{"id":53505,"date":"2023-10-30T23:54:34","date_gmt":"2023-10-30T16:54:34","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&#038;p=53505"},"modified":"2025-07-24T13:59:50","modified_gmt":"2025-07-24T06:59:50","slug":"thuoc-gaspemin-40","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/thuoc-gaspemin-40\/","title":{"rendered":"Gaspemin 40"},"content":{"rendered":"<p><b>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 <a href=\"https:\/\/hmm88i.com\/drug\/thuoc-gaspemin-40\/\">Gaspemin 40<\/a> ch\u1ee9a th\u00e0nh ph\u1ea7n Esomeprazole h\u00e0m l\u01b0\u1ee3ng 40mg; c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, do SRS Pharmaceuticals ph\u00e2n ph\u1ed1i, Acme Formulation ch\u1ecbu tr\u00e1ch nhi\u1ec7m s\u1ea3n xu\u1ea5t, v\u1edbi s\u1ed1 l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-21997-19.<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Gaspemin 40 l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c <strong>Gaspemin 40 <\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\">Esomeprazole:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..60mg<\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao tan trong ru\u1ed9t.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VN-21997-19.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: SRS Pharmaceuticals &#8211; \u1ea4n \u0110\u1ed9.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Gaspemin 40 <\/span><\/h2>\n<h3><span style=\"font-weight: 400\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng\u00a0<\/span><\/h3>\n<p>Esomeprazol l\u00e0 d\u1ea1ng \u0111\u1ed3ng ph\u00e2n S c\u1ee7a omeprazol, t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi omeprazol.<\/p>\n<p>Esomeprazol \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a trong m\u00f4i tr\u01b0\u01a1ng pH acid, ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u0111i t\u1edbi v\u00e0 t\u1ea1o li\u00ean k\u1ebft h\u00f3a tr\u1ecb b\u1ec1n v\u1eefng, kh\u00f4ng h\u1ed3i ph\u1ee5c v\u1edbi c\u00e1c k\u00eanh H*\/K*\/ATPase, b\u1ea5t ho\u1ea1t c\u00e1c d\u00f2ng trao \u0111\u1ed5i ion t\u1ea1i vi\u1ec1n d\u1ea1 d\u00e0y. K\u1ebft qu\u1ea3, s\u1ef1 b\u00e0i ti\u1ebft acid c\u1ee7a t\u1ebf b\u00e0o vi\u1ec1n d\u1ea1 d\u00e0y b\u1ecb ng\u0103n c\u1ea3n do kh\u00f4ng c\u00f3 H+.<\/p>\n<p>Khi c\u00e1c b\u01a1m proton m\u1edbi \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t, s\u1ef1 b\u00e0i ti\u1ebft acid d\u1ea1 d\u00e0y khi \u0111\u00f3 m\u1edbi \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i, nh\u1edd v\u1eady thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i t\u1edbi 24 gi\u1edd, m\u1eb7c d\u00f9 n\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb t\u01b0\u01a1ng \u0111\u1ed1i ng\u1eafn.<\/p>\n<p>Esomeprazol hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi m\u1ecdi t\u00e1c nh\u00e2n g\u00e2y t\u0103ng ti\u1ebft acid d\u1ea1 d\u00e0y: bao g\u1ed3m c\u1ea3 gi\u1ea3m ti\u1ebft acid d\u1ea1 d\u00e0y k\u00edch th\u00edch v\u00e0 c\u01a1 b\u1ea3n.<\/p>\n<p>C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ti\u1ec7t tr\u1eeb vi khu\u1ea9n nh\u01b0ng nh\u1edd t\u00e1c \u0111\u1ed9ng l\u00e0m t\u0103ng pH m\u00f4i tr\u01b0\u1eddng, thu\u1ed1c \u1ee9c ch\u1ebf s\u1ef1 nh\u00e2n l\u00ean v\u00e0 ho\u1ea1t \u0111\u1ed9ng Helicobacter pylori. Tr\u1ecb li\u1ec7u ph\u1ed1i h\u1ee3p esomeprazol v\u1edbi c\u00e1c kh\u00e1ng sinh c\u00f3 th\u1ec3 ti\u1ec7t tr\u1eeb hi\u1ec7u qu\u1ea3 vi khu\u1ea9n n\u00e0y.<\/p>\n<h3><span style=\"font-weight: 400\">\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n<p>H\u1ea5p thu: Esomeprazole \u0111\u01b0\u1ee3c h\u1ea5p thu t\u01b0\u01a1ng \u0111\u1ed1i nhanh v\u00e0 n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh c\u1ee7a thu\u1ed1c \u0111\u1ea1t \u0111\u01b0\u1ee3c sau kho\u1ea3ng 1-2 gi\u1edd sau khi u\u1ed1ng thu\u1ed1c. Sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c s\u1ebd t\u0103ng l\u00ean sau khi s\u1eed d\u1ee5ng li\u1ec1u l\u1eb7p l\u1ea1i 1 l\u1ea7n m\u1ed7i ng\u00e0y.