{"id":158186,"date":"2026-05-29T09:58:37","date_gmt":"2026-05-29T02:58:37","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&p=158186"},"modified":"2026-05-29T10:00:59","modified_gmt":"2026-05-29T03:00:59","slug":"zustafa-40mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/zustafa-40mg\/","title":{"rendered":"Zustafa 40mg"},"content":{"rendered":"

Trong b\u00e0i vi\u1ebft n\u00e0y,<\/b> d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Zustafa 40mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m v\u00e0 sinh h\u1ecdc y t\u1ebf c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110460023<\/b><\/p>\n

Zustafa 40mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n

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

Trong m\u1ed7i vi\u00ean u\u1ed1ng Zustafa 40mg <\/b>c\u00f3 ch\u1ee9a:<\/p>\n

    \n
  • Omeprazol: 40mg<\/li>\n
  • Natri bicarbonat: 1680mg<\/li>\n<\/ul>\n

    D\u1ea1ng b\u00e0o ch\u1ebf: Thu\u1ed1c b\u1ed9t pha h\u1ed7n d\u1ecbch<\/p>\n

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

    S\u0110K: 893110460023<\/p>\n

    Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 30 g\u00f3i x 3g<\/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 Zustafa 40mg<\/h2>\n

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

    Omeprazole l\u00e0 ho\u1ea1t ch\u1ea5t ch\u1ed1ng b\u00e0i ti\u1ebft axit d\u1ea1 d\u00e0y thu\u1ed9c d\u1eabn xu\u1ea5t benzimidazole c\u1ea5u tr\u00fac th\u1ebf. Thu\u1ed1c th\u1ec3 hi\u1ec7n t\u00e1c d\u1ee5ng th\u00f4ng qua c\u01a1 ch\u1ebf \u1ee9c ch\u1ebf \u0111\u1eb7c hi\u1ec7u v\u00e0 c\u00f3 ch\u1ecdn l\u1ecdc h\u1ec7 th\u1ed1ng enzyme H+\/K+ ATPase \u2013 hay c\u00f2n g\u1ecdi l\u00e0 b\u01a1m proton \u2013 t\u1ea1i m\u00e0ng ti\u1ebft c\u1ee7a t\u1ebf b\u00e0o th\u00e0nh d\u1ea1 d\u00e0y.<\/p>\n

    Qu\u00e1 tr\u00ecnh \u1ee9c ch\u1ebf n\u00e0y c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn li\u1ec1u d\u00f9ng, gi\u00fap k\u00ecm h\u00e3m s\u1ef1 ti\u1ebft d\u1ecbch v\u1ecb t\u1ea1i d\u1ea1 d\u00e0y. Ho\u1ea1t ch\u1ea5t kh\u00f4ng \u0111\u1ed3ng th\u1eddi th\u1ec3 hi\u1ec7n \u0111\u1eb7c t\u00ednh kh\u00e1ng th\u1ee5 th\u1ec3 histamine H2 ho\u1eb7c kh\u00e1ng cholinergic.<\/p>\n

    Do \u0111\u1eb7c t\u00ednh k\u00e9m b\u1ec1n v\u00e0 nhanh ch\u00f3ng b\u1ecb ph\u00e2n h\u1ee7y trong m\u00f4i tr\u01b0\u1eddng acid d\u1ecbch v\u1ecb, thu\u1ed1c ph\u1ed1i h\u1ee3p th\u00ean th\u00e0nh ph\u1ea7n Natri bicarbonate. S\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a ch\u1ea5t ki\u1ec1m n\u00e0y \u0111\u00f3ng vai tr\u00f2 trung h\u00f2a v\u00e0 n\u00e2ng cao ch\u1ec9 s\u1ed1 pH d\u1ea1 d\u00e0y, t\u1ea1o m\u00e0ng b\u1ecdc b\u1ea3o v\u1ec7 t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a c\u1ea5u tr\u00fac Omeprazole, t\u1eeb \u0111\u00f3 gi\u00fap ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng t\u1ee9c th\u1eddi \u0111\u1ec3 ph\u00e1t huy t\u1ed1i \u0111a hi\u1ec7u n\u0103ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n

