{"id":25916,"date":"2023-04-22T23:08:40","date_gmt":"2023-04-22T16:08:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25916"},"modified":"2023-04-22T23:08:40","modified_gmt":"2023-04-22T16:08:40","slug":"tuong-tac-thuoc-giua-carbamazepin-va-fluoxetin","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tuong-tac-thuoc-giua-carbamazepin-va-fluoxetin\/","title":{"rendered":"T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Carbamazepin v\u00e0 Fluoxetin"},"content":{"rendered":"<p><b>Carbamazepin v\u00e0 Fluoxetin l\u00e0 hai lo\u1ea1i thu\u1ed1c kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd t\u00e2m th\u1ea7n v\u00e0 th\u1ea7n kinh. Tuy nhi\u00ean, khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng nhau, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5. Do \u0111\u00f3, vi\u1ec7c theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c l\u00e0 c\u1ea7n thi\u1ebft khi s\u1eed d\u1ee5ng c\u1ea3 Carbamazepin v\u00e0 Fluoxetin \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5.<\/b><\/p>\n<h2><b>1. Th\u00f4ng tin chung v\u1ec1 thu\u1ed1c Carbamazepin<\/b><\/h2>\n<h3><b>1.1 C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd c\u1ee7a Carbamazepin t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c ch\u1ea5t ch\u1ed1ng co gi\u1eadt thu\u1ed9c nh\u00f3m d\u1eabn ch\u1ea5t Hydantoin. T\u00e1c d\u1ee5ng ch\u1ed1ng co gi\u1eadt c\u1ee7a Carbamazepin nh\u01b0 Phenytoin, ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn vi\u1ec7c h\u1ea1n ch\u1ebf d\u1eabn truy\u1ec1n qua synap b\u1eb1ng c\u00e1ch l\u00e0m gi\u1ea3m \u0111i\u1ec7n th\u1ebf m\u00e0ng t\u1ebf b\u00e0o. Carbamazepin l\u00e0m gi\u1ea3m \u0111au d\u00e2y th\u1ea7n kinh tam thoa do l\u00e0m gi\u1ea3m d\u1eabn truy\u1ec1n qua synap trong nh\u00e2n tam thoa. Thu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng an th\u1ea7n, kh\u00e1ng Cholinergic, ch\u1ed1ng tr\u1ea7m c\u1ea3m, gi\u00e3n c\u01a1, ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim, kh\u00e1ng b\u00e0i ni\u1ec7u v\u00e0 \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n th\u1ea7n kinh \u2013 c\u01a1. Carbamazepin ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au nh\u1eb9.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_25909\" aria-describedby=\"caption-attachment-25909\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-25909\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Carbamazepin-300x261.jpg\" alt=\"Carbamazepin\" width=\"300\" height=\"261\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Carbamazepin-300x261.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Carbamazepin.jpg 340w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-25909\" class=\"wp-caption-text\">Carbamazepin<\/figcaption><\/figure>\n<h3><b>1.2 Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh \u0111\u1ed9ng kinh:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/tim-hieu-ve-dong-kinh-cuc-bo-van-dong\/\"><span style=\"font-weight: 400;\">\u0110\u1ed9ng kinh c\u1ee5c b\u1ed9<\/span><\/a><span style=\"font-weight: 400;\"> c\u00f3 tri\u1ec7u ch\u1ee9ng ph\u1ee9c h\u1ee3p (\u0111\u1ed9ng kinh t\u00e2m th\u1ea7n v\u1eadn \u0111\u1ed9ng, \u0111\u1ed9ng kinh th\u00f9y th\u00e1i d\u01b0\u01a1ng).\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed9ng kinh c\u01a1n l\u1edbn (co c\u1ee9ng \u2013 co gi\u1eadt to\u00e0n b\u1ed9).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c ki\u1ec3u \u0111\u1ed9ng kinh ph\u1ee9c h\u1ee3p g\u1ed3m c\u00e1c lo\u1ea1i tr\u00ean ho\u1eb7c c\u00e1c lo\u1ea1i \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9 ho\u1eb7c to\u00e0n b\u1ed9 kh\u00e1c.