﻿{"id":51374,"date":"2023-10-26T14:08:27","date_gmt":"2023-10-26T07:08:27","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=51374"},"modified":"2025-07-24T13:59:58","modified_gmt":"2025-07-24T06:59:58","slug":"thuoc-citopam-20","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/thuoc-citopam-20\/","title":{"rendered":"Citopam 20"},"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 thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/thuoc-citopam-20\/\">Citopam 20<\/a>\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Sun Pharmaceutical Industries Ltd , c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-22477-19<\/b><span style=\"font-weight: 400\">.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Citopam 20 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\">Thu\u1ed1c Citopam 20 c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Citalopram hydrobromide: 20mg<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">D\u1ea1ng b\u00e0o ch\u1ebf: vi\u00ean n\u00e9n bao phim<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VN-22477-19<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: \u1ea4n \u0110\u1ed9<\/span><\/p>\n<h2><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Citopam 20<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Citalopram thu\u1ed9c nh\u00f3m thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc (SSRI). N\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 l\u00e0m gi\u1ea3m ho\u1eb7c ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m, lo l\u1eafng, r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng, r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng ch\u1ebf v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m tr\u1ea1ng kh\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400\">C\u00e1c nghi\u00ean c\u1ee9u in vitro \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng citalopram l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf m\u1ea1nh v\u00e0 ch\u1ecdn l\u1ecdc s\u1ef1 t\u00e1i h\u1ea5p thu serotonin \u1edf t\u1ebf b\u00e0o th\u1ea7n kinh, c\u00f3 t\u00e1c d\u1ee5ng y\u1ebfu l\u00ean s\u1ef1 t\u00e1i h\u1ea5p thu trung \u01b0\u01a1ng c\u1ee7a norepinephrine v\u00e0 dopamine. S\u1eed d\u1ee5ng citalopram l\u00e2u d\u00e0i, gi\u1ed1ng nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n tr\u1ea7m c\u1ea3m n\u1eb7ng, \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u h\u00f2a qu\u00e1 m\u1ee9c c\u00e1c th\u1ee5 th\u1ec3 noradrenergic trung \u01b0\u01a1ng. Citalopram kh\u00f4ng \u1ee9c ch\u1ebf monoamine oxidase.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n<table style=\"width: 89.9116%;height: 294px\">\n<tbody>\n<tr style=\"height: 108px\">\n<td style=\"width: 20.2322%;height: 108px\"><span style=\"font-weight: 400\">H\u1ea5p thu<\/span><\/td>\n<td style=\"width: 415.557%;height: 108px\"><span style=\"font-weight: 400\">N\u00f3 \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng v\u00e0 d\u1ec5 d\u00e0ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. N\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c trong v\u00f2ng 4 gi\u1edd sau khi u\u1ed1ng m\u1ed9t li\u1ec1u duy nh\u1ea5t. Sinh kh\u1ea3 d\u1ee5ng sau khi u\u1ed1ng l\u00e0 80%. Th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 h\u1ea5p th\u1ee5.<\/span><\/td>\n<\/tr>\n<tr style=\"height: 86px\">\n<td style=\"width: 20.2322%;height: 86px\"><span style=\"font-weight: 400\">Ph\u00e2n b\u1ed1<\/span><\/td>\n<td style=\"width: 415.557%;height: 86px\"><span style=\"font-weight: 400\">Ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i kh\u1eafp c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 h\u00e0ng r\u00e0o m\u00e1u n\u00e3o. Tuy nhi\u00ean, ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a n\u00f3 dimethyl citalopram kh\u00f4ng th\u1ea5m t\u1ed1t v\u00e0o h\u00e0ng r\u00e0o m\u00e1u n\u00e3o.