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

    H\u1ea5p thu: Qu\u00e1 tr\u00ecnh h\u1ea5p thu omeprazol di\u1ec5n ra nhanh ch\u00f3ng khi ng\u01b0\u1eddi b\u1ec7nh s\u1eed d\u1ee5ng d\u1ea1ng h\u1ed7n d\u1ecbch u\u1ed1ng l\u00fac d\u1ea1 d\u00e0y tr\u1ed1ng (t\u1ed1i thi\u1ec3u 1 gi\u1edd tr\u01b0\u1edbc b\u1eefa \u0103n). Sau khi d\u00f9ng li\u1ec1u \u0111\u01a1n ho\u1eb7c li\u1ec1u l\u1eb7p l\u1ea1i, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trung b\u00ecnh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t kho\u1ea3ng 1954 ng\/ml, v\u1edbi th\u1eddi gian \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a x\u1ea5p x\u1ec9 30 ph\u00fat (bi\u1ebfn thi\u00ean trong kho\u1ea3ng 10 – 90 ph\u00fat). Do x\u1ea3y ra qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a b\u01b0\u1edbc \u0111\u1ea7u qua gan m\u1ea1nh tr\u01b0\u1edbc khi v\u00e0o tu\u1ea7n ho\u00e0n h\u1ec7 th\u1ed1ng, sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i c\u1ee7a thu\u1ed1c ghi nh\u1eadn trong kho\u1ea3ng 30 – 40%. Di\u1ec7n t\u00edch d\u01b0\u1edbi \u0111\u01b0\u1eddng cong (AUC) c\u1ee7a omeprazol t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi m\u1ee9c li\u1ec1u trong kho\u1ea3ng 20 – 40 mg. Tuy nhi\u00ean, khi t\u0103ng li\u1ec1u l\u00ean g\u1ea5p \u0111\u00f4i (m\u1ee9c 40 mg), ch\u1ec9 s\u1ed1 AUC trung b\u00ecnh t\u0103ng v\u01b0\u1ee3t tr\u1ed9i (g\u1ea5p 2 l\u1ea7n). \u0110\u1ed3ng th\u1eddi, sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c c\u00f3 xu h\u01b0\u1edbng t\u0103ng l\u00ean sau c\u00e1c li\u1ec1u d\u00f9ng l\u1eb7p l\u1ea1i. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu u\u1ed1ng thu\u1ed1c v\u00e0o th\u1eddi \u0111i\u1ec3m 1 gi\u1edd sau khi \u0103n, gi\u00e1 tr\u1ecb AUC b\u1ecb suy gi\u1ea3m kho\u1ea3ng 24% so v\u1edbi khi u\u1ed1ng l\u00fac \u0111\u00f3i.<\/p>\n

    Ph\u00e2n b\u1ed1: Kh\u1ea3 n\u0103ng li\u00ean k\u1ebft c\u1ee7a omeprazol v\u1edbi c\u00e1c protein huy\u1ebft t\u01b0\u01a1ng \u1edf m\u1ee9c cao, ~95%.<\/p>\n

    Chuy\u1ec3n h\u00f3a: Ph\u1ea7n l\u1edbn li\u1ec1u d\u00f9ng (x\u1ea5p x\u1ec9 77%) \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a (\u00edt nh\u1ea5t 6 ch\u1ea5t \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh). C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a n\u00e0y h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 ho\u1eb7c ch\u1ec9 c\u00f3 ho\u1ea1t t\u00ednh kh\u00e1ng ti\u1ebft axit \u1edf m\u1ee9c r\u1ea5t th\u1ea5p. L\u01b0\u1ee3ng thu\u1ed1c c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft nguy\u00ean v\u1eb9n ho\u1eb7c d\u01b0\u1edbi d\u1ea1ng chuy\u1ec3n h\u00f3a qua ph\u00e2n.<\/p>\n

    Th\u1ea3i tr\u1eeb: H\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 ho\u1eb7c c\u00f3 r\u1ea5t \u00edt l\u01b0\u1ee3ng ho\u1ea1t ch\u1ea5t g\u1ed1c ch\u01b0a bi\u1ebfn \u0111\u1ed5i xu\u1ea5t hi\u1ec7n trong n\u01b0\u1edbc ti\u1ec3u. \u1ede nh\u1eefng c\u00e1 th\u1ec3 kh\u1ecfe m\u1ea1nh, th\u1eddi gian b\u00e1n th\u1ea3i t1\/2 trung b\u00ecnh c\u1ee7a omeprazol trong huy\u1ebft t\u01b0\u01a1ng r\u01a1i v\u00e0o kho\u1ea3ng 1 gi\u1edd (dao \u0111\u1ed9ng t\u1eeb 0,4 \u0111\u1ebfn 3,2 gi\u1edd). H\u1ec7 s\u1ed1 thanh th\u1ea3i to\u00e0n th\u00e2n c\u1ee7a thu\u1ed1c \u0111\u1ea1t m\u1ee9c 500 – 600 ml\/ph\u00fat.<\/p>\n

