﻿{"id":139706,"date":"2025-09-18T11:20:12","date_gmt":"2025-09-18T04:20:12","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=139706"},"modified":"2025-09-18T12:29:46","modified_gmt":"2025-09-18T05:29:46","slug":"levodhg-250","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/levodhg-250\/","title":{"rendered":"LevoDHG 250"},"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 LevoDHG 250 \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-21557-14<\/strong><\/p>\n<h2>LevoDHG 250 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>vi\u00ean u\u1ed1ng LevoDHG 250<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Levofloxacin (d\u01b0\u1edbi d\u1ea1ng levofloxacin hemihydrat) 250 mg.<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: Lactose monohydrat, hydroxypropyl methylcellulose 615, hydroxypropyl methylcellulose 606, natri starch glycolat, natri stearyl fumarat, polyethylen glycol 6000, talc, titan dioxyd, oxyd s\u1eaft v\u00e0ng.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-21557-14<\/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: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c LevoDHG 250<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p data-start=\"116\" data-end=\"553\">Levofloxacin l\u00e0 kh\u00e1ng sinh t\u1ed5ng h\u1ee3p thu\u1ed9c nh\u00f3m fluoroquinolon, c\u00f3 ph\u1ed5 t\u00e1c d\u1ee5ng r\u1ed9ng. Thu\u1ed1c ti\u00eau di\u1ec7t vi khu\u1ea9n b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf s\u1ef1 sao ch\u00e9p ADN, khi\u1ebfn vi khu\u1ea9n kh\u00f4ng th\u1ec3 ph\u00e1t tri\u1ec3n v\u00e0 nh\u00e2n l\u00ean. Nh\u1edd c\u01a1 ch\u1ebf n\u00e0y, levofloxacin ph\u00e1t huy hi\u1ec7u l\u1ef1c tr\u00ean nhi\u1ec1u t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh, bao g\u1ed3m c\u1ea3 vi khu\u1ea9n Gram d\u01b0\u01a1ng v\u00e0 Gram \u00e2m. Nh\u1eefng ch\u1ee7ng nh\u1ea1y c\u1ea3m th\u01b0\u1eddng g\u1eb7p v\u1edbi thu\u1ed1c l\u00e0 t\u1ee5 c\u1ea7u, li\u00ean c\u1ea7u, ph\u1ebf c\u1ea7u, vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t v\u00e0 <strong data-start=\"524\" data-end=\"550\">Haemophilus influenzae<\/strong>. \u0110\u1eb7c bi\u1ec7t, levofloxacin cho th\u1ea5y hi\u1ec7u qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i trong vi\u1ec7c ti\u00eau di\u1ec7t c\u00e1c vi khu\u1ea9n Gram d\u01b0\u01a1ng v\u00e0 c\u00e1c vi khu\u1ea9n k\u1ef5 kh\u00ed so v\u1edbi c\u00e1c kh\u00e1ng sinh fluoroquinolon kh\u00e1c.<\/p>\n<p>M\u1ed9t \u01b0u \u0111i\u1ec3m \u0111\u00e1ng ch\u00fa \u00fd c\u1ee7a levofloxacin l\u00e0 kh\u1ea3 n\u0103ng kh\u00e1ng ch\u00e9o v\u1edbi c\u00e1c nh\u00f3m kh\u00e1ng sinh kh\u00e1c th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1ng k\u1ec3, \u0111i\u1ec1u n\u00e0y gi\u00fap thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng hi\u1ec7u qu\u1ea3 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c kh\u00e1ng sinh kh\u00e1c nhau m\u00e0 kh\u00f4ng g\u1eb7p ph\u1ea3i v\u1ea5n \u0111\u1ec1 kh\u00e1ng thu\u1ed1c.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Levofloxacin \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng v\u00e0 g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n khi s\u1eed d\u1ee5ng qua \u0111\u01b0\u1eddng u\u1ed1ng, v\u1edbi sinh kh\u1ea3 d\u1ee5ng \u0111\u1ea1t kho\u1ea3ng 99%. Khi s\u1eed d\u1ee5ng \u1edf li\u1ec1u t\u01b0\u01a1ng \u0111\u01b0\u01a1ng, n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng sau khi d\u00f9ng qua \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch g\u1ea7n nh\u01b0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau, v\u00ec v\u1eady hai c\u00e1ch d\u00f9ng n\u00e0y c\u00f3 th\u1ec3 thay th\u1ebf cho nhau m\u00e0 kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Thu\u1ed1c ph\u00e2n b\u1ed1 r\u1ed9ng kh\u1eafp trong c\u01a1 th\u1ec3 v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng x\u00e2m nh\u1eadp v\u00e0o nhi\u1ec1u m\u00f4 v\u00e0 c\u01a1 quan. Tuy nhi\u00ean, n\u1ed3ng \u0111\u1ed9 levofloxacin trong d\u1ecbch n\u00e3o t\u1ee7y l\u1ea1i t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p. M\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m \u0111\u00e1ng ch\u00fa \u00fd l\u00e0 levofloxacin \u00edt b\u1ecb chuy\u1ec3n h\u00f3a trong c\u01a1 th\u1ec3, v\u00e0 ho\u1ea1t ch\u1ea5t n\u00e0y ph\u1ea7n l\u1edbn \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua th\u1eadn d\u01b0\u1edbi d\u1ea1ng c\u00f2n ho\u1ea1t t\u00ednh.