{"id":159788,"date":"2026-07-06T12:22:10","date_gmt":"2026-07-06T05:22:10","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=159788"},"modified":"2026-07-06T12:24:03","modified_gmt":"2026-07-06T05:24:03","slug":"contisor-2-5","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/contisor-2-5\/","title":{"rendered":"Contisor 2.5"},"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 Contisor 2.5 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m Fremed c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110199323<\/b><\/p>\n<h2>Contisor 2.5 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i vi\u00ean <b>Contisor 2.5<\/b> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Bisoprolol fumarate: 2,5mg.<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7: Opadry II white, crospovidone (type B), microcrystalline cellulose 112, colloidal silicone dioxide v\u00e0 magnesium stearate.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 893110199323<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 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 Contisor 2.5<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a bisoprolol d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng phong b\u1ebf \u01b0u ti\u00ean th\u1ee5 th\u1ec3 beta1-adrenergic. Thu\u1ed1c g\u1ea7n nh\u01b0 kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh k\u00edch th\u00edch giao c\u1ea3m n\u1ed9i t\u1ea1i v\u00e0 ch\u1ec9 bi\u1ec3u hi\u1ec7n r\u1ea5t \u00edt t\u00e1c d\u1ee5ng \u1ed5n \u0111\u1ecbnh m\u00e0ng. Nh\u1edd \u00e1i l\u1ef1c th\u1ea5p \u0111\u1ed1i v\u1edbi th\u1ee5 th\u1ec3 beta2 t\u1ea1i c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n, h\u1ec7 m\u1ea1ch v\u00e0 c\u00e1c m\u00f4 li\u00ean quan \u0111\u1ebfn chuy\u1ec3n h\u00f3a, bisoprolol nh\u00ecn chung \u00edt l\u00e0m thay \u0111\u1ed5i ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p ho\u1eb7c chuy\u1ec3n h\u00f3a. \u0110\u1eb7c t\u00ednh ch\u1ecdn l\u1ecdc \u0111\u1ed1i v\u1edbi beta1 \u0111\u01b0\u1ee3c duy tr\u00ec trong su\u1ed1t d\u1ea3i li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: C\u01a1 th\u1ec3 h\u1ea5p thu t\u1ed1t ho\u1ea1t ch\u1ea5t sau khi u\u1ed1ng, \u0111\u1ea1t t\u1ef7 l\u1ec7 sinh kh\u1ea3 d\u1ee5ng x\u1ea5p x\u1ec9 90%.<\/p>\n<p>Ph\u00e2n b\u1ed1: Thu\u1ed1c c\u00f3 th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 Bisoprolol \u1edf m\u1ee9c 3,5 l\u00edt\/kg v\u1edbi kh\u1ea3 n\u0103ng li\u00ean k\u1ebft c\u00e1c protein c\u00f3 trong huy\u1ebft t\u01b0\u01a1ng r\u01a1i v\u00e0o kho\u1ea3ng 30%.<\/p>\n<p>Chuy\u1ec3n h\u00f3a &amp; Th\u1ea3i tr\u1eeb: Qu\u00e1 tr\u00ecnh \u0111\u00e0o th\u1ea3i \u0111\u01b0\u1ee3c chia \u0111\u1ec1u qua hai con \u0111\u01b0\u1eddng: M\u1ed9t n\u1eeda \u0111\u01b0\u1ee3c gan x\u1eed l\u00fd th\u00e0nh c\u00e1c d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a m\u1ea5t ho\u1ea1t t\u00ednh r\u1ed3i qua th\u1eadn \u0111i ra ngo\u00e0i; n\u1eeda c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c th\u1eadn b\u00e0i ti\u1ebft tr\u1ef1c ti\u1ebfp d\u01b0\u1edbi d\u1ea1ng nguy\u00ean v\u1eb9n. Ch\u1ec9 s\u1ed1 thanh th\u1ea3i to\u00e0n ph\u1ea7n \u0111\u1ea1t kho\u1ea3ng 15 l\u00edt\/gi\u1edd. V\u1edbi th\u1eddi gian b\u00e1n th\u1ea3i trong huy\u1ebft t\u01b0\u01a1ng k\u00e9o d\u00e0i t\u1eeb 10 \u0111\u1ebfn 12 ti\u1ebfng, thu\u1ed1c \u0111\u1ea3m b\u1ea3o duy tr\u00ec hi\u1ec7u n\u0103ng b\u1ea3o v\u1ec7 su\u1ed1t 24 gi\u1edd ch\u1ec9 v\u1edbi m\u1ed9t l\u1ea7n u\u1ed1ng m\u1ed7i ng\u00e0y.