﻿{"id":155844,"date":"2026-03-24T15:21:28","date_gmt":"2026-03-24T08:21:28","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=155844"},"modified":"2026-03-24T15:23:29","modified_gmt":"2026-03-24T08:23:29","slug":"gelbra-20mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/gelbra-20mg\/","title":{"rendered":"Gelbra 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 Gelbra 20mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi KRKA, d. d., Novo mesto c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 383110986524 (S\u0110K c\u0169: VN-22069-19)<\/b><\/p>\n<h2>Thu\u1ed1c Gelbra 20mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <b>vi\u00ean u\u1ed1ng Gelbra 20mg<\/b> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Rabeprazole sodium: 20mg (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng rabeprazole 18,85mg)<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n kh\u00e1ng acid d\u1ea1 d\u00e0y<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>Gelbra S\u0110K: 383110986524 (S\u0110K c\u0169: VN-22069-19)<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 14 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: Slovenia<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 24 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Gelbra 20<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Rabeprazol l\u00e0 m\u1ed9t d\u1eabn ch\u1ea5t thu\u1ed9c nh\u00f3m benzimidazole, kh\u00f4ng tham gia v\u00e0o c\u01a1 ch\u1ebf kh\u00e1ng histamin t\u1ea1i th\u1ee5 th\u1ec3 H2 v\u00e0 c\u0169ng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ki\u1ec3u kh\u00e1ng cholinergic. Ho\u1ea1t ch\u1ea5t n\u00e0y t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean h\u1ec7 enzym H\u207a\/K\u207a-ATPase n\u1eb1m tr\u00ean t\u1ebf b\u00e0o th\u00e0nh d\u1ea1 d\u00e0y, \u0111\u00e2y l\u00e0 v\u1ecb tr\u00ed \u0111\u00f3ng vai tr\u00f2 quy\u1ebft \u0111\u1ecbnh trong giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a qu\u00e1 tr\u00ecnh ti\u1ebft acid. Sau khi \u0111\u01b0\u1ee3c h\u1ea5p thu, rabeprazol di chuy\u1ec3n v\u00e0o m\u00f4i tr\u01b0\u1eddng acid c\u1ee7a t\u1ebf b\u00e0o th\u00e0nh v\u00e0 chuy\u1ec3n th\u00e0nh d\u1ea1ng c\u00f3 ho\u1ea1t t\u00ednh sinh h\u1ecdc. D\u1ea1ng ho\u1ea1t h\u00f3a n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng g\u1eafn k\u1ebft v\u1edbi c\u00e1c nh\u00f3m cystein tr\u00ean b\u01a1m proton, t\u1eeb \u0111\u00f3 \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u01a1m v\u00e0 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 s\u1ef1 ti\u1ebft acid d\u1ecbch v\u1ecb.<\/p>\n<p>T\u00e1c d\u1ee5ng gi\u1ea3m ti\u1ebft acid c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n trong kho\u1ea3ng 1 gi\u1edd sau khi d\u00f9ng thu\u1ed1c, \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u0111a sau v\u00e0i gi\u1edd ti\u1ebfp theo. Hi\u1ec7u qu\u1ea3 \u1ee9c ch\u1ebf acid duy tr\u00ec k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn kho\u1ea3ng 48 gi\u1edd sau m\u1ed9t li\u1ec1u d\u00f9ng. Khi s\u1eed d\u1ee5ng l\u1eb7p l\u1ea1i h\u00e0ng ng\u00e0y, t\u00e1c d\u1ee5ng s\u1ebd t\u0103ng d\u1ea7n v\u00e0 \u1ed5n \u0111\u1ecbnh sau v\u00e0i ng\u00e0y \u0111i\u1ec1u tr\u1ecb li\u00ean t\u1ee5c. Sau khi ng\u1eebng thu\u1ed1c, ch\u1ee9c n\u0103ng ti\u1ebft acid c\u1ee7a d\u1ea1 d\u00e0y th\u01b0\u1eddng ph\u1ee5c h\u1ed3i trong v\u00f2ng v\u00e0i ng\u00e0y. Vi\u1ec7c gi\u1ea3m acid k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i h\u1ec7 vi khu\u1ea9n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m m\u1ed9t s\u1ed1 vi khu\u1ea9n nh\u01b0 Salmonella, Campylobacter ho\u1eb7c Clostridium difficile. Trong tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m Helicobacter pylori, rabeprazol c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 \u1ee9c ch\u1ebf vi khu\u1ea9n v\u00e0 t\u0103ng hi\u1ec7u qu\u1ea3 khi ph\u1ed1i h\u1ee3p c\u00f9ng kh\u00e1ng sinh.