{"id":1020,"date":"2026-05-19T09:51:55","date_gmt":"2026-05-19T02:51:55","guid":{"rendered":"https:\/\/opv.vn\/?post_type=product&p=1020"},"modified":"2026-05-19T09:51:55","modified_gmt":"2026-05-19T02:51:55","slug":"tydol-pm","status":"publish","type":"product","link":"https:\/\/opv.vn\/en\/tydol-pm\/","title":{"rendered":"TYDOL\u00ae PM"},"content":{"rendered":"<p><strong>TH\u00c0NH PH\u1ea6N <\/strong><strong>C\u00d4NG TH\u1ee8C<\/strong><strong> THU\u1ed0C<\/strong><strong>: <\/strong>M\u1ed7i vi\u00ean n\u00e9n bao phim ch\u1ee9a:<\/p>\n<p><strong>Th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t<\/strong><strong>:<\/strong><\/p>\n<p><em>\u00a0<\/em>Acetaminophen&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. 500 mg<\/p>\n<p>Diphenhydramine hydrochloride&#8230;&#8230;&#8230;&#8230; 25 mg<\/p>\n<p><strong>Th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c: <\/strong>Tinh b\u1ed9t ng\u00f4, tinh b\u1ed9t ti\u1ec1n h\u1ed3 h\u00f3a, povidon K30, silic oxyd d\u1ea1ng keo khan, natri starch glycolat, gelatin, talc, magnesi stearat, opadry II white, opadry II blue.<\/p>\n<p><strong>D\u1ea0NG B\u00c0O CH\u1ebe<\/strong><\/p>\n<p>Vi\u00ean n\u00e9n bao phim, h\u00ecnh thu\u00f4n d\u00e0i, m\u00e0u xanh, hai m\u1eb7t vi\u00ean l\u1ed3i v\u00e0 c\u00f3 in ch\u1eef \u201cTydol PM\u201d m\u00e0u \u0111en, c\u1ea1nh v\u00e0 th\u00e0nh vi\u00ean l\u00e0nh l\u1eb7n.<\/p>\n<p><strong>CH\u1ec8 \u0110\u1ecaNH<\/strong><strong>:<\/strong><\/p>\n<p>Gi\u1ea3m c\u00e1c c\u01a1n \u0111au:<\/p>\n<p>&#8211; th\u1ea5p kh\u1edbp, \u0111au c\u01a1, \u0111au l\u01b0ng,<\/p>\n<p>&#8211; \u0111au th\u1ea7n kinh, \u0111au r\u0103ng,<\/p>\n<p>&#8211; \u0111au \u0111\u1ea7u, \u0111au n\u1eeda \u0111\u1ea7u,<\/p>\n<p>&#8211; \u0111au b\u1ee5ng h\u00e0nh kinh.<\/p>\n<p><strong>C\u00c1CH D\u00d9NG<\/strong><strong>, <\/strong><strong>LI\u1ec0U D\u00d9NG<\/strong><strong>:<\/strong><\/p>\n<p><strong>C\u00e1ch d\u00f9ng:<\/strong> D\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. Kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c t\u1ea7n su\u1ea5t c\u1ee7a li\u1ec1u d\u00f9ng.<\/p>\n<p><strong>Li\u1ec1u d\u00f9ng:<\/strong><\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn (bao g\u1ed3m ng\u01b0\u1eddi gi\u00e0) v\u00e0 tr\u1ebb em t\u1eeb 16 tu\u1ed5i tr\u1edf l\u00ean:<\/p>\n<p>U\u1ed1ng 2 vi\u00ean tr\u01b0\u1edbc khi \u0111i ng\u1ee7 20 ph\u00fat. Li\u1ec1u t\u1ed1i \u0111a h\u00e0ng ng\u00e0y: 2 vi\u00ean (1000 mg acetaminophen,<br \/>\n50 mg diphenhydramine hydrochloride) trong 24 gi\u1edd.<\/p>\n<p>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1c ch\u1ee9a acetaminophen \u0111\u1ec3 gi\u1ea3m \u0111au ban ng\u00e0y nh\u01b0ng v\u1edbi li\u1ec1u t\u1ed1i \u0111a gi\u1ea3m xu\u1ed1ng l\u00e0 6 vi\u00ean trong 24 gi\u1edd. Kh\u00f4ng n\u00ean d\u00f9ng li\u1ec1u l\u1eb7p l\u1ea1i th\u01b0\u1eddng xuy\u00ean h\u01a1n m\u1ed7i b\u1ed1n gi\u1edd.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng cho tr\u1ebb em d\u01b0\u1edbi 16 tu\u1ed5i tr\u1eeb khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>B\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c h\u01a1n 7 \u0111\u00eam li\u00ean ti\u1ebfp m\u00e0 kh\u00f4ng c\u00f3 t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p><strong>CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH<\/strong><strong>:<\/strong><\/p>\n<p>&#8211; Qu\u00e1 m\u1eabn v\u1edbi acetaminophen, diphenhydramine hydrochloride ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c n\u00e0y.