{"id":1015,"date":"2026-05-19T09:51:55","date_gmt":"2026-05-19T02:51:55","guid":{"rendered":"https:\/\/opv.vn\/?post_type=product&p=1015"},"modified":"2026-05-19T09:51:55","modified_gmt":"2026-05-19T02:51:55","slug":"tydol-250","status":"publish","type":"product","link":"https:\/\/opv.vn\/en\/tydol-250\/","title":{"rendered":"TYDOL\u00ae 250"},"content":{"rendered":"<p><strong>TH\u00c0NH PH\u1ea6N <\/strong><strong>C\u00d4NG TH\u1ee8C<\/strong><strong> THU\u1ed0C<\/strong><strong>: <\/strong>M\u1ed7i g\u00f3i 1,5 g ch\u1ee9a:<\/p>\n<p><strong>Th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t<\/strong><strong>:<\/strong><\/p>\n<p>Acetaminophen &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;. 250 mg<\/p>\n<p>(d\u01b0\u1edbi d\u1ea1ng microencapsulated acetaminophen)<\/p>\n<p><strong>Th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c:<\/strong><\/p>\n<p>\u0110\u01b0\u1eddng tr\u1eafng, lactose d\u1eadp th\u1eb3ng, h\u01b0\u01a1ng tr\u00e1i c\u00e2y h\u1ed7n h\u1ee3p d\u1ea1ng b\u1ed9t, aspartam, microcrystallin cellulose &amp; carboxymethyl cellulose natri.<\/p>\n<p><strong>D\u1ea0NG B\u00c0O CH\u1ebe:<\/strong><\/p>\n<p>Thu\u1ed1c b\u1ed9t pha h\u1ed7n d\u1ecbch u\u1ed1ng.<\/p>\n<p>Thu\u1ed1c b\u1ed9t \u0111\u1ed3ng nh\u1ea5t, kh\u00f4, r\u1eddi, kh\u00f4ng b\u1ecb v\u00f3n c\u1ee5c, m\u00e0u tr\u1eafng hay tr\u1eafng ng\u00e0, h\u01b0\u01a1ng tr\u00e1i c\u00e2y h\u1ed7n h\u1ee3p, v\u1ecb ng\u1ecdt.<\/p>\n<p><strong>CH\u1ec8 \u0110\u1ecaNH:<\/strong><\/p>\n<p>H\u1ea1 s\u1ed1t.<\/p>\n<p>Gi\u1ea3m \u0111au t\u1eeb nh\u1eb9 \u0111\u1ebfn v\u1eeba do: C\u1ea3m l\u1ea1nh, c\u1ea3m c\u00fam, nh\u1ee9c \u0111\u1ea7u, \u0111au h\u1ecdng, m\u1ecdc r\u0103ng, ch\u00edch ng\u1eeba, c\u1eaft ami\u0111an.<\/p>\n<p><strong>LI\u1ec0U D\u00d9NG<\/strong><strong> V\u00c0 C\u00c1CH D\u00d9NG:<\/strong><\/p>\n<p><strong>Li\u1ec1u d\u00f9ng:<\/strong><\/p>\n<p><strong><u>Tr\u1ebb em:<\/u><\/strong><\/p>\n<p>\u1ede tr\u1ebb em, ph\u1ea3i tu\u00e2n th\u1ee7 vi\u1ec7c x\u00e1c \u0111\u1ecbnh li\u1ec1u d\u00f9ng theo c\u00e2n n\u1eb7ng c\u1ee7a tr\u1ebb. V\u00ec v\u1eady n\u00ean ch\u1ecdn d\u1ea1ng thu\u1ed1c ph\u00f9 h\u1ee3p. \u0110\u1ed9 tu\u1ed5i t\u01b0\u01a1ng \u1ee9ng theo c\u00e2n n\u1eb7ng \u0111\u01b0\u1ee3c \u0111\u01b0a ra d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 cung c\u1ea5p th\u00f4ng tin.<\/p>\n<p>Li\u1ec1u h\u00e0ng ng\u00e0y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o c\u1ee7a acetaminophen l\u00e0 kho\u1ea3ng 60 mg\/kg\/ng\u00e0y, chia l\u00e0m 4 ho\u1eb7c 6 l\u1ea7n, kho\u1ea3ng 15 mg\/kg m\u1ed7i 6 gi\u1edd ho\u1eb7c 10 mg\/kg m\u1ed7i 4 gi\u1edd.<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"123\"><strong>C\u00e2n n\u1eb7ng (kg)<\/strong><\/td>\n<td width=\"170\"><strong>Tu\u1ed5i<\/strong><\/td>\n<td width=\"198\"><strong>Li\u1ec1u d\u00f9ng<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"123\">13 kg \u2013 20 kg<\/td>\n<td width=\"170\">kho\u1ea3ng 2 \u0111\u1ebfn 7 tu\u1ed5i<\/td>\n<td width=\"198\">1 g\u00f3i m\u1ed7i 6 gi\u1edd\/l\u1ea7n,<\/p>\n<p>kh\u00f4ng qu\u00e1 4 g\u00f3i\/24 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"123\">21 kg \u2013 25 kg<\/td>\n<td width=\"170\">kho\u1ea3ng 6 \u0111\u1ebfn 10 tu\u1ed5i<\/td>\n<td width=\"198\">1 g\u00f3i m\u1ed7i 4 gi\u1edd\/l\u1ea7n,<\/p>\n<p>kh\u00f4ng qu\u00e1 6 g\u00f3i\/24 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"123\">26 kg \u2013 40 kg<\/td>\n<td