{"id":59258,"date":"2023-11-27T00:13:21","date_gmt":"2023-11-26T17:13:21","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=59258"},"modified":"2025-07-24T13:44:06","modified_gmt":"2025-07-24T06:44:06","slug":"thuoc-topamax-50mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/thuoc-topamax-50mg\/","title":{"rendered":"Topamax 50mg"},"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\u00a0<a href=\"https:\/\/vnras.com\/drug\/thuoc-topamax-50mg\/\">thu\u1ed1c Topamax 50<\/a> c\u1ee7a Cilag AG -Switzerland, ph\u00e2n ph\u1ed1i t\u1ea1i Vi\u1ec7t Nam v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh l\u00e0 VN-20529-17 b\u1edfi C\u00f4ng ty TNHH Johnson &amp; Johnson (Vi\u1ec7t Nam). Topamax 50 v\u1edbi th\u00e0nh ph\u1ea7n Topiramate \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9.<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Topamax 50 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 <b>Topamax 50 <\/b>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n<\/p>\n<ul>\n<li style=\"font-weight: 400\">Topiramate: 50mg<\/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 bao phim<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VN-20529-17<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 6 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: Cilag AG -Switzerland<\/span><\/p>\n<p>\u0110\u01a1n v\u1ecb ph\u00e2n ph\u1ed1i t\u1ea1i Vi\u00eat Nam: C\u00f4ng ty TNHH Johnson &amp; Johnson (Vi\u1ec7t Nam)<\/p>\n<h2><span style=\"font-weight: 400\">Topamax 50 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>Topiramat \u0111\u01b0\u1ee3c x\u1ebfp lo\u1ea1i l\u00e0 m\u1ed9t monosaccharid \u0111\u01b0\u1ee3c thay th\u1ebf g\u1ed1c sulfamid. C\u00e1c \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i b\u1edfi s\u1ef1 kh\u1eed c\u1ef1c k\u00e9o d\u00e0i c\u1ee7a n\u01a1ron b\u1ecb \u1ee9c ch\u1ebf b\u1edfi topiramat theo ki\u1ec3u l\u1ec7 thu\u1ed9c th\u1eddi gian, d\u1eabn \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng ch\u1eb9n k\u00eanh natri t\u00f9y thu\u1ed9c tr\u1ea1ng th\u00e1i.<\/p>\n<p>Topiramat l\u00e0m t\u0103ng t\u1ea7n su\u1ea5t m\u00e0 t\u1ea1i \u0111\u00f3 c\u00e1c th\u1ee5 th\u1ec3 GABA \u0111\u01b0\u1ee3c ho\u1ea1t ho\u00e1 b\u1edfi y- aminobutyrat (GABA), v\u00e0 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng c\u1ee7a GABA \u0111\u1ec3 t\u1ea1o ra lu\u1ed3ng ion clorid \u0111i v\u00e0o trong c\u00e1c n\u01a1ron, cho th\u1ea5y r\u1eb1ng topiramat l\u00e0m t\u0103ng ho\u1ea1t t\u00ednh c\u1ee7a c\u00e1c ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh \u1ee9c ch\u1ebf.<\/p>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Nhanh. Sau khi u\u1ed1ng 2-3 gi\u1edd, Topiramat h\u1ea5p thu kho\u1ea3ng 1,5mg\/ml v\u1edbi li\u1ec1u 100mg. Sinh kh\u1ea3 d\u1ee5ng c\u1ee7a Topiramat kho\u1ea3ng 81%. Th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn h\u1ea5p thu.<\/p>\n<p>Ph\u00e2n b\u1ed1: T\u1ef7 l\u1ec7 g\u1eafn c\u1ee7a Topiramat kho\u1ea3ng 13-17%. Li\u1ec1u c\u00e0ng t\u0103ng, th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u00e0ng gi\u1ea3m. Li\u1ec1u Topiramat 100-1200mg th\u00ec th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 kho\u1ea3ng 0,08-0,55L\/kg.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Kho\u1ea3ng 20% v\u00e0 kho\u1ea3ng 50% \u1edf ng\u01b0\u1eddi d\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Qua th\u1eadn, n\u01b0\u1edbc ti\u1ec3u. \u0110\u1ed9 thanh th\u1ea3i c\u1ee7a Topiramat l\u00e0 18ml\/ph\u00fat v\u00e0 17ml\/ph\u00fat v\u1edbi li\u1ec1u 50mg v\u00e0 100mg, chia th\u00e0nh 2 l\u1ea7n\/ng\u00e0y. N\u1eeda \u0111\u1eddi b\u00e1n th\u1ea3i c\u1ee7a Topiramat l\u00e0 21 gi\u1edd v\u1edbi li\u1ec1u 50mg v\u00e0 100mg, chia th\u00e0nh 2 l\u1ea7n d\u00f9ng\/ng\u00e0y.<\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Topamax 50 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>Topamax \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng \u0111\u1ec3:<\/p>\n<ul>\n<li>\u0110\u01a1n tr\u1ecb li\u1ec7u cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 6 tu\u1ed5i trong \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9 c\u00f3 k\u00e8m ho\u1eb7c kh\u00f4ng k\u00e8m \u0111\u1ed9ng kinh to\u00e0n th\u1ec3 th\u1ee9 ph\u00e1t, v\u00e0 c\u01a1n \u0111\u1ed9ng kinh co c\u1ee9ng &#8211; co gi\u1eadt to\u00e0n th\u1ec3 nguy\u00ean ph\u00e1t.