<\/p>\n<p>&#8211; R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a porphyrin<\/p>\n<p>&#8211; Tr\u1ebb sinh non ho\u1eb7c tr\u1ebb s\u01a1 sinh.<\/p>\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>Th\u1eadn tr\u1ecdng v\u00e0 c\u1ea3nh b\u00e1o \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ee9a ho\u1ea1t ch\u1ea5t<\/strong><strong> acetaminophen<\/strong><strong>:<\/strong> B\u00e1c s\u0129 c\u1ea7n c\u1ea3nh b\u00e1o b\u1ec7nh nh\u00e2n v\u1ec1 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a ph\u1ea3n \u1ee9ng tr\u00ean da nghi\u00eam tr\u1ecdng, c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong bao g\u1ed3m h\u1ed9i ch\u1ee9ng Stevens-Johnson, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec nhi\u1ec5m \u0111\u1ed9c (TEN), h\u1ed9i ch\u1ee9ng Lyell, h\u1ed9i ch\u1ee9ng ngo\u1ea1i ban m\u1ee5n m\u1ee7 to\u00e0n th\u00e2n c\u1ea5p (AGEP).<\/p>\n<p>Thu\u1ed1c kh\u00e1ng histamine n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n \u0111\u1ed9ng kinh ho\u1eb7c co gi\u1eadt, ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t, b\u1ec7nh t\u0103ng nh\u00e3n \u00e1p g\u00f3c h\u1eb9p, b\u00ed ti\u1ec3u, h\u1eb9p m\u00f4n v\u1ecb, hen suy\u1ec5n, vi\u00eam ph\u1ebf qu\u1ea3n, b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) ho\u1eb7c nh\u01b0\u1ee3c c\u01a1. B\u1ec7nh nh\u00e2n suy th\u1eadn ho\u1eb7c suy gan n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y. Nguy c\u01a1 qu\u00e1 li\u1ec1u l\u1edbn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh gan kh\u00f4ng x\u01a1 gan do r\u01b0\u1ee3u.<\/p>\n<p>Tr\u00e1nh s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m kh\u00e1ng histamine kh\u00e1c, bao g\u1ed3m c\u1ea3 thu\u1ed1c kh\u00e1ng histamine d\u00f9ng ngo\u00e0i da, thu\u1ed1c ho v\u00e0 thu\u1ed1c c\u1ea3m.<\/p>\n<p>B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c khuy\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 n\u1ebfu c\u01a1n \u0111au \u0111\u1ea7u tr\u1edf n\u00ean dai d\u1eb3ng.<\/p>\n<p>B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c khuy\u00ean kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m kh\u00e1c c\u00f3 ch\u1ee9a acetaminophen, ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 t\u00ednh an th\u1ea7n, ho\u1eb7c r\u01b0\u1ee3u.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n ng\u1ee7.<\/p>\n<p>N\u1ebfu tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i h\u01a1n 7 ng\u00e0y c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n y t\u1ebf.<\/p>\n<p>S\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u1edf ng\u01b0\u1eddi gi\u00e0 v\u00ec h\u1ecd c\u00f3 th\u1ec3 nh\u1ea1y c\u1ea3m h\u01a1n v\u1edbi nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n. Tr\u00e1nh s\u1eed d\u1ee5ng \u1edf ng\u01b0\u1eddi gi\u00e0 b\u1ecb l\u00fa l\u1eabn.<\/p>\n<p><strong>S\u1eec D\u1ee4NG THU\u1ed0C CHO PH\u1ee4 N\u1eee C\u00d3 THAI V\u00c0 CHO CON B\u00da<\/strong><\/p>\n<p><strong>S\u1eed d\u1ee5ng thu\u1ed1c cho ph\u1ee5 n\u1eef c\u00f3 thai:<\/strong><\/p>\n<p>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y trong th\u1eddi k\u1ef3 mang thai m\u00e0 kh\u00f4ng c\u00f3 t\u01b0 v\u1ea5n t\u1eeb y t\u1ebf.<\/p>\n<p>Nghi\u00ean c\u1ee9u \u1edf ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt v\u1edbi acetaminophen \u0111\u00e3 kh\u00f4ng x\u00e1c \u0111\u1ecbnh b\u1ea5t k\u1ef3 r\u1ee7i ro n\u00e0o cho th\u1eddi k\u1ef3 mang thai ho\u1eb7c ph\u00e1t tri\u1ec3n c\u1ee7a ph\u00f4i thai.