<\/p>\n<h2>Thu\u1ed1c Contisor 2.5 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>Ng\u01b0\u1eddi m\u1eafc ch\u1ee9ng \u0111au th\u1eaft ng\u1ef1c m\u1ea1n t\u00ednh \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ecb suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh \u0111i k\u00e8m hi\u1ec7n t\u01b0\u1ee3ng suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu c\u1ee7a th\u1ea5t tr\u00e1i (\u00e1p d\u1ee5ng ph\u1ed1i h\u1ee3p c\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n v\u00e0 c\u00e1c glycosid tim).<\/p>\n<figure id=\"attachment_159861\" aria-describedby=\"caption-attachment-159861\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-159861\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Contisor-2-5.jpg\" alt=\"Contisor 2.5\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Contisor-2-5.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Contisor-2-5-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Contisor-2-5-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Contisor-2-5-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Contisor-2-5-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-159861\" class=\"wp-caption-text\">Thu\u1ed1c Contisor 2.5 tr\u1ecb cao huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh v\u00e0 suy tim<\/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><b>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 \u0111au th\u1eaft ng\u1ef1c m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh (li\u1ec1u t\u00ednh theo vi\u00ean h\u00e0m l\u01b0\u1ee3ng 2,5mg)<\/b><\/p>\n<p>Li\u1ec1u l\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a cho t\u1eebng ng\u01b0\u1eddi. M\u1ee9c kh\u1edfi \u0111\u1ea7u khuy\u1ebfn ngh\u1ecb l\u00e0 h\u00e0ng ng\u00e0y 2 vi\u00ean<\/p>\n<p>Li\u1ec1u d\u00f9ng th\u00f4ng th\u01b0\u1eddng l\u00e0 h\u00e0ng ng\u00e0y 4 vi\u00ean. Ng\u01b0\u1ee1ng s\u1eed d\u1ee5ng h\u00e0ng ng\u00e0y t\u1ed1i \u0111a kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 8 vi\u00ean<\/p>\n<p><i>Tr\u01b0\u1eddng h\u1ee3p suy th\u1eadn n\u1eb7ng (\u0111\u1ed9 thanh th\u1ea3i creatinine d\u01b0\u1edbi 20 ml\/ph\u00fat):<\/i> Gi\u1edbi h\u1ea1n h\u00e0ng ng\u00e0y li\u1ec1u l\u01b0\u1ee3ng kh\u00f4ng qu\u00e1 4 vi\u00ean<\/p>\n<p><i>Tr\u01b0\u1eddng h\u1ee3p suy gan n\u1eb7ng:<\/i> Gi\u1eef nguy\u00ean li\u1ec1u u\u1ed1ng b\u00ecnh th\u01b0\u1eddng nh\u01b0ng c\u1ea7n c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t y khoa ch\u1eb7t ch\u1ebd.<\/p>\n<p><i>Ng\u1eebng thu\u1ed1c:<\/i> Kh\u00f4ng d\u1eebng u\u1ed1ng \u0111\u1ed9t ng\u1ed9t m\u00e0 ph\u1ea3i ti\u1ebfn h\u00e0nh gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb b\u1eb1ng c\u00e1ch c\u1eaft b\u1edbt m\u1ed9t n\u1eeda li\u1ec1u l\u01b0\u1ee3ng sau m\u1ed7i tu\u1ea7n.