{"id":20325,"date":"2019-09-01T11:23:02","date_gmt":"2019-09-01T04:23:02","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?post_type=product&#038;p=20325"},"modified":"2025-07-24T14:10:33","modified_gmt":"2025-07-24T07:10:33","slug":"esosunny","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/esosunny\/","title":{"rendered":"Esosunny"},"content":{"rendered":"<p><b>Trong b\u00e0i vi\u1ebft n\u00e0y, <\/b><a href=\"https:\/\/vnras.com\/drug\/\"><b>nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a><b> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m <\/b><a href=\"https:\/\/www.vnras.com\/drug\/esosunny\"><b>thu\u1ed1c Esosunny<\/b><\/a><b> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Chi nh\u00e1nh C\u00f4ng ty c\u1ed5 ph\u1ea7n Armephaco-X\u00ed nghi\u1ec7p d\u01b0\u1ee3c ph\u1ea9m 150 &#8211; Vi\u1ec7t Nam, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-29548-18, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi C\u00f4ng ty TNHH Sunny Inter Pharma.<\/b><\/p>\n<h2>Thu\u1ed1c Esosunny la\u0300 thu\u00f4\u0301c gi\u0300?<\/h2>\n<p><b>Thu\u1ed1c Esosunny<\/b> l\u00e0 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Esomeprazol.<\/p>\n<ul>\n<li>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang c\u1ee9ng.<\/li>\n<li>S\u1ed1 \u0111\u0103ng k\u00fd: VD-29548-18.<\/li>\n<li>Nh\u00e0 s\u1ea3n xu\u1ea5t: Chi nh\u00e1nh c\u00f4ng ty c\u1ed5 ph\u1ea7n Armephaco- X\u00ed nghi\u1ec7p d\u01b0\u1ee3c ph\u1ea9m 150.<\/li>\n<li>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam.<\/li>\n<li>Quy c\u00e1ch \u0111\u00f3ng h\u1ed9p: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean.<\/li>\n<\/ul>\n<h2>Th\u00e0nh ph\u1ea7n<\/h2>\n<ul>\n<li>D\u01b0\u1ee3c ch\u1ea5t: Esomeprazol (d\u01b0\u1edbi d\u1ea1ng Esomeprazol magnesi pellet tan trong ru\u1ed9t 8,5%) h\u00e0m l\u01b0\u1ee3ng 40mg.<\/li>\n<li>C\u00e1c t\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/li>\n<\/ul>\n<h2>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h2>\n<ul>\n<li>Thu\u1ed1c g\u1ed1c c\u1ee7a Esomeprazol ch\u00ednh l\u00e0 omeprazol. V\u00e0 n\u00f3 l\u00e0 m\u1ed9t d\u1ea1ng \u0111\u1ed3ng ph\u00e2n c\u1ee7a thu\u1ed1c g\u1ed1c. N\u00f3 c\u00f3 th\u1ec3 khi\u1ebfn cho l\u01b0\u1ee3ng acid d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c ti\u1ebft ra \u00edt \u0111i. Do kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf \u0111\u1ed1i v\u1edbi b\u1ed9 ph\u1eadn ti\u1ebft ra acid t\u1ea1i d\u1ea1 d\u00e0y. \u0110\u00e2y l\u00e0 \u0111\u1ed3ng ph\u00e2n S-, c\u00f2n \u0111\u1ed3ng ph\u00e2n n\u1eefa l\u00e0 \u0111\u1ed3ng ph\u00e2n R-, \u0111\u1ec1u c\u00f3 s\u1ef1 t\u01b0\u01a1ng \u0111\u1ed3ng.<\/li>\n<li>Thu\u1ed1c thu\u1ed9c nh\u00f3m base nh\u01b0ng ho\u1ea1t t\u00ednh base l\u1ea1i y\u1ebfu. Khi \u0111\u01b0\u1ee3c t\u1eadp trung l\u1ea1i th\u00ec n\u00f3 chuy\u1ec3n sang d\u1ea1ng c\u00f3 t\u00e1c d\u1ee5ng sinh h\u1ecdc. L\u00fac \u0111\u00f3 n\u00f3 s\u1ebd g\u00e2y n\u00ean s\u1ef1 \u1ee9c ch\u1ebf cho b\u01a1m acid t\u1eeb \u0111\u00f3 \u1ee9c ch\u1ebf \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh ti\u1ebft acid.