﻿{"id":139353,"date":"2025-09-17T10:48:38","date_gmt":"2025-09-17T03:48:38","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=139353"},"modified":"2025-09-17T10:55:12","modified_gmt":"2025-09-17T03:55:12","slug":"medlon-16","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/medlon-16\/","title":{"rendered":"Medlon 16"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Medlon 16 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c H\u1eadu Giang c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-24620-16<\/strong><\/p>\n<h2>Medlon 16 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i Medlon 16 c\u00f3 ch\u1ee9a:<\/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: VD-24620-16<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 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: 24 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Medlon 16<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Methylprednisolon l\u00e0 m\u1ed9t glucocorticoid t\u1ed5ng h\u1ee3p, c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u00e0 kh\u00e1ng vi\u00eam r\u1ea5t m\u1ea1nh. C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a thu\u1ed1c d\u1ef1a tr\u00ean s\u1ef1 g\u1eafn k\u1ebft v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 glucocorticoid trong t\u1ebf b\u00e0o. Sau khi li\u00ean k\u1ebft, ph\u1ee9c h\u1ee3p n\u00e0y di chuy\u1ec3n v\u00e0o nh\u00e2n t\u1ebf b\u00e0o, t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c v\u00f9ng \u0111i\u1ec1u h\u00f2a tr\u00ean DNA v\u00e0 \u0111i\u1ec1u ch\u1ec9nh qu\u00e1 tr\u00ecnh phi\u00ean m\u00e3 gen. K\u1ebft qu\u1ea3 l\u00e0 m\u1ed9t s\u1ed1 gen \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t, trong khi nh\u1eefng gen kh\u00e1c b\u1ecb \u1ee9c ch\u1ebf, trong \u0111\u00f3 c\u00f3 s\u1ef1 b\u1ea5t ho\u1ea1t nh\u1edd c\u01a1 ch\u1ebf kh\u1eed acetyl h\u00f3a histon.<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch c\u1ee7a methylprednisolon xu\u1ea5t hi\u1ec7n d\u1ea7n d\u1ea7n sau khi s\u1eed d\u1ee5ng, v\u1edbi th\u1eddi gian t\u00e1c d\u1ee5ng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0i gi\u1edd. B\u00ean c\u1ea1nh \u0111\u00f3, thu\u1ed1c c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng l\u00ean nhi\u1ec1u h\u1ec7 th\u1ed1ng kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0: Th\u1eadn v\u00e0 c\u00e2n b\u1eb1ng n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i Chuy\u1ec3n h\u00f3a lipid, protein v\u00e0 carbohydrate H\u1ec7 c\u01a1 x\u01b0\u01a1ng, tim m\u1ea1ch H\u1ec7 mi\u1ec5n d\u1ecbch, th\u1ea7n kinh v\u00e0 n\u1ed9i ti\u1ebft Gi\u00fap duy tr\u00ec ch\u1ee9c n\u0103ng c\u01a1 th\u1ec3 trong c\u00e1c t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Methylprednisolon \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u1ea1t sau kho\u1ea3ng 1,5 \u2013 2,3 gi\u1edd sau khi d\u00f9ng. \u1ede ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u1ecfe m\u1ea1nh, sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i dao \u0111\u1ed9ng trong kho\u1ea3ng 82 \u2013 89%.<\/p>\n<p>Ph\u00e2n b\u1ed1: Thu\u1ed1c ph\u00e2n b\u1ed1 r\u1ed9ng kh\u1eafp c\u00e1c m\u00f4 trong c\u01a1 th\u1ec3, c\u00f3 kh\u1ea3 n\u0103ng \u0111i qua h\u00e0ng r\u00e0o m\u00e1u \u2013 n\u00e3o v\u00e0 \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft m\u1ed9t ph\u1ea7n v\u00e0o s\u1eefa m\u1eb9. Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 bi\u1ec3u ki\u1ebfn v\u00e0o kho\u1ea3ng 1,4 L\/kg. Kho\u1ea3ng 77% l\u01b0\u1ee3ng thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng g\u1eafn v\u1edbi protein.