width=\"170\">kho\u1ea3ng 8 \u0111\u1ebfn 13 tu\u1ed5i<\/td>\n<td width=\"198\">2 g\u00f3i m\u1ed7i 6 gi\u1edd\/l\u1ea7n,<\/p>\n<p>kh\u00f4ng qu\u00e1 8 g\u00f3i\/24 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"123\">41 kg \u2013 50 kg<\/td>\n<td width=\"170\">kho\u1ea3ng 12 \u0111\u1ebfn 15 tu\u1ed5i<\/td>\n<td width=\"198\">2 g\u00f3i m\u1ed7i 4 gi\u1edd\/l\u1ea7n,<\/p>\n<p>kh\u00f4ng qu\u00e1 12 g\u00f3i\/24 gi\u1edd<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>\u0110\u1ed1i v\u1edbi tr\u1ebb em, t\u1ed5ng li\u1ec1u acetaminophen kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 80 mg\/kg\/ng\u00e0y.<\/p>\n<p>Li\u1ec1u t\u1ed1i \u0111a \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o: xem m\u1ee5c <em>C<\/em><em>\u1ea3nh b\u00e1o v\u00e0 th\u1eadn tr\u1ecdng khi d\u00f9ng thu\u1ed1c<\/em>.<\/p>\n<p><strong><u>Suy th\u1eadn<\/u><\/strong><\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p suy th\u1eadn v\u00e0 ngo\u1ea1i tr\u1eeb c\u00f3 t\u01b0 v\u1ea5n y t\u1ebf, n\u00ean gi\u1ea3m li\u1ec1u v\u00e0 t\u0103ng kho\u1ea3ng c\u00e1ch t\u1ed1i thi\u1ec3u gi\u1eefa 2 l\u1ea7n d\u00f9ng thu\u1ed1c theo b\u1ea3ng sau:<\/p>\n<p>&nbsp;<\/p>\n<table width=\"371\">\n<tbody>\n<tr>\n<td width=\"182\"><strong>\u0110\u1ed9 thanh th\u1ea3i creatinin<\/strong><\/td>\n<td width=\"189\"><strong>Kho\u1ea3ng c\u00e1ch d\u00f9ng thu\u1ed1c<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"182\">\u2265 50 ml\/ph\u00fat<\/td>\n<td width=\"189\">4 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"182\">10 \u2013 50 ml\/ph\u00fat<\/td>\n<td width=\"189\">6 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"182\">&lt; 10 ml\/ph\u00fat<\/td>\n<td width=\"189\">8 gi\u1edd<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>T\u1ed5ng li\u1ec1u acetaminophen kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 3 g\/ng\u00e0y.<\/p>\n<p><strong><u>Suy gan<\/u><\/strong><\/p>\n<p>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c b\u1ec7nh gan c\u00f2n b\u00f9 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy t\u1ebf b\u00e0o gan, nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh, suy dinh d\u01b0\u1ee1ng k\u00e9o d\u00e0i (k\u00e9m d\u1ef1 tr\u1eef glutathione gan), h\u1ed9i ch\u1ee9ng Gilbert (ch\u1ee9ng v\u00e0ng da kh\u00f4ng t\u00e1n huy\u1ebft di truy\u1ec1n), v\u00e0 m\u1ea5t n\u01b0\u1edbc, li\u1ec1u acetaminophen kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 3 g\/ng\u00e0y.<\/p>\n<p><strong>C\u00e1ch d\u00f9ng:<\/strong><\/p>\n<p>D\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n<p>Khu\u1ea5y \u0111\u1ec1u b\u1ed9t thu\u1ed1c v\u00e0o m\u1ed9t l\u01b0\u1ee3ng n\u01b0\u1edbc th\u00edch h\u1ee3p v\u00e0 u\u1ed1ng ngay sau khi pha.<\/p>\n<p><em>T\u1ea7n su\u1ea5t d\u00f9ng thu\u1ed1c: <\/em><\/p>\n<p>T\u1ea7n su\u1ea5t d\u00f9ng thu\u1ed1c gi\u00fap tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng dao \u0111\u1ed9ng v\u1ec1 m\u1ee9c \u0111\u1ed9 \u0111au v\u00e0 s\u1ed1t:<\/p>\n<ul>\n<li>\u1ede tr\u1ebb em, c\u00e1c l\u1ea7n d\u00f9ng thu\u1ed1c ph\u1ea3i c\u00e1ch \u0111\u1ec1u nhau, k\u1ec3 c\u1ea3 v\u00e0o ban \u0111\u00eam, t\u1ed1t nh\u1ea5t l\u00e0 6 gi\u1edd v\u00e0 \u00edt nh\u1ea5t l\u00e0 4 gi\u1edd.<\/li>\n<li>\u1ede ng\u01b0\u1eddi l\u1edbn, c\u00e1c l\u1ea7n d\u00f9ng thu\u1ed1c n\u00ean c\u00e1ch nhau \u00edt nh\u1ea5t l\u00e0 4 gi\u1edd.