{"id":1007,"date":"2026-05-19T09:51:55","date_gmt":"2026-05-19T02:51:55","guid":{"rendered":"https:\/\/opv.vn\/?post_type=product&p=1007"},"modified":"2026-05-19T09:51:55","modified_gmt":"2026-05-19T02:51:55","slug":"simvatin-20","status":"publish","type":"product","link":"https:\/\/opv.vn\/en\/simvatin-20\/","title":{"rendered":"Simvatin 20"},"content":{"rendered":"<p><strong>TH\u00c0NH PH\u1ea6N:<\/strong><\/p>\n<p>Simvastatin: 10 mg, 20 mg.<\/p>\n<p>Cho m\u1ed9t vi\u00ean n\u00e9n bao phim.<\/p>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>CH\u1ec8 \u0110\u1ecaNH:<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 t\u0103ng cholesterol m\u00e1u, Simvastatin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u1eb1m l\u00e0m gi\u1ea3m nguy c\u01a1 t\u1eed vong; gi\u1ea3m nguy c\u01a1 t\u1eed vong do m\u1ea1ch v\u00e0nh v\u00e0 c\u00e1c nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng g\u00e2y t\u1eed vong: gi\u1ea3m nguy c\u01a1 ph\u1ea3i tr\u1ea3i qua th\u1ee7 thu\u1eadt t\u00e1i th\u00f4ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u v\u00e0 nong m\u1ea1ch v\u00e0nh) v\u00e0 l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a x\u01a1 v\u1eefa m\u1ea1ch v\u00e0nh, bao g\u1ed3m gi\u1ea3m qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a sang th\u01b0\u01a1ng m\u1edbi v\u00e0 gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng t\u1eafc ngh\u1ebdn ho\u00e0n to\u00e0n.<\/li>\n<li>T\u0103ng cholesterol m\u00e1u: Simvastatin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh h\u1ed7 tr\u1ee3 cho m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0m gi\u1ea3m cholesterol to\u00e0n ph\u1ea7n, LDL-cholesterol, apolipoprotein B v\u00e0 c\u00e1c triglyceride \u1edf b\u1ec7nh nh\u00e2n t\u0103ng cholesterol m\u00e1u nguy\u00ean ph\u00e1t, t\u0103ng cholesterol m\u00e1u gia \u0111\u00ecnh c\u00f3 t\u00ednh di truy\u1ec1n \u0111\u1ed3ng h\u1ee3p t\u1eed ho\u1eb7c t\u0103ng cholesterol m\u00e1u k\u1ebft h\u1ee3p khi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u01a1n thu\u1ea7n. Simvastatin c\u0169ng l\u00e0m t\u0103ng HDL-cholesterol v\u00e0 v\u00ec v\u1eady l\u00e0m gi\u1ea3m t\u1ec9 l\u1ec7\u00a0 LDL\/HDL v\u00e0 cholesterol to\u00e0n ph\u1ea7n\/ HDL.<\/li>\n<li>Simvastatin c\u0169ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh h\u1ed7 tr\u1ee3 cho ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ti\u1ebft th\u1ef1c kh\u00e1c \u0111\u1ec3 l\u00e0m gi\u1ea3m t\u00ecnh tr\u1ea1ng t\u0103ng cholesterol to\u00e0n ph\u1ea7n, LDL-cholesterol, apolipoprotein B tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng cholesterol m\u00e1u gia \u0111\u00ecnh c\u00f3 t\u00ednh di truy\u1ec1n theo \u0111\u1ed3ng h\u1ee3p t\u1eed khi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n<\/ul>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>C\u00c1CH D\u00d9NG-LI\u1ec0U D\u00d9NG:<\/strong><\/p>\n<ul>\n<li>N\u00ean kh\u1edfi \u0111\u1ea7u b\u1eb1ng li\u1ec1u th\u1ea5p nh\u1ea5t m\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3. Sau \u0111\u00f3, n\u1ebfu c\u1ea7n, c\u00f3 th\u1ec3 ch\u1ec9nh li\u1ec1u d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch t\u0103ng li\u1ec1u \u0111\u1ecbnh k\u1ef3 (kho\u1ea3ng c\u00e1ch th\u1eddi gian cho m\u1ed7i l\u1ea7n t\u0103ng li\u1ec1u \u00edt nh\u1ea5t l\u00e0 4 tu\u1ea7n).