{"id":140596,"date":"2025-09-22T15:56:14","date_gmt":"2025-09-22T08:56:14","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=140596"},"modified":"2025-09-22T17:04:18","modified_gmt":"2025-09-22T10:04:18","slug":"seretide-accuhaler-50-250mcg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/seretide-accuhaler-50-250mcg\/","title":{"rendered":"Seretide Accuhaler 50\/250mcg"},"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 Seretide Accuhaler 50\/250mcg c\u00f3 c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t l\u00e0 GlaxoSmithKline LLC, \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u00e0 001110013824.<\/strong><\/p>\n<h2 style=\"text-align: justify;\">Seretide Accuhaler 50\/250mcg 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 li\u1ec1u h\u00edt<strong>\u00a0Seretide Accuhaler 50\/250mcg <\/strong>ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Salmeterol (d\u01b0\u1edbi d\u1ea1ng Salmeterol xinafoate) 50mcg<\/li>\n<li>Fluticason propionat 250mcg<\/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 : B\u1ed9t h\u00edt ph\u00e2n li\u1ec1u<\/p>\n<h3 style=\"text-align: justify;\">Tr\u00ecnh b\u00e0y<\/h3>\n<p style=\"text-align: justify;\">S\u0110K: 001110013824<\/p>\n<p style=\"text-align: justify;\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 d\u1ee5ng c\u1ee5 h\u00edt accuhaler 60 li\u1ec1u<\/p>\n<p style=\"text-align: justify;\">Xu\u1ea5t x\u1ee9: M\u1ef9<\/p>\n<h2 style=\"text-align: justify;\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Seretide Accuhaler 50\/250mcg<\/h2>\n<h3 style=\"text-align: justify;\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Salmeterol l\u00e0 ch\u1ea5t ch\u1ee7 v\u1eadn beta2 ch\u1ecdn l\u1ecdc, c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i t\u1ed1i thi\u1ec3u 12 gi\u1edd nh\u1edd chu\u1ed7i b\u00ean d\u00e0i t\u01b0\u01a1ng t\u00e1c v\u1edbi m\u1ed9t v\u1ecb tr\u00ed ngo\u00e0i th\u1ee5 th\u1ec3, d\u1eabn \u0111\u1ebfn gi\u00e3n ph\u1ebf qu\u1ea3n k\u00e9o d\u00e0i v\u00e0 b\u1ea3o v\u1ec7 ch\u1ed1ng co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n<p>Fluticasone propionate l\u00e0 corticosteroid h\u00edt c\u00f3 ho\u1ea1t t\u00ednh kh\u00e1ng vi\u00eam m\u1ea1nh t\u1ea1i ph\u1ed5i, gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 t\u1ea7n su\u1ea5t k\u1ecbch ph\u00e1t c\u1ee7a hen m\u00e0 \u00edt g\u00e2y t\u00e1c d\u1ee5ng to\u00e0n th\u00e2n khi d\u00f9ng \u0111\u00fang c\u00e1ch.<\/p>\n<h3 style=\"text-align: justify;\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu : Salmeterol t\u00e1c d\u1ee5ng ch\u1ee7 y\u1ebfu t\u1ea1i ph\u1ed5i n\u00ean n\u1ed3ng \u0111\u1ed9 huy\u1ebft t\u01b0\u01a1ng th\u1ea5p.<\/p>\n<p>Ph\u00e2n b\u1ed1 : Salmeterol t\u00edch t\u1ee5 \u1edf m\u00f4 ph\u1ed5i. Fluticasone c\u00f3 thanh th\u1ea3i huy\u1ebft t\u01b0\u01a1ng cao v\u00e0 th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 l\u1edbn \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Chuy\u1ec3n h\u00f3a : Salmeterol b\u1ecb chuy\u1ec3n h\u00f3a nhi\u1ec1u \u1edf gan ch\u1ee7 y\u1ebfu b\u1edfi CYP3A4 th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh l\u00e0 alpha hydroxysalmeterol. Fluticasone b\u1ecb chuy\u1ec3n h\u00f3a nhanh b\u1eb1ng CYP3A4 th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng ho\u1ea1t t\u00ednh.