<\/li>\n<\/ul>\n<p><strong>CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH<\/strong><strong>:<\/strong><\/p>\n<ul>\n<li>Qu\u00e1 m\u1eabn v\u1edbi acetaminophen hay b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/li>\n<li>Suy t\u1ebf b\u00e0o gan n\u1eb7ng ho\u1eb7c b\u1ec7nh gan m\u1ea5t b\u00f9 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng<\/li>\n<\/ul>\n<p><strong>C\u1ea2NH B\u00c1O V\u00c0 TH\u1eacN TR\u1eccNG KHI D\u00d9NG THU\u1ed0C<\/strong><strong>:<\/strong><\/p>\n<p><strong><em>C\u1ea3nh b\u00e1o \u0111\u1eb7c bi\u1ec7t<\/em><\/strong><\/p>\n<p>\u0110\u1ec3 tr\u00e1nh nguy c\u01a1 qu\u00e1 li\u1ec1u:<\/p>\n<ul>\n<li>Kh\u00f4ng d\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 ch\u1ee9a acetaminophen (bao g\u1ed3m c\u1ea3 thu\u1ed1c k\u00ea \u0111\u01a1n v\u00e0 kh\u00f4ng k\u00ea \u0111\u01a1n),<\/li>\n<li>Tu\u00e2n th\u1ee7 li\u1ec1u d\u00f9ng t\u1ed1i \u0111a \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o.<\/li>\n<\/ul>\n<p><u>Li\u1ec1u d\u00f9ng t\u1ed1i \u0111a \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o:<\/u><\/p>\n<ul>\n<li>Tr\u1ebb em c\u00e2n n\u1eb7ng d\u01b0\u1edbi 40 kg, t\u1ed5ng li\u1ec1u acetaminophen kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 80 mg\/kg\/ng\u00e0y.<\/li>\n<li>Tr\u1ebb em c\u00e2n n\u1eb7ng t\u1eeb 41 kg \u0111\u1ebfn 50 kg, t\u1ed5ng li\u1ec1u acetaminophen kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 3 g\/ng\u00e0y.<\/li>\n<li>Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 50 kg, t\u1ed5ng li\u1ec1u acetaminophen kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 4 g\/ng\u00e0y.<\/li>\n<\/ul>\n<p>Acetaminophen c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c ph\u1ea3n \u1ee9ng da nghi\u00eam tr\u1ecdng nh\u01b0 h\u1ed9i ch\u1ee9ng ngo\u1ea1i ban m\u1ee5n m\u1ee7 to\u00e0n th\u00e2n c\u1ea5p t\u00ednh (AGEP), h\u1ed9i ch\u1ee9ng Stevens-Johnson (SJS) v\u00e0 h\u1ed9i ch\u1ee9ng ho\u1ea1i t\u1eed da nhi\u1ec5m \u0111\u1ed9c (TEN), c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o v\u1ec1 nh\u1eefng d\u1ea5u hi\u1ec7u ban \u0111\u1ea7u c\u1ee7a c\u00e1c ph\u1ea3n \u1ee9ng da nghi\u00eam tr\u1ecdng n\u00e0y, v\u00e0 c\u1ea7n ph\u1ea3i ng\u01b0ng \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00f3 ph\u00e1t ban ho\u1eb7c b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u qu\u00e1 m\u1eabn kh\u00e1c.<\/p>\n<p><strong><em>Th\u1eadn tr\u1ecdng khi d\u00f9ng<\/em><\/strong><\/p>\n<p>Tr\u1ebb em \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u acetaminophen 60 mg\/kg\/ng\u00e0y, ch\u1ec9 d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c h\u1ea1 s\u1ed1t kh\u00e1c trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng hi\u1ec7u qu\u1ea3.<\/p>\n<p>N\u00ean d\u00f9ng acetaminophen th\u1eadn tr\u1ecdng trong tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul>\n<li>c\u00e2n n\u1eb7ng d\u01b0\u1edbi 50 kg<\/li>\n<li>suy t\u1ebf b\u00e0o gan t\u1eeb nh\u1eb9 \u0111\u1ebfn v\u1eeba,<\/li>\n<li>suy th\u1eadn,<\/li>\n<li>h\u1ed9i ch\u1ee9ng Gilbert (ch\u1ee9ng v\u00e0ng da kh\u00f4ng t\u00e1n huy\u1ebft di truy\u1ec1n),<\/li>\n<li>thi\u1ebfu h\u1ee5t enzyme Glucose-6-Phosphate Dehydrogenase (G6PD) (c\u00f3 th\u1ec3 g\u00e2y ra thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft),<\/li>\n<li>nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh, u\u1ed1ng r\u01b0\u1ee3u qu\u00e1 m\u1ee9c (\u2265 3 lo\u1ea1i \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n m\u1ed7i ng\u00e0y),<\/li>\n<li>ch\u00e1n \u0103n, ch\u1ee9ng \u0103n v\u00f4 \u0111\u1ed9 ho\u1eb7c ch\u1ee9ng suy m\u00f2n,<\/li>\n<li>suy dinh d\u01b0\u1ee1ng k\u00e9o d\u00e0i (k\u00e9m d\u1ef1 tr\u1eef glutathione gan),<\/li>\n<li>m\u1ea5t n\u01b0\u1edbc, gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u.