<\/p>\n<figure id=\"attachment_155853\" aria-describedby=\"caption-attachment-155853\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-155853\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/03\/Gelbra-20mg.jpg\" alt=\"Gelbra 20mg\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/03\/Gelbra-20mg.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/03\/Gelbra-20mg-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/03\/Gelbra-20mg-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/03\/Gelbra-20mg-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/03\/Gelbra-20mg-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-155853\" class=\"wp-caption-text\">Gelbra 20mg c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m ti\u1ebft acid, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y<\/figcaption><\/figure>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Rabeprazol \u0111\u01b0\u1ee3c h\u1ea5p thu sau khi vi\u00ean thu\u1ed1c \u0111i qua d\u1ea1 d\u00e0y v\u00e0 \u0111\u1ebfn ru\u1ed9t non. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh c\u1ee7a ho\u1ea1t ch\u1ea5t n\u00e0y trong huy\u1ebft t\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u1ea1t \u0111\u01b0\u1ee3c sau kho\u1ea3ng v\u00e0i gi\u1edd k\u1ec3 t\u1eeb khi u\u1ed1ng. Sinh kh\u1ea3 d\u1ee5ng \u1edf li\u1ec1u th\u00f4ng th\u01b0\u1eddng \u1edf m\u1ee9c trung b\u00ecnh v\u00e0 kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 b\u1edfi th\u1ee9c \u0103n.<\/p>\n<p>Ph\u00e2n b\u1ed1: Ph\u1ea7n l\u1edbn l\u01b0\u1ee3ng thu\u1ed1c trong m\u00e1u li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, v\u1edbi t\u1ef7 l\u1ec7 g\u1eafn k\u1ebft cao.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Thu\u1ed1c Gelbra \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu t\u1ea1i gan nh\u1edd h\u1ec7 enzym CYP450, \u0111\u1eb7c bi\u1ec7t l\u00e0 CYP2C19 v\u00e0 CYP3A4. Qu\u00e1 tr\u00ecnh n\u00e0y t\u1ea1o ra nhi\u1ec1u ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00e1c nhau nh\u01b0 d\u1eabn xu\u1ea5t thioether, sulfone v\u00e0 c\u00e1c d\u1ea1ng li\u00ean h\u1ee3p kh\u00e1c.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Ph\u1ea7n l\u1edbn s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a c\u1ee7a ho\u1ea1t ch\u1ea5t Rabeprazol \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua \u0111\u01b0\u1eddng n\u01b0\u1edbc ti\u1ec3u. Th\u1eddi gian b\u00e1n th\u1ea3i trong huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1ng \u0111\u1ed1i ng\u1eafn, ch\u1ec9 kho\u1ea3ng 1 gi\u1edd. M\u1ed9t ph\u1ea7n nh\u1ecf c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c th\u1ea3i qua ph\u00e2n. \u1ede ng\u01b0\u1eddi suy gan, th\u1eddi gian b\u00e1n th\u1ea3i c\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. Ng\u01b0\u1eddi c\u00f3 ki\u1ec3u chuy\u1ec3n h\u00f3a ch\u1eadm qua CYP2C19 c\u0169ng c\u00f3 th\u1ec3 c\u00f3 s\u1ef1 thay \u0111\u1ed5i v\u1ec1 th\u1eddi gian t\u1ed3n t\u1ea1i c\u1ee7a thu\u1ed1c trong c\u01a1 th\u1ec3.<\/p>\n<h2>Thu\u1ed1c Gelbra 20mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p lo\u00e9t t\u1ea1i d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng<\/p>\n<p>S\u1eed d\u1ee5ng trong b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y &#8211; th\u1ef1c qu\u1ea3n<\/p>\n<p>D\u00f9ng trong \u0111i\u1ec1u tr\u1ecb duy tr\u00ec nh\u1eb1m ki\u1ec3m so\u00e1t l\u00e2u d\u00e0i b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c, h\u1ea1n ch\u1ebf t\u00e1i ph\u00e1t tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng ti\u1ebft acid qu\u00e1 m\u1ee9c nh\u01b0 h\u1ed9i ch\u1ee9ng Zollinger-Ellison.<\/p>\n<p>K\u1ebft h\u1ee3p v\u1edbi ph\u00e1c \u0111\u1ed3 kh\u00e1ng sinh \u0111\u1ec3 lo\u1ea1i b\u1ecf vi khu\u1ea9n Helicobacter pylori \u1edf b\u1ec7nh nh\u00e2n c\u00f3 lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng li\u00ean quan \u0111\u1ebfn vi khu\u1ea9n n\u00e0y.