{"id":59106,"date":"2023-11-25T22:02:19","date_gmt":"2023-11-25T15:02:19","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=59106"},"modified":"2025-07-24T13:44:08","modified_gmt":"2025-07-24T06:44:08","slug":"thuoc-zestril-10mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/thuoc-zestril-10mg\/","title":{"rendered":"Zestril 10mg"},"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 <a href=\"https:\/\/vnras.com\/drug\/thuoc-zestril-10mg\/\">thu\u1ed1c Zestril 10mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t v\u00e0 ph\u00e2n ph\u1ed1i b\u1edfi AstraZeneca, c\u00f3 <\/b><b style=\"font-size: 14.4px\">s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-15212-12. \u0110\u00e2y l\u00e0 thu\u1ed1c c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n Lisinopril dihydrat l\u00e0 thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p v\u00e0 \u0111i\u1ec1u tr\u1ecb suy tim.<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Zestril 10mg 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>Zestril 10mg <\/b>bao g\u1ed3m th\u00e0nh ph\u1ea7n<\/p>\n<ul>\n<li style=\"font-weight: 400\">Lisinopril dihydrat: 10mg<\/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 n\u00e9n.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VN-15212-12<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 14 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: AstraZeneca &#8211; Anh.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Zestril 10mg 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><span style=\"font-weight: 400\">Zestril c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 <\/span>Lisinopril 1 \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (ACE), l\u00e0 ch\u1ea5t x\u00fac t\u00e1c s\u1ef1 chuy\u1ec3n \u0111\u1ed5i angiotensin I th\u00e0nh ch\u1ea5t peptide co m\u1ea1ch l\u00e0 angiotensin II<\/p>\n<p>Trong khi c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a lisinopril \u0111\u01b0\u1ee3c ngh\u0129 ch\u1ee7 y\u1ebfu l\u00e0 do s\u1ef1 \u1ee9c ch\u1ebf h\u1ec7 th\u1ed1ng renin-angiotensin-aldosterone, lisinopril v\u1eabn c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p ngay c\u1ea3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u00f3 n\u1ed3ng \u0111\u1ed9 renin th\u1ea5p<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb suy tim: thu\u1ed1c \u0111\u01b0\u1ee3c cho l\u00e0 l\u00e0m t\u0103ng cung l\u01b0\u1ee3ng tim, gi\u1ea3m ti\u1ec1n g\u00e1nh, gi\u1ea3m h\u1eadu g\u00e1nh m\u00e0 kh\u00f4ng l\u00e0m thay \u0111\u1ed5i nh\u1ecbp tim. Khi s\u1eed d\u1ee5ng l\u00e2u d\u00e0i, Lisinopril c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m s\u1ef1 ph\u00ec \u0111\u1ea1i t\u00e2m th\u1ea5t tr\u00e1i<\/p>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: M\u1ee9c \u0111\u1ed9 h\u1ea5p thu trung b\u00ecnh c\u1ee7a thu\u1ed1c sau khi u\u1ed1ng l\u00e0 kho\u1ea3ng 25%, tuy nhi\u00ean m\u1ee9c \u0111\u1ed9 n\u00e0y c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo s\u1ef1 thay \u0111\u1ed5i c\u1ee7a li\u1ec1u. Kh\u1ea3 n\u0103ng h\u1ea5p thu c\u1ee7a Lisinopril kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi th\u1ee9c \u0103n.<\/p>\n<p>Ph\u00e2n b\u1ed1: Lisinopril ch\u1ec9 g\u1eafn v\u1edbi men chuy\u1ec3n angiotensin (ACE) trong m\u00e1u. Ngo\u00e0i ra, n\u00f3 kh\u00f4ng li\u00ean k\u1ebft v\u1edbi protein n\u00e0o kh\u00e1c. C\u00e1c th\u1ef1c nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt cho th\u1ea5y thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng \u0111i qua \u0111\u01b0\u1ee3c h\u00e0ng r\u00e0o m\u00e1u n\u00e3o.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Trong c\u01a1 th\u1ec3, Lisinopril kh\u00f4ng b\u1ecb chuy\u1ec3n h\u00f3a.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i. Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a thu\u1ed1c l\u00e0 12,6 gi\u1edd<\/p>\n<h2><span style=\"font-weight: 400\">\u0110\u1ed1i t\u01b0\u1ee3ng n\u00ean s\u1eed d\u1ee5ng Zestril 10mg?