<\/p>\n<p><b>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh (li\u1ec1u t\u00ednh theo vi\u00ean h\u00e0m l\u01b0\u1ee3ng 2,5mg)<\/b><\/p>\n<p>\u0110i\u1ec1u ki\u1ec7n: Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh (kh\u00f4ng trong \u0111\u1ee3t c\u1ea5p) v\u00e0 ph\u1ed1i h\u1ee3p c\u00f9ng ph\u00e1c \u0111\u1ed3 chu\u1ea9n (g\u1ed3m thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n\/\u1ee9c ch\u1ebf th\u1ee5 th\u1ec3, thu\u1ed1c l\u1ee3i ti\u1ec3u, glycosid tim). Qu\u00e1 tr\u00ecnh n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n<p>Giai \u0111o\u1ea1n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u (t\u0103ng d\u1ea7n theo ti\u1ebfn tr\u00ecnh tu\u1ea7n t\u1ef1 n\u1ebfu c\u01a1 th\u1ec3 \u0111\u00e1p \u1ee9ng t\u1ed1t):<\/p>\n<ul>\n<li>Tu\u1ea7n 1: D\u00f9ng li\u1ec1u h\u00e0ng ng\u00e0y 1 l\u1ea7n v\u1edbi 1 vi\u00ean lo\u1ea1i 1,25mg<\/li>\n<li>Tu\u1ea7n 2: T\u0103ng l\u00ean h\u00e0ng ng\u00e0y 1 l\u1ea7n v\u1edbi 1 vi\u00ean<\/li>\n<li>Tu\u1ea7n 3: T\u0103ng l\u00ean 3,75 mg\/l\u1ea7n\/ng\u00e0y.<\/li>\n<li>4 tu\u1ea7n ti\u1ebfp theo: T\u0103ng l\u00ean h\u00e0ng ng\u00e0y 1 l\u1ea7n v\u1edbi 2 vi\u00ean<\/li>\n<li>4 tu\u1ea7n k\u1ebf ti\u1ebfp: T\u0103ng l\u00ean h\u00e0ng ng\u00e0y 1 l\u1ea7n v\u1edbi 3 vi\u00ean<\/li>\n<li>Giai \u0111o\u1ea1n duy tr\u00ec: S\u1eed d\u1ee5ng li\u1ec1u h\u00e0ng ng\u00e0y 1 l\u1ea7n v\u1edbi 4 vi\u00ean (\u0111\u00e2y c\u0169ng l\u00e0 li\u1ec1u t\u1ed1i \u0111a \u0111\u01b0\u1ee3c ph\u00e9p d\u00f9ng).<\/li>\n<\/ul>\n<p><i>L\u01b0u \u00fd:<\/i> C\u1ea7n theo d\u00f5i s\u00e1t sao huy\u1ebft \u00e1p, nh\u1ecbp tim v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u suy tim n\u1eb7ng l\u00ean (\u0111\u1eb7c bi\u1ec7t trong ng\u00e0y \u0111\u1ea7u d\u00f9ng). N\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng ho\u1eb7c kh\u00f4ng dung n\u1ea1p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t \u0111i\u1ec1u ch\u1ec9nh c\u00e1c thu\u1ed1c d\u00f9ng k\u00e8m, gi\u1ea3m li\u1ec1u t\u1ea1m th\u1eddi ho\u1eb7c ng\u1eebng h\u1eb3n. Khi d\u1eebng thu\u1ed1c, ph\u1ea3i h\u1ea1 li\u1ec1u t\u1eebng b\u01b0\u1edbc m\u1ed9t \u0111\u1ec3 tr\u00e1nh l\u00e0m tr\u1ea7m tr\u1ecdng h\u01a1n t\u00ecnh tr\u1ea1ng suy tim.<\/p>\n<p><b>C\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t kh\u00e1c<\/b><\/p>\n<p>B\u1ec7nh nh\u00e2n suy tim m\u1ea1n k\u00e8m suy gan\/suy th\u1eadn: Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc r\u00f5 r\u00e0ng, vi\u1ec7c n\u00e2ng li\u1ec1u ph\u1ea3i c\u1ef1c k\u1ef3 th\u1eadn tr\u1ecdng.<\/p>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i: Kh\u00f4ng c\u00f3 y\u00eau c\u1ea7u \u0111\u1eb7c bi\u1ec7t n\u00e0o v\u1ec1 li\u1ec1u<\/p>\n<p>Tr\u1ebb em: Thi\u1ebfu kinh nghi\u1ec7m l\u00e2m s\u00e0ng th\u1ef1c t\u1ebf n\u00ean kh\u00f4ng khuy\u1ebfn kh\u00edch s\u1eed d\u1ee5ng<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>Nguy\u00ean <strong>vi\u00ean n\u00e9n Contisor 2.5<\/strong> \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0o bu\u1ed5i s\u00e1ng, \u0111\u1ed3ng th\u1eddi trong b\u1eefa \u0103n ho\u1eb7c kh\u00f4ng, kh\u00f4ng nhai n\u00e1t<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi Bisoprolol ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong Contisor<\/p>\n<p>B\u1ecb suy tim c\u1ea5p ho\u1eb7c \u0111ang \u1edf trong giai \u0111o\u1ea1n suy tim m\u1ea5t b\u00f9 c\u00f3 ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n t\u0129nh m\u1ea1ch c\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 co b\u00f3p c\u01a1 tim.<\/p>\n<p>B\u1ecb s\u1ed1c tim.<\/p>\n<p>G\u1eb7p t\u00ecnh tr\u1ea1ng block nh\u0129 th\u1ea5t \u0111\u1ed9 2 ho\u1eb7c \u0111\u1ed9 3.