Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nM\u1ed7i 1ml thu\u1ed1c <\/span>Sandimmun Neoral 100mg\/ml <\/b>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n\n- Ciclosporin h\u00e0m l\u01b0\u1ee3ng 100mg<\/span><\/li>\n
- C\u00e1c t\u00e1 d\u01b0\u1ee3c kh\u00e1c v\u1eeba \u0111\u1ee7\u00a0<\/span><\/li>\n<\/ul>\n
D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch u\u1ed1ng<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: VN-18753-15<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 l\u1ecd 50ml<\/span><\/p>\nXu\u1ea5t x\u1ee9: \u0110\u1ee9c\/ Th\u1ee5y S\u0129<\/span><\/p>\nT\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Sandimmun Neoral 100mg\/ml<\/span><\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng\u00a0<\/span><\/h3>\nCiclosporin<\/strong> l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch c\u00f3 hi\u1ec7u l\u1ef1c tr\u00ean s\u00fac v\u1eadt l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian s\u1ed1ng s\u00f3t c\u1ee7a c\u00e1c m\u1ea3nh gh\u00e9p c\u00f9ng lo\u00e0i \u1edf da, tim, th\u1eadn, t\u1ee5y t\u1ea1ng, t\u1ee7y x\u01b0\u01a1ng, ru\u1ed9t non v\u00e0 ph\u1ed1i. N\u00f3 \u1ee9c ch\u1ebf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a nh\u1eefng ph\u1ea3n \u1ee9ng qua trung gian t\u1ebf b\u00e0o bao g\u1ed3m mi\u1ec5n d\u1ecbch gh\u00e9p c\u00f9ng lo\u00e0i kh\u00e1c c\u00e1 th\u1ec3, qu\u00e1 m\u1eabn c\u1ea3m ch\u1eadm \u1edf da, vi\u00eam n\u00e3o – t\u1ee7y d\u1ecb \u1ee9ng th\u1ef1c nghi\u1ec7m, vi\u00eam kh\u1edbp g\u00e2y ra do t\u00e1 ch\u1ea5t freund, b\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng l\u1ea1i v\u1eadt ch\u1ee7 (GVHD) v\u00e0 c\u1ea3 s\u1ef1 s\u1ea3n xu\u1ea5t kh\u00e1ng th\u1ec3 ph\u1ee5 thu\u1ed9c t\u1ebf b\u00e0o T.<\/span><\/p>\n\u1ede m\u1ee9c \u0111\u1ed9 t\u1ebf b\u00e0o, ciclosporin \u1ee9c ch\u1ebf s\u1ef1 s\u1ea3n xu\u1ea5t v\u00e0 ti\u1ebft c\u00e1c lympholin bao g\u1ed3m interleukin – 2 (TCGF). Ciclosporin phong b\u1ebf c\u00e1c t\u1ebf b\u00e0o lympho c\u00f3 th\u1ea9m quy\u1ec1n mi\u1ec5n d\u1ecbch \u1edf pha Go ho\u1eb7c G c\u1ee7a chu k\u1ef3 t\u1ebf b\u00e0o v\u00e0 \u1ee9c ch\u1ebf s\u1ef1 ti\u1ebft lympholin g\u00e2y n\u00ean do kh\u00e1ng nguy\u00ean b\u1edfi c\u00e1c t\u1ebf b\u00e0o T \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a. N\u00f3 t\u00e1c \u0111\u1ed9ng \u0111\u1eb7c hi\u1ec7u v\u00e0 c\u00f3 ph\u1ee5c h\u1ed3i tr\u00ean t\u1ebf b\u00e0o lympho.\u00a0<\/span><\/p>\n\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n\n\n\n| H\u1ea5p thu<\/span><\/td>\n | N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh \u0111\u1ea1t \u0111\u01b0\u1ee3c trong 1 – 2 gi\u1edd. Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i \u0111\u01b0\u1eddng u\u1ed1ng c\u1ee7a ciclosporin l\u00e0 20 – 50%, AUC v\u00e0 Cmax gi\u1ea3m khi d\u00f9ng Sandimmun Neoral 100mg\/ml c\u00f9ng v\u1edbi b\u1eefa \u0103n nhi\u1ec1u ch\u1ea5t b\u00e9o. Sandimmun Neoral 100mg\/ml dung d\u1ecbch v\u00e0 vi\u00ean nang m\u1ec1m h\u1ea5p thu t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau.