﻿{"id":51624,"date":"2023-10-26T16:48:34","date_gmt":"2023-10-26T09:48:34","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=51624"},"modified":"2025-07-24T13:59:57","modified_gmt":"2025-07-24T06:59:57","slug":"captopril-stella-25mg-2","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/captopril-stella-25mg-2\/","title":{"rendered":"Captopril Stella 25mg"},"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\/captopril-stella-25mg-2\/\">Captopril Stella 25mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty d\u01b0\u1ee3c ph\u1ea9m Stellapharm \u2013 Vi\u1ec7t Nam, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-22668-15<\/b><span style=\"font-weight: 400\">.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Captopril Stella 25mg l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n<p><b>Thu\u1ed1c Captopril Stella 25mg<\/b><span style=\"font-weight: 400\"> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n<p><span style=\"font-weight: 400\">Captopril c\u00f3 h\u00e0m l\u01b0\u1ee3ng 25mg<\/span><\/p>\n<p><span style=\"font-weight: 400\">T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VD-22668-15<\/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\">Thu\u1ed1c Captopril Stella 25mg c\u00f3 t\u00e1c d\u1ee5ng g\u00ec ?<\/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\">Captopril l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf ACE, \u0111\u1ed1i kh\u00e1ng t\u00e1c d\u1ee5ng c\u1ee7a RAAS. RAAS l\u00e0 m\u1ed9t c\u01a1 ch\u1ebf c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4i \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh huy\u1ebft \u0111\u1ed9ng, c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. Trong qu\u00e1 tr\u00ecnh k\u00edch th\u00edch giao c\u1ea3m ho\u1eb7c khi huy\u1ebft \u00e1p ho\u1eb7c l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u1edf th\u1eadn gi\u1ea3m, renin \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng kh\u1ecfi c\u00e1c t\u1ebf b\u00e0o h\u1ea1t c\u1ee7a b\u1ed9 m\u00e1y c\u1eadn c\u1ea7u th\u1eadn \u1edf th\u1eadn. Trong d\u00f2ng m\u00e1u, renin ph\u00e2n c\u1eaft angiotensinogen tu\u1ea7n ho\u00e0n th\u00e0nh ATI, sau \u0111\u00f3 ACE ph\u00e2n c\u1eaft th\u00e0nh ATII.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">ATII l\u00e0m t\u0103ng huy\u1ebft \u00e1p b\u1eb1ng m\u1ed9t s\u1ed1 c\u01a1 ch\u1ebf. \u0110\u1ea7u ti\u00ean, n\u00f3 k\u00edch th\u00edch s\u1ef1 ti\u1ebft aldosterone t\u1eeb v\u1ecf th\u01b0\u1ee3ng th\u1eadn. Aldosterone di chuy\u1ec3n \u0111\u1ebfn \u1ed1ng l\u01b0\u1ee3n xa (DCT) v\u00e0 thu th\u1eadp \u1ed1ng th\u1eadn, n\u01a1i n\u00f3 l\u00e0m t\u0103ng t\u00e1i h\u1ea5p thu natri v\u00e0 n\u01b0\u1edbc b\u1eb1ng c\u00e1ch t\u0103ng s\u1ed1 l\u01b0\u1ee3ng k\u00eanh natri v\u00e0 ATPase natri-kali tr\u00ean m\u00e0ng t\u1ebf b\u00e0o. Th\u1ee9 hai, ATII k\u00edch th\u00edch ti\u1ebft vasopressin (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 hormone ch\u1ed1ng b\u00e0i ni\u1ec7u ho\u1eb7c ADH) t\u1eeb tuy\u1ebfn y\u00ean sau. ADH k\u00edch th\u00edch t\u00e1i h\u1ea5p thu n\u01b0\u1edbc h\u01a1n n\u1eefa t\u1eeb th\u1eadn th\u00f4ng qua vi\u1ec7c \u0111\u01b0a c\u00e1c k\u00eanh aquaporin-2 l\u00ean b\u1ec1 m\u1eb7t \u0111\u1ec9nh c\u1ee7a t\u1ebf b\u00e0o DCT v\u00e0 \u1ed1ng g\u00f3p. Th\u1ee9 ba, ATII l\u00e0m t\u0103ng huy\u1ebft \u00e1p th\u00f4ng qua co m\u1ea1ch tr\u1ef1c ti\u1ebfp.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">S\u1ef1 k\u00edch th\u00edch th\u1ee5 th\u1ec3 ATII Lo\u1ea1i 1 tr\u00ean c\u00e1c t\u1ebf b\u00e0o c\u01a1 tr\u01a1n m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn m\u1ed9t lo\u1ea1t c\u00e1c s\u1ef1 ki\u1ec7n d\u1eabn \u0111\u1ebfn s\u1ef1 co c\u01a1 v\u00e0 co m\u1ea1ch. Ngo\u00e0i nh\u1eefng t\u00e1c d\u1ee5ng ch\u00ednh n\u00e0y, ATII c\u00f2n g\u00e2y ra ph\u1ea3n \u1ee9ng kh\u00e1c th\u00f4ng qua vi\u1ec7c k\u00edch th\u00edch c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i. Thu\u1ed1c \u1ee9c ch\u1ebf ACE \u1ee9c ch\u1ebf s\u1ef1 chuy\u1ec3n \u0111\u1ed5i nhanh ch\u00f3ng ATI th\u00e0nh ATII v\u00e0 \u0111\u1ed1i kh\u00e1ng v\u1edbi s\u1ef1 t\u0103ng huy\u1ebft \u00e1p do RAAS g\u00e2y ra. ACE (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kininase II) c\u0169ng tham gia v\u00e0o qu\u00e1 tr\u00ecnh v\u00f4 hi\u1ec7u h\u00f3a enzyme c\u1ee7a bradykinin , m\u1ed9t thu\u1ed1c gi\u00e3n m\u1ea1ch. Vi\u1ec7c \u1ee9c ch\u1ebf s\u1ef1 ng\u1eebng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a bradykinin l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 bradykinin v\u00e0 c\u00f3 th\u1ec3 duy tr\u00ec t\u00e1c d\u1ee5ng c\u1ee7a n\u00f3 b\u1eb1ng c\u00e1ch l\u00e0m t\u0103ng s\u1ef1 gi\u00e3n m\u1ea1ch v\u00e0 gi\u1ea3m huy\u1ebft \u00e1p.