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Methylprednisolon \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu t\u1ea1i gan, t\u1ea1o th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh l\u00e0 20\u03b1-hydroxymethylprednisolon v\u00e0 20\u03b2-hydroxymethylprednisolon. Qu\u00e1 tr\u00ecnh n\u00e0y di\u1ec5n ra nh\u1edd h\u1ec7 enzym cytochrome P450, \u0111\u1eb7c bi\u1ec7t l\u00e0 isoenzym CYP3A4.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a methylprednisolon dao \u0111\u1ed9ng t\u1eeb 1,8 \u0111\u1ebfn 5,2 gi\u1edd, v\u1edbi t\u1ed1c \u0111\u1ed9 th\u1ea3i tr\u1eeb t\u1ed5ng th\u1ec3 l\u00e0 kho\u1ea3ng 5-6 mL\/ph\u00fat\/kg. Kh\u00f4ng ti\u00eam v\u1eafc-xin s\u1ed1ng cho b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng li\u1ec1u corticosteroid \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/p>\n<h2>Thu\u1ed1c Medlon 16 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p><em><strong>R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1<\/strong><\/em><\/p>\n<p>Thi\u1ebfu h\u1ee5t ch\u1ee9c n\u0103ng tuy\u1ebfn v\u1ecf th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t ho\u1eb7c th\u1ee9 ph\u00e1t.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn do b\u1ea9m sinh.<\/p>\n<p><em><strong>C\u00e1c b\u1ec7nh vi\u00eam kh\u1edbp v\u00e0 b\u1ec7nh t\u1ef1 mi\u1ec5n h\u1ec7 th\u1ed1ng<\/strong><\/em><\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p.<\/p>\n<p>Vi\u00eam kh\u1edbp m\u00e3n t\u00ednh \u1edf tr\u1ebb nh\u1ecf.<\/p>\n<p>Vi\u00eam c\u1ed9t s\u1ed1ng th\u1ec3 d\u00ednh kh\u1edbp.<\/p>\n<p>Vi\u00eam da c\u01a1, vi\u00eam \u0111a c\u01a1.<\/p>\n<p>Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng.<\/p>\n<p>M\u1ed9t s\u1ed1 th\u1ec3 vi\u00eam m\u1ea1ch nh\u01b0 vi\u00eam \u0111\u1ed9ng m\u1ea1ch t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 ho\u1eb7c \u0111au c\u01a1 d\u1ea1ng th\u1ea5p.<\/p>\n<p><em><strong>B\u1ec7nh l\u00fd da n\u1eb7ng<\/strong><\/em><\/p>\n<p>Pemphigus (b\u00f3ng n\u01b0\u1edbc t\u1ef1 mi\u1ec5n n\u1eb7ng).<\/p>\n<p><em><strong>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng<\/strong><\/em><\/p>\n<p>Vi\u00eam m\u0169i d\u1ecb \u1ee9ng k\u00e9o d\u00e0i ho\u1eb7c theo m\u00f9a.<\/p>\n<p>D\u1ecb \u1ee9ng thu\u1ed1c.<\/p>\n<p>B\u1ec7nh huy\u1ebft thanh.<\/p>\n<p>Vi\u00eam da ti\u1ebfp x\u00fac d\u1ecb \u1ee9ng.<\/p>\n<p>Hen ph\u1ebf qu\u1ea3n.<\/p>\n<p><em><strong>T\u00ecnh tr\u1ea1ng vi\u00eam t\u1ea1i m\u1eaft<\/strong><\/em><\/p>\n<p>Vi\u00eam m\u1ed1ng m\u1eaft ho\u1eb7c th\u1ec3 mi<\/p>\n<p>Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o<\/p>\n<p>Vi\u00eam th\u1ea7n kinh th\u1ecb gi\u00e1c<\/p>\n<p><em><strong>B\u1ec7nh ph\u1ed5i v\u00e0 h\u00f4 h\u1ea5p<\/strong><\/em><\/p>\n<p>Sarcoidosis \u1edf ph\u1ed5i.<\/p>\n<p>Vi\u00eam ph\u1ed5i do h\u00edt.<\/p>\n<p>Lao ph\u1ed5i th\u1ec3 ti\u1ebfn tri\u1ec3n ho\u1eb7c lan r\u1ed9ng (ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb kh\u00e1ng lao ph\u00f9 h\u1ee3p).<\/p>\n<p><em><strong>R\u1ed1i lo\u1ea1n huy\u1ebft h\u1ecdc<\/strong><\/em><\/p>\n<p>Thi\u1ebfu m\u00e1u tan m\u00e1u do t\u1ef1 mi\u1ec5n.<\/p>\n<p>Xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p><em><strong>M\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0<\/strong><\/em><\/p>\n<p>B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p.<\/p>\n<p>Lymphoma \u00e1c t\u00ednh.<\/p>\n<p><em><strong>Vi\u00eam ru\u1ed9t<\/strong><\/em><\/p>\n<p>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng.<\/p>\n<p>B\u1ec7nh Crohn trong \u0111\u1ee3t ti\u1ebfn tri\u1ec3n.