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0110au d\u00e2y th\u1ea7n kinh tam thoa:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m \u0111au trong b\u1ec7nh \u0111au d\u00e2y th\u1ea7n kinh tam thoa<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m \u0111au d\u00e2y th\u1ea7n kinh l\u01b0\u1ee1i \u2013 h\u1ea7u.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh h\u01b0ng \u2013 tr\u1ea7m c\u1ea3m (r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c):\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ef1 ph\u00f2ng b\u1ec7nh h\u01b0ng \u2013 tr\u1ea7m c\u1ea3m \u1edf c\u00e1c ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi Lithium<\/span><\/li>\n<\/ul>\n<h3><b>1.3 T\u00e1c d\u1ee5ng ph\u1ee5<\/b><\/h3>\n<p><b><i>Th\u01b0\u1eddng g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> Ch\u00f3ng m\u1eb7t, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u1ea5t \u0111i\u1ec1u ph\u1ed1i, m\u1ec7t m\u1ecfi, ng\u1ee7 g\u00e0, \u0111au \u0111\u1ea7u, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, n\u00f4n, kh\u00f4 mi\u1ec7ng, k\u00edch \u1ee9ng tr\u1ef1c tr\u00e0ng n\u1ebfu d\u00f9ng \u0111\u1ea1n tr\u1ef1c tr\u00e0ng,&#8230;<\/span><\/p>\n<p><b><i>\u00cdt g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> \u1ec8a ch\u1ea3y, t\u00e1o b\u00f3n, run, m\u1ea5t th\u0103ng b\u1eb1ng, lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1, rung gi\u1eadt c\u01a1, run gi\u1eadt nh\u00e3n c\u1ea7u,&#8230;<\/span><\/p>\n<p><b><i>Hi\u1ebfm g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> N\u00f3i kh\u00f3, r\u1ed1i lo\u1ea1n v\u1eadn nh\u00e3n, vi\u00eam th\u1ea7n kinh ngo\u1ea1i vi, vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n, y\u1ebfu c\u01a1, li\u1ec7t nh\u1eb9, thay \u0111\u1ed5i v\u1ecb gi\u00e1c, vi\u00eam l\u01b0\u1ee1i, vi\u00eam mi\u1ec7ng, \u0111au b\u1ee5ng, vi\u00eam t\u1ee5y, block nh\u0129 \u2013 th\u1ea5t v\u00e0 nh\u1ecbp tim ch\u1eadm, c\u00e1c tai bi\u1ebfn huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch, suy tim sung huy\u1ebft, suy tu\u1ea7n ho\u00e0n, h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p, vi\u00eam t\u1eafc t\u0129nh m\u1ea1ch v\u00e0 l\u00e0m n\u1eb7ng th\u00eam ch\u1ee9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 m\u1ea1ch v\u00e0nh, vi\u00eam t\u0129nh m\u1ea1ch huy\u1ebft kh\u1ed1i, huy\u1ebft kh\u1ed1i \u2013 ngh\u1ebdn m\u1ea1ch,&#8230;<\/span><\/p>\n<h2><b>2. Th\u00f4ng tin chung v\u1ec1 thu\u1ed1c Fluoxetin<\/b><\/h2>\n<h3><b>2.1 C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluoxetin l\u00e0 m\u1ed9t thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m hai v\u00f2ng c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc thu h\u1ed3i Serotonin t\u1ea1i tr\u01b0\u1edbc synap c\u1ee7a c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh serotoninergic, l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Serotonin \u0111\u1ebfn sau synap, t\u1eeb \u0111\u00f3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m \u01a1\u0309 b\u1ec7nh nh\u00e2n tr\u1ea7m c\u1ea3m. Ch\u1ea5t chuy\u1ec3n h\u00f3a ch\u00ednh c\u1ee7a Fluoxetin l\u00e0 Norfluoxetin c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 Fluoxetin, do \u0111\u00f3 hi\u1ec7u qu\u1ea3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 serotonin r\u1ea5t m\u1ea1nh. Tuy Fluoxetin c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m t\u0103ng nhanh n\u1ed3ng \u0111\u1ed9 Serotonin t\u1ea1i khe synap serotoninergic c\u1ee7a t\u1ebf b\u00e0o th\u1ea7n kinh nh\u01b0ng hi\u1ec7u qu\u1ea3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u1ec1 tr\u1ea7m c\u1ea3m tr\u00ean b\u1ec7nh nh\u00e2n l\u1ea1i r\u1ea5t ch\u1eadm, th\u01b0\u1eddng ph\u1ea3i t\u1eeb 3 \u2013 5 tu\u1ea7n, do v\u1eady tr\u01b0\u1eddng h\u1ee3p tr\u1ea7m c\u1ea3m n\u1eb7ng kh\u00f4ng th\u1ec3 thuy\u00ean gi\u1ea3m ngay khi d\u00f9ng thu\u1ed1c n\u00e0y.