{"id":53068,"date":"2023-10-30T11:26:32","date_gmt":"2023-10-30T04:26:32","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=53068"},"modified":"2025-07-24T13:59:52","modified_gmt":"2025-07-24T06:59:52","slug":"esogas-tiem-bidiphar","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/esogas-tiem-bidiphar\/","title":{"rendered":"Esogas ti\u00eam Bidiphar"},"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 Esogas Bidiphar<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n D\u01b0\u1ee3c-TTBYT B\u00ecnh \u0110\u1ecbnh (Bidiphar), c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-29952-18.<\/b><\/p>\n

Esogas l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n

Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n

Thu\u1ed1c <\/span>Esogas ti\u00eam<\/b> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n

Esomeprazol \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. 40mg<\/span><\/p>\n

T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 l\u1ecd.<\/span><\/p>\n

\u1ed0ng dung m\u00f4i g\u1ed3m NaCl v\u00e0 n\u01b0\u1edbc c\u1ea5t pha ti\u00eam v\u1eeba \u0111\u1ee7 5ml<\/span><\/p>\n

D\u1ea1ng b\u00e0o ch\u1ebf: B\u1ed9t \u0111\u00f4ng kh\u00f4 pha ti\u00eam<\/span><\/p>\n

Tr\u00ecnh b\u00e0y<\/span><\/h3>\n

S\u0110K: VD-29952-18<\/span><\/p>\n

Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 l\u1ecd + 1 \u1ed1ng dung m\u00f4i 5ml<\/span><\/p>\n

Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/span><\/p>\n

T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Esogas Bidiphar<\/span><\/h2>\n\n\n\n\n\n\n\n\n
\u0110\u1eb7c \u0111i\u1ec3m<\/i><\/td>\nEsomeprazol<\/i><\/td>\n<\/tr>\n
C\u01a1 ch\u1ebf<\/td>\n\n
    \n
  • Esomeprazol l\u00e0 d\u1ea1ng \u0111\u1ed3ng ph\u00e2n S c\u1ee7a omeprazol, \u0111\u01b0\u1ee3c d\u00f9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 omeprazol trong \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n v\u00e0 h\u1ed9i ch\u1ee9ng Zollinger \u2013 Ellison.<\/li>\n
  • Esomeprazol g\u1eafn v\u1edbi H+\/K+-ATPase \u1edf t\u1ebf b\u00e0o th\u00e0nh d\u1ea1 d\u00e0y, l\u00e0m b\u1ea5t ho\u1ea1t h\u1ec7 th\u1ed1ng enzym n\u00e0y, ng\u0103n c\u1ea3n b\u01b0\u1edbc cu\u1ed1i c\u00f9ng c\u1ee7a s\u1ef1 b\u00e0i ti\u1ebft acid hydroclorid v\u00e0o l\u00f2ng d\u1ea1 d\u00e0y. V\u00ec v\u1eady esomeprazol c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf d\u1ea1 d\u00e0y ti\u1ebft l\u01b0\u1ee3ng acid c\u01a1 b\u1ea3n v\u00e0 c\u1ea3 khi b\u1ecb k\u00edch th\u00edch do b\u1ea5t k\u1ef3 t\u00e1c nh\u00e2n n\u00e0o. Thu\u1ed1c t\u00e1c d\u1ee5ng m\u1ea1nh, k\u00e9o d\u00e0i.<\/li>\n
  • C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf nh\u01b0ng kh\u00f4ng ti\u1ec7t tr\u1eeb \u0111\u01b0\u1ee3c Helicobacter pylori, n\u00ean ph\u1ea3i ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c kh\u00e1ng sinh (nh\u01b0 amoxicillin, tetracyclin v\u00e0 clarithromycin) m\u1edbi c\u00f3 th\u1ec3 ti\u1ec7t tr\u1eeb hi\u1ec7u qu\u1ea3 vi khu\u1ea9n n\u00e0y.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/td>\nH\u1ea5p thu<\/td>\nSau khi u\u1ed1ng, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng (Cmax) \u0111\u1ea1t \u0111\u01b0\u1ee3c sau kho\u1ea3ng 1,5 gi\u1edd (Tmax). Cmax t\u0103ng t\u1ef7 l\u1ec7 thu\u1eadn khi t\u0103ng li\u1ec1u v\u00e0 di\u1ec7n t\u00edch d\u01b0\u1edbi \u0111\u01b0\u1eddng cong n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft t\u01b0\u01a1ng theo th\u1eddi gian (AUC) t\u0103ng g\u1ea5p ba l\u1ea7n t\u1eeb 20 \u0111\u1ebfn 40 mg.<\/td>\n<\/tr>\n
Ph\u00e2n b\u1ed1<\/td>\nEsomeprazole li\u00ean k\u1ebft 97% v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng. Li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng kh\u00f4ng \u0111\u1ed5i trong kho\u1ea3ng n\u1ed3ng \u0111\u1ed9 t\u1eeb 2 \u0111\u1ebfn 20 umol\/L. Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 bi\u1ec3u ki\u1ebfn \u200b\u200b\u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n kh\u1ecfe m\u1ea1nh l\u00e0 kho\u1ea3ng 16 L.<\/td>\n<\/tr>\n
Chuy\u1ec3n h\u00f3a<\/td>\nEsomeprazole \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan nh\u1edd h\u1ec7 th\u1ed1ng enzym cytochrome P450 (CYP). C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a esomeprazole kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh kh\u00e1ng ti\u1ebft. Ph\u1ea7n l\u1edbn qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a c\u1ee7a esomeprazole ph\u1ee5 thu\u1ed9c v\u00e0o isoenzym CYP2C19, ch\u1ea5t t\u1ea1o th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxy v\u00e0 desmethyl. L\u01b0\u1ee3ng c\u00f2n l\u1ea1i ph\u1ee5 thu\u1ed9c v\u00e0o CYP3A4 \u0111\u1ec3 t\u1ea1o th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a sulphone.<\/td>\n<\/tr>\n
Th\u1ea3i tr\u1eeb<\/td>\nTh\u1eddi gian b\u00e1n th\u1ea3i trong huy\u1ebft t\u01b0\u01a1ng c\u1ee7a esomeprazole kho\u1ea3ng 1 \u0111\u1ebfn 1,5 gi\u1edd. \u00cdt h\u01a1n 1% thu\u1ed1c g\u1ed1c \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Thu\u1ed1c Esogas Bidiphar \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n