<\/p>\n<p>Ph\u00e2n b\u1ed1: Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a thu\u1ed1c \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh l\u00e0 22L\/kg th\u1ec3 tr\u1ecdng. Esomeprazole c\u00f3 kh\u1ea3 n\u0103ng g\u1eafn v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng kho\u1ea3ng 97%.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: Esomeprazol \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan nh\u1edd h\u1ec7 enzym cytochrom P450 v\u00e0 isoenzyme CYP2C19 t\u1ea1o th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a l\u00e0 hydroxy v\u00e0 desmethyl. Ph\u1ea7n c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a nh\u1edd CYP3A4.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Esomeprazol kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u00edch l\u0169y v\u1edbi li\u1ec1u 1 l\u1ea7n m\u1ed7i ng\u00e0y. Thu\u1ed1c \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a. Kho\u1ea3ng 1% thu\u1ed1c \u1edf d\u1ea1ng kh\u00f4ng chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Gaspemin 40 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n<p>Thu\u1ed1c <strong>Gaspemin (Esomeprazole) 40mg<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<p>Lo\u00e9t th\u1ef1c qu\u1ea3n do tr\u00e0o ng\u01b0\u1ee3c.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n.<\/p>\n<p>Ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n vi\u00eam th\u1ef1c qu\u1ea3n sau khi kh\u1ecfi b\u1ec7nh.<\/p>\n<p>Ph\u1ed1i h\u1ee3p v\u1edbi kh\u00e1ng sinh \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb lo\u00e9t t\u00e1 tr\u00e0ng do vi khu\u1ea9n H.pylori.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Zollinger Ellison.<\/p>\n<p>D\u1ef1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y- t\u00e1 tr\u00e0ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid.<\/p>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng &#8211; c\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Gaspemin 40 <\/span><\/h2>\n<h3>C\u00e1ch d\u00f9ng thu\u1ed1c Gaspemin 40<\/h3>\n<p>Gaspemin 40 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo \u0111\u01b0\u1eddng u\u1ed1ng, u\u1ed1ng thu\u1ed1c v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc v\u1eeba \u0111\u1ee7.<\/p>\n<p>Thu\u1ed1c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n bao phim bao tan trong ru\u1ed9t \u0111\u1ec3 thu\u1ed1c kh\u00f4ng b\u1ecb ph\u00e1 h\u1ee7y b\u1edfi acid c\u1ee7a d\u1ecbch v\u1ecb do \u0111\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c nhai ho\u1eb7c nghi\u1ec1n nh\u1ecf vi\u00ean thu\u1ed1c.<\/p>\n<p>N\u00ean u\u1ed1ng thu\u1ed1c tr\u01b0\u1edbc b\u1eefa \u0103n \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 h\u1ea5p thu.<\/p>\n<h3>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Gaspemin 40<\/h3>\n<p>Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n: M\u1ed7i l\u1ea7n u\u1ed1ng 1 vi\u00ean, trong v\u00f2ng 8 tu\u1ea7n li\u00ean t\u1ee5c ho\u1eb7c d\u00e0i h\u01a1n n\u1ebfu v\u1eabn c\u00f2n tri\u1ec7u ch\u1ee9ng khi ti\u1ebfn h\u00e0nh n\u1ed9i soi.<\/p>\n<p>Ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n vi\u00eam th\u1ef1c qu\u1ea3n \u0111\u00e3 kh\u1ecfi b\u1ec7nh: li\u1ec1u th\u01b0\u1eddng d\u00f9ng l\u00e0 0,5 vi\u00ean m\u1ed7i ng\u00e0y.<\/p>\n<p>Ph\u1ed1i h\u1ee3p v\u1edbi kh\u00e1ng sinh \u0111\u1ec3 di\u1ec7t tr\u1eeb H.pylori:\u00a0 1 vi\u00ean\/ng\u00e0y, u\u1ed1ng trong 7 ng\u00e0y li\u00ean t\u1ee5c.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Zollinger &#8211; Ellison: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 1 vi\u00ean\/l\u1ea7n x 2 l\u1ea7n m\u1ed7i ng\u00e0y. Sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u theo \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n<\/p>\n<p>D\u1ef1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y do s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam NSAID: D\u00f9ng 0.5 vi\u00ean 1 l\u1ea7n duy nh\u1ea5t m\u1ed7i ng\u00e0y.<\/p>\n<p>Kh\u00f4ng c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn ho\u1eb7c suy gan m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 v\u1eeba.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c \u1edf b\u1ec7nh nh\u00e2n suy gan n\u1eb7ng.