{"id":157773,"date":"2026-05-19T11:08:36","date_gmt":"2026-05-19T04:08:36","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=157773"},"modified":"2026-05-19T11:09:58","modified_gmt":"2026-05-19T04:09:58","slug":"ramipril-cap-dwp-5mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/ramipril-cap-dwp-5mg\/","title":{"rendered":"Ramipril Cap Dwp 5mg"},"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 Ramipril Cap Dwp 5mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Wealphar c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 <\/b><a href=\"https:\/\/dichvucong.dav.gov.vn\/congbothuoc\" rel=\"noopener\">VD-35851-22<\/a><\/p>\n<h2>Ramipril Cap Dwp 5mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <b>vi\u00ean u\u1ed1ng Ramipril Cap Dwp 5mg<\/b> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Ramipril: 5mg<\/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 nang c\u1ee9ng<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-35851-22<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 6 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: 24 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Ramipril Cap Dwp 5mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Sau khi \u0111\u01b0\u1ee3c h\u1ea5p thu, ramipril s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a t\u1ea1o th\u00e0nh ramiprilat &#8211; ch\u1ea5t c\u00f3 ho\u1ea1t t\u00ednh d\u01b0\u1ee3c l\u00fd ch\u00ednh. Ramiprilat t\u00e1c \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin, l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh t\u1ea1o angiotensin II, t\u1eeb \u0111\u00f3 h\u1ea1n ch\u1ebf hi\u1ec7n t\u01b0\u1ee3ng co m\u1ea1ch v\u00e0 h\u1ed7 tr\u1ee3 h\u1ea1 huy\u1ebft \u00e1p. B\u00ean c\u1ea1nh \u0111\u00f3, ho\u1ea1t ch\u1ea5t n\u00e0y c\u00f2n l\u00e0m ch\u1eadm s\u1ef1 ph\u00e2n h\u1ee7y bradykinin, g\u00f3p ph\u1ea7n t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng gi\u00e3n m\u1ea1ch.<\/p>\n<p>Th\u00f4ng qua c\u00e1c t\u00e1c \u0111\u1ed9ng tr\u00ean, thu\u1ed1c gi\u00fap gi\u1ea3m s\u1ee9c c\u1ea3n th\u00e0nh m\u1ea1ch v\u00e0 h\u1ed7 tr\u1ee3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p hi\u1ec7u qu\u1ea3. \u0110\u1ed3ng th\u1eddi, s\u1ef1 gi\u1ea3m h\u00ecnh th\u00e0nh angiotensin II c\u0169ng k\u00e9o theo gi\u1ea3m ti\u1ebft aldosteron. Hi\u1ec7u qu\u1ea3 \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c c\u00f3 th\u1ec3 kh\u00f4ng gi\u1ed1ng nhau gi\u1eefa c\u00e1c nh\u00f3m b\u1ec7nh nh\u00e2n, trong \u0111\u00f3 ng\u01b0\u1eddi t\u0103ng huy\u1ebft \u00e1p da \u0111en th\u01b0\u1eddng c\u00f3 m\u1ee9c \u0111\u00e1p \u1ee9ng th\u1ea5p h\u01a1n khi d\u00f9ng \u0111\u01a1n tr\u1ecb li\u1ec7u b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Thu\u1ed1c h\u1ea5p thu nhanh qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 Cmax c\u1ee7a ramipril trong huy\u1ebft t\u01b0\u01a1ng sau kho\u1ea3ng 1 gi\u1edd. Hi\u1ec7u su\u1ea5t h\u1ea5p thu c\u1ee7a thu\u1ed1c v\u00e0o h\u1ec7 tu\u1ea7n ho\u00e0n \u0111\u01b0\u1ee3c duy tr\u00ec \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng ch\u1ecbu t\u00e1c \u0111\u1ed9ng b\u1edfi vi\u1ec7c \u0103n u\u1ed1ng. Ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh l\u00e0 ramiprilat c\u00f3 sinh kh\u1ea3 d\u1ee5ng kho\u1ea3ng 45%, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh sau kho\u1ea3ng 2 &#8211; 4 gi\u1edd. Khi s\u1eed d\u1ee5ng \u0111\u1ec1u \u0111\u1eb7n m\u1ed7i ng\u00e0y, n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng th\u01b0\u1eddng \u1ed5n \u0111\u1ecbnh sau kho\u1ea3ng 4 ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Ph\u00e2n b\u1ed1: Ramipril li\u00ean k\u1ebft v\u1edbi protein trong huy\u1ebft t\u01b0\u01a1ng v\u1edbi t\u1ef7 l\u1ec7 kh\u00e1 l\u1edbn ~ 73%, trong khi ramiprilat kho\u1ea3ng 56%.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n th\u00e0nh ramiprilat c\u00f9ng m\u1ed9t s\u1ed1 ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00e1c nh\u01b0 d\u1eabn xu\u1ea5t diketopiperazin, acid diketopiperazin v\u00e0 c\u00e1c d\u1ea1ng glucuronid.<\/p>\n<p>Th\u1ea3i tr\u1eeb: C\u01a1 th\u1ec3 lo\u1ea1i b\u1ecf ph\u1ea7n l\u1edbn c\u00e1c d\u1eabn xu\u1ea5t c\u1ee7a thu\u1ed1c ra ngo\u00e0i th\u00f4ng qua th\u1eadn. Ramiprilat c\u00f3 kh\u1ea3 n\u0103ng li\u00ean k\u1ebft m\u1ea1nh v\u1edbi enzym chuy\u1ec3n angiotensin v\u00e0 ph\u00e2n ly ch\u1eadm n\u00ean th\u1eddi gian th\u1ea3i tr\u1eeb k\u00e9o d\u00e0i. Th\u1eddi gian b\u00e1n th\u1ea3i hi\u1ec7u qu\u1ea3 c\u1ee7a ramiprilat dao \u0111\u1ed9ng kho\u1ea3ng 13 &#8211; 17 gi\u1edd \u1edf li\u1ec1u d\u00f9ng t\u1eeb 5 &#8211; 10mg m\u1ed7i ng\u00e0y.<\/p>\n<h2>Thu\u1ed1c Ramipril Cap Dwp 5mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Ki\u1ec3m so\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng huy\u1ebft \u00e1p cao.<\/p>\n<p>Ph\u00f2ng ng\u1eeba bi\u1ebfn c\u1ed1 tim m\u1ea1ch nh\u1eb1m gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 m\u1eafc b\u1ec7nh cho ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u (nh\u01b0 \u0111\u1ed9t qu\u1ef5, b\u1ec7nh m\u1ea1ch v\u00e0nh, m\u1ea1ch m\u00e1u ngo\u1ea1i vi) ho\u1eb7c ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng \u0111i k\u00e8m t\u1ed1i thi\u1ec3u m\u1ed9t nguy c\u01a1 tim m\u1ea1ch.<\/p>\n<p>H\u1ed7 tr\u1ee3 b\u1ec7nh l\u00fd v\u1ec1 th\u1eadn: T\u1ed5n th\u01b0\u01a1ng th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng (giai \u0111o\u1ea1n ch\u1edbm c\u00f3 microalbumin ni\u1ec7u ho\u1eb7c \u0111\u00e3 xu\u1ea5t hi\u1ec7n macroprotein ni\u1ec7u k\u00e8m nguy c\u01a1 tim m\u1ea1ch); T\u1ed5n th\u01b0\u01a1ng th\u1eadn kh\u00f4ng do ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 l\u01b0\u1ee3ng protein trong n\u01b0\u1edbc ti\u1ec3u v\u01b0\u1ee3t qu\u00e1 3g\/ng\u00e0y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ecb suy tim c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>D\u1ef1 ph\u00f2ng th\u1ee9 ph\u00e1t sau khi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p nh\u1eb1m gi\u1ea3m nguy c\u01a1 t\u1eed vong, \u00e1p d\u1ee5ng cho ng\u01b0\u1eddi c\u00f3 d\u1ea5u hi\u1ec7u suy tim sau bi\u1ebfn c\u1ed1 tr\u00ean 48 gi\u1edd.<\/p>\n<figure id=\"attachment_157774\" aria-describedby=\"caption-attachment-157774\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-157774\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/05\/ramipril-cap-dwp-5mg.jpg\" alt=\"Ramipril Cap Dwp 5mg\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/05\/ramipril-cap-dwp-5mg.