{"id":43669,"date":"2023-09-21T22:46:37","date_gmt":"2023-09-21T15:46:37","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&p=43669"},"modified":"2025-07-24T14:03:43","modified_gmt":"2025-07-24T07:03:43","slug":"gregory-4","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/gregory-4\/","title":{"rendered":"Gregory 4"},"content":{"rendered":"

Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c Gregory 4<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty TNHH d\u01b0\u1ee3c ph\u1ea9m \u0110\u1ea1t Vi Ph\u00fa, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-20524-14<\/b>.<\/span><\/p>\n

Gregory 4 l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n
Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n
Thu\u1ed1c Gregory 4 c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n
Glimepiride \u2026\u2026\u2026\u2026. 4mg<\/span><\/p>\n
T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean<\/span><\/p>\n
D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/span><\/p>\n
Tr\u00ecnh b\u00e0y<\/span><\/h3>\n
S\u0110K: VD-20524-14<\/span><\/p>\n
Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 6 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n
Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/span><\/p>\n
T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Gregory 4<\/span><\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/span><\/h3>\n
Glimepride<\/strong> l\u00e0 sulfonamid d\u00f9ng theo \u0111\u01b0\u1eddng u\u1ed1ng, v\u1edbi t\u00e1c d\u1ee5ng l\u00e0m h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft thu\u1ed9c nh\u00f3m sulfonylure. Glimepirid c\u00f3 t\u00e1c d\u1ee5ng ch\u00ednh l\u00e0 k\u00edch th\u00edch gi\u1ea3i ph\u00f3ng insulin t\u1eeb c\u00e1c t\u1ebf b\u00e0o b\u00eata \u0111\u1ea3o Langerhans c\u1ee7a tuy\u1ebfn t\u1ee5y b\u1eb1ng c\u00e1ch ch\u1eb7n c\u00e1c k\u00eanh kali nh\u1ea1y c\u1ea3m ATP (k\u00eanh KATP) v\u00e0 g\u00e2y kh\u1eed c\u1ef1c t\u1ebf b\u00e0o beta.\u00a0<\/span><\/p>\n
Glimepiride k\u00edch th\u00edch ti\u1ebft c\u00e1c h\u1ea1t insulin t\u1eeb t\u1ebf b\u00e0o beta tuy\u1ebfn t\u1ee5y v\u00e0 c\u1ea3i thi\u1ec7n \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a c\u00e1c m\u00f4 ngo\u1ea1i bi\u00ean v\u1edbi insulin \u0111\u1ec3 t\u0103ng h\u1ea5p thu glucose \u1edf ngo\u1ea1i bi\u00ean, do \u0111\u00f3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 glucose huy\u1ebft t\u01b0\u01a1ng v\u00e0 n\u1ed3ng \u0111\u1ed9 glycated hemoglobin (HbA1C).<\/span><\/p>\n
Ngo\u00e0i ra, Glimepiride gi\u00fap c\u1ea3i thi\u1ec7n s\u1ef1 nh\u1ea1y c\u1ea3m c\u1ee7a c\u00e1c m\u00f4 ngo\u1ea1i vi \u0111\u1ed1i v\u1edbi insulin v\u00e0 l\u00e0m gi\u1ea3m s\u1ef1 thu n\u1ea1p insulin \u1edf gan. Glimepirid l\u00e0m t\u0103ng r\u1ea5t nhanh s\u1ed1 l\u01b0\u1ee3ng c\u00e1c ch\u1ea5t chuy\u00ean ch\u1edf glucose qua m\u00e0ng t\u1ebf b\u00e0o c\u01a1 v\u00e0 t\u1ebf b\u00e0o m\u1ee1, l\u00e0m t\u0103ng thu n\u1ea1p glucose v\u00e0o c\u00e1c m\u00f4 c\u01a1 v\u00e0 m\u00f4 m\u1ee1.<\/span><\/p>\n
Ch\u1ea5t chuy\u1ec3n ho\u00e1 hydroxy c\u1ee7a glimepirid c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1 glucose huy\u1ebft nh\u1eb9, nh\u01b0ng ch\u1ec9 \u0111\u00f3ng g\u00f3p m\u1ed9t ph\u1ea7n nh\u1ecf v\u00e0o t\u00e1c d\u1ee5ng h\u1ea1 glucose huy\u1ebft to\u00e0n ph\u1ea7n.<\/span><\/p>\n
