{"id":146375,"date":"2025-10-27T22:26:09","date_gmt":"2025-10-27T15:26:09","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=146375"},"modified":"2025-10-27T22:27:21","modified_gmt":"2025-10-27T15:27:21","slug":"isoday-20mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/isoday-20mg\/","title":{"rendered":"Isoday 20mg"},"content":{"rendered":"<p><b>Trong b\u00e0i vi\u1ebft n\u00e0y,<\/b><a href=\"https:\/\/vnras.com\/drug\/\"><b> d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a><b> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Isoday 20mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi <\/b><b>Milan Laboratories (India) Pvt. Ltd. <\/b><b>c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 <\/b><b>VN-23147-22<\/b><\/p>\n<h2>Isoday 20mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>vi\u00ean u\u1ed1ng Isoday 20mg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Isosorbide mononitrate&#8230;&#8230;&#8230;&#8230;&#8230;20mg.<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: Colloidal anhydrous silica (aerosil), lactose monohydrate, magnesium stearate, maize starch, microcrystalline cellulose PH-102, purified talc.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-23147-22<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 4 v\u1ec9 x 14 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u1ea4n \u0110\u1ed9<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Isoday 20mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Isosorbid mononitrat l\u00e0 m\u1ed9t nitrat h\u1eefu c\u01a1 c\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3i ph\u00f3ng oxit nitric (NO) trong c\u01a1 th\u1ec3. Ch\u1ea5t n\u00e0y ho\u1ea1t h\u00f3a guanylat cyclase trong t\u1ebf b\u00e0o c\u01a1 tr\u01a1n m\u1ea1ch m\u00e1u, l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 GMP v\u00f2ng n\u1ed9i b\u00e0o, t\u1eeb \u0111\u00f3 g\u00e2y gi\u00e3n c\u01a1 tr\u01a1n th\u00e0nh m\u1ea1ch. Nh\u1edd v\u1eady, thu\u1ed1c gi\u00fap gi\u00e3n c\u00e1c t\u0129nh m\u1ea1ch ngo\u1ea1i vi, l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u h\u1ed3i l\u01b0u v\u1ec1 tim (gi\u1ea3m ti\u1ec1n t\u1ea3i), \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c trong t\u00e2m th\u1ea5t cu\u1ed1i k\u1ef3 t\u00e2m tr\u01b0\u01a1ng.<\/p>\n<p>Ngo\u00e0i ra, thu\u1ed1c c\u00f2n l\u00e0m gi\u00e3n c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn, \u0111\u1eb7c bi\u1ec7t l\u00e0 h\u1ec7 m\u1ea1ch v\u00e0nh, gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0\u1edbi m\u00e1u cho v\u00f9ng c\u01a1 tim thi\u1ebfu oxy v\u00e0 gi\u1ea3m h\u1eadu t\u1ea3i cho tim. T\u1ed5ng h\u1ee3p hai t\u00e1c \u0111\u1ed9ng n\u00e0y gi\u00fap l\u00e0m gi\u1ea3m nhu c\u1ea7u ti\u00eau th\u1ee5 oxy c\u1ee7a c\u01a1 tim v\u00e0 gi\u1ea3m t\u1ea7n su\u1ea5t xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Sau khi u\u1ed1ng, isosorbid mononitrat \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng v\u00e0 g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. N\u1ed3ng \u0111\u1ed9 cao nh\u1ea5t trong huy\u1ebft t\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u1ea3ng m\u1ed9t gi\u1edd sau khi d\u00f9ng thu\u1ed1c.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Do kh\u00f4ng b\u1ecb chuy\u1ec3n h\u00f3a qua gan l\u1ea7n \u0111\u1ea7u, sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c g\u1ea7n nh\u01b0 \u0111\u1ea1t 100%.