<\/li>\n<li>B\u1ec7nh nh\u00e2n ph\u1ea3i tu\u00e2n th\u1ee7 ch\u1eb7t ch\u1ebd ch\u1ebf \u0111\u1ed9 \u0103n chu\u1ea9n \u0111\u1ec3 h\u1ea1 cholesterol tr\u01b0\u1edbc khi d\u00f9ng Simvastatin v\u00e0 ti\u1ebfp t\u1ee5c tu\u00e2n theo ch\u1ebf \u0111\u1ed9 \u0103n trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Simvastatin.<\/li>\n<li>T\u0103ng cholesterol m\u00e1u: li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng l\u00e0 10 mg\/ng\u00e0y d\u00f9ng m\u1ed9t l\u1ea7n duy nh\u1ea5t v\u00e0o bu\u1ed5i t\u1ed1i. B\u1ec7nh nh\u00e2n t\u0103ng cholesterol m\u00e1u th\u1ec3 nh\u1eb9 ho\u1eb7c trung b\u00ecnh c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u kh\u1edfi \u0111\u1ea7u Simvastatin 5mg. \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u, n\u1ebfu c\u1ea7n, ch\u1ec9 n\u00ean th\u1ef1c hi\u1ec7n sau th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u01b0\u1edbi 4 tu\u1ea7n, \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 40 mg m\u1ed7i ng\u00e0y d\u00f9ng m\u1ed9t l\u1ea7n duy nh\u1ea5t v\u00e0o bu\u1ed5i t\u1ed1i. \u1ede b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng cholesterol tr\u1ea7m tr\u1ecdng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec1u 40mg\/ng\u00e0y v\u00e0 c\u00f3 nguy c\u01a1 b\u1ecb b\u1ec7nh tim m\u1ea1ch cao, c\u00f3 th\u1ec3 ngo\u1ea1i l\u1ec7 t\u0103ng li\u1ec1u l\u00ean \u0111\u1ebfn 80mg\/ng\u00e0y.<\/li>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng \u0111\u1ed3ng th\u1eddi Amiodaron v\u1edbi Simvastatin, li\u1ec1u t\u1ed1i \u0111a \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 20mg\/ng\u00e0y.<\/li>\n<li>N\u1ebfu n\u1ed3ng \u0111\u1ed9 LDL-cholesterol d\u01b0\u1edbi 75 mg\/dL (1.94 mmol\/L) hay cholesterol huy\u1ebft t\u01b0\u01a1ng to\u00e0n ph\u1ea7n d\u01b0\u1edbi 140 mg\/dL (3.6 mmol\/L), c\u1ea7n ch\u00fa \u00fd \u0111\u1ec3 gi\u1ea3m li\u1ec1u Simvastatin.<\/li>\n<li>T\u0103ng cholesterol m\u00e1u gia \u0111\u00ecnh c\u00f3 t\u00ednh di truy\u1ec1n \u0111\u1ed3ng h\u1ee3p t\u1eed: d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng, li\u1ec1u Simvastatin \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb cho c\u00e1c ch\u1ee9ng t\u0103ng cholesterol m\u00e1u gia \u0111\u00ecnh c\u00f3 t\u00ednh di truy\u1ec1n \u0111\u1ed3ng h\u1ee3p t\u1eed l\u00e0 40mg\/ng\u00e0y d\u00f9ng m\u1ed9t l\u1ea7n duy nh\u1ea5t bu\u1ed5i t\u1ed1i hay 80 mg\/ng\u00e0y chia l\u00e0m 3 l\u1ea7n 20 mg, 20 mg v\u00e0 40 mg bu\u1ed5i t\u1ed1i. N\u00ean d\u00f9ng Simvastatin h\u1ed7 tr\u1ee3 cho c\u00e1c \u0111i\u1ec1u tr\u1ecb h\u1ea1 lipid m\u00e1u kh\u00e1c (nh\u01b0 l\u1ecdc LDL) cho c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y khi kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb kia.<\/li>\n<li>B\u1ec7nh m\u1ea1ch v\u00e0nh: c\u00e1c b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u kh\u1edfi \u0111\u1ea7u 20 mg\/ng\u00e0y m\u1ed9t l\u1ea7n duy nh\u1ea5t v\u00e0o bu\u1ed5i t\u1ed1i. N\u1ebfu c\u1ea7n, c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u nh\u01b0 \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp \u1edf ph\u1ea7n tr\u00ean.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p: Simvastatin c\u00f3 hi\u1ec7u qu\u1ea3 khi d\u00f9ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c ng\u01b0ng k\u1ebft acid m\u1eadt.