Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nThu\u1ed1c Augmentin 250mg\/31,25mg<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n\n- Amoxicillin 250mg<\/span><\/li>\n
- Clavulanic Acid 31,25mg<\/span><\/li>\n
- T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7<\/span><\/li>\n<\/ul>\n
D\u1ea1ng b\u00e0o ch\u1ebf: B\u1ed9t pha h\u1ed7n d\u1ecbch u\u1ed1ng<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: VN-17444-13<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 12 g\u00f3i<\/span><\/p>\nXu\u1ea5t x\u1ee9: Ph\u00e1p<\/span><\/p>\nT\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Augmentin 250mg\/31,25mg<\/span><\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/span><\/h3>\n\n- Amoxicillin l\u00e0 penicillin b\u00e1n t\u1ed5ng h\u1ee3p, \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p peptidoglycan, l\u00e0m suy y\u1ebfu v\u00e0 ti\u00eau di\u1ec7t vi khu\u1ea9n.<\/span><\/li>\n
- Clavulanic l\u00e0 beta-lactam, b\u1ea5t ho\u1ea1t beta-lactamase, b\u1ea3o v\u1ec7 amoxicillin kh\u1ecfi s\u1ef1 ph\u00e2n h\u1ee7y b\u1edfi vi khu\u1ea9n kh\u00e1ng thu\u1ed1c.<\/span><\/li>\n
- Augmentin l\u00e0 kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng, hi\u1ec7u qu\u1ea3 v\u1edbi nhi\u1ec1u vi khu\u1ea9n th\u01b0\u1eddng \u0111\u1ec1 kh\u00e1ng v\u1edbi amoxicillin.<\/span><\/li>\n<\/ul>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\n\n\n\n| \u0110\u1eb7c \u0111i\u1ec3m<\/span><\/td>\n | Amoxicillin<\/span><\/td>\n | Acid Clavulanic<\/span><\/td>\n<\/tr>\n\n| H\u1ea5p thu<\/span><\/td>\n | T\u1ed1t v\u00e0 nhanh khi d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng<\/span><\/td>\n<\/tr>\n\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | C\u00f3 trong m\u00f4 v\u00e0 d\u1ecbch k\u1ebd, t\u00fai m\u1eadt, da, m\u1ee1, m\u00f4 c\u01a1, ho\u1ea1t d\u1ecbch, d\u1ecbch ph\u00fac m\u1ea1c, m\u1eadt v\u00e0 m\u1ee7.<\/span><\/p>\n G\u1eafn k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng: th\u1ea5p (kho\u1ea3ng 25% acid clavulanic v\u00e0 18% amoxicillin).<\/span><\/td>\n<\/tr>\n\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | M\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh acid penicilloic<\/span><\/td>\n | Chuy\u1ec3n h\u00f3a th\u00e0nh 2 ch\u1ea5t:<\/span><\/p>\n\n- 1-amino-4-hydroxy-butan-2-one<\/span><\/li>\n
- 2,5-dihydro-4-(2-hydroxyethyl)-5-oxo-1 H-pyrrole-3-carboxylic acid<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Th\u1ea3i tr\u1eeb<\/span><\/td>\n | Th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua th\u1eadn<\/span><\/td>\n | Th\u1ea3i tr\u1eeb qua th\u1eadn v\u00e0 kh\u00f4ng qua th\u1eadn<\/span><\/td>\n<\/tr>\n\n| T\u00e1c \u0111\u1ed9ng c\u1ee7a probenecid<\/span><\/td>\n | L\u00e0m ch\u1eadm s\u1ef1 th\u1ea3i tr\u1eeb amoxicillin<\/span><\/td>\n | Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nThu\u1ed1c Augmentin 250mg\/31,25mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nAugmentin 250mg\/31,25mg<\/strong> c\u00f3 t\u00e1c d\u1ee5ng ch\u1eefa tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng ni\u1ec7u-sinh d\u1ee5c, \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, x\u01b0\u01a1ng v\u00e0 kh\u1edbp, da v\u00e0 m\u00f4 m\u1ec1m, c\u0169ng nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n sau ph\u1eabu thu\u1eadt ho\u1eb7c n\u1ea1o\/s\u1ea9y thai.