Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nM\u1ed7i \u1ed1ng<\/span> thu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml <\/b>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\nAlimemazin tartrat 2,5mg.<\/span><\/p>\nT\u00e1 d\u01b0\u1ee3c: Acid citric, H\u01b0\u01a1ng cam, Propylene glycol,\u2026<\/span><\/p>\nD\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch u\u1ed1ng.<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: VD-26754-17.<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 30 \u1ed1ng x 5ml.<\/span><\/p>\nXu\u1ea5t x\u1ee9: C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m An Thi\u00ean.<\/span><\/p>\nThu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/span><\/h2>\nThu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml c\u00f3 ph\u1ea3i kh\u00e1ng sinh kh\u00f4ng?<\/span><\/h3>\nAlimemazin (trimeprazine) l\u00e0 thu\u1ed1c kh\u00e1ng histamin phenothiazin H1 th\u1ebf h\u1ec7 \u0111\u1ea7u ti\u00ean<\/span>. Alimemazin l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng histamin c\u00f3 t\u00e1c d\u1ee5ng th\u1ea7n tho\u1ea1i v\u00e0 ch\u1ed1ng n\u00f4n nguy hi\u1ec3m. Ngo\u00e0i ra, kh\u00f4ng c\u00f3 \u0111\u1eb7c t\u00ednh ch\u1ed1ng co th\u1eaft, kh\u00e1ng serotonin v\u00e0 ph\u1ea3n x\u1ea1 muscarinic y\u1ebfu.<\/span><\/p>\nAlimemazin<\/span> c\u1ea1nh tranh th\u1ee5 th\u1ec3 H1 n\u00ean gi\u00fap gi\u1ea3m ng\u1ee9a, m\u1ec1 \u0111ay v\u00e0 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng kh\u00e1c. Alimemazin c\u00f3 hi\u1ec7u qu\u1ea3 kh\u00e1ng cholinergic y\u1ebfu. Alimemazin c\u0169ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 \u1ee9c ch\u1ebf enzyme histamine N \u2013 methyltransferase, gi\u00fap an th\u1ea7n. Alimemazin v\u1edbi c\u01a1 ch\u1ebf ch\u1ed1ng n\u00f4n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5 nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0 do t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u1ee7y s\u1ed1ng \u1edf trung khu nh\u1ea1y c\u1ea3m h\u00f3a h\u1ecdc.<\/span><\/p>\n\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\nH\u1ea5p thu: Alimemazin h\u1ea5p thu nhanh qua ti\u00eau h\u00f3a. Alimemazin ph\u00e1t huy t\u00e1c d\u1ee5ng sau khi d\u00f9ng 15-20 ph\u00fat v\u00e0 k\u00e9o d\u00e0i 6-8 gi\u1edd.<\/span><\/p>\nPh\u00e2n b\u1ed1: 20-30% Alimemazin g\u1eafn v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/span><\/p>\nTh\u1ea3i tr\u1eeb: Alimemazin c\u00f3 n\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb 3,5-4 gi\u1edd. Alimemazin \u0111\u00e0o th\u1ea3i \u1edf th\u1eadn.<\/span><\/p>\nThu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nThu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng:<\/span><\/p>\nNgo\u00e0i da nh\u01b0:<\/span><\/p>\n\n- Ng\u1ee9a.<\/span><\/li>\n
- M\u1ec1 \u0111ay.<\/span><\/li>\n<\/ul>\n
H\u00f4 h\u1ea5p:<\/span><\/p>\n\n- H\u1eaft h\u01a1i.<\/span><\/li>\n
- Vi\u00eam m\u0169i.<\/span><\/li>\n
- S\u1ed5 m\u0169i.<\/span><\/li>\n<\/ul>\n
Ti\u1ec1n m\u00ea tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/span><\/p>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml<\/span><\/h2>\n\u0110i\u1ec1u tr\u1ecb bi\u1ec3u hi\u1ec7n d\u1ecb \u1ee9ng:<\/span><\/p>\n\n- Ng\u01b0\u1eddi cao tu\u1ed5i: 4 \u1ed1ng x 1-2 l\u1ea7n\/ng\u00e0y.<\/span><\/li>\n
