﻿{"id":48125,"date":"2023-10-11T16:38:53","date_gmt":"2023-10-11T09:38:53","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=48125"},"modified":"2025-07-24T14:01:51","modified_gmt":"2025-07-24T07:01:51","slug":"periwel-4","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/periwel-4\/","title":{"rendered":"Periwel 4"},"content":{"rendered":"<p><b>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 <a href=\"https:\/\/vnras.com\/drug\/?post_type=product&amp;p=48125&amp;preview=true\">Periwel 4<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c H\u00e0 T\u00e2y. C\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-22468-15. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh tim m\u1ea1ch nh\u01b0 t\u0103ng huy\u1ebft \u00e1p hay suy tim.<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Periwel 4 l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Th\u00e0nh ph\u1ea7n c\u00f3 trong m\u1ed7i vi\u00ean nang c\u1ee9ng Periwel 4 g\u1ed3m c\u00f3:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Perindopril erbumin: 4 mg.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1 d\u01b0\u1ee3c (Microcrystalline cellulose, carboxymethylcellulose natri, magnesium stearate, gelatin, tinh b\u1ed9t s\u1eafn, natri lauryl sulfat, b\u1ed9t talch): v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VD-22468-15.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Periwel 4<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">D\u01b0\u1ee3c l\u1ef1c h\u1ecdc<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Perindopril l\u00e0 m\u1ed9t thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n \u0111\u1ed5i angiotensin, t\u00e1c d\u1ee5ng th\u00f4ng qua ho\u1ea1t t\u00ednh c\u1ee7a ch\u1ea5t chuy\u1ec3n h\u00f3a perindoprilat.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Enzym chuy\u1ec3n \u0111\u1ed5i n\u00e0y (ACE: Angiotensin Converting Enzyme) l\u00e0 m\u1ed9t protease (exopeptidase) chuy\u1ec3n angiotensin I th\u00e0nh angiotensin II l\u00e0 m\u1ed9t ch\u1ea5t co m\u1ea1ch m\u1ea1nh v\u00e0 th\u00fac \u0111\u1ea9y t\u1ebf b\u00e0o c\u01a1 tr\u01a1n m\u1ea1ch m\u00e1u v\u00e0 c\u01a1 tim t\u0103ng tr\u01b0\u1edfng, \u0111\u1ed3ng th\u1eddi ACE g\u00e2y gi\u1ea3ng h\u00f3a bradykinin l\u00e0 m\u1ed9t ch\u1ea5t l\u00e0m gi\u00e3n m\u1ea1ch.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u1ee8c ch\u1ebf ACE l\u00e0m gi\u1ea3m angiotensin II trong huy\u1ebft t\u01b0\u01a1ng, d\u1eabn \u0111\u1ebfn t\u0103ng ho\u1ea1t t\u00ednh c\u1ee7a renin trong huy\u1ebft t\u01b0\u01a1ng v\u00e0 d\u1eabn \u0111\u1ebfn gi\u1ea3m ti\u1ebft aldosteron, n\u00ean l\u00e0m gi\u1ea3m gi\u1eef natri v\u00e0 t\u0103ng gi\u1eef kali trong c\u01a1 th\u1ec3. Do ACE l\u00e0m b\u1ea5t ho\u1ea1t bradykinin, \u1ee9c ch\u1ebf ACE c\u0169ng d\u1eabn \u0111\u1ebfn t\u0103ng ho\u1ea1t t\u00ednh c\u1ee7a h\u1ec7 th\u1ed1ng Kalli Krein Kinin t\u1ea1i ch\u1ed7 v\u00e0 trong tu\u1ea7n ho\u00e0n v\u00e0 nh\u01b0 v\u1eady c\u0169ng ho\u1ea1t h\u00f3a h\u1ec7 th\u1ed1ng prostaglandin. C\u01a1 ch\u1ebf n\u00e0y c\u0169ng g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m huy\u1ebft \u00e1p c\u1ee7a c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ACE, \u0111\u1ed3ng th\u1eddi m\u1ed9t ph\u1ea7n g\u00e2y ra ph\u1ea3n \u1ee9ng ph\u1ee5 nh\u01b0 ho.<\/span><\/p>\n<p><span style=\"font-weight: 400\">T\u00f3m l\u1ea1i, Perindopril l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf ACE \u0111\u1eb7c hi\u1ec7u cho m\u00f4 c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p k\u00e9o d\u00e0i 24 gi\u1edd, gi\u00fap b\u1ea3o v\u1ec7 m\u1ea1ch m\u00e1u v\u00e0 l\u00e0m gi\u1ea3m s\u1ef1 bi\u1ebfn \u0111\u1ed9ng c\u1ee7a huy\u1ebft \u00e1p.