{"id":148693,"date":"2025-11-24T08:28:54","date_gmt":"2025-11-24T01:28:54","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=148693"},"modified":"2025-11-24T08:32:44","modified_gmt":"2025-11-24T01:32:44","slug":"dorover-4-mg","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/dorover-4-mg\/","title":{"rendered":"Dorover 4 mg"},"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 Dorover 4 mg<\/a> \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 893110050200 (S\u0110K c\u0169: VD-34397-20).<\/strong><\/p>\n Thu\u1ed1c Dorover 4 mg<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n: Perindopril tert-butylamin 4mg<\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/p>\n S\u0110K: 893110050200 (S\u0110K c\u0169: VD-34397-20)<\/p>\n Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 t\u00fai nh\u00f4m x 1 v\u1ec9 x 30 vi\u00ean<\/p>\n Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n Perindopril tert-butylamin thu\u1ed9c nh\u00f3m \u1ee9c ch\u1ebf enzyme chuy\u1ec3n angiotensin (ACE). Perindopril \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin nh\u1edd ch\u1ea5t chuy\u1ec3n h\u00f3a perindoprilat.<\/p>\n ACE \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00e1o angiotensin I th\u00e0nh angioptensin II- ch\u1ea5t g\u00e2y co m\u1ea1ch, th\u00fac \u0111\u1ea9y s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a t\u1ebf b\u00e0o c\u01a1 tim v\u00e0 t\u1ebf b\u00e0o c\u01a1 tr\u01a1n m\u1ea1ch m\u00e1u, gi\u00e1ng h\u00f3a bradykinin.<\/p>\n Vi\u1ec7c \u1ee9c ch\u1ebf ACE d\u1eabn \u0111\u1ebfn gi\u1ea3m angiotensin II, t\u0103ng ho\u1ea1t t\u00ednh renin huy\u1ebft t\u01b0\u01a1ng, l\u00e0m gi\u1ea3m ti\u1ebft aldosterone, t\u0103ng gi\u1eef kali v\u00e0 gi\u1ea3m gi\u1eef natri trong c\u01a1 th\u1ec3, g\u00f3p ph\u1ea7n v\u00e0o c\u01a1 ch\u1ebf h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n Perindopril h\u1ea5p thu t\u1ed1t khi d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, chuy\u1ec3n h\u00f3a m\u1ea1nh \u1edf gan t\u1ea1o th\u00e0nh perindoprilat c\u00f3 ho\u1ea1t t\u00ednh ch\u00ednh. Sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c kho\u1ea3ng 65-70% v\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng sau kho\u1ea3ng 3-4 gi\u1edd. Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a perindoprilat kho\u1ea3ng 0,2 L\/kg, t\u1ef7 l\u1ec7 li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng th\u1ea5p. Thu\u1ed1c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u, th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 3-5 gi\u1edd, \u0111\u1ed9 thanh th\u1ea3i kho\u1ea3ng 70 ml\/ph\u00fat.<\/p>\n Thu\u1ed1c Dorover 4 mg<\/strong> \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p, suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng, ph\u00f2ng ng\u1eeba nguy c\u01a1 tai bi\u1ebfn tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 t\u00e1i th\u00f4ng m\u1ea1ch.