<\/p>\n<p>Kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u \u0111\u1ea7y \u0111\u1ee7 t\u1eeb vi\u1ec7c s\u1eed d\u1ee5ng diphenhydramine \u1edf ph\u1ee5 n\u1eef mang thai. Nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ed1i v\u1edbi th\u1eddi k\u1ef3 mang thai. Nh\u1eefng nguy c\u01a1 ti\u1ec1m \u1ea9n \u0111\u1ed1i v\u1edbi con ng\u01b0\u1eddi l\u00e0 kh\u00f4ng r\u00f5. S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng histamine d\u00f9ng l\u00e0m an th\u1ea7n trong ba th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c ph\u1ea3n \u1ee9ng \u1edf tr\u1ebb s\u01a1 sinh ho\u1eb7c sinh non.<\/p>\n<p><strong>S\u1eed d\u1ee5ng thu\u1ed1c cho ph\u1ee5 n\u1eef cho con b\u00fa:<\/strong><\/p>\n<p>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y trong th\u1eddi k\u1ef3 cho con b\u00fa m\u00e0 kh\u00f4ng c\u00f3 t\u01b0 v\u1ea5n t\u1eeb y t\u1ebf. Nghi\u00ean c\u1ee9u tr\u00ean ng\u01b0\u1eddi v\u1edbi acetaminophen \u0111\u00e3 kh\u00f4ng x\u00e1c \u0111\u1ecbnh b\u1ea5t k\u1ef3 r\u1ee7i ro n\u00e0o cho ph\u1ee5 n\u1eef cho con b\u00fa ho\u1eb7c tr\u1ebb b\u00fa s\u1eefa m\u1eb9. Acetaminophen qua \u0111\u01b0\u1ee3c h\u00e0ng r\u00e0o nhau thai v\u00e0 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9. Diphenhydramine \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong s\u1eefa m\u1eb9 nh\u01b0ng \u1ea3nh h\u01b0\u1edfng tr\u00ean tr\u1ebb b\u00fa m\u1eb9 ch\u01b0a r\u00f5.<\/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>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n ng\u1ee7, ch\u00f3ng m\u1eb7t, m\u1edd m\u1eaft, suy gi\u1ea3m nh\u1eadn th\u1ee9c v\u00e0 t\u00e2m th\u1ea7n, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c. N\u1ebfu b\u1ecb \u1ea3nh h\u01b0\u1edfng th\u00ec kh\u00f4ng n\u00ean l\u00e1i xe, 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<p><em>Acetaminophen<\/em><\/p>\n<p>Cholestyramine: T\u1ed1c \u0111\u1ed9 h\u1ea5p thu c\u1ee7a acetaminophen b\u1ecb gi\u1ea3m b\u1edfi cholestyramine. Do \u0111\u00f3, kh\u00f4ng u\u1ed1ng cholestyramine trong v\u00f2ng 1 gi\u1edd n\u1ebfu gi\u1ea3m \u0111au t\u1ed1i \u0111a l\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n<p>Metoclopramide v\u00e0 domperidone: S\u1ef1 h\u1ea5p thu c\u1ee7a acetaminophen t\u0103ng l\u00ean b\u1edfi metoclopramide ho\u1eb7c domperidone. Tuy nhi\u00ean kh\u00f4ng c\u1ea7n tr\u00e1nh s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>Warfarin: T\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng c\u1ee7a warfarin v\u00e0 c\u00e1c coumarin kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gia t\u0103ng b\u1edfi d\u00f9ng d\u00e0i ng\u00e0y th\u01b0\u1eddng xuy\u00ean acetaminophen l\u00e0m gia t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u; li\u1ec1u d\u00f9ng kh\u00f4ng th\u01b0\u1eddng xuy\u00ean kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3.<\/p>\n<p>Chloramphenicol: L\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 huy\u1ebft t\u01b0\u01a1ng c\u1ee7a chloramphenicol.<\/p>\n<p><em>Diphenhydramine hydrochloride<\/em><\/p>\n<p>Diphenhydramine c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng an th\u1ea7n c\u1ee7a r\u01b0\u1ee3u v\u00e0 c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng kh\u00e1c (nh\u01b0 c\u00e1c thu\u1ed1c an th\u1ea7n, thu\u1ed1c ng\u1ee7 v\u00e0 thu\u1ed1c ch\u1ed1ng lo \u00e2u).