﻿{"id":139019,"date":"2025-09-15T16:22:34","date_gmt":"2025-09-15T09:22:34","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=139019"},"modified":"2025-09-15T17:30:06","modified_gmt":"2025-09-15T10:30:06","slug":"ranexicor-375mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/ranexicor-375mg\/","title":{"rendered":"Ranexicor 375mg"},"content":{"rendered":"<p style=\"text-align: justify;\"><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 Ranexicor 375mg c\u00f3 c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t l\u00e0 Menarini &#8211; von Heyden GmbH, \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u00e0 400110438523.<\/strong><\/p>\n<h2 style=\"text-align: justify;\">Ranexicor 375mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3 style=\"text-align: justify;\">Th\u00e0nh ph\u1ea7n<\/h3>\n<p style=\"text-align: justify;\">M\u1ed7i vi\u00ean<strong> Ranexicor 375mg <\/strong>ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Ranolazine 375mg<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">D\u1ea1ng b\u00e0o ch\u1ebf : Vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i<\/p>\n<h3 style=\"text-align: justify;\">Tr\u00ecnh b\u00e0y<\/h3>\n<p style=\"text-align: justify;\">S\u0110K: 400110438523<\/p>\n<p style=\"text-align: justify;\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 15 vi\u00ean<\/p>\n<p style=\"text-align: justify;\">Xu\u1ea5t x\u1ee9: \u0110\u1ee9c<\/p>\n<h2 style=\"text-align: justify;\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Ranexicor 375mg<\/h2>\n<h3 style=\"text-align: justify;\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>C\u01a1 ch\u1ebf ch\u00ednh ch\u01b0a ho\u00e0n to\u00e0n r\u00f5 nh\u01b0ng ranolazin ch\u1ee7 y\u1ebfu \u1ee9c ch\u1ebf d\u00f2ng natri mu\u1ed9n \u1edf t\u1ebf b\u00e0o c\u01a1 tim, l\u00e0m gi\u1ea3m t\u00edch l\u0169y natri n\u1ed9i b\u00e0o v\u00e0 h\u1ea1n ch\u1ebf qu\u00e1 t\u1ea3i canxi. Hi\u1ec7u \u1ee9ng n\u00e0y c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng gi\u00e3n c\u1ee7a c\u01a1 tim v\u00e0 gi\u1ea3m \u0111\u1ed9 c\u1ee9ng th\u1ea5t tr\u00e1i trong th\u00ec t\u00e2m tr\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 c\u1ea3i thi\u1ec7n t\u01b0\u1edbi m\u00e1u c\u01a1 tim m\u00e0 kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o thay \u0111\u1ed5i l\u1edbn nh\u1ecbp tim huy\u1ebft \u00e1p hay gi\u00e3n m\u1ea1ch.<\/p>\n<h3 style=\"text-align: justify;\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu : Sinh kh\u1ea3 d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng trung b\u00ecnh kho\u1ea3ng 35\u201350% v\u1edbi bi\u1ebfn thi\u00ean l\u1edbn gi\u1eefa c\u00e1 th\u1ec3. Th\u1eddi gian \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 2\u20136 gi\u1edd.<\/p>\n<p>Ph\u00e2n b\u1ed1 : Kho\u1ea3ng 60\u201365% ho\u1ea1t ch\u1ea5t g\u1eafn v\u00e0o protein huy\u1ebft t\u01b0\u01a1ng ch\u1ee7 y\u1ebfu l\u00e0 alpha-1-acid glycoprotein. Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh l\u1edbn, v\u00e0o kho\u1ea3ng 85\u2013180 l\u00edt.<\/p>\n<p>Chuy\u1ec3n h\u00f3a : Ranolazine chuy\u1ec3n h\u00f3a m\u1ea1nh \u1edf gan v\u00e0 ru\u1ed9t ch\u1ee7 y\u1ebfu b\u1edfi enzym CYP3A v\u00e0 m\u1ed9t ph\u1ea7n b\u1edfi CYP2D6. D\u01b0\u1edbi 5% li\u1ec1u u\u1ed1ng \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft nguy\u00ean v\u1eb9n.<\/p>\n<p>Th\u1ea3i tr\u1eeb : Sau khi d\u00f9ng, kho\u1ea3ng 70\u201375% ho\u1ea1t \u0111\u1ed9 ph\u00f3ng x\u1ea1 thu \u0111\u01b0\u1ee3c \u1edf n\u01b0\u1edbc ti\u1ec3u v\u00e0 25% \u1edf ph\u00e2n. Th\u1eddi gian b\u00e1n th\u1ea3i bi\u1ec3u ki\u1ebfn c\u1ee7a d\u1ea1ng gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i kho\u1ea3ng 7 gi\u1edd.