﻿{"id":8423,"date":"2019-04-27T02:19:41","date_gmt":"2019-04-26T19:19:41","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?post_type=product&#038;p=8423"},"modified":"2025-07-24T14:47:20","modified_gmt":"2025-07-24T07:47:20","slug":"ciprobay","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/ciprobay\/","title":{"rendered":"Ciprobay"},"content":{"rendered":"<p>Trong ba\u0300i vi\u00ea\u0301t na\u0300y, <a href=\"https:\/\/www.vnras.com\/drug\">Nha\u0300 thu\u00f4\u0301c L\u01b0u V\u0103n Ho\u00e0ng<\/a> xin tr\u00e2n tro\u0323ng gi\u01a1\u0301i thi\u00ea\u0323u sa\u0309n ph\u00e2\u0309m <a href=\"https:\/\/www.vnras.com\/drug\/ciprobay\"><strong>Ciprobay<\/strong><\/a>. Sa\u0309n xu\u00e2\u0301t b\u01a1\u0309i c\u00f4ng ty Bayer AG Germany &#8211; \u0110\u1ee8C. S\u00f4\u0301 \u0111\u0103ng ki\u0301: VN-5389-01<\/p>\n<h2>Thu\u00f4\u0301c Ciprobay 500 la\u0300 gi\u0300?<\/h2>\n<p>Thu\u1ed1c <strong>Ciprobay<\/strong> v\u1edbi b\u1ea3n ch\u1ea5t l\u00e0 kh\u00e1ng sinh nh\u00f3m Fluoroquinolones. L\u00e0 kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng d\u00f9ng \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng v\u1eeba v\u00e0 n\u1eb7ng.<br \/>\nTh\u00e0nh ph\u1ea7n ch\u1ee7a thu\u1ed1c trong 1 vi\u00ean bao g\u1ed3m:<br \/>\n\u2022 Ciprofloxacin hydrochloride monohydrate \u2026\u2026\u2026\u2026 500mg<br \/>\n\u2022 T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean<br \/>\nDanh s\u00e1ch c\u00e1c t\u00e1 d\u01b0\u1ee3c trong thu\u1ed1c bao g\u1ed3m: cellulose vi tinh th\u1ec3, tinh b\u1ed9t natri glycollate (lo\u1ea1i A), Silica pididone keo, axit stearic khan, Magi\u00ea Stearate, croscarmelloza natri, hypromello, macrogol 6000, TiO2, Talc (E 171).<br \/>\nQuy ca\u0301ch \u0111o\u0301ng go\u0301i h\u1ed9p 1 v\u1ec9 10 vi\u00ean n\u00e9n bao phim.<br \/>\nBa\u0309o qua\u0309n n\u01a1i kh\u00f4 ra\u0301o thoa\u0301ng ma\u0301t, tra\u0301nh a\u0301nh sa\u0301ng tr\u01b0\u0323c ti\u00ea\u0301p, nhi\u00ea\u0323t \u0111\u00f4\u0323 kh\u00f4ng qua\u0301 30 \u0111\u00f4\u0323 C.<br \/>\n\u0110\u00ea\u0309 xa t\u00e2\u0300m tay tre\u0309 em.<br \/>\nHa\u0323n s\u01b0\u0309 du\u0323ng: 36 tha\u0301ng k\u00ea\u0309 t\u01b0\u0300 nga\u0300y sa\u0309n xu\u00e2\u0301t.<\/p>\n<h2>Thu\u00f4\u0301c Ciprobay 500 mg gia\u0301 bao nhi\u00eau, mua \u01a1\u0309 \u0111\u00e2u?<\/h2>\n<p>Hi\u00ea\u0323n nay Ciprobay \u0111ang \u0111\u01b0\u01a1\u0323c ph\u00e2n ph\u00f4\u0301i chi\u0301nh ha\u0303ng ta\u0323i Nha\u0300 thu\u00f4\u0301c L\u01b0u V\u0103n Ho\u00e0ng v\u01a1\u0301i gia\u0301: 150000 VN\u0110\/h\u1ed9p 10 vi\u00ean. Chu\u0301ng t\u00f4i h\u00f4\u0303 tr\u01a1\u0323 giao ha\u0300ng toa\u0300n qu\u00f4\u0301c. Li\u00ean h\u00ea\u0323 hotline \u0111\u00ea\u0309 \u0111\u01b0\u01a1\u0323c t\u01b0 v\u00e2\u0301n s\u01b0\u0301c kho\u0309e mi\u00ea\u0303n phi\u0301 24\/7.