\n| \u0110\u1ed1i t\u01b0\u1ee3ng suy gan<\/td>\n | Auc t\u0103ng 35% \n\u0110\u1ed1i t\u01b0\u1ee3ng suy gan trung b\u00ecnh: Th\u1eddi gian b\u00e1n th\u1ea3i t\u0103ng g\u1ea5p \u0111\u00f4i.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nCh\u00fa th\u00edch: \nCmax: N\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u1ed1i \u0111a \nAUC: Di\u1ec7n t\u00edch d\u01b0\u1edbi \u0111\u01b0\u1eddng cong, bi\u1ec3u di\u1ec5n s\u1ef1 bi\u1ebfn thi\u00ean c\u1ee7a n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u theo th\u1eddi gian<\/p>\n Thu\u1ed1c Egudin 5 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\nSolifenacin <\/strong>\u00a0l\u00e0 lo\u1ea1i thu\u1ed1c thu\u1ed9c nh\u00f3m ti\u1ebft ni\u1ec7u -sinh d\u1ee5c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ti\u1ec3u ti\u1ec3u s\u00f3n, ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7, ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u g\u1ea5p \u1edf b\u1ec7nh nh\u00e2n b\u1ecb h\u1ed9i ch\u1ee9ng b\u00e0ng quang t\u0103ng ho\u1ea1t \u0111\u1ed9ng.<\/p>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c\u00a0 Egudin 5<\/h2>\n\n\n\n| Ng\u01b0\u1eddi l\u1edbn, ng\u01b0\u1eddi cao tu\u1ed5i<\/td>\n | Tr\u1ebb em<\/td>\n | B\u1ec7nh nh\u00e2n suy th\u1eadn<\/td>\n | B\u1ec7nh nh\u00e2n suy gan<\/td>\n | Ng\u01b0\u1eddi \u0111ang d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf m\u1ea1nh CYP3A4<\/td>\n<\/tr>\n | \nKhuy\u1ebfn c\u00e1o: 1 vi\u00ean\/1 l\u1ea7n\/1 ng\u00e0y. \nN\u1ebfu dung n\u1ea1p t\u1ed1t \u1edf li\u1ec1u 5mg, c\u00e2n nh\u1eafc t\u0103ng li\u1ec1u 2 vi\u00ean\/1 l\u1ea7n\/ 1 ng\u00e0y.<\/td>\n | S\u1ef1 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, do v\u1eady kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng tr\u00ean nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y<\/td>\n | Suy th\u1eadn nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh: Kh\u00f4ng c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u.<\/p>\n Suy th\u1eadn n\u1eb7ng: M\u1ed7i ng\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c qu\u00e1 1 vi\u00ean.<\/td>\n | Suy gan nh\u1eb9: Kh\u00f4ng c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u. \nSuy gan trung b\u00ecnh: M\u1ed7i ng\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c qu\u00e1 1 vi\u00ean thu\u1ed1c.<\/td>\n | M\u1ed7i ng\u00e0y kh\u00f4ng qu\u00e1 1 vi\u00ean thu\u1ed1c.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nKh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Egudin 5 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\nKh\u00f4ng s\u1eed d\u1ee5ng d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p: B\u1ec7nh nh\u00e2n b\u1ecb: B\u00ed ti\u1ec3u, \u1ee9 d\u1ecbch d\u1ea1 d\u00e0y, Glaucoma g\u00f3c h\u1eb9p kh\u00f4ng ki\u1ec3m so\u00e1t. \nSuy gan n\u1eb7ng (Child-Pugh C). \nQu\u00e1 m\u1eabn v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Egudin 5<\/h2>\nTh\u1eadn tr\u1ecdng<\/h3>\n\n\n\n| Bi\u1ec3u hi\u1ec7n<\/td>\n | X\u1eed tr\u00ed<\/td>\n<\/tr>\n | \n| Ph\u00f9 m\u1ea1ch \u1edf m\u1eb7t, m\u00f4i, l\u01b0\u1ee1i v\u00e0\/ho\u1eb7c thanh qu\u1ea3n<\/td>\n | Ng\u01b0ng thu\u1ed1c, s\u1eed s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p h\u1ee3p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng th\u1edf cho ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n | \n| Qu\u00e1 m\u1eabn \u0111\u00e3 bi\u1ebft ho\u1eb7c nghi ng\u1edd v\u1edbi Solifenacin succinat<\/td>\n | Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c.<\/td>\n<\/tr>\n | \n| Nh\u1ee9c \u0111\u1ea7u, l\u00fa l\u1eabn, \u1ea3o gi\u00e1c v\u00e0 bu\u1ed3n ng\u1ee7<\/td>\n | C\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i. Xem x\u00e9t gi\u1ea3m ho\u1eb7c ng\u1eebng thu\u1ed1c.<\/td>\n<\/tr>\n | \n| \u00a0B\u00ed ti\u1ec3u<\/td>\n | S\u1eed d\u1ee5ng thu\u1ed1c th\u1eadn tr\u1ecdng tr\u00ean c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/td>\n<\/tr>\n | \n| Gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t<\/td>\n<\/tr>\n | \n| \u00a0\u0110ang \u0111i\u1ec1u tr\u1ecb Glaucoma g\u00f3c h\u1eb9p<\/td>\n<\/tr>\n | \n| Suy gan, suy th\u1eadn<\/td>\n<\/tr>\n | \nNg\u01b0\u1eddi b\u1ec7nh b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed b\u1ecb k\u00e9o d\u00e0i kho\u1ea3ng QT, \u0111ang d\u00f9ng thu\u1ed1c l\u00e0m k\u00e9o d\u00e0i kho\u1ea3ng QT<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\nR\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/h4>\nKh\u00f4 mi\u1ec7ng<\/p>\n Th\u01b0\u1eddng g\u1eb7p<\/h4>\nNh\u00ecn m\u1edd, t\u00e1o b\u00f3n, kh\u00f4 mi\u1ec7ng, bu\u1ed3n n\u00f4n,ch\u1ee9ng kh\u00f3 ti\u00eau.