{"id":54940,"date":"2023-11-04T15:53:19","date_gmt":"2023-11-04T08:53:19","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?p=54940"},"modified":"2024-05-06T11:05:46","modified_gmt":"2024-05-06T04:05:46","slug":"su-dung-thuoc-tang-can-va-nguy-co-gay-tich-nuoc","status":"publish","type":"post","link":"https:\/\/hmm88i.com\/drug\/su-dung-thuoc-tang-can-va-nguy-co-gay-tich-nuoc\/","title":{"rendered":"S\u1eed d\u1ee5ng thu\u1ed1c t\u0103ng c\u00e2n v\u00e0 nguy c\u01a1 g\u00e2y t\u00edch n\u01b0\u1edbc"},"content":{"rendered":"
Tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 m\u1ed7i ng\u01b0\u1eddi th\u01b0\u1eddng kh\u00f4ng c\u1ed1 \u0111\u1ecbnh, tuy nhi\u00ean vi\u1ec7c gi\u1ea3m h\u01a1n 5% tr\u1ecdng l\u01b0\u1ee3ng th\u1ef1c t\u1ebf k\u00e9o d\u00e0i trong v\u00f2ng 6 \u0111\u1ebfn 12 th\u00e1ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u00e1ng lo ng\u1ea1i. Trong khi c\u00f3 nhi\u1ec1u b\u00e0i vi\u1ebft n\u00f3i l\u00ean t\u00e1c h\u1ea1i c\u1ee7a b\u00e9o ph\u00ec th\u00ec t\u00e1c h\u1ea1i c\u1ee7a vi\u1ec7c thi\u1ebfu c\u00e2n l\u1ea1i kh\u00f4ng \u0111\u01b0\u1ee3c quan t\u00e2m nhi\u1ec1u. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y thi\u1ebfu c\u00e2n c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c nhau bao g\u1ed3m b\u1ec7nh tim, lo\u00e3ng x\u01b0\u01a1ng, thi\u1ebfu m\u00e1u do thi\u1ebfu s\u1eaft v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa. V\u1eady c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c t\u0103ng c\u00e2n kh\u00f4ng? B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y, D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng s\u1ebd cung c\u1ea5p cho b\u1ea1n \u0111\u1ecdc nh\u1eefng th\u00f4ng tin c\u1ea7n thi\u1ebft v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c t\u0103ng c\u00e2n an to\u00e0n, h\u1ee3p l\u00fd<\/b><\/p>\n M\u1ed9t ng\u01b0\u1eddi \u0111\u01b0\u1ee3c coi l\u00e0 thi\u1ebfu c\u00e2n n\u1ebfu c\u00e2n n\u1eb7ng c\u1ee7a h\u1ecd th\u1ea5p h\u01a1n m\u1ee9c c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u01a1 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n Tuy nhi\u00ean, vi\u1ec7c \u0111\u00e1nh gi\u00e1 tr\u1ecdng l\u01b0\u1ee3ng c\u1ee7a m\u1ed9t ng\u01b0\u1eddi c\u00f3 kh\u1ecfe m\u1ea1nh hay kh\u00f4ng l\u1ea1i kh\u00f4ng c\u00f3 thang \u0111o c\u1ee5 th\u1ec3.<\/span><\/p>\n Ph\u1ea1m vi c\u00e2n n\u1eb7ng kh\u1ecfe m\u1ea1nh c\u1ee7a m\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111o l\u01b0\u1eddng v\u1edbi s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI) v\u00e0 chu vi v\u00f2ng eo. BMI l\u00e0 c\u00e1ch \u0111o l\u01b0\u1ee3ng m\u1ee1 trong c\u01a1 th\u1ec3 b\u1eb1ng chi\u1ec1u cao v\u00e0 c\u00e2n n\u1eb7ng.<\/span><\/p>\n Ch\u1ec9 s\u1ed1 BMI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c hi\u1ec3u l\u00e0:\u00a0<\/span><\/p>\n Thi\u1ebfu c\u00e2n c\u00f3 li\u00ean quan \u0111\u1ebfn thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 thi\u1ebfu m\u00e1u do thi\u1ebfu s\u1eaft v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c nh\u01b0 v\u1ebft th\u01b0\u01a1ng ch\u1eadm l\u00e0nh, b\u1ea5t th\u01b0\u1eddng n\u1ed9i ti\u1ebft t\u1ed1, t\u0103ng kh\u1ea3 n\u0103ng nhi\u1ec5m tr\u00f9ng v\u00e0 t\u0103ng nguy c\u01a1 m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh m\u00e3n t\u00ednh nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng. \u1ede tr\u1ebb em, thi\u1ebfu c\u00e2n c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n.