<\/span><\/p>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Augmentin 250mg\/31,25mg<\/span><\/h2>\nLi\u1ec1u d\u00f9ng Augmentin 250mg cho tr\u1ebb em<\/strong> v\u00e0 ng\u01b0\u1eddi l\u1edbn \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y d\u01b0\u1edbi b\u1ea3ng sau:<\/p>\n\n\n\n| \u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n | M\u1ee9c \u0111\u1ed9 nhi\u1ec5m khu\u1ea9n<\/span><\/td>\n | Li\u1ec1u l\u01b0\u1ee3ng<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n | Nh\u1eb9 \u0111\u1ebfn v\u1eeba<\/span><\/td>\n | 1000\/125mg x 2 l\u1ea7n\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| N\u1eb7ng<\/span><\/td>\n | 1000\/125mg x 3 l\u1ea7n\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Tr\u1ebb em<\/span><\/td>\n | D\u01b0\u1edbi 12 tu\u1ed5i<\/span><\/td>\n | 40mg\/5mg\/kg\/ng\u00e0y \u0111\u1ebfn 80mg\/10mg\/kg\/ng\u00e0y (chia 2 ho\u1eb7c 3 l\u1ea7n\/ng\u00e0y)<\/span><\/td>\n<\/tr>\n\n| Tr\u00ean 40kg<\/span><\/td>\n | D\u00f9ng theo khuy\u1ebfn c\u00e1o cho ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n<\/tr>\n\n| Tr\u1ebb sinh non<\/span><\/td>\n | Kh\u00f4ng c\u00f3 khuy\u1ebfn c\u00e1o<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi gi\u00e0<\/span><\/td>\n | D\u00f9ng theo khuy\u1ebfn c\u00e1o cho ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n<\/tr>\n\n| Suy th\u1eadn<\/span><\/td>\n | CrCl > 30ml\/ph\u00fat<\/span><\/td>\n | Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u<\/span><\/td>\n<\/tr>\n\n| CrCl < 30ml\/ph\u00fat<\/span><\/td>\n | Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng<\/span><\/td>\n<\/tr>\n\n| Th\u1ea9m ph\u00e2n m\u00e1u<\/span><\/td>\n | CrCl > 30ml\/ph\u00fat<\/span><\/td>\n | D\u00f9ng Augmentin 250mg\/31,25mg<\/span><\/td>\n<\/tr>\n\n| CrCl < 30ml\/ph\u00fat<\/span><\/td>\n | Th\u1eadn tr\u1ecdng, theo d\u00f5i ch\u1ee9c n\u0103ng gan<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nKh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Augmentin 250mg\/31,25mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\n- D\u1ecb \u1ee9ng v\u1edbi beta-lactam:<\/span>\n
\n- Penicillin<\/span><\/li>\n
- Cephalosporin<\/span><\/li>\n<\/ul>\n<\/li>\n
- T\u1eebng b\u1ecb v\u00e0ng da\/t\u1ed5n th\u01b0\u01a1ng gan nguy\u00ean nh\u00e2n do amoxicillin-clavulanate.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Augmentin 250mg\/31,25mg<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\nTr\u01b0\u1edbc khi d\u00f9ng: T\u00ecm hi\u1ec3u k\u1ef9 l\u01b0\u1ee1ng ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi cephalosporin, penicillin ho\u1eb7c c\u00e1c ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng kh\u00e1c.<\/span><\/p>\nTrong khi d\u00f9ng:<\/span><\/p>\n\n- Ng\u1eebng s\u1eed d\u1ee5ng n\u1ebfu c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/span><\/li>\n