<br \/>\nCa\u0301c ba\u0323n co\u0301 th\u00ea\u0309 xem th\u00eam ca\u0301c sa\u0309n ph\u00e2\u0309m kha\u0301c cu\u0309a chu\u0301ng t\u00f4i nh\u01b0:<br \/>\n\u2022 <a href=\"https:\/\/www.vnras.com\/drug\/certican\">Certican<\/a><br \/>\n\u2022 <a href=\"https:\/\/www.vnras.com\/drug\/griseofulvin-500mg\">Griseofulvin<\/a><br \/>\n\u2022 <a href=\"https:\/\/www.vnras.com\/drug\/flavital\">Flavital<\/a><\/p>\n<h2>Thu\u00f4\u0301c Ciprobay 500 co\u0301 ta\u0301c du\u0323ng gi\u0300?<\/h2>\n<h3>D\u01b0\u01a1\u0323c l\u01b0\u0323c ho\u0323c<\/h3>\n<p>Nh\u00f3m d\u01b0\u1ee3c l\u00fd: Fluoroquinolones<br \/>\nM\u00e3 ATC: J01MA02<\/p>\n<h4>C\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng<\/h4>\n<p>Thu\u1ed1c <strong>Ciprobay<\/strong> mang \u0111\u1eb7c tr\u01b0ng kh\u00e1ng khu\u1ea9n c\u1ee7a nh\u00f3m Fluoroquinolones. Vi\u1ec7c di\u1ec7t vi khu\u1ea9n c\u1ee7a thu\u1ed1c th\u00f4ng qua c\u01a1 ch\u1ebf \u1ee9c ch\u1ebf c\u1ea3 topoisomerase lo\u1ea1i II (DNA-gyrase) v\u00e0 topoisomerase IV. C\u00e1c enzym n\u00e0y r\u1ea5t c\u1ea7n thi\u1ebft cho s\u1ef1 sao ch\u00e9p DNA c\u1ee7a vi khu\u1ea9n, sao ch\u00e9p, s\u1eeda ch\u1eefa v\u00e0 t\u00e1i t\u1ed5 h\u1ee3p. Cu\u1ed1i c\u00f9ng, \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh phi\u00ean m\u00e3 v\u00e0 nh\u00e2n b\u1ea3n c\u1ee7a vi khu\u1ea9n, ti\u00eau di\u1ec7t vi khu\u1ea9n.<br \/>\nQuan h\u1ec7 gi\u1eefa d\u01b0\u1ee3c l\u1ef1c v\u00e0 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<br \/>\nHi\u1ec7u qu\u1ea3 ch\u1ee7 y\u1ebfu ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed1i quan h\u1ec7 gi\u1eefa n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft thanh (Cmax) v\u00e0 n\u1ed3ng \u0111\u1ed9 \u1ee9c ch\u1ebf t\u1ed1i thi\u1ec3u (MIC). \u0110\u1ed3ng th\u1eddi l\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a ciprofloxacin \u0111\u1ed1i v\u1edbi vi khu\u1ea9n v\u00e0 m\u1ed1i quan h\u1ec7 gi\u1eefa di\u1ec7n t\u00edch d\u01b0\u1edbi \u0111\u01b0\u1eddng cong (AUC) v\u00e0 MIC.<\/p>\n<h4>Ph\u1ed5 kh\u00e1ng khu\u1ea9n<\/h4>\n<p>M\u1ea1nh tr\u00ean c\u00e1ch ch\u1ee7ng vi khu\u1ea9n sau:<br \/>\n\u2022 Vi khu\u1ea9n hi\u1ebfu kh\u00ed Gram (+): Bacillus anthracis<br \/>\n\u2022 Vi khu\u1ea9n hi\u1ebfu kh\u00ed Gram (-): Brucella spp., Citrobacter koseri, Francisella tularensis, Haemophilus ducreyi, Haemophilusenzae, Legionella spp., Moraxella catarrhalis * Neisseria, Meningitidis Pasteurella spp., Salmonella spp., Shigella spp. * Vibrio spp., Pestis Yersinia.