{"id":145955,"date":"2025-10-23T17:07:50","date_gmt":"2025-10-23T10:07:50","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&p=145955"},"modified":"2025-10-23T22:37:50","modified_gmt":"2025-10-23T15:37:50","slug":"piantawic-325mg-200mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/piantawic-325mg-200mg\/","title":{"rendered":"Piantawic 325mg\/200mg"},"content":{"rendered":"

Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Piantawic 325mg\/200mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m TV.Pharm c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893100509124 (S\u0110K c\u0169: VD-25532-16)<\/strong><\/p>\n

Piantawic 325mg\/200mg l\u00e0 thu\u1ed1c g\u00ec?<\/b><\/h2>\n

Th\u00e0nh ph\u1ea7n<\/b><\/h3>\n

Trong m\u1ed7i vi\u00ean u\u1ed1ng Piantawic 325mg\/200mg<\/strong> c\u00f3 ch\u1ee9a Paracetamol h\u00e0m l\u01b0\u1ee3ng 325mg v\u00e0 Ibuprofen h\u00e0m l\u01b0\u1ee3ng 200mg c\u00f9ng t\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7<\/p>\n

D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang c\u1ee9ng<\/p>\n

Tr\u00ecnh b\u00e0y<\/b><\/h3>\n

S\u0110K: 893100509124 (S\u0110K c\u0169: VD-25532-16)<\/p>\n

Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean<\/p>\n

Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n

H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n

T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Piantawic 325mg\/200mg<\/b><\/h2>\n

C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/b><\/h3>\n

Paracetamol (acetaminophen) l\u00e0 d\u1eabn ch\u1ea5t c\u00f3 ho\u1ea1t t\u00ednh c\u1ee7a phenacetin, thu\u1ed9c nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t, \u0111\u01b0\u1ee3c d\u00f9ng thay th\u1ebf aspirin nh\u01b0ng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam. Thu\u1ed1c l\u00e0m gi\u1ea3m th\u00e2n nhi\u1ec7t \u1edf ng\u01b0\u1eddi s\u1ed1t b\u1eb1ng c\u00e1ch t\u00e1c \u0111\u1ed9ng l\u00ean v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i, gi\u00fap gi\u00e3n m\u1ea1ch v\u00e0 t\u0103ng t\u1ecfa nhi\u1ec7t.<\/p>\n

\u1ede li\u1ec1u \u0111i\u1ec1u tr\u1ecb, paracetamol \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tim m\u1ea1ch, h\u00f4 h\u1ea5p v\u00e0 c\u00e2n b\u1eb1ng acid \u2013 base, kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng hay ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y v\u00ec ch\u1ec9 \u1ee9c ch\u1ebf enzym cyclooxygenase \u1edf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Tuy nhi\u00ean, khi d\u00f9ng qu\u00e1 li\u1ec1u (tr\u00ean 10 g), thu\u1ed1c t\u1ea1o ra ch\u1ea5t chuy\u1ec3n h\u00f3a N-acetyl-benzoquinonimin g\u00e2y \u0111\u1ed9c cho gan, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed v\u00e0 t\u1eed vong, d\u00f9 \u1edf li\u1ec1u th\u00f4ng th\u01b0\u1eddng paracetamol t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n v\u00e0 dung n\u1ea1p t\u1ed1t.<\/p>\n

Ibuprofen l\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) thu\u1ed9c nh\u00f3m d\u1eabn xu\u1ea5t acid propionic, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t v\u00e0 ch\u1ed1ng vi\u00eam th\u00f4ng qua c\u01a1 ch\u1ebf \u1ee9c ch\u1ebf enzym prostaglandin synthetase, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m t\u1ed5ng h\u1ee3p prostaglandin v\u00e0 thromboxan.<\/p>\n

Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn v\u00e0 g\u00e2y \u1ee9 n\u01b0\u1edbc, v\u00ec v\u1eady c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n suy tim, suy gan ho\u1eb7c suy th\u1eadn. T\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam c\u1ee7a ibuprofen th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau kho\u1ea3ng hai ng\u00e0y d\u00f9ng thu\u1ed1c; hi\u1ec7u l\u1ef1c h\u1ea1 s\u1ed1t m\u1ea1nh h\u01a1n aspirin nh\u01b0ng y\u1ebfu h\u01a1n indomethacin. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p thi\u1ebfu ni\u00ean v\u00e0 c\u00e1c b\u1ec7nh l\u00fd vi\u00eam kh\u1edbp kh\u00e1c.<\/p>\n