<\/p>\n \u00cdt g\u1eb7p<\/h4>\nNhi\u1ec5m tr\u00f9ng: \u0110\u01b0\u1eddng ti\u1ec3u b\u1ecb nhi\u1ec5m tr\u00f9ng, vi\u00eam b\u00e0ng quang. \nH\u1ec7 th\u1ea7n kinh: Bu\u1ed3n ng\u1ee7, r\u1ed1i lo\u1ea1n vj gi\u00e1c. \nM\u1eaft: M\u1eaft b\u1ecb kh\u00f4. \nH\u00f4 h\u1ea5p: Kh\u00f4 m\u0169i \nTi\u00eau h\u00f3a: Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, kh\u00f4 h\u1ecdng. \nDa: Kh\u00f4 da \nTi\u1ebft ni\u1ec7u: Kh\u00f3 ti\u1ec3u \nTo\u00e0n th\u00e2n: M\u1ec7t m\u1ecfi, ph\u00f9 ngo\u1ea1i bi\u00ean.<\/p>\n Hi\u1ebfm g\u1eb7p<\/h4>\nTh\u1ea7n kinh: Ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u. \nTi\u00eau h\u00f3a: T\u1eafc ngh\u1ebdn, ph\u00e2n r\u1eafn, n\u00f4n. \nDa: Ng\u1ee9a, n\u1ed5i ban. \nTh\u1eadn, ti\u1ebft ni\u1ec7u: B\u00ed ti\u1ec3u<\/p>\n R\u1ea5t hi\u1ebfm g\u1eb7p<\/h4>\n\u1ea2o gi\u00e1c, r\u1ed1i lo\u1ea1n tinh th\u1ea7n, m\u00e0y \u0111ay, ph\u00f9 m\u1ea1ch.<\/p>\n Ch\u01b0a r\u00f5 t\u1ea7n su\u1ea5t<\/h4>\nH\u1ec7 mi\u1ec5n d\u1ecbch: B\u1ecb r\u1ed1i lo\u1ea1n. \nChuy\u1ec3n h\u00f3a, dinh d\u01b0\u1ee1ng: T\u0103ng Kali m\u00e1u, ch\u00e1n \u0103n. \nT\u00e2m th\u1ea7n: M\u00ea s\u1ea3ng \nR\u1ed1i lo\u1ea1n m\u1eaft: Glaucoma \nTim: Xo\u1eafn \u0111\u1ec9nh, rung nh\u0129, k\u00e9o d\u00e0i kho\u1ea3ng QT, nh\u1ecbp nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c. \nTi\u00eau h\u00f3a: Li\u1ec7t ru\u1ed9t, B\u1ee5ng kh\u00f3 ch\u1ecbu. \nGan m\u1eadt: Ch\u1ee9c n\u0103ng b\u1ecb r\u1ed1i lo\u1ea1n,x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan b\u1ea5t th\u01b0\u1eddng. \nDa: Vi\u00eam da, tr\u00f3c v\u1ea3y. \nC\u01a1: Nh\u01b0\u1ee3c c\u01a1. \nTh\u1eadn: Suy th\u1eadn.<\/p>\n T\u01b0\u01a1ng t\u00e1c<\/h3>\n\n\n\n| \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Thu\u1ed1c<\/td>\n | \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n | \n| Thu\u1ed1c chuy\u1ec3n h\u00f3a qua cytochrom P450<\/td>\n | Thu\u1ed1c kh\u00f4ng l\u00e0m \u1ee9c ch\u1ebf CYP1A1\/2, 2C9, 2C19, 2D6, ho\u1eb7c 3A4 c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb microsom gan ng\u01b0\u1eddi \u1edf n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb.<\/td>\n<\/tr>\n | \n| C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf CYP3A4<\/td>\n | D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a thu\u1ed1c b\u1ecb thay \u0111\u1ed5i.<\/td>\n<\/tr>\n | \n| Ketoconazol<\/td>\n | D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a c\u1ee7a thu\u1ed1c b\u1ecb thay \u0111\u1ed5i<\/td>\n<\/tr>\n | \n| Warfarin<\/td>\n | D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a R-warfarin ho\u1eb7c S-warfarin \u00edt b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/td>\n<\/tr>\n | \n| Digoxin<\/td>\n | \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, kh\u1ecfe m\u1ea1nh th\u00ec d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a Digoxin kh\u00f4ng b\u1ecb thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3<\/td>\n<\/tr>\n | \n| Thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng<\/td>\n | N\u1ed3ng \u0111\u1ed9 huy\u1ebft t\u01b0\u01a1ng c\u1ee7a thu\u1ed1c tr\u00e1nh thai k\u1ebft h\u1ee3p kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nL\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>\nTr\u1eeb khi l\u1ee3i \u00edch l\u1edbn h\u01a1n nguy c\u01a1, n\u1ebfu kh\u00f4ng kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng d\u1ee5ng thu\u1ed1c \u1edf nh\u00f3m ph\u1ee5 n\u1eef mang thai do ch\u01b0a c\u00f3 c\u00e1c ch\u1ee9ng c\u1ee9 \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c tr\u00ean nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y. \nThu\u1ed1c c\u00f3 v\u00e0o \u0111\u01b0\u1ee3c s\u1eefa m\u1eb9 hay kh\u00f4ng l\u00e0 ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u. C\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho m\u1eb9 v\u00e0 vi\u1ec7c cho con b\u00fa.<\/p>\n Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n | | | |