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Thu\u1ed1c c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i Isosorbid mononitrat trung b\u00ecnh l\u00e0 kho\u1ea3ng 5 gi\u1edd. Thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh isosorbid-5-mononitrat-2-glucuronid (t\u00bd kho\u1ea3ng 2,5 gi\u1edd) v\u00e0 b\u00e0i ti\u1ebft ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u, ph\u1ea7n nh\u1ecf \u1edf d\u1ea1ng kh\u00f4ng \u0111\u1ed5i.<\/p>\n<h2>Thu\u1ed1c Isoday 20mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Thu\u1ed1c Isoday 20mg \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 d\u1ef1 ph\u00f2ng c\u00e1c c\u01a1n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh, gi\u00fap gi\u1ea3m t\u1ea7n su\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a c\u00e1c c\u01a1n \u0111au do thi\u1ebfu m\u00e1u c\u01a1 tim.<\/p>\n<figure id=\"attachment_146376\" aria-describedby=\"caption-attachment-146376\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-146376\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/10\/Isoday-20mg.jpg\" alt=\"Isoday 20mg\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/10\/Isoday-20mg.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/10\/Isoday-20mg-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/10\/Isoday-20mg-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/10\/Isoday-20mg-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/10\/Isoday-20mg-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-146376\" class=\"wp-caption-text\">Thu\u1ed1c Isoday 20mg c\u00f3 t\u00e1c d\u1ee5ng d\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c<\/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>Ng\u01b0\u1eddi l\u1edbn v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i: U\u1ed1ng 1 vi\u00ean (20 mg) t\u1eeb 2 \u0111\u1ebfn 3 l\u1ea7n m\u1ed7i ng\u00e0y.<br \/>\nLi\u1ec1u c\u00f3 th\u1ec3 t\u0103ng l\u00ean 2 vi\u00ean x 2\u20133 l\u1ea7n\/ng\u00e0y n\u1ebfu c\u1ea7n thi\u1ebft, t\u1ed1i \u0111a ng\u00e0y 6 vi\u00ean (120mg)<\/p>\n<p>Li\u1ec1u th\u1ee9 hai n\u00ean d\u00f9ng sau li\u1ec1u \u0111\u1ea7u ti\u00ean 8 gi\u1edd; n\u1ebfu d\u00f9ng 3 l\u1ea7n\/ng\u00e0y, c\u00e1ch nhau kho\u1ea3ng 6 gi\u1edd \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u00f3 kho\u1ea3ng th\u1eddi gian kh\u00f4ng ch\u1ee9a nitrate 6\u20138 gi\u1edd nh\u1eb1m tr\u00e1nh hi\u1ec7n t\u01b0\u1ee3ng dung n\u1ea1p.<\/p>\n<p>N\u00ean b\u1eaft \u0111\u1ea7u d\u00f9ng Isoday 20mg v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 t\u0103ng d\u1ea7n n\u1ebfu \u0111\u00e1p \u1ee9ng ch\u01b0a \u0111\u1ee7.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>Ngay sau b\u1eefa \u0103n, d\u00f9ng Isoday 20mg b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng nguy\u00ean vi\u00ean (kh\u00f4ng nhai hay b\u1ebb)<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Isoday 20mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi Isosorbide mononitrate hay t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong Isoday 20mg<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 bi\u1ec3u hi\u1ec7n \u00e1p l\u1ef1c l\u00e0m \u0111\u1ea7y th\u1ea5t th\u1ea5p ho\u1eb7c suy tu\u1ea7n ho\u00e0n c\u1ea5p (k\u1ec3 c\u1ea3 s\u1ed1c\/tr\u1ee5y m\u1ea1ch).<\/p>\n<p>Kh\u00f4ng d\u00f9ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1eafc ngh\u1ebdn c\u01a1 tim ph\u00ec \u0111\u1ea1i, vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft, ho\u1eb7c h\u00e0m l\u01b0\u1ee3ng c\u00e1c van tim b\u1ecb h\u1eb9p (nh\u01b0 h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, h\u1eb9p van hai l\u00e1).