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Sau khi u\u1ed1ng, perindopril \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh (\u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong 1 gi\u1edd) v\u00e0 chuy\u1ec3n h\u00f3a m\u1ea1nh, ch\u1ee7 y\u1ebfu \u1edf gan th\u00e0nh perindoprilat c\u00f3 ho\u1ea1t t\u00ednh v\u00e0 1 s\u1ed1 ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00e1c kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh bao g\u1ed3m c\u00e1c glucuronid (sinh kh\u1ea3 d\u1ee5ng: 65 \u2013 70 %).<\/span><\/p>\n<h2><span style=\"font-weight: 400\">\u0110\u1ed1i t\u01b0\u1ee3ng n\u00ean s\u1eed d\u1ee5ng Periwel 4<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c <\/span><b>Periwel 4<\/b><span style=\"font-weight: 400\"> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00ecnh tr\u1ea1ng sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n b\u1ecb suy tim sung huy\u1ebft.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng Periwel 4<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">C\u00e1ch d\u00f9ng<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Periwel 4 \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean nang c\u1ee9ng n\u00ean s\u1ebd s\u1eed d\u1ee5ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng. U\u1ed1ng c\u1ea3 vi\u00ean v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc kho\u1ea3ng 150 ml.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Th\u1eddi \u0111i\u1ec3m u\u1ed1ng thu\u1ed1c t\u1ed1t nh\u1ea5t l\u00e0 u\u1ed1ng 1 l\u1ea7n v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 u\u1ed1ng l\u00fac ch\u01b0a \u0103n (u\u1ed1ng khi \u0111\u00f3i).<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng<\/span><\/h3>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400\">Tr\u01b0\u1eddng h\u1ee3p<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u s\u1eed d\u1ee5ng<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh huy\u1ebft \u00e1p cao<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ng\u01b0\u1eddi l\u1edbn: U\u1ed1ng 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y. Sau 1 th\u00e1ng s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea1n c\u00f3 th\u1ec3 t\u0103ng l\u00ean 2 vi\u00ean\/l\u1ea7n\/ng\u00e0y (n\u1ebfu c\u1ea7n).<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n l\u00e0 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i: U\u1ed1ng li\u1ec1u gi\u1ea3m 1 n\u1eeda so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, \u00bd vi\u00ean\/l\u1ea7n\/ng\u00e0y. Sau 1 th\u00e1ng s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea1n c\u00f3 th\u1ec3 t\u0103ng l\u00ean 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y (n\u1ebfu c\u1ea7n).<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n b\u1ecb suy tim sung huy\u1ebft<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u s\u1ebd l\u00e0 \u00bd vi\u00ean\/l\u1ea7n\/ng\u00e0y. Sau \u0111\u00f3 s\u1eed d\u1ee5ng li\u1ec1u duy tr\u00ec t\u1eeb \u00bd &#8211; 1 vi\u00ean\/ng\u00e0y.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 th\u00ec s\u1eed d\u1ee5ng \u00bc vi\u00ean\/ng\u00e0y.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb suy th\u1eadn<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u1ed9 thanh th\u1ea3i t\u1eeb 30 &#8211; 60 ml\/ph\u00fat: \u00bd vi\u00ean\/ng\u00e0y.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u1ed9 thanh th\u1ea3i t\u1eeb 15 &#8211; 30 ml\/ph\u00fat: \u00bd vi\u00ean\/ 2 ng\u00e0y.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u1ed9 thanh th\u1ea3i d\u01b0\u1edbi 15 ml\/ph\u00fat: \u00bd vi\u00ean\/ng\u00e0y c\u00f3 th\u1ea9m ph\u00e2n.