{"id":56156,"date":"2023-11-09T20:57:10","date_gmt":"2023-11-09T13:57:10","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=56156"},"modified":"2025-07-24T13:59:41","modified_gmt":"2025-07-24T06:59:41","slug":"corneil-5","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/corneil-5\/","title":{"rendered":"Corneil 5"},"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 Corneil 5 do C\u00f4ng ty TNHH D\u01b0\u1ee3c ph\u1ea9m \u0110\u1ea1t Vi Ph\u00fa (Davi pharm) s\u1ea3n xu\u1ea5t. Thu\u1ed1c \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u00e0 VD-19653-13.<\/b><\/p>\n<h2>Corneil 5 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong 1 vi\u00ean <strong>thu\u1ed1c <\/strong><b>Corneil 5 <\/b>c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0:<\/p>\n<ul>\n<li>Bisoprolol h\u00e0m l\u01b0\u1ee3ng 5mg.<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 cho 1 vi\u00ean.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim.<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-19653-13.<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 30 vi\u00ean.<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam.<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Corneil 5<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Bisoprolol l\u00e0 m\u1ed9t thu\u1ed1c thu\u1ed9c nh\u00f3m ch\u1eb9n th\u1ee5 th\u1ec3 \u03b21-adrenergic c\u00f3 ch\u1ecdn l\u1ecdc tr\u00ean tim, th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng huy\u1ebft \u00e1p ho\u1eb7c nh\u1ecbp tim cao. Ho\u1ea1t ch\u1ea5t l\u00e0 m\u1ed9t thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c m\u1ea1nh v\u1edbi th\u1eddi gian b\u00e1n h\u1ee7y d\u00e0i, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ng\u00e0y 1 l\u1ea7n \u0111\u1ec3 gi\u1ea3m nhu c\u1ea7u d\u00f9ng nhi\u1ec1u l\u1ea7n c\u00e1c lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c ch\u1ed1ng \u0111au th\u1eaft ng\u1ef1c kh\u00e1c.<\/p>\n<p>Ho\u1ea1t ch\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi nh\u1eefng lo\u1ea1i thu\u1ed1c kh\u00e1c \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng cao huy\u1ebft \u00e1p, tim \u0111\u1eadp nhanh v\u00e0 c\u00f3 th\u1ec3 h\u1eefu \u00edch khi s\u1eed d\u1ee5ng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh do t\u00ednh ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3.<\/p>\n<p>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a ho\u1ea1t ch\u1ea5t l\u00e0: \u0110\u1ed1i kh\u00e1ng c\u00f3 ch\u1ecdn l\u1ecdc v\u1edbi th\u1ee5 th\u1ec3 \u03b2-1adrenoceptors, t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn cung l\u01b0\u1ee3ng tim gi\u1ea3m. Ho\u1ea1t ch\u1ea5t gi\u00fap l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng c\u00f4ng vi\u1ec7c c\u1ee7a tim th\u00f4ng qua vi\u1ec7c gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p v\u00e0 nhu c\u1ea7u oxy th\u00f4ng qua s\u1ef1 \u1ee9c ch\u1ebf c\u1ea1nh tranh c\u1ee7a th\u1ee5 th\u1ec3 \u03b21-adrenergic. Gi\u1ea3m sinh t\u1ed5ng h\u1ee3p renin \u1edf th\u1eadn &#8211; m\u1ed9t ch\u1ea5t \u0111\u00f3ng vai tr\u00f2 ch\u00ednh trong vi\u1ec7c t\u0103ng huy\u1ebft \u00e1p. Ngo\u00e0i ra ho\u1ea1t ch\u1ea5t c\u0169ng gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ea7n kinh giao c\u1ea3m, qua \u0111\u00f3 gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Bisoprolol \u0111\u01b0\u1ee3c h\u1ea5p thu ho\u00e0n to\u00e0n \u1edf h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a, s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a