<\/p>\n<p>B\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a n\u00fat xoang tim.<\/p>\n<p>C\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ecbp tim ch\u1eadm ho\u1eb7c h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>B\u1ecb hen ph\u1ebf qu\u1ea3n m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/p>\n<p>B\u1ecb t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng truy\u1ec1n t\u00edn hi\u1ec7u xoang nh\u0129.<\/p>\n<p>M\u1eafc h\u1ed9i ch\u1ee9ng Raynaud ho\u1eb7c b\u1ec7nh t\u1eafc \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean \u1edf th\u1ec3 n\u1eb7ng.<\/p>\n<p>C\u00f3 u tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn nh\u01b0ng ch\u01b0a qua \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Toan m\u00e1u<\/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>\u0110i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh b\u1eb1ng bisoprolol c\u1ea7n kh\u1edfi \u0111\u1ea7u v\u1edbi giai \u0111o\u1ea1n t\u0103ng li\u1ec1u t\u1eebng b\u01b0\u1edbc v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>Kh\u00f4ng t\u1ef1 \u00fd ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh ho\u1eb7c suy tim, v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng tim m\u1ea1ch tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng cho ng\u01b0\u1eddi t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c c\u00f3 k\u00e8m suy tim, \u0111\u1ed3ng th\u1eddi theo d\u00f5i s\u00e1t trong giai \u0111o\u1ea1n b\u1eaft \u0111\u1ea7u ho\u1eb7c ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng \u1edf ng\u01b0\u1eddi suy tim k\u00e8m \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1, suy gan n\u1eb7ng, suy th\u1eadn n\u1eb7ng, b\u1ec7nh van tim n\u1eb7ng, b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh c\u01a1 tim t\u1eafc ngh\u1ebdn ho\u1eb7c m\u1edbi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f2n h\u1ea1n ch\u1ebf v\u1ec1 d\u1eef li\u1ec7u l\u00e2m s\u00e0ng.<\/p>\n<p>D\u00f9ng th\u1eadn tr\u1ecdng \u1edf ng\u01b0\u1eddi m\u1eafc hen ph\u1ebf qu\u1ea3n ho\u1eb7c b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111ang nh\u1ecbn \u0103n k\u00e9o d\u00e0i, block nh\u0129 th\u1ea5t \u0111\u1ed9 I, \u0111au th\u1eaft ng\u1ef1c Prinzmetal, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 che l\u1ea5p c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u01b0\u1eddng gi\u00e1p, \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 \u1edf ng\u01b0\u1eddi c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng.<\/p>\n<p>N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh chu\u1ea9n b\u1ecb ph\u1eabu thu\u1eadt, c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 g\u00e2y m\u00ea v\u1ec1 vi\u1ec7c \u0111ang d\u00f9ng bisoprolol. Tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ng\u1eebng thu\u1ed1c tr\u01b0\u1edbc m\u1ed5, n\u00ean gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng bisoprolol c\u00f9ng c\u00e1c thu\u1ed1c nh\u01b0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m I, diltiazem, verapamil ho\u1eb7c c\u00e1c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f3 c\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng trung \u01b0\u01a1ng.