<\/li>\n<\/ul>\n<blockquote><p>=&gt; Tham kh\u1ea3o thu\u1ed1c: <a href=\"https:\/\/www.vnras.com\/drug\/trimpol-mr\">Thu\u1ed1c Trimpol MR l\u00e0 thu\u1ed1c g\u00ec? Gi\u00e1 bao nhi\u00eau? Mua \u1edf \u0111\u00e2u<\/a>.<\/p><\/blockquote>\n<h2>C\u00f4ng d\u1ee5ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<ul>\n<li>Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n.<\/li>\n<li>Thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng t\u00e1i ph\u00e1t b\u1ec7nh vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng do nhi\u1ec1u nguy\u00ean nh\u00e2n: stress hay vi khu\u1ea9n <a href=\"https:\/\/www.vnras.com\/drug\/2019\/03\/hp-ke-thu-cua-viem-loet-da-day-ta-trang.html\">HP<\/a> (k\u1ebft h\u1ee3p v\u1edbi <a href=\"https:\/\/www.vnras.com\/drug\/2019\/03\/lua-chon-khang-sinh.html\">kh\u00e1ng sinh<\/a> \u0111\u1eb7c tr\u1ecb), ho\u1eb7c do s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam non steroid k\u00e9o d\u00e0i.<\/li>\n<li>Thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng cho \u0111\u1ed1i t\u01b0\u1ee3ng m\u1eafc h\u1ed9i ch\u1ee9ng Zollinger Ellison.<\/li>\n<\/ul>\n<h2>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h2>\n<ul>\n<li>Thu\u1ed1c Esomeprazol \u0111\u01b0\u1ee3c h\u1ea5p thu kh\u00e1 nhanh. Khi u\u1ed1ng xong \u0111\u01b0\u1ee3c 1 ti\u1ebfng \u0111\u1ebfn 2 ti\u1ebfng t\u00f9y ng\u01b0\u1eddi s\u1ebd \u0111\u01b0\u1ee3c Cmax c\u1ee7a ch\u1ea5t n\u00e0y. Thu\u1ed1c n\u00e0y b\u1ecb \u1ea3nh h\u01b0\u1edfng n\u1eb7ng n\u1ec1 b\u1edfi acid d\u1ea1 d\u00e0y, do v\u1eady m\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u1edf h\u1ea1t tan t\u1ea1i ru\u1ed9t hay thu\u1ed1c bao tan t\u1ea1i ru\u1ed9t.<\/li>\n<li>Khi ch\u1ec9 d\u00f9ng li\u1ec1u 40mg s\u1ebd c\u00f3 \u0111\u01b0\u1ee3c sinh kh\u1ea3 d\u1ee5ng l\u00e0 64%. Khi d\u00f9ng nh\u1eafc l\u1ea1i m\u1ed7i ng\u00e0y 1 l\u1ea7n th\u00ec gi\u00e1 tr\u1ecb n\u00e0y l\u00e0 89%.<\/li>\n<li>Th\u1ee9c \u0103n khi\u1ebfn cho thu\u1ed1c b\u1ecb h\u1ea5p thu ch\u1eadm h\u01a1n nh\u01b0ng l\u1ea1i kh\u00f4ng khi\u1ebfn acid d\u1ea1 d\u00e0y b\u1ecb thay \u0111\u1ed5i. C\u00f3 \u0111\u1ebfn 97% thu\u1ed1c s\u1ebd t\u1ea1o m\u1ed1i li\u00ean k\u1ebft c\u00f9ng protein.<\/li>\n<li>Thu\u1ed1c \u0111\u1ebfn gan s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a kh\u00e1 l\u00e0 m\u1ea1nh b\u1edfi P450 c\u0169ng nh\u01b0 CYP2C9. Khi \u0111\u00f3 thu \u0111\u01b0\u1ee3c nh\u1eefng d\u1ea1ng ch\u1ea5t l\u00e0 desmethyl c\u0169ng nh\u01b0 hydroxyl. Ch\u00fang kh\u00f4ng khi\u1ebfn acid d\u1ea1 d\u00e0y b\u1ecb t\u00e1c \u0111\u1ed9ng. Ngo\u00e0i ra c\u00f2n c\u00f3 th\u00eam 1 ch\u1ea5t n\u1eefa l\u00e0 sulfone. Khi d\u00f9ng li\u1ec1u nh\u1eafc l\u1ea1i s\u1ebd l\u00e0m chuy\u1ec3n h\u00f3a b\u1ecb gi\u1ea3m v\u00e0 \u0111\u1ed9 thanh th\u1ea3i c\u0169ng th\u1ebf. Nh\u01b0ng thu\u1ed1c kh\u00f4ng b\u1ecb t\u00edch l\u0169y.