<\/p>\n<p>Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a levofloxacin th\u01b0\u1eddng dao \u0111\u1ed9ng trong kho\u1ea3ng th\u1eddi gian l\u00e0 t\u1eeb 6 \u0111\u1ebfn 8 gi\u1edd. Tuy nhi\u00ean, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m, kho\u1ea3ng th\u1eddi gian n\u00e0y c\u00f3 th\u1ec3 b\u1ecb k\u00e9o d\u00e0i h\u01a1n, do \u0111\u00f3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng v\u00e0 theo d\u00f5i k\u1ef9 l\u01b0\u1ee1ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n<h2>Thu\u1ed1c LevoDHG 250 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i trong c\u1ed9ng \u0111\u1ed3ng.<\/p>\n<p>Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n<p>Nhi\u1ec5m tr\u00f9ng da.<\/p>\n<p>Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u kh\u00f4ng ph\u1ee9c t\u1ea1p (ch\u1ec9 \u00e1p d\u1ee5ng khi kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng \u00e1n thay th\u1ebf kh\u00e1c do nguy c\u01a1 g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng).<\/p>\n<p>\u0110\u1ee3t b\u00f9ng ph\u00e1t c\u1ea5p c\u1ee7a vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n (ch\u1ec9 s\u1eed d\u1ee5ng khi kh\u00f4ng c\u00f3 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb an to\u00e0n h\u01a1n).<\/p>\n<p>Vi\u00eam xoang c\u1ea5p t\u00ednh do vi khu\u1ea9n (ch\u1ec9 c\u00e2n nh\u1eafc d\u00f9ng khi kh\u00f4ng c\u00f2n thu\u1ed1c thay th\u1ebf ph\u00f9 h\u1ee3p).<\/p>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p><strong>Li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c t\u00ednh cho vi\u00ean LevoDHG 250<\/strong><\/p>\n<p><em><strong>Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/strong><\/em><\/p>\n<p>Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng: 2 vi\u00ean, ng\u00e0y 1\u20132 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 7 \u0111\u1ebfn 14 ng\u00e0y<\/p>\n<p>Vi\u00eam xoang h\u00e0m tr\u00ean c\u1ea5p t\u00ednh: 2 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 10 \u0111\u1ebfn 14 ng\u00e0y<\/p>\n<p><em><strong>Nhi\u1ec5m tr\u00f9ng da v\u00e0 m\u00f4 d\u01b0\u1edbi da<\/strong><\/em><\/p>\n<p>Kh\u00f4ng bi\u1ebfn ch\u1ee9ng: 2 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 7 \u0111\u1ebfn 14 ng\u00e0y<\/p>\n<p>C\u00f3 bi\u1ebfn ch\u1ee9ng: 3 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 7 \u0111\u1ebfn 14 ng\u00e0y<\/p>\n<p><em><strong>Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/strong><\/em><\/p>\n<p>C\u00f3 bi\u1ebfn ch\u1ee9ng: 1 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 10 ng\u00e0y.<\/p>\n<p>Vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn c\u1ea5p: 1 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 10 ng\u00e0y<\/p>\n<p>Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u kh\u00f4ng ph\u1ee9c t\u1ea1p: 1 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 3 ng\u00e0y.<\/p>\n<p>B\u1ec7nh than: \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng sau ph\u01a1i nhi\u1ec5m tr\u1ef1c khu\u1ea9n than: 1 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 8 tu\u1ea7n.<\/p>\n<p>\u0110\u1ee3t c\u1ea5p c\u1ee7a vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh: 2 vi\u00ean, ng\u00e0y 1 l\u1ea7n, trong kho\u1ea3ng t\u1eeb 7 ng\u00e0y.