5mg thu\u1ed9c nh\u00f3m ch\u1eb9n ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 beta-adrenergic gi\u1ea3m g\u00e1nh n\u1eb7ng tim, h\u1ea1 huy\u1ebft \u00e1p v\u00e0 c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng \u1edf b\u1ec7nh nh\u00e2n suy tim<\/figcaption><\/figure>\n

Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n

Li\u1ec1u d\u00f9ng<\/h3>\n

T\u0103ng huy\u1ebft \u00e1p v\u00e0 \u0111au th\u1eaft ng\u1ef1c: li\u1ec1u kh\u1edfi \u0111\u1ea7u 5 mg\/ng\u00e0y, li\u1ec1u th\u00f4ng th\u01b0\u1eddng 10 mg\/ng\u00e0y, t\u1ed1i \u0111a 20 mg\/ng\u00e0y.<\/p>\n

Suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh: c\u1ea7n ch\u1ec9nh li\u1ec1u theo t\u1eebng giai \u0111o\u1ea1n:<\/p>\n

    \n
  • 1,25 mg\/ng\u00e0y trong tu\u1ea7n \u0111\u1ea7u.<\/li>\n
  • 2,5 mg\/ng\u00e0y tu\u1ea7n k\u1ebf ti\u1ebfp.<\/li>\n
  • 3,75 mg\/ng\u00e0y tu\u1ea7n th\u1ee9 ba.<\/li>\n
  • 5 mg\/ng\u00e0y trong 4 tu\u1ea7n ti\u1ebfp theo.<\/li>\n
  • 7,5 mg\/ng\u00e0y trong 4 tu\u1ea7n k\u1ebf ti\u1ebfp.<\/li>\n
  • Li\u1ec1u duy tr\u00ec 10 mg\/ng\u00e0y.<\/li>\n
  • Li\u1ec1u t\u1ed1i \u0111a khuy\u1ebfn c\u00e1o trong suy tim l\u00e0 10 mg\/ng\u00e0y.<\/li>\n<\/ul>\n

    B\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng (ClCr < 20 ml\/ph\u00fat): kh\u00f4ng qu\u00e1 10 mg\/ng\u00e0y, c\u00f3 th\u1ec3 chia 2 l\u1ea7n.<\/p>\n

    Suy gan n\u1eb7ng: kh\u00f4ng qu\u00e1 10 mg\/ng\u00e0y, c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd.<\/p>\n

    Ng\u01b0\u1eddi cao tu\u1ed5i: kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u \u0111\u1eb7c bi\u1ec7t, kh\u1edfi \u0111\u1ea7u v\u1edbi li\u1ec1u th\u1ea5p.<\/p>\n

    Tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i: ch\u01b0a c\u00f3 d\u1eef li\u1ec7u, kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng.<\/p>\n

    C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n

    U\u1ed1ng nguy\u00ean vi\u00ean n\u00e9n Bisoprolol Fumarate 2.5mg<\/strong> v\u1edbi n\u01b0\u1edbc, v\u00e0o bu\u1ed5i s\u00e1ng, c\u00f3 th\u1ec3 u\u1ed1ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n. Khi ng\u01b0ng \u0111i\u1ec1u tr\u1ecb, c\u1ea7n gi\u1ea3m li\u1ec1u d\u1ea7n \u0111\u1ec3 tr\u00e1nh hi\u1ec7n t\u01b0\u1ee3ng h\u1ed3i \u1ee9ng tim m\u1ea1ch.<\/p>\n

    Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Bisoprolol Fumarate 2.5mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n

    D\u1ecb \u1ee9ng v\u1edbi bisoprolol ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o trong thu\u1ed1c.<\/p>\n

    Suy tim c\u1ea5p, suy tim m\u1ea5t b\u00f9 c\u1ea7n truy\u1ec1n thu\u1ed1c t\u0103ng co b\u00f3p.<\/p>\n

    S\u1ed1c tim.<\/p>\n

    Block nh\u0129-th\u1ea5t \u0111\u1ed9 II, III (n\u1ebfu kh\u00f4ng c\u00f3 m\u00e1y t\u1ea1o nh\u1ecbp).<\/p>\n

    H\u1ed9i ch\u1ee9ng n\u00fat xoang b\u1ec7nh l\u00fd, block xoang nh\u0129.<\/p>\n

    Nh\u1ecbp ch\u1eadm d\u01b0\u1edbi 60 l\u1ea7n\/ph\u00fat tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

    Huy\u1ebft \u00e1p t\u00e2m thu < 100 mmHg.<\/p>\n

    Hen ph\u1ebf qu\u1ea3n n\u1eb7ng, COPD n\u1eb7ng.<\/p>\n

    B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean giai \u0111o\u1ea1n cu\u1ed1i, h\u1ed9i ch\u1ee9ng Raynaud.<\/p>\n