<\/li>\n<li>Th\u1eddi gian b\u00e1n th\u1ea3i l\u00e0 kho\u1ea3ng 1,3 ti\u1ebfng. 20% thu\u1ed1c theo ph\u00e2n c\u00f2n 80% theo n\u01b0\u1edbc ti\u1ec3u, ch\u00fang \u0111\u1ec1u \u0111ang \u1edf d\u1ea1ng \u0111\u00e3 chuy\u1ec3n h\u00f3a.<\/li>\n<\/ul>\n<h2>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng Esosunny<\/h2>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>Thu\u1ed1c Esosunny \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, t\u1ed1t nh\u1ea5t u\u1ed1ng tr\u01b0\u1edbc c\u00e1c b\u1eefa \u0103n t\u1eeb 30 ph\u00fat \u0111\u1ebfn 1 gi\u1edd, u\u1ed1ng v\u1edbi n\u01b0\u1edbc l\u1ecdc ho\u1eb7c n\u01b0\u1edbc \u0111un s\u00f4i \u0111\u1ec3 ngu\u1ed9i, n\u00ean u\u1ed1ng nguy\u00ean vi\u00ean kh\u00f4ng nghi\u1ec1n n\u00e1t.<\/p>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<ul>\n<li>H\u1ed9i ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n v\u00e0 lo\u00e9t d\u1ea1 d\u00e0y cho ng\u01b0\u1eddi t\u1eeb 12 tr\u1edf l\u00ean: M\u1ed7i ng\u00e0y u\u1ed1ng 1 vi\u00ean 20mg v\u00e0o bu\u1ed5i t\u1ed1i, s\u1eed d\u1ee5ng li\u00ean t\u1ee5c t\u1eeb 4-8 tu\u1ea7n.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n ho\u1eb7c duy tr\u00ec s\u1ef1 l\u00e0nh sau \u0111i\u1ec1u tr\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n: M\u1ed7i ng\u00e0y u\u1ed1ng 1 vi\u00ean 20mg, s\u1eed d\u1ee5ng li\u00ean t\u1ee5c t\u1eeb 4-8 tu\u1ea7n.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Zollinger Ellison: M\u1ed7i ng\u00e0y u\u1ed1ng 2 l\u1ea7n, m\u1ed7i l\u1ea7n 1 vi\u00ean 40mg.<\/li>\n<li>Nhi\u1ec5m vi khu\u1ea9n HP: M\u1ed7i ng\u00e0y d\u00f9ng 1 vi\u00ean, d\u00f9ng kho\u1ea3ng 1 tu\u1ea7n, c\u00f3 k\u1ebft h\u1ee3p v\u1edbi kh\u00e1ng sinh.<\/li>\n<\/ul>\n<h2>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<ul>\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng ho\u1eb7c qu\u00e1 m\u1eabn v\u1edbi b\u1ea5t k\u00ec th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/li>\n<li>Kh\u00f4ng d\u00f9ng thu\u1ed1c n\u00e0y \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c kh\u00e1ng virus Nelfinavir, Atazanavir.<\/li>\n<li>Tr\u1ebb em nh\u1ecf h\u01a1n 12 tu\u1ed5i.<\/li>\n<\/ul>\n<h2>T\u00e1c d\u1ee5ng ph\u1ee5<\/h2>\n<table>\n<tbody>\n<tr>\n<td>C\u01a1 quan<\/td>\n<td>Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td>\u00cdt g\u1eb7p<\/td>\n<td>Hi\u1ebfm g\u1eb7p<\/td>\n<td>R\u1ea5t hi\u1ebfm g\u1eb7p<\/td>\n<td>Ch\u01b0a r\u00f5<\/td>\n<\/tr>\n<tr>\n<td>Th\u1ea7n kinh<\/td>\n<td>\u0110au nh\u1ee9c \u0111\u1ea7u<\/td>\n<td>Ch\u00f3ng m\u1eb7t, ng\u1ee7 g\u00e0 hay d\u1ecb c\u1ea3m<\/td>\n<td>V\u1ecb gi\u00e1c r\u1ed1i lo\u1ea1n<\/td>\n<td>Suy gi\u1ea3m t\u1ea7m nh\u00ecn<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Th\u1eadn ti\u1ebft ni\u1ec7u<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>Vi\u00eam th\u1eadn k\u1ebd<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Sinh s\u1ea3n<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>Tuy\u1ebfn v\u00fa tr\u1edf n\u00ean n\u1eef