<\/span><\/p>\n Gi\u1ea3m ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch: M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean T\u1ea1p ch\u00ed Dinh d\u01b0\u1ee1ng cho bi\u1ebft r\u1eb1ng thi\u1ebfu protein \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ch\u1ec9 s\u1ed1 BMI th\u1ea5p d\u1eabn \u0111\u1ebfn gi\u1ea3m s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 kh\u00e1ng th\u1ec3 \u0111\u1ec3 ph\u1ea3n \u1ee9ng v\u1edbi nhi\u1ec5m virus. Ng\u01b0\u1eddi ta c\u0169ng ch\u1ee9ng minh r\u1eb1ng n\u1ebfu c\u01a1 th\u1ec3 kh\u00f4ng c\u00f3 \u0111\u1ee7 ch\u1ea5t \u0111\u1ea1m, ch\u1ea5t b\u00e9o v\u00e0 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng kh\u00e1c th\u00ec h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a ng\u01b0\u1eddi thi\u1ebfu c\u00e2n s\u1ebd ho\u1ea1t \u0111\u1ed9ng k\u00e9m hi\u1ec7u qu\u1ea3.\u00a0<\/span><\/p>\n B\u1ec7nh tim: C\u00e1c kho\u00e1ng ch\u1ea5t nh\u01b0 kali, natri v\u00e0 canxi c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec nh\u1ecbp tim \u1ed5n \u0111\u1ecbnh. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng c\u1ee7a c\u00e1c kho\u00e1ng ch\u1ea5t thi\u1ebft y\u1ebfu n\u00e0y \u1edf nh\u1eefng ng\u01b0\u1eddi thi\u1ebfu c\u00e2n suy dinh d\u01b0\u1ee1ng d\u1eabn \u0111\u1ebfn nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u (lo\u1ea1n nh\u1ecbp tim). M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed Y h\u1ecdc n\u0103m 2017 cho th\u1ea5y trong s\u1ed1 491.773 ng\u01b0\u1eddi tham gia, nh\u1eefng ng\u01b0\u1eddi tham gia thi\u1ebfu c\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch cao h\u01a1n 19,7% so v\u1edbi nh\u1eefng ng\u01b0\u1eddi tham gia c\u00f3 c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng. C\u00e1c nghi\u00ean c\u1ee9u c\u0169ng ti\u1ebft l\u1ed9 r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi thi\u1ebfu c\u00e2n d\u1ec5 m\u1eafc c\u00e1c b\u1ec7nh v\u1ec1 tim nh\u01b0 sa van hai l\u00e1 (ph\u00ecnh van tim), r\u1ed1i lo\u1ea1n nh\u1ecbp tim v\u00e0 th\u1eadm ch\u00ed l\u00e0 suy tim.\u00a0<\/span><\/p>\n Sinh non: Nghi\u00ean c\u1ee9u c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed BJOG n\u0103m 2016 cho th\u1ea5y ph\u1ee5 n\u1eef mang thai thi\u1ebfu c\u00e2n c\u00f3 nguy c\u01a1 sinh con tr\u01b0\u1edbc 37 tu\u1ea7n tu\u1ed5i thai cao h\u01a1n. Tr\u1ebb sinh non c\u00f3 th\u1ec3 b\u1ecb khuy\u1ebft t\u1eadt v\u1ec1 tr\u00ed tu\u1ec7 c\u0169ng nh\u01b0 ph\u00e1t tri\u1ec3n l\u00e2u d\u00e0i.<\/span><\/p>\n Nguy\u00ean nh\u00e2n c\u01a1 b\u1ea3n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y ra t\u00ecnh tr\u1ea1ng thi\u1ebfu c\u00e2n l\u00e0 do dinh d\u01b0\u1ee1ng kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7. C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c l\u00e0 do m\u1eafc b\u1ec7nh hao m\u00f2n (ung th\u01b0, b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng, b\u1ec7nh lao) v\u00e0 r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh suy