{"id":58978,"date":"2023-11-25T12:48:17","date_gmt":"2023-11-25T05:48:17","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=58978"},"modified":"2025-07-24T13:44:09","modified_gmt":"2025-07-24T06:44:09","slug":"thuoc-yesom-40","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/thuoc-yesom-40\/","title":{"rendered":"Yesom-40"},"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 thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/thuoc-yesom-40\/\">Yesom-40<\/a> c\u00f3 s\u1ed1 gi\u1ea5y ph\u00e9p l\u01b0u h\u00e0nh l\u00e0 89011176223, do Hetero Labs Limited &#8211; \u1ea4n \u0110\u1ed9 ch\u1ecbu tr\u00e1ch nhi\u1ec7m s\u1ea3n xu\u1ea5t v\u00e0 ph\u00e2n ph\u1ed1i. \u0110\u00e2y l\u00e0 thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng.<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Yesom-40 l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n<p>Trong m\u1ed7i vi\u00ean thu\u1ed1c<b> Yesom-40 <\/b>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n<\/p>\n<ul>\n<li style=\"font-weight: 400\">Esomeprazol (d\u01b0\u1edbi d\u1ea1ng pellets esomeprazole magnesi dihydrate bao tan trong ru\u1ed9t): 40mg.<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang ch\u1ee9a pellet bao tan trong ru\u1ed9t<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">SGPLH 89011176223<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: <\/span><span style=\"font-weight: 400\">H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: Hetero Labs Limited &#8211; \u1ea4n \u0110\u1ed9<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Yesom-40 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/span><\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Esomeprazol l\u00e0 d\u1ea1ng \u0111\u1ed3ng ph\u00e2n S c\u1ee7a omeprazol, c\u00f3 c\u1ea5u tr\u00fac v\u00e0 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 omeprazol. Sau khi h\u1ea5p thu v\u00e0o c\u01a1 th\u1ec3, esomeprazol \u0111i t\u1edbi t\u1ebf b\u00e0o th\u00e0nh c\u1ee7a ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 t\u00edch l\u0169y t\u1ea1i ti\u1ec3u qu\u1ea3n ti\u1ebft acid c\u1ee7a t\u1ebf b\u00e0o.<\/p>\n<p>T\u1ea1i \u0111\u00e2y, thu\u1ed1c \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a trong m\u00f4i tr\u01b0\u1eddng acid v\u00e0 t\u1ea1o li\u00ean k\u1ebft h\u00f3a tr\u1ecb b\u1ec1n v\u1eefng, kh\u00f4ng h\u1ed3i ph\u1ee5c v\u1edbi H*\/K*\/ATPase, enzym c\u00f3 vai tr\u00f2 ti\u1ebft proton H* v\u00e0o trong l\u00f2ng d\u1ea1 d\u00e0y.<\/p>\n<p>Qu\u00e1 tr\u00ecnh ti\u1ebft acid d\u1ea1 d\u00e0y ch\u1ec9 h\u1ed3i ph\u1ee5c khi b\u01a1m proton m\u1edbi \u0111\u01b0\u1ee3c t\u1ea1o ra, nh\u1edd v\u1eady thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i t\u1edbi 24 gi\u1edd, m\u1eb7c d\u00f9 n\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb t\u01b0\u01a1ng \u0111\u1ed1i ng\u1eafn.<\/p>\n<p>Do \u1ee9c ch\u1ebf giai \u0111o\u1ea1n cu\u1ed1i c\u00f9ng c\u1ee7a s\u1ef1 b\u00e0i ti\u1ebft acid d\u1ea1 d\u00e0y, thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 gi\u1ea3m ti\u1ebft acid do m\u1ecdi nguy\u00ean nh\u00e2n, bao g\u1ed3m c\u1ea3 gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y k\u00edch th\u00edch v\u00e0 c\u01a1 b\u1ea3n.