Mea Kākau: Clyde Lopez
Lā O Ka Hana: 20 Iulai 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2025
Anonim
Leflunomide (DMARD) pharmacology - mechanism of action, adverse effects and cholestyramine
Wikiō: Leflunomide (DMARD) pharmacology - mechanism of action, adverse effects and cholestyramine

Anter

Mai lawe i ka leflunomide inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Hoʻopilikia paha ʻo Leflunomide i ka fetus. ʻAʻole pono ʻoe e hoʻomaka i ka lawe ʻana i ka leflunomide a hiki i kou hōʻoia ʻana i ka hāpai ʻana me nā hopena maikaʻi ʻole a haʻi aku kāu kauka iā ʻoe ʻaʻole ʻoe hāpai. Pono ʻoe e hoʻohana i kahi hana kūpono o ka kaohi hānau ma mua o kou hoʻomaka ʻana i ka leflunomide, i kou wā e mālama ai me leflunomide, a no 2 mau makahiki ma hope o ka mālama ʻana. Inā lohi kou wā a hala paha ʻoe i kahi manawa i ka hoʻomaʻamaʻa ʻana me leflunomide, e kelepona koke i kāu kauka. E kamaʻilio me kāu kauka inā ʻoe e hoʻolālā e hāpai i loko o 2 mau makahiki ma hope o ka hōʻoki ʻana i ka mālama ʻana me leflunomide. Hiki i kāu kauka ke kauoha i kahi lāʻau e kōkua ai e hemo wikiwiki i kēia lāʻau mai kou kino.

Hoʻokumu paha ʻo Leflunomide i nā hōʻino o ke akepaʻa i hiki ke hoʻoweliweli i ke ola a hiki i ka make. ʻO ka makaʻu no ka hōʻino ʻana o ke ake ka mea nui i ka poʻe e lawe ana i nā lāʻau ʻē aʻe i ʻike ʻia e hōʻino ai i ke ake, a i ka poʻe i loaʻa i ka maʻi ate. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole he hepatitis a i ʻole kekahi ʻano maʻi maʻi ʻē aʻe a inā ʻoe e inu a inu paha i ka nui o ka waiʻona. E haʻi i kāu kauka a me ka mea kauka lāʻau inā ʻoe e lawe ana i ka acetaminophen (Tylenol, i loko o nā huahana ʻē aʻe i loaʻa ʻole), aspirin a me nā lāʻau anti-inflammative nonsteroidal (NSAID e like me ibuprofen [Advil, Motrin] a me naproxen [Aleve, Naprosyn], kolesterol - nā lāʻau hoʻomālamalama (statins), hydroxychloroquine, huahana hao, isoniazid (Laniazid, ma Rifamate, ma Rifater), methotrexate (Trexall), niacin (acid nicotinic), a i ʻole rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater). Inā ʻoe ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: nausea, luhi nui loa, kahe ʻana o ke kōkō a ʻeha paha, nele i ka ikaika, nalo o ka makemake ʻole, ʻeha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū, melemele o ka ʻili a me nā maka, ʻeleʻele-ʻeleʻele. mimi, a i ʻole nā ​​hōʻailona like flu.


E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ka leflunomide.

E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i ka leflunomide.

Hoʻohana hoʻokahi ʻia ʻo Leflunomide a i ʻole hui pū ʻia me nā lāʻau ʻē aʻe e mālama i ka rheumatoid arthritis (kahi ʻano e hoʻouka ai ke kino i kāna mau hui ponoʻī, e hōʻeha ai i ka ʻeha, pehu, a me ka nalo ʻana o ka hana). Aia ʻo Leflunomide i loko o ka papa o nā lāʻau i kapa ʻia ʻo nā lāʻau antirheumatic (DMARDs) e hoʻololi nei i nā maʻi. Hana ia ma ka hōʻemi ʻana i ka lī a me ka lohi o ka holomua o ke ʻano, hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka hoʻoikaika kino o ka poʻe me ka rheumatoid arthritis.

Hele mai ʻo Leflunomide ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā. E haʻi paha kāu kauka iā ʻoe e lawe i ka nui o ka leflunomide no nā lā mua 3 o ka mālama ʻana. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pololei i ka leflunomide. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


Pono paha kāu kauka e hōʻemi i kāu lāʻau a oki paha i ka lāʻau ʻana inā ʻike ʻoe i kekahi hopena ʻino loa. E haʻi pono i kāu kauka i kou ʻano i kou wā e mālama ai.

Hiki i ka Leflunomide ke kōkua i ke kaohi i nā ʻōuli o kou rheumatoid arthritis akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka leflunomide ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka leflunomide me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka leflunomide,

