{"id":52805,"date":"2023-10-29T00:46:05","date_gmt":"2023-10-28T17:46:05","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=52805"},"modified":"2025-07-24T13:59:53","modified_gmt":"2025-07-24T06:59:53","slug":"thuoc-diamicron-mr-60mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/thuoc-diamicron-mr-60mg\/","title":{"rendered":"Diamicron MR 60mg"},"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-diamicron-mr-60mg\/\">Diamicron MR 60mg<\/a> ch\u1ee9a th\u00e0nh ph\u1ea7n Gliclazid 60mg; l\u00e0 thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Les Laboratoires Servier &#8211; Ph\u00e1p, l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam d\u01b0\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u00e0 VN-20796-17.<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Diamicron MR 60mg 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 <strong>Diamicron MR 60mg<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\">Gliclazid:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..60mg<\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/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-20796-17.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 15 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: Les Laboratoires Servier &#8211; Ph\u00e1p.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Diamicron MR 60mg<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng\u00a0<\/span><\/h3>\n<p>Gliclazid l\u00e0 thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft nh\u00f3m sulphonylurea th\u1ebf h\u1ec7 hai.<\/p>\n<p>Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t, t\u1ef7 l\u1ec7 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft t\u01b0\u01a1ng do t\u00e1c d\u1ee5ng ph\u1ee5 khi d\u00f9ng Gliclazid th\u01b0\u1eddng th\u1ea5p<\/p>\n<p>Gliclazid c\u00f2n cho c\u00e1c t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i kh\u00e1c ngo\u00e0i vi\u1ec7c gi\u1ea3m \u0111\u01b0\u1eddng trong huy\u1ebft thanh.<\/p>\n<p>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: Gliclazide k\u00edch th\u00edch ti\u1ebft Insulin th\u00f4ng qua th\u1ee5 th\u1ec3 sulphonylurea c\u00f3 \u1edf t\u1ebf b\u00e0o \u03b2, v\u00e0 c\u00f3 th\u1ec3 th\u00f4ng qua t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n Canxi n\u1ed9i b\u00e0o<\/p>\n<p>Thu\u1ed1c l\u00e0m gi\u1ea3m s\u1ea3n xu\u1ea5t glucose t\u1ea1i gan v\u00e0 c\u1ea3i thi\u1ec7n \u0111\u1ed9 thanh th\u1ea3i glucose ni\u1ec7u nh\u01b0ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi ho\u1ea1t \u0111\u1ed9ng c\u1ee7a insullin.<\/p>\n<h3><span style=\"font-weight: 400\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n<p><em><strong>H\u1ea5p thu<\/strong><\/em><\/p>\n<p>Gliclazide c\u00f3 qu\u00e1 tr\u00ecnh h\u1ea5p thu thay \u0111\u1ed5i v\u00e0 kh\u00e1c nhau \u1edf t\u1eebng d\u1ea1ng d\u00f9ng c\u1ee7a thu\u1ed1c<\/p>\n<p>Sinh kh\u1ea3 d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ea1t 97%.<\/p>\n<p>Sau 4-6 gi\u1edd, n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u \u0111\u1ea1t c\u1ef1c \u0111\u1ea1i.<\/p>\n<p>Ph\u00e2n b\u1ed1<\/p>\n<p>Gliclazide \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y c\u00f3 trong nhau thai, d\u1ecbch n\u1ed9i b\u00e0o v\u00e0 nhi\u1ec1u m\u00f4, c\u01a1 quan kh\u00e1c.<\/p>\n<p>T\u1ef7 l\u1ec7 g\u1eafn protein huy\u1ebft t\u01b0\u01a1ng c\u1ee7a thu\u1ed1c l\u00e0 94-95% cho th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 to\u00e0n th\u00e2n \u0111o \u0111\u01b0\u1ee3c trong kho\u1ea3ng 20-40 l\u00edt.