﻿{"id":51013,"date":"2023-10-25T16:51:48","date_gmt":"2023-10-25T09:51:48","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=51013"},"modified":"2025-07-24T14:00:02","modified_gmt":"2025-07-24T07:00:02","slug":"donox-20mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/donox-20mg\/","title":{"rendered":"Donox 20mg"},"content":{"rendered":"<p><strong>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 <a href=\"https:\/\/vnras.com\/drug\/donox-20mg\/\">Donox 20mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n xu\u1ea5t nh\u1eadp kh\u1ea9u y t\u1ebf Domesco, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-29396-18<\/strong><\/p>\n<h2>Donox 20mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>M\u1ed7i vi\u00ean <strong>Donox 20mg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Ho\u1ea1t ch\u1ea5t: <strong>Isosorbid mononitrat<\/strong> 20mg<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n.<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-29396-18.<br \/>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean.<br \/>\nXu\u1ea5t x\u1ee9: Vi\u1ec7t Nam.<\/p>\n<h2>Thu\u1ed1c Donox 20mg c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p><strong>Isosorbid 20mg<\/strong> l\u00e0 nitrat h\u1eefu c\u01a1, c\u00f3 t\u00e1c d\u1ee5ng gi\u00e3n m\u1ea1ch. N\u00f3 l\u00e0m t\u0103ng ch\u1ee9a m\u00e1u \u1edf ngo\u1ea1i vi, gi\u1ea3m \u00e1p l\u1ef1c cu\u1ed1i k\u1ef3 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, gi\u1ea3m \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch to\u00e0n th\u00e2n, do \u0111\u00f3 l\u00e0m gi\u1ea3m h\u1eadu t\u1ea3i v\u00e0 ti\u1ec1n t\u1ea3i c\u1ee7a tim.<br \/>\nisosorbid mononitrat nh\u1edd v\u00e0o t\u00e1c \u0111\u1ed9ng gi\u00e3n m\u1ea1ch c\u00f3 ch\u1ecdn l\u1ecdc tr\u00ean c\u00e1c m\u1ea1ch m\u00e1u ngo\u1ea1i t\u00e2m m\u1ea1c l\u1edbn, n\u00f3 ph\u00e2n b\u1ed1 l\u1ea1i l\u01b0u l\u01b0\u1ee3ng m\u00e1u theo tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 t\u1eeb ngo\u1ea1i t\u00e2m m\u1ea1c \u0111\u1ebfn v\u00f9ng n\u1ed9i t\u00e2m m\u1ea1c t\u1eeb \u0111\u00f3 cung c\u1ea5p oxy cho thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim.<\/p>\n<p>Isosorbid mononitrat l\u00e0m t\u0103ng dung t\u00edch t\u0129nh m\u1ea1ch, t\u0103ng ch\u1ee9a m\u00e1u \u1edf t\u0129nh m\u1ea1ch ngo\u1ea1i vi, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m th\u1ec3 t\u00edch t\u00e2m th\u1ea5t v\u00e0 gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c cho tim v\u00e0 gi\u1ea3m nhu c\u1ea7u cung c\u1ea5p oxy cho c\u01a1 tim.<\/p>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<ul>\n<li>H\u1ea5p thu<\/li>\n<\/ul>\n<p>Isosorbid mononitrat h\u1ea5p thu nhanh. Kho\u1ea3ng 1 gi\u1edd sau khi u\u1ed1ng, thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<ul>\n<li>Chuy\u1ec3n h\u00f3a<\/li>\n<\/ul>\n<p>Isosorbid mononitrat c\u00f3 sinh kh\u1ea3 d\u1ee5ng 100% sau khi u\u1ed1ng v\u00e0 kh\u00f4ng b\u1ecb chuy\u1ec3n h\u00f3a qua gan l\u1ea7n \u0111\u1ea7u.<\/p>\n<ul>\n<li>Th\u1ea3i tr\u1eeb<\/li>\n<\/ul>\n<p>Th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 5,1 gi\u1edd.<\/p>\n<p>Isosorbld-5-MN-2 glucoronid ( ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a Isosorbid mononitrat) c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i l\u00e0 kho\u1ea3ng 2,5 gi\u1edd<\/p>\n<p>M\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i.<\/p>\n<p>N\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau sau khi u\u1ed1ng nhi\u1ec1u li\u1ec1u v\u00e0 li\u1ec1u \u0111\u01a1n.<\/p>\n<h2>Thu\u1ed1c Donox 20mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Donox 20mg s\u1eed d\u1ee5ng \u0111\u1ec3:<\/p>\n<ul>\n<li>D\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 trong suy tim sung huy\u1ebft, m\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00e0 glycosid tim kh\u00f4ng c\u00f3 \u0111\u00e1p \u1ee9ng.