    Thu\u1ed1c Zustafa 40mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n

    Lo\u00e9t t\u00e1 tr\u00e0ng: \u0110i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n c\u00e1c t\u00ecnh tr\u1ea1ng lo\u00e9t ti\u1ebfn tri\u1ec3n \u1edf h\u00e0nh t\u00e1 tr\u00e0ng (th\u1eddi gian \u00e1p d\u1ee5ng t\u1eeb 4 \u0111\u1ebfn 8 tu\u1ea7n).<\/p>\n

    Lo\u00e9t d\u1ea1 d\u00e0y l\u00e0nh t\u00ednh: Tr\u1ecb li\u1ec7u ng\u1eafn h\u1ea1n cho b\u1ec7nh nh\u00e2n m\u1eafc lo\u00e9t d\u1ea1 d\u00e0y th\u1ec3 l\u00e0nh t\u00ednh (th\u1eddi gian k\u00e9o d\u00e0i t\u1eeb 4 \u0111\u1ebfn 8 tu\u1ea7n).<\/p>\n

    GERD:<\/p>\n

      \n
    • X\u1eed l\u00fd tri\u1ec7u ch\u1ee9ng: Ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng \u1ee3 n\u00f3ng v\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng li\u00ean quan do h\u1ed9i ch\u1ee9ng GERD g\u00e2y ra trong th\u1eddi gian 4 tu\u1ea7n.<\/li>\n
    • Vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n: \u0110i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n (t\u1eeb 4 \u0111\u1ebfn 8 tu\u1ea7n) cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c chu\u1ea9n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng sau 8 tu\u1ea7n, li\u1ec7u tr\u00ecnh c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u00eam t\u1ed1i \u0111a 4 tu\u1ea7n. N\u1ebfu xu\u1ea5t hi\u1ec7n \u0111\u1ee3t t\u00e1i ph\u00e1t vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n ho\u1eb7c t\u00e1i di\u1ec5n c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan (\u1ee3 n\u00f3ng), c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh th\u00eam m\u1ed9t \u0111\u1ee3t tr\u1ecb li\u1ec7u t\u1eeb 4 \u0111\u1ebfn 8 tu\u1ea7n.<\/li>\n<\/ul>\n

      \u0110i\u1ec1u tr\u1ecb duy tr\u00ec: Ki\u1ec3m so\u00e1t v\u00e0 duy tr\u00ec tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh sau khi \u0111\u00e3 l\u00e0m l\u00e0nh c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n. Th\u1eddi gian d\u00f9ng thu\u1ed1c duy tr\u00ec theo c\u00e1c nghi\u00ean c\u1ee9u c\u00f3 ki\u1ec3m so\u00e1t kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 12 th\u00e1ng.<\/p>\n

      D\u1ef1 ph\u00f2ng xu\u1ea5t huy\u1ebft: Gi\u1ea3m thi\u1ec3u nguy c\u01a1 x\u1ea3y ra bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch (h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c).<\/p>\n

      \"Zustafa
      Zustafa 40mg gi\u00fap gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb GERD v\u00e0 lo\u00e9t ti\u00eau h\u00f3a<\/figcaption><\/figure>\n

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

      Li\u1ec1u d\u00f9ng<\/h3>\n\n\n\n\n\n\n\n\n\n
      Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/td>\nLi\u1ec1u l\u01b0\u1ee3ng<\/strong><\/td>\nLi\u1ec7u tr\u00ecnh s\u1eed d\u1ee5ng<\/strong><\/td>\n<\/tr>\n
      \u0110i\u1ec1u tr\u1ecb li\u1ec7u ng\u1eafn h\u1ea1n lo\u00e9t t\u00e1 tr\u00e0ng ti\u1ebfn tri\u1ec3n<\/strong><\/td>\n20mg\/l\u1ea7n\/ng\u00e0y<\/td>\nS\u1eed d\u1ee5ng li\u00ean t\u1ee5c trong 4 tu\u1ea7n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u00e1p \u1ee9ng ch\u1eadm c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u00eam 4 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/td>\n<\/tr>\n
      Ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c (GERD) kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n<\/strong><\/td>\n\u00c1p d\u1ee5ng trong th\u1eddi gian l\u00ean \u0111\u1ebfn 4 tu\u1ea7n.<\/td>\n<\/tr>\n
      \u0110i\u1ec1u tr\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n (\u0111\u00e3 n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n)<\/strong><\/td>\nDuy tr\u00ec \u0111\u1ec1u \u0111\u1eb7n t\u1eeb 4 \u0111\u1ebfn 8 tu\u1ea7n.<\/td>\n<\/tr>\n
      Duy tr\u00ec sau khi ch\u1eefa l\u00e0nh vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n<\/strong><\/td>\nNghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng khuy\u1ebfn c\u00e1o kh\u00f4ng d\u00f9ng qu\u00e1 12 th\u00e1ng.<\/td>\n<\/tr>\n
      \u0110i\u1ec1u tr\u1ecb li\u1ec7u lo\u00e9t d\u1ea1 d\u00e0y l\u00e0nh t\u00ednh<\/strong><\/td>\n40mg\/l\u1ea7n\/ng\u00e0y<\/td>\nK\u00e9o d\u00e0i t\u1eeb 4 \u0111\u1ebfn 8 tu\u1ea7n t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 l\u00e0nh v\u1ebft lo\u00e9t.<\/td>\n<\/tr>\n
      D\u1ef1 ph\u00f2ng xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean \u1edf b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c nguy k\u1ecbch<\/strong><\/td>\nKh\u1edfi \u0111\u1ea7u: 40 mg.<\/p>\n