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng Periwel 4 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Periwel 4 \u0111\u1ed1i v\u1edbi nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng nh\u01b0 sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Periwel 4 cho b\u1ec7nh nh\u00e2n qu\u00e1 m\u1eabn v\u1edbi Methylprednisolon v\u00e0 b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong thu\u1ed1c.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ecb ph\u00f9 m\u1ea1ch c\u00f3 li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf enzyme chuy\u1ec3n.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u1ed1i t\u01b0\u1ee3ng l\u00e0 ph\u1ee5 n\u1eef \u0111ang mang thai v\u00e0 b\u00e0 m\u1eb9 \u0111ang cho con b\u00fa.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Periwel 4<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Periwel 4 cho b\u1ec7nh nh\u00e2n b\u1ecb d\u1ecb \u1ee9ng hay qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi th\u00e0nh ph\u1ea7n c\u00f3 trong thu\u1ed1c.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u0110\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf c\u1ea7n n\u00ean th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng v\u00ec hi\u1ec7n nay v\u1eabn ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u v\u1ec1 \u0111\u1ed9 an to\u00e0n khi s\u1eed d\u1ee5ng cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/span><\/p>\n<p><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n b\u1ecb suy th\u1eadn c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u s\u1eed d\u1ee5ng.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd t\u0103ng hay gi\u1ea3m li\u1ec1u \u0111i\u1ec1u tr\u1ecb khi ch\u01b0a c\u00f3 s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u00e1c s\u0129.<\/span><\/p>\n<p><span style=\"font-weight: 400\">N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang b\u1ecb suy tim sung huy\u1ebft m\u00e0 \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u th\u00ec b\u1ea1n n\u00ean gi\u1ea3m li\u1ec1u s\u1eed d\u1ee5ng c\u1ee7a thu\u1ed1c l\u1ee3i ti\u1ec3u tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c Periwel 4.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn tu\u1ed5i n\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u \u00bd vi\u00ean\/ng\u00e0y (perindopril erbumin) v\u00e0 ph\u1ea3i \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u0110\u1ecdc k\u1ef9 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Periwel 4 tr\u01b0\u1edbc khi d\u00f9ng.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a Periwel 4<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Trong th\u1eddi gian s\u1eed d\u1ee5ng thu\u1ed1c Periwel 4 b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 sau:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400\">T\u1ea7n su\u1ea5t<\/span><\/td>\n<td><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Th\u01b0\u1eddng g\u1eb7p<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Th\u1ea7n kinh: Nh\u1ee9c \u0111\u1ea7u, r\u1ed1i lo\u1ea1n t\u00ednh kh\u00ed v\u00e0 ho\u1eb7c gi\u1ea5c ng\u1ee7, suy nh\u01b0\u1ee3c; khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u1ea7y \u0111\u1ee7 \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ti\u00eau h\u00f3a: R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a kh\u00f4ng \u0111\u1eb7c hi\u1ec7u l\u1eabm v\u00e0 \u0111\u00e3 c\u00f3 th\u00f4ng b\u1ea3o v\u1ec1 r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, ch\u00f3ng m\u1eb7t v\u00e0 chu\u1ed9t r\u00fat.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ngo\u00e0i da: M\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p n\u1ed5i m\u1ea9n c\u1ee5c b\u1ed9 tr\u00ean da \u0111\u00e3 \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">H\u00f4 h\u1ea5p: \u0110\u00f4i khi th\u1ea5y c\u00f3 tri\u1ec7u ch\u1ee9ng ho, n\u00f3i chung kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu l\u1eafm, ch\u1ec9 l\u00e0 h\u1ecd khan, 1400 ki\u1ec3u k\u00edch \u1ee9ng.