<\/li>\n<\/ul>\n<p>N\u1ebfu ph\u00e1t hi\u1ec7n b\u1ecb vi\u00eam gan c\u1ea5p t\u00ednh, n\u00ean ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><em>Thu\u1ed1c n\u00e0y c\u00f3 ch\u1ee9a: <\/em><\/p>\n<ul>\n<li>Lactose v\u00e0 \u0111\u01b0\u1eddng tr\u1eafng: B\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 di truy\u1ec1n hi\u1ebfm g\u1eb7p kh\u00f4ng dung n\u1ea1p galactose, kh\u00f4ng dung n\u1ea1p fructose, thi\u1ebfu h\u1ee5t lactase to\u00e0n ph\u1ea7n, thi\u1ebfu h\u1ee5t sucrase-isomaltase ho\u1eb7c k\u00e9m h\u1ea5p thu glucose-galactose kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y.<\/li>\n<li>Aspartam: Thu\u1ed1c n\u00e0y c\u00f3 ch\u1ee9a 40 mg aspartam trong m\u1ed7i g\u00f3i 1,5 g t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi 26,67 mg\/g. Aspartam l\u00e0 ngu\u1ed3n dinh d\u01b0\u1ee1ng gi\u00e0u phenylalanine. Ch\u1ea5t n\u00e0y c\u00f3 th\u1ec3 c\u00f3 h\u1ea1i n\u1ebfu b\u1ec7nh nh\u00e2n m\u1eafc ch\u1ee9ng phenylceton ni\u1ec7u, m\u1ed9t r\u1ed1i lo\u1ea1n di truy\u1ec1n hi\u1ebfm g\u1eb7p g\u00e2y t\u00edch l\u0169y phenylalanine do c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 \u0111\u00e0o th\u1ea3i n\u00f3 nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p><strong>S\u1eec D\u1ee4NG THU\u1ed0C CHO PH\u1ee4 N\u1eee C\u00d3 THAI V\u00c0 CHO CON B\u00da<\/strong><strong>:<\/strong><\/p>\n<p><strong>S\u1eed d\u1ee5ng thu\u1ed1c cho ph\u1ee5 n\u1eef c\u00f3 thai:<\/strong><\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt ch\u01b0a cho th\u1ea5y b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng g\u00e2y qu\u00e1i thai ho\u1eb7c g\u00e2y \u0111\u1ed9c b\u00e0o thai c\u1ee7a acetaminophen.<\/p>\n<p>Tr\u00ean l\u00e2m s\u00e0ng, k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc d\u01b0\u1eddng nh\u01b0 lo\u1ea1i tr\u1eeb t\u00e1c d\u1ee5ng g\u00e2y d\u1ecb t\u1eadt ho\u1eb7c g\u00e2y \u0111\u1ed9c b\u00e0o thai c\u1ee7a acetaminophen.<\/p>\n<p>D\u1eef li\u1ec7u mong \u0111\u1ee3i tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai d\u00f9ng qu\u00e1 li\u1ec1u acetaminophen kh\u00f4ng cho th\u1ea5y nguy c\u01a1 d\u1ecb t\u1eadt gia t\u0103ng.<\/p>\n<p>N\u00ean tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t li\u1ec1u d\u00f9ng v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o.<\/p>\n<p>Do \u0111\u00f3, trong \u0111i\u1ec1u ki\u1ec7n s\u1eed d\u1ee5ng b\u00ecnh th\u01b0\u1eddng, acetaminophen c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n trong su\u1ed1t thai k\u1ef3.<\/p>\n<p><strong>S\u1eed d\u1ee5ng thu\u1ed1c cho ph\u1ee5 n\u1eef cho con b\u00fa:<\/strong><\/p>\n<p>M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf acetaminophen qua s\u1eefa m\u1eb9 sau khi u\u1ed1ng. C\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u00e1t ban da \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf tr\u1ebb b\u00fa s\u1eefa m\u1eb9. C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c n\u00e0y \u1edf li\u1ec1u \u0111i\u1ec1u tr\u1ecb trong th\u1eddi k\u1ef3 cho con b\u00fa.