<\/p>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Gaspemin 40 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>Qu\u00e1 m\u1eabn v\u1edbi esomeprazol ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton kh\u00e1c.<\/p>\n<p>Kh\u00f4ng d\u00f9ng esomeprazol cho ng\u01b0\u1eddi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nelfinavir.<\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Gaspemin 40 <\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p>Tr\u01b0\u1edbc khi cho b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton n\u00ean lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n b\u1ecb ung th\u01b0 d\u1ea1 d\u00e0y do thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian ch\u1ea9n \u0111o\u00e1n b\u1ec7nh do c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00e3 b\u1ecb che l\u1ea5p khi d\u00f9ng thu\u1ed1c.<\/p>\n<p>S\u1eed d\u1ee5ng thu\u1ed1c k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y vi\u00eam teo d\u1ea1 d\u00e0y.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, l\u00e0m gi\u1ea3m h\u1ea5p thu Vitamin B12 do l\u00e0m gi\u1ea3m s\u1ef1 b\u00e0i ti\u1ebft acid d\u1ecbch v\u1ecb l\u00e0 t\u0103ng pH d\u1ea1 d\u00e0y.<\/p>\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m Magie m\u00e1u n\u1eb7ng.<\/p>\n<p>Khi s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c PPI k\u00e9o d\u00e0i (tr\u00ean 1 n\u0103m) c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng h\u00f4ng, c\u1ed5 tay ho\u1eb7c c\u1ed9t s\u1ed1ng.<\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<p>Th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb n\u1ebfu b\u1ea1n g\u1eb7p b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n n\u00e0o d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n<p>Th\u01b0\u1eddng g\u1eb7p: \u0110au \u0111\u1ea7u, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, bu\u1ed3n n\u00f4n, \u0111\u1ea7y h\u01a1i, n\u00f4n.<\/p>\n<p>\u00cdt g\u1eb7p: Ph\u00f9 ngo\u1ea1i bi\u00ean, cho\u00e1ng v\u00e1ng, m\u1ea5t ng\u1ee7, ng\u1ee7 g\u00e0, d\u1ecb c\u1ea3m, ch\u00f3ng m\u1eb7t, kh\u00f4 mi\u1ec7ng, t\u0103ng enzym gan, vi\u00eam da, m\u00e0y \u0111ay, ph\u00e1t ban.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: Gi\u1ea3m b\u1ea1ch c\u1ea7u, ti\u1ec3u c\u1ea7u, s\u1ed1t, s\u1ed1c ph\u1ea3n v\u1ec7, h\u1ea1 natri m\u00e1u, tr\u1ea7m c\u1ea3m.<\/p>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf protase: Thay \u0111\u1ed5i pH d\u1ea1 d\u00e0y l\u00e0m thay \u0111\u1ed5i kh\u1ea3 n\u0103ng h\u1ea5p thu c\u1ee7a c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf protase<\/p>\n<p>Atazanavir, nelfinavir: N\u1ed3ng \u0111\u1ed9 thu\u1ed1c b\u1ecb gi\u1ea3m do \u0111\u00f3 kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi esomeprazole<\/p>\n<p>Methotrexate, tacrolimus: T\u0103ng n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft t\u01b0\u01a1ng<\/p>\n<p>Ketoconazol, mu\u1ed1i S\u1eaft, Digoxin, itraconazole: Do esomeprazol l\u00e0m thay \u0111\u1ed5i pH d\u1ea1 d\u00e0y do \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh kh\u1ea3 d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c n\u00e0y<\/p>\n<p>Diazepam, imipramine, Citalopram,..:N\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng c\u00f3 th\u1ec3 t\u0103ng l\u00ean<\/p>\n<p>Warfarin: K\u00e9o d\u00e0i th\u1eddi gian prothrombin<\/p>\n<p>Clopidogrel: L\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a clopidogrel<\/p>\n<h3><span style=\"font-weight: 400\">L\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<\/span><\/h3>\n<p>Th\u1eddi k\u1ef3 mang thai: Ch\u01b0a c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1ec1 vi\u1ec7c esomeprazol c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi hay kh\u00f4ng do \u0111\u00f3 ch\u1ec9 s\u1eed d\u1ee5ng thu\u1ed1c cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y khi th\u1eadt c\u1ea7n thi\u1ebft.