<\/li>\n<\/ul>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Donox 20mg<\/h2>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>Donox 20mg \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p>Ng\u01b0\u1eddi l\u1edbn: 1 vi\u00ean x 2-3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1eb1ng nitrat n\u00ean d\u00f9ng li\u1ec1u ban \u0111\u1ea7u l\u00e0 1 vi\u00ean x 2 l\u1ea7n\/ ng\u00e0y.<\/p>\n<p>C\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ebfn 6 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n cao tu\u1ed5i.<\/p>\n<p>Tr\u1ebb em: Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u v\u1ec1 s\u1ef1 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 khi d\u00f9ng \u1edf tr\u1ebb em.<\/p>\n<p>Kh\u00f4ng n\u00ean ng\u01b0ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t ng\u1ed9t, d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3, gi\u1ea3m d\u1ea7n li\u1ec1u d\u00f9ng v\u00e0 s\u1ed1 l\u1ea7n d\u00f9ng.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Donox 20mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>&#8211; B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi ho\u1ea1t ch\u1ea5t isosorbid mononitrat, c\u00e1c nitrat kh\u00e1c ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>&#8211; C\u00e1c tr\u01b0\u1eddng h\u1ee3p: suy tu\u1ea7n ho\u00e0n c\u1ea5p, nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p t\u00ednh c\u00f3 gi\u1ea3m \u00e1p l\u1ef1c l\u00e0m \u0111\u1ea7y tim, b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i t\u1eafc ngh\u1ebdn, huy\u1ebft \u00e1p r\u1ea5t th\u1ea5p, gi\u1ea3m \u00e1p l\u1ef1c l\u00e0m \u0111\u1ea7y tim, ch\u00e8n \u00e9p tim, vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\/van hai l\u00e1 v\u00e0 c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u, xu\u1ea5t huy\u1ebft n\u00e3o).<\/p>\n<p>&#8211; B\u1ec7nh thi\u1ebfu m\u00e1u n\u1eb7ng\/gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u n\u1eb7ng, t\u0103ng nh\u00e3n \u00e1p g\u00f3c \u0111\u00f3ng.<\/p>\n<p>&#8211; Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi nitrat v\u1edbi ti\u1ec1n ch\u1ea5t nitric oxid, riociguat.<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Donox 20mg<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>&#8211; B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim, gi\u1ea3m \u00e1p l\u1ef1c l\u00e0m \u0111\u1ea7y tim c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c. B\u1ec7nh nh\u00e2n huy\u1ebft \u00e1p t\u00e2m thu &lt; 90 mmHg, suy gi\u00e1p, suy dinh d\u01b0\u1ee1ng, h\u1ea1 th\u00e2n nhi\u1ec7t, b\u1ec7nh th\u1eadn\/ gan n\u1eb7ng kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c.<\/p>\n<p>&#8211; Sau li\u1ec1u \u0111\u1ea7u ti\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng suy tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 x\u1ea3y ra, nh\u1ea5t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n c\u00f3 l\u01b0u th\u00f4ng m\u00e1u kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>&#8211; \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng ( k\u00e8m nh\u1ee9c \u0111\u1ea7u nh\u1eb9 v\u00e0 ch\u00f3ng m\u1eb7t \u1edf b\u1ec7nh nh\u00e2n u\u1ed1ng r\u01b0\u1ee3u, ng\u1ea5t. H\u1ea1 huy\u1ebft \u00e1p c\u00f3 th\u1ec3 k\u00e8m v\u1edbi nh\u1ecbp tim ch\u1eadm v\u00e0 t\u0103ng \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 di truy\u1ec1n kh\u00f4ng dung n\u1ea1p galactose ho\u1eb7c k\u00e9m h\u1ea5p thu glucose-galactose, thi\u1ebfu enzym Lapp lactase kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y.<\/p>\n<p>&#8211; N\u00ean \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ng\u1eadm d\u01b0\u1edbi l\u01b0\u1ee1i nh\u01b0 thu\u1ed1c x\u1ecbt GTN ho\u1eb7c vi\u00ean n\u00e9n kh\u00e1c trong c\u01a1n \u0111au th\u1eaft ng\u1ef1c c\u1ea5p t\u00ednh.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf phosphodiesterase (nh\u01b0 sildenafil, tadalafil, vardenafil) khi \u0111ang \u0111i\u1ec1u tr\u1ecb duy tr\u00ec b\u1eb1ng isosorbid mononitrat.