Atorvastatin
Anter
- Ma mua o ka lawe ʻana i ka atorvastatin,
- Hoʻokumu paha ʻo Atorvastatin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, e kāhea aku i kāu kauka a i ʻole e kiʻi koke i ke kōkua olakino pilikia.
Hoʻohana ʻia ʻo Atorvastatin me ka papaʻai, ka pohō kaumaha, a me ka hoʻoikaika kino e hoʻemi ai i ka hopena o ka puʻuwai puʻuwai a me ka hahau ʻana a e hoʻoliʻiliʻi i ka manawa e pono ai ka ʻoki puʻuwai ʻana i ka poʻe i loaʻa ka maʻi puʻuwai a i ʻole e makaʻu i ka maʻi maʻi puʻuwai. Hoʻohana ʻia ʻo Atorvastatin e hōʻemi i ka nui o nā mea momona e like me ka lipoprotein haʻahaʻa (LDL) kolesterol ('kolesterol maikaʻi') a me nā triglycerides i loko o ke koko a hoʻonui i ka nui o ka lipoprotein (HDL) kolona kiʻekiʻe ('kolesterol maikaʻi ') i loko o ke koko. Hiki ke hoʻohana pū ʻia ʻo Atorvastatin e hoʻoliʻiliʻi i ka nui o ka kolesterol a me nā mea momona ʻē aʻe i loko o ke koko i nā keiki a me nā ʻōpio 10 a 17 mau makahiki o ka makahiki i loaʻa iā he hyperooligemia heterozygous ʻohana (kahi ʻano hoʻoilina kahi hiki ʻole ke hemo ʻia ka cholesterol mai ke kino maʻamau). Aia ʻo Atorvastatin i kahi papa o nā lāʻau i kapa ʻia ʻo HMG-CoA reductase inhibitors (statins). Hana ia ma ka hoʻolohi ʻana i ka hana ʻana o ka kōkōkō i loko o ke kino e hōʻemi i ka nui o ka kolesterol e kūkulu ʻia ma nā paia o nā aʻa a ālai i ke kahe o ke koko i ka puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o ke kino.
ʻO ka hōʻuluʻulu ʻana o ka cholesterol a me nā momona ma nā paia o kou aʻa (kahi hana i ʻike ʻia ʻo atherosclerosis) e hoʻemi ana i ke kahe o ke koko a, no laila, hāʻawi ka oxygen i kou puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o kou kino ʻO ka hoʻohaʻahaʻa ʻana i kou kiʻekiʻe o ke kō o ka kolesterol a me nā momona me ka atorvastatin i hōʻike ʻia e pale aku ai i ka maʻi puʻuwai, angina (ʻeha o ka umauma), nā hahau, a me nā hōʻeha puʻuwai.
Hele mai ʻo Atorvastatin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. E lawe atorvastatin ma kahi o ka manawa like i kēlā me kēia lā. 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 pono i atorvastatin 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 hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa o atorvastatin a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 2 a 4 mau pule.
E hoʻomau i ka lawe atorvastatin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i atorvastatin 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 atorvastatin,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka atorvastatin, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa atorvastatin. 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i kekahi o kēia mau mea: nā lāʻau antifungal e like me itraconazole (Sporanox) a me ketoconazole (Nizoral); boceprevir (Victrelis); cimetidine (Tagamet); clarithromycin (Biaxin); nā lāʻau i loaʻa i ka cobicistat (Stribild); colchisin (Colcrys); digoxin (Lanoxin); efavirenz (Sustiva, i Atripla); nā pale pale waha (nā pā kaohi hānau); nā lāʻau hoʻohaʻahaʻa kolesterol e like me fenofibrate (Tricor), gemfibrozil (Lopid), a me ka niacin (acid nicotinic, Niacor, Niaspan); kekahi o nā mea kūpale protease HIV e like me darunavir (Prezista), fosamprenavir (Lexiva), lopinavir (i Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra), saquinavir (Invirase), a me tipranavir (Aptivus); nā lāʻau e kāohi i ka ʻōnaehana pale e like me cyclosporine (Neoral, Sandimmune); rifampin (Rifadin, Rimactane); spironolactone (Aldactone); a me telaprevir (Incivek). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. E launa pū paha nā lāʻau ʻē aʻe me atorvastatin, 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.
