{"id":59875,"date":"2023-11-30T09:54:57","date_gmt":"2023-11-30T02:54:57","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&p=59875"},"modified":"2025-07-24T13:44:01","modified_gmt":"2025-07-24T06:44:01","slug":"maxxflame-c","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/maxxflame-c\/","title":{"rendered":"Maxxflame-C"},"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 Maxxflame-C<\/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-25620-16<\/b>.<\/span><\/p>\n Thu\u1ed1c Maxxflame-C<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n trong m\u1ed7i vi\u00ean nang c\u1ee9ng:<\/span><\/p>\n 200mg ho\u1ea1t ch\u1ea5t Celecoxib<\/span><\/p>\n T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean bao g\u1ed3m: Lactose monohydrat, povidon, natri laurylsulfat, natri croscarmellose, magnesi stearat.<\/span><\/p>\n D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean nang c\u1ee9ng<\/span><\/p>\n S\u0110K: VD-25620-16<\/span><\/p>\n Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 t\u00fai nh\u00f4m ch\u1ee9a 10 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/span><\/p>\n Celecoxid<\/strong> l\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam nh\u00f3m Nsaid (kh\u00f4ng steroid), \u1ee9c ch\u1ebf cyclooxygenase-2 (COX-2) ch\u1ecdn l\u1ecdc, c\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3m nguy c\u01a1 g\u00e2y xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a h\u01a1n so v\u1edbi c\u00e1c thu\u1ed1c c\u00f9ng nh\u00f3m kh\u00e1c. Kh\u00f4ng gi\u1ed1ng nh\u01b0 h\u1ea7u h\u1ebft c\u00e1c NSAID \u1ee9c ch\u1ebf c\u1ea3 hai lo\u1ea1i cyclooxygenase (COX-1 v\u00e0 COX-2), celecoxib l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc kh\u00f4ng c\u1ea1nh tranh c\u1ee7a enzyme cyclooxygenase-2 (COX-2). S\u1ef1 \u1ee9c ch\u1ebf enzyme n\u00e0y l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a bao g\u1ed3m prostaglandin E2 ( PGE2 ), prostacyclin ( PGI2 ), Thromboxane ( TXA2 ), prostaglandin D2 ( PGD2 ) v\u00e0 prostaglandin F2 ( PGF2). Celecoxib \u00edt g\u00e2y nguy c\u01a1 lo\u00e9t h\u01a1n c\u00e1c NSAID kh\u00e1c do t\u00e1c d\u1ee5ng c\u1ee7a n\u00f3 \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p prostaglandin \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y gi\u1ea3m. Ngo\u00e0i ra, celecoxib \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf enzyme carbonic anhydrase 2 v\u00e0 3, t\u0103ng c\u01b0\u1eddng h\u01a1n n\u1eefa t\u00e1c d\u1ee5ng ch\u1ed1ng ung th\u01b0. Celecoxib c\u00f3 kh\u1ea3 n\u0103ng ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u, n\u00ean c\u00f3 th\u1ec3 l\u00e0m t\u0103ng c\u00e1c nguy c\u01a1 x\u1ea3y ra c\u00e1c bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i do \u1ee9c ch\u1ebf COX-2 l\u00e0 do t\u00e1c d\u1ee5ng co m\u1ea1ch c\u1ee7a Thromboxane A2, d\u1eabn \u0111\u1ebfn t\u0103ng c\u01b0\u1eddng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u, t\u00ecnh tr\u1ea1ng n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t khi t\u00e1c d\u1ee5ng c\u1ee7a prostacyclin , m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u, b\u1ecb \u1ee9c ch\u1ebf th\u00f4ng qua s\u1ef1 \u1ee9c ch\u1ebf COX-2.