\n| Ch\u1ec9 \u0111\u1ecbnh<\/span><\/td>\n | Li\u1ec1u kh\u1edfi \u0111\u1ea7u (vi\u00ean\/ng\u00e0y)<\/span><\/td>\n | Li\u1ec1u t\u1ed1i \u0111a (mg\/ng\u00e0y)<\/span><\/td>\n | Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam x\u01b0\u01a1ng kh\u1edbp<\/span><\/td>\n | \u00bd\u00a0<\/span><\/td>\n | 1<\/span><\/td>\n | Kh\u00f4ng gi\u1edbi h\u1ea1n*<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/span><\/td>\n | 1<\/span><\/td>\n | 1.5<\/span><\/td>\n | Kh\u00f4ng gi\u1edbi h\u1ea1n*<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/span><\/td>\n | 1<\/span><\/td>\n | 1.5<\/span><\/td>\n | Kh\u00f4ng gi\u1edbi h\u1ea1n*<\/span><\/td>\n<\/tr>\n\n| C\u01a1n g\u00fat c\u1ea5p<\/span><\/td>\n | 2<\/span><\/td>\n | 2<\/span><\/td>\n | T\u1ed1i \u0111a 8 ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| \u0110au h\u1eadu ph\u1eabu r\u0103ng<\/span><\/td>\n | 1.5<\/span><\/td>\n | 1.5<\/span><\/td>\n | T\u1ed1i \u0111a 3 ng\u00e0y<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u1ea7n l\u01b0u \u00fd:<\/span><\/p>\n\n- Cao ni\u00ean: Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u, nh\u01b0ng c\u1ea7n th\u1eadn tr\u1ecdng.<\/span><\/li>\n
- Suy gan:<\/span>\n
\n- Nh\u1eb9 (Child-Pugh 5-6): T\u1ed1i \u0111a 60mg\/ng\u00e0y.<\/span><\/li>\n
- Trung b\u00ecnh (Child-Pugh 7-9): T\u1ed1i \u0111a 30mg\/ng\u00e0y.<\/span><\/li>\n
- N\u1eb7ng (Child-Pugh > 10): Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh.<\/span><\/li>\n<\/ul>\n<\/li>\n
- Suy th\u1eadn:<\/span>\n
\n- Clcr \u2265 30ml\/ph\u00fat: Kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.<\/span><\/li>\n
- Clcr < 30ml\/ph\u00fat: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh.<\/span><\/li>\n<\/ul>\n<\/li>\n
- Tr\u1ebb em < 16 tu\u1ed5i: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh.<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Roticox 60mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\nKh\u00f4ng d\u00f9ng Roticox 60mg cho ng\u01b0\u1eddi m\u1eabn c\u1ea3m, lo\u00e9t d\u1ea1 d\u00e0y, ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng aspirin\/NSAID, ph\u1ee5 n\u1eef c\u00f3 thai\/cho con b\u00fa, suy gan n\u1eb7ng, tr\u1ebb em, vi\u00eam ru\u1ed9t, suy tim n\u1eb7ng, cao huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t v\u00e0 c\u00e1c b\u1ec7nh m\u1ea1ch m\u00e1u.<\/span><\/p>\nL\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Roticox 60mg<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\nRoticox 60mg film-coated tablets<\/b> c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng sau:<\/span><\/p>\n\n- Ti\u00eau h\u00f3a: C\u00f3 th\u1ec3 g\u00e2y lo\u00e9t d\u1ea1 d\u00e0y, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a. Nguy c\u01a1 t\u0103ng khi d\u00f9ng chung v\u1edbi aspirin.<\/span><\/li>\n
- Tim m\u1ea1ch: T\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i, nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ef5. \u0110\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch, cao huy\u1ebft \u00e1p.<\/span><\/li>\n
- Th\u1eadn: C\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh, suy tim.<\/span><\/li>\n
- Gan: Roticox 60mg c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan ph\u1ea3i theo d\u00f5i \u0111\u1ecbnh k\u1ef3.<\/span><\/li>\n