h\u00f3a<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Da<\/td>\n<td><\/td>\n<td>Da vi\u00eam v\u00e0 n\u1ed5i m\u1ea9n g\u00e2y ng\u1ee9a<\/td>\n<td>T\u0103ng nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng v\u00e0 b\u1ecb h\u00f3i<\/td>\n<td>H\u1ed9i ch\u1ee9ng TEN, h\u1ed3ng ban \u0111a d\u1ea1ng,&#8230;<\/td>\n<td>Lupus ban \u0111\u1ecf<\/td>\n<\/tr>\n<tr>\n<td>T\u00e2m th\u1ea7n<\/td>\n<td><\/td>\n<td>M\u1ea5t ng\u1ee7<\/td>\n<td>K\u00edch \u0111\u1ed9ng hay tr\u1ea7m c\u1ea3m, l\u1eabn l\u1ed9n<\/td>\n<td>\u1ea2o gi\u00e1c, n\u00f3ng t\u00ednh<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>To\u00e0n th\u00e2n<\/td>\n<td><\/td>\n<td><\/td>\n<td>Ng\u01b0\u1eddi kh\u00f3 \u1edf, m\u1ed3 h\u00f4i nhi\u1ec1u<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Gan m\u1eadt<\/td>\n<td><\/td>\n<td>Men gan cao<\/td>\n<td>C\u00f3 b\u1ec7nh gan, gan vi\u00eam c\u00f3 k\u00e8m hay kh\u00f4ng k\u00e8m da v\u00e0ng<\/td>\n<td>Gan suy, ng\u01b0\u1eddi c\u00f3 b\u1ec7nh gan d\u1ec5 m\u1eafc th\u00eam b\u1ec7nh n\u00e3o<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>H\u00f4 h\u1ea5p<\/td>\n<td><\/td>\n<td><\/td>\n<td>Ph\u1ebf qu\u1ea3n co th\u1eaft<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>M\u00e1u<\/td>\n<td><\/td>\n<td><\/td>\n<td>B\u1ea1ch c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u gi\u1ea3m<\/td>\n<td>B\u1ea1ch c\u1ea7u h\u1ea1t m\u1ea5t v\u00e0 huy\u1ebft c\u1ea7u gi\u1ea3m<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>M\u1eaft<\/td>\n<td><\/td>\n<td><\/td>\n<td>Nh\u00ecn m\u1edd<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Mi\u1ec5n d\u1ecbch<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>S\u1ed1c hay ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Ti\u00eau h\u00f3a<\/td>\n<td>Ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, t\u00e1o b\u00f3n, nh\u1ee9c b\u1ee5ng, b\u1ee5ng ch\u01b0\u1edbng, n\u00f4n m\u1eeda<\/td>\n<td>Mi\u1ec7ng kh\u00f4<\/td>\n<td>Mi\u1ec7ng vi\u00eam hay b\u1ecb nhi\u1ec5m Candida ti\u00eau h\u00f3a<\/td>\n<td><\/td>\n<td>\u0110\u1ea1i tr\u00e0ng vi th\u1ec3 b\u1ecb vi\u00eam<\/td>\n<\/tr>\n<tr>\n<td>Tai<\/td>\n<td><\/td>\n<td>Ch\u00f3ng m\u1eb7t<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Dinh d\u01b0\u1ee1ng<\/td>\n<td><\/td>\n<td>Ph\u00f9 \u1edf ngo\u1ea1i bi\u00ean<\/td>\n<td>Natri huy\u1ebft gi\u1ea3m<\/td>\n<td><\/td>\n<td>Magie huy\u1ebft b\u1ecb h\u1ea1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<blockquote><p>=&gt; Xem th\u00eam: <a href=\"https:\/\/www.vnras.com\/drug\/degodas\">Thu\u1ed1c Degodas c\u00f3 t\u00e1c d\u1ee5ng g\u00ec? Gi\u00e1 bao nhi\u00eau, mua \u1edf \u0111\u00e2u ch\u00ednh h\u00e3ng<\/a>.