<\/p>\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf monoamine oxidase (IMAO) k\u00e9o d\u00e0i v\u00e0 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng kh\u00e1ng cholinergic c\u1ee7a diphenhydramine. N\u00ean s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng thu\u1ed1c v\u1edbi IMAO ho\u1eb7c trong v\u00f2ng 2 tu\u1ea7n ng\u1eebng d\u00f9ng IMAO.<\/p>\n<p>V\u00ec diphenhydramine c\u00f3 ho\u1ea1t t\u00ednh kh\u00e1ng muscarin, t\u00e1c d\u1ee5ng c\u1ee7a m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1ng cholinergic (nh\u01b0 atropine, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng) c\u00f3 th\u1ec3 t\u0103ng do \u0111\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n y t\u1ebf tr\u01b0\u1edbc khi d\u00f9ng diphenhydramine v\u1edbi c\u00e1c thu\u1ed1c n\u00e0y.<\/p>\n<p>Diphenhydramine l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf isoenzym cytochrom P450 CYP2D6. Do \u0111\u00f3 c\u00f3 th\u1ec3 c\u00f3 ti\u1ec1m n\u0103ng t\u0103ng t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu b\u1edfi CYP2D6, nh\u01b0 metoprolol v\u00e0 venlafaxine.<\/p>\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<\/strong> <strong>C\u1ee6A THU\u1ed0C<\/strong><strong>:<\/strong><\/p>\n<p><strong>Acetaminophen<\/strong><\/p>\n<p><em>Ch\u01b0a bi\u1ebft t\u1ea7n su\u1ea5t:<\/em><\/p>\n<p>M\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: Gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t.<\/p>\n<p>H\u1ec7 mi\u1ec5n d\u1ecbch: S\u1ed1c ph\u1ea3n v\u1ec7, ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn \u1edf da bao g\u1ed3m ph\u00e1t ban da, ph\u00f9 m\u1ea1ch v\u00e0 h\u1ed9i ch\u1ee9ng Stevens Johnson, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec nhi\u1ec5m \u0111\u1ed9c.<\/p>\n<p>H\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: Co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n<p>Gan m\u1eadt: Suy gi\u1ea3m ch\u1ee9c n\u0103ng gan.<\/p>\n<p><strong>Diphenhydramine hydrochloride<\/strong><\/p>\n<p><em>Th\u01b0\u1eddng g\u1eb7p, 1\/100 \u2264 ADR &lt; 1\/10:<\/em><\/p>\n<p>Chung: M\u1ec7t m\u1ecfi.<\/p>\n<p>Th\u1ea7n kinh trung \u01b0\u01a1ng: Bu\u1ed3n ng\u1ee7, ch\u00f3ng m\u1eb7t, m\u1ea5t t\u1eadp trung, m\u1ea5t th\u0103ng b\u1eb1ng, ch\u00f3ng m\u1eb7t.<\/p>\n<p>Ti\u00eau h\u00f3a: Kh\u00f4 mi\u1ec7ng.<\/p>\n<p><em>Ch\u01b0a bi\u1ebft t\u1ea7n su\u1ea5t:<\/em><\/p>\n<p>H\u1ec7 mi\u1ec5n d\u1ecbch: Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn bao g\u1ed3m ph\u00e1t ban, n\u1ed5i m\u00e0y \u0111ay, kh\u00f3 th\u1edf v\u00e0 ph\u00f9 m\u1ea1ch.<\/p>\n<p>T\u00e2m th\u1ea7n: L\u00fa l\u1eabn, k\u00edch th\u00edch ngh\u1ecbch th\u01b0\u1eddng (v\u00ed d\u1ee5 nh\u01b0 t\u0103ng n\u0103ng l\u01b0\u1ee3ng, b\u1ed3n ch\u1ed3n, c\u0103ng th\u1eb3ng).<\/p>\n<p>Th\u1ea7n kinh trung \u01b0\u01a1ng: Co gi\u1eadt, \u0111au \u0111\u1ea7u, d\u1ecb c\u1ea3m, lo\u1ea1n v\u1eadn \u0111\u1ed9ng.<\/p>\n<p>M\u1eaft: M\u1edd m\u1eaft.<\/p>\n<p>Tim m\u1ea1ch: Nh\u1ecbp tim nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c.<\/p>\n<p>H\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: L\u00e0m \u0111\u1eb7c d\u1ecbch ti\u1ebft ph\u1ebf qu\u1ea3n.<\/p>\n<p>Ti\u00eau h\u00f3a: R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a bao g\u1ed3m bu\u1ed3n n\u00f4n, n\u00f4n.<\/p>\n<p>C\u01a1 v\u00e0 m\u00f4 li\u00ean k\u1ebft: Co gi\u1eadt c\u01a1.<\/p>\n<p>Th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u: Kh\u00f3 ti\u1ec3u, b\u00ed ti\u1ec3u.