{"id":15282,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/"},"modified":"2013-12-22T17:00:00","modified_gmt":"2013-12-22T10:00:00","slug":"cimetidin-thuoc-khang-thu-the-histamin-h2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/","title":{"rendered":"Cimetidin &#8211; Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2"},"content":{"rendered":"<h2 id=\"ten-chung-quoc-te-cimetidin\">    T\u00ean chung qu\u1ed1c t\u1ebf Cimetidin   <\/h2>\n<p>    Cimetidine   <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-cimetidin\">    D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Cimetidin   <\/h2>\n<p>    Vi\u00ean n\u00e9n v\u00e0 vi\u00ean s\u1ee7i: 200 mg, 300 mg, 400 mg, 800 mg. Siro: 200 mg\/5 ml, 300 mg\/5 ml. Thu\u1ed1c ti\u00eam: 200 mg\/2 ml, 300 mg\/2 ml. D\u1ecbch truy\u1ec1n: 400 mg\/100 ml natri clorid 0,9% 466 17.1.2 Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2   <\/p>\n<p style=\"text-align: center;\">    <a src=\"\/Documents\/1558_cimetidin-thuoc-khang-thu-the-histamin-h2.jpg\" target=\"_blank\" rel=\"noopener\">     <img decoding=\"async\" alt=\"cimetidin-thuoc-khang-thu-the-histamin-h2\" src=\"\/\/yhoccongdong.org\/Documents\/1558_cimetidin-thuoc-khang-thu-the-histamin-h2.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/a>   <\/p>\n<p style=\"text-align: center;\">    H\u00ecnh   <\/p>\n<h2 id=\"chi-dinh-cimetidin\">    Ch\u1ec9 \u0111\u1ecbnh Cimetidin   <\/h2>\n<p>    Lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng l\u00e0nh t\u00ednh; lo\u00e9t mi\u1ec7ng n\u1ed1i sau ph\u1eabu thu\u1eadt; tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y &#8211; th\u1ef1c qu\u1ea3n; h\u1ed9i ch\u1ee9ng Zollinger-Ellison; m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c c\u1ea7n ph\u1ea3i gi\u1ea3m acid d\u1ecbch v\u1ecb.   <\/p>\n<h2 id=\"chong-chi-dinh-cimetidin\">    Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Cimetidin   <\/h2>\n<p>    M\u1eabn c\u1ea3m v\u1edbi thu\u1ed1c.   <\/p>\n<h2 id=\"than-trong-cimetidin\">    Th\u1eadn tr\u1ecdng Cimetidin   <\/h2>\n<p>    Tr\u01b0\u1edbc khi d\u00f9ng cimetidin, ph\u1ea3i ch\u1ea9n \u0111o\u00e1n lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng ung th\u01b0 d\u1ea1 d\u00e0y, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi trung ni\u00ean v\u00e0 cao tu\u1ed5i; suy gan (Ph\u1ee5 l\u1ee5c 5); suy th\u1eadn (Ph\u1ee5 l\u1ee5c 4); mang thai v\u00e0 cho con b\u00fa (Ph\u1ee5 l\u1ee5c 2 v\u00e0 3); tr\u00e1nh ti\u00eam t\u0129nh m\u1ea1ch (d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch), \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng li\u1ec1u cao v\u00e0 c\u00f3 suy tim m\u1ea1ch (nguy c\u01a1 lo\u1ea1n nh\u1ecbp tim);   <\/p>\n<h2 id=\"tuong-tac-thuoc-cimetidin\">    T\u01b0\u01a1ng t\u00e1c thu\u1ed1c Cimetidin   <\/h2>\n<p>    (Ph\u1ee5 l\u1ee5c 1).   <\/p>\n<h2 id=\"lieu-luong-cach-dung-cimetidin\">    Li\u1ec1u l\u01b0\u1ee3ng, c\u00e1ch d\u00f9ng Cimetidin   <\/h2>\n<p>    <em>     Lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng l\u00e0nh t\u00ednh:    <\/em>   <\/p>\n<p>    U\u1ed1ng: Ng\u01b0\u1eddi l\u1edbn m\u1ed7i l\u1ea7n 400 mg, ng\u00e0y 2 l\u1ea7n (v\u00e0o b\u1eefa \u0103n s\u00e1ng v\u00e0 khi \u0111i ng\u1ee7), ho\u1eb7c m\u1ed7i l\u1ea7n 300 mg v\u00e0o c\u00e1c b\u1eefa \u0103n v\u00e0 khi \u0111i ng\u1ee7, ho\u1eb7c 800 mg khi \u0111i ng\u1ee7, \u00edt nh\u1ea5t trong 4 tu\u1ea7n \u0111\u1ed1i v\u1edbi lo\u00e9t t\u00e1 tr\u00e0ng, 6 tu\u1ea7n \u0111\u1ed1i v\u1edbi lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 8 tu\u1ea7n trong lo\u00e9t do d\u00f9ng NSAID. Khi c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u l\u00ean m\u1ed7i l\u1ea7n 400 mg, 4 l\u1ea7n m\u1ed7i ng\u00e0y, t\u1ed1i \u0111a 2,4 g m\u1ed9t ng\u00e0y, chia l\u00e0m nhi\u1ec1u l\u1ea7n.   <\/p>\n<p>    Tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i: 20 mg\/kg\/ng\u00e0y, chia l\u00e0m nhi\u1ec1u l\u1ea7n; tr\u1ebb em tr\u00ean 1 tu\u1ed5i: 25 &#8211; 30 mg\/kg\/ng\u00e0y, chia l\u00e0m nhi\u1ec1u l\u1ea7n.   <\/p>\n<p>    \u0110i\u1ec1u tr\u1ecb duy tr\u00ec: ng\u01b0\u1eddi l\u1edbn u\u1ed1ng 400 mg tr\u01b0\u1edbc khi \u0111i ng\u1ee7.   <\/p>\n<p>    <em>     Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y &#8211; th\u1ef1c qu\u1ea3n:    <\/em>    Ng\u01b0\u1eddi l\u1edbn u\u1ed1ng m\u1ed7i l\u1ea7n 400 mg, ng\u00e0y 4 l\u1ea7n (v\u00e0o b\u1eefa \u0103n v\u00e0 tr\u01b0\u1edbc khi \u0111i ng\u1ee7) trong 4 &#8211; 8 tu\u1ea7n.   <\/p>\n<p>    <em>     Ph\u00f2ng ng\u1eeba h\u00edt d\u1ecbch v\u1ecb v\u00e0o kh\u00ed qu\u1ea3n trong s\u1ea3n khoa:    <\/em>    U\u1ed1ng 400 mg khi b\u1eaft \u0111\u1ea7u chuy\u1ec3n d\u1ea1. Sau \u0111\u00f3 c\u1ee9 4 gi\u1edd l\u1ea1i u\u1ed1ng 400 mg n\u1ebfu c\u1ea7n, t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 2,4 g m\u1ed7i ng\u00e0y.   <\/p>\n<p>    <em>     Ph\u00f2ng ng\u1eeba h\u00edt d\u1ecbch v\u1ecb v\u00e0o kh\u00ed qu\u1ea3n trong ph\u1eabu thu\u1eadt:    <\/em>    Ng\u01b0\u1eddi l\u1edbn u\u1ed1ng 400 mg tr\u01b0\u1edbc khi g\u00e2y m\u00ea 90 &#8211; 120 ph\u00fat.   <\/p>\n<p>    <em>     H\u1ed9i ch\u1ee9ng Zollinger-Ellison:    <\/em>    Ng\u01b0\u1eddi l\u1edbn u\u1ed1ng m\u1ed7i l\u1ea7n 400 mg, ng\u00e0y 4 l\u1ea7n, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u cao h\u01a1n t\u1edbi t\u1ed1i \u0111a 2,4 g m\u1ed9t ng\u00e0y.   <\/p>\n<p>    <em>     H\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn:    <\/em>    Ng\u01b0\u1eddi l\u1edbn u\u1ed1ng m\u1ed7i l\u1ea7n 400 mg, ng\u00e0y 2 l\u1ea7n (khi \u0103n s\u00e1ng v\u00e0 khi \u0111i ng\u1ee7 t\u1ed1i), \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 gi\u1ea3m b\u1edbt s\u1ef1 ph\u00e2n hu\u1ef7 c\u1ee7a c\u00e1c ch\u1ebf ph\u1ea9m b\u1ed5 sung enzym t\u1ee5y: ng\u01b0\u1eddi l\u1edbn: u\u1ed1ng 0,8 &#8211; 1,6 g m\u1ed7i ng\u00e0y, chia l\u00e0m 4 l\u1ea7n, u\u1ed1ng 60 &#8211; 90 ph\u00fat tr\u01b0\u1edbc c\u00e1c b\u1eefa \u0103n.   <\/p>\n<p>    <em>     Ch\u1ea3y m\u00e1u do lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng    <\/em>   : Ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c ti\u00eam b\u1eafp 200 mg (n\u1ebfu ti\u00eam t\u0129nh m\u1ea1ch ph\u1ea3i ti\u00eam ch\u1eadm \u00edt nh\u1ea5t trong 5 ph\u00fat), ti\u00eam nh\u1eafc l\u1ea1i sau m\u1ed7i 4 &#8211; 6 gi\u1edd n\u1ebfu c\u1ea7n thi\u1ebft. Khi c\u1ea7n d\u00f9ng li\u1ec1u l\u1edbn h\u01a1n ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 r\u1ed1i lo\u1ea1n tim m\u1ea1ch th\u00ec truy\u1ec1n t\u0129nh m\u1ea1ch c\u00e1ch qu\u00e3ng 400 mg trong 30 &#8211; 60 ph\u00fat ho\u1eb7c truy\u1ec1n li\u00ean t\u1ee5c v\u1edbi t\u1ed1c \u0111\u1ed9 50 &#8211; 100 mg\/gi\u1edd.   <\/p>\n<p>    Gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi suy th\u1eadn.   <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-cimetidin\">    T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Cimetidin   <\/h2>\n<p>    Th\u01b0\u1eddng g\u1eb7p: \u1ec9a ch\u1ea3y; \u0111au \u0111\u1ea7u; ch\u00f3ng m\u1eb7t; m\u1ec7t m\u1ecfi; ng\u1ee7 g\u00e0; l\u00fa l\u1eabn; tr\u1ea7m c\u1ea3m; k\u00edch \u0111\u1ed9ng; b\u1ed3n ch\u1ed3n; \u1ea3o gi\u00e1c; ch\u1ee9ng v\u00fa to \u1edf \u0111\u00e0n \u00f4ng (khi d\u00f9ng l\u00e2u h\u01a1n 1 th\u00e1ng). \u00edt g\u1eb7p: ch\u1ee9ng b\u1ea5t l\u1ef1c c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c (khi d\u00f9ng l\u00e2u); t\u0103ng enzym gan t\u1ea1m th\u1eddi; t\u0103ng creatinin m\u00e1u; ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn. Hi\u1ebfm g\u1eb7p: vi\u00eam t\u1ee5y c\u1ea5p; r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan (kh\u1ecfi khi ng\u1eebng thu\u1ed1c), m\u1ea1ch nhanh ho\u1eb7c ch\u1eadm; ngh\u1ebdn nh\u0129 th\u1ea5t; gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t; gi\u1ea3m ti\u1ec3u c\u1ea7u; gi\u1ea3m h\u1ed3ng c\u1ea7u; vi\u00eam th\u1eadn k\u1ebd; vi\u00eam da c\u01a1; r\u1ee5ng l\u00f4ng t\u00f3c.   <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-cimetidin\">    Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Cimetidin   <\/h2>\n<\/p>\n<p>    <em>     Tri\u1ec7u ch\u1ee9ng:    <\/em>    Gi\u00e3n \u0111\u1ed3ng t\u1eed, lo\u1ea1n ng\u00f4n, m\u1ea1ch nhanh, k\u00edch \u0111\u1ed9ng, m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng, suy h\u00f4 h\u1ea5p.   <\/p>\n<p>    <em>     X\u1eed tr\u00ed:    <\/em>    R\u1eeda d\u1ea1 d\u00e0y, g\u00e2y n\u00f4n. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.   <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-cimetidin\">    \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Cimetidin   <\/h2>\n<p>    N\u00fat k\u00edn, \u0111\u1ec3 ch\u1ed7 m\u00e1t, tr\u00e1nh \u00e1nh s\u00e1ng.   <\/p>\n<\/p>\n<p>    http:\/\/nidqc.org.vn\/duocthu\/540\/   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00ean chung qu\u1ed1c t\u1ebf Cimetidin l\u00e0 Cimetidine.Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2. Thu\u1ed1c kh\u00e1ng acid v\u00e0 thu\u1ed1c ch\u1ed1ng lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng. Thu\u1ed1c t\u00e1c d\u1ee5ng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau ho\u00e1<\/p>\n","protected":false},"author":143,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5506,5545,5368,5317],"tags":[],"series":[],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cimetidin - Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2 - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Cimetidin - Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2 - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cimetidin - Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2 - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"Cimetidin - Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2 - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2013-12-22T10:00:00+00:00\" \/>\n<meta name=\"author\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/\",\"name\":\"Cimetidin - Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2 - D\u1ef1 \u00e1n kh\u00e1c\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\"},\"datePublished\":\"2013-12-22T10:00:00+00:00\",\"dateModified\":\"2013-12-22T10:00:00+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/6df2c4823301496b552873b34070404a\"},\"description\":\"Cimetidin - Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 histamin H2 - D\u1ef1 \u00e1n kh\u00e1c\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/cimetidin-thuoc-khang-thu-the-histamin-h2\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cimetidin &#8211; 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