<\/p>\n<p>C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton kh\u00f4ng ti\u1ec7t tr\u1eeb \u0111\u01b0\u1ee3c nh\u01b0ng c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf<\/p>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p><em>H\u1ea5p thu<\/em>:<\/p>\n<p>Esomeprazol kh\u00f4ng b\u1ec1n trong m\u00f4i tr\u01b0\u1eddng acid n\u00ean \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng bao tan \u1edf ru\u1ed9t. Thu\u1ed1c h\u1ea5p thu nhanh sau khi u\u1ed1ng, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 cao nh\u1ea5t trong huy\u1ebft t\u01b0\u01a1ng sau 1 &#8211; 2 gi\u1edd.<\/p>\n<p>Sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c t\u0103ng l\u00ean khi d\u00f9ng nh\u1eafc l\u1ea1i, \u0111\u1ea1t kho\u1ea3ng 68% khi d\u00f9ng li\u1ec1u 20 mg v\u00e0 89% khi d\u00f9ng li\u1ec1u 40 mg.<\/p>\n<p><em>Ph\u00e2n b\u1ed1<\/em><\/p>\n<p>Kho\u1ea3ng 97% esomeprazol g\u1eafn v\u00e0o protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p><em>Chuy\u1ec3n h\u00f3a<\/em><\/p>\n<p>Esomeprazol b\u1ecb chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan nh\u1edd h\u1ec7 enzym cytochrom P450, c\u1ee5 th\u1ec3 l\u00e0 isoenzym CYP2C19 th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxy v\u00e0 desmethyl kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh, ph\u1ea7n c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a qua isoenzym CYP3A4 th\u00e0nh esomeprazol sulfon.<\/p>\n<p><em>Th\u1ea3i tr\u1eeb<\/em><\/p>\n<p>N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb trong huy\u1ebft t\u01b0\u01a1ng c\u1ee7a thu\u1ed1c kho\u1ea3ng 1,3 gi\u1edd. Kho\u1ea3ng 80% li\u1ec1u u\u1ed1ng \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb d\u01b0\u1edbi d\u1ea1ng c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh trong n\u01b0\u1edbc ti\u1ec3u, ph\u1ea7n c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb trong ph\u00e2n<\/p>\n<p>\u1ede ng\u01b0\u1eddi suy gan n\u1eb7ng, AUC \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh cao h\u01a1n 2 &#8211; 3 l\u1ea7n so v\u1edbi ng\u01b0\u1eddi c\u00f3 ch\u1ee9c n\u0103ng gan b\u00ecnh th\u01b0\u1eddng, v\u00ec v\u1eady c\u00f3 th\u1ec3 ph\u1ea3i xem x\u00e9t gi\u1ea3m li\u1ec1u esomeprazol \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh n\u00e0y.<\/p>\n<h2><span style=\"font-weight: 400\">\u0110\u1ed1i t\u01b0\u1ee3ng n\u00ean s\u1eed d\u1ee5ng Yesom-40?<\/span><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb b\u00eanh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n (GERD).<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng do s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam phi steroid NSAIDs.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng do vi khu\u1ea9n H.pylori g\u00e2y ra.<\/p>\n<p>Ph\u00f2ng ng\u1eeba b\u1ec7nh vi\u00eam, lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng do s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam phi steroid \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc. C\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc ph\u1ea3i bao g\u1ed3m y\u1ebfu t\u1ed1 di truy\u1ec1n, ng\u01b0\u1eddi c\u00f3 nh\u00f3m m\u00e1u O d\u1ec5 b\u1ecb lo\u00e9t h\u01a1n c\u00e1c nh\u00f3m m\u00e1u kh\u00e1c.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01b0\u1eddng l\u00e1ch, bao g\u1ed3m h\u1ed9i ch\u1ee9ng Zollinger \u2013 Ellison.<\/p>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng Yesom-40<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng<\/span><\/h3>\n<p>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 12 tu\u1ed5i:<\/p>\n<p><em>B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n:<\/em><\/p>\n<p>\u0110i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c: 40mg m\u1ed7i ng\u00e0y trong v\u00f2ng 4 tu\u1ea7n. C\u00f3 th\u1ec3 d\u00f9ng th\u00eam 4 tu\u1ea7n n\u1eefa v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n v\u1eabn c\u00f2n vi\u00eam.