{"id":74408,"date":"2024-05-20T16:29:36","date_gmt":"2024-05-20T09:29:36","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=74408"},"modified":"2025-07-24T13:40:29","modified_gmt":"2025-07-24T06:40:29","slug":"nexium-mups-40mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/nexium-mups-40mg\/","title":{"rendered":"Nexium Mups 40mg"},"content":{"rendered":"<p><b>Trong b\u00e0i vi\u1ebft n\u00e0y, <\/b><a href=\"https:\/\/vnras.com\/drug\/\"><b>d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a><b> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m <a href=\"https:\/\/vnras.com\/drug\/nexium-mups-40mg\/\">thu\u1ed1c Nexium Mups 40mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi AstraZeneca AB, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-19782-16.<\/b><\/p>\n<h2>Nexium Mups 40mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p><strong>Vi\u00ean thu\u1ed1c Nexium Mups 40mg<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n<ul>\n<li>Esomeprazol 40mg.<\/li>\n<li>C\u00e1c t\u00e1 d\u01b0\u1ee3c kh\u00e1c v\u1eeba \u0111\u1ee7.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n kh\u00e1ng d\u1ecbch d\u1ea1 d\u00e0y.<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-19782-16.<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 7 vi\u00ean.<\/p>\n<p>Xu\u1ea5t x\u1ee9: Th\u1ee5y \u0110i\u1ec3n.<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Nexium Mups 40mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Esomeprazol l\u00e0 1 thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m ti\u1ebft acid t\u1ea1i d\u1ea1 d\u00e0y theo c\u01a1 ch\u1ebf ri\u00eang bi\u1ec7t. N\u00f3 g\u00e2y \u1ee9c ch\u1ebf cho c\u00e1c b\u01a1m acid n\u1eb1m tr\u00ean t\u1ebf b\u00e0o th\u00e0nh. Ch\u1ea5t n\u00e0y l\u00e0 m\u1ed9t d\u1ea1ng \u0111\u1ed3ng ph\u00e2n S- c\u1ee7a ho\u1ea1t ch\u1ea5t Omeprazol.<\/p>\n<p>Thu\u1ed1c c\u00f3 t\u00ednh base y\u1ebfu, khi v\u00e0o m\u00f4i tr\u01b0\u1eddng acid m\u1ea1nh trong \u1ed1ng ti\u1ec3u qu\u1ea3n ch\u1ebf s\u1ebd \u0111\u01b0\u1ee3c t\u1eadp trung v\u00e0 chuy\u1ec3n th\u00e0nh d\u1ea1ng mang t\u00e1c d\u1ee5ng sinh h\u1ecdc. \u1ede \u0111\u00e2y n\u00f3 g\u00e2y \u1ee9c ch\u1ebf m\u1ea1nh v\u1edbi b\u01a1m proton H+\/K+-ATPase. V\u1ec1 m\u1eb7t \u1ee9c ch\u1ebf, thu\u1ed1c \u1ee9c ch\u1ebf c\u1ea3 s\u1ef1 b\u00e0i ti\u1ebft acid c\u01a1 b\u1ea3n l\u1eabn k\u00edch th\u00edch.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<ul>\n<li>H\u1ea5p thu: Thu\u1ed1c d\u1ec5 b\u1ecb h\u1ee7y \u1edf m\u00f4i tr\u01b0\u1eddng acid n\u00ean th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u1edf d\u1ea1ng vi h\u1ea1t tan \u1edf ru\u1ed9t. \u0110\u01b0\u1eddng ti\u00eau h\u00f3a h\u1ea5p thu nhanh v\u00e0 c\u00f3 n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh sau 1-2 ti\u1ebfng s\u1eed d\u1ee5ng. Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i v\u00e0o kho\u1ea3ng 64% sau li\u1ec1u duy nh\u1ea5t 40mg v\u00e0 l\u00ean 89% khi d\u00f9ng l\u1eb7p l\u1ea1i m\u1ed7i ng\u00e0y. Th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng h\u1ea5p thu.