<br \/>\n\u2022 M\u1ed9t s\u1ed1 vi khu\u1ea9n k\u1ecb kh\u00ed: Mobiluncus<br \/>\n\u2022 M\u1ed9t s\u1ed1 ch\u1ee7ng vi sinh v\u1eadt kh\u00e1c: Chlamydia trachomatis, Chlamydia pneumoniae, Mycoplasma hominis, Mycoplasma pneumoniae.<br \/>\nPh\u1ed5 t\u01b0\u01a1ng \u0111\u1ed1i, c\u1ea7n c\u00e2n nh\u1eafc c\u1ea5y vi khu\u1ea9n, vi khu\u1ea9n \u0111\u1ed3 v\u1edbi c\u00e1c ch\u1ee7ng sau:<br \/>\n\u2022 Khu\u1ea9n \u0111\u01b0\u1eddng sinh d\u1ee5c: Ureaplasma urealitycum<br \/>\n\u2022 Vi khu\u1ea9n hi\u1ebfu kh\u00ed: Actinomyces, Listeria monocytogenes, Burkholderia cepacia, Escherichia coli, Klebsiella oxytoca\u2026<\/p>\n<h3>D\u01b0\u01a1\u0323c \u0111\u00f4\u0323ng ho\u0323c<\/h3>\n<h4>H\u1ea5p thu<\/h4>\n<p>Thu\u1ed1c h\u1ea5p thu nhanh b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, v\u1ecb tr\u00ed h\u1ea5p thu m\u1ea1nh nh\u1ea5t l\u00e0 ru\u1ed9t non. Thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft thanh sau kho\u1ea3ng 1-2 gi\u1edd sau u\u1ed1ng. Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u1ea3ng 70-80% (kh\u00e1 cao)<\/p>\n<h4>Ph\u00e2n b\u1ed1<\/h4>\n<p>Thu\u1ed1c Ciprobay li\u00ean k\u1ebft huy\u1ebft t\u01b0\u01a1ng k\u00e9m, ch\u1ec9 kho\u1ea3ng 20 \u2013 30%. Do \u0111\u00f3 thu\u1ed1c ph\u00e2n b\u1ed1 t\u1ed1t v\u00e0o c\u00e1c m\u00f4, t\u1ed5 ch\u1ee9c trong c\u01a1 th\u1ec3. \u0110\u1eb7c bi\u1ec7t thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 cao trong c\u00e1c m\u00f4 nh\u01b0 m\u00f4 \u0111\u1ea1i th\u1ef1c b\u00e0o ph\u1ebf nang, d\u1ecbch bi\u1ec3u m\u00f4, m\u00f4 sinh thi\u1ebft. Thu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c ghi nh\u1eadn \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb t\u1ed1t t\u1ea1i c\u00e1c \u1ed5 vi\u00eam, \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/p>\n<h4>Chuy\u1ec3n h\u00f3a<\/h4>\n<p>Chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu qua h\u1ec7 c\u00e1c iso-enzyme CYP 450 1A2. C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng khu\u1ea9n tuy nhi\u00ean kh\u00f4ng m\u1ea1nh b\u1eb1ng ch\u1ea5t g\u1ed1c.<\/p>\n<h4>Th\u1ea3i tr\u1eeb<\/h4>\n<p>Thu\u1ed1c ph\u1ea7n l\u1edbn \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua ph\u00e2n. Th\u1eddi gian b\u00e1n h\u1ee7y trong huy\u1ebft thanh \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng l\u00e0 kho\u1ea3ng 4-7 gi\u1edd. \u0110\u1ed9 thanh th\u1ea3i th\u1eadn l\u00e0 t\u1eeb 180-300 mL \/ kg \/ gi\u1edd v\u00e0 t\u1ed5ng \u0111\u1ed9 thanh th\u1ea3i c\u01a1 th\u1ec3 l\u00e0 t\u1eeb 480-600 mL \/ kg \/ gi\u1edd. Ciprofloxacin c\u00f3 trong m\u1eadt \u1edf n\u1ed3ng \u0111\u1ed9 cao.