{"id":160891,"date":"2026-07-27T08:58:17","date_gmt":"2026-07-27T01:58:17","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=160891"},"modified":"2026-07-27T09:00:16","modified_gmt":"2026-07-27T02:00:16","slug":"cefichew-200","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/cefichew-200\/","title":{"rendered":"Cefichew 200"},"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 Cefichew 200 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Maxim Pharmaceuticals Pvt. Ltd c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 890110124224<\/b><\/p>\n<h2>Cefichew 200 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i vi\u00ean <b>Cefichew 200<\/b> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Cefixim trihydrat t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi Cefixim khan: 200mg<\/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 nhai<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 890110124224<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 v\u1ec9 x 10 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u1ea4n \u0110\u1ed9<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 24 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Cefichew 200<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Cefixim l\u00e0 kh\u00e1ng sinh \u0111\u01b0\u1eddng u\u1ed1ng cephalosporin th\u1ebf h\u1ec7 3 v\u1edbi ph\u1ed5 kh\u00e1ng khu\u1ea9n r\u1ed9ng, th\u1ec3 hi\u1ec7n ho\u1ea1t t\u00ednh di\u1ec7t khu\u1ea9n tr\u00ean nhi\u1ec1u ch\u1ee7ng vi khu\u1ea9n Gram d\u01b0\u01a1ng v\u00e0 Gram \u00e2m trong \u0111i\u1ec1u ki\u1ec7n in vitro.<\/p>\n<p>Thu\u1ed1c ph\u00e1t huy t\u00e1c d\u1ee5ng b\u1eb1ng c\u00e1ch g\u1eafn v\u00e0o c\u00e1c protein g\u1eafn penicillin (PBP), t\u1eeb \u0111\u00f3 \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p peptidoglycan &#8211; th\u00e0nh ph\u1ea7n thi\u1ebft y\u1ebfu c\u1ee7a v\u00e1ch t\u1ebf b\u00e0o vi khu\u1ea9n, khi\u1ebfn vi khu\u1ea9n b\u1ecb ti\u00eau di\u1ec7t. C\u01a1 ch\u1ebf \u0111\u1ec1 kh\u00e1ng th\u01b0\u1eddng g\u1eb7p l\u00e0 s\u1ef1 bi\u1ebfn \u0111\u1ed5i \u00e1i l\u1ef1c c\u1ee7a PBP v\u1edbi thu\u1ed1c ho\u1eb7c gi\u1ea3m t\u00ednh th\u1ea5m c\u1ee7a m\u00e0ng t\u1ebf b\u00e0o \u0111\u1ed1i v\u1edbi cefixim. B\u00ean c\u1ea1nh \u0111\u00f3, cefixim c\u00f3 \u0111\u1ed9 b\u1ec1n cao tr\u01b0\u1edbc s\u1ef1 th\u1ee7y ph\u00e2n c\u1ee7a nhi\u1ec1u enzym beta-lactamase do c\u1ea3 plasmid v\u00e0 nhi\u1ec5m s\u1eafc th\u1ec3 m\u00e3 h\u00f3a, nh\u1edd v\u1eady duy tr\u00ec hi\u1ec7u l\u1ef1c t\u1ed1t h\u01a1n so v\u1edbi m\u1ed9t s\u1ed1 cephalosporin kh\u00e1c nh\u01b0 cephalexin, cefaclor, cefuroxim, cephradin v\u00e0 cefoxitin.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>T\u1ef7 l\u1ec7 h\u1ea5p thu th\u1ef1c t\u1ebf c\u1ee7a cefixim khi d\u00f9ng qua \u0111\u01b0\u1eddng u\u1ed1ng dao \u0111\u1ed9ng kho\u1ea3ng 22\u201354%. Th\u1ee9c \u0103n kh\u00f4ng l\u00e0m gi\u1ea3m b\u1edbt hi\u1ec7u qu\u1ea3 h\u1ea5p th\u1ee5 c\u1ee7a thu\u1ed1c qua \u0111\u01b0\u1eddng d\u00f9ng n\u00e0y<\/p>\n<p>T\u1ef7 l\u1ec7 cefixim \u1edf d\u1ea1ng t\u1ef1 do \u0111\u1ea1t trung b\u00ecnh kho\u1ea3ng 30%, ph\u1ea7n c\u00f2n l\u1ea1i \u0111a s\u1ed1 ch\u1ec9 g\u1eafn k\u1ebft v\u1edbi albumin c\u1ee7a huy\u1ebft thanh.