<\/p>\n<p><em><strong>C\u00e1c t\u00ecnh tr\u1ea1ng c\u1ea7n \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/strong><\/em><\/p>\n<p>Lao m\u00e0ng n\u00e3o (k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u)<\/p>\n<p>Sau c\u1ea5y gh\u00e9p n\u1ed9i t\u1ea1ng<\/p>\n<figure id=\"attachment_139368\" aria-describedby=\"caption-attachment-139368\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-139368\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Medlon-16.jpg\" alt=\"Medlon 16\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Medlon-16.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Medlon-16-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Medlon-16-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Medlon-16-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Medlon-16-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-139368\" class=\"wp-caption-text\">Thu\u1ed1c Medlon 16 \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch<\/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>Li\u1ec1u d\u00f9ng ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i b\u1ec7nh, m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Sau \u0111\u00e2y l\u00e0 li\u1ec1u tham kh\u1ea3o:<\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p:<\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 42px;\">\n<tbody>\n<tr style=\"height: 21px;\">\n<td style=\"width: 25%; height: 21px; text-align: center;\"><strong>N\u1eb7ng<\/strong><\/td>\n<td style=\"width: 25%; height: 21px; text-align: center;\"><strong>Trung b\u00ecnh \u2013 n\u1eb7ng<\/strong><\/td>\n<td style=\"width: 25%; height: 21px; text-align: center;\"><strong>Trung b\u00ecnh<\/strong><\/td>\n<td style=\"width: 25%; height: 21px; text-align: center;\"><strong>Tr\u1ebb em<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 25%; height: 21px; text-align: center;\">12 \u2013 16 mg\/ng\u00e0y<\/td>\n<td style=\"width: 25%; height: 21px; text-align: center;\">8 \u2013 12 mg\/ng\u00e0y<\/td>\n<td style=\"width: 25%; height: 21px; text-align: center;\" colspan=\"2\">4 \u2013 8 mg\/ng\u00e0y<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Vi\u00eam da c\u01a1 to\u00e0n th\u00e2n: 48 mg\/ng\u00e0y<\/p>\n<p>Lupus h\u1ec7 th\u1ed1ng: 20 \u2013 100 mg\/ng\u00e0y<\/p>\n<p>S\u1ed1t th\u1ea5p kh\u1edbp: 48 mg\/ng\u00e0y, duy tr\u00ec \u0111\u1ebfn khi t\u1ed1c \u0111\u1ed9 l\u1eafng h\u1ed3ng c\u1ea7u b\u00ecnh th\u01b0\u1eddng trong \u00edt nh\u1ea5t 1 tu\u1ea7n<\/p>\n<p>C\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1eb7ng: 12 \u2013 40 mg\/ng\u00e0y<\/p>\n<p>Hen ph\u1ebf qu\u1ea3n: C\u00f3 th\u1ec3 d\u00f9ng t\u1edbi 64 mg m\u1ed7i ng\u00e0y, ho\u1eb7c t\u1ed1i \u0111a 100 mg theo li\u1ec1u c\u00e1ch ng\u00e0y<\/p>\n<p>Vi\u00eam m\u1eaft: 12 \u2013 40 mg\/ng\u00e0y<\/p>\n<p>R\u1ed1i lo\u1ea1n huy\u1ebft h\u1ecdc v\u00e0 ung th\u01b0 m\u00e1u: 16 \u2013 100 mg\/ng\u00e0y<\/p>\n<p>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng: 16 \u2013 60 mg\/ng\u00e0y<\/p>\n<p>B\u1ec7nh Crohn: Li\u1ec1u trong \u0111\u1ee3t c\u1ea5p c\u00f3 th\u1ec3 l\u00ean t\u1edbi 48 mg\/ng\u00e0y<\/p>\n<p>Sau gh\u00e9p t\u1ea1ng: C\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ebfn 3,6 mg\/kg\/ng\u00e0y<\/p>\n<p>Sarcoid ph\u1ed5i: 32 \u2013 48 mg d\u00f9ng theo ch\u1ebf \u0111\u1ed9 c\u00e1ch ng\u00e0y<\/p>\n<p>Vi\u00eam \u0111\u1ed9ng m\u1ea1ch t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3, \u0111au c\u01a1 d\u1ea1ng th\u1ea5p: 64 mg\/ng\u00e0y<\/p>\n<p>Pemphigus n\u1eb7ng: 80 \u2013 360 mg\/ng\u00e0y<\/p>\n<p>L\u01b0u \u00fd: Sau khi \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, c\u1ea7n gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb \u0111\u1ec3 tr\u00e1nh suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Vi\u1ec7c gi\u1ea3m li\u1ec1u n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ch\u1eadm r\u00e3i, th\u01b0\u1eddng l\u00e0 gi\u1ea3m kh\u00f4ng qu\u00e1 2 mg m\u1ed7i 7\u201310 ng\u00e0y. Li\u1ec1u duy tr\u00ec \u1edf m\u1ee9c th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3, \u0111\u1eb7c bi\u1ec7t trong \u0111i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n nh\u01b0 v\u1edbi b\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p ho\u1eb7c lupus.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>U\u1ed1ng thu\u1ed1c v\u00e0o bu\u1ed5i s\u00e1ng, t\u1ed1t nh\u1ea5t l\u00e0 v\u00e0o kho\u1ea3ng 8 gi\u1edd s\u00e1ng \u0111\u1ec3 \u0111\u1ed3ng b\u1ed9 v\u1edbi nh\u1ecbp sinh h\u1ecdc.<\/p>\n<p>D\u00f9ng <strong>vi\u00ean n\u00e9n Medlon 16<\/strong> \u0111\u01b0\u1eddng u\u1ed1ng, nu\u1ed1t nguy\u00ean vi\u00ean v\u1edbi n\u01b0\u1edbc.<\/p>\n<p>Li\u1ec1u chia ho\u1eb7c li\u1ec1u \u0111\u01a1n: C\u00f3 th\u1ec3 d\u00f9ng to\u00e0n b\u1ed9 li\u1ec1u trong m\u1ed9t l\u1ea7n ho\u1eb7c chia nh\u1ecf trong ng\u00e0y, t\u00f9y ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>Li\u1ec7u ph\u00e1p c\u00e1ch ng\u00e0y: Trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng, c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p u\u1ed1ng li\u1ec1u g\u1ea5p \u0111\u00f4i v\u00e0o bu\u1ed5i s\u00e1ng c\u1ee7a c\u00e1c ng\u00e0y c\u00e1ch nhau m\u1ed9t ng\u00e0y, gi\u00fap h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 d\u00e0i h\u1ea1n.<\/p>\n<p>Tr\u1ebb em v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i: C\u1ea7n \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng, \u01b0u ti\u00ean d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 trong th\u1eddi gian ng\u1eafn nh\u1ea5t. V\u1edbi tr\u1ebb nh\u1ecf, n\u00ean c\u00e2n nh\u1eafc d\u00f9ng c\u00e1ch ng\u00e0y \u0111\u1ec3 gi\u1ea3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Medlon 16 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi \u0111ang m\u1eafc nhi\u1ec5m n\u1ea5m to\u00e0n th\u00e2n.<\/p>\n<p>Nhi\u1ec5m khu\u1ea9n to\u00e0n th\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t tr\u1eeb khi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh th\u00edch h\u1ee3p.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi methylprednisolon ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o trong thu\u1ed1c.<\/p>\n<p>Ng\u01b0\u1eddi \u0111ang s\u1eed d\u1ee5ng v\u1eafc-xin s\u1ed1ng ho\u1eb7c v\u1eafc-xin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c v\u00e0 \u0111ang d\u00f9ng corticosteroid li\u1ec1u \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/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>Kh\u00f4ng ti\u00eam v\u1eafc-xin s\u1ed1ng cho b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng li\u1ec1u corticosteroid \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n<p>Kh\u00f4ng ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t n\u1ebfu d\u00f9ng tr\u00ean 3 tu\u1ea7n ho\u1eb7c li\u1ec1u &gt;32 mg\/ng\u00e0y.<\/p>\n<p>Gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb d\u1ef1a v\u00e0o m\u1ee9c \u0111\u1ed9 ki\u1ec3m so\u00e1t b\u1ec7nh v\u00e0 nguy c\u01a1 suy v\u1ecf th\u01b0\u1ee3ng th\u1eadn.<\/p>\n<p>Ng\u1eebng d\u1ea7n d\u00f9 \u0111i\u1ec1u tr\u1ecb d\u01b0\u1edbi 3 tu\u1ea7n n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 (s\u1eed d\u1ee5ng l\u1eb7p l\u1ea1i, d\u00f9ng v\u00e0o bu\u1ed5i t\u1ed1i, c\u00f3 b\u1ec7nh l\u00fd tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn\u2026).