\n| N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng<\/span><\/td>\n | \u0110\u1ea1t sau 1 gi\u1edd<\/span><\/td>\n | \u0110\u1ea1t sau 1 gi\u1edd<\/span><\/td>\n<\/tr>\n\n| G\u1eafn k\u1ebft protein<\/span><\/td>\n | Kho\u1ea3ng 18%<\/span><\/td>\n | Kho\u1ea3ng 25%<\/span><\/td>\n<\/tr>\n\n| Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1<\/span><\/td>\n | Kho\u1ea3ng 0,3-0,4 L\/kg<\/span><\/td>\n | Kho\u1ea3ng 0,2 L\/kg<\/span><\/td>\n<\/tr>\n\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | M\u1eadt, m\u00f4 trong b\u1ee5ng, da, m\u1ee1, m\u00f4 c\u01a1, ho\u1ea1t d\u1ecbch, d\u1ecbch m\u00e0ng b\u1ee5ng, m\u1eadt v\u00e0 m\u1ee7<\/span><\/td>\n | T\u00fai m\u1eadt, c\u00e1c m\u00f4 trong b\u1ee5ng, da, m\u1ee1, m\u00f4 c\u01a1, ho\u1ea1t d\u1ecbch v\u00e0 d\u1ecbch m\u00e0ng b\u1ee5ng<\/span><\/td>\n<\/tr>\n\n| Qua nhau thai<\/span><\/td>\n | C\u00f3<\/span><\/td>\n | C\u00f3<\/span><\/td>\n<\/tr>\n\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | Chuy\u1ec3n h\u00f3a th\u00e0nh penicilloic acid b\u1ea5t ho\u1ea1t<\/span><\/td>\n | Chuy\u1ec3n h\u00f3a m\u1ea1nh trong c\u01a1 th\u1ec3<\/span><\/td>\n<\/tr>\n\n| \u0110\u00e0o th\u1ea3i<\/span><\/td>\n | Qua n\u01b0\u1edbc ti\u1ec3u (60-70%)<\/span><\/td>\n | Qua n\u01b0\u1edbc ti\u1ec3u (40-65%), ph\u00e2n v\u00e0 CO2<\/span><\/td>\n<\/tr>\n\n| Th\u1eddi gian b\u00e1n th\u1ea3i<\/span><\/td>\n | Kho\u1ea3ng 1 gi\u1edd<\/span><\/td>\n | Kho\u1ea3ng 1 gi\u1edd<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nThu\u1ed1c Medoclav Forte \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nMedoclav Forte 312,5mg\/5ml<\/strong> l\u00e0 kh\u00e1ng sinh c\u00f3 hi\u1ec7u qu\u1ea3 ch\u1ed1ng l\u1ea1i c\u00e1c vi khu\u1ea9n nh\u1ea1y c\u1ea3m g\u00e2y b\u1ec7nh \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em, bao g\u1ed3m:<\/span><\/p>\n\n- Nhi\u1ec5m tr\u00f9ng xoang c\u1ea5p t\u00ednh c\u00f3 m\u1ee7 do vi khu\u1ea9n.<\/span><\/li>\n
- Nhi\u1ec5m khu\u1ea9n da v\u00e0 ph\u1ea7n m\u1ec1m: \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m tr\u00f9ng da c\u1ea5p t\u00ednh, \u00e1p xe r\u0103ng mi\u1ec7ng, \u0111\u1ed9ng v\u1eadt c\u1eafn g\u00e2y t\u1ed5n th\u01b0\u01a1ng<\/span><\/li>\n
- Nhi\u1ec5m tr\u00f9ng ph\u1ed5i do vi khu\u1ea9n g\u1eb7p ph\u1ea3i trong c\u1ed9ng \u0111\u1ed3ng.<\/span><\/li>\n
- Vi\u00eam b\u00e0ng quang.<\/span><\/li>\n
- Nhi\u1ec5m tr\u00f9ng tai gi\u1eefa c\u1ea5p t\u00ednh.<\/span><\/li>\n
- Vi\u00eam th\u1eadn – b\u1ec3 th\u1eadn.<\/span><\/li>\n
- Vi\u00eam x\u01b0\u01a1ng kh\u1edbp<\/span><\/li>\n
- C\u01a1n c\u1ea5p c\u1ee7a vi\u00eam ph\u1ebf qu\u1ea3n m\u00e3n t\u00ednh.<\/span><\/li>\n<\/ul>\n
Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch c\u1ee7a thu\u1ed1c Medoclav Forte\u00a0<\/span><\/h2>\nLi\u1ec1u d\u00f9ng<\/span><\/h3>\n\n- D\u1ef1a tr\u00ean t\u1ef7 l\u1ec7 amoxicillin v\u1edbi acid clavulanic.<\/span><\/li>\n
- C\u00e2n nh\u1eafc c\u00e1c y\u1ebfu t\u1ed1:<\/span>\n
\n- V\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 nhi\u1ec5m khu\u1ea9n.<\/span><\/li>\n
- M\u1ee9c \u0111\u1ed9 nh\u1ea1y c\u1ee7a vi khu\u1ea9n<\/span><\/li>\n
- Tu\u1ed5i t\u00e1c, tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 v\u00e0 kh\u1ea3 n\u0103ng th\u1eadn ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/span><\/li>\n<\/ul>\n<\/li>\n
- S\u1eed d\u1ee5ng d\u1ea1ng b\u00e0o ch\u1ebf th\u00edch h\u1ee3p.<\/span><\/li>\n
- Tr\u00e1nh d\u00f9ng l\u01b0\u1ee3ng acid clavulanic cao khi kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/span><\/li>\n
- Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb: T\u1ed1i \u0111a 14 ng\u00e0y v\u00e0 c\u1ea7n t\u00e1i kh\u00e1m sau \u0111\u00f3.<\/span><\/li>\n<\/ul>\n
\n\n\n| \u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n | Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb n\u1eb7ng tr\u00ean 40kg<\/span><\/td>\n | 500mg amoxicillin\/125mg acid clavulanic x 3 l\u1ea7n\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Tr\u1ebb em n\u1eb7ng d\u01b0\u1edbi 40kg<\/span><\/td>\n | 20mg amoxicillin\/5mg acid clavulanic\/kg\/ng\u00e0y \u0111\u1ebfn 60mg amoxicillin\/15mg acid clavulanic\/kg\/ng\u00e0y, chia l\u00e0m 3 li\u1ec1u<\/span><\/td>\n<\/tr>\n\n| Tr\u1ebb em d\u01b0\u1edbi 6 tu\u1ed5i<\/span><\/td>\n | N\u00ean d\u00f9ng d\u1ea1ng h\u1ed7n d\u1ecbch<\/span><\/td>\n<\/tr>\n\n| Tr\u1ebb em d\u01b0\u1edbi 2 tu\u1ed5i<\/span><\/td>\n | Kh\u00f4ng c\u00f3 t\u00e0i li\u1ec7u l\u00e2m s\u00e0ng v\u1ec1 li\u1ec1u cao h\u01a1n 40mg\/10mg\/kg\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb d\u01b0\u1edbi 3 th\u00e1ng tu\u1ed5i<\/span><\/td>\n | Kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i<\/span><\/td>\n | T\u01b0\u01a1ng t\u1ef1 ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n<\/tr>\n\n| Suy th\u1eadn<\/span><\/td>\n | CrCl > 30ml\/ph\u00fat: T\u01b0\u01a1ng t\u1ef1 ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n<\/tr>\n\nCrCl 10-30ml\/ph\u00fat:<\/span><\/p>\n\n- Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em > 40kg: 500mg\/125mg chia 2 l\u1ea7n\/ng\u00e0y<\/span><\/li>\n
- Tr\u1ebb em < 40kg: 15mg\/3,75mg\/kg chia 2 l\u1ea7n\/ng\u00e0y (t\u1ed1i \u0111a 500mg\/125mg chia 2 l\u1ea7n\/ng\u00e0y<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\nCrCl < 10ml\/ph\u00fat:<\/span><\/p>\n\n- Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em > 40kg: 500mg\/125mg\/l\u1ea7n\/ng\u00e0y<\/span><\/li>\n
