﻿{"id":133762,"date":"2025-08-20T10:05:35","date_gmt":"2025-08-20T03:05:35","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=133762"},"modified":"2026-01-04T12:48:22","modified_gmt":"2026-01-04T05:48:22","slug":"combivent-unit-dose-vials","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/combivent-unit-dose-vials\/","title":{"rendered":"Combivent Unit Dose Vials"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y,<\/strong> <a href=\"https:\/\/vnras.com\/drug\/\"><strong>d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/strong><\/a><strong> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c<\/strong> <strong>Combivent Unit Dose Vials \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Laboratoire Unither, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-19797-16.<\/strong><\/p>\n<h2>Combivent Unit Dose Vials l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>M\u1ed7i l\u1ecd \u0111\u01a1n li\u1ec1u 2.5ml dung d\u1ecbch kh\u00ed dung <strong>Combivent Unit Dose Vials <\/strong>ch\u1ee9a:<\/p>\n<ul>\n<li>Ho\u1ea1t ch\u1ea5t:\n<ul>\n<li>Ipratropium bromide: 520 mcg (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 0.5 mg Ipratropium bromide d\u1ea1ng khan).<\/li>\n<li><strong>Salbutamol<\/strong> sulfate: 3010 mcg (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 2.5 mg Salbutamol d\u1ea1ng base).<\/li>\n<\/ul>\n<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: V\u1eeba \u0111\u1ee7.<\/li>\n<\/ul>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-19797-16<\/p>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch kh\u00ed dung<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 L\u1ecd x 2,5 ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: France<\/p>\n<figure id=\"attachment_133763\" aria-describedby=\"caption-attachment-133763\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-133763\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Combivent-Unit-Dose-Vials.jpg\" alt=\"Combivent Unit Dose Vials dung d\u1ecbch kh\u00ed dung ki\u1ec3m so\u00e1t co th\u1eaft ph\u1ebf qu\u1ea3n\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Combivent-Unit-Dose-Vials.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Combivent-Unit-Dose-Vials-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Combivent-Unit-Dose-Vials-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Combivent-Unit-Dose-Vials-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-133763\" class=\"wp-caption-text\">Combivent Unit Dose Vials dung d\u1ecbch kh\u00ed dung ki\u1ec3m so\u00e1t co th\u1eaft ph\u1ebf qu\u1ea3n<\/figcaption><\/figure>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Combivent Unit Dose Vials<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>S\u1ee9c m\u1ea1nh c\u1ee7a Combivent \u0111\u1ebfn t\u1eeb c\u01a1 ch\u1ebf hi\u1ec7p \u0111\u1ed3ng c\u1ee7a hai ho\u1ea1t ch\u1ea5t, t\u00e1c \u0111\u1ed9ng l\u00ean hai con \u0111\u01b0\u1eddng sinh l\u00fd kh\u00e1c nhau c\u1ee7a qu\u00e1 tr\u00ecnh co th\u1eaft c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n:<\/p>\n<ul>\n<li>Salbutamol (Ch\u1ee7 v\u1eadn Beta-2 t\u00e1c d\u1ee5ng ng\u1eafn &#8211; SABA): Salbutamol l\u00e0 m\u1ed9t ch\u1ea5t k\u00edch th\u00edch ch\u1ecdn l\u1ecdc tr\u00ean th\u1ee5 th\u1ec3 beta-2 adrenergic c\u00f3 nhi\u1ec1u \u1edf c\u01a1 tr\u01a1n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Khi g\u1eafn v\u00e0o th\u1ee5 th\u1ec3 n\u00e0y, n\u00f3 k\u00edch ho\u1ea1t enzyme adenylyl cyclase, l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 AMP v\u00f2ng (cAMP) n\u1ed9i b\u00e0o. S\u1ef1 gia t\u0103ng cAMP d\u1eabn \u0111\u1ebfn m\u1ed9t chu\u1ed7i c\u00e1c ph\u1ea3n \u1ee9ng l\u00e0m gi\u00e3n c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n, t\u1eeb kh\u00ed qu\u1ea3n \u0111\u1ebfn c\u00e1c ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn. T\u00e1c d\u1ee5ng n\u00e0y gi\u00fap nhanh ch\u00f3ng m\u1edf r\u1ed9ng \u0111\u01b0\u1eddng th\u1edf \u0111ang b\u1ecb co th\u1eaft.