<\/p>\n<p>Th\u1eddi k\u1ef3 cho con b\u00fa: Ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c esomeprazol c\u00f3 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 hay kh\u00f4ng do \u0111\u00f3 c\u00f3 th\u1ec3 ph\u1ea3i ng\u1eebng cho con b\u00fa trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<h3><span style=\"font-weight: 400\">\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/span><\/h3>\n<p>Diamicron MR kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kha n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<p>Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng b\u1ea3o tr\u01b0\u1edbc nh\u1eefng tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u1ea7n th\u1eadn tr\u1ecdng khi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c, \u0111\u1eb7c bi\u1ec7t \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><span style=\"font-weight: 400\">Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\n<p>Ch\u01b0a c\u00f3 nhi\u1ec1u kinh nghi\u1ec7m v\u1ec1 vi\u1ec7c x\u1eed tr\u00ed qu\u00e1 li\u1ec1u thu\u1ed1c. Ch\u01b0a c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u v\u00e0 esomeprazol c\u0169ng kh\u00f4ng d\u1ec5 d\u00e0ng b\u1ecb th\u1ea9m t\u00e1ch. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, n\u00ean ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n<h3><span style=\"font-weight: 400\">B\u1ea3o qu\u1ea3n<\/span><\/h3>\n<p><span style=\"font-weight: 400\">N\u01a1i kh\u00f4, d\u01b0\u1edbi 30\u00b0C. Tr\u00e1nh \u00e1nh s\u00e1ng.<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Gaspemin 40 gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Gaspemin 40 hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, <strong>gi\u00e1 thu\u1ed1c Gaspemin 40<\/strong> c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline 0868 552 633 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Tr\u01b0\u1eddng h\u1ee3p thu\u1ed1c Gaspemin 40 t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c thu\u1ed1c (s\u1ea3n ph\u1ea9m) kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng v\u1edbi thu\u1ed1c Gaspemin 40 nh\u01b0:\u00a0<\/span><\/p>\n<ul>\n<li>Thu\u1ed1c <a href=\"https:\/\/hmm88i.com\/drug\/esapbe-40\/\">Esapbe 40<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Sterling Healthcare Pvt. Ltd \u2013 \u1ea4N \u0110\u1ed8, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-12823-11, \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1edfi c\u00f4ng ty Yeva Therapeutics., Ltd; l\u00e0 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y-th\u1ef1c qu\u1ea3n (GERD) c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Esomeprazole v\u1edbi h\u00e0m l\u01b0\u1ee3ng 40mg c\u00f3 gi\u00e1 \u00a0450.000 \u0111\u1ed3ng 1 h\u1ed9p 20 vi\u00ean.<\/li>\n<li><a href=\"https:\/\/hmm88i.com\/drug\/ritozol-40mg\/\">Thu\u1ed1c Ritozol 40mg<\/a> ch\u1ee9a ho\u1ea1t ch\u1ea5t Esomeprazole v\u1edbi h\u00e0m l\u01b0\u1ee3ng 40mg d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, vi\u00eam th\u1ef1c qu\u1ea3n tr\u1ea7y x\u01b0\u1edbc v\u00e0 \u0111\u1ec1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng; \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Bosch Pharmaceuticals (PVT) Ltd, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-16694-13<\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn thu\u1ed1c Gaspemin 40 ?<\/span><\/h2>\n<table style=\"border-collapse: collapse;width: 100%\">\n<tbody>\n<tr>\n<td style=\"width: 54.2394%;text-align: center\">\u01afu \u0111i\u1ec3m<\/td>\n<td style=\"width: 45.7606%;text-align: center\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 54.2394%\">Thu\u1ed1c Gaspemin 40 \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n bao tan trong ru\u1ed9t, d\u1ea1ng b\u00e0o ch\u1ebf n\u00e0y c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 thu\u1ed1c s\u1ebd kh\u00f4ng b\u1ecb acid c\u1ee7a d\u1ea1 d\u00e0y ph\u00e1 h\u1ee7y g\u00e2y m\u1ea5t t\u00e1c d\u1ee5ng, n\u00f3 ch\u1ec9 h\u00f2a tan khi \u0111\u00e3 xu\u1ed1ng ru\u1ed9t n\u00ean sinh kh\u1ea3 d\u1ee5ng c\u1ee7a thu\u1ed1c s\u1ebd cao h\u01a1n. Ngo\u00e0i ra, thu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c \u0111\u00f3ng g\u00f3i th\u00e0nh t\u1eebng v\u1ec9 10 vi\u00ean, thu\u1eadn ti\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh trong qu\u00e1 tr\u00ecnh b\u1ea3o qu\u1ea3n thu\u1ed1c, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a t\u00ecnh tr\u1ea1ng \u1ea9m m\u1ed1c.