ʻO Tacrolimus

Anter

• Ma mua o ka lawe ʻana i ka tacrolimus,
• Hoʻokumu paha ʻo Tacrolimus 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 kēia mau ʻōuli, a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hāʻawi wale ʻia ʻo Tacrolimus ma lalo o ka nānā ʻana a ke kauka i ʻike i ka mālama ʻana i ka poʻe i loaʻa kahi hoʻoliʻiliʻi a me ke kuhikuhi ʻana i nā lāʻau e hōʻemi i ka hana o ka ʻōnaehana pale.

Hoʻoemi ʻo Tacrolimus i ka hana o kāu ʻōnaehana pale. Hiki i kēia ke hoʻonui i ka makaʻu e loaʻa ʻoe i kahi maʻi maʻi nui. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ʻeha ka ʻāʻī; uā; kuni; luhi loa; nā hōʻailona like flu-like; mahana, ʻulaʻula, a ʻeha ʻeha paha; aiʻole nā ​​hōʻailona ʻē aʻe o ka maʻi.

Ke hana maʻamau ʻole kāu ʻōnaehana pale, aia paha iʻoi aku ka nui o ka makaʻu e hoʻomohala ʻoe i ka maʻi ʻaʻai, ʻo ia hoʻi ka lymphoma (kahi ʻano maʻi ʻaʻai e hoʻomaka i nā hunaola o ka ʻōnaehana pale. ʻO ka lōʻihi o kou lawe ʻana i ka tacrolimus a i ʻole nā ​​lāʻau ʻē aʻe e hōʻemi ana i ka hana o ka ʻōnaehana paleʻea, a ʻo ke kiʻekiʻe o kāu kau o kēia mau lāʻau, ʻoi aku ka nui o kēia pilikia. Inā ʻike ʻoe i kekahi o nā ʻōuli o ka lymphoma, e kāhea koke aku i kāu kauka: pehu nā lymph node i ka ʻāʻī, nā ʻāpana lima, a i ʻole ke ʻūlū; Kaumaha emi; kuni; sweats po; ka luhi nui a nawaliwali paha; uā; pilikia hanu; ʻeha ka umauma; a i ʻole ʻeha, pehu, a i ʻole piha i loko o ka ʻōpū.

Ua hōʻike ʻia nā noiʻi i loaʻa i nā wahine i loaʻa kahi hoʻoliʻiliʻi ate a ke lawe nei i nā capsule hoʻolōʻihi ʻia ʻo tacrolimus (Astagraf XL) me ka nui o ka make. ʻAʻole ʻae ʻia e ka FDA e kāpae i ka rejection (hoʻouka o kahi mea kanu i hoʻoulu ʻia e ka ʻōnaehana pale o ke kanaka e loaʻa ana ka ʻāpana) o kahi transplant i ke ake.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i ka tacrolimus.

Hoʻohana ʻia ʻo Tacrolimus (Astagraf XL, Envarsus XR, Prograf) me nā lāʻau ʻē aʻe e pale aku ai i ka hōʻole (hoʻouka kaua ʻana i kahi ʻōnaehana i neʻe ʻia e ka ʻōnaehana pale o ke kanaka e loaʻa ana ka ʻāpana) i ka poʻe i loaʻa i kahi transplant kidney. Hoʻohana pū ʻia ʻo Tacrolimus (Prograf) me nā lāʻau ʻē aʻe e pale aku ai i ka hōʻole ʻana i ka poʻe i loaʻa i ke ake a i ʻole ka hoʻoliʻiliʻi naʻau. Aia ʻo Tacrolimus i loko o ka papa o nā lāʻau i kapa ʻia ʻo immunosupressants. Hana ia ma ka hoʻoliʻiliʻi ʻana i ka hana o ka ʻōnaehana pale e pale iā ia mai ka hoʻouka ʻana i ka mea kanu i kanu ʻia.