- Tr\u1ebb em < 40kg: 15mg\/3,75mg\/kg\/l\u1ea7n\/ng\u00e0y (t\u1ed1i \u0111a 500mg\/125mg)<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Suy gan<\/span><\/td>\n | S\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng v\u00e0 \u0111\u1ecbnh k\u1ef3 ki\u1ec3m tra ch\u1ee9c n\u0103ng gan<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nC\u00e1ch d\u00f9ng<\/span><\/h3>\nL\u1eafc chai nh\u1eb9 nh\u00e0ng \u0111\u1ec3 b\u1ed9t thu\u1ed1c \u0111\u01b0\u1ee3c t\u01a1i.<\/span><\/p>\nCho n\u01b0\u1edbc v\u00e0o chai cho \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u1ebfn v\u1ea1ch \u0111\u00e1nh d\u1ea5u.<\/span><\/p>\nKhu\u1ea5y \u0111\u1ec1u chai cho \u0111\u1ebfn khi kh\u00f4ng c\u00f2n c\u1eb7n thu\u1ed1c.<\/span><\/p>\nU\u1ed1ng Medoclav Forte tr\u01b0\u1edbc b\u1eefa \u0103n \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu \u1edf d\u1ea1 d\u00e0y ru\u1ed9t v\u00e0 gi\u00fap c\u01a1 th\u1ec3 h\u1ea5p thu thu\u1ed1c t\u1ed1t h\u01a1n.<\/span><\/p>\nKh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Medoclav Forte trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\nM\u1eabn c\u1ea3m v\u1edbi ho\u1ea1t ch\u1ea5t, v\u1edbi c\u00e1c penicillin ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/span><\/p>\nTi\u1ec1n s\u1eed d\u1ecb \u1ee9ng n\u1eb7ng (nh\u01b0 s\u1ed1c ph\u1ea3n v\u1ec7) v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c thu\u1ed9c nh\u00f3m beta-lactam (nh\u01b0 cephalosporin, carbapenem ho\u1eb7c monobactam).<\/span><\/p>\nTi\u1ec1n s\u1eed b\u1ecb v\u00e0ng da\/suy gan do amoxicillin\/acid clavulanic.<\/span><\/p>\nTr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb d\u01b0\u1edbi 3 th\u00e1ng tu\u1ed5i.<\/span><\/p>\nL\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Medoclav Forte<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\nS\u1eed d\u1ee5ng c\u1ea9n tr\u1ecdng cho b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao vi khu\u1ea9n tr\u1edf n\u00ean kh\u00f3 ti\u00eau di\u1ec7t ho\u1eb7c kh\u00e1ng acid clavulanic.<\/span><\/p>\nD\u00f9ng th\u1eadn tr\u1ecdng cho ng\u01b0\u1eddi suy gi\u1ea3m ch\u1ee9c n\u0103ng gan.<\/span><\/p>\nKi\u1ec3m tra ch\u1ee9c n\u0103ng th\u1eadn, gan v\u00e0 kh\u1ea3 n\u0103ng t\u1ea1o m\u00e1u \u0111\u1ecbnh k\u1ef3 khi s\u1eed d\u1ee5ng thu\u1ed1c Medoclav Forte trong th\u1eddi gian d\u00e0i.<\/span><\/p>\nD\u00f9ng th\u1eadn tr\u1ecdng cho ng\u01b0\u1eddi \u0111ang u\u1ed1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng.<\/span><\/p>\nThay \u0111\u1ed5i li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c cho ng\u01b0\u1eddi g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ee9c n\u0103ng th\u1eadn.<\/span><\/p>\n\u00c1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m glucose oxidase \u0111\u1ec3 ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng ni\u1ec7u.<\/span><\/p>\nAcid clavulanic c\u00f3 th\u1ec3 t\u1ea1o ra k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh kh\u00f4ng ch\u00ednh x\u00e1c trong x\u00e9t nghi\u1ec7m Coombs.<\/span><\/p>\nS\u1eed d\u1ee5ng thu\u1ed1c Medoclav Forte c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m Aspergillus EIA, d\u1eabn \u0111\u1ebfn d\u01b0\u01a1ng t\u00ednh gi\u1ea3.<\/span><\/p>\nT\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\n\n\n\n| T\u1ea7n su\u1ea5t<\/span><\/td>\n | T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/td>\n<\/tr>\n\n| R\u1ea5t hay g\u1eb7p<\/span><\/td>\n | \u0110i ngo\u00e0i ph\u00e2n l\u1ecfng, n\u00f4n, bu\u1ed3n n\u00f4n<\/span><\/td>\n<\/tr>\n\n| Th\u01b0\u1eddng g\u1eb7p<\/span><\/td>\n | Ch\u00f3ng m\u1eb7t, kh\u00f4ng ti\u00eau, nh\u1ee9c \u0111\u1ea7u, t\u0103ng sinh c\u00e1c c\u01a1 quan kh\u00f4ng nh\u1ea1y c\u1ea3m, vi\u00eam n\u1ea5m mi\u1ec7ng<\/span><\/td>\n<\/tr>\n\n| \u00cdt g\u1eb7p<\/span><\/td>\n | Ban da, gi\u1ea3m b\u1ea1ch c\u1ea7u c\u00f3 h\u1ed3i ph\u1ee5c (bao g\u1ed3m c\u1ea3 gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh), gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u00e0y \u0111ay, ng\u1ee9a, t\u0103ng men gan AST v\u00e0\/ho\u1eb7c ALT<\/span><\/td>\n<\/tr>\n\n| Hi\u1ebfm g\u1eb7p<\/span><\/td>\n | Ban \u0111\u1ecf \u0111a d\u1ea1ng, co gi\u1eadt, k\u00e9o d\u00e0i th\u1eddi gian ch\u1ea3y m\u00e1u v\u00e0 th\u1eddi gian prothrombin, m\u1eaft b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 h\u1ed3i ph\u1ee5c, ph\u00f9 m\u1ea1ch thanh qu\u1ea3n, thi\u1ebfu m\u00e1u tan huy\u1ebft, vi\u00eam da tr\u00f3c v\u1ea3y<\/span><\/td>\n<\/tr>\n\n| R\u1ea5t hi\u1ebfm g\u1eb7p<\/span><\/td>\n | S\u1ed1c ph\u1ea3n v\u1ec7<\/span><\/p>\n Tri\u1ec7u ch\u1ee9ng gi\u1ed1ng b\u1ec7nh huy\u1ebft thanh<\/span><\/p>\nVi\u00eam mao m\u1ea1ch t\u0103ng nh\u1ea1y c\u1ea3m<\/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 | Bi\u1ec7n ph\u00e1p x\u1eed l\u00fd<\/span><\/td>\n<\/tr>\n\n| Methotrexat<\/span><\/td>\n | L\u00e0m gi\u1ea3m \u0111\u00e0o th\u1ea3i methotrexat, t\u0103ng nguy c\u01a1 \u0111\u1ed9c.<\/span><\/td>\n | C\u1ea9n tr\u1ecdng khi s\u1eed d\u1ee5ng chung.<\/span><\/td>\n<\/tr>\n\n| Probenecid<\/span><\/td>\n | Probenecid l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 amoxicilin trong huy\u1ebft thanh.<\/span><\/td>\n | Kh\u00f4ng n\u00ean d\u00f9ng chung v\u1edbi MEDOCLAV\u00aeForte<\/span><\/td>\n<\/tr>\n | | | | | | | | | | | | | | | | | | | | | | | | | | | |