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400\">H\u1ea5p thu: Kho\u1ea3ng 60-75% li\u1ec1u u\u1ed1ng captopril \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh ho\u1eb7c b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p l\u00fac \u0111\u00f3i. Th\u1ee9c \u0103n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 h\u1ea5p thu captopril t\u1edbi 25-40%, m\u1eb7c d\u00f9 c\u00f3 m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y t\u00e1c d\u1ee5ng n\u00e0y kh\u00f4ng quan tr\u1ecdng v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Chuy\u1ec3n h\u00f3a: Kho\u1ea3ng m\u1ed9t n\u1eeda li\u1ec1u captopril h\u1ea5p thu \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a nhanh ch\u00f3ng, ch\u1ee7 y\u1ebfu th\u00e0nh captopril-cysteine \u200b\u200bdisulfide v\u00e0 dimer disulfide c\u1ee7a captopril. C\u00e1c nghi\u00ean c\u1ee9u in vitro cho th\u1ea5y captopril v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a n\u00f3 c\u00f3 th\u1ec3 tr\u1ea3i qua nh\u1eefng chuy\u1ec3n \u0111\u1ed5i qua l\u1ea1i thu\u1eadn ngh\u1ecbch. C\u00f3 \u00fd ki\u1ebfn \u200b\u200bcho r\u1eb1ng thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a m\u1ea1nh h\u01a1n \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn so v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Th\u1ea3i tr\u1eeb: Captopril \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a v\u00e0 th\u1ea3i tr\u1eeb qua th\u1eadn. H\u01a1n 95% li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua th\u1eadn, c\u1ea3 \u1edf d\u1ea1ng kh\u00f4ng \u0111\u1ed5i (45-50%) v\u00e0 \u1edf d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Captopril Stella 25mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n<p><b>Captopril Stella 25mg<\/b><span style=\"font-weight: 400\"> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u0103ng huy\u1ebft \u00e1p t\u1eeb nh\u1eb9 \u0111\u1ebfn v\u1eeba, ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p n\u0103ng khi c\u00e1c li\u1ec7u ph\u00e1p chu\u1ea9n kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c kh\u00f4ng ph\u00f9 h\u1ee3p.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Suy tim sung huy\u1ebft, n\u00ean ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi digitalis v\u00e0 thu\u1ed1c ch\u1eb9n beta n\u1ebfu c\u1ea7n.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Nh\u1ed3i m\u00e1u c\u01a1 tim<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ph\u00f2ng ng\u1eeba l\u00e2u d\u00e0i c\u00e1c t\u00ecnh tr\u1ea1ng suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Captopril Stella 25mg<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">C\u00e1ch d\u00f9ng Captopril Stella 25mg<\/span><\/h3>\n<p><b>Captopril Stella 25mg u\u1ed1ng hay ng\u1eadm<\/b><span style=\"font-weight: 400\"> ?<\/span><\/p>\n<p><span style=\"font-weight: 400\">D\u00f9ng thu\u1ed1c b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, c\u00f3 th\u1ec3 d\u00f9ng tr\u01b0\u1edbc, trong v\u00e0 sau b\u1eefa \u0103n.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Li\u1ec1u u\u1ed1ng t\u1ed1i \u0111a l\u00e0 150mg.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee5 th\u1ec3 ph\u1ee5 thu\u1ed9c v\u00e0o kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u00e0 h\u1ed3 s\u01a1 b\u1ec7nh nh\u00e2n.