- Ng\u01b0\u1eddi l\u1edbn: 4 \u1ed1ng x 2-3 l\u1ea7n\/ng\u00e0y. Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng \u0111\u00e3 ghi nh\u1eadn d\u00f9ng li\u1ec1u \u0111\u1ebfn 40 \u1ed1ng\/ng\u00e0y.<\/span><\/li>\n
- Tr\u1ebb >2 tu\u1ed5i: 1-2 \u1ed1ng x 3-4 l\u1ea7n\/ng\u00e0y.<\/span><\/li>\n<\/ul>\n
Thu\u1ed1c u\u1ed1ng tr\u1ef1c ti\u1ebfp.<\/span><\/p>\nKh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\nNg\u01b0\u1eddi nguy c\u01a1 <\/span>gl\u00f4c\u00f4m g\u00f3c \u0111\u00f3ng.<\/span><\/p>\nQu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c kh\u00e1ng histamin.<\/span><\/p>\nNg\u01b0\u1eddi \u0111\u1ed9ng kinh.<\/span><\/p>\nTr\u1ebb <2 tu\u1ed5i.<\/span><\/p>\nNg\u01b0\u1eddi qu\u00e1 li\u1ec1u do r\u01b0\u1ee3u, opiat, barbituric.<\/span><\/p>\nNg\u01b0\u1eddi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, th\u1eadn.<\/span><\/p>\nNg\u01b0\u1eddi nguy c\u01a1 b\u00ed ti\u1ec3u g\u00e2y ra do r\u1ed1i lo\u1ea1n hi\u1ec7u \u0111\u1ea1o ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/span><\/p>\nNg\u01b0\u1eddi b\u1ec7nh Parkinson.<\/span><\/p>\nNg\u01b0\u1eddi ti\u1ec1n s\u1eed b\u1ea1ch c\u1ea7u do phenothiazin.<\/span><\/p>\nNg\u01b0\u1eddi nh\u01b0\u1ee3c c\u01a1.<\/span><\/p>\nNg\u01b0\u1eddi u t\u1ebf b\u00e0o \u01b0a crom.<\/span><\/p>\nNg\u01b0\u1eddi thi\u1ec3u n\u0103ng tuy\u1ebfn gi\u00e1p.<\/span><\/p>\nL\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\nD\u00f9ng th\u1eadn tr\u1ecdng cho:<\/span><\/p>\n\n- Ng\u01b0\u1eddi cao tu\u1ed5i c\u1ea7n th\u1eadn tr\u1ecdng: L\u01b0u \u00fd khi tr\u1eddi r\u1ea5t l\u1ea1nh ho\u1eb7c r\u1ea5t n\u00f3ng v\u00ec c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m ho\u1eb7c t\u0103ng nhi\u1ec7t. Ngo\u00e0i ra c\u00f2n ti\u1ec1m \u1ea9n nguy c\u01a1 h\u1ea1 \u00e1p th\u1ebf \u0111\u1ee9ng.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n h\u1ea5p thu glucose-galactose.<\/span><\/li>\n
- Kh\u00f4ng dung n\u1ea1p fructose.<\/span><\/li>\n
- Thi\u1ebfu h\u1ee5t enzyme sucrose-isomaltase.<\/span><\/li>\n<\/ul>\n
Ng\u1eebng d\u00f9ng khi d\u1ecb \u1ee9ng.<\/span><\/p>\nTh\u1eddi gian d\u00f9ng thu\u1ed1c kh\u00f4ng d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng, r\u01b0\u1ee3u.<\/span><\/p>\nTh\u1eddi gian QT c\u00f3 th\u1ec3 k\u00e9o d\u00e0i.<\/span><\/p>\nC\u00e1c test th\u1eed \u1edf da c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng b\u1edfi thu\u1ed1c.<\/span><\/p>\nThu\u1ed1c kh\u00f4ng d\u00f9ng khi v\u1eadn hanh m\u00e1y, l\u00e1i xe.<\/span><\/p>\nThu\u1ed1c Atilene \u1ed1ng 2,5mg\/5ml c\u00f3 th\u1ec3 g\u00e2y d\u1ecb \u1ee9ng do ch\u1ee9a: Propyl paraben, paraben.<\/span><\/p>\n\u1ed0ng thu\u1ed1c ph\u1ea3i \u0111\u1ec3 tr\u00e1nh \u1ea9m th\u1ea5p, khi x\u00e9 ra c\u1ea7n u\u1ed1ng lu\u00f4n v\u00e0 \u0111\u1ea3m b\u1ea3o \u0111\u1ec3 tr\u00e1nh t\u1ea7m v\u1edbi tr\u1ebb.<\/span><\/p>\n\u0110\u1ec3 tr\u00e1nh n\u1eafng n\u00f3ng.