    Toan chuy\u1ec3n h\u00f3a.<\/p>\n

    U t\u1ee7y th\u01b0\u1ee3ng th\u1eadn ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t.<\/p>\n

    Ph\u1ed1i h\u1ee3p v\u1edbi floctafenine ho\u1eb7c sultopride.<\/p>\n

    L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c<\/h2>\n

    Th\u1eadn tr\u1ecdng<\/h3>\n

    D\u00f9ng th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 co th\u1eaft ph\u1ebf qu\u1ea3n, c\u1ea7n ph\u1ed1i h\u1ee3p thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n khi c\u1ea7n.<\/p>\n

    Khi ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c m\u00ea ho\u1eb7c thu\u1ed1c t\u00ea, c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd ch\u1ee9c n\u0103ng tim m\u1ea1ch.<\/p>\n

    C\u00f3 th\u1ec3 che l\u1ea5p tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng gi\u00e1p.<\/p>\n

    Nguy c\u01a1 t\u0103ng ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn v\u00e0 gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a adrenalin trong \u0111i\u1ec1u tr\u1ecb s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n

    B\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c Prinzmetal: ch\u1ec9 d\u00f9ng bisoprolol ch\u1ecdn l\u1ecdc khi ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c gi\u00e3n m\u1ea1ch.<\/p>\n

    Ng\u01b0\u1eddi c\u00f3 b\u1ec7nh m\u1ea1ch ngo\u1ea1i bi\u00ean, b\u1ec7nh v\u1ea3y n\u1ebfn, u t\u1ebf b\u00e0o \u01b0a crom: c\u1ea7n c\u00e2n nh\u1eafc l\u1ee3i \u00edch \u2013 nguy c\u01a1 tr\u01b0\u1edbc khi d\u00f9ng.<\/p>\n

    Kh\u00f4ng \u0111\u01b0\u1ee3c ng\u01b0ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea1ch v\u00e0nh, do c\u00f3 th\u1ec3 g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c \u0111\u1ed9t t\u1eed.<\/p>\n

    C\u1ea7n theo d\u00f5i huy\u1ebft \u00e1p, nh\u1ecbp tim v\u00e0 t\u00ecnh tr\u1ea1ng suy tim trong giai \u0111o\u1ea1n ch\u1ec9nh li\u1ec1u.<\/p>\n

    Thu\u1ed1c c\u00f3 ch\u1ee9a lactose monohydrat, kh\u00f4ng d\u00f9ng cho ng\u01b0\u1eddi kh\u00f4ng dung n\u1ea1p lactose.<\/p>\n

    C\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh trong x\u00e9t nghi\u1ec7m doping.<\/p>\n

    T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n

    Th\u01b0\u1eddng g\u1eb7p: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ea5y l\u1ea1nh ho\u1eb7c t\u00ea \u1edf tay ch\u00e2n, h\u1ed9i ch\u1ee9ng Raynaud, \u0111au c\u00e1ch h\u1ed3i do thi\u1ebfu m\u00e1u ngo\u1ea1i vi. M\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n kh\u00e1c g\u1ed3m m\u1ec7t m\u1ecfi, suy nh\u01b0\u1ee3c, ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u, hoa m\u1eaft, bu\u1ed3n n\u00f4n, n\u00f4n, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a (ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, \u0111au b\u1ee5ng). C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y hay xu\u1ea5t hi\u1ec7n giai \u0111o\u1ea1n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u01b0\u1eddng gi\u1ea3m d\u1ea7n sau 1\u20132 tu\u1ea7n.<\/p>\n

    \u00cdt g\u1eb7p: C\u00f3 th\u1ec3 g\u1eb7p y\u1ebfu c\u01a1, co c\u1ee9ng c\u01a1, \u0111au kh\u1edbp; nh\u1ecbp tim ch\u1eadm, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t, h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, t\u00ecnh tr\u1ea1ng suy tim ti\u1ebfn tri\u1ec3n; m\u1ea5t ng\u1ee7, tr\u1ea7m c\u1ea3m; co th\u1eaft ph\u1ebf qu\u1ea3n \u1edf ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p t\u1eafc ngh\u1ebdn ho\u1eb7c hen.<\/p>\n