<\/li>\n<li>N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c cyclosporin, fibrat ho\u1eb7c niacin chung v\u1edbi Simvastatin, li\u1ec1u t\u1ed1i \u0111a \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb l\u00e0 10mg\/ng\u00e0y.<\/li>\n<li>Li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn: do kh\u00f4ng b\u00e0i ti\u1ebft nhi\u1ec1u qua th\u1eadn, kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u Simvastatin cho b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh. \u1ede b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ee9c \u0111\u1ed9 n\u1eb7ng (thanh th\u1ea3i creatinine d\u01b0\u1edbi\u00a030 ml\/ph\u00fat), li\u1ec1u tr\u00ean\u00a0 10mg\/ng\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn v\u00e0 n\u1ebfu th\u1ea5y c\u1ea7n thi\u1ebft, c\u1ea7n th\u1eadn tr\u1ecdng khi d\u00f9ng.<\/li>\n<\/ul>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH:<\/strong><\/p>\n<ul>\n<li>Qu\u00e1 m\u1eabn v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/li>\n<li>b\u1ec7nh gan ti\u1ebfn tri\u1ec3n v\u1edbi gia t\u0103ng c\u00e1c men transaminase huy\u1ebft thanh dai d\u1eb3ng kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c.<\/li>\n<li>Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/li>\n<\/ul>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>L\u01afU \u00dd V\u00c0 TH\u1eacN TR\u1eccNG:<\/strong><\/p>\n<ul>\n<li>Ph\u1ea3i c\u00e2n nh\u1eafc khi s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y cho b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng c\u01a1. C\u00e1c thu\u1ed1c ch\u1ee9a statin c\u00f3 th\u1ec3 g\u00e2y c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn c\u01a1, \u0111\u1eb7c bi\u1ec7t cho nh\u1eefng b\u1ec7nh nh\u00e2n tr\u00ean 65 tu\u1ed5i. C\u1ea7n theo d\u00f5i \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng thu\u1ed1c cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y.<\/li>\n<li>Simvastatin c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 men creatin phosphokinase v\u00e0 transaminase trong huy\u1ebft thanh. Ph\u1ea3i l\u01b0u \u00fd t\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t ch\u1ee9ng \u0111au ng\u1ef1c \u1edf c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Simvastatin.<\/li>\n<li>Ph\u1ea3i t\u1ea1m ng\u01b0ng d\u00f9ng Simvastatin \u1edf b\u1ea5t k\u1ef3 b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd c\u1ea5p tr\u1ea7m tr\u1ecdng g\u1ee3i \u00fd m\u1ed9t b\u1ec7nh c\u01a1 hay c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 ti\u1ebfn tri\u1ec3n \u0111\u1ebfn suy th\u1eadn th\u1ee9 ph\u00e1t do ly gi\u1ea3i c\u01a1 v\u00e2n, nhi\u1ec5m khu\u1ea9n c\u1ea5p tr\u1ea7m tr\u1ecdng, h\u1ea1 huy\u1ebft \u00e1p, \u0111ang ch\u1ecbu ph\u1eabu thu\u1eadt l\u1edbn, ch\u1ea5n th\u01b0\u01a1ng v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, n\u1ed9i ti\u1ebft v\u00e0 \u0111i\u1ec7n gi\u1ea3i n\u1eb7ng c\u0169ng nh\u01b0 \u0111\u1ed9ng kinh ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/li>\n<li>Ph\u1ea3i ki\u1ec3m tra ch\u1ee9c n\u0103ng gan trong khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Simvastatin. Ph\u1ea3i theo d\u00f5i th\u01b0\u1eddng xuy\u00ean c\u00e1c men transaminase huy\u1ebft thanh tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, m\u1ed7i 6 tu\u1ea7n trong 3 th\u00e1ng \u0111\u1ea7u, m\u1ed7i 8 tu\u1ea7n trong th\u1eddi gian c\u00f2n l\u1ea1i c\u1ee7a n\u0103m \u0111\u1ea7u v\u00e0 theo d\u00f5i \u0111\u1ecbnh k\u1ef3 sau \u0111\u00f3.