Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nThu\u1ed1c Amioxilto 200<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n\n- Amiodarone 200mg<\/span><\/li>\n
- T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 1 vi\u00ean<\/span><\/li>\n<\/ul>\n
D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: VD-35113-21<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\nXu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/span><\/p>\nT\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Amioxilto 200<\/span><\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/span><\/h3>\n\n- \u1ee8c ch\u1ebf d\u00f2ng ch\u1ec9nh l\u01b0u kali<\/span><\/li>\n
- Th\u1eddi gian \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng t\u0103ng l\u00ean<\/span><\/li>\n
- Th\u1eddi gian tr\u01a1 \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i<\/span><\/li>\n
- Gi\u1ea3m \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a t\u1ebf b\u00e0o c\u01a1 tim<\/span><\/li>\n
- Ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebfp t\u1ee5c c\u1ee7a r\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh\u00a0<\/span><\/li>\n<\/ul>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\nH\u1ea5p thu:<\/span><\/p>\n\n- Sinh kh\u1ea3 d\u1ee5ng Amiodarone<\/strong> th\u1ea5p (20-80%)<\/span><\/li>\n
- Chuy\u1ec3n h\u00f3a qua gan ru\u1ed9t tr\u01b0\u1edbc khi v\u00e0o m\u00e1u<\/span><\/li>\n<\/ul>\n
Ph\u00e2n b\u1ed1:<\/span><\/p>\n\n- Ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i v\u00e0o m\u00f4<\/span><\/li>\n
- Th\u1eddi gian b\u00e1n h\u1ee7y ph\u00e2n b\u1ed1 t\u1eeb khoang trung t\u00e2m \u0111\u1ebfn m\u00f4 ngo\u1ea1i vi: 4 gi\u1edd<\/span><\/li>\n
- Th\u1eddi gian b\u00e1n h\u1ee7y cu\u1ed1i c\u00f9ng: 9-77 ng\u00e0y<\/span><\/li>\n<\/ul>\n
Th\u1ea3i tr\u1eeb:<\/span><\/p>\n\n- Th\u1ea3i tr\u1eeb ch\u1eadm do t\u00edch t\u1ee5 trong m\u00f4 m\u1ee1<\/span><\/li>\n<\/ul>\n
Thu\u1ed1c Amioxilto 200 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nCh\u1eefa tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1ecbp tim r\u1ed1i lo\u1ea1n n\u1eb7ng:<\/span><\/p>\n\n- \u0110\u00e3 th\u1eed c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0ng kh\u00f4ng th\u00e0nh c\u00f4ng<\/span><\/li>\n
- Kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c<\/span><\/li>\n<\/ul>\n
Ngo\u00e0i ra, thu\u1ed1c Amioxilto 200 c\u00f2n \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb rung nh\u0129 v\u00e0 cu\u1ed3ng nh\u0129 kh\u00e1ng thu\u1ed1c, lo\u1ea1n nh\u1ecbp tim nhanh b\u1ea5t th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng WPW, m\u1ecdi tr\u01b0\u1eddng h\u1ee3p nh\u1ecbp tim nhanh \u0111\u1ed9t ng\u1ed9t<\/span><\/p>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Amioxilto 200<\/span><\/h2>\nNg\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh:<\/span><\/p>\n\n- Li\u1ec1u kh\u1edfi \u0111\u1ea7u:<\/span>\n
\n- 1 vi\u00ean x 3 l\u1ea7n\/ng\u00e0y trong 7 ng\u00e0y<\/span><\/li>\n
- \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u 1 vi\u00ean x 2 l\u1ea7n\/ng\u00e0y trong 7 ng\u00e0y ti\u1ebfp theo<\/span><\/li>\n<\/ul>\n<\/li>\n
- Li\u1ec1u duy tr\u00ec:<\/span>\n
\n- 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y ho\u1eb7c \u00edt h\u01a1n n\u1ebfu c\u1ea7n<\/span><\/li>\n
- Li\u1ec1u t\u1ed1i thi\u1ec3u: \u00bd vi\u00ean<\/span><\/li>\n
- Quan s\u00e1t n\u1ebfu li\u1ec1u d\u00f9ng v\u01b0\u1ee3t qu\u00e1 1 vi\u00ean m\u1ed7i ng\u00e0y<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