<\/p>\n<p>C\u1ea7n gi\u00e1m s\u00e1t tri\u1ec7u ch\u1ee9ng cai thu\u1ed1c khi d\u1eebng Medlon: m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, \u0111au c\u01a1, h\u1ea1 huy\u1ebft \u00e1p,\u2026<\/p>\n<p>Tr\u00e1nh d\u00f9ng Medlon n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 u t\u1ebf b\u00e0o \u01b0a cr\u00f4m, tr\u1eeb khi \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng l\u1ee3i \u00edch\/nguy c\u01a1.<\/p>\n<p>Theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1.<\/p>\n<p>Theo d\u00f5i huy\u1ebft \u00e1p, lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 tim m\u1ea1ch.<\/p>\n<p>Theo d\u00f5i t\u00e2m th\u1ea7n, \u0111\u1eb7c bi\u1ec7t n\u1ebfu c\u00f3 ti\u1ec1n s\u1eed tr\u1ea7m c\u1ea3m, h\u01b0ng c\u1ea3m ho\u1eb7c r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac.<\/p>\n<p>C\u1ea3nh b\u00e1o b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u1ec1 nguy c\u01a1 r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, \u0111\u1eb7c bi\u1ec7t khi b\u1eaft \u0111\u1ea7u ho\u1eb7c ng\u1eebng thu\u1ed1c.<\/p>\n<p>Theo d\u00f5i b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed co gi\u1eadt, nh\u01b0\u1ee3c c\u01a1, suy gi\u00e1p.<\/p>\n<p>Theo d\u00f5i th\u1ecb l\u1ef1c th\u01b0\u1eddng xuy\u00ean n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng m\u1edd m\u1eaft; c\u1ea7n chuy\u1ec3n kh\u00e1m chuy\u00ean khoa m\u1eaft khi c\u1ea7n.<\/p>\n<p>Kh\u00f4ng d\u00f9ng Medlon cho ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n dung n\u1ea1p galactose, thi\u1ebfu men lactase ho\u1eb7c k\u00e9m h\u1ea5p thu glucose-galactose.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>C\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i \u0111\u01b0\u1ee3c ghi nh\u1eadn v\u1edbi methylprednisolon r\u1ea5t \u0111a d\u1ea1ng v\u00e0 m\u1ee9c \u0111\u1ed9 ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u, th\u1eddi gian s\u1eed d\u1ee5ng v\u00e0 c\u01a1 \u0111\u1ecba b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 nh\u00f3m r\u1ed1i lo\u1ea1n th\u01b0\u1eddng g\u1eb7p g\u1ed3m:<\/p>\n<p>Nhi\u1ec5m khu\u1ea9n v\u00e0 k\u00fd sinh tr\u00f9ng: d\u1ec5 b\u1ecb nhi\u1ec5m khu\u1ea9n h\u01a1n, nhi\u1ec5m khu\u1ea9n t\u00e1i ph\u00e1t ho\u1eb7c n\u1eb7ng h\u01a1n; c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nhi\u1ec5m khu\u1ea9n c\u01a1 h\u1ed9i, lao t\u00e1i ho\u1ea1t.<\/p>\n<p>Huy\u1ebft h\u1ecdc v\u00e0 mi\u1ec5n d\u1ecbch: t\u0103ng b\u1ea1ch c\u1ea7u, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn, s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n<p>N\u1ed9i ti\u1ebft: h\u1ed9i ch\u1ee9ng Cushing, suy tuy\u1ebfn y\u00ean, r\u1ed1i lo\u1ea1n ho\u1ea1t \u0111\u1ed9ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n<p>Kh\u1ed1i u: hi\u1ebfm khi ghi nh\u1eadn Kaposi sarcoma.<\/p>\n<p>Chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng: gi\u1eef mu\u1ed1i v\u00e0 n\u01b0\u1edbc, h\u1ea1 kali m\u00e1u, r\u1ed1i lo\u1ea1n lipid, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c t\u0103ng nhu c\u1ea7u insulin\/thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n v\u00e0 t\u0103ng c\u00e2n.<\/p>\n<p>T\u00e2m th\u1ea7n: thay \u0111\u1ed5i c\u1ea3m x\u00fac (tr\u1ea7m c\u1ea3m, h\u01b0ng c\u1ea3m), r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, \u1ea3o gi\u00e1c, m\u1ea5t ng\u1ee7, lo \u00e2u, c\u00e1u g\u1eaft, thay \u0111\u1ed5i t\u00ednh c\u00e1ch.<\/p>\n<p>Th\u1ea7n kinh: t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, ph\u00f9 gai th\u1ecb, co gi\u1eadt, \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c.