<\/p>\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><em>Acetaminophen<\/em><\/p>\n<p>T\u1ed5n th\u01b0\u01a1ng gan l\u00e0 c\u00f3 th\u1ec3 \u1edf ng\u01b0\u1eddi l\u1edbn \u0111\u00e3 u\u1ed1ng 10 g acetaminophen ho\u1eb7c nhi\u1ec1u h\u01a1n. U\u1ed1ng 5 g acetaminophen ho\u1eb7c nhi\u1ec1u h\u01a1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng gan n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m:<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i v\u1edbi carbamazepine, phenobarbitone, phenytoin, primidone, rifampicin, St. John\u2019s Wort, ho\u1eb7c c\u00e1c thu\u1ed1c c\u1ea3m \u1ee9ng enzym gan kh\u00e1c.<\/li>\n<li>Ho\u1eb7c th\u01b0\u1eddng xuy\u00ean u\u1ed1ng r\u01b0\u1ee3u v\u01b0\u1ee3t qu\u00e1 m\u1ee9c cho ph\u00e9p.<\/li>\n<li>Ho\u1eb7c c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb c\u1ea1n ki\u1ec7t glutathione nh\u01b0 c\u00f3 r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng, x\u01a1 nang, nhi\u1ec5m HIV, \u0111\u00f3i, suy nh\u01b0\u1ee3c.<\/li>\n<\/ul>\n<p><em><u>Tri\u1ec7u ch\u1ee9ng<\/u><\/em><em>:<\/em><\/p>\n<p>Tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u c\u1ee7a acetaminophen trong 24 gi\u1edd \u0111\u1ea7u l\u00e0 xanh xao, bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n v\u00e0 \u0111au b\u1ee5ng. T\u1ed5n th\u01b0\u01a1ng gan c\u00f3 th\u1ec3 tr\u1edf n\u00ean th\u1ea5y r\u00f5 t\u1eeb 12 \u0111\u1ebfn 48 gi\u1edd sau khi u\u1ed1ng. B\u1ea5t th\u01b0\u1eddng v\u1ec1 chuy\u1ec3n h\u00f3a glucose v\u00e0 toan chuy\u1ec3n h\u00f3a c\u00f3 th\u1ec3 x\u1ea3y ra. Trong nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng, suy gan c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh b\u1ec7nh l\u00fd n\u00e3o, xu\u1ea5t huy\u1ebft, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, ph\u00f9 n\u00e3o v\u00e0 t\u1eed vong. Suy th\u1eadn c\u1ea5p v\u1edbi ho\u1ea1i t\u1eed \u1ed1ng th\u1eadn c\u1ea5p t\u00ednh cho th\u1ea5y r\u00f5 b\u1edfi \u0111au v\u00f9ng th\u1eaft l\u01b0ng, ti\u1ec3u ra m\u00e1u v\u00e0 protein ni\u1ec7u, c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n ngay c\u1ea3 trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng gan nghi\u00eam tr\u1ecdng. Lo\u1ea1n nh\u1ecbp tim v\u00e0 vi\u00eam t\u1ee5y \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<p><em><u>C<\/u><\/em><em><u>\u00e1ch x\u1eed tr\u00ed<\/u><\/em><em>:<\/em><\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c l\u00e0 c\u1ea7n thi\u1ebft trong vi\u1ec7c x\u1eed tr\u00ed qu\u00e1 li\u1ec1u acetaminophen. M\u1eb7c d\u00f9 thi\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean quan tr\u1ecdng, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n kh\u1ea9n c\u1ea5p \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf ngay l\u1eadp t\u1ee9c. Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 b\u1ecb h\u1ea1n ch\u1ebf nh\u01b0 bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a qu\u00e1 li\u1ec1u ho\u1eb7c nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng n\u1ed9i t\u1ea1ng. X\u1eed tr\u00ed ph\u1ea3i ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c ch\u1ec9 d\u1eabn \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng than ho\u1ea1t t\u00ednh n\u00ean \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc n\u1ebfu d\u00f9ng qu\u00e1 li\u1ec1u trong 1 gi\u1edd. N\u1ed3ng \u0111\u1ed9 acetaminophen trong huy\u1ebft t\u01b0\u01a1ng n\u00ean \u0111\u01b0\u1ee3c \u0111o l\u00fac 4 gi\u1edd ho\u1eb7c tr\u1ec5 h\u01a1n sau khi u\u1ed1ng (n\u1ed3ng \u0111\u1ed9 tr\u01b0\u1edbc \u0111\u00f3 l\u00e0 kh\u00f4ng tin c\u1eady). \u0110i\u1ec1u tr\u1ecb v\u1edbi N-acetylcysteine c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00ean \u0111\u1ebfn 24 gi\u1edd sau khi u\u1ed1ng acetaminophen, tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 t\u1ed1i \u0111a l\u00e0 trong v\u00f2ng 8 gi\u1edd sau khi u\u1ed1ng. Hi\u1ec7u qu\u1ea3 gi\u1ea3i \u0111\u1ed9c c\u1ee7a thu\u1ed1c gi\u1ea3m m\u1ea1nh sau th\u1eddi gian n\u00e0y. N\u1ebfu c\u1ea7n b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c ti\u00eam t\u0129nh m\u1ea1ch<br \/>\nN-acetylcysteine theo li\u1ec7u tr\u00ecnh \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp. N\u1ebfu n\u00f4n m\u1eeda kh\u00f4ng l\u00e0 v\u1ea5n \u0111\u1ec1, methionine d\u00f9ng u\u1ed1ng c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn th\u00edch h\u1ee3p cho c\u00e1c v\u00f9ng s\u00e2u v\u00f9ng xa, b\u1ec7nh vi\u1ec7n b\u00ean ngo\u00e0i. C\u00e1ch x\u1eed tr\u00ed \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n suy gi\u1ea3m ch\u1ee9c n\u0103ng gan nghi\u00eam tr\u1ecdng qu\u00e1 24 gi\u1edd sau khi u\u1ed1ng thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn v\u1edbi chuy\u00ean khoa gan.<\/p>\n<p><em>Diphenhydramine hydrochloride<\/em><\/p>\n<p><em><u>Tri\u1ec7u ch\u1ee9ng<\/u><\/em><em>:<\/em><\/p>\n<p>Qu\u00e1 li\u1ec1u diphenhydramine hydrochloride c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c \u1ea3nh h\u01b0\u1edfng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1eefng \u1ea3nh h\u01b0\u1edfng \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea trong c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 bao g\u1ed3m gi\u00e3n \u0111\u1ed3ng t\u1eed, s\u1ed1t, \u0111\u1ecf b\u1eebng, k\u00edch \u0111\u1ed9ng, run r\u1ea9y, lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c, \u1ea3o gi\u00e1c v\u00e0 thay \u0111\u1ed5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3. Qu\u00e1 li\u1ec1u l\u1edbn c\u00f3 th\u1ec3 g\u00e2y ti\u00eau c\u01a1 v\u00e2n, co gi\u1eadt, m\u00ea s\u1ea3ng, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do nhi\u1ec5m \u0111\u1ed9c, lo\u1ea1n nh\u1ecbp tim, h\u00f4n m\u00ea, v\u00e0 tr\u1ee5y tim m\u1ea1ch.<\/p>\n<p><em><u>C<\/u><\/em><em><u>\u00e1ch x\u1eed tr\u00ed<\/u><\/em><em>:<\/em><\/p>\n<p>C\u1ea7n \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 v\u00e0 h\u01b0\u1edbng t\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee5 th\u1ec3. Co gi\u1eadt v\u00e0 k\u00edch th\u00edch th\u1ea7n kinh trung \u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng diazepam \u0111\u01b0\u1eddng ti\u00eam.<\/p>\n<p><strong>D\u01af\u1ee2C L\u1ef0C H\u1eccC<\/strong><strong>:<\/strong><\/p>\n<p><em>Nh\u00f3m d\u01b0\u1ee3c l\u00fd<\/em><em>:<\/em> Thu\u1ed1c acetaminophen k\u1ebft h\u1ee3p kh\u00f4ng bao g\u1ed3m h\u01b0\u1edbng th\u1ea7n<\/p>\n<p><em>M<\/em><em>\u00e3 ATC<\/em><em>:<\/em> N02BE51<\/p>\n<p><em>Acetaminophen<\/em><\/p>\n<p>Gi\u1ea3m\u00a0\u0111au &#8211; C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au c\u1ee7a acetaminophen ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u0111\u1ea7y \u0111\u1ee7. Acetaminophen t\u00e1c \u0111\u1ed9ng ch\u1ee7 y\u1ebfu b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin \u1edf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 th\u1ea5p