<\/li>\n<li>Ph\u1ed1i h\u1ee3p trong \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 2 tu\u1ed5i tr\u1edf l\u00ean b\u1ecb c\u01a1n \u0111\u1ed9ng kinh kh\u1edfi ph\u00e1t c\u1ee5c b\u1ed9, c\u00f3 k\u00e8m ho\u1eb7c kh\u00f4ng k\u00e8m \u0111\u1ed9ng kinh to\u00e0n th\u1ec3 th\u1ee9 ph\u00e1t ho\u1eb7c c\u01a1n \u0111\u1ed9ng kinh co c\u1ee9ng &#8211; co gi\u1eadt to\u00e0n th\u1ec3 nguy\u00ean ph\u00e1t v\u00e0 trong \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111\u1ed9ng kinh li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng Lennox- Gastaut.<\/li>\n<li>Topamax \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng \u0111au n\u1eeda \u0111\u1ea7u \u1edf ng\u01b0\u1eddi l\u1edbn sau khi \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng <\/span><span style=\"font-weight: 400\">thu\u1ed1c\u00a0<\/span><span style=\"font-weight: 400\">Topamax 50 <\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Topamax 50<\/span><\/h3>\n<h4>\u0110\u01a1n tr\u1ecb li\u1ec7u<\/h4>\n<p><em>Ng\u01b0\u1eddi l\u1edbn:<\/em><\/p>\n<p>Li\u1ec1u ban \u0111\u1ea7u: 1\/2 vi\u00ean\/l\u1ea7n\/ng\u00e0y. C\u1ee9 sau 1-2 tu\u1ea7n t\u0103ng 1\/2-1 vi\u00ean\/ng\u00e0y, chia l\u00e0m 2 l\u1ea7n u\u1ed1ng. Ho\u1eb7c t\u0103ng \u00edt h\u01a1n khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng.<\/p>\n<p>Li\u1ec1u \u0111\u00edch khuy\u1ebfn c\u00e1o: 2-4 vi\u00ean\/2 l\u1ea7n\/ng\u00e0y, t\u1ed1i \u0111a 10 vi\u00ean\/2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p><em>Tr\u1ebb em t\u1eeb 6 tu\u1ed5i:<\/em><\/p>\n<p>Li\u1ec1u ban \u0111\u1ea7u: 0,5-1mg\/kg\/ng\u00e0y. C\u1ee9 1-2 tu\u1ea7n t\u0103ng 0,5-1mg\/kg, u\u1ed1ng l\u00e0m 2 l\u1ea7n.<\/p>\n<p>Li\u1ec1u \u0111\u00edch khuy\u1ebfn c\u00e1o: 2 vi\u00ean\/ng\u00e0y.<\/p>\n<h4>Ph\u1ed1i h\u1ee3p tr\u1ecb li\u1ec7u<\/h4>\n<p><em>Ng\u01b0\u1eddi l\u1edbn:<\/em><\/p>\n<p>Li\u1ec1u ban \u0111\u1ea7u: 1\/2 vi\u00ean\/l\u1ea7n\/ng\u00e0y. C\u1ee9 sau 1-2 tu\u1ea7n t\u0103ng 1\/2-1 vi\u00ean\/ng\u00e0y, chia l\u00e0m 2 l\u1ea7n u\u1ed1ng. Ho\u1eb7c t\u0103ng \u00edt h\u01a1n khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng.<\/p>\n<p><em>Tr\u1ebb em t\u1eeb 2 tu\u1ed5i:<\/em><\/p>\n<p>Li\u1ec1u khuy\u1ebfn c\u00e1o: 5-9mg\/kg\/2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 1\/2 vi\u00ean\/ng\u00e0y, c\u1ee9 1-2 tu\u1ea7n t\u0103ng l\u00ean 1-3mg\/kg\/2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Li\u1ec1u t\u1ed1i \u0111a: 30mg\/kg\/ng\u00e0y.<\/p>\n<h3>Topamax 50 c\u00e1ch d\u00f9ng nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Topamax \u1edf d\u1ea1ng vi\u00ean n\u00e9n, d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. Khuy\u1ebfn c\u00e1o khi d\u00f9ng kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ebb vi\u00ean Topamax.<\/p>\n<p>C\u00f3 th\u1ec3 u\u1ed1ng thu\u1ed1c m\u00e0 kh\u00f4ng c\u1ea7n quan t\u00e2m \u0111\u1ebfn b\u1eefa \u0103n.<\/p>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng Topamax 50 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>M\u1eabn c\u1ea3m ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u00ec th\u00e0nh ph\u1ea7n n\u00e0o c\u00f3 trong thu\u1ed1c.<\/p>\n<p>D\u1ef1 ph\u00f2ng \u0111au n\u1eeda \u0111\u1ea7u cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 ph\u1ee5 n\u1eef \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai ph\u00f9 h\u1ee3p.<\/p>\n<p>Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u v\u1ec1 \u0111\u1ed9 an to\u00e0n khi d\u00f9ng thu\u1ed1c cho tr\u1ebb em, ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa v\u00ec th\u1ebf n\u00ean th\u1eadt c\u1ea9n tr\u1ecdng khi d\u00f9ng thu\u1ed1c cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y, n\u00ean xem x\u00e9t th\u1eadt k\u0129 l\u1ee3i \u00edch- nguy c\u01a1 tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c.<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au n\u01b0\u0309a \u0111\u00e2\u0300u c\u00e2\u0301p kh\u00f4ng d\u00f9ng thu\u1ed1c.<\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Topamax 50 <\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p>Ng\u1eebng thu\u1ed1c Topamax: Tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 hay kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed c\u00f3 c\u01a1n co gi\u1eadt, hay \u0111\u1ed9ng kinh, ph\u1ea3i ng\u1eebng t\u1eeb t\u1eeb Topamax. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u00e0 v\u00ec l\u00fd do y khoa n\u00ean bu\u1ed9c ph\u1ea3i ng\u1eebng Topamax nhanh ch\u00f3ng, khuy\u1ebfn c\u00e1o ph\u1ea3i theo d\u00f5i m\u1ed9t c\u00e1ch th\u00edch h\u1ee3p.<\/p>\n<p>B\u1ec7nh nh\u00e2n suy th\u1eadn: Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy th\u1eadn \u1edf m\u1ee9c \u0111\u1ed9 trung b\u00ecnh ho\u1eb7c n\u1eb7ng c\u00f3 th\u1ec3 c\u1ea7n 10 \u0111\u1ebfn 15 ng\u00e0y \u0111\u1ec3 n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh. L\u01b0u \u00fd ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 bi\u1ebft c\u00f3 suy th\u1eadn c\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t th\u1eddi gian d\u00e0i h\u01a1n \u0111\u1ec3 n\u1ed3ng \u0111\u1ed9 thu\u1ed1c \u0111\u1ea1t \u0111\u01b0\u1ee3c tr\u1ea1ng th\u00e1i h\u1eb1ng \u0111\u1ecbnh t\u1ea1i m\u1ed7i li\u1ec1u.