<\/p>\n<p><strong>\u1ea2NH H\u01af\u1edeNG C\u1ee6A THU\u1ed0C L\u00caN KH\u1ea2 N\u0102NG L\u00c1I XE, V\u1eacN H\u00c0NH M\u00c1Y M\u00d3C<\/strong><strong>:<\/strong><\/p>\n<p>Acetaminophen kh\u00f4ng \u1ea3nh h\u01b0\u1edfng ho\u1eb7c \u1ea3nh h\u01b0\u1edfng kh\u00f4ng \u0111\u00e1ng k\u1ec3 l\u00ean kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<p><strong>T\u01af\u01a0NG T\u00c1C, T\u01af\u01a0NG K\u1ef4 C\u1ee6A THU\u1ed0C<\/strong><strong>:<\/strong><\/p>\n<p><strong>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c:<\/strong><\/p>\n<ul>\n<li>Phenytoin: d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi phenytoin c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a acetaminophen v\u00e0 t\u0103ng nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c gan. Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb v\u1edbi phenytoin n\u00ean tr\u00e1nh d\u00f9ng acetaminophen li\u1ec1u cao v\u00e0\/ho\u1eb7c k\u00e9o d\u00e0i. C\u1ea7n theo d\u00f5i b\u1ec7nh nh\u00e2n v\u1ec1 d\u1ea5u hi\u1ec7u \u0111\u1ed9c t\u00ednh \u0111\u1ed1i v\u1edbi gan.<\/li>\n<li>Probenecid: probenecid l\u00e0m gi\u1ea3m g\u1ea7n hai l\u1ea7n \u0111\u1ed9 thanh th\u1ea3i c\u1ee7a acetaminophen b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf s\u1ef1 li\u00ean h\u1ee3p c\u1ee7a n\u00f3 v\u1edbi acid glucuronic. N\u00ean xem x\u00e9t gi\u1ea3m li\u1ec1u acetaminophen khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi v\u1edbi probenecid.<\/li>\n<li>Salicylamide: salicylamide c\u00f3 th\u1ec3 l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a acetaminophen.<\/li>\n<li>C\u00e1c ch\u1ea5t g\u00e2y c\u1ea3m \u1ee9ng enzyme: th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi acetaminophen v\u1edbi c\u00e1c ch\u1ea5t g\u00e2y c\u1ea3m \u1ee9ng enzyme. C\u00e1c ch\u1ea5t n\u00e0y bao g\u1ed3m barbiturate, isoniazid, carbamazepine, rifampicin v\u00e0 ethanol.<\/li>\n<li>Th\u1eadn tr\u1ecdng khi k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u01b0\u1eddng u\u1ed1ng: nguy c\u01a1 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 nguy c\u01a1 xu\u1ea5t huy\u1ebft khi d\u00f9ng acetaminophen \u1edf li\u1ec1u t\u1ed1i \u0111a (4 g\/ng\u00e0y) trong \u00edt nh\u1ea5t 4 ng\u00e0y. Th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra INR. C\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u01b0\u1eddng u\u1ed1ng trong khi d\u00f9ng acetaminophen v\u00e0 sau khi ng\u01b0ng d\u00f9ng acetaminophen.<\/li>\n<li>T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng: d\u00f9ng acetaminophen c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c x\u00e1c \u0111\u1ecbnh glucose trong m\u00e1u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p glucose oxidase-peroxidase trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1ed3ng \u0111\u1ed9 cao b\u1ea5t th\u01b0\u1eddng. D\u00f9ng acetaminophen c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c x\u00e1c \u0111\u1ecbnh acid uric trong m\u00e1u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p acid phosphotungstic.<\/li>\n<\/ul>\n<p><strong>T\u01b0\u01a1ng k\u1ef5 thu\u1ed1c:<\/strong><\/p>\n<p>Kh\u00f4ng \u00e1p d\u1ee5ng.<\/p>\n<p><strong>T\u00c1C D\u1ee4NG KH\u00d4NG MONG MU\u1ed0N C\u1ee6A THU\u1ed0C<\/strong><strong>:<\/strong><\/p>\n<ul>\n<li>V\u00e0i tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn nh\u01b0 s\u1ed1c ph\u1ea3n v\u1ec7, h\u1ea1 huy\u1ebft \u00e1p (nh\u01b0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ee7a s\u1ed1c ph\u1ea3n v\u1ec7), ph\u00f9 Quincke, ban \u0111\u1ecf, n\u1ed5i m\u00e0y \u0111ay, ph\u00e1t ban da \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. B\u1eaft bu\u1ed9c ph\u1ea3i ng\u1eebng thu\u1ed1c v\u00e0 c\u00e1c thu\u1ed1c c\u00f3 li\u00ean quan khi xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y.