{"id":142759,"date":"2025-10-01T16:20:35","date_gmt":"2025-10-01T09:20:35","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=142759"},"modified":"2025-10-13T15:41:10","modified_gmt":"2025-10-13T08:41:10","slug":"nirdicin-250mg","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/nirdicin-250mg\/","title":{"rendered":"Nirdicin 250mg"},"content":{"rendered":"
Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m Nirdicin 250mg v\u1edbi t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Pharmathen S.A, Hy L\u1ea1p.<\/strong><\/p>\n M\u1ed7i vi\u00ean Nirdicin 250mg <\/strong>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim<\/p>\n S\u0110K : VN-18715-15<\/p>\n Quy c\u00e1ch \u0111\u00f3ng g\u00f3i : H\u1ed9p 1 v\u1ec9 x 10 vi\u00ean<\/p>\n Xu\u1ea5t x\u1ee9 : Hy L\u1ea1p<\/p>\n Levofloxacin l\u00e0 kh\u00e1ng sinh nh\u00f3m fluoroquinolon, \u0111\u1ed3ng ph\u00e2n L c\u1ee7a ofloxacin, c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t khu\u1ea9n b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf enzyme DNA gyrase (topoisomerase II) v\u00e0 topoisomerase IV, l\u00e0m gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh sao ch\u00e9p v\u00e0 s\u1eeda ch\u1eefa ADN d\u1eabn \u0111\u1ebfn ch\u1ebft vi khu\u1ea9n.<\/p>\n Levofloxacin kh\u00e1ng khu\u1ea9n r\u1ed9ng, ho\u1ea1t t\u00ednh cao v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng ch\u00e9o trong nh\u00f3m fluoroquinolon do \u0111\u1ed9t bi\u1ebfn \u1edf v\u00f9ng QRDR.<\/p>\n Ph\u1ed5 t\u00e1c d\u1ee5ng<\/p>\n H\u1ea5p thu: H\u1ea5p thu nhanh v\u00e0 g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng u\u1ed1ng, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh \u0111\u1ea1t sau kho\u1ea3ng 1 gi\u1edd, th\u1ee9c \u0103n \u00edt \u1ea3nh h\u01b0\u1edfng t\u1edbi h\u1ea5p thu.<\/p>\n Ph\u00e2n b\u1ed1: Thu\u1ed1c ph\u00e2n b\u1ed1 r\u1ed9ng v\u00e0o m\u00f4 ph\u1ed5i, x\u01b0\u01a1ng, m\u00f4 da v\u00e0 d\u1ecbch, nh\u01b0ng th\u1ea5m qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o k\u00e9m. Tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh \u0111\u1ea1t sau v\u00e0i ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/p>\n Chuy\u1ec3n h\u00f3a: Chuy\u1ec3n h\u00f3a r\u1ea5t h\u1ea1n ch\u1ebf, hai ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh l\u00e0 desmethyl-levofloxacin v\u00e0 levofloxacin N-oxide.<\/p>\n Th\u1ea3i tr\u1eeb: Th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua th\u1eadn d\u01b0\u1edbi d\u1ea1ng thu\u1ed1c kh\u00f4ng \u0111\u1ed5i, th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 6\u20138 gi\u1edd. Tr\u00ean 85% li\u1ec1u \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua th\u1eadn, do \u0111\u00f3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u khi suy th\u1eadn.<\/p>\n Nirdicin 250mg Levofloxacin<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c nhi\u1ec5m khu\u1ea9n do vi khu\u1ea9n nh\u1ea1y c\u1ea3m v\u1edbi levofloxacin, g\u1ed3m:<\/p>\n Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i trong c\u1ed9ng \u0111\u1ed3ng: 2 vi\u00ean\/l\u1ea7n, 1\u20132 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 7\u201314 ng\u00e0y.