Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nThu\u1ed1c Clealine<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\nSertraline \u2026\u2026\u2026.. 50mg<\/span><\/p>\nT\u00e1 d\u01b0\u1ee3c: v\u1eeba \u0111\u1ee7 m\u1ed9t vi\u00ean<\/span><\/p>\nD\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: VN-16661-13<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 6 v\u1ec9 x10 vi\u00ean<\/span><\/p>\nXu\u1ea5t x\u1ee9: B\u1ed3 \u0110\u00e0o Nha<\/span><\/p>\nT\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c\u00a0<\/span><\/h2>\nSertraline \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc s\u1ef1 t\u00e1i h\u1ea5p thu serotonin (5-HT) \u1edf m\u00e0ng t\u1ebf b\u00e0o th\u1ea7n kinh tr\u01b0\u1edbc kh\u1edbp th\u1ea7n kinh, do \u0111\u00f3 l\u00e0m t\u0103ng ho\u1ea1t \u0111\u1ed9ng serotonergic. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn t\u0103ng n\u1ed3ng \u0111\u1ed9 serotonin trong kh\u1edbp th\u1ea7n kinh trung \u01b0\u01a1ng, d\u1eabn \u0111\u1ebfn nhi\u1ec1u thay \u0111\u1ed5i ch\u1ee9c n\u0103ng li\u00ean quan \u0111\u1ebfn d\u1eabn truy\u1ec1n th\u1ea7n kinh serotonergic t\u0103ng c\u01b0\u1eddng. 19 , 21 Nh\u1eefng thay \u0111\u1ed5i n\u00e0y \u0111\u01b0\u1ee3c cho l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra t\u00e1c d\u1ee5ng ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00e0 t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i trong ch\u1ee9ng \u00e1m \u1ea3nh c\u01b0\u1ee1ng ch\u1ebf (v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn lo \u00e2u kh\u00e1c). Ng\u01b0\u1eddi ta \u0111\u01b0a ra gi\u1ea3 thuy\u1ebft r\u1eb1ng ch\u1ee9ng r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng ch\u1ebf, gi\u1ed1ng nh\u01b0 tr\u1ea7m c\u1ea3m, c\u0169ng l\u00e0 do s\u1ef1 m\u1ea5t ki\u1ec3m so\u00e1t c\u1ee7a serotonin.<\/span><\/p>\nTrong c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng vi\u1ec7c s\u1eed d\u1ee5ng sertraline l\u00e2u d\u00e0i d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh gi\u1ea3m c\u00e1c th\u1ee5 th\u1ec3 norepinephrine trong n\u00e3o. Sertraline th\u1ec3 hi\u1ec7n \u00e1i l\u1ef1c v\u1edbi c\u00e1c v\u1ecb tr\u00ed g\u1eafn k\u1ebft th\u1ee5 th\u1ec3 sigma-1 v\u00e0 2 13 , nh\u01b0ng g\u1eafn k\u1ebft v\u1edbi \u00e1i l\u1ef1c m\u1ea1nh h\u01a1n v\u1edbi c\u00e1c v\u1ecb tr\u00ed g\u1eafn k\u1ebft sigma-1. 12 Trong \u1ed1ng nghi\u1ec7m, sertraline cho th\u1ea5y \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 \u00e1i l\u1ef1c v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 GABA, dopaminergic, serotonergic (5HT1A, 5HT1B, 5HT2) ho\u1eb7c benzodiazepine. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf y\u1ebfu \u0111\u1ed1i v\u1edbi s\u1ef1 h\u1ea5p thu norepinephrine v\u00e0 dopamine 5 c\u1ee7a t\u1ebf b\u00e0o th\u1ea7n kinh v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf \u0111\u1ed1i v\u1edbi enzyme monoamine oxidase.\u00a0<\/span><\/p>\nThu\u1ed1c Clealine 50mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec ?<\/span><\/h2>\nClealine 50mg<\/strong> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb<\/span><\/p>\n\n- Ch\u1ee9ng tr\u1ea7m c\u1ea3m, g\u1ed3m tr\u1ea7m c\u1ea3m k\u00e8m c\u00e1c tri\u1ec7u ch\u1ee9ng lo \u00e2u, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed h\u01b0ng c\u1ea3m. Duy tr\u00ec s\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 kh\u1edfi ph\u00e1t l\u1ea1i tr\u1ea7m c\u1ea3m ho\u1eb7c t\u00e1i ph\u00e1t l\u1ea1i c\u00e1c giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m ti\u1ebfp theo.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n c\u01b0\u1ee1ng b\u1ee9c \u00e1m \u1ea3nh (OCD). C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng duy tr\u00ec 2 n\u0103m n\u1ebfu c\u00f3 nh\u1eefng \u0111\u00e1p \u1ee9ng an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 dung n\u1ea1p t\u1ed1t trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n
- B\u1ec7nh nh\u00e2n nhi khoa b\u1ecb OCD<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n ho\u1ea3ng lo\u1ea1n, k\u1ec3 c\u1ea3 c\u00f3 ch\u1ee9ng ho\u1ea3ng s\u1ee3 kho\u1ea3ng r\u1ed9ng hay kh\u00f4ng.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n stress sau ch\u1ea5n th\u01b0\u01a1ng.<\/span><\/li>\n<\/ul>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Clealine 50mg<\/span><\/h2>\nClealine d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c bu\u1ed5i t\u1ed1i, c\u00f3 th\u1ec3 c\u00f9ng v\u1edbi th\u1ee9c \u0103n ho\u1eb7c kh\u00f4ng.<\/span><\/p>\n\n\n\n| \u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n | Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n\nLi\u1ec1u d\u00f9ng ban \u0111\u1ea7u<\/span><\/i><\/td>\n<\/tr>\n\n| Tr\u1ea7m c\u1ea3m\u00a0<\/span><\/p>\n R\u1ed1i lo\u1ea1n c\u01b0\u1ee1ng b\u1ee9c \u00e1m \u1ea3nh<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| R\u1ed1i lo\u1ea1n ho\u1ea3ng lo\u1ea1n<\/span><\/p>\n R\u1ed1i lo\u1ea1n stress sau ch\u1ea5n th\u01b0\u01a1ng<\/span><\/td>\n | B\u1eaft \u0111\u1ea7u: \u00bd vi\u00ean\/ng\u00e0y<\/span><\/p>\n Sau 1 tu\u1ea7n: 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\nLi\u1ec1u duy tr\u00ec: <\/span><\/i>N\u00ean d\u00f9ng \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t m\u00e0 v\u1eabn c\u00f3 hi\u1ec7u qu\u1ea3, sau \u0111\u00f3 \u0111i\u1ec1u ch\u1ec9nh theo m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng thu\u1ed1c<\/span><\/td>\n<\/tr>\n\nTr\u1ebb em<\/span><\/i><\/td>\n<\/tr>\n\n| T\u1eeb 6 – 12 tu\u1ed5i<\/span><\/td>\n | Li\u1ec1u kh\u1edfi \u0111\u1ea7u: \u00bd vi\u00ean\/ng\u00e0y<\/span><\/p>\n Sau 1 tu\u1ea7n: 1 vi\u00ean\/ng\u00e0y<\/span><\/p>\nThi\u1ebfu \u0111\u00e1p \u1ee9ng: 200mg\/ng\u00e0y (n\u1ebfu c\u1ea7n)<\/span><\/td>\n<\/tr>\n\n| T\u1eeb 13 – 17 tu\u1ed5i<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi cao tu\u1ed5i<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Suy gan<\/span><\/td>\n | S\u1eed d\u1ee5ng li\u1ec1u th\u1ea5p h\u01a1n \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng<\/span><\/p>\n K\u00e9o d\u00e0i kho\u1ea3ng c\u00e1ch d\u00f9ng