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/05\/ramipril-cap-dwp-5mg-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/05\/ramipril-cap-dwp-5mg-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/05\/ramipril-cap-dwp-5mg-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/05\/ramipril-cap-dwp-5mg-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-157774\" class=\"wp-caption-text\">Ramipril Cap Dwp 5mg ki\u1ebfm so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf ng\u01b0\u1eddi tr\u01b0\u1eddng th\u00e0nh m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2<\/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>NH\u00d3M 1: Kh\u1edfi \u0111\u1ea7u 1\/2 vi\u00ean &#8211; M\u1ee5c ti\u00eau 2 vi\u00ean\/ng\u00e0y (\u00c1p d\u1ee5ng cho: T\u0103ng huy\u1ebft \u00e1p th\u00f4ng th\u01b0\u1eddng v\u00e0 Ph\u00f2ng ng\u1eeba b\u1ec7nh tim)<\/p>\n<ul>\n<li>Li\u1ec1u b\u1eaft \u0111\u1ea7u: U\u1ed1ng 1\/2 vi\u00ean (2,5mg) x 1 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>C\u00e1ch t\u0103ng li\u1ec1u: C\u1ee9 sau m\u1ed7i 1 \u0111\u1ebfn 4 tu\u1ea7n, n\u1ebfu huy\u1ebft \u00e1p ch\u01b0a \u0111\u1ea1t m\u1ee5c ti\u00eau th\u00ec t\u0103ng \u0111\u00f4i li\u1ec1u l\u00ean.<\/li>\n<li>Li\u1ec1u duy tr\u00ec t\u1ed1i \u0111a: 2 vi\u00ean (10mg) x 1 l\u1ea7n\/ng\u00e0y.<\/li>\n<\/ul>\n<p>NH\u00d3M 2: Kh\u1edfi \u0111\u1ea7u 1\/4 vi\u00ean &#8211; M\u1ee5c ti\u00eau 1 vi\u00ean\/ng\u00e0y (\u00c1p d\u1ee5ng cho: B\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 B\u1ec7nh th\u1eadn h\u01b0 kh\u00f4ng do ti\u1ec3u \u0111\u01b0\u1eddng)<\/p>\n<ul>\n<li>Li\u1ec1u b\u1eaft \u0111\u1ea7u: U\u1ed1ng 1\/4 vi\u00ean (1,25mg) x 1 l\u1ea7n\/ng\u00e0y.<\/li>\n<li>C\u00e1ch t\u0103ng li\u1ec1u: U\u1ed1ng li\u1ec1u b\u1eaft \u0111\u1ea7u trong 2 tu\u1ea7n, sau \u0111\u00f3 t\u0103ng l\u00ean th\u00e0nh 1\/2 vi\u00ean trong 2 tu\u1ea7n ti\u1ebfp theo, r\u1ed3i t\u0103ng ti\u1ebfp l\u00ean li\u1ec1u duy tr\u00ec.<\/li>\n<li>Li\u1ec1u duy tr\u00ec: 1 vi\u00ean (5mg) x 1 l\u1ea7n\/ng\u00e0y.<\/li>\n<\/ul>\n<p>NH\u00d3M 3: C\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t kh\u00e1c<\/p>\n<ul>\n<li>Ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 nguy c\u01a1 tim m\u1ea1ch: Kh\u1edfi \u0111\u1ea7u u\u1ed1ng 1\/2 vi\u00ean (2,5mg) x 1 l\u1ea7n\/ng\u00e0y. Sau \u0111\u00f3 t\u0103ng l\u00ean th\u00e0nh 1 vi\u00ean sau 1 \u0111\u1ebfn 2 tu\u1ea7n, v\u00e0 \u0111\u1ea1t li\u1ec1u m\u1ee5c ti\u00eau l\u00e0 2 vi\u00ean (10mg) x 1 l\u1ea7n\/ng\u00e0y sau 2 \u0111\u1ebfn 3 tu\u1ea7n n\u1eefa.<\/li>\n<li>Suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng: Kh\u1edfi \u0111\u1ea7u u\u1ed1ng 1\/4 vi\u00ean (1,25mg) x 1 l\u1ea7n\/ng\u00e0y. Sau \u0111\u00f3 t\u0103ng \u0111\u00f4i li\u1ec1u sau m\u1ed7i 1 \u0111\u1ebfn 2 tu\u1ea7n \u0111\u1ec3 \u0111\u1ea1t li\u1ec1u t\u1ed1i \u0111a l\u00e0 2 vi\u00ean\/ng\u00e0y. L\u01b0u \u00fd l\u00e0 li\u1ec1u duy tr\u00ec n\u00e0y ph\u1ea3i chia l\u00e0m 2 l\u1ea7n u\u1ed1ng trong ng\u00e0y, m\u1ed7i l\u1ea7n u\u1ed1ng 1 vi\u00ean.