<\/p>\n<p>M\u1eaft: \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng nh\u00e3n \u00e1p, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, m\u1ecfng c\u1ee7ng m\u1ea1c, t\u1ed5n th\u01b0\u01a1ng v\u00f5ng m\u1ea1c.<\/p>\n<p>Tai \u2013 ti\u1ec1n \u0111\u00ecnh: ch\u00f3ng m\u1eb7t.<\/p>\n<p>Tim m\u1ea1ch: t\u0103ng huy\u1ebft \u00e1p, h\u1ea1 huy\u1ebft \u00e1p, suy tim sung huy\u1ebft, v\u1ee1 c\u01a1 tim sau nh\u1ed3i m\u00e1u, huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<p>H\u00f4 h\u1ea5p: n\u1ea5c c\u1ee5t, thuy\u00ean t\u1eafc ph\u1ed5i.<\/p>\n<p>Ti\u00eau h\u00f3a: lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, th\u1ee7ng, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, vi\u00eam t\u1ee5y, vi\u00eam th\u1ef1c qu\u1ea3n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, kh\u00f3 ti\u00eau.<\/p>\n<p>Gan m\u1eadt: t\u0103ng men gan (ALT, AST).<\/p>\n<p>Da v\u00e0 m\u00f4 d\u01b0\u1edbi da: teo da, m\u1ee5n tr\u1ee9ng c\u00e1, b\u1ea7m m\u00e1u, m\u00e0y \u0111ay, ng\u1ee9a, r\u1eadm l\u00f4ng, ph\u00f9 m\u1ea1ch, gi\u00e3n t\u0129nh m\u1ea1ch, t\u0103ng ti\u1ebft m\u1ed3 h\u00f4i.<\/p>\n<p>Sinh s\u1ea3n: r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t.<\/p>\n<p>To\u00e0n th\u00e2n: ch\u1eadm l\u00e0nh v\u1ebft th\u01b0\u01a1ng, ph\u00f9 ngo\u1ea1i bi\u00ean, m\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu, h\u1ed9i ch\u1ee9ng cai khi ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t (suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p, h\u1ea1 huy\u1ebft \u00e1p, c\u00f3 th\u1ec3 t\u1eed vong).<\/p>\n<p>X\u00e9t nghi\u1ec7m: gi\u1ea3m kali m\u00e1u, r\u1ed1i lo\u1ea1n dung n\u1ea1p glucose, t\u0103ng calci ni\u1ec7u, t\u0103ng phosphatase ki\u1ec1m, t\u0103ng ure m\u00e1u.<\/p>\n<p>Kh\u00e1c: \u0111\u1ee9t g\u00e2n (nh\u1ea5t l\u00e0 g\u00e2n Achilles), g\u00e3y x\u01b0\u01a1ng do ch\u00e8n \u00e9p c\u1ed9t s\u1ed1ng.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Methylprednisolon \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu qua enzym CYP3A4, v\u00ec v\u1eady d\u1ec5 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ho\u1eb7c c\u1ea3m \u1ee9ng enzym n\u00e0y:<\/p>\n<ul>\n<li>Ch\u1ea5t c\u1ea3m \u1ee9ng CYP3A4: rifampin, rifabutin, phenobarbital, phenytoin, primidon, carbamazepin. C\u00e1c thu\u1ed1c n\u00e0y l\u00e0m t\u0103ng chuy\u1ec3n h\u00f3a, gi\u1ea3m n\u1ed3ng \u0111\u1ed9 methylprednisolon, c\u00f3 th\u1ec3 c\u1ea7n t\u0103ng li\u1ec1u.<\/li>\n<li>Ch\u1ea5t \u1ee9c ch\u1ebf CYP3A4: troleandomycin, n\u01b0\u1edbc b\u01b0\u1edfi ch\u00f9m, mibefradil, cimetidin, isoniazid, itraconazol, ketoconazol, diltiazem, clarithromycin, erythromycin,&#8230;.. C\u00e1c thu\u1ed1c n\u00e0y l\u00e0m gi\u1ea3m \u0111\u1ed9 thanh th\u1ea3i, t\u0103ng n\u1ed3ng \u0111\u1ed9 methylprednisolon trong m\u00e1u, nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c steroid, c\u1ea7n ch\u1ec9nh li\u1ec1u.<\/li>\n<\/ul>\n<p><em><strong>T\u01b0\u01a1ng t\u00e1c \u0111\u1eb7c bi\u1ec7t<\/strong><\/em><\/p>\n<p>Ciclosporin v\u00e0 methylprednisolon \u1ee9c ch\u1ebf chuy\u1ec3n h\u00f3a l\u1eabn nhau, l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ea3 hai.<\/p>\n<p>Corticosteroid c\u00f3 th\u1ec3 l\u00e0m t\u0103ng chuy\u1ec3n h\u00f3a thu\u1ed1c kh\u00e1ng HIV-protease l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 kh\u00e1ng virus.<\/p>\n<p>Corticosteroid c\u0169ng l\u00e0m t\u0103ng thanh th\u1ea3i isoniazid.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng vi\u00eam NSAID (nh\u01b0 aspirin li\u1ec1u cao): t\u0103ng nguy c\u01a1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, th\u1ee7ng lo\u00e9t. \u0110\u1ed3ng th\u1eddi methylprednisolon l\u00e0m t\u0103ng th\u1ea3i tr\u1eeb aspirin, ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 g\u00e2y ng\u1ed9 \u0111\u1ed9c salicylat.