SỞ Y TẾ TỈNH HÀ TĨNH 908.signed

UBND TiNH HA TINH

Sd Y TE
S6: 0 D S /SYT-NVD
V/v cap nhat,thong tin dugc ljf doi vai

CONG HOA ,CA- HOI CHU NGHIA VIVI' NAM
DOc 10p — Tv do — 14nh ph tic

Ha Tinh, ngayi(theing 5 nal?? 2017
Người ký: Sở Y
thuoc chira warfarin
tế
Email:
Kinh giri:

- Cac don vi kham chaa benh;
ov.vn
Cơ quan: Tỉnh
- Trung dm Y to du phong cac huyen, thi xa, thanh ph6 ;
Hà Tĩnh
- Phong Y t6 cac huyen, thi xa, thanh ph6;
Thời gian ký:
- Cac Cong ty dugc trong tinh.
15.05.2017
09:12:37 +07:00
Can dr Cong van ,s6,5751/QLD-DK ngay 27 thong 4 nam 2017 c,iia Civic
Quan Vi clinic - B6 Y to ye yiec cap nh4t thong tin dugc 1ydoi y6i thuoc chira
warfarin;
De dam bao sir dung thu6c an toan, h9p 1Si, So. Y t6 sao giri Phu luc "Cac not
dung thay doi /1)6 sung doi yai thuoc chira warfarin" ya yeu cau:

- Cac don vi kham, chtra benh thong bao r6lig rai cho can b6 \Tien cliirc cac
khoa phong, bo phan biet thong tin lien quan den tinh an toan dm thuoc chira
warfarin;
- Trung tam Y to du phong cac huyen, thi xa, thanh ph6 thong bao cho cac
tramy to xa, phuong, thi tan teen dia ban Net thong tin lien quan den tinh an toan
dm thu6c chira warfarin;
- Phong Y to cac huyen, thi xa, thanh ph6 thong bao cho cac nha thuoc to
nha'n ya cac ca sa hanh nghe y to nhan tren dia ban Wet thong tin lien quan den tinh
an toan dm thuoc chira warfarin;
, - Cac C6ng ty dugc thong bao cho cac chi nhanh, quay thu6c, 4i VI tr,ong he
thong phan phoi dm minh Net thong tin lien quan den tinh an toan dm thuoc chira
warfarin;
- Cac don vi kinh doanh, sir dung thu6c tang cuemg thtrc hien yiec theo doi
tac dung khong mong muon ci, th4oc trong qua trif,th sir dung \fa km hank., Gui
bao coo ADR (neu co) ciia thuoc ye:, Trung tam quoc gia ye Thong tin thuoc, ya
Theo doi cac phan irng c6 h4i dm thuoc (13-15 Le Thanh Tong, Qulan Hoan Kiem,
Ha N6i) \fa Phong Nghiep vu dugc - So. Y tal

Nai nhem:
- Nhu tren;
,
- Website Si
e Y te;
- Luu: VT,P.NVD.
Gin van ban Oh va dien tir.


BO Y TE
CUC QUAN LY DUOC

CONG HOA XA HOI CHU NGHIA VIET NAM
DOc lap - Ty do — Hanh pluic
PHU LVC

Cac nai dung thay dOi/ bO sung dOi voi thaw chtia warfarin
(Dinh kern theo cong van s a5-151/QLD-DK ngay
Cyc Quan ly Azov)
[DOi voi tat ca cac thu6c chira warfarin, thong tin teen nhan thu6c va tar HDSD
can ducic bo sung de phan anh cac thong tin (lucre cung ca'Adueri day]
1. Canh bao va than trong
1...]
Chang calci hot: mach matt va hoai ter da (calciphylaxis)
Chimg calci hoa mach mau va hoai tir da (calciphylaxis) la h6i chimg hiem gap
va cc!, tS, le tir vong cao. H6i chimg nay thuang gap tren benh nhan berth than giai
clop cuOi co 19c mau hoac tren benh nhan co mOt so yeu to nguy ca nhu: thieu
hit protein C hoac S, tang phosphat mau, tang calci mau hoac ha albumin mau.
Cac tnrong hap calci h6a mach mau va hoai tir da da dirge ghi nhan teen ca benh
nhan sir di:mg warfarin lchong co benh Vi than. Trong truarng hap xay ra h6i chimg
nay, benh nhan can duvc xir tri thich hap va can nhic ngimg sir citing warfarin.

2. Tic dung khong mong maw
1...]
Chua r(3' tan such thy ra:
Chung calci Ma mach mau va hoai tir da (calciphylaxis) (xem them phan Canh
bao va than trcmg)
1...1
.1.