<\/span><\/td>\n<\/tr>\n<tr style=\"height: 50px\">\n<td style=\"width: 20.2322%;height: 50px\"><span style=\"font-weight: 400\">Chuy\u1ec3n h\u00f3a<\/span><\/td>\n<td style=\"width: 415.557%;height: 50px\"><span style=\"font-weight: 400\">Citalopram \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan th\u00f4ng qua qu\u00e1 tr\u00ecnh kh\u1eed N -demethyl h\u00f3a th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh c\u1ee7a n\u00f3, dimethyl citalopram b\u1edfi CYP2C19 v\u00e0 CYP3A4.<\/span><\/td>\n<\/tr>\n<tr style=\"height: 50px\">\n<td style=\"width: 20.2322%;height: 50px\"><span style=\"font-weight: 400\">Th\u1ea3i tr\u1eeb<\/span><\/td>\n<td style=\"width: 415.557%;height: 50px\"><span style=\"font-weight: 400\">T\u1eeb 12 \u0111\u1ebfn 23% li\u1ec1u citalopram u\u1ed1ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf d\u1ea1ng kh\u00f4ng \u0111\u1ed5i trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 10% li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong ph\u00e2n.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Citopam 20 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">FDA quy \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m. C\u00e1c ch\u1ec9 \u0111\u1ecbnh ngo\u00e0i nh\u00e3n bao g\u1ed3m, nh\u01b0ng kh\u00f4ng gi\u1edbi h\u1ea1n, \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, thay \u0111\u1ed5i h\u00e0nh vi sau \u0111\u1ed9t qu\u1ef5, l\u1ea1m d\u1ee5ng ethanol, r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng ch\u1ebf \u1edf tr\u1ebb em (OCD) v\u00e0 r\u1ed1i lo\u1ea1n th\u1ea7n kinh nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Citopam 20<\/span><\/h2>\n<table style=\"border-collapse: collapse;width: 100%\">\n<tbody>\n<tr>\n<td style=\"width: 16.8776%\"><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng cho ng\u01b0\u1eddi l\u1edbn\u00a0<\/span><\/td>\n<td style=\"width: 83.1224%\">\n<ul>\n<li><span style=\"font-weight: 400\">\u0110i\u1ec1u tr\u1ecb c\u00e1c giai \u0111o\u1ea1n c\u1ee7a tr\u1ea7m c\u1ea3m n\u1eb7ng: <\/span><span style=\"font-weight: 400\">Li\u1ec1u khuy\u1ebfn c\u00e1o l\u00e0 20 mg\/ng\u00e0y nh\u01b0ng c\u00f3 th\u1ec3 t\u0103ng l\u00ean 40 mg\/ng\u00e0y t\u00f9y theo \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb. B\u1ec7nh c\u1ea3i thi\u1ec7n sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb nh\u01b0ng r\u00f5 r\u1ec7t nh\u1ea5t sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb. Vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t trong 3 \u0111\u1ebfn 4 tu\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh c\u1ea9n th\u1eadn cho t\u1eebng b\u1ec7nh nh\u00e2n \u0111\u1ec3 duy tr\u00ec li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Li\u1ec1u trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ho\u1ea3ng s\u1ee3: <\/span><span style=\"font-weight: 400\">U\u1ed1ng 10 mg\/ng\u00e0y trong tu\u1ea7n \u0111\u1ea7u ti\u00ean, sau \u0111\u00f3 t\u0103ng l\u00ean 20 mg\/ng\u00e0y. C\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u theo \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n nh\u01b0ng li\u1ec1u t\u1ed1i \u0111a l\u00e0 40 mg\/ng\u00e0y. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n ho\u1ea3ng s\u1ee3, n\u00ean ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb \u0111\u1ee7 l\u00e2u \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng. C\u00f3 th\u1ec3 m\u1ea5t v\u00e0i th\u00e1ng ho\u1eb7c h\u01a1n.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.8776%\"><span style=\"font-weight: 400\">Li\u1ec1u cho ng\u01b0\u1eddi cao tu\u1ed5i (&gt; 65 tu\u1ed5i)<\/span><\/td>\n<td style=\"width: 83.1224%\"><span style=\"font-weight: 400\">\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i, \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng b\u1eb1ng m\u1ed9t n\u1eeda so v\u1edbi ng\u01b0\u1eddi l\u1edbn.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.8776%\"><span style=\"font-weight: 400\">Li\u1ec1u cho tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean d\u01b0\u1edbi 18 tu\u1ed5i<\/span><\/td>\n<td style=\"width: 83.1224%\"><span style=\"font-weight: 400\">Li\u1ec1u khuy\u1ebfn c\u00e1o trong tu\u1ea7n \u0111\u1ea7u ti\u00ean l\u00e0 10mg\/ng\u00e0y, sau \u0111\u00f3 c\u00f3 th\u1ec3 t\u0103ng l\u00ean t\u1ed1i \u0111a 20mg\/ng\u00e0y. n\u00ean th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng cho nh\u1eefng ng\u01b0\u1eddi suy gan n\u1eb7ng.