<\/p><\/blockquote>\n<h2>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/h2>\n<table>\n<tbody>\n<tr>\n<td>Thu\u1ed1c<\/td>\n<td>T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c \u0111\u01b0\u1ee3c h\u1ea5p thu c\u00f3 m\u1ed1i quan h\u1ec7 v\u1edbi pH<\/td>\n<td>L\u00e0m cho \u0111\u1ed9 acid c\u1ee7a d\u1ea1 d\u00e0y b\u1ecb gi\u1ea3m<\/td>\n<\/tr>\n<tr>\n<td>\u1ee8c ch\u1ebf men protease<\/td>\n<td>X\u1ea3y ra t\u01b0\u01a1ng t\u00e1c ch\u01b0a r\u00f5<\/td>\n<\/tr>\n<tr>\n<td>Atazanavir hay ritonavir<\/td>\n<td>Gi\u1ea3m c\u00e1c ch\u1ec9 s\u1ed1 AUC, Cmin v\u00e0 Cmax c\u1ee7a hai thu\u1ed1c \u0111\u00f3<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi CYP2C19, CYP3A4<\/td>\n<td>N\u1ed3ng \u0111\u1ed9 esomeprazol t\u0103ng l\u00ean<\/td>\n<\/tr>\n<tr>\n<td>Warfarin<\/td>\n<td>T\u0103ng ch\u1ec9 s\u1ed1 INR<\/td>\n<\/tr>\n<tr>\n<td>Cilostazol<\/td>\n<td>T\u0103ng AUC c\u0169ng nh\u01b0 Cmax c\u1ee7a Cilostazol<\/td>\n<\/tr>\n<tr>\n<td>Cisaprid<\/td>\n<td>Cmax v\u00e0 t1\/2 c\u1ee7a Cisaprid t\u0103ng l\u00ean nh\u01b0ng kh\u00f4ng \u0111\u00e1ng k\u1ec3. C\u00f3 s\u1ed1 \u00edt ghi nh\u1eadn tr\u00ean QTc k\u00e9o d\u00e0i<\/td>\n<\/tr>\n<tr>\n<td>Clopidogrel<\/td>\n<td>Gi\u1ea3m \u0111i hi\u1ec7u qu\u1ea3 c\u1ee7a Clopidogrel<\/td>\n<\/tr>\n<tr>\n<td>Tacrolimus, methotrexate<\/td>\n<td>T\u0103ng n\u1ed3ng \u0111\u1ed9 tacrolimus, methotrexate<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c c\u1ea3m \u1ee9ng CYP2C19, CYP3A4<\/td>\n<td>Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 c\u1ee7a esomeprazol<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Ch\u00fa \u00fd khi s\u1eed d\u1ee5ng v\u00e0 b\u1ea3o qu\u1ea3n Esosunny<\/h2>\n<h3>L\u01b0u \u00fd v\u00e0 th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>Thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn cho c\u00e1c ch\u1ea9n \u0111o\u00e1n v\u1ec1 b\u1ec7nh d\u1ea1 d\u00e0y b\u1ecb h\u1ea1n ch\u1ebf. Do v\u1eady khi c\u00f3 bi\u1ec3u hi\u1ec7n nh\u01b0 lo\u00e9t d\u1ea1 d\u00e0y c\u0169ng nh\u01b0 bi\u1ebfn \u0111\u1ed5i kh\u00e1c th\u00ec c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn b\u1ec7nh n\u00e0y.<\/li>\n<li>Kinh nghi\u1ec7m d\u00f9ng cho ng\u01b0\u1eddi c\u00f3 t\u00ecnh tr\u1ea1ng th\u1eadn n\u1eb7ng n\u00ean ch\u00fa \u00fd khi d\u00f9ng.<\/li>\n<li>L\u01b0u \u00fd quan s\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean cho ng\u01b0\u1eddi ph\u1ea3i d\u00f9ng thu\u1ed1c l\u00e2u d\u00e0i. \u0110\u1eb7c bi\u1ec7t khi d\u00f9ng thu\u1ed1c t\u1eeb 1 n\u0103m tr\u1edf \u0111i.<\/li>\n<li>Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 khi c\u00f3 c\u00e1c thay \u0111\u1ed5i l\u00fac d\u00f9ng thu\u1ed1c v\u00e0 ch\u00fa \u00fd \u0111\u1ebfn t\u01b0\u01a1ng t\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra.<\/li>\n<li>Khi d\u00f9ng thu\u1ed1c \u0111\u1ec3 ch\u1eefa cho b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m H.pylori th\u00ec c\u1ea7n ch\u00fa \u00fd v\u1ec1 t\u01b0\u01a1ng t\u00e1c. Do khi ch\u1eefa b\u1ec7nh n\u00e0y c\u1ea7n d\u00f9ng \u0111\u1ebfn hai thu\u1ed1c n\u1eefa, trong \u0111\u00f3 c\u00f3 kh\u00e1ng sinh. Ng\u01b0\u1eddi \u0111ang s\u1eed d\u1ee5ng cisapride th\u00ec kh\u00f4ng d\u00f9ng clarithromycin.