<\/p>\n<p>Ph\u00f2ng ng\u1eeba s\u1ef1 t\u00e1i ph\u00e1t vi\u00eam th\u1ef1c qu\u1ea3n: 20mg m\u1ed7i ng\u00e0y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n: 20mg m\u1ed7i ng\u00e0y n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c kho\u1ea3ng 4 tu\u1ea7n.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb vi khu\u1ea9n Hp<\/em><\/p>\n<p>K\u1ebft h\u1ee3p v\u1edbi c\u00e1c kh\u00e1ng sinh trong vi\u1ec7c di\u1ec7t tr\u1eeb Helicobacter pylori: 20mg Esomeprazol k\u1ebft h\u1ee3p v\u1edbi 1g amoxicillin v\u00e0 500mg clarithromycin, ng\u00e0y 2 l\u1ea7n trong v\u00f2ng 7 ng\u00e0y.<\/p>\n<p>D\u1ef1 ph\u00f2ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng NSAID:<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y do d\u00f9ng thu\u1ed1c kh\u00e1ng vi\u00eam NSAID: 20mg m\u1ed7i ng\u00e0y trong v\u00f2ng 4-8 tu\u1ea7n.<\/p>\n<p>D\u1ef1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao v\u1ec1 bi\u1ebfn ch\u1ee9ng \u1edf d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, nh\u01b0ng c\u00f3 y\u00eau c\u1ea7u ph\u1ea3i ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid: U\u1ed1ng m\u1ed7i ng\u00e0y 20mg.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Zollinger Ellison: Li\u1ec1u kh\u1edfi \u0111\u1ea7u khuy\u1ebfn c\u00e1o l\u00e0 Esomeprazol 40mg, hai l\u1ea7n\/ng\u00e0y. Sau \u0111\u00f3 \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u00e1p \u1ee9ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng.<\/p>\n<p><em>\u0110\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t<\/em><\/p>\n<p>Ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u1eadn: Kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u1eadn. Do \u00edt kinh nghi\u1ec7m v\u1ec1 vi\u1ec7c d\u00f9ng thu\u1ed1c \u1edf b\u1ec7nh nh\u00e2n.<\/p>\n<p>Ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng gan: kh\u00f4ng c\u1ea7n gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng gan \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh. \u1ede b\u1ec7nh nh\u00e2n suy gan n\u1eb7ng, kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 li\u1ec1u t\u1ed1i \u0111a 20mg Esomeprazol.<\/p>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i: Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n<p>Tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i: Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u khi d\u00f9ng Esomeprazol cho tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i.<\/p>\n<h3>Yesom-40 n\u00ean d\u00f9ng l\u00fac n\u00e0o?<\/h3>\n<p><strong>Yesom esomeprazole 40mg<\/strong> c\u00f3 th\u1ec3 u\u1ed1ng tr\u01b0\u1edbc ho\u1eb7c sau \u0103n.<\/p>\n<p>N\u00ean d\u00f9ng thu\u1ed1c trong kho\u1ea3ng th\u1eddi gian t\u01b0\u01a1ng t\u1ef1 m\u1ed7i ng\u00e0y.<\/p>\n<p>Th\u1ef1c hi\u1ec7n theo c\u00e1c h\u01b0\u1edbng d\u1eabn tr\u00ean nh\u00e3n thu\u1ed1c c\u1ee7a b\u1ea1n m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn, v\u00e0 h\u00e3y h\u1ecfi b\u00e1c s\u0129 ho\u1eb7c d\u01b0\u1ee3c s\u0129 c\u1ee7a b\u1ea1n \u0111\u1ec3 gi\u1ea3i th\u00edch b\u1ea5t k\u1ef3 ph\u1ea7n n\u00e0o b\u1ea1n kh\u00f4ng hi\u1ec3u.