Glimepirid c\u00f3 h\u1ee3p \u0111\u1ed3ng t\u00e1c d\u1ee5ng v\u1edbi metformin ho\u1eb7c v\u1edbi insulin.<\/span><\/p>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n
H\u1ea5p th\u1ee5: Glimepirid c\u00f3 sinh kh\u1ea3 d\u1ee5ng r\u1ea5t cao. Th\u1ee9c \u0103n kh\u00f4ng l\u00e0m thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 s\u1ef1 h\u1ea5p thu c\u1ee7a thu\u1ed1c, nh\u01b0ng t\u1ed1c \u0111\u1ed9 h\u1ea5p thu c\u00f3 ch\u1eadm h\u01a1n. N\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u1ea3ng 2 gi\u1edd 30 ph\u00fat sau khi u\u1ed1ng thu\u1ed1c.<\/span><\/p>\n
Ph\u00e2n b\u1ed1: Glimepirid c\u00f3 th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 r\u1ea5t th\u1ea5p (kho\u1ea3ng 8,8 l\u00edt) t\u01b0\u01a1ng t\u1ef1 nh\u01b0 th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a albumin. Glimepirid li\u00ean k\u1ebft m\u1ea1nh v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng (> 99%) v\u00e0 c\u00f3 \u0111\u1ed9 thanh th\u1ea3i th\u1ea5p (x\u1ea5p x\u1ec9 48 ml\/ph\u00fat). N\u1eeda \u0111\u1eddi trong huy\u1ebft t\u01b0\u01a1ng c\u1ee7a glimepirid l\u00e0 5 – 8 gi\u1edd, nh\u01b0ng khi d\u00f9ng li\u1ec1u cao, n\u1eeda \u0111\u1eddi s\u1ebd d\u00e0i h\u01a1n.<\/span><\/p>\n
Chuy\u1ec3n h\u00f3a: Glimepiride \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 tr\u1ea3i qua qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a \u1edf gan. Trong n\u01b0\u1edbc ti\u1ec3u, kh\u00f4ng th\u1ea5y glimepirid c\u00f2n \u1edf d\u1ea1ng ch\u01b0a chuy\u1ec3n ho\u00e1. Hai d\u1eabn ch\u1ea5t hydroxy v\u00e0 carboxy c\u1ee7a glimepirid \u0111\u1ec1u th\u1ea5y trong ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u.<\/span><\/p>\n
Th\u1eddi gian b\u00e1n h\u1ee7y th\u1ea3i tr\u1eeb c\u1ee7a glimepiride kho\u1ea3ng 5 \u0111\u1ebfn 8 gi\u1edd, c\u00f3 th\u1ec3 t\u0103ng l\u00ean t\u1edbi 9 gi\u1edd sau khi d\u00f9ng nhi\u1ec1u li\u1ec1u.\u00a0\u00a0<\/span><\/p>\n
Thu\u1ed1c Gregory \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n
Thu\u1ed1c Gregory 4<\/strong> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tu\u00fdp 2 \u1edf ng\u01b0\u1eddi l\u1edbn, h\u1ed7 tr\u1ee3 cho ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang. Ngo\u00e0i ra, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi Metfomin khi d\u00f9ng m\u00ecnh thu\u1ed1c Gregory kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 nh\u01b0 mong mu\u1ed1n.<\/span><\/p>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Gregory.<\/span><\/h2>\n
S\u1eed d\u1ee5ng thu\u1ed1c b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, kh\u00f4ng nhai ho\u1eb7c nghi\u1ec1n n\u00e1t<\/span><\/p>\n
C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng tr\u01b0\u1edbc ho\u1eb7c trong b\u1eefa \u0103n s\u00e1ng<\/span><\/p>\n
Ph\u1ee5 thu\u1ed9c v\u00e0o kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng thu\u1ed1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 hi\u1ec7u ch\u1ec9nh li\u1ec1u cho ph\u00f9 h\u1ee3p. Khuy\u1ebfn c\u00e1o n\u00ean s\u1eed d\u1ee5ng v\u1edbi thi\u1ec1u th\u1ea5p nh\u1ea5t m\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft hi\u1ec7u qu\u1ea3<\/span><\/p>\n