<\/span><\/h2>\n<p>Zestril 10mg ch\u1ec9 \u0111\u1ecbnh trong:<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/p>\n<p>Ph\u1ee5 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb trong suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n (6 tu\u1ea7n) \u1edf b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u0111\u1ed9ng h\u1ecdc \u1ed5n \u0111\u1ecbnh trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u \u1edf b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p<\/p>\n<p>Bi\u1ebfn ch\u1ee9ng tr\u00ean th\u1eadn c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng: \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng ph\u1ee5 thu\u1ed9c insulin c\u00f3 huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng v\u00e0 b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ph\u1ee5 thu\u1ed9c insulin c\u00f3 t\u0103ng huy\u1ebft \u00e1p v\u1eeba m\u1edbi ch\u1edbm m\u1eafc b\u1ec7nh l\u00fd th\u1eadn \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi vi albumin ni\u1ec7u.<\/p>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng thu\u1ed1c Zestril 10mg<\/span><\/h2>\n<h3>C\u00e1ch d\u00f9ng thu\u1ed1c Zestril 10mg<\/h3>\n<p>N\u00ean u\u1ed1ng Zestril m\u1ed9t l\u1ea7n duy nh\u1ea5t m\u1ed7i ng\u00e0y.<\/p>\n<p>C\u0169ng nh\u01b0 c\u00e1c thu\u1ed1c kh\u00e1c d\u00f9ng m\u1ed9t l\u1ea7n duy nh\u1ea5t trong ng\u00e0y, Zestril n\u00ean \u0111\u01b0\u1ee3c u\u1ed1ng \u1edf c\u00f9ng th\u1eddi \u0111i\u1ec3m trong ng\u00e0y.<\/p>\n<p>Th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 h\u1ea5p thu c\u1ee7a vi\u00ean n\u00e9n Zestril.<\/p>\n<p>Li\u1ec1u l\u01b0\u1ee3ng t\u00f9y thu\u1ed9c theo t\u00ecnh tr\u1ea1ng v\u00e0 \u0111\u00e1p \u1ee9ng huy\u1ebft \u00e1p c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n<\/p>\n<h3><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Zestril 10mg<\/span><\/h3>\n<h4>\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/h4>\n<p><em>Ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh v\u00e0 tr\u1ebb em tr\u00ean 16 tu\u1ed5i<\/em><\/p>\n<p>Thu\u1ed1c lisinopril n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi li\u1ec1u kh\u1edfi \u0111\u1ea7u \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 1 vi\u00ean<\/p>\n<p>V\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 h\u1ec7 renin-angiotensin-aldosterone ho\u1ea1t h\u00f3a m\u1ea1nh (\u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p do b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u-th\u1eadn, thi\u1ebfu n\u01b0\u1edbc v\u00e0\/ho\u1eb7c thi\u1ebfu mu\u1ed1i, m\u1ea5t b\u00f9 tim ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p tr\u1ea7m tr\u1ecdng): li\u1ec1u kh\u1edfi \u0111\u1ea7u n\u00ean l\u00e0 0.25 &#8211; 0.5 vi\u00ean<\/p>\n<p>Li\u1ec1u l\u01b0\u1ee3ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chu\u1ea9n \u0111\u1ed9 t\u0103ng d\u1ea7n cho \u0111\u1ebfn khi ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p ho\u1eb7c t\u1edbi li\u1ec1u t\u1ed1i \u0111a 4 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Li\u1ec1u duy tr\u00ec: th\u00f4ng th\u01b0\u1eddng c\u00f3 hi\u1ec7u qu\u1ea3 l\u00e0 2 vi\u00ean, u\u1ed1ng m\u1ed9t l\u1ea7n duy nh\u1ea5t m\u1ed7i ng\u00e0y.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u: Ng\u01b0ng thu\u1ed1c l\u1ee3i ti\u1ec3u 2-3 ng\u00e0y tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u Zestril, n\u1ebfu kh\u00f4ng, kh\u1edfi \u0111\u1ea7u 0.5 vi\u00ean\/ng\u00e0y<\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn: c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u t\u00f9y thu\u1ed9c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh.<\/p>\n<p><em>Tr\u1ebb em 6-16 tu\u1ed5i<\/em><\/p>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u 0.25 vi\u00ean m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y (20kg &lt; 50kg) v\u00e0 0.5 vi\u00ean m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y (\u2265 50kg).<\/p>\n<p>Ch\u1ec9nh li\u1ec1u t\u00f9y theo c\u00e1 th\u1ec3 \u0111\u1ebfn t\u1ed1i \u0111a 2 vi\u00ean\/ng\u00e0y (20 &lt; 50kg) v\u00e0 kh\u00f4ng qu\u00e1 4 vi\u00ean\/ng\u00e0y (\u2265 50kg).<\/p>\n<p>Li\u1ec1u tr\u00ean 0.61 mg\/kg (ho\u1eb7c v\u01b0\u1ee3t qu\u00e1 4 vi\u00ean\/ng\u00e0y) ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u \u1edf tr\u1ebb em.<\/p>\n<p>Tr\u1ebb em c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m, n\u00ean xem x\u00e9t kh\u1edfi \u0111\u1ea7u li\u1ec1u th\u1ea5p h\u01a1n ho\u1eb7c t\u0103ng t\u1eebng m\u1ee9c li\u1ec1u.