<\/p>\n<p>T\u1ef1 t\u1eed ho\u1eb7c c\u00f3 \u00fd \u0111\u1ecbnh t\u1ef1 t\u1eed: B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a \u00fd \u0111\u1ecbnh v\u00e0 h\u00e0nh vi t\u1ef1 t\u1eed v\u00e0 n\u00ean c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb m\u1ed9t c\u00e1ch th\u00edch h\u1ee3p. N\u00ean khuy\u00ean b\u1ec7nh nh\u00e2n (v\u00e0 ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nh\u00e2n khi c\u1ea7n thi\u1ebft) c\u1ea7n c\u00f3 t\u01b0 v\u1ea5n y khoa ngay l\u1eadp t\u1ee9c khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a \u00fd \u0111\u1ecbnh v\u00e0 h\u00e0nh vi t\u1ef1 t\u1eed.<\/p>\n<p>Suy gan: Ng\u01b0\u1eddi suy gan, topiramat n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng th\u1eadn tr\u1ecdng, v\u00ec \u0111\u1ed9 thanh th\u1ea3i c\u1ee7a topiramat c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m.<\/p>\n<p>C\u1eadn th\u1ecb c\u1ea5p v\u00e0 Glocom g\u00f3c \u0111\u00f3ng th\u1ee9 ph\u00e1t: Gl\u00f4c\u00f4m g\u00f3c \u0111\u00f3ng th\u1ee9 ph\u00e1t li\u00ean quan t\u1edbi topiramat g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n nhi c\u0169ng nh\u01b0 \u1edf ng\u01b0\u1eddi l\u1edbn. \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m ng\u1eebng Topamax c\u00e0ng nhanh c\u00e0ng t\u1ed1t theo quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ea1 nh\u00e3n \u00e1p b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p th\u00edch h\u1ee3p.<\/p>\n<p>Toan chuy\u1ec3n h\u00f3a: Ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng ho\u00e0n c\u1ea3nh m\u00e0 c\u00e1c \u0111\u00e1nh gi\u00e1 th\u00edch h\u1ee3p bao g\u1ed3m c\u1ea3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 bicarbonat huy\u1ebft thanh \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o khi \u0111i\u1ec1u tr\u1ecb v\u1edbi topiramate<\/p>\n<p>Suy gi\u1ea3m nh\u1eadn th\u1ee9c: \u0110\u00e3 c\u00f3 nh\u1eefng b\u00e1o c\u00e1o trong y v\u0103n v\u1ec1 suy gi\u1ea3m ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c \u1edf ng\u01b0\u1eddi l\u1edbn khi \u0111i\u1ec1u tr\u1ecb v\u1edbi topiramat m\u00e0 \u0111\u00e3 ph\u1ea3i y\u00eau c\u1ea7u gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>T\u0103ng amoniac huy\u1ebft v\u00e0 b\u1ec7nh n\u00e3o: T\u0103ng amoniac huy\u1ebft c\u00f3 hay kh\u00f4ng c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh n\u00e3o \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o khi \u0111i\u1ec1u tr\u1ecb v\u1edbi topiramat, \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng \u0111\u1ed3ng th\u1eddi topiramat v\u1edbi acid valproic. Trong \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh n\u00e3o do t\u0103ng amoniac huy\u1ebft gi\u1ea3m khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<table style=\"border-collapse: collapse;width: 100%\">\n<tbody>\n<tr>\n<td style=\"width: 18.6016%\">R\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 81.3984%\">Nhi\u1ec5m tr\u00f9ng v\u00e0 nhi\u1ec5m k\u00fd sinh tr\u00f9ng: vi\u00eam m\u0169i h\u1ecdng<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: Tr\u1ea7m c\u1ea3m<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: d\u1ecb c\u1ea3m, bu\u1ed3n ng\u1ee7, cho\u00e1ng v\u00e1ng<\/p>\n<p>R\u1ed1i lo\u1ea1n d\u1ea1 d\u00e0y ru\u1ed9t: bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n v\u00e0 v\u00fa: m\u1ec7t m\u1ecfi<\/p>\n<p>C\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c: gi\u1ea3m c\u00e2n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 18.6016%\">Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 81.3984%\">R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: thi\u1ebfu m\u00e1u<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 mi\u1ec5n d\u1ecbch: qu\u00e1 m\u1eabn<\/p>\n<p>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng: ch\u00e1n \u0103n, gi\u1ea3m ngon mi\u1ec7ng<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: suy ngh\u0129 ch\u1eadm, m\u1ea5t ng\u1ee7, r\u1ed1i lo\u1ea1n ng\u00f4n ng\u1eef di\u1ec5n \u0111\u1ea1t, lo \u00e2u, tr\u1ea1ng th\u00e1i l\u00fa l\u1eabn, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, g\u00e2y h\u1ea5n, thay \u0111\u1ed5i kh\u00ed s\u1eafc, k\u00edch \u0111\u1ed9ng, t\u00ednh kh\u00ed b\u1ea5t th\u01b0\u1eddng, kh\u00ed s\u1eafc tr\u1ea7m c\u1ea3m, gi\u1eadn d\u1eef, h\u00e0nh vi