<\/p>\n<p><em><strong>Th\u1ea3i tr\u1eeb<\/strong><\/em><\/p>\n<p>Gliclazide \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua c\u1ea3 ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb v\u1edbi vi\u00ean u\u1ed1ng th\u00f4ng th\u01b0\u1eddng l\u00e0 t\u1eeb 10,4 gi\u1edd v\u00e0 t\u1eeb 12-20 gi\u1edd \u0111\u1ed1i v\u1edbi vi\u00ean gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i.<\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Diamicron MR 60mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n<p>Diamicron <span style=\"color: #555555;font-size: 14.4px\">\u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng u\u1ed1ng kh\u00e1c (th\u01b0\u1eddng l\u00e0 metformin)\/ insulin \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00fdp 2 \u1edf ng\u01b0\u1eddi l\u1edbn khi ch\u1ec9 ri\u00eang ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang, luy\u1ec7n t\u1eadp v\u00e0 gi\u1ea3m c\u00e2n kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 gi\u1eef \u0111\u01b0\u1eddng huy\u1ebft \u1edf m\u1ee9c th\u00edch h\u1ee3p<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Diamicron MR 60mg<\/span><\/h2>\n<h3>C\u00e1ch d\u00f9ng thu\u1ed1c Diamicron MR 60mg<\/h3>\n<p>Gliclazide l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng u\u1ed1ng; d\u1ea1ng b\u00e0o ch\u1ebf vi\u00ean n\u00e9n bao phim.<\/p>\n<p>U\u1ed1ng thu\u1ed1c v\u1edbi 1 c\u1ed1c n\u01b0\u1edbc \u0111\u1ea7y ngu\u1ed9i, nu\u1ed1t nguy\u00ean vi\u00ean, kh\u00f4ng nhai, nghi\u1ec1n n\u00e1t hay c\u1ed1 \u0111\u1eadp v\u1ee1 vi\u00ean.<\/p>\n<p>\u0110\u1ec3 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c \u0111\u1ea1t t\u1ed1i \u01b0u, n\u00ean s\u1eed d\u1ee5ng v\u00e0o tr\u01b0\u1edbc b\u1eefa s\u00e1ng 30 ph\u00fat<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng thu\u1ed1c, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n theo h\u01b0\u1edbng d\u1eabn ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, kh\u00f4ng t\u1ef1 \u00fd \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c mong mu\u1ed1n c\u1ee7a b\u1ea3n th\u00e2n<\/p>\n<h3>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Diamicron MR 60mg<\/h3>\n<p>Diamicron MR l\u00e0 vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng k\u00e9o d\u00e0i, li\u1ec1u d\u00f9ng thu\u1ed1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o nh\u01b0 sau:<\/p>\n<p>Li\u1ec1u ban \u0111\u1ea7u: 0,5 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Theo d\u00f5i ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft, t\u0103ng li\u1ec1u th\u00eam 0,5 vi\u00ean\/ng\u00e0y sau m\u1ed7i 2-4 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Li\u1ec1u t\u1ed1i \u0111a: 2 vi\u00ean\/ng\u00e0y.<\/p>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Diamicron MR 60mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Diamicron MR 60mg cho ng\u01b0\u1eddi m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u00ec th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng typ 1, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 k\u00e8m bi\u1ebfn ch\u1ee9ng nhi\u1ec5m toan ceton m\u00e1u ho\u1eb7c c\u00f3 nguy c\u01a1 h\u00f4n m\u00ea.<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi c\u00e1c thu\u1ed1c nh\u00f3m sulfonylurea kh\u00e1c.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy gan, suy th\u1eadn n\u1eb7ng; <span style=\"font-size: 14.4px\">ph\u1ee5 n\u1eef c\u00f3 thai, ng\u01b0\u1eddi \u0111ang cho con b\u00fa kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng Diamicron.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Diamicron MR 60mg<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p>B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 1 ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 l\u01b0\u1ee3ng carbon hydrat \u0111\u1ec1u \u0111\u1eb7n do nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u00f3 th\u1ec3 t\u0103ng cao \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecf b\u1eefa, gi\u1ea3n c\u00e2n hay \u0103n ki\u00eang qu\u00e1 kh\u1eafc nghi\u1ec7t.