{"id":77932,"date":"2024-05-28T15:41:40","date_gmt":"2024-05-28T08:41:40","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=77932"},"modified":"2025-07-24T13:37:27","modified_gmt":"2025-07-24T06:37:27","slug":"micardis-plus-40mg-12-5mg","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/micardis-plus-40mg-12-5mg\/","title":{"rendered":"Micardis Plus 40mg\/12.5mg"},"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\/micardis-plus-40mg-12-5mg\/\"> thu\u1ed1c Micardis Plus 40mg\/12.5mg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Boehringer Ingelheim pharma GmbH &amp; Co. KG., c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-16587-13.<\/b><\/p>\n<h2>Micardis Plus 40mg\/12.5mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p><b>Vi\u00ean u\u1ed1ng Micardis Plus 40mg\/12.5mg <\/b>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n<ul>\n<li>Telmisartan c\u00f3 h\u00e0m l\u01b0\u1ee3ng 40mg.<\/li>\n<li>Hydrochlorothiazide h\u00e0m l\u01b0\u1ee3ng 12,5mg.<\/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.<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-16587-13.<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean.<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u0110\u1ee9c.<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Micardis Plus 40mg\/12.5mg<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<ul>\n<li>Telmisartan l\u00e0 m\u1ed9t thu\u1ed1c c\u00f3 th\u1ec3 h\u1ea1 huy\u1ebft \u00e1p thu\u1ed9c nh\u00f3m c\u00e1c ch\u1ea5t \u0111\u1ed1i kh\u00e1ng v\u1edbi AT1. Thu\u1ed1c n\u00e0y khi v\u00e0o c\u01a1 th\u1ec3 s\u1ebd c\u1ea1nh tranh v\u1ecb tr\u00ed g\u1eafn v\u1edbi angiotensin II tr\u00ean th\u1ee5 th\u1ec3 AT1. Telmisartan g\u1eafn c\u00f3 ch\u1ecdn l\u1ecdc v\u1edbi AT1. S\u1ef1 g\u1eafn k\u1ebft n\u00e0y kh\u00e1 l\u00e2u v\u00e0 kh\u00f4ng th\u1ea5y thu\u1ed1c g\u1eafn v\u1edbi th\u1ee5 th\u1ec3 kh\u00e1c nh\u01b0 AT2. Sau \u0111\u00f3 thu\u1ed1c g\u00e2y h\u1ea1 n\u1ed3ng \u0111\u1ed9 aldosteron huy\u1ebft v\u00e0 gi\u00fap h\u1ea1 huy\u1ebft \u00e1p.<\/li>\n<li>Hydrochlorothiazide l\u00e0 m\u1ed9t ho\u1ea1t ch\u1ea5t nh\u00f3m thu\u1ed1c l\u1ee3i ni\u1ec7u thiazid. C\u01a1 ch\u1ebf h\u1ea1 \u00e1p c\u1ee7a thu\u1ed1c n\u00e0y c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Thu\u1ed1c s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u00e1i h\u1ea5p thu c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i. \u0110\u1ed3ng th\u1eddi khi\u1ebfn t\u0103ng \u0111\u00e0o th\u1ea3i chloride v\u00e0 natri. T\u00e1c d\u1ee5ng l\u1ee3i ni\u1ec7u c\u1ee7a thu\u1ed1c c\u0169ng l\u00e0m th\u1ec3 t\u00edch huy\u1ebft t\u01b0\u01a1ng gi\u1ea3m, t\u0103ng c\u01b0\u1eddng s\u1ef1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c renin v\u00e0 t\u0103ng l\u01b0\u1ee3ng aldosterone. T\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng kali huy\u1ebft. Nh\u01b0 v\u1eady khi d\u00f9ng v\u1edbi Telmisartan c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf l\u01b0\u1ee3ng kali b\u1ecb m\u1ea5t.<\/li>\n<\/ul>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu:<\/p>\n<ul>\n<li>Telmisartan: Th\u1eddi gian c\u00f3 Cmax sau kho\u1ea3ng 30 ph\u00fat \u0111\u1ebfn 1 ti\u1ebfng r\u01b0\u1ee1i. Sinh kh\u1ea3 d\u1ee5ng n\u1ebfu d\u00f9ng 40mg v\u00e0 160mg Telmisartan l\u1ea7n l\u01b0\u1ee3t l\u00e0 42% v\u00e0 58%. \u0110\u1ed3 \u0103n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nh\u1eb9 sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c n\u00e0y.<\/li>\n<li>Hydrochlorothiazide: Cmax c\u1ee7a thu\u1ed1c n\u00e0y c\u00f3 sau 1-3 ti\u1ebfng u\u1ed1ng thu\u1ed1c. Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i v\u00e0o kho\u1ea3ng 60%.