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed v\u1ea3y n\u1ebfn ho\u1eb7c u t\u1ee7y th\u01b0\u1ee3ng th\u1eadn ch\u1ec9 n\u00ean d\u00f9ng thu\u1ed1c sau khi \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 c\u00e2n nh\u1eafc k\u1ef9 l\u1ee3i \u00edch v\u00e0 nguy c\u01a1. V\u1edbi u t\u1ee7y th\u01b0\u1ee3ng th\u1eadn, c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1eb9n alpha tr\u01b0\u1edbc khi d\u00f9ng bisoprolol.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p><b>R\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/b><\/p>\n<ul>\n<li>Ch\u1eadm nh\u1ecbp tim \u1edf ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh.<\/li>\n<\/ul>\n<p><b>Th\u01b0\u1eddng g\u1eb7p<\/b><\/p>\n<ul>\n<li>\u0110au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t.<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p, c\u1ea3m gi\u00e1c l\u1ea1nh ho\u1eb7c l\u1ea1nh run \u1edf tay ch\u00e2n.<\/li>\n<li>\u0110\u1ea1i ti\u1ec7n kh\u00f3 kh\u0103n, \u0111i ngo\u00e0i ph\u00e2n l\u1ecfng, m\u1eafc \u00f3i, n\u00f4n m\u1eeda.<\/li>\n<li>T\u00ecnh tr\u1ea1ng suy tim c\u00f3 th\u1ec3 n\u1eb7ng h\u01a1n \u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n.<\/li>\n<li>M\u1ec7t m\u1ecfi, suy nh\u01b0\u1ee3c (\u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n).<\/li>\n<\/ul>\n<p><b>\u00cdt g\u1eb7p<\/b><\/p>\n<ul>\n<li>R\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t, nh\u1ecbp tim ch\u1eadm ho\u1eb7c suy tim ti\u1ebfn tri\u1ec3n \u1edf ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c.<\/li>\n<li>Suy nh\u01b0\u1ee3c \u1edf b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c.<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf.<\/li>\n<li>M\u1ea5t ng\u1ee7, tr\u1ea7m c\u1ea3m.<\/li>\n<li>Co th\u1eaft ph\u1ebf qu\u1ea3n \u1edf ng\u01b0\u1eddi c\u00f3 hen ph\u1ebf qu\u1ea3n ho\u1eb7c ti\u1ec1n s\u1eed b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn.<\/li>\n<li>Y\u1ebfu c\u01a1, co c\u1ee9ng c\u01a1.<\/li>\n<\/ul>\n<p><b>Hi\u1ebfm g\u1eb7p<\/b><\/p>\n<ul>\n<li>Ng\u1ea5t, \u00e1c m\u1ed9ng, \u1ea3o gi\u00e1c.<\/li>\n<li>Vi\u00eam gan.<\/li>\n<li>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nh\u01b0 ng\u1ee9a, n\u1ed5i ban, \u0111\u1ecf da ho\u1eb7c ph\u00f9 m\u1ea1ch.<\/li>\n<li>R\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng.<\/li>\n<li>Gi\u1ea3m ti\u1ebft n\u01b0\u1edbc m\u1eaft, gi\u1ea3m th\u00ednh l\u1ef1c, vi\u00eam m\u0169i d\u1ecb \u1ee9ng.<\/li>\n<li>T\u0103ng triglycerid v\u00e0 t\u0103ng men gan (ALAT, ASAT).<\/li>\n<\/ul>\n<p><b>R\u1ea5t hi\u1ebfm g\u1eb7p<\/b><\/p>\n<ul>\n<li>Vi\u00eam k\u1ebft m\u1ea1c.<\/li>\n<li>C\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t ho\u1eb7c l\u00e0m n\u1eb7ng th\u00eam b\u1ec7nh v\u1ea3y n\u1ebfn, ph\u00e1t ban d\u1ea1ng v\u1ea3y n\u1ebfn v\u00e0 r\u1ee5ng t\u00f3c.<\/li>\n<\/ul>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c, c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t v\u00e0 m\u1ec7t m\u1ecfi th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n \u0111\u1ea7u d\u00f9ng thu\u1ed1c, \u0111a s\u1ed1 \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 gi\u1ea3m d\u1ea7n sau kho\u1ea3ng 1-2 tu\u1ea7n.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p><b>Kh\u00f4ng n\u00ean ph\u1ed1i h\u1ee3p<\/b><\/p>\n<ul>\n<li>Tr\u00e1nh d\u00f9ng c\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m I v\u00ec c\u00f3 th\u1ec3 l\u00e0m k\u00e9o d\u00e0i d\u1eabn truy\u1ec1n nh\u0129 th\u1ea5t v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng co b\u00f3p c\u1ee7a tim.