\n| \u0110\u1eb7c \u0111i\u1ec3m<\/span><\/td>\n | Simvastatin<\/span><\/td>\n | Ezetimibe<\/span><\/td>\n<\/tr>\n\n| H\u1ea5p thu<\/span><\/td>\n | Nhanh (1,3-2,4 gi\u1edd)<\/span><\/td>\n | Nhanh (4-12 gi\u1edd)<\/span><\/td>\n<\/tr>\n\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | Gan<\/span><\/td>\n | To\u00e0n th\u00e2n<\/span><\/td>\n<\/tr>\n\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | \u03b2-hydroxyaxit<\/span><\/td>\n | Ezetimibe-glucuronide<\/span><\/td>\n<\/tr>\n\n| Th\u1ea3i tr\u1eeb<\/span><\/td>\n | N\u01b0\u1edbc ti\u1ec3u (13%), ph\u00e2n (60%)<\/span><\/td>\n | Ph\u00e2n, n\u01b0\u1edbc ti\u1ec3u<\/span><\/td>\n<\/tr>\n\n| Th\u1eddi gian b\u00e1n th\u1ea3i\u00a0<\/span><\/td>\n | 4,85 gi\u1edd<\/span><\/td>\n | 22 gi\u1edd<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nThu\u1ed1c Vytostad 10\/10 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nThu\u1ed1c Vytostad 10\/10<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 gi\u1ea3m cholesterol v\u00e0 triglyceride trong m\u00e1u cho b\u1ec7nh nh\u00e2n t\u0103ng lipid m\u00e1u nguy\u00ean ph\u00e1t v\u00e0 t\u0103ng cholesterol m\u00e1u gia \u0111\u00ecnh \u0111\u1ed3ng h\u1ee3p t\u1eed.<\/span><\/p>\nC\u1ee5 th\u1ec3:<\/span><\/p>\n\n- Gi\u1ea3m: Cholesterol to\u00e0n ph\u1ea7n, LDL-C, Apo B, triglyceride, non-HDL-C.<\/span><\/li>\n
- T\u0103ng: HDL-C.<\/span><\/li>\n<\/ul>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Vytostad 10\/10 Stella<\/span><\/h2>\n\n- 1 vi\u00ean Vytostad 10\/10 m\u1ed7i ng\u00e0y v\u00e0o bu\u1ed5i t\u1ed1i\u00a0<\/span><\/li>\n
- C\u00f3 th\u1ec3 hi\u1ec7u ch\u1ec9nh t\u1eeb 10\/10mg\/ng\u00e0y \u0111\u1ebfn 10\/40mg\/ng\u00e0y.<\/span><\/li>\n<\/ul>\n
\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 m\u1ee1 m\u00e1u sau 2 tu\u1ea7n d\u00f9ng Vytostad 10\/10 Stella<\/strong> v\u00e0 n\u1ebfu c\u1ea7n c\u00f3 th\u1ec3 ch\u1ec9nh li\u1ec1u<\/span><\/p>\nL\u01b0u \u00fd:<\/span><\/p>\n\n- Ch\u1ec9 s\u1eed d\u1ee5ng li\u1ec1u 10\/80mg cho nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 d\u00f9ng thu\u1ed1c li\u00ean t\u1ee5c 1 n\u0103m v\u00e0 kh\u00f4ng g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u01a1 b\u1eafp.<\/span><\/li>\n
- Kh\u00f4ng n\u00ean t\u0103ng li\u1ec1u cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng 10\/40 mg, thay v\u00e0o \u0111\u00f3, \u00e1p d\u1ee5ng gi\u1ea3i ph\u00e1p kh\u00e1c \u0111\u1ec3 gi\u1ea3m cholesterol x\u1ea5u<\/span><\/li>\n
- Li\u1ec1u t\u1ed1i \u0111a khi d\u00f9ng chung v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<\/span>\n
\n- Ditilazem, Dronedarone, Rapamil: 10\/10 mg\/24 gi\u1edd.<\/span><\/li>\n
- Ranolazine, Amlodipine, Amiodarone: 10\/20 mg\/24 gi\u1edd.<\/span><\/li>\n<\/ul>\n<\/li>\n
- Kho\u1ea3ng c\u00e1ch gi\u1eefa vi\u1ec7c u\u1ed1ng thu\u1ed1c n\u00e0y v\u00e0 thu\u1ed1c h\u1ea5p th\u1ee5 acid m\u1eadt c\u1ea7n \u0111\u1ea3m b\u1ea3o \u00edt nh\u1ea5t 2 gi\u1edd tr\u01b0\u1edbc ho\u1eb7c 4 gi\u1edd sau.<\/span><\/li>\n
- Ng\u01b0\u1eddi b\u1ec7nh r\u1ed1i lo\u1ea1n di truy\u1ec1n t\u0103ng cholesterol s\u1eed d\u1ee5ng 10\/40 miligam m\u1ed7i ng\u00e0y v\u00e0o bu\u1ed5i t\u1ed1i.<\/span><\/li>\n
