Alendronate

Anter

• ʻAʻole hiki ke hana pono ʻo Alendronate a hōʻino paha i ka esophagus (paipu ma waena o ka waha a me ka ʻōpū) a i ʻole ke kumu e ʻeha ai ka waha inā ʻaʻole lawe ʻia e like me nā ʻōlelo aʻoaʻo aʻe. E haʻi i kāu kauka inā ʻaʻole ʻoe e maopopo, ʻaʻole ʻoe e noʻonoʻo e hoʻomanaʻo ʻoe, a i ʻole hiki ʻole iā ʻoe ke hāhai i kēia mau ʻōlelo aʻo.
• Ma mua o ka lawe ʻana i ka alendronate,
• Hoʻokumu paha ʻo Alendronate 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. Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻĀLU MAKAHIKI kūikawā, e kāhea koke i kāu kauka ma mua o kou lawe ʻana i kahi alendronate hou:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hoʻohana ʻia ʻo Alendronate e mālama a pale aku i ka osteoporosis (kahi ʻano e lahilahi a nāwaliwali ai nā iwi a haki maʻalahi) i nā wahine i loaʻa i ka menopause ('' ka loli o ke ola, '' ka hopena o nā manawa menstrual) a mālama i ka osteoporosis i nā kāne. Hoʻohana ʻia ʻo Alendronate e mālama i ka osteoporosis i nā kāne a me nā wahine e lawe nei i nā corticosteroids (kahi ʻano o ka lāʻau i hiki ke hana i ka osteoporosis i kekahi mau maʻi). Hoʻohana ʻia ʻo Alendronate e mālama i ka maʻi o Paget o ka iwi (kahi ʻano palupalu a nāwaliwali nā iwi a hemahema paha, ʻeha, a haki ʻole ʻia paha). Aia ʻo Alendronate i kahi papa o nā lāʻau i kapa ʻia bisphosphonates. Hana ia ma ka pale ʻana i ka haʻihaʻi iwi a me ka hoʻonui ʻana i ka iwi iwi (mānoanoa).

Hele mai ʻo Alendronate ma ke ʻano he papa, he papa eff effescentcent, a me kahi hopena (wai) e lawe ma ka waha. Lawe pinepine ʻia ka hopena ma kahi ʻōpū nele i hoʻokahi manawa i ka pule i ke kakahiaka. Lawe pinepine ʻia nā kīʻaha 5-mg a me 10-mg i ka ʻōpū nele i hoʻokahi manawa i kēlā me kēia lā i ke kakahiaka, a lawe pinepine ʻia nā 35-mg a me 70-mg i ka ʻōpū nele i hoʻokahi manawa i ka pule i ke kakahiaka. Lawe pinepine ʻia nā papa 40-mg i hoʻokahi manawa i ka lā i ke kakahiaka no ʻeono mau mahina e mālama ai i ka maʻi o Paget o ka iwi. Lawe pinepine ʻia nā papa eff effcentcent ma ka ʻōpū hakahaka i kēlā me kēia pule i ke kakahiaka. 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 ke alendronate 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.

ʻAʻole hiki ke hana pono ʻo Alendronate a hōʻino paha i ka esophagus (paipu ma waena o ka waha a me ka ʻōpū) a i ʻole ke kumu e ʻeha ai ka waha inā ʻaʻole lawe ʻia e like me nā ʻōlelo aʻoaʻo aʻe. E haʻi i kāu kauka inā ʻaʻole ʻoe e maopopo, ʻaʻole ʻoe e noʻonoʻo e hoʻomanaʻo ʻoe, a i ʻole hiki ʻole iā ʻoe ke hāhai i kēia mau ʻōlelo aʻo.