<\/li>\n<li>Ipratropium Bromide (Kh\u00e1ng Muscarinic t\u00e1c d\u1ee5ng ng\u1eafn &#8211; SAMA): Ipratropium l\u00e0 m\u1ed9t h\u1ee3p ch\u1ea5t kh\u00e1ng cholinergic, ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf c\u1ea1nh tranh v\u1edbi acetylcholine t\u1ea1i c\u00e1c th\u1ee5 th\u1ec3 muscarinic (ch\u1ee7 y\u1ebfu l\u00e0 M3) tr\u00ean c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n. Vi\u1ec7c n\u00e0y gi\u00fap ng\u0103n ch\u1eb7n con \u0111\u01b0\u1eddng g\u00e2y co th\u1eaft ph\u1ebf qu\u1ea3n qua trung gian th\u1ea7n kinh ph\u1ebf v\u1ecb (d\u00e2y th\u1ea7n kinh X). C\u01a1 ch\u1ebf n\u00e0y \u0111\u1eb7c bi\u1ec7t hi\u1ec7u qu\u1ea3 \u1edf c\u00e1c \u0111\u01b0\u1eddng th\u1edf l\u1edbn v\u00e0 trung t\u00e2m.<\/li>\n<\/ul>\n<p>S\u1ef1 hi\u1ec7p \u0111\u1ed3ng: B\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p m\u1ed9t SABA v\u00e0 m\u1ed9t SAMA, Combivent t\u00e1c \u0111\u1ed9ng \u0111\u1ed3ng th\u1eddi l\u00ean c\u1ea3 h\u1ec7 th\u1ea7n kinh giao c\u1ea3m v\u00e0 \u0111\u1ed1i giao c\u1ea3m. Salbutamol ch\u1ee7 \u0111\u1ed9ng g\u00e2y gi\u00e3n ph\u1ebf qu\u1ea3n, trong khi Ipratropium ng\u0103n ch\u1eb7n t\u00edn hi\u1ec7u g\u00e2y co th\u1eaft. S\u1ef1 ph\u1ed1i h\u1ee3p n\u00e0y t\u1ea1o ra m\u1ed9t hi\u1ec7u \u1ee9ng gi\u00e3n ph\u1ebf qu\u1ea3n m\u1ea1nh m\u1ebd, to\u00e0n di\u1ec7n v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n so v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng t\u1eebng th\u00e0nh ph\u1ea7n ri\u00eang l\u1ebb, \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb COPD, n\u01a1i m\u00e0 c\u01a1 ch\u1ebf cholinergic \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Sau khi kh\u00ed dung, ph\u1ea7n l\u1edbn li\u1ec1u thu\u1ed1c \u0111\u01b0\u1ee3c l\u1eafng \u0111\u1ecdng t\u1ea1i ph\u1ed5i \u0111\u1ec3 ph\u00e1t huy t\u00e1c d\u1ee5ng t\u1ea1i ch\u1ed7, m\u1ed9t ph\u1ea7n nh\u1ecf \u0111\u01b0\u1ee3c nu\u1ed1t v\u00e0 h\u1ea5p thu qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<ul>\n<li>Ipratropium: H\u1ea5p thu to\u00e0n th\u00e2n r\u1ea5t th\u1ea5p (kho\u1ea3ng 7-9% li\u1ec1u kh\u00ed dung). L\u01b0\u1ee3ng thu\u1ed1c nu\u1ed1t v\u00e0o c\u00f3 sinh kh\u1ea3 d\u1ee5ng kh\u00f4ng \u0111\u00e1ng k\u1ec3 (kho\u1ea3ng 2%). Thu\u1ed1c kh\u00f4ng d\u1ec5 d\u00e0ng \u0111i qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a m\u1ed9t ph\u1ea7n, th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua ph\u00e2n.<\/li>\n<li>Salbutamol: \u0110\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c trong v\u00f2ng 3 gi\u1edd sau khi kh\u00ed dung. Kho\u1ea3ng 27% li\u1ec1u thu\u1ed1c h\u00edt \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i trong 24 gi\u1edd. Thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan v\u00e0 th\u1ea3i tr\u1eeb qua th\u1eadn.