<\/span><\/p>\n H\u1ea5p th\u1ee5: Celecoxib \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Khi d\u00f9ng m\u1ed9t li\u1ec1u u\u1ed1ng duy nh\u1ea5t 200 mg cho \u0111\u1ed1i t\u01b0\u1ee3ng nghi\u00ean c\u1ee9u kh\u1ecfe m\u1ea1nh, n\u1ed3ng \u0111\u1ed9 celecoxib trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u1ec9nh trong v\u00f2ng 3 gi\u1edd.<\/span><\/p>\n Ph\u00e2n b\u1ed1: Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 bi\u1ec3u ki\u1ebfn \u200b\u200bc\u1ee7a celecoxib \u1edf tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh (Vss\/F) l\u00e0 kho\u1ea3ng 429L, \u0111i\u1ec1u n\u00e0y cho th\u1ea5y s\u1ef1 ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i v\u00e0o c\u00e1c m\u00f4 kh\u00e1c nhau. Celecoxib kh\u00f4ng li\u00ean k\u1ebft t\u1ed1t v\u1edbi h\u1ed3ng c\u1ea7u.\u00a0<\/span><\/p>\n Chuy\u1ec3n h\u00f3a: Ph\u1ea7n l\u1edbn qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a celecoxib \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n qua trung gian cytochrome P450 2C9 \u1edf gan v\u1edbi m\u1ed9t ph\u1ea7n \u0111\u00f3ng g\u00f3p t\u1eeb CYP3A4 v\u00e0 CYP2C8 v\u00e0 c\u00f3 th\u1ec3 c\u00f3 \u0111\u00f3ng g\u00f3p t\u1eeb CYP2D6. N\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a b\u1eb1ng c\u00e1ch bi\u1ebfn \u0111\u1ed5i sinh h\u1ecdc th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a axit cacboxylic v\u00e0 glucuronide. Ba ch\u1ea5t chuy\u1ec3n h\u00f3a, r\u01b0\u1ee3u b\u1eadc m\u1ed9t, axit cacboxylic v\u00e0 li\u00ean h\u1ee3p glucuronide, \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong huy\u1ebft t\u01b0\u01a1ng ng\u01b0\u1eddi sau khi d\u00f9ng celecoxib.<\/span><\/p>\n Th\u1ea3i tr\u1eeb: elecoxib \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua chuy\u1ec3n h\u00f3a \u1edf gan v\u1edbi m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf (<3%) thu\u1ed1c kh\u00f4ng chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong c\u1ea3 n\u01b0\u1edbc ti\u1ec3u v\u00e0 ph\u00e2n. Kho\u1ea3ng 57% li\u1ec1u u\u1ed1ng celecoxib \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua ph\u00e2n v\u00e0 27% \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft v\u00e0o n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a. Ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 ph\u00e2n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a axit cacboxylic (73%). L\u01b0\u1ee3ng glucuronide trong n\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 th\u1ea5p.<\/span><\/p>\n Maxxflame-C \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p<\/span><\/p>\n C\u00f3 th\u1ec3 u\u1ed1ng thu\u1ed1c kh\u00f4ng c\u1ea7n \u0111\u1ec3 \u00fd \u0111\u1ebfn b\u1eefa \u0103n.<\/span><\/p>\n N\u00ean s\u1eed d\u1ee5ng li\u1ec1u th\u1ea5p nh\u1ea5t m\u00e0 v\u1eabn \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 trong th\u1eddi gian ng\u1eafn nh\u1ea5t<\/span><\/p>\n N\u1ebfu kh\u00f4ng th\u1ea5y hi\u1ec7u qu\u1ea3 sau 6 tu\u1ea7n, c\u00f3 th\u1ec3 c\u1ea7n th\u1eed d\u00f9ng li\u1ec1u 400 mg m\u1ed7i ng\u00e0y. N\u1ebfu kh\u00f4ng th\u1ea5y hi\u1ec7u qu\u1ea3 sau 6 tu\u1ea7n d\u00f9ng li\u1ec1u 400 mg m\u1ed7i ng\u00e0y, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng, n\u00ean thay \u0111\u1ed5i l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb.<\/span><\/td>\n<\/tr>\n \u0110\u1ec3 ti\u1ebfp t\u1ee5c gi\u1ea3m \u0111au trong nh\u1eefng ng\u00e0y k\u1ebf ti\u1ebfp, c\u00f3 th\u1ec3 cho li\u1ec1u 200mg ng\u00e0y u\u1ed1ng 2 l\u1ea7n, n\u1ebfu c\u1ea7n.<\/span><\/td>\n<\/tr>\n Kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng celecoxib cho ng\u01b0\u1eddi b\u1ec7nh suy gan n\u1eb7ng.<\/span><\/td>\n<\/tr>\n N\u00ean xem x\u00e9t \u0111i\u1ec1u tr\u1ecb v\u1edbi m\u1ed9t n\u1ee9a li\u00eau \u0111\u1ec1 ngh\u1ecb th\u1ea5p nh\u1ea5t.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c ho\u1eb7c c\u00e1c thu\u1ed1c Nsaids.<\/span><\/p>\n Tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng v\u1edbi sulfonamid.<\/span><\/p>\n B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed hen, m\u00e0y \u0111ay ho\u1eb7c d\u1ecb \u1ee9ng sau khi d\u00f9ng aspirin ho\u1eb7c c\u00e1c thu\u1ed1c Nsaids kh\u00e1c.<\/span><\/p>\n B\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb \u0111au tr\u01b0\u1edbc ho\u1eb7c sau ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh.<\/span><\/p>\n Lo\u00e9t d\u1ea1 d\u00e0y ti\u1ebfn tri\u1ec3n ho\u1eb7c ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a.<\/span><\/p>\n Suy tim nang, suy tim sung huy\u1ebft (NYHA II-IV).<\/span><\/p>\n Suy th\u1eadn n\u1eb7ng (h\u1ec7 s\u1ed1 thanh th\u1ea3i creatinin d\u01b0\u1edbi 30 ml\/ph\u00fat).<\/span><\/p>\n Suy gan n\u1eb7ng.<\/span><\/p>\n D\u00f9ng thu\u1ed1c trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 tai bi\u1ebfn huy\u1ebft kh\u1ed1i tim m\u1ea1ch n\u1eb7ng,\u00a0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.\u00a0<\/span><\/p>\n T\u0103ng kh\u1ea3 n\u0103ng xu\u1ea5t huy\u1ebft c\u01a1n t\u0103ng huy\u1ebft \u00e1p, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 t\u0103ng t\u1ef7 l\u1ec7 tai bi\u1ebfn tim m\u1ea1ch.\u00a0<\/span><\/p>\n Khi s\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c t\u00ecnh tr\u1ea1ng \u1ee9 n\u01b0\u1edbc v\u00e0 ph\u00f9.<\/span><\/p>\n Thu\u1ed1c n\u00ean s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh nh\u00e2n b\u1ecb gi\u1eef n\u01b0\u1edbc ho\u1eb7c suy tim.<\/span><\/p>\n S\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t ho\u1eb7c xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u01b0\u1edbc \u0111\u00f3.<\/span><\/p>\n C\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan n\u00ean theo d\u00f5i c\u1ea9n tr\u1ecdng c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m gan.\u00a0<\/span><\/p>\n Celecoxib l\u00e0 m\u1ed9t sulfonamid v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng tr\u00ean da.\u00a0<\/span><\/p>\n D\u00f9ng c\u1ea9n tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n nhi c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam kh\u1edbp tu\u1ed5i thi\u1ebfu ni\u00ean do nguy c\u01a1 \u0111\u00f4ng m\u00e1u m\u1ea1ch lan t\u1ecfa.<\/span><\/p>\n Vi\u00ean nang c\u1ee9ng MAXXFLAME-C c\u00f3 ch\u1ee9a lactose. Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh di truy\u1ec1n hi\u1ebfm g\u1eb7p kh\u00f4ng dung n\u1ea1p galactose, thi\u1ebfu lactase ho\u1eb7c k\u00e9m h\u1ea5p thu glucose-galactose kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y.<\/span><\/p>\n nang bu\u1ed3ng tr\u1ee9ng, ph\u00f9 to\u00e0n th\u00e2n, ph\u00f9 m\u1eb7t, m\u1ec7t m\u1ecfi, s\u1ed1t, n\u00f3ng b\u1eebng m\u1eb7t, c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam, \u0111au, \u0111au ngo\u1ea1i bi\u00ean<\/span><\/td>\n m\u1ea1ch, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u.<\/span><\/td>\n<\/tr>\n c\u0103ng th\u1eb3ng, bu\u1ed3n ng\u1ee7.<\/span><\/td>\n Khi s\u1eed d\u1ee5ng celecoxib v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf CYP c\u1ea7n c\u1ea9n tr\u1ecdng do ho\u1ea1t ch\u1ea5t celecoxib chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu qua trung gian cytochrome P450 (CYP) 2C9 trong gan.<\/span><\/p>\n ho\u1eb7c c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c, so v\u1edbi vi\u1ec7c d\u00f9ng celecoxib<\/span><\/p>\n ri\u00eang r\u1ebd. V\u00ec kh\u00f4ng. c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean ti\u1ec3u c\u1ea7u, celecoxib<\/span><\/p>\n kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ea5t thay th\u1ebf aspirin trong d\u1ef1 ph\u00f2ng<\/span><\/p>\n b\u1ec7nh tim m\u1ea1ch.<\/span><\/td>\n<\/tr>\n vi\u00eam kh\u00f4ng steroid (k\u1ec3 c\u1ea3 celecoxib) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p c\u1ee7a c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n v\u00e0 c\u00e1c ch\u1ea5t \u0111\u1ed1i v\u1eadn angiotensin II.<\/span><\/td>\n<\/tr>\n 200 mg m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng g\u1ea5p \u0111\u00f4i n\u1ed3ng \u0111\u1ed9 celecoxib trong huy\u1ebft t\u01b0\u01a1ng. T\u01b0\u01a1ng t\u00e1c d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc n\u00e0y do fluconazol \u1ee9c ch\u1ebf chuy\u1ec3n h\u00f3a celecoxib qua isoenzym P450 2C9. N\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u<\/span><\/p>\n tr\u1ecb celecoxib v\u1edbi li\u1ec1u khuy\u00ean d\u00f9ng th\u1ea5p nh\u1ea5t \u1edf ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng fluconazol \u0111\u1ed3ng th\u1eddi.<\/span><\/td>\n<\/tr>\n Kh\u00f4ng d\u00f9ng thu\u1ed1c \u1edf 3 th\u00e1ng cu\u1ed1i thai k\u1ef3, b\u1eaft \u0111\u1ea7u t\u1eeb tu\u1ea7n th\u1ee9 30 c\u1ee7a thai k\u1ef3, v\u00ec c\u00f3 th\u1ec3 g\u00e2y \u0111\u00f3ng s\u1edbm \u1ed1ng \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n Tr\u00ean ph\u1ee5 n\u1eef cho con b\u00fa ding celecoxib c\u00f3 r\u1ea5t \u00edt celecoxib trong s\u1eefa. Ph\u1ee5 n\u1eef d\u00f9ng celecoxib kh\u00f4ng n\u00ean cho con b\u00fa.<\/span><\/p>\n Ch\u01b0a ghi nh\u1eadn qu\u00e1 li\u1ec1u trong su\u1ed1t c\u00e1c th\u1eed nghi\u1ec7m tr\u00ean l\u00e2m s\u00e0ng.<\/span><\/p>\n Thu\u1ed1c Maxxflame-C 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, gi\u00e1 s\u1ea3n ph\u1ea9m 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 K\u00ednh m\u1eddi qu\u00fd kh\u00e1ch xem th\u00eam m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m kh\u00e1c t\u1ea1i nh\u00e0 thu\u1ed1c c\u1ee7a ch\u00fang t\u00f4i c\u00f3 c\u00f9ng t\u00e1c d\u1ee5ng:\u00a0\u00a0<\/span><\/p>\nMaxxflame-C l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n
Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n
Tr\u00ecnh b\u00e0y<\/span><\/h3>\n
T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Maxxflame-C<\/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 Maxxflame-C \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\n
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Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Maxxflame-C<\/span><\/h2>\n
C\u00e1ch d\u00f9ng<\/span><\/h3>\n
Li\u1ec1u d\u00f9ng<\/span><\/h3>\n
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\n \u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n \n Tho\u00e1i h\u00f3a x\u01b0\u01a1ng – kh\u1edbp<\/span><\/td>\n 200 mg\/ng\u00e0y u\u1ed1ng 1 l\u1ea7n ho\u1eb7c 100mg, ng\u00e0y 2 l\u1ea7n.<\/span><\/td>\n<\/tr>\n \n Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p \u1edf ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n 100 – 200 mg\/l\u1ea7n ng\u00e0y u\u1ed1ng 2 l\u1ea7n.<\/span><\/td>\n<\/tr>\n \n Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/span><\/td>\n 200 mg m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y ho\u1eb7c chia li\u1ec1u (hai l\u1ea7n m\u1ed7i ng\u00e0y).\u00a0<\/span><\/p>\n \n \u0110i\u1ec1u tr\u1ecb \u0111au v\u00e0 th\u1ed1ng kinh nguy\u00ean ph\u00e1t<\/span><\/td>\n 400 mg u\u1ed1ng 1 l\u1ea7n, ti\u1ebfp theo c\u00f3 th\u1ec3 u\u1ed1ng th\u00eam 200 mg n\u1ebfu c\u00e2n trong ng\u00e0y \u0111\u1ea7u.\u00a0<\/span><\/p>\n \n Suy gan<\/span><\/td>\n Li\u1ec1u khuy\u1ebfn c\u00e1o h\u00e0ng ng\u00e0y c\u1ee7a vi\u00ean nang celecoxib cho b\u1ec7nh nh\u00e2n suy gan v\u1eeba (Child-Pugh nh\u00f3m B) n\u00ean gi\u1ea3m kho\u1ea3ng 50%.\u00a0<\/span><\/p>\n \n Ng\u01b0\u1eddi chuy\u1ec3n h\u00f3a k\u00e9m v\u1edbi c\u01a1 ch\u1ea5t c\u1ee7a CYP2C9<\/span><\/td>\n Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 bi\u1ebft ho\u1eb7c nghi ng\u1edd chuy\u1ec3n h\u00f3a k\u00e9m v\u1edbi c\u01a1 ch\u1ea5t c\u1ee7a CYP2C9 d\u1ef1a tr\u00ean \u0111i truy\u1ec1n ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed\/ kinh nghi\u1ec7m v\u1edbi c\u00e1c c\u01a1 ch\u1ea5t kh\u00e1c c\u1ee7a CYP2C9 n\u00ean th\u1eadn tr\u1ecdng khi d\u00f9ng celecoxib do nguy co\u2019 t\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ee5 thu\u1ed9c li\u1ec1u.\u00a0<\/span><\/p>\n Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Maxxflame-C 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 Maxxflame-C<\/span><\/h2>\n
Th\u1eadn tr\u1ecdng<\/span><\/h3>\n
T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n
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\n C\u01a1 quan<\/span><\/td>\n Th\u01b0\u1eddng g\u1eb7p<\/span><\/td>\n \u00cdt g\u1eb7p<\/span><\/td>\n Hi\u1ebfm g\u1eb7p<\/span><\/td>\n<\/tr>\n \n Ti\u00eau h\u00f3a<\/span><\/td>\n \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, kh\u00f3 ti\u00eau, \u0111\u1ea7y h\u01a1i, bu\u1ed3n n\u00f4n.