• Pono ʻoe e lawe i ka alendronate ma hope o kou puka ʻana i waho o kahi moe i kakahiaka, ma mua o kou ʻai ʻana a inu paha i kekahi mea. Mai lawe alendronate i ka wā moe a ma mua o kou ala ʻana a hele i waho o kahi moe no ka lā.
• Ma hope o kou lawe ʻana i ka alendronate, mai ʻai, inu, a i ʻole lawe i nā lāʻau ʻē aʻe (e like me nā huaora a i ʻole nā ​​antacids) no 30 mau minuke. Mai moe i lalo no 30 mau minuke ma hope o kou lawe alendronate. Noho kū a kū i luna a hala he 30 mau minuke i hala a ʻai ʻoe i kāu meaʻai mua o ka lā.
• Inā ʻoe e lawe i nā papa alendronate, e ale i ka papa me ke aniani piha (6 a 8 auneke [180 a 240 mL]) o ka wai maʻamau. Mai lawe i nā papa alendronate me ke kī, kope, wai, waiū, wai mineral, wai inu, a i ʻole nā ​​wai ʻē aʻe ma mua o ka wai maʻamau. E ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, nau aʻe a wāwahi paha iā lākou. Mai omo i nā papa.
• Inā ʻoe e lawe i ka hopena alendronate waha, inu ma ka liʻiliʻi he 2 auneke (60 milliliter [1/4 kīʻaha]) o ka wai ma hope o ka lawe ʻana i ka hopena alendronate waha. Mai lawe i ka hopena alendronate me ke kī, kope, wai, waiū, wai mineral a me nā wai aniani, a i ʻole nā ​​wai ʻē aʻe ma mua o ka wai maʻamau.
• Inā ʻoe e lawe i nā papa effendcent alendronate, e hoʻonā i kahi papa eff effercentcent i loko o ke kīʻaha piha (4 auneke [120 milliliters]) o ka wai inu ʻoluʻolu ʻole ʻia ma mua o ka inu ʻana. Mai hoʻopau loa i nā papa effendcent alendronate me ke kī, kope, wai, waiū, wai mineral, wai inu, a i ʻole nā ​​wai ʻē aʻe ma mua o ka wai maʻamau. E kali ma ka liʻiliʻi he 5 mau minuke ma hope o ka pau ʻana o ka effarescence, e hoʻoulu i ka hopena no 10 kekona a inu iā ia. Mai ale, omo, a nau wale i nā papa eff effetcentcent.

Mālama ʻo Alendronate i ka osteoporosis a me ka maʻi o Paget o ka iwi akā ʻaʻole ia e hoʻōla i kēia mau ʻano. E 3 mahina paha a ʻoi paha ka lōʻihi ma mua o ka hoʻomaka ʻana o ka hoʻonui ʻia o kou iwi. Kōkua ʻo Alendronate e mālama a pale i ka osteoporosis ʻoiai ke lawe mau ʻia ia. E hoʻomau i ka lawe alendronate ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka alendronate me ke kamaʻilio ʻole ʻana me kāu kauka, akā e kamaʻilio me kāu kauka mai kēlā me kēia manawa e pili ana inā pono ʻoe e alendronate.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