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng<\/span><\/h3>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><span style=\"font-weight: 400\">\u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"font-weight: 400\">T\u0103ng huy\u1ebft \u00e1p<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u khuy\u1ebfn c\u00e1o l\u00e0 25 &#8211; 50 mg\/ng\u00e0y, chia 2 l\u1ea7n. N\u1ebfu c\u1ea7n, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1eebng b\u01b0\u1edbc v\u1edbi kho\u1ea3ng c\u00e1ch \u00edt nh\u1ea5t 2 tu\u1ea7n, \u0111\u1ebfn 100 -150 mg\/ng\u00e0y chia 2 l\u1ea7n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p m\u1ee5c ti\u00eau.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u1ec7 renin-angiotensin-aldosteron ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh (gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u, t\u0103ng huy\u1ebft \u00e1p m\u1ea1ch m\u00e1u th\u1eadn, m\u1ea5t b\u00f9 tim) n\u00ean b\u1eaft \u0111\u1ea7u v\u1edbi m\u1ed9t li\u1ec1u duy nh\u1ea5t 6,25 mg ho\u1eb7c 12,5 mg. Gi\u00e1m s\u00e1t y t\u1ebf ch\u1eb7t ch\u1ebd khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng li\u1ec1u n\u00e0y sau \u0111\u00f3 \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi t\u1ea7n su\u1ea5t 2 l\u1ea7n\/ng\u00e0y. Li\u1ec1u c\u00f3 th\u1ec3 t\u0103ng d\u1ea7n \u0111\u1ebfn 50 mg\/ng\u00e0y x 1 l\u1ea7n ho\u1eb7c chia 2 l\u1ea7n v\u00e0 n\u1ebfu c\u1ea7n t\u0103ng \u0111\u1ebfn 100 mg\/ng\u00e0y x 1 l\u1ea7n ho\u1eb7c chia 2 l\u1ea7n.<\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"font-weight: 400\">Suy tim sung huy\u1ebft<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng l\u00e0 6,25 &#8211; 12,5 mg x 2 l\u1ea7n\/ng\u00e0y ho\u1eb7c 3 l\u1ea7n\/ng\u00e0y. Ti\u1ebfn h\u00e0nh \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ebfn li\u1ec1u duy tr\u00ec (75 &#8211; 150 mg\/ng\u00e0y) d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng, t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ebfn t\u1ed1i \u0111a 150 mg\/ng\u00e0y, chia l\u00e0m nhi\u1ec1u l\u1ea7n. N\u00ean t\u0103ng li\u1ec1u t\u1eebng b\u01b0\u1edbc v\u1edbi kho\u1ea3ng c\u00e1ch \u00edt nh\u1ea5t 2 tu\u1ea7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\"><span style=\"font-weight: 400\">Nh\u1ed3i m\u00e1u c\u01a1 tim<\/span><\/td>\n<td><span style=\"font-weight: 400\">\u0110i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n<\/span><\/td>\n<td><span style=\"font-weight: 400\">\u0110i\u1ec1u tr\u1ecb b\u1eb1ng captopril n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">N\u00ean u\u1ed1ng li\u1ec1u th\u1eed nghi\u1ec7m 6,25 mg, sau 2 gi\u1edd u\u1ed1ng m\u1ed9t li\u1ec1u 12,5 mg v\u00e0 sau 12 gi\u1edd u\u1ed1ng m\u1ed9t li\u1ec1u 25 mg. Nh\u1eefng ng\u00e0y sau, d\u00f9ng li\u1ec1u captopril 100 mg\/ng\u00e0y, chia 2 l\u1ea7n\/ng\u00e0y trong 4 tu\u1ea7n n\u1ebfu kh\u00f4ng c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i v\u1ec1 huy\u1ebft \u0111\u1ed9ng.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">N\u00ean \u0111\u00e1nh gi\u00e1 l\u1ea1i t\u00ecnh tr\u1ea1ng sau 4 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 xem x\u00e9t \u0111i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n sau nh\u1ed3i m\u00e1u c\u01a1 tim.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">\u0110i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i<\/span><\/td>\n<td><span style=\"font-weight: 400\">Khi kh\u00f4ng k\u1ecbp th\u1eddi \u0111i\u1ec1u tr\u1ecb captopril trong \u0111\u1ee3t nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0o ng\u00e0y th\u1ee9 3 \u0111\u1ebfn ng\u00e0y 16 sau \u0111\u00f3.<\/span><\/p>\n<p><span style=\"font-weight: 400\">N\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u 6,25 mg, ti\u1ebfp theo l\u00e0 li\u1ec1u 12,5 mg x 3 l\u1ea7n\/ng\u00e0y trong 2 ng\u00e0y v\u00e0 sau \u0111\u00f3 l\u00e0 25 mg x 3 l\u1ea7n\/ng\u00e0y n\u1ebfu kh\u00f4ng c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i v\u1ec1 huy\u1ebft \u0111\u1ed9ng. Li\u1ec1u khuy\u1ebfn c\u00e1o khi \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i l\u00e0 75 &#8211; 150 mg\/ng\u00e0y chia 2 ho\u1eb7c 3 l\u1ea7n.