{"id":49754,"date":"2023-10-18T14:18:28","date_gmt":"2023-10-18T07:18:28","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=49754"},"modified":"2025-07-24T14:00:12","modified_gmt":"2025-07-24T07:00:12","slug":"maxxprolol-2-5","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/maxxprolol-2-5\/","title":{"rendered":"Maxxprolol 2.5"},"content":{"rendered":"
Trong b\u00e0i vi\u1ebft n\u00e0y, D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c Maxxprolol 2.5<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m Ampharco U.S.A, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-25134-16<\/strong><\/p>\n M\u1ed7i vi\u00ean Maxxprolol 2.5<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim.<\/p>\n S\u0110K: VD-25134-16. Bisoprolol kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh k\u00edch th\u00edch n\u1ed9i t\u1ea1i v\u00e0 \u1ed5n \u0111\u1ecbnh m\u00e0ng, t\u00e1c \u0111\u1ed9ng \u1ee9c ch\u1ebf c\u00f3 ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 beta-1 adrenergic. Tuy nhi\u00ean, v\u1edbi th\u1ee5 th\u1ec3 beta 2 adrenergic c\u1ee7a c\u00e1c enzym \u0111i\u1ec1u h\u00f2a chuy\u1ec3n h\u00f3a, thu\u1ed1c c\u00f3 \u00e1i l\u1ef1c th\u1ea5p. V\u00ec v\u1eady, thu\u1ed1c kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 chuy\u1ec3n h\u00f3a qua trung gian beta 2 v\u00e0 s\u1ee9c c\u1ea3n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n T\u00ednh ch\u1ea5t ch\u1ecdn l\u1ecdc c\u1ee7a Bisoprolol tr\u00ean tim kh\u00f4ng tuy\u1ec7t \u0111\u1ed1i v\u00e0 v\u1edbi li\u1ec1u t\u1eeb 20mg Bisoprolol fumarat tr\u1edf l\u00ean, c\u00f3 kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 beta-2 adrenergic (th\u1ee5 th\u1ec3 c\u00f3 tr\u00ean c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n v\u00e0 m\u1ea1ch m\u00e1u). Do \u0111\u00f3, \u0111\u1ec3 duy tr\u00ec t\u00ednh ch\u1ecdn l\u1ecdc tr\u00ean tim c\u1ea7n d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n Bisoprolol kh\u00f4ng l\u00e0m gi\u1ea3m co b\u00f3p c\u01a1 tim.<\/p>\n Bisoprolol l\u00e0m gi\u1ea3m ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u, do l\u00e0m gi\u1ea3m nh\u1ecbp tim v\u00e0 th\u1ec3 t\u00edch nh\u00e1t b\u00f3p trong trong \u0111\u1ee3t c\u1ea5p \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh kh\u00f4ng k\u00e8m theo suy tim m\u1ea1n. \u0110i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i, ban \u0111\u1ea7u s\u1ee9c c\u1ea3n ngo\u1ea1i vi t\u0103ng, sau \u0111\u00f3 s\u1ebd gi\u1ea3m.<\/p>\n Bisoprolol ng\u0103n c\u00e1c th\u1ee5 th\u1ec3 beta-1 \u1edf tim, t\u1eeb \u0111\u00f3 \u1ee9c ch\u1ebf \u0111\u00e1p \u1ee9ng\u00a0 v\u1edbi ho\u1ea1t t\u00ednh giao c\u1ea3m adrenergic, d\u1eabn \u0111\u1ebfn l\u00e0m gi\u1ea3m co b\u00f3p, ch\u1eadm nh\u1ecbp tim, gi\u1ea3m ti\u00eau th\u1ee5 oxy c\u01a1 tim.<\/p>\n C\u01a1 ch\u1ebf h\u1ea1 huy\u1ebft \u00e1p ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng. C\u00f3 th\u1ec3 do Bisoprolol \u1ee9c ch\u1ebf ph\u00f3ng th\u00edch renin \u1edf th\u1eadn, gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tim, v\u00e0 l\u00e0m gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a th\u1ea7n kinh giao c\u1ea3m.<\/p>\n C\u00f3 tr\u00ean 90% li\u1ec1u u\u1ed1ng \u0111\u01b0\u1ee3c h\u1ea5p thu qua ti\u00eau h\u00f3a. Th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 h\u1ea5p thu thu\u1ed1c.<\/p>\n Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i x\u1ea5p x\u1ec9 90%.<\/p>\n Kh\u1ea3 n\u0103ng li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng l\u00e0 kho\u1ea3ng 30%. Sau d\u00f9ng li\u1ec1u 1 l\u1ea7n\/ng\u00e0y, thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng trong 24 gi\u1edd v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i trong huy\u1ebft t\u01b0\u01a1ng l\u00e0 10 \u0111\u1ebfn 12 gi\u1edd.