th\u1ee9c \u0103n kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 c\u1ee7a ho\u1ea1t ch\u1ea5t. Sinh kh\u1ea3 d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng \u01b0\u1edbc t\u00ednh l\u00e0 kho\u1ea3ng 90% v\u00e0 n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1eeb 2 cho \u0111\u1ebfn 4 ti\u1ebfng \u0111\u1ed3ng h\u1ed3 t\u00ednh t\u1eeb th\u1eddi \u0111i\u1ec3m s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<p>Ho\u1ea1t ch\u1ea5t tan v\u1eeba ph\u1ea3i trong Lipid v\u1edbi 30% li\u1ec1u u\u1ed1ng \u0111\u01b0\u1ee3c g\u1eafn v\u1edbi Protein huy\u1ebft t\u01b0\u01a1ng. Bisoprolol \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a \u1edf gan, v\u1edbi th\u1eddi gian b\u00e1n th\u1ea3i \u1edf huy\u1ebft t\u01b0\u01a1ng \u01b0\u1edbc t\u00ednh l\u00e0 t\u1eeb 10 \u0111\u1ebfn 12 gi\u1edd \u0111\u1ed3ng h\u1ed3.<\/p>\n<h2>Thu\u1ed1c Corneil 5 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ch\u1ea9n \u0111o\u00e1n l\u00e0 cao huy\u1ebft \u00e1p ho\u1eb7c b\u1ecb \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea9n \u0111o\u00e1n l\u00e0 suy tim m\u1ea1n t\u00ednh th\u1ec3 \u1ed5n \u0111\u1ecbnh \u0111i k\u00e8m v\u1edbi \u0111\u00f3 l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a t\u00e2m thu v\u00e0 th\u1ea5t tr\u00e1i.<\/p>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Corneil 5<\/h2>\n<p>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Corneil 5 \u1edf m\u1ed7i b\u1ec7nh nh\u00e2n l\u00e0 kh\u00e1c nhau v\u00e0 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh t\u00f9y v\u00e0o \u0111\u00e1p \u1ee9ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n c\u0169ng nh\u01b0 s\u1ef1 dung n\u1ea1p. Vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t c\u00e1ch nhau m\u1ed7i 2 tu\u1ea7n.<\/p>\n<p>Ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh b\u1ecb \u0111au th\u1eaft ng\u1ef1c:<\/p>\n<ul>\n<li>Li\u1ec1u d\u00f9ng th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 t\u1eeb 1 &#8211; 2 vi\u00ean Corneil 5, ng\u00e0y u\u1ed1ng 1 l\u1ea7n.<\/li>\n<li>Li\u1ec1u l\u01b0\u1ee3ng t\u1ed1i \u0111a l\u00e0 4 vi\u00ean\/ng\u00e0y v\u00e0 c\u1ea7n ti\u1ebfn h\u00e0nh gi\u1ea3m li\u1ec1u c\u0169ng nh\u01b0 kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c li\u1ec1u \u1edf ng\u01b0\u1eddi b\u1ecb suy th\u1eadn ho\u1eb7c gan.<\/li>\n<\/ul>\n<p>Suy tim m\u1ea1n th\u1ec3 \u1ed5n \u0111\u1ecbnh c\u1ea7n \u0111i\u1ec1u tr\u1ecb theo li\u1ec7u tr\u00ecnh nh\u01b0 sau:<\/p>\n<ul>\n<li>D\u00f9ng \u00bc vi\u00ean\/l\u1ea7n x 1 l\u1ea7n\/ng\u00e0y v\u00e0o m\u1ed7i bu\u1ed5i s\u00e1ng trong 1 tu\u1ea7n \u0111\u1ea7u ti\u00ean. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n dung n\u1ea1p t\u1ed1t th\u00ec ti\u1ebfn h\u00e0nh t\u0103ng li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>D\u00f9ng \u00bd vi\u00ean\/l\u1ea7n x 1 l\u1ea7n\/ng\u00e0y v\u00e0o m\u1ed7i bu\u1ed5i s\u00e1ng trong 1 tu\u1ea7n ti\u1ebfp theo. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n dung n\u1ea1p t\u1ed1t th\u00ec ti\u1ebfn h\u00e0nh t\u0103ng li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>D\u00f9ng 1 vi\u00ean\/l\u1ea7n x 1 l\u1ea7n\/ng\u00e0y trong 4 tu\u1ea7n ti\u1ebfp theo. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n dung n\u1ea1p t\u1ed1t th\u00ec ti\u1ebfn h\u00e0nh t\u0103ng li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>D\u00f9ng 7,5mg\/l\u1ea7n x 1 l\u1ea7n\/ng\u00e0y trong 4 tu\u1ea7n ti\u1ebfp theo. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n dung n\u1ea1p t\u1ed1t th\u00ec ti\u1ebfn h\u00e0nh t\u0103ng li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>U\u1ed1ng 2 vi\u00ean\/l\u1ea7n x 1 l\u1ea7n\/ng\u00e0y \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec l\u00e2u d\u00e0i.<\/li>\n<li>Sau khi b\u1ec7nh nh\u00e2n u\u1ed1ng li\u1ec1u thu\u1ed1c \u0111\u1ea7u ti\u00ean, b\u00e1c s\u0129 c\u1ea7n theo d\u00f5i s\u00e1t sao t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n trong v\u00f2ng 4 gi\u1edd \u0111\u1ec3 c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p x\u1eed tr\u00ed th\u00edch h\u1ee3p.<\/li>\n<li>Li\u1ec1u t\u1ed1i \u0111a l\u00e0 2 vi\u00ean\/ng\u00e0y.<\/li>\n<\/ul>\n<p>Li\u1ec1u \u0111i\u1ec1u ch\u1ec9nh c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh theo \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n. \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1ebd xu\u1ea5t hi\u1ec7n m\u1ed9t s\u1ed1 hi\u1ec7n t\u01b0\u1ee3ng kh\u00f4ng dung n\u1ea1p ho\u1eb7c x\u1ea3y ra ph\u1ea3n \u1ee9ng kh\u00f4ng mong mu\u1ed1n n\u00ean kh\u00f4ng th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c li\u1ec1u d\u00f9ng t\u1ed1i \u0111a nh\u01b0 l\u1ed9 tr\u00ecnh tr\u00ean. Ti\u1ebfn h\u00e0nh gi\u1ea3m li\u1ec1u d\u00f9ng d\u1ea7n d\u1ea7n n\u1ebfu c\u1ea7n thi\u1ebft. C\u00f3 th\u1ec3 ph\u1ea3i d\u1eebng \u0111i\u1ec1u tr\u1ecb sau \u0111\u00f3 ti\u1ebfn h\u00e0nh b\u1eaft \u0111\u1ea7u l\u1ea1i t\u1eeb \u0111\u1ea7u. N\u1ebfu t\u00ecnh tr\u1ea1ng suy tim c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng tr\u1edf n\u1eb7ng th\u00ec c\u1ea7n ph\u1ea3i gi\u1ea3m li\u1ec1u th\u1eadm ch\u00ed l\u00e0 ng\u1eebng \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c ngay l\u1eadp t\u1ee9c.<\/p>\n<p>Kh\u00f4ng c\u00f3 d\u1eef ki\u1ec7n \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb em.<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i: Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy gan ho\u1eb7c suy th\u1eadn: T\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh m\u00e0 se c\u00f3 li\u1ec1u l\u01b0\u1ee3ng d\u00f9ng c\u1ee5 th\u1ec3.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Corneil 5 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c cho ng\u01b0\u1eddi qu\u00e1 m\u1eabn v\u1edbi b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a Corneil 5.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb t\u00ecnh tr\u1ea1ng s\u1ed1c tim, suy tim c\u1ea5p nh\u01b0ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1eb1ng c\u00e1c \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng. Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c cho ng\u01b0\u1eddi m\u1eafc suy tim \u0111\u1ed9 3 th\u1ec3 n\u1eb7ng ho\u1eb7c \u0111\u1ed9 4, ng\u01b0\u1eddi b\u1ecb ch\u1ea9n \u0111o\u00e1n m\u1eafc block nh\u0129 &#8211; th\u1ea5t \u0111\u1ed9 2.<\/p>\n<p>Kh\u00f4ng d\u00f9ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed hen suy\u1ec5n n\u1eb7ng ho\u1eb7c ph\u1ed5i &#8211; ph\u1ebf qu\u1ea3n n\u1eb7ng.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb nh\u1ecbp tim ch\u1eadm xoang, n\u00fat xoang.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb u t\u1ee7y th\u01b0\u1ee3ng th\u1eadn nh\u01b0ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ki\u1ec3m so\u00e1t b\u1eb1ng thu\u1ed1c.<\/p>\n<p>Ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng r\u1ed1i lo\u1ea1n tim m\u1ea1ch th\u1ec3 n\u1eb7ng, huy\u1ebft \u00e1p th\u1ea5p ho\u1eb7c b\u1ecb nhi\u1ec5m toan chuy\u1ec3n h\u00f3a.