<\/span><\/p>\nT\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n\n\n\n| <\/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| To\u00e0n th\u00e2n<\/span><\/td>\n | Kh\u00f4 mi\u1ec7ng, \u0111\u1eddm \u0111\u1eb7c<\/span><\/p>\n Ch\u00f3ng m\u1eb7t nh\u1eb9<\/span><\/p>\n\u0110au \u0111\u1ea7u, u\u1ec3 o\u1ea3i<\/span><\/p>\nM\u1ec7t m\u1ecfi<\/span><\/td>\n | <\/td>\n | <\/td>\n<\/tr>\n | \n| Ti\u00eau h\u00f3a<\/span><\/td>\n | <\/td>\n | T\u00e1o b\u00f3n<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Ti\u1ebft ni\u1ec7u<\/span><\/td>\n | <\/td>\n | B\u00ed ti\u1ec3u<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| M\u1eaft<\/span><\/td>\n | <\/td>\n | R\u1ed1i lo\u1ea1n \u0111i\u1ec1u ti\u1ebft m\u1eaft<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| M\u00e1u<\/span><\/td>\n | <\/td>\n | <\/td>\n | Gi\u1ea3m b\u1ea1ch c\u1ea7u<\/span><\/p>\n M\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t<\/span><\/td>\n<\/tr>\n\n| Tu\u1ea7n ho\u00e0n<\/span><\/td>\n | <\/td>\n | <\/td>\n | T\u0103ng nh\u1ecbp tim<\/span><\/p>\n Gi\u1ea3m huy\u1ebft \u00e1p<\/span><\/td>\n<\/tr>\n\n| Gan<\/span><\/td>\n | <\/td>\n | <\/td>\n | Vi\u00eam gan v\u00e0ng da do m\u1eadt<\/span><\/td>\n<\/tr>\n\n| H\u00f4 h\u1ea5p<\/span><\/td>\n | <\/td>\n | <\/td>\n | Nguy c\u01a1 ng\u1eebng h\u00f4 h\u1ea5p<\/span><\/p>\n Tr\u1ebb c\u00f3 th\u1ec3 t\u1eed vong \u0111\u1ed9t ng\u1ed9t<\/span><\/td>\n<\/tr>\n\n| Th\u1ea7n kinh<\/span><\/td>\n | <\/td>\n | <\/td>\n | R\u1ed1i lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ea5p<\/span><\/p>\n Tri\u1ec7u ch\u1ee9ng ngo\u1ea1i th\u00e1p<\/span><\/p>\nKh\u00f4 mi\u1ec7ng<\/span><\/p>\nB\u1ed3n ch\u1ed3n<\/span><\/p>\nGi\u1ea3m ng\u01b0\u1ee1ng co gi\u1eadt \u1edf ng\u01b0\u1eddi \u0111\u1ed9ng kinh<\/span><\/p>\nGi\u1eadt run Parkinson<\/span><\/p>\nR\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng mu\u1ed9n<\/span><\/p>\nH\u1ea1i men r\u0103ng, r\u0103ng<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n\n\n\n| Thu\u1ed1c ng\u1ee7 barbituric<\/span><\/p>\n R\u01b0\u1ee3u<\/span><\/p>\nC\u00e1c thu\u1ed1c an th\u1ea7n kh\u00e1c<\/span><\/td>\n | L\u00e0m t\u0103ng t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng c\u1ee7a Alimemazin<\/span><\/p>\n Nguy c\u01a1 \u1ee9c ch\u1ebf h\u00f4 h\u1ea5p c\u0169ng t\u0103ng l\u00ean<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p<\/span><\/td>\n | B\u1ecb t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh phenobarbital<\/span><\/p>\n Thu\u1ed1c ch\u1eb9n beta propranolol<\/span><\/td>\n | B\u1ecb t\u0103ng ho\u1eb7c gi\u1ea3m n\u1ed3ng \u0111\u1ed9 \u1edf huy\u1ebft t\u01b0\u01a1ng<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/span><\/td>\n | B\u1ecb gi\u1ea3m \u0111\u00e1p \u1ee9ng<\/span><\/td>\n<\/tr>\n\n| Adrenalin<\/span><\/td>\n | Kh\u00f4ng d\u00f9ng v\u1edbi ng\u01b0\u1eddi qu\u00e1 li\u1ec1u Alimemazin<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb Parkinson Levodopa<\/span><\/p>\n Thu\u1ed1c k\u00edch th\u00edch th\u1ea7n kinh trung \u01b0\u01a1ng Amphetamin<\/span><\/p>\nAdrenalin<\/span><\/p>\nThu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p Guanethidin, Clonidin<\/span><\/td>\n | \u0110\u1ed1i kh\u00e1ng v\u1edbi