\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/b><\/h3>\n

Paracetamol \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng sau 30\u201360 ph\u00fat; th\u1ee9c \u0103n ch\u1ec9 l\u00e0m ch\u1eadm h\u1ea5p thu ch\u1ee9 kh\u00f4ng gi\u1ea3m t\u00e1c d\u1ee5ng. Thu\u1ed1c ph\u00e2n b\u1ed1 \u0111\u1ec1u trong c\u00e1c m\u00f4, kho\u1ea3ng 1\/4 l\u01b0\u1ee3ng thu\u1ed1c g\u1eafn v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n

\u1ede gan, paracetamol ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c li\u00ean h\u1ee3p v\u1edbi acid glucuronic v\u00e0 sulfuric; m\u1ed9t ph\u1ea7n nh\u1ecf b\u1ecb oxy h\u00f3a t\u1ea1o N-acetyl-benzoquinonimin \u2013 ch\u1ea5t c\u00f3 th\u1ec3 g\u00e2y ho\u1ea1i t\u1eed gan khi d\u00f9ng qu\u00e1 li\u1ec1u. Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh 1,25\u20133 gi\u1edd v\u00e0 k\u00e9o d\u00e0i \u1edf ng\u01b0\u1eddi b\u1ec7nh gan. Kho\u1ea3ng 90\u2013100% thu\u1ed1c \u0111\u01b0\u1ee3c th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u trong 24 gi\u1edd \u0111\u1ea7u, ch\u1ee7 y\u1ebfu \u1edf d\u1ea1ng li\u00ean h\u1ee3p.<\/p>\n

Ibuprofen h\u1ea5p thu t\u1ed1t qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a sau 1\u20132 gi\u1edd. Thu\u1ed1c g\u1eafn m\u1ea1nh v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 2 gi\u1edd v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i nhanh qua n\u01b0\u1edbc ti\u1ec3u, ch\u1ee7 y\u1ebfu d\u01b0\u1edbi d\u1ea1ng li\u00ean h\u1ee3p. M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf c\u00f3 th\u1ec3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 nh\u01b0ng kh\u00f4ng \u0111\u00e1ng k\u1ec3.<\/p>\n

Thu\u1ed1c Piantawic 325mg\/200mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/b><\/h2>\n

Gi\u1ea3m \u0111au nh\u1eb9 \u0111\u1ebfn v\u1eeba: \u0111au \u0111\u1ea7u, \u0111au r\u0103ng, \u0111au b\u1ee5ng kinh.<\/p>\n

H\u1ea1 s\u1ed1t, \u0111i\u1ec1u tr\u1ecb c\u1ea3m s\u1ed1t khi thu\u1ed1c kh\u00e1c kh\u00f4ng hi\u1ec7u qu\u1ea3.<\/p>\n

\"Piantawic
Thu\u1ed1c Piantawic 325mg\/125mg c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m c\u00e1c c\u01a1n \u0111au nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh<\/figcaption><\/figure>\n

Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/b><\/h2>\n

Li\u1ec1u d\u00f9ng<\/b><\/h3>\n

Li\u1ec1u ng\u01b0\u1eddi l\u1edbn:<\/p>\n

T\u1ed1i \u0111a 3 g paracetamol\/24 gi\u1edd.<\/p>\n

C\u1ea5p t\u00ednh: 1\u20132 vi\u00ean\/l\u1ea7n, ng\u00e0y 3 l\u1ea7n.<\/p>\n

M\u1ea1n t\u00ednh: 1 vi\u00ean\/l\u1ea7n, ng\u00e0y 3 l\u1ea7n (ho\u1eb7c theo ch\u1ec9 \u0111\u1ecbnh b\u00e1c s\u0129).<\/p>\n

Kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c l\u1ea7n u\u1ed1ng: \u00edt nh\u1ea5t 6 gi\u1edd (8 gi\u1edd n\u1ebfu suy th\u1eadn n\u1eb7ng).<\/p>\n

C\u00e1ch s\u1eed d\u1ee5ng<\/b><\/h3>\n

N\u00ean d\u00f9ng vi\u00ean nang Piantawic 325mg\/200mg<\/strong> b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng trong ho\u1eb7c sau b\u1eefa \u0103n \u0111\u1ec3 gi\u1ea3m k\u00edch \u1ee9ng d\u1ea1 d\u00e0y<\/p>\n

Kh\u00f4ng t\u1ef1 d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au qu\u00e1 10 ng\u00e0y ho\u1eb7c t\u1ef1 \u0111i\u1ec1u tr\u1ecb s\u1ed1t cao, s\u1ed1t k\u00e9o d\u00e0i n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh b\u00e1c s\u0129<\/p>\n

Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Piantawic 325mg\/200mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/b><\/h2>\n

Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi Paracetamol, Ibuprofen hay c\u00e1c t\u00e1 d\u01b0\u1ee3c .c\u00f3 trong Piantawic 325mg\/200mg<\/p>\n

Ng\u01b0\u1eddi \u0111ang b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed xu\u1ea5t huy\u1ebft, th\u1ee7ng ti\u00eau h\u00f3a do d\u00f9ng thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid.<\/p>\n

B\u1ec7nh nh\u00e2n b\u1ecb suy gan, suy th\u1eadn hay suy tim m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/p>\n

Ng\u01b0\u1eddi c\u00f3 thi\u1ebfu m\u00e1u k\u00e9o d\u00e0i, m\u1eafc c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 gan, th\u1eadn, ph\u1ed5i ho\u1eb7c r\u1ed1i lo\u1ea1n huy\u1ebft h\u1ecdc.<\/p>\n

Ng\u01b0\u1eddi thi\u1ebfu men G6PD.<\/p>\n

B\u1ec7nh nh\u00e2n m\u1eafc lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, do c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ph\u1ea3n \u1ee9ng vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n.<\/p>\n

Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng ho\u1eb7c co th\u1eaft ph\u1ebf qu\u1ea3n, ph\u00f9 m\u1ea1ch, hen, m\u00e0y \u0111ay sau khi d\u00f9ng aspirin ho\u1eb7c NSAID.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/p>\n

Ph\u1ee5 n\u1eef mang thai \u1edf tam c\u00e1 nguy\u1ec7t cu\u1ed1i.<\/p>\n

L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c<\/b><\/h2>\n

Th\u1eadn tr\u1ecdng<\/b><\/h3>\n

Paracetamol an to\u00e0n \u1edf li\u1ec1u \u0111i\u1ec1u tr\u1ecb nh\u01b0ng qu\u00e1 li\u1ec1u d\u1ec5 g\u00e2y suy gan c\u1ea5p; kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi nhi\u1ec1u ch\u1ebf ph\u1ea9m ch\u1ee9a paracetamol.<\/p>\n

C\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng da (ban \u0111\u1ecf, m\u00e0y \u0111ay) ho\u1eb7c ph\u1ea3n \u1ee9ng n\u1eb7ng hi\u1ebfm g\u1eb7p nh\u01b0 ph\u00f9 thanh qu\u1ea3n, ph\u1ea3n v\u1ec7, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t khi d\u00f9ng k\u00e9o d\u00e0i.<\/p>\n

Tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u v\u00ec l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean gan.<\/p>\n

Nguy c\u01a1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a t\u0103ng khi d\u00f9ng chung v\u1edbi corticosteroid, thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (nh\u01b0 warfarin), thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin.<\/p>\n

Ng\u01b0\u1eddi cao tu\u1ed5i d\u1ec5 g\u1eb7p bi\u1ebfn ch\u1ee9ng do NSAID (\u0111\u1eb7c bi\u1ec7t xu\u1ea5t huy\u1ebft v\u00e0 th\u1ee7ng d\u1ea1 d\u00e0y \u2013 ru\u1ed9t).<\/p>\n

Th\u1eadn tr\u1ecdng v\u1edbi b\u1ec7nh nh\u00e2n:<\/p>\n