<\/p>\n<p>C\u00e1c th\u1eed nghi\u1ec7m in vitro ch\u1ec9 ra r\u1eb1ng h\u00e0m l\u01b0\u1ee3ng cefixim t\u1eeb 1 mcg\/mL tr\u1edf l\u00ean \u1edf huy\u1ebft thanh ho\u1eb7c n\u01b0\u1edbc ti\u1ec3u l\u00e0 \u0111\u1ee7 \u0111\u1ec3 \u1ee9c ch\u1ebf ph\u1ea7n l\u1edbn c\u00e1c vi khu\u1ea9n nh\u1ea1y c\u1ea3m. \u1ede ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em, m\u1ee9c n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh \u0111\u1ea1t \u0111\u01b0\u1ee3c sau khi d\u00f9ng li\u1ec1u chu\u1ea9n th\u01b0\u1eddng n\u1eb1m trong kho\u1ea3ng 1,5-3 mcg\/mL. Thu\u1ed1c t\u00edch t\u1ee5 r\u1ea5t \u00edt ho\u1eb7c g\u1ea7n nh\u01b0 kh\u00f4ng t\u00edch l\u0169y khi d\u00f9ng li\u00ean t\u1ee5c nhi\u1ec1u l\u1ea7n, ch\u1ee7 y\u1ebfu xu\u1ea5t th\u1ea3i qua \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi d\u1ea1ng v\u1eabn c\u00f2n ho\u1ea1t t\u00ednh. Hi\u1ec7n ch\u01b0a c\u00f3 d\u1eef li\u1ec7u x\u00e1c nh\u1eadn cefixim c\u00f3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 hay kh\u00f4ng.<\/p>\n<h2>Thu\u1ed1c Cefichew 200 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>B\u1ec7nh l\u00fd h\u00f4 h\u1ea5p tr\u00ean: Vi\u00eam tai gi\u1eefa c\u00f9ng m\u1ed9t s\u1ed1 d\u1ea1ng nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p tr\u00ean kh\u00e1c, \u0111\u1eb7c bi\u1ec7t t\u1ed1i \u01b0u khi nghi ng\u1edd ho\u1eb7c x\u00e1c \u0111\u1ecbnh vi khu\u1ea9n \u0111\u00e3 kh\u00e1ng c\u00e1c d\u00f2ng kh\u00e1ng sinh th\u00f4ng th\u01b0\u1eddng.<\/p>\n<p>B\u1ec7nh l\u00fd h\u00f4 h\u1ea5p d\u01b0\u1edbi: \u0110i\u1ec3n h\u00ecnh l\u00e0 vi\u00eam ph\u1ebf qu\u1ea3n.<\/p>\n<p>B\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u: Bao g\u1ed3m vi\u00eam b\u00e0ng quang, vi\u00eam b\u00e0ng quang &#8211; ni\u1ec7u \u0111\u1ea1o, c\u0169ng nh\u01b0 vi\u00eam b\u1ec3 th\u1eadn d\u1ea1ng ch\u01b0a c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/p>\n<figure id=\"attachment_160897\" aria-describedby=\"caption-attachment-160897\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-160897\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Cefichew-200.jpg\" alt=\"Cefichew 200\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Cefichew-200.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Cefichew-200-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Cefichew-200-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Cefichew-200-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Cefichew-200-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-160897\" class=\"wp-caption-text\">Thu\u1ed1c Cefichew 200 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p, ti\u1ebft ni\u1ec7u c\u1ea5p t\u00ednh<\/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>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb t\u1eeb 10 tu\u1ed5i tr\u1edf l\u00ean ho\u1eb7c c\u00f3 c\u00e2n n\u1eb7ng tr\u00ean 50 kg: Th\u01b0\u1eddng nhai 1-2 vi\u00ean h\u00e0ng ng\u00e0y, t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nhi\u1ec5m khu\u1ea9n. Mu\u1ed1n d\u00f9ng h\u1ebft trong 1 l\u1ea7n ho\u1eb7c chia th\u00e0nh 2 l\u1ea7n trong ng\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c<\/p>\n<p>\u1ede b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u01b0\u1eddng t\u01b0\u01a1ng t\u1ef1 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Tuy nhi\u00ean, do ch\u1ee9c n\u0103ng th\u1eadn c\u00f3 th\u1ec3 suy gi\u1ea3m theo tu\u1ed5i, n\u00ean \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c v\u00e0 c\u00e2n nh\u1eafc gi\u1ea3m li\u1ec1u n\u1ebfu suy th\u1eadn n\u1eb7ng.