Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nThu\u1ed1c Ultradol<\/b> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n\n- Paracetamol 325 mg<\/span><\/li>\n
- Tramadol hydrochloride 37,5 mg<\/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 bao phim<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: 893111107823<\/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 Ultradol<\/span><\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/span><\/h3>\nTramadol:<\/span><\/p>\n\n- Thu\u1ed1c gi\u1ea3m \u0111au opioid t\u00e1c d\u1ee5ng l\u00ean trung t\u00e2m.<\/span><\/li>\n
- Li\u00ean k\u1ebft v\u1edbi th\u1ee5 th\u1ec3 \u03bc-opiat, \u1ee9c ch\u1ebf \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n \u0111au.<\/span><\/li>\n
- Thay \u0111\u1ed5i nh\u1eadn th\u1ee9c v\u00e0 ph\u1ea3n \u1ee9ng \u0111au.<\/span><\/li>\n
- \u1ee8c ch\u1ebf t\u00e1i h\u1ea5p thu norepinephrine, t\u0103ng gi\u1ea3i ph\u00f3ng serotonin.<\/span><\/li>\n<\/ul>\n
Paracetamol:<\/span><\/p>\n\n- D\u1eabn xu\u1ea5t para-aminophenol.<\/span><\/li>\n
- Gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t, ch\u1ed1ng vi\u00eam y\u1ebfu.<\/span><\/li>\n
- C\u01a1 ch\u1ebf gi\u1ea3m \u0111au ch\u01b0a r\u00f5, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ed1ng serotonin.\u00a0<\/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 | Tramadol<\/span><\/td>\n | Paracetamol<\/span><\/td>\n<\/tr>\n\n| H\u1ea5p thu<\/span><\/td>\n | D\u1ec5 h\u1ea5p thu, sinh kh\u1ea3 d\u1ee5ng 70-75%<\/span><\/td>\n | D\u1ec5 d\u00e0ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/span><\/td>\n<\/tr>\n\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | Ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i, qua nhau thai, s\u1eefa m\u1eb9<\/span><\/td>\n | Ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i, qua nhau thai, s\u1eefa m\u1eb9<\/span><\/td>\n<\/tr>\n\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | Chuy\u1ec3n h\u00f3a r\u1ed9ng r\u00e3i \u1edf gan, t\u1ea1o M1 (ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh)<\/span><\/td>\n | Chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan<\/span><\/td>\n<\/tr>\n\n| Th\u1ea3i tr\u1eeb<\/span><\/td>\n | Qua n\u01b0\u1edbc ti\u1ec3u (30% thu\u1ed1c kh\u00f4ng \u0111\u1ed5i, 60% ch\u1ea5t chuy\u1ec3n h\u00f3a),\u00a0<\/span><\/p>\n T1\/2: 6 gi\u1edd (Tramadol); 7,4 gi\u1edd (M1)<\/span><\/td>\n | Qua n\u01b0\u1edbc ti\u1ec3u (5% thu\u1ed1c kh\u00f4ng \u0111\u1ed5i, 60-80% glucuronide, 20-30% sulfat, 8% cysteine \u200b\u200bv\u00e0 axit mercapturic) T1\/2: 2-3 gi\u1edd<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nThu\u1ed1c Ultradol \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nThu\u1ed1c Ultradol \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au t\u1eeb m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng.<\/span><\/p>\n Th\u00e0nh ph\u1ea7n v\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c Ultradol<\/figcaption><\/figure>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Ultradol<\/span><\/h2>\nHi\u1ec7u ch\u1ec9nh li\u1ec1u theo:<\/span><\/p>\n\n- M\u1ee9c \u0111\u1ed9 \u0111au<\/span><\/li>\n
- Ng\u01b0\u1ee1ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/span><\/li>\n