<\/li>\n<li>Ph\u00e2n b\u1ed1: Kho\u1ea3ng 97% thu\u1ed1c g\u1eafn v\u00e0o protein huy\u1ebft.<\/li>\n<li>Chuy\u1ec3n h\u00f3a: Thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi CYP450, s\u1ef1 chuy\u1ec3n h\u00f3a c\u1ee7a Esomeprazol do CYP2C19 \u0111a h\u00ecnh th\u00e1i th\u1ef1c hi\u1ec7n. S\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a g\u1ed3m desmethyl v\u00e0 hydroxy c\u1ee7a Esomeprazol. C\u00f2n l\u1ea1i s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o CYP3A4 v\u1edbi s\u1ea3n ph\u1ea9m ch\u00ednh Esomeprazol sulphone.<\/li>\n<li>\u0110\u00e0o th\u1ea3i: Thanh th\u1ea3i huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 17L\/h n\u1ebfu d\u00f9ng li\u1ec1u \u0111\u01a1n v\u00e0 9L\/h n\u1ebfu d\u00f9ng li\u1ec1u l\u1eb7p l\u1ea1i. Th\u1eddi gian b\u00e1n h\u1ee7y kho\u1ea3ng 1,3 ti\u1ebfng khi d\u00f9ng li\u1ec1u l\u1eb7p l\u1ea1i. Kho\u1ea3ng 80% thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i b\u1edfi n\u01b0\u1edbc ti\u1ec3u \u1edf d\u1ea1ng chuy\u1ec3n h\u00f3a, c\u00f2n l\u1ea1i theo ph\u00e2n. D\u01b0\u1edbi 1% \u0111\u00e0o th\u1ea3i \u1edf d\u1ea1ng g\u1ed1c.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Nexium Mups 40mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean b\u1ecb ch\u1ee9ng GERD.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb lo\u00e9t ho\u1eb7c ph\u00f2ng ng\u1eeba lo\u00e9t do d\u00f9ng NSAID li\u00ean t\u1ee5c.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb lo\u00e9t do H.pylori (k\u1ebft h\u1ee3p v\u1edbi kh\u00e1ng sinh).<\/li>\n<li>H\u1ed9i ch\u1ee9ng Zollinger Ellison.<\/li>\n<li>D\u00f9ng \u0111i\u1ec1u tr\u1ecb d\u00e0i ng\u00e0y sau khi \u0111\u00e3 ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a b\u1eb1ng thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n<figure id=\"attachment_74432\" aria-describedby=\"caption-attachment-74432\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/?attachment_id=74432#main\" rel=\"attachment wp-att-74432\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-74432\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18.jpg\" alt=\"Nexium Mups 40mg\" width=\"1200\" height=\"1200\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18-800x800.jpg 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18-768x768.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Nexium-Mups-40mg-18-100x100.jpg 100w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-74432\" class=\"wp-caption-text\">Nexium Mups 40mg &#8211; \u0110i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y<\/figcaption><\/figure>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Nexium Mups 40mg<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng GERD cho b\u1ec7nh nh\u00e2n t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean:<\/p>\n<ul>\n<li>Vi\u00eam x\u01b0\u1edbc th\u1ef1c qu\u1ea3n do GERD: 1 vi\u00ean m\u1ed7i ng\u00e0y trong 4 tu\u1ea7n. \u0110i\u1ec1u tr\u1ecb th\u00eam n\u1ebfu b\u1ec7nh ch\u01b0a kh\u1ecfi.<\/li>\n<li>Ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t cho ng\u01b0\u1eddi \u0111\u00e3 ch\u1eefa l\u00e0nh vi\u00eam th\u1ef1c qu\u1ea3n: 20mg m\u1ed7i ng\u00e0y.