Li\u1ec1u khuy\u1ebfn c\u00e1o<\/span><\/i><\/p>\n
Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 1mg\/ng\u00e0y<\/span><\/p>\n
Sau 1-2 tu\u1ea7n, n\u1ebfu t\u00ecnh tr\u1ea1ng ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c t\u0103ng li\u1ec1u th\u00eam 1mg\/ng\u00e0y<\/span><\/p>\n
Li\u1ec1u t\u1ed1i \u0111a l\u00e0 8mg\/ng\u00e0y<\/span><\/p>\n
N\u1ebfu sau khi u\u1ed1ng 1mg glimepirid, ki\u1ec3m tra th\u1ea5y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft th\u00ec ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ch\u1ec9 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 luy\u1ec7n t\u1eadp<\/span><\/p>\n
B\u1ec7nh nh\u00e2n suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn<\/span><\/i><\/p>\n
Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 1mg\/ng\u00e0y, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u n\u1ebfu \u0111\u01b0\u1eddng huy\u1ebft trong m\u00e1u v\u1eabn cao l\u00fac \u0111\u00f3i<\/span><\/p>\n
N\u1ebfu h\u1ec7 s\u1ed1 thanh th\u1ea3i creatinin d\u01b0\u1edbi 22 ml\/ph\u00fat, th\u01b0\u1eddng ch\u1ec9 d\u00f9ng 1 mg\/1 l\u1ea7n m\u1ed7i ng\u00e0y, kh\u00f4ng c\u1ea7n ph\u1ea3i t\u0103ng h\u01a1n.\u00a0<\/span><\/p>\n
\u0110\u1ed1i v\u1edbi suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u.\u00a0<\/span><\/p>\n
N\u1ebfu suy th\u1eadn n\u1eb7ng ho\u1eb7c suy gan n\u1eb7ng, ph\u1ea3i chuy\u1ec3n sang d\u00f9ng insulin.<\/span><\/p>\n
Chuy\u1ec3n t\u1eeb thu\u1ed1c kh\u00e1c ch\u1eefa \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng sang Glimepirid<\/span><\/em><\/p>\n
Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 1mg\/ng\u00e0y, r\u1ed3i t\u0103ng li\u1ec1u n\u1ebfu ch\u01b0a \u0111\u1ea1t hi\u1ec7u qu\u1ea3 nh\u01b0 tr\u00ean.<\/span><\/p>\n
D\u00f9ng ph\u1ed1i h\u1ee3p glimepiride v\u00e0 metformin ho\u1eb7c glitazon<\/span><\/em><\/p>\n
C\u1ea7n hi\u1ec7u ch\u1ec9nh t\u1eeb li\u1ec1u th\u1ea5p c\u1ee7a m\u1ed7i thu\u1ed1c, sau \u0111\u00f3 t\u0103ng d\u1ea7n n\u1ebfu kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 mong mu\u1ed1n. C\u1ea7n ph\u1ea3i c\u1ea9n tr\u1ecdng khi ph\u1ed1i h\u1ee3p do d\u1ec5 b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u1ed9t ng\u1ed9t khi s\u1eed d\u1ee5ng.<\/span><\/p>\n
Ph\u1ed1i h\u1ee3p glimepirid v\u00e0 insulin<\/span><\/em><\/p>\n
Sau khi d\u00f9ng glimepirid \u0111\u01b0\u1ee3c m\u1ed9t th\u1eddi gian, n\u1ebfu d\u00f9ng glimepirid \u0111\u01a1n \u0111\u1ed9c 8 mg\/ng\u00e0y m\u00e0 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c glucose huy\u1ebft, th\u00ec c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p th\u00eam v\u1edbi insulin, b\u1eaft \u0111\u1ea7u t\u1eeb ti\u1ec3u insulin th\u1ea5p, r\u1ed3i t\u1eb7ng. d\u1ea7n cho \u0111\u1ebfn li\u1ec1u ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c glucose huy\u1ebft.\u00a0<\/span><\/p>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Gregory 4 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n
Kh\u00f4ng d\u00f9ng trong b\u1ea5t k\u1ef3 tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m v\u1edbi th\u00e0nh ph\u1ea7n c\u1ee7a thu\u1ed1c<\/span><\/p>\n