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 alendronate,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka alendronate 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, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E hoʻomaopopo pono e haʻi i kekahi o kēia mau mea: angiogenesis nā mea kāohi e like me bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), a sunitinib (Sutent); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Ibu-Tab, Motrin, a me nā mea ʻē aʻe) a me naproxen (Aleve, Naprelan, Naprosyn, a me nā mea ʻē aʻe); chemotherapy maʻi ʻaʻai; aiʻole nā ​​steroid oral e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• inā ʻoe e lawe i nā lāʻau ʻē aʻe e like me nā mea hoʻopiha, nā wikamina, a i ʻole nā ​​antacids e ka waha, lawe iā lākou ma kahi o 30 mau minuke ma hope o kou lawe ʻana i ka alendronate.
• e haʻi i kāu kauka inā ʻaʻole hiki iā ʻoe ke noho kū aʻe a kū pololei paha ma kahi o 30 mau minuke, inā loaʻa a loaʻa paha iā ʻoe kahi pae calcium liʻiliʻi i loko o kou koko, kahi makaʻu o ka hanu ʻana i ka meaʻai a i ʻole nā ​​wai i loko o nā akemāmā, a inā ʻoe he mau pilikia me kāu esophagus. E haʻi paha kāu kauka iā ʻoe ʻaʻole pono ʻoe e lawe alendronate.
• e haʻi i kāu kauka inā e hele ana i kahi radiation radiation a i ʻole inā aia ʻoe i ka papa hana sodium-kapu (inā e lawe ana i nā papa eff effcentcent); a inā he anemia paha kāu a i ʻole (ke ʻano i lawe ʻole ʻia nā hunaola ʻulaʻula i nā ʻāpana āpau o ke kino); kahi pae haʻahaʻa o ka wikamina D i kou kino; pilikia i ka ale ʻana; puʻuwai puʻuwai; ulcer a i ʻole nā ​​ʻōpū ʻōpū; maʻi ʻaʻai; kekahi ʻano maʻi, ʻoi loa i kou waha; nā pilikia me kou waha, nā niho, a me nā kāʻei i kēlā me kēia ʻano e hōʻoki ana i kou koko mai ka hoʻopili ʻana maʻamau; aiʻole ka maʻi niho a ʻino paha.
• e haʻi i kāu kauka inā hāpai ʻoe a hānai umauma paha. E haʻi aku i kāu kauka inā ʻoe e hoʻolālā e hāpai i kēlā me kēia manawa i ka wā e hiki mai ana, no ka mea e noho ka alendronate i kou kino no nā makahiki he nui ma hope o kou haʻalele ʻana i ka lawe. Kāhea i kāu kauka inā hāpai ʻoe i ka wā a ma hope paha o kāu mālama ʻana.
• pono ʻoe e ʻike he hiki i ka alendronate ke kumu i ka osteonecrosis o ka ʻāʻī (ONJ, kahi kūlana koʻikoʻi o ka iwi ā), keu hoʻi inā he ʻoki niho ʻoe a i ʻole ke mālama ʻana ʻoiai ʻoe e lawe nei i ka lāʻau. Pono kahi kauka niho e nānā i kou mau niho a hana i nā hana e pono ai, e like me ka hoʻomaʻemaʻe a me ka hoʻoponopono ʻana i nā niho pono ʻole, ma mua o kou hoʻomaka ʻana e alendronate. E nānā pono e palaki i kou mau niho a hoʻomaʻemaʻe i kou waha pono ʻoiai ʻoe e alendronate. E kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana o nā lāʻau lapaʻau iā ʻoe e lawe nei i kēia lāʻau.
• pono ʻoe e ʻike ʻo ka alendronate ke kumu o ka iwi nui, nā mākala, a me nā ʻeha pū. Hoʻomaka paha ʻoe e ʻeha i kēia ʻeha i loko o nā lā, mau mahina, a mau makahiki paha ma hope o kou lawe mua ʻana i ka alendronate. ʻOiai ʻo kēia ʻano ʻeha e hoʻomaka paha ma hope o kou lawe ʻana i ka alendronate no kekahi manawa, he mea nui ia no ʻoe a me kāu kauka e hoʻomaopopo ai ma muli o alendronate. Kāhea koke i kāu kauka inā ʻike ʻoe i ka ʻehaʻeha loa i kēlā me kēia manawa i kāu mālama ʻana me alendronate. E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka alendronate a hele aku paha kou ʻeha ma hope o kou hoʻōki ʻana i ka lawe ʻana i ka lāʻau.
• e kamaʻilio me kāu kauka e pili ana i nā mea ʻē aʻe hiki iā ʻoe ke hana e pale aku ai i ka osteoporosis mai ka hoʻomohala ʻana a i ʻole ka hōʻino ʻana. E haʻi paha kāu kauka iā ʻoe e hōʻalo i ka puhī ʻana a me ka inu ʻana i ka nui o ka waiʻona a e hāhai i kahi papahana maʻamau o ka hoʻoikaika kino.

Pono ʻoe e ʻai a inu i ka nui o nā meaʻai a me nā mea inu i waiwai i ka calcium a me ka huaola D ʻoiai ʻoe e alendronate. E haʻi aku kāu kauka iā ʻoe i nā meaʻai a me nā mea inu i kūpono i kēia mau meaola a me ka nui o nā lawelawe āu e pono ai i kēlā me kēia lā. Inā paʻakikī ʻoe e ʻai lawa i kēia mau meaʻai, e haʻi i kāu kauka. I kēlā hihia, hiki i kāu kauka ke kauoha a koi paha i kahi mea hoʻopiha.