<\/p>\n<p>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u0169ng c\u00f3 th\u1ec3 x\u00e2y ra khi ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 l\u01b0\u1ee3ng calorie c\u1ea7n thi\u1ebft; ho\u1eb7c trong tr\u01b0\u1eddng h\u1ee3p ti\u00eau hao n\u0103ng l\u01b0\u1ee3ng qu\u00e1 m\u1ee9c nh\u01b0: sau khi luy\u1ec7n t\u1eadp k\u00e9o d\u00e0i; lao \u0111\u1ed9ng \u0111\u00f2i h\u1ecfi g\u0103ng s\u1ee9c<\/p>\n<p>R\u01b0\u1ee3u v\u00e0 c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>Hay khi k\u1ebft h\u1ee3p s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00e1c, s\u1ef1 hi\u1ec7p \u0111\u1ed3ng t\u00e1c d\u1ee5ng qu\u00e1 m\u1ee9c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u00e2y l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft nghi\u00eam tr\u1ecdng:<\/p>\n<p>B\u1ec7nh nh\u00e2n t\u1eeb ch\u1ed1i ho\u1eb7c (\u0111\u1eb7c bi\u1ec7t \u1edf \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi cao tu\u1ed5i) kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c,<\/p>\n<p>Suy dinh d\u01b0\u1ee1ng, th\u1eddi gian \u0103n u\u1ed1ng th\u1ea5t th\u01b0\u1eddng, b\u1ecf b\u1eefa, c\u00e1c giai \u0111o\u1ea1n nh\u1ecbn \u0103n ho\u1eb7c thay v\u00ec \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang,<\/p>\n<p>S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa ch\u1ebf \u0111\u1ed9 luy\u1ec7n t\u1eadp th\u1ec3 l\u1ef1c v\u00e0 l\u01b0\u1ee3ng carbon hydrat n\u1ea1p v\u00e0o,<\/p>\n<p>Ng\u01b0\u1eddi suy th\u1eadn v\u00e0 suy gan n\u1eb7ng<\/p>\n<p>S\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u Diamicron MR<\/p>\n<p>R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft: r\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p, suy gi\u1ea3m tuy\u1ebfn y\u00ean v\u00e0 suy th\u01b0\u1ee3ng th\u1eadn,<\/p>\n<p>S\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<p>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft: v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 \u0111au \u0111\u1ea7u, n\u00f4n nao, m\u1ec7t m\u1ecfi, k\u00e9m t\u1eadp trung, cho\u00e1ng v\u00e1ng, v\u00e3 m\u1ed3 h\u00f4i, gi\u1ea3m nh\u1eadn th\u1ee9c v\u00e0 ph\u1ea3n \u1ee9ng ch\u1eadm, suy nh\u01b0\u1ee3c, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, r\u1ed1i lo\u1ea1n th\u00e2n nhi\u1ec7t&#8230;.<\/p>\n<p>R\u1ed1i lo\u1ea1n v\u1ec1 da v\u00e0 m\u00f4 d\u01b0\u1edbi da: ban da, ng\u1ee9a, n\u1ed5i m\u1ec1 \u0111ay, ph\u00f9 m\u1ea1ch, ban \u0111\u1ecf, ban s\u1eb5n tr\u00ean da, ph\u1ecfng r\u1ed9p (nh\u01b0 h\u1ed9i ch\u1ee9ng Stevens-Iohnson v\u00e0 ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec nhi\u1ec5m \u0111\u1ed9c).<\/p>\n<p>R\u1ed1i loan v\u1ec1 m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: Thay \u0111\u1ed5i v\u1ec1 huy\u1ebft h\u1ecdc hi\u1ebfm khi x\u00e2y ra, c\u00f3 th\u1ec3 bao g\u1ed3m thi\u1ebfu m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y nh\u00ecn chung c\u00f3 th\u1ebf h\u1ed3i ph\u1ee5c khi d\u1eebng thu\u1ed1c.<\/p>\n<p>R\u1ed1i lo\u1ea1n gan-m\u1eadt: t\u0103ng n\u1ed3ng \u0111\u1ed9 enzym gan (AST, ALT, alkaline phosphatase), vi\u00e9m gan, d\u1eebng, thu\u1ed1c n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0ng da, \u1ee9 m\u1eadt.