<\/p>\n<h4>\u0110i\u1ec1u tr\u1ecb suy tim<\/h4>\n<p>\u1ede b\u1ec7nh nh\u00e2n suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng, Zestril n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 m\u1ed9t tr\u1ecb li\u1ec7u h\u1ed7 tr\u1ee3 cho thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00e0, khi th\u00edch h\u1ee3p, v\u1edbi digitalis ho\u1eb7c thu\u1ed1c ch\u1eb9n beta<\/p>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u v\u00e0o kho\u1ea3ng 0.25 vi\u00ean\/ng\u00e0y, t\u0103ng t\u1eebng m\u1ee9c &lt; 1 vi\u00ean\/ng\u00e0y, li\u1ec1u duy tr\u00ec kho\u1ea3ng 0.5-2 vi\u00ean\/ng\u00e0y, th\u1eddi gian ch\u1ec9nh li\u1ec1u \u2265 2 tu\u1ea7n, t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 3,5 vi\u00ean trong 24 gi\u1edd<\/p>\n<p><em>Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p:\u00a0<\/em><\/p>\n<p>Kh\u1edfi \u0111\u1ea7u d\u00f9ng 0.5 vi\u00ean, sau 24 gi\u1edd d\u00f9ng 0.5 vi\u00ean ti\u1ebfp theo; 1 vi\u00ean sau 48 gi\u1edd &amp;\u00a0 duy tr\u1ecb li\u00eau 1 vi\u00ean\/ng\u00e0y sau \u0111\u00f3.<\/p>\n<p>B\u1ec7nh nh\u00e2n huy\u1ebft \u00e1p t\u00e2m thu th\u1ea5p: (\u2264 120mmHg) n\u00ean d\u00f9ng li\u1ec1u th\u1ea5p h\u01a1n 0.25 vi\u00ean \u0111\u01b0\u1eddng u\u1ed1ng; li\u1ec1u duy tr\u00ec: 1 vi\u00ean, 1 l\u1ea7n\/ng\u00e0y, n\u1ebfu h\u1ea1 huy\u1ebft \u00e1p x\u1ea3y ra th\u00ec gi\u1ea3m li\u1ec1u t\u1ea1m th\u1eddi xu\u1ed1ng 0.25 vi\u00ean n\u1ebfu c\u1ea7n thi\u1ebft ho\u1eb7c ng\u01b0ng d\u00f9ng thu\u1ed1c.<\/p>\n<h4>C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c<\/h4>\n<p>Bi\u1ebfn ch\u1ee9ng tr\u00ean th\u1eadn c\u1ee7a b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: 1 &#8211; 2 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Ng\u01b0\u1eddi gi\u00e0, t\u1ed5n th\u01b0\u01a1ng th\u1eadn: ch\u1ec9nh li\u1ec1u theo ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>Gh\u00e9p th\u1eadn: kh\u00f4ng khuy\u1ebfn c\u00e1o.<\/p>\n<p><em>L\u01b0u \u00fd: V\u1edbi li\u1ec1u 0.25 vi\u00ean v\u00e0 0.5 vi\u00ean n\u00ean chuy\u1ec3n sang thu\u1ed1c c\u00f3 h\u00e0m l\u01b0\u1ee3ng th\u1ea5p h\u01a1n ph\u00f9 h\u1ee3p.\u00a0<\/em><\/p>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng Zestril 10mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>Qu\u00e1 m\u1eabn v\u1edbi Zestril ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (ACE) kh\u00e1c<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed ph\u00f9 m\u1ea1ch do d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/p>\n<p>Ph\u00f9 m\u1ea1ch di truy\u1ec1n ho\u1eb7c v\u00f4 c\u0103n<\/p>\n<p>Ph\u1ee5 n\u1eef c\u00f3 thai \u1edf 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i c\u1ee7a thai k\u1ef3<\/p>\n<p>D\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c ch\u1ee9a aliskiren \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (t\u00fdp I ho\u1eb7c II) ho\u1eb7c b\u1ec7nh nh\u00e2n suy th\u1eadn trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng (GFR &lt; 60ml\/ph\u00fat\/1,73m2)<\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Zestril 10mg<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p>\u0110\u1ecdc k\u0129 h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c ghi tr\u00ean nh\u00e3n tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c Zestril 10mg, n\u1ebfu c\u00f3 th\u1eafc m\u1eafc n\u00ean h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n.<\/p>\n<p>H\u1ea1 huy\u1ebft \u00e1p c\u00f3 tri\u1ec7u ch\u1ee9ng: T\u1ee5t huy\u1ebft \u00e1p c\u00f3 tri\u1ec7u ch\u1ee9ng r\u1ea5t hi\u1ebfm g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n:<\/p>\n<ul>\n<li>Gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n: do thu\u1ed1c l\u1ee3i ti\u1ec3u, ch\u1ebf \u0111\u1ed9 \u0103n h\u1ea1n ch\u1ebf mu\u1ed1i, th\u1ea9m ph\u00e2n, ti\u00eau ch\u1ea3y ho\u1eb7c n\u00f4n m\u1eeda ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng ph\u1ee5 thu\u1ed9c Lenin<\/li>\n<li>B\u1ec7nh nh\u00e2n suy tim, c\u00f3 hay kh\u00f4ng c\u00f3 suy th\u1eadn k\u00e8m theo<\/li>\n<li>Ti\u1ec1n s\u1eed b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ho\u1eb7c b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e3o<\/li>\n<\/ul>\n<p>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao b\u1ecb t\u1ee5t huy\u1ebft \u00e1p c\u00f3 tri\u1ec7u ch\u1ee9ng, vi\u1ec7c kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd<\/p>\n<p>Kh\u00f4ng \u0111\u01b0\u1ee3c kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi Zestril cho b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 nguy c\u01a1 b\u1ecb