\u00a0<\/span><\/td>\n<\/tr>\n\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | Ciclosporin ph\u00e2n b\u1ed1 r\u1ed9ng b\u00ean ngo\u00e0i th\u1ec3 t\u00edch m\u00e1u tu\u1ea7n ho\u00e0n. Kho\u1ea3ng 90% ciclosporin k\u1ebft h\u1ee3p v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, ch\u1ee7 y\u1ebfu l\u00e0 v\u1edbi lipoprotein.<\/span><\/td>\n<\/tr>\n\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | Ciclosporin chuy\u1ec3n h\u00f3a m\u1ea1nh th\u00e0nh kho\u1ea3ng 15 ch\u1ea5t chuy\u1ec3n h\u00f3a. Chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan th\u00f4ng qua cytochrome P450 3A4 (CYP3A4), c\u00e1c con \u0111\u01b0\u1eddng chuy\u1ec3n h\u00f3a ch\u00ednh bao g\u1ed3m mono v\u00e0 dihydroxyl h\u00f3a v\u00e0 N – demethyl h\u00f3a t\u1ea1i c\u00e1c v\u1ecb tr\u00ed kh\u00e1c nhau trong ph\u00e2n t\u1eed.\u00a0<\/span><\/td>\n<\/tr>\n\n| Th\u1ea3i tr\u1eeb<\/span><\/td>\n | \u0110\u00e0o th\u1ea3i ch\u1ee7 y\u1ebfu qua m\u1eadt, 6% th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u v\u00e0 0,1% th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng ch\u01b0a chuy\u1ec3n h\u00f3a.\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n Thu\u1ed1c Sandimmun Neoral 100mg\/ml \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/p>\n\n\n\n| Ch\u1ec9 \u0111\u1ecbnh trong gh\u00e9p t\u1ea1ng<\/span><\/td>\n | \n\n- Gh\u00e9p t\u1ea1ng \u0111\u1eb7c: Ng\u0103n ng\u1eeba th\u1ea3i b\u1ecf m\u1ea3nh gh\u00e9p sau khi gh\u00e9p t\u1ea1ng \u0111\u1eb7c v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u1ea3i gh\u00e9p t\u1ebf b\u00e0o \u1edf b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 d\u00f9ng nh\u1eefng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c.<\/span><\/li>\n
- Gh\u00e9p t\u1ee7y x\u01b0\u01a1ng: Ng\u0103n ng\u1eeba s\u1ef1 th\u1ea3i m\u1ea3nh gh\u00e9p sau khi d\u1ecb gh\u00e9p t\u1ee7y x\u01b0\u01a1ng v\u00e0 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c; ng\u0103n ng\u1eeba ho\u1eb7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng l\u1ea1i v\u1eadt ch\u1ee7 (GVHD).<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c b\u1ec7nh kh\u00f4ng gh\u00e9p t\u1ea1ng<\/span><\/td>\n | \n\n- Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o n\u1ed9i sinh: \u0110i\u1ec1u tr\u1ecb vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o trung gian ho\u1eb7c m\u00e0ng b\u1ed3 \u0111\u00e0o sau \u0111e d\u1ecda th\u1ecb gi\u00e1c v\u00e0 c\u00f3 ngu\u1ed3n g\u1ed1c kh\u00f4ng nhi\u1ec5m khu\u1ea9n \u1edf b\u1ec7nh nh\u00e2n m\u00e0 c\u00e1ch tr\u1ecb li\u1ec7u th\u00f4ng th\u01b0\u1eddng \u0111\u00e3 th\u1ea5t b\u1ea1i ho\u1eb7c g\u00e2y n\u00ean nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c; \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o beheet v\u1edbi nh\u1eefng c\u01a1n vi\u00eam l\u1eb7p \u0111i l\u1eb7p l\u1ea1i \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u00f5ng m\u1ea1c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n th\u1ea7n kinh.\u00a0<\/span><\/li>\n