<\/li>\n<li>Sau nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p: Kh\u1edfi \u0111\u1ea7u u\u1ed1ng 1\/2 vi\u00ean x 2 l\u1ea7n\/ng\u00e0y (t\u1ed5ng c\u1ed9ng 1 vi\u00ean\/ng\u00e0y) trong 3 ng\u00e0y \u0111\u1ea7u. Sau \u0111\u00f3 t\u0103ng \u0111\u00f4i li\u1ec1u sau m\u1ed7i 1 \u0111\u1ebfn 3 ng\u00e0y \u0111\u1ec3 \u0111\u1ea1t li\u1ec1u duy tr\u00ec m\u1ee5c ti\u00eau l\u00e0 1 vi\u00ean x 2 l\u1ea7n\/ng\u00e0y (t\u1ed5ng c\u1ed9ng 2 vi\u00ean\/ng\u00e0y).<\/li>\n<\/ul>\n<p><i>Nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 \u0111i\u1ec1u ch\u1ec9nh t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd, ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb c\u1ee7a t\u1eebng ng\u01b0\u1eddi b\u1ec7nh.<\/i><\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p><strong>Vi\u00ean nang Ramipril Cap Dwp 5mg<\/strong> \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Ramipril Cap Dwp 5mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi ho\u1ea1t ch\u1ea5t Ramipril, c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf men chuy\u1ec3n kh\u00e1c ho\u1eb7c b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong Ramipril Cap Dwp 5mg.<\/p>\n<p>\u0110\u1ed1i t\u01b0\u1ee3ng c\u00f3 ti\u1ec1n s\u1eed b\u1ecb ph\u00f9 m\u1ea1ch (do di truy\u1ec1n, t\u1ef1 ph\u00e1t ho\u1eb7c do t\u1eebng d\u00f9ng c\u00e1c nh\u00f3m thu\u1ed1c h\u1ea1 \u00e1p ACE ho\u1eb7c AIIRA).<\/p>\n<p>Ng\u01b0\u1eddi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Sacubitril\/Valsartan (ch\u1ec9 \u0111\u01b0\u1ee3c d\u00f9ng Ramipril sau khi \u0111\u00e3 d\u1eebng thu\u1ed1c n\u00e0y t\u1ed1i thi\u1ec3u 36 gi\u1edd).<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111ang \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u ngo\u00e0i c\u01a1 th\u1ec3 khi\u1ebfn m\u00e1u ti\u1ebfp x\u00fac v\u1edbi b\u1ec1 m\u1eb7t mang \u0111i\u1ec7n t\u00edch \u00e2m.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn \u1edf c\u1ea3 hai b\u00ean, ho\u1eb7c h\u1eb9p \u0111\u1ed9ng m\u1ea1ch \u1edf ng\u01b0\u1eddi ch\u1ec9 c\u00f2n m\u1ed9t qu\u1ea3 th\u1eadn \u0111\u1ed9c nh\u1ea5t ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<p>3 th\u00e1ng gi\u1eefa ho\u1eb7c cu\u1ed1i giai \u0111o\u1ea1n c\u00f3 thai.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p qu\u00e1 th\u1ea5p ho\u1eb7c tr\u1ea1ng th\u00e1i tu\u1ea7n ho\u00e0n, huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Kh\u00f4ng ph\u1ed1i h\u1ee3p thu\u1ed1c v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m ch\u1ee9a Aliskiren \u1edf nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn \u1edf m\u1ee9c \u0111\u1ed9 v\u1eeba \u0111\u1ebfn n\u1eb7ng (GFR d\u01b0\u1edbi 60 ml\/ph\u00fat\/1,73m\u00b2).<\/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 theo d\u00f5i huy\u1ebft \u00e1p v\u00e0 ho\u1ea1t \u0111\u1ed9ng th\u1eadn, nh\u1ea5t l\u00e0 \u1edf ng\u01b0\u1eddi suy th\u1eadn, suy tim ho\u1eb7c \u0111ang u\u1ed1ng thu\u1ed1c l\u1ee3i ti\u1ec3u.<\/p>\n<p>C\u1ea9n tr\u1ecdng v\u1edbi ng\u01b0\u1eddi d\u1ec5 t\u1ee5t huy\u1ebft \u00e1p do m\u1ea5t n\u01b0\u1edbc, gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u ho\u1eb7c h\u1eb9p van tim.