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 10 tu\u1ed5i. vi\u00ean nhai Cefichew kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u00f3m tu\u1ed5i n\u00e0y v\u00e0 \u1edf tr\u1ebb d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i kh\u00f4ng khuy\u1ebfn c\u00e1o v\u00ec thi\u1ebfu d\u1eef li\u1ec7u an to\u00e0n<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u1edbi ClCr \u2265 20 mL\/ph\u00fat c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng li\u1ec1u th\u00f4ng th\u01b0\u1eddng. Nh\u01b0ng n\u1ebfu ClCr &lt; 20 mL\/ph\u00fat, t\u1ed5ng li\u1ec1u khuy\u1ebfn c\u00e1o kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 200 mg\/ng\u00e0y.<\/p>\n<p>V\u1edbi b\u1ec7nh nh\u00e2n \u0111ang l\u1ecdc m\u00e1u ho\u1eb7c th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c li\u00ean t\u1ee5c ngo\u1ea1i tr\u00fa, ch\u1ebf \u0111\u1ed9 li\u1ec1u khuy\u1ebfn c\u00e1o kh\u00f4ng kh\u00e1c so v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 ClCr d\u01b0\u1edbi 20 mL\/ph\u00fat.<\/p>\n<h3>Cefichew 200 u\u1ed1ng tr\u01b0\u1edbc hay sau \u0103n? &#8211; C\u00e1ch d\u00f9ng<\/h3>\n<p>Vi\u00ean Cefichew 200 \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng c\u00e1ch nu\u1ed1t tr\u1ecdn vi\u00ean thu\u1ed1c ho\u1eb7c nhai k\u1ef9 r\u1ed3i u\u1ed1ng l\u1ea1i v\u1edbi n\u01b0\u1edbc l\u1ecdc, trong ho\u1eb7c ngo\u00e0i b\u1eefa \u0103n<\/p>\n<p>Th\u1eddi gian u\u1ed1ng thu\u1ed1c th\u00f4ng th\u01b0\u1eddng k\u00e9o d\u00e0i 7 ng\u00e0y, tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 duy tr\u00ec t\u1ed1i \u0111a \u0111\u1ebfn 14 ng\u00e0y.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Cefichew 200 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi cephalosporin ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u00f3 trong <strong>vi\u00ean nhai Cefichew 200<\/strong><\/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>Nguy c\u01a1 b\u1ec7nh n\u00e3o (co gi\u1eadt, l\u00fa l\u1eabn, gi\u1ea3m \u00fd th\u1ee9c, r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng) c\u00f3 th\u1ec3 t\u0103ng khi d\u00f9ng cefixim, nh\u1ea5t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n qu\u00e1 li\u1ec1u ho\u1eb7c suy th\u1eadn.<\/p>\n<p>Cefixim c\u00f3 th\u1ec3 g\u00e2y SJS, TEN ho\u1eb7c DRESS, n\u00ean ng\u1eebng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p khi nghi ng\u1edd x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng n\u00e0y.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng cefixim \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi penicillin do c\u00f3 th\u1ec3 x\u1ea3y ra ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ch\u00e9o gi\u1eefa penicillin v\u00e0 cephalosporin.