r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng h\u1ecdc tr\u1ea7m tr\u1ecdng sau khi \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c gi\u00e3n m\u1ea1c<\/p>\n<p>Lisinopril kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi aliskiren g\u00e2y \u1ee9c ch\u1ebf k\u00e9p h\u1ec7 renin-angiotensin-aldosteron do t\u0103ng nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p, t\u0103ng kali m\u00e1u v\u00e0 thay \u0111\u1ed5i ch\u1ee9c n\u0103ng th\u1eadn<\/p>\n<p>Theo d\u00f5i th\u01b0\u1eddng quy l\u01b0\u1ee3ng kali v\u00e0 creatinine l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a vi\u1ec7c th\u0103m kh\u00e1m y khoa th\u00f4ng th\u01b0\u1eddng cho c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m<\/p>\n<p>Th\u1eadn tr\u1ecdng v\u1edbi hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng ur\u00ea huy\u1ebft v\u00e0 creatinine huy\u1ebft thanh, th\u01b0\u1eddng l\u00e0 nh\u1eb9 v\u00e0 tho\u00e1ng qua, \u0111\u1eb7c bi\u1ec7t khi Zestril \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c l\u1ee3i ti\u1ec3u<\/p>\n<p>Ph\u00f9 m\u1ea1ch \u1edf m\u1eb7t, tay ch\u00e2n, m\u00f4i, l\u01b0\u1ee1i, thanh m\u00f4n v\u00e0\/ho\u1eb7c thanh qu\u1ea3n \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn \u00edt g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, k\u1ec3 c\u1ea3 Lisinopril<\/p>\n<p>\u1ede m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p r\u1ea5t hi\u1ebfm, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng kh\u1edfi \u0111\u1ea7u l\u00e0 v\u00e0ng da \u1ee9 m\u1eadt v\u00e0 ti\u1ebfn tri\u1ec3n th\u00e0nh ho\u1ea1i t\u1eed b\u1ea1o ph\u00e1t v\u00e0 (\u0111\u00f4i khi) g\u00e2y t\u1eed vong.<\/p>\n<p>N\u00ean ng\u01b0ng d\u00f9ng thu\u1ed1c \u1edf b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0ng da ho\u1eb7c t\u0103ng men gan r\u00f5 r\u1ec7t khi d\u00f9ng Zestril v\u00e0 c\u00f3 s\u1ef1 theo d\u00f5i c\u1ee7a b\u00e1c s\u1ef9.<\/p>\n<p>Theo d\u00f5i \u0111\u1ecbnh k\u1ef3 s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u v\u00e0 ph\u1ea3i y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n b\u00e1o c\u00e1o ngay n\u1ebfu c\u00f3 b\u1ea5t c\u1ee9 d\u1ea5u hi\u1ec7u nhi\u1ec5m khu\u1ea9n n\u00e0o khi ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c cho b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh m\u1ea1ch m\u00e1u t\u1ea1o keo, \u0111ang \u0111i\u1ec1u tr\u1ecb \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, \u0111ang d\u00f9ng allopurinol ho\u1eb7c procainamide, ho\u1eb7c c\u00f3 s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 bi\u1ebfn ch\u1ee9ng n\u00e0y, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n c\u00f3 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn tr\u01b0\u1edbc \u0111\u00f3<\/p>\n<p>Ho \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn khi s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n. \u0110i\u1ec3n h\u00ecnh l\u00e0 ho khan, dai d\u1eb3ng v\u00e0 t\u1ef1 h\u1ebft khi ng\u01b0ng thu\u1ed1c v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c chu\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t khi x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n ho<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 t\u0103ng kali huy\u1ebft khi d\u00f9ng Lisinopril bao g\u1ed3m ng\u01b0\u1eddi thi\u1ec3u n\u0103ng ch\u1ee9c n\u0103ng th\u1eadn, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, ho\u1eb7c d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali, c\u00e1c ch\u1ea5t b\u1ed5 sung kali ho\u1eb7c c\u00e1c ch\u1ea5t thay th\u1ebf mu\u1ed1i ch\u1ee9a kali ho\u1eb7c c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 kali huy\u1ebft thanh<\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<table style=\"border-collapse: collapse;width: 100%;height: 360px\">\n<tbody>\n<tr style=\"height: 129px\">\n<td style=\"width: 36.4115%;height: 129px\">R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft<\/td>\n<td style=\"width: 63.5885%;height: 129px\">Hi\u1ebfm g\u1eb7p: gi\u1ea3m haemoglobin, gi\u1ea3m haematocrit.<\/p>\n<p>R\u1ea5t hi\u1ebfm: suy t\u1ee7y x\u01b0\u01a1ng, thi\u1ebfu m\u00e1u, gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t (xem C\u1ea3nh b\u00e1o), thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft, b\u1ec7nh h\u1ea1ch b\u1ea1ch huy\u1ebft, b\u1ec7nh t\u1ef1 mi\u1ec5n.