b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: r\u1ed1i lo\u1ea1n ch\u00fa \u00fd, suy gi\u1ea3m tr\u00ed nh\u1edf, ch\u1ee9ng qu\u00ean, r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c, gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m th\u1ea7n, gi\u1ea3m c\u00e1c k\u1ef9 n\u0103ng t\u00e2m th\u1ea7n v\u1eadn \u0111\u1ed9ng, co gi\u1eadt, b\u1ea5t th\u01b0\u1eddng v\u1ec1 ph\u1ed1i h\u1ee3p v\u1eadn \u0111\u1ed9ng, run, ng\u1ee7 l\u1ecbm, gi\u1ea3m kh\u1ea3 n\u0103ng th\u1ee5 c\u1ea3m v\u1edbi k\u00edch th\u00edch, rung gi\u1eadt nh\u00e3n c\u1ea7u, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, r\u1ed1i lo\u1ea1n th\u0103ng b\u1eb1ng, r\u1ed1i lo\u1ea1n v\u1eadn ng\u00f4n, run ch\u1ee7 \u00fd, an th\u1ea7n<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1eaft: nh\u00ecn m\u1edd, nh\u00ecn \u0111\u00f4i, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c<\/p>\n<p>R\u1ed1i lo\u1ea1n tai v\u00e0 ti\u1ec1n \u0111\u00ecnh: ch\u00f3ng m\u1eb7t, \u00f9 tai, \u0111au tai<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: kh\u00f3 th\u1edf, ch\u1ea3y m\u00e1u m\u0169i, sung huy\u1ebft m\u0169i, s\u1ed5 m\u0169i, ho<\/p>\n<p>R\u1ed1i lo\u1ea1n d\u1ea1 d\u00e0y ru\u1ed9t: n\u00f4n, t\u00e1o b\u00f3n, \u0111au v\u00f9ng b\u1ee5ng tr\u00ean, kh\u00f3 ti\u00eau, \u0111au b\u1ee5ng, kh\u00f4 mi\u1ec7ng, kh\u00f3 ch\u1ecbu \u1edf d\u1ea1 d\u00e0y, d\u1ecb c\u1ea3m \u1edf mi\u1ec7ng, vi\u00eam d\u1ea1 d\u00e0y, kh\u00f3 ch\u1ecbu \u1edf b\u1ee5ng<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: r\u1ee5ng t\u00f3c, ph\u00e1t ban, ng\u1ee9a<\/p>\n<p>R\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng v\u00e0 m\u00f4 li\u00ean k\u1ebft: \u0111au kh\u1edbp, co th\u1eaft c\u01a1, \u0111au c\u01a1, co r\u00fat c\u01a1, y\u1ebfu c\u01a1, \u0111au c\u01a1 x\u01b0\u01a1ng v\u00f9ng ng\u1ef1c<\/p>\n<p>R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 h\u1ec7 ti\u1ebft ni\u1ec7u: s\u1ecfi th\u1eadn, ti\u1ec3u l\u1eaft nh\u1eaft, ti\u1ec3u kh\u00f3<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n v\u00e0 v\u00fa: s\u1ed1t, suy nh\u01b0\u1ee3c, d\u1ec5 k\u00edch th\u00edch, r\u1ed1i lo\u1ea1n d\u00e1ng \u0111i, c\u1ea3m gi\u00e1c b\u1ea5t th\u01b0\u1eddng, c\u1ea3m gi\u00e1c kh\u00f3 \u1edf<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 18.6016%\">\u00cdt g\u1eb7p<\/td>\n<td style=\"width: 81.3984%\">R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, b\u1ec7nh h\u1ea1ch b\u1ea1ch h\u1ee5y\u1ebft, t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan<\/p>\n<p>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng: nhi\u1ec5m toan chuy\u1ec3n h\u00f3a, gi\u1ea3m kali m\u00e1u, t\u0103ng th\u00e8m \u0103n, kh\u00e1t nhi\u1ec1u<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: \u00fd \u0111\u1ecbnh t\u1ef1 t\u1eed, c\u1ed1 g\u1eafng t\u1ef1 t\u1eed, \u1ea3o gi\u00e1c, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, \u1ea3o thanh, \u1ea3o th\u1ecb, th\u1edd \u01a1, m\u1ea5t kh\u1ea3 n\u0103ng n\u00f3i l\u01b0u lo\u00e1t t\u1ef1 ph\u00e1t, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, c\u1ea3m x\u00fac kh\u00f4ng \u1ed5n \u0111\u1ecbnh, gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c, t\u0103ng \u0111\u1ed9ng, hay kh\u00f3c, ch\u1ee9ng kh\u00f3 n\u00f3i, kh\u00ed s\u1eafc ph\u1edfn ph\u01a1, hoang t\u01b0\u1edfng, t\u01b0 duy ki\u00ean \u0111\u1ecbnh, c\u01a1n ho\u1ea3ng lo\u1ea1n, d\u1ec5 kh\u00f3c, r\u1ed1i lo\u1ea1n \u0111\u1ecdc, m\u1ea5t ng\u1ee7 \u0111\u1ea7u gi\u1ea5c, m\u1ea5t c\u1ea3m x\u00fac, suy ngh\u0129 b\u1ea5t th\u01b0\u1eddng, m\u1ea5t ham mu\u1ed1n t\u00ecnh d\u1ee5c, b\u01a1 ph\u1edd, m\u1ea5t ng\u1ee7 gi\u1eefa gi\u1ea5c, kh\u00f3 t\u1eadp trung, t\u1ec9nh s\u00e1ng s\u1edbm, ph\u1ea3n \u1ee9ng ho\u1ea3ng lo\u1ea1n, c\u1ea3m x\u00fac t\u0103ng cao<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: suy gi\u1ea3m \u00fd th\u1ee9c, co gi\u1eadt c\u01a1n l\u1edbn, khi\u1ebfm khuy\u1ebft th\u1ecb gi\u00e1c, co gi\u1eadt c\u1ee5c b\u1ed9 ph\u1ee9c t\u1ea1p, r\u1ed1i lo\u1ea1n l\u1eddi n\u00f3i, t\u0103ng \u0111\u1ed9ng do t\u00e2m th\u1ea7n v\u1eadn \u0111\u1ed9ng, ng\u1ea5t, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt, ng\u1ee7 nhi\u1ec1u, m\u1ea5t ng\u00f4n ng\u1eef, l\u1eb7p l\u1ea1i l\u1eddi n\u00f3i nhi\u1ec1u l\u1ea7n, gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, cho\u00e1ng v\u00e1ng t\u01b0 th\u1ebf, ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 k\u00e9m, c\u1ea3m gi\u00e1c n\u00f3ng b\u1eebng, m\u1ea5t c\u1ea3m gi\u00e1c, r\u1ed1i lo\u1ea1n kh\u1ee9u gi\u00e1c, h\u1ed9i ch\u1ee9ng ti\u1ec3u n\u00e3o, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c, gi\u1ea3m