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.8776%\"><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng cho ng\u01b0\u1eddi suy ch\u1ee9c n\u0103ng th\u1eadn<\/span><\/td>\n<td style=\"width: 83.1224%\"><span style=\"font-weight: 400\">N\u00ean d\u00f9ng li\u1ec1u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u01b0\u1eddi l\u1edbn cho ng\u01b0\u1eddi suy th\u1eadn nh\u1eb9. Suy th\u1eadn n\u1eb7ng (\u0111\u1ed9 thanh th\u1ea3i creatinin &lt; 20 ml\/ph\u00fat) ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn li\u1ec1u d\u00f9ng \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n n\u00e0y.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.8776%\"><span style=\"font-weight: 400\">Li\u1ec1u cho ng\u01b0\u1eddi suy ch\u1ee9c n\u0103ng gan<\/span><\/td>\n<td style=\"width: 83.1224%\"><span style=\"font-weight: 400\">Li\u1ec1u khuy\u1ebfn c\u00e1o trong tu\u1ea7n \u0111\u1ea7u ti\u00ean l\u00e0 10mg\/ng\u00e0y, sau \u0111\u00f3 c\u00f3 th\u1ec3 t\u0103ng l\u00ean t\u1ed1i \u0111a 20mg\/ng\u00e0y. n\u00ean th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng cho nh\u1eefng ng\u01b0\u1eddi suy gan n\u1eb7ng.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.8776%\"><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n chuy\u1ec3n h\u00f3a k\u00e9m CYP2C19<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u00a0<\/span><\/td>\n<td style=\"width: 83.1224%\"><span style=\"font-weight: 400\">Trong 2 tu\u1ea7n \u0111\u1ea7u d\u00f9ng li\u1ec1u 10mg\/ng\u00e0y, sau \u0111\u00f3 c\u00f3 th\u1ec3 t\u0103ng l\u00ean t\u1ed1i \u0111a 20mg\/ng\u00e0y.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Citopam 20 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Khuy\u1ebfn c\u00e1o kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng citalopram \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng QT k\u00e9o d\u00e0i b\u1ea9m sinh, nh\u1ecbp tim ch\u1eadm, h\u1ea1 kali m\u00e1u ho\u1eb7c h\u1ea1 magie m\u00e1u, nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p t\u00ednh g\u1ea7n \u0111\u00e2y ho\u1eb7c suy tim m\u1ea5t b\u00f9.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Citopam 20<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m l\u00e0m t\u0103ng nguy c\u01a1 so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c v\u1ec1 suy ngh\u0129 v\u00e0 h\u00e0nh vi t\u1ef1 t\u1eed (t\u1ef1 t\u1eed) \u1edf tr\u1ebb em, thanh thi\u1ebfu ni\u00ean v\u00e0 thanh ni\u00ean trong c\u00e1c nghi\u00ean c\u1ee9u ng\u1eafn h\u1ea1n v\u1ec1 r\u1ed1i lo\u1ea1n tr\u1ea7m c\u1ea3m n\u1eb7ng (MDD) v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n kh\u00e1c.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ea5t c\u1ee9 ai c\u00e2n nh\u1eafc vi\u1ec7c s\u1eed d\u1ee5ng citalopram ho\u1eb7c b\u1ea5t k\u1ef3 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m n\u00e0o kh\u00e1c \u1edf tr\u1ebb em, thanh thi\u1ebfu ni\u00ean ho\u1eb7c thanh ni\u00ean \u0111\u1ec1u ph\u1ea3i c\u00e2n b\u1eb1ng nguy c\u01a1 n\u00e0y v\u1edbi nhu c\u1ea7u l\u00e2m s\u00e0ng.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i th\u00edch h\u1ee3p v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng x\u1ea5u \u0111i, \u00fd mu\u1ed1n t\u1ef1 t\u1eed ho\u1eb7c nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng trong h\u00e0nh vi. Gia \u0111\u00ecnh v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c n\u00ean \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o v\u1ec1 s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 li\u00ean l\u1ea1c v\u1edbi ng\u01b0\u1eddi k\u00ea \u0111\u01a1n.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Citalopram kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nhi.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<table style=\"border-collapse: collapse;width: 100%\">\n<tbody>\n<tr>\n<td style=\"width: 20.0422%\">Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 79.9578%\"><span style=\"font-weight: 400\">h\u1ed3i h\u1ed9p, m\u1ea5t ng\u1ee7, bu\u1ed3n ng\u1ee7, d\u1ecb c\u1ea3m, gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n, k\u00edch \u0111\u1ed9ng\u2026.