thu\u1ed1c<\/span><\/td>\n<\/tr>\n\n| Suy th\u1eadn<\/span><\/td>\n | Kh\u00f4ng b\u1eaft bu\u1ed9c ph\u1ea3i hi\u1ec7u ch\u1ec9nh li\u1ec1u<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nKh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Clealine trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\n- C\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m, d\u1ecb \u1ee9ng v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c Clealine<\/span><\/li>\n
- Kh\u00f4ng d\u00f9ng thu\u1ed1c clealine 50mg<\/strong> tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men monoamine oxidase (IMAO).<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Clealine 50mg<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\n\n- Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf men Monoamine oxidase (IMAO)<\/span><\/li>\n
- N\u00ean s\u1eed d\u1ee5ng c\u1ea9n th\u1eadn v\u00e0 d\u01b0\u1edbi s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 khi d\u00f9ng c\u00f9ng v\u1edbi thu\u1ed1c g\u00e2y c\u01b0\u1eddng h\u1ec7 serotonergic kh\u00e1c, chuy\u1ec3n \u0111\u1ed5i gi\u1eefa c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc s\u1ef1 thu h\u1ed3i serotonin v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ho\u1eb7c ch\u1ed1ng \u00e1m \u1ea3nh.<\/span><\/li>\n
- V\u1edbi nh\u1eefng c\u01a1n \u0111\u1ed9ng kinh n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c ho\u1eb7c ph\u1ea3i theo d\u00f5i c\u1ea9n th\u1eadn do sertraline ch\u01b0a c\u00f3 \u0111\u1ea7y \u0111\u1ee7 b\u00e1o c\u00e1o l\u00e2m s\u00e0ng \u1edf c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n c\u01a1n \u0111\u1ed9ng kinh.<\/span><\/li>\n
- Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u0103ng h\u01b0ng c\u1ea3m\/gi\u1ea3m h\u01b0ng c\u1ea3m hi\u1ec7n nay \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m hay c\u00e1c thu\u1ed1c ch\u1ed1ng \u00e1m \u1ea3nh.<\/span><\/li>\n
- T\u1ef1 t\u1eed: \u1edf c\u00e1c b\u1ec7nh nh\u00e2n tr\u1ea7m c\u1ea3m s\u1ebd th\u01b0\u1eddng c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n mu\u1ed1n t\u1ef1 t\u1eed, \u0111\u1ebfn khi n\u00e0o b\u1ec7nh thuy\u00ean gi\u1ea3m t\u00ecnh tr\u1ea1ng n\u00e0y m\u1edbi c\u1ea3i thi\u1ec7n. V\u00ec v\u1eady c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y trong nh\u1eefng giai \u0111o\u1ea1n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\nM\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c Clealine 50<\/strong> c\u00f3 th\u1ec3 x\u1ea3y ra, bao g\u1ed3m:<\/p>\n\n\n\n| B\u1ed9 ph\u1eadn \u1ea3nh h\u01b0\u1edfng<\/span><\/td>\n | Bi\u1ec3u hi\u1ec7n<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 th\u1ea7n kinh th\u1ef1c v\u1eadt<\/span><\/td>\n | Gi\u00e3n \u0111\u1ed3ng t\u1eed, c\u01b0\u01a1ng \u0111au d\u01b0\u01a1ng v\u1eadt<\/span><\/td>\n<\/tr>\n\n| To\u00e0n th\u00e2n<\/span><\/td>\n | Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, d\u1ecb \u1ee9ng, suy nh\u01b0\u1ee3c, m\u1ec7t m\u1ecfi, s\u1ed1t v\u00e0 b\u1eebng m\u1eb7t.