{"id":55567,"date":"2023-11-07T11:25:15","date_gmt":"2023-11-07T04:25:15","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=55567"},"modified":"2025-07-24T13:59:45","modified_gmt":"2025-07-24T06:59:45","slug":"symbicort-turbuhaler-160-4-5-mcg","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/symbicort-turbuhaler-160-4-5-mcg\/","title":{"rendered":"Symbicort turbuhaler 160\/4.5 mcg"},"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 Symbicort turbuhaler 160\/4.5 mcg<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty AstraZeneca, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-20225-17<\/strong><\/p>\n M\u1ed7i li\u1ec1u h\u00edt Symbicort turbuhaler 160\/4.5 mcg<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: B\u1ed9t d\u00f9ng \u0111\u1ec3 h\u00edt.<\/p>\n S\u0110K: VN-20225-17. Budesonide l\u00e0 m\u1ed9t glucocorticosteroid kh\u00e1ng vi\u00eam, t\u00e1c \u0111\u1ed9ng ph\u1ee5 thu\u1ed9c li\u1ec1u khi d\u00f9ng \u0111\u01b0\u1eddng h\u00edt, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 gi\u1ea3m c\u00e1c \u0111\u1ee3t k\u1ecbch ph\u00e1t hen suy\u1ec5n.<\/p>\n Formoterol l\u00e0 ch\u1ea5t ch\u1ee7 v\u1eadn beta-2 ch\u1ecdn l\u1ecdc. \u1ede b\u1ec7nh nh\u00e2n t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c, ch\u1ea5t n\u00e0y g\u00e2y gi\u00e3n c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n nhanh, k\u00e9o d\u00e0i v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u. Th\u1eddi gian kh\u1edfi ph\u00e1t t\u00e1c d\u1ee5ng sau 1-3 ph\u00fat v\u00e0 k\u00e9o d\u00e0i t\u1ed1i thi\u1ec3u 12 gi\u1edd sau khi d\u00f9ng li\u1ec1u \u0111\u01a1n.<\/p>\n C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng cho th\u1ea5y s\u1ef1 k\u1ebft h\u1ee3p formoterol v\u00e0 budesonide gi\u00fap l\u00e0m gi\u1ea3m c\u00e1c \u0111\u1ee3t k\u1ecbch ph\u00e1t hen suy\u1ec5n, c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng hen suy\u1ec5n v\u00e0 ch\u1ee9c n\u0103ng ph\u1ed5i.<\/p>\n C\u00e1c th\u00f4ng s\u1ed1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc t\u01b0\u01a1ng t\u1ef1 nh\u01b0 khi d\u00f9ng budesonide v\u00e0 formoterol ri\u00eang l\u1ebb.<\/p>\n Budesonide c\u00f3 t\u1ed1c \u0111\u1ed9 h\u1ea5p thu nhanh h\u01a1n, AUC t\u0103ng nh\u1eb9 v\u00e0 n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng cao h\u01a1n sau khi d\u00f9ng ph\u1ed1i h\u1ee3p. Budesonide h\u00edt h\u1ea5p thu nhanh ch\u00f3ng v\u00e0 30 ph\u00fat sau khi h\u00edt thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng. Sinh kh\u1ea3 d\u1ee5ng to\u00e0n th\u00e2n kho\u1ea3ng 49% li\u1ec1u ph\u00f3ng th\u00edch.<\/p>\n \u0110\u1ed1i v\u1edbi formoterol sau khi d\u00f9ng ph\u1ed1i h\u1ee3p, n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi khi d\u00f9ng ri\u00eang l\u1ebb. 10 ph\u00fat sau khi h\u00edt, thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong huy\u1ebft t\u01b0\u01a1ng. Sinh kh\u1ea3 d\u1ee5ng to\u00e0n th\u00e2n kho\u1ea3ng 61% li\u1ec1u ph\u00f3ng th\u00edch.<\/p>\n Kh\u1ea3 n\u0103ng li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng c\u1ee7a formoterol l\u00e0 50% v\u00e0 budesonide l\u00e0 90%.<\/p>\n Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a formoterol kho\u1ea3ng 4L\/kg v\u00e0 3L\/kg \u0111\u1ed1i v\u1edbi budesonide.<\/p>\n Formoterol tr\u1ea3i qua c\u00e1c ph\u1ea3n \u1ee9ng li\u00ean h\u1ee3p v\u00e0 b\u1ecb b\u1ea5t ho\u1ea1t. Budesonide chuy\u1ec3n h\u00f3a l\u1ea7n \u0111\u1ea7u ti\u00ean qua gan th\u00e0nh c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh glucocorticosteroid th\u1ea5p.<\/p>\n Ph\u1ea7n l\u1edbn li\u1ec1u formoterol \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua th\u1eadn. Kho\u1ea3ng 8 – 13% li\u1ec1u h\u00edt formoterol b\u00e0i ti\u1ebft d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng chuy\u1ec3n h\u00f3a v\u00e0o n\u01b0\u1edbc ti\u1ec3u. Formoterol c\u00f3 \u0111\u1ed9 thanh th\u1ea3i kho\u1ea3ng 1,4 L\/ph\u00fat v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i l\u00e0 17 gi\u1edd.<\/p>\n Budesonide chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu d\u01b0\u1edbi s\u1ef1 x\u00fac t\u00e1c c\u1ee7a CYP3A4. C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a budesonide \u1edf d\u1ea1ng t\u1ef1 do ho\u1eb7c d\u1ea1ng k\u1ebft h\u1ee3p \u0111\u01b0\u1ee3c ti\u1ebft ra n\u01b0\u1edbc ti\u1ec3u. M\u1ed9t l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf budesonide kh\u00f4ng \u0111\u1ed5i b\u00e0i ti\u1ebft trong n\u01b0\u1edbc ti\u1ec3u. Budesonide c\u00f3 \u0111\u1ed9 thanh th\u1ea3i kho\u1ea3ng 1,2 L\/ph\u00fat v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh l\u00e0 4 gi\u1edd sau khi ti\u00eam t\u0129nh m\u1ea1ch.<\/p>\n Li\u1ec1u t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. C\u00f3 th\u1ec3 c\u00f3 hai c\u00e1ch \u0111i\u1ec1u tr\u1ecb:<\/p>\n 1. \u0110i\u1ec1u tr\u1ecb duy tr\u00ec b\u1eb1ng Symbicort k\u00e8m v\u1edbi thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n t\u00e1c d\u1ee5ng nhanh ri\u00eang l\u1ebb khi c\u1ea7n c\u1eaft c\u01a1n.<\/p>\n Li\u1ec1u khuy\u1ebfn c\u00e1o c\u1ee7a Symbicort:<\/p>\n Ng\u01b0\u1eddi l\u1edbn t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean: 1 – 2 h\u00edt x 2 l\u1ea7n\/ng\u00e0y, c\u00f3 th\u1ec3 c\u1ea7n li\u1ec1u t\u1ed1i \u0111a 4 h\u00edt\/ l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n Tr\u1ebb em t\u1eeb 12 – 17 tu\u1ed5i: 1 – 2 h\u00edt\/ l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n Khi \u0111\u00e3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c v\u1edbi ph\u00e1c \u0111\u1ed3 2 l\u1ea7n\/ng\u00e0y th\u00ec c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh s\u1eed d\u1ee5ng Symbicort 1 l\u1ea7n\/ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n duy tr\u00ec ki\u1ec3m so\u00e1t hen b\u1eb1ng m\u1ed9t thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i.<\/p>\n Tr\u1ebb 6 – 11 tu\u1ed5i: \u0110\u00e3 c\u00f3 lo\u1ea1i h\u00e0m l\u01b0\u1ee3ng th\u1ea5p h\u01a1n.<\/p>\n 2. \u0110i\u1ec1u tr\u1ecb duy tr\u00ec v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng hen b\u1eb1ng Symbicort<\/p>\n B\u1ec7nh nh\u00e2n d\u00f9ng li\u1ec1u duy tr\u00ec Symbicort m\u1ed7i ng\u00e0y v\u00e0 lu\u00f4n lu\u00f4n \u0111em theo Symbicort \u0111\u1ec3 s\u1eed d\u1ee5ng khi c\u1ea7n gi\u1ea3m tri\u1ec7u ch\u1ee9ng.<\/p>\n C\u00e1c b\u1ec7nh nh\u00e2n sau c\u1ea7n xem x\u00e9t s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p n\u00e0y:<\/p>\n – Tri\u1ec7u ch\u1ee9ng hen kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m\u00a0 so\u00e1t t\u1ed1t v\u00e0 c\u1ea7n d\u00f9ng thu\u1ed1c gi\u1ea3m tri\u1ec7u ch\u1ee9ng.<\/p>\n – \u0110\u00e3 c\u00f3 c\u00e1c \u0111\u1ee3t hen k\u1ecbch ph\u00e1t c\u1ea7n can thi\u1ec7p.