<\/p>\n<p>&#8211; \u0110\u1ec3 tr\u00e1nh l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y c\u01a1n \u0111au th\u1eaft ng\u1ef1c, kh\u00f4ng n\u00ean ng\u01b0ng \u0111i\u1ec1u tr\u1ecb isosorbid mononitrat \u0111\u1ec3 d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf phosphodiesterase.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<table style=\"border-collapse: collapse;width: 100%;height: 198px\">\n<tbody>\n<tr style=\"height: 21px\">\n<td style=\"width: 33.3333%;height: 21px;text-align: center\">T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/td>\n<td style=\"width: 21.3389%;height: 21px;text-align: center\">C\u01a1 quan<\/td>\n<td style=\"width: 45.3277%;height: 21px;text-align: center\">Bi\u1ec3u hi\u1ec7n<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 33.3333%;height: 21px\">R\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 21.3389%;height: 21px\">H\u1ec7 th\u1ea7n kinh<\/td>\n<td style=\"width: 45.3277%;height: 21px\">\u0110au \u0111\u1ea7u<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 33.3333%;height: 84px;text-align: center\" rowspan=\"4\">Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 21.3389%;height: 21px\">M\u1ea1ch m\u00e1u<\/td>\n<td style=\"width: 45.3277%;height: 21px\">H\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 21.3389%;height: 21px\">H\u1ec7 th\u1ea7n kinh<\/td>\n<td style=\"width: 45.3277%;height: 21px\">Bu\u1ed3n ng\u1ee7, ch\u00f3ng m\u1eb7t<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 21.3389%;height: 21px\">Tim m\u1ea1ch<\/td>\n<td style=\"width: 45.3277%;height: 21px\">Nh\u1ecbp tim nhanh<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 21.3389%;height: 21px\">To\u00e0n th\u00e2n<\/td>\n<td style=\"width: 45.3277%;height: 21px\">Suy nh\u01b0\u1ee3c<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 33.3333%;height: 72px;text-align: center\" rowspan=\"3\">\u00cdt g\u1eb7p<\/td>\n<td style=\"width: 21.3389%;height: 21px\">M\u1ea1ch m\u00e1u<\/td>\n<td style=\"width: 45.3277%;height: 21px\">Suy tu\u1ea7n ho\u00e0n<\/td>\n<\/tr>\n<tr style=\"height: 30px\">\n<td style=\"width: 21.3389%;height: 30px\">Tim m\u1ea1ch<\/td>\n<td style=\"width: 45.3277%;height: 30px\">\u0110au th\u1eaft ng\u1ef1c tr\u1ea7m tr\u1ecdng h\u01a1n.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 21.3389%;height: 21px\">Ti\u00eau h\u00f3a<\/td>\n<td style=\"width: 45.3277%;height: 21px\">N\u00f4n, bu\u1ed3n n\u00f4n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>&#8211; C\u00e1c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p v\u00e0\/ho\u1eb7c r\u01b0\u1ee3u, c\u00e1c thu\u1ed1c an th\u1ea7n kinh v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00e0ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a isosorbid mononitrat.<\/p>\n<p>&#8211; Thu\u1ed1c \u1ee9c ch\u1ebf phosphodiesterase typ 5 trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a sosorbid mononitrat, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Do \u0111\u00f3, kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p hai lo\u1ea1i thu\u1ed1c n\u00e0y.<\/p>\n<p>&#8211; N\u1ed3ng \u0111\u1ed9 c\u1ee7a dihydroergotamin trong m\u00e1u c\u00f3 th\u1ec3 t\u0103ng khi d\u00f9ng \u0111\u1ed3ng th\u1eddi isosorbid mononitrat v\u1edbi dihydroergotamin.<\/p>\n<p>&#8211; Th\u1eadn tr\u1ecdng khi d\u00f9ng \u0111\u1ed3ng th\u1eddi Donox 20mg v\u1edbi thu\u1ed1c c\u00f3 ch\u1ee9a saproptetin.<\/p>\n<p>&#8211; Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi isosorbid mononitrat v\u1edbi riociquat v\u00ec c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 ph\u1ee5 n\u1eef cho con b\u00fa<\/h3>\n<p>Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u v\u1ec1 an to\u00e0n c\u1ee7a thu\u1ed1c trong th\u1eddi gian mang thai<\/p>\n<p>Th\u1eadn tr\u1ecdng d\u00f9ng thu\u1ed1c khi \u0111ang cho con b\u00fa v\u00ec ch\u01b0a bi\u1ebft thu\u1ed1c c\u00f3 \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 hay kh\u00f4ng.