<\/p>\n<p>Ng\u01b0ng thu\u1ed1c ngay n\u1ebfu b\u1ecb s\u01b0ng m\u00f4i, l\u01b0\u1ee1i ho\u1eb7c kh\u00f3 th\u1edf (d\u1ea5u hi\u1ec7u ph\u00f9 m\u1ea1ch).<\/p>\n<p>Ki\u1ec3m tra kali m\u00e1u \u1edf ng\u01b0\u1eddi suy th\u1eadn ho\u1eb7c d\u00f9ng thu\u1ed1c gi\u1eef kali.<\/p>\n<p>\u0110\u1ec1 ph\u00f2ng nguy c\u01a1 ho khan dai d\u1eb3ng, h\u1ea1 natri m\u00e1u ho\u1eb7c gi\u1ea3m b\u1ea1ch c\u1ea7u.<\/p>\n<p>Kh\u00f4ng d\u00f9ng cho ng\u01b0\u1eddi thi\u1ebfu men lactase ho\u1eb7c kh\u00f4ng dung n\u1ea1p galactose do thu\u1ed1c c\u00f3 ch\u1ee9a lactose.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a v\u00e0 h\u00f4 h\u1ea5p: Ho khan dai d\u1eb3ng, bu\u1ed3n n\u00f4n, kh\u00f3 th\u1edf, kh\u00f4 mi\u1ec7ng, ti\u00eau ch\u1ea3y ho\u1eb7c \u0111au b\u1ee5ng.<\/p>\n<p>H\u1ec7 th\u1ea7n kinh v\u00e0 tim m\u1ea1ch: \u0110au \u0111\u1ea7u, t\u1ee5t huy\u1ebft \u00e1p, ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, bu\u1ed3n ng\u1ee7 ho\u1eb7c ng\u1ea5t.<\/p>\n<p>Bi\u1ec3u hi\u1ec7n ngo\u00e0i da: Ph\u00e1t ban, ng\u1ee9a ng\u00e1y, s\u01b0ng ph\u00f9 m\u1ea1ch, t\u0103ng ti\u1ebft m\u1ed3 h\u00f4i ho\u1eb7c n\u1ed5i m\u00e0y \u0111ay.<\/p>\n<p>Chuy\u1ec3n h\u00f3a v\u00e0 ti\u1ebft ni\u1ec7u: T\u0103ng n\u1ed3ng \u0111\u1ed9 kali ho\u1eb7c gi\u1ea3m natri trong m\u00e1u, t\u0103ng ch\u1ec9 s\u1ed1 creatinin\/ur\u00ea, gi\u1ea3m th\u00e8m \u0103n ho\u1eb7c suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 hi\u1ebfm g\u1eb7p: Gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u\/ti\u1ec3u c\u1ea7u, thi\u1ebfu m\u00e1u, t\u1ed5n th\u01b0\u01a1ng gan, d\u1ecb \u1ee9ng ph\u1ea3n v\u1ec7 ho\u1eb7c h\u1ed9i ch\u1ee9ng Stevens-Johnson.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Kh\u00f4ng ph\u1ed1i h\u1ee3p ramipril v\u1edbi sacubitril\/valsartan v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 nguy c\u01a1 xu\u1ea5t hi\u1ec7n ph\u00f9 m\u1ea1ch. Hai thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00e1ch nhau t\u1ed1i thi\u1ec3u 36 gi\u1edd.<\/p>\n<p>Vi\u1ec7c d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 angiotensin II ho\u1eb7c aliskiren c\u00f3 th\u1ec3 khi\u1ebfn nguy c\u01a1 t\u1ee5t huy\u1ebft \u00e1p, t\u0103ng kali m\u00e1u v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn t\u0103ng l\u00ean.<\/p>\n<p>C\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali, ch\u1ebf ph\u1ea9m b\u1ed5 sung kali ho\u1eb7c mu\u1ed1i thay th\u1ebf ch\u1ee9a kali c\u00f3 th\u1ec3 l\u00e0m kali huy\u1ebft t\u0103ng cao khi k\u1ebft h\u1ee3p c\u00f9ng ramipril.<\/p>\n<p>Khi s\u1eed d\u1ee5ng c\u00f9ng ciclosporin, heparin, trimethoprim ho\u1eb7c cotrimoxazole c\u1ea7n theo d\u00f5i n\u1ed3ng \u0111\u1ed9 kali huy\u1ebft thanh \u0111\u1ecbnh k\u1ef3.<\/p>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u, nitrat, thu\u1ed1c g\u00e2y m\u00ea, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng ho\u1eb7c r\u01b0\u1ee3u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a ramipril.<\/p>\n<p>C\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) v\u00e0 acid acetylsalicylic c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c, \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng nguy c\u01a1 \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>Ramipril c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e0o th\u1ea3i liti, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c liti.