Hele mai ʻo Tacrolimus ma ke ʻano he capsule, granules no ka wehe waha (e hui ʻia me ka wai), kahi capsule hoʻolōʻihi (hana lōʻihi), a me kahi papa hoʻolōʻihi hoʻolōʻihi ʻia e ka waha. ʻO nā capsule hoʻokuʻu koke (Prograf) a me ka hoʻomaha waha (Prograf) e lawe ʻia i ʻelua mau manawa i ka lā (12 mau hola ke kaʻawale). Hiki paha iā ʻoe ke lawe i nā capsule hoʻokuʻu koke a hoʻokuʻu ʻia me ka waha me ka ʻole o ka meaʻai, akā e mālama pono e like me kēlā me kēia manawa. Lawe pinepine ʻia nā capsule hoʻolōʻihi (Astagraf XL) a i ʻole nā ​​papa hoʻolōʻihi (Envarsus XR) i kēlā me kēia kakahiaka ma ka ʻōpū hakahaka ma ka liʻiliʻi o 1 hola ma mua a i ʻole kakahiaka ma mua o 2 mau hola ma hope o ka ʻaina kakahiaka. Lawe iā tacrolimus i ka manawa like (s) 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 pololei i ka tacrolimus. 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.

Inā ʻoe e lawe nei i nā granula no ka hoʻomaha waha, pono ʻoe e kāwili me ka wai wela o ka lumi ma mua o ka hoʻohana. E kau i ka 1 i ka 2 punetēpu (15 a 30 mau mililiter) o ka wai i loko o ke kīʻaha i piha i nā granula. Hoʻohui i nā mea a laila lawe koke i ka hui ʻana e ka waha mai ke kīʻaha a i ʻole me kahi syringe waha. mai mālama i ka hui ʻana no kekahi manawa ma hope. ʻAʻole e hoʻopau loa nā granula. Inā koe kekahi o nā hui, e hoʻohui i 1 i 2 punetēpu (15 a 30 mau mililiter) o ka wai i ka hui a lawe koke.

E ale i nā capsule hoʻolōʻihi a hoʻonui ʻia me ka wai holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou. Mai wehe i nā capsule hoʻokuʻu koke,

E nānā pono kāu kauka iā ʻoe a hoʻoponopono i kāu lāʻau e pono ai. E kamaʻilio pinepine i kāu kauka e pili ana i kou ʻano i kou wā e mālama ai. E nīnau i kāu kauka inā he nīnau kāu e pili ana i ka nui o ka tacrolimus āu e lawe ai.

Hoʻokuʻu nā huahana tacrolimus ʻokoʻa i ka lāʻau i ʻokoʻa i kou kino a ʻaʻole hiki ke hoʻohana ʻia me ka loli. Lawe wale i ka huahana tacrolimus i kuhikuhi ʻia e kāu kauka a mai kuapo i kahi huahana tacrolimus ʻokoʻa ke ʻole kauka a kāu kauka e pono ai.

Hiki iā Tacrolimus ke pale wale i ka hōʻole ʻana i kāu transplant inā ʻoe e lawe i ka lāʻau. E hoʻomau i ka lawe ʻana i ka tacrolimus ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka tacrolimus me ka walaʻau ʻole ʻana me kāu kauka.

Hoʻohana ʻia ʻo Tacrolimus i kekahi manawa e mālama i ka maʻi ʻo Crohn (kahi ʻano e hoʻouka ai ke kino i ka uhi o ka digestive tract, e hōʻeha ai i ka ʻeha, ka maʻi pākī, ka pohō kaumaha, ke kuni, a me ke kūkulu ʻia ʻana o nā tunnels kūpono ʻole e pili ana i ka digestive tract i nā kino ʻē aʻe a i ʻole ka ʻili). E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i kēia lāʻau e mālama ai i kou ʻano.