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.0422%\"><span style=\"font-weight: 400\">\u00cdt g\u1eb7p<\/span><\/td>\n<td style=\"width: 79.9578%\"><span style=\"font-weight: 400\">gi\u00e3n \u0111\u1ed3ng t\u1eed, nh\u1ecbp tim nhanh ho\u1eb7c ch\u1eadm, \u1ea3o gi\u00e1c, h\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, r\u1ee5ng t\u00f3c\u2026.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.0422%\"><span style=\"font-weight: 400\">Hi\u1ebfm g\u1eb7p<\/span><\/td>\n<td style=\"width: 79.9578%\"><span style=\"font-weight: 400\">vi\u00eam gan, ho, h\u1ea1 natri huy\u1ebft, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc (SSRI) nh\u01b0 citalopram \u0111\u1ed3ng th\u1eddi ho\u1eb7c li\u00ean ti\u1ebfp v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 d\u1eabn truy\u1ec1n th\u1ea7n kinh serotonergic c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn h\u1ed9i ch\u1ee9ng serotonin \u0111e d\u1ecda t\u00ednh m\u1ea1ng .<\/span><\/p>\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\">N\u00ean c\u00e2n nh\u1eafc gi\u1eefa nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400\">C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn qu\u00e1 li\u1ec1u citalopram \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c v\u00e0\/ho\u1eb7c r\u01b0\u1ee3u bao g\u1ed3m ch\u00f3ng m\u1eb7t, \u0111\u1ed5 m\u1ed3 h\u00f4i, bu\u1ed3n n\u00f4n, n\u00f4n, run, bu\u1ed3n ng\u1ee7 v\u00e0 nh\u1ecbp xoang nhanh. M\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p l\u00e0: m\u1ea5t tr\u00ed nh\u1edb, l\u00fa l\u1eabn, h\u00f4n m\u00ea, co gi\u1eadt, t\u0103ng th\u00f4ng kh\u00ed, t\u00edm t\u00e1i, ti\u00eau c\u01a1 v\u00e2n, thay \u0111\u1ed5i ECG (bao g\u1ed3m k\u00e9o d\u00e0i QTc, nh\u1ecbp n\u00fat, r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t v\u00e0 r\u1ea5t hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p xo\u1eafn \u0111\u1ec9nh). C\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0: Trong tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u, suy th\u1eadn c\u1ea5p r\u1ea5t hi\u1ebfm \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. C\u00e1c tri\u1ec7u ch\u1ee9ng cai thu\u1ed1c bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam, m\u1ea5t ng\u1ee7, bu\u1ed3n n\u00f4n, m\u1ea5t c\u00e2n b\u1eb1ng, thay \u0111\u1ed5i c\u1ea3m gi\u00e1c v\u00e0 hi\u1ebfu \u0111\u1ed9ng th\u00e1i qu\u00e1.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Thi\u1ebft l\u1eadp v\u00e0 duy tr\u00ec \u0111\u01b0\u1eddng th\u1edf \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o th\u00f4ng gi\u00f3 v\u00e0 cung c\u1ea5p oxy \u0111\u1ea7y \u0111\u1ee7. N\u00ean xem x\u00e9t vi\u1ec7c l\u00e0m s\u1ea1ch d\u1ea1 d\u00e0y b\u1eb1ng c\u00e1ch r\u1eeda v\u00e0 s\u1eed d\u1ee5ng than ho\u1ea1t t\u00ednh. N\u00ean theo d\u00f5i c\u1ea9n th\u1eadn, theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u tim v\u00e0 sinh t\u1ed3n c\u0169ng nh\u01b0 ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 v\u00e0 tri\u1ec7u ch\u1ee9ng t\u1ed5ng qu\u00e1t. V\u00ec citalopram c\u00f3 s\u1eb5n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng l\u1edbn n\u00ean vi\u1ec7c d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u c\u01b0\u1ee1ng b\u1ee9c, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, truy\u1ec1n m\u00e1u v\u00e0 truy\u1ec1n m\u00e1u trao \u0111\u1ed5i d\u1ef1 ki\u1ebfn \u200b\u200bs\u1ebd kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Citopam 20 gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Citopam 20mg 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\">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:\u00a0\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/eslo\/\">Eslo-20<\/a> ch\u1ee9a ho\u1ea1t ch\u1ea5t Escitalopram oxalate \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n tr\u1ea7m c\u1ea3m v\u00e0 m\u1ea5t ng\u1ee7 hi\u1ec7u qu\u1ea3. Thu\u1ed1c Eslo-20 hi\u1ec7n c\u00f3 gi\u00e1 240000\/ h\u1ed9p 30 vi\u00ean.