{"id":53783,"date":"2023-10-31T16:31:58","date_gmt":"2023-10-31T09:31:58","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=53783"},"modified":"2025-07-24T13:59:50","modified_gmt":"2025-07-24T06:59:50","slug":"diltiazem-stella-60mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/diltiazem-stella-60mg\/","title":{"rendered":"Diltiazem stella 60mg"},"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\/diltiazem-stella-60mg\/\">Diltiazem stella 60mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Stellapharm, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-27522-17<\/strong><\/p>\n<h2>Diltiazem stella 60mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>M\u1ed7i vi\u00ean <strong>Diltiazem stella 60mg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Ho\u1ea1t ch\u1ea5t: Diltiazem hydrochloride 60mg.<\/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-27522-17.<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 Diltiazem stella 60mg c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p><strong>Diltiazem thu\u1ed9c nh\u00f3m n\u00e0o?<\/strong><\/p>\n<p><strong>Diltiazem 60mg<\/strong> thu\u1ed9c d\u1eabn xu\u1ea5t c\u1ee7a benzothiazepin, l\u00e0 thu\u1ed1c ch\u1eb9n k\u00eanh calci.<\/p>\n<p>Thu\u1ed1c l\u00e0m gi\u1ea3m gi\u1ea3i ph\u00f3ng calci t\u1eeb n\u01a1i d\u1ef1 tr\u1eef \u1edf l\u01b0\u1edbi c\u01a1 t\u01b0\u01a1ng b\u1eb1ng vi\u1ec7c h\u1ea1n ch\u1ebf s\u1ef1 x\u00e2m nh\u1eadp k\u00eanh ch\u1eadm calci v\u00e0o t\u1ebf b\u00e0o. S\u1ed1 l\u01b0\u1ee3ng calci c\u00f3 s\u1eb5n trong t\u1ebf b\u00e0o gi\u1ea3m v\u00e0 gi\u1ea3m ti\u00eau th\u1ee5 oxy c\u1ee7a c\u01a1 tim.<\/p>\n<p>\u1ede b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c, thu\u1ed1c gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c ch\u1ec9 s\u1ed1 c\u1ee7a thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ee5c b\u1ed9 v\u00e0 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c. Diltiazem l\u00e0m gi\u1ea3m s\u1ef1 co th\u1eaft c\u1ee7a c\u01a1n \u0111au th\u1eaft ng\u1ef1c do co m\u1ea1ch, l\u00e0m gi\u00e3n \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u1edbn, nh\u1ecf v\u00e0 \u0111\u00e1p \u1ee9ng v\u1edbi catecholamin.<\/p>\n<p>Thu\u1ed1c \u00edt c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean m\u1ea1ch m\u00e1u ngo\u1ea1i vi, v\u00ec v\u1eady kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ph\u1ea3n x\u1ea1 nh\u1ecbp tim nhanh. Thu\u1ed1c gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0\u1edbi m\u00e1u c\u01a1 tim v\u00e0 l\u00e0m gi\u1ea3m g\u00e1nh n\u1eb7ng cho t\u00e2m th\u1ea5t. Trong c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt, diltiazem l\u00e0m gi\u1ea3m t\u00e1c h\u1ea1i do nh\u1eadn qu\u00e1 nhi\u1ec1u calci v\u00e0o t\u1ebf b\u00e0o c\u01a1 tim v\u00e0 b\u1ea3o v\u1ec7 c\u01a1 tim ch\u1ed1ng l\u1ea1i nh\u1eefng \u1ea3nh h\u01b0\u1edfng c\u1ee7a thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/p>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<ul>\n<li>H\u1ea5p thu<\/li>\n<\/ul>\n<p>Sau khi u\u1ed1ng, Diltiazem h\u1ea5p thu g\u1ea7n h\u1ebft qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Sinh kh\u1ea3 d\u1ee5ng th\u1ea5p ( kho\u1ea3ng 40%). Sau kho\u1ea3ng 3 &#8211; 8 gi\u1edd u\u1ed1ng 1 li\u1ec1u thu\u1ed1c, thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng, t\u00f9y thu\u1ed9c v\u00e0o d\u1ea1ng b\u00e0o ch\u1ebf.