<\/p>\n<p>R\u1ed1i lo\u1ea1n v\u1ec1 m\u1eaft: R\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c tho\u00e1ng qua c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1eb7c bi\u1ec7t khi kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, do s\u1ef1 thay \u0111\u00f4i v\u1ec1 n\u00f4ng \u0111\u1ed9 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng ph\u1ee5 chung c\u1ee7a nh\u00f3m sulfonylure: c\u00e1c tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m h\u1ed3ng c\u1ea7u, m\u1eaft b\u1ea1ch c\u1ea7u h\u1ea1t, thi\u1ebfu m\u00e1u tan huy\u1ebft, gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u00e2u, vi\u00eam m\u1ea1ch d\u1ecb \u1ee9ng, h\u1ea1 natri m\u00e1u, t\u0103ng men gan; th\u1eadm ch\u00ed suy ch\u1ee9c n\u0103ng gan (v\u00ed d\u1ee5 \u1ee9 m\u1eadt, v\u00e0ng da) v\u00e0 vi\u00eam gan)<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 tho\u00e1i lui khi d\u1eebng thu\u1ed1c, tuy nhi\u00ean \u0111\u00e3 ghi nh\u1eadn c\u00e1c tr\u01b0\u1eddng h\u1ee3p suy gan n\u1eb7ng \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng<\/p>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p>T\u01b0\u01a1ng t\u00e1c l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh k\u1ebft h\u1ee3p Gliclazide v\u1edbi <span style=\"font-size: 14.4px\">Miconazole: t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u0111\u01b0\u1eddng, huy\u1ebft v\u1edbi kh\u1ea3 n\u0103ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft, ho\u1eb7c th\u1eadm ch\u00ed h\u00f4n m\u00ea<\/span><\/p>\n<p>Th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p v\u1edbi:<\/p>\n<p>Phenylbutazone: t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a sulfonylure<\/p>\n<p>R\u01b0\u1ee3u: l\u00e0m t\u0103ng ph\u1ea3n \u1ee9ng gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea do gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>C\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00e1c; fluconazole, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (captopril, enalapril), ch\u1ea5t \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 H2, c\u00e1c thu\u1ed1c IMAO, c\u00e1c thu\u1ed1c nh\u00f3m sulfonamide, clarithromycin v\u00e0 thu\u1ed1c ch\u1ed7ng vi\u00eam non-steroid: t\u0103ng nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>T\u01b0\u01a1ng t\u00e1c g\u00e2y t\u0103ng m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft<\/p>\n<p>Danazol: t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/p>\n<p>Chlorpromazine li\u1ec1u &gt;100mg: l\u00e0m t\u0103ng m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft (gi\u1ea3m gi\u1ea3i ph\u00f3ng insulin).<\/p>\n<p>Glucocorticoid v\u00e0 tetracosactrin: l\u00e0m t\u0103ng n\u00f4ng \u0111\u1ed9 \u0111\u01b0\u1eddng huy\u1ebft k\u00e8m kh\u1ea3 n\u0103ng b\u1ecb nhi\u1ec5m toan ceton<\/p>\n<p>Ritodrine, salbutamol, terbutaline: (ding dudng t\u0129nh m\u1ea1ch): L\u00e0m t\u0103ng m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft \u0111o t\u00e1c \u0111\u1ed9ng \u0111\u1ed1i kh\u00e1ng beta-2<\/p>\n<p>C\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng: C\u00e1c thu\u1ed1c nh\u00f3m sulfonylure c\u00f3 th\u00e9 d\u1eabn t\u1edbi nguy c\u01a1 ch\u1ed1ng \u0111\u00f4ng m\u00e1u trong qu\u00e1 tr\u00ecnh d\u00f9ng \u0111\u1ed3ng th\u1eddi<\/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>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/p>\n<h3><span style=\"font-weight: 400\">\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/span><\/h3>\n<p>Diamicron MR kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kha n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<p>Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng b\u1ea3o tr\u01b0\u1edbc nh\u1eefng tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u1ea7n th\u1eadn tr\u1ecdng khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c, \u0111\u1eb7c bi\u1ec7t \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><span style=\"font-weight: 400\">Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\n<p>Vi\u1ec7c d\u00f9ng qu\u00e1 li\u1ec1u thu\u1ed1c nh\u00f3m sulfonylure c\u00f3 th\u1ec3 g\u00e2y ra h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>N\u1ebfu t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ho\u1eb7c nghi ng\u1edd x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam t\u0129nh m\u1ea1ch nhanh 30ml dung d\u1ecbch glueose n\u1ed3ng \u0111\u1ed9 cao (20% t\u1edbi 30%).