{"id":58676,"date":"2023-11-23T18:34:28","date_gmt":"2023-11-23T11:34:28","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=58676"},"modified":"2025-07-24T13:44:10","modified_gmt":"2025-07-24T06:44:10","slug":"medicel-200","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/medicel-200\/","title":{"rendered":"Medicel 200"},"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 Medicel 200 do Zim Laboratories Limited s\u1ea3n xu\u1ea5t. Thu\u1ed1c \u0111\u01b0\u1ee3c l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u00e0 VN-21174-18.<\/b><\/p>\n Trong 1 vi\u00ean <\/span>Medicel 200 <\/b>c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0:<\/span><\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang c\u1ee9ng.<\/span><\/p>\n S\u0110K: VN-21174-18.<\/span><\/p>\n Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean.<\/span><\/p>\n Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam.<\/span><\/p>\n Celecoxib l\u00e0 m\u1ed9t ho\u1ea1t ch\u1ea5t thu\u1ed9c nh\u00f3m NSAIDs c\u00f3 c\u01a1 ch\u1ebf ch\u00ednh l\u00e0 \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 Cox 2 qua \u0111\u00f3 th\u1ec3 hi\u1ec7n t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t.<\/span><\/p>\n C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c cho l\u00e0 \u1ee9c ch\u1ebf s\u1ef1 t\u1ed5ng h\u1ee3p Prostaglandin ch\u1ee7 y\u1ebfu th\u00f4ng qua \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Cox 2 qua \u0111\u00f3 l\u00e0m gi\u1ea3m s\u1ef1 t\u1ea1o th\u00e0nh th\u1ee5 th\u1ec3 Prostaglandin – y\u1ebfu t\u1ed1 trung gian g\u00e2y ra t\u00ecnh tr\u1ea1ng s\u01b0ng, s\u1ed1t, \u0111au.\u00a0<\/span><\/p>\n Kh\u00e1c v\u1edbi c\u00e1c d\u00f2ng NSAIDs th\u1ebf h\u1ec7 \u0111\u1ea7u Celecoxib kh\u00f4ng g\u00e2y \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Cox 1 t\u1eeb \u0111\u00f3 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n l\u00ean d\u1ea1 d\u00e0y. Cox 1 l\u00e0 1 enzyme c\u00f3 \u1edf h\u1ea7u h\u1ebft c\u00e1c m\u00f4 k\u1ec3 c\u1ea3 \u1edf b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n v\u00e0 ti\u1ec3u c\u1ea7u do \u0111\u00f3 tham gia tr\u1ef1c ti\u1ebfp v\u00e0o qu\u00e1 tr\u00ecnh th\u00fac \u0111\u1ea9y ti\u1ec3u c\u1ea7u ng\u01b0ng t\u1eadp. Do \u0111\u00f3 ho\u1ea1t ch\u1ea5t c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.\u00a0<\/span><\/p>\n Ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1ed1t khi d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a c\u00e1c th\u1ee9c \u0103n c\u00f3 nhi\u1ec1u d\u1ea7u m\u1ee1 c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng n\u1ebfu khi so s\u00e1nh v\u1edbi vi\u1ec7c d\u00f9ng thu\u1ed1c sau \u0103n kho\u1ea3ng 1 – 2 gi\u1edd \u0111\u1ed3ng h\u1ed3.\u00a0<\/span><\/p>\n \u1ede ng\u01b0\u1eddi cao tu\u1ed5i, n\u1ed3ng \u0111\u1ed9 AUC c\u00f3 th\u1ec3 b\u1ecb t\u0103ng l\u00ean khi so s\u00e1nh v\u1edbi ng\u01b0\u1eddi tr\u1ebb kh\u1ecfe m\u1ea1nh.\u00a0<\/span><\/p>\n Khi \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh, th\u1ec3 t\u00edch thu\u1ed1c \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 l\u00e0 kho\u1ea3ng 400L, thu\u1ed1c \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 r\u1ed9ng kh\u1eafp v\u00e0o c\u00e1c m\u00f4 v\u00e0 c\u00f3 kho\u1ea3ng 97% \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o Protein huy\u1ebft t\u01b0\u01a1ng.\u00a0<\/span><\/p>\n Ho\u1ea1t ch\u1ea5t \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan b\u1edfi h\u1ec7 enzym P450 2C9 v\u00e0 th\u1eddi gian b\u00e1n th\u1ea3i khi d\u00f9ng thu\u1ed1c v\u00e0o l\u00fac \u0111\u00f3i l\u00e0 11 gi\u1edd \u0111\u1ed3ng h\u1ed3.<\/span><\/p>\n Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, tho\u00e1i h\u00f3a kh\u1edbp, tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng,… ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng kh\u1edbp kh\u00e1c.