- e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi ate. E kauoha aku kāu kauka i nā hoʻokolohua ʻana i nā keʻena hoʻokolohua e ʻike i ke ʻano o ka maikaʻi o ka hana a kou ake a ʻoiai ʻaʻole ʻoe e manaʻo he maʻi ate kou. E haʻi paha kāu kauka iā ʻoe mai lawe i ka atorvastatin inā loaʻa a loaʻa paha iā ʻoe ka maʻi ate a i ʻole inā hōʻike ʻia nā hoʻokolohua ke ulu nei ʻoe i ka maʻi ate.
- e haʻi i kāu kauka inā inu ʻoe ma mua o 2 mau mea inu ʻona i kēlā me kēia lā, inā he 65 kou mau makahiki a ʻoi paha, inā ua loaʻa ʻoe i ka maʻi akepau, a inā he ʻehaʻeha a palupalu paha kāu. ka maʻi diabetes, ka hopu ʻana i ke koko haʻahaʻa, a i ʻole ka thyroid a me nā maʻi puʻupaʻa.
e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. ʻAʻole pono ʻoe e hāpai i ka wā e lawe ana ʻoe i atorvastatin. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hānau hiki iā ʻoe ke hoʻohana i kāu wā o kāu mālama ʻana. Inā hāpai ʻoe i ka lawe ʻana i atorvastatin, e hoʻōki i ka lawe ʻana i atorvastatin a kāhea koke aku i kāu kauka. Hoʻopilikia paha ʻo Atorvastatin i ka fetus.
mai hānai umauma ʻoiai ʻoe e lawe nei i kēia lāʻau.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i atorvastatin. Inā hoʻokipa ʻia ʻoe ma ka haukapila ma muli o ka hōʻeha nui a maʻi paha, e haʻi i ke kauka nāna ʻoe e mālama e lawe ana ʻoe i atorvastatin.
- e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe ana i ka atorvastatin. Hiki i ka waiʻona ke hoʻonui i ka hopena o nā hopena ʻino.
ʻAi i kahi papaʻai momona momona, momona momona. E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. Hiki iā ʻoe ke kipa aku i ka pūnaewele Cholesterol Education Program (NCEP) pūnaewele no ka ʻike pili i ka papaʻai ma http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.
Hōʻalo i ka inu ʻana i nā nui he nui [ʻoi aku ma mua o 1.2 lita (ma kahi o 1 quart) i kēlā me kēia lā] o ka wai kawa i ka wā e lawe ana i ka atorvastatin.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā he emi ia ma mua o 12 mau hola a hiki i kāu kau palena hope e hoʻolālā ʻia, 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 Atorvastatin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- puʻuwai puʻuwai
- ʻenekini
- ʻeha pū
- poina a hoʻomanaʻo hoʻi i ka lilo ʻana o ka hoʻomanaʻo
- huikau
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, e kāhea aku i kāu kauka a i ʻole e kiʻi koke i ke kōkua olakino pilikia.
- ʻeha ʻeha, palupalu, a nāwaliwali paha
- nele i ka ikaika
- fiva
- ʻeha ka umauma
- nausea
- luhi loa
- nāwaliwali
- kahe koko ʻole ʻana a palapū paha
- nalo ʻai ʻole
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- nā ʻōuli like flu
- mimi kala ʻeleʻele
- melemele o ka ʻili a me nā maka
- hūwī
- hives
- ʻūlili
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- 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
- hulahula
Hoʻokumu paha ʻo Atorvastatin 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 o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
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.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua lab i kāu mālama ʻana, keu hoʻi inā hoʻomohala ʻoe i nā ʻōuli o ka hōʻino o ke ake.
Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i atorvastatin.
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.
- Lipitor®
- ʻO Caduet® (i loaʻa ʻo Amlodipine, Atorvastatin)
- Liptruzet® (me Atorvastatin, Ezetimibe)