<\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"font-weight: 400\">B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ I<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u khuy\u1ebfn c\u00e1o l\u00e0 75 -100 mg\/ng\u00e0y chia l\u00e0m nhi\u1ec1u l\u1ea7n. Captopril c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p kh\u00e1c, nh\u01b0 thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c ch\u1eb9n beta, c\u00e1c thu\u1ed1c t\u00e1c \u0111\u1ed9ng l\u00ean th\u1ea7n kinh trung \u01b0\u01a1ng ho\u1eb7c c\u00e1c thu\u1ed1c l\u00e0m gi\u00e3n m\u1ea1ch n\u1ebfu huy\u1ebft \u00e1p gi\u1ea3m kh\u00f4ng hi\u1ec7u qu\u1ea3 khi d\u00f9ng captopril ri\u00eang l\u1ebb.<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"4\"><span style=\"font-weight: 400\">Suy th\u1eadn c\u00f3 h\u1ec7 s\u1ed1 thanh th\u1ea3i creatinin <\/span><span style=\"font-weight: 400\">(ml\/ph\u00fat\/1.73 m<\/span><span style=\"font-weight: 400\">2<\/span><span style=\"font-weight: 400\">)<\/span><\/td>\n<td><span style=\"font-weight: 400\">&gt; 40<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 25 &#8211; 50mg<\/span><\/p>\n<p><span style=\"font-weight: 400\">Li\u1ec1u t\u1ed1i \u0111a h\u00e0ng ng\u00e0y: 150mg<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">21 &#8211; 40<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 25mg<\/span><\/p>\n<p><span style=\"font-weight: 400\">Li\u1ec1u t\u1ed1i \u0111a h\u00e0ng ng\u00e0y: 100mg<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">10 &#8211; 20<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 12.5 mg<\/span><\/p>\n<p><span style=\"font-weight: 400\">Li\u1ec1u t\u1ed1i \u0111a h\u00e0ng ng\u00e0y: 75mg<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400\">&lt; 10<\/span><\/td>\n<td><span style=\"font-weight: 400\">Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 6.25mg<\/span><\/p>\n<p><span style=\"font-weight: 400\">Li\u1ec1u t\u1ed1i \u0111a h\u00e0ng ng\u00e0y: 37.5mg<\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"font-weight: 400\">Ng\u01b0\u1eddi cao tu\u1ed5i<\/span><\/td>\n<td><span style=\"font-weight: 400\">C\u1ea7n c\u00e2n nh\u1eafc li\u1ec7u ph\u00e1p b\u1eaft \u0111\u1ea7u v\u1edbi li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u1ea5p (6,25 mg x 2 l\u1ea7n\/ng\u00e0y) \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n cao tu\u1ed5i c\u00f3 th\u1ec3 c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn gi\u1ea3m v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan kh\u00e1c.<\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"font-weight: 400\">Tr\u1ebb em v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean<\/span><\/td>\n<td><span style=\"font-weight: 400\">C\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd \u1edf tr\u1ebb em v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129 do t\u00ednh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Tr\u1ebb c\u00e2n n\u1eb7ng &gt; 20 kg: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 0,3 mg\/kg tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ebf, 3 l\u1ea7n\/ng\u00e0y \u1edf tr\u1ebb em. Li\u1ec1u v\u00e0 kho\u1ea3ng c\u00e1ch n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Captopril Stella 25mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Kh\u00f4ng d\u00f9ng thu\u1ed1c v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c v\u00e0 ho\u1ea1t ch\u1ea5t \u1ee9c ch\u1ebf ACE kh\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed ph\u00f9 m\u1ea1ch do d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n angiotensin.<\/span><\/p>\n<p><span style=\"font-weight: 400\">B\u1ec7nh nh\u00e2n sau nh\u1ed3i m\u00e1u c\u01a1 tim n\u1ebfu huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/span><\/p>\n<p><span style=\"font-weight: 400\">H\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn hai b\u00ean ho\u1eb7c h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn m\u1ed9t b\u00ean.<\/span><\/p>\n<p><span style=\"font-weight: 400\">H\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ho\u1eb7c h\u1eb9p van 2 l\u00e1, b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i t\u1eafc ngh\u1ebdn n\u1eb7ng.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u0110i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c ch\u1ee9a aliskiren tr\u00ean b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c suy th\u1eadn m\u1ee9c \u0111\u1ed9 v\u1eeba v\u00e0 n\u1eb7ng (m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn nh\u1ecf h\u01a1n 60 ml\/ph\u00fat\/1,73 m2).