<\/p>\n Thu\u1ed1c th\u1ea3i tr\u1eeb theo hai con \u0111\u01b0\u1eddng: 50% thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh ch\u1ea5t kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh t\u1ea1i gan, c\u00f2n l\u1ea1i kh\u00f4ng \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a b\u1ecb th\u1ea3i tr\u1eeb qua th\u1eadn.<\/p>\n Kh\u00f4ng c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy gan, suy th\u1eadn. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i v\u00e0 tuy\u1ebfn t\u00ednh.<\/p>\n N\u1ed3ng \u0111\u1ed9 c\u1ee7a Bisoprolol trong huy\u1ebft t\u01b0\u01a1ng cao h\u01a1n v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i d\u00e0i h\u01a1n \u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n t\u00edn so v\u1edbi nh\u1eefng ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n.<\/p>\n N\u00ean u\u1ed1ng thu\u1ed1c v\u00e0o bu\u1ed5i s\u00e1ng, c\u00f3 th\u1ec3 d\u00f9ng c\u00f9ng v\u1edbi b\u1eefa \u0103n. – T\u0103ng huy\u1ebft \u00e1p v\u00e0 c\u01a1n \u0111au th\u1eaft ng\u1ef1c m\u00e3n t\u00ednh<\/p>\n – Suy tim m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh<\/p>\n Ng\u01b0\u1eddi l\u1edbn: Kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c n\u00e0y khi b\u1ec7nh nh\u00e2n \u0111ang \u1edf giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh<\/p>\n Giai \u0111o\u1ea1n d\u00f2 li\u1ec1u<\/p>\n C\u1ea7n theo d\u00f5i huy\u1ebft \u00e1p, nh\u1ecbp tim v\u00e0 trong giai \u0111o\u1ea1n d\u00f2 li\u1ec1u c\u00e1c d\u1ea5u hi\u1ec7u suy tim c\u00f3 th\u1ec3 x\u1ea5u \u0111i. Trong ng\u00e0y \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ngay.<\/p>\n M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n d\u00f9ng li\u1ec1u 1 vi\u00ean c\u00f3 th\u1ec3 \u0111\u1ee7 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec.<\/p>\n – \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb<\/p>\n – C\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t<\/p>\n Suy gan ho\u1eb7c suy th\u1eadn: c\u1ea7n l\u01b0u \u00fd khi d\u00f2 li\u1ec1u tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n suy tim m\u1ea1n t\u00ednh k\u00e8m suy gan ho\u1eb7c suy th\u1eadn.<\/p>\n Suy tim: thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y \u1ee9c ch\u1ebf s\u1ef1 co b\u00f3p c\u01a1 tim v\u00e0 l\u00e0m t\u00ecnh tr\u1ea1ng suy tim n\u1eb7ng h\u01a1n. V\u00ec v\u1eady, c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 suy tim sung huy\u1ebft th\u00ec kh\u00f4ng n\u00ean d\u00f9ng c\u00e1c thu\u1ed1c ch\u1eb9n beta. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n suy tim c\u00f2n b\u00f9 c\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng c\u00e1c thu\u1ed1c n\u00e0y. D\u00f9ng thu\u1ed1c th\u1eadn tr\u1ecdng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed suy tim: suy tim c\u00f3 th\u1ec3 n\u1eb7ng h\u01a1n tr\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. N\u00ean ng\u1eebng d\u00f9ng bisoprolol fumarat khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean c\u1ee7a suy tim. C\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c d\u00f9ng bisoprolol trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p khi suy tim \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c.<\/p>\n Ng\u1eebng \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t ng\u1ed9t: b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh sau khi ng\u1eebng \u0111\u1ed9t ng\u1ed9t \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c ch\u1eb9n beta \u0111\u00e3 g\u1eb7p \u0111\u1ee3t b\u00f9ng ph\u00e1t c\u01a1n \u0111au th\u1eaft ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim, lo\u1ea1n nh\u1ecbp th\u1ea5t. Do \u0111\u00f3, kh\u00f4ng \u0111\u01b0\u1ee3c ng\u1eebng \u0111\u1ed9t ng\u1ed9t hay d\u00f9ng ng\u1eaft qu\u00e3ng. C\u1ea7n gi\u1ea3m t\u1eeb t\u1eeb trong kho\u1ea3ng 1 tu\u1ea7n d\u01b0\u1edbi s\u1ef1 quan s\u00e1t c\u1ee7a b\u00e1c s\u0129. D\u00f9ng thu\u1ed1c l\u1ea1i t\u1ea1m th\u1eddi trong m\u1ed9t th\u1eddi gian n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng cai thu\u1ed1c x\u1ea3y ra.