<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng c\u1ee7a GERD: 20mg m\u1ed7i ng\u00e0y n\u1ebfu kh\u00f4ng vi\u00eam th\u1ef1c qu\u1ea3n. \u0110\u00e1nh gi\u00e1 l\u1ea1i n\u1ebfu sau 4 tu\u1ea7n kh\u00f4ng \u0111\u1ee1. Khi \u0111\u00e3 h\u1ebft tri\u1ec7u ch\u1ee9ng, d\u00f9ng duy tr\u00ec 20mg m\u1ed7i ng\u00e0y.<\/li>\n<\/ul>\n<p>K\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb lo\u00e9t do H.pylori:<\/p>\n<ul>\n<li>Cho ng\u01b0\u1eddi l\u1edbn: D\u00f9ng \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t d\u00f9ng 20mg thu\u1ed1c Esomeprazol k\u1ebft h\u1ee3p Clarithromycin 500mg v\u00e0 1g Amoxicillin, m\u1ed7i ng\u00e0y 2 l\u1ea7n d\u00f9ng, d\u00f9ng 1 tu\u1ea7n.<\/li>\n<li>Cho tr\u1ebb nh\u1ecf:<\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td>C\u00e2n n\u1eb7ng (kg)<\/td>\n<td>Li\u1ec1u<\/td>\n<\/tr>\n<tr>\n<td>Tr\u00ean 40kg<\/td>\n<td>D\u00f9ng 20mg thu\u1ed1c Esomeprazol k\u1ebft h\u1ee3p Clarithromycin 500mg v\u00e0 1g Amoxicillin, m\u1ed7i ng\u00e0y 2 l\u1ea7n d\u00f9ng, d\u00f9ng 1 tu\u1ea7n.<\/td>\n<\/tr>\n<tr>\n<td>30-40kg<\/td>\n<td>D\u00f9ng 20mg thu\u1ed1c Esomeprazol k\u1ebft h\u1ee3p Clarithromycin 7,5mg\/kg v\u00e0 750mg Amoxicillin, m\u1ed7i ng\u00e0y 2 l\u1ea7n d\u00f9ng, d\u00f9ng 1 tu\u1ea7n.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Ng\u01b0\u1eddi l\u1edbn c\u1ea7n ch\u1eefa l\u00e0nh ho\u1eb7c ng\u1eeba lo\u00e9t do d\u00f9ng NSAID k\u00e9o d\u00e0i: u\u1ed1ng <b>Nexium Mups 20mg<\/b> 1 vi\u00ean m\u1ed7i ng\u00e0y, t\u1eeb 4-8 tu\u1ea7n.<\/p>\n<p>D\u00f9ng \u0111i\u1ec1u tr\u1ecb d\u00e0i ng\u00e0y sau li\u1ec7u ph\u00e1p ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t ch\u1ea3y m\u00e1u do lo\u00e9t b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch: Ng\u01b0\u1eddi l\u1edbn d\u00f9ng 40mg m\u1ed7i ng\u00e0y, trong 4 tu\u1ea7n.<\/p>\n<p>H\u1ed9i ch\u1ee9ng Zollinger Ellison cho ng\u01b0\u1eddi l\u1edbn: 1 vi\u00ean thu\u1ed1c m\u1ed7i l\u1ea7n, ng\u00e0y 2 l\u1ea7n. Sau \u0111\u00f3 t\u00f9y t\u00ecnh tr\u1ea1ng v\u00e0 \u0111\u00e1p \u1ee9ng ng\u01b0\u1eddi b\u1ec7nh, c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i.<\/p>\n<p>Tr\u1ebb d\u01b0\u1edbi 12 n\u00ean tham kh\u1ea3o d\u1ea1ng c\u1ed1m Nexium.<\/p>\n<p>Ng\u01b0\u1eddi suy gan, th\u1eadn: Kh\u00f4ng ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh khi b\u1ecb suy nh\u1eb9 v\u00e0 v\u1eeba. B\u1ec7nh nh\u00e2n n\u1eb7ng t\u1ed1i \u0111a d\u00f9ng 20mg m\u1ed7i ng\u00e0y.<\/p>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i kh\u00f4ng ph\u1ea3i ch\u1ec9nh li\u1ec1u d\u00f9ng.<\/p>\n<h3>U\u1ed1ng thu\u1ed1c Nexium Mups 40mg tr\u01b0\u1edbc hay sau \u0103n? v\u00e0o l\u00fac n\u00e0o t\u1ed1t?<\/h3>\n<p>N\u00ean d\u00f9ng thu\u1ed1c v\u00e0o tr\u01b0\u1edbc \u0103n.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Nexium Mups 40mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<ul>\n<li>Ng\u01b0\u1eddi m\u1eabn c\u1ea3m v\u1edbi t\u00e1 d\u01b0\u1ee3c, Esomeprazol ho\u1eb7c l\u00e0 c\u00e1c thu\u1ed1c nh\u00f3m benzimidazole.