<\/p>\n<h2>4. Thu\u00f4\u0301c Ciprobay co\u0301 t\u00f4\u0301t kh\u00f4ng?<\/h2>\n<p>D\u01b0\u0323a va\u0300o ca\u0301c th\u00f4ng s\u00f4\u0301 va\u0300 \u0111a\u0301nh gia\u0301 v\u00ea\u0300 d\u01b0\u01a1\u0323c \u0111\u00f4\u0323ng ho\u0323c cu\u0303ng nh\u01b0 d\u01b0\u01a1\u0323c l\u01b0\u0323c ho\u0323c. Chu\u0301ng ta co\u0301 th\u00ea\u0309 th\u00e2\u0301y r\u0103\u0300ng thu\u00f4\u0301c Ciprobay la\u0300 m\u00f4\u0323t ch\u00ea\u0301 ph\u00e2\u0309m r\u00e2\u0301t m\u1ea1nh v\u00e0 ph\u1ed5 r\u1ed9ng. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p, nhi\u1ec5m khu\u1ea9n ti\u00eau h\u00f3a, nhi\u1ec5m khu\u1ea9n ni\u1ec7u n\u1eb7ng v\u00e0 v\u1eeba. Thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh r\u1ed9ng raiax v\u00e0 ch\u1ee9ng minh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ea1i nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi. Hi\u1ec7n nay ch\u1ebf ph\u1ea9m \u0111\u00e3 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng v\u00e0 c\u1ea5p ph\u00e9p l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam.<\/p>\n<h2>5. Chi\u0309 \u0111i\u0323nh cu\u0309a Ciprobay<\/h2>\n<p>T\u01b0\u0300 \u0111a\u0301nh gia\u0301 d\u01b0\u01a1\u0323c l\u01b0\u0323c, thu\u00f4\u0301c <strong>Ciprobay<\/strong> th\u01b0\u01a1\u0300ng \u0111\u01b0\u01a1\u0323c chi\u0309 \u0111i\u0323nh trong ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p sau:<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p d\u01b0\u1edbi do vi khu\u1ea9n hi\u1ebfu kh\u00ed Gram (-)<br \/>\n\u2022 Vi\u00eam tai gi\u1eefa c\u00f3 m\u1ee7<br \/>\n\u2022 \u0110\u1ee3t c\u1ea5p c\u1ee7a vi\u00eam xoang m\u1ea1n do vi khu\u1ea9n Gram (+)<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u<br \/>\n\u2022 Vi\u00eam m\u00e0o tinh ho\u00e0n<br \/>\n\u2022 C\u00e1c b\u1ec7nh vi\u00eam v\u00f9ng h\u1ed1 ch\u1eadu<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng \u1ed5 b\u1ee5ng<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng da v\u00e0 m\u00f4 m\u1ec1m<br \/>\n\u2022 Vi\u00eam tai ngo\u00e0i \u00e1c t\u00ednh<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng c\u01a1 x\u01b0\u01a1ng kh\u1edbp<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng do gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/p>\n<h2>6. Li\u00ea\u0300u l\u01b0\u01a1\u0323ng va\u0300 ca\u0301ch du\u0300ng<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p>Li\u00ea\u0300u l\u01b0\u01a1\u0323ng va\u0300 ca\u0301ch s\u01b0\u0309 du\u0323ng Ciprobay c\u00e2\u0300n \u0111\u01b0\u01a1\u0323c \u0111a\u0309m