- S\u1eed d\u1ee5ng li\u1ec1u t\u1ed1i thi\u1ec3u <\/span>Ultradol<\/b> c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au<\/span><\/li>\n<\/ul>\n
C\u00e1ch nhau \u00edt nh\u1ea5t s\u00e1u ti\u1ebfng gi\u1eefa m\u1ed7i l\u1ea7n u\u1ed1ng thu\u1ed1c Ultradol.<\/span><\/p>\nNg\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em \u2265 16 tu\u1ed5i:<\/span><\/p>\n\n- U\u1ed1ng 1-2 vi\u00ean m\u1ed7i b\u1ed1n \u0111\u1ebfn s\u00e1u ti\u1ebfng<\/span><\/li>\n
- Li\u1ec1u t\u1ed1i \u0111a: 8 vi\u00ean\/ng\u00e0y<\/span><\/li>\n<\/ul>\n
Tr\u1ebb em < 12 tu\u1ed5i: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\u00a0<\/span><\/p>\nNg\u01b0\u1eddi \u2264 75 tu\u1ed5i:<\/span><\/p>\n\n- Li\u1ec1u l\u01b0\u1ee3ng gi\u1eef nguy\u00ean n\u1ebfu kh\u00f4ng c\u00f3 suy gan ho\u1eb7c suy th\u1eadn<\/span><\/li>\n
- C\u00f3 th\u1ec3 u\u1ed1ng thu\u1ed1c c\u00e1ch nhau l\u00e2u h\u01a1n n\u1ebfu c\u1ea7n thi\u1ebft<\/span><\/li>\n<\/ul>\n
C\u00e1ch d\u00f9ng:<\/span><\/p>\n\n- U\u1ed1ng thu\u1ed1c nguy\u00ean v\u1eb9n v\u1edbi m\u1ed9t ly n\u01b0\u1edbc<\/span><\/li>\n
- Kh\u00f4ng b\u1ebb ho\u1eb7c nhai n\u00e1t vi\u00ean<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Ultradol trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\u0110\u1ed9ng kinh kh\u00f4ng ki\u1ec3m so\u00e1t.<\/span><\/p>\n\u0110ang\/v\u1eeba d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf MAO trong 2 tu\u1ea7n.<\/span><\/p>\nCh\u1ee9c n\u0103ng h\u00f4 h\u1ea5p suy gi\u1ea3m n\u1eb7ng<\/span><\/p>\nD\u1ecb \u1ee9ng v\u1edbi Paracetamol, Tramadol ho\u1eb7c th\u00e0nh ph\u1ea7n thu\u1ed1c Ultradol.<\/span><\/p>\nNg\u1ed9 \u0111\u1ed9c thu\u1ed1c h\u01b0\u1edbng th\u1ea7n, opioid, gi\u1ea3m \u0111au, thu\u1ed1c ng\u1ee7, r\u01b0\u1ee3u.<\/span><\/p>\nCh\u1ee9c n\u0103ng gan\/th\u1eadn gi\u1ea3m n\u1eb7ng.<\/span><\/p>\nTramadol:<\/span><\/p>\n\n- Tr\u1ebb em < 12 tu\u1ed5i gi\u1ea3m \u0111au.<\/span><\/li>\n
- Tr\u1ebb em < 18 tu\u1ed5i gi\u1ea3m \u0111au sau c\u1eaft amidan\/n\u1ea1o V.A.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Ultradol Stella<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\nParacetamol:<\/span><\/p>\n\n- An to\u00e0n khi d\u00f9ng \u0111\u00fang li\u1ec1u.<\/span><\/li>\n
- M\u1ed9t s\u1ed1 ph\u1ea3n \u1ee9ng ph\u1ee5: d\u1ecb \u1ee9ng da, gi\u1ea3m b\u1ea1ch c\u1ea7u.<\/span><\/li>\n
- C\u1ea9n th\u1eadn khi d\u00f9ng v\u1edbi ng\u01b0\u1eddi thi\u1ebfu m\u00e1u, suy gan\/th\u1eadn, c\u00f3 nguy c\u01a1 suy h\u00f4 h\u1ea5p.<\/span><\/li>\n<\/ul>\n
Tramadol:<\/span><\/p>\n\n- Nguy c\u01a1 co gi\u1eadt cao khi d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00e1c d\u01b0\u1ee3c ph\u1ea9m kh\u00e1c.<\/span><\/li>\n
- \u1ee8c ch\u1ebf h\u00f4 h\u1ea5p, t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng<\/span><\/li>\n
- C\u1ea9n th\u1eadn khi d\u00f9ng v\u1edbi ng\u01b0\u1eddi \u00e1p l\u1ef1c trong n\u00e3o cao, b\u1ecb ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u<\/span><\/li>\n
- D\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ec3u hi\u1ec7n cai nghi\u1ec7n khi ng\u1eebng Ultradol \u0111\u1ed9t ng\u1ed9t.<\/span><\/li>\n
- Kh\u00f4ng d\u00f9ng cho tr\u1ebb b\u00e9o ph\u00ec, c\u00f3 ng\u1eebng th\u1edf t\u1ea1m th\u1eddi khi ng\u1ee7 ho\u1eb7c b\u1ec7nh l\u00fd ph\u1ed5i nghi\u00eam tr\u1ecdng<\/span><\/li>\n