<\/p>\n<p>Th\u1ea3i tr\u1eeb : Salmeterol v\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua ph\u00e2n. Fluticasone c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 6 \u0111\u1ebfn 8 gi\u1edd.<\/p>\n<h2 style=\"text-align: justify;\">Seretide Accuhaler 50\/250mcg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p style=\"text-align: justify;\"><strong>Seretide Accuhaler 50\/250mcg Pregabalin<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong :<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb hen suy\u1ec5n c\u00f3 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed h\u1ed3i ph\u1ee5c khi c\u1ea7n ph\u1ed1i h\u1ee3p corticosteroid h\u00edt duy tr\u00ec v\u00e0 ch\u1ee7 v\u1eadn beta2 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i ho\u1eb7c khi b\u1ec7nh nh\u00e2n v\u1eabn c\u00f2n tri\u1ec7u ch\u1ee9ng m\u1eb7c d\u00f9 \u0111ang d\u00f9ng corticosteroid h\u00edt \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c corticosteroid h\u00edt ph\u1ed1i h\u1ee3p v\u1edbi beta2 t\u00e1c d\u1ee5ng ng\u1eafn khi c\u1ea7n.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb duy tr\u00ec b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh COPD \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u00e0 gi\u1ea3m c\u01a1n k\u1ecbch ph\u00e1t.<\/li>\n<\/ul>\n<figure id=\"attachment_140597\" aria-describedby=\"caption-attachment-140597\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-140597\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/seretide-accuhaler-50-250mcg-dieu-tri-hen-phe-quan-1.jpg\" alt=\"Seretide Accuhaler 50\/250mcg \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n, t\u1eafc ngh\u1ebdn ph\u1ed5i m\u1ea1n t\u00ednh\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/seretide-accuhaler-50-250mcg-dieu-tri-hen-phe-quan-1.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/seretide-accuhaler-50-250mcg-dieu-tri-hen-phe-quan-1-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/seretide-accuhaler-50-250mcg-dieu-tri-hen-phe-quan-1-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/seretide-accuhaler-50-250mcg-dieu-tri-hen-phe-quan-1-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/seretide-accuhaler-50-250mcg-dieu-tri-hen-phe-quan-1-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-140597\" class=\"wp-caption-text\">Seretide Accuhaler 50\/250mcg \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n, t\u1eafc ngh\u1ebdn ph\u1ed5i m\u1ea1n t\u00ednh<\/figcaption><\/figure>\n<h2 style=\"text-align: justify;\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Seretide Accuhaler 50\/250mcg<\/h2>\n<h4>Hen ph\u1ebf qu\u1ea3n<\/h4>\n<p>Ng\u01b0\u1eddi l\u1edbn v\u00e0 thanh thi\u1ebfu ni\u00ean t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean: m\u1ed9t li\u1ec1u h\u00edt m\u1ed7i l\u1ea7n, hai l\u1ea7n m\u1ed7i ng\u00e0y.