<\/p>\n Hi\u1ec7u ch\u1ec9nh li\u1ec1u d\u00f9ng Dorover 4 mg t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 t\u1ee5t huy\u1ebft \u00e1p, li\u1ec1u kh\u1edfi \u0111\u1ea7u khuy\u1ebfn c\u00e1o 2 mg\/l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n C\u00f3 th\u1ec3 t\u0103ng th\u00eam 2mg sau 2 tu\u1ea7n<\/td>\n<\/tr>\n Sau \u0111\u00f3 t\u0103ng 8 mg\/l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n Sau \u0111\u00f3 t\u0103ng 4 mg\/l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n B\u1ec7nh nh\u00e2n suy th\u1eadn<\/p>\n B\u1ec7nh nh\u00e2n suy gan: Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u<\/p>\n Tr\u1ebb nh\u1ecf: Kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng Dorover 4 mg<\/p>\n Thu\u1ed1c Dorover 4 mg d\u1ea1ng vi\u00ean n\u00e9n, s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Dorover 4 mg cho b\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi perindopril ho\u1eb7c t\u00e1 d\u01b0\u1ee3c trong thu\u1ed1c, ti\u1ec1n s\u1eed ph\u00f9 m\u1ea1ch di truy\u1ec1n ho\u1eb7c v\u00f4 c\u0103n, mang thai 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i thai k\u1ef3.<\/p>\n Kh\u00f4ng d\u00f9ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng s\u1ea3n ph\u1ea9m ch\u1ee9a aliskiren.<\/p>\n C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n th\u01b0\u1eddng g\u1eb7p khi d\u00f9ng Dorover 4 mg bao g\u1ed3m r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, cho\u00e1ng v\u00e1ng, ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, d\u1ecb c\u1ea3m, \u00f9 tai, t\u1ee5t huy\u1ebft \u00e1p, ho, kh\u00f3 th\u1edf, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, chu\u1ed9t r\u00fat, suy nh\u01b0\u1ee3c.<\/p>\n M\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n \u00edt g\u1eb7p nh\u01b0 kh\u00f4 mi\u1ec7ng, m\u1ec1 \u0111ay, \u0111au c\u01a1 kh\u1edbp, thi\u1ec3u n\u0103ng th\u1eadn, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, m\u1ec7t m\u1ecfi, t\u00e9 ng\u00e3, t\u0103ng creatinine huy\u1ebft,\u2026<\/p>\n Kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng Dorover 4 mg cho ph\u1ee5 n\u1eef mang thai 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi 3 th\u00e1ng gi\u1eefa v\u00e0 cu\u1ed1i thai k\u1ef3.<\/p>\n Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng thu\u1ed1c cho ph\u1ee5 n\u1eef \u0111ang nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9.<\/p>\n Th\u1eadn tr\u1ecdng khi d\u00f9ng Dorover 4 mg cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c do thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y t\u1ee5t huy\u1ebft \u00e1p.<\/p>\n Tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u Dorover 4 mg: t\u1ee5t huy\u1ebft \u00e1p, s\u1ed1c, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, nh\u1ecbp tim nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, ch\u00f3ng m\u1eb7t, lo \u00e2u, ho,\u2026<\/p>\n X\u1eed tr\u00ed: Khuy\u1ebfn c\u00e1o truy\u1ec1n t\u0129nh m\u1ea1ch dung d\u1ecbch mu\u1ed1i \u0111\u1eb3ng tr\u01b0\u01a1ng, lo\u1ea1i b\u1ecf thu\u1ed1c kh\u1ecfi tu\u1ea7n ho\u00e0n chung b\u1eb1ng th\u1ea9m ph\u00e2n m\u00e1u.<\/p>\n Dorover 4 mg kh\u00f4ng n\u00ean \u0111\u1eb7t t\u1ea1i n\u01a1i g\u1ea7n khu vui ch\u01a1i c\u1ee7a tr\u1ebb nh\u1ecf. T\u1ed1t nh\u1ea5t, Dorover 4 mg n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u1ea1i n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t, nhi\u1ec7t \u0111\u1ed9 kh\u00f4ng qu\u00e1 30 \u0111\u1ed9 C.<\/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 ho\u1ea1t ch\u1ea5t v\u00e0 t\u00e1c d\u1ee5ng v\u1edbi Dorover 4 mg nh\u01b0:<\/p>\n
Dorover 4 mg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n
Th\u00e0nh ph\u1ea7n<\/h3>\n
Tr\u00ecnh b\u00e0y<\/h3>\n
T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Dorover 4 mg<\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n
