Nevirapine
Anter
- Ma mua o ka lawe ʻana i nevirapine,
- Hiki i ka Nevirapine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a hele ʻole paha:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hiki i ka Nevirapine ke kumu i ka hōʻino ʻana o ke ake nui i ke ola, nā hopena o ka ʻili, a me nā hopena maʻi. E haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi ake ake, ʻo ia hoʻi ʻo ka hepatitis B a i ʻole C. E haʻi paha kāu kauka iā ʻoe mai lawe i ka nevirapine. E haʻi pū aku i kāu kauka inā loaʻa ʻoe i ka hū a i ʻole ke ʻano ʻili ʻē aʻe ma mua o kou hoʻomaka ʻana i ka nevirapine. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hoʻōki i ka lawe ʻana i ka nevirapine a kāhea koke aku i kāu kauka: wīwī, keu hoʻi inā koʻikoʻi ia a hele pū paha me nā ʻōuli ʻē aʻe o kēia papa inoa; luhi nui loa; ka nele o ka ikaika a i ʻole ka nāwaliwali laulā; nausea; ka luaʻi; lilo o ka makemake ʻole; ʻeleʻele (tī ʻeleʻele) mimi; noho humuhumu; melemele o ka ʻili a i ʻole nā maka; ʻeha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū; fiva; puʻu ʻeha, haʻalulu, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi; nā hōʻailona like flu-like; ʻeha a ʻeha pū paha. pāhaʻa; ʻeha ka waha; ʻulaʻula a pehu paha nā maka; hives; ʻumeʻume; ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; hoarseness; a i ʻole paʻakikī i ka hanu ʻana a i ʻole ka ale ʻana.
Inā haʻi aku kāu kauka iā ʻoe e hōʻoki i ka lawe ʻana i ka nevirapine no ka mea he ʻili koʻikoʻi kou a i ʻole ka hopena o ke ake, ʻaʻole pono ʻoe e lawe hou i ka nevirapine.
E hoʻomaka kāu kauka iā ʻoe ma kahi haʻahaʻa o ka nevirapine a hoʻonui i kāu lāʻau ma hope o 14 mau lā. E hoʻēmi kēia i ka makaʻu e hoʻomohala ʻoe i ka hopena o ka ʻili koʻikoʻi. Inā hoʻomohala ʻoe i kekahi ʻano pehu a i ʻole kekahi o nā ʻōuli i helu ʻia ma luna ke lawe nei ʻoe i kahi lāʻau nevirapine haʻahaʻa, e kelepona koke aku i kāu kauka. Mai hoʻonui i kāu lāʻau a hiki i ka hala ʻana o kou ʻino a me nā ʻōuli.
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 nevirapine, keu hoʻi i nā hebedoma 18 mua o kāu mālama ʻana.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me nevirapine a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke loaʻa i ke alakaʻi lāʻau lapaʻau mai ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.
E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i nevirapine. Nui aʻe ka makaʻu e hoʻomohala ʻoe i ka hōʻino o ke ake i kou wā e mālama ai inā he wahine ʻoe a inā he helu CD4 kiʻekiʻe kāu (helu nui o kekahi ʻano maʻi e hakakā ana i ka cell i kou koko).