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng<\/td>\n<td style=\"width: 63.5885%;height: 21px\">R\u1ea5t hi\u1ebfm: t\u1ee5t \u0111\u01b0\u1eddng huy\u1ebft<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh v\u00e0 t\u00e2m th\u1ea7n<\/td>\n<td style=\"width: 63.5885%;height: 21px\">Th\u01b0\u1eddng g\u1eb7p: ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u.<\/p>\n<p>\u00cdt g\u1eb7p: thay \u0111\u1ed5i kh\u00ed s\u1eafc, d\u1ecb c\u1ea3m, ch\u00f3ng m\u1eb7t, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, \u1ea3o gi\u00e1c.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: l\u00fa l\u1eabn t\u00e2m th\u1ea7n, r\u1ed1i lo\u1ea1n kh\u1ee9u gi\u00e1c.<\/p>\n<p>T\u1ea7n su\u1ea5t ch\u01b0a bi\u1ebft: tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m, ng\u1ea5t<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n tim m\u1ea1ch<\/td>\n<td style=\"width: 63.5885%;height: 21px\">Th\u01b0\u1eddng g\u1eb7p: t\u00e1c \u0111\u1ed9ng t\u01b0 th\u1ebf (k\u1ec3 c\u1ea3 t\u1ee5t huy\u1ebft \u00e1p).<\/p>\n<p>\u00cdt g\u1eb7p: nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, c\u00f3 l\u1ebd l\u00e0 th\u1ee9 ph\u00e1t do h\u1ea1 huy\u1ebft \u00e1p qu\u00e1 m\u1ee9c \u1edf b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao (xem C\u1ea3nh b\u00e1o), h\u1ed3i h\u1ed9p, nh\u1ecbp tim nhanh. Hi\u1ec7n t\u01b0\u1ee3ng Raynaud.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t<\/td>\n<td style=\"width: 63.5885%;height: 21px\">Th\u01b0\u1eddng g\u1eb7p: ho.<\/p>\n<p>\u00cdt g\u1eb7p: vi\u00eam m\u0169i.<\/p>\n<p>R\u1ea5t hi\u1ebfm: co th\u1eaft ph\u1ebf qu\u1ea3n, vi\u00eam xoang. Vi\u00eam ph\u1ebf nang do d\u1ecb \u1ee9ng\/vi\u00eam ph\u1ed5i t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/td>\n<td style=\"width: 63.5885%;height: 21px\">Th\u01b0\u1eddng g\u1eb7p: ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n.<\/p>\n<p>\u00cdt g\u1eb7p: n\u00f4n, \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: kh\u00f4 mi\u1ec7ng.<\/p>\n<p>R\u1ea5t hi\u1ebfm: vi\u00eam t\u1ee5y, ph\u00f9 m\u1ea1ch t\u1ea1i ru\u1ed9t, vi\u00eam t\u1ebf b\u00e0o gan ho\u1eb7c vi\u00eam gan \u1ee9 m\u1eadt, v\u00e0ng da v\u00e0 suy gan<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da<\/td>\n<td style=\"width: 63.5885%;height: 21px\">\u00cdt g\u1eb7p: n\u1ed5i m\u1ea9n, ng\u1ee9a, qu\u00e1 m\u1eabn\/ph\u00f9 th\u1ea7n kinh-m\u1ea1ch: ph\u00f9 th\u1ea7n kinh-m\u1ea1ch \u1edf m\u1eb7t, tay ch\u00e2n, m\u00f4i, l\u01b0\u1ee1i, thanh m\u00f4n v\u00e0\/ho\u1eb7c thanh qu\u1ea3n (xem C\u1ea3nh b\u00e1o).<\/p>\n<p>Hi\u1ebfm g\u1eb7p: n\u1ed5i m\u1ec1 \u0111ay, r\u1ee5ng t\u00f3c, v\u1ea9y n\u1ebfn.<\/p>\n<p>R\u1ea5t hi\u1ebfm: to\u00e1t m\u1ed3 h\u00f4i, b\u1ec7nh pemphigus, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec g\u00e2y \u0111\u1ed9c, h\u1ed9i ch\u1ee9ng Stevens-Johnson v\u00e0 h\u1ed3ng ban \u0111a d\u1ea1ng, u lympho gi\u1ea3 tr\u00ean da<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u<\/td>\n<td style=\"width: 63.5885%;height: 21px\">Th\u01b0\u1eddng g\u1eb7p: r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: ur\u00ea huy\u1ebft, suy th\u1eadn c\u1ea5p.<\/p>\n<p>R\u1ea5t hi\u1ebfm: thi\u1ec3u ni\u1ec7u\/v\u00f4 ni\u1ec7u<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft<\/td>\n<td style=\"width: 63.5885%;height: 21px\">T\u1ea7n su\u1ea5t ch\u01b0a bi\u1ebft: b\u00e0i ti\u1ebft hormone kh\u00e1ng l\u1ee3i ti\u1ec3u kh\u00f4ng th\u00edch h\u1ee3p<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">R\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n v\u00e0 tuy\u1ebfn v\u00fa<\/td>\n<td style=\"width: 63.5885%;height: 21px\">\u00cdt g\u1eb7p: b\u1ea5t l\u1ef1c.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: n\u1eef h\u00f3a tuy\u1ebfn v\u00fa.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">C\u00e1c r\u1ed1i lo\u1ea1n t\u1ed5ng qu\u00e1t v\u00e0 t\u00ecnh tr\u1ea1ng t\u1ea1i ch\u1ed7<\/td>\n<td style=\"width: 63.5885%;height: 21px\">\u00a0\u00cdt g\u1eb7p: m\u1ec7t m\u1ecfi, suy nh\u01b0\u1ee3c.<\/td>\n<\/tr>\n<tr style=\"height: 21px\">\n<td style=\"width: 36.4115%;height: 21px\">C\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m<\/td>\n<td style=\"width: 63.5885%;height: 21px\">\u00cdt g\u1eb7p: t\u0103ng ur\u00ea m\u00e1u, t\u0103ng creatinine huy\u1ebft thanh, t\u0103ng men gan, t\u0103ng kali m\u00e1u.