{"id":139811,"date":"2025-09-18T15:30:32","date_gmt":"2025-09-18T08:30:32","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=139811"},"modified":"2025-09-18T16:13:47","modified_gmt":"2025-09-18T09:13:47","slug":"esomaxcare-40","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/esomaxcare-40\/","title":{"rendered":"Esomaxcare 40"},"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 Esomaxcare 40 c\u00f3 c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t l\u00e0 Square Pharmaceuticals Ltd, \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u00e0 894110341525.<\/strong><\/p>\n<h2 style=\"text-align: justify;\">Esomaxcare 40 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> Esomaxcare 40 <\/strong>ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Esomeprazol (d\u01b0\u1edbi d\u1ea1ng Esomeprazol magnesi dihydrat) 40mg<\/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 bao tan trong ru\u1ed9t<\/p>\n<h3 style=\"text-align: justify;\">Tr\u00ecnh b\u00e0y<\/h3>\n<p style=\"text-align: justify;\">S\u0110K: 894110341525<\/p>\n<p style=\"text-align: justify;\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/p>\n<p style=\"text-align: justify;\">Xu\u1ea5t x\u1ee9: Bangladesh<\/p>\n<h2 style=\"text-align: justify;\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Esomaxcare 40<\/h2>\n<h3 style=\"text-align: justify;\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Esomeprazol l\u00e0 \u0111\u1ed3ng ph\u00e2n S c\u1ee7a omeprazol, chuy\u1ec3n th\u00e0nh d\u1ea1ng ho\u1ea1t t\u00ednh trong m\u00f4i tr\u01b0\u1eddng acid c\u1ee7a \u1ed1ng ti\u1ebft t\u1ebf b\u00e0o th\u00e0nh v\u00e0 \u1ee9c ch\u1ebf \u0111\u1eb7c hi\u1ec7u b\u01a1m proton H+\/K+ ATPase l\u00e0m gi\u1ea3m c\u1ea3 b\u00e0i ti\u1ebft acid n\u1ec1n v\u00e0 khi k\u00edch th\u00edch.<\/p>\n<h3 style=\"text-align: justify;\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu : H\u1ea5p thu nhanh v\u1edbi n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c sau khi u\u1ed1ng kho\u1ea3ng 1 \u0111\u1ebfn 2 gi\u1edd. Th\u1ee9c \u0103n l\u00e0m ch\u1eadm v\u00e0 gi\u1ea3m h\u1ea5p thu nh\u01b0ng kh\u00f4ng l\u00e0m m\u1ea5t hi\u1ec7u qu\u1ea3 \u1ee9c ch\u1ebf acid.<\/p>\n<p>Ph\u00e2n b\u1ed1 : Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 bi\u1ec3u ki\u1ebfn \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh kho\u1ea3ng 0,22L\/kg.<\/p>\n<p>Chuy\u1ec3n h\u00f3a : Chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu qua gan b\u1eb1ng CYP2C19, t\u1ea1o th\u00e0nh c\u00e1c chuy\u1ec3n h\u00f3a hydroxy v\u00e0 desmethyl. C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a h\u1ea7u h\u1ebft kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh kh\u00e1ng ti\u1ebft acid.<\/p>\n<p>Th\u1ea3i tr\u1eeb : Kho\u1ea3ng 80% li\u1ec1u u\u1ed1ng th\u1ea3i tr\u1eeb qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng ho\u1ea1t t\u00ednh v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i qua ph\u00e2n.<\/p>\n<h2 style=\"text-align: justify;\">Esomaxcare 40 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p style=\"text-align: justify;\"><strong>Esomaxcare 40 Esomeprazol<\/strong>\u00a0\u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh :<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c.<\/li>\n<li>K\u1ebft h\u1ee3p v\u1edbi ph\u00e1c \u0111\u1ed3 kh\u00e1ng khu\u1ea9n th\u00edch h\u1ee3p \u0111\u1ec3 di\u1ec7t Helicobacter pylori.<\/li>\n<li>Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 lo\u00e9t t\u00e1 tr\u00e0ng do thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i sau khi \u0111\u00e3 d\u1ef1 ph\u00f2ng t\u00e1i xu\u1ea5t huy\u1ebft do lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng.<\/li>\n<li>H\u1ed9i ch\u1ee9ng Zollinger-Ellison.<\/li>\n<\/ul>\n<figure id=\"attachment_139812\" aria-describedby=\"caption-attachment-139812\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-139812\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/esomaxcare-40-dieu-tri-trao-nguoc-da-day.jpg\" alt=\"Esomaxcare 40 \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/esomaxcare-40-dieu-tri-trao-nguoc-da-day.