<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 tim m\u1ea1ch<\/span><\/td>\n | \u0110au ng\u1ef1c, t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, ph\u00f9 quanh h\u1ed1c m\u1eaft, ng\u1ea5t v\u00e0 tim nhanh.<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 ngo\u1ea1i vi<\/span><\/td>\n | H\u00f4n m\u00ea, co gi\u1eadt, \u0111au \u0111\u1ea7u, \u0111au n\u1eeda \u0111\u1ea7u, r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng\u00a0<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 n\u1ed9i ti\u1ebft<\/span><\/td>\n | T\u0103ng ti\u1ebft s\u1eefa, t\u0103ng prolactin huy\u1ebft v\u00e0 c\u01b0\u1eddng gi\u00e1p tr\u1ea1ng.<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 ti\u00eau h\u00f3a<\/span><\/td>\n | \u0110au b\u1ee5ng, vi\u00eam t\u1ee5y, n\u00f4n<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 t\u1ea1o m\u00e1u<\/span><\/td>\n | Thay \u0111\u1ed5i ch\u1ee9c n\u0103ng ti\u1ec3u c\u1ea7u, ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng\u00a0<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 gan m\u1eadt<\/span><\/td>\n | C\u00e1c b\u1ec7nh gan n\u1eb7ng (bao g\u1ed3m vi\u00eam gan, v\u00e0ng da v\u00e0 suy gan), t\u0103ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng transaminase huy\u1ebft t\u01b0\u01a1ng (SGOT v\u00e0 SGPT).<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 dinh d\u01b0\u1ee1ng v\u00e0 chuy\u1ec3n h\u00f3a<\/span><\/td>\n | H\u1ea1 natri huy\u1ebft, t\u0103ng cholesterol huy\u1ebft t\u01b0\u01a1ng<\/span><\/td>\n<\/tr>\n\n| T\u00e2m th\u1ea7n<\/span><\/td>\n | K\u00edch \u0111\u1ed9ng, ph\u1ea3n \u1ee9ng th\u00e1i qu\u00e1, lo l\u1eafng, c\u00e1c tri\u1ec7u ch\u1ee9ng u u\u1ea5t, \u1ea3o gi\u00e1c v\u00e0 lo\u1ea1n t\u00e2m th\u1ea7n.<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 sinh s\u1ea3n<\/span><\/td>\n | Kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 h\u00f4 h\u1ea5p<\/span><\/td>\n | Co th\u1eaft ph\u1ebf qu\u1ea3n<\/span><\/td>\n<\/tr>\n\n| Da<\/span><\/td>\n | R\u1ee5ng l\u00f4ng t\u00f3c, ph\u00f9 m\u1ea1ch v\u00e0 ban da<\/span><\/td>\n<\/tr>\n\n| Ti\u1ebft ni\u1ec7u<\/span><\/td>\n | Ph\u00f9 m\u1eb7t, b\u00ed ti\u00eau<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n\n- Thu\u1ed1c \u1ee9c ch\u1ebf men monoamine oxidase (IMAO): kh\u00f4ng s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p Clealine 50mg ho\u1eb7c trong v\u00f2ng 14 ng\u00e0y sau khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c IMAO.<\/span><\/li>\n
- R\u01b0\u1ee3u v\u00e0 c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng: kh\u00f4ng s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p<\/span><\/li>\n
- Lithium: C\u1ea7n ph\u1ea3i theo d\u00f5i ch\u1eb7t ch\u1ebd khi ph\u1ed1i h\u1ee3p<\/span><\/li>\n
- Phenytoin: N\u00ean theo d\u00f5i n\u1ed3ng \u0111\u1ed9 phenytoin huy\u1ebft t\u01b0\u01a1ng v\u00e0 hi\u1ec7u ch\u1ec9nh li\u1ec1u n\u1ebfu c\u1ea7n thi\u1ebft.<\/span><\/li>\n
- Sumatriptan: C\u1ea7n theo d\u00f5i khi ph\u1ed1i h\u1ee3p<\/span><\/li>\n<\/ul>\n
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