<\/p>\n<ul>\n<li>Ph\u00e2n b\u1ed1<\/li>\n<\/ul>\n<p>Diltiazem li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 80% v\u00e0 qua \u0111\u01b0\u1ee3c s\u1eefa m\u1eb9.<\/p>\n<ul>\n<li>Chuy\u1ec3n h\u00f3a<\/li>\n<\/ul>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan b\u1edfi cytochrom P450 isoenzym CYP3A4; desacetyldiltiazem &#8211; m\u1ed9t trong c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a Diltiazem, v\u1eabn gi\u1eef \u0111\u01b0\u1ee3c 25 &#8211; 50% ho\u1ea1t t\u00ednh so v\u1edbi diltiazem.<\/p>\n<p>Th\u1eddi gian b\u00e1n th\u1ea3i x\u1ea5p x\u1ec9 3 &#8211; 8 gi\u1edd, t\u00f9y v\u00e0o d\u1ea1ng b\u00e0o ch\u1ebf.<\/p>\n<ul>\n<li>Th\u1ea3i tr\u1eeb<\/li>\n<\/ul>\n<p>Kho\u1ea3ng 2 &#8211; 4% li\u1ec1u d\u00f9ng d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft v\u00e0o n\u01b0\u1edbc ti\u1ec3u v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft v\u00e0o m\u1eadt v\u00e0 n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>Th\u1ea9m t\u00e1ch \u00edt lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c Diltiazem v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a n\u00f3.<\/p>\n<h2>Thu\u1ed1c Diltiazem stella 60mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Diltiazem stella 60mg \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Diltiazem stella 60mg<\/h2>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng v\u1edbi m\u1ed9t ly n\u01b0\u1edbc. N\u00ean u\u1ed1ng thu\u1ed1c tr\u01b0\u1edbc b\u1eefa \u0103n, kh\u00f4ng \u0111\u01b0\u1ee3c nhai, b\u1ebb, nghi\u1ec1n vi\u00ean thu\u1ed1c m\u00e0 n\u00ean u\u1ed1ng nguy\u00ean v\u1eb9n.<\/p>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p>&#8211; Ng\u01b0\u1eddi l\u1edbn: Th\u01b0\u1eddng d\u00f9ng l\u00e0 1 vi\u00ean x 3 l\u1ea7n\/ng\u00e0y, n\u1ebfu c\u1ea7n c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ebfn 6 vi\u00ean\/ng\u00e0y. Li\u1ec1u\u00a0 8 vi\u00ean\/ng\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n nh\u1ea5t l\u00e0 trong \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh cho th\u1ea5y t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n cao tu\u1ed5i v\u00e0 suy ch\u1ee9c n\u0103ng gan\/th\u1eadn: Kh\u1edfi \u0111\u1ea7u 1 vi\u00ean x 2 l\u1ea7n\/ng\u00e0y, n\u1ebfu nh\u1ecbp tim gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi 50 nh\u1ecbp\/ph\u00fat kh\u00f4ng n\u00ean t\u0103ng li\u1ec1u.<\/p>\n<p>&#8211; Khuy\u1ebfn c\u00e1o tr\u1ebb em kh\u00f4ng n\u00ean d\u00f9ng diltiazem.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Diltiazem stella 60mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>&#8211; Qu\u00e1 m\u1eabn v\u1edbi ho\u1ea1t ch\u1ea5t Diltiazem ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>&#8211; R\u1ed1i lo\u1ea1n ho\u1ea1t \u0111\u1ed9ng n\u00fat xoang.<\/p>\n<p>&#8211; Bl\u1ed1c nh\u0129 th\u1ea5t \u0111\u1ed9 2, 3.<\/p>\n<p>&#8211; Suy th\u1ea5t tr\u00e1i k\u1ebft h\u1ee3p sung huy\u1ebft ph\u1ed5i.<\/p>\n<p>&#8211; Nh\u1ecbp tim ch\u1eadm &lt; 50 nh\u1ecbp\/ph\u00fat.<\/p>\n<p>&#8211; Ph\u1ee5 n\u1eef trong giai \u0111o\u1ea1n cho con b\u00fa.<\/p>\n<p>&#8211; K\u1ebft h\u1ee3p v\u1edbi dantrolen ti\u00eam truy\u1ec1n v\u00e0 ivabradin.<\/p>\n<p>&#8211; Huy\u1ebft \u00e1p t\u00e2m thu &lt; 90 mmHg.<\/p>\n<p>&#8211; Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p v\u00e0 sung huy\u1ebft ph\u1ed5i (quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean X-quang ph\u1ed5i).