    Hi\u1ebfm g\u1eb7p: C\u00f3 th\u1ec3 c\u00f3 \u00e1c m\u1ed9ng, \u1ea3o gi\u00e1c; ph\u1ea3n \u1ee9ng da (ng\u1ee9a, ban \u0111\u1ecf, ph\u00e1t ban), t\u0103ng men gan ho\u1eb7c vi\u00eam gan, thay \u0111\u1ed5i chuy\u1ec3n h\u00f3a (t\u0103ng triglycerid, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft), r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, vi\u00eam m\u0169i d\u1ecb \u1ee9ng, gi\u1ea3m th\u00ednh l\u1ef1c, gi\u1ea3m ti\u1ebft n\u01b0\u1edbc m\u1eaft (\u0111\u00e1ng ch\u00fa \u00fd \u1edf ng\u01b0\u1eddi \u0111\u1eb7t th\u1ee7y tinh th\u1ec3 nh\u00e2n t\u1ea1o), test ANA d\u01b0\u01a1ng t\u00ednh k\u00e8m bi\u1ec3u hi\u1ec7n gi\u1ed1ng lupus, vi\u00eam k\u1ebft m\u1ea1c. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ri\u00eang l\u1ebb c\u00f3 ghi nh\u1eadn b\u1ec7nh v\u1ea3y n\u1ebfn kh\u1edfi ph\u00e1t ho\u1eb7c n\u1eb7ng h\u01a1n, r\u1ee5ng t\u00f3c.<\/p>\n

    T\u01b0\u01a1ng t\u00e1c<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
    Khuy\u1ebfn c\u00e1o<\/th>\nThu\u1ed1c t\u01b0\u01a1ng t\u00e1c<\/th>\nT\u01b0\u01a1ng t\u00e1c<\/th>\n<\/tr>\n<\/thead>\n
    Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong><\/td>\nFloctafenine<\/td>\nBisoprolol c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng b\u00f9 tr\u1eeb tim m\u1ea1ch khi x\u1ea3y ra h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c shock do floctafenine<\/td>\n<\/tr>\n
    Sultoprid<\/td>\nL\u00e0m t\u0103ng nguy c\u01a1 lo\u1ea1n nh\u1ecbp th\u1ea5t<\/td>\n<\/tr>\n
    Kh\u00f4ng khuy\u1ebfn c\u00e1o<\/strong><\/td>\nC\u00e1c thu\u1ed1c ch\u1eb9n k\u00eanh canxi (Verapamil, Diltiazem, Bepridil)<\/td>\nT\u0103ng t\u00e1c \u0111\u1ed9ng gi\u1ea3m co b\u00f3p c\u01a1 tim, ch\u1eadm d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t, h\u1ea1 huy\u1ebft \u00e1p<\/td>\n<\/tr>\n
    Clonidine<\/td>\nNguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p d\u1ed9i, nh\u1ecbp ch\u1eadm v\u00e0 r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n tim<\/td>\n<\/tr>\n
    Thu\u1ed1c \u1ee9c ch\u1ebf MAO (tr\u1eeb MAO-B)<\/td>\nT\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p c\u1ee7a bisoprolol, nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u01a1n t\u0103ng huy\u1ebft \u00e1p<\/td>\n<\/tr>\n
    Th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p<\/strong><\/td>\nThu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m I (Quinidine, Disopyramide)<\/td>\nK\u00e9o d\u00e0i d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t, t\u0103ng t\u00e1c \u0111\u1ed9ng \u1ee9c ch\u1ebf co b\u00f3p c\u01a1 tim<\/td>\n<\/tr>\n
    Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m III (Amiodarone)<\/td>\n\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t<\/td>\n<\/tr>\n
    Thu\u1ed1c ch\u1eb9n k\u00eanh canxi nh\u00f3m dihydropyridine (Felodipine, Amlodipine)<\/td>\nNguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p, c\u00f3 th\u1ec3 l\u00e0m suy tim n\u1eb7ng h\u01a1n<\/td>\n<\/tr>\n
    Digitalis glycosides<\/td>\nL\u00e0m ch\u1eadm nh\u1ecbp tim, k\u00e9o d\u00e0i d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t<\/td>\n<\/tr>\n
    Thu\u1ed1c \u0111\u1ed1i giao c\u1ea3m (bao g\u1ed3m Tacrine)<\/td>\nT\u0103ng th\u1eddi gian d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t<\/td>\n<\/tr>\n
    C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf beta kh\u00e1c (k\u1ec3 c\u1ea3 d\u1ea1ng nh\u1ecf m\u1eaft)<\/td>\nHi\u1ec7p \u0111\u1ed3ng t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf beta<\/td>\n<\/tr>\n
    Insulin v\u00e0 thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1eddng u\u1ed1ng<\/td>\nT\u0103ng hi\u1ec7u qu\u1ea3 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, che l\u1ea5p tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/td>\n<\/tr>\n
    Thu\u1ed1c g\u00e2y m\u00ea, g\u00e2y t\u00ea<\/td>\nGi\u1ea3m ph\u1ea3n x\u1ea1 nh\u1ecbp nhanh, t\u0103ng nguy c\u01a1 t\u1ee5t huy\u1ebft \u00e1p<\/td>\n<\/tr>\n
    Ergotamin<\/td>\nL\u00e0m n\u1eb7ng th\u00eam r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n ngo\u1ea1i bi\u00ean<\/td>\n<\/tr>\n
    Thu\u1ed1c k\u00edch th\u00edch th\u1ea7n kinh giao c\u1ea3m (Isoprenaline, Dobutamine, Noradrenaline, Adrenaline)<\/td>\nGi\u1ea3m t\u00e1c d\u1ee5ng l\u1eabn nhau, nguy c\u01a1 c\u01a1n t\u0103ng huy\u1ebft \u00e1p, nh\u1ecbp ch\u1eadm qu\u00e1 m\u1ee9c, l\u00e0m n\u1eb7ng th\u00eam ch\u1ee9ng kh\u1eadp khi\u1ec5ng c\u00e1ch h\u1ed3i<\/td>\n<\/tr>\n
    Rifampicin<\/td>\nR\u00fat ng\u1eafn T\u00bd c\u1ee7a bisoprolol (kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u)<\/td>\n<\/tr>\n
    Baclofen<\/td>\nT\u0103ng hi\u1ec7u l\u1ef1c h\u1ea1 \u00e1p<\/td>\n<\/tr>\n
    C\u00e1c ch\u1ea5t \u0111\u1ed1i kh\u00e1ng Iodine<\/td>\nT\u0103ng nguy c\u01a1 t\u1ee5t huy\u1ebft \u00e1p ho\u1eb7c shock<\/td>\n<\/tr>\n
    Mefloquine<\/td>\nNguy c\u01a1 nh\u1ecbp ch\u1eadm<\/td>\n<\/tr>\n
    Moxisylyte<\/td>\nNguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf n\u1eb7ng<\/td>\n<\/tr>\n
    Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p trung \u01b0\u01a1ng (Clonidine, Methyldopa, Moxonodine, Rilmenidine)<\/td>\nGi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c giao c\u1ea3m, d\u1ec5 g\u00e2y suy tim n\u1eb7ng; ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 g\u00e2y t\u0103ng huy\u1ebft \u00e1p d\u1ed9i<\/td>\n<\/tr>\n
    NSAIDs<\/td>\nGi\u1ea3m hi\u1ec7u qu\u1ea3 h\u1ea1 \u00e1p c\u1ee7a bisoprolol<\/td>\n<\/tr>\n
    Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng, Barbiturates, Phenothiazines, thu\u1ed1c h\u1ea1 \u00e1p kh\u00e1c<\/td>\nHi\u1ec7p \u0111\u1ed3ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n