<\/p>\n<p>Cephalosporin, bao g\u1ed3m cefixim, c\u00f3 th\u1ec3 g\u00e2y thi\u1ebfu m\u00e1u tan m\u00e1u, k\u1ec3 c\u1ea3 tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng ho\u1eb7c t\u1eed vong. Kh\u00f4ng n\u00ean d\u00f9ng l\u1ea1i \u1edf b\u1ec7nh nh\u00e2n t\u1eebng b\u1ecb thi\u1ebfu m\u00e1u tan m\u00e1u li\u00ean quan \u0111\u1ebfn cephalosporin.<\/p>\n<p>\u0110\u00e3 ghi nh\u1eadn suy th\u1eadn c\u1ea5p, k\u1ec3 c\u1ea3 vi\u00eam th\u1eadn k\u1ebd, khi d\u00f9ng cefixim do \u0111\u00f3 c\u1ea7n ng\u1eebng thu\u1ed1c n\u1ebfu nghi ng\u1edd c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn x\u1ea3y ra<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng cefixim c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t c\u00e2n b\u1eb1ng h\u1ec7 vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t, d\u1eabn \u0111\u1ebfn ti\u00eau ch\u1ea3y do <i>C. difficile<\/i> ho\u1eb7c vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c. Khi xu\u1ea5t hi\u1ec7n ti\u00eau ch\u1ea3y trong ho\u1eb7c sau \u0111i\u1ec1u tr\u1ecb, c\u1ea7n \u0111\u00e1nh gi\u00e1 nguy\u00ean nh\u00e2n, ng\u1eebng kh\u00e1ng sinh n\u1ebfu ph\u00f9 h\u1ee3p v\u00e0 \u0111i\u1ec1u tr\u1ecb theo h\u01b0\u1edbng d\u1eabn.<\/p>\n<p>Do t\u00e1 d\u01b0\u1ee3c bao g\u1ed3m lactase n\u00ean thu\u1ed1c kh\u00f4ng ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh di truy\u1ec1n hi\u1ebfm g\u1eb7p nh\u01b0 b\u1ea5t dung n\u1ea1p galactose, thi\u1ebfu h\u1ee5t lactase to\u00e0n ph\u1ea7n ho\u1eb7c r\u1ed1i lo\u1ea1n h\u1ea5p thu glucose-galactose.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p: Ph\u00e1t ban, n\u1ed5i m\u1ec1 \u0111ay, ti\u00eau ch\u1ea3y, \u0111i ngo\u00e0i ph\u00e2n l\u1ecfng, \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111\u1ea7y h\u01a1i, ch\u00e1n \u0103n, kh\u00f4 mi\u1ec7ng, \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, b\u1ed3n ch\u1ed3n, m\u1ea5t ng\u1ee7, m\u1ec7t m\u1ecfi, l\u00ean c\u01a1n \u0111\u1ed9ng kinh.<\/p>\n<p>\u00cdt g\u1eb7p: S\u1ed1c ph\u1ea3n v\u1ec7, s\u01b0ng ph\u00f9 m\u1ea1ch, SJS, h\u1ed3ng ban \u0111a d\u1ea1ng, ho\u1ea1i t\u1eed t\u1eed th\u01b0\u1ee3ng b\u00ec nhi\u1ec5m \u0111\u1ed9c, co gi\u1eadt, ti\u00eau ch\u1ea3y nghi\u00eam tr\u1ecdng do vi khu\u1ea9n <i>Clostridium difficile<\/i>, vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c, gi\u1ea3m l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, h\u1ea1 b\u1ea1ch c\u1ea7u, bi\u1ebfn \u0111\u1ed9ng ch\u1ec9 s\u1ed1 b\u1ea1ch c\u1ea7u \u01b0a acid t\u1ea1m th\u1eddi, suy gi\u1ea3m ch\u1ec9 s\u1ed1 hemoglobin c\u00f9ng hematocrit, vi\u00eam gan, v\u00e0ng da, t\u0103ng men gan (AST, ALT, phosphatase ki\u1ec1m, LDH) v\u00e0 bilirubin tho\u00e1ng qua, suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn c\u1ea5p t\u00ednh, t\u0103ng n\u1ed3ng \u0111\u1ed9 creatinin v\u00e0 nitrogen phi protein trong m\u00e1u t\u1ea1m th\u1eddi, gia t\u0103ng enzyme amylase huy\u1ebft thanh, vi\u00eam nhi\u1ec5m \u00e2m \u0111\u1ea1o do n\u1ea5m <i>Candida<\/i>.