<\/p>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<table style=\"width: 100%; height: 408px;\" border=\"1\" cellspacing=\"1\" cellpadding=\"1\" align=\"center\" data-cke-table-faked-selection-table=\"\">\n<tbody>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"text-align: center; height: 43px;\"><strong>Tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"text-align: center; height: 43px;\"><strong>Li\u1ec1u khuy\u1ebfn c\u00e1o<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"text-align: center; height: 43px;\"><strong>Th\u1eddi gian s\u1eed d\u1ee5ng \/ Ghi ch\u00fa<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>Lo\u00e9t t\u00e1 tr\u00e0ng<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">20 mg\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">D\u00f9ng kho\u1ea3ng 4 tu\u1ea7n, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u00eam n\u1ebfu ch\u01b0a \u0111\u00e1p \u1ee9ng<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>Lo\u00e9t d\u1ea1 d\u00e0y<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">20 mg\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Th\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb trong 6 tu\u1ea7n, c\u00f3 th\u1ec3 gia h\u1ea1n th\u00eam t\u00f9y t\u00ecnh tr\u1ea1ng<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y &#8211; th\u1ef1c qu\u1ea3n (GORD)<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">20 mg\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb t\u1eeb 4-8 tu\u1ea7n<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 21px; text-align: center;\"><strong>\u0110i\u1ec1u tr\u1ecb duy tr\u00ec GORD<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 21px; text-align: center;\">10-20 mg\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 21px; text-align: center;\">\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>GORD tri\u1ec7u ch\u1ee9ng (kh\u00f4ng vi\u00eam th\u1ef1c qu\u1ea3n)<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">10 mg\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">N\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n sau v\u00e0i tu\u1ea7n, c\u1ea7n \u0111\u00e1nh gi\u00e1 l\u1ea1i<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>H\u1ed9i ch\u1ee9ng Zollinger-Ellison<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Kh\u1edfi \u0111\u1ea7u 60 mg\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">C\u00f3 th\u1ec3 t\u0103ng li\u1ec1u l\u00ean 120 mg\/ng\u00e0y ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh t\u00f9y \u0111\u00e1p \u1ee9ng<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>Ti\u1ec7t tr\u1eeb Helicobacter pylori<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">20 mg\/l\u1ea7n \u00d7 2 l\u1ea7n\/ng\u00e0y<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">D\u00f9ng trong 7 ng\u00e0y, ph\u1ed1i h\u1ee3p v\u1edbi kh\u00e1ng sinh (clarithromycin + amoxicillin)<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>Suy gan, suy th\u1eadn<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Tuy nhi\u00ean n\u00ean theo d\u00f5i khi s\u1eed d\u1ee5ng<\/td>\n<\/tr>\n<tr style=\"height: 43px;\">\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\"><strong>Tr\u1ebb em<\/strong><\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Kh\u00f4ng khuy\u1ebfn c\u00e1o<\/td>\n<td class=\"cke_table-faked-selection\" style=\"height: 43px; text-align: center;\">Do ch\u01b0a c\u00f3 \u0111\u1ee7 d\u1eef li\u1ec7u an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>U\u1ed1ng nguy\u00ean <strong>vi\u00ean n\u00e9n Gelbra 20mg<\/strong> v\u1edbi n\u01b0\u1edbc tr\u01b0\u1edbc \u0103n v\u00e0o bu\u1ed5i s\u00e1ng<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Gelbra 20mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi rabeprazol v\u00e0 t\u00e1 d\u01b0\u1ee3c c\u00f3 trong Gelbra 20mg<\/p>\n<p>Ph\u1ee5 n\u1eef \u0111ang mang thai<\/p>\n<p>Ng\u01b0\u1eddi trong th\u1eddi k\u1ef3 cho con b\u00fa.