<\/p>\n B\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i vi: Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c l\u00e0m n\u1eb7ng th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u \u0111\u1ed9ng m\u1ea1ch tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y, v\u00ec v\u1eady c\u1ea7n th\u1eadn tr\u1ecdng.<\/p>\n B\u1ec7nh co th\u1eaft ph\u1ebf qu\u1ea3n: kh\u00f4ng n\u00ean d\u00f9ng c\u00e1c thu\u1ed1c ch\u1eb9n beta cho b\u1ec7nh nh\u00e2n co th\u1eaft ph\u1ebf qu\u1ea3n.Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n co th\u1eaft ph\u1ebf qu\u1ea3n kh\u00f4ng \u0111\u00e1p \u1ee9ng ho\u1eb7c kh\u00f4ng dung n\u1ea1p v\u1edbi c\u00e1c thu\u1ed1c tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00e1c c\u00f3 th\u1ec3 d\u00f9ng th\u1eadn tr\u1ecdng thu\u1ed1c n\u00e0y v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t v\u00e0 kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb \u1edf li\u1ec1u 1 vi\u00ean. C\u00f3 s\u1eb5n m\u1ed9t thu\u1ed1c ch\u1ee7 v\u1eadn beta2.<\/p>\n Ph\u1eabu thu\u1eadt l\u1edbn: Tr\u01b0\u1edbc ca ph\u1eabu thu\u1eadt l\u1edbn. kh\u00f4ng \u0111\u01b0\u1ee3c d\u1eebng \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c ch\u1eb9n beta l\u00e2u d\u00e0i; c\u00e1c r\u1ee7i ro c\u1ee7a vi\u1ec7c g\u00e2y m\u00ea to\u00e0n th\u00e2n v\u00e0 c\u00e1c th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 gia t\u0103ng.<\/p>\n Ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft: Khi d\u00f9ng thu\u1ed1c ch\u1eb9n beta: c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1ecbp tim nhanh c\u00f3 th\u1ec3 b\u1ecb che l\u1ea5p, m\u1ee9c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft do insulin g\u00e2y ra c\u00f3 th\u1ec3 t\u0103ng v\u00e0 s\u1ef1 ph\u1ee5c h\u1ed3i n\u1ed3ng \u0111\u1ed9 glucose trong huy\u1ebft thanh ch\u1eadm l\u1ea1i. V\u1edbi bisoprolol fumarat \u0111i\u1ec1u n\u00e0y \u00edt c\u00f3 kh\u1ea3 x\u1ea3y ra. Tuy nhi\u00ean, v\u1eabn c\u1ea7n d\u00f9ng th\u1eadn tr\u1ecdng bisoprolol fumarat v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n Nhi\u1ec5m \u0111\u1ed9c tuy\u1ebfn gi\u00e1p: c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 b\u1ecb che l\u1ea5p khi d\u00f9ng thu\u1ed1c. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 b\u00f9ng ph\u00e1t khi ng\u1eebng \u0111\u1ed9t ng\u1ed9t thu\u1ed1c ch\u1eb9n beta ho\u1eb7c x\u1ea3y ra c\u01a1n b\u00e3o gi\u00e1p tr\u1ea1ng.<\/p>\nMaxxprolol 2.5 l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n
Th\u00e0nh ph\u1ea7n<\/h3>\n
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Tr\u00ecnh b\u00e0y<\/h3>\n
\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean.
\nXu\u1ea5t x\u1ee9: Vi\u1ec7t Nam.<\/p>\nThu\u1ed1c Maxxprolol 2.5 c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n
D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n
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\nTh\u1ec3 t\u00edch ph\u00e2n b\u1ed1: 3,5 l\/kg.<\/p>\n\n
Thu\u1ed1c Maxxprolol 2.5 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n
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Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Maxxprolol 2.5<\/h2>\n
C\u00e1ch d\u00f9ng<\/h3>\n
\nU\u1ed1ng nguy\u00ean vi\u00ean v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc, kh\u00f4ng nhai.<\/p>\nLi\u1ec1u l\u01b0\u1ee3ng<\/h3>\n
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Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Maxxprolol 2.5 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n
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L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Maxxprolol 2.5<\/h2>\n
Th\u1eadn tr\u1ecdng<\/h3>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n