v\u1ecb gi\u00e1c, tr\u1ea1ng th\u00e1i s\u1eefng s\u1edd, v\u1ee5ng v\u1ec1 trong ph\u1ed1i h\u1ee3p ho\u1ea1t \u0111\u1ed9ng, ti\u1ec1n tri\u1ec7u, m\u1ea5t v\u1ecb gi\u00e1c, kh\u00f3 vi\u1ebft, r\u1ed1i lo\u1ea1n ng\u00f4n ng\u1eef, b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean, c\u1ea3m gi\u00e1c s\u1eafp ng\u1ea5t, r\u1ed1i lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1, c\u1ea3m gi\u00e1c ki\u1ebfn b\u00f2<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1eaft: gi\u1ea3m th\u1ecb l\u1ef1c k\u1ecbch ph\u00e1t, \u0111i\u1ec3m m\u00f9, c\u1eadn th\u1ecb *, d\u1ecb c\u1ea3m \u1edf m\u1eaft *, kh\u00f4 m\u1eaft, s\u1ee3 \u00e1nh s\u00e1ng, co th\u1eaft mi m\u1eaft, t\u0103ng ti\u1ebft n\u01b0\u1edbc m\u1eaft, hoa m\u1eaft, gi\u00e3n \u0111\u1ed3ng t\u1eed, vi\u1ec5n th\u1ecb<\/p>\n<p>R\u1ed1i lo\u1ea1n tai v\u00e0 ti\u1ec1n \u0111\u00ecnh: \u0111i\u1ebfc, \u0111i\u1ebfc m\u1ed9t b\u00ean, \u0111i\u1ebfc th\u1ea7n kinh, kh\u00f3 ch\u1ecbu trong tai, gi\u1ea3m th\u00ednh l\u1ef1c<\/p>\n<p>R\u1ed1i lo\u1ea1n \u1edf tim: nh\u1ecbp tim ch\u1eadm, nh\u1ecbp xo\u1ea1ng ch\u1eadm, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u: h\u1ea1 huy\u1ebft \u00e1p, h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, \u0111\u1ecf b\u1eebng, n\u00f3ng b\u1eebng<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c, t\u0103ng ti\u1ebft d\u1ecbch xoang m\u0169i, ch\u1ee9ng kh\u00f3 ph\u00e1t \u00e2m<\/p>\n<p>R\u1ed1i lo\u1ea1n d\u1ea1 d\u00e0y ru\u1ed9t: vi\u00eam t\u1ee5y, \u0111\u1ea7y h\u01a1i, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, \u0111au v\u00f9ng b\u1ee5ng d\u01b0\u1edbi, gi\u1ea3m c\u1ea3m gi\u00e1c \u1edf mi\u1ec7ng, ch\u1ea3y m\u00e1u n\u01b0\u1edbu r\u0103ng, ch\u01b0\u1edbng b\u1ee5ng, kh\u00f3 ch\u1ecbu v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, \u0111au b\u1ee5ng \u00e2m \u1ec9, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt, \u0111au trong mi\u1ec7ng, h\u01a1i th\u1edf c\u00f3 m\u00f9i, \u0111au l\u01b0\u1ee1i<\/p>\n<p>R\u1ed1i lo\u1ea1n gan m\u1eadt: vi\u00eam gan, suy gan<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: gi\u1ea3m ti\u1ebft m\u1ed3 h\u00f4i, gi\u1ea3m c\u1ea3m gi\u00e1c \u1edf m\u1eb7t, n\u1ed5i m\u1ec1 \u0111ay, h\u1ed3ng ban, ng\u1ee9a to\u00e0n th\u00e2n, ban d\u00e1t ph\u1eb3ng, da \u0111\u1ed5i m\u00e0u, vi\u00eam da d\u1ecb \u1ee9ng, s\u01b0ng m\u1eb7t<\/p>\n<p>R\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng v\u00e0 m\u00f4 li\u00ean k\u1ebft: s\u01b0ng kh\u1edbp *, co c\u1ee9ng c\u01a1 x\u01b0\u01a1ng, \u0111au b\u00ean h\u00f4ng, m\u1ecfi c\u01a1<\/p>\n<p>R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 h\u1ec7 ti\u1ebft ni\u1ec7u: ti\u1ec3u ra s\u1ecfi, ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7, ti\u1ec3u m\u00e1u, \u0111\u1ea1i ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7, ti\u1ec3u g\u1ea5p, c\u01a1n \u0111au qu\u1eb7n th\u1eadn, \u0111au v\u00f9ng th\u1eadn<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n v\u00e0 v\u00fa: t\u0103ng th\u00e2n nhi\u1ec7t, kh\u00e1t, b\u1ec7nh gi\u1ed1ng c\u00fam *, u\u1ec3 o\u1ea3i l\u1eeb \u0111\u1eeb, l\u1ea1nh ngo\u1ea1i bi\u00ean, c\u1ea3m gi\u00e1c nh\u01b0 say r\u01b0\u1ee3u, c\u1ea3m gi\u00e1c b\u1ed3n ch\u1ed3n lo s\u1ee3<\/p>\n<p>C\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c: c\u00f3 tinh th\u1ec3 trong n\u01b0\u1edbc ti\u1ec3u, d\u00e1ng \u0111i b\u1ea5t th\u01b0\u1eddng trong nghi\u1ec7m ph\u00e1p \u0111i b\u1ed9 theo \u0111\u01b0\u1eddng th\u1eb3ng ch\u00e2n n\u1ed1i g\u00f3t, gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u, t\u0103ng c\u00e1c enzym gan<\/p>\n<p>C\u00e1c ho\u1ea1t \u0111\u1ed9ng x\u00e3 h\u1ed9i: m\u1ea5t kh\u1ea3 n\u0103ng v\u1ec1 h\u1ecdc t\u1eadp<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 18.6016%\">Hi\u1ebfm g\u1eb7p<\/td>\n<td style=\"width: 81.3984%\">R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/p>\n<p>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng: nhi\u1ec5m toan t\u0103ng clo m\u00e1u, t\u0103ng ammoniac huy\u1ebft*; b\u1ec7nh n\u00e3o do t\u0103ng ammoniac huy\u1ebft*<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: h\u01b0ng c\u1ea3m, ch\u1ee9ng r\u1ed1i lo\u1ea1n ho\u1ea3ng s\u1ee3, c\u1ea3m gi\u00e1c tuy\u1ec7t v\u1ecdng, h\u01b0ng c\u1ea3m nh\u1eb9<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: m\u1ea5t \u0111i\u1ec1u khi\u1ec3n ho\u1ea1t \u0111\u1ed9ng ch\u1ee7 \u00fd, r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ee9c ng\u1ee7 trong ng\u00e0y, t\u0103ng c\u1ea3m gi\u00e1c khi k\u00edch th\u00edch, gi\u1eadm kh\u1ee9u gi\u00e1c, m\u1ea5t kh\u1ee9u