Thu\u1ed1c Dorover 4 mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Dorover 4 mg<\/h2>\n
Li\u1ec1u d\u00f9ng<\/h3>\n
\n\n
\n Ch\u1ec9 \u0111\u1ecbnh<\/td>\n Li\u1ec1u d\u00f9ng<\/td>\n<\/tr>\n \n T\u0103ng huy\u1ebft \u00e1p<\/td>\n<\/tr>\n \n Li\u1ec1u kh\u1edfi \u0111\u1ea7u<\/td>\n 4 mg\/l\u1ea7n\/ng\u00e0y<\/p>\n \n Li\u1ec1u duy tr\u00ec<\/td>\n 4-8 mg\/ng\u00e0y t\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n<\/td>\n<\/tr>\n \n Suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng<\/td>\n<\/tr>\n \n Li\u1ec1u kh\u1edfi \u0111\u1ea7u<\/td>\n 2 mg\/l\u1ea7n\/ng\u00e0y<\/p>\n \n Li\u1ec1u duy tr\u00ec<\/td>\n 4 mg\/l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n \n B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh<\/td>\n<\/tr>\n \n Ng\u01b0\u1eddi l\u1edbn<\/td>\n 4 mg\/l\u1ea7n\/ng\u00e0y x 2 tu\u1ea7n<\/p>\n \n Ng\u01b0\u1eddi cao tu\u1ed5i<\/td>\n 2 mg\/l\u1ea7n\/ng\u00e0y x 1 tu\u1ea7n<\/p>\n \n\n
\n \u0110\u1ed9 thanh th\u1ea3i creatinine (ml\/ph\u00fat)<\/td>\n Li\u1ec1u d\u00f9ng<\/td>\n<\/tr>\n \n \u2265 60<\/td>\n 4 mg\/ng\u00e0y<\/td>\n<\/tr>\n \n 30-60<\/td>\n 2 mg\/ng\u00e0y<\/td>\n<\/tr>\n \n 15-30<\/td>\n 2 mg\/ng\u00e0y<\/td>\n<\/tr>\n \n < 15<\/td>\n 2 mg v\u00e0o ng\u00e0y th\u1ea9m ph\u00e2n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n C\u00e1ch d\u00f9ng<\/h3>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Dorover 4 mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Dorover 4 mg<\/h2>\n
Th\u1eadn tr\u1ecdng<\/h3>\n
\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n
T\u01b0\u01a1ng t\u00e1c<\/h3>\n
\n\n
\n Thu\u1ed1c<\/td>\n T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n \n Aliskiren, thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali, thu\u1ed1c \u1ee9c ch\u1ebf ACE, NSAID, heparin, tacrolimus, cyclosporin<\/td>\n T\u0103ng nguy c\u01a1 t\u0103ng kali huy\u1ebft khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi Dorover 4 mg<\/td>\n<\/tr>\n \n Racecadotril<\/td>\n T\u0103ng nguy c\u01a1 ph\u00f9 m\u1ea1ch<\/td>\n<\/tr>\n \n Sirolimus, Everolimus, Temsirolimus<\/td>\n T\u0103ng nguy c\u01a1 ph\u00f9 m\u1ea1ch<\/td>\n<\/tr>\n \n Aliskiren<\/td>\n Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi Dorover 4 mg<\/td>\n<\/tr>\n \n Estramustin<\/td>\n T\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5 ph\u00f9 m\u1ea1ch.<\/td>\n<\/tr>\n \n Lithi<\/td>\n T\u0103ng n\u1ed3ng \u0111\u1ed9 lithi trong huy\u1ebft thanh v\u00e0 g\u00e2y \u0111\u1ed9c<\/td>\n<\/tr>\n \n Thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/td>\n Th\u1eadn tr\u1ecdng khi d\u00f9ng \u0111\u1ed3ng th\u1eddi do t\u0103ng t\u00e1c d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/td>\n<\/tr>\n \n Baclofen<\/td>\n T\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p<\/td>\n<\/tr>\n \n NSAID<\/td>\n Gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p<\/td>\n<\/tr>\n \n Linagliptin, Saxagliptin, Sitagliptin, Vildagliptin<\/td>\n T\u0103ng nguy c\u01a1 ph\u00f9 m\u1ea1ch<\/td>\n<\/tr>\n \n Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng<\/td>\n T\u0103ng nguy c\u01a1 t\u1ee5t huy\u1ebft \u00e1p<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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
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<\/h2>\n