<\/li>\n<li>R\u1ea5t hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n \u1ee9ng da nghi\u00eam tr\u1ecdng (h\u1ed9i ch\u1ee9ng ngo\u1ea1i ban m\u1ee5n m\u1ee7 to\u00e0n th\u00e2n c\u1ea5p t\u00ednh, h\u1ed9i ch\u1ee9ng ho\u1ea1i t\u1eed da nhi\u1ec5m \u0111\u1ed9c v\u00e0 h\u1ed9i ch\u1ee9ng Stevens-Johnson) \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o v\u00e0 y\u00eau c\u1ea7u ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>C\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ea5t \u0111\u1eb7c bi\u1ec7t v\u1ec1 gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u v\u00e0 gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/li>\n<li>C\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u00eau ch\u1ea3y, \u0111au b\u1ee5ng, t\u0103ng men gan, t\u0103ng ho\u1eb7c gi\u1ea3m INR \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/li>\n<\/ul>\n<p><em>Th\u00f4ng b\u00e1o ngay cho b\u00e1c s\u0129 ho\u1eb7c d\u01b0\u1ee3c s\u0129 nh\u1eefng ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/em><\/p>\n<p><strong>QU\u00c1 LI\u1ec0U V\u00c0 <\/strong><strong>C\u00c1CH <\/strong><strong>X\u1eec TR\u00cd<\/strong><strong>:<\/strong><\/p>\n<p>Nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, tr\u1ebb nh\u1ecf v\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng gan, nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh, nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy dinh d\u01b0\u1ee1ng k\u00e9o d\u00e0i v\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c ch\u1ea5t g\u00e2y c\u1ea3m \u1ee9ng enzyme. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ng\u1ed9 \u0111\u1ed9c c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n<p><strong>Tri\u1ec7u ch\u1ee9ng:<\/strong><\/p>\n<p>Bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n, xanh xao, m\u1ec7t m\u1ecfi, \u0111\u1ed5 m\u1ed3 h\u00f4i, \u0111au b\u1ee5ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong 24 gi\u1edd \u0111\u1ea7u ti\u00ean.<\/p>\n<p>Qu\u00e1 li\u1ec1u khi d\u00f9ng m\u1ed9t li\u1ec1u \u0111\u01a1n 10 g acetaminophen \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c 150 mg\/kg tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 \u1edf tr\u1ebb em s\u1ebd g\u00e2y h\u1ee7y t\u1ebf b\u00e0o gan, c\u00f3 th\u1ec3 g\u00e2y ho\u1ea1i t\u1eed ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng ph\u1ee5c h\u1ed3i, k\u00e9o theo suy t\u1ebf b\u00e0o gan, nhi\u1ec5m toan chuy\u1ec3n h\u00f3a v\u00e0 b\u1ec7nh n\u00e3o, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn h\u00f4n m\u00ea v\u00e0 t\u1eed vong. \u0110\u1ed3ng th\u1eddi, c\u00f3 t\u0103ng n\u1ed3ng \u0111\u1ed9 transaminase gan (AST, ALT), lactate dehydrogenase v\u00e0 bilirubin c\u00f9ng v\u1edbi gi\u1ea3m m\u1ee9c prothrombin c\u00f3 th\u1ec3 x\u1ea3y ra t\u1eeb 12 &#8211; 48 gi\u1edd sau khi d\u00f9ng thu\u1ed1c. C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng gan th\u01b0\u1eddng r\u00f5 r\u1ec7t sau 1 &#8211; 2 ng\u00e0y, v\u00e0 \u0111\u1ea1t t\u1ed1i \u0111a sau 3 &#8211; 4 ng\u00e0y.<\/p>\n<p><strong>C\u00e1ch x\u1eed tr\u00ed:<\/strong><\/p>\n<ul>\n<li>Chuy\u1ec3n ngay \u0111\u1ebfn b\u1ec7nh vi\u1ec7n.