<\/li>\n<li>Thu\u1ed1c c\u00f3 ch\u1ee9a sucrose cho n\u00ean c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 \u0111\u1ed1i v\u1edbi vi\u1ec7c dung n\u1ea1p hay h\u1ea5p thu k\u00e9m fructose th\u00ec kh\u00f4ng cho d\u00f9ng Esosunny.<\/li>\n<li>Khi d\u00f9ng thu\u1ed1c n\u00e0y th\u00ec b\u1ec7nh nh\u00e2n s\u1ebd c\u00f3 nguy c\u01a1 r\u1ea5t cao nhi\u1ec5m ph\u1ea3i Salmonella hay Campylobacter.<\/li>\n<li>Kh\u00f4ng n\u00ean d\u00f9ng v\u1edbi thu\u1ed1c atazanavir. C\u00f2n n\u1ebfu b\u1eaft bu\u1ed9c ph\u1ea3i s\u1eed d\u1ee5ng th\u00ec ph\u1ea3i theo d\u00f5i k\u1ef9.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 s\u1ef1 thi\u1ebfu h\u1ee5t v\u1ec1 vitamin B12 c\u1ea7n \u0111\u01b0\u1ee3c ch\u00fa \u00fd v\u00e0 c\u00e2n nh\u1eafc.<\/li>\n<li>C\u00f3 tr\u01b0\u1eddng h\u1ee3p d\u00f9ng thu\u1ed1c \u0111\u01b0\u1ee3c 3 th\u00e1ng b\u1ecb h\u1ee5t magie trong m\u00e1u r\u1ea5t n\u1eb7ng, nh\u01b0ng \u0111a s\u1ed1 l\u00e0 b\u1ecb khi d\u00f9ng 1 n\u0103m. Khi thi\u1ebfu magie b\u1ec7nh nh\u00e2n s\u1ebd c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n nh\u01b0 m\u00ea s\u1ea3ng, cho\u00e1ng v\u00e1ng, m\u1ec7t m\u1ecfi,&#8230;T\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n n\u1ebfu d\u1eebng thu\u1ed1c v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p thay th\u1ebf magie.<\/li>\n<li>Ki\u1ec3m so\u00e1t magie cho b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean n\u1ebfu d\u00f9ng v\u1edbi thu\u1ed1c kh\u00e1c khi\u1ebfn magie thi\u1ebfu h\u1ee5t nhanh ch\u00f3ng.<\/li>\n<li>D\u00f9ng thu\u1ed1c v\u1ec1 l\u00e2u d\u00e0i s\u1ebd khi\u1ebfn nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng v\u00e0 g\u00e3y x\u01b0\u01a1ng t\u0103ng nh\u1eb9. Do v\u1eady c\u1ea7n ch\u00fa \u00fd b\u1ed5 sung canxi c\u0169ng nh\u01b0 vitamin D cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<li>Ph\u1ea3i d\u1eebng u\u1ed1ng thu\u1ed1c kho\u1ea3ng 5 ng\u00e0y tr\u01b0\u1edbc khi x\u00e9t nghi\u1ec7m CgA.<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd cho m\u1eb9 b\u1ea7u v\u00e0 cho tr\u1ebb b\u00fa khi d\u00f9ng Esosunny<\/h3>\n<p>Nghi\u00ean c\u1ee9u c\u0169ng ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u1ea7y \u0111\u1ee7 v\u00e0 \u0111\u1ee7 c\u01a1 s\u1edf \u0111\u1ec3 cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y d\u00f9ng. Ch\u00ednh v\u00ec v\u1eady n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng n\u1ebfu kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n<h3>T\u00e1c \u0111\u1ed9ng c\u1ee7a Esosunny \u0111\u1ebfn c\u00f4ng vi\u1ec7c<\/h3>\n<p>Thu\u1ed1c \u00edt khi \u1ea3nh h\u01b0\u1edfng nh\u01b0ng n\u1ebfu d\u00f9ng xong b\u1ecb suy gi\u1ea3m t\u1ea7m nh\u00ecn hay cho\u00e1ng th\u00ec kh\u00f4ng n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c c\u00f4ng vi\u1ec7c nh\u01b0 l\u00e1i xe.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<ul>\n<li>\u0110\u1ec3 thu\u1ed1c trong khu v\u1ef1c m\u00e1t v\u00e0 tho\u00e1ng.<\/li>\n<li>Tr\u00e1nh n\u1eafng hay nhi\u1ec7t \u0111\u1ed9.<\/li>\n<li>Tr\u00e1nh t\u1ea7m v\u1edbi c\u1ee7a tr\u1ebb.