<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (v\u00ed d\u1ee5 sau ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u ho\u1eb7c ch\u1ea3y m\u00e1u n\u00e3o) kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c.<\/p>\n<p>Tr\u00e1nh d\u00f9ng n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang b\u1ecb thi\u1ebfu m\u00e1u m\u1ee9c \u0111\u1ed9 n\u1eb7ng, h\u1ea1 huy\u1ebft \u00e1p nghi\u00eam tr\u1ecdng, gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n ho\u1eb7c glaucom g\u00f3c \u0111\u00f3ng.<\/p>\n<p>Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf phosphodiesterase type-5 (v\u00ed d\u1ee5: sildenafil, tadalafil, vardenafil), v\u00ec c\u00f3 th\u1ec3 g\u00e2y t\u1ee5t huy\u1ebft \u00e1p nghi\u00eam tr\u1ecdng \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/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>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf v\u00e0 c\u1ea3m gi\u00e1c cho\u00e1ng v\u00e1ng, \u0111\u1eb7c bi\u1ec7t khi \u0111\u1ee9ng d\u1eady \u0111\u1ed9t ng\u1ed9t ho\u1eb7c sau khi u\u1ed1ng r\u01b0\u1ee3u.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 tu\u1ea7n ho\u00e0n kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nh\u1ed3i m\u00e1u c\u01a1 tim g\u1ea7n \u0111\u00e2y, suy th\u1ea5t tr\u00e1i, ho\u1eb7c ti\u1ec1n s\u1eed h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>Kh\u00f4ng d\u00f9ng thu\u1ed1c n\u00e0y \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au th\u1eaft ng\u1ef1c \u0111ang x\u1ea3y ra, v\u00ec thu\u1ed1c c\u00f3 th\u1eddi gian kh\u1edfi ph\u00e1t t\u00e1c d\u1ee5ng ch\u1eadm.<\/p>\n<p>Tr\u00e1nh d\u00f9ng li\u1ec1u cao k\u00e9o d\u00e0i li\u00ean t\u1ee5c \u0111\u1ec3 ph\u00f2ng hi\u1ec7n t\u01b0\u1ee3ng dung n\u1ea1p nitrate.<\/p>\n<p>Khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb, n\u00ean gi\u1ea3m li\u1ec1u d\u1ea7n d\u1ea7n \u0111\u1ec3 tr\u00e1nh c\u00e1c ph\u1ea3n \u1ee9ng t\u00e1i ph\u00e1t c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<p>Thu\u1ed1c ch\u1ee9a lactose, do \u0111\u00f3 kh\u00f4ng ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi m\u1eafc r\u1ed1i lo\u1ea1n di truy\u1ec1n hi\u1ebfm g\u1eb7p nh\u01b0 kh\u00f4ng dung n\u1ea1p galactose, thi\u1ebfu men Lapp lactase ho\u1eb7c h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu glucose-galactose.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb suy gan, suy th\u1eadn, suy gi\u00e1p ho\u1eb7c \u0111ang trong t\u00ecnh tr\u1ea1ng h\u1ea1 th\u00e2n nhi\u1ec7t, suy dinh d\u01b0\u1ee1ng c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd khi d\u00f9ng thu\u1ed1c.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Ph\u1ea7n l\u1edbn t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a Isoday 20mg xu\u1ea5t ph\u00e1t t\u1eeb \u0111\u1eb7c t\u00ednh gi\u00e3n m\u1ea1ch c\u1ee7a thu\u1ed1c v\u00e0 th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c li\u1ec1u d\u00f9ng.<\/p>\n<p>R\u1ea5t th\u01b0\u1eddng g\u1eb7p: \u0110au \u0111\u1ea7u trong nh\u1eefng ng\u00e0y \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, th\u01b0\u1eddng gi\u1ea3m d\u1ea7n sau khi ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c.<\/p>\n<p>Th\u01b0\u1eddng g\u1eb7p: H\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, ch\u00f3ng m\u1eb7t, c\u1ea3m gi\u00e1c y\u1ebfu, \u0111\u1ecf b\u1eebng m\u1eb7t.<\/p>\n<p>\u00cdt g\u1eb7p: Bu\u1ed3n n\u00f4n, m\u1ec7t m\u1ecfi, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, nh\u1ecbp tim nhanh do ph\u1ea3n x\u1ea1.