\u0110\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t:<\/span><\/p>\n\n- Tr\u1ebb em: Ch\u01b0a c\u00f3 k\u1ebft lu\u1eadn v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng Leflunomide<\/span><\/li>\n
- Ng\u01b0\u1eddi cao tu\u1ed5i:<\/span>\n
\n- D\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3<\/span><\/li>\n
- \u0110\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng tuy\u1ebfn gi\u00e1p \u0111\u1ecbnh k\u1ef3<\/span><\/li>\n<\/ul>\n<\/li>\n
- Suy gan:<\/span>\n
\n- \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan tr\u01b0\u1edbc v\u00e0 c\u1ee9 sau 6 th\u00e1ng<\/span><\/li>\n
- H\u1ea1 li\u1ec1u ho\u1eb7c d\u1eebng thu\u1ed1c Amioxilto 200 n\u1ebfu men gan t\u0103ng g\u1ea5p 3 b\u00ecnh th\u01b0\u1eddng<\/span><\/li>\n<\/ul>\n<\/li>\n
- Suy th\u1eadn: D\u00f9ng li\u1ec1u nh\u01b0 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh<\/span><\/li>\n<\/ul>\n
C\u00e1ch d\u00f9ng<\/span><\/h3>\n\n- U\u1ed1ng tr\u1ef1c ti\u1ebfp tr\u01b0\u1edbc, trong ho\u1eb7c sau khi \u0103n.<\/span><\/li>\n
- C\u00f3 th\u1ec3 nghi\u1ec1n th\u00e0nh d\u1ea1ng b\u1ed9t \u0111\u1ec3 s\u1eed d\u1ee5ng.<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Amioxilto 200 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\n- R\u1ed1i lo\u1ea1n nh\u1ecbp tim:<\/span>\n
\n- R\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n n\u1eb7ng (block AV \u0111\u1ed9 cao, block 2 ho\u1eb7c 3 nh\u00e1nh)<\/span><\/li>\n
- Block xoang-nh\u0129<\/span><\/li>\n
- Suy gi\u1ea3m ch\u1ee9c n\u0103ng n\u00fat xoang, c\u1ea7n h\u1ed7 tr\u1ee3 m\u00e1y t\u1ea1o nh\u1ecbp<\/span><\/li>\n
- Nh\u1ecbp ch\u1eadm xoang<\/span><\/li>\n<\/ul>\n<\/li>\n
- Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi amiodarone ho\u1eb7c iod ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c Amioxilto 200.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p tr\u01b0\u1edbc \u0111\u00e2y<\/span><\/li>\n
- Thu\u1ed1c Amioxilto 200 c\u00f3 nguy c\u01a1 g\u00e2y ra t\u00ecnh tr\u1ea1ng xo\u1eafn \u0111\u1ec9nh.<\/span><\/li>\n
- B\u00e0 b\u1ea7u (ngo\u1ea1i tr\u1eeb tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t).<\/span><\/li>\n
- Ph\u1ee5 n\u1eef trong th\u1eddi k\u1ef3 cho con b\u00fa.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Amioxilto 200<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\n\n- C\u00f3 kh\u1ea3 n\u0103ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng gan<\/span><\/li>\n
- Kh\u00f4ng d\u00f9ng cho ng\u01b0\u1eddi kh\u00f4ng h\u1ea5p th\u1ee5 galactose, thi\u1ebfu men lactase ho\u1eb7c h\u1ea5p thu k\u00e9m glucose-galactose.<\/span><\/li>\n
- D\u00f9ng li\u1ec1u nh\u1ecf nh\u1ea5t Amiodarone c\u00f3 hi\u1ec7u qu\u1ea3.<\/span><\/li>\n<\/ul>\n
\n- D\u00f9ng li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y nh\u1ecbp tim ch\u1eadm n\u1eb7ng v\u00e0 r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n.<\/span><\/li>\n
- Ng\u1eebng d\u00f9ng thu\u1ed1c khi c\u00f3 block nh\u0129-th\u1ea5t \u0111\u1ed9 2 ho\u1eb7c 3, block xoang-nh\u0129 ho\u1eb7c block hai nh\u00e1nh.<\/span><\/li>\n
- G\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0\/ho\u1eb7c c\u01a1 b\u1eafp.<\/span><\/li>\n
- C\u1ea7n theo d\u00f5i nh\u1ecbp tim khi ph\u1ed1i h\u1ee3p v\u1edbi sofosbuvir v\u00e0 DAA.<\/span><\/li>\n<\/ul>\n