<\/span><\/td>\n t\u00e1o b\u00f3n, vi\u00eam t\u00fai th\u1eeba, kh\u00f3 nu\u1ed1t, \u1ee3 h\u01a1i, vi\u00eam th\u1ef1c qu\u1ea3n, vi\u00eam d\u1ea1 d\u00e0y, vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, b\u1ec7nh tr\u0129, tho\u00e1t v\u1ecb ho\u00e0nh, ti\u00eau ph\u00e2n \u0111en, kh\u00f4 mi\u1ec7ng, vi\u00eam mi\u1ec7ng, m\u00f3t r\u1eb7n, n\u00f4n, ch\u1ee9c n\u0103ng gan b\u1ea5t th\u01b0\u1eddng, SGOT, SGPT t\u0103ng.<\/span><\/td>\n t\u1eafc ru\u1ed9t, th\u1ee7ng ru\u1ed9t, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, vi\u00eam \u0111\u1ea1i tr\u00e0ng xu\u00e2t huy\u1ebft, th\u1ee7ng th\u1ef1c qu\u1ea3n, vi\u00eam t\u1ee5y, s\u1ecfi m\u1eadt.<\/span><\/td>\n<\/tr>\n \n To\u00e0n th\u00e2n<\/span><\/td>\n \u0111au l\u01b0ng, ph\u00f9 ngo\u1ea1i bi\u00ean,<\/span><\/td>\n d\u1ecb \u1ee9ng n\u1eb7ng h\u01a1n, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, \u0111au ng\u1ef1c, u<\/span><\/p>\n <\/td>\n<\/tr>\n \n Th\u1ea7n kinh<\/span><\/td>\n M\u1ea5t ng\u1ee7, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t<\/span><\/td>\n chu\u1ed9t r\u00fat \u1edf ch\u00e2n, t\u0103ng tr\u01b0\u01a1ng l\u1ef1c, gi\u1ea3m c\u1ea3m gi\u00e1c, \u0111au n\u1eeda \u0111\u1ea7u, d\u1ecb c\u1ea3m, ch\u00f3ng m\u1eb7t.<\/span><\/td>\n M\u1ea5t \u0111i\u1ec1u h\u00f2a, hoang t\u01b0\u1edfng t\u1ef1 s\u00e1t<\/span><\/td>\n<\/tr>\n \n H\u00f4 h\u1ea5p<\/span><\/td>\n vi\u00eam h\u1ecdng, vi\u00eam m\u0169i, vi\u00eam xoang, nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/span><\/td>\n vi\u00eam ph\u1ebf qu\u1ea3n, co th\u1eaft ph\u1ebf qu\u1ea3n, co th\u1eaft ph\u1ebf qu\u1ea3n n\u1eb7ng h\u01a1n, ho, kh\u00f3 th\u1edf, vi\u00eam thanh qu\u1ea3n, vi\u00eam ph\u1ed5i<\/span><\/td>\n <\/td>\n<\/tr>\n \n Da<\/span><\/td>\n Ph\u00e1t ban<\/span><\/td>\n vi\u00eam da, ph\u1ea3n \u1ee9ng \u00e1nh s\u00e1ng, ng\u1ee9a, ph\u00e1t ban h\u1ed3ng ban, ph\u00e1t ban d\u00e1t s\u1ea7n, r\u1ed1i lo\u1ea1n da, da kh\u00f4, \u0111\u1ed5 m\u1ed3 h\u00f4i t\u0103ng, n\u1ed5i m\u1ec1 \u0111ay.<\/span><\/td>\n <\/td>\n<\/tr>\n \n Gi\u00e1c quan<\/span><\/td>\n <\/td>\n \u0110i\u1ebfc, \u00f9 tai<\/span><\/td>\n <\/td>\n<\/tr>\n \n Tim m\u1ea1ch<\/span><\/td>\n <\/td>\n t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng h\u01a1n, \u0111au th\u1eaft ng\u1ef1c, r\u1ed1i lo\u1ea1n m\u1ea1ch v\u00e0nh, nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, nh\u1ecbp tim nhanh.<\/span><\/td>\n ng\u1ea5t, suy tim sung huy\u1ebft, rung th\u1ea5t, t\u1eafc m\u1ea1ch ph\u1ed5i, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, ho\u1ea1i th\u01b0 ngo\u1ea1i bi\u00ean, vi\u00eam<\/span><\/p>\n \n Dinh d\u01b0\u1ee1ng v\u00e0 chuy\u1ec3n h\u00f3a<\/span><\/td>\n <\/td>\n BUN t\u0103ng, CPK t\u0103ng cao, t\u0103ng cholesterol m\u00e1u, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, h\u1ea1 kali m\u00e1u, t\u0103ng NPN, creatinin t\u0103ng, phosphatase ki\u1ec1m t\u0103ng, t\u0103ng c\u00e2n.<\/span><\/td>\n <\/td>\n<\/tr>\n \n C\u01a1 x\u01b0\u01a1ng<\/span><\/td>\n <\/td>\n \u0111au kh\u1edbp, h\u01b0 kh\u1edbp, \u0111au c\u01a1, vi\u00eam bao ho\u1ea1t d\u1ecbch, vi\u00eam g\u00e2n.<\/span><\/td>\n <\/td>\n<\/tr>\n \n Ti\u1ebft ni\u1ec7u<\/span><\/td>\n <\/td>\n albumin ni\u1ec7u, vi\u00eam b\u00e0ng quang, ti\u1ec3u kh\u00f3, ti\u1ec3u m\u00e1u, ti\u1ec3u nhi\u1ec1u l\u1ea7n, s\u1ecfi th\u1eadn.