<\/span><\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Captopril Stella 25mg<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn, ng\u01b0\u1eddi b\u1ec7nh bi\u1ec3u hi\u1ec7n qua tri\u1ec7u ch\u1ee9ng m\u1ea5t n\u01b0\u1edbc v\u00e0\/ho\u1eb7c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c l\u1ee3i ti\u1ec3u m\u1ea1nh s\u1ebd d\u1eabn \u0111\u1ebfn nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p n\u1eb7ng.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 t\u0103ng nh\u1eb9 kali huy\u1ebft n\u00ean tr\u00e1nh ph\u1ed1i h\u1ee3p c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali nh\u01b0 spironolacton, triamteren, amilorid. C\u1ea9n tr\u1ecdng khi d\u00f9ng thu\u1ed1c l\u1ee3i thi\u1ec7u v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a mu\u1ed1i kali v\u00e0 theo d\u00f5i ch\u1ec9 s\u1ed1 \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng xuy\u00ean.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u1ede nh\u1eefng ng\u01b0\u1eddi c\u00f3 renin ho\u1ea1t \u0111\u1ed9 m\u1ea1nh c\u00f3 th\u1ec3 b\u1ecb h\u1ea1 huy\u1ebft \u00e1p n\u1eb7ng sau khi d\u00f9ng li\u1ec1u \u0111\u1ea7u, c\u1ea7n ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch natri clorid 0.9%.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Khi b\u1eaft \u0111\u1ea7u c\u00e1c cu\u1ed9c \u0111\u1ea1i ph\u1eabu, n\u1ebfu g\u00e2y m\u00ea b\u1eb1ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p, c\u1ea7n l\u01b0u \u00fd captopril ng\u0103n c\u1ea3n s\u1ef1 h\u00ecnh th\u00e0nh angiotensin II, g\u00e2y gi\u1ea3i ph\u00f3ng renin th\u1ee9 ph\u00e1t, d\u1eabn \u0111\u1ebfn h\u1ea1 huy\u1ebft \u00e1p k\u1ecbch ph\u00e1t n\u00ean c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh b\u1eb1ng c\u00e1ch t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Khi d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf ACE v\u00e0 m\u00e0ng th\u1ea9m t\u00e1ch c\u00f3 t\u00ednh th\u1ea5m cao, l\u1ecdc m\u00e1u, r\u00fat b\u1edbt LDL v\u00e0 trong khi \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nguy c\u01a1 cao c\u00e1c ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Captopril c\u00f3 th\u1ec3 l\u00e0m d\u01b0\u01a1ng t\u00ednh gi\u1ea3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m aceton n\u01b0\u1edbc ti\u1ec3u.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<p><b>Captopril <\/b><span style=\"font-weight: 400\">c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, c\u1ee5 th\u1ec3 l\u00e0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110au ng\u1ef1c, nh\u1ecbp tim nhanh, ch\u1eadm ho\u1eb7c kh\u00f4ng \u0111\u1ec1u;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">C\u1ea3m gi\u00e1c cho\u00e1ng v\u00e1ng, nh\u01b0 th\u1ec3 b\u1ea1n s\u1eafp ng\u1ea5t \u0111i;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">V\u1ea5n \u0111\u1ec1 v\u1ec1 tim \u2013 s\u01b0ng t\u1ea5y, t\u0103ng c\u00e2n nhanh, c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">V\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn \u2013 s\u01b0ng t\u1ea5y, \u0111i ti\u1ec3u \u00edt, c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi ho\u1eb7c kh\u00f3 th\u1edf;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">D\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng \u2013 s\u1ed1t , \u1edbn l\u1ea1nh, \u0111au h\u1ecdng , \u0111au nh\u1ee9c c\u01a1 th\u1ec3, m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng, ch\u00e1n \u0103n, b\u1ea7m t\u00edm ho\u1eb7c ch\u1ea3y m\u00e1u;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Kali trong m\u00e1u cao &#8211; bu\u1ed3n n\u00f4n, suy nh\u01b0\u1ee3c, c\u1ea3m gi\u00e1c c\u0103ng th\u1eb3ng, \u0111au ng\u1ef1c, nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u, m\u1ea5t v\u1eadn \u0111\u1ed9ng;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Natri m\u00e1u th\u1ea5p &#8211; nh\u1ee9c \u0111\u1ea7u , l\u00fa l\u1eabn, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 suy ngh\u0129 ho\u1eb7c tr\u00ed nh\u1edb, suy nh\u01b0\u1ee3c, c\u1ea3m th\u1ea5y kh\u00f4ng \u1ed5n \u0111\u1ecbnh; ho\u1eb7c<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u th\u1ea5p &#8211; s\u1ed1t, l\u1edf mi\u1ec7ng, l\u1edf da, \u0111au h\u1ecdng, ho .