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: t\u0103ng bilirubin huy\u1ebft thanh, gi\u1ea3m natri m\u00e1u.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>D\u1eef li\u1ec7u an to\u00e0n t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng cho th\u1ea5y lisinopril n\u00f3i chung \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t \u1edf tr\u1ebb em t\u0103ng huy\u1ebft \u00e1p, do \u0111\u00f3 th\u00f4ng tin an to\u00e0n trong nh\u00f3m tu\u1ed5i n\u00e0y l\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nh\u01b0 khi quan s\u00e1t \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p>C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p: Khi ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00e1c, t\u00ecnh tr\u1ea1ng huy\u1ebft \u00e1p h\u1ea1 nhi\u1ec1u h\u01a1n c\u00f3 th\u1ec3 x\u1ea3y ra<\/p>\n<p>C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p: Khi ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00e1c, t\u00ecnh tr\u1ea1ng huy\u1ebft \u00e1p h\u1ea1 nhi\u1ec1u h\u01a1n c\u00f3 th\u1ec3 x\u1ea3y ra<\/p>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u: Khi th\u00eam m\u1ed9t thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00e0o ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng Zestril, t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p th\u01b0\u1eddng t\u0103ng th\u00eam.<\/p>\n<p>Ch\u1ea5t b\u1ed5 sung kali, thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali ho\u1eb7c c\u00e1c ch\u1ea5t thay th\u1ebf mu\u1ed1i ch\u1ee9a kali: t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u \u0111\u00e3 x\u1ea3y ra \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n<\/p>\n<p>Lithium: S\u1ef1 gia t\u0103ng n\u1ed3ng \u0111\u1ed9 v\u00e0 \u0111\u1ed9c t\u00ednh c\u1ee7a lithium trong huy\u1ebft thanh c\u00f3 h\u1ed3i ph\u1ee5c \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn khi d\u00f9ng \u0111\u1ed3ng th\u1eddi lithium v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/p>\n<p>Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) k\u1ec3 c\u1ea3 ax\u00edt acetylsalicylic \u2265 3 g\/ng\u00e0y: S\u1eed d\u1ee5ng NSAID k\u00e9o d\u00e0i c\u00f3 th\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng\/Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n\/Thu\u1ed1c g\u00e2y m\u00ea: c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m huy\u1ebft \u00e1p h\u01a1n n\u1eefa<\/p>\n<p>Thu\u1ed1c gi\u1ed1ng giao c\u1ea3m: l\u00e0m gi\u1ea3m t\u00e1c \u0111\u1ed9ng \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/p>\n<p>Thu\u1ed1c tr\u1ecb b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c \u0111\u1ed9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u1edbi nguy c\u01a1 t\u1ee5t \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u1eb7c bi\u1ec7t tu\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean v\u00e0 \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn.<\/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>Kh\u00f4ng n\u00ean d\u00f9ng lisinopril trong 3 th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3.<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Zestril trong ba th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i c\u1ee7a thai k\u1ef3.<\/p>\n<p>Khi ph\u00e1t hi\u1ec7n c\u00f3 thai, n\u00ean ng\u01b0ng d\u00f9ng lisinopril ngay.<\/p>\n<p>Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng lisinopril \u1edf ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa<\/p>\n<h3>\u1ea2nh h\u01b0\u1edfng t\u1edbi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>Khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y, th\u1ec9nh tho\u1ea3ng c\u00f3 th\u1ec3 x\u1ea3y ra ch\u00f3ng m\u1eb7t ho\u1eb7c m\u1ec7t m\u1ecfi.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn qu\u00e1 li\u1ec1u thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n c\u00f3 th\u1ec3 bao g\u1ed3m t\u1ee5t huy\u1ebft \u00e1p, s\u1ed1c tu\u1ea7n ho\u00e0n, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, suy th\u1eadn, t\u0103ng th\u00f4ng kh\u00ed ph\u1ed5i, nhanh nh\u1ecbp tim, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, ch\u1eadm nh\u1ecbp tim, ch\u00f3ng m\u1eb7t, lo \u00e2u v\u00e0 ho.\\<\/p>\n<p>Khuy\u1ebfn c\u00e1o \u0111i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u l\u00e0:<\/p>\n<ul>\n<li>Truy\u1ec1n t\u0129nh m\u1ea1ch dung d\u1ecbch mu\u1ed1i sinh l\u00fd.