Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nThu\u1ed1c Mobic 15mg c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n\n- Meloxicam 15mg<\/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: VN-16140-13<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\nXu\u1ea5t x\u1ee9: \u0110\u1ee9c<\/span><\/p>\nT\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Mobic 15mg<\/span><\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/span><\/h3>\nMeloxicam l\u00e0 m\u1ed9t NSAID c\u00f3 c\u1ea5u tr\u00fac acid enolic. Meloxicam ng\u0103n ch\u1eb7n s\u1ef1 h\u00ecnh th\u00e0nh prostaglandin, l\u00e0 ch\u1ea5t d\u1eabn truy\u1ec1n g\u00e2y vi\u00eam. \u0110\u1ed1i chi\u1ebfu v\u1edbi c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng steroid kh\u00e1c, Meloxicam ng\u0103n ch\u1eb7n COX-2 m\u1ea1nh h\u01a1n COX-1, d\u1eabn \u0111\u1ebfn hi\u1ec7u qu\u1ea3 ch\u1eefa b\u1ec7nh cao h\u01a1n v\u00e0 \u00edt t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n h\u01a1n.<\/span><\/p>\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 | D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/span><\/td>\n<\/tr>\n\n| H\u1ea5p thu<\/span><\/td>\n | \n\n- Kh\u1ea3 d\u1ee5ng sinh h\u1ecdc cao (~90%)<\/span><\/li>\n
- Cmax trong huy\u1ebft t\u01b0\u01a1ng: 2 gi\u1edd (h\u1ed7n d\u1ecbch), 5-6 gi\u1edd (vi\u00ean n\u00e9n, vi\u00ean nang)\u00a0<\/span><\/li>\n
- \u0110\u1ed3 \u0103n ho\u1eb7c thu\u1ed1c trung h\u00f2a axit kh\u00f4ng t\u00e1c \u0111\u1ed9ng.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | \n\n- Li\u00ean k\u1ebft protein huy\u1ebft t\u01b0\u01a1ng cao (99%)<\/span><\/li>\n
- Kh\u1ea3 n\u0103ng khu\u1ebfch t\u00e1n c\u1ee7a thu\u1ed1c v\u00e0o d\u1ecbch kh\u1edbp t\u1ed1t, v\u1edbi n\u1ed3ng \u0111\u1ed9 \u0111\u1ea1t x\u1ea5p x\u1ec9 50% n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft t\u01b0\u01a1ng.<\/span><\/li>\n
- Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1: 11-20 l\u00edt<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | \n\n- Chuy\u1ec3n h\u00f3a m\u1ea1nh qua gan, t\u1ea1o 4 d\u1ea1ng bi\u1ebfn \u0111\u1ed5i kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng\u00a0<\/span><\/li>\n
- D\u1ea1ng bi\u1ebfn \u0111\u1ed5i ch\u00ednh: 5′-carboxy meloxicam (60% li\u1ec1u d\u00f9ng)<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Th\u1ea3i tr\u1eeb<\/span><\/td>\n | \n\n- \u0110\u00e0o th\u1ea3i ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng ni\u1ec7u v\u00e0 ph\u00e2n \u1edf d\u1ea1ng ch\u1ea5t bi\u1ebfn \u0111\u1ed5i.<\/span><\/li>\n
- \u00cdt h\u01a1n 5% li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua ph\u00e2n d\u01b0\u1edbi d\u1ea1ng ban \u0111\u1ea7u<\/span><\/li>\n
- T\u00bd: 13-25 gi\u1edd<\/span><\/li>\n
- \u0110\u1ed9 thanh th\u1ea3i huy\u1ebft t\u01b0\u01a1ng: 7-12ml\/ph\u00fat<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