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: Ch\u1ec9 s\u1ed1 \u0111o th\u1eddi gian prothrombin k\u00e9o d\u00e0i<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u khi d\u00f9ng chung v\u1edbi cefixim c\u00f3 th\u1ec3 b\u1ecb t\u0103ng c\u01b0\u1eddng \u0111\u1eb7c t\u00ednh ch\u1ed1ng \u0111\u00f4ng, d\u1ec5 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng k\u00e9o d\u00e0i th\u1eddi gian prothrombin v\u00e0 nguy c\u01a1 ch\u1ea3y m\u00e1u. Do \u0111\u00f3, c\u1ea7n h\u1ebft s\u1ee9c l\u01b0u \u00fd v\u00e0 gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd ch\u1ec9 s\u1ed1 \u0111\u00f4ng m\u00e1u tr\u00ean nh\u1eefng ng\u01b0\u1eddi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c d\u1eabn xu\u1ea5t coumarin nh\u01b0 kali warfarin.<\/p>\n<p>\u0110\u1ed1i v\u1edbi x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng trong n\u01b0\u1edbc ti\u1ec3u, cefixim c\u00f3 th\u1ec3 t\u1ea1o ra k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 n\u1ebfu ph\u00e2n t\u00edch b\u1eb1ng c\u00e1c ph\u00e9p th\u1eed d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng kh\u1eed \u0111\u1ed3ng nh\u01b0 dung d\u1ecbch Benedict, Fehling hay vi\u00ean \u0111\u1ed3ng sulfat. \u0110\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 chu\u1ea9n x\u00e1c, n\u00ean \u01b0u ti\u00ean c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra s\u1eed d\u1ee5ng enzym glucose oxidase.<\/p>\n<p>Ngo\u00e0i ra, qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng nh\u00f3m kh\u00e1ng sinh cephalosporin n\u00f3i chung v\u00e0 cefixim n\u00f3i ri\u00eang c\u00f3 th\u1ec3 l\u00e0m sai l\u1ec7ch k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m Coombs tr\u1ef1c ti\u1ebfp th\u00e0nh d\u01b0\u01a1ng t\u00ednh gi\u1ea3. Nh\u00e2n vi\u00ean y t\u1ebf c\u1ea7n c\u00e2n nh\u1eafc kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c khi \u0111\u00e1nh gi\u00e1 c\u00e1c ch\u1ec9 s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng n\u00e0y.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt ch\u01b0a ghi nh\u1eadn \u0111\u1ed9c t\u00ednh sinh s\u1ea3n ho\u1eb7c t\u00e1c d\u1ee5ng g\u00e2y qu\u00e1i thai c\u1ee7a cefixim. Tuy nhi\u00ean, do ch\u01b0a c\u00f3 d\u1eef li\u1ec7u \u0111\u1ea7y \u0111\u1ee7 tr\u00ean ng\u01b0\u1eddi, ch\u1ec9 n\u00ean s\u1eed d\u1ee5ng CEFICHEW trong thai k\u1ef3 ho\u1eb7c th\u1eddi gian cho con b\u00fa khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh t\u1eeb nh\u00e2n vi\u00ean y t\u1ebf<\/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>D\u00f9 thu\u1ed1c ch\u01b0a ghi nh\u1eadn \u1ea3nh h\u01b0\u1edfng n\u00e0o nh\u01b0ng n\u1ebfu c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean th\u1ea7n kinh nh\u01b0 co gi\u1eadt, l\u00fa l\u1eabn, gi\u1ea3m \u00fd th\u1ee9c ho\u1eb7c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, n\u00ean ng\u1eebng l\u00e1i xe ho\u1eb7c l\u00e0m vi\u1ec7c v\u1edbi m\u00e1y m\u00f3c khi \u0111ang u\u1ed1ng thu\u1ed1c n\u00e0y<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>C\u1ea7n l\u01b0u \u00fd bi\u1ebfn ch\u1ee9ng b\u1ec7nh n\u00e3o khi d\u00f9ng kh\u00e1ng sinh beta-lactam (g\u1ed3m cefixim), nh\u1ea5t l\u00e0 l\u00fac d\u00f9ng qu\u00e1 li\u1ec1u ho\u1eb7c \u1edf ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng th\u1eadn.