<br \/>\nThu\u1ed1c ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, khi \u0111\u00e3 c\u00e2n nh\u1eafc k\u1ef9 l\u1ee3i \u00edch v\u00e0 nguy c\u01a1.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng: H\u1ea1 huy\u1ebft \u00e1p, methemoglobin m\u00e1u, t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd d\u1eabn \u0111\u1ebfn teo n\u00e3o.<\/p>\n<p>X\u1eed tr\u00ed:<\/p>\n<ul>\n<li>Ng\u1eebng d\u00f9ng thu\u1ed1c.<\/li>\n<li>N\u1ebfu h\u1ea1 huy\u1ebft \u00e1p c\u1ea7n \u0111\u1eb7t b\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, cung c\u1ea5p oxy, truy\u1ec1n d\u1ecbch, \u0111i\u1ec1u tr\u1ecb s\u1ed1c v\u00e0 l\u00e0m t\u0103ng huy\u1ebft \u00e1p n\u1ebfu c\u1ea7n.<\/li>\n<li>Tr\u01b0\u1eddng h\u1ee3p methemoglobin m\u00e1u c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t ch\u1ea5t kh\u1eed \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb, h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o, cung c\u1ea5p oxy, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o n\u1ebfu c\u1ea7n.<\/li>\n<li>C\u00f3 th\u1ec3 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i s\u1ee9c.<\/li>\n<\/ul>\n<h3>T\u00e1c \u0111\u1ed9ng tr\u00ean kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5: m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, nh\u00ecn m\u1edd khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng khi l\u00e1i xe.<\/p>\n<h2>Thu\u1ed1c Donox 20mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Thu\u1ed1c 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, <strong>gi\u00e1 thu\u1ed1c Donox 20mg<\/strong> 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.<\/p>\n<p>K\u00ednh m\u1eddi qu\u00fd kh\u00e1ch xem th\u00eam m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m kh\u00e1c t\u1ea1i nh\u00e0 thu\u1ed1c c\u1ee7a ch\u00fang t\u00f4i c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng:<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/diropam\/\">Diropam<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c Enlie, ch\u1ee9a Tofisopam v\u1edbi h\u00e0m l\u01b0\u1ee3ng 50mg. Thu\u1ed1c d\u00f9ng \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111au th\u1eaft ng\u1ef1c gi\u1ea3, suy nh\u01b0\u1ee3c th\u1ea7n kinh, lo \u00e2u, gi\u1ea3m \u00fd ch\u00ed, c\u0103ng th\u1eb3ng; tr\u1ea7m c\u1ea3m, m\u1ec7t m\u1ecfi. Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n, b\u1ea1n c\u00f3 th\u1ec3 d\u00f9ng 1-2 vi\u00ean\/l\u1ea7n x 1-3 l\u1ea7n\/ng\u00e0y. Thu\u1ed1c c\u00f3 gi\u00e1 220.000 \u0111\u1ed3ng\/ 1 h\u1ed9p 2 v\u1ec9 x 10 vi\u00ean.<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/metazydyna\/\">Metazydyna<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Pharmaceutical Works Polfa in Pabianice Joint-Stock Co c\u1ee7a Ba Lan ch\u1ee9a Trimetazidine dihydrochlorid h\u00e0m l\u01b0\u1ee3ng 20 mg d\u00f9ng trong ph\u00f2ng ng\u1eeba c\u01a1n \u0111au th\u1eaft ng\u1ef1c, \u0111au t\u1ee9c ng\u1ef1c do cung c\u1ea5p thi\u1ebfu oxy cho c\u01a1 tim, t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u v\u00f5ng m\u1ea1c, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh. Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u1ea1ng vi\u00ean n\u00e9n v\u00e0 c\u00f3 gi\u00e1 90.000\/1 h\u1ed9p 2 v\u1ec9 x 20 vi\u00ean.<\/p>\n<h2>T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Donox 20mg?<\/h2>\n<table style=\"border-collapse: collapse;width: 100%;height: 170px\">\n<tbody>\n<tr style=\"height: 21px\">\n<td style=\"width: 53.4868%;height: 21px;text-align: center\">\u01afu \u0111i\u1ec3m<\/td>\n<td style=\"width: 46.5132%;height: 21px;text-align: center\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n<tr style=\"height: 64px\">\n<td style=\"width: 53.4868%;height: 64px\">Donox 20mg \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn s\u1eed d\u1ee5ng trong ph\u00f2ng ng\u1eeba ho\u1eb7c \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c do b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 \u0111i\u1ec1u tr\u1ecb suy tim sung huy\u1ebft.