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Combivent Unit Dose Vials \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Combivent \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng co th\u1eaft ph\u1ebf qu\u1ea3n c\u00f3 h\u1ed3i ph\u1ee5c li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf, bao g\u1ed3m:<\/p>\n<ul>\n<li>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD)<\/li>\n<li>Hen ph\u1ebf qu\u1ea3n<\/li>\n<\/ul>\n<p>Thu\u1ed1c \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea7n nhi\u1ec1u h\u01a1n m\u1ed9t lo\u1ea1i thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng hi\u1ec7u qu\u1ea3. C\u1ea7n nh\u1ea5n m\u1ea1nh, Combivent l\u00e0 thu\u1ed1c c\u1eaft c\u01a1n, gi\u1ea3m tri\u1ec7u ch\u1ee9ng, kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb duy tr\u00ec, ph\u00f2ng ng\u1eeba c\u01a1n co th\u1eaft ph\u1ebf qu\u1ea3n trong d\u00e0i h\u1ea1n.<\/p>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Combivent Unit Dose Vials<\/h2>\n<p>Li\u1ec1u d\u00f9ng sau \u0111\u00e2y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho ng\u01b0\u1eddi l\u1edbn (bao g\u1ed3m c\u1ea3 ng\u01b0\u1eddi cao tu\u1ed5i):<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb c\u01a1n c\u1ea5p t\u00ednh: 1 l\u1ecd \u0111\u01a1n li\u1ec1u l\u00e0 \u0111\u1ee7 \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng nhanh ch\u00f3ng. Trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, n\u1ebfu tri\u1ec7u ch\u1ee9ng kh\u00f4ng c\u1ea3i thi\u1ec7n, c\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng \u0111\u1ebfn l\u1ecd th\u1ee9 hai, nh\u01b0ng b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf ngay l\u1eadp t\u1ee9c.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb duy tr\u00ec (khi c\u1ea7n): 1 l\u1ecd \u0111\u01a1n li\u1ec1u, d\u00f9ng 3-4 l\u1ea7n m\u1ed7i ng\u00e0y.<\/li>\n<\/ul>\n<h2>C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Combivent Unit Dose Vials<\/h2>\n<p>Combivent ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng qua m\u00e1y kh\u00ed dung v\u00e0 tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c u\u1ed1ng hay ti\u00eam.<\/p>\n<ul>\n<li>Chu\u1ea9n b\u1ecb: Chu\u1ea9n b\u1ecb m\u00e1y kh\u00ed dung theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t.<\/li>\n<li>M\u1edf l\u1ecd thu\u1ed1c: T\u00e1ch m\u1ed9t l\u1ecd \u0111\u01a1n li\u1ec1u ra kh\u1ecfi v\u1ec9. M\u1edf l\u1ecd b\u1eb1ng c\u00e1ch v\u1eb7n m\u1ea1nh ph\u1ea7n \u0111\u1ea7u c\u1ee7a l\u1ecd.<\/li>\n<li>N\u1ea1p thu\u1ed1c: B\u00f3p m\u1ea1nh th\u00e2n l\u1ecd \u0111\u1ec3 to\u00e0n b\u1ed9 dung d\u1ecbch ch\u1ea3y v\u00e0o b\u1ea7u kh\u00ed dung c\u1ee7a m\u00e1y.<\/li>\n<li>S\u1eed d\u1ee5ng: L\u1eafp l\u1ea1i m\u00e1y kh\u00ed dung v\u00e0 b\u1eaft \u0111\u1ea7u h\u00edt t\u1eeb t\u1eeb, th\u1edf s\u00e2u qua \u1ed1ng ng\u1eadm ho\u1eb7c m\u1eb7t n\u1ea1 cho \u0111\u1ebfn khi h\u1ebft dung d\u1ecbch trong b\u1ea7u (th\u01b0\u1eddng kho\u1ea3ng 5-15 ph\u00fat).<\/li>\n<li>V\u1ec7 sinh: Sau khi s\u1eed d\u1ee5ng, lo\u1ea1i b\u1ecf ph\u1ea7n dung d\u1ecbch c\u00f2n th\u1eeba (n\u1ebfu c\u00f3) v\u00e0 v\u1ec7 sinh b\u1ea7u kh\u00ed dung, \u1ed1ng ng\u1eadm\/m\u1eb7t n\u1ea1 theo h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 tr\u00e1nh nhi\u1ec5m khu\u1ea9n.<\/li>\n<\/ul>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Combivent Unit Dose Vials trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi Salbutamol, Ipratropium bromide, Atropine ho\u1eb7c c\u00e1c d\u1eabn xu\u1ea5t c\u1ee7a Atropine.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh c\u01a1 tim t\u1eafc ngh\u1ebdn ph\u00ec \u0111\u1ea1i.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh (tachyarrhythmia).