Page 124 - Phòng Và Điều Trị Bệnh Đái Tháo Đường

khong dtfdc tfa chuong dung cho ngtfdi DTD. Cac thuoc
chen calci the he sau nhtf amlodipine, felodipine it anh
htfdng len stfc co bop cd tim nen thtfdng dtfdc stf dung
hOn. Cac thuoc chen calci non-dihydropuridine nhu
diltiazem va verapamil anh htfdng nhieu den s£fc
co bop cO tim nen phai rat than trong cho ngtfdi co
roi loan dan truyen trong tim, roi loan chtfc nang

that trai.
Nhin chung, nhom chen kenh calci khong anh
htfdng den chuyen hoa md, dtfdng nen co the dung k£t

hdp tot cho ngtfdi DTD co tang huyet ap. Tac dung
phu kho chiu va hay gap nhat cua nhom thuoc nay 1&
phu, dau dau, nong btfng mat.
Mot so thuoc thiidng gap:

Nifedipine (Adalat; Nifehexal...) vien 10/20/30/60mg;
lieu 10-120mg.

Amlodipine (Amlor; Cardilopin; Amdepin...) vien
5/10mg; lieu 5-10mg.
Felodipine (Plendil) vien 5mg; lieu 2,5-10mg.

Manidipine (Madiplot) vien 10/20mg; lieu 10-20mg.

Diltiazem (Tildiem) vien 60mg; lieu 120-180mg.
Verapamil (Isoptine) vien 120mg; lieu 120-480mg.

Tom lai: can bang chat che huyet ap, nhat la khi
da co benh ly than DTD co" gang binh on huyet ap
< 130/80mmHg, nen khuyen khich benh nhan tu

kiem soat huyet ap bang may do ca nhan de co them
dtf lieu cho viec phan bo thuoc dtfOc hop ly, tfu tien

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