<\/p>\n<p>Khi ph\u1ed1i h\u1ee3p v\u1edbi insulin ho\u1eb7c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng u\u1ed1ng, nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u00f3 th\u1ec3 t\u0103ng cao h\u01a1n.<\/p>\n<p>Allopurinol, corticosteroid, thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch ho\u1eb7c thu\u1ed1c \u0111\u1ed9c t\u1ebf b\u00e0o c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng xu\u1ea5t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 huy\u1ebft h\u1ecdc.<\/p>\n<p>Racecadotril, thu\u1ed1c \u1ee9c ch\u1ebf mTOR ho\u1eb7c vildagliptin khi d\u00f9ng chung v\u1edbi ramipril c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ph\u00f9 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>Giai \u0111o\u1ea1n 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3: Kh\u00f4ng khuy\u00ean d\u00f9ng. Ng\u01b0\u1eddi d\u1ef1 \u0111\u1ecbnh sinh con n\u00ean \u0111\u1ed5i sang thu\u1ed1c huy\u1ebft \u00e1p kh\u00e1c, n\u1ebfu ph\u00e1t hi\u1ec7n c\u00f3 thai ph\u1ea3i ng\u01b0ng thu\u1ed1c ngay.<\/p>\n<p>Giai \u0111o\u1ea1n 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i: C\u1ea5m d\u00f9ng tuy\u1ec7t \u0111\u1ed1i v\u00ec g\u00e2y h\u1ea1i n\u1eb7ng cho thai nhi v\u00e0 tr\u1ebb s\u01a1 sinh (h\u1ea1i th\u1eadn, \u00edt \u1ed1i, ch\u1eadm ph\u00e1t tri\u1ec3n x\u01b0\u01a1ng s\u1ecd, t\u1ee5t huy\u1ebft \u00e1p). Tr\u01b0\u1eddng h\u1ee3p l\u1ee1 u\u1ed1ng, c\u1ea7n si\u00eau \u00e2m ki\u1ec3m tra th\u1eadn, h\u1ed9p s\u1ecd c\u1ee7a thai v\u00e0 theo d\u00f5i s\u00e1t b\u00e9 sau sinh.<\/p>\n<p>Th\u1eddi k\u1ef3 cho con b\u00fa: Do ch\u01b0a r\u00f5 Ramipril c\u00f3 qua s\u1eefa m\u1eb9 hay kh\u00f4ng, t\u1ed1t nh\u1ea5t n\u00ean \u0111\u1ed5i sang thu\u1ed1c kh\u00e1c an to\u00e0n h\u01a1n, \u0111\u1eb7c bi\u1ec7t khi \u0111ang ch\u0103m tr\u1ebb sinh non ho\u1eb7c tr\u1ebb s\u01a1 sinh.<\/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>Ramipril c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p k\u00e8m theo c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 cho\u00e1ng v\u00e1ng ho\u1eb7c ch\u00f3ng m\u1eb7t, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u1ec9nh t\u00e1o v\u00e0 kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng c\u1ee7a ng\u01b0\u1eddi d\u00f9ng.<\/p>\n<p>Nh\u1eefng bi\u1ec3u hi\u1ec7n n\u00e0y d\u1ec5 g\u1eb7p h\u01a1n v\u00e0o th\u1eddi gian \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, sau khi ch\u1ec9nh t\u0103ng li\u1ec1u ho\u1eb7c khi chuy\u1ec3n sang d\u1ea1ng d\u00f9ng kh\u00e1c. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh n\u00ean th\u1eadn tr\u1ecdng khi l\u00e1i xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c trong v\u00e0i gi\u1edd sau khi d\u00f9ng thu\u1ed1c \u1edf c\u00e1c giai \u0111o\u1ea1n n\u00e0y.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Bi\u1ec3u hi\u1ec7n qu\u00e1 li\u1ec1u: Gi\u00e3n m\u1ea1ch ngo\u1ea1i vi m\u1ea1nh d\u1eabn \u0111\u1ebfn s\u1ed1c, t\u1ee5t huy\u1ebft \u00e1p n\u1eb7ng, nh\u1ecbp tim ch\u1eadm, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00e0 suy th\u1eadn.