<\/p>\n<p>D\u00f9ng t\u1edbi 2g cefixim \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng c\u0169ng ghi nh\u1eadn ph\u1ea3n \u1ee9ng t\u01b0\u01a1ng t\u1ef1 li\u1ec1u chu\u1ea9n. Thu\u1ed1c kh\u00f4ng c\u00f3 kh\u00e1ng th\u1ec3 gi\u1ea3i \u0111\u1ed9c ri\u00eang v\u00e0 l\u1ecdc m\u00e1u c\u0169ng kh\u00f3 lo\u1ea1i b\u1ecf, n\u00ean ch\u1ee7 y\u1ebfu t\u1eadp trung \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Cefichew 200 \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 Cefichew 200 trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Cefichew 200 khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>Thu\u1ed1c Cefichew 200 gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Cefichew 200 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 Cefichew 200 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 Cefichew 200 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 Cefichew 200 nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/cefixim-200mg-cophavina\/\">Cefixim 200mg Cophavina<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Cefixim 200mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty TNHH MTV d\u01b0\u1ee3c ph\u1ea9m 150 Cophavina, \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p, ti\u1ebft ni\u1ec7u<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/cefixim-200mg-vidipha\/\">Cefixim 200mg Vidipha <\/a>c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Cefixim 200mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m trung \u01b0\u01a1ng Vidipha, \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p, ti\u1ebft ni\u1ec7u<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>T\u1edd H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Cefichew 200 \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 <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/huong-dan-su-dung-Cefichew-200-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 27 th\u00e1ng 7 n\u0103m 2026 t\u1eeb: <a href=\"https:\/\/dichvucong.dav.gov.vn\/congbothuoc\" rel=\"noopener\">https:\/\/dichvucong.dav.gov.vn\/congbothuoc<\/a><\/li>\n<li>Brogden RN, Campoli-Richards DM (1989). Cefixime. A review of its antibacterial activity. Pharmacokinetic properties and therapeutic potential. Drugs. Truy c\u1eadp ng\u00e0y 27 th\u00e1ng 7 n\u0103m 2026 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2684593\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/2684593\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Cefichew 200 ch\u1ee9a cefixim 200mg, l\u00e0 kh\u00e1ng sinh cephalosporin th\u1ebf h\u1ec7 3 d\u00f9ng \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, ti\u1ebft ni\u1ec7u, vi\u00eam tai gi\u1eefa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n","protected":false},"author":1,"featured_media":160896,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-160891","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\/160891","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=160891"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/160896"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=160891"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=160891"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=160891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}