  • e haʻi i kāu kauka a me kāu kauka inā he maʻi ʻoe i ka leflunomide, teriflunomide (Aubagio), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā papa leflunomide. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i nā lāʻau i helu ʻia ma ka ʻĀINA Aʻoaʻo koʻikoʻi a me kekahi o kēia mau mea: anticoagulants ('blood thinners') e like me warfarin (Coumadin Jantoven); cholestyramine (Prevalite); nā hui gula e like me auranofin (Ridaura); nā lāʻau e mālama ai i ka maʻi ʻaʻai; nā lāʻau lapaʻau e kāohi i ka ʻōnaehana pale e like me azathioprine (Azasan, Imuran), cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), a me tacrolimus (Astagraf, Prograf); penicillamine (Cuprimine, Depen), a me tolbutamide. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi aku i kāu kauka inā ua loaʻa a loaʻa paha iā ʻoe nā maʻi ʻino a i ʻole inā loaʻa pinepine ʻoe i nā maʻi, maʻi ʻaʻai a i ʻole nā ​​ʻano ʻē aʻe e hoʻopili ana i ka iwi iwi a i ʻole ka ʻōnaehana pale (e like me ka maʻi maʻi maʻi kanaka (HIV) a loaʻa ʻia ka maʻi maʻi maʻi maʻi (AIDS]), diabetes, a maʻi maʻi ʻōpae paha.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. Mai hānai i ka wā e lawe ana ʻoe i ka leflunomide.
  • inā ʻoe e hoʻolālā i kahi makuakāne i kahi keiki, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hoʻōki ʻana i ka leflunomide a me ka loaʻa ʻana o kahi lāʻau e kōkua ai e lawe koke i kēia lāʻau mai kou kino.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu ʻona ʻoiai ʻoe e lawe nei i ka leflunomide.
  • Lawe paha ka leflunomide i kou hiki ke hakakā i ka maʻi maʻi. E haʻi i kāu kauka inā loaʻa ʻoe i kahi maʻi i kēia manawa a i ʻole he mau hōʻailona paha kou o ka maʻi e like me ke kuni, ka puʻu, a me nā hōʻailona like flu. Inā ʻoe e ʻike i kekahi o nā ʻōuli ma hope o kāu mālama ʻana me leflunomide, e kāhea i kāu kauka: fever; eha ka 'ā'ī; uā; nā hōʻailona like flu-like; ʻāpana o ka ʻili mehana, ʻulaʻula, pehu, a ʻeha paha; ʻeha, paʻakikī, a i ʻole ka mimi pinepine; aiʻole nā ​​hōʻailona ʻē aʻe o ka maʻi. Pono e hoʻopau ʻia kāu mālama ʻana me ka leflunomide inā loaʻa ʻoe i kahi maʻi.
  • Ua hele a maʻi paha ʻoe i ka maʻi palupalu (TB; kahi maʻi puʻuwai koʻikoʻi) akā ʻaʻole i loaʻa nā ʻōuli o ka maʻi. I kēia hihia, hiki i ka leflunomide ke hana i kou maʻi maʻi a ʻoi aku iā ʻoe e hoʻomohala i nā ʻōuli. E haʻi i kāu kauka inā loaʻa paha iā ʻoe ka TB, inā ua noho ʻoe a kipa paha i kahi ʻāina e maʻa mau ai ka TB, a i ʻole inā ua puni ʻoe i kekahi i loaʻa iā TB paha. Ma mua o kou hoʻomaka ʻana i kāu mālama ʻana me ka leflunomide, e hana ana kāu kauka i kahi hoʻāʻo ʻili e ʻike inā he TB kāu. Inā loaʻa iā ʻoe ka TB, e mālama kāu kauka i kēia maʻi me nā lāʻau ʻalopika ma mua o kou hoʻomaka ʻana e lawe i ka leflunomide.
  • ʻaʻohe o nā lāʻau āpau ke kamaʻilio ʻole ʻia me kāu kauka.
  • pono ʻoe e ʻike i ka leflunomide i kumu ke kiʻekiʻe o ke koko. Pono ʻoe e nānā i kou kaomi koko ma mua o ka hoʻomaka ʻana i ka lāʻau a me ka manawa mau iā ʻoe e lawe nei i kēia lāʻau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no kāu kaukona aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.


Hoʻokumu paha ʻo Leflunomide i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • pāhoehoe
  • ka luaʻi
  • puʻuwai puʻuwai
  • ʻeha poʻo
  • ʻūpā
  • Kaumaha emi
  • ʻeha kua
  • ʻehaʻeha a nāwaliwali paha
  • ʻeha, puhi ʻana, numbness, a ʻūlū paha i nā lima a me nā wāwae
  • poho lauoho
  • ʻūhā wāwae
  • ʻili maloʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻoaʻo PAIA a i ʻole KEKAHI MEA KĀKAHI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • hū me ka ʻole o ke kuni
  • hives
  • pālū a ʻili paha o ka ʻili
  • ʻeha nā waha
  • ʻūlili
  • paʻakikī i ka hanu ʻana
  • ʻūhū hou a i ʻole worsening paha
  • ʻeha ka umauma
  • ʻili mae

ʻO ka loaʻa ʻana o nā lāʻau e kāohi i ka ʻōnaehana pale e hoʻonui ai i ka makaʻu o ka hoʻomōhala ʻana i kekahi ʻano maʻi ʻaʻai. ʻAʻole i hōʻike ʻia ka hoʻonui ʻia ʻana o nā maʻi ʻaʻai i nā noiʻi maʻi me leflunomide a hiki i kēia lā. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka loaʻa ʻana o ka leflunomide.

Hoʻokumu paha ʻo Leflunomide i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mai ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua) a me nā kukui.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • pāhoehoe
  • ʻeha ka ʻōpū
  • luhi loa
  • nāwaliwali
  • ʻili mae
  • puʻuwai wikiwiki
  • pokole o ka hanu

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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