<\/p>\n<h2 style=\"text-align: justify;\">Ranexicor 375mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p style=\"text-align: justify;\"><strong>Ranexicor 375mg Ranolazine<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng nh\u01b0 li\u1ec7u ph\u00e1p b\u1ed5 sung \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u1edf ng\u01b0\u1eddi l\u1edbn b\u1ecb \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh khi \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n b\u1eb1ng ch\u1eb9n beta ho\u1eb7c ch\u1eb9n k\u00eanh canxi kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1ee3c c\u00e1c thu\u1ed1c \u0111\u00f3.<\/p>\n<figure id=\"attachment_139020\" aria-describedby=\"caption-attachment-139020\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-139020\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/ranexicor-375mg-bo-sung-trong-dieu-tri-dau-that-nguc-on-dinh.jpg\" alt=\"Ranexicor 375mg b\u1ed5 sung trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi l\u1edbn\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/ranexicor-375mg-bo-sung-trong-dieu-tri-dau-that-nguc-on-dinh.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/ranexicor-375mg-bo-sung-trong-dieu-tri-dau-that-nguc-on-dinh-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/ranexicor-375mg-bo-sung-trong-dieu-tri-dau-that-nguc-on-dinh-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/ranexicor-375mg-bo-sung-trong-dieu-tri-dau-that-nguc-on-dinh-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/ranexicor-375mg-bo-sung-trong-dieu-tri-dau-that-nguc-on-dinh-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-139020\" class=\"wp-caption-text\">Ranexicor 375mg b\u1ed5 sung trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi l\u1edbn<\/figcaption><\/figure>\n<h2 style=\"text-align: justify;\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Ranexicor 375mg<\/h2>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Sau 2\u20134 tu\u1ea7n: c\u00f3 th\u1ec3 t\u0103ng l\u00ean 500mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>T\u00f9y \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng: c\u00f3 th\u1ec3 t\u0103ng t\u1ed1i \u0111a \u0111\u1ebfn 750mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>N\u1ebfu xu\u1ea5t hi\u1ec7n t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ch\u00f3ng m\u1eb7t bu\u1ed3n n\u00f4n n\u00f4n: c\u00e2n nh\u1eafc gi\u1ea3m li\u1ec1u v\u1ec1 500mg\/l\u1ea7n ho\u1eb7c 375mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y. Ng\u01b0ng thu\u1ed1c n\u1ebfu tri\u1ec7u ch\u1ee9ng kh\u00f4ng c\u1ea3i thi\u1ec7n sau khi \u0111\u00e3 gi\u1ea3m li\u1ec1u.<\/p>\n<p>C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t<\/p>\n<ul>\n<li>Suy th\u1eadn nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh (ClCr 30\u201380ml\/ph\u00fat): theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 ch\u1ec9nh li\u1ec1u th\u1eadn tr\u1ecdng. Thu\u1ed1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng (ClCr d\u01b0\u1edbi 30ml\/ph\u00fat).<\/li>\n<li>Suy gan nh\u1eb9: d\u00f9ng th\u1eadn tr\u1ecdng v\u00e0 gi\u00e1m s\u00e1t ch\u1ee9c n\u0103ng gan. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf suy gan trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng.<\/li>\n<li>Ng\u01b0\u1eddi cao tu\u1ed5i: nguy c\u01a1 t\u0103ng ph\u01a1i nhi\u1ec5m thu\u1ed1c do suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn tu\u1ed5i gi\u00e0, c\u1ea7n th\u1eadn tr\u1ecdng khi ch\u1ec9nh li\u1ec1u.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 c\u00e2n n\u1eb7ng \u2264 60kg d\u1ec5 g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n v\u00e0 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u th\u1eadn tr\u1ecdng.<\/li>\n<li>Suy tim sung huy\u1ebft NYHA III\u2013IV: th\u1eadn tr\u1ecdng khi ch\u1ec9nh li\u1ec1u.<\/li>\n<li>Tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean d\u01b0\u1edbi 18 tu\u1ed5i: ch\u01b0a c\u00f3 d\u1eef li\u1ec7u an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3; kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\">C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Ranexicor 375mg<\/h2>\n<p>U\u1ed1ng nguy\u00ean vi\u00ean v\u1edbi n\u01b0\u1edbc, kh\u00f4ng b\u1ebb nghi\u1ec1n hay nhai. C\u00f3 th\u1ec3 d\u00f9ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n. Tr\u00e1nh d\u00f9ng n\u01b0\u1edbc \u00e9p b\u01b0\u1edfi khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<h2 style=\"text-align: justify;\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Ranexicor 375mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Kh\u00f4ng d\u00f9ng Ranexicor 375mg cho ng\u01b0\u1eddi c\u00f3 m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Suy th\u1eadn n\u1eb7ng (ClCr d\u01b0\u1edbi 30ml\/ph\u00fat).<\/p>\n<p>Suy gan m\u1ee9c \u0111\u1ed9 trung b\u00ecnh ho\u1eb7c n\u1eb7ng.<\/p>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf m\u1ea1nh CYP3A4 v\u00ed d\u1ee5 ketoconazol itraconazol, clarithromycin, ritonavir v\u00ec l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 ranolazin v\u00e0 t\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh.<\/p>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m Ia (quinidin) ho\u1eb7c nh\u00f3m III (sotalol), ngo\u1ea1i tr\u1eeb amiodaron, do l\u00e0m t\u0103ng nguy c\u01a1 k\u00e9o d\u00e0i kho\u1ea3ng QT.<\/p>\n<h2 style=\"text-align: justify;\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Ranexicor 375mg<\/h2>\n<h3 style=\"text-align: justify;\">Th\u1eadn tr\u1ecdng<\/h3>\n<p>C\u1ea7n ch\u00fa \u00fd \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh, suy gan nh\u1eb9, ng\u01b0\u1eddi cao tu\u1ed5i, b\u1ec7nh nh\u00e2n c\u00e2n n\u1eb7ng th\u1ea5p ho\u1eb7c c\u00f3 suy tim sung huy\u1ebft m\u1ee9c \u0111\u1ed9 v\u1eeba \u0111\u1ebfn n\u1eb7ng do c\u00e1c nh\u00f3m n\u00e0y c\u00f3 nguy c\u01a1 t\u0103ng ph\u01a1i nhi\u1ec5m v\u00e0 t\u0103ng t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f9ng l\u00fac c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb t\u00edch l\u0169y thu\u1ed1c v\u00e0 g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 n\u1eb7ng h\u01a1n n\u00ean c\u1ea7n theo d\u00f5i l\u00e2m s\u00e0ng, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 gi\u1ea3m li\u1ec1u khi c\u1ea7n.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n nghi ng\u1edd ki\u1ec3u gen chuy\u1ec3n h\u00f3a k\u00e9m CYP2D6 v\u00ec c\u00f3 th\u1ec3 t\u0103ng ph\u01a1i nhi\u1ec5m ranolazin.<\/p>\n<p>Ranolazin k\u00e9o d\u00e0i kho\u1ea3ng QTc theo n\u1ed3ng \u0111\u1ed9 thu\u1ed1c, v\u00ec v\u1eady c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng cho b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng QT d\u00e0i b\u1ea9m sinh ho\u1eb7c \u0111ang d\u00f9ng thu\u1ed1c k\u00e9o d\u00e0i kho\u1ea3ng QT.