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">\u00cdt g\u1eb7p<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ea5t l\u1ef1c, kh\u00f4 mi\u1ec7ng.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">M\u00e1u: C\u00f3 th\u1ec3 th\u1ea5y hemoglobin gi\u1ea3m nh\u1eb9 khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sinh h\u00f3a: T\u0103ng kali &#8211; huy\u1ebft, th\u01b0\u1eddng l\u00e0 tho\u00e1ng qua.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Hi\u1ebfm g\u1eb7p<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ph\u00f9 m\u1ea1ch (ph\u00f9 Quincke) \u1edf m\u1eb7t, \u0111\u1ea7u chi, m\u00f4i, l\u01b0\u1edbi, thanh m\u00f4n v\u00e0\/ho\u1eb7c thanh qu\u1ea3n.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400\">Thu\u1ed1c<\/span><\/td>\n<td><span style=\"font-weight: 400\">S\u1ef1 t\u01b0\u01a1ng t\u00e1c<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid, corticoid, tetracosactid.\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400\">L\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Thu\u1ed1c an th\u1ea7n<\/span><\/td>\n<td><span style=\"font-weight: 400\">Ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c an th\u1ea7n kinh v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m imipramine s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Thu\u1ed1c tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (insulin, thu\u1ed1c u\u1ed1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft)<\/span><\/td>\n<td><span style=\"font-weight: 400\">Qu\u00e1 tr\u00ecnh thanh th\u1ea3i qua gan c\u1ee7a methylprednisolon c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng, do \u0111\u00f3 c\u1ea7n c\u00f3 s\u1ef1 \u0111i\u1ec1u ch\u1ec9nh t\u01b0\u01a1ng \u1ee9ng li\u1ec1u d\u00f9ng c\u1ee7a methylprednisolon.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Mu\u1ed1i kali v\u00e0 thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali<\/span><\/td>\n<td><span style=\"font-weight: 400\">Ph\u1ed1i h\u1ee3p perindopril v\u1edbi c\u00e1c mu\u1ed1i kali v\u00e0 v\u1edbi thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali c\u00f3 nguy c\u01a1 t\u0103ng kali &#8211; huy\u1ebft, nh\u1ea5t l\u00e0 \u1edf ng\u01b0\u1eddi suy th\u1eadn.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">Lithi<\/span><\/td>\n<td><span style=\"font-weight: 400\">T\u0103ng lithi huy\u1ebft<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400\">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<p><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Periwel 4 cho ph\u1ee5 n\u1eef \u0111ang mang thai v\u00e0 b\u00e0 m\u1eb9 \u0111ang cho con b\u00fa.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Periwel 4 gi\u00e1 bao nhi\u00eau? Periwel 4 mua \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">S\u1ea3n ph\u1ea9m Periwel 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<p><span style=\"font-weight: 400\">Tr\u01b0\u1eddng h\u1ee3p s\u1ea3n ph\u1ea9m <\/span><span style=\"font-weight: 400\">Periwel 4 <\/span><span style=\"font-weight: 400\">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\u00f4ng d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi Periwel 4 nh\u01b0:\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">S\u1ea3n ph\u1ea9m thu\u1ed1c <\/span><a href=\"https:\/\/vnras.com\/drug\/zhekof-40mg\/\"><span style=\"font-weight: 400\">Zhekof 40mg<\/span><\/a><span style=\"font-weight: 400\"> \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-21070-14. <\/span><span style=\"font-weight: 400\">Hi\u1ec7n nay \u0111ang c\u00f3 gi\u00e1 b\u00e1n l\u00e0 100.000 \u0111\u1ed3ng\/h\u1ed9p v\u1edbi quy c\u00e1ch \u0111\u00f3ng g\u00f3i l\u00e0 h\u1ed9p 3 v\u1ec9 x 10 vi\u00ean.