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/esomaxcare-40-dieu-tri-trao-nguoc-da-day-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/esomaxcare-40-dieu-tri-trao-nguoc-da-day-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/esomaxcare-40-dieu-tri-trao-nguoc-da-day-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/esomaxcare-40-dieu-tri-trao-nguoc-da-day-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-139812\" class=\"wp-caption-text\">Esomaxcare 40 \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y<\/figcaption><\/figure>\n<h2 style=\"text-align: justify;\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Esomaxcare 40<\/h2>\n<h4>Ng\u01b0\u1eddi l\u1edbn<\/h4>\n<p>\u0110i\u1ec1u tr\u1ecb vi\u00eam x\u01b0\u1edbc th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c v\u00e0 GERD c\u00f3 tri\u1ec7u ch\u1ee9ng : 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y trong 4 tu\u1ea7n. N\u1ebfu tri\u1ec7u ch\u1ee9ng v\u1eabn c\u00f2n c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u00eam 4 tu\u1ea7n.<\/p>\n<p>Di\u1ec7t Helicobacter pylori k\u1ebft h\u1ee3p kh\u00e1ng sinh : Esomeprazol 40mg\/l\u1ea7n\/ng\u00e0y k\u1ebft h\u1ee3p amoxicillin 1g\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y v\u00e0 clarithromycin 500mg\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y trong 10 ng\u00e0y.<\/p>\n<p>Lo\u00e9t do NSAIDs : 20mg\/l\u1ea7n\/ng\u00e0y trong 4 \u0111\u1ebfn 8 tu\u1ea7n. Ph\u00f2ng ng\u1eeba cho b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1: 20mg\/l\u1ea7n\/ng\u00e0y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i sau d\u1ef1 ph\u00f2ng t\u00e1i xu\u1ea5t huy\u1ebft do lo\u00e9t : 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y<\/p>\n<p>H\u1ed9i ch\u1ee9ng Zollinger-Ellison v\u00e0 t\u0103ng ti\u1ebft acid n\u1eb7ng : Kh\u1edfi \u0111\u1ea7u 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y. \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u theo \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng. C\u00f3 th\u1ec3 t\u0103ng l\u00ean 80 &#8211; 160mg\/ng\u00e0y.<\/p>\n<p>Khi li\u1ec1u h\u00e0ng ng\u00e0y l\u1edbn h\u01a1n 80mg n\u00ean chia th\u00e0nh hai l\u1ea7n d\u00f9ng.<\/p>\n<h4>Tr\u1ebb em 12 \u0111\u1ebfn 18 tu\u1ed5i<\/h4>\n<p>\u0110i\u1ec1u tr\u1ecb GERD c\u00f3 th\u1ec3 d\u00f9ng 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y trong 4 tu\u1ea7n. N\u1ebfu c\u1ea7n c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u00eam 4 tu\u1ea7n theo \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng. Kh\u00f4ng d\u00f9ng cho tr\u1ebb d\u01b0\u1edbi 12 tu\u1ed5i tr\u1eeb khi c\u00f3 h\u01b0\u1edbng d\u1eabn chuy\u00ean khoa v\u00e0 d\u1ea1ng b\u00e0o ch\u1ebf ph\u00f9 h\u1ee3p.<\/p>\n<h4>Ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u1eadn<\/h4>\n<p>Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn. Tuy nhi\u00ean b\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 d\u00f9ng th\u1eadn tr\u1ecdng do kinh nghi\u1ec7m h\u1ea1n ch\u1ebf.<\/p>\n<h4>Ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng gan<\/h4>\n<p>Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u \u1edf suy gan nh\u1eb9 \u0111\u1ebfn v\u1eeba.<\/p>\n<p>\u1ede suy gan n\u1eb7ng kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 20mg m\u1ed7i ng\u00e0y v\u00e0 c\u1ea7n th\u1eadn tr\u1ecdng do kh\u1ea3 n\u0103ng t\u00edch l\u0169y thu\u1ed1c.<\/p>\n<h4>Ng\u01b0\u1eddi cao tu\u1ed5i<\/h4>\n<p>Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u \u0111\u1eb7c hi\u1ec7u cho ng\u01b0\u1eddi cao tu\u1ed5i nh\u01b0ng c\u1ea7n theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n.<\/p>\n<h2 style=\"text-align: justify;\">C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Esomaxcare 40<\/h2>\n<p>D\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. Nu\u1ed1t nguy\u00ean vi\u00ean kh\u00f4ng nghi\u1ec1n kh\u00f4ng nhai. U\u1ed1ng tr\u01b0\u1edbc b\u1eefa \u0103n \u00edt nh\u1ea5t 1 gi\u1edd \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u.<\/p>\n<h2 style=\"text-align: justify;\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Esomaxcare 40 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Kh\u00f4ng d\u00f9ng Esomaxcare 40 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>Kh\u00f4ng ph\u1ed1i h\u1ee3p v\u1edbi nelfinavir ho\u1eb7c atazanavir.