- Suy th\u1eadn giai \u0111o\u1ea1n \u0111\u1ea7u (t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u2265 60 ml\/ph\u00fat\/1.73 m2): t\u01b0\u01a1ng t\u1ef1 li\u1ec1u Vytostad 10\/10 th\u00f4ng th\u01b0\u1eddng<\/span><\/li>\n
- Suy th\u1eadn m\u00e3n t\u00ednh (t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn < 60 ml\/ph\u00fat\/1,73 m2): 10\/20mg\/ng\u00e0y v\u00e0o bu\u1ed5i t\u1ed1i.<\/span><\/li>\n
- Ng\u01b0\u1eddi cao ni\u00ean: t\u01b0\u01a1ng t\u1ef1 li\u1ec1u Vytostad 10\/10 th\u00f4ng th\u01b0\u1eddng<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Vytostad 10\/10 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\n- D\u00f9ng c\u00f9ng l\u00fac v\u1edbi c\u00e1c thu\u1ed1c:\u00a0<\/span>\n
\n- Danazol<\/span><\/li>\n
- Cyclosporin<\/span><\/li>\n
- Gemfibrozil<\/span><\/li>\n
- \u1ee8c ch\u1ebf m\u1ea1nh CYP3A4<\/span><\/li>\n<\/ul>\n<\/li>\n
- N\u1eef \u0111ang mang thai ho\u1eb7c c\u00f3 kh\u1ea3 n\u0103ng mang thai\u00a0<\/span><\/li>\n
- D\u1ecb \u1ee9ng v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c Vytostad 10\/10\u00a0<\/span><\/li>\n
- B\u1ec7nh gan th\u1ec3 ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c m\u1ee9c men gan cao li\u00ean t\u1ee5c ch\u01b0a x\u00e1c \u0111\u1ecbnh nguy\u00ean do<\/span><\/li>\n
- N\u1eef gi\u1edbi \u0111ang cho con b\u00fa.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Vytostad 10\/10<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\n\n- Ezetimibe\/Simvastatin li\u1ec1u 10\/80mg ch\u1ec9 d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 d\u00f9ng l\u00e2u d\u00e0i (1 n\u0103m) v\u00e0 kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u01a1 b\u1eafp.<\/span><\/li>\n
- Ng\u01b0\u1eddi d\u00f9ng c\u1ea7n th\u00f4ng b\u00e1o t\u1ee9c th\u00ec n\u1ebfu g\u1eb7p t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c, c\u0103ng c\u1ee9ng ho\u1eb7c suy y\u1ebfu c\u01a1 b\u1eafp m\u00e0 kh\u00f4ng r\u00f5 l\u00fd do<\/span><\/li>\n
- Th\u01b0\u1eddng xuy\u00ean x\u00e9t nghi\u1ec7m men creatine kinase l\u00fac b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng ho\u1eb7c t\u0103ng l\u01b0\u1ee3ng d\u00f9ng thu\u1ed1c<\/span><\/li>\n
- Ng\u1eebng \u0111i\u1ec1u tr\u1ecb n\u1ebfu CPK t\u0103ng cao ho\u1eb7c nghi ng\u1edd b\u1ec7nh c\u01a1.<\/span><\/li>\n
- D\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c t\u1ea1m th\u1eddi n\u1ebfu c\u00f3 t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy th\u1eadn do ho\u1ea1i t\u1eed c\u01a1.<\/span><\/li>\n
- X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/span><\/li>\n
- D\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c n\u1ebfu c\u00f3 t\u1ed5n th\u01b0\u01a1ng gan n\u1eb7ng<\/span><\/li>\n
- C\u1ea9n tr\u1ecdng khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean s\u1eed d\u1ee5ng r\u01b0\u1ee3u ho\u1eb7c c\u00f3 b\u1ec7nh l\u00fd gan tr\u01b0\u1edbc \u0111\u00f3<\/span><\/li>\n