Kh\u00f4ng d\u00f9ng cho b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tuyp 1, nhi\u1ec5m aceton, h\u1ed3n m\u00ea ho\u1eb7c ti\u1ec1n h\u00f4n m\u00ea, h\u00f4n m\u00ea t\u0103ng \u00e1p l\u1ef1c th\u1ea9m m\u1ea5u do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/span><\/p>\n
Ng\u01b0\u1eddi b\u1ecb suy gan, th\u1eadn n\u1eb7ng<\/span><\/p>\n
Ph\u1ee5 n\u1eef mang thai v\u00e0 mu\u1ed1n mang thai, cho con b\u00fa<\/span><\/p>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Gregory<\/span><\/h2>\n
Th\u1eadn tr\u1ecdng<\/span><\/h3>\n
N\u00ean ph\u1ed1i h\u1ee3p thu\u1ed1c v\u1edbi c\u00e1c ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 luy\u1ec7n t\u1eadp \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 mong mu\u1ed1n nh\u1ea5t<\/span><\/p>\n
Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y t\u1ee5t glucose huy\u1ebft nh\u01b0 c\u00e1c thu\u1ed1c sulfonylure \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi suy dinh d\u01b0\u1ee1ng, suy th\u01b0\u1ee3ng th\u1eadn, suy gan, suy tuy\u1ebfn y\u00ean, suy th\u1eadn<\/span><\/p>\n
C\u1ea7n th\u1eadn tr\u1ecdng theo d\u00f5i ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft v\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c ch\u1eb9n beta ho\u1eb7c h\u1ee7y giao c\u1ea3m, v\u00ec r\u1ea5t kh\u00f3 ph\u00e1t hi\u1ec7n<\/span><\/p>\n
C\u1ea7n theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 3-6 th\u00e1ng 1 l\u1ea7n \u0111\u1ecbnh l\u01b0\u1ee3ng HbA1C n\u1ebfu c\u1ea7n ph\u1ea3i thay \u0111\u1ed5i ph\u00e1c \u0111\u1ed3\u00a0<\/span><\/p>\n
D\u00f9ng glimepirid c\u0169ng nh\u01b0 d\u00f9ng thu\u1ed1c h\u1ea1 glucose huy\u1ebft kh\u00e1c tuy \u0111\u00e3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c glucose huy\u1ebft, nh\u01b0ng sau m\u1ed9t th\u1eddi gian, c\u00f3 th\u1ec3 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c n\u1eefa. Khi \u0111\u00f3 c\u1ea7n ph\u1ea3i t\u0103ng li\u1ec1u ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi metformin, glitazon ho\u1eb7c insulin<\/span><\/p>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n
T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p c\u1ee7a glimepiride c\u00f3 th\u1ec3 bao g\u1ed3m:<\/span><\/p>\n
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\u0110au \u0111\u1ea7u<\/span><\/li>\n
Ch\u00f3ng m\u1eb7t, suy nh\u01b0\u1ee3c<\/span><\/li>\n
Bu\u1ed3n n\u00f4n<\/span><\/li>\n
L\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p<\/span><\/li>\n<\/ul>\n
\u00cdt g\u1eb7p<\/span><\/p>\n
\n
Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, m\u1ea9n \u0111\u1ecf, m\u00e0y \u0111ay, ph\u00e1t ban, ng\u1ee9a<\/span><\/li>\n<\/ul>\n
Hi\u1ebfm g\u1eb7p<\/span><\/p>\n
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T\u0103ng enzym gan, v\u00e0ng da, suy gi\u1ea3m ch\u1ee9c n\u0103ng gan<\/span><\/li>\n
Gi\u1ea3m ti\u1ec3u c\u1ea7u, thi\u1ebfu m\u00e1u tan huy\u1ebft, gi\u1ea3m h\u1ed3ng c\u1ea7u<\/span><\/li>\n
Vi\u00eam m\u1ea1ch m\u00e1u d\u1ecb \u1ee9ng<\/span><\/li>\n
Nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng<\/span><\/li>\n<\/ul>\n
T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n