<\/p>\n<p>Bi\u1ec7n ph\u00e1p x\u1eed l\u00fd: C\u1ea7n gi\u00e1m s\u00e1t y t\u1ebf ch\u1eb7t ch\u1ebd, \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng. C\u00f3 th\u1ec3 s\u00fac ru\u1ed9t, d\u00f9ng ch\u1ea5t h\u1ea5p ph\u1ee5 \u0111\u1ec3 gi\u1ea3i \u0111\u1ed9c ban \u0111\u1ea7u. Khi c\u1ea7n \u1ed5n \u0111\u1ecbnh tu\u1ea7n ho\u00e0n, b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc d\u00f9ng angiotensin II ho\u1eb7c ch\u1ea5t ch\u1ee7 v\u1eadn adrenergic \u03b1-1. Ngo\u00e0i ra, k\u1ef9 thu\u1eadt l\u1ecdc m\u00e1u (th\u1ea9m t\u00e1ch) c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e0o th\u1ea3i ho\u1ea1t ch\u1ea5t ramiprilat ra ngo\u00e0i.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Ramipril Cap Dwp 5mg \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 Ramipril Cap Dwp 5mg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Ramipril Cap Dwp 5mg khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>Thu\u1ed1c Ramipril Cap Dwp 5mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Ramipril Cap Dwp 5mg 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, gi\u00e1 thu\u1ed1c Ramipril Cap Dwp 5mg 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 Ramipril Cap Dwp 5mg 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 Ramipril Cap Dwp 5mg nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/beynit-5mg\/\">Beynit 5mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Ramipril 5mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Me Di Sun, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch v\u00e0 b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/ramipril-gp-5mg\/\">Ramipril GP 5mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Ramipril 5mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Farmalabor-Produtos Farmac\u00eauticos, S.A, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch v\u00e0 b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Heart Outcomes Prevention Evaluation Study Investigators; Yusuf S, Sleight P, Pogue J, Bosch J, Davies R, Dagenais G (2000). Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med. Truy c\u1eadp ng\u00e0y 19 th\u00e1ng 5 n\u0103m 2026 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10639539\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/10639539\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Ramipril Cap Dwp 5mg ch\u1ee9a ramipril, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, h\u1ed7 tr\u1ee3 ph\u00f2ng ng\u1eeba bi\u1ebfn c\u1ed1 tim m\u1ea1ch v\u00e0 \u0111i\u1ec1u tr\u1ecb suy tim theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n","protected":false},"author":1,"featured_media":157775,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-157773","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\/157773","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=157773"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/157775"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=157773"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=157773"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=157773"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}