- H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng n\u1ebfu d\u1ef1 \u0111o\u00e1n c\u00f3 nguy c\u01a1 t\u0103ng b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n nhi\u1ec5m khu\u1ea9n.”<\/span><\/li>\n
- Th\u1eadn tr\u1ecdng n\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n suy gi\u1ea3m ch\u1ee9c n\u0103ng gan.<\/span><\/li>\n
- U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc \u0111\u1ec3 tr\u00e1nh tinh th\u1ec3 ni\u1ec7u.<\/span><\/li>\n
- Ki\u1ec3m tra ho\u1ea1t \u0111\u1ed9ng c\u1ee7a gan, th\u1eadn v\u00e0 kh\u1ea3 n\u0103ng t\u1ea1o m\u00e1u khi \u0111i\u1ec1u tr\u1ecb d\u00e0i ng\u00e0y.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t:<\/span><\/p>\n\n- C\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y, c\u1ea7n theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u1ea7n thi\u1ebft.<\/span><\/li>\n
- Ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c nguy c\u01a1 khi d\u00f9ng cho ng\u01b0\u1eddi suy th\u1eadn. C\u1ea9n th\u1eadn khi d\u00f9ng cho b\u1ec7nh nh\u00e2n phenylceton ni\u1ec7u.<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\n\n\n\n| C\u01a1 quan<\/span><\/td>\n | T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/td>\n | T\u1ea7n su\u1ea5t<\/span><\/td>\n<\/tr>\n\n| Nhi\u1ec5m khu\u1ea9n v\u00e0 nhi\u1ec5m k\u00ed sinh tr\u00f9ng<\/span><\/td>\n | Nhi\u1ec5m n\u1ea5m da v\u00e0 ni\u00eam m\u1ea1c do Candida<\/span><\/td>\n | Ph\u1ed5 bi\u1ebfn<\/span><\/td>\n<\/tr>\n\n| M\u00e1u v\u00e0 b\u1ea1ch huy\u1ebft<\/span><\/td>\n | Gi\u1ea3m ti\u1ec3u c\u1ea7u<\/span><\/p>\n Gi\u1ea3m b\u1ea1ch c\u1ea7u c\u00f3 h\u1ed3i ph\u1ee5c<\/span><\/td>\n | Hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/span><\/p>\n Thi\u1ebfu m\u00e1u tan mau<\/span><\/p>\nM\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 ph\u1ee5c h\u1ed3i<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Mi\u1ec5n d\u1ecbch<\/span><\/td>\n | S\u1ed1c ph\u1ea3n v\u1ec7<\/span><\/p>\n Ph\u00f9 m\u1ea1ch Quincke<\/span><\/p>\nVi\u00eam m\u1ea1ch d\u1ecb \u1ee9ng\u00a0<\/span><\/p>\nH\u1ed9i ch\u1ee9ng gi\u1ed1ng b\u1ec7nh huy\u1ebft thanh<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Th\u1ea7n kinh<\/span><\/td>\n | Hoa m\u1eaft, nh\u1ee9c \u0111\u1ea7u<\/span><\/td>\n | Kh\u00f4ng ph\u1ed5 bi\u1ebfn<\/span><\/td>\n<\/tr>\n\n| Co gi\u1eadt, \u0111\u1ed9ng kinh<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Ti\u00eau h\u00f3a<\/span><\/td>\n | \u1ec8a ch\u1ea3y<\/span><\/td>\n | R\u1ea5t ph\u1ed5 bi\u1ebfn (ng\u01b0\u1eddi l\u1edbn)\/Ph\u1ed5 bi\u1ebfn (tr\u1ebb em)<\/span><\/td>\n<\/tr>\n\n| Bu\u1ed3n n\u00f4n, \u00f3i m\u1eeda<\/span><\/td>\n | Ph\u1ed5 bi\u1ebfn<\/span><\/td>\n<\/tr>\n\n| \u0102n kh\u00f4ng ti\u00eau<\/span><\/td>\n | Kh\u00f4ng ph\u1ed5 bi\u1ebfn<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam \u0111\u1ea1i tr\u00e0ng do thu\u1ed1c<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Gan m\u1eadt<\/span><\/td>\n | T\u0103ng men gan<\/span><\/td>\n | Kh\u00f4ng ph\u1ed5 bi\u1ebfn<\/span><\/td>\n<\/tr>\n\n| V\u00e0ng