{"id":149360,"date":"2025-11-27T15:27:06","date_gmt":"2025-11-27T08:27:06","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=149360"},"modified":"2025-11-27T15:27:50","modified_gmt":"2025-11-27T08:27:50","slug":"atsyp-40mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/atsyp-40mg\/","title":{"rendered":"Atsyp 40mg"},"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 Atsyp 40mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi <\/b><b>C\u00d4NG TY C\u1ed4 PH\u1ea6N D\u01af\u1ee2C PH\u1ea8M V\u00c0 SINH H\u1eccC Y T\u1ebe ( MEBIPHAR) &#8211; VI\u1ec6T NAM <\/b><b>c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110190424<\/b><\/p>\n<h2>Atsyp 40mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>vi\u00ean u\u1ed1ng Atsyp 40mg<\/strong> c\u00f3 ch\u1ee9a Esomeprazol h\u00e0m l\u01b0\u1ee3ng 40mg<\/p>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang c\u1ee9ng<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 893110190424<\/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 Atsyp 40mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Esomeprazole thu\u1ed9c nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, t\u00e1c \u0111\u1ed9ng b\u1eb1ng c\u00e1ch kh\u00f3a ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 enzym H\u207a\/K\u207a-ATPase n\u1eb1m tr\u00ean t\u1ebf b\u00e0o vi\u1ec1n d\u1ea1 d\u00e0y. Trong m\u00f4i tr\u01b0\u1eddng acid, ho\u1ea1t ch\u1ea5t chuy\u1ec3n sang d\u1ea1ng c\u00f3 th\u1ec3 g\u1eafn kh\u00f4ng h\u1ed3i ph\u1ee5c l\u00ean b\u01a1m proton, nh\u1edd \u0111\u00f3 ch\u1eb7n b\u01b0\u1edbc cu\u1ed1i c\u00f9ng c\u1ee7a qu\u00e1 tr\u00ecnh b\u00e0i ti\u1ebft acid. K\u1ebft qu\u1ea3 l\u00e0 l\u01b0\u1ee3ng d\u1ecbch v\u1ecb gi\u1ea3m \u0111\u00e1ng k\u1ec3 theo li\u1ec1u d\u00f9ng h\u1eb1ng ng\u00e0y (20\u201340 mg), gi\u00fap l\u00e0m d\u1ecbu tri\u1ec7u ch\u1ee9ng v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho t\u1ed5n th\u01b0\u01a1ng do acid h\u1ed3i ph\u1ee5c. Ho\u1ea1t ch\u1ea5t l\u00e0 \u0111\u1ed3ng ph\u00e2n S c\u1ee7a omeprazole, ch\u1ec9 ph\u00e1t huy t\u00e1c d\u1ee5ng sau khi \u0111\u01b0\u1ee3c proton h\u00f3a v\u00e0 t\u1ea1o ra d\u1ea1ng sulfenamid ho\u1ea1t t\u00ednh trong khoang acid c\u1ee7a t\u1ebf b\u00e0o th\u00e0nh.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Sau khi u\u1ed1ng, esomeprazole \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh v\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong v\u00f2ng 1\u20132 gi\u1edd. Khi d\u00f9ng li\u1ec1u cao h\u01a1n ho\u1eb7c s\u1eed d\u1ee5ng li\u00ean t\u1ee5c nhi\u1ec1u ng\u00e0y, sinh kh\u1ea3 d\u1ee5ng c\u00f3 xu h\u01b0\u1edbng t\u0103ng, \u0111\u1ea1t kho\u1ea3ng 70% v\u1edbi li\u1ec1u 20 mg v\u00e0 g\u1ea7n 90% v\u1edbi li\u1ec1u 40 mg. Th\u1ee9c \u0103n c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ea5p thu ch\u1eadm nh\u01b0ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 \u1ee9c ch\u1ebf acid. T\u1ef7 l\u1ec7 g\u1eafn k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng v\u00e0o kho\u1ea3ng 97%.