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f4ng gi\u1ed1ng nh\u01b0 c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng c\u0169 ho\u1eb7c m\u1ed9t v\u00e0i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m kh\u00e1c, v\u1edbi li\u1ec1u \u0111i\u1ec1u tr\u1ecb Fluoxetin ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc tr\u00ean k\u00eanh thu h\u1ed3i Serotonin m\u00e0 \u00edt c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean c\u00e1c th\u1ee5 th\u1ec3 kh\u00e1c nh\u01b0 kh\u00e1ng cholinergic, ch\u1eb9n \u03b11-adrenergic ho\u1eb7c kh\u00e1ng histamin. V\u00ec v\u1eady, nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 do kh\u00e1ng cholinergic (kh\u00f4 mi\u1ec7ng, m\u1edd m\u1eaft, b\u00ed ti\u1ec3u, t\u00e1o b\u00f3n), ch\u1eb9n \u03b11-adrenergic (h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng) ho\u1eb7c kh\u00e1ng histamin (bu\u1ed3n ng\u1ee7) \u00edt g\u1eb7p khi s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Fluoxetin.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_25607\" aria-describedby=\"caption-attachment-25607\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-25607\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Fluoxetine-300x199.png\" alt=\"Fluoxetine\" width=\"300\" height=\"199\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Fluoxetine-300x199.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Fluoxetine-768x510.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Fluoxetine.png 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-25607\" class=\"wp-caption-text\">Fluoxetine<\/figcaption><\/figure>\n<h3><b>2.2 Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh tr\u1ea7m c\u1ea3m, h\u1ed9i ch\u1ee9ng ho\u1ea3ng s\u1ee3, ch\u1ee9ng \u0103n v\u00f4 \u0111\u1ed9, r\u1ed1i lo\u1ea1n xung l\u1ef1c &#8211; c\u01b0\u01a1\u0303ng b\u1ee9c \u00e1m \u1ea3nh.<\/span><\/li>\n<\/ul>\n<h3><b>2.3 T\u00e1c d\u1ee5ng ph\u1ee5<\/b><\/h3>\n<p><b><i>Th\u01b0\u1eddng g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> M\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, ra m\u1ed3 h\u00f4i, li\u1ec7t d\u01b0\u01a1ng, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng xu\u1ea5t tinh, gi\u1ea3m t\u00ecnh d\u1ee5c, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, ch\u00e1n \u0103n, ph\u00e1t ban, ng\u1ee9a, run, b\u1ed3n ch\u1ed3n, m\u1ea5t ng\u1ee7, lo s\u1ee3.<\/span><\/p>\n<p><b><i>\u00cdt g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> Nh\u1ee9c \u0111\u1ea7u, n\u00f4n, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, kh\u00f4 mi\u1ec7ng, m\u00e0y \u0111ay, co tho\u1eaft ph\u1ebf qu\u1ea3n, b\u00ed ti\u1ec3u ti\u1ec7n,<\/span><\/p>\n<p><b><i>Hi\u1ebfm g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> Lo\u1ea1n nh\u1ecbp tim, m\u1ea1ch nhanh, vi\u00eam m\u1ea1ch, ph\u1ea3n \u1ee9ng ngo\u1ea1i th\u00e1p, r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, h\u1ed9i ch\u1ee9ng Parkinson, d\u1ecb c\u1ea3m, \u0111\u1ed9ng kinh, h\u1ed9i ch\u1ee9ng Serotonin, x\u01a1 h\u00f3a ph\u00f4\u0309i, ph\u00f9 thanh qu\u1ea3n,..<\/span><\/p>\n<h2><b>3. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Carbamazepin v\u00e0 Fluoxetin<\/b><\/h2>\n<h3><b>3.1 C\u01a1 ch\u1ebf<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Fluoxetin s\u1ebd l\u00e0m t\u0103ng m\u1ee9c \u0111\u1ed9 ho\u1eb7c t\u00e1c d\u1ee5ng c\u1ee7a Carbamazepin b\u1eb1ng c\u00e1ch \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn chuy\u1ec3n h\u00f3a enzym CYP3A4 \u1edf gan\/ru\u1ed9t. D\u1eabn \u0111\u1ebfn vi\u1ec7c t\u0103ng \u0111\u1ed9c t\u00ednh, t\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a Carbamazepin.<\/span><\/p>\n<h3><b>3.2 T\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng Carbamazepin v\u00e0 Fluoxetin c\u00f9ng nhau<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ed9 \u0111\u1ed9c Carbamazepin sau \u0111\u00e2y:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bu\u1ed3n n\u00f4n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u00f3ng m\u1eb7t ho\u1eb7c m\u1ea5t \u0111i\u1ec1u h\u00f2a<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng Serotonin sau \u0111\u00e2y:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Run kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u00edch \u0111\u1ed9ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ea5t ph\u1ed1i h\u1ee3p<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ed3n ch\u1ed3n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u0103ng ph\u1ea3n x\u1ea1<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u01b0ng ph\u1ea5n<\/span><\/li>\n<\/ul>\n<h3><b>3.3 Bi\u1ec7n ph\u00e1p x\u1eed l\u00fd t\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Carbamazepin v\u00e0 Fluoxetin<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">N\u00ean theo d\u00f5i ch\u1eb7t ch\u1ebd b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m v\u1ec1 \u0111\u1ed9c t\u00ednh c\u1ee7a Carbamazepin<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thay \u0111\u1ed5i li\u1ec7u ph\u00e1p ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.<\/span><\/p>\n<h3><b>3.4 M\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c t\u1eeb nhi\u1ec1u ngu\u1ed3n kh\u00e1c nhau<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Drug: V\u1eeba ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">WebMD: V\u1eeba ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medscape: V\u1eeba ph\u1ea3i<\/span><\/p>\n<h2><b>4. K\u1ebft lu\u1eadn t\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Carbamazepin v\u00e0 Fluoxetin<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Carbamazepin v\u00e0 Fluoxetin\u00a0 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c quan t\u00e2m trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00f9ng l\u00fac hai lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5. Do \u0111\u00f3, c\u00e1c chuy\u00ean gia y t\u1ebf c\u1ea7n theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ngu\u1ed3n: D\u01b0\u1ee3c th\u01b0 Qu\u1ed1c gia Vi\u1ec7t Nam, Drug.com<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Carbamazepin v\u00e0 Fluoxetin l\u00e0 hai lo\u1ea1i thu\u1ed1c kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd t\u00e2m th\u1ea7n v\u00e0 th\u1ea7n kinh. Tuy nhi\u00ean, khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng nhau, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c t\u00e1c d\u1ee5ng [&hellip;]<\/p>\n","protected":false},"author":53,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Carbamazepin v\u00e0 Fluoxetin - Vinmec<\/title>\n<meta name=\"description\" content=\"Carbamazepin v\u00e0 Fluoxetin l\u00e0 hai lo\u1ea1i thu\u1ed1c kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd t\u00e2m th\u1ea7n v\u00e0 th\u1ea7n kinh. 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