<\/li>\n<\/ul>\n<p>Ph\u00e2n b\u1ed1:<\/p>\n<ul>\n<li>Telmisartan: Kho\u1ea3ng tr\u00ean 99,5% thu\u1ed1c \u1edf tu\u1ea7n ho\u00e0n g\u1eafn v\u00e0o protein huy\u1ebft. Vd kho\u1ea3ng 500l.<\/li>\n<li>Hydrochlorothiazide: Ch\u1ec9 c\u00f3 64% li\u1ec1u d\u00f9ng v\u00e0o \u0111\u01b0\u1ee3c tu\u1ea7n ho\u00e0n g\u1eafn v\u1edbi protein huy\u1ebft. Vd kho\u1ea3ng 0,8 0,3 L\/kg.<\/li>\n<\/ul>\n<p>Chuy\u1ec3n h\u00f3a v\u00e0 \u0111\u00e0o th\u1ea3i:<\/p>\n<ul>\n<li>Telmisartan: Thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu th\u00e0nh d\u1ea1ng li\u00ean h\u1ee3p v\u1edbi acyl glucuronide. Tr\u00ean 97% thu\u1ed1c \u0111\u01b0\u1ee3c m\u1eadt \u0111\u00e0o th\u1ea3i. Ch\u1ec9 c\u00f3 l\u01b0\u1ee3ng nh\u1ecf theo n\u01b0\u1edbc ti\u1ec3u ra ngo\u00e0i. Thanh th\u1ea3i to\u00e0n ph\u1ea7n tr\u00ean 1500ml\/ph\u00fat. Th\u1eddi gian b\u00e1n th\u1ea3i tr\u00ean 20 ti\u1ebfng.<\/li>\n<li>Hydrochlorothiazide: Kh\u00f4ng tr\u1ea3i qua qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a. B\u00e0i ti\u1ebft ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng ni\u1ec7u. C\u00f3 60% thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i \u1edf d\u1ea1ng g\u1ed1c sau 48 ti\u1ebfng. Thanh th\u1ea3i th\u1eadn v\u00e0o kho\u1ea3ng 250-300ml\/ph\u00fat. Th\u1eddi gian b\u00e1n h\u1ee7y kho\u1ea3ng 10-15 ti\u1ebfng.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Micardis Plus 40mg\/12.5mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>D\u00f9ng cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Khi m\u00e0 s\u1eed d\u1ee5ng Hydrochlorothiazide hay Micardis 40mg kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/p>\n<figure id=\"attachment_77938\" aria-describedby=\"caption-attachment-77938\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/vnras.com\/drug\/?attachment_id=77938#main\" rel=\"attachment wp-att-77938\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-77938\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Micardis-Plus-40mg12.5mg-8.jpg\" alt=\"Micardis Plus 40mg\/12.5mg \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Micardis-Plus-40mg12.5mg-8.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Micardis-Plus-40mg12.5mg-8-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Micardis-Plus-40mg12.5mg-8-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Micardis-Plus-40mg12.5mg-8-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/05\/Micardis-Plus-40mg12.5mg-8-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/a><figcaption id=\"caption-attachment-77938\" class=\"wp-caption-text\">Micardis Plus 40mg\/12.5mg \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/figcaption><\/figure>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch d\u00f9ng thu\u1ed1c huy\u1ebft \u00e1p Micardis Plus 40mg\/12.5mg<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn s\u1eed d\u1ee5ng 1 vi\u00ean m\u1ed7i ng\u00e0y .<\/li>\n<li>B\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y. Suy th\u1eadn v\u1eeba v\u00e0 nh\u1eb9 kh\u00f4ng ph\u1ea3i ch\u1ec9nh li\u1ec1u.<\/li>\n<li>Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i kh\u00f4ng ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u00f9ng.<\/li>\n<li>Ng\u01b0\u1eddi suy gan nh\u1eb9 ho\u1eb7c v\u1eeba kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 1 vi\u00ean m\u1ed7i ng\u00e0y. Suy gan n\u1eb7ng kh\u00f4ng s\u1eed d\u1ee5ng.<\/li>\n<li>Tr\u1ebb d\u01b0\u1edbi 18 tu\u1ed5i kh\u00f4ng d\u00f9ng.<\/li>\n<\/ul>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<ul>\n<li>U\u1ed1ng v\u1edbi nhi\u1ec1u n\u01b0\u1edbc.<\/li>\n<li>C\u00f3 th\u1ec3 d\u00f9ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng b\u1eefa \u0103n.