<\/td>\n<td style=\"width: 46.5132%;height: 64px\">T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n r\u1ea5t th\u01b0\u1eddng g\u1eb7p c\u1ee7a thu\u1ed1c l\u00e0 \u0111au \u0111\u1ea7u.<\/td>\n<\/tr>\n<tr style=\"height: 43px\">\n<td style=\"width: 53.4868%;height: 43px\">Isosorbide kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 gan.<\/td>\n<td style=\"width: 46.5132%;height: 43px\">C\u00e1c bi\u1ec3u hi\u1ec7n: m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, nh\u00ecn m\u1edd c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u00ean kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 53.4868%;height: 21px\">C\u00e1c nghi\u00ean c\u1ee9u d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc cho th\u1ea5y isosorbide mononitrate \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng sau khi u\u1ed1ng, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong v\u00f2ng m\u1ed9t gi\u1edd, kh\u00f4ng tr\u1ea3i qua qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a l\u1ea7n \u0111\u1ea7u \u0111\u00e1ng k\u1ec3 v\u00e0 h\u1ea7u nh\u01b0 c\u00f3 sinh kh\u1ea3 d\u1ee5ng 100%.<\/td>\n<td style=\"width: 46.5132%;height: 21px\"><\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 53.4868%;height: 21px\">Donox 20mg c\u00f3 gi\u00e1 kh\u00e1 r\u1ebb.<\/td>\n<td style=\"width: 46.5132%;height: 21px\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>T\u00e1c gi\u1ea3 Suryakumar Balasubramanian v\u00e0 c\u1ed9ng s\u1ef1 (Th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y 16 th\u00e1ng 05 n\u0103m 2023). <em>Isosorbide<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 25 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557839\/\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557839\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 U W Abshagen. (Th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y 27 th\u00e1ng 11 n\u0103m 1992). <em>Pharmacokinetics of isosorbide mononitrate<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 25 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1449102\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/1449102\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 Margaret M Redfield v\u00e0 c\u1ed9ng s\u1ef1. (Th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y 08 th\u00e1ng 11 n\u0103m 2015). <em>Isosorbide Mononitrate in Heart Failure with Preserved Ejection Fraction<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 25 th\u00e1ng 10 n\u0103m 2023, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26549714\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26549714\/<\/a><\/li>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng do nh\u00e0 s\u1ea3n xu\u1ea5t cung c\u1ea5p, t\u1ea3i b\u1ea3n PDF <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/10\/Donox-20mg-vnras.pdf\">T\u1ea0I \u0110\u00c2Y<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Donox 20mg ch\u1ee9a Isosorbid mononitrat h\u00e0m l\u01b0\u1ee3ng 20mg c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c v\u00e0 suy tim sung huy\u1ebft m\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00e0 glycosid tim kh\u00f4ng c\u00f3 \u0111\u00e1p \u1ee9ng<\/p>\n","protected":false},"author":490,"featured_media":51014,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-51013","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\/51013","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=51013"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/51014"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=51013"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=51013"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=51013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}