- Th\u1eadn tr\u1ecdng khi mang thai, cho con b\u00fa.<\/span><\/li>\n
- G\u00e2y ng\u1ee7 g\u00e0, hoa m\u1eaft, gi\u1ea3m t\u1ec9nh t\u00e1o. Kh\u00f4ng l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\nParacetamol:<\/span><\/p>\n\n- Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: Ph\u00e1t ban, m\u1ea9n ng\u1ee9a (th\u01b0\u1eddng nh\u1eb9), m\u1ee9c \u0111\u1ed9 n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 bao g\u1ed3m s\u1ed1t do thu\u1ed1c v\u00e0 th\u01b0\u01a1ng t\u1ed5n ni\u00eam m\u1ea1c<\/span><\/li>\n<\/ul>\n
Tramadol:<\/span><\/p>\n\n- B\u1ef1c b\u1ed9i<\/span><\/li>\n
- Tim m\u1ea1ch: M\u1ea1ch m\u00e1u gi\u00e3n (t\u1ee5t huy\u1ebft \u00e1p)<\/span><\/li>\n
- Lo l\u1eafng, c\u0103ng th\u1eb3ng.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c.<\/span><\/li>\n
- M\u1ea5t kh\u1ea3 n\u0103ng ph\u1ed1i h\u1ee3p c\u00e1c c\u1eed \u0111\u1ed9ng<\/span><\/li>\n
- C\u1ea3m gi\u00e1c h\u01b0ng ph\u1ea5n.<\/span><\/li>\n
- C\u0103ng th\u1eb3ng, lo \u00e2u.<\/span><\/li>\n
- Ng\u1ee7 kh\u00f4ng ngon gi\u1ea5c.<\/span><\/li>\n
- N\u00f4n m\u1eeda, bu\u1ed3n n\u00f4n.<\/span><\/li>\n
- \u0110au d\u1ea1 d\u00e0y.<\/span><\/li>\n
- M\u1ea5t c\u1ea3m gi\u00e1c th\u00e8m \u0103n.<\/span><\/li>\n
- \u0110\u1ea7y h\u01a1i, ch\u01b0\u1edbng b\u1ee5ng.<\/span><\/li>\n
- Kh\u00f3 \u0111i \u0111\u1ea1i ti\u1ec7n.<\/span><\/li>\n
- C\u0103ng c\u01a1.<\/span><\/li>\n
- M\u1edd m\u1eaft, nh\u00ecn kh\u00f4ng r\u00f5.<\/span><\/li>\n
- B\u1ed1c h\u1ecfa, \u0111\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng.<\/span><\/li>\n
- \u0110i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean.<\/span><\/li>\n
- Kh\u00f3 ti\u1ec3u ti\u1ec7n.<\/span><\/li>\n<\/ul>\n
T\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\nParacetamol<\/span><\/td>\n<\/tr>\n\n| Carbamazepine, Phenobarbital, Phenytoin, Primidone, Rifampicin<\/span><\/td>\n | Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 Paracetamol trong m\u00e1u<\/span><\/td>\n<\/tr>\n\n| Colestyramine<\/span><\/td>\n | Gi\u1ea3m h\u1ea5p thu Paracetamol<\/span><\/td>\n<\/tr>\n\n| Metoclopramide<\/span><\/td>\n | T\u0103ng h\u1ea5p thu Paracetamol<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c g\u00e2y \u0111\u1ed9c gan kh\u00e1c<\/span><\/td>\n | T\u0103ng nguy c\u01a1 nhi\u1ec5m \u0111\u1ed9c gan<\/span><\/td>\n<\/tr>\n\n| Warfarin<\/span><\/td>\n | T\u0103ng c\u01b0\u1eddng t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/span><\/td>\n<\/tr>\n\nTramadol<\/span><\/td>\n<\/tr>\n\n| Carbamazepine, Rifampicin, Phenytoin<\/span><\/td>\n | Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh<\/span><\/td>\n<\/tr>\n\n| Erythromycin, Ketoconazol, Ritonavir<\/span><\/td>\n | T\u0103ng n\u1ed3ng \u0111\u1ed9 Tramadol v\u00e0 M1 trong m\u00e1u<\/span><\/td>\n<\/tr>\n\n| Nalbuphine, Pentazocine<\/span><\/td>\n | Gi\u1ea3m t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au ho\u1eb7c tri\u1ec7u ch\u1ee9ng cai Tramadol<\/span><\/td>\n<\/tr>\n\n| Quinidine, Fluoxetine<\/span><\/td>\n | T\u0103ng n\u1ed3ng \u0111\u1ed9 tramadol trong huy\u1ebft t\u01b0\u01a1ng, gi\u1ea3m n\u1ed3ng \u0111\u1ed9 M1<\/span><\/td>\n<\/tr>\n\n| SSRI, SNRI, TCA, Bupropion, Mirtazapine<\/span><\/td>\n | T\u0103ng nguy c\u01a1 co gi\u1eadt<\/span><\/td>\n<\/tr>\n\n | | | | | | | | | | | | | | | | | |