Thu\u1ed1c Mobic 15mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nMobic 15mg<\/strong> l\u00e0 l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n \u0111ang g\u1eb7p c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp ho\u1eb7c vi\u00eam x\u01b0\u01a1ng kh\u1edbp.<\/span><\/p>\nThu\u1ed1c Mobic 15mg li\u1ec1u d\u00f9ng<\/span><\/h2>\n\n\n\n| Ch\u1ec9 \u0111\u1ecbnh<\/span><\/td>\n | Li\u1ec1u d\u00f9ng<\/span><\/td>\n | Li\u1ec1u t\u1ed1i \u0111a<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam x\u01b0\u01a1ng kh\u1edbp<\/span><\/td>\n | \u00bd vi\u00ean\/ng\u00e0y, c\u00f3 th\u1ec3 t\u0103ng l\u00ean 1 vi\u00ean\/ng\u00e0y n\u1ebfu c\u1ea7n thi\u1ebft<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y, c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng \u00bd vi\u00ean\/ng\u00e0y n\u1ebfu \u0111\u00e1p \u1ee9ng t\u1ed1t<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y, c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng 1\/2 vi\u00ean\/ng\u00e0y n\u1ebfu \u0111\u00e1p \u1ee9ng t\u1ed1t<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/td>\n | \u00bd vi\u00ean\/ng\u00e0y<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Suy th\u1eadn n\u1eb7ng \u0111ang l\u1ecdc m\u00e1u<\/span><\/td>\n | Kh\u00f4ng qu\u00e1 \u00bd vi\u00ean\/ng\u00e0y<\/span><\/td>\n | \u00bd vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n Khuy\u1ebfn c\u00e1o chung:<\/span><\/p>\n\n- H\u1ea1n ch\u1ebf th\u1eddi gian s\u1eed d\u1ee5ng thu\u1ed1c Mobic 15mg \u0111\u1ebfn m\u1ee9c t\u1ed1i thi\u1ec3u.<\/span><\/li>\n
- Kh\u00f4ng d\u00f9ng qu\u00e1 1 vi\u00ean Mobic trong m\u1ed9t ng\u00e0y.<\/span><\/li>\n
- T\u1ed5ng li\u1ec1u Meloxicam s\u1eed d\u1ee5ng m\u1ed7i ng\u00e0y (t\u00ednh c\u1ea3 vi\u00ean n\u00e9n v\u00e0 dung d\u1ecbch ti\u00eam) kh\u00f4ng \u0111\u01b0\u1ee3c cao h\u01a1n 15mg.<\/span><\/li>\n
- Li\u1ec1u d\u00f9ng t\u1ed1i \u0111a cho thanh thi\u1ebfu ni\u00ean l\u00e0 0,25mg\/kg c\u00e2n n\u1eb7ng.<\/span><\/li>\n
- Ch\u1ec9 s\u1eed d\u1ee5ng Mobic khi c\u00f3 nhu c\u1ea7u thi\u1ebft y\u1ebfu v\u00e0 tu\u00e2n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Mobic 15mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\nD\u1ecb \u1ee9ng:<\/span><\/p>\n\n- V\u1edbi Aspirin ho\u1eb7c NSAIDs kh\u00e1c.<\/span><\/li>\n
- V\u1edbi Meloxicam ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u1ee7a thu\u1ed1c <\/span>Mobic 15mg vi\u00ean.<\/b><\/li>\n<\/ul>\n
Ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng c\u00f3:<\/span><\/p>\n\n- R\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u to\u00e0n th\u00e2n, ch\u1ea3y m\u00e1u n\u00e3o.<\/span><\/li>\n
- Hen suy\u1ec5n ti\u1ebfn tri\u1ec3n, u l\u00e0nh t\u00ednh ni\u00eam m\u1ea1c m\u0169i, ph\u00f9 m\u1ea1ch, m\u1ec1 \u0111ay do aspirin ho\u1eb7c NSAIDs.<\/span><\/li>\n
- Suy tim nghi\u00eam tr\u1ecdng v\u00e0 kh\u00f4ng th\u1ec3 c\u1ea3i thi\u1ec7n sau khi u\u1ed1ng thu\u1ed1c\u00a0<\/span><\/li>\n