<\/span><\/td>\n Suy th\u1eadn c\u1ea5p<\/span><\/td>\n<\/tr>\n \n Huy\u1ebft h\u1ecdc<\/span><\/td>\n <\/td>\n thi\u1ebfu m\u00e1u, b\u1eb1m m\u00e1u, ch\u1ea3y m\u00e1u cam, t\u0103ng ti\u00eau c\u00e2u<\/span><\/td>\n <\/td>\n<\/tr>\n \n T\u00e2m th\u1ea7n<\/span><\/td>\n <\/td>\n Ch\u00e1n \u0103n, lo \u00e2u, t\u0103ng th\u00e8m \u0103n, tr\u1ea7m c\u1ea3m,<\/span><\/p>\n <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n
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\n Thu\u1ed1c<\/span><\/td>\n T\u01b0\u01a1ng t\u00e1c<\/span><\/td>\n<\/tr>\n \n Thu\u1ed1c \u1ee9c ch\u1ebf CYP<\/span><\/td>\n C\u1ea7n c\u1ea9n tr\u1ecdng do ho\u1ea1t ch\u1ea5t celecoxib chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu qua trung gian cytochrome P450 (CYP) 2C9 trong gan.<\/span><\/td>\n<\/tr>\n \n Warfarin<\/span><\/td>\n C\u1ea7n theo d\u00f5i c\u00e1c t\u00e1c \u0111\u1ed9ng kh\u00e1ng \u0111\u00f4ng, \u0111\u1eb7c bi\u1ec7t trong v\u00e0i ng\u00e0y \u0111\u1ea7u sau khi b\u1eaft \u0111\u1ea7u ho\u1eb7c thay \u0111\u1ed5i li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u1edbi celecoxib tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng warfarin hay c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1, v\u00ec nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u cao.<\/span><\/td>\n<\/tr>\n \n Lithi<\/span><\/td>\n C\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng \u0111\u1ed3ng th\u1eddi li-ti va celecoxib khi b\u1eaft \u0111\u1ea7u ho\u1eb7c ng\u1eebng d\u00f9ng celecoxib.<\/span><\/td>\n<\/tr>\n \n Aspirin<\/span><\/td>\n Mac di c6 th\u00e9 ding celecoxib c\u00f9ng v\u1edbi li\u1ec1u th\u1ea5p aspirin, vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi aspirin v\u1edbi celecoxib c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng t\u1ef7 l\u1ec7 lo\u00e9t \u0111\u01b0\u1eddng ti\u00eau h\u00f3a J<\/span><\/p>\n \n Thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n v\u00e0 c\u00e1c ch\u1ea5t \u0111\u1ed1i v\u1eadn angiotensin II<\/span><\/td>\n C\u00e1c b\u00e1o c\u00e1o cho th\u1ea5y c\u00e1c thu\u1ed1c kh\u00e1ng<\/span><\/p>\n \n Fiuconazol<\/span><\/td>\n D\u00f9ng \u0111\u1ed3ng th\u1eddi celecoxib v\u1edbi fluconazol<\/span><\/p>\n \n Thu\u1ed1c l\u1ee3i ti\u1ec3u Furosemid<\/span><\/td>\n C\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng t\u0103ng ti\u1ebft natri ni\u1ec7u c\u1ee7a furosemid v\u00e0 thiazid \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n.<\/span><\/td>\n<\/tr>\n \n D\u00f9ng celecoxib chung v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng acid c\u00f3 ch\u1ee9a nh\u00f4m v\u00e0 magnesi<\/span><\/td>\n l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 celecoxib trong huy\u1ebft t\u01b0\u01a1ng v\u1edbi Cmax giam 37% v\u00e0 AUC gi\u1ea3m 10%.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 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
Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\n
Thu\u1ed1c Maxxflame-C gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/span><\/h2>\n