<\/p>\n<p>Ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu t\u1ea1i gan th\u00f4ng qua h\u1ec7 enzym CYP2C19, t\u1ea1o ra c\u00e1c ch\u1ea5t kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh; ph\u1ea7n nh\u1ecf chuy\u1ec3n h\u00f3a b\u1edfi CYP3A4 cho ra esomeprazole sulfon. Khi d\u00f9ng l\u1eb7p l\u1ea1i, m\u1ee9c chuy\u1ec3n h\u00f3a ban \u0111\u1ea7u b\u1ecb gi\u1ea3m do CYP2C19 b\u1ecb \u1ee9c ch\u1ebf, tuy nhi\u00ean kh\u00f4ng d\u1eabn \u0111\u1ebfn t\u00edch l\u0169y \u0111\u00e1ng k\u1ec3. Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh kho\u1ea3ng 1,3 gi\u1edd. Kho\u1ea3ng 80% thu\u1ed1c th\u1ea3i tr\u1eeb qua n\u01b0\u1edbc ti\u1ec3u \u1edf d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a, l\u01b0\u1ee3ng c\u00f2n l\u1ea1i qua ph\u00e2n.<\/p>\n<h2>Thu\u1ed1c Atsyp 40mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb v\u00e0 l\u00e0m li\u1ec1n c\u00e1c t\u1ed5n th\u01b0\u01a1ng vi\u00eam tr\u1ee3t th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c; sau khi kh\u1ecfi, d\u00f9ng duy tr\u00ec \u0111\u1ec3 ng\u0103n t\u00e1i ph\u00e1t.<\/p>\n<p>Gi\u1ea3m tri\u1ec7u ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n \u1edf ng\u01b0\u1eddi kh\u00f4ng c\u00f3 vi\u00eam th\u1ef1c qu\u1ea3n.<\/p>\n<p>Ph\u1ed1i h\u1ee3p kh\u00e1ng sinh \u0111\u1ec3 di\u1ec7t Helicobacter pylori trong lo\u00e9t t\u00e1 tr\u00e0ng do HP v\u00e0 ph\u00f2ng t\u00e1i ph\u00e1t lo\u00e9t.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng NSAID k\u00e9o d\u00e0i v\u00e0 d\u1ef1 ph\u00f2ng lo\u00e9t cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao ph\u1ea3i d\u00f9ng NSAID.<\/p>\n<p>Ki\u1ec3m so\u00e1t t\u0103ng ti\u1ebft acid trong h\u1ed9i ch\u1ee9ng Zollinger\u2013Ellison.<\/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><em><strong>Ng\u01b0\u1eddi \u2265 12 tu\u1ed5i<\/strong><\/em><\/p>\n<p>Vi\u00eam tr\u1ee3t th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c: ng\u00e0y d\u00f9ng 1 vi\u00ean trong 4 tu\u1ea7n; n\u1ebfu ch\u01b0a li\u1ec1n s\u1eb9o c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u00eam 4 tu\u1ea7n. D\u1ef1 ph\u00f2ng t\u00e1i ph\u00e1t: 20mg\/ng\u00e0y<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y\u2013th\u1ef1c qu\u1ea3n: Ng\u00e0y d\u00f9ng 20mg. N\u1ebfu sau 4 tu\u1ea7n v\u1eabn c\u00f2n tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u00e1nh gi\u00e1 l\u1ea1i. Khi \u0111\u00e3 \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c 20 mg\/ng\u00e0y ho\u1eb7c d\u00f9ng khi c\u00f3 tri\u1ec7u ch\u1ee9ng \u1edf ng\u01b0\u1eddi l\u1edbn. Kh\u00f4ng \u00e1p d\u1ee5ng ch\u1ebf \u0111\u1ed9 \u201ckhi c\u1ea7n\u201d n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng NSAID v\u00e0 c\u00f3 nguy c\u01a1 lo\u00e9t.<\/p>\n<p>Ti\u1ec7t tr\u1eeb HP: Atsyp 20mg + amoxicillin 1g + clarithromycin 500mg, d\u00f9ng 2 l\u1ea7n\/ng\u00e0y trong 7 ng\u00e0y.<\/p>\n<p>Ng\u01b0\u1eddi ph\u1ea3i s\u1eed d\u1ee5ng NSAID d\u00e0i h\u1ea1n: \u0110i\u1ec1u tr\u1ecb lo\u00e9t: ng\u00e0y 20mg trong 4\u20138 tu\u1ea7n. v\u00e0 d\u1ef1 ph\u00f2ng d\u00f9ng li\u1ec1u t\u01b0\u01a1ng t\u1ef1<\/p>\n<p>H\u1ed9i ch\u1ee9ng Zollinger\u2013Ellison: Kh\u1edfi \u0111\u1ea7u 1 vi\u00ean Atsyp x 2 l\u1ea7n\/ng\u00e0y, \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u00e1p \u1ee9ng. T\u1ed5ng li\u1ec1u 80\u2013160 mg\/ng\u00e0y c\u00f3 th\u1ec3 c\u1ea7n; li\u1ec1u tr\u00ean 80 mg\/ng\u00e0y chia l\u00e0m 2 l\u1ea7n.