<\/p>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng Yesom-40 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u n\u1ed5i m\u1ea9n, d\u1ecb \u1ee9ng, qu\u00e1 m\u1eabn v\u1edbi esomeprazole ho\u1eb7c c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c c\u1ee7a thu\u1ed1c.<\/p>\n<p>Kh\u00f4ng d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng virus \u1ee9c ch\u1ebf Protease.<\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Yesom-40<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p>Tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, ph\u1ea3i lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng ung th\u01b0 d\u1ea1 d\u00e0y v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 che l\u1ea5p tri\u1ec7u ch\u1ee9ng, l\u00e0m ch\u1eadm ch\u1ea9n \u0111o\u00e1n ung th\u01b0.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng \u1edf ng\u01b0\u1eddi b\u1ecb b\u1ec7nh gan, ng\u01b0\u1eddi mang thai ho\u1eb7c cho con b\u00fa.<\/p>\n<p>D\u00f9ng esomeprazol k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y vi\u00eam teo d\u1ea1 d\u00e0y ho\u1eb7c t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n (nh\u01b0 vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i t\u1ea1i c\u1ed9ng \u0111\u1ed3ng).<\/p>\n<p>C\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 ti\u00eau ch\u1ea3y do Clostridium difficile khi d\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 nhi\u1ec5m Clostridium difficile.<\/p>\n<p>Khi d\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng li\u1ec1u cao (nhi\u1ec1u l\u1ea7n\/ng\u00e0y) v\u00e0 k\u00e9o d\u00e0i (\u2265 1 n\u0103m), c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng ch\u1eadu, x\u01b0\u01a1ng c\u1ed5 tay ho\u1eb7c c\u1ed9t s\u1ed1ng do lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n<p>C\u01a1 ch\u1ebf c\u1ee7a hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch, nh\u01b0ng c\u00f3 th\u1ec3 do gi\u1ea3m h\u1ea5p thu calci kh\u00f4ng h\u00f2a tan do t\u0103ng pH d\u1ea1 d\u00e0y.<\/p>\n<p>Khuy\u1ebfn c\u00e1o d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3, ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng. Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng do lo\u00e3ng x\u01b0\u01a1ng n\u00ean d\u00f9ng \u0111\u1ee7 calci v\u00e0 Vitamin D, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u1ea7n.<\/p>\n<p>H\u1ea1 magnesi huy\u1ebft (c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng) hi\u1ebfm khi g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton k\u00e9o d\u00e0i (\u00edt nh\u1ea5t 3 th\u00e1ng ho\u1eb7c trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u00f9ng k\u00e9o d\u00e0i tr\u00ean 1 n\u0103m).<\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<p><em>Th\u01b0\u1eddng g\u1eb7p<\/em><\/p>\n<p>To\u00e0n th\u00e2n: \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ban ngo\u00e0i da.<\/p>\n<p>Ti\u00eau h\u00f3a: bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, \u0111\u1ea7y h\u01a1i, kh\u00f4 mi\u1ec7ng.<\/p>\n<p><em>\u00cdt g\u1eb7p<\/em><\/p>\n<p>To\u00e0n th\u00e2n: m\u1ec7t m\u1ecfi, m\u1ea5t ng\u1ee7, bu\u1ed3n ng\u1ee7, ph\u00e1t ban, ng\u1ee9a, d\u1ecb c\u1ea3m. R\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p<\/em><\/p>\n<p>To\u00e0n th\u00e2n: s\u1ed1t, to\u00e1t m\u1ed3 h\u00f4i, ph\u00f9 ngo\u1ea1i bi\u00ean, m\u1eabn c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, r\u1ee5ng t\u00f3c, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn (bao g\u1ed3m m\u00e0y \u0111ay, ph\u00f9 m\u1ea1ch, co th\u1eaft ph\u1ebf qu\u1ea3n, s\u1ed1c ph\u1ea3n v\u1ec7).