<\/p>\n<p>Sau \u0111\u00f3 n\u00ean truy\u1ec1n li\u00ean t\u1ee5c dung d\u1ecbch glucose n\u1ed3ng \u0111\u1ed9 lo\u00e3ng h\u01a1n (10%) v\u1edbi t\u1ed1c \u0111\u1ed9 duy tr\u00ec m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft tr\u00ean 1g\/.<\/p>\n<p>B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd v\u00e0 tu\u1ef3 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n sau th\u1eddi \u0111i\u1ec3m n\u00e0y, b\u00e1c s\u0129 s\u1ebd quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 c\u1ea7n ti\u1ebfp t\u1ee5c ki\u1ec3m so\u00e1t hay kh\u00f4ng,<\/p>\n<p>Kh\u00f4ng c\u1ea7n ti\u1ec5n h\u00e0nh th\u00e2m t\u00e1ch cho b\u1ec7nh nh\u00e2n do c\u00f3 li\u00ean k\u1ebft m\u1ea1nh m\u1ebd gi\u1eefa gliclazid v\u1edbi protein.<\/p>\n<h3><span style=\"font-weight: 400\">B\u1ea3o qu\u1ea3n<\/span><\/h3>\n<p><span style=\"font-weight: 400\">N\u01a1i kh\u00f4, d\u01b0\u1edbi 30\u00b0C. Tr\u00e1nh \u00e1nh s\u00e1ng.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Diamicron MR 60mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Diamicron MR 60mg 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 thu\u1ed1c Diamicron MR 60mg t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c thu\u1ed1c (s\u1ea3n ph\u1ea9m) kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng v\u1edbi thu\u1ed1c Diamicron MR 60mg nh\u01b0:\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.vnras.com\/drug\/gluzitop\">Thu\u1ed1c Gluzitop M<\/a><a href=\"https:\/\/www.vnras.com\/drug\/gluzitop\">R60<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty CTY TNHH HASAN-l\u00e0 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ II c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Gliclazid, v\u1edbi h\u00e0m l\u01b0\u1ee3ng 60mg. M\u1ed7i h\u1ed9p thu\u1ed1c Gluzitop MR60 c\u00f3 2 v\u1ec9, m\u1ed7i v\u1ec9 c\u00f3 30 vi\u00ean n\u00e9n t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i hi\u1ec7n \u0111ang c\u00f3 gi\u00e1 l\u00e0 180.000.<\/li>\n<li><a href=\"https:\/\/www.vnras.com\/drug\/diamicron-mr-30mg\">Thu\u1ed1c Diamicron MR 30mg<\/a> l\u00e0 d\u1ea1ng h\u00e0m nh\u1ecf h\u01a1n c\u1ee7a thu\u1ed1c, ph\u00f9 h\u1ee3p v\u1edbi li\u1ec1u d\u00f9ng th\u1ea5p. Do d\u01b0\u1ee3c ph\u1ea9m Les Laboratoires Servier Industrie \u2013 PH\u00c1P cung c\u1ea5p v\u00e0 \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00ed v\u1edbi s\u1ed1 \u0111\u0103ng k\u00ed VN-0465-06. H\u1ed9p 30 vi\u00ean c\u00f3 gi\u00e1 250.000\u0111.<\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400\">T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Diamicron MR 60mg?<\/span><\/h2>\n<table style=\"border-collapse: collapse;width: 100%\">\n<tbody>\n<tr>\n<td style=\"width: 54.2394%;text-align: center\">\u01afu \u0111i\u1ec3m<\/td>\n<td style=\"width: 45.7606%;text-align: center\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 54.2394%\">Gliclazide c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m k\u00edch th\u00edch t\u1ebf b\u00e0o \u1edf \u0111\u1ea3o Langerhans t\u0103ng ti\u1ebft Insulin, gi\u00fap \u0111i\u1ec1u ch\u1ec9nh \u1ed5n \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u1ed3ng th\u1eddi c\u00f2n gi\u1ea3m nguy c\u01a1 t\u1ea1o th\u00e0nh huy\u1ebft kh\u1ed1i.