<\/p>\n<p><em><strong>\u0110\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t<\/strong><\/em><\/p>\n<p>Suy th\u1eadn: kh\u00f4ng c\u1ea7n gi\u1ea3m li\u1ec1u Atsyp, nh\u01b0ng th\u1eadn tr\u1ecdng n\u1ebfu m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/p>\n<p>Suy gan: nh\u1eb9 \u2013 trung b\u00ecnh kh\u00f4ng ch\u1ec9nh li\u1ec1u Atsyp; n\u1eb7ng kh\u00f4ng v\u01b0\u1ee3t 20 mg\/ng\u00e0y.<\/p>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i: d\u00f9ng Atsyp kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u.<\/p>\n<p>Tr\u1ebb &lt; 12 tu\u1ed5i: kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng Atsyp d\u1ea1ng vi\u00ean nang.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p><strong>Vi\u00ean nang Atsyp 40mg<\/strong> \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Atsyp 40mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi esomeprazole ho\u1eb7c t\u00e1 d\u01b0\u1ee3c c\u00f3 trong Atsyp 40mg v\u00e0 c\u00e1c d\u1eabn xu\u1ea5t benzimidazol<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 b\u1ea7u 3 th\u00e1ng \u0111\u1ea7u<\/p>\n<figure id=\"attachment_149361\" aria-describedby=\"caption-attachment-149361\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-149361\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Atsyp-40mg.jpg\" alt=\"Atsyp 40mg\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Atsyp-40mg.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Atsyp-40mg-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Atsyp-40mg-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Atsyp-40mg-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Atsyp-40mg-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-149361\" class=\"wp-caption-text\">Thu\u1ed1c Atsyp 40mg c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, vi\u00eam th\u1ef1c qu\u1ea3n<\/figcaption><\/figure>\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\u01b0\u1eddi c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o nh\u01b0 s\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, n\u00f4n k\u00e9o d\u00e0i, kh\u00f3 nu\u1ed1t, n\u00f4n ra m\u00e1u ho\u1eb7c \u0111i ti\u00eau ph\u00e2n \u0111en c\u1ea7n \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb ung th\u01b0 d\u1ea1 d\u00e0y tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 che m\u1ea5t tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>D\u00f9ng PPI li\u1ec1u cao ho\u1eb7c k\u00e9o d\u00e0i &gt;1 n\u0103m c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng (h\u00f4ng, c\u1ed9t s\u1ed1ng, c\u1ed5 tay), nh\u1ea5t l\u00e0 \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i ho\u1eb7c c\u00f3 s\u1eb5n nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng; c\u1ea7n \u0111\u1ea3m b\u1ea3o b\u1ed5 sung calci v\u00e0 vitamin D n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n<p>Khi d\u00f9ng ph\u00e1c \u0111\u1ed3 di\u1ec7t HP, ph\u1ea3i l\u01b0u \u00fd t\u01b0\u01a1ng t\u00e1c do clarithromycin l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf m\u1ea1nh CYP3A4.