- H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0: H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 ph\u1ee5 thu\u1ed9c steroid v\u00e0 kh\u00e1ng steroid do c\u00e1c b\u1ec7nh \u1edf c\u1ea7u th\u1eadn (b\u1ec7nh th\u1eadn sang th\u01b0\u01a1ng t\u1ed1i thi\u1ec3u, x\u01a1 h\u00f3a c\u1ea7u th\u1eadn khu tr\u00fa t\u1eebng ph\u1ea7n, vi\u00eam c\u1ea7u th\u1eadn m\u00e0ng); t\u1ea1o t\u00e1c d\u1ee5ng thuy\u00ean gi\u1ea3m b\u1ec7nh v\u00e0 duy tr\u00ec b\u1ec7nh \u1ed5n \u0111\u1ecbnh, duy tr\u00ec s\u1ef1 thuy\u00ean gi\u1ea3m do \u0111i\u1ec1u tr\u1ecb b\u1eb1ng steroid, cho ph\u00e9p ng\u1eebng d\u00f9ng steroid.<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p n\u1eb7ng, \u0111ang ho\u1ea1t \u0111\u1ed9ng.<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb b\u1ec7nh v\u1ea3y n\u1ebfn n\u1eb7ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u00e0 c\u00e1ch tr\u1ecb li\u1ec7u th\u00f4ng th\u01b0\u1eddng l\u00e0 kh\u00f4ng th\u00edch h\u1ee3p ho\u1eb7c kh\u00f4ng hi\u1ec7u qu\u1ea3.<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb vi\u00eam da c\u01a1 \u0111\u1ecba n\u1eb7ng khi c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Sandimmun Neoral 100mg\/ml<\/span><\/h2>\n\n\n\n| Ch\u1ec9 \u0111\u1ecbnh trong gh\u00e9p t\u1ea1ng<\/span><\/td>\n | \n\n- Gh\u00e9p t\u1ea1ng \u0111\u1eb7c: li\u1ec1u kh\u1edfi \u0111\u1ea7u 10 – 15 mg\/kg, chia l\u00e0m 2 l\u1ea7n trong 12 gi\u1edd tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. Li\u1ec1u l\u01b0\u1ee3ng n\u00e0y c\u1ea7n duy tr\u00ec nh\u01b0 li\u1ec1u h\u00e0ng ng\u00e0y trong 12 tu\u1ea7n sau khi ph\u1eabu thu\u1eadt, tr\u01b0\u1edbc khi gi\u1ea3m li\u1ec1u d\u1ea7n t\u00f9y theo n\u1ed3ng \u0111\u1ed9 c\u1ee7a thu\u1ed1c trong m\u00e1u cho t\u1edbi khi li\u1ec1u duy tr\u00ec \u0111\u1ea1t 2 – 6 mg\/kg, chia l\u00e0m 2 l\u1ea7n\/ ng\u00e0y. <\/span>N\u1ebfu d\u00f9ng c\u00f9ng v\u1edbi c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c (corticoid ho\u1eb7c m\u1ed9t ph\u1ea7n c\u1ee7a li\u1ec7u ph\u00e1p 3 – 4 lo\u1ea1i thu\u1ed1c) th\u00ec li\u1ec1u Sandimmun Neoral 100mg\/ml c\u00f3 th\u1ec3 th\u1ea5p h\u01a1n (3 – 6 mg\/kg, chia l\u00e0m 2 l\u1ea7n trong tr\u1ecb li\u1ec7u kh\u1edfi \u0111\u1ea7u)<\/li>\n<\/ul>\n
\n- Gh\u00e9p t\u1ee7y x\u01b0\u01a1ng: Li\u1ec1u kh\u1edfi \u0111\u1ea7u c\u1ea7n d\u00f9ng v\u00e0o ng\u00e0y tr\u01b0\u1edbc khi gh\u00e9p. Th\u01b0\u1eddng d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch. N\u1ebfu d\u00f9ng Sandimmun Neoral 100mg\/ml u\u1ed1ng th\u00ec li\u1ec1u l\u01b0\u1ee3ng nh\u01b0 sau:<\/span><\/li>\n<\/ul>\n
\u0110i\u1ec1u tr\u1ecb kh\u1edfi \u0111\u1ea7u: 12,5 – 15 ng\/kg, chia l\u00e0m 2 l\u1ea7n\/ ng\u00e0y, b\u1eaft \u0111\u1ea7u v\u00e0o ng\u00e0y tr\u01b0\u1edbc khi gh\u00e9p t\u1ea1ng. C\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng li\u1ec1u Sandimmun Neoral 100mg\/ml cao h\u01a1n ho\u1eb7c d\u00f9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch khi c\u00f3 nh\u1eefng r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a l\u00e0m gi\u1ea3m h\u1ea5p thu thu\u1ed1c.\u00a0<\/span><\/p>\nB\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng l\u1ea1i v\u1eadt ch\u1ee7 (GVHD) x\u1ea3y ra sau khi ng\u1eebng d\u00f9ng ciclosporin: li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 10 – 12,5 mg\/kg, ti\u1ebfp theo sau b\u1eb1ng li\u1ec1u kh\u00f4ng duy tr\u00ec tr\u01b0\u1edbc \u0111\u00f3 m\u00e0 c\u00f3 \u0111\u00e1p \u1ee9ng h\u00e0ng ng\u00e0y. D\u00f9ng li\u1ec1u th\u1ea5p ciclosporin \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng l\u1ea1i v\u1eadt ch\u1ee7 \u1edf m\u1ee9c nh\u1eb9 v\u00e0 m\u1ea1n t\u00ednh.<\/span><\/td>\n<\/tr>\n\n| Ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c b\u1ec7nh kh\u00f4ng gh\u00e9p t\u1ea1ng<\/span><\/td>\n | \n\n- Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o n\u1ed9i sinh: li\u1ec1u kh\u1edfi \u0111\u1ea7u: 5 mg\/kg\/ng\u00e0y, chia l\u00e0m 2 l\u1ea7n, d\u00f9ng cho t\u1edbi khi thuy\u1ec1n gi\u1ea3m vi\u00ean ho\u1ea1t t\u00ednh m\u00e0ng b\u1ed3 \u0111\u00e0o v\u00e0 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c. Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u1ea3i thi\u1ec7n c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u 7 mg\/kg\/ng\u00e0y trong m\u1ed9t th\u1eddi gian c\u00f3 h\u1ea1n \u0111\u1ecbnh. Li\u1ec1u duy tr\u00ec: gi\u1ea3m li\u1ec1u d\u1ea7n cho t\u1edbi li\u1ec1u hi\u1ec7u qu\u1ea3 th\u1ea5p nh\u1ea5t, kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 5 mkg\/kg\/ng\u00e0y.<\/span><\/li>\n
- H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0: Ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng (ngo\u1ea1i tr\u1eeb tr\u01b0\u1eddng h\u1ee3p protein ni\u1ec7u) d\u00f9ng 5 mg\/kg cho ng\u01b0\u1eddi l\u1edbn v\u00e0 6 mg\/kg cho tr\u1ebb em, chia l\u00e0m 2 l\u1ea7n u\u1ed1ng. Suy th\u1eadn, li\u1ec1u kh\u1edfi \u0111\u1ea7u kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 2,5 mg\/kg\/ng\u00e0y. Sau 3 th\u00e1ng \u0111i\u1ec1u tr\u1ecb m\u00e0 kh\u00f4ng c\u00f3 c\u1ea3i thi\u1ec7n th\u00ec n\u00ean ng\u1eebng d\u00f9ng Sandimmun Neoral 100mg\/ml. \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u theo t\u1eebng c\u00e1 th\u1ec3 b\u1ec7nh nh\u00e2n t\u00f9y thu\u1ed9c v\u00e0o hi\u1ec7u l\u1ef1c v\u00e0 \u0111\u1ed9 an to\u00e0n nh\u01b0ng kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 5 mg\/kg\/ng\u00e0y (ng\u01b0\u1eddi l\u1edbn) v\u00e0 6 mg\/kg\/ng\u00e0y (tr\u1ebb em). Li\u1ec1u duy tr\u00ec: gi\u1ea3m li\u1ec1u d\u1ea7n cho t\u1edbi m\u1ee9c th\u1ea5p nh\u1ea5t v\u1eabn c\u00f2n hi\u1ec7u l\u1ef1c.