<\/p>\n<p>Ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c c\u00f3 ch\u1ee9a rilpivirine do nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c b\u1ea5t l\u1ee3i.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng m\u1eabn c\u1ea3m v\u1edbi c\u00e1c thu\u1ed1c c\u00f9ng nh\u00f3m benzimidazole.<\/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>C\u1ea7n lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng b\u1ec7nh l\u00fd \u00e1c t\u00ednh \u1edf d\u1ea1 d\u00e0y ho\u1eb7c th\u1ef1c qu\u1ea3n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng k\u00e9o d\u00e0i n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c c\u00f9ng nh\u00f3m \u1ee9c ch\u1ebf b\u01a1m proton ho\u1eb7c d\u1eabn xu\u1ea5t benzimidazole.<\/p>\n<p>Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng cho tr\u1ebb em do ch\u01b0a c\u00f3 \u0111\u1ea7y \u0111\u1ee7 d\u1eef li\u1ec7u v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh suy gan n\u1eb7ng c\u1ea7n c\u00e2n nh\u1eafc k\u1ef9 v\u00e0 theo d\u00f5i khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m (nh\u01b0 Chromogranin A), c\u1ea7n l\u01b0u \u00fd tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: \u0110au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t. r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/p>\n<p>\u00cdt g\u1eb7p: M\u1ea5t ng\u1ee7 ho\u1eb7c bu\u1ed3n ng\u1ee7, c\u0103ng th\u1eb3ng, kh\u00f4 mi\u1ec7ng, \u1ee3 h\u01a1i, vi\u00eam h\u1ecdng, vi\u00eam m\u0169i ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u1eb9<\/p>\n<p>Hi\u1ebfm g\u1eb7p: Gi\u1ea3m b\u1ea1ch c\u1ea7u, ti\u1ec3u c\u1ea7u ho\u1eb7c r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, v\u00e0ng da<\/p>\n<p>R\u1ea5t hi\u1ebfm ho\u1eb7c ch\u01b0a r\u00f5 t\u1ea7n su\u1ea5t: R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, l\u00fa l\u1eabn, Stevens-Johnson ho\u1eb7c ho\u1ea1i t\u1eed th\u01b0\u1ee3ng b\u00ec, \u0111au c\u01a1-kh\u1edbp, chu\u1ed9t r\u00fat, t\u0103ng c\u00e2n, to tuy\u1ebfn v\u00fa \u1edf nam, nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i,&#8230;<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Do l\u00e0m gi\u1ea3m acid d\u1ea1 d\u00e0y k\u00e9o d\u00e0i, rabeprazol c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ea5p thu c\u1ee7a c\u00e1c thu\u1ed1c ph\u1ee5 thu\u1ed9c pH.<\/p>\n<p>Khi d\u00f9ng c\u00f9ng ketoconazole ho\u1eb7c itraconazole, kh\u1ea3 n\u0103ng h\u1ea5p thu c\u1ee7a c\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 gi\u1ea3m, c\u1ea7n theo d\u00f5i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh n\u1ebfu c\u1ea7n.<\/p>\n<p>C\u00e1c thu\u1ed1c kh\u00e1ng acid th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 d\u00f9ng c\u00f9ng m\u00e0 kh\u00f4ng ghi nh\u1eadn t\u01b0\u01a1ng t\u00e1c \u0111\u00e1ng k\u1ec3.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi atazanavir do l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 thu\u1ed1c n\u00e0y trong m\u00e1u.<\/p>\n<p>Khi ph\u1ed1i h\u1ee3p v\u1edbi methotrexate li\u1ec1u cao, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng v\u00e0 k\u00e9o d\u00e0i n\u1ed3ng \u0111\u1ed9 methotrexate, c\u1ea7n th\u1eadn tr\u1ecdng.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Ph\u1ee5 n\u1eef mang thai: Ch\u01b0a \u0111\u1ee7 d\u1eef li\u1ec7u tr\u00ean ng\u01b0\u1eddi nh\u01b0ng c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng cho th\u1ea5y \u1ea3nh h\u01b0\u1edfng x\u1ea5u r\u00f5 r\u1ec7t, tuy nhi\u00ean v\u1eabn kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng trong thai k\u1ef3.