<\/p>\n<p>T\u00ecnh tr\u1ea1ng h\u1ea1 magnesi huy\u1ebft c\u00f3 th\u1ec3 x\u1ea3y ra khi d\u00f9ng d\u00e0i h\u1ea1n (v\u00e0i th\u00e1ng \u0111\u1ebfn 1 n\u0103m), d\u1eabn \u0111\u1ebfn co c\u1ee9ng c\u01a1, r\u1ed1i lo\u1ea1n nh\u1ecbp ho\u1eb7c co gi\u1eadt; n\u00ean ki\u1ec3m tra magnesi m\u00e1u tr\u01b0\u1edbc v\u00e0 trong \u0111i\u1ec1u tr\u1ecb d\u00e0i ng\u00e0y ho\u1eb7c khi d\u00f9ng c\u00f9ng thu\u1ed1c l\u00e0m h\u1ea1 magnesi.<\/p>\n<p>Gi\u1ea3m acid d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn nguy c\u01a1 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (nh\u01b0 Salmonella, Campylobacter) t\u0103ng l\u00ean.<\/p>\n<p>Thu\u1ed1c c\u00f3 ch\u1ee9a sucrose; kh\u00f4ng ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi kh\u00f4ng dung n\u1ea1p fructose ho\u1eb7c r\u1ed1i lo\u1ea1n h\u1ea5p thu glucose\u2013galactose.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p:<\/p>\n<p>\u0110au b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n, \u0111\u1ea7y h\u01a1i, kh\u00f4 mi\u1ec7ng.<\/p>\n<p>\u0110au \u0111\u1ea7u.<\/p>\n<p>\u00cdt g\u1eb7p:<\/p>\n<p>M\u1ea9n ng\u1ee9a, ph\u00e1t ban, r\u1ed1i lo\u1ea1n th\u1ecb l\u1ef1c.<\/p>\n<p>Hi\u1ebfm g\u1eb7p:<\/p>\n<p>Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn nghi\u00eam tr\u1ecdng: ph\u00f9 m\u1ea1ch, co th\u1eaft ph\u1ebf qu\u1ea3n, s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n<p>R\u1ed1i lo\u1ea1n th\u1ea7n kinh: l\u00fa l\u1eabn tho\u00e1ng qua, k\u00edch \u0111\u1ed9ng, tr\u1ea7m c\u1ea3m, \u1ea3o gi\u00e1c (th\u01b0\u1eddng \u1edf b\u1ec7nh n\u1eb7ng).<\/p>\n<p>Huy\u1ebft h\u1ecdc: gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e1o b\u1ea1ch c\u1ea7u ho\u1eb7c ti\u1ec3u c\u1ea7u<\/p>\n<p>Gan: t\u0103ng enzym gan v\u00e0 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 gan<\/p>\n<p>Ti\u1ebft ni\u1ec7u: vi\u00eam th\u1eadn k\u1ebd.<\/p>\n<p>R\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, \u0111au c\u01a1 v\u00e0 kh\u1edbp.<\/p>\n<p>Da: ho\u1ea1i t\u1eed th\u01b0\u1ee3ng b\u00ec nhi\u1ec5m \u0111\u1ed9c, Stevens\u2013Johnson,<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>C\u00e1c thu\u1ed1c c\u1ea7n m\u00f4i tr\u01b0\u1eddng acid \u0111\u1ec3 h\u1ea5p thu (ketoconazol, itraconazol) c\u00f3 th\u1ec3 gi\u1ea3m h\u1ea5p thu khi d\u00f9ng c\u00f9ng esomeprazole.<\/p>\n<p>T\u01b0\u01a1ng t\u1ef1 omeprazole li\u1ec1u cao, esomeprazole c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 atazanavir.<\/p>\n<p>Do \u1ee9c ch\u1ebf CYP2C19, thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 diazepam, citalopram, imipramin, clomipramin, phenytoin&#8230;<\/p>\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ghi nh\u1eadn t\u0103ng INR khi ph\u1ed1i h\u1ee3p v\u1edbi warfarin.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng chung v\u1edbi clopidogrel do c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ho\u1ea1t h\u00f3a thu\u1ed1c.<\/p>\n<p>Kh\u00f4ng tr\u1ed9n l\u1eabn v\u1edbi thu\u1ed1c kh\u00e1c do thi\u1ebfu d\u1eef li\u1ec7u t\u01b0\u01a1ng k\u1ef5.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Mang thai: ch\u01b0a c\u00f3 \u0111\u1ee7 d\u1eef li\u1ec7u v\u1ec1 \u0111\u1ed9 an to\u00e0n c\u1ee7a Atsyp; ch\u1ec9 d\u00f9ng khi th\u1eadt s\u1ef1 c\u1ea7n.