      Ti\u1ebfp theo: 40 mg m\u1ed7i 6 – 8 gi\u1edd trong ng\u00e0y \u0111\u1ea7u. Sau \u0111\u00f3: 40 mg \/ ng\u00e0y.<\/td>\n

      		Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng khuy\u1ebfn c\u00e1o kh\u00f4ng d\u00f9ng qu\u00e1 12 th\u00e1ng.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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

      Vi\u00ean Zustafa 40mg<\/strong> \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, khi \u0111\u00f3i, tr\u01b0\u1edbc b\u1eefa \u0103n \u00edt nh\u1ea5t 1 gi\u1edd<\/p>\n

      Kh\u00f4ng pha thu\u1ed1c v\u1edbi th\u1ee9c \u0103n ho\u1eb7c c\u00e1c lo\u1ea1i n\u01b0\u1edbc kh\u00e1c ngo\u00e0i n\u01b0\u1edbc s\u1ea1ch.<\/p>\n

      Kh\u00f4ng thay th\u1ebf 2 g\u00f3i lo\u1ea1i 20mg b\u1eb1ng 1 g\u00f3i Zustafa 40mg ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i.<\/p>\n

      N\u1ebfu d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng: Khu\u1ea5y \u0111\u1ec1u 1 g\u00f3i thu\u1ed1c v\u1edbi 1\u20132 mu\u1ed7ng canh n\u01b0\u1edbc v\u00e0 u\u1ed1ng ngay. Tr\u00e1ng l\u1ea1i c\u1ed1c b\u1eb1ng m\u1ed9t \u00edt n\u01b0\u1edbc r\u1ed3i u\u1ed1ng h\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 li\u1ec1u.<\/p>\n

      N\u1ebfu d\u00f9ng qua \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y (NG\/OG): T\u1ea1m d\u1eebng nu\u00f4i \u0103n qua \u1ed1ng 3 gi\u1edd tr\u01b0\u1edbc v\u00e0 1 gi\u1edd sau khi d\u00f9ng thu\u1ed1c. H\u00f2a g\u00f3i thu\u1ed1c v\u1edbi 20 ml n\u01b0\u1edbc, khu\u1ea5y \u0111\u1ec1u r\u1ed3i d\u00f9ng b\u01a1m ti\u00eam truy\u1ec1n ngay v\u00e0o \u1ed1ng. Tr\u00e1ng l\u1ea1i \u1ed1ng th\u00f4ng b\u1eb1ng 20 ml n\u01b0\u1edbc s\u1ea1ch.<\/p>\n

      Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Zustafa 40mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n

      Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi v\u1edbi ho\u1ea1t ch\u1ea5t Omeprazol, Natri bicarbonat ho\u1eb7c t\u00e1 d\u01b0\u1ee3c n\u00e0o Xylitol, sucralose, xanthan gum,…. c\u00f3 trong Zustafa 40mg<\/p>\n

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

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

      N\u1ed9i soi ki\u1ec3m tra \u0111\u1ec3 lo\u1ea1i tr\u1eeb ung th\u01b0 d\u1ea1 d\u00e0y n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i ho\u1eb7c b\u1ecb t\u00e1i ph\u00e1t tri\u1ec7u ch\u1ee9ng s\u1edbm v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m che l\u1ea5p bi\u1ec3u hi\u1ec7n b\u1ec7nh \u00e1c t\u00ednh<\/p>\n