h\u01a1n b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t sinh xung \u0111\u1ed9ng g\u00e2y \u0111au th\u00f4ng qua t\u00e1c \u0111\u1ed9ng ngo\u1ea1i vi. T\u00e1c \u0111\u1ed9ng ngo\u1ea1i vi c\u0169ng c\u00f3 th\u1ec3 do \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin hay \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p ho\u1eb7c \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c ch\u1ea5t g\u00e2y nh\u1ea1y c\u1ea3m \u1edf c\u00e1c th\u1ee5 th\u1ec3 \u0111au do k\u00edch th\u00edch c\u01a1 h\u1ecdc ho\u1eb7c h\u00f3a h\u1ecdc.<\/p>\n<p>H\u1ea1 s\u1ed1t &#8211; Acetaminophen c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1 s\u1ed1t b\u1eb1ng c\u00e1ch t\u00e1c \u0111\u1ed9ng tr\u1ef1c thu\u1ed9c l\u00ean trung khu \u0111i\u1ec1u nhi\u1ec7t v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i \u0111\u1ec3 l\u00e0m gi\u00e3n m\u1ea1ch ngo\u1ea1i vi d\u1eabn \u0111\u1ebfn t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua da, m\u1ed3 h\u00f4i, m\u1ea5t nhi\u1ec7t. T\u00e1c \u0111\u1ed9ng ch\u00ednh c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn s\u1ef1 \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin \u1edf v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i.<\/p>\n<p><em>Diphenhydramine hydrochloride<\/em><\/p>\n<p>Diphenhydramine hydrochloride l\u00e0 m\u1ed9t thu\u1ed1c kh\u00e1ng histamine d\u1eabn xu\u1ea5t ethanolamine. N\u00f3 l\u00e0 m\u1ed9t thu\u1ed1c kh\u00e1ng histamine v\u1edbi kh\u00e1ng cholinergic v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng an th\u1ea7n \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn. N\u00f3 ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf c\u00e1c t\u00e1c d\u1ee5ng tr\u00ean th\u1ee5 th\u1ec3 H<sub>1<\/sub>.<\/p>\n<p>Diphenhydramine c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c l\u00e0m gi\u1ea3m th\u1eddi gian b\u1eaft \u0111\u1ea7u ng\u1ee7 (t\u1ee9c l\u00e0 th\u1eddi gian ch\u00ecm v\u00e0o gi\u1ea5c ng\u1ee7), t\u0103ng chi\u1ec1u s\u00e2u v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a gi\u1ea5c ng\u1ee7.<\/p>\n<p><strong>D\u01af\u1ee2C \u0110\u1ed8NG H\u1eccC<\/strong><strong>:<\/strong><\/p>\n<p><em>Acetaminophen<\/em><\/p>\n<p>Acetaminophen \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u1edbi n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t trong kho\u1ea3ng 30 ph\u00fat \u0111\u1ebfn 2 gi\u1edd sau khi u\u1ed1ng. N\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a \u1edf gan v\u00e0 b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u ch\u1ee7 y\u1ebfu d\u01b0\u1edbi d\u1ea1ng li\u00ean h\u1ee3p glucuronide v\u00e0 sulfate. \u00cdt h\u01a1n 5% \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft d\u01b0\u1edbi d\u1ea1ng acetaminophen kh\u00f4ng \u0111\u1ed5i. Th\u1eddi gian b\u00e1n th\u1ea3i thay \u0111\u1ed5i t\u1eeb kho\u1ea3ng 1 \u0111\u1ebfn 4 gi\u1edd. G\u1eafn k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng l\u00e0 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u1edf n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng nh\u01b0ng t\u0103ng v\u1edbi vi\u1ec7c t\u0103ng n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>M\u1ed9t ch\u1ea5t chuy\u1ec3n h\u00f3a hydroxyl h\u00f3a \u0111\u01b0\u1ee3c t\u1ea1o ra v\u1edbi l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf b\u1edfi enzym oxidase ch\u1ee9c n\u0103ng h\u1ed7n h\u1ee3p \u1edf gan v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c gi\u1ea3i \u0111\u1ed9c b\u1eb1ng c\u00e1ch li\u00ean h\u1ee3p v\u1edbi glutathione gan c\u00f3 th\u1ec3 t\u00edch l\u0169y sau khi qu\u00e1 li\u1ec1u acetaminophen v\u00e0 g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan.<\/p>\n<p><em>Diphenhydramine hydrochloride<\/em><\/p>\n<p>Diphenhydramine hydrochloride \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng sau khi u\u1ed1ng. N\u00f3 tr\u1ea3i qua chuy\u1ec3n h\u00f3a l\u1ea7n \u0111\u1ea7u \u1edf gan v\u00e0 ch\u1ec9 kho\u1ea3ng 40 \u2013 60% li\u1ec1u u\u1ed1ng v\u00e0o \u0111\u01b0\u1ee3c h\u1ec7 tu\u1ea7n ho\u00e0n d\u01b0\u1edbi d\u1ea1ng diphenhydramine kh\u00f4ng \u0111\u1ed5i.<\/p>\n<p>Diphenhydramine hydrochloride \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 nhanh ch\u00f3ng tr\u00ean kh\u1eafp to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c trong v\u00f2ng 1 \u2013 4 gi\u1edd. T\u00e1c d\u1ee5ng an th\u1ea7n c\u0169ng xu\u1ea5t hi\u1ec7n v\u00e0 \u0111\u1ea1t t\u1ed1i \u0111a trong v\u00f2ng 1 \u2013 3 gi\u1edd sau khi u\u1ed1ng li\u1ec1u duy nh\u1ea5t v\u00e0 t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>Kho\u1ea3ng 80 \u2013 85% diphenhydramine g\u1eafn k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng. Diphenhydramine \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a nhanh ch\u00f3ng v\u00e0 g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n. Thu\u1ed1c \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu th\u00e0nh acid diphenylmetoxyacetic v\u00e0 c\u0169ng \u0111\u01b0\u1ee3c alkyl h\u00f3a. C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi glycine v\u00e0 glutamine v\u00e0 b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u. Ch\u1ec9 c\u00f3 kho\u1ea3ng 1% li\u1ec1u \u0111\u01a1n \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i qua n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>\u1ede ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 2,4 \u2013 9,3 gi\u1edd. Th\u1eddi gian b\u00e1n th\u1ea3i cu\u1ed1i k\u00e9o d\u00e0i \u1edf ng\u01b0\u1eddi x\u01a1 gan.<\/p>\n<p><strong>QUY C\u00c1CH \u0110\u00d3NG G\u00d3I:<\/strong><\/p>\n<p>H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean n\u00e9n bao phim.<\/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 vi\u00ean n\u00e9n bao phim ch\u1ee9a: Th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t: \u00a0Acetaminophen&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.. 500 mg Diphenhydramine hydrochloride&#8230;&#8230;&#8230;&#8230; 25 mg Th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c: Tinh b\u1ed9t ng\u00f4, tinh b\u1ed9t ti\u1ec1n h\u1ed3 h\u00f3a, povidon K30, silic oxyd d\u1ea1ng keo khan, natri starch glycolat, gelatin, talc, magnesi stearat, opadry II white, opadry II blue. D\u1ea0NG&#8230;<\/p>\n","protected":false},"featured_media":815,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_cat":[39],"product_tag":[],"class_list":["post-1020","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\/1020","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=1020"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/media\/815"}],"wp:attachment":[{"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/media?parent=1020"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product_cat?post=1020"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/opv.vn\/en\/wp-json\/wp\/v2\/product_tag?post=1020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}