<\/p>\n<p>Thu\u1ed1c kh\u00e1ng cholinergic, thu\u1ed1c gi\u00e3n c\u01a1: ph\u1ed1i h\u1ee3p li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh c\u01a1 c\u1ea5p t\u00ednh, \u0111\u1ed1i kh\u00e1ng t\u00e1c d\u1ee5ng gi\u00e3n c\u01a1 c\u1ee7a pancuronium, vecuronium.<\/p>\n<p>Thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft: corticosteroid l\u00e0m t\u0103ng glucose m\u00e1u, c\u1ea7n ch\u1ec9nh li\u1ec1u insulin ho\u1eb7c thu\u1ed1c u\u1ed1ng.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng nh\u00f3m coumarin: c\u00f3 th\u1ec3 t\u0103ng t\u00e1c d\u1ee5ng, c\u1ea7n theo d\u00f5i INR, PT \u0111\u1ec3 tr\u00e1nh ch\u1ea3y m\u00e1u.<\/p>\n<p>Thu\u1ed1c g\u00e2y h\u1ea1 kali (thu\u1ed1c l\u1ee3i ti\u1ec3u, amphotericin B, thu\u1ed1c k\u00edch th\u00edch beta-2, xanthen): l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 kali m\u00e1u.<\/p>\n<p>Aminoglutethimid: l\u00e0m n\u1eb7ng th\u00eam r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft do li\u1ec7u ph\u00e1p glucocorticoid.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Kh\u1ea3 n\u0103ng sinh s\u1ea3n: corticosteroid c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf \u0111\u1ed9ng v\u1eadt.<\/p>\n<p>Thai k\u1ef3: methylprednisolon \u0111i qua nhau thai. Nguy c\u01a1 thai nh\u1eb9 c\u00e2n c\u00f3 li\u00ean quan \u0111\u1ebfn li\u1ec1u nh\u01b0ng gi\u1ea3m n\u1ebfu d\u00f9ng li\u1ec1u th\u1ea5p. \u1ede \u0111\u1ed9ng v\u1eadt, thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y s\u1ee9t m\u00f4i, ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n th\u1ea7n kinh.<\/p>\n<p>Tr\u00ean ng\u01b0\u1eddi, ch\u01b0a th\u1ea5y b\u1eb1ng ch\u1ee9ng l\u00e0m t\u0103ng d\u1ecb t\u1eadt b\u1ea9m sinh r\u00f5 r\u1ec7t nh\u01b0ng d\u00f9ng k\u00e9o d\u00e0i ho\u1eb7c nhi\u1ec1u l\u1ea7n trong thai k\u1ef3 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 thai ch\u1eadm ph\u00e1t tri\u1ec3n.<\/p>\n<p>Tr\u1ebb s\u01a1 sinh c\u1ee7a m\u1eb9 d\u00f9ng li\u1ec1u cao c\u1ea7n theo d\u00f5i suy th\u01b0\u1ee3ng th\u1eadn, d\u00f9 t\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng tho\u00e1ng qua. \u0110\u00e3 ghi nh\u1eadn \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 \u1edf tr\u1ebb c\u00f3 m\u1eb9 d\u00f9ng corticosteroid k\u00e9o d\u00e0i. Do \u0111\u00f3, ch\u1ec9 s\u1eed d\u1ee5ng khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1, v\u00e0 n\u1ebfu c\u1ea7n thi\u1ebft th\u00ec v\u1eabn c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb nh\u01b0 ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Cho con b\u00fa: thu\u1ed1c b\u00e0i ti\u1ebft m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf v\u00e0o s\u1eefa m\u1eb9. Li\u1ec1u \u2264 40 mg\/ng\u00e0y th\u01b0\u1eddng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng to\u00e0n th\u00e2n \u1edf tr\u1ebb. N\u1ebfu m\u1eb9 d\u00f9ng li\u1ec1u cao h\u01a1n m\u1ee9c li\u1ec1u tr\u00ean, con c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i hi\u1ec7n t\u01b0\u1ee3ng \u1ee9c ch\u1ebf th\u01b0\u1ee3ng th\u1eadn. Ch\u1ec9 n\u00ean s\u1eed d\u1ee5ng sau khi c\u00e2n nh\u1eafc l\u1ee3i \u00edch \u2013 nguy c\u01a1.