<\/p>\n Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ec3u c\u00f3 bi\u1ebfn ch\u1ee9ng k\u1ec3 c\u1ea3 vi\u00eam th\u1eadn b\u1ec3 th\u1eadn: 1 vi\u00ean\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 7\u201310 ng\u00e0y.<\/p>\n Vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t m\u1ea1n t\u00ednh: 2 vi\u00ean\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 28 ng\u00e0y.<\/p>\n Nhi\u1ec5m khu\u1ea9n da v\u00e0 m\u00f4 m\u1ec1m: 1 vi\u00ean\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y ho\u1eb7c 2 vi\u00ean\/l\u1ea7n, 1\u20132 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 7\u201314 ng\u00e0y.<\/p>\n Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ec3u kh\u00f4ng bi\u1ebfn ch\u1ee9ng: 1 vi\u00ean\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 3 ng\u00e0y.<\/p>\n Vi\u00eam xoang c\u1ea5p: 2 vi\u00ean\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 10\u201314 ng\u00e0y.<\/p>\n \u0110\u1ee3t k\u1ecbch ph\u00e1t c\u1ea5p c\u1ee7a vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n: 1\u20132 vi\u00ean\/l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y, u\u1ed1ng 7\u201310 ng\u00e0y.<\/p>\n Kh\u00f4ng c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u \u1edf ng\u01b0\u1eddi gi\u00e0.<\/p>\n B\u1ec7nh nh\u00e2n suy th\u1eadn hi\u1ec7u ch\u1ec9nh li\u1ec1u ph\u00f9 h\u1ee3p theo t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/p>\n Thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, nu\u1ed1t tr\u1ecdn vi\u00ean v\u1edbi l\u01b0\u1ee3ng n\u01b0\u1edbc v\u1eeba \u0111\u1ee7, kh\u00f4ng nghi\u1ec1n n\u00e1t. C\u00f3 th\u1ec3 b\u1ebb theo v\u1ea1ch \u0111\u1ec3 chia li\u1ec1u. U\u1ed1ng trong b\u1eefa \u0103n ho\u1eb7c gi\u1eefa hai b\u1eefa.<\/p>\n U\u1ed1ng \u00edt nh\u1ea5t 2 gi\u1edd tr\u01b0\u1edbc khi d\u00f9ng c\u00e1c ch\u1ebf ph\u1ea9m ch\u1ee9a s\u1eaft, antacid ho\u1eb7c sucralfat \u0111\u1ec3 tr\u00e1nh l\u00e0m gi\u1ea3m h\u1ea5p thu thu\u1ed1c.<\/p>\n Kh\u00f4ng d\u00f9ng Nirdicin 250mg trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n B\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh.<\/p>\n Ti\u1ec1n s\u1eed \u0111au g\u00e2n ho\u1eb7c \u0111\u1ee9t g\u00e2n li\u00ean quan \u0111\u1ebfn fluoroquinolon.<\/p>\n Tr\u1ebb em d\u01b0\u1edbi 18 tu\u1ed5i.<\/p>\n Thi\u1ebfu men G6PD.<\/p>\n Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa.<\/p>\n Vi\u00eam g\u00e2n v\u00e0 \u0111\u1ee9t g\u00e2n c\u00f3 th\u1ec3 x\u1ea3y ra, th\u01b0\u1eddng li\u00ean quan g\u00e2n g\u00f3t Achilles, nguy c\u01a1 cao h\u01a1n \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u00e0 khi k\u1ebft h\u1ee3p corticoid. N\u1ebfu nghi ng\u1edd vi\u00eam g\u00e2n, ng\u01b0ng thu\u1ed1c ngay v\u00e0 cho g\u00e2n ngh\u1ec9.<\/p>\n Ti\u00eau ch\u1ea3y n\u1eb7ng ho\u1eb7c k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0 vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c do Clostridium difficile, c\u1ea7n ng\u01b0ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 n\u1ebfu nghi ng\u1edd.