Esogas Bidiphar l\u00e0 <\/span>thu\u1ed1c ti\u00eam gi\u1ea3m \u0111au d\u1ea1 d\u00e0y<\/b> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/span><\/p>\n

Ng\u01b0\u1eddi l\u1edbn:<\/span><\/i><\/p>\n

\u0110i\u1ec1u tr\u1ecb kh\u00e1ng ti\u1ebft acid d\u1ea1 d\u00e0y khi ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1eddng u\u1ed1ng kh\u00f4ng hi\u1ec7u qu\u1ea3, bao g\u1ed3m tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y – th\u1ef1c qu\u1ea3n; lo\u00e9t d\u1ea1 d\u00e0y do d\u00f9ng Nsaids; d\u1ef1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng do d\u00f9ng Nsaids \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1.<\/span><\/p>\n

Ph\u00f2ng ng\u1eeba t\u00e1i xu\u1ea5t huy\u1ebft sau khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i soi\u00a0 xu\u1ea5t huy\u1ebft c\u1ea5p t\u00ednh do lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng.<\/span><\/p>\n

Tr\u1ebb em v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean t\u1eeb 1 – 18 tu\u1ed5i:<\/span><\/i><\/p>\n

\u0110i\u1ec1u tr\u1ecb kh\u00e1ng ti\u1ebft acid d\u1ea1 d\u00e0y khi ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng kh\u00f4ng \u0111\u00e1p \u1ee9ng, nh\u01b0: b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n (GERD) \u1edf b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n b\u00e0o m\u00f2n do tr\u00e0o ng\u01b0\u1ee3c v\u00e0\/ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c n\u1eb7ng<\/span><\/p>\n

Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Esogas Bidiphar<\/span><\/h2>\n

C\u00e1ch d\u00f9ng<\/span><\/h3>\n

\u0110\u1ed1i v\u1edbi ti\u00eam t\u0129nh m\u1ea1ch<\/span><\/i><\/p>\n

Dung d\u1ecbch ti\u00eam \u0111\u01b0\u1ee3c pha ch\u1ebf b\u1eb1ng c\u00e1ch ho\u00e0n nguy\u00ean l\u1ecd b\u1ed9t v\u1edbi 5 ml dung d\u1ecbch NaCl 0,9%. Ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm \u00edt nh\u1ea5t 3 ph\u00fat.<\/span><\/p>\n

\u0110\u1ed1i v\u1edbi truy\u1ec1n t\u0129nh m\u1ea1ch<\/span><\/i><\/p>\n