<\/li>\n<li>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, ph\u1ea3i l\u1ea5y m\u1ed9t \u1ed1ng m\u00e1u c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng n\u1ed3ng \u0111\u1ed9 acetaminophen trong huy\u1ebft t\u01b0\u01a1ng nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c s\u1edbm h\u01a1n 4 gi\u1edd sau khi u\u1ed1ng acetaminophen.<\/li>\n<li>Lo\u1ea1i b\u1ecf nhanh l\u01b0\u1ee3ng thu\u1ed1c \u0111\u00e3 d\u00f9ng b\u1eb1ng c\u00e1ch r\u1eeda d\u1ea1 d\u00e0y.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u th\u01b0\u1eddng bao g\u1ed3m vi\u1ec7c d\u00f9ng thu\u1ed1c gi\u1ea3i \u0111\u1ed9c N-acetylcysteine s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3 (d\u01b0\u1edbi 10 gi\u1edd sau khi u\u1ed1ng acetaminophen) b\u1eb1ng c\u00e1ch ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng n\u1ebfu c\u00f3 th\u1ec3.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>Ph\u1ea3i ti\u1ebfn h\u00e0nh l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m v\u1ec1 gan l\u00fac kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u00e0 nh\u1eafc l\u1ea1i m\u1ed7i 24 gi\u1edd. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, transaminase gan tr\u1edf l\u1ea1i m\u1ee9c b\u00ecnh th\u01b0\u1eddng sau 1 &#8211; 2 tu\u1ea7n v\u1edbi s\u1ef1 ph\u1ee5c h\u1ed3i \u0111\u1ea7y \u0111\u1ee7 ch\u1ee9c n\u0103ng gan. Tuy nhi\u00ean, trong tr\u01b0\u1eddng h\u1ee3p qu\u00e1 n\u1eb7ng, c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i gh\u00e9p gan.<\/li>\n<\/ul>\n<p><strong>D\u01af\u1ee2C L\u1ef0C H\u1eccC<\/strong><em>: <\/em><\/p>\n<p><em>Nh\u00f3m d\u01b0\u1ee3c l\u00fd: <\/em>Thu\u1ed1c gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t.<\/p>\n<p><em>M\u00e3 ATC: <\/em>N02B E01<\/p>\n<p><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em>Acetaminophen c\u00f3 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng \u1edf trung \u01b0\u01a1ng v\u00e0 ngo\u1ea1i vi.<\/p>\n<p><strong>D\u01af\u1ee2C \u0110\u1ed8NG H\u1eccC: <\/strong><\/p>\n<p><em>H\u1ea5p thu: <\/em><\/p>\n<p>Acetaminophen \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng v\u00e0 ho\u00e0n to\u00e0n sau khi u\u1ed1ng. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c trong v\u00f2ng 30 \u0111\u1ebfn 60 ph\u00fat sau khi u\u1ed1ng.<\/p>\n<p><em>Ph\u00e2n b\u1ed1: <\/em><\/p>\n<p>Acetaminophen \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 nhanh ch\u00f3ng \u0111\u1ebfn t\u1ea5t c\u1ea3 c\u00e1c m\u00f4. N\u1ed3ng \u0111\u1ed9 \u0111\u1ed3ng \u0111\u1ec1u trong m\u00e1u, n\u01b0\u1edbc b\u1ecdt v\u00e0 huy\u1ebft t\u01b0\u01a1ng. G\u1eafn k\u1ebft protein huy\u1ebft t\u01b0\u01a1ng th\u1ea5p.<\/p>\n<p><em>Chuy\u1ec3n h\u00f3a: <\/em><\/p>\n<p>Acetaminophen \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan. Hai con \u0111\u01b0\u1eddng chuy\u1ec3n h\u00f3a ch\u00ednh l\u00e0 li\u00ean h\u1ee3p v\u1edbi acid glucuronic v\u00e0 li\u00ean h\u1ee3p v\u1edbi acid sulfuric. Con \u0111\u01b0\u1eddng th\u1ee9 hai b\u00e3o h\u00f2a nhanh ch\u00f3ng \u1edf li\u1ec1u v\u01b0\u1ee3t qu\u00e1 li\u1ec1u \u0111i\u1ec1u tr\u1ecb. M\u1ed9t ph\u1ea7n nh\u1ecf \u0111\u01b0\u1ee3c x\u00fac t\u00e1c b\u1edfi enzyme cytochrome P450, h\u00ecnh th\u00e0nh m\u1ed9t ch\u1ea5t trung gian c\u00f3 t\u00ednh ph\u1ea3n \u1ee9ng (N-acetyl-benzoquinone imine) m\u00e0 trong \u0111i\u1ec1u ki\u1ec7n s\u1eed d\u1ee5ng b\u00ecnh th\u01b0\u1eddng, ch\u1ea5t chuy\u1ec3n h\u00f3a n\u00e0y \u0111\u01b0\u1ee3c kh\u1eed \u0111\u1ed9c nhanh ch\u00f3ng b\u1edfi glutathione v\u00e0 th\u1ea3i tr\u1eeb qua n\u01b0\u1edbc ti\u1ec3u sau khi li\u00ean h\u1ee3p v\u1edbi cysteine v\u00e0 acid mercapturic. Tuy nhi\u00ean, l\u01b0\u1ee3ng ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 \u0111\u1ed9c t\u00ednh n\u00e0y t\u0103ng l\u00ean trong tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c n\u1eb7ng.