<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Diltiazem stella 60mg<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>\u2013 Th\u01b0\u1eddng xuy\u00ean theo d\u00f5i khi s\u1eed d\u1ee5ng thu\u1ed1c cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ecbp tim ch\u1eadm ho\u1eb7c c\u00f3 bl\u1ed1c nh\u0129 th\u1ea5t \u0111\u1ed9 1, suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t tr\u00e1i hay c\u00f3 kho\u1ea3ng PR k\u00e9o d\u00e0i quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/p>\n<p>\u2013 Ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 b\u1ec7nh nh\u00e2n suy th\u1eadn\/gan c\u00f3 th\u1ec3 g\u1eb7p t\u0103ng n\u1ed3ng \u0111\u1ed9 diltiazem trong huy\u1ebft t\u01b0\u01a1ng. C\u1ea7n tu\u00e2n th\u1ee7 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd v\u00e0 th\u1eadn tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1ecbp tim khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>\u2013 Khi ph\u1ea3i g\u00e2y m\u00ea to\u00e0n th\u00e2n c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 g\u00e2y m\u00ea n\u1ebfu \u0111ang d\u00f9ng diltiazem. T\u00ecnh tr\u1ea1ng d\u1eabn truy\u1ec1n, gi\u00e3n m\u1ea1ch m\u00e1u, gi\u1ea3m co b\u00f3p v\u00e0 t\u00ednh t\u1ef1 \u0111\u1ed9ng c\u1ee7a tim do thu\u1ed1c g\u00e2y m\u00ea c\u00f3 th\u1ec3 t\u0103ng l\u00ean b\u1edfi c\u00e1c thu\u1ed1c ch\u1eb9n k\u00eanh calci.<\/p>\n<p>\u2013 \u0110i\u1ec1u tr\u1ecb b\u1eb1ng diltiazem c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn tr\u1ea7m c\u1ea3m. C\u1ea7n theo d\u00f5i \u0111\u1ec3 nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 li\u00ean quan, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n d\u1ec5 m\u1eafc v\u00e0 xem x\u00e9t ng\u01b0ng thu\u1ed1c.<\/p>\n<p>\u2013 Diltiazem c\u00f3 th\u1ec3 g\u00e2y \u1ee9c ch\u1ebf nhu \u0111\u1ed9ng ru\u1ed9t, do \u0111\u00f3 c\u1ea7n th\u1eadn tr\u1ecdng \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 ti\u1ebfn tri\u1ec3n t\u1eafc ru\u1ed9t.<\/p>\n<p>\u2013 C\u1ea7n theo d\u00f5i b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ti\u1ec1m \u1ea9n\/r\u00f5 r\u00e0ng do kh\u1ea3 n\u0103ng t\u0103ng glucose m\u00e1u.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>R\u1ea5t th\u01b0\u1eddng g\u1eb7p:<\/p>\n<p>To\u00e0n th\u00e2n: Ph\u00f9 ngo\u1ea1i vi.<\/p>\n<p>Th\u01b0\u1eddng g\u1eb7p:<\/p>\n<ul>\n<li>Th\u1ea7n kinh: Ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u.<\/li>\n<li>Tim: \u0110\u00e1nh tr\u1ed1ng ng\u1ef1c, block nh\u0129 th\u1ea5t.<\/li>\n<li>M\u1ea1ch: \u0110\u1ecf b\u1eebng.<\/li>\n<li>Ti\u00eau h\u00f3a: Kh\u00f3 ti\u00eau, \u0111au d\u1ea1 d\u00e0y, t\u00e1o b\u00f3n, bu\u1ed3n n\u00f4n.<\/li>\n<li>Da v\u00e0 m\u00f4 d\u01b0\u1edbi da: ban \u0111\u1ecf.<\/li>\n<li>To\u00e0n th\u00e2n: Kh\u00f3 ch\u1ecbu.<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>\u2013 Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp: \u0110\u1ec3 h\u1ea1n ch\u1ebf t\u0103ng c\u00e1c t\u00e1c d\u1ee5ng ngo\u1ea1i \u00fd tr\u00ean tim kh\u00f4ng n\u00ean ph\u1ed1i h\u1ee3p Diltiazem v\u1edbi thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp kh\u00e1c.<\/p>\n<p>\u2013 Carbamazepin, ciclosporin v\u00e0 theophylin: D\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi diltiazem l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u00e1c thu\u1ed1c n\u00e0y trong m\u00e1u. Trong th\u1eddi gian ph\u1ed1i h\u1ee3p v\u00e0 sau khi ng\u1eebng ph\u1ed1i h\u1ee3p c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.