<\/li>\n<li>Kh\u00f4ng khuy\u1ebfn c\u00e1o ph\u1ed1i h\u1ee3p v\u1edbi verapamil, diltiazem ho\u1eb7c c\u00e1c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p t\u00e1c \u0111\u1ed9ng trung \u01b0\u01a1ng (nh\u01b0 clonidine, methyldopa, moxonidine, rilmenidine) do c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p, ch\u1eadm nh\u1ecbp tim, block nh\u0129 th\u1ea5t ho\u1eb7c l\u00e0m n\u1eb7ng th\u00eam suy tim. Kh\u00f4ng n\u00ean ng\u1eebng \u0111\u1ed9t ng\u1ed9t c\u00e1c thu\u1ed1c t\u00e1c \u0111\u1ed9ng trung \u01b0\u01a1ng v\u00ec c\u00f3 nguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p tr\u1edf l\u1ea1i.<\/li>\n<\/ul>\n<p><b>C\u1ea7n th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p<\/b><\/p>\n<ul>\n<li>Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp, thu\u1ed1c \u0111\u1ed1i kh\u00e1ng calci nh\u00f3m dihydropyridine, thu\u1ed1c ch\u1eb9n beta d\u00f9ng t\u1ea1i ch\u1ed7, thu\u1ed1c c\u01b0\u1eddng ph\u00f3 giao c\u1ea3m, glycosid tim, thu\u1ed1c g\u00e2y m\u00ea ho\u1eb7c c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00e1c v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p, ch\u1eadm nh\u1ecbp tim ho\u1eb7c r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n tim.<\/li>\n<li>Bisoprolol c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a insulin v\u00e0 thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1eddng u\u1ed1ng, \u0111\u1ed3ng th\u1eddi che l\u1ea5p c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n<li>NSAID c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u1ee7a bisoprolol.<\/li>\n<li>Khi ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m, t\u00e1c d\u1ee5ng c\u1ee7a m\u1ed9t ho\u1eb7c c\u1ea3 hai thu\u1ed1c c\u00f3 th\u1ec3 thay \u0111\u1ed5i.<\/li>\n<\/ul>\n<p><b>C\u00e2n nh\u1eafc khi ph\u1ed1i h\u1ee3p<\/b><\/p>\n<ul>\n<li>Mefloquine c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ch\u1eadm nh\u1ecbp tim.<\/li>\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf MAO (tr\u1eeb MAO-B) c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p v\u00e0 nguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9t ng\u1ed9t.<\/li>\n<li>Rifampicin c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nh\u1eb9 th\u1eddi gian t\u1ed3n t\u1ea1i c\u1ee7a bisoprolol trong c\u01a1 th\u1ec3 nh\u01b0ng th\u01b0\u1eddng kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.<\/li>\n<li>D\u1eabn ch\u1ea5t ergotamine c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n ngo\u1ea1i vi.<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng bisoprolol trong thai k\u1ef3 n\u1ebfu kh\u00f4ng th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft. Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u01b0\u1edbi m\u00e1u nhau thai, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai v\u00e0 g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c ch\u1eadm nh\u1ecbp tim \u1edf tr\u1ebb s\u01a1 sinh. N\u1ebfu b\u1eaft bu\u1ed9c ph\u1ea3i d\u00f9ng, c\u1ea7n theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng thai nhi v\u00e0 tr\u1ebb sau sinh.