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/diouf\/\">Diouf<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Escitalopram oxalat v\u1edbi h\u00e0m l\u01b0\u1ee3ng 10mg c\u00f3 t\u00e1c d\u1ee5ng v\u1edbi b\u1ec7nh tr\u1ea7m c\u1ea3m hay b\u1ecb r\u1ed1i lo\u1ea1n lo \u00e2u. Thu\u1ed1c Diouf gi\u00e1 560,000 \u0111\u1ed3ng 1 h\u1ed9p.\u00a0<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Citopam 20?<\/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\">Citopam 20 ch\u1ee9a <\/span><b>citalopram 20mg<\/b><span style=\"font-weight: 400\"> c\u00f3 t\u00e1c d\u1ee5ng nhanh h\u01a1n c\u00e1c SSRI kh\u00e1c. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a citalopram kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 so v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m kh\u00e1c v\u00e0 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00f3 \u00edt h\u01a1n v\u00e0 nh\u1eb9 h\u01a1n.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u01b0\u1ee3c s\u1ea3n xu\u1ea5t trong nh\u00e0 m\u00e1y hi\u1ec7n \u0111\u1ea1i v\u1edbi c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn, h\u00e0ng \u0111\u1ea7u.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">D\u1ea1ng b\u00e0o ch\u1ebf l\u00e0 vi\u00ean n\u00e9n bao phim n\u00ean ti\u1ec7n d\u1ee5ng, d\u1ec5 che gi\u1ea5u m\u00f9i v\u1ecb kh\u00f3 ch\u1ecbu c\u1ee7a d\u01b0\u1ee3c ch\u1ea5t.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u00e3 \u0111\u01b0\u1ee3c B\u1ed9 Y T\u1ebf c\u1ea5p ph\u00e9p l\u01b0u h\u00e0nh v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd VN-22477-19.<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Kh\u00f4ng n\u00ean d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">C\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng v\u00e0 \u0111\u1ecdc k\u1ef9 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi d\u00f9ng \u0111\u1ec3 tr\u00e1nh d\u00f9ng qu\u00e1 li\u1ec1u v\u00e0 g\u1eb7p nh\u1eefng ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i.<\/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 Min Cui v\u00e0 c\u1ed9ng s\u1ef1 (\u0110\u0103ng ng\u00e0y 7 th\u00e1ng 9 n\u0103m 2018), <\/span><i><span style=\"font-weight: 400\">Efficacy and Safety of Citalopram for the Treatment of Poststroke Depression: A Meta-Analysis<\/span><\/i><span style=\"font-weight: 400\">. Truy c\u1eadp ng\u00e0y 30 th\u00e1ng 9 n\u0103m 2023 t\u1eeb \u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30201459\/\" rel=\"noopener\"><span style=\"font-weight: 400\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30201459\/<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Chuy\u00ean gia NCBI, <em>Citalopram<\/em>, PubChem. Truy c\u1eadp ng\u00e0y 30 th\u00e1ng 9 n\u0103m 2023 t\u1eeb<\/span><span style=\"font-weight: 400\">\u00a0<\/span><span style=\"font-weight: 400\">\u00a0 <\/span><a href=\"https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Citalopram\" rel=\"noopener\"><span style=\"font-weight: 400\">https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Citalopram<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>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 Citopam 20\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Sun Pharmaceutical Industries Ltd , c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-22477-19. Citopam 20 l\u00e0 thu\u1ed1c g\u00ec? Th\u00e0nh ph\u1ea7n Thu\u1ed1c Citopam 20 c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n: Citalopram hydrobromide: 20mg [&#8230;]\n","protected":false},"author":490,"featured_media":51406,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-51374","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\/51374","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=51374"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/51406"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=51374"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=51374"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=51374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}