<\/p>\n<p>\u2013 Thu\u1ed1c \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 H2: Cimetidin ho\u1eb7c ranitidin l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a diltiazem trong m\u00e1u.<\/p>\n<p>\u2013 Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh: \u0110\u1ed9c t\u00ednh c\u1ee7a carbamazepin t\u0103ng l\u00ean khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi diltiazem.<\/p>\n<p>\u2013 C\u00e1c thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n, thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00e0 c\u00e1c thu\u1ed1c tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00e1c d\u00f9ng c\u00f9ng Diltiazem c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p>\u2013 Thu\u1ed1c ch\u1eb9n alpha: d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi diltiazem c\u1ea7n ph\u1ea3i theo d\u00f5i ch\u1eb7t ch\u1ebd huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<p>\u2013 Dantrolen (ti\u00eam truy\u1ec1n): c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m khi d\u00f9ng \u0111\u1ed3ng th\u1eddi dantrolen v\u00e0 diltiazem.<\/p>\n<p>\u2013 Ivabradin: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi diltiazem v\u00ec c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m nh\u1ecbp tim c\u1ed9ng g\u1ed9p.<\/p>\n<p>\u2013 Amiodaron, digoxin: C\u1ea7n th\u1eadn tr\u1ecdng khi k\u1ebft h\u1ee3p v\u1edbi diltiazem v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 nh\u1ecbp tim ch\u1eadm, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi l\u1edbn khi s\u1eed d\u1ee5ng li\u1ec1u cao.<\/p>\n<p>\u2013 C\u00e1c d\u1eabn xu\u1ea5t nitrat: D\u00f9ng c\u00f9ng diltiazem l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p v\u00e0 cho\u00e1ng v\u00e1ng.<\/p>\n<p>\u2013 Phenytoin: diltiazem c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 phenytoin trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>\u2013 Acetylsalicylat: th\u1eadn tr\u1ecdng khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi diltiazem v\u00ec c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u.<\/p>\n<p>\u2013 Ch\u1ea5t c\u1ea3n quang tia X: \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng khi d\u00f9ng \u0111\u1ed3ng th\u1eddi diltiazem.<\/p>\n<p>\u2013 Rifampicin: Theo d\u00f5i c\u1ea9n th\u1eadn khi b\u1eaft \u0111\u1ea7u ho\u1eb7c ng\u01b0ng \u0111i\u1ec1u tr\u1ecb rifampicin v\u00ec c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 diltiazem trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>\u2013 Lithi: Th\u1eadn tr\u1ecdng v\u00ec nguy c\u01a1 t\u0103ng \u0111\u1ed9c tinh th\u1ea7n kinh c\u1ee7a lithi.<\/p>\n<p>\u2013 Ch\u1ea5t \u1ee9c ch\u1ebf CYP3A4 m\u1ea1nh h\u01a1n d\u00f9ng c\u00f9ng Diltiazem c\u00f3 s\u1ef1 t\u0103ng &lt; 2 l\u1ea7n n\u1ed3ng \u0111\u1ed9 diltiazem trong huy\u1ebft t\u01b0\u01a1ng. Th\u1eadn tr\u1ecdng khi d\u00f9ng Diltiazem \u0111\u1ed3ng th\u1eddi v\u1edbi n\u01b0\u1edbc \u00e9p b\u01b0\u1edfi ch\u00f9m.<\/p>\n<p>\u2013 Statin: D\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi\u00a0 diltiazem c\u00f3 nguy c\u01a1 b\u1ec7nh c\u01a1 v\u00e0 ti\u00eau c\u01a1 v\u00e2n.<\/p>\n<p>\u2013 Benzodiazepin: N\u1ed3ng \u0111\u1ed9 midazolam v\u00e0 triazolam trong huy\u1ebft t\u01b0\u01a1ng t\u0103ng v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i k\u00e9o d\u00e0i khi d\u00f9ng v\u1edbi Diltiazem.<\/p>\n<p>\u2013 Corticosteroid (methylprednisolon): n\u1ed3ng \u0111\u1ed9 methylprednisolon c\u00f3 th\u1ec3 t\u0103ng khi d\u00f9ng c\u00f9ng v\u1edbi Diltiazem.