- S\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn hoa m\u1eaft, cho\u00e1ng v\u00e1ng, v\u00ec v\u1eady c\u1ea7n c\u1ea9n th\u1eadn khi l\u00e1i xe ho\u1eb7c s\u1eed d\u1ee5ng m\u00e1y m\u00f3c.<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\nH\u1ec7 t\u1ea1o m\u00e1u:<\/span><\/p>\n\n- Thi\u1ebfu m\u00e1u, gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u<\/span><\/li>\n<\/ul>\n
H\u1ec7 mi\u1ec5n d\u1ecbch:<\/span><\/p>\n\n- Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7<\/span><\/li>\n<\/ul>\n
H\u1ec7 ti\u00eau h\u00f3a:<\/span><\/p>\n\n- Ch\u00e1n \u0103n, kh\u00f4ng mu\u1ed1n \u0103n<\/span><\/li>\n
- \u0110au d\u1ea1 d\u00e0y, kh\u00f3 ch\u1ecbu v\u00f9ng b\u1ee5ng, \u0111\u1ea7y h\u01a1i, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/span><\/li>\n
- Ti\u00eau ch\u1ea3y, kh\u00f4 mi\u1ec7ng, b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n<\/span><\/li>\n
- Kh\u00f3 \u0111i ngo\u00e0i, vi\u00eam t\u1ee5y, vi\u00eam d\u1ea1 d\u00e0y<\/span><\/li>\n<\/ul>\n
H\u1ec7 th\u1ea7n kinh:<\/span><\/p>\n\n- Kh\u00f3 ng\u1ee7, ng\u1ee7 kh\u00f4ng y\u00ean gi\u1ea5c<\/span><\/li>\n
- Ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, ch\u1ee9ng lo\u1ea1n c\u1ea3m;<\/span><\/li>\n
- Hoa m\u1eaft, nh\u1ee9c \u0111\u1ea7u, t\u00ea b\u00ec, ng\u1ee9a ran<\/span><\/li>\n<\/ul>\n
Da li\u1ec5u:<\/span><\/p>\n\n- Ng\u1ee9a, ph\u00e1t ban, m\u00e0y \u0111ay<\/span><\/li>\n<\/ul>\n
C\u01a1 x\u01b0\u01a1ng kh\u1edbp:<\/span><\/p>\n\n- \u0110au c\u01a1<\/span><\/li>\n<\/ul>\n
Gan m\u1eadt:<\/span><\/p>\n\n- C\u00e1c x\u00e9t nghi\u1ec7m: Ch\u1ee9c n\u0103ng gan kh\u00f4ng b\u00ecnh th\u01b0\u1eddng<\/span><\/li>\n<\/ul>\n
T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/h3>\n\n\n\n| Lo\u1ea1i t\u01b0\u01a1ng t\u00e1c<\/span><\/td>\n | Thu\u1ed1c<\/span><\/td>\n<\/tr>\n\n| Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/span><\/td>\n | \n\n- Boceprevir, Clarithromycin, Erythromycin, Telithromycin: Thu\u1ed1c kh\u00e1ng sinh nh\u00f3m macrolide.<\/span><\/li>\n
- Itraconazole, Ketoconazole, Posaconazole, Voriconazole: Thu\u1ed1c kh\u00e1ng n\u1ea5m nh\u00f3m azole.<\/span><\/li>\n
- Cobicistat: Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb HIV<\/span><\/li>\n
- Nefazodone: Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m.<\/span><\/li>\n
- N\u01b0\u1edbc b\u01b0\u1edfi ch\u00f9m<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Kh\u00f4ng k\u1ebft h\u1ee3p<\/span><\/td>\n | Cyclosporine, Gemfibrozil, Danazol<\/span><\/td>\n<\/tr>\n\n| Th\u1eadn tr\u1ecdng<\/span><\/td>\n | Fenofibrate, Colchicine<\/span><\/td>\n<\/tr>\n\n| C\u00e2n nh\u1eafc l\u1ee3i \u00edch\/nguy c\u01a1<\/span><\/td>\n | \n\n- Amiodarone, Dronedarone: Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim<\/span><\/li>\n
- Verapamil, Diltiazem: Thu\u1ed1c ch\u1eb9n k\u00eanh calci<\/span><\/li>\n
- Fenofibrate: Thu\u1ed1c h\u1ea1 lipid m\u00e1u (nh\u00f3m fibrate)<\/span><\/li>\n
- Lomitapide: Thu\u1ed1c gi\u1ea3m cholesterol m\u00e1u (ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7c hi\u1ec7u)<\/span><\/li>\n
- Niacin: Vitamin B3 (c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m cholesterol m\u00e1u)<\/span><\/li>\n
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