C\u00e1c thu\u1ed1c l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 glucose huy\u1ebft c\u1ee7a glimepirid nh\u01b0 insulin, c\u00e1c thu\u1ed1c kh\u00e1c l\u00e0m h\u1ea1 glucose huy\u1ebft, cloramphenicol, d\u1eabn ch\u1ea5t coumarin, cyclophosphamid, disopyramid, ifosfamid, thu\u1ed1c \u1ee9c ch\u1ebf MAO, thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (acid paraaminosalicylic, c\u00e1c salicylat, phenylbutazon, oxyphenbutazon, azapropazon), probenecid, miconazol, c\u00e1c quinolon, c\u00e1c sulfonamid, thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, c\u00e1c steroid \u0111\u1ed3ng h\u00f3a v\u00e0 n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c nam. Khi ph\u1ed1i h\u1ee3p m\u1ed9t trong c\u00e1c thu\u1ed1c tr\u00ean v\u1edbi glimepirid, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nguy c\u01a1 t\u1ee5t glucose huy\u1ebft r\u1ea5t nguy hi\u1ec3m. Khi \u0111\u00f3, ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh, gi\u1ea3m li\u1ec1u glimepirid.<\/span><\/p>\n
C\u00e1c thu\u1ed1c l\u00e0m t\u0103ng glucose huy\u1ebft khi ph\u1ed1i h\u1ee3p v\u1edbi glimepirid nh\u01b0 c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u, \u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid, corticosteroid, diazoxid, catecholamin v\u00e0 c\u00e1c thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m kh\u00e1c, glucagon, acid nicotinic (li\u1ec1u cao), estrogen v\u00e0 thu\u1ed1c tr\u00e1nh thai c\u00f3 estrogen, phenothiazin, phenytoin, hormon tuy\u1ebfn gi\u00e1p, rifampicin. Khi ph\u1ed1i h\u1ee3p m\u1ed9t trong c\u00e1c thu\u1ed1c tr\u00ean v\u1edbi glimepirid c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng glucose huy\u1ebft, kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c glucose huy\u1ebft n\u1eefa. Khi \u0111\u00f3, ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh t\u0103ng li\u1ec1u glimepirid.<\/span><\/p>\n
L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/span><\/h3>\n
Kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa\u00a0<\/span><\/p>\n
Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\n
Tri\u1ec7u ch\u1ee9ng: T\u1ee5t glucose huy\u1ebft, nh\u1ee9c \u0111\u1ea7u, ng\u01b0\u1eddi m\u1ec7t l\u1ea3, run r\u1ea9y, lo l\u1eafng, nhip tim nhanh, b\u1ee9t r\u1ee9t, r\u1ed1i lo\u1ea1n c\u1ea3m r\u00e1c, ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, , h\u00f4n m\u00ea, th\u1edf n\u00f4ng,….<\/span><\/p>\n
X\u1eed tr\u00ed: B\u00e1o c\u00e1o ngay v\u1edbi b\u00e1c s\u0129, nh\u1eadp vi\u1ec7n n\u1ebfu c\u1ea7n<\/span><\/p>\n
C\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1eb9: cho u\u1ed1ng n\u01b0\u1edbc \u0111\u01b0\u1eddng kho\u1ea3ng 20-30g pha v\u1edbi n\u01b0\u1edbc \u1ea5m v\u00e0 theo d\u00f5i ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft. Cho u\u1ed1ng c\u00e1ch nhau kho\u1ea3ng 15p m\u1ed7i l\u1ea7n cho \u0111\u1ebfn khi \u0111\u01b0\u1eddng huy\u1ebft \u1ed5n \u0111\u1ecbnh<\/span><\/p>\n
Tr\u01b0\u1eddng h\u1ee3p n\u0103ng: B\u1ec7nh nh\u00e2n h\u00f4n m\u00ea ho\u1eb7c kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c ph\u1ea3i ti\u00eam ngay 50ml dung d\u1ecbch glucose 50% nhanh v\u00e0o t\u0129nh m\u1ea1ch. Sau \u0111\u00f3, ph\u1ea3i truy\u1ec1n t\u0129nh m\u1ea1ch ch\u1eadm 10-20% \u0111\u1ec3 \u0111\u01b0a ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft v\u1ec1 gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n