<\/p>\n<p>\u2013 Thu\u1ed1c g\u00e2y m\u00ea: S\u1ef1 \u1ee9c ch\u1ebf co b\u00f3p c\u01a1 tim, t\u00ednh t\u1ef1 \u0111\u1ed9ng, t\u00ednh d\u1eabn truy\u1ec1n v\u00e0 gi\u00e3n m\u1ea1ch c\u1ee7a c\u00e1c thu\u1ed1c g\u00e2y m\u00ea c\u00f3 kh\u1ea3 n\u0103ng t\u0103ng khi d\u00f9ng c\u00f9ng Diltiazem.<\/p>\n<p>\u2013 Buspiron: t\u00e1c d\u1ee5ng v\u00e0 t\u0103ng \u0111\u1ed9c t\u00ednh c\u1ee7a buspiron t\u0103ng khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi diltiazem.<\/p>\n<p>\u2013 Clonidin: Nh\u1ecbp xoang ch\u1eadm c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi v\u1edbi diltiazem.<\/p>\n<p>\u2013 Quinidin: Diltiazem l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 th\u1eddi gian b\u00e1n th\u1ea3i, AUC v\u00e0 l\u00e0m gi\u1ea3m \u0111\u1ed9 thanh th\u1ea3i \u0111\u01b0\u1eddng u\u1ed1ng c\u1ee7a quinidin.<\/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>Kh\u00f4ng s\u1eed d\u1ee5ng Diltiazem stella 60mg cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 trong th\u1eddi gian cho con b\u00fa.<\/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, block nh\u0129 th\u1ea5t, nh\u1ecbp tim ch\u1eadm.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb: R\u1eeda d\u1ea1 d\u00e0y, d\u00f9ng than ho\u1ea1t.<\/p>\n<ul>\n<li>H\u1ea1 huy\u1ebft \u00e1p c\u00f3 th\u1ec3 d\u00f9ng calci gluconat, dobutamin, dopamin, isoprenalin.<\/li>\n<li>Block nh\u0129 th\u1ea5t, nh\u1ecbp tim ch\u1eadm c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng isoprenalin v\u00e0 atropin.<\/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>Ph\u1ea3n \u1ee9ng ch\u00f3ng m\u1eb7t, ng\u1ee7 g\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh.<\/p>\n<h2>Thu\u1ed1c Diltiazem stella 60mg 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 Diltiazem stella 60mg<\/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\/bisostad-5\/\">Bisostad 5<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Stella Pharm, ch\u1ee9a Bisoprolol v\u1edbi h\u00e0m l\u01b0\u1ee3ng 5 mg. Thu\u1ed1c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh \u0111au th\u1eaft ng\u1ef1c. Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean ne\u0301n bao phim, b\u1ea1n c\u00f3 th\u1ec3 u\u1ed1ng li\u1ec1u duy nh\u1ea5t 1-2 vi\u00ean\/ng\u00e0y, t\u1ed1i \u0111a 4 vi\u00ean\/ng\u00e0y trong tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/diropam\/#:~:text=Thu%E1%BB%91c%20Diropam%2050mg%20%C4%91%C6%B0%E1%BB%A3c%20ch%E1%BB%89,%3B%20tr%E1%BA%A7m%20c%E1%BA%A3m%2C%20m%E1%BB%87t%20m%E1%BB%8Fi.\">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 50mg d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c gi\u1ea3 v\u00e0 r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n. Thu\u1ed1c c\u00f3 d\u1ea1ng vi\u00ean n\u00e9n v\u00e0 c\u00f3 gi\u00e1 kho\u1ea3ng 220.000 \u0111\u1ed3ng\/ 1 h\u1ed9p 2 v\u1ec9 x 10 vi\u00ean.<\/p>\n<h2>T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Diltiazem stella 60mg?<\/h2>\n<table style=\"border-collapse: collapse;width: 100%;height: 105px\">\n<tbody>\n<tr style=\"height: 21px\">\n<td style=\"width: 50%;height: 21px;text-align: center\">\u01afu \u0111i\u1ec3m<\/td>\n<td style=\"width: 50%;height: 21px;text-align: center\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 50%;height: 21px\">Diltiazem \u0111\u00e3 \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129, t\u0103ng huy\u1ebft \u00e1p, nh\u1ecbp tim nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t v\u00e0 \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh m\u1ea1n t\u00ednh.