<\/p>\n Th\u1eadn tr\u1ecdng \u1edf ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd th\u1ea7n kinh trung \u01b0\u01a1ng nh\u01b0 \u0111\u1ed9ng kinh, x\u01a1 c\u1ee9ng m\u1ea1ch n\u00e3o, v\u00ec c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 co gi\u1eadt.<\/p>\n Ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn v\u00ec thu\u1ed1c th\u1ea3i ch\u00ednh qua th\u1eadn.<\/p>\n Ph\u1ea3n \u1ee9ng m\u1eabn c\u1ea3m n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra, k\u1ec3 c\u1ea3 s\u1ed1c ph\u1ea3n v\u1ec7, c\u1ea7n ng\u01b0ng thu\u1ed1c n\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n.<\/p>\n Nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng d\u00f9ng thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c insulin, c\u1ea7n theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n Nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng hi\u1ebfm g\u1eb7p, tr\u00e1nh ph\u01a1i n\u1eafng ho\u1eb7c tia c\u1ef1c t\u00edm kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n Th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 k\u00e9o d\u00e0i kho\u1ea3ng QT, ng\u01b0\u1eddi h\u1ea1 kali m\u00e1u, \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m IA ho\u1eb7c III, ho\u1eb7c c\u00f3 thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ea5p.<\/p>\n M\u1ed9t s\u1ed1 ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u00f3 th\u1ec3 n\u1eb7ng, kh\u00f4ng h\u1ed3i ph\u1ee5c v\u00e0 g\u00e2y t\u00e0n t\u1eadt, bao g\u1ed3m b\u1ec7nh l\u00fd g\u00e2n, th\u1ea7n kinh ngo\u1ea1i vi v\u00e0 t\u00e1c d\u1ee5ng tr\u00ean th\u1ea7n kinh trung \u01b0\u01a1ng. N\u1ebfu xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, ng\u01b0ng thu\u1ed1c ngay.<\/p>\n Th\u01b0\u1eddng g\u1eb7p : Bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, t\u0103ng men gan, m\u1ea5t ng\u1ee7, \u0111au \u0111\u1ea7u.<\/p>\n \u00cdt g\u1eb7p : Hoa m\u1eaft, c\u0103ng th\u1eb3ng, k\u00edch \u0111\u1ed9ng, lo l\u1eafng, \u0111au b\u1ee5ng, \u0111\u1ea7y h\u01a1i, kh\u00f3 ti\u00eau, t\u00e1o b\u00f3n, n\u00f4n, t\u0103ng bilirubin huy\u1ebft, vi\u00eam \u00e2m \u0111\u1ea1o do Candida, ng\u1ee9a, ph\u00e1t ban.<\/p>\n Hi\u1ebfm g\u1eb7p : T\u0103ng ho\u1eb7c h\u1ea1 huy\u1ebft \u00e1p, lo\u1ea1n nh\u1ecbp tim, vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3, kh\u00f4 mi\u1ec7ng, vi\u00eam d\u1ea1 d\u00e0y, ph\u00f9 l\u01b0\u1ee1i, \u0111au kh\u1edbp, y\u1ebfu c\u01a1, \u0111au c\u01a1, vi\u00eam t\u1ee7y x\u01b0\u01a1ng, vi\u00eam g\u00e2n Achilles, co gi\u1eadt, gi\u1ea5c m\u01a1 b\u1ea5t th\u01b0\u1eddng, tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, ph\u00f9 m\u1ea1ch, s\u1ed1c ph\u1ea3n v\u1ec7, h\u1ed9i ch\u1ee9ng Stevens-Johnson v\u00e0 h\u1ed9i ch\u1ee9ng Lyell.<\/p>\n Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng antacid, s\u1eaft, k\u1ebdm, canxi ho\u1eb7c c\u00e1c ch\u1ebf ph\u1ea9m ch\u1ee9a ion \u0111a h\u00f3a tr\u1ecb, do c\u00e1c cation n\u00e0y t\u1ea1o ph\u1ee9c v\u1edbi levofloxacin l\u00e0m gi\u1ea3m h\u1ea5p thu, n\u00ean u\u1ed1ng levofloxacin tr\u01b0\u1edbc ho\u1eb7c sau c\u00e1c ch\u1ebf ph\u1ea9m n\u00e0y \u00edt nh\u1ea5t 2 gi\u1edd.