<\/li>\n<li>N\u1ebfu h\u1ea1 huy\u1ebft \u00e1p n\u1eb7ng x\u1ea3y ra, n\u00ean \u0111\u1eb7t b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf ch\u1ed1ng s\u1ed1c.<\/li>\n<li>C\u0169ng c\u00f3 th\u1ec3 xem x\u00e9t \u0111i\u1ec1u tr\u1ecb v\u1edbi angiotensin II v\u00e0\/ho\u1eb7c catecholamin ti\u00eam t\u0129nh m\u1ea1ch n\u1ebfu c\u00f3 s\u1eb5n.<\/li>\n<li>N\u1ebfu m\u1edbi u\u1ed1ng thu\u1ed1c qu\u00e1 li\u1ec1u, \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p nh\u1eb1m \u0111\u00e0o th\u1ea3i Zestril (nh\u01b0 g\u00e2y n\u00f4n, r\u1eeda d\u1ea1 d\u00e0y, u\u1ed1ng ch\u1ea5t h\u1ea5p th\u1ee5 v\u00e0 natri sulfate).<\/li>\n<li>C\u00f3 th\u1ec3 lo\u1ea1i Zestril ra kh\u1ecfi h\u1ec7 tu\u1ea7n ho\u00e0n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p th\u1ea9m ph\u00e2n m\u00e1u (xem C\u1ea3nh b\u00e1o). \u0110\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong t\u00ecnh tr\u1ea1ng ch\u1eadm nh\u1ecbp tim kh\u00e1ng tr\u1ecb.<\/li>\n<li>C\u1ea7n theo d\u00f5i th\u01b0\u1eddng xuy\u00ean c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n, n\u1ed3ng \u0111\u1ed9 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i v\u00e0 creatinine trong huy\u1ebft thanh.<\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400\">B\u1ea3o qu\u1ea3n<\/span><\/h3>\n<p>Kh\u00f4ng b\u1ea3o qu\u1ea3n \u1edf nhi\u1ec7t \u0111\u1ed9 tr\u00ean 30\u00b0C.<\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Zestril 10mg gi\u00e1 bao nhi\u00eau? Zestril 10mg mua \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Zestril 10mg 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 Zestril 10mg 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\">Zestril 10mg <\/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 s\u1ea3n ph\u1ea9m kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f4ng d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi thu\u1ed1c nh\u01b0:\u00a0<\/span><\/p>\n<ol>\n<li><a href=\"https:\/\/vnras.com\/drug\/zestril-5mg\/\">Thu\u1ed1c Zestril 5mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi AstraZeneca UK., Ltd \u2013 ANH. S\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh s\u1ea3n ph\u1ea9m t\u1ea1i Vi\u1ec7t Nam l\u00e0 S\u0110K:VN-6468-02, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi c\u00f4ng ty AstraZeneca Singapore Pte., Ltd. H\u1ed9p 2 v\u1ec9 x 14 vi\u00ean n\u00e9n c\u00f3 ch\u1ee9a 5mg Lisinopril \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p c\u00f3 gi\u00e1 140,000\u20ab.<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/lisidigal\/\"> Thu\u1ed1c Lisidigal<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty TNHH li\u00ean doanh Hasan-Dermapharm \u2013 VI\u1ec6T NAM, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-32394-19, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi c\u00f4ng ty TNHH li\u00ean doanh Hasan-Dermapharm \u2013 VI\u1ec6T NAM. Thu\u1ed1c c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 lisinopril v\u1edbi h\u00e0m l\u01b0\u1ee3ng 10mg ho\u1eb7c 5mg, h\u1ed9p 30 vi\u00ean c\u00f3 gi\u00e1 60,000 \u0111\u1ed3ng.<\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400\">Zestril 10mg c\u00f3 t\u1ed1t kh\u00f4ng? T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn Zestril 10mg?<\/span><\/h2>\n<table style=\"width: 91.8647%\">\n<tbody>\n<tr>\n<td style=\"text-align: center;width: 66.18%\"><span style=\"font-weight: 400\">\u01afu \u0111i\u1ec3m<\/span><\/td>\n<td style=\"text-align: center;width: 73.864%\"><span style=\"font-weight: 400\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 66.18%\">Thu\u1ed1c Zestril 10mg \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n, \u0111\u00f3ng g\u00f3i th\u00e0nh t\u1eebng v\u1ec9 do \u0111\u00f3 r\u1ea5t thu\u1eadn ti\u1ec7n cho b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng v\u00e0 b\u1ea3o qu\u1ea3n thu\u1ed1c.<\/p>\n<p>Lisinopril, m\u1ed9t thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin, l\u00e0 thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c k\u00ea toa th\u01b0\u1eddng xuy\u00ean \u1edf tr\u1ebb em, trong khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ngo\u00e0i h\u01b0\u1edbng d\u1eabn \u1edf Hoa K\u1ef3 v\u00e0 cho t\u1ea5t c\u1ea3 b\u1ec7nh nhi tr\u00ean to\u00e0n c\u1ea7u.