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: Ng\u1ea5t x\u1ec9u, \u0111\u1ed5 m\u1ed3 h\u00f4i, xanh t\u00e1i, ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c t\u0103ng t\u1ea1m th\u1eddi do gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u tr\u1edf v\u1ec1 tim.<\/p>\n<p>R\u1ea5t hi\u1ebfm: Gi\u1ea3m oxy m\u00e1u tho\u00e1ng qua \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh, d\u1eabn \u0111\u1ebfn thi\u1ebfu oxy c\u01a1 tim.<\/p>\n<p>Khi g\u1eb7p b\u1ea5t k\u1ef3 ph\u1ea3n \u1ee9ng ph\u1ee5 n\u00e0o, b\u1ec7nh nh\u00e2n n\u00ean th\u00f4ng b\u00e1o ngay cho b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i: Kh\u00f4ng d\u00f9ng c\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf phosphodiesterase lo\u1ea1i 5 (sildenafil, tadalafil, vardenafil), v\u00ec c\u00f3 th\u1ec3 l\u00e0m h\u1ea1 huy\u1ebft \u00e1p nghi\u00eam tr\u1ecdng, th\u1eadm ch\u00ed g\u00e2y ng\u1ea5t ho\u1eb7c tr\u1ee5y tim m\u1ea1ch.<\/p>\n<p>T\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p: Khi d\u00f9ng chung v\u1edbi c\u00e1c thu\u1ed1c h\u1ea1 \u00e1p kh\u00e1c nh\u01b0 ch\u1eb9n beta, ch\u1eb9n k\u00eanh calci, l\u1ee3i ti\u1ec3u, thu\u1ed1c an th\u1ea7n, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng, alprostadil, aldesleukin ho\u1eb7c r\u01b0\u1ee3u.<\/p>\n<p>T\u0103ng n\u1ed3ng \u0111\u1ed9 dihydroergotamine trong m\u00e1u: C\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng v\u1edbi sapropterine (BH4): V\u00ec c\u1ea3 hai c\u00f9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p nitric oxide, c\u00f3 th\u1ec3 g\u00e2y bi\u1ebfn \u0111\u1ed5i t\u00e1c d\u1ee5ng gi\u00e3n m\u1ea1ch.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Th\u1eddi k\u1ef3 mang thai: Hi\u1ec7n ch\u01b0a c\u00f3 \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 an to\u00e0n c\u1ee7a isosorbid mononitrat cho thai ph\u1ee5. D\u1eef li\u1ec7u tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng cho th\u1ea5y t\u00e1c d\u1ee5ng \u0111\u1ed9c h\u1ea1i r\u00f5 r\u1ec7t, tuy nhi\u00ean vi\u1ec7c s\u1eed d\u1ee5ng trong thai k\u1ef3 ch\u1ec9 n\u00ean ti\u1ebfn h\u00e0nh khi b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 l\u1ee3i \u00edch \u0111i\u1ec1u tr\u1ecb v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi nguy c\u01a1 ti\u1ec1m \u1ea9n cho thai nhi.<\/p>\n<p>Th\u1eddi k\u1ef3 cho con b\u00fa: Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u c\u1ee5 th\u1ec3 v\u1ec1 vi\u1ec7c thu\u1ed1c b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9. Tuy nhi\u00ean, c\u00e1c nitrat kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y methemoglobin m\u00e1u \u1edf tr\u1ebb s\u01a1 sinh. Do \u0111\u00f3, n\u00ean ng\u1eebng cho con b\u00fa trong th\u1eddi gian d\u00f9ng thu\u1ed1c.<\/p>\n<p>\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n: C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng ghi nh\u1eadn t\u00e1c \u0111\u1ed9ng x\u1ea5u l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a c\u1ea3 hai gi\u1edbi, nh\u01b0ng d\u1eef li\u1ec7u tr\u00ean ng\u01b0\u1eddi c\u00f2n h\u1ea1n ch\u1ebf.<\/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>Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Isoday 20mg, ng\u01b0\u1eddi d\u00f9ng c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 hoa m\u1eaft, m\u1ec7t m\u1ecfi ho\u1eb7c nh\u00ecn m\u1edd, \u0111\u1eb7c bi\u1ec7t khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u0103ng li\u1ec1u. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng v\u00e0 t\u1eadp trung, v\u00ec v\u1eady kh\u00f4ng n\u00ean l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c l\u00e0m vi\u1ec7c tr\u00ean cao n\u1ebfu c\u1ea3m th\u1ea5y ch\u00f3ng m\u1eb7t. Vi\u1ec7c u\u1ed1ng r\u01b0\u1ee3u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng n\u00e0y.