{"id":159196,"date":"2026-06-27T13:01:46","date_gmt":"2026-06-27T06:01:46","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=159196"},"modified":"2026-06-27T13:08:19","modified_gmt":"2026-06-27T06:08:19","slug":"samtrum-40mg","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/samtrum-40mg\/","title":{"rendered":"Samtrum 40mg"},"content":{"rendered":"
Trong b\u00e0i vi\u1ebft n\u00e0y,<\/b> d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Samtrum 40mg \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m TW 25 c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-35520-21<\/b><\/p>\n Trong m\u1ed7i vi\u00ean Samtrum 40mg<\/b> c\u00f3 ch\u1ee9a:<\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang c\u1ee9ng ch\u1ee9a pellet bao tan trong ru\u1ed9t<\/p>\n S\u0110K: VD-35520-21<\/p>\n Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean<\/p>\n Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n H\u1ea1n s\u1eed d\u1ee5ng: 24 th\u00e1ng<\/p>\n Esomeprazol l\u00e0 m\u1ed9t base y\u1ebfu, \u0111\u01b0\u1ee3c t\u00edch l\u0169y t\u1ea1i m\u00f4i tr\u01b0\u1eddng acid c\u1ee7a \u1ed1ng ti\u1ec3u qu\u1ea3n ti\u1ebft \u1edf t\u1ebf b\u00e0o th\u00e0nh d\u1ea1 d\u00e0y v\u00e0 chuy\u1ec3n th\u00e0nh d\u1ea1ng ho\u1ea1t t\u00ednh. T\u1ea1i \u0111\u00e2y, thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 enzym H\u207a\/K\u207a-ATPase, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m c\u1ea3 ti\u1ebft acid n\u1ec1n v\u00e0 ti\u1ebft acid khi c\u00f3 k\u00edch th\u00edch.<\/p>\n H\u1ea5p thu: B\u00e0o ch\u1ebf d\u1ea1ng h\u1ea1t bao tan trong ru\u1ed9t \u0111\u1ec3 tr\u00e1nh b\u1ecb acid d\u1ea1 d\u00e0y ph\u00e2n h\u1ee7y. Thu\u1ed1c h\u1ea5p thu nhanh, sau 1 – 2 gi\u1edd l\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh. Sinh kh\u1ea3 d\u1ee5ng t\u0103ng t\u1eeb 64% l\u00ean 89% (v\u1edbi li\u1ec1u 40 mg) v\u00e0 t\u1eeb 50% l\u00ean 68% (v\u1edbi li\u1ec1u 20 mg) khi chuy\u1ec3n t\u1eeb li\u1ec1u \u0111\u01a1n sang li\u1ec1u l\u1eb7p l\u1ea1i. Th\u1ee9c \u0103n c\u00f3 l\u00e0m gi\u1ea3m v\u00e0 ch\u1eadm h\u1ea5p thu ho\u1ea1t ch\u1ea5t trong Samtrum nh\u01b0ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u1ee9c ch\u1ebf acid.<\/p>\n Ph\u00e2n b\u1ed1: Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 esomeprazol trong Samtrum \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh \u0111\u1ea1t kho\u1ea3ng 0,22 L\/kg th\u1ec3 tr\u1ecdng \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. Thu\u1ed1c c\u00f3 t\u1ef7 l\u1ec7 li\u00ean k\u1ebft r\u1ea5t cao v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, l\u00ean \u0111\u1ebfn 97%.<\/p>\n Chuy\u1ec3n ho\u00e1: Chuy\u1ec3n h\u00f3a Esomeprazol ho\u00e0n to\u00e0n t\u1ea1i gan nh\u1edd h\u1ec7 Cytochrome P450. Trong \u0111\u00f3, enzym CYP2C19 ch\u1ecbu tr\u00e1ch nhi\u1ec7m ch\u00ednh (t\u1ea1o c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxy- v\u00e0 desmethyl), ph\u1ea7n c\u00f2n l\u1ea1i qua CYP3A4 \u0111\u1ec3 t\u1ea1o th\u00e0nh esomeprazol sulfon (ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh trong huy\u1ebft t\u01b0\u01a1ng).<\/p>\n Th\u1ea3i tr\u1eeb: Sau 1,3 gi\u1edd khi d\u00f9ng li\u1ec1u l\u1eb7p l\u1ea1i thu\u1ed1c th\u1ea3i tr\u1eeb 1 n\u1eeda v\u00e0 kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u00edch l\u0169y thu\u1ed1c khi u\u1ed1ng 1 l\u1ea7n\/ng\u00e0y. T\u1ed5ng \u0111\u1ed9 thanh th\u1ea3i \u0111\u1ea1t 17 L\/gi\u1edd (li\u1ec1u \u0111\u01a1n) v\u00e0 gi\u1ea3m c\u00f2n 9 L\/gi\u1edd (li\u1ec1u l\u1eb7p l\u1ea1i). Kho\u1ea3ng 80% l\u01b0\u1ee3ng thu\u1ed1c \u0111\u00e0o th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a b\u1ea5t ho\u1ea1t, ph\u1ea7n c\u00f2n l\u1ea1i th\u1ea3i qua ph\u00e2n. L\u01b0\u1ee3ng thu\u1ed1c d\u1ea1ng nguy\u00ean v\u1eb9n trong n\u01b0\u1edbc ti\u1ec3u chi\u1ebfm ch\u01b0a t\u1edbi 1%.