<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p c\u1ee7a captopril c\u00f3 th\u1ec3 bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ho;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">H\u1ea1 huy\u1ebft \u00e1p th\u1ea5p;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u0110\u1ecf b\u1eebng (c\u1ea3m gi\u00e1c \u1ea5m \u0111\u1ed9t ng\u1ed9t, \u0111\u1ecf ho\u1eb7c c\u1ea3m gi\u00e1c ng\u1ee9a ran);<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">S\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o m\u00e1u gi\u1ea3m;<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Gi\u1ea3m c\u1ea3m gi\u00e1c v\u1ecb gi\u00e1c; ho\u1eb7c<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ng\u1ee9a da nh\u1eb9 ho\u1eb7c ph\u00e1t ban.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<table>\n<tbody>\n<tr>\n<td>Thu\u1ed1c<\/td>\n<td>T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c l\u1ee3i ti\u1ec3u (thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid ho\u1eb7c l\u1ee3i ti\u1ec3u quai)<\/td>\n<td>C\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n v\u00e0 nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi captopril. T\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u00f3 th\u1ec3 gi\u1ea3m khi ng\u01b0ng d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u, t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n, b\u1ed5 sung mu\u1ed1i ho\u1eb7c b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi captopril \u1edf li\u1ec1u th\u1ea5p.<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali ho\u1eb7c ch\u1ebd ph\u1ea9m b\u1ed5 sung kali<\/td>\n<td>C\u00f3 th\u1ec3 g\u00e2y t\u0103ng \u0111\u00e1ng k\u1ec3 kali huy\u1ebft thanh. N\u1ebfu ch\u1ec9 \u0111\u1ecbnh d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00e1c thu\u1ed1c n\u00e0y do h\u1ea1 kali huy\u1ebft r\u00f5 r\u1ec7t, n\u00ean s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean kali huy\u1ebft thanh.<\/td>\n<\/tr>\n<tr>\n<td>C\u00e1c thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p kh\u00e1c<\/td>\n<td>Captopril an to\u00e0n khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p kh\u00e1c (nh\u01b0 thu\u1ed1c ch\u1eb9n beta v\u00e0 thu\u1ed1c ch\u1eb9n k\u00eanh calci t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i). S\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi c\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a captopril. N\u00ean d\u00f9ng th\u1eadn tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb v\u1edbi nitroglycerin v\u00e0 c\u00e1c nitrat kh\u00e1c, ho\u1eb7c c\u00e1c thu\u1ed1c gi\u00e3n m\u1ea1ch kh\u00e1c (nh\u01b0 minoxidil).<\/td>\n<\/tr>\n<tr>\n<td>\u0110i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p<\/td>\n<td>Captopril c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi acid acetylsalicylic (\u1edf c\u00e1c li\u1ec1u d\u00f9ng cho b\u1ec7nh l\u00fd tim m\u1ea1ch), thu\u1ed1c tan huy\u1ebft kh\u1ed1i, thu\u1ed1c ch\u1eb9n beta v\u00e0\/ho\u1eb7c nitrat \u1edf b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim.<\/td>\n<\/tr>\n<tr>\n<td>Lithi<\/td>\n<td>C\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh c\u1ee7a lithi v\u00e0 l\u00e0m t\u0103ng th\u00eam nguy c\u01a1 gia t\u0103ng \u0111\u1ed9c t\u00ednh c\u1ee7a lithi khi d\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ACE. Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng captopril v\u1edbi lithi, nh\u01b0ng n\u1ebfu c\u1ea7n thi\u1ebft ph\u1ea3i k\u1ebft h\u1ee3p n\u00ean theo d\u00f5i th\u1eadn tr\u1ecdng n\u1ed3ng \u0111\u1ed9 lithi trong huy\u1ebft thanh.