<\/td>\n<td style=\"width: 50%;height: 21px\">Diltiazem g\u00e2y qu\u00e1i thai \u1edf \u0111\u1ed9ng v\u1eadt v\u00e0 ch\u1ec9 c\u00f3 r\u1ea5t \u00edt d\u1eef li\u1ec7u v\u1ec1 con ng\u01b0\u1eddi; do \u0111\u00f3, kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 50%;height: 21px\">Diltiazem \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 dung n\u1ea1p t\u1ed1t \u0111\u1ed1i v\u1edbi ch\u1ee9ng \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh v\u00e0 \u0111au th\u1eaft ng\u1ef1c do co th\u1eaft \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/td>\n<td style=\"width: 50%;height: 21px\">T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1eb1ng diltiazem bao g\u1ed3m nh\u1ecbp tim ch\u1eadm, ch\u00f3ng m\u1eb7t, ph\u00f9 ngo\u1ea1i bi\u00ean, nh\u1ee9c \u0111\u1ea7u v\u00e0 m\u1ec7t m\u1ecfi.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 50%;height: 21px\">Gi\u00e1 c\u1ea3 c\u1ee7a s\u1ea3n ph\u1ea9m kh\u00e1 ph\u00f9 h\u1ee3p.<\/td>\n<td style=\"width: 50%;height: 21px\"><\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 50%;height: 21px\">Diltiazem stella 60mg l\u00e0 s\u1ea3n ph\u1ea9m c\u1ee7a Stellapharm &#8211; m\u1ed9t th\u01b0\u01a1ng hi\u1ec7u m\u1ea1nh v\u1ec1 d\u01b0\u1ee3c ph\u1ea9m v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c th\u1ebf gi\u1edbi tin d\u00f9ng.<\/td>\n<td style=\"width: 50%;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 Om Talreja v\u00e0 c\u1ed9ng s\u1ef1 (Th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y 03 th\u00e1ng 09 n\u0103m 2022). <em>Diltiazem<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532937\/\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532937\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 M Chaffman v\u00e0 c\u1ed9ng s\u1ef1. (Th\u1eddi gian ph\u00e1t h\u00e0nh th\u00e1ng 5 n\u0103m 1985). <em>Diltiazem. A review of its pharmacological properties and therapeutic efficacy<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3891302\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/3891302\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 D Harrington v\u00e0 c\u1ed9ng s\u1ef1. (Th\u1eddi gian ph\u00e1t h\u00e0nh n\u0103m 1994). <em>Diltiazem hydrochloride<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 31 th\u00e1ng 10 n\u0103m 2023, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7858832\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/7858832\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Diltiazem stella 60mg ch\u1ee9a ho\u1ea1t ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd l\u00e0 Diltiazem hydrochloride v\u1edbi h\u00e0m l\u01b0\u1ee3ng 60mg \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c<\/p>\n","protected":false},"author":490,"featured_media":53810,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-53783","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\/53783","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=53783"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/53810"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=53783"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=53783"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=53783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}