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 tacrolimus,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka tacrolimus, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hoʻohui ʻē aʻe i nā huahana tacrolimus. E noi i kāu kauka lāʻau a nānā i ke alakaʻi 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, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: amiodarone (Nexterone, Pacerone); amphotericin B (ʻAbela, ʻAmelisa); Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), captopril, enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic), perindopril (Aceon , ma Prestalia), quinapril (Accupril, ma Quinaretic), ramipril (Altace), a i ʻole trandolapril (i Tarka); antacids i loaʻa ka magnesium a me ka aluminika hydroxide (Maalox); kekahi mau antibiotic me aminoglycosides e like me amikacin, gentamicin, neomycin (Neo-Fradin), streptomycin, a me tobramycin (Tobi), a me macrolides e like me clarithromycin (Biaxin), erythromycin (EES, E-Mycin, Erythrocin), a me troleandomycin (TAO ʻaʻole loaʻa ma ka US); nā lāʻau lapaʻau antifungal e like me clotrimazole (Lotrimin, Mycelex), fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, posaconazole (Noxafil), a me voriconazole (Vfend); angiotensin receptor blockers (ARBs) e like me azilsartan (Edarbi, ma Edarbyclor), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ma Avalide), losartan (Cozaar, ma Hyzaar), olmesartan (Benic, ma Azor, ma Benicar HCT, ma Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta); boceprevir (Victrelis; ʻaʻole loaʻa hou ma U.S.); nā poloka channel calcium e like me diltiazem (Cardizem), nicardipine, nifedipine (Adalat, Procardia), a me verapamil (Calan, Verelan, ma Tarka); caspofungin (Cancidas); chloramphenicol; cimetidine (Tagamet); cisapride (Propulsid; ʻaʻole loaʻa i ka U.S.); cisplatin; danazol; kekahi diuretics ('nā pila wai'); ganciclovir (Valcyte); kekahi o nā mea pale hormonal (nā lāʻau kaohi hānau, nā pāhoʻi, nā apo, nā mea hoʻokomo, a i ʻole nā ​​injection); kekahi mau lāʻau no ka HIV e like me didanosine (Videx); indinavir (Crixivan), lamivudine (Epivir); nelfinavir (Viracept), ritonavir (Norvir), stavudine (Zerit), a me zidovudine (Retrovir) lansoprazole (Prevacid); methylprednisolone (Medrol); metoclopramide (Reglan); mycophenolate (Cellcept); nefazodone; omeprazole (Prilosec); prednisone; rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); kekahi mau lāʻau no ka hopu ʻana e like me carbamazepine (Tegretol, Teril), phenobarbital, a me phenytoin (Dilantin, Phenytek); sirolimus (Rapamune), a me telaprevir (Incivek; ʻaʻole loaʻa hou ma U.S.). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono paha iā ʻoe no nā hopena ʻaoʻao. Pili pū paha nā lāʻau ʻē aʻe he nui me ka tacrolimus, 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 e lawe ana ʻoe a i ʻole ua oki nei i ka lawe ʻana i ka cyclosporine (Gengraf, Neoral, Sandimmune). Inā ʻoe e lawe i ka cyclosporine, e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e hoʻomaka i ka lawe ʻana i ka tacrolimus a hiki i 24 mau hola ma hope o kou lawe ʻana i kāu hopena hope loa o ka cyclosporine. Inā kū ʻoe i ka lawe ʻana i ka tacrolimus, e haʻi pū kāu kauka iā ʻoe e kali i 24 mau hola ma mua o ka hoʻomaka ʻana e lawe i ka cyclosporine.
• e haʻi i kāu kauka a me kāu kauka lāʻau he aha nā huahana lāʻau āu e lawe nei, keu hoʻi ʻo St. John's wort a i ʻole schisandra sphenanthera extracts. Mai lawe i kēia mau mea kanu i ka wā e lawe ana i ka tacrolimus.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā QT Syndrome (kahi ʻano hoʻoilina e nui ai ka lōʻihi o ka QT) nā haʻahaʻa haʻahaʻa o ka potassium, calcium, a me ka magnesium i loko o kou koko, kahi puʻuwai puʻuwai ʻole, nā pae kolesterol kiʻekiʻe, puʻuwai. , hakuʻala, a i ʻole maʻi maʻi ate.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hiki iā ʻoe a i ʻole kāu pakanā ke hāpai, e hoʻohana i ka kaohi hānau mua ma mua a i ka wā o ka mālama ʻana me ka tacrolimus. Inā hāpai ʻoe i ka lawe ʻana i ka tacrolimus, e kāhea i kāu kauka. Hoʻopilikia paha ʻo Tacrolimus i ka fetus.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka tacrolimus.
• pono ʻoe e ʻike i ka lawe ʻana i ka tacrolimus e hoʻonui ai i ka makaʻu e hoʻomohala ʻoe i ka maʻi ʻaʻai ʻili. Palekana iā ʻoe iho i ka maʻi ʻaʻai o ka ʻili ma ka hōʻalo ʻana i kahi kūpono