<\/li>\n<\/ul>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Micardis Plus 40mg\/12.5mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<ul>\n<li>M\u1eb9 \u0111ang c\u00f3 b\u1ea7u.<\/li>\n<li>M\u1eb9 nu\u00f4i con b\u00fa.<\/li>\n<li>Suy gan, th\u1eadn n\u1eb7ng.<\/li>\n<li>Ng\u01b0\u1eddi suy th\u1eadn ho\u1eb7c ti\u1ec3u \u0111\u01b0\u1eddng \u0111ang d\u00f9ng Aliskiren.<\/li>\n<li>T\u0103ng canxi m\u00e1u ho\u1eb7c h\u1ea1 kali m\u00e1u.<\/li>\n<li>Ng\u01b0\u1eddi qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c Micardis Plus.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb t\u1eafc ngh\u1ebdn m\u1eadt ho\u1eb7c r\u1ed1i lo\u1ea1n \u1ee9 m\u1eadt.<\/li>\n<\/ul>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Micardis Plus 40mg\/12.5mg<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>Kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd t\u1eafc ngh\u1ebdn m\u1eadt ho\u1eb7c b\u1ecb suy gan n\u1eb7ng. D\u00f9ng th\u1eadn tr\u1ecdng \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh gan.<\/li>\n<li>Nguy c\u01a1 b\u1ecb suy th\u1eadn ho\u1eb7c h\u1ea1 \u00e1p n\u1eb7ng \u1edf b\u1ec7nh nh\u00e2n h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn.<\/li>\n<li>Kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng cho ng\u01b0\u1eddi suy th\u1eadn n\u1eb7ng. B\u1ec7nh nh\u00e2n suy th\u1eadn v\u1eeba v\u00e0 nh\u1eb9 n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra c\u00e1c ch\u1ec9 s\u1ed1 Acid Uric, Kali v\u00e0 Creatinin huy\u1ebft th\u01b0\u1eddng xuy\u00ean.<\/li>\n<li>C\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p tri\u1ec7u ch\u1ee9ng, nh\u1ea5t l\u00e0 sau li\u1ec1u d\u00f9ng \u0111\u1ea7u ti\u00ean.<\/li>\n<li>N\u00ean c\u00f3 bi\u1ec7n ph\u00e1p gi\u1edbi h\u1ea1n s\u1ef1 phong b\u1ebf k\u00e9p c\u1ee7a h\u1ec7 RAA.<\/li>\n<li>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o h\u1ec7 RAA ho\u1eb7c c\u00f3 tr\u01b0\u01a1ng l\u1ef1c m\u1ea1nh c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c ph\u1ea3n \u1ee9ng nh\u01b0 t\u0103ng ure m\u00e1u, thi\u1ec3u ni\u1ec7u, h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c suy th\u1eadn c\u1ea5p t\u00ednh khi d\u00f9ng thu\u1ed1c.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng aldosteron nguy\u00ean ph\u00e1t th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c n\u00e0y.<\/li>\n<li>L\u01b0u \u00fd khi d\u00f9ng cho b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh c\u01a1 tim, h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c van hai l\u00e1.<\/li>\n<li>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu glucose. Ng\u01b0\u1eddi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ec9nh l\u1ea1i li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u.<\/li>\n<li>Ki\u1ec3m tra c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong th\u1eddi gian d\u00f9ng thu\u1ed1c.<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c cho ng\u01b0\u1eddi b\u1ec7nh b\u1ea5t dung n\u1ea1p fructose, lactose, galactose.<\/li>\n<li>\u1ede nh\u1eefng ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 k\u00e8m theo nguy c\u01a1 tim m\u1ea1ch c\u00f3 th\u1ec3 b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 m\u1ea5t m\u1ea1ng do s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y.<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh tim m\u1ea1ch.<\/li>\n<li>B\u1ec7nh nh\u00e2n lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 th\u1ec3 b\u1ecb n\u1eb7ng h\u01a1n do d\u00f9ng thu\u1ed1c l\u1ee3i ni\u1ec7u.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c Micardis Plus 40mg\/12.5mg<\/h3>\n<ul>\n<li>T\u0103ng c\u00e1c ch\u1ec9 s\u1ed1 nh\u01b0 Acid Uric, Creatinin, men gan, creatinin phosphokinase huy\u1ebft.