<\/p>\n \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh<\/b><\/p>\n Ch\u1ec9 \u0111\u1ecbnh cho tr\u01b0\u1eddng h\u1ee3p th\u1ef1c qu\u1ea3n b\u1ecb t\u1ed5n th\u01b0\u01a1ng, vi\u00eam tr\u1ee3t do d\u1ecbch v\u1ecb tr\u00e0o ng\u01b0\u1ee3c.<\/p>\n Ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t th\u00f4ng qua \u0111i\u1ec1u tr\u1ecb duy tr\u00ec cho b\u1ec7nh nh\u00e2n \u0111\u00e3 h\u1ed3i ph\u1ee5c ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n.<\/p>\n Gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a GERD tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00f4ng xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng vi\u00eam.<\/p>\n Ch\u1eefa tr\u1ecb c\u00e1c v\u1ebft lo\u00e9t \u1edf d\u1ea1 d\u00e0y xu\u1ea5t hi\u1ec7n trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng NSAID.<\/p>\n D\u1ef1 ph\u00f2ng t\u1ed5n th\u01b0\u01a1ng lo\u00e9t \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u1edf b\u1ec7nh nh\u00e2n thu\u1ed9c nh\u00f3m nguy c\u01a1 cao c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng NSAID d\u00e0i h\u1ea1n.<\/p>\n \u0110\u1ed1i v\u1edbi tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean (T\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean)<\/b><\/p>\n X\u1eed l\u00fd c\u00e1c v\u1ebft vi\u00eam x\u01b0\u1edbc t\u1ea1i th\u1ef1c qu\u1ea3n do h\u1ec7 qu\u1ea3 c\u1ee7a tr\u00e0o ng\u01b0\u1ee3c d\u1ecbch v\u1ecb.<\/p>\n D\u00f9ng duy tr\u00ec sau giai \u0111o\u1ea1n c\u1ea5p nh\u1eb1m h\u1ea1n ch\u1ebf t\u1ed1i \u0111a nguy c\u01a1 t\u00e1i ph\u00e1t t\u1ed5n th\u01b0\u01a1ng.<\/p>\n X\u1eed l\u00fd tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh GERD.<\/p>\n Ng\u01b0\u1eddi l\u1edbn<\/strong><\/p>\n Tr\u1ebb t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean<\/strong><\/p>\nSamtrum 40mg 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 Samtrum 40mg<\/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 Samtrum \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n
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Samtrum 40mg Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n
Li\u1ec1u d\u00f9ng<\/h3>\n
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\n Ch\u1ec9 \u0111\u1ecbnh<\/th>\n Li\u1ec1u d\u00f9ng<\/th>\n<\/tr>\n \n Vi\u00eam x\u01b0\u1edbc th\u1ef1c qu\u1ea3n do GERD<\/td>\n 1 vi\u00ean Samtrum u\u1ed1ng 1 l\u1ea7n\/ng\u00e0y trong 4 tu\u1ea7n. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng ch\u01b0a l\u00e0nh ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u00f2n k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c th\u00eam 4 tu\u1ea7n.<\/td>\n<\/tr>\n \n Duy tr\u00ec sau khi vi\u00eam th\u1ef1c qu\u1ea3n \u0111\u00e3 l\u00e0nh<\/td>\n \u0110\u1ed5i ch\u1ebf ph\u1ea9m kh\u00e1c c\u00f3 h\u00e0m l\u01b0\u1ee3ng 20mg<\/td>\n<\/tr>\n \n \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng GERD kh\u00f4ng c\u00f3 vi\u00eam th\u1ef1c qu\u1ea3n<\/td>\n<\/tr>\n \n Di\u1ec7t Helicobacter pylori<\/em>, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng t\u00e1i ph\u00e1t lo\u00e9t t\u00e1 tr\u00e0ng<\/td>\n<\/tr>\n \n \u0110i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y do NSAID<\/td>\n<\/tr>\n \n D\u1ef1 ph\u00f2ng lo\u00e9t do NSAID<\/td>\n<\/tr>\n \n H\u1ed9i ch\u1ee9ng Zollinger-Ellison<\/td>\n Kh\u1edfi \u0111\u1ea7u 1 vi\u00ean Samtrum 40 x 2 l\u1ea7n\/ng\u00e0y, sau \u0111\u00f3 \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u00e1p \u1ee9ng. \u0110a s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u1edbi t\u1ed5ng li\u1ec1u 80\u2013160 mg\/ng\u00e0y. N\u1ebfu d\u00f9ng tr\u00ean 80 mg\/ng\u00e0y n\u00ean chia l\u00e0m 2 l\u1ea7n.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n