<\/li>\n<li>Ph\u1ea3i th\u1eadn tr\u1ecdng khi d\u00f9ng Simvastatin \u1edf b\u1ec7nh nh\u00e2n u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u v\u00e0\/ ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh gan.<\/li>\n<li>C\u1ea7n h\u01b0\u1edbng d\u1eabn cho b\u1ec7nh nh\u00e2n th\u00f4ng b\u00e1o ngay c\u00e1c ch\u1ee9ng \u0111au c\u01a1, c\u0103ng c\u01a1 ho\u1eb7c y\u1ebfu c\u01a1 kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c, n\u1ebfu c\u00f3 k\u00e8m theo t\u00ecnh tr\u1ea1ng s\u1ed1t ho\u1eb7c kh\u00f3 ch\u1ecbu.<\/li>\n<li>C\u1ea9n th\u1eadn khi \u0111ang l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c cho \u0111\u1ebfn khi b\u1ea1n bi\u1ebft Simvastatin \u1ea3nh h\u01b0\u1edfng l\u00ean b\u1ea1n nh\u01b0 th\u1ebf n\u00e0o.<\/li>\n<li>C\u1ea7n theo d\u00f5i s\u00e1t c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, b\u1ec7nh nh\u00e2n b\u1ecb suy tuy\u1ebfn gi\u00e1p v\u00e0 suy th\u1eadn.<\/li>\n<li><strong>Ph\u1ee5 n\u1eef c\u00f3 thai:<\/strong> Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Simvastatin cho ph\u1ee5 n\u1eef c\u00f3 thai. Ch\u1ec9 n\u00ean d\u00f9ng Simvastatin cho ph\u1ee5 n\u1eef \u1edf tu\u1ed5i mang thai khi c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng th\u1ee5 thai. N\u1ebfu b\u1ec7nh nh\u00e2n tr\u1edf n\u00ean c\u00f3 thai trong khi \u0111ang d\u00f9ng thu\u1ed1c, ph\u1ea3i ng\u01b0ng d\u00f9ng Simvastatin ngay v\u00e0 b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o v\u1ec1 c\u00e1c nguy c\u01a1 \u0111\u1ed9c t\u00ednh \u0111\u1ed1i v\u1edbi thai nhi. Do ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u00ednh an to\u00e0n tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 c\u0169ng kh\u00f4ng x\u00e1c \u0111\u1ecbnh r\u00f5 \u0111\u01b0\u1ee3c l\u1ee3i \u0111i\u1ec3m khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Simvastatin trong thai k\u1ef3, ph\u1ea3i ng\u01b0ng thu\u1ed1c ngay khi bi\u1ebft c\u00f3 thai.<\/li>\n<li><strong>Ph\u1ee5 n\u1eef cho con b\u00fa:<\/strong> Ch\u01b0a r\u00f5 l\u00e0 Simvastatin ho\u1eb7c c\u00e1c ch\u1ea5t chuy\u1ec3n ho\u00e1 c\u1ee7a n\u00f3 c\u00f3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 hay kh\u00f4ng. Do nguy c\u01a1 ti\u1ec1m n\u0103ng c\u1ee7a c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean tr\u1ebb b\u00fa m\u1eb9, ph\u1ee5 n\u1eef \u0111ang d\u00f9ng Simvastatin kh\u00f4ng n\u00ean cho con b\u00fa.<\/li>\n<li><strong>B\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i:<\/strong> Tr\u00ean c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng \u1edf c\u00e1c b\u1ec7nh nh\u00e2n tr\u00ean 65 tu\u1ed5i d\u00f9ng Simvastatin, kh\u00f4ng c\u00f3 s\u1ef1 gia t\u0103ng r\u00f5 r\u1ec7t v\u1ec1 t\u1ea7n su\u1ea5t c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n tr\u00ean l\u00e2m s\u00e0ng v\u00e0 tr\u00ean c\u00e1c ch\u1ec9 s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng.<\/li>\n<li><strong>Tr\u1ebb em:<\/strong> Ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 v\u00e0 t\u00ednh an to\u00e0n c\u1ee7a Simvastatin tr\u00ean b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 18 tu\u1ed5i.