<\/li>\n<\/ul>\n<h2>C\u00e1ch x\u1eed tr\u00ed qu\u00e1 li\u1ec1u, qu\u00ean li\u1ec1u thu\u1ed1c Esosunny<\/h2>\n<h3>Qu\u00e1 li\u1ec1u<\/h3>\n<ul>\n<li>T\u00ecnh tr\u1ea1ng qu\u00e1 li\u1ec1u x\u1ea3y ra khi m\u1ed9t ng\u01b0\u1eddi d\u00f9ng 280mg. Khi \u0111\u00f3 x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng t\u1ea1i ti\u00eau h\u00f3a v\u00e0 ng\u01b0\u1eddi m\u1ec7t m\u1ecfi.<\/li>\n<li>Thu\u1ed1c n\u00e0y kh\u00f4ng th\u1ec3 d\u00f9ng c\u00e1ch th\u1ea9m t\u00e1ch m\u00e1u v\u00e0 c\u0169ng kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i. Ch\u1ec9 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3.<\/li>\n<\/ul>\n<h3>Qu\u00ean li\u1ec1u<\/h3>\n<p>C\u00f3 th\u1ec3 u\u1ed1ng l\u00fac nh\u1edb ra. Nh\u01b0ng n\u00ean b\u1ecf qua n\u1ebfu \u0111\u00e3 g\u1ea7n l\u1ea7n u\u1ed1ng ti\u1ebfp sau \u0111\u00f3. Kh\u00f4ng n\u00ean c\u1ed1 d\u00f9ng nhi\u1ec1u li\u1ec1u m\u1ed9t l\u00fac hay g\u1ea7n nhau.<\/p>\n<h2>So s\u00e1nh Esosunny v\u00e0 Esonix 40mg<\/h2>\n<h3>Gi\u1ed1ng<\/h3>\n<ul>\n<li>\u0110\u1ec1u c\u00f3 ch\u1ee9a Esomeprazol c\u00f3 h\u00e0m l\u01b0\u1ee3ng 40mg.<\/li>\n<li>H\u1ed9p g\u1ed3m 30 vi\u00ean, m\u1ed7i 1 v\u1ec9 10 vi\u00ean.<\/li>\n<li>Li\u1ec1u d\u00f9ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng.<\/li>\n<li>C\u00f3 hi\u1ec7u qu\u1ea3 trong c\u00e1c b\u1ec7nh nh\u01b0 tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, zollinger ellison c\u0169ng nh\u01b0 lo\u00e9t d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n<h3>Kh\u00e1c<\/h3>\n<table>\n<tbody>\n<tr>\n<td>Thu\u1ed1c<\/td>\n<td>Esosunny<\/td>\n<td>Esonix 40mg<\/td>\n<\/tr>\n<tr>\n<td>Nh\u00e0 s\u1ea3n xu\u1ea5t<\/td>\n<td>X\u00ed nghi\u1ec7p d\u01b0\u1ee3c ph\u1ea9m 150, Vi\u1ec7t Nam<\/td>\n<td>Incepta Pharmaceuticals Limited, Bangladesh<\/td>\n<\/tr>\n<tr>\n<td>D\u1ea1ng b\u00e0o ch\u1ebf<\/td>\n<td>Vi\u00ean nang c\u1ee9ng<\/td>\n<td>Vi\u00ean bao tan t\u1ea1i ru\u1ed9t<\/td>\n<\/tr>\n<tr>\n<td>Gi\u00e1 b\u00e1n<\/td>\n<td>360.000 \u0111\u1ed3ng<\/td>\n<td>465.000 \u0111\u1ed3ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Thu\u1ed1c Esosunny 40mg gi\u00e1 bao nhi\u00eau?<\/h2>\n<p>C\u00f3 th\u1ec3 t\u00ecm mua thu\u1ed1c \u1edf nhi\u1ec1u n\u01a1i, gi\u00e1 b\u00e1n s\u1ebd c\u00f3 s\u1ef1 kh\u00e1c nhau. Nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i \u0111ang b\u00e1n <b>Esosunny gi\u00e1<\/b> 360.000 \u0111\u1ed3ng 1 h\u1ed9p. Nh\u00e0 thu\u1ed1c c\u1ee7a ch\u00fang t\u00f4i c\u00f3 th\u1ec3 giao h\u00e0ng t\u1eadn n\u01a1i v\u00e0 nhanh ch\u00f3ng n\u1ebfu b\u1ea1n kh\u00f4ng th\u1ec3 mua tr\u1ef1c ti\u1ebfp.<\/p>\n<h2>Thu\u1ed1c Esosunny mua \u1edf \u0111\u00e2u ch\u00ednh h\u00e3ng?<\/h2>\n<p>B\u1ea1n n\u00ean t\u00ecm \u0111\u00fang n\u01a1i b\u00e1n h\u00e0ng chu\u1ea9n \u0111\u1ec3 tr\u00e1nh b\u1ecb mua ph\u1ea3i h\u00e0ng gi\u1ea3. D\u00f9ng ph\u1ea3i h\u00e0ng gi\u1ea3 c\u00f3 th\u1ec3 khi\u1ebfn cho c\u01a1 th\u1ec3 g\u1eb7p nguy hi\u1ec3m. Nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng c\u00f3 b\u00e1n <b>Esosunny ch\u00ednh h\u00e3ng<\/b>.