<\/p>\n<p>TKTW: k\u00edch \u0111\u1ed9ng, tr\u1ea7m c\u1ea3m, l\u00fa l\u1eabn, \u1ea3o gi\u00e1c.<\/p>\n<p>H\u00f4 h\u1ea5p: nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p.<\/p>\n<p>Huy\u1ebft h\u1ecdc: gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u, t\u0103ng b\u1ea1ch c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/p>\n<p>Gan: t\u0103ng enzym gan, vi\u00eam gan, v\u00e0ng da, suy ch\u1ee9c n\u0103ng gan.<\/p>\n<p>Ti\u00eau h\u00f3a: r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, vi\u00eam mi\u1ec7ng.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: h\u1ea1 magnesi huy\u1ebft, h\u1ea1 natri huy\u1ebft, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a porphyrin.<\/p>\n<p>C\u01a1 x\u01b0\u01a1ng: \u0111au kh\u1edbp, \u0111au c\u01a1, lo\u00e3ng x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng.<\/p>\n<p>Ti\u1ebft ni\u1ec7u: vi\u00eam th\u1eadn k\u1ebd.<\/p>\n<p>N\u1ed9i ti\u1ebft: ch\u1ee9ng v\u00fa to \u1edf nam.<\/p>\n<p>Da: ban b\u1ecdng n\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec nhi\u1ec5m \u0111\u1ed9c, vi\u00eam da.<\/p>\n<p>Do l\u00e0m gi\u1ea3m \u0111\u1ed9 acid c\u1ee7a d\u1ea1 d\u00e0y, c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p>Do \u1ee9c ch\u1ebf b\u00e0i ti\u1ebft acid, esomeprazol l\u00e0m t\u0103ng pH d\u1ea1 d\u00e0y, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh kh\u1ea3 d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c h\u1ea5p thu ph\u1ee5 thu\u1ed9c pH: ketoconazol, mu\u1ed1i S\u1eaft, digoxin.<\/p>\n<p>Esomeprazol t\u01b0\u01a1ng t\u00e1c d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc v\u1edbi c\u00e1c thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi h\u1ec7 enzym cytochrom P450, isoenzym CYP2C19 \u1edf gan.<\/p>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi esomeprazol v\u1edbi Cilostazol l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 cilostazol v\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh c\u1ee7a n\u00f3, xem x\u00e9t gi\u1ea3m li\u1ec1u cilostazol.<\/p>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi esomeprazol v\u1edbi voriconazol c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a esomeprazol h\u01a1n g\u1ea5p 2 l\u1ea7n, xem x\u00e9t gi\u1ea3m li\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng li\u1ec1u cao esomeprazol (240 mg\/ng\u00e0y) nh\u01b0 khi \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Zollinger-Ellison, v\u1edbi c\u00e1c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng li\u1ec1u th\u1ea5p, c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n gi\u1ea3m li\u1ec1u.<\/p>\n<p>D\u00f9ng esomeprazol v\u1edbi c\u00e1c thu\u1ed1c g\u00e2y c\u1ea3m \u1ee9ng CYP2C19 v\u00e0 CYP3A4 nh\u01b0 rifampin l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 esomeprazol n\u00ean tr\u00e1nh d\u00f9ng \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>C\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 h\u1ea1 magnesi huy\u1ebft khi d\u00f9ng esomeprazol c\u00f9ng c\u00e1c thu\u1ed1c c\u0169ng g\u00e2y h\u1ea1 magnesi huy\u1ebft nh\u01b0 thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid ho\u1eb7c l\u1ee3i ti\u1ec3u quai. Ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 magnesi tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton v\u00e0 \u0111\u1ecbnh k\u1ef3 sau \u0111\u00f3.