<\/li>\n<li>D\u00f9ng c\u00f9ng Atazanavir ho\u1eb7c Nelfinavir.<\/li>\n<\/ul>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Nexium Mups 40mg<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>Theo d\u00f5i \u1edf b\u1ec7nh nh\u00e2n d\u00f9ng tr\u00ean 1 n\u0103m.<\/li>\n<li>N\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng n\u00e0o ho\u1eb7c b\u1ecb liets n\u00ean c\u00e2n nh\u1eafc lo\u1ea1i tr\u1eeb b\u1ec7nh \u00e1c t\u00ednh.<\/li>\n<li>Xem x\u00e9t t\u01b0\u01a1ng t\u00e1c thu\u1ed1c khi k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb lo\u00e9t do H.pylori.<\/li>\n<li>Thu\u1ed1c c\u00f3 ch\u1ee9a sucrose n\u00ean c\u1ea7n tr\u00e1nh d\u00f9ng \u1edf ng\u01b0\u1eddi b\u1ea5t dung n\u1ea1p fructose.<\/li>\n<li>Kh\u00f4ng d\u00f9ng Esomeprazol c\u00f9ng Atazanavir.<\/li>\n<li>Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu c\u1ee7a c\u01a1 th\u1ec3 v\u1edbi vitamin B12. C\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb \u1edf ng\u01b0\u1eddi gi\u1ea3m d\u1ef1 tr\u1eef B12 ho\u1eb7c nguy c\u01a1 gi\u1ea3m h\u1ea5p thu trong \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i.<\/li>\n<li>Xem x\u00e9t t\u01b0\u01a1ng t\u00e1c gi\u1eefa thu\u1ed1c Esomeprazol v\u1edbi c\u00e1c thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edbi CYP2C19.<\/li>\n<li>Nguy c\u01a1 gi\u1ea3m magie m\u00e1u \u1edf b\u1ec7nh nh\u00e2n d\u00f9ng PPI. \u0110a s\u1ed1 b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea3i thi\u1ec7n sau khi d\u1eebng thu\u1ed1c PPI v\u00e0 d\u00f9ng li\u1ec7u ph\u00e1p thay th\u1ebf magie.<\/li>\n<li>D\u00f9ng d\u00e0i ng\u00e0y thu\u1ed1c PPI v\u1edbi digoxin hay thu\u1ed1c l\u00e0m h\u1ea1 magie huy\u1ebft, c\u1ea7n \u0111\u00e1nh gi\u00e1 n\u1ed3ng \u0111\u1ed9 c\u1ee7a magie m\u00e1u tr\u01b0\u1edbc v\u00e0 trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>N\u00ean ng\u1eebng \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi \u0111\u1ecbnh l\u01b0\u1ee3ng ch\u1ec9 s\u1ed1 CgA \u00edt nh\u1ea5t 5 ng\u00e0y.<\/li>\n<\/ul>\n<h3>U\u1ed1ng Nexium l\u00e2u ng\u00e0y c\u00f3 sao kh\u00f4ng?<b> <\/b><\/h3>\n<p>D\u00f9ng tr\u00ean 1 n\u0103m thu\u1ed1c PPI c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 b\u1ecb g\u00e3y x\u01b0\u01a1ng. B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 n\u00ean \u0111\u01b0\u1ee3c b\u1ed5 sung canxi v\u00e0 vitamin D.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>\u00cdt g\u1eb7p:<\/p>\n<ul>\n<li>Ph\u00f9 ngo\u1ea1i bi\u00ean, d\u1ecb c\u1ea3m, m\u1ea5t ng\u1ee7.<\/li>\n<li>Ch\u00f3ng m\u1eb7t, ng\u1ee7 g\u00e0.<\/li>\n<li>Cho\u00e1ng v\u00e1ng, kh\u00f4 mi\u1ec7ng.<\/li>\n<li>Vi\u00eam da, g\u00e3y x\u01b0\u01a1ng.<\/li>\n<li>N\u1ed5i m\u1ea9n, m\u1ec1 \u0111ay, ng\u1ee9a.<\/li>\n<\/ul>\n<p>Hi\u1ebfm g\u1eb7p:<\/p>\n<ul>\n<li>Tr\u1ea7m c\u1ea3m, nh\u00ecn m\u1edd, vi\u00eam mi\u1ec7ng.<\/li>\n<li>Ti\u00eau h\u00f3a nhi\u1ec5m candida.<\/li>\n<li>H\u00f3i \u0111\u1ea7u, k\u00edch \u0111\u1ed9ng, \u0111au c\u01a1, kh\u1edbp.<\/li>\n<li>Nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng, vi\u00eam gan k\u00e8m ho\u1eb7c kh\u00f4ng v\u00e0ng da.