\u00a0<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p: Trong 6 tu\u1ea7n \u0111\u1ea7u ti\u00ean: 3 mg\/kg, chia l\u00e0m 2 l\u1ea7n u\u1ed1ng, c\u00f3 th\u1ec3 t\u0103ng d\u1ea7n nh\u01b0ng kh\u00f4ng d\u00f9ng qu\u00e1 5 mg\/kg\/ng\u00e0y n\u1ebfu ch\u01b0a \u0111\u1ee7 hi\u1ec7u l\u1ef1c. \u0110i\u1ec1u tr\u1ecb Sandimmun Neoral 100mg\/ml c\u00f3 th\u1ec3 \u0111\u1ebfn 12 tu\u1ea7n \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 ho\u00e0n to\u00e0n. Li\u1ec1u duy tr\u00ec: theo c\u00e1 th\u1ec3 b\u1ec7nh nh\u00e2n t\u1edbi m\u1ee9c li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 c\u0103n c\u1ee9 v\u00e0o \u0111\u1ed9 dung n\u1ea1p.<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb b\u1ec7nh v\u1ea3y n\u1ebfn: c\u00e1 th\u1ec3 h\u00f3a cho t\u1eebng b\u1ec7nh nh\u00e2n. Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 2,5 mg\/kg\/ng\u00e0y, chia l\u00e0m 2 l\u1ea7n. Sau 1 th\u00e1ng ch\u01b0a c\u1ea3i thi\u1ec7n b\u1ec7nh th\u00ec t\u0103ng d\u1ea7n li\u1ec1u h\u00e0ng ng\u00e0y nh\u01b0ng kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 5 mg\/kg. Ng\u1eebng \u0111i\u1ec1u tr\u1ecb v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng v\u1ea3y n\u1ebfn kh\u00f4ng \u0111\u00e1p \u1ee9ng trong 6 tu\u1ea7n d\u00f9ng li\u1ec1u 5mg\/kg\/ng\u00e0y ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 li\u1ec1u hi\u1ec7u l\u1ef1c kh\u00f4ng t\u01b0\u01a1ng h\u1ee3p v\u1edbi c\u00e1c ch\u1ec9 d\u1eabn v\u1ec1 an to\u00e0n. Li\u1ec1u kh\u1edfi \u0111\u1ea7u 5 mg\/kg\/ ng\u00e0y cho b\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng c\u1ea7n ph\u1ea3i c\u1ea3i thi\u1ec7n nhanh. Li\u1ec1u duy tr\u00ec: chu\u1ea9n \u0111\u1ed9 theo c\u00e1 th\u1ec3 v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 5 mg\/kg\/ng\u00e0y.\u00a0<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb vi\u00eam da c\u01a1 \u0111\u1ecba: c\u00e1 th\u1ec3 h\u00f3a theo t\u1eebng b\u1ec7nh nh\u00e2n. N\u00ean d\u00f9ng 2,5 – 5 mg\/kg\/ ng\u00e0y, chia l\u00e0m 2 l\u1ea7n u\u1ed1ng. N\u1ebfu li\u1ec1u kh\u1edfi \u0111\u1ea7u 2,5 mg\/kg\/ng\u00e0y kh\u00f4ng \u0111\u00e1p \u1ee9ng trong 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00ec t\u0103ng li\u1ec1u h\u00e0ng ng\u00e0y t\u1edbi t\u1ed1i \u0111a 5 mg\/kg. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nghi\u00eam tr\u1ecdng, s\u1ef1 ki\u1ec3m so\u00e1t nhanh v\u00e0 \u0111\u1ea7y \u0111\u1ee7 c\u1ee7a b\u1ec7nh n\u00e0y d\u1ec5 \u0111\u1ea1t h\u01a1n n\u1ebfu d\u00f9ng li\u1ec1u kh\u1edfi \u0111\u1ea7u 5 mg\/kg\/ ng\u00e0y. C\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u d\u1ea7n khi \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng mong mu\u1ed1n, n\u00ean ng\u1eebng d\u00f9ng Sandimmun Neoral 100mg\/ml n\u1ebfu c\u00f3 th\u1ec3<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
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