<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Corneil 5<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1eb9n Beta c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn th\u00fac \u0111\u1ea9y t\u00ecnh tr\u1ea1ng suy tim tr\u1edf n\u1eb7ng. Tuy nhi\u00ean, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy tim th\u1ec3 c\u00f2n b\u00f9 c\u00f3 th\u1ec3 v\u1eabn c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng b\u1ec7nh. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, thu\u1ed1c c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c d\u00f9ng 1 c\u00e1ch h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng suy tim b\u1eb1ng c\u00e1c thu\u1ed1c n\u1ec1n kh\u00e1c t\u1eeb tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n ho\u1eb7c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u nghi ng\u1edd l\u00e0 suy tim th\u00ec c\u1ea7n d\u1eebng vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c Bisoprolol. V\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng Bisoprolol nh\u01b0ng c\u1ea7n k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/p>\n<p>B\u1ec7nh nh\u00e2n tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c d\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t khi ch\u01b0a c\u00f3 s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u00e1c s\u0129, vi\u1ec7c l\u00e0m n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng v\u1edbi s\u1ee9c kh\u1ecfe.<\/p>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf ng\u01b0\u1eddi b\u1ecb suy \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c vi\u00eam t\u1eafc \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean.<\/p>\n<p>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a Bisoprolol c\u00f3 th\u1ec3 l\u00e0m m\u1edd c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh t\u0103ng ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p, vi\u1ec7c ng\u01b0ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng h\u01a1n tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p, v\u00e0 c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 x\u1ea3y ra c\u00e1c c\u01a1n b\u00e3o gi\u00e1p.<\/p>\n<p>Do c\u00f3 ch\u1ee9a Lactose trong t\u00e1 d\u01b0\u1ee3c n\u00ean thu\u1ed1c c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd hi\u1ebfm g\u1eb7p b\u1ea9m sinh k\u00e9m dung n\u1ea1p Glucose, h\u1ea5p thu k\u00e9m Lactose ho\u1eb7c r\u1ed1i lo\u1ea1n h\u1ea5p thu Glucose-Galactose.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Huy\u1ebft \u00e1p &#8211; tim m\u1ea1ch: Nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, suy tim ho\u1eb7c l\u00e0m n\u1eb7ng h\u01a1n t\u00ecnh tr\u1ea1ng suy tim, r\u1ed1i lo\u1ea1n truy\u1ec1n nh\u0129 &#8211; th\u1ea5t.<\/p>\n<p>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y,&#8230;<\/p>\n<p>Th\u1ea7n kinh: T\u00ea c\u00e1c \u0111\u1ea7u chi, m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t ho\u1eb7c t\u00ecnh tr\u1ea1ng nh\u1ee9c \u0111\u1ea7u, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, tr\u1ea7m c\u1ea3m.<\/p>\n<p>H\u00f4 h\u1ea5p: Co th\u1eaft ph\u1ebf qu\u1ea3n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed ph\u1ed5i &#8211; ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh.<\/p>\n<p>Th\u00ednh gi\u00e1c: R\u1ed1i lo\u1ea1n th\u00ednh gi\u00e1c.<\/p>\n<p>Th\u1ecb gi\u00e1c: T\u0103ng ti\u1ebft n\u01b0\u1edbc m\u1eaft ho\u1eb7c vi\u00eam k\u1ebft m\u1ea1c.