<\/li>\n<li>Ph\u1ebf qu\u1ea3n co th\u1eaft, \u0111\u1ed5 nhi\u1ec1u m\u1ed3 h\u00f4i, kh\u00f3 \u1edf.<\/li>\n<\/ul>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p:<\/p>\n<ul>\n<li>Tuy\u1ebfn v\u0169 n\u1eef h\u00f3a, suy gan, n\u00e3o gan.<\/li>\n<li>\u1ea2o gi\u00e1c, n\u00f3ng n\u1ea3y, y\u1ebfu c\u01a1.<\/li>\n<li>SJS, TEN, h\u1ed3ng ban \u0111a d\u1ea1ng.<\/li>\n<\/ul>\n<p>Ch\u01b0a r\u00f5: Vi\u00eam \u0111\u1ea1i tr\u00e0ng vi th\u1ec3.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<table>\n<tbody>\n<tr>\n<td>Thu\u1ed1c<\/td>\n<td>T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n<tr>\n<td>C\u00e1c thu\u1ed1c h\u1ea5p thu ph\u1ee5 thu\u1ed9c pH<\/td>\n<td>L\u00e0m gi\u1ea3m ho\u1eb7c t\u0103ng h\u1ea5p thu c\u1ee7a nh\u1eefng thu\u1ed1c ph\u1ee5 thu\u1ed9c pH c\u1ee7a d\u1ea1 d\u00e0y<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi CYP2C19<\/td>\n<td>L\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 huy\u1ebft t\u01b0\u01a1ng c\u1ee7a nh\u1eefng thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi CYP2C19<\/td>\n<\/tr>\n<tr>\n<td>Warfarin<\/td>\n<td>C\u00f3 th\u1ec3 t\u0103ng IRN<\/td>\n<\/tr>\n<tr>\n<td>Cisapride<\/td>\n<td>T\u0103ng AUC v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a thu\u1ed1c Cisapride<\/td>\n<\/tr>\n<tr>\n<td>Ch\u1ea5t \u1ee9c ch\u1ebf CYP3A4, CYP2C19<\/td>\n<td>T\u0103ng AUC c\u1ee7a Esomeprazol<\/td>\n<\/tr>\n<tr>\n<td>Ch\u1ea5t c\u1ea3m \u1ee9ng CYP3A4, CYP2C19<\/td>\n<td>Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 c\u1ee7a Esomeprazol \u1edf huy\u1ebft thanh<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<ul>\n<li>Th\u1eadn tr\u1ecdng khi d\u00f9ng cho ng\u01b0\u1eddi c\u00f3 thai.<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng cho m\u1eb9 nu\u00f4i con b\u00fa.<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd s\u1eed d\u1ee5ng khi \u0111ang l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>C\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 ph\u1ea3n \u1ee9ng nh\u01b0 nh\u00ecn m\u1edd, ch\u00f3ng m\u1eb7t.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<ul>\n<li>Bi\u1ec3u hi\u1ec7n qu\u00e1 li\u1ec1u th\u01b0\u1eddng l\u00e0 m\u1ec7t m\u1ecfi v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/li>\n<li>N\u1ebfu qu\u00e1 li\u1ec1u c\u1ea7n b\u00e1o cho b\u00e1c s\u0129, \u0111i\u1ec1u tr\u1ecb theo tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Nexium Mups 40mg AstraZeneca 28 vi\u00ean gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p><strong>Thu\u1ed1c Nexium Mups 40mg ch\u00ednh h\u00e3ng<\/strong>\u00a0hi\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 s\u1ea3n ph\u1ea9m c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline 0868 552 633 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.