<\/p>\n<h2 style=\"text-align: justify;\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Esomaxcare 40<\/h2>\n<h3 style=\"text-align: justify;\">Th\u1eadn tr\u1ecdng<\/h3>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng Esomaxcare 40 cho b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng b\u00e1o \u0111\u1ed9ng nh\u01b0 s\u1ee5t c\u00e2n nhi\u1ec1u, n\u00f4n k\u00e9o d\u00e0i, kh\u00f3 nu\u1ed1t, n\u00f4n ra m\u00e1u ho\u1eb7c ph\u00e2n \u0111en do c\u00f3 th\u1ec3 che l\u1ea5p tri\u1ec7u ch\u1ee9ng u \u00e1c t\u00ednh v\u00e0 l\u00e0m ch\u1eadm ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i v\u00ec nguy c\u01a1 t\u0103ng c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n l\u00e2u d\u00e0i.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng cho b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a do PPI c\u00f3 th\u1ec3 t\u0103ng nh\u1eb9 nguy c\u01a1 nhi\u1ec5m Salmonella Campylobacter v\u00e0 Clostridioides difficile.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng cho b\u1ec7nh nh\u00e2n \u0111ang thi\u1ebfu vitamin B12 ho\u1eb7c c\u00f3 nguy c\u01a1 thi\u1ebfu vitamin B12 v\u00ec PPI c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu cyanocobalamin.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng Esomaxcare 40 cho b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c g\u00e2y h\u1ea1 magi\u00ea ho\u1eb7c c\u00f3 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00ec PPI k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m magi\u00ea huy\u1ebft.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng k\u00e9o d\u00e0i cho b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng ho\u1eb7c \u0111ang d\u00f9ng corticoid v\u00ec d\u00f9ng li\u1ec1u cao v\u00e0 k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nh\u1eb9 nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng h\u00f4ng c\u1ed5 tay v\u00e0 c\u1ed9t s\u1ed1ng. N\u00ean theo d\u00f5i v\u00e0 b\u1ed5 sung vitamin D c\u00f9ng calcium theo h\u01b0\u1edbng d\u1eabn.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed lupus ban \u0111\u1ecf v\u00ec c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c tr\u01b0\u1eddng h\u1ee3p lupus ban \u0111\u1ecf.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi b\u1eaft \u0111\u1ea7u ho\u1eb7c ng\u1eebng esomeprazol \u1edf b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c chuy\u1ec3n h\u00f3a qua CYP2C19 v\u00ec esomeprazol \u1ee9c ch\u1ebf CYP2C19 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a clopidogrel v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c thu\u1ed1c kh\u00e1c chuy\u1ec3n h\u00f3a theo \u0111\u01b0\u1eddng n\u00e0y.<\/p>\n<h3 style=\"text-align: justify;\">T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: \u0111au \u0111\u1ea7u, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n.<\/p>\n<p>\u00cdt g\u1eb7p: ph\u00f9 ngo\u1ea1i bi\u00ean, m\u1ea5t ng\u1ee7, cho\u00e1ng v\u00e1ng, d\u1ecb c\u1ea3m, ng\u1ee7 g\u00e0, ch\u00f3ng m\u1eb7t, kh\u00f4 mi\u1ec7ng, t\u0103ng men gan, vi\u00eam da, ng\u1ee9a, n\u1ed5i m\u1eabn, m\u1ec1 \u0111ay, g\u00e3y x\u01b0\u01a1ng h\u00f4ng c\u1ed5 tay c\u1ed9t s\u1ed1ng.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m natri m\u00e1u, k\u00edch \u0111\u1ed9ng, l\u00fa l\u1eabn, tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, nh\u00ecn m\u1edd, co th\u1eaft ph\u1ebf qu\u1ea3n, vi\u00eam mi\u1ec7ng, nhi\u1ec5m Candida \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, vi\u00eam gan c\u00f3 ho\u1eb7c kh\u00f4ng v\u00e0ng da, h\u00f3i \u0111\u1ea7u, nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, \u0111au c\u01a1, \u0111au kh\u1edbp, t\u0103ng ti\u1ebft m\u1ed3 h\u00f4i.<\/p>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p: m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t, gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u, gi\u1ea3m magi\u00ea m\u00e1u, n\u00f3ng n\u1ea3y, \u1ea3o gi\u00e1c, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, suy gan, b\u1ec7nh n\u00e3o \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh gan, h\u1ed3ng ban \u0111a d\u1ea1ng, h\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec g\u00e2y \u0111\u1ed9c, y\u1ebfu c\u01a1, n\u1eef h\u00f3a tuy\u1ebfn v\u00fa.<\/p>\n<h3 style=\"text-align: justify;\">T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng clopidogrel do esomeprazol \u1ee9c ch\u1ebf CYP2C19 l\u00e0m gi\u1ea3m hi\u1ec7u l\u1ef1c chuy\u1ec3n h\u00f3a ti\u1ec1n d\u01b0\u1ee3c clopidogrel v\u00e0 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u. C\u00e2n nh\u1eafc l\u1ef1a ch\u1ecdn PPI kh\u00e1c ho\u1eb7c qu\u1ea3n l\u00fd th\u1eddi gian d\u00f9ng thu\u1ed1c.