<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid<\/td>\n<td>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y t\u00e1c \u0111\u1ed9ng c\u1ed9ng h\u1ee3p l\u00ean s\u1ef1 gia t\u0103ng n\u1ed3ng \u0111\u1ed9 kali huy\u1ebft thanh trong khi ch\u1ee9c n\u0103ng th\u1eadn c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m. C\u00e1c t\u00e1c \u0111\u1ed9ng n\u00e0y th\u01b0\u1eddng c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c. Trong m\u1ed9t s\u1ed1 hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p, suy th\u1eadn c\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn b\u1ecb suy gi\u1ea3m nh\u01b0 ng\u01b0\u1eddi cao tu\u1ed5i ho\u1eb7c ng\u01b0\u1eddi b\u1ecb m\u1ea5t n\u01b0\u1edbc. D\u00f9ng l\u00e2u d\u00e0i NSAIDs c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf ACE.<\/td>\n<\/tr>\n<tr>\n<td>Clonidin<\/td>\n<td>T\u00e1c d\u1ee5ng ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p c\u1ee7a captopril c\u00f3 th\u1ec3 b\u1ecb ch\u1eadm tr\u1ec5 khi b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb v\u1edbi clonidin chuy\u1ec3n sang d\u00f9ng captopril.<\/td>\n<\/tr>\n<tr>\n<td>Allopurinol, procainamid, c\u00e1c thu\u1ed1c k\u00ecm h\u00e3m t\u1ebd b\u00e0o ho\u1eb7c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/td>\n<td>D\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ACE c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng nguy c\u01a1 gi\u1ea3m b\u1ea1ch c\u1ea7u, \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf ACE \u1edf m\u1ee9c li\u1ec1u cao h\u01a1n so v\u1edbi li\u1ec1u khuy\u1ebfn c\u00e1o hi\u1ec7n h\u00e0nh.<\/td>\n<\/tr>\n<tr>\n<td>Probenecid<\/td>\n<td>\u0110\u1ed9 thanh th\u1ea3i th\u1eadn c\u1ee7a captopril gi\u1ea3m khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a probenecid.<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng\/thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n<\/td>\n<td>Thu\u1ed1c \u1ee9c ch\u1ebf ACE c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng v\u00e0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n. H\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/td>\n<\/tr>\n<tr>\n<td>C\u00e1c thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m<\/td>\n<td>C\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf ACE, n\u00ean theo d\u00f5i b\u1ec7nh nh\u00e2n c\u1ea9n th\u1eadn.<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/td>\n<td>C\u00e1c nghi\u00ean c\u1ee9u d\u01b0\u1ee3c l\u00fd cho th\u1ea5y c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ACE, g\u1ed3m c\u1ea3 captopril, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng gi\u1ea3m glucose huy\u1ebft c\u1ee7a insulin v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng d\u1ea1ng u\u1ed1ng nh\u01b0 sulphonylure \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. T\u01b0\u01a1ng t\u00e1c n\u00e0y r\u1ea5t hi\u1ebfm khi x\u1ea3y ra, c\u00f3 th\u1ec3 c\u1ea7n gi\u1ea3m li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng khi \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf ACE.<\/td>\n<\/tr>\n<tr>\n<td>H\u00f3a h\u1ecdc l\u00e2m s\u00e0ng<\/td>\n<td>Captopril c\u00f3 th\u1ec3 g\u00e2y ph\u1ea3n \u1ee9ng d\u01b0\u01a1ng t\u00ednh gi\u1ea3 khi x\u00e9t nghi\u1ec7m aceton trong n\u01b0\u1edbc ti\u1ec3u.<\/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 d\u00f9ng thu\u1ed1c cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa do s\u1ef1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c l\u00ean thai nhi v\u00e0 qu\u00e1 tr\u00ecnh b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 g\u00e2y \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp l\u00ean tr\u1ebb em.<\/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\">Tri\u1ec7u ch\u1ee9ng: H\u1ea1 huy\u1ebft \u00e1p, nh\u1ee9c \u0111\u1ea7u, s\u1ed1t.<\/span><\/p>\n<p><span style=\"font-weight: 400\">X\u1eed tr\u00ed: Ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 cho b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n, sau \u0111\u00f3 ti\u00eam adrenalin d\u01b0\u1edbi da; ti\u00eam t\u0129nh m\u1ea1ch diphenhydramin hydroclorid; ti\u00eam t\u0129nh m\u1ea1ch hydrocortison. Ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch dung d\u1ecbch natri clorid 0,9% \u0111\u1ec3 duy tr\u00ec huy\u1ebft \u00e1p; c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf captopril b\u1eb1ng th\u1ea9m t\u00e1ch m\u00e1u.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Captopril Stella 25mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><b>Captopril Stella 25mg gi\u00e1 bao nhi\u00eau <\/b><span style=\"font-weight: 400\">? 