<\/p>\n<p>Ti\u1ebft ni\u1ec7u &#8211; sinh d\u1ee5c: R\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/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>C\u00e1c thu\u1ed1c ch\u1eb9n Beta kh\u00e1c<\/td>\n<td>Kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng ph\u1ed1i h\u1ee3p<\/td>\n<\/tr>\n<tr>\n<td>C\u00e1c thu\u1ed1c l\u00e0m ti\u00eau hao Catecholamin<\/td>\n<td>C\u1ea7n \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng v\u00e0 theo d\u00f5i y t\u1ebf ch\u1eb7t ch\u1ebd khi ph\u1ed1i h\u1ee3p<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n ho\u1eb7c ch\u1eb9n k\u00eanh Calci<\/td>\n<td>T\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p v\u00e0 nh\u1ecbp tim c\u1ee7a Bisoprolol<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c \u1ee9c ch\u1ebf co b\u00f3p c\u01a1 tim ho\u1eb7c \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n nh\u0129 &#8211; th\u1ea5t<\/td>\n<td>\u0110\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p<\/td>\n<\/tr>\n<tr>\n<td>NSAIDs<\/td>\n<td>Gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p khi d\u00f9ng chung<\/td>\n<\/tr>\n<tr>\n<td>Digoxin<\/td>\n<td>T\u0103ng nguy c\u01a1 g\u00e2y nh\u1ecbp tim ch\u1eadm<\/td>\n<\/tr>\n<tr>\n<td>Insulin v\u00e0 c\u00e1c thu\u1ed1c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft<\/td>\n<td>Gi\u1ea3m \u0111\u00e1p \u1ee9ng c\u1ee7a nh\u1eefng thu\u1ed1c n\u00e0y<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m<\/td>\n<td>\u1ea2nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn t\u00e1c d\u1ee5ng c\u1ee7a nh\u1eefng thu\u1ed1c n\u00e0y<\/td>\n<\/tr>\n<tr>\n<td>Mu\u1ed1i nh\u00f4m<\/td>\n<td>Gi\u1ea3m h\u1ea5p thu n\u1ebfu d\u00f9ng \u0111\u1ed3ng th\u1eddi<\/td>\n<\/tr>\n<tr>\n<td>Barbiturat v\u00e0 Rifampicin<\/td>\n<td>Ph\u1ed1i h\u1ee3p l\u00e0m t\u0103ng chuy\u1ec3n h\u00f3a c\u1ee7a Bisoprolol<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ed1t r\u00e9t<\/td>\n<td>T\u0103ng nguy c\u01a1 d\u1ecb t\u1eadt d\u1eabn truy\u1ec1n tim<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>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<\/h3>\n<p>Thai ph\u1ee5: Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u01b0\u01a1i m\u00e1u qua nhau thai, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng suy thai ho\u1eb7c thai nhi ch\u1eadm ph\u00e1t tri\u1ec3n, s\u1ea3y thai,&#8230; Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c trong th\u1eddi k\u1ef3 mang thai.<\/p>\n<p>B\u00e0 m\u1eb9 cho con b\u00fa: Ch\u01b0a r\u00f5 ho\u1ea1t ch\u1ea5t c\u00f3 \u0111\u01b0\u1ee3c ti\u1ebft qua s\u1eefa hay kh\u00f4ng, do \u0111\u00f3 c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng thu\u1ed1c trong th\u1eddi gian cho con b\u00fa.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>\u0110\u00e3 quan s\u00e1t th\u1ea5y t\u00ecnh tr\u1ea1ng h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c nh\u1ecbp tim ch\u1eadm, ng\u1ee7 l\u1ecbm \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng thu\u1ed1c qu\u00e1 li\u1ec1u l\u01b0\u1ee3ng quy \u0111\u1ecbnh. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i l\u00e0 co th\u1eaft ph\u1ebf qu\u1ea3n, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft,&#8230; khi b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nghi ng\u1edd d\u00f9ng thu\u1ed1c qu\u00e1 li\u1ec1u c\u1ea7n \u0111\u01b0a ngay \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi.<\/p>\n<h2>Thu\u1ed1c 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, <b>gi\u00e1 Corneil 5<\/b> 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><a href=\"https:\/\/vnras.com\/drug\/savi-prolol-5mg\/\">SaVi Prolol 5mg<\/a> do C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m SaVi s\u1ea3n xu\u1ea5t, thu\u1ed1c c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Bisoprolol fumarat 5mg v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ebf \u1edf d\u1ea1ng vi\u00ean n\u00e9n bao phim. Thu\u1ed1c hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 75,000VN\u0110\/h\u1ed9p.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/bisostad-5\/\">Bisostad 5<\/a> do Stella Pharm s\u1ea3n xu\u1ea5t, thu\u1ed1c hi\u1ec7n \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 kho\u1ea3ng 43.000VN\u0110\/h\u1ed9p.<\/p>\n<h2>T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c?<\/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>Thu\u1ed1c c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t t\u1ed1t \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng cao huy\u1ebft \u00e1p v\u00e0 \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t, do \u0111\u1eb7c t\u00ednh \u1ee9c ch\u1ebf c\u00f3 ch\u1ecdn l\u1ecdc tr\u00ean th\u1ee5 th\u1ec3 \u03b21-adrenergic n\u00ean n\u00f3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 thay th\u1ebf cho c\u00e1c thu\u1ed1c ch\u1eb9n \u03b2 kh\u00f4ng ch\u1ecdn l\u1ecdc kh\u00e1c.<\/td>\n<td>S\u1eed d\u1ee5ng d\u00e0i ng\u00e0y c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 suy tim ho\u1eb7c l\u00e0m n\u1eb7ng h\u01a1n t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>C\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c thu\u1ed1c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>\u0110\u1ed9c t\u00ednh cao tr\u00ean thai nhi \u0111\u1eb7c bi\u1ec7t l\u00e0 trong giai \u0111o\u1ea1n \u0111\u1ea7u.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>1.T\u00e1c gi\u1ea3 L Muresan, G Cismaru, C Muresan v\u00e0 c\u00e1c c\u1ed9ng s\u1ef1 (th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y 31 th\u00e1ng 1 n\u0103m 2022), Beta-blockers for the treatment of arrhythmias: Bisoprolol &#8211; a systematic review. Th\u1eddi gian truy c\u1eadp ng\u00e0y 5 th\u00e1ng 11 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35093388\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/35093388\/<\/a><\/p>\n<p>2.T\u00e1c gi\u1ea3 Sanjai Sinha (th\u1eddi gian ph\u00e1t h\u00e0nh ng\u00e0y ng\u00e0y 14 th\u00e1ng 8 n\u0103m 2023), Bisoprolol. Th\u1eddi gian truy c\u1eadp ng\u00e0y 5 th\u00e1ng 11 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/www.drugs.com\/bisoprolol.html\" rel=\"noopener\">https:\/\/www.drugs.com\/bisoprolol.html<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Corneil 5 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ch\u1ea9n \u0111o\u00e1n l\u00e0 cao huy\u1ebft \u00e1p ho\u1eb7c b\u1ecb \u0111au th\u1eaft ng\u1ef1c, h\u1ed7 tr\u1ee3 suy tim m\u1ea1n t\u00ednh th\u1ec3 \u1ed5n \u0111\u1ecbnh<\/p>\n","protected":false},"author":490,"featured_media":56164,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-56156","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\/56156","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=56156"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/56164"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=56156"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=56156"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=56156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}