<\/p>\n<p><em><strong>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn<\/strong><\/em><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 106px;\">\n<tbody>\n<tr style=\"height: 64px;\">\n<td style=\"width: 16.1271%; height: 64px; text-align: center;\"><strong>Th\u1ea9m t\u00e1ch m\u00e1u ho\u1eb7c th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c li\u00ean t\u1ee5c:<\/strong><\/td>\n<td style=\"width: 33.5331%; height: 64px; text-align: center;\" colspan=\"2\"><strong>Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u00f3 bi\u1ebfn ch\u1ee9ng ho\u1eb7c vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn c\u1ea5p<\/strong><\/td>\n<td style=\"width: 50.3398%; height: 64px; text-align: center;\" colspan=\"3\"><strong>Ch\u1ec9 \u0111\u1ecbnh kh\u00e1c<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 16.1271%; height: 21px; text-align: center;\"><\/td>\n<td style=\"width: 15.8102%; height: 21px; text-align: center;\"><span style=\"font-weight: 400;\">ClCr<\/span><\/p>\n<p>20 ml\/ph\u00fat<\/td>\n<td style=\"width: 17.7229%; height: 21px; text-align: center;\">ClCr<\/p>\n<p>10\u201319 ml\/ph\u00fat<\/td>\n<td style=\"width: 16.7258%; height: 21px; text-align: center;\">ClCr<\/p>\n<p>50\u201380 ml\/ph\u00fat<\/td>\n<td style=\"width: 17.9669%; height: 21px; text-align: center;\">ClCr<\/p>\n<p>20\u201349 ml\/ph\u00fat<\/td>\n<td style=\"width: 15.6471%; height: 21px; text-align: center;\">ClCr<\/p>\n<p>10\u201319 ml\/ph\u00fat<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 16.1271%; height: 21px;\">Ban \u0111\u1ea7u: 2 vi\u00ean<\/p>\n<p>Duy tr\u00ec: <span style=\"font-weight: 400;\">\u00bd <\/span>vi\u00ean\/24h<\/td>\n<td style=\"width: 15.8102%; height: 21px;\">Ban \u0111\u1ea7u: 1 vi\u00ean<\/p>\n<p>Duy tr\u00ec: 1 vi\u00ean\/24h<\/td>\n<td style=\"width: 17.7229%; height: 21px;\">Ban \u0111\u1ea7u: 1 vi\u00ean<\/p>\n<p>Duy tr\u00ec: 1 vi\u00ean\/48h<\/td>\n<td style=\"width: 16.7258%; height: 21px;\"><span style=\"font-weight: 400;\">Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u<\/span><\/td>\n<td style=\"width: 17.9669%; height: 21px;\">Ban \u0111\u1ea7u: 2 vi\u00ean<\/p>\n<p>Duy tr\u00ec: 1 vi\u00ean\/24h<\/td>\n<td style=\"width: 15.6471%; height: 21px;\">Ban \u0111\u1ea7u: 2 vi\u00ean<\/p>\n<p>Duy tr\u00ec: <span style=\"font-weight: 400;\">\u00bd <\/span>vi\u00ean\/24h<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>N\u00ean d\u00f9ng <strong>vi\u00ean n\u00e9n LevoDHG 250<\/strong> b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c LevoDHG 250 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi levofloxacin, c\u00e1c quinolon kh\u00e1c ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u00f3 trong vi\u00ean u\u1ed1ng LevoDHG 250<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb \u0111\u1ed9ng kinh.<\/p>\n<p>Ng\u01b0\u1eddi thi\u1ebfu men G6PD.<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd v\u1ec1 g\u00e2n c\u01a1.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 18 tu\u1ed5i.<\/p>\n<p>Ph\u1ee5 n\u1eef mang thai v\u00e0 ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa.<\/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>Ng\u1eebng ngay thu\u1ed1c khi xu\u1ea5t hi\u1ec7n b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u hay tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i nghi\u00eam tr\u1ecdng. Kh\u00f4ng d\u00f9ng fluoroquinolon cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 t\u1eebng g\u1eb7p ph\u1ea3n \u1ee9ng n\u1eb7ng li\u00ean quan \u0111\u1ebfn nh\u00f3m thu\u1ed1c n\u00e0y.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng levofloxacin cho ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng nh\u01b0 \u0111\u1ed9ng kinh, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch n\u00e3o ho\u1eb7c c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c d\u1ec5 g\u00e2y co gi\u1eadt.<\/p>\n<p>M\u1ecdi tr\u01b0\u1eddng h\u1ee3p ti\u00eau ch\u1ea3y x\u1ea3y ra trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p.<\/p>\n<p>\u0110\u00e3 ghi nh\u1eadn t\u00ecnh tr\u1ea1ng nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng m\u1ee9c \u0111\u1ed9 t\u1eeb v\u1eeba \u0111\u1ebfn n\u1eb7ng \u1edf b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng fluoroquinolon, trong \u0111\u00f3 c\u00f3 levofloxacin.