<\/p>\n Theo d\u00f5i th\u1eadn tr\u1ecdng khi b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean d\u00f9ng li\u1ec1u cao Symbicort.<\/p>\n Li\u1ec1u khuy\u1ebfn c\u00e1o:<\/p>\n Ng\u01b0\u1eddi t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean: Li\u1ec1u duy tr\u00ec l\u00e0 2 h\u00edt\/ ng\u00e0y, chia 2 l\u1ea7n s\u00e1ng t\u1ed1i ho\u1eb7c 2 li\u1ec1u h\u00edt v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c bu\u1ed5i t\u1ed1i. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng li\u1ec1u duy tr\u00ec 2 h\u00edt x 2 l\u1ea7n\/ng\u00e0y. Khi c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 d\u00f9ng th\u00eam 1 li\u1ec1u h\u00edt. Sau v\u00e0i ph\u00fat n\u1ebfu tri\u1ec7u ch\u1ee9ng v\u1eabn c\u00f2n, n\u00ean d\u00f9ng th\u00eam 1 li\u1ec1u h\u00edt n\u1eefa. Kh\u00f4ng d\u00f9ng nhi\u1ec1u h\u01a1n 6 li\u1ec1u h\u00edt\/l\u1ea7n.<\/p>\n T\u1ed5ng li\u1ec1u\/ng\u00e0y kh\u00f4ng qu\u00e1 8 h\u00edt; tuy nhi\u00ean t\u1ed5ng li\u1ec1u\/ ng\u00e0y l\u00ean \u0111\u1ebfn 12 h\u00edt c\u00f3 th\u1ec3 d\u00f9ng trong th\u1eddi gian ng\u1eafn. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, t\u00e1i kh\u00e1m.<\/p>\n Tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean < 18 tu\u1ed5i: Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng li\u1ec7u ph\u00e1p n\u00e0y.<\/p>\n – S\u1eed d\u1ee5ng \u0111\u1ea7u ng\u1eadm, h\u00edt m\u1ea1nh v\u00e0 s\u00e2u \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o li\u1ec1u t\u1ed1i \u01b0u \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch v\u00e0o ph\u1ed5i.<\/p>\n – Kh\u00f4ng \u0111\u01b0\u1ee3c v\u1eeba ng\u1eadm \u0111\u1ea7u ng\u1eadm v\u1eeba th\u1edf ra.<\/p>\n – Sau khi s\u1eed d\u1ee5ng Symbicort Turbuhaler<\/strong> c\u1ea7n \u0111\u1eady n\u1eafp.<\/p>\n – \u0110\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m n\u1ea5m \u1edf h\u1ea7u-h\u1ecdng c\u1ea7n s\u00fac mi\u1ec7ng sau khi h\u00edt li\u1ec1u duy tr\u00ec.<\/p>\n V\u00ec l\u01b0\u1ee3ng thu\u1ed1c trong m\u1ed7i li\u1ec1u r\u1ea5t nh\u1ecf, sau khi h\u00edt b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea3m nh\u1eadn v\u1ecb thu\u1ed1c ho\u1eb7c kh\u00f4ng c\u1ea3m th\u1ea5y c\u00f3 thu\u1ed1c.<\/p>\n Qu\u00e1 m\u1eabn v\u1edbi formoterol, budesonide hay lactose.<\/p>\nSymbicort turbuhaler 160\/4.5 mcg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n
Th\u00e0nh ph\u1ea7n<\/h3>\n
\n
Tr\u00ecnh b\u00e0y<\/h3>\n
\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 \u1ed1ng h\u00edt 120 li\u1ec1u.
\nXu\u1ea5t x\u1ee9: Th\u1ee5y \u0110i\u1ec3n.<\/p>\nSymbicort turbuhaler 160\/4.5 mcg l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n
\n
\n
D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n
\n
\n
\n
Thu\u1ed1c Symbicort turbuhaler 160\/4.5 mcg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n
\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Symbicort turbuhaler 160\/4.5 mcg<\/h2>\n
Li\u1ec1u d\u00f9ng<\/h3>\n
\n
\n
Symbicort 160\/4.5 c\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Symbicort turbuhaler 160\/4.5 mcg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Symbicort turbuhaler 160\/4.5 mcg<\/h2>\n
Th\u1eadn tr\u1ecdng<\/h3>\n
\n
\nKhi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Symbicort, c\u00f3 th\u1ec3 x\u1ea3y ra t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn hen v\u00e0 \u0111\u1ee3t k\u1ecbch ph\u00e1t hen.<\/li>\nT\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n