<\/p>\n<p>Ph\u1ee5 n\u1eef cho con b\u00fa: Ch\u01b0a \u0111\u1ee7 d\u1eef li\u1ec7u v\u1ec1 s\u1ef1 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 \u1edf ng\u01b0\u1eddi, nh\u01b0ng \u0111\u00e3 ghi nh\u1eadn c\u00f3 \u1edf \u0111\u1ed9ng v\u1eadt. V\u00ec v\u1eady, kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c trong th\u1eddi gian cho 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>C\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n ng\u1ee7 ho\u1eb7c l\u00e0m gi\u1ea3m s\u1ef1 t\u1ec9nh t\u00e1o \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi d\u00f9ng Gelbra 20mg, do \u0111\u00f3 n\u00ean th\u1eadn tr\u1ecdng nh\u1ea5t l\u00e0 v\u1edbi th\u1eddi gian \u0111\u1ea7u s\u1eed d\u1ee5ng<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng li\u1ec1u cao h\u01a1n nhi\u1ec1u so v\u1edbi khuy\u1ebfn c\u00e1o (v\u00ed d\u1ee5 v\u01b0\u1ee3t m\u1ee9c th\u00f4ng th\u01b0\u1eddng trong ng\u00e0y) c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 g\u1eb7p t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n.<\/p>\n<p>Khi nghi ng\u1edd d\u00f9ng qu\u00e1 li\u1ec1u rabeprazol, c\u1ea7n th\u00f4ng b\u00e1o ngay cho nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n<p>Hi\u1ec7n ch\u01b0a c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u cho rabeprazol, ch\u1ee7 y\u1ebfu l\u00e0 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng k\u1ecbp th\u1eddi c\u0169ng nh\u01b0 h\u1ed7 tr\u1ee3 t\u00f9y theo bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Gelbra 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 Gelbra 20mg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Gelbra 20mg khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>Thu\u1ed1c Gelbra 20mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Gelbra 20mg hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, Gelbra gi\u00e1 c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p Gelbra 20mg t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, 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 Gelbra 20mg nh\u01b0:<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/raxium-20\/\">Raxium 20 <\/a>c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Rabeprazol natri, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c H\u1eadu Giang &#8211; DHG Pharma, d\u00f9ng \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/anvo-rabeprazole-20-mg\/\">Anvo-Rabeprazole 20 mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n Rabeprazol, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Laboratorios Liconsa, S.A., ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb lo\u00e9t t\u00e1 tr\u00e0ng ti\u1ebfn tri\u1ec3n v\u00e0 lo\u00e9t d\u1ea1 d\u00e0y l\u00e0nh t\u00ednh ti\u1ebfn tri\u1ec3n<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>F Pace v\u00e0 c\u00e1c c\u1ed9ng s\u1ef1 (2014), A review of rabeprazole in the treatment of acid-related diseases. Taylor &amp; Francis. Truy c\u1eadp ng\u00e0y 24 th\u00e1ng 3 n\u0103m 2026 t\u1eeb <a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.2147\/tcrm.s12160411\" rel=\"noopener\">https:\/\/www.tandfonline.com\/doi\/abs\/10.2147\/tcrm.s12160411<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Gelbra 20mg ch\u1ee9a rabeprazol h\u00e0m l\u01b0\u1ee3ng 20mg, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n v\u00e0 h\u1ed9i ch\u1ee9ng Zollinger-Ellison.<\/p>\n","protected":false},"author":1,"featured_media":155846,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-155844","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\/155844","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=155844"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/155846"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=155844"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=155844"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=155844"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}