<\/p>\n<p>Levofloxacin c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft (t\u0103ng ho\u1eb7c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft), \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111ang d\u00f9ng thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c insulin. Do \u0111\u00f3, c\u1ea7n theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft ch\u1eb7t ch\u1ebd \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng levofloxacin \u1edf b\u1ec7nh nh\u00e2n c\u00f3 kho\u1ea3ng QT k\u00e9o d\u00e0i, h\u1ea1 kali m\u00e1u, ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m IA (nh\u01b0 quinidin, procainamid) hay nh\u00f3m III (nh\u01b0 amiodaron, sotalol). C\u1ea7n th\u1eadn tr\u1ecdng \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 lo\u1ea1n nh\u1ecbp nh\u01b0 nh\u1ecbp ch\u1eadm ho\u1eb7c thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ea5p.<\/p>\n<p><span style=\"font-size: 20.16px; color: #333333;\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/p>\n<p>Th\u01b0\u1eddng g\u1eb7p: bu\u1ed3n n\u00f4n, t\u0103ng men gan (AST\/ALT), ti\u00eau ch\u1ea3y, m\u1ea5t ng\u1ee7, k\u00edch \u1ee9ng t\u1ea1i v\u1ecb tr\u00ed ti\u00eam.<\/p>\n<p>\u00cdt g\u1eb7p: hoa m\u1eaft, c\u0103ng th\u1eb3ng, b\u1ed3n ch\u1ed3n, lo \u00e2u, \u0111au b\u1ee5ng, \u0111\u1ea7y h\u01a1i, kh\u00f3 ti\u00eau, n\u00f4n, t\u00e1o b\u00f3n, t\u0103ng bilirubin, vi\u00eam \u00e2m \u0111\u1ea1o, nhi\u1ec5m n\u1ea5m Candida \u0111\u01b0\u1eddng sinh d\u1ee5c, ng\u1ee9a, n\u1ed5i ban.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: t\u0103ng ho\u1eb7c h\u1ea1 huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, \u0111au c\u01a1, \u0111au kh\u1edbp, vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c, kh\u00f4 mi\u1ec7ng, co gi\u1eadt, \u00e1c m\u1ed9ng, tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, ph\u1ea3n v\u1ec7.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>C\u00e1c thu\u1ed1c kh\u00e1ng acid, sucralfat, ch\u1ebf ph\u1ea9m ch\u1ee9a ion kim lo\u1ea1i hay \u0111a vitamin c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu levofloxacin; n\u00ean u\u1ed1ng c\u00e1ch xa \u00edt nh\u1ea5t 2 gi\u1edd.<\/p>\n<p>Khi ph\u1ed1i h\u1ee3p v\u1edbi theophylin, c\u1ea7n theo d\u00f5i n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u n\u1ebfu c\u1ea7n.<\/p>\n<p>Levofloxacin c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a warfarin, \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng nguy c\u01a1 r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft n\u1ebfu d\u00f9ng c\u00f9ng thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. Nguy c\u01a1 co gi\u1eadt ho\u1eb7c k\u00edch th\u00edch th\u1ea7n kinh trung \u01b0\u01a1ng c\u0169ng cao h\u01a1n khi ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID).<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Levofloxacin kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef mang thai. C\u00e1c nghi\u00ean c\u1ee9u v\u00e0 th\u00f4ng tin hi\u1ec7n c\u00f3 cho th\u1ea5y thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi, do \u0111\u00f3, c\u1ea7n tr\u00e1nh s\u1eed d\u1ee5ng trong su\u1ed1t th\u1eddi k\u1ef3 thai k\u1ef3. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c trong tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t, b\u00e1c s\u0129 ph\u1ea3i c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh.<\/p>\n<p>Ngo\u00e0i ra, levofloxacin c\u0169ng kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1eddi gian cho con b\u00fa, v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 v\u00e0 c\u00f3 nguy c\u01a1 g\u00e2y t\u00e1c \u0111\u1ed9ng kh\u00f4ng mong mu\u1ed1n \u0111\u1ed1i v\u1edbi tr\u1ebb s\u01a1 sinh. Do \u0111\u00f3, trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1eb1ng levofloxacin, c\u1ea7n ng\u1eebng cho con b\u00fa \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb.<\/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>Levofloxacin hi\u1ebfm khi g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 tu\u1ef3 v\u00e0o c\u01a1 \u0111\u1ecba m\u1ed7i ng\u01b0\u1eddi v\u00e0 nh\u1eefng t\u00e1c d\u1ee5ng n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng t\u1eadp trung v\u00e0 t\u1ec9nh t\u00e1o. V\u00ec v\u1eady, n\u1ebfu c\u1ea3m th\u1ea5y kh\u00f4ng t\u1ec9nh t\u00e1o ho\u1eb7c g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y, b\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean l\u00e1i xe ho\u1eb7c d\u00f9ng m\u00e1y m\u00f3c cho \u0111\u1ebfn khi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u levofloxacin, c\u1ea7n ngay l\u1eadp t\u1ee9c lo\u1ea1i b\u1ecf thu\u1ed1c ra kh\u1ecfi d\u1ea1 d\u00e0y b\u1eb1ng c\u00e1ch r\u1eeda d\u1ea1 d\u00e0y ho\u1eb7c th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p l\u00e0m s\u1ea1ch d\u1ea1 d\u00e0y n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n trong kho\u1ea3ng th\u1eddi gian ng\u1eafn sau khi u\u1ed1ng thu\u1ed1c.<\/p>\n<p>\u0110\u1ed3ng th\u1eddi, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c b\u00f9 d\u1ecbch \u0111\u1ea7y \u0111\u1ee7 v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c d\u1ea5u hi\u1ec7u s\u1ee9c kh\u1ecfe. M\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p quan tr\u1ecdng l\u00e0 theo d\u00f5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 nh\u1ecbp tim ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch.<\/p>\n<p>N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng n\u00e0o xu\u1ea5t hi\u1ec7n \u0111\u01b0\u1ee3c nghi ng\u1edd l\u00e0 do d\u00f9ng LevoDHG 250, c\u1ea7n x\u1eed tr\u00ed k\u1ecbp th\u1eddi v\u00e0 li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 ho\u1eb7c c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 c\u00f3 ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef LevoDHG 250 \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 LevoDHG 250 trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng LevoDHG 250 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 LevoDHG 250 nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/l-stafloxin-250\/\">L-Stafloxin 250<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Levofloxacin 250mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty TNHH Li\u00ean doanh Stellapharm, \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n nh\u1ea1y c\u1ea3m v\u1edbi Levofloxacin<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/volexin\/\">Volexin 250<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Levofloxacin 250mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m Bos Ton Vi\u1ec7t Nam, \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n nh\u1ea1y c\u1ea3m v\u1edbi Levofloxacin<\/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 LevoDHG 250 \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-LevoDHG-250-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 18 th\u00e1ng 9 n\u0103m 2025<\/li>\n<li>Izadi E, Afshan G, Patel RP, Rao VM, Liew KB, Meor Mohd Affandi MMR, Kifli N, Suleiman A, Lee KS, Sarker MMR, Zaidi ST, Ming LC. Levofloxacin: Insights Into Antibiotic Resistance and Product Quality. Front Pharmacol. Truy c\u1eadp ng\u00e0y 18 th\u00e1ng 9 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6702332\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6702332\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c LevoDHG 250 l\u00e0 thu\u1ed1c kh\u00e1ng sinh thu\u1ed9c nh\u00f3m fluoroquinolon \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nhi\u1ec5m khu\u1ea9n do vi khu\u1ea9n nh\u1ea1y c\u1ea3m, bao g\u1ed3m nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p, ti\u1ebft ni\u1ec7u, da<\/p>\n","protected":false},"author":1,"featured_media":139708,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-139706","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\/139706","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=139706"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/139708"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=139706"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=139706"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=139706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}