ba\u0309o chi\u0309 \u0111i\u0323nh cu\u0309a ba\u0301c si\u0303 ho\u0103\u0323c d\u01b0\u01a1\u0323c si\u0303. Vi\u00ea\u0323c chi\u0309 \u0111i\u0323nh m\u01b0\u0301c li\u00ea\u0300u c\u0103n c\u01b0\u0301 va\u0300o ti\u0300nh tra\u0323ng b\u00ea\u0323nh, m\u01b0\u0301c \u0111\u00f4\u0323 b\u00ea\u0323nh va\u0300 kha\u0309 n\u0103ng \u0111a\u0301p \u01b0\u0301ng cu\u0309a b\u00ea\u0323nh nh\u00e2n. Th\u00f4ng th\u01b0\u01a1\u0300ng thu\u00f4\u0301c Ciprobay \u0111\u01b0\u01a1\u0323c s\u01b0\u0309 du\u0323ng v\u01a1\u0301i m\u01b0\u0301c li\u00ea\u0300u cu\u0323 th\u00ea\u0309 nh\u01b0 sau:<br \/>\n\u2022 B\u1ec7nh nh\u00e2n nhi\u1ec5m khu\u1ea9n nh\u1eb9 &#8211; trung b\u00ecnh: 250 &#8211; 500 mg, ng\u00e0y 2 l\u1ea7n.<br \/>\n\u2022 B\u1ec7nh nh\u00e2n nhi\u1ec5m khu\u1ea9n n\u1eb7ng &#8211; c\u00f3 bi\u1ebfn ch\u1ee9ng: 750 mg, ng\u00e0y 2 l\u1ea7n. D\u00f9ng 5 &#8211; 10 ng\u00e0y.<br \/>\n\u2022 B\u1ec7nh nh\u00e2n suy th\u1eadn nh\u1eb9: ClCr 30 &#8211; 50 mL\/ph\u00fat: 250 &#8211; 500 mg\/12 gi\u1edd.<br \/>\n\u2022 B\u1ec7nh nh\u00e2n suy th\u1eadn v\u1eeba: ClCr 5 &#8211; 29 mL\/ph\u00fat: 250 &#8211; 500 mg\/18 gi\u1edd.<br \/>\n\u2022 B\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng c\u00f3 l\u1ecdc m\u00e1u: 250 &#8211; 500 mg\/24 gi\u1edd.<br \/>\n\u2022 B\u1ec7nh nh\u00e2n suy gi\u1ea3m ch\u1ee9c n\u0103ng gan kh\u00f4ng c\u1ea7n hi\u1ec1u ch\u1ec9nh li\u1ec1u<br \/>\n\u2022 B\u1ec7nh nh\u00e2n suy gi\u1ea3m \u0111\u1ed3ng th\u1eddi ch\u1ee9c n\u0103ng gan th\u1eadn th\u00ec s\u1eed d\u1ee5ng \u0111\u1ed1i v\u1edbi li\u1ec1u nh\u01b0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/p>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>U\u1ed1ng thu\u1ed1c c\u00f9ng 250ml n\u01b0\u1edbc l\u1ecdc. Thu\u1ed1c kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o th\u00f2i gian th\u00e1o r\u1ed7ng d\u1ea1 d\u00e0y v\u00e0 th\u1ee9c \u0103n d\u00f9ng k\u00e8m. N\u00ean u\u1ed1ng l\u00fac \u0111\u00f3i th\u00ec ho\u1ea1t ch\u1ea5t s\u1ebd h\u1ea5p thu nhanh h\u01a1n. Thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t 5 ng\u00e0y ngay c\u1ea3 khi \u0111\u00e3 kh\u1ecfi b\u1ec7nh. Vi\u1ec7c n\u00e0y gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 kh\u00e1ng kh\u00e1ng sinh tr\u00ean c\u1ed9ng \u0111\u1ed3ng \u0111\u1ed1i v\u1edbi thu\u1ed1c. V\u1edbi m\u1ed9t s\u1ed1 ch\u1ee7ng vi khu\u1ea9n nguy hi\u1ec3m c\u00f3 bi\u1ebfn ch\u1ee9ng mu\u1ed9n, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u00e9n 10 ng\u00e0y.