<\/li>\n<li>Ch\u00f3ng m\u1eb7t, mi\u1ec7ng kh\u00f4, ti\u00eau h\u00f3a r\u1ed1i lo\u1ea1n, r\u1ed1i lo\u1ea1n th\u1ecb l\u1ef1c, d\u1ecb c\u1ea3m.<\/li>\n<li>Lo\u1ea1n nh\u1ecbp, b\u1ec7nh l\u00fd v\u1ec1 h\u00f4 h\u1ea5p, b\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng gan, n\u1ed5i ban, \u0111\u1ed5 nhi\u1ec1u m\u1ed3 h\u00f4i.<\/li>\n<li>N\u1ed5i m\u00e0y \u0111ay, \u0111au kh\u1edbp, c\u01a1, ch\u00e2n. l\u01b0ng,&#8230;<\/li>\n<li>Suy gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng natri, kali huy\u1ebft.<\/li>\n<li>Vi\u00eam xoang, l\u00e0m tr\u1ea7m tr\u1ecdng h\u01a1n b\u1ec7nh lupus ban \u0111\u1ecf, b\u1ea5t l\u1ef1c.<\/li>\n<li>Vi\u00eam ph\u1ebf qu\u1ea3n, t\u1ee5t huy\u1ebft \u00e1p, tr\u1ea7m c\u1ea3m, lo l\u1eafng.<\/li>\n<li>C\u00e1c bi\u1ec3u hi\u1ec7n gi\u1ed1ng b\u1ec7nh c\u00fam, ng\u1ef1c \u0111au.<\/li>\n<\/ul>\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>Lithium<\/td>\n<td>T\u0103ng Lithium huy\u1ebft v\u00e0 t\u0103ng \u0111\u1ed9c t\u00ednh c\u1ee7a Lithium v\u1edbi c\u01a1 th\u1ec3<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c h\u1ea1 kali m\u00e1u<\/td>\n<td>G\u00e2y m\u1ea5t kali huy\u1ebft n\u1eb7ng<\/td>\n<\/tr>\n<tr>\n<td>NSAIDs<\/td>\n<td>G\u00e2y ra suy th\u1eadn c\u1ea5p v\u00e0 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c l\u1ee3i ni\u1ec7u<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c h\u1ea1 \u00e1p kh\u00e1c<\/td>\n<td>C\u00f3 th\u1ec3 t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c ch\u1ed1ng t\u0103ng \u00e1p d\u00f9ng c\u00f9ng<\/td>\n<\/tr>\n<tr>\n<td>R\u01b0\u1ee3u, Narcotic hay Barbiturat<\/td>\n<td>T\u1ee5t huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng<\/td>\n<\/tr>\n<tr>\n<td>Metformin<\/td>\n<td>Nhi\u1ec5m toan acid lactic<\/td>\n<\/tr>\n<tr>\n<td>Amin t\u0103ng \u00e1p<\/td>\n<td>Gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a amin t\u0103ng \u00e1p<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c tr\u1ecb g\u00fat<\/td>\n<td>C\u1ea7n \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i li\u1ec1u d\u00f9ng thu\u1ed1c tr\u1ecb g\u00fat<\/td>\n<\/tr>\n<tr>\n<td>Digitalis<\/td>\n<td>H\u1ea1 magie v\u00e0 kali m\u00e1u<\/td>\n<\/tr>\n<tr>\n<td>Colestipol v\u00e0 Cholestyramine<\/td>\n<td>Gi\u1ea3m h\u1ea5p thu Hydrochlorothiazide<\/td>\n<\/tr>\n<tr>\n<td>Thu\u1ed1c gi\u00e3n c\u01a1 kh\u00f4ng kh\u1eed c\u1ef1c<\/td>\n<td>T\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 gi\u00e3n c\u01a1<\/td>\n<\/tr>\n<tr>\n<td>Mu\u1ed1i canxi<\/td>\n<td>T\u0103ng canxi m\u00e1u<\/td>\n<\/tr>\n<tr>\n<td>Diazoxide v\u00e0 thu\u1ed1c ch\u1eb9n beta<\/td>\n<td>T\u0103ng \u0111\u01b0\u1eddng m\u00e1u<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<p>Kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c Micardis Plus cho ng\u01b0\u1eddi \u0111ang c\u00f3 thai, m\u1eb9 nu\u00f4i con b\u00fa.<\/p>\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>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 bu\u1ed3n ng\u1ee7, cho\u00e1ng v\u00e1ng. Do \u0111\u00f3 ng\u01b0\u1eddi d\u00f9ng c\u1ea7n l\u01b0u \u00fd.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<ul>\n<li>Hi\u1ec7n th\u00f4ng tin v\u1ec1 qu\u00e1 li\u1ec1u thu\u1ed1c c\u00f2n kh\u00e1 h\u1ea1n ch\u1ebf. Bi\u1ec3u hi\u1ec7n \u0111\u01b0\u1ee3c ghi nh\u1eadn nhi\u1ec1u nh\u1ea5t khi qu\u00e1 li\u1ec1u l\u00e0 t\u1ee5t huy\u1ebft \u00e1p, ch\u1eadm nh\u1ecbp ho\u1eb7c nh\u1ecbp nhanh. C\u00f2n v\u1edbi qu\u00e1 li\u1ec1u Hydrochlorothiazide c\u00f3 th\u1ec3 g\u00e2y ng\u1ee7 g\u00e0 ho\u1eb7c bu\u1ed3n ng\u1ee7. N\u1eb7ng h\u01a1n l\u00e0 lo\u1ea1n nh\u1ecbp.