<\/p>\n<p>Li\u1ec1u thay th\u1ebf c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t li\u1ec1u h\u00edt m\u1ed7i l\u1ea7n, hai l\u1ea7n m\u1ed7i ng\u00e0y v\u1edbi fluticasone li\u1ec1u cao h\u01a1n t\u00f9y theo ch\u1ec9 \u0111\u1ecbnh b\u00e1c s\u0129.<\/p>\n<h4>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh<\/h4>\n<p>Ng\u01b0\u1eddi l\u1edbn: m\u1ed9t li\u1ec1u h\u00edt m\u1ed7i l\u1ea7n, hai l\u1ea7n m\u1ed7i ng\u00e0y.<\/p>\n<p>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u theo m\u1ee9c \u0111\u1ed9 b\u1ec7nh v\u00e0 theo quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n<h2 style=\"text-align: justify;\">C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Seretide Accuhaler 50\/250mcg<\/h2>\n<p>Thu\u1ed1c ch\u1ec9 d\u00f9ng \u0111\u1ec3 h\u00edt qua mi\u1ec7ng. B\u1ec7nh nh\u00e2n ph\u1ea3i d\u00f9ng \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u ngay c\u1ea3 khi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>M\u1edf v\u00e0 n\u1ea1p li\u1ec1u : Gi\u1eef v\u1ecf ngo\u00e0i b\u1eb1ng m\u1ed9t tay. \u0110\u1eb7t ng\u00f3n c\u00e1i tay kia v\u00e0o r\u00e3nh. \u0110\u1ea9y ng\u00f3n c\u00e1i v\u1ec1 ph\u00eda xa c\u01a1 th\u1ec3 cho \u0111\u1ebfn khi nghe ti\u1ebfng t\u00e1ch. L\u00fac n\u00e0y m\u1ed9t li\u1ec1u \u0111\u00e3 \u0111\u01b0\u1ee3c n\u1ea1p s\u1eb5n. Kh\u00f4ng ngh\u1ecbch c\u1ea7n \u0111\u1ea9y \u0111\u1ec3 tr\u00e1nh l\u00e3ng ph\u00ed li\u1ec1u.<\/p>\n<p>C\u00e1ch h\u00edt :<\/p>\n<ul>\n<li>Th\u1edf ra h\u1ebft m\u1ee9c m\u00e0 v\u1eabn th\u1ea5y d\u1ec5 ch\u1ecbu.<\/li>\n<li>\u0110\u1eb7t ch\u1ed7 ng\u1eadm l\u00ean m\u00f4i k\u00edn v\u00e0 h\u00edt s\u00e2u \u0111\u1ec1u qua mi\u1ec7ng, kh\u00f4ng h\u00edt b\u1eb1ng m\u0169i.<\/li>\n<li>Nh\u1ea5c Accuhaler ra kh\u1ecfi mi\u1ec7ng. Gi\u1eef ng\u1eebng th\u1edf kho\u1ea3ng 10 gi\u00e2y ho\u1eb7c c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t.<\/li>\n<li>Th\u1edf ra t\u1eeb t\u1eeb. Sau \u0111\u00f3 r\u1eeda mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc v\u00e0 nh\u1ed5 ra \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m n\u1ea5m mi\u1ec7ng.<\/li>\n<\/ul>\n<p>\u0110\u00f3ng thi\u1ebft b\u1ecb : \u0110\u1ea9y r\u00e3nh v\u1ec1 ph\u00eda ng\u01b0\u1eddi cho \u0111\u1ebfn khi nghe ti\u1ebfng t\u00e1ch. C\u1ea7n \u0111\u1ea9y s\u1ebd tr\u1ea3 v\u1ec1 v\u1ecb tr\u00ed ban \u0111\u1ea7u v\u00e0 thi\u1ebft b\u1ecb s\u1eb5n s\u00e0ng cho li\u1ec1u ti\u1ebfp theo.<\/p>\n<h2 style=\"text-align: justify;\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Seretide Accuhaler 50\/250mcg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Kh\u00f4ng d\u00f9ng Seretide Accuhaler 50\/250mcg 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>Qu\u00e1 m\u1eabn n\u1eb7ng v\u1edbi protein s\u1eefa.<\/p>\n<p>Kh\u00f4ng d\u00f9ng l\u00e0m \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho c\u01a1n hen n\u1eb7ng c\u1ea5p ho\u1eb7c \u0111\u1ee3t c\u1ea5p c\u1ea7n can thi\u1ec7p t\u00edch c\u1ef1c.