gi\u00e1c, run v\u00f4 c\u0103n, m\u1ea5t v\u1eadn \u0111\u1ed9ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi k\u00edch th\u00edch<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1eaft: m\u00f9 m\u1ed9t b\u00ean, m\u00f9 tho\u00e1ng qua, t\u0103ng nh\u00e3n \u00e1p, r\u1ed1i lo\u1ea1n \u0111i\u1ec1u ti\u1ebft, thay \u0111\u1ed5i kh\u1ea3 n\u0103ng c\u1ea3m nh\u1eadn chi\u1ec1u s\u00e2u, \u0111i\u1ec3m m\u00f9 nh\u1ea5p nh\u00e1y, ph\u00f9 mi m\u1eaft *, ch\u1ee9ng qu\u00e1ng g\u00e0, gi\u1ea3m th\u1ecb l\u1ef1c<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u: hi\u1ec7n t\u01b0\u1ee3ng Raynaud<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: h\u1ed9i ch\u1ee9ng Stevens-Johnson *, h\u1ed3ng ban \u0111a d\u1ea1ng *, da c\u00f3 m\u00f9i b\u1ea5t th\u01b0\u1eddng, ph\u00f9 quanh h\u1ed1c m\u1eaft *, n\u1ed5i m\u1ec1 \u0111ay khu tr\u00fa<\/p>\n<p>R\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng v\u00e0 m\u00f4 li\u00ean k\u1ebft: kh\u00f3 ch\u1ecbu \u1edf chi *<\/p>\n<p>R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 h\u1ec7 ti\u1ebft ni\u1ec7u: s\u1ecfi ni\u1ec7u qu\u1ea3n, nhi\u1ec5m toan \u1ed1ng th\u1eadn *<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n v\u00e0 v\u00fa: ph\u00f9 m\u1eb7t<\/p>\n<p>C\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c: gi\u1ea3m bicarbonat m\u00e1u<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 18.6016%\">Ch\u01b0a bi\u1ebft t\u1ea7n xu\u1ea5t<\/td>\n<td style=\"width: 81.3984%\">R\u1ed1i lo\u1ea1n h\u1ec7 mi\u1ec5n d\u1ecbch: ph\u00f9 n\u1ec1 do d\u1ecb \u1ee9ng<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1eaft: t\u0103ng nh\u00e3n \u00e1p g\u00f3c \u0111\u00f3ng, b\u1ec7nh l\u00fd ho\u00e0ng \u0111i\u1ec3m, r\u1ed1i lo\u1ea1n c\u1eed \u0111\u1ed9ng m\u1eaft, ph\u00f9 k\u1ebft m\u1ea1c<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: ho\u1ea1i t\u1eed da nhi\u1ec5m \u0111\u1ed9c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh kh\u00e1c: \u1ede v\u00e0i b\u1ec7nh nh\u00e2n, vi\u1ec7c ph\u1ed1i h\u1ee3p th\u00eam Topamax khi \u0111ang \u0111i\u1ec1u tr\u1ecb v\u1edbi phenytoin c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a phenytoin trong huy\u1ebft t\u01b0\u01a1ng. Phenytoin v\u00e0 carbamazepin l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 huy\u1ebft t\u01b0\u01a1ng c\u1ee7a Topamax.<\/p>\n<p>Digoxin: Trong nghi\u00ean c\u1ee9u \u0111\u01a1n li\u1ec1u, di\u1ec7n t\u00edch d\u01b0\u1edbi \u0111\u01b0\u1eddng cong (AUC) c\u1ee7a n\u1ed3ng \u0111\u1ed9 digoxin trong huy\u1ebft thanh gi\u1ea3m 12% khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi topamax.<\/p>\n<p>C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng: Khuy\u1ebfn c\u00e1o topamax kh\u00f4ng d\u00f9ng chung v\u1edbi r\u01b0\u1ee3u ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng kh\u00e1c.<\/p>\n<p>C\u00e1c thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng: Kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 t\u0103ng nguy c\u01a1 xu\u1ea5t huy\u1ebft \u0111\u1ed9t xu\u1ea5t n\u00ean \u0111\u01b0\u1ee3c ch\u00fa \u00fd \u1edf b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ed3ng th\u1eddi v\u1edbi topamax.<\/p>\n<p>Lithium: Tr\u00ean ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n kh\u1ecfe m\u1ea1nh, quan s\u00e1t th\u1ea5y c\u00f3 s\u1ef1 gi\u1ea3m ph\u01a1i nhi\u1ec5m h\u1ec7 th\u1ed1ng v\u1edbi lithium khi d\u00f9ng c\u00f9ng topiramat 200 mg\/ng\u00e0y.<\/p>\n<p>Rispendon: C\u00f3 thay \u0111\u1ed5i r\u1ea5t \u00edt v\u1ec1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a to\u00e0n b\u1ed9 ph\u1ea7n b\u00e1n ho\u1ea1t t\u00ednh (risperidon v\u00e0 9-hydroxyrisperidon), v\u00e0 kh\u00f4ng th\u1ea5y c\u00f3 thay \u0111\u1ed5i v\u1ec1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a 9-hydroxyrisperidon.<\/p>\n<p>Hydroclorothiazid (HCTZ): K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng cho th\u1ea5y c\u00f3 gi\u1ea3m kali huy\u1ebft thanh sau khi d\u00f9ng topiramat hay HCTZ, m\u1ee9c gi\u1ea3m nhi\u1ec1u h\u01a1n khi hai thu\u1ed1c n\u00e0y d\u00f9ng c\u00f9ng l\u00fac v\u1edbi nhau.<\/p>\n<p>Metformin: S\u1ef1 thanh th\u1ea3i qua huy\u1ebft t\u01b0\u01a1ng khi u\u1ed1ng topiramat gi\u1ea3m khi d\u00f9ng k\u00e8m v\u1edbi metformin.<\/p>\n<p>Pioglitazon\/ Glyburid: Khi \u0111ang \u0111i\u1ec1u tr\u1ecb pioglitazon\/ glyburid m\u00e0 th\u00eam Topamax ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i th\u00ec ph\u1ea3i ch\u00fa \u00fd theo d\u00f5i b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n<p>C\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y s\u1ecfi th\u1eadn: Topamax khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y s\u1ecfi th\u1eadn th\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb s\u1ecfi th\u1eadn.