<\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>T\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<figure id=\"attachment_34473\" aria-describedby=\"caption-attachment-34473\" style=\"width: 950px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-34473\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7.jpg\" alt=\"H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Esosunny\" width=\"950\" height=\"1600\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7.jpg 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7-238x400.jpg 238w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7-475x800.jpg 475w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7-768x1293.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7-912x1536.jpg 912w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-7-350x589.jpg 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><figcaption id=\"caption-attachment-34473\" class=\"wp-caption-text\">H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Esosunny<\/figcaption><\/figure>\n<figure id=\"attachment_34474\" aria-describedby=\"caption-attachment-34474\" style=\"width: 950px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-34474\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8.jpg\" alt=\"H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Esosunny\" width=\"950\" height=\"1600\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8.jpg 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8-238x400.jpg 238w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8-475x800.jpg 475w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8-768x1293.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8-912x1536.jpg 912w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/09\/Esosunny-8-350x589.jpg 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><figcaption id=\"caption-attachment-34474\" class=\"wp-caption-text\">H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Esosunny<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Trong b\u00e0i vi\u1ebft n\u00e0y, nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c Esosunny \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Chi nh\u00e1nh C\u00f4ng ty c\u1ed5 ph\u1ea7n Armephaco-X\u00ed nghi\u1ec7p d\u01b0\u1ee3c ph\u1ea9m 150 &#8211; Vi\u1ec7t Nam, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-29548-18, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi C\u00f4ng ty TNHH Sunny [&#8230;]\n","protected":false},"author":1,"featured_media":34475,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-20325","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\/20325","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=20325"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/34475"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=20325"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=20325"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=20325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}