- Ch\u1ea3y m\u00e1u\/th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, b\u1ec7nh Crohn ti\u1ebfn tri\u1ec3n.<\/span><\/li>\n
- X\u01a1 gan<\/span><\/li>\n
- Suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i ch\u01b0a c\u1ea7n l\u1ecdc m\u00e1u<\/span><\/li>\n<\/ul>\n
Tr\u1ebb em:<\/span><\/p>\n\n- Nh\u1ecf h\u01a1n 12 tu\u1ed5i.<\/span><\/li>\n<\/ul>\n
Ph\u1ee5 n\u1eef:<\/span><\/p>\n\n- Thai ngh\u00e9n ho\u1eb7c cho con b\u00fa.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Mobic 15mg<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\nNguy c\u01a1:<\/span><\/p>\n\n- Ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y ru\u1ed9t, th\u1ee7ng\/lo\u00e9t \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, nguy c\u01a1 t\u1eed vong.<\/span><\/li>\n
- Bi\u1ec3u hi\u1ec7n tr\u00ean da n\u1eb7ng, bao g\u1ed3m nhi\u1ec5m \u0111\u1ed9c ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec, vi\u00eam da bong tr\u00f3c, h\u1ed9i ch\u1ee9ng SJ<\/span><\/li>\n
- Tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o n\u1eb7ng, t\u1eafc ngh\u1ebdn m\u1ea1ch v\u00e0nh, \u0111\u1ed9t qu\u1ef5.<\/span><\/li>\n
- Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/span><\/li>\n
- \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng gan.<\/span><\/li>\n
- Gi\u1eef n\u01b0\u1edbc, ph\u00f9 n\u1ec1, g\u00e2y bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch (huy\u1ebft \u00e1p cao, suy tim).<\/span><\/li>\n
- L\u00e0m che m\u1edd bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh nhi\u1ec5m tr\u00f9ng.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng sinh s\u1ea3n \u1edf n\u1eef<\/span><\/li>\n<\/ul>\n
Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng Mobic 15mg cho nh\u1eefng ng\u01b0\u1eddi:<\/span><\/p>\n\n- Tu\u1ed5i cao, suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, th\u1eadn ho\u1eb7c tim.<\/span><\/li>\n
- \u0110ang \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng.<\/span><\/li>\n
- \u0110ang u\u1ed1ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf AT2, l\u1ee3i ti\u1ec3u ho\u1eb7c \u1ee9c ch\u1ebf men chuy\u1ec3n\u00a0<\/span><\/li>\n
- C\u00f3 kh\u1ea3 n\u0103ng cao x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch.<\/span><\/li>\n
- T\u00ecnh tr\u1ea1ng m\u1ea5t n\u01b0\u1edbc, tim kh\u00f4ng b\u01a1m \u0111\u1ee7 m\u00e1u<\/span><\/li>\n
- Ti\u1ec1n s\u1eed b\u1ec7nh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/span><\/li>\n