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 chia li\u1ec1u \u0111\u1ebfn \u0111\u1ed9 nh\u1ecf nh\u1ea5t l\u00e0 \u00bd vi\u00ean, ph\u00f9 h\u1ee3p v\u1edbi th\u1ec3 tr\u1ea1ng c\u1ee7a m\u1ed7i b\u1ec7nh nh\u00e2n, thu\u1eadn l\u1ee3i cho y-b\u00e1c s\u0129 hi\u1ec7u ch\u1ec9nh li\u1ec1u.<\/p>\n<p>Ch\u1ec9 c\u1ea7n u\u1ed1ng thu\u1ed1c m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y.<\/p>\n<p>Diamicron MR 60mg \u0111\u01b0\u1ee3c \u0111\u00f3ng g\u00f3i b\u1eb1ng bao b\u00ec k\u00edn, nh\u1ecf g\u1ecdn, ti\u1ec7n l\u1ee3i mang theo b\u00ean ng\u01b0\u1eddi.<\/p>\n<p>Vi\u00ean thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng d\u1ec5 s\u1eed d\u1ee5ng, th\u00edch h\u1ee3p cho nhi\u1ec1u \u0111\u1ed1i t\u01b0\u1ee3ng.<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t tr\u00ean d\u00e2y chuy\u1ec1n h\u00e0ng \u0111\u1ea7u v\u00e0 \u00e1p d\u1ee5ng ti\u00eau chu\u1ea9n qu\u1ed1c t\u1ebf, Ch\u00e2u \u00c2u<\/p>\n<p>Li\u1ec7u ph\u00e1p \u0111\u01a1n tr\u1ecb li\u1ec7u ho\u1eb7c li\u1ec7u ph\u00e1p k\u00e9p c\u1ee7a gliclazide nh\u01b0 m\u1ed9t l\u1ef1a ch\u1ecdn l\u00fd t\u01b0\u1edfng \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ 2 v\u00ec t\u00ednh hi\u1ec7u qu\u1ea3, ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft l\u00e2u d\u00e0i, k\u1ebft qu\u1ea3 thu\u1eadn l\u1ee3i tr\u00ean th\u1eadn, an to\u00e0n tim m\u1ea1ch v\u00e0 h\u1ed3 s\u01a1 an to\u00e0n t\u1ed1i \u01b0u<\/td>\n<td style=\"width: 45.7606%\">Kh\u00f4ng d\u00f9ng thu\u1ed1c cho b\u00e0 m\u1eb9 mang thai, ng\u01b0\u1eddi \u0111ang cho b\u00e9 b\u00fa.<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c Dorocron MR 60 cho ng\u01b0\u1eddi suy gan, suy th\u1eadn m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/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\">Ta\u0301c gia\u0309 Fatemeh Taghizadeh v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: 7 th\u00e1ng 9 n\u0103m 2020). <\/span><i><span style=\"font-weight: 400\">Gliclazide attenuates cisplatin-induced nephrotoxicity through inhibiting NF-\u03baB and caspase-3 activity<\/span><\/i><span style=\"font-weight: 400\">. Truy c\u1eadp ng\u00e0y 28 th\u00e1ng 10 n\u0103m 2018, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32687680\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32687680\/<\/a><\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ta\u0301c gia\u0309 Sanjay Kalra v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: ng\u00e0y 28 th\u00e1ng 1 n\u0103m 2021). <em>The Position of Gliclazide in the Evolving Landscapes and Disease Continuum of T2DM: A Collaborative Delphi Survey-Based Consensus from India<\/em><\/span><span style=\"font-weight: 400\">. Th\u1eddi gian truy c\u1eadp ng\u00e0y 28 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33511553\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33511553\/<\/a><\/span><\/li>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Diamicron MR 60mg 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\/Thuoc-diamicron-mr-60mg-hdsd-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Diamicron MR 60mg l\u00e0 thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng; h\u1ed9p 2 v\u1ec9 x 15 vi\u00ean do Les Laboratoires Servier<\/p>\n","protected":false},"author":490,"featured_media":52806,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-52805","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\/52805","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=52805"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/52806"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=52805"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=52805"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=52805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}