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, 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<p><a href=\"https:\/\/vnras.com\/drug\/bisostad-5\/\"><span style=\"font-weight: 400\">Thu\u1ed1c Bisostad 5<\/span><\/a><span style=\"font-weight: 400\"> v\u1edbi th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Bisoprolol 5mg d\u00f9ng d\u01b0\u1edbi d\u1ea1ng fumarat \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong vi\u1ec7c ki\u1ec3m so\u00e1t t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh \u0111au th\u1eaft ng\u1ef1c, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Stella Pharm.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/amlor-5mg\/\"><span style=\"font-weight: 400\">Thu\u1ed1c Amlor 5mg<\/span><\/a><span style=\"font-weight: 400\"> l\u00e0 thu\u1ed1c u\u1ed1ng c\u00f3 t\u00e1c d\u1ee5ng ch\u1eefa tr\u1ecb t\u0103ng huy\u1ebft \u00e1p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, ng\u0103n ng\u1eeba c\u01a1n \u0111au th\u1eaft ng\u1ef1c, thi\u1ebfu m\u00e1u c\u01a1 tim c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh bao g\u1ed3m Amlodipine, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00f4ng ty Fareva Amboise \u2013 PH\u00c1P. Hi\u1ec7n thu\u1ed1c \u0111ang \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 350.000 \u0111\u1ed3ng\/ h\u1ed9p 3 v\u1ec9 x 10 vi\u00ean nang c\u1ee9ng<\/span><\/p>\n<h2><span style=\"font-weight: 400\">T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Captopril Stella 25mg ?<\/span><\/h2>\n<table>\n<tbody>\n<tr>\n<td>\u01afu \u0111i\u1ec3m<\/td>\n<td>Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n<tr>\n<td><b>Captopril Stella 25mg<\/b> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 25mg captopril d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, nh\u1ed3i m\u00e1u c\u01a1 tim,&#8230; hi\u1ec7u qu\u1ea3 v\u00e0 nhanh ch\u00f3ng.<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00f4ng ty d\u01b0\u1ee3c ph\u1ea9m Stella, c\u00f3 c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t ti\u00ean ti\u1ebfn, hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n GMP n\u00ean c\u00e1c s\u1ea3n ph\u1ea9m \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 uy t\u00edn.<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n nh\u1ecf g\u1ecdn, d\u1ec5 mang \u0111i, s\u1eed d\u1ee5ng v\u00e0 b\u1ea3o qu\u1ea3n.<\/td>\n<td>Trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng thu\u1ed1c s\u1ebd x\u1ea3y ra m\u1ed9t s\u1ed1 t\u01b0\u01a1ng t\u00e1c v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00ean c\u1ea7n s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng.<\/p>\n<p>Thu\u1ed1c kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/span><\/h2>\n<p><span style=\"font-weight: 400\">\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi chuy\u00ean gia c\u1ee7a Pubchem. <\/span><i><span style=\"font-weight: 400\">Captopril<\/span><\/i><span style=\"font-weight: 400\">. Th\u1eddi gian truy c\u1eadp ng\u00e0y 26 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <\/span><a href=\"https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Captopril\" rel=\"noopener\"><span style=\"font-weight: 400\">https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Captopril<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Captopril Stella 25 mg c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 captopril c\u00f3 h\u00e0m l\u01b0\u1ee3ng 25mg d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, nh\u1ed3i m\u00e1u c\u01a1 tim, suy tim,&#8230;<\/p>\n","protected":false},"author":490,"featured_media":51630,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-51624","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\/51624","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=51624"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/51630"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=51624"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=51624"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=51624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}