m\u00f2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd, v\u00ec ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 c\u1ea3i thi\u1ec7n ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/span><\/p>\n M\u1ed9t s\u1ed1 l\u00fd do ph\u1ed5 bi\u1ebfn d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng thi\u1ebfu c\u00e2n bao g\u1ed3m:<\/span><\/p>\n Megestrol (Megace ES), Dronabinol (Marinol), Somatropin (Serostim) v\u00e0 Oxandrolone (Oxandrin) l\u00e0 nh\u1eefng thu\u1ed1c gi\u00fap k\u00edch th\u00edch th\u00e8m \u0103n \u0111\u01b0\u1ee3c FDA ph\u00ea chu\u1ea9n<\/b>. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c g\u00e2y t\u0103ng c\u00e2n do t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 thu\u1ed1c kh\u00e1ng histamin, thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n,…c\u00f3 th\u1ec3 l\u00e0m t\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n.<\/span><\/p>\n Dronabinol l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c k\u00edch th\u00edch th\u00e8m \u0103n kh\u00e1c \u0111\u01b0\u1ee3c FDA ph\u00ea chu\u1ea9n d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn m\u1eafc b\u1ec7nh AIDS. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y dronabinol c\u00f3 th\u1ec3 l\u00e0m t\u0103ng tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 kho\u1ea3ng 2kg \u0111\u1ebfn 3kg \u1edf nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV\/AIDS. M\u1ed9t d\u1ea1ng delta-9-tetrahydrocannabinol (THC) do ph\u00f2ng th\u00ed nghi\u1ec7m s\u1ea3n xu\u1ea5t c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n li\u00ean quan \u0111\u1ebfn h\u00f3a tr\u1ecb.<\/span><\/p>\n C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng: Dronabinol (Marinol) l\u00e0 m\u1ed9t cannabinoid. \u0110\u00f3 l\u00e0 m\u1ed9t d\u1ea1ng t\u1ed5ng h\u1ee3p (nh\u00e2n t\u1ea1o) c\u1ee7a tetrahydrocannabinol (THC), m\u1ed9t th\u00e0nh ph\u1ea7n c\u00f3 trong c\u1ea7n sa. Dronabinol (Marinol) ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch g\u1eafn v\u00e0o c\u00e1c th\u1ee5 th\u1ec3 cannabinoid trong t\u1ebf b\u00e0o th\u1ea7n kinh \u0111\u1ec3 gi\u00fap gi\u1ea3m bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda v\u00e0 c\u1ea3i thi\u1ec7n c\u1ea3m gi\u00e1c th\u00e8m \u0103n.<\/span><\/p>\n Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n Li\u1ec1u l\u01b0\u1ee3ng Dronabinol (Marinol)<\/span><\/p>\n T\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 g\u1eb7p:<\/span><\/p>\n L\u01b0u \u00fd khi s\u1eed d\u1ee5ng:<\/span><\/p>\n Megestrol l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c FDA ph\u00ea chu\u1ea9n, d\u00f9ng \u0111\u1ec3 k\u00edch th\u00edch s\u1ef1 th\u00e8m \u0103n v\u00e0 ki\u1ec3m so\u00e1t ch\u1ee9ng suy nh\u01b0\u1ee3c (ti\u00eau hao c\u01a1 v\u00e0 m\u1ee1) \u1edf ng\u01b0\u1eddi l\u1edbn m\u1eafc h\u1ed9i ch\u1ee9ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch m\u1eafc ph\u1ea3i (AIDS).<\/span><\/p>\n C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng:<\/span><\/p>\n Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n Li\u1ec1u d\u00f9ng: Megestrol \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ch\u00e1n \u0103n v\u1edbi li\u1ec1u 800mg\/ng\u00e0y.