<\/p>\n<p>Atazanavir: C\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu atazanavir khi u\u1ed1ng c\u00f9ng v\u1edbi esomeprazol, d\u1eabn \u0111\u1ebfn gi\u1ea3m t\u00e1c d\u1ee5ng kh\u00e1ng virus. Kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ed3ng th\u1eddi thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton v\u00e0 atazanavir.<\/p>\n<p>Clopidogrel: D\u00f9ng c\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft t\u01b0\u01a1ng c\u1ee7a ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh c\u1ee7a Clopidogrel, l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng kh\u00e1ng ti\u1ec3u c\u1ea7u.<\/p>\n<p>Digoxin: H\u1ea1 magnesi huy\u1ebft do d\u00f9ng k\u00e9o d\u00e0i thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton l\u00e0m c\u01a1 tim t\u0103ng nh\u1ea1y c\u1ea3m v\u1edbi Digoxin, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9c v\u1edbi tim c\u1ee7a digoxin. \u1ede ng\u01b0\u1eddi b\u1ec7nh \u0111ang d\u00f9ng digoxin, ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 magnesi tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton v\u00e0 \u0111\u1ecbnh k\u1ef3 sau \u0111\u00f3.<\/p>\n<p>Sucralfat: \u1ee8c ch\u1ebf h\u1ea5p thu v\u00e0 l\u00e0m gi\u1ea3m sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton. D\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton \u00edt nh\u1ea5t 30 ph\u00fat tr\u01b0\u1edbc khi d\u00f9ng Sucralfat.<\/p>\n<p>Tacrolimus: T\u0103ng n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh c\u1ee7a Tacrolimus.<\/p>\n<p>Warfarin: T\u0103ng INR v\u00e0 th\u1eddi gian prothrombin khi d\u00f9ng warfarin \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng v\u00e0 t\u1eed vong. Theo d\u00f5i INR v\u00e0 th\u1eddi gian prothrombin khi d\u00f9ng \u0111\u1ed3ng th\u1eddi esomeprazol v\u00e0 warfarin.<\/p>\n<p>D\u00f9ng \u0111\u1ed3ng th\u1eddi esomeprazol v\u00e0 Clarithromycin l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 esomeprazol v\u00e0 14-hydroxyclarithromycin trong m\u00e1u. D\u00f9ng \u0111\u1ed3ng th\u1eddi esomeprazol v\u00e0 Diazepam l\u00e0m gi\u1ea3m chuy\u1ec3n h\u00f3a diazepam v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 diazepam trong huy\u1ebft t\u01b0\u01a1ng.<\/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><em>Th\u1eddi k\u1ef3 mang thai<\/em><\/p>\n<p>Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7 khi d\u00f9ng esomeprazol \u1edf ng\u01b0\u1eddi mang thai.<\/p>\n<p>Nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng cho th\u1ea5y b\u1eb1ng ch\u1ee9ng v\u1ec1 suy gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n ho\u1eb7c \u0111\u1ed9c h\u1ea1i \u0111\u1ed1i v\u1edbi thai c\u1ee7a esomeprazol.<\/p>\n<p>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng esomeprazol trong th\u1eddi k\u1ef3 mang thai khi th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa<\/em><\/p>\n<p>Kh\u00f4ng c\u00f3 nhi\u1ec1u d\u1eef li\u1ec7u v\u1ec1 s\u1eed d\u1ee5ng esomeprazol trong th\u1eddi k\u1ef3 cho con b\u00fa.<\/p>\n<p>C\u00e2n nh\u1eafc l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 cho tr\u1ebb v\u00e0 m\u1eb9 khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c trong th\u1eddi gian \u0111ang cho con b\u00fa.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Ch\u01b0a c\u00f3 b\u00e1o c\u00e1o v\u1ec1 qu\u00e1 li\u1ec1u esomeprazol \u1edf ng\u01b0\u1eddi.