Nā mea hōʻoluʻolu ʻāpala over-the-counter

Hiki i nā mea hōʻoluʻolu over-the-counter (OTC) ke hōʻoluʻolu i ka ʻeha a hoʻohaʻahaʻa paha i kahi kuni. ʻO ke kumu kūʻai over-the-counter hiki iā ʻoe ke kūʻai i kēia mau lāʻau me ka ʻole o ka lāʻau.

ʻO nā ʻano maʻamau o ka lāʻau ʻeha OTC ka acetaminophen a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs).

Kapa ʻia nā lāʻau ʻeha ʻo analgesics. Loaʻa nā pōmaikaʻi a me nā pilikia i kēlā me kēia ʻano lāʻau ʻeha. ʻOi aku ka maikaʻi o ka pane ʻana o kekahi ʻano ʻeha i kekahi ʻano lāʻau ma mua o kekahi ʻano. ʻO ka mea e lawe aku i kou ʻeha ʻaʻole paha e hana no haʻi.

ʻO ka lawe ʻana i nā lāʻau ʻeha ma mua o ka hoʻoikaika ʻana ua maikaʻi. Akā mai hana nui i ka hoʻoikaika kino ma muli o kou lawe ʻana i ka lāʻau.

E heluhelu i nā lepili e aʻo ai i ka nui o nā lāʻau i hiki iā ʻoe ke hāʻawi i kāu keiki i hoʻokahi manawa a i ka lā holoʻokoʻa. ʻIke ʻia kēia ʻo ke ana. E kamaʻilio me kāu kauka lāʻau lapaʻau a i ʻole ke kahu mālama ola o kāu keiki inā ʻaʻole ʻoe e maopopo e pili ana i ka nui kūpono. Mai hāʻawi i nā keiki i ka lāʻau i pono ai no nā mākua.

Nā ʻōlelo aʻoaʻo ʻē aʻe no ka lawe ʻana i nā lāʻau ʻeha.

• Inā lawe ʻoe i nā mea hōʻoluʻolu ʻeha i nā lā he nui, e haʻi i kāu mea hāʻawi. Pono ʻoe e kiaʻi ʻia no nā hopena ʻaoʻao.
• Mai lawe i nā mea i koi ʻia ma ka ipu a ʻoi aku paha ma mua o ka mea a kāu mea lawelawe e ʻōlelo ai.
• E heluhelu i nā ʻōlelo aʻoaʻo ma ka lepili ma mua o ka lawe ʻana i ka lāʻau.
• E mālama palekana i ka lāʻau. E hōʻoia i nā lā ma nā ipu lāʻau e ʻike i ka wā e hoʻolei ai ʻoe iā lākou.

ACETAMINOPHEN

ʻIke ʻia ʻo Acetaminophen (Tylenol) ma ke ʻano he mea hoʻomaha ʻeha ʻole aspirin. ʻAʻole ia he NSAID, i wehewehe ʻia ma lalo nei.

• Hoʻomaha ʻo Acetaminophen i ke kuni a me nā poʻo poʻo, a me nā ʻeha a me nā ʻeha maʻamau. ʻAʻole ia e hoʻomaha i ka pehu.
• ʻAʻole kumu kēia lāʻau i nā pilikia o ka ʻōpū e like me nā lāʻau ʻeha ʻē aʻe. ʻOi aku ka palekana no nā keiki. Paipai pinepine ʻia ka Acetaminophen no ka ʻehaʻeha ma muli o ka loaʻa ʻana o nā hopena ʻē aʻe ma mua o nā lāʻau ʻeha ʻē aʻe.
• ʻO nā laʻana o nā inoa OTC o acetaminophen ʻo Tylenol, Paracetamol, a me Panadol.
• ʻO Acetaminophen i kuhikuhi ʻia e ke kauka he lāʻau lapaʻau ʻoi aku ka ikaika. Hoʻohui pinepine ʻia me kahi mea narcotic.

OLELO HOOLAHA

• ʻAʻole pono nā mākua e lawe ma mua o 3 gram (3,000 mg) o ka acetaminophen i hoʻokahi lā. Hiki i nā nui ke hōʻeha i kou ake. Hoʻomanaʻo e like ka like o ka 3 gram me 6 mau pika ikaika keu a i ʻole 9 mau pila maʻamau.
• Inā ʻoe e ʻimi nei i ka lāʻau ʻeha i kuhikuhi ʻia e kāu mea hāʻawi, e kamaʻilio me kāu mea lawelawe a kauka paha ma mua o ka lawe ʻana i kekahi acetaminophen OTC
• No nā keiki, e hāhai i nā ʻōkuhi no ka nui loa i loaʻa i kāu keiki i ka lā hoʻokahi. Kāhea i ka hāʻawi o kāu keiki inā ʻaʻole maopopo iā ʻoe e pili ana i nā ʻōkuhi.

NSAIDA

• Hoʻomaha ʻo NSAID i ke kuni a me ka ʻeha. Hoʻoemi lākou i ka pehu ʻana mai ka maʻi kōkō a i ʻole ka puʻupuʻu a i ʻole ke kanana.
• Ke lawe ʻia no kahi manawa pōkole (ʻaʻole i ʻoi aku ma mua o 10 mau lā), palekana nā NSAID no ka hapa nui o ka poʻe.
• Hiki ke kūʻai ʻia i kekahi mau NSAID ma luna o ka pā, e like me aspirin, ibuprofen (Advil, Motrin), a me naproxen (Aleve, Naprosyn).
• Kau ʻia nā NSAID ʻē aʻe e kāu mea hāʻawi.

OLELO HOOLAHA

• MAI hāʻawi i ka aspirin i nā keiki. Hiki ke hana ʻo Reye Syndrome ke hoʻohana ʻia ka aspirin e mālama i nā keiki i loaʻa i nā maʻi viral, e like me ka moa a me ka flu.

E kamaʻilio i kāu mea lawelawe a kauka paha ma mua o ka hoʻohana ʻana i kahi NSAID ma kahi kūʻai inā ʻoe:

• Loaʻa i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, a i ʻole ka ʻōpū a i ʻole ke kahe o ke kahe digestive.
• E lawe i nā lāʻau ʻē aʻe, ʻoi aku ka lahilahi o ke koko e like me warfarin (Coumadin), clopidogrel (Plavix), apixiban (Eliquis), dabigatran (Pradaxa), a i ʻole rivaroxaban (Xarelto).
• Ke lawe nei i nā NSAID i kuhikuhi ʻia e kāu mea hāʻawi, e like me celecoxib (Celebrex) a i ʻole nabumetone (Relafen).

Nā lāʻau no ka ʻeha ʻole narcotic; Nā lāʻau no ka ʻeha ʻole narcotic; Analgesics; Acetaminophen; NSAID; Lāʻau lapaʻau anti-inflammatory nonsteroidal; Lapaʻau ʻeha - over-the-counter; Lapaʻau ʻeha - OTC

• Nā lāʻau ʻeha

Aronson JK. Nā lāʻau anti-inflammatory non-steroidal (NSAIDs). I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 236-272.

Dinakar P. Nā kumu o ka mālama ʻeha. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 54.