<\/p>\n<h2 style=\"text-align: justify;\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Seretide Accuhaler 50\/250mcg<\/h2>\n<h3 style=\"text-align: justify;\">Th\u1eadn tr\u1ecdng<\/h3>\n<p>Kh\u00f4ng kh\u1edfi tr\u1ecb khi b\u1ec7nh nh\u00e2n \u0111ang trong giai \u0111o\u1ea1n b\u1ec7nh x\u1ea5u \u0111i nhanh ho\u1eb7c \u0111\u1ee3t c\u1ea5p n\u1eb7ng v\u00ec c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ea5p t\u00ednh kh\u00e1c.<\/p>\n<p>Kh\u00f4ng d\u00f9ng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ea5p t\u00ednh b\u1ec7nh h\u00f4 h\u1ea5p. B\u1ec7nh nh\u00e2n n\u00ean lu\u00f4n c\u00f3 thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n t\u00e1c d\u1ee5ng nhanh \u0111\u1ec3 x\u1eed tr\u00ed c\u01a1n.<\/p>\n<p>Theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m n\u1ea5m Candida t\u1ea1i mi\u1ec7ng h\u1ecdng khi xu\u1ea5t hi\u1ec7n; c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng n\u1ea5m t\u1ea1i ch\u1ed7 ho\u1eb7c h\u1ec7 th\u1ed1ng m\u00e0 kh\u00f4ng nh\u1ea5t thi\u1ebft d\u1eebng thu\u1ed1c.<\/p>\n<p>\u1ede b\u1ec7nh nh\u00e2n COPD c\u1ea7n c\u1ea3nh gi\u00e1c t\u0103ng nguy c\u01a1 vi\u00eam ph\u1ed5i v\u00e0 theo d\u00f5i d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng ph\u1ed5i v\u00ec tri\u1ec7u ch\u1ee9ng vi\u00eam ph\u1ed5i v\u00e0 \u0111\u1ee3t k\u1ecbch ph\u00e1t COPD th\u01b0\u1eddng tr\u00f9ng l\u1eb7p.<\/p>\n<p>Khi chuy\u1ec3n t\u1eeb corticosteroid to\u00e0n th\u00e2n sang fluticasone h\u00edt c\u1ea7n theo d\u00f5i ch\u1ee9c n\u0103ng v\u1ecf th\u01b0\u1ee3ng th\u1eadn ch\u1eb7t ch\u1ebd v\u00ec c\u00f3 nguy c\u01a1 suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn; ng\u1eebng steroid to\u00e0n th\u00e2n n\u00ean th\u1ef1c hi\u1ec7n t\u1eeb t\u1eeb theo h\u01b0\u1edbng d\u1eabn.<\/p>\n<p>C\u00f3 th\u1ec3 x\u1ea3y ra co th\u1eaft ph\u1ebf qu\u1ea3n ngh\u1ecbch l\u00fd ngay sau h\u00edt; n\u1ebfu x\u1ea3y ra c\u1ea7n d\u00f9ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n t\u00e1c d\u1ee5ng nhanh v\u00e0 ng\u01b0ng Seretide Accuhaler 50\/250mcg \u0111\u1ec3 \u0111\u00e1nh gi\u00e1.<\/p>\n<p>Th\u1eadn tr\u1ecdng v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh tim m\u1ea1ch n\u1eb7ng do salmeterol c\u00f3 th\u1ec3 g\u00e2y nh\u1ecbp tim nhanh ho\u1eb7c lo\u1ea1n nh\u1ecbp v\u00e0 k\u00edch \u1ee9ng tim m\u1ea1ch.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 gi\u1ea3m m\u1eadt \u0111\u1ed9 kho\u00e1ng x\u01b0\u01a1ng; theo d\u00f5i v\u00e0 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng lo\u00e3ng x\u01b0\u01a1ng n\u1ebfu c\u1ea7n.<\/p>\n<p>Theo d\u00f5i t\u0103ng tr\u01b0\u1edfng \u1edf tr\u1ebb em n\u1ebfu d\u00f9ng k\u00e9o d\u00e0i; \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u v\u1ec1 m\u1ee9c th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n<p>Gi\u00e1m s\u00e1t b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd m\u1eaft nh\u01b0 t\u0103ng nh\u00e3n \u00e1p ho\u1eb7c \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 khi c\u00f3 thay \u0111\u1ed5i th\u1ecb l\u1ef1c.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n d\u1ec5 h\u1ea1 kali m\u00e1u ho\u1eb7c \u0111ang d\u00f9ng Seretide Accuhaler 50\/250mcg l\u00e0m gi\u1ea3m kali v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kali huy\u1ebft thanh.