<\/p>\n<p>Kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u cho esomeprazol. Ch\u1ee7 y\u1ebfu \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3. Th\u1ea9m t\u00e1ch m\u00e1u kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng th\u1ea3i tr\u1eeb thu\u1ed1c v\u00ec thu\u1ed1c g\u1eafn nhi\u1ec1u v\u00e0o protein.<\/p>\n<h3><span style=\"font-weight: 400\">B\u1ea3o qu\u1ea3n<\/span><\/h3>\n<p><span style=\"font-weight: 400\">B<\/span><span style=\"font-weight: 400\">\u1ea3o qu\u1ea3n d\u01b0\u1edbi 30\u00b0C, kh\u00f4ng y\u00eau c\u1ea7u \u0111i\u1ec1u ki\u1ec7n b\u1ea3o qu\u1ea3n \u0111\u1eb7c bi\u1ec7t n\u00e0o.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Yesom-40 gi\u00e1 bao nhi\u00eau? Yesom-40 mua \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Yesom-40 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 thu\u1ed1c 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 <\/span><span style=\"font-weight: 400\">Yesom-40 <\/span><span style=\"font-weight: 400\">t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c thu\u1ed1c kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f4ng d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi Yesom-40 nh\u01b0:\u00a0<\/span><\/p>\n<ol>\n<li><a href=\"https:\/\/vnras.com\/drug\/ritozol-40mg\/\">Thu\u1ed1c Ritozol 40mg<\/a> ch\u1ee9a ho\u1ea1t ch\u1ea5t Esomeprazole v\u1edbi h\u00e0m l\u01b0\u1ee3ng 40mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Bosch Pharmaceuticals (PVT) Ltd, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-16694-13. H\u1ed9p 2 v\u1ec9 x 7 vi\u00ean nang c\u1ee9ng (d\u1ea1ng h\u1ea1t c\u1ea3i bao tan trong ru\u1ed9t).<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/thuoc-gaspemin-40\/\">Thu\u1ed1c Gaspemin 40<\/a> ch\u1ee9a Esomeprazole, c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, h\u1ed9p 3 v\u0129 x 10 vi\u00ean bao tan trong ru\u1ed9t c\u00f3 gi\u00e1 420,000\u20ab. Thu\u1ed1c do SRS Pharmaceuticals ph\u00e2n ph\u1ed1i, Acme Formulation ch\u1ecbu tr\u00e1ch nhi\u1ec7m s\u1ea3n xu\u1ea5t, v\u1edbi s\u1ed1 l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-21997-19.<\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400\">Yesom-40 c\u00f3 t\u1ed1t kh\u00f4ng? T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn Yesom-40?<\/span><\/h2>\n<table style=\"width: 96.0863%\">\n<tbody>\n<tr>\n<td style=\"text-align: center;width: 62.9054%\"><span style=\"font-weight: 400\">\u01afu \u0111i\u1ec3m<\/span><\/td>\n<td style=\"text-align: center;width: 81.6847%\"><span style=\"font-weight: 400\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 62.9054%\">Yesom-40 ch\u1ee9a th\u00e0nh ph\u1ea7n esomeprazol l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay cho c\u00e1c t\u00ecnh tr\u1ea1ng vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng nh\u1edd t\u00e1c d\u1ee5ng nhanh ch\u00f3ng, an to\u00e0n v\u00e0 \u00edt \u1ea3nh h\u01b0\u1edfng b\u1edfi ki\u1ec3u h\u00ecnh.<\/p>\n<p>Trong c\u00e1c th\u1eed nghi\u1ec7m m\u00f9 \u0111\u00f4i k\u00e9o d\u00e0i 8 tu\u1ea7n, esomeprazole \u0111\u00e3 ch\u1eefa l\u00e0nh vi\u00eam th\u1ef1c qu\u1ea3n v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n \u0103n m\u00f2n \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn qua n\u1ed9i soi v\u00e0 n\u00f3i chung, mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n Omeprazole<\/p>\n<p>Esomeprazole c\u0169ng t\u1ecf ra c\u00f3 l\u1ee3i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb GORD c\u00f3 tri\u1ec7u ch\u1ee9ng m\u00e0 kh\u00f4ng c\u00f3 vi\u00eam th\u1ef1c qu\u1ea3n so v\u1edbi Lansoprazole.