\u00a0<\/span><\/p>\n Do thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng tim m\u1ea1ch n\u00ean ch\u1ec9 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u l\u1ef1c c\u0169ng nh\u01b0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb l\u00e0 ng\u1eafn nh\u1ea5t.\u00a0<\/span><\/p>\n Ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh:<\/span><\/p>\n Tr\u1ebb em: kh\u00f4ng d\u00f9ng thu\u1ed1c n\u00e0y cho tr\u1ebb em.<\/span><\/p>\n C\u00e1ch d\u00f9ng: C\u00f3 th\u1ec3 u\u1ed1ng thu\u1ed1c trong ho\u1eb7c c\u00e1ch xa c\u00e1c b\u1eefa \u0103n.\u00a0<\/span><\/p>\n Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Medicel 200 cho b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/span><\/p>\n Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi c\u00e1c Sulphonamide.<\/span><\/p>\n Ng\u01b0\u1eddi b\u1ecb ch\u1ea9n \u0111o\u00e1n l\u00e0 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng ru\u1ed9t th\u1ec3 ho\u1ea1t \u0111\u1ed9ng.\u00a0<\/span><\/p>\n Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed hen ph\u1ebf qu\u1ea3n, Polyp m\u0169i, ph\u00f9 th\u1ea7n kinh, vi\u00eam m\u0169i, m\u00e0y \u0111ay ho\u1eb7c xu\u1ea5t hi\u1ec7n c\u00e1c ph\u1ea3n \u1ee9ng ki\u1ec3u d\u1ecb \u1ee9ng sau khi s\u1eed d\u1ee5ng Acid Acetylsalicylic.\u00a0<\/span><\/p>\n Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c cho ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c \u0111ang trong giai \u0111o\u1ea1n sinh n\u1edf tr\u1eeb khi c\u00f3 bi\u1ec7n ph\u00e1p tr\u00e1nh thai h\u1ee3p l\u00fd.\u00a0<\/span><\/p>\n Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng gan n\u1eb7ng ho\u1eb7c \u0111ang trong giai \u0111o\u1ea1n mang thai.\u00a0<\/span><\/p>\n Ng\u01b0\u1eddi b\u1ecb ch\u1ea9n \u0111o\u00e1n l\u00e0 vi\u00eam ru\u1ed9t ho\u1eb7c suy tim sung huy\u1ebft ho\u1eb7c suy th\u1eadn n\u1eb7ng.<\/span><\/p>\n C\u00e1c bi\u1ebfn ch\u1ee9ng \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 th\u1ee7ng ho\u1eb7c lo\u00e9t d\u1ea1 d\u00e0y, xu\u1ea5t huy\u1ebft \u1ed1ng ti\u00eau h\u00f3a c\u00f3 th\u1ec3 x\u1ea3y ra khi d\u00f9ng thu\u1ed1c do \u0111\u00f3 c\u1ea7n \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng khi d\u00f9ng cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f9ng nh\u00f3m kh\u00e1c k\u1ec3 c\u1ea3 Aspirin.\u00a0<\/span><\/p>\n Th\u1eadn tr\u1ecdng khi d\u00f9ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t \u1ed1ng ti\u00eau h\u00f3a. Vi\u1ec7c d\u00f9ng thu\u1ed1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c c\u00f9ng nh\u00f3m c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 g\u1eb7p c\u00e1c bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i tr\u00ean tim m\u1ea1ch.<\/span><\/p>\n T\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c thu\u1ed1c trong c\u00f9ng nh\u00f3m kh\u00e1c t\u00ecnh tr\u1ea1ng ph\u00f9 v\u00e0 \u1ee9 d\u1ecbch \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.\u00a0<\/span><\/p>\n Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy th\u1eadn \u0111\u00e1ng k\u1ec3, suy tim ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed m\u1eafc c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng thu\u1ed1c.\u00a0<\/span><\/p>\n C\u00e1c ph\u1ea3n \u1ee9ng nghi\u00eam tr\u1ecdng tr\u00ean da c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o bao g\u1ed3m c\u1ea3 vi\u00eam da tr\u00f3c v\u1ea3y, Steven – Johnson,…<\/span><\/p>\n Vi\u00eam xoang, nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean ho\u1eb7c ti\u1ebft ni\u1ec7u.<\/span><\/p>\n Thi\u1ebfu m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u, thi\u1ebfu m\u00e1u kh\u00f4ng t\u00e1i t\u1ea1o.\u00a0<\/span><\/p>\n Tr\u1ea7m tr\u1ecdng h\u01a1n c\u00e1c t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng.\u00a0<\/span><\/p>\n T\u0103ng Kali huy\u1ebft.\u00a0<\/span><\/p>\n Lo l\u1eafng, tr\u1ea7m c\u1ea3m.