      T\u00ednh to\u00e1n l\u1ea1i l\u01b0\u1ee3ng mu\u1ed1i n\u1ea1p v\u00e0o c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi \u0111ang \u0103n ki\u00eang natri do m\u1ed7i g\u00f3i thu\u1ed1c ch\u1ee9a \u0111\u1ebfn 1680 mg natri bicarbonat<\/p>\n

      C\u1ea9n tr\u1ecdng theo d\u00f5i khi d\u00f9ng cho ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng Bartter, ng\u01b0\u1eddi b\u1ecb h\u1ea1 kali, h\u1ea1 calci ho\u1eb7c r\u1ed1i lo\u1ea1n ki\u1ec1m toan<\/p>\n

      Kh\u00f4ng u\u1ed1ng thu\u1ed1c k\u00e9o d\u00e0i chung v\u1edbi calci ho\u1eb7c s\u1eefa \u0111\u1ec3 ph\u00f2ng tr\u00e1nh h\u1ed9i ch\u1ee9ng s\u1eefa ki\u1ec1m, nhi\u1ec5m ki\u1ec1m to\u00e0n th\u00e2n v\u00e0 ph\u00f9 n\u1ec1<\/p>\n

      D\u1eebng thu\u1ed1c ngay l\u1eadp t\u1ee9c n\u1ebfu c\u01a1 th\u1ec3 ti\u1ebfn tri\u1ec3n t\u00ecnh tr\u1ea1ng vi\u00eam th\u1eadn k\u1ebd c\u1ea5p t\u00ednh<\/p>\n

      \u01afu ti\u00ean d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t trong th\u1eddi gian ng\u1eafn nh\u1ea5t \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng do lo\u00e3ng x\u01b0\u01a1ng khi ph\u1ea3i \u0111i\u1ec1u tr\u1ecb tr\u00ean 1 n\u0103m<\/p>\n

      Ng\u1eebng thu\u1ed1c v\u00e0 b\u00e1o b\u00e1c s\u0129 n\u1ebfu b\u1ecb ph\u00e1t ban, \u0111au kh\u1edbp ho\u1eb7c gi\u1ea3m b\u1ea1ch c\u1ea7u \u0111\u1ec3 ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng lupus ban \u0111\u1ecf<\/p>\n

      T\u1ea1m d\u1eebng u\u1ed1ng thu\u1ed1c tr\u01b0\u1edbc khi l\u00e0m x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n u th\u1ea7n kinh n\u1ed9i ti\u1ebft \u0111\u1ec3 tr\u00e1nh l\u00e0m sai l\u1ec7ch k\u1ebft qu\u1ea3 Chromogranin A<\/p>\n

      Tr\u00e1nh d\u00f9ng thu\u1ed1c n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c h\u1ed9i ch\u1ee9ng di truy\u1ec1n v\u1ec1 kh\u00f4ng dung n\u1ea1p fructose, k\u00e9m h\u1ea5p thu glucose-galactose ho\u1eb7c thi\u1ebfu men sucrase-isomaltase do c\u00f4ng th\u1ee9c c\u00f3 ch\u1ee9a sucrose<\/p>\n

      \u0110ang thi\u1ebfu d\u1eef li\u1ec7u v\u1ec1 thu\u1ed1c tr\u00ean tr\u1ebb d\u01b0\u1edbi 18<\/p>\n

      T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n

      To\u00e0n th\u00e2n: S\u1ed1c ph\u1ea3n v\u1ec7, ph\u00f9 m\u1ea1ch, co th\u1eaft ph\u1ebf qu\u1ea3n, n\u1ed5i m\u00e0y \u0111ay, m\u1ec7t m\u1ecfi, s\u1ed1t.<\/p>\n

      Ti\u00eau h\u00f3a: Vi\u00eam t\u1ee5y (c\u00f3 ca t\u1eed vong), kh\u00f4 mi\u1ec7ng, vi\u00eam m\u00f4i\/mi\u1ec7ng, teo gai l\u01b0\u1ee1i, u carcinoid d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng (\u1edf ng\u01b0\u1eddi c\u00f3 h\u1ed9i ch\u1ee9ng Zollinger-Ellison d\u00f9ng d\u00e0i ng\u00e0y).<\/p>\n

      Gan m\u1eadt: Vi\u00eam t\u1ebf b\u00e0o gan, \u1ee9 m\u1eadt, ho\u1ea1i t\u1eed gan, suy gan v\u00e0 b\u1ec7nh n\u00e3o do gan (c\u00f3 ca t\u1eed vong).<\/p>\n