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00ec corticosteroid h\u00edt c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng m\u00e1u.<\/p>\n<h3 style=\"text-align: justify;\">T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c Seretide Accuhaler 50\/250mcg<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p : \u0111au \u0111\u1ea7u, nhi\u1ec5m n\u1ea5m Candida mi\u1ec7ng v\u00e0 h\u1ecdng, vi\u00eam ph\u1ed5i \u1edf b\u1ec7nh nh\u00e2n COPD, vi\u00eam ph\u1ebf qu\u1ea3n, vi\u00eam m\u0169i h\u1ecdng, kh\u00e0n gi\u1ecdng, k\u00edch \u1ee9ng h\u1ecdng, vi\u00eam xoang, h\u1ea1 kali huy\u1ebft, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, chu\u1ed9t r\u00fat, \u0111au kh\u1edbp, g\u00e3y x\u01b0\u01a1ng do ch\u1ea5n th\u01b0\u01a1ng, \u0111au c\u01a1.<\/p>\n<p>\u00cdt g\u1eb7p : run, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn tr\u00ean da, kh\u00f3 th\u1edf, lo \u00e2u v\u00e0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, nh\u1ecbp tim nhanh, rung nh\u0129, c\u01a1n \u0111au th\u1eaft ng\u1ef1c, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, v\u1ebft th\u00e2m t\u00edm.<\/p>\n<p>Hi\u1ebfm g\u1eb7p : n\u1ea5m Candida th\u1ef1c qu\u1ea3n, co th\u1eaft ph\u1ebf qu\u1ea3n, ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 v\u00e0 ph\u00f9 m\u1ea1ch, h\u1ed9i ch\u1ee9ng Cushing, suy th\u01b0\u1ee3ng th\u1eadn, ch\u1eadm t\u0103ng tr\u01b0\u1edfng \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean, gi\u1ea3m m\u1eadt \u0111\u1ed9 kho\u00e1ng x\u01b0\u01a1ng, thay \u0111\u1ed5i h\u00e0nh vi bao g\u1ed3m t\u0103ng ho\u1ea1t \u0111\u1ed9ng v\u00e0 k\u00edch th\u00edch, lo\u1ea1n nh\u1ecbp tim, t\u0103ng nh\u00e3n \u00e1p.<\/p>\n<h3 style=\"text-align: justify;\">T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng ritonavir do ritonavir \u1ee9c ch\u1ebf CYP3A4 m\u1ea1nh l\u00e0m t\u0103ng ph\u01a1i nhi\u1ec5m v\u1edbi fluticasone, c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng Cushing v\u00e0 \u1ee9c ch\u1ebf th\u01b0\u1ee3ng th\u1eadn. Tr\u00e1nh d\u00f9ng \u0111\u1ed3ng th\u1eddi tr\u1eeb khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1 v\u00e0 c\u00f3 theo d\u00f5i ch\u1eb7t ch\u1ebd.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf m\u1ea1nh CYP3A4 nh\u01b0 ketoconazole ho\u1eb7c itraconazole do c\u00f3 th\u1ec3 t\u0103ng ph\u01a1i nhi\u1ec5m fluticasone. Ketoconazole c\u00f2n l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 salmeterol, l\u00e0m t\u0103ng nguy c\u01a1 t\u00e1c d\u1ee5ng tim m\u1ea1ch v\u00e0 k\u00e9o d\u00e0i QTc.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng thu\u1ed1c ch\u1eb9n beta ch\u1ecdn l\u1ecdc ho\u1eb7c kh\u00f4ng ch\u1ecdn l\u1ecdc v\u00ec c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 gi\u00e3n ph\u1ebf qu\u1ea3n c\u1ee7a salmeterol v\u00e0 g\u00e2y t\u01b0\u01a1ng t\u00e1c d\u01b0\u1ee3c l\u00fd. Tr\u00e1nh ph\u1ed1i h\u1ee3p n\u1ebfu kh\u00f4ng c\u00f3 l\u00fd do b\u1eaft bu\u1ed9c.<\/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>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng Seretide Accuhaler 50\/250mcg cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa. Ch\u1ec9 d\u00f9ng thi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1.