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb qu\u00e1 li\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 h\u1ed7 tr\u1ee3 t\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng qu\u00e1 li\u1ec1u. Theo d\u00f5i creatinin v\u00e0 \u0111i\u1ec7n gi\u1ea3i, b\u00f9 n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Micardis Plus 40mg\/12.5mg gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p><b>Thu\u1ed1c huy\u1ebft \u00e1p Micardis Plus 40mg\/12.5mg<\/b> 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 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 \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\/mibetel\/\">Mibetel Plus<\/a>: L\u00e0 s\u1ea3n ph\u1ea9m do C\u00f4ng ty TNHH li\u00ean doanh Hasan-Dermapharm s\u1ea3n xu\u1ea5t. Thu\u1ed1c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u1edbi th\u00e0nh ph\u1ea7n g\u1ed3m Telmisartan 40mg v\u00e0 Hydrochlorothiazide 12.5mg. M\u1ed7i h\u1ed9p 30 vi\u00ean c\u00f3 gi\u00e1 kho\u1ea3ng 140.000 \u0111\u1ed3ng.<\/li>\n<li><a href=\"https:\/\/vnras.com\/drug\/thuoc-tolucombi-80mg-12-5mg\/\">Tolucombi 80mg\/12.5mg<\/a>: C\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u1edbi th\u00e0nh ph\u1ea7n Hydrochlorothiazide 12.5mg v\u00e0 Telmisartan 80mg. Thu\u1ed1c do KRKA, D.D., Novo Mesto s\u1ea3n xu\u1ea5t. M\u1ed7i h\u1ed9p 28 vi\u00ean c\u00f3 gi\u00e1 kho\u1ea3ng 405.000 \u0111\u1ed3ng.<\/li>\n<\/ul>\n<h2>T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Micardis Plus 40mg\/12.5mg?<\/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 t\u1ea1i \u0110\u1ee9c b\u1edfi c\u00f4ng ty Boehringer. \u0110\u00e2y l\u00e0 c\u00f4ng ty d\u01b0\u1ee3c l\u1edbn c\u1ee7a th\u1ebf gi\u1edbi, \u0111\u00e3 s\u1ea3n xu\u1ea5t nhi\u1ec1u s\u1ea3n ph\u1ea9m ch\u1ea5t l\u01b0\u1ee3ng, hi\u1ec7u qu\u1ea3 cao cho ng\u01b0\u1eddi d\u00f9ng.<\/td>\n<td>C\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng ph\u1ea3n \u1ee9ng kh\u00f4ng mong mu\u1ed1n khi s\u1eed d\u1ee5ng.<\/td>\n<\/tr>\n<tr>\n<td>L\u01b0u h\u00e0nh r\u1ed9ng r\u00e3i tr\u00ean nhi\u1ec1u qu\u1ed1c gia, k\u1ec3 c\u1ea3 Vi\u1ec7t Nam.<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>S\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a hai th\u00e0nh ph\u1ea7n Telmisartan v\u00e0 Hydrochlorothiazide gi\u00fap t\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 h\u1ea1 \u00e1p.<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>L\u00e0 li\u1ec7u ph\u00e1p d\u00f9ng cho ng\u01b0\u1eddi kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb v\u1edbi 1 trong 2 th\u00e0nh ph\u1ea7n.<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng t\u1eeb 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-Micardis-Plus-40mg-12.5mg.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/li>\n<li>Sylvia Deppe (2010). Telmisartan: a review of its pharmacodynamic and pharmacokinetic properties. Truy c\u1eadp ng\u00e0y 28 th\u00e1ng 05 n\u0103m 2024 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20509777\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/20509777\/<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Micardis Plus 40mg\/12.5mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Boehringer Ingelheim. Th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n.<\/p>\n","protected":false},"author":1,"featured_media":77946,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-77932","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\/77932","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=77932"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/77946"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=77932"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=77932"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=77932"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}