<\/p>\n Sucralfat c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m sinh kh\u1ea3 d\u1ee5ng c\u1ee7a levofloxacin, do \u0111\u00f3 khuy\u1ebfn ngh\u1ecb u\u1ed1ng levofloxacin \u00edt nh\u1ea5t 2 gi\u1edd tr\u01b0\u1edbc sucralfat.<\/p>\n Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng theophylline ho\u1eb7c c\u00e1c thu\u1ed1c l\u00e0m gi\u1ea3m ng\u01b0\u1ee1ng co gi\u1eadt, do c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 co gi\u1eadt ho\u1eb7c \u0111\u1ed9c t\u00ednh th\u1ea7n kinh, n\u00ean theo d\u00f5i l\u00e2m s\u00e0ng ch\u1eb7t ch\u1ebd.<\/p>\n Probenecid ho\u1eb7c cimetidin g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi th\u1ea3i tr\u1eeb levofloxacin qua th\u1eadn c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 levofloxacin, nh\u1ea5t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn.<\/p>\n Th\u1eadn tr\u1ecdng khi d\u00f9ng c\u00f9ng warfarin ho\u1eb7c thu\u1ed1c \u0111\u1ed1i kh\u00e1ng vitamin K, do \u0111\u00e3 c\u00f3 b\u00e1o c\u00e1o t\u0103ng INR v\u00e0 ch\u1ea3y m\u00e1u, c\u1ea7n theo d\u00f5i x\u00e9t nghi\u1ec7m \u0111\u00f4ng m\u00e1u.<\/p>\n N\u00ean theo d\u00f5i l\u00e2m s\u00e0ng khi d\u00f9ng c\u00f9ng ciclosporin ho\u1eb7c digoxin.<\/p>\n Kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/p>\n Levofloxacin c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t, \u00f9 tai, bu\u1ed3n ng\u1ee7 ho\u1eb7c r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, do \u0111\u00f3 b\u1ec7nh nh\u00e2n n\u00ean th\u1eadn tr\u1ecdng khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n Tri\u1ec7u ch\u1ee9ng : l\u00fa l\u1eabn, \u00f9 tai, r\u1ed1i lo\u1ea1n tri gi\u00e1c, co gi\u1eadt.<\/p>\n X\u1eed tr\u00ed : B\u00e1o ngay cho b\u00e1c s\u0129 \u0111\u1ec3 ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi : theo d\u00f5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/p>\n B\u1ea3o qu\u1ea3n n\u01a1i kh\u00f4 tho\u00e1ng, m\u00e1t, tr\u00e1nh \u00e1nh n\u1eafng tr\u1ef1c ti\u1ebfp.<\/p>\n Qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c s\u1ea3n ph\u1ea9m kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng v\u1edbi nh\u01b0:<\/p>\nNirdicin 250mg l\u00e0 s\u1ea3n ph\u1ea9m 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 Nirdicin 250mg<\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n
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D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n
Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a s\u1ea3n ph\u1ea9m Nirdicin 250mg?<\/h2>\n
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Li\u1ec1u d\u00f9ng c\u1ee7a Nirdicin 250mg<\/h2>\n
Li\u1ec1u d\u00f9ng<\/h3>\n
C\u00e1ch d\u00f9ng<\/h3>\n
Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a Nirdicin 250mg<\/h2>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Nirdicin 250mg<\/h2>\n
Th\u1eadn tr\u1ecdng<\/h3>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n
T\u01b0\u01a1ng t\u00e1c<\/h3>\n
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
Kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n
Qu\u00e1 li\u1ec1u<\/h3>\n
B\u1ea3o qu\u1ea3n<\/h3>\n
S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1<\/h2>\n
\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n