\n- \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn tuy\u1ebfn gi\u00e1p, d\u1eabn \u0111\u1ebfn c\u01b0\u1eddng gi\u00e1p ho\u1eb7c suy gi\u00e1p tr\u1ea1ng.<\/span><\/li>\n<\/ul>\n
\n- Ki\u1ec3m tra m\u1eaft n\u1ebfu g\u1eb7p b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o v\u1ec1 th\u1ecb l\u1ef1c.<\/span><\/li>\n
- D\u1eebng s\u1eed d\u1ee5ng Amioxilto 200 n\u1ebfu xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh th\u1ecb gi\u00e1c\u00a0<\/span><\/li>\n<\/ul>\n
\n- Tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u bia trong th\u1eddi gian d\u00f9ng thu\u1ed1c.<\/span><\/li>\n<\/ul>\n
\n- Kh\u00f3 th\u1edf v\u00e0 ho khan c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do thu\u1ed1c.<\/span><\/li>\n
- C\u1ea7n th\u1ef1c hi\u1ec7n ch\u1ee5p X-quang ph\u1ed5i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ph\u1ed5i tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<\/ul>\n
\n- Tr\u00e1nh tia UV t\u1eeb m\u1eb7t tr\u1eddi v\u00e0 s\u1eed d\u1ee5ng kem ch\u1ed1ng n\u1eafng.<\/span><\/li>\n<\/ul>\n
\n- C\u00f3 th\u1ec3 x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng da nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\nR\u1ea5t th\u01b0\u1eddng g\u1eb7p:<\/span><\/p>\n\n- R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a (n\u00f4n, bu\u1ed3n n\u00f4n, v\u1ecb gi\u00e1c thay \u0111\u1ed5i)<\/span><\/li>\n
- T\u00edch t\u1ee5 ch\u1ea5t l\u1eafng \u0111\u1ecdng tr\u00ean gi\u00e1c m\u1ea1c (m\u1edd m\u1eaft, nh\u00ecn th\u1ea5y qu\u1ea7ng s\u00e1ng)<\/span><\/li>\n
- D\u1ec5 b\u1ecb k\u00edch \u1ee9ng b\u1edfi \u00e1nh s\u00e1ng<\/span><\/li>\n
- M\u1ee9c men gan t\u0103ng cao<\/span><\/li>\n<\/ul>\n
Th\u01b0\u1eddng g\u1eb7p:<\/span><\/p>\n\n- Thay \u0111\u1ed5i nh\u1ecbp tim<\/span><\/li>\n
- M\u1ea5t c\u00e2n b\u1eb1ng hormone tuy\u1ebfn gi\u00e1p (suy gi\u00e1p, c\u01b0\u1eddng gi\u00e1p)<\/span><\/li>\n
- Kh\u00f3 \u0111i ngo\u00e0i<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n gan c\u1ea5p (v\u00e0ng da, suy gan)<\/span><\/li>\n
- Run, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, ng\u1ee7 m\u01a1 \u00e1c m\u1ed9ng<\/span><\/li>\n
- Vi\u00eam ph\u1ed5i<\/span><\/li>\n
- Thay \u0111\u1ed5i m\u00e0u da<\/span><\/li>\n<\/ul>\n
T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/h3>\nKh\u00f4ng d\u00f9ng Amioxilto 200 v\u1edbi:<\/span><\/p>\n\n- Thu\u1ed1c nhu\u1eadn tr\u00e0ng k\u00edch th\u00edch nhu \u0111\u1ed9ng ru\u1ed9t<\/span><\/li>\n
- Thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh calci l\u00e0m gi\u1ea3m nh\u1ecbp tim (Diltiazem, Verapamil).<\/span><\/li>\n
- Thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 beta<\/span><\/li>\n<\/ul>\n
Th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p: C\u1ea7n h\u1ea1 m\u1ee9c li\u1ec1u Flecainide v\u00e0 theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh c\u1ea9n th\u1eadn<\/span><\/p>\nL\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>\nCh\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Amioxilto 200 cho hai nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/span><\/p>\nQu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\nTri\u1ec7u ch\u1ee9ng:<\/span><\/p>\n\n- H\u1ea1 huy\u1ebft \u00e1p<\/span><\/li>\n
- Nh\u1ecbp tim ch\u1eadm<\/span><\/li>\n
- VT (lo\u1ea1n nh\u1ecbp th\u1ea5t)<\/span><\/li>\n
- TdP (xo\u1eafn \u0111\u1ec9nh)<\/span><\/li>\n<\/ul>\n
C\u00e1ch x\u1eed l\u00fd:<\/span><\/p>\n\n- Theo d\u00f5i tim li\u00ean t\u1ee5c trong 2-3 ng\u00e0y<\/span><\/li>\n