<\/p>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t v\u1edbi d\u00e2y chuy\u1ec1n hi\u1ec7n \u0111\u1ea1i, nh\u00e0 m\u00e1y \u0111\u1ea1t ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng cao.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton nh\u01b0 esomeprazol li\u1ec1u l\u01b0\u1ee3ng 40mg k\u1ebft h\u1ee3p v\u1edbi kh\u00e1ng sinh Amoxicillin v\u00e0 Clarithromycin \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh tr\u00ean l\u00e2m s\u00e0ng l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t trong vi\u1ec7c ti\u00eau di\u1ec7t vi khu\u1ea9n H.Pylori \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y c\u0169ng ch\u1ec9 ra r\u1eb1ng, esomeprazol (thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton l\u00e0 gi\u1ea3m ti\u1ebft acid d\u1ecbch v\u1ecb) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ed1i \u0111a t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 lo\u00e9t d\u1ea1 d\u00e0y do s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid.<\/p>\n<p>Vi\u1ec7c ph\u1ed1i h\u1ee3p axit acetylsalicylic (ASA) \/ esomeprazole li\u1ec1u c\u1ed1 \u0111\u1ecbnh \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 tim m\u1ea1ch (CV) \u0111\u1ed3ng th\u1eddi h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. N\u00f3 \u0111\u01b0\u1ee3c \u01b0u ti\u00ean s\u1eed d\u1ee5ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/td>\n<td style=\"width: 45.7606%\">S\u1eed d\u1ee5ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng vi\u00eam teo d\u1ea1 d\u00e0y.<\/p>\n<p>Esomeprazol c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm th\u1eddi gian ch\u1ea9n \u0111o\u00e1n ung th\u01b0 d\u1ea1 d\u00e0y.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/span><\/h2>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1c gi\u1ea3 David A Johnson (Ng\u00e0y \u0111\u0103ng th\u00e1ng 2 n\u0103m 2003). <em>Review of esomeprazole in the treatment of acid disorders<\/em>. Truy c\u1eadp ng\u00e0y 30 th\u00e1ng 10 n\u0103m 2018, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12562316\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/12562316\/<\/a><\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u00e1c gi\u1ea3 Andrea Morgner v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng th\u00e1ng 5 n\u0103m 2007). <em>Esomeprazole: prevention and treatment of NSAID-induced symptoms and ulcers<\/em>. Th\u1eddi gian truy c\u1eadp ng\u00e0y 30 th\u00e1ng 10 n\u0103m 2023, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17472543\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/17472543\/<\/a><\/span><\/li>\n<li>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Gaspemin 40 do nh\u00e0 s\u1ea3n xu\u1ea5t cung c\u1ea5p, t\u1ea3i b\u1ea3n PDF <a href=\"https:\/\/hmm88i.com\/drug\/wp-content\/uploads\/2019\/09\/thuoc-gaspemin-40-hdsd-vnras.pdf\">t\u1ea1i \u0111\u00e2y<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Gaspemin 40 ch\u1ee9a Esomeprazole, c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng, h\u1ed9p 3 v\u0129 x 10 vi\u00ean bao tan trong ru\u1ed9t<\/p>\n","protected":false},"author":490,"featured_media":53537,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-53505","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product\/53505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"author":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/users\/490"}],"replies":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/comments?post=53505"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/media\/53537"}],"wp:attachment":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/media?parent=53505"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product_cat?post=53505"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product_tag?post=53505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}