Alimemazin<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c ch\u1eefa Parkinson<\/span><\/p>\n C\u00e1c antacid<\/span><\/p>\nLithi<\/span><\/td>\n | Ng\u0103n c\u1ea3n h\u1ea5p thu Alimemazin<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nL\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>\nThu\u1ed1c v\u00e0o s\u1eefa m\u1eb9, nhau thai c\u00f3 th\u1ec3 khi\u1ebfn tr\u1ebb nh\u0169 nhi g\u1eb7p bi\u1ec3u hi\u1ec7n ngo\u1ea1i th\u00e1p, v\u00e0ng da n\u00ean thu\u1ed1c kh\u00f4ng d\u00f9ng khi c\u00f3 thai, cho con b\u00fa. N\u1ebfu khi cho con b\u00fa mu\u1ed1n d\u00f9ng c\u1ea7n ng\u1eebng cho tr\u1ebb b\u00fa m\u1eb9.<\/span><\/p>\nQu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\n\n\n\n| Tri\u1ec7u ch\u1ee9ng<\/span><\/td>\n | X\u1eed tr\u00ed<\/span><\/td>\n<\/tr>\n\n| H\u1ea1 huy\u1ebft \u00e1p<\/span><\/p>\n M\u1ea5t \u00fd th\u1ee9c, bu\u1ed3n ng\u1ee7<\/span><\/p>\nR\u1ed1i lo\u1ea1n \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/span><\/p>\nR\u1ed1i lo\u1ea1n ngo\u1ea1i th\u00e1p tr\u1ea7m tr\u1ecdng<\/span><\/p>\nH\u1ea1 th\u00e2n nhi\u1ec7t<\/span><\/p>\nT\u0103ng nh\u1ecbp tim<\/span><\/td>\n | D\u00f9ng dantrolen natri, gi\u1eef m\u00e1t \u1edf ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c an th\u1ea7n b\u1ecb h\u1ed9i ch\u1ee9ng \u00e1c t\u00ednh<\/span><\/p>\n Khi th\u00e2n nhi\u1ec7t b\u00ecnh th\u01b0\u1eddng th\u00ec c\u00e1c bi\u1ec3u hi\u1ec7n lo\u1ea1n nh\u1ecbp nhanh th\u1ea5t, tr\u00ean th\u1ea5t c\u0169ng b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u1ea1i<\/span><\/p>\nR\u1eeda d\u1ea1 d\u00e0y khi ph\u00e1t hi\u1ec7n qu\u00e1 li\u1ec1u tr\u01b0\u1edbc 6 gi\u1edd sau khi u\u1ed1ng<\/span><\/p>\nD\u00f9ng than ho\u1ea1t.<\/span><\/p>\nBi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3.<\/span><\/p>\nTr\u01b0\u1eddng h\u1ee3p n\u1eb7ng: Truy\u1ec1n NaCl-,9% \u0111\u1ec3 truy\u1ec1n t\u0129nh m\u1ea1ch gi\u00fap l\u00e0m t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n. \u0110\u1ec3 tr\u00e1nh h\u1ea1 th\u00e2n nhi\u1ec7t n\u00ean l\u00e0m \u1ea5m dung d\u1ecbch truy\u1ec1n<\/span><\/p>\nKhi tr\u1ee5y tim m\u1ea1ch x\u1eed tr\u00ed b\u1eb1ng d\u1ecbch truy\u1ec1n kh\u00f4ng \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 d\u00f9ng Dopamin<\/span><\/p>\nD\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp n\u1ebfu c\u00e1c bi\u1ec3u hi\u1ec7n qu\u00e1 li\u1ec1u v\u1eabn di\u1ec5n ra g\u00e2y \u0111e d\u1ecda t\u00ednh m\u1ea1ng<\/span><\/p>\nKh\u00f4ng d\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp, lignocain t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i<\/span><\/p>\nH\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p khi th\u1ea7n kinh trung \u01b0\u01a1ng b\u1ecb \u1ee9c ch\u1ebf n\u1eb7ng<\/span><\/p>\nD\u00f9ng orphenadrine (20 – 40mg) ho\u1eb7c procyclidin (5 – 10mg) ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c ti\u00eam b\u1eafp \u0111\u1ec3 kh\u1eafc ph\u1ee5c \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng n\u1eb7ng<\/span><\/p>\nD\u00f9ng Diazepam ti\u00eam t\u0129nh m\u1ea1ch khi b\u1ecb co gi\u1eadt<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n | | | | | | | | | | | | | | |