<\/p>\n<p>Tr\u00e1nh d\u00f9ng khi cho con b\u00fa v\u00ec ch\u01b0a bi\u1ebft thu\u1ed1c v\u00e0o s\u1eefa m\u1eb9 hay kh\u00f4ng<\/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\u00e1c th\u1eed nghi\u1ec7m tr\u00ean ng\u01b0\u1eddi m\u1eafc b\u1ec7nh m\u1ea1ch v\u00e0nh cho th\u1ea5y thu\u1ed1c kh\u00f4ng tr\u1ef1c ti\u1ebfp g\u00e2y t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe. Tuy nhi\u00ean, do ph\u1ea3n \u1ee9ng sinh h\u1ecdc c\u1ee7a m\u1ed7i c\u00e1 nh\u00e2n \u0111\u1ed1i v\u1edbi thu\u1ed1c l\u00e0 kh\u00e1c nhau, n\u00ean kh\u1ea3 n\u0103ng v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c l\u00e1i xe v\u1eabn c\u00f3 nguy c\u01a1 b\u1ecb \u1ea3nh h\u01b0\u1edfng. Kh\u1ea3 n\u0103ng n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd t\u1ea1i c\u00e1c th\u1eddi \u0111i\u1ec3m: khi m\u1edbi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, khi ti\u1ebfn h\u00e0nh thay \u0111\u1ed5i li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c khi c\u00f3 k\u1ebft h\u1ee3p s\u1eed d\u1ee5ng \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Vi\u1ec7c d\u00f9ng bisoprolol v\u1edbi li\u1ec1u qu\u00e1 cao c\u00f3 nguy c\u01a1 g\u00e2y co th\u1eaft ph\u1ebf qu\u1ea3n, nh\u1ecbp tim ch\u1eadm, block nh\u0129 th\u1ea5t, suy tim c\u1ea5p c\u0169ng nh\u01b0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 huy\u1ebft \u00e1p gi\u1ea3m. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f2n ghi nh\u1eadn cho\u00e1ng v\u00e1ng. M\u1ee9c \u0111\u1ed9 bi\u1ec3u hi\u1ec7n kh\u00e1c nhau gi\u1eefa t\u1eebng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u01b0\u1eddng n\u1eb7ng h\u01a1n \u1edf b\u1ec7nh nh\u00e2n suy tim.<\/p>\n<p>Khi x\u1ea3y ra qu\u00e1 li\u1ec1u bisoprolol, c\u1ea7n ng\u1eebng thu\u1ed1c ngay v\u00e0 ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng k\u1ebft h\u1ee3p c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Bisoprolol kh\u00f4ng d\u1ec5 b\u1ecb lo\u1ea1i b\u1ecf b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p th\u1ea9m t\u00e1ch, v\u00ec v\u1eady vi\u1ec7c x\u1eed tr\u00ed ch\u1ee7 y\u1ebfu d\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng trong c\u00e1c t\u00ecnh hu\u1ed1ng sau:<\/p>\n<ul>\n<li>Nh\u1ecbp tim ch\u1eadm: C\u00f3 th\u1ec3 d\u00f9ng atropine \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. N\u1ebfu hi\u1ec7u qu\u1ea3 ch\u01b0a \u0111\u1ea1t y\u00eau c\u1ea7u, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng isoprenaline ho\u1eb7c thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m t\u0103ng nh\u1ecbp tim. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp t\u1ea1m th\u1eddi.<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p: B\u00f9 d\u1ecbch qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch k\u1ebft h\u1ee3p s\u1eed d\u1ee5ng thu\u1ed1c co m\u1ea1ch khi ph\u00f9 h\u1ee3p. Glucagon ti\u00eam t\u0129nh m\u1ea1ch c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc.<\/li>\n<li>Block nh\u0129 th\u1ea5t \u0111\u1ed9 II ho\u1eb7c III: Theo d\u00f5i li\u00ean t\u1ee5c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng truy\u1ec1n isoprenaline ho\u1eb7c \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp t\u1ea1m th\u1eddi n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/li>\n<li>\u0110\u1ee3t c\u1ea5p suy tim: \u00c1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb suy tim, bao g\u1ed3m thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c t\u0103ng s\u1ee9c co b\u00f3p c\u01a1 tim v\u00e0 thu\u1ed1c gi\u00e3n m\u1ea1ch \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/li>\n<li>Co th\u1eaft ph\u1ebf qu\u1ea3n: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n th\u00edch h\u1ee3p nh\u01b0 thu\u1ed1c ch\u1ee7 v\u1eadn beta2, isoprenaline ho\u1eb7c aminophylline.