<\/p>\n<p>Acid Valproic: Khi d\u00f9ng chung topiramat v\u1edbi acid valproic tr\u00ean b\u1ec7nh nh\u00e2n v\u1ed1n dung n\u1ea1p v\u1edbi t\u1eebng thu\u1ed1c n\u00eau d\u00f9ng \u0111\u01a1n \u0111\u1ed9c, ng\u01b0\u1eddi ta th\u1ea5y c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng amoniac m\u00e1u c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo b\u1ec7nh n\u00e3o ho\u1eb7c\/v\u00e0 gi\u1ea3m th\u00e2n nhi\u1ec7t.<\/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<h4>Ph\u1ee5 n\u1eef mang thai<\/h4>\n<p>C\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng tr\u1ebb s\u01a1 sinh khi \u0111\u00e3 ph\u01a1i nhi\u1ec5m v\u1edbi topiramat \u0111\u01a1n tr\u1ecb li\u1ec7u trong 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3 c\u00f3 th\u1ec3 b\u1ecb t\u0103ng nguy c\u01a1 d\u1ecb t\u1eadt b\u1ea9m sinh v\u00e0 c\u00f3 s\u1ef1 t\u0103ng nguy c\u01a1 qu\u00e1i thai li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh trong nh\u00f3m \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p so v\u1edbi nh\u00f3m \u0111\u01a1n tr\u1ecb li\u1ec7u.<\/p>\n<p>Khuy\u1ebfn c\u00e1o ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n n\u00ean s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai ph\u00f9 h\u1ee3p v\u00e0 l\u1ef1a ch\u1ecdn c\u00e1c li\u1ec7u ph\u00e1p thay th\u1ebf.<\/p>\n<h4>Ph\u1ee5 n\u1eef cho con b\u00fa<\/h4>\n<p>Nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng topiramat \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft trong s\u1eefa. V\u00ec nhi\u1ec1u thu\u1ed1c \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9, n\u00ean c\u1ea7n quy\u1ebft \u0111\u1ecbnh l\u00e0 ng\u1eebng\/ tr\u00e1nh d\u00f9ng topiramat hay ng\u1eebng cho con b\u00fa, tu\u1ef3 theo t\u1ea7m quan tr\u1ecdng c\u1ee7a thu\u1ed1c \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eb9.<\/p>\n<h3>\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0ng m\u00e1y m\u00f3c<\/h3>\n<p>Topamax g\u00e2y \u1ea3nh h\u01b0\u1edfng nh\u1eb9 ho\u1eb7c trung b\u00ecnh l\u00ean kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c. Topamax t\u00e1c \u0111\u1ed9ng tr\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, c\u00e1c r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho ng\u01b0\u1eddi b\u1ec7nh khi l\u00e1i xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/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 Topamax 50 gi\u00e1 bao nhi\u00eau? Topamax 50 mua \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Topamax 50 hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, <strong>gi\u00e1 thu\u1ed1c Topamax 50<\/strong> c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline 0868 552 633 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Tr\u01b0\u1eddng h\u1ee3p thu\u1ed1c <\/span><span style=\"font-weight: 400\">Topamax 50 <\/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 Topamax 50 nh\u01b0:\u00a0<\/span><\/p>\n<ol>\n<li><a href=\"https:\/\/vnras.com\/drug\/topamax-25-mg\/\"> Thu\u1ed1c Topamax 25mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Cilag AG \u2013 Th\u1ee5y S\u0129, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-0437-06, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi c\u00f4ng ty Janssen-Cilag., Ltd, th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Topiramate v\u1edbi h\u00e0m l\u01b0\u1ee3ng 25mg. M\u1ed7i h\u1ed9p thu\u1ed1c Topamax 25mg c\u00f3 6 v\u1ec9, m\u1ed7i v\u1ec9 c\u00f3 10 vi\u00ean v\u00e0 \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 326,880.<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/suntopirol-25mg\/\">Thu\u1ed1c Suntopirol 25mg<\/a> c\u00f3 ch\u1ee9a 25mg Topiramate, d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c h\u1ed7 tr\u1ee3 c\u01a1n \u0111\u1ed9ng kinh kh\u1edfi ph\u00e1t c\u1ee5c b\u1ed9 ho\u1eb7c c\u00f3 c\u01a1n \u0111\u1ed9ng kinh to\u00e0n th\u1ec3 c\u00f3 co c\u1ee9ng \u2013 gi\u1eadt rung,\u2026Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Sun Pharmaceutical Industries Ltd, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-18099-14. H\u1ed9p 50 vi\u00ean n\u00e9n c\u00f3 gi\u00e1 225,000<\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400\">Topamax 50 c\u00f3 t\u1ed1t kh\u00f4ng? T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn Topamax 50 ?