      C\u01a1 x\u01b0\u01a1ng kh\u1edbp: \u0110au c\u01a1, \u0111au kh\u1edbp, chu\u1ed9t r\u00fat, y\u1ebfu c\u01a1, \u0111au ch\u00e2n.<\/p>\n

      Th\u1ea7n kinh\/T\u00e2m th\u1ea7n: Tr\u1ea7m c\u1ea3m, hoang t\u01b0\u1edfng, hung h\u0103ng, l\u00fa l\u1eabn, m\u1ea5t ng\u1ee7, ng\u1ee7 g\u00e0, run r\u1ea9y, d\u1ecb c\u1ea3m m\u1eb7t.<\/p>\n

      Da li\u1ec5u: H\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed t\u1eed ban \u0111\u1ed9c t\u00ednh (c\u00f3 ca t\u1eed vong), h\u1ed3ng ban \u0111a d\u1ea1ng, r\u1ee5ng t\u00f3c, nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng.<\/p>\n

      Gi\u00e1c quan: \u00d9 tai, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, nh\u00ecn m\u1edd, kh\u00f4 m\u1eaft, teo ho\u1eb7c vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c, song th\u1ecb.<\/p>\n

      Ti\u1ebft ni\u1ec7u – Sinh d\u1ee5c: Ti\u1ec3u m\u00e1u, ti\u1ec3u m\u1ee7 vi th\u1ec3, t\u0103ng creatinin huy\u1ebft t\u01b0\u01a1ng, ti\u1ec3u \u0111\u01b0\u1eddng, \u0111au tinh ho\u00e0n, ch\u1ee9ng v\u00fa to \u1edf nam gi\u1edbi.<\/p>\n

      M\u00e1u: Gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t (c\u00f3 ca t\u1eed vong), gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, thi\u1ebfu m\u00e1u tan m\u00e1u.<\/p>\n

      Do th\u00e0nh ph\u1ea7n Natri bicarbonat: Nhi\u1ec5m ki\u1ec1m chuy\u1ec3n h\u00f3a, co gi\u1eadt, co c\u1ee9ng c\u01a1.<\/p>\n

      T\u01b0\u01a1ng t\u00e1c<\/h3>\n

      Thu\u1ed1c b\u1ecb \u1ea3nh h\u01b0\u1edfng do t\u0103ng pH d\u1ea1 d\u00e0y: Gi\u1ea3m h\u1ea5p thu ketoconazol, erlotinib, mu\u1ed1i s\u1eaft, atazanavir, nelfinavir v\u00e0 mycophenolat mofetil (MMF – \u0111\u1eb7c bi\u1ec7t c\u1ea7n th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n gh\u00e9p t\u1ea1ng). Ng\u01b0\u1ee3c l\u1ea1i, l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 digoxin v\u00e0 saquinavir trong m\u00e1u (c\u1ea7n theo d\u00f5i s\u00e1t v\u00e0 c\u00e2n nh\u1eafc gi\u1ea3m li\u1ec1u saquinavir).<\/p>\n

      Thu\u1ed1c chuy\u1ec3n h\u00f3a qua men gan (CYP450): K\u00e9o d\u00e0i th\u1eddi gian th\u1ea3i tr\u1eeb v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 diazepam, phenytoin, warfarin, cyclosporin, disulfiram v\u00e0 c\u00e1c benzodiazepin kh\u00e1c. Ph\u1ed1i h\u1ee3p v\u1edbi warfarin c\u00f3 nguy c\u01a1 t\u0103ng INR v\u00e0 th\u1eddi gian prothrombin g\u00e2y ch\u1ea3y m\u00e1u nguy hi\u1ec3m ho\u1eb7c t\u1eed vong (b\u1eaft bu\u1ed9c theo d\u00f5i \u0111\u1ecbnh k\u1ef3). T\u01b0\u01a1ng t\u00e1c kh\u00f4ng x\u1ea3y ra v\u1edbi theophylin v\u00e0 propranolol.<\/p>\n

      Thu\u1ed1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn omeprazol: Voriconazol l\u00e0m t\u0103ng g\u1ea5p \u0111\u00f4i n\u1ed3ng \u0111\u1ed9 omeprazol (th\u01b0\u1eddng kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u). Ng\u01b0\u1ee3c l\u1ea1i, rifampin v\u00e0 c\u1ecf St. John’s l\u00e0m gi\u1ea3m m\u1ea1nh n\u1ed3ng \u0111\u1ed9 omeprazol, c\u1ea7n tr\u00e1nh ph\u1ed1i h\u1ee3p chung.<\/p>\n

      Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1ed1i h\u1ee3p: Tr\u00e1nh d\u00f9ng c\u00f9ng atazanavir, nelfinavir v\u00ec l\u00e0m gi\u1ea3m hi\u1ec7u l\u1ef1c kh\u00e1ng retrovirus. Kh\u00f4ng d\u00f9ng chung v\u1edbi clarithromycin do nguy c\u01a1 g\u00e2y ph\u1ea3n \u1ee9ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/p>\n

      C\u00e1c ph\u1ed1i h\u1ee3p c\u1ea7n tr\u00e1nh ho\u1eb7c theo d\u00f5i s\u00e1t: Tr\u00e1nh d\u00f9ng v\u1edbi clopidogrel v\u00ec omeprazol \u1ee9c ch\u1ebf CYP2C19 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 kh\u00e1ng ti\u1ec3u c\u1ea7u. Theo d\u00f5i s\u00e1t tacrolimus v\u00e0 methotrexat (nh\u1ea5t l\u00e0 li\u1ec1u cao) do omeprazol l\u00e0m t\u0103ng cao v\u00e0 k\u00e9o d\u00e0i n\u1ed3ng \u0111\u1ed9 c\u00e1c thu\u1ed1c n\u00e0y trong m\u00e1u, d\u1ec5 g\u00e2y \u0111\u1ed9c t\u00ednh.<\/p>\n

      L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n

      Th\u1eddi k\u1ef3 mang thai: Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7 cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y. D\u1eef li\u1ec7u d\u1ecbch t\u1ec5 kh\u00f4ng cho th\u1ea5y omeprazol l\u00e0m t\u0103ng d\u1ecb t\u1eadt b\u1ea9m sinh trong 3 th\u00e1ng \u0111\u1ea7u, v\u00e0 th\u1eed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng g\u00e2y qu\u00e1i thai. Tuy nhi\u00ean, li\u1ec1u cao esomeprazol \u1edf chu\u1ed9t g\u00e2y thay \u0111\u1ed5i h\u00ecnh th\u00e1i x\u01b0\u01a1ng c\u1ee7a con trong thai k\u1ef3 v\u00e0 ph\u00e2n b\u00e0o. V\u00ec v\u1eady, ch\u1ec9 s\u1eed d\u1ee5ng ZUSTAFA cho thai ph\u1ee5 khi l\u1ee3i \u00edch c\u1ee7a m\u1eb9 v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1 \u0111\u1ed1i v\u1edbi thai nhi.<\/p>\n

      Th\u1eddi k\u1ef3 cho con b\u00fa: Omeprazol \u0111\u01b0\u1ee3c ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 (n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh \u00edt h\u01a1n 7% n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh m\u1eb9). Do nguy c\u01a1 g\u00e2y ph\u1ea3n \u1ee9ng ph\u1ee5 nghi\u00eam tr\u1ecdng \u1edf tr\u1ebb v\u00e0 nguy c\u01a1 g\u00e2y u \u0111\u00e3 ghi nh\u1eadn tr\u00ean chu\u1ed9t, c\u1ea7n c\u00e2n nh\u1eafc ng\u01b0ng cho con b\u00fa ho\u1eb7c ng\u01b0ng thu\u1ed1c t\u00f9y theo t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eb9. Ngo\u00e0i ra, c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng th\u00e0nh ph\u1ea7n natri bicarbonat \u1edf ph\u1ee5 n\u1eef cho con b\u00fa.<\/p>\n

      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

      Ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng cho th\u1ea5y thu\u1ed1c g\u00e2y t\u00e1c \u0111\u1ed9ng b\u1ea5t l\u1ee3i \u0111\u1ebfn kh\u1ea3 n\u0103ng t\u1ef1 l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh c\u00e1c lo\u1ea1i m\u00e1y m\u00f3c.<\/p>\n

      Tuy nhi\u00ean, ng\u01b0\u1eddi d\u00f9ng c\u1ea7n \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o th\u1eadn tr\u1ecdng tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n c\u00e1c c\u00f4ng vi\u1ec7c n\u00e0y do thu\u1ed1c c\u00f3 nguy c\u01a1 g\u00e2y ra c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i nh\u01b0 bu\u1ed3n ng\u1ee7, m\u1ec7t m\u1ecfi ho\u1eb7c run r\u1ea9y.<\/p>\n

      Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n

      Tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u omeprazol: Xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ec3u hi\u1ec7n tho\u00e1ng qua khi d\u00f9ng li\u1ec1u cao t\u1edbi 2400 mg (g\u1ea5p 120 l\u1ea7n th\u00f4ng th\u01b0\u1eddng) bao g\u1ed3m l\u00fa l\u1eabn, ng\u1ee7 g\u00e0, nh\u1ee9c \u0111\u1ea7u, m\u1edd m\u1eaft, nh\u1ecbp tim nhanh, \u0111\u1ecf b\u1eebng m\u1eb7t, v\u00e3 m\u1ed3 h\u00f4i, kh\u00f4 mi\u1ec7ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. Th\u1eed nghi\u1ec7m li\u1ec1u g\u00e2y ch\u1ebft \u1edf \u0111\u1ed9ng v\u1eadt ghi nh\u1eadn t\u00ecnh tr\u1ea1ng an th\u1ea7n, sa m\u00ed m\u1eaft, gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng, run, co gi\u1eadt, h\u1ea1 th\u00e2n nhi\u1ec7t v\u00e0 suy h\u00f4 h\u1ea5p.<\/p>\n

      Tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u natri bicarbonat: C\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i nh\u01b0 t\u0103ng natri m\u00e1u, h\u1ea1 kali m\u00e1u, h\u1ea1 calci m\u00e1u v\u00e0 d\u1eabn \u0111\u1ebfn co gi\u1eadt.<\/p>\n

      Bi\u1ec7n ph\u00e1p x\u1eed tr\u00ed: Kh\u00f4ng c\u00f3 ch\u1ea5t gi\u1ea3i \u0111\u1ed9c Zustafa \u0111\u1eb7c hi\u1ec7u. Do omeprazol g\u1eafn k\u1ebft r\u1ea5t m\u1ea1nh v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng n\u00ean ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u (th\u1ea9m t\u00e1ch) kh\u00f4ng mang l\u1ea1i hi\u1ec7u qu\u1ea3. Khi x\u1ea3y ra qu\u00e1 li\u1ec1u, ch\u1ee7 y\u1ebfu ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 v\u00e0 x\u1eed l\u00fd theo tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

      B\u1ea3o qu\u1ea3n<\/h3>\n

      Gi\u1eef Zustafa 40mg \u1edf n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t (<30\u2103), tr\u00e1nh \u00e1nh n\u1eafng qu\u00e1 m\u1ea1nh t\u1eeb m\u1eb7t tr\u1eddi<\/p>\n

      Kh\u00f4ng \u0111\u1ec3 Zustafa 40mg trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n

      Kh\u00f4ng s\u1eed d\u1ee5ng Zustafa 40mg khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n

      Thu\u1ed1c Zustafa 40mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n

      Zustafa 40mg 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 Zustafa 40mg 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

      Tr\u01b0\u1eddng h\u1ee3p Zustafa 40mg 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 Zustafa 40mg nh\u01b0:<\/p>\n

      Gabsol 40mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Omeprazol v\u00e0 Natri bicarbonat, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n D\u01b0\u1ee3c Enlie, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb GERD v\u00e0 lo\u00e9t ti\u00eau h\u00f3a<\/p>\n

      Fogicap 40 <\/a>c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Omeprazol v\u00e0 Natri bicarbonat, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n D\u01b0\u1ee3c Enlie, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb GERD v\u00e0 lo\u00e9t ti\u00eau h\u00f3a<\/p>\n

      T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
        \n
      1. T\u1edd H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Zustafa 40mg \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t. Xem v\u00e0 t\u1ea3i v\u1ec1 b\u1ea3n PDF \u0111\u1ea7y \u0111\u1ee7 t\u1ea1i \u0111\u00e2y.<\/a> Truy c\u1eadp ng\u00e0y 29 th\u00e1ng 05 n\u0103m 2026 t\u1eeb: https:\/\/dichvucong.dav.gov.vn\/congbothuoc<\/a><\/li>\n
      2. Higuera-de-la-Tijera F (2018). Efficacy of omeprazole\/sodium bicarbonate treatment in gastroesophageal reflux disease: a systematic review. Medwave. Truy c\u1eadp ng\u00e0y 29 th\u00e1ng 05 n\u0103m 2026 t\u1eeb: https:\/\/pubmed.ncbi.nlm.nih.gov\/29547594\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        Zustafa 40mg ch\u1ee9a Omeprazol v\u00e0 Natri bicarbonat, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng, b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, vi\u00eam th\u1ef1c qu\u1ea3n v\u00e0 d\u1ef1 ph\u00f2ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/p>\n","protected":false},"author":1,"featured_media":158196,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-158186","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\/158186","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=158186"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/158196"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=158186"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=158186"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=158186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}