<\/p>\n<p><em>Th\u1ea3i tr\u1eeb:<\/em><\/p>\n<p>Th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u. 90% li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua th\u1eadn trong 24 gi\u1edd, ch\u1ee7 y\u1ebfu \u1edf d\u1ea1ng li\u00ean h\u1ee3p glucuronic (60 \u0111\u1ebfn 80%) v\u00e0 li\u00ean h\u1ee3p sulfate (20 \u0111\u1ebfn 30%). \u00cdt h\u01a1n 5% \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i. Th\u1eddi gian b\u00e1n th\u1ea3i l\u00e0 kho\u1ea3ng 2 gi\u1edd.<\/p>\n<p><em>Suy th\u1eadn:<\/em><\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p suy th\u1eadn n\u1eb7ng, th\u1ea3i tr\u1eeb acetaminophen v\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a n\u00f3 b\u1ecb ch\u1eadm l\u1ea1i.<\/p>\n<p><em>Ng\u01b0\u1eddi cao tu\u1ed5i: <\/em><\/p>\n<p>Kh\u1ea3 n\u0103ng li\u00ean h\u1ee3p kh\u00f4ng thay \u0111\u1ed5i.<\/p>\n<p><strong>QUY C\u00c1CH \u0110\u00d3NG G\u00d3I:<\/strong><\/p>\n<p>H\u1ed9p 12 g\u00f3i x 1,5 g thu\u1ed1c b\u1ed9t pha h\u1ed7n d\u1ecbch u\u1ed1ng.<\/p>\n<p><strong>\u0110I\u1ec0U KI\u1ec6N B\u1ea2O QU\u1ea2N, H\u1ea0N D\u00d9NG, TI\u00caU CHU\u1ea8N CH\u1ea4T L\u01af\u1ee2NG C\u1ee6A THU\u1ed0C:<\/strong><\/p>\n<p><strong>B\u1ea3o qu\u1ea3n:<\/strong> \u1edf nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30<sup>0<\/sup>C, n\u01a1i kh\u00f4 r\u00e1o, tr\u00e1nh \u00e1nh s\u00e1ng.<\/p>\n<p><strong>H\u1ea1n d\u00f9ng: <\/strong>36 th\u00e1ng k\u1ec3 t\u1eeb ng\u00e0y s\u1ea3n xu\u1ea5t. Kh\u00f4ng d\u00f9ng thu\u1ed1c khi qu\u00e1 h\u1ea1n d\u00f9ng.<\/p>\n<p><strong>Ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a thu\u1ed1c: <\/strong>TCCS<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TH\u00c0NH PH\u1ea6N C\u00d4NG TH\u1ee8C THU\u1ed0C: M\u1ed7i g\u00f3i 1,5 g ch\u1ee9a: Th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t: Acetaminophen &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;. 250 mg (d\u01b0\u1edbi d\u1ea1ng microencapsulated acetaminophen) Th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c: \u0110\u01b0\u1eddng tr\u1eafng, lactose d\u1eadp th\u1eb3ng, h\u01b0\u01a1ng tr\u00e1i c\u00e2y h\u1ed7n h\u1ee3p d\u1ea1ng b\u1ed9t, aspartam, microcrystallin cellulose &amp; carboxymethyl cellulose natri. D\u1ea0NG B\u00c0O CH\u1ebe: Thu\u1ed1c b\u1ed9t pha h\u1ed7n d\u1ecbch u\u1ed1ng. Thu\u1ed1c&#8230;<\/p>\n","protected":false},"featured_media":809,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_cat":[39],"product_tag":[],"class_list":["post-1015","product","type-product","status-publish","has-post-thumbnail","hentry","product_cat-tydol-analgesics"],"_links":{"self":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product\/1015","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=1015"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/media\/809"}],"wp:attachment":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/media?parent=1015"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product_cat?post=1015"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product_tag?post=1015"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}