<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean tan trong ru\u1ed9t, b\u1ea3o v\u1ec7 thu\u1ed1c kh\u1ecfi d\u1ecbch acid d\u1ea1 d\u00e0y, d\u1ea1ng pellet gi\u00fap t\u0103ng sinh kh\u1ea3 d\u1ee5ng v\u00e0 h\u1ea5p thu c\u1ee7a thu\u1ed1c.<\/p>\n<p>Gi\u00e1 th\u00e0nh ph\u00f9 h\u1ee3p v\u1edbi kinh t\u1ebf c\u1ee7a ng\u01b0\u1eddi d\u00e2n Vi\u1ec7t Nam.<\/p>\n<p>\u0110\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Hetero &#8211; c\u00f4ng ty d\u01b0\u1ee3c \u0111\u1ebfn t\u1eeb \u1ea4n \u0110\u1ed9 v\u1edbi 27 n\u0103m kinh nghi\u1ec7m v\u00e0 n\u1ed5i ti\u1ebfng to\u00e0n c\u1ea7u v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng s\u1ea3n ph\u1ea9m v\u00e0 nh\u1eefng ph\u00e1t minh thu\u1ed1c m\u1edbi.<\/p>\n<p>S\u1ea3n ph\u1ea9m c\u1ee7a c\u00f4ng ty \u0111\u01b0\u1ee3c xu\u1ea5t kh\u1ea9u tr\u00ean nhi\u1ec1u qu\u1ed1c gia v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn ch\u1ea5t l\u01b0\u1ee3ng danh gi\u00e1.<\/td>\n<td style=\"width: 81.6847%\">Esomeprazole c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi ho\u1eb7c tr\u1ea7m tr\u1ecdng h\u01a1n c\u1ee7a b\u1ec7nh lupus, nh\u01b0 \u0111au kh\u1edbp v\u00e0 ph\u00e1t ban tr\u00ean da \u1edf m\u00e1 ho\u1eb7c c\u00e1nh tay<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y, \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a m\u1ed9t \u0111\u1ee3t nhi\u1ec5m tr\u00f9ng m\u1edbi.<\/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\">T\u00e1c gi\u1ea3 Lesley J Scott v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: N\u0103m 2002). <em>Esomeprazole: a review of its use in the management of acid-related disorders<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12093317\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/12093317\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 Juan Jin v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: th\u00e1ng 7 n\u0103m 2023).<em> Pharmacokinetics, Bioequivalence, and Safety of Esomeprazole Magnesium Enteric-Coated Capsules in Healthy Chinese Subjects<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37329259\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37329259\/<\/a><\/li>\n<li style=\"font-weight: 400\">T\u00e1c gi\u1ea3 Ying Ding v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: th\u00e1ng 4 n\u0103m 2023). <em>Pharmacokinetics and bioequivalence study of esomeprazole magnesium enteric-coated tablets 20 mg in healthy Chinese subjects under fasting and fed conditions<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10175790\/\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10175790\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Yesom-40 ch\u1ee9a Esomeprazol d\u01b0\u1edbi d\u1ea1ng pellets esomeprazole magnesi dihydrate bao tan trong ru\u1ed9t<\/p>\n","protected":false},"author":490,"featured_media":58980,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-58978","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\/58978","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=58978"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/58980"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=58978"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=58978"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=58978"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}