<\/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;\">Thu\u1ed1c th\u01b0\u1eddng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng ho\u1eb7c \u1ea3nh h\u01b0\u1edfng r\u1ea5t \u00edt \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 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>Qu\u00e1 li\u1ec1u salmeterol g\u00e2y tri\u1ec7u ch\u1ee9ng run, \u0111au \u0111\u1ea7u, tim \u0111\u1eadp nhanh, t\u0103ng huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 h\u1ea1 kali m\u00e1u.<\/p>\n<p>Qu\u00e1 li\u1ec1u fluticasone d\u1ea1ng c\u1ea5p c\u00f3 th\u1ec3 g\u00e2y \u1ee9c ch\u1ebf t\u1ea1m th\u1eddi tr\u1ee5c h\u1ea1 \u0111\u1ed3i tuy\u1ebfn y\u00ean tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. D\u00f9ng k\u00e9o d\u00e0i li\u1ec1u cao c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u1ee9c ch\u1ebf v\u1ecf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 \u00fd ngh\u0129a l\u00e2m s\u00e0ng v\u00e0 c\u1ea7n theo d\u00f5i khi b\u1ec7nh nh\u00e2n g\u1eb7p stress nh\u01b0 ph\u1eabu thu\u1eadt ho\u1eb7c nhi\u1ec5m tr\u00f9ng.<\/p>\n<p>Trong qu\u00e1 li\u1ec1u c\u1ea5p, x\u1eed tr\u00ed theo tri\u1ec7u ch\u1ee9ng v\u00e0 theo d\u00f5i ch\u1ee9c n\u0103ng th\u01b0\u1ee3ng th\u1eadn khi c\u1ea7n.<\/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\/seretide-evohaler-dc-25-250\/\">Seretide Evohaler DC 25\/250<\/a> \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb nh\u1ecf &gt; 4 tu\u1ed5i, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Glaxo Wellcome SA.<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/combiwave-sf-250\/\">Combiwave SF 250<\/a> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p hen suy\u1ec5n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec th\u01b0\u1eddng xuy\u00ean v\u00e0 k\u00e9o d\u00e0i \u1edf b\u1ec7nh nh\u00e2n hen \u1ed5n \u0111\u1ecbnh, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Moore, R. H., Khan, A., &amp; Dickey, B. F. (1998). Long-acting inhaled beta2-agonists in asthma therapy. Truy c\u1eadp ng\u00e0y 22\/09\/2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9554653\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/9554653\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Seretide Accuhaler 50\/250mcg \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n v\u00e0 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u00e0 gi\u1ea3m c\u01a1n k\u1ecbch ph\u00e1t \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/p>\n","protected":false},"author":1,"featured_media":140598,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-140596","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\/140596","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=140596"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/140598"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=140596"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=140596"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=140596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}