<\/li>\n<li>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft: Truy\u1ec1n glucose qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch \u0111\u1ec3 \u0111\u01b0a \u0111\u01b0\u1eddng huy\u1ebft tr\u1edf v\u1ec1 m\u1ee9c an to\u00e0n.<\/li>\n<\/ul>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Contisor 2.5 \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 Contisor 2.5 trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Contisor 2.5 khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>Thu\u1ed1c Contisor 2.5 gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Contisor 2.5 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 Contisor 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 Contisor 2.5 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 thu\u1ed1c n\u00e0y nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/bisoprolol-fumarate-2-5mg\/\">Bisoprolol Fumarate 2.5mg<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Bisoprolol fumarat 2,5mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Niche Generics Limited, \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh v\u00e0 suy tim<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/a-t-bisoprolol-2-5\/\">A.T Bisoprolol 2.5<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Bisoprolol fumarat 2,5mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m An Thi\u00ean, \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh v\u00e0 suy tim<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Dubach P, Myers J, Bonetti P, Schertler T, Froelicher V, Wagner D, Scheidegger M, Stuber M, Luchinger R, Schwitter J, Hess O (2002). Effects of bisoprolol fumarate on left ventricular size, function, and exercise capacity in patients with heart failure: analysis with magnetic resonance myocardial tagging. Am Heart J. Truy c\u1eadp ng\u00e0y 5 th\u00e1ng 7 n\u0103m 2026 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11923805\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/11923805\/<\/a><br \/>\n<code><\/code><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Contisor 2.5 ch\u1ee9a ho\u1ea1t ch\u1ea5t bisoprolol fumarate h\u00e0m l\u01b0\u1ee3ng 2.5mg, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, \u0111au th\u1eaft ng\u1ef1c m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh v\u00e0 suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh.<\/p>\n","protected":false},"author":1,"featured_media":159864,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-159788","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\/159788","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=159788"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/159864"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=159788"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=159788"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=159788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}