<\/span><\/p>\n Ch\u00f3ng m\u1eb7t, \u0111au c\u01a1, d\u1ecb c\u1ea3m, m\u1ea5t \u0111i\u1ec1u h\u00f2a, t\u1eafc m\u1ea1ch m\u00e1u n\u00e3o,….<\/span><\/p>\n Nh\u00ecn m\u1edd, vi\u00eam k\u1ebft m\u1ea1c.<\/span><\/p>\n \u00d9 tai.<\/span><\/p>\n Suy tim, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ef5.<\/span><\/p>\n Kh\u00f3 th\u1edf, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a.\u00a0<\/span><\/p>\n Chu\u1ed9t r\u00fat \u1edf c\u1eb3ng ch\u00e2n.<\/span><\/p>\n Ph\u00f9 ngo\u1ea1i bi\u00ean, \u1ee9 d\u1ecbch t\u00edch n\u01b0\u1edbc.\u00a0<\/span><\/p>\nMedicel 200 l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n
Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n
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Tr\u00ecnh b\u00e0y<\/span><\/h3>\n
T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Medicel 200<\/span><\/h2>\n
C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng\u00a0<\/span><\/h3>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n
Thu\u1ed1c Medicel 200 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Medicel 200<\/span><\/h2>\n
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\n T\u00ecnh tr\u1ea1ng<\/span><\/td>\n Li\u1ec1u l\u01b0\u1ee3ng d\u00f9ng\u00a0<\/span><\/td>\n<\/tr>\n \n Tho\u00e1i h\u00f3a kh\u1edbp\u00a0<\/span><\/td>\n 200mg\/ng\u00e0y : 1 – 2 l\u1ea7n, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u g\u1ea5p \u0111\u00f4i n\u1ebfu c\u1ea7n. N\u1ebfu thu\u1ed1c kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 mong mu\u1ed1n sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00ec c\u1ea7n ph\u1ea3i d\u1eebng thu\u1ed1c v\u00e0 \u0111\u00e1nh gi\u00e1 gi\u00e1 l\u1ea1i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/td>\n<\/tr>\n \n Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p\u00a0<\/span><\/td>\n 1 vi\u00ean\/ng\u00e0y : 1 – 2 l\u1ea7n, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u g\u1ea5p \u0111\u00f4i n\u1ebfu c\u1ea7n. N\u1ebfu kh\u00f4ng th\u1ea5y hi\u1ec7u qu\u1ea3 t\u0103ng l\u00ean sau kho\u1ea3ng 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00ec n\u00ean \u0111\u00e1nh gi\u00e1 l\u1ea1i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 chuy\u1ec3n sang h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb kh\u00e1c n\u1ebfu c\u1ea7n thi\u1ebft.\u00a0<\/span><\/td>\n<\/tr>\n \n Vi\u00eam c\u1ee9ng c\u1ed9t s\u1ed1ng ho\u1eb7c tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng\u00a0<\/span><\/td>\n 1 vi\u00ean\/ng\u00e0y : 1 – 2 l\u1ea7n, trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u g\u1ea5p \u0111\u00f4i.<\/span><\/td>\n<\/tr>\n \n Ng\u01b0\u1eddi cao tu\u1ed5i\u00a0<\/span><\/td>\n Kh\u1edfi \u0111\u1ea7u v\u1edbi li\u1ec1u 1 vi\u00ean\/ng\u00e0y : 1 – 2 l\u1ea7n, v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u g\u1ea5p \u0111\u00f4i n\u1ebfu c\u1ea7n. \u0110\u1eb7c bi\u1ec7t l\u01b0u \u00fd khi d\u00f9ng cho b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i c\u00f3 c\u00e2n n\u1eb7ng d\u01b0\u1edbi 50kg.<\/span><\/td>\n<\/tr>\n \n B\u1ec7nh nh\u00e2n suy gan<\/span><\/td>\n Li\u1ec1u kh\u1edfi \u0111\u1ea7u b\u1eb1ng \u00bd so v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng, v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n x\u01a1 gan th\u00ec kinh nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb v\u1eabn c\u00f2n h\u1ea1n ch\u1ebf<\/span><\/td>\n<\/tr>\n \n B\u1ec7nh nh\u00e2n suy th\u1eadn\u00a0<\/span><\/td>\n Kinh nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb \u1edf nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y v\u1eabn c\u00f2n h\u1ea1n ch\u1ebf.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Medicel 200 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Medicel 200<\/span><\/h2>\n
Th\u1eadn tr\u1ecdng<\/span><\/h3>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n
T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n