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng Esomaxcare 40 c\u00f9ng atazanavir ho\u1eb7c nelfinavir v\u00ec t\u0103ng pH d\u1ea1 d\u00e0y do esomeprazol c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu v\u00e0 n\u1ed3ng \u0111\u1ed9 huy\u1ebft thanh c\u1ee7a c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf protease.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng c\u00e1c thu\u1ed1c ph\u1ee5 thu\u1ed9c pH d\u1ea1 d\u00e0y nh\u01b0 ketoconazol, itraconazol, erlotinib v\u00ec t\u0103ng pH c\u00f3 th\u1ec3 gi\u1ea3m h\u1ea5p thu.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng methotrexat ho\u1eb7c tacrolimus v\u00ec c\u00f3 b\u00e1o c\u00e1o l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 methotrexat v\u00e0 tacrolimus \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n; theo d\u00f5i n\u1ed3ng \u0111\u1ed9 v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1ed9c t\u00ednh khi ph\u1ed1i h\u1ee3p.<\/p>\n<p>Th\u1eadn tr\u1ecdng chung v\u1edbi thu\u1ed1c chuy\u1ec3n h\u00f3a qua CYP2C19 v\u00e0 CYP3A4 nh\u01b0 diazepam, citalopram, phenytoin, imipramin, clomipramin do nguy c\u01a1 t\u0103ng n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u.<\/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>Ch\u01b0a c\u00f3 \u0111\u1ee7 d\u1eef li\u1ec7u \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh an to\u00e0n tuy\u1ec7t \u0111\u1ed1i cho ph\u1ee5 n\u1eef mang thai. Do \u0111\u00f3 c\u00e2n nh\u1eafc l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 tr\u01b0\u1edbc khi k\u00ea toa v\u00e0 ch\u1ec9 d\u00f9ng khi th\u1eadt c\u1ea7n thi\u1ebft.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y esomeprazol b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 \u1edf l\u01b0\u1ee3ng r\u1ea5t th\u1ea5p v\u00e0 li\u1ec1u ti\u1ebfp x\u00fac cho tr\u1ebb b\u00fa l\u00e0 r\u1ea5t nh\u1ecf. Tuy nhi\u00ean d\u1eef li\u1ec7u c\u00f2n h\u1ea1n ch\u1ebf n\u00ean n\u00ean th\u1eadn tr\u1ecdng v\u00e0 \u01b0u ti\u00ean ch\u1ecdn gi\u1ea3i ph\u00e1p kh\u00e1c n\u1ebfu c\u00f3 th\u1ec3.<\/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;\">Esomaxcare 40 h\u1ea7u nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<h3 style=\"text-align: justify;\">Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\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\/esomeprazol-40-us\/\">Esomeprazol 40-US<\/a> l\u00e0 thu\u1ed1c thu\u1ed9c nh\u00f3m \u1ee9c ch\u1ebf b\u01a1m proton, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m ti\u1ebft acid d\u1ecbch v\u1ecb, d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng.<\/li>\n<li>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/esomeprazol-40-hv\/\">Esomeprazol 40-HV<\/a> \u200b\u200bd\u00f9ng \u0111\u1ec3 gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y, \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n v\u00e0 m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng t\u0103ng ti\u1ebft acid kh\u00e1c.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Kalaitzakis, E., &amp; Bj\u00f6rnsson, E. (2007). A review of esomeprazole in the treatment of gastroesophageal reflux disease (GERD). Truy c\u1eadp ng\u00e0y 18\/09\/2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18472988\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/18472988\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Esomaxcare 40 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 k\u1ebft h\u1ee3p v\u1edbi ph\u00e1c \u0111\u1ed3 kh\u00e1ng khu\u1ea9n th\u00edch h\u1ee3p \u0111\u1ec3 di\u1ec7t Helicobacter pylori.<\/p>\n","protected":false},"author":1,"featured_media":139813,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-139811","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\/139811","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=139811"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/139813"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=139811"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=139811"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=139811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}