<\/span><\/p>\n T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p:<\/span><\/p>\n L\u01b0u \u00fd khi s\u1eed d\u1ee5ng:<\/span><\/p>\n C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng:<\/span><\/p>\n Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n Li\u1ec1u l\u01b0\u1ee3ng Oxandrolone<\/span><\/p>\n T\u00e1c d\u1ee5ng ph\u1ee5:<\/span><\/p>\n L\u01b0u \u00fd:<\/span><\/p>\n Tuy nhi\u00ean, v\u00e0o cu\u1ed1i th\u00e1ng 6 n\u0103m 2023, FDA \u0111\u00e3 r\u00fat l\u1ea1i s\u1ef1 ch\u1ea5p thu\u1eadn c\u1ee7a Oxandrolone. Do \u0111\u00f3, Oxandrolone hi\u1ec7n kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i M\u1ef9.<\/b><\/p>\n C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng:<\/span><\/p>\n Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n Li\u1ec1u d\u00f9ng:<\/span><\/p>\n T\u00e1c d\u1ee5ng ph\u1ee5:<\/span><\/p>\n L\u01b0u \u00fd:<\/span><\/p>\n Vi\u1ec7c s\u1eed d\u1ee5ng steroid trong th\u1eddi gian ng\u1eafn gi\u00fap c\u1ea3i thi\u1ec7n s\u1ef1 th\u00e8m \u0103n v\u00e0 theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u, n\u00f3 c\u0169ng c\u1ea3i thi\u1ec7n c\u1ea3m gi\u00e1c kh\u1ecfe m\u1ea1nh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0 giai \u0111o\u1ea1n mu\u1ed9n. \u00cdt nh\u1ea5t m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u00e3 so s\u00e1nh \u0111\u1ed1i \u0111\u1ea7u gi\u1eefa dexamethasone v\u00e0 megestrol acetate. M\u1eb7c d\u00f9 c\u1ea3 hai lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u1ec1u t\u01b0\u01a1ng t\u1ef1 nhau v\u1ec1 hi\u1ec7u qu\u1ea3 l\u00e0m t\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n, nh\u01b0ng dexamethasone c\u00f3 t\u1ef7 l\u1ec7 ng\u1eebng s\u1eed d\u1ee5ng do \u0111\u1ed9c t\u00ednh cao h\u01a1n. Nh\u1eefng r\u1ee7i ro v\u1ec1 s\u1ee9c kho\u1ebb c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng steroid l\u00e2u d\u00e0i \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn r\u00f5 r\u00e0ng v\u00e0 bao g\u1ed3m nh\u1eefng r\u1ed1i lo\u1ea1n v\u1ec1 trao \u0111\u1ed5i ch\u1ea5t, t\u1ef7 l\u1ec7 g\u00e3y x\u01b0\u01a1ng cao h\u01a1n, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, kh\u00f3 ch\u1ecbu \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng ho\u1eb7c h\u00e0nh vi. C\u00e2n nh\u1eafc gi\u1eefa nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng steroid \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0, ch\u1ec9 s\u1eed d\u1ee5ng Corticosteroid cho b\u1ec7nh nh\u00e2n c\u00f3 tu\u1ed5i th\u1ecd ng\u1eafn (trong kho\u1ea3ng v\u00e0i tu\u1ea7n). N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tu\u1ed5i th\u1ecd d\u00e0i h\u01a1n v\u00e0 kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi megestrol axetat th\u00ec megestrol axetat l\u00e0 t\u00e1c nh\u00e2n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean s\u1eed d\u1ee5ng \u0111\u1ec3 k\u00edch th\u00edch th\u00e8m \u0103n.<\/span><\/p>\n Cyproheptadine l\u00e0 thu\u1ed1c kh\u00e1ng histamin \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng. Nh\u01b0ng \u0111\u00f4i khi n\u00f3 c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ch\u1ea5t k\u00edch th\u00edch s\u1ef1 th\u00e8m \u0103n.<\/span><\/p>\n Cetirizine (Zyrtec), fexofenadine (Allegra) v\u00e0 desloratadine (Clarinex) l\u00e0 nh\u1eefng thu\u1ed1c kh\u00e1ng histamin kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 k\u00edch th\u00edch s\u1ef1 th\u00e8m \u0103n.<\/span><\/p>\n Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng cyproheptadine v\u1edbi m\u1ee5c \u0111\u00edch t\u0103ng c\u00e2n c\u1ea7n ph\u1ea3i c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/span><\/p>\n Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c c\u00f3 ch\u1ee9a cyproheptadine \u0111\u1ec1u an to\u00e0n. Apetamin ch\u1ee9a cyproheptadine, \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o l\u00e0 gi\u00fap t\u0103ng c\u00e2n. Nh\u01b0ng v\u00e0o th\u00e1ng 4 n\u0103m 2023, FDA \u0111\u00e3 \u0111\u01b0a ra c\u1ea3nh b\u00e1o ch\u00ednh th\u1ee9c v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng ti\u1ec1m \u1ea9n c\u1ee7a Apetamin, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim.<\/span><\/p>\n M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 th\u00e8m \u0103n. T\u0103ng c\u00e2n do th\u00e8m \u0103n nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng th\u01b0\u1eddng g\u1eb7p khi d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh axit valproic. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 58% s\u1ed1 ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c, v\u1edbi m\u1ee9c t\u0103ng c\u00e2n trung b\u00ecnh l\u00e0 6kg.\u00a0<\/span><\/p>\n C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 carbamazepine (Tegretol), vigabatrin (Sabril) v\u00e0 pregabalin (Lyrica), c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1. <\/span>Gabapentin (Neurontin) c\u0169ng c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch s\u1ef1 th\u00e8m \u0103n.<\/b><\/p>\n Tuy nhi\u00ean, thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c k\u00ea toa nh\u01b0 thu\u1ed1c k\u00edch th\u00edch s\u1ef1 th\u00e8m \u0103n. Nghi\u00ean c\u1ee9u v\u1ec1 l\u0129nh v\u1ef1c n\u00e0y c\u00f2n h\u1ea1n ch\u1ebf v\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 t\u01b0\u01a1ng t\u00e1c.<\/span><\/p>\nL\u00e0m sao \u0111\u1ec3 bi\u1ebft c\u01a1 th\u1ec3 \u0111ang thi\u1ebfu c\u00e2n?<\/span><\/h2>\n
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Thi\u1ebfu c\u00e2n c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe kh\u00f4ng?<\/span><\/h2>\n
Nguy\u00ean nh\u00e2n b\u1ecb thi\u1ebfu c\u00e2n<\/span><\/h2>\n
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C\u00e1c thu\u1ed1c t\u0103ng c\u00e2n t\u1ed5ng h\u1ee3p \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t<\/span><\/h2>\n
Dronabinol (Marinol)<\/span><\/h3>\n
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Megestrol (Megace ES)<\/span><\/h3>\n
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Oxandrolone (Oxandrin)<\/span><\/h3>\n
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Somatropin (Serostim)<\/span><\/h3>\n
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M\u1ed9t s\u1ed1 thu\u1ed1c t\u1ed5ng h\u1ee3p kh\u00e1c c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng c\u00e2n<\/span><\/h2>\n
Corticosteroid<\/span><\/h3>\n
Thu\u1ed1c kh\u00e1ng histamin nh\u01b0 cyproheptadine (Periactin)<\/span><\/h3>\n
<\/a>Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh axit valproic<\/span><\/h3>\n