<\/p>\n<p>L\u00e0 s\u1ea3n ph\u1ea9m c\u1ee7a c\u00f4ng ty AstraZeneca &#8211; \u0111\u00e2y l\u00e0 c\u00f4ng ty h\u00e0ng \u0111\u1ea7u th\u1ebf gi\u1edbi trong l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u v\u00e0 s\u1ea3n xu\u1ea5t d\u01b0\u1ee3c ph\u1ea9m, do \u0111\u00f3 c\u00e1c s\u1ea3n ph\u1ea9m \u0111\u1ec1u \u0111\u01b0\u1ee3c ki\u1ec3m nghi\u1ec7m ch\u1eb7t ch\u1ebd tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111\u01b0a ra th\u1ecb tr\u01b0\u1eddng, \u0111\u1ea3m b\u1ea3o an to\u00e0n cho ng\u01b0\u1eddi s\u1eed d\u1ee5ng.<\/p>\n<p>C\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 \u0111\u01b0a ra k\u1ebft lu\u1eadn l\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm b\u1eb1ng lisinopril (trong v\u00f2ng 24 gi\u1edd sau khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng) trong 6 tu\u1ea7n gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed3ng th\u1eddi mang l\u1ea1i l\u1ee3i \u00edch li\u00ean t\u1ee5c sau khi ng\u1eebng thu\u1ed1c<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng lisinopril cho th\u1ea5y s\u1ef1 \u0111i\u1ec1u h\u00f2a \u0111\u00e1ng k\u1ec3 c\u00e1c protein li\u00ean quan \u0111\u1ebfn vi\u1ec7c b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i stress oxy h\u00f3a; b\u1ea3o v\u1ec7 v\u00e0 ch\u1ed1ng l\u1ea1i nguy\u00ean nh\u00e2n g\u00e2y x\u01a1 h\u00f3a trong t\u1ebf b\u00e0o c\u01a1 tim AC16<\/td>\n<td style=\"width: 73.864%\">Thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y bu\u1ed3n ng\u1ee7 do \u0111\u00f3 c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng v\u00ec 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.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng ACE-I c\u00f3 th\u1ec3 g\u00e2y ph\u00f9 m\u1ea1ch v\u1edbi di\u1ec5n bi\u1ebfn kh\u00f4ng th\u1ec3 \u0111o\u00e1n tr\u01b0\u1edbc v\u00e0 th\u01b0\u1eddng b\u1ecb b\u1ecf qua nh\u01b0 m\u1ed9t nguy\u00ean nh\u00e2n g\u00e2y \u0111au b\u1ee5ng.<\/p>\n<p>N\u00f3 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n ngay sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ACE-I, nh\u01b0ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nhi\u1ec1u n\u0103m sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb<\/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 Louis Sandra v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: Ng\u00e0y 20 th\u00e1ng 10 n\u0103m 2023). <em>Population pharmacokinetics of lisinopril in hypertensive children and adolescents with normal to mildly reduced kidney function<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37864281\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37864281\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 Brooks W Johnson v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: Ng\u00e0y 22 th\u00e1ng 11 n\u0103m 2022).<em> Lisinopril-Induced Small Bowel Angioedema: An Unusual Cause of Severe Abdominal Pain<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36413511\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36413511\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 Lucia Scisciola v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: Ng\u00e0y 17 th\u00e1ng 5 n\u0103m 2022). <em>Potential Role of Lisinopril in Reducing Atherosclerotic Risk: Evidence of an Antioxidant Effect in Human Cardiomyocytes Cell Lin<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35656292\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/35656292\/<\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng Zestril 10mg, xem th\u00eam <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/zestril-10mg-hdsd-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Zestril 10mg ch\u1ee9a th\u00e0nh ph\u1ea7n Lisinopril, \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim, h\u1ed9p 2 v\u1ec9 x 14 vi\u00ean n\u00e9n<\/p>\n","protected":false},"author":490,"featured_media":59107,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-59106","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\/59106","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=59106"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/59107"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=59106"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=59106"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=59106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}