<\/p>\n<p>Theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn \u0111\u1ecbnh k\u1ef3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 ng\u01b0ng ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u n\u1ebfu c\u00f3 t\u01b0\u1edbi m\u00e1u th\u1eadn gi\u1ea3m ho\u1eb7c t\u0103ng creatinin \u0111\u00e1ng k\u1ec3.<\/p>\n<p>L\u01b0\u1ee3ng natri trong m\u1ed7i vi\u00ean ranolazin r\u1ea5t \u00edt (d\u01b0\u1edbi 23mg m\u1ed7i vi\u00ean) n\u00ean \u0111\u01b0\u1ee3c coi l\u00e0 kh\u00f4ng \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1eb7t \u0111\u00e1p \u1ee9ng ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang natri.<\/p>\n<h3 style=\"text-align: justify;\">T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, t\u00e1o b\u00f3n, bu\u1ed3n n\u00f4n.<\/p>\n<p>\u00cdt g\u1eb7p: r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, ch\u00e1n \u0103n, \u00f9 tai, lo \u00e2u, m\u1ea5t ng\u1ee7, ph\u00f9 ngo\u1ea1i vi, \u0111au c\u01a1<\/p>\n<p>Hi\u1ebfm g\u1eb7p: k\u00e9o d\u00e0i kho\u1ea3ng QT, lo\u1ea1n nh\u1ecbp nghi\u00eam tr\u1ecdng, suy th\u1eadn c\u1ea5p, vi\u00eam t\u1ee5y, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng<\/p>\n<p>T\u1ea7n su\u1ea5t ch\u01b0a bi\u1ebft: r\u1ed1i lo\u1ea1n huy\u1ebft h\u1ecdc.<\/p>\n<h3 style=\"text-align: justify;\">T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi ch\u1ea5t \u1ee9c ch\u1ebf m\u1ea1nh CYP3A4 v\u00ec l\u00e0m t\u0103ng m\u1ea1nh n\u1ed3ng \u0111\u1ed9 ranolazin v\u00e0 c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c t\u00ednh n\u1eb7ng.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng ch\u1ea5t \u1ee9c ch\u1ebf v\u1eeba ph\u1ea3i CYP3A4 (diltiazem, verapamil, erythromycin, fluconazol) v\u00ec l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 ranolazin. C\u1ea7n gi\u1edbi h\u1ea1n li\u1ec1u ho\u1eb7c theo d\u00f5i.<\/p>\n<p>Tr\u00e1nh ph\u1ed1i h\u1ee3p v\u1edbi ch\u1ea5t c\u1ea3m \u1ee9ng CYP3A4 (rifampicin, phenytoin, carbamazepin) v\u00ec l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 n\u1ed3ng \u0111\u1ed9 ranolazin.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf CYP2D6 (paroxetin) v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nh\u1eb9 n\u1ed3ng \u0111\u1ed9 ranolazin, th\u01b0\u1eddng kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u nh\u01b0ng c\u1ea7n theo d\u00f5i l\u00e2m s\u00e0ng.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng digoxin v\u00ec ranolazin \u1ee9c ch\u1ebf P-gp v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 digoxin.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng metformin v\u00e0 c\u00e1c thu\u1ed1c v\u1eadn chuy\u1ec3n qua OCT2 v\u00ec ranolazin c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf OCT2 v\u00e0 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 metformin.<\/p>\n<p>Th\u1eadn tr\u1ecdng v\u1edbi statin \u0111\u1eb7c bi\u1ec7t simvastatin v\u00e0 atorvastatin v\u00ec ranolazin c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 statin v\u00e0 t\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh c\u01a1.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c k\u00e9o d\u00e0i QTc nh\u01b0 m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp, kh\u00e1ng sinh macrolid ho\u1eb7c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00ec l\u00e0m t\u0103ng nguy c\u01a1 k\u00e9o d\u00e0i kho\u1ea3ng QT v\u00e0 lo\u1ea1n nh\u1ecbp nghi\u00eam tr\u1ecdng.