<\/p>\n<p>K\u00ednh m\u1eddi qu\u00fd kh\u00e1ch xem th\u00eam m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m kh\u00e1c t\u1ea1i nh\u00e0 thu\u1ed1c c\u1ee7a ch\u00fang t\u00f4i c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng:<\/p>\n<ul>\n<li><a href=\"https:\/\/vnras.com\/drug\/inoluck-40mg\/\">Inoluck 40mg<\/a>: L\u00e0 thu\u1ed1c d\u00f9ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng, tr\u00e0o ng\u01b0\u1ee3c cho b\u1ec7nh nh\u00e2n tr\u00ean 12 tu\u1ed5i nh\u1edd Esomeprazol 40mg. Thu\u1ed1c do Sterling Healthcare LTD c\u1ee7a \u1ea4n \u0110\u1ed9 s\u1ea3n xu\u1ea5t. M\u1ed7i h\u1ed9p 3 v\u1ec9 x 10 vi\u00ean c\u00f3 gi\u00e1 kho\u1ea3ng 470.000 \u0111\u1ed3ng.<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/stadnex-40-cap\/\">Stadnex 40 CAP<\/a>: C\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n Esomeprazol 40mg, gi\u00fap \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n. \u0110\u00e2y l\u00e0 s\u1ea3n ph\u1ea9m c\u1ee7a C\u00f4ng ty TNHH Li\u00ean doanh Stellapharm Vi\u1ec7t Nam. M\u1ed7i h\u1ed9p 4 v\u1ec9 x 7 vi\u00ean c\u00f3 gi\u00e1 kho\u1ea3ng 195.000 \u0111\u1ed3ng.<\/li>\n<\/ul>\n<h2>T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Nexium Mups 40mg?<\/h2>\n<table>\n<tbody>\n<tr>\n<td>\u01afu \u0111i\u1ec3m<\/td>\n<td>Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n<tr>\n<td>\u0110\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00f4ng ty d\u01b0\u1ee3c ph\u1ea9m h\u00e0ng \u0111\u1ea7u tr\u00ean th\u1ebf gi\u1edbi l\u00e0 Astrazeneca<\/td>\n<td>C\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c ph\u1ea3n \u1ee9ng ph\u1ee5 c\u00f3 h\u1ea1i cho c\u01a1 th\u1ec3<\/td>\n<\/tr>\n<tr>\n<td>\u0110\u00e1p \u1ee9ng c\u00e1c ti\u00eau chu\u1ea9n t\u1eeb Ch\u00e2u u<\/td>\n<td>Ng\u01b0\u1eddi \u0111ang nu\u00f4i con b\u00fa kh\u00f4ng n\u00ean d\u00f9ng<\/td>\n<\/tr>\n<tr>\n<td>Vi\u00ean kh\u00e1ng acid d\u1ea1 d\u00e0y b\u1ea3o v\u1ec7 cho ho\u1ea1t ch\u1ea5t Esomeprazole kh\u00f4ng b\u1ecb acid trong d\u1ea1 d\u00e0y ph\u00e2n h\u1ee7y<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Ho\u1ea1t ch\u1ea5t Esomeprazol c\u00f3 hi\u1ec7u qu\u1ea3 r\u00f5 r\u00e0ng trong tr\u1ecb lo\u00e9t v\u00e0 tr\u00e0o ng\u01b0\u1ee3c \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>C M Spencer v\u00e0 D Faulds (2000). Esomeprazole. Truy c\u1eadp ng\u00e0y 20 th\u00e1ng 05 n\u0103m 2024 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10983736\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/10983736\/<\/a>.<\/li>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t, t\u1ea3i v\u1ec1 <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Huong-dan-su-dung-thuoc-Nexium-Mups-40mg.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Nexium Mups 40mg \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n vi\u00eam lo\u00e9t, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng.<\/p>\n","protected":false},"author":1,"featured_media":74439,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-74408","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\/74408","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=74408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/74439"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=74408"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=74408"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=74408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}