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p><strong>Bi\u1ec3u hi\u1ec7n qu\u00e1 li\u1ec1u<\/strong>: D\u00f9ng qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p nghi\u00eam tr\u1ecdng, nh\u1ecbp tim nhanh ph\u1ea3n x\u1ea1, \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111\u1ed5 m\u1ed3 h\u00f4i, xanh t\u00e1i ho\u1eb7c ng\u1ea5t x\u1ec9u. Trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng tr\u1ee5y m\u1ea1ch.<\/p>\n<p><strong>C\u00e1ch x\u1eed tr\u00ed<\/strong><\/p>\n<p>Ng\u01b0ng s\u1eed d\u1ee5ng <strong>thu\u1ed1c Isoday 20mg<\/strong> ngay l\u1eadp t\u1ee9c.<\/p>\n<p>Cho b\u1ec7nh nh\u00e2n n\u1eb1m ngh\u1ec9 \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, n\u00e2ng cao hai ch\u00e2n \u0111\u1ec3 t\u0103ng h\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch.<\/p>\n<p>Truy\u1ec1n d\u1ecbch ho\u1eb7c d\u00f9ng thu\u1ed1c v\u1eadn m\u1ea1ch khi c\u1ea7n thi\u1ebft d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t y t\u1ebf.<\/p>\n<p>Theo d\u00f5i li\u00ean t\u1ee5c huy\u1ebft \u00e1p, m\u1ea1ch v\u00e0 h\u00f4 h\u1ea5p cho \u0111\u1ebfn khi t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Isoday 20mg \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 Isoday 20mg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Isoday 20mg khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1<\/h2>\n<p><span style=\"font-size: 14.4px;\">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 Isoday 20mg nh\u01b0:<\/span><\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/donox-20mg\/\">Donox 20mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Isosorbid mononitrat h\u00e0m l\u01b0\u1ee3ng 20mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n xu\u1ea5t nh\u1eadp kh\u1ea9u y t\u1ebf Domesco, c\u00f3 t\u00e1c d\u1ee5ng d\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/nadecin-10mg\/\">Nadecin 10mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Isosorbid dinitrate h\u00e0m l\u01b0\u1ee3ng 10mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Arena Group S.A., c\u00f3 t\u00e1c d\u1ee5ng d\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Fitzgerald LJ, Bennett ED (1990). The effects of oral isosorbide 5-mononitrate on mortality following acute myocardial infarction: a multicentre study. Eur Heart J. Truy c\u1eadp ng\u00e0y 27 th\u00e1ng 10 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2178930\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/2178930\/<br \/>\n<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Isoday 20mg thu\u1ed1c nh\u00f3m gi\u00e3n m\u1ea1ch, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m g\u00e1nh n\u1eb7ng cho tim b\u1eb1ng c\u00e1ch gi\u00e3n m\u1ea1ch m\u00e1u ngo\u1ea1i vi, t\u1eeb \u0111\u00f3 gi\u00fap d\u1ef1 ph\u00f2ng c\u00e1c c\u01a1n \u0111au th\u1eaft ng\u1ef1c \u1edf b\u1ec7nh nh\u00e2n tim m\u1ea1ch.<\/p>\n","protected":false},"author":1,"featured_media":146378,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-146375","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\/146375","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=146375"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/146378"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=146375"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=146375"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=146375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}