<\/li>\n<\/ul>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>T\u00c1C D\u1ee4NG KH\u00d4NG MONG MU\u1ed0N:<\/strong><\/p>\n<ul>\n<li>Simvastatin th\u01b0\u1eddng \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t. Trong ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng nh\u1eb9 v\u00e0 tho\u00e1ng qua. \u00cdt h\u01a1n 2% b\u1ec7nh nh\u00e2n ph\u1ea3i ng\u01b0ng thu\u1ed1c trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng do c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u01b0\u1ee3c ngh\u0129 l\u00e0 do Simvastatin.<\/li>\n<li>Trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n do thu\u1ed1c x\u1ea3y ra v\u1edbi t\u1ec9 l\u1ec7 1% hay nhi\u1ec1u h\u01a1n nh\u01b0: \u0111au b\u1ee5ng, t\u00e1o b\u00f3n, v\u00e0 \u0111\u1ea7y h\u01a1i. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c nh\u01b0 suy nh\u01b0\u1ee3c hay nh\u1ee9c \u0111\u1ea7u x\u1ea3y ra \u1edf 0,5-0,9% b\u1ec7nh nh\u00e2n.<\/li>\n<li>B\u1ec7nh c\u01a1 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o r\u1ea5t hi\u1ebfm.<\/li>\n<li>C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o th\u00eam trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng kh\u00f4ng \u0111\u1ed1i ch\u1ee9ng g\u1ed3m: Bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, ph\u00e1t ban, ch\u00e1n \u0103n, ng\u1ee9a, h\u00f3i \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, co r\u00fat c\u01a1, \u0111au c\u01a1, vi\u00eam t\u1ee5y, \u0111\u1ed3ng c\u1ea3m, b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean, n\u00f4n v\u00e0 thi\u1ebfu m\u00e1u. Ly gi\u1ea3i c\u01a1 v\u00e2n v\u00e0 vi\u00eam gan\/v\u00e0ng da hi\u1ebfm khi x\u1ea3y ra.<\/li>\n<li>H\u1ed9i ch\u1ee9ng qu\u00e1 m\u1eabn c\u1ea3m \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o r\u1ea5t hi\u1ebfm, bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng sau: ph\u00f9 m\u1ea1ch, h\u1ed9i ch\u1ee9ng gi\u1ed1ng lupus, \u0111au nhi\u1ec1u c\u01a1 d\u1ea1ng th\u1ea5p, vi\u00eam m\u1ea1ch m\u00e1u, gi\u1ea3m ti\u1ec3u c\u1ea7u, t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan, vi\u00eam kh\u1edbp, \u0111au kh\u1edbp, n\u1ed5i m\u1ec1 \u0111ay, nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, s\u1ed1t, ph\u1eebng m\u1eb7t, kh\u00f3 th\u1edf v\u00e0 suy nh\u01b0\u1ee3c.<\/li>\n<li>C\u00e1c men transaminase huy\u1ebft thanh t\u0103ng cao v\u00e0 k\u00e9o d\u00e0i \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o kh\u00f4ng th\u01b0\u1eddng xuy\u00ean. \u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o t\u0103ng men alkalin phosphatase v\u00e0 g-glutamyl transpeptidase.<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan th\u01b0\u1eddng nh\u1eb9 v\u00e0 tho\u00e1ng qua. T\u0103ng men creatin kinase huy\u1ebft thanh, xu\u1ea5t ph\u00e1t t\u1eeb h\u1ec7 c\u01a1 x\u01b0\u01a1ng c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/li>\n<\/ul>\n<p><strong>Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/strong><\/p>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>T\u01af\u01a0NG T\u00c1C THU\u1ed0C<\/strong><strong>:<\/strong><\/p>\n<ul>\n<li>Khi d\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi Amiodarone, kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 20 mg\/ng\u00e0y v\u00ec l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y ra ch\u1ee9ng ti\u00eau c\u01a1\u00a0 v\u00e2n. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ph\u1ea3i d\u00f9ng li\u1ec1u tr\u00ean 20mg\/ng\u00e0y m\u1edbi c\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn thu\u1ed1c statin kh\u00e1c (nh\u01b0 pravastatin).<\/li>\n<li>Nguy c\u01a1 ly gi\u1ea3i c\u01a1 v\u00e2n gia t\u0103ng khi d\u00f9ng chung Simvastatin v\u1edbi c\u00e1c thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf m\u1ea1nh l\u00ean cytochrome P-450 3A4 \u1edf li\u1ec1u \u0111i\u1ec1u tr\u1ecb (nh\u01b0 cyclosporin, mibefradil, itraconazol, ketoconazol, erythromycin, clarithromycin v\u00e0 nefazodon) ho\u1eb7c v\u1edbi c\u00e1c d\u1eabn xu\u1ea5t fibric acid ho\u1eb7c niacin.<\/li>\n<li>Digoxin: D\u00f9ng \u0111\u1ed3ng th\u1eddi simvastatin v\u00e0 digoxin th\u1ea5y \u1edf nh\u1eefng ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n kh\u1ecfe m\u1ea1nh c\u00f3 s\u1ef1 gia t\u0103ng nh\u1eb9 (d\u01b0\u1edbi 0,3ng\/mL) n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng (b\u1eb1ng x\u00e9t nghi\u1ec7m ph\u00f3ng x\u1ea1 mi\u1ec5n d\u1ecbch digoxin) so v\u1edbi d\u00f9ng \u0111\u1ed3ng th\u1eddi placebo v\u00e0 digoxin. C\u1ea7n theo d\u00f5i m\u1ed9t c\u00e1ch th\u00edch h\u1ee3p khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng simvastatin \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng digoxin.<\/li>\n<li>C\u00e1c d\u1eabn xu\u1ea5t Coumarin: Simvastatin l\u00e0m t\u0103ng nh\u1eb9 t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng c\u1ee7a c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng Coumarin. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng Simvastatin kh\u00f4ng g\u00e2y ch\u1ea3y m\u00e1u ho\u1eb7c thay \u0111\u1ed5i th\u1eddi gian prothrombin \u1edf c\u00e1c b\u1ec7nh nh\u00e2n kh\u00f4ng d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng.<\/li>\n<\/ul>\n<div>\n<hr size=\"2\" width=\"100%\" \/>\n<\/div>\n<p><strong>TR\u00ccNH B\u00c0Y:<\/strong><\/p>\n<p>H\u1ed9p 1 v\u1ec9 x 7 vi\u00ean<\/p>\n<p>H\u1ed9p 3 v\u1ec9 x 7 vi\u00ean<\/p>\n<p>H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TH\u00c0NH PH\u1ea6N: Simvastatin: 10 mg, 20 mg. Cho m\u1ed9t vi\u00ean n\u00e9n bao phim. CH\u1ec8 \u0110\u1ecaNH: B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 t\u0103ng cholesterol m\u00e1u, Simvastatin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u1eb1m l\u00e0m gi\u1ea3m nguy c\u01a1 t\u1eed vong; gi\u1ea3m nguy c\u01a1 t\u1eed vong do m\u1ea1ch v\u00e0nh v\u00e0 c\u00e1c nh\u1ed3i m\u00e1u c\u01a1&#8230;<\/p>\n","protected":false},"featured_media":846,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"product_cat":[56],"product_tag":[],"class_list":["post-1007","product","type-product","status-publish","has-post-thumbnail","hentry","product_cat-anti-diabetics"],"_links":{"self":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product\/1007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/comments?post=1007"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/media\/846"}],"wp:attachment":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/media?parent=1007"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product_cat?post=1007"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product_tag?post=1007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}