Thu\u1ed1c Gregory gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/span><\/h2>\n
Thu\u1ed1c Gregory 4 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 s\u1ea3n ph\u1ea9m 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 0868 552 633 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.\u00a0<\/span><\/p>\n
T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Gregory ?<\/span><\/h2>\n\n\n\n\n
\u01afu \u0111i\u1ec3m<\/td>\n Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n
Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tuyp II<\/p>\n
C\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c ch\u1ee9a th\u00e0nh ph\u1ea7n l\u00e0 metformin ho\u1eb7c glitazon \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng<\/p>\n
Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n nh\u1ecf g\u1ecdn, d\u1ec5 d\u00f9ng v\u00e0 mang \u0111i<\/p>\n
Thu\u1ed1c s\u1eed d\u1ee5ng v\u1edbi 1 li\u1ec1u duy nh\u1ea5t trong ng\u00e0y n\u00ean d\u1ec5 d\u00e0ng ghi nh\u1edb s\u1eed d\u1ee5ng<\/p>\n
Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00f4ng ty TNHH d\u01b0\u1ee3c ph\u1ea9m \u0110\u1ea1t Vi Ph\u00fa \u0111\u1ea1t chu\u1ea9n quy tr\u00ecnh GMP, n\u00ean y\u00ean t\u00e2m khi d\u00f9ng<\/td>\n
Thu\u1ed1c kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c v\u1edbi ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa<\/p>\n
Thu\u1ed1c c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi nhi\u1ec1u thu\u1ed1c n\u00ean c\u1ea7n th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p s\u1eed d\u1ee5ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c<\/p>\n
C\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u00e1nh d\u00f9ng qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft nghi\u00eam tr\u1ecdng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/span><\/h2>\n
\n
\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi chuy\u00ean gia c\u1ee7a Drugs.com. \u201cGlimepirid\u201d. Truy c\u1eadp ng\u00e0y 21 th\u00e1ng 9 n\u0103m 2023, t\u1eeb <\/span>https:\/\/www.drugs.com\/mtm\/glimepiride.html<\/span><\/a><\/li>\n
T\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Gregory 4, t\u1ea1i \u0111\u00e2y<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
Thu\u1ed1c Gregory 4\u00a0<\/strong>ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Glimepirid \u00a0\u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tu\u00fdp 2 \u1edf ng\u01b0\u1eddi l\u1edbn, h\u1ed7 tr\u1ee3 cho ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi Metfomin khi d\u00f9ng m\u00ecnh thu\u1ed1c Gregory kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 nh\u01b0 mong mu\u1ed1n.<\/span><\/p>\n","protected":false},"author":490,"featured_media":43682,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-43669","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\/43669","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\/490"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=43669"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/43682"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=43669"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=43669"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=43669"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}