<\/p>\n<h2>7. Ch\u00f4\u0301ng chi\u0309 \u0111i\u0323nh<\/h2>\n<p>Thu\u00f4\u0301c Ciprobay ch\u00f4\u0301ng chi\u0309 \u0111i\u0323nh cho ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p sau:<br \/>\n\u2022 Qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi ho\u1ea1t ch\u1ea5t ch\u00ednh, v\u1edbi c\u00e1c quinolone kh\u00e1c ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o \u0111\u00e3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea.<br \/>\n\u2022 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng \u0111\u1ed3ng th\u1eddi ciprofloxacin v\u00e0 tizanidine (xem ph\u1ea7n 4.5).<\/p>\n<h2>8. Ta\u0301c du\u0323ng kh\u00f4ng mong mu\u00f4\u0301n<\/h2>\n<p>Trong qua\u0301 tri\u0300nh \u0111i\u00ea\u0300u tri\u0323 b\u0103\u0300ng thu\u00f4\u0301c. B\u00ea\u0323nh nh\u00e2n c\u00e2\u0300n l\u01b0u y\u0301 nh\u01b0\u0303ng ta\u0301c du\u0323ng kh\u00f4ng mong mu\u00f4\u0301n co\u0301 th\u00ea\u0309 co\u0301 sau cu\u0309a thu\u00f4\u0301c Ciprobay:<br \/>\n\u2022 Th\u00f4ng th\u01b0\u1eddng: ch\u00e1n \u0103n, ti\u00eau ch\u1ea3y, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, \u1ee3, n\u00f4n, \u0111au b\u1ee5ng, tr\u01b0\u1edbng b\u1ee5ng, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, t\u0103ng BUN, creatinin, t\u0103ng men gan.<br \/>\n\u2022 R\u1ea5t hi\u1ebfm g\u1eb7p: vi\u00eam mi\u1ec7ng, s\u1ed1c, nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng, ph\u00f9, ban \u0111\u1ecf, suy th\u1eadn c\u1ea5p, v\u00e0ng da, thay \u0111\u1ed5i huy\u1ebft h\u1ecdc, vi\u00eam k\u1ebft tr\u00e0ng gi\u1ea3 m\u1ea1c, \u0111au kh\u1edbp, \u0111au c\u01a1.<\/p>\n<h2>9. T\u01b0\u01a1ng ta\u0301c thu\u00f4\u0301c<\/h2>\n<p>Thu\u00f4\u0301c Ciprobay co\u0301 th\u00ea\u0309 co\u0301 m\u00f4\u0323t s\u00f4\u0301 t\u01b0\u01a1ng ta\u0301c v\u01a1\u0301i ca\u0301c nho\u0301m thu\u00f4\u0301c ho\u0103\u0323c th\u01b0\u0301c \u0103n sau:<br \/>\n\u2022 C\u00e1c theophyline<br \/>\n\u2022 C\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam gi\u1ea3m \u0111au nh\u00f3m NSADIs<br \/>\n\u2022 C\u00e1c Antacid<br \/>\n\u2022 C\u00e1c thu\u1ed1c nh\u00f3m sucrafate<br \/>\n\u2022 C\u00e1c thu\u1ed1c ch\u1ee9a ion kim lo\u1ea1i<br \/>\n\u2022 Cyclolosporine<\/p>\n<h2>10. Th\u00e2\u0323n tro\u0323ng<\/h2>\n<p>Thu\u00f4\u0301c c\u00e2\u0300n l\u01b0u y\u0301 th\u00e2\u0323n tro\u0323ng khi s\u01b0\u0309 du\u0323ng Ciprobay cho m\u00f4\u0323t s\u00f4\u0301 nho\u0301m \u0111\u00f4\u0301i t\u01b0\u01a1\u0323ng sau:<br \/>\n\u2022 B\u1ec7nh nh\u00e2n suy th\u1eadn v\u1eeba v\u00e0 n\u1eb7ng<br \/>\n\u2022 B\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, huy\u1ebft \u0111\u1ed9ng n\u00e3o<br \/>\n\u2022 B\u1ec7nh nh\u00e2n l\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i (tr\u00ean 75 tu\u1ed5i)<br \/>\n\u2022 \u0110\u1ec1 ph\u00f2ng nguy c\u01a1 kh\u00e1ng thu\u1ed1c khi d\u00f9ng kh\u00f4ng \u0111\u1ee7 li\u1ec1u<\/p>\n<h2>11. Du\u0300ng cho phu\u0323 n\u01b0\u0303 co\u0301 thai va\u0300 cho con bu\u0301<\/h2>\n<p>Ch\u01b0a c\u00f3 b\u00e1o c\u00e1o v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng \u0111\u00e1ng k\u1ec3 l\u00ean ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa. Tuy nhi\u00ean v\u00ec v\u1ea5n \u0111\u1ec1 \u0111\u1ea1o \u0111\u1ee9c kh\u00f4ng cho ph\u00e9p th\u1eed nghi\u1ec7m tr\u00ean ng\u01b0\u1eddi. V\u1eady n\u00ean h\u00e3y th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<br \/>\nThu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9<\/p>\n<h2>12. Du\u0300ng cho ng\u01b0\u01a1\u0300i la\u0301i xe ho\u0103\u0323c v\u00e2\u0323n ha\u0300nh ma\u0301y mo\u0301c<\/h2>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi th\u1ea7n kinh trung \u01b0\u01a1ng. \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c c\u1ee7a b\u1ec7nh nh\u00e2n. H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y. Ch\u1ec9 s\u1eed d\u1ee5ng khi c\u00f3 khuy\u1ebfn c\u00e1o t\u1eeb b\u00e1c s\u0129 sau khi c\u00e2n nh\u1eafc l\u1ee3i \u00edch \u2013 nguy c\u01a1.<\/p>\n<h2>13. Ngu\u00f4\u0300n tham kha\u0309o<\/h2>\n<p>eMC: <a href=\"https:\/\/www.medicines.org.uk\/emc\/product\/9827\/smpc\" rel=\"noopener\">https:\/\/www.medicines.org.uk\/emc\/product\/9827\/smpc<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong ba\u0300i vi\u00ea\u0301t na\u0300y, Nha\u0300 thu\u00f4\u0301c L\u01b0u V\u0103n Ho\u00e0ng xin tr\u00e2n tro\u0323ng gi\u01a1\u0301i thi\u00ea\u0323u sa\u0309n ph\u00e2\u0309m Ciprobay. Sa\u0309n xu\u00e2\u0301t b\u01a1\u0309i c\u00f4ng ty Bayer AG Germany &#8211; \u0110\u1ee8C. S\u00f4\u0301 \u0111\u0103ng ki\u0301: VN-5389-01 Thu\u00f4\u0301c Ciprobay 500 la\u0300 gi\u0300? Thu\u1ed1c Ciprobay v\u1edbi b\u1ea3n ch\u1ea5t l\u00e0 kh\u00e1ng sinh nh\u00f3m Fluoroquinolones. L\u00e0 kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng d\u00f9ng \u0111i\u1ec1u tr\u1ecb c\u00e1c [&#8230;]\n","protected":false},"author":1,"featured_media":77459,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-8423","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\/8423","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=8423"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/77459"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=8423"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=8423"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=8423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}