<\/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>Ch\u01b0a c\u00f3 nhi\u1ec1u d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u1ee7a methylprednisolon \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe ho\u1eb7c \u0111i\u1ec1u khi\u1ec3n m\u00e1y m\u00f3c. M\u1eb7c d\u00f9 v\u1eady, nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ec7t, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, ch\u00f3ng m\u1eb7t,&#8230;v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra khi d\u00f9ng thu\u1ed1c tu\u1ef3 v\u00e0o c\u01a1 \u0111\u1ecba, do \u0111\u00f3 c\u1ea7n th\u1eadn tr\u1ecdng tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Qu\u00e1 li\u1ec1u c\u1ea5p t\u00ednh: hi\u1ebfm g\u1eb7p, \u00edt khi g\u00e2y ng\u1ed9 \u0111\u1ed9c ho\u1eb7c t\u1eed vong. Kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u. \u0110i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u vi\u00ean n\u00e9n Medlon 16 ch\u1ee7 y\u1ebfu l\u00e0 h\u1ed7 tr\u1ee3 v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng g\u1eb7p ph\u1ea3i, c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc th\u1ea9m t\u00e1ch m\u00e1u.<\/p>\n<p>X\u1eed tr\u00ed l\u00e2u d\u00e0i: sau khi qu\u00e1 li\u1ec1u l\u1edbn, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n h\u1ed7 tr\u1ee3 corticosteroid trong v\u00f2ng 2 n\u0103m n\u1ebfu g\u1eb7p stress ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Medlon 16 \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 Medlon 16 trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Medlon 16 khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1<\/h2>\n<p>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 Medlon 16 nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/medlon-4\/\">Medlon 4<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Methylprednisolon 4mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 Ph\u1ea7n D\u01b0\u1ee3c H\u1eadu Giang, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd mi\u1ec5n d\u1ecbch<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/methylprednisolon-16mg-vidipha\/\">Methylprednisolon 16mg Vidipha<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Methylprednisolon 16mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Chi nh\u00e1nh c\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m trung \u01b0\u01a1ng Vidipha t\u1ea1i B\u00ecnh D\u01b0\u01a1ng, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd mi\u1ec5n d\u1ecbch<\/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 Medlon 16 \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\/09\/To-huong-dan-su-dung-Medlon-16-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 17 th\u00e1ng 9 n\u0103m 2025<\/li>\n<li>Lee JM, Yan P, Xiao Q, Chen S, Lee KY, Hsu CY, Xu J (2008). Methylprednisolone protects oligodendrocytes but not neurons after spinal cord injury. J Neurosci. Truy c\u1eadp ng\u00e0y 17 th\u00e1ng 9 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2748666\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2748666\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Medlon 16 ch\u1ee9a methylprednisolon, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c b\u1ec7nh nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, d\u1ecb \u1ee9ng n\u1eb7ng, hen suy\u1ec5n v\u00e0 nhi\u1ec1u b\u1ec7nh m\u1ea1n t\u00ednh kh\u00e1c<\/p>\n","protected":false},"author":1,"featured_media":139354,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-139353","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\/139353","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=139353"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/139354"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=139353"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=139353"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=139353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}