<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Combivent Unit Dose Vials<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>C\u1ea7n h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng v\u00e0 \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u1ee3i \u00edch\/nguy c\u01a1 khi s\u1eed d\u1ee5ng Combivent cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng sau:<\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n tim m\u1ea1ch: \u0110\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi c\u00f3 b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, suy tim n\u1eb7ng, r\u1ed1i lo\u1ea1n nh\u1ecbp tim. Salbutamol c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng tr\u00ean tim m\u1ea1ch nh\u01b0 tim \u0111\u1eadp nhanh, t\u0103ng huy\u1ebft \u00e1p.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u01b0\u1eddng gi\u00e1p: T\u00e1c d\u1ee5ng c\u1ee7a Salbutamol c\u00f3 th\u1ec3 b\u1ecb t\u0103ng c\u01b0\u1eddng.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 Glaucoma g\u00f3c h\u1eb9p: Ipratropium c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u00e1p l\u1ef1c n\u1ed9i nh\u00e3n. Ph\u1ea3i c\u1ea9n th\u1eadn kh\u00f4ng \u0111\u1ec3 kh\u00ed dung bay v\u00e0o m\u1eaft v\u00e0 c\u1ea3nh b\u00e1o b\u1ec7nh nh\u00e2n v\u1ec1 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a glaucoma c\u1ea5p (\u0111au m\u1eaft, nh\u00ecn m\u1edd, th\u1ea5y qu\u1ea7ng s\u00e1ng).<\/li>\n<li>B\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t ho\u1eb7c t\u1eafc ngh\u1ebdn c\u1ed5 b\u00e0ng quang: Ipratropium c\u00f3 th\u1ec3 g\u00e2y b\u00ed ti\u1ec3u.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: \u0110au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, run c\u01a1 x\u01b0\u01a1ng nh\u1eb9 (\u0111\u1eb7c bi\u1ec7t \u1edf tay), h\u1ed3i h\u1ed9p, ho, k\u00edch \u1ee9ng h\u1ecdng, kh\u00f4 mi\u1ec7ng, bu\u1ed3n n\u00f4n.<\/p>\n<p>\u00cdt g\u1eb7p: Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng (ph\u00e1t ban, ng\u1ee9a), t\u0103ng nh\u1ecbp tim, r\u1ed1i lo\u1ea1n nhu \u0111\u1ed9ng ti\u00eau h\u00f3a (t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y).<\/p>\n<p>Hi\u1ebfm g\u1eb7p: H\u1ea1 kali huy\u1ebft (c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng), r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c (nh\u00ecn m\u1edd, gi\u00e3n \u0111\u1ed3ng t\u1eed, t\u0103ng \u00e1p l\u1ef1c n\u1ed9i nh\u00e3n), b\u00ed ti\u1ec3u, ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7, co th\u1eaft ph\u1ebf qu\u1ea3n ngh\u1ecbch l\u00fd (kh\u00f3 th\u1edf t\u0103ng l\u00ean ngay sau khi h\u00edt thu\u1ed1c).<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Thu\u1ed1c ch\u1eb9n beta (v\u00ed d\u1ee5: Propranolol): L\u00e0m gi\u1ea3m ho\u1eb7c m\u1ea5t t\u00e1c d\u1ee5ng gi\u00e3n ph\u1ebf qu\u1ea3n c\u1ee7a Salbutamol.<\/p>\n<p>C\u00e1c thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m kh\u00e1c, d\u1eabn xu\u1ea5t Xanthine (Theophylline): C\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5, \u0111\u1eb7c bi\u1ec7t tr\u00ean tim m\u1ea1ch.<\/p>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u, Corticosteroid: D\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 kali huy\u1ebft.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m (MAOIs, 3 v\u00f2ng): C\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a Salbutamol tr\u00ean h\u1ec7 tim m\u1ea1ch.