- X\u01a1 gan, th\u1eadn m\u1ea5t ch\u1ee9c n\u0103ng ho\u1ea1t \u0111\u1ed9ng<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\n\n\n\n| H\u1ec7 th\u1ed1ng c\u01a1 quan<\/span><\/td>\n | T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/td>\n<\/tr>\n\n| M\u00e1u v\u00e0 b\u1ea1ch huy\u1ebft<\/span><\/td>\n | B\u1ea5t th\u01b0\u1eddng c\u00f4ng th\u1ee9c m\u00e1u, gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u, thi\u1ebfu m\u00e1u<\/span><\/td>\n<\/tr>\n\n| Mi\u1ec5n d\u1ecbch<\/span><\/td>\n | D\u1ecb \u1ee9ng c\u1ea5p t\u00ednh, ph\u1ea3n \u1ee9ng gi\u1ed1ng ph\u1ea3n v\u1ec7, ph\u1ea3n \u1ee9ng t\u0103ng nh\u1ea1y c\u1ea3m<\/span><\/td>\n<\/tr>\n\n| T\u00e2m th\u1ea7n<\/span><\/td>\n | Kh\u00f4ng t\u1ec9nh t\u00e1o, m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng, thay \u0111\u1ed5i kh\u00ed s\u1eafc<\/span><\/td>\n<\/tr>\n\n| Th\u1ea7n kinh<\/span><\/td>\n | \u0110au \u0111\u1ea7u, c\u1ea3m gi\u00e1c quay cu\u1ed3ng, bu\u1ed3n ng\u1ee7<\/span><\/td>\n<\/tr>\n\n| M\u1eaft<\/span><\/td>\n | C\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ecb l\u1ef1c, vi\u00eam k\u1ebft m\u1ea1c<\/span><\/td>\n<\/tr>\n\n| Tai v\u00e0 ti\u1ec1n \u0111\u00ecnh<\/span><\/td>\n | Ch\u00f3ng m\u1eb7t, \u00f9 tai<\/span><\/td>\n<\/tr>\n\n| Tim<\/span><\/td>\n | Nh\u1ecbp nhanh<\/span><\/td>\n<\/tr>\n\n| M\u1ea1ch m\u00e1u<\/span><\/td>\n | Huy\u1ebft \u00e1p cao, \u0111\u1ecf b\u1eebng m\u1eb7t<\/span><\/td>\n<\/tr>\n\n| Ng\u1ef1c, trung th\u1ea5t v\u00e0 h\u00f4 h\u1ea5p<\/span><\/td>\n | Hen ph\u1ebf qu\u1ea3n (\u1edf ng\u01b0\u1eddi d\u1ecb \u1ee9ng aspirin\/NSAID)<\/span><\/td>\n<\/tr>\n\n| Ti\u00eau h\u00f3a<\/span><\/td>\n | Ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, vi\u00eam d\u1ea1 d\u00e0y, vi\u00eam \u0111\u1ea1i tr\u00e0ng, bu\u1ed3n n\u00f4n, tr\u1edb, \u0111i ti\u00eau l\u1ecfng, kh\u00f3 \u0111i ngo\u00e0i, \u1ee3 h\u01a1i, ch\u01b0\u1edbng b\u1ee5ng<\/span><\/td>\n<\/tr>\n\n| Gan m\u1eadt<\/span><\/td>\n | Vi\u00eam gan, ch\u1ee9c n\u0103ng gan b\u1ea5t th\u01b0\u1eddng<\/span><\/td>\n<\/tr>\n\n| Da v\u00e0 m\u00f4 d\u01b0\u1edbi da<\/span><\/td>\n | Ho\u1ea1i t\u1eed da do nhi\u1ec5m \u0111\u1ed9c, ban \u0111\u1ecf \u0111a d\u1ea1ng, h\u1ed9i ch\u1ee9ng Stevens-Johnson, ph\u00f9 m\u1ea1ch, pemphigus, ph\u00e1t ban, ng\u1ee9a<\/span><\/td>\n<\/tr>\n\n| Th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u<\/span><\/td>\n | Suy th\u1eadn c\u1ea5p, ch\u1ee9c n\u0103ng th\u1eadn kh\u00f4ng b\u00ecnh th\u01b0\u1eddng, b\u00ed ti\u1ec3u c\u1ea5p<\/span><\/td>\n<\/tr>\n\n| Chung<\/span><\/td>\n | Ph\u00f9 n\u1ec1<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/h3>\n\n\n\n| Thu\u1ed1c<\/span><\/td>\n | T\u01b0\u01a1ng t\u00e1c<\/span><\/td>\n<\/tr>\n\n| Aspirin<\/span><\/td>\n | T\u0103ng AUC (10%) v\u00e0 Cmax (24%) c\u1ee7a Meloxicam<\/span><\/td>\n<\/tr>\n\n| C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin kh\u00e1c<\/span><\/td>\n | T\u0103ng nguy c\u01a1 lo\u00e9t v\u00e0 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/span><\/td>\n<\/tr>\n\n| Cholestyramine<\/span><\/td>\n | Th\u1ea3i tr\u1eeb Meloxicam nhanh h\u01a1n<\/span><\/td>\n<\/tr>\n\n| Cyclosporin<\/span><\/td>\n | T\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn<\/span><\/td>\n<\/tr>\n | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |