{"id":140307,"date":"2025-09-20T14:16:56","date_gmt":"2025-09-20T07:16:56","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=140307"},"modified":"2025-09-20T14:18:45","modified_gmt":"2025-09-20T07:18:45","slug":"domever-25mg","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/domever-25mg\/","title":{"rendered":"Domever 25mg"},"content":{"rendered":"
Trong b\u00e0i vi\u1ebft n\u00e0y,<\/strong> d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/strong><\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c<\/strong> Domever 25mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n xu\u1ea5t nh\u1eadp kh\u1ea9u y t\u1ebf Domesco, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-11909-10.<\/strong><\/p>\n Domever 25mg l\u00e0 thu\u1ed1c<\/strong> k\u00ea \u0111\u01a1n thu\u1ed9c nh\u00f3m thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali, c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n S\u0110K: VD-11909-10<\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/p>\n Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 10 vi\u00ean n\u00e9n<\/p>\n Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n Spironolactone l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng c\u1ea1nh tranh \u0111\u1eb7c hi\u1ec7u c\u1ee7a aldosterone. Thu\u1ed1c t\u00e1c \u0111\u1ed9ng ch\u1ee7 y\u1ebfu t\u1ea1i \u1ed1ng l\u01b0\u1ee3n xa v\u00e0 \u1ed1ng g\u00f3p c\u1ee7a nephron \u1edf th\u1eadn. T\u1ea1i \u0111\u00e2y, n\u00f3 c\u1ea1nh tranh g\u1eafn k\u1ebft v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 mineralocorticoid, ng\u0103n ch\u1eb7n t\u00e1c d\u1ee5ng c\u1ee7a aldosterone.<\/p>\n T\u00e1c d\u1ee5ng c\u1ee7a Spironolactone b\u1eaft \u0111\u1ea7u t\u01b0\u01a1ng \u0111\u1ed1i ch\u1eadm, c\u1ea7n 2-3 ng\u00e0y \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u0111a v\u00e0 t\u00e1c d\u1ee5ng c\u0169ng gi\u1ea3m d\u1ea7n sau 2-3 ng\u00e0y ng\u01b0ng thu\u1ed1c.<\/p>\n Spironolactone \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1ed1t qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a nhanh ch\u00f3ng v\u00e0 m\u1ea1nh m\u1ebd th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh, bao g\u1ed3m canrenone v\u00e0 7-alpha-thiomethylspironolactone. C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a n\u00e0y \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u v\u00e0 m\u1ed9t ph\u1ea7n qua m\u1eadt.<\/p>\n Suy tim sung huy\u1ebft: \u0110\u1eb7c bi\u1ec7t l\u00e0 suy tim n\u1eb7ng (\u0111\u1ed9 III-IV theo NYHA) v\u00e0 suy tim c\u00f3 ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m (HFrEF), n\u01a1i thu\u1ed1c \u0111\u01b0\u1ee3c xem l\u00e0 li\u1ec7u ph\u00e1p quan tr\u1ecdng gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 ti\u00ean l\u01b0\u1ee3ng cho b\u1ec7nh nh\u00e2n.<\/p>\n X\u01a1 gan g\u00e2y c\u1ed5 tr\u01b0\u1edbng v\u00e0 ph\u00f9 n\u1ec1.<\/p>\n C\u1ed5 tr\u01b0\u1edbng \u00e1c t\u00ednh (do kh\u1ed1i u).<\/p>\n H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0: Khi c\u00e1c li\u1ec7u ph\u00e1p kh\u00e1c nh\u01b0 glucocorticoid kh\u00f4ng \u0111\u1ee7 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ki\u1ec3m so\u00e1t ph\u00f9.<\/p>\n Ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed t\u00ecnh tr\u1ea1ng c\u01b0\u1eddng aldosteron ti\u00ean ph\u00e1t.<\/p>\n Li\u1ec1u l\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a theo \u0111\u00e1p \u1ee9ng v\u00e0 s\u1ef1 dung n\u1ea1p c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, n\u00ean u\u1ed1ng m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y trong b\u1eefa \u0103n \u0111\u1ec3 t\u0103ng h\u1ea5p thu.<\/p>\n Qu\u00e1 m\u1eabn v\u1edbi Spironolactone ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c Domever 25mg.<\/p>\n B\u1ec7nh nh\u00e2n suy th\u1eadn c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn n\u1eb7ng, v\u00f4 ni\u1ec7u.<\/p>\n B\u1ec7nh Addison’s.<\/p>\n T\u00ecnh tr\u1ea1ng t\u0103ng kali huy\u1ebft (n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u cao).<\/p>\n B\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali kh\u00e1c ho\u1eb7c eplerenone.<\/p>\n C\u1ea7n ph\u1ea3i theo d\u00f5i \u0111\u1ecbnh k\u1ef3 n\u1ed3ng \u0111\u1ed9 kali v\u00e0 creatinin huy\u1ebft thanh tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, trong tu\u1ea7n \u0111\u1ea7u ti\u00ean, h\u00e0ng th\u00e1ng trong 3 th\u00e1ng \u0111\u1ea7u, v\u00e0 sau \u0111\u00f3 \u0111\u1ecbnh k\u1ef3 m\u1ed7i 3-6 th\u00e1ng, \u0111\u1eb7c bi\u1ec7t khi thay \u0111\u1ed5i li\u1ec1u ho\u1eb7c ph\u1ed1i h\u1ee3p thu\u1ed1c.<\/p>\n T\u0103ng kali m\u00e1u: T\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m nh\u1ea5t, c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd.<\/p>\n Li\u00ean quan \u0111\u1ebfn kh\u00e1ng Androgen:<\/p>\n To\u00e0n th\u00e2n: M\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t.<\/p>\n Ti\u00eau h\u00f3a: N\u00f4n, bu\u1ed3n n\u00f4n, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a.<\/p>\n Nguy c\u01a1 t\u0103ng kali m\u00e1u n\u1eb7ng s\u1ebd t\u0103ng l\u00ean khi d\u00f9ng Domever 25mg \u0111\u1ed3ng th\u1eddi v\u1edbi:<\/p>\n Ngo\u00e0i ra, Spironolactone c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Digoxin trong m\u00e1u, c\u1ea7n theo d\u00f5i c\u1ea9n th\u1eadn.<\/p>\n Ph\u1ee5 n\u1eef c\u00f3 thai: Spironolactone c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef mang thai b\u1ecb b\u1ec7nh tim khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1.<\/p>\n B\u00e0 m\u1eb9 cho con b\u00fa: Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0ng c\u1ea7n th\u1eadn tr\u1ecdng v\u00e0 c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch cho m\u1eb9 v\u00e0 nguy c\u01a1 cho con.<\/p>\n Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, do \u0111\u00f3 c\u1ea7n th\u1eadn tr\u1ecdng khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u1ec7c d\u00f9ng thu\u1ed1c qu\u00e1 li\u1ec1u bao g\u1ed3m tr\u1ea1ng th\u00e1i bu\u1ed3n ng\u1ee7, l\u00fa l\u1eabn, c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, cho\u00e1ng v\u00e1ng ho\u1eb7c \u0111i ngo\u00e0i l\u1ecfng. Ngo\u00e0i ra, c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, c\u1ee5 th\u1ec3 l\u00e0 h\u1ea1 natri m\u00e1u ho\u1eb7c t\u0103ng kali m\u00e1u.<\/p>\n X\u1eed tr\u00ed: Kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u. Ch\u1ee7 y\u1ebfu l\u00e0 ng\u1eebng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3, b\u00f9 d\u1ecbch v\u00e0 \u0111i\u1ec7n gi\u1ea3i. Trong tr\u01b0\u1eddng h\u1ee3p t\u0103ng kali m\u00e1u n\u1eb7ng, c\u1ea7n c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p t\u00edch c\u1ef1c t\u1ea1i c\u01a1 s\u1edf y t\u1ebf.<\/p>\n B\u1ea3o qu\u1ea3n thu\u1ed1c \u1edf n\u01a1i kh\u00f4 r\u00e1o, nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C v\u00e0 tr\u00e1nh \u00e1nh s\u00e1ng tr\u1ef1c ti\u1ebfp.<\/p>\n Tr\u00ean th\u1ecb tr\u01b0\u1eddng c\u00f3 nhi\u1ec1u s\u1ea3n ph\u1ea9m kh\u00e1c ch\u1ee9a ho\u1ea1t ch\u1ea5t Spironolactone v\u1edbi c\u00e1c h\u00e0m l\u01b0\u1ee3ng kh\u00e1c nhau, v\u00ed d\u1ee5 nh\u01b0 thu\u1ed1c Spironolacton Tab DWP 50mg<\/a>. \u0110\u00e2y l\u00e0 s\u1ea3n ph\u1ea9m c\u1ee7a m\u1ed9t nh\u00e0 s\u1ea3n xu\u1ea5t kh\u00e1c v\u1edbi h\u00e0m l\u01b0\u1ee3ng ho\u1ea1t ch\u1ea5t cao h\u01a1n, vi\u1ec7c l\u1ef1a ch\u1ecdn v\u00e0 s\u1eed d\u1ee5ng s\u1ea3n ph\u1ea9m n\u00e0o ph\u1ea3i tu\u00e2n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\nDomever 25mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n
Th\u00e0nh ph\u1ea7n<\/h3>\n
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Tr\u00ecnh b\u00e0y<\/h3>\n

T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c<\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n
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\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n
Thu\u1ed1c Domever 25mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n
Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c<\/h2>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c<\/h3>\n
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C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c<\/h3>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Domever 25mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c<\/h2>\n
Th\u1eadn tr\u1ecdng<\/h3>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n
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T\u01b0\u01a1ng t\u00e1c<\/h3>\n
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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
L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n
Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n
B\u1ea3o qu\u1ea3n<\/h3>\n
S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1 thu\u1ed1c Domever 25mg<\/h2>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n