<\/p>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<p>Ph\u1ee5 n\u1eef c\u00f3 thai: Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 t\u00ednh an to\u00e0n. Ch\u1ec9 s\u1eed d\u1ee5ng khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1, \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng trong 3 th\u00e1ng \u0111\u1ea7u v\u00e0 cu\u1ed1i thai k\u1ef3 (do thu\u1ed1c c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf co b\u00f3p t\u1eed cung).<\/p>\n<p>Ph\u1ee5 n\u1eef cho con b\u00fa: Ch\u01b0a r\u00f5 thu\u1ed1c c\u00f3 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 hay kh\u00f4ng. C\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng.<\/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>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n \u0111i\u1ec1u ti\u1ebft m\u1eaft, nh\u00ecn m\u1edd. B\u1ec7nh nh\u00e2n n\u00ean th\u1eadn tr\u1ecdng v\u00e0 tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng nguy hi\u1ec3m n\u1ebfu g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng: Ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn Salbutamol, bao g\u1ed3m tim \u0111\u1eadp nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, run r\u1ea9y, t\u0103ng huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a qu\u00e1 li\u1ec1u Ipratropium th\u01b0\u1eddng nh\u1eb9 (kh\u00f4 mi\u1ec7ng, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c).<\/p>\n<p>X\u1eed tr\u00ed: Ng\u01b0ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng. Trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, c\u1ea7n \u0111\u01b0a b\u1ec7nh nh\u00e2n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf. Thu\u1ed1c ch\u1eb9n beta ch\u1ecdn l\u1ecdc tr\u00ean tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0ng ph\u1ea3i h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n hen.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>B\u1ea3o qu\u1ea3n thu\u1ed1c Combivent Unit Dose Vials \u1edf nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C, n\u01a1i kh\u00f4 r\u00e1o, tr\u00e1nh \u00e1nh s\u00e1ng tr\u1ef1c ti\u1ebfp.<\/p>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1 thu\u1ed1c Combivent Unit Dose Vials<\/h2>\n<p>Tr\u00ean th\u1ecb tr\u01b0\u1eddng c\u00f3 c\u00e1c s\u1ea3n ph\u1ea9m \u0111\u01a1n tr\u1ecb li\u1ec7u, trong \u0111\u00f3 ph\u1ed5 bi\u1ebfn l\u00e0 <a href=\"https:\/\/vnras.com\/drug\/ventolin-nebules-5mg\/\">Ventolin Nebules 5mg\/2.5ml <\/a>(ch\u1ee9a Salbutamol, s\u1ea3n xu\u1ea5t b\u1edfi GSK, S\u0110K: VN-13707-11).<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Hongzhen Xu, Lin Tong. Combination of ipratropium bromide and salbutamol in children and adolescents with asthma: A meta-analysis, truy c\u1eadp ng\u00e0y 20 th\u00e1ng 08 n\u0103m 2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33621253\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33621253\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dung d\u1ecbch kh\u00ed dung Combivent Unit Dose Vials \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Laboratoire Unither, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-19797-16, ki\u1ec3m so\u00e1t co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n","protected":false},"author":1,"featured_media":133764,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-133762","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\/133762","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=133762"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/133764"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=133762"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=133762"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=133762"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}