<\/p>\n<h3 style=\"text-align: justify;\">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>Kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/p>\n<h3 style=\"text-align: justify;\">Kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p style=\"text-align: justify;\">Th\u1eadn tr\u1ecdng khi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c do thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t, m\u1edd m\u1eaft, song th\u1ecb, tr\u1ea1ng th\u00e1i l\u00fa l\u1eabn, r\u1ed1i lo\u1ea1n ph\u1ed1i h\u1ee3p, \u1ea3o gi\u00e1c.<\/p>\n<h3 style=\"text-align: justify;\">Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng : bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00f3ng m\u1eb7t.<\/p>\n<p style=\"text-align: justify;\">X\u1eed tr\u00ed : B\u00e1o ngay v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng k\u1ecbp th\u1eddi.<\/p>\n<h3 style=\"text-align: justify;\">B\u1ea3o qu\u1ea3n<\/h3>\n<p style=\"text-align: justify;\">\u0110\u1ec3 thu\u1ed1c tr\u00e1nh xa t\u1ea7m tay tr\u1ebb em.<\/p>\n<p style=\"text-align: justify;\">B\u1ea3o qu\u1ea3n thu\u1ed1c \u1edf nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30 \u0111\u1ed9 C, tr\u00e1nh \u00e1nh n\u1eafng tr\u1ef1c ti\u1ebfp t\u1eeb m\u1eb7t tr\u1eddi.<\/p>\n<h2 style=\"text-align: justify;\">S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1<\/h2>\n<p style=\"text-align: justify;\">Qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 xem th\u00eam m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m kh\u00e1c t\u1ea1i nh\u00e0 thu\u1ed1c c\u1ee7a ch\u00fang t\u00f4i c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng:<\/p>\n<ul>\n<li>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/imdur\/\">Imdur<\/a> l\u00e0 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au th\u1eaft ng\u1ef1c, suy tim v\u00e0 t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Isosorbide mononitrate v\u1edbi h\u00e0m l\u01b0\u1ee3ng 60mg, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam VN-16127-13.<\/li>\n<li>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/carvestad-6-25\/\">Carvestad 6,25<\/a> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong huy\u1ebft \u00e1p cao, suy tim do \u1ee9 tr\u1ec7, \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh, sau nh\u1ed3i m\u00e1u c\u01a1 tim khi\u1ebfn ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i suy gi\u1ea3m<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Belardinelli, L., Shryock, J. C., &amp; Fraser, H. (2006). Inhibition of the late sodium current as a potential cardioprotective principle: effects of the late sodium current inhibitor ranolazine. Truy c\u1eadp ng\u00e0y 15\/09\/2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16775092\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/16775092\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ranexicor 375mg d\u00f9ng nh\u01b0 li\u1ec7u ph\u00e1p b\u1ed5 sung \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u1edf ng\u01b0\u1eddi l\u1edbn b\u1ecb \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh khi c\u00e1c li\u1ec7u ph\u00e1p ti\u00eau chu\u1ea9n kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng.<\/p>\n","protected":false},"author":1,"featured_media":139028,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-139019","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\/139019","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=139019"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/139028"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=139019"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=139019"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=139019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}