<\/p>\n<p>Cho con b\u00fa: ch\u01b0a r\u00f5 Atsyp c\u00f3 qua s\u1eefa m\u1eb9 hay kh\u00f4ng; n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng trong th\u1eddi k\u1ef3 nu\u00f4i con b\u00fa.<\/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>M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ch\u00f3ng m\u1eb7t ho\u1eb7c \u1ea3o gi\u00e1c; khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u1ea7n tr\u00e1nh l\u00e1i xe hay v\u1eadn h\u00e0nh thi\u1ebft b\u1ecb.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>D\u1eef li\u1ec7u v\u1ec1 qu\u00e1 li\u1ec1u Atsyp 40mg c\u00f2n h\u1ea1n ch\u1ebf. D\u00f9ng \u0111\u1ebfn 280 mg c\u00f3 th\u1ec3 g\u00e2y m\u1ec7t v\u00e0 r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a; li\u1ec1u \u0111\u01a1n 80 mg th\u01b0\u1eddng v\u1eabn dung n\u1ea1p. Kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u. Do thu\u1ed1c g\u1eafn protein m\u1ea1nh, th\u1ea9m ph\u00e2n m\u00e1u kh\u00f4ng hi\u1ec7u qu\u1ea3. Vi\u1ec7c x\u1eed tr\u00ed d\u1ef1a v\u00e0o \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3 chung.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Atsyp 40mg \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 Atsyp 40mg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Atsyp 40mg 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 Atsyp 40mg nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/esomeprazole-stada-40mg\/\">Esomeprazole Stada 40mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Esomeprazol 40mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Nh\u00e0 m\u00e1y Stada Vi\u1ec7t Nam, \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y-th\u1ef1c qu\u1ea3n<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/savi-esomeprazole-40\/\">SaVi Esomeprazole 40<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Esomeprazol 40mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m SaVi, \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y-th\u1ef1c qu\u1ea3n<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Kalaitzakis E, Bj\u00f6rnsson E (2007). A review of esomeprazole in the treatment of gastroesophageal reflux disease (GERD). Ther Clin Risk Manag. Truy c\u1eadp ng\u00e0y 27 th\u00e1ng 11 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2374928\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2374928\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Atsyp 40mg ch\u1ee9a esomeprazole \u2013 ho\u1ea1t ch\u1ea5t thu\u1ed9c nh\u00f3m \u1ee9c ch\u1ebf b\u01a1m proton, gi\u00fap gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n, vi\u00eam lo\u00e9t do acid<\/p>\n","protected":false},"author":1,"featured_media":149364,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-149360","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\/149360","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=149360"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/149364"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=149360"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=149360"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=149360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}