- D\u1ecb \u1ee9ng: C\u00f3 th\u1ec3 g\u00e2y ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 vi\u00eam da bong tr\u00f3c, s\u1ed1c ph\u1ea3n v\u1ec7.<\/span><\/li>\n
- Kh\u00e1c: Gi\u1eef n\u01b0\u1edbc, ph\u00f9, t\u0103ng huy\u1ebft \u00e1p, che l\u1ea5p c\u00e1c tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng.<\/span><\/li>\n<\/ul>\n
C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd:<\/span><\/p>\n\n- Ng\u01b0\u1eddi cao tu\u1ed5i<\/span><\/li>\n
- Ng\u01b0\u1eddi b\u1ec7nh tim m\u1ea1ch, cao huy\u1ebft \u00e1p<\/span><\/li>\n
- Ng\u01b0\u1eddi b\u1ec7nh th\u1eadn, gan<\/span><\/li>\n
- Ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa<\/span><\/li>\n
- Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y, d\u1ecb \u1ee9ng aspirin ho\u1eb7c NSAIDs kh\u00e1c<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c Roticox 60mg<\/span><\/h3>\n\n\n\n| C\u01a1 quan<\/span><\/td>\n | T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p<\/span><\/td>\n | T\u00e1c d\u1ee5ng ph\u1ee5 \u00edt g\u1eb7p h\u01a1n<\/span><\/td>\n | T\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng<\/span><\/td>\n<\/tr>\n\n| Ti\u00eau h\u00f3a<\/span><\/td>\n | \u0110au b\u1ee5ng, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n, n\u00f4n, vi\u00eam d\u1ea1 d\u00e0y, lo\u00e9t mi\u1ec7ng<\/span><\/td>\n | Tr\u01b0\u1edbng b\u1ee5ng, thay \u0111\u1ed5i th\u00f3i quen \u0111\u1ea1i ti\u1ec7n, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, lo\u00e9t d\u1ea1 d\u00e0y ru\u1ed9t, vi\u00eam t\u1ee5y<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Tim m\u1ea1ch<\/span><\/td>\n | \u0110\u00e1nh tr\u1ed1ng ng\u1ef1c, lo\u1ea1n nh\u1ecbp tim, cao huy\u1ebft \u00e1p<\/span><\/td>\n | Rung t\u00e2m nh\u0129, nh\u1ecbp tim nhanh, suy tim sung huy\u1ebft, \u0111au th\u1eaft ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Gan<\/span><\/td>\n | T\u0103ng men gan (ALT, AST)<\/span><\/td>\n | Vi\u00eam gan, suy gan, v\u00e0ng da<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Da<\/span><\/td>\n | Ph\u00e1t ban, ng\u1ee9a, vi\u00eam da<\/span><\/td>\n | Ph\u00f9 n\u1ec1 m\u1eb7t, n\u1ed5i m\u00e0y \u0111ay<\/span><\/td>\n | H\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed th\u01b0\u1ee3ng b\u00ec nhi\u1ec5m \u0111\u1ed9c<\/span><\/td>\n<\/tr>\n\n| Th\u1ea7n kinh<\/span><\/td>\n | Ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u, bu\u1ed3n ng\u1ee7<\/span><\/td>\n | Lo\u1ea1n v\u1ecb gi\u00e1c, m\u1ea5t ng\u1ee7, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Kh\u00e1c<\/span><\/td>\n | Ph\u00f9, gi\u1eef n\u01b0\u1edbc, m\u1ec7t m\u1ecfi<\/span><\/td>\n | Co th\u1eaft c\u01a1, \u0111au kh\u1edbp, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn<\/span><\/td>\n | <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/h3>\n\n\n\n| Thu\u1ed1c k\u1ebft h\u1ee3p<\/span><\/td>\n | T\u00e1c d\u1ee5ng khi k\u1ebft h\u1ee3p v\u1edbi Etoricoxib<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng<\/span><\/td>\n | T\u0103ng n\u1ed3ng \u0111\u1ed9 estrogen<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c l\u1ee3i ti\u1ec3u, \u1ee9c ch\u1ebf ACE, \u0111\u1ed1i kh\u00e1ng AT-2<\/span><\/td>\n | Gi\u1ea3m hi\u1ec7u qu\u1ea3 h\u1ea1 huy\u1ebft \u00e1p, t\u0103ng nguy c\u01a1 suy th\u1eadn<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi sulfotransferase<\/span><\/td>\n | C\u00f3 th\u1ec3 t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a thu\u1ed1c<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c chuy\u1ec3n h\u00f3a b\u1edfi CYP3A4 (Ketoconazole, Voriconazole, Miconazole)<\/span><\/td>\n | T\u0103ng nh\u1eb9 AUC c\u1ee7a etoricoxib<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1eddng u\u1ed1ng<\/span><\/td>\n | T\u0103ng INR<\/span><\/td>\n<\/tr>\n\n| Rifampicin<\/span><\/td>\n | Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 etoricoxib<\/span><\/td>\n<\/tr>\n\n| Prednisone\/prednisolone<\/span><\/td>\n | Kh\u00f4ng c\u00f3 t\u01b0\u01a1ng t\u00e1c l\u00e2m s\u00e0ng \u0111\u00e1ng k\u1ec3<\/span><\/td>\n<\/tr>\n\n| Methotrexate<\/span><\/td>\n | T\u0103ng n\u1ed3ng \u0111\u1ed9 methotrexate<\/span><\/td>\n<\/tr>\n\n| Lithium<\/span><\/td>\n | T\u0103ng n\u1ed3ng \u0111\u1ed9 lithium trong huy\u1ebft t\u01b0\u01a1ng<\/span><\/td>\n<\/tr>\n\n| Li\u1ec7u ph\u00e1p thay th\u1ebf hormone (HRT)<\/span><\/td>\n | T\u0103ng n\u1ed3ng \u0111\u1ed9 estrogen<\/span><\/td>\n<\/tr>\n\n| Digoxin<\/span><\/td>\n | T\u0103ng nh\u1eb9 Cmax digoxin<\/span><\/td>\n<\/tr>\n\n| Ciclosporin, tacrolimus<\/span><\/td>\n | T\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn<\/span><\/td>\n<\/tr>\n\n| Antacid<\/span><\/td>\n | Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng<\/span><\/td>\n<\/tr>\n\n| Acetylsalicylic acid (li\u1ec1u th\u1ea5p)<\/span><\/td>\n | Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ed1ng k\u1ebft d\u00ednh ti\u1ec3u c\u1ea7u<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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>\nThai k\u1ef3<\/span> : C\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c t\u00ednh sinh s\u1ea3n \u1edf \u0111\u1ed9ng v\u1eadt, g\u00e2y \u0111\u1edd t\u1eed cung, \u0111\u00f3ng \u1ed1ng \u0111\u1ed9ng m\u1ea1ch s\u1edbm. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Roticox 60mg, n\u1ebfu ph\u00e1t hi\u1ec7n c\u00f3 thai trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, ph\u1ea3i ng\u01b0ng thu\u1ed1c ngay.<\/span><\/p>\nCho con b\u00fa: Ch\u01b0a r\u00f5 c\u00f3 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 hay kh\u00f4ng, nh\u01b0ng c\u00f3 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa \u1edf \u0111\u1ed9ng v\u1eadt, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Roticox 60mg.<\/span><\/p>\nQu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/span><\/h3>\nQu\u00e1 li\u1ec1u Roticox 60mg: Li\u1ec1u \u0111\u01a1n l\u00ean \u0111\u1ebfn 500mg v\u00e0 li\u1ec1u h\u00e0ng ng\u00e0y 150mg trong 21 ng\u00e0y kh\u00f4ng g\u00e2y \u0111\u1ed9c t\u00ednh \u0111\u00e1ng k\u1ec3. C\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i khi qu\u00e1 li\u1ec1u ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00e3 bi\u1ebft c\u1ee7a thu\u1ed1c.<\/span><\/p>\nX\u1eed tr\u00ed: \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3, kh\u00f4ng c\u00f3 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u. Th\u1ea9m t\u00e1ch m\u00e1u kh\u00f4ng hi\u1ec7u qu\u1ea3.<\/span><\/p>\n | | | | | | | | | | | | | | | | | | | | | | | |