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">S\u1ea3n ph\u1ea9m thu\u1ed1c <\/span><a href=\"https:\/\/vnras.com\/drug\/levistel-80mg\/\"><span style=\"font-weight: 400\">Levistel 80mg<\/span><\/a><span style=\"font-weight: 400\"> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Laboratorios Lesvi, S.L., c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-20431-17. Hi\u1ec7n nay \u0111ang c\u00f3 gi\u00e1 b\u00e1n l\u00e0 330.000 \u0111\u1ed3ng\/h\u1ed9p v\u1edbi quy c\u00e1ch \u0111\u00f3ng g\u00f3i l\u00e0 h\u1ed9p g\u1ed3m 34 v\u1ec9, m\u1ed7i v\u1ec9 ch\u1ee9a 7 vi\u00ean. Thu\u1ed1c gi\u00fap \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n v\u00e0 d\u1ef1 ph\u00f2ng b\u1ec7nh tim m\u1ea1ch.<\/span><\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400\">Periwel 4 c\u00f3<\/span><span style=\"font-weight: 400\"> t\u1ed1t kh\u00f4ng? T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn <\/span><span style=\"font-weight: 400\">Periwel 4<\/span><span style=\"font-weight: 400\">?<\/span><\/h2>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400\">\u01afu \u0111i\u1ec3m<\/span><\/td>\n<td><span style=\"font-weight: 400\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/span><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean nang c\u1ee9ng, d\u1ec5 s\u1eed d\u1ee5ng v\u00e0 d\u1ec5 \u0111em theo ng\u01b0\u1eddi.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Gi\u00e1 b\u00e1n ph\u1ea3i ch\u0103ng.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi d\u01b0\u1ee3c ph\u1ea9m H\u00e0 T\u00e2y, v\u1edbi c\u00f4ng ngh\u1ec7 hi\u1ec7n \u0111\u1ea1i, nh\u00e0 m\u00e1y \u0111\u1ea1t chu\u1ea9n c\u1ee7a GMP-WHO.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u00e3 c\u00f3 nghi\u00ean c\u1ee9u kh\u1eb3ng \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 tuy\u1ec7t v\u1eddi c\u1ee7a perindopril trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n v\u00e0 t\u00ednh an to\u00e0n v\u01b0\u1ee3t tr\u1ed9i c\u1ee7a n\u00f3.<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thu\u1ed1c kh\u00f4ng s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c cho ph\u1ee5 n\u1eef \u0111ang mang thai v\u00e0 b\u00e0 m\u1eb9 \u0111ang cho con b\u00fa.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/span><\/h2>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1c gi\u1ea3 Enisa Hodzic v\u00e0 c\u1ed9ng s\u1ef1 (\u0110\u0103ng th\u00e1ng 03 n\u0103m 2020).<\/span><i><span style=\"font-weight: 400\"> Efficacy and Safety of Perindopril in Patients with Essential Hypertension,<\/span><\/i><span style=\"font-weight: 400\"> NIH. Ng\u00e0y truy c\u1eadp 11 th\u00e1ng 10 n\u0103m 2023 t\u1eeb <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7219713\/\" rel=\"noopener\"><span style=\"font-weight: 400\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7219713\/<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Periwel 4, xem <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/10\/periwel-4.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Periwel 4 c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 ho\u1ea1t ch\u1ea5t Perindopril erbumin v\u1edbi h\u00e0m l\u01b0\u1ee3ng 4mg. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh tim m\u1ea1ch, \u0111\u1eb7c bi\u1ec7t&#8230;<\/p>\n","protected":false},"author":490,"featured_media":48137,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-48125","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\/48125","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=48125"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/48137"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=48125"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=48125"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=48125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}