    Thai k\u1ef3: Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m cung c\u1ea5p dinh d\u01b0\u1ee1ng qua nhau thai, d\u1eabn t\u1edbi ch\u1eadm ph\u00e1t tri\u1ec3n, sinh non, s\u1ea9y thai ho\u1eb7c thai l\u01b0u. Tr\u1ebb trong b\u1ee5ng ho\u1eb7c s\u01a1 sinh c\u00f3 nguy c\u01a1 nh\u1ecbp tim ch\u1eadm, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. N\u1ebfu th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i d\u00f9ng th\u00ec n\u00ean ch\u1ecdn nh\u00f3m ch\u1eb9n ch\u1ecdn l\u1ecdc beta-1, theo d\u00f5i s\u00e1t l\u01b0u l\u01b0\u1ee3ng m\u00e1u nhau thai v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n thai. Sau sinh, tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t trong v\u00e0i ng\u00e0y \u0111\u1ea7u \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm nh\u1ecbp ch\u1eadm ho\u1eb7c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

    Cho con b\u00fa: Ch\u01b0a r\u00f5 thu\u1ed1c c\u00f3 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa hay kh\u00f4ng, do \u0111\u00f3 n\u00ean tr\u00e1nh cho b\u00fa trong khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

    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

    Trong nghi\u00ean c\u1ee9u \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea1ch v\u00e0nh, thu\u1ed1c kh\u00f4ng \u1ea3nh h\u01b0\u1edfng r\u00f5 r\u1ec7t \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe. Tuy nhi\u00ean, ph\u1ea3n \u1ee9ng m\u1ed7i c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 kh\u00e1c nhau; c\u1ea7n \u0111\u1eb7c bi\u1ec7t c\u1ea9n tr\u1ecdng khi m\u1edbi b\u1eaft \u0111\u1ea7u d\u00f9ng, khi \u0111\u1ed5i thu\u1ed1c, ho\u1eb7c khi u\u1ed1ng r\u01b0\u1ee3u.<\/p>\n

    Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n

    Bi\u1ec3u hi\u1ec7n: Nh\u1ecbp tim ch\u1eadm, h\u1ea1 huy\u1ebft \u00e1p, co th\u1eaft ph\u1ebf qu\u1ea3n, suy tim c\u1ea5p, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

    X\u1eed tr\u00ed:<\/p>\n