<\/span><\/h2>\n<table style=\"width: 95.5607%\">\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: 77.887%\"><span style=\"font-weight: 400\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 66.18%\">Thu\u1ed1c Topamax 50mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nhi\u1ec1u v\u00e0 cho hi\u1ec7u qu\u1ea3 cao trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng kinh \u1edf b\u1ec7nh nh\u00e2n t\u1eeb 10 tu\u1ed5i tr\u1edf l\u00ean c\u0169ng nh\u01b0 ph\u00f2ng ng\u1eeba \u0111au n\u1eeda \u0111\u1ea7u \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Topiramate, m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u1ed1ng co gi\u1eadt m\u1edbi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn, kh\u00f4ng ch\u1ec9 trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c v\u00e0 t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t m\u00e0 c\u00f2n h\u1ed7 tr\u1ee3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng th\u1ee9c \u0103n v\u00e0 t\u00e2m tr\u1ea1ng, gi\u00fap thanh thi\u1ebfu ni\u00ean b\u1ecb r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac t\u0103ng c\u00e2n khi d\u00f9ng thu\u1ed1c an th\u1ea7n kinh ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng c\u1ee7a m\u00ecnh.<\/p>\n<p>Topiramate ngo\u00e0i ra c\u00f2n \u0111\u01b0\u1ee3c ch\u1ee9ng minh cho th\u1ea5y hi\u1ec7u qu\u1ea3 \u0111\u00e1ng k\u1ec3 trong vi\u1ec7c ng\u0103n ng\u1eeba ch\u1ee9ng \u0111au n\u1eeda \u0111\u1ea7u trong th\u00e1ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean, t\u00e1c d\u1ee5ng n\u00e0y \u0111\u01b0\u1ee3c duy tr\u00ec trong su\u1ed1t th\u1eddi gian c\u1ee7a giai \u0111o\u1ea1n m\u00f9 \u0111\u00f4i.<\/p>\n<p>Nghi\u00ean c\u1ee9u tr\u00ean l\u00e2m s\u00e0ng b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c ng\u01b0\u1eddi Bulgaria \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng topiramat c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c c\u1ea3i thi\u1ec7n m\u1ee9c \u0111\u1ed9 c\u01a1n co gi\u1eadt \u1edf m\u1ee9c th\u1ea5p v\u00e0 \u1ed5n \u0111\u1ecbnh, c\u1ea3i thi\u1ec7n t\u1ed1t v\u00e0 \u1ed5n \u0111\u1ecbnh t\u1ea7n s\u1ed1 co gi\u1eadt, kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t c\u01a1n co gi\u1eadt tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n v\u00e0 xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea1ng co gi\u1eadt m\u1edbi, t\u00ednh an to\u00e0n v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p t\u1ed1t<\/p>\n<p>\u0110\u01b0\u1ee3c s\u1ea3n xu\u1ea5t tr\u00ean d\u00e2y truy\u1ec1n hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t ti\u00eau chu\u1ea9n GMP, s\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c xu\u1ea5t kh\u1ea9u v\u00e0 \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng t\u1ea1i nhi\u1ec1u n\u01b0\u1edbc trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam<\/td>\n<td style=\"width: 77.887%\">Thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nhi\u1ec1u tri\u1ec7u ch\u1ee9ng ph\u1ee5 th\u1eadm ch\u00ed nguy hi\u1ec3m cho ng\u01b0\u1eddi s\u1eed d\u1ee5ng<\/p>\n<p>Gi\u00e1 th\u00e0nh t\u01b0\u01a1ng \u0111\u1ed1i cao<\/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 Donavon B. Johnson v\u00e0 c\u1ed9ng s\u1ef1 (\u0110\u0103ng ng\u00e0y 3 th\u00e1ng 4 n\u0103m 2022).<em> Topiramate And Phentermine<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482165\/\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482165\/<\/a><\/li>\n<li>T\u00e1c gi\u1ea3 Ekaterina Viteva, Zahari Zahariev (Ng\u00e0y \u0111\u0103ng 31 th\u00e1ng 12 n\u0103m 2020). <em>Topiramate Effectiveness as Add-on Therapy in Bulgarian Patients with Drug-resistant Epilepsy<\/em>. Truy c\u1eadp ng\u00e0y 25 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33415915\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33415915\/<\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng Topamax 50 do nh\u00e0 s\u1ea3n xu\u1ea5t cung c\u1ea5p, xem th\u00eam <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2023\/11\/hdsd-thuoc-topamax-50-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Topamax 50mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 tr\u1ecb c\u01a1n \u0111\u00f4\u0323ng kinh cu\u0323c b\u00f4\u0323, h\u1ed9p 6 v\u1ec9 x 10 vi\u00ean c\u1ee7a Cilag AG &#8211; Switzerland<\/p>\n","protected":false},"author":490,"featured_media":59260,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-59258","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\/59258","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=59258"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/59260"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=59258"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=59258"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=59258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}