da \u1ee9 m\u1eadt, vi\u00eam gan<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Da v\u00e0 m\u00f4 d\u01b0\u1edbi da<\/span><\/td>\n | Ph\u00e1t ban, m\u1ec1 \u0111ay, m\u1ea9n ng\u1ee9a<\/span><\/td>\n | Kh\u00f4ng ph\u1ed5 bi\u1ebfn<\/span><\/td>\n<\/tr>\n\n| H\u1ed3ng ban \u0111a d\u1ea1ng<\/span><\/td>\n | Hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Ho\u1ea1i t\u1eed th\u01b0\u1ee3ng b\u00ec nhi\u1ec5m \u0111\u1ed9c<\/span><\/p>\n Vi\u00eam da bong v\u1ea3y<\/span><\/p>\nH\u1ed9i ch\u1ee9ng Stevens-Johnson, M\u1ee5n m\u1ee7 ngo\u1ea1i ban to\u00e0n th\u00e2n c\u1ea5p t\u00ednh<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n\n| Th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u<\/span><\/td>\n | S\u1ecfi ni\u1ec7u, Vi\u00eam th\u1eadn k\u1ebd<\/span><\/td>\n | R\u1ea5t hi\u1ebfm<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/h3>\nKh\u00f4ng khuy\u1ebfn kh\u00edch ph\u1ed1i h\u1ee3p Augmentin v\u1edbi Probenecid \u0111\u1ec3 tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 amoxicillin trong m\u00e1u.<\/span><\/p>\nTh\u1eadn tr\u1ecdng khi d\u00f9ng chung:<\/span><\/p>\n\n- Allopurinol: T\u0103ng nguy c\u01a1 d\u1ecb \u1ee9ng da.<\/span><\/li>\n
- Thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng: t\u00e1c d\u1ee5ng tr\u00e1nh thai gi\u1ea3m\u00a0<\/span><\/li>\n
- Acenocoumarol, Warfarin: T\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u.<\/span><\/li>\n
- Mycophenolate mofetil: Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 MPA.<\/span><\/li>\n
- Methotrexate: T\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef mang thai v\u00e0 ph\u1ee5 n\u1eef cho con b\u00fa<\/span><\/h3>\nMang thai:<\/span><\/p>\n\n- H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng Augmentin trong thai k\u1ef3, ch\u1ec9 s\u1eed d\u1ee5ng khi th\u1eadt s\u1ef1 b\u1eaft bu\u1ed9c.\u00a0<\/span><\/li>\n
- Vi\u00eam ru\u1ed9t ho\u1ea1i t\u1eed l\u00e0 m\u1ed9t trong nh\u1eefng kh\u1ea3 n\u0103ng x\u1ea3y ra khi s\u1eed d\u1ee5ng Augmentin cho ph\u1ee5 n\u1eef mang thai.<\/span><\/li>\n<\/ul>\n
Cho con b\u00fa:<\/span><\/p>\n\n- C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng Augmentin trong th\u1eddi gian nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9.<\/span><\/li>\n
- Nguy c\u01a1 ti\u1ec1m \u1ea9n cho tr\u1ebb b\u00fa l\u00e0 d\u1ecb \u1ee9ng do thu\u1ed1c b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9.<\/span><\/li>\n<\/ul>\n
Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\nTri\u1ec7u ch\u1ee9ng:<\/span><\/p>\n\n- R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/span><\/li>\n
- M\u1ea5t c\u00e2n b\u1eb1ng n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i<\/span><\/li>\n
- K\u1ebft t\u1ee7a amoxicillin trong th\u1eadn c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/span><\/li>\n<\/ul>\n
\u0110i\u1ec1u tr\u1ecb:<\/span><\/p>\n\n- B\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i<\/span><\/li>\n
- L\u1ecdc m\u00e1u (n\u1ebfu c\u1ea7n thi\u1ebft)<\/span><\/li>\n<\/ul>\n
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