Inā ʻoe e nalo i kahi mahele o alendronate hoʻokahi-i kēlā me kēia lā, mai lawe ia ma hope i ka lā. Hōʻalo i ka lāʻau i hala a lawe i hoʻokahi mahele i ke kakahiaka aʻe e like me ka mau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Inā ʻoe e nalo i kahi mahele o alendronate hoʻokahi pule, lawe i ka lāʻau ma ke kakahiaka ma hope o kou hoʻomanaʻo. A laila hoʻi i ka lawe ʻana i hoʻokahi mahele lāʻau hoʻokahi i kēlā me kēia pule ma kāu lā i hoʻonohonoho mau ʻia. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala, a mai lawe i hoʻokahi lāʻau i hoʻokahi lā.

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

• nausea
• ʻeha ka ʻōpū
• kōpaʻa
• pāhoehoe
• ʻenekini
• bloating a piha paha i loko o ka ʻōpū
• hoʻololi i ka hiki ke ʻono i ka meaʻai
• ʻeha poʻo
• ʻūpā
• pehu o nā hono, nā lima, a me nā wāwae
• spasms Muscle, twitches, a i ʻole ke ʻūlū

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻĀLU MAKAHIKI kūikawā, e kāhea koke i kāu kauka ma mua o kou lawe ʻana i kahi alendronate hou:

• puʻuwai puʻuwai hou a ʻoi aku paha
• paʻakikī i ka ale ʻana
• ʻeha i ka ale ʻana
• ʻeha ka umauma
• luaʻi koko a luaʻi paha e like me ke kahua kope
• ʻeleʻele, hoʻolōʻihi, a i ʻole nā ​​noho noho koko
• fiva
• pālū a ʻiliʻili paha
• hū (e hōʻino ʻia e ka lā)
• ʻūlili
• hives
• pehu o nā maka, maka, lehelehe, alelo, a puʻu paha
• paʻakikī i ka hanu ʻana
• hulahula
• gums ʻeha a pehu paha
• ka hemo ʻana o nā niho
• ʻōniu a kaumaha paha i ka ā ā
• hoʻōla maikaʻi ʻole o ka iwi ā
• ʻeha ka maka
• puʻupuʻu, ʻeha ʻeha ma nā pūhaka, ʻūlū, a i ʻole nā ​​ʻūhā

Lawe i ka lāʻau bisphosphonate e like me alendronate no ka osteoporosis e hoʻonui i ka makaʻu e haki ʻoe i kou iwi ʻūhā. ʻIke paha ʻoe i ka ʻeha ma kou pūhaka, ʻūlū, a me nā ʻūhā no mau pule a i ʻole mau mahina ma mua o ka haki ʻana o ka iwi, a ʻike paha ʻoe ua haki kekahi o nā iwi o kou ʻūhā ʻoiai ʻaʻole ʻoe i hāʻule a i ʻole ʻike i kekahi ʻeha ʻē aʻe. He mea maʻamau ʻole ka haki ka iwi o ka ʻūhā i ka poʻe olakino, akā ʻo ka poʻe i loaʻa ka osteoporosis e haki paha i kēia iwi inā ʻaʻole lākou e lawe i ka alendronate. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe alendronate.

Hoʻokumu paha ʻo Alendronate 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. Mai hoʻopili i ka hopena alendronate.

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.

Inā loaʻa ka overdose, e hāʻawi i ka mea i loaʻa i ke kīʻaha piha o ka waiū a kāhea i kāu kikowaena lāʻau make kūloko ma 1-800-222-1222. Inā ua hiolo ka mea i hōʻino ʻia a ʻaʻole hanu paha, e kāhea i nā lawelawe kūloko kūloko ma 911. Mai ʻae i ka mea i hōʻino ʻia e moe i lalo a mai hoʻāʻo e hoʻolawa i ka mea i hōʻino ʻia.

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

• puʻuwai puʻuwai
• nausea
• ʻeha ka ʻōpū
• luaʻi koko a luaʻi paha e like me ke kahua kope
• pilikia i ka ale ʻana a i ʻole ka ʻeha ke ale
• nā noho koko a ʻeleʻele a tarry

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

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.

• ʻO Binosto^®
• ʻO Fosamax^®

• ʻO Fosamax^® Pākuʻi D (nona ka Alendronate, Cholecalciferol)