Hoʻohana ʻia ʻo Nevirapine me nā lāʻau ʻē aʻe e mālama ai i ka maʻi HIV (HIV) kanaka i nā mākua a me nā keiki he 15 mau makahiki a ʻoi paha. ʻAʻole pono e hoʻohana ʻia ʻo Nevirapine e mālama i nā limahana olakino a i ʻole nā kānaka ʻē aʻe i hōʻike ʻia i ka maʻi HIV ma hope o ka pili ʻana me ke koko i hoʻoweliweli ʻia me ka maʻi HIV. Aia ʻo Nevirapine i loko o ka papa o nā lāʻau i kapa ʻia nā non-nucleoside reverse transcriptase inhibitors (NNRTI). Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi HIV i loko o ke koko. ʻOiai ʻaʻole mālama ʻo nevirapine i ka maʻi HIV, hiki iā ia ke hōʻemi i kou manawa o ka hoʻomohala ʻia ʻana o ka maʻi maʻi maʻi (AIDS) a me nā maʻi e pili ana i ka maʻi HIV e like me nā maʻi nui a i ʻole ke kanesa. ʻO ka lawe ʻana i kēia mau lāʻau a me ka hoʻomaʻamaʻa ʻana i ka moekolohe ʻoi aku ka maikaʻi a me ka hoʻololi ʻana i ke ʻano ola ʻē aʻe e hōʻemi paha i ka lawe ʻana (hoʻolaha) i ka maʻi HIV i nā poʻe ʻē aʻe.
Hele mai ʻo Nevirapine ma ke ʻano he papa, kahi papa hoʻokuʻu hoʻokuʻu ʻia, a me kahi hoʻomaha (wai) e lawe i ka waha me ka ʻole o ka meaʻai. Lawe pinepine ʻia ka papa a me ka hoʻomaha ʻana i hoʻokahi manawa i ka lā no 2 mau pule a laila ʻelua manawa i ka lā ma hope o nā pule he 2 mua. Lawe pinepine ʻia ka papa hoʻolōʻihi ʻia i hoʻokahi lā i ka lā, ma hope o ʻelua mau pule o ka mālama ʻana me nā papa nevirapine mau a i ʻole ka hoʻomaha 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. Lawe pono i nevirapine e like me ke kuhikuhi. 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.
E ale i ka nevirapine me nā wai e like me ka wai, waiū, a i ʻole soda.
E ale i nā papa hoʻolōʻihi lōʻihi; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.
E hoʻoluliluli mālie i ka wai ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau. E hoʻohana i kahi kīʻaha dosing waha a i ʻole ka dring syringe e ana i kāu kau. ʻOi aku ka maikaʻi e hoʻohana i kahi syringe, keu hoʻi ma lalo o 5 mL (1 teaspoon) o kāu lāʻau. Inā ʻoe e hoʻohana i kahi kīʻaha dosing, inu mua i nā lāʻau āpau āu i ana ai i ke kīʻaha dosing. A laila e hoʻopihapiha i ke kīʻaha dosing me ka wai a inu i ka wai e ʻike pono i kou loaʻa ʻana o kāu kaha piha.
Mālama ʻo Nevirapine iā HIV akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe nevirapine ʻoiai ʻoe e manaʻo maikaʻi. Mai hoʻōki i ka lawe ʻana i nevirapine a i ʻole kekahi o nā lāʻau ʻē aʻe āu e lawe nei e mālama ai i ka maʻi HIV a i ʻole ke kōkua ʻole ʻia o kāu kauka. E haʻi aku paha kāu kauka iā ʻoe e hōʻoki i ka lawe ʻana i kāu lāʻau i loko o kekahi kaʻina. Inā ʻoe e nalo i nā lāʻau a oki paha i ka lawe ʻana i ka nevirapine, e lilo paha kāu ʻano i mea paʻakikī e mālama.
Inā ʻaʻole ʻoe e lawe i nevirapine no 7 mau lā a ʻoi aku paha, mai hoʻomaka hou e lawe me ka ʻole o ke kamaʻilio ʻana me kāu kauka. E hoʻomaka kāu kauka iā ʻoe ma kahi haʻahaʻa o nevirapine, a hoʻonui i kāu lāʻau ma hope o 2 mau pule.
Hoʻohana ʻia ʻo Nevirapine i kekahi manawa e pale aku i nā pēpē i hānau ʻole ʻia nona ka makuahine i loaʻa i ka maʻi HIV a i ʻole AIDS mai ka maʻi maʻi ʻana i ka wā hānau.
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 nevirapine,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka nevirapine a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai āu e lawe nei. E hoʻomaopopo pono e haʻi i kekahi o kēia mau mea: anticoagulants ('blood thinners') e like me warfarin (Coumadin); kekahi antifungals e like me fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), a me voriconazole (Vfend); pills kaohi hānau ke lawe ʻoe iā lākou no nā kumu ʻē aʻe ma mua o ka pale ʻana i ka hāpai keiki; nā poloka kalipuna e like me diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), a me verapamil (Calan, Covera, Isoptin, Verelan); clarithromycin (Biaxin); kekahi mau lāʻau chemotherapy chemotherapy e like me cyclophosphamide (Cytoxan); cisapride (Propulsid); cyclosporine (Neoral, Sandimmune); nā eralo alkaloids e like me ergotamine (Cafergot, Ercaf, nā mea ʻē aʻe); fentanyl (Duragesic, Actiq); nā lāʻau no ke kuʻi puʻuwai kūlike ʻole e like me amiodarone (Cordarone) a me disopyramide (Norpace); nā lāʻau no ka hopu ʻana e like me carbamazepine (Tegretol), clonazepam (Klonopin), a me ethosuximide (Zarontin); methadone (Dolophine), nā lāʻau ʻē aʻe no ka HIV a me ka AIDS e like me amprenavir (Agenerase), atazanavir (Reyataz), efavirenz (Sustiva), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir a me ritonavir hoʻohui (Kaletra), nelfinavir (Viracept) , a me saquinavir (Fortovase, Invirase); prednisone (Deltasone); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); sirolimus (Rapamune); a me tacrolimus (Prograf). Nui paha nā lāʻau ʻē aʻe e launa pū me nevirapine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono paha iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka a me kāu kauka lāʻau he aha nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
- e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi puʻupaʻa, keu hoʻi inā mālama ʻia ʻoe me ka dialysis (lapaʻau e hoʻomaʻemaʻe i ke koko ma waho o ke kino ke holo maikaʻi ʻole nā puʻupaʻa).
- e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i nevirapine, e kāhea i kāu kauka. ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a ke lawe nei ʻoe i nevirapine.
- pono ʻoe e ʻike i kēia lāʻau i hoʻemi ʻia ka momona i nā wahine. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i kēia lāʻau inā loaʻa iā ʻoe kahi hopohopo e pili ana i ka momona.
- pono ʻoe e ʻike i ka momona o kou kino e hoʻonui a neʻe paha i nā wahi ʻē aʻe o kou kino e like me kou pūhaka, luna o luna, ʻāʻī ('' buffalo hump ''), nā umauma, a puni kou ʻōpū. ʻIke paha ʻoe i ka nalo ʻana o ka momona o ke kino mai kou alo, mau wāwae, a me kou mau lima.
- pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kāu ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i hala i kou kino a i ʻole e hana i nā hanana ʻē aʻe. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi a i ʻole nā kūlana. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha i ka wā o kou mālama ʻana me nevirapine, e ʻike pono e haʻi aku i kāu kauka.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope 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.
Hiki i ka Nevirapine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a hele ʻole paha:
- ʻeha poʻo
- pāhoehoe
- ʻeha ka ʻōpū
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o nā ʻōuli i helu ʻia i ka ʻĀINA WAIWAI, e kāhea koke i kāu kauka.
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 o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
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
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.
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:
- ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- ʻeha ʻulaʻula ʻeha ma ka ʻili
- luhi nui loa
- fiva
- ʻeha poʻo
- paʻakikī e hiamoe a hiamoe paha
- nausea
- ka luaʻi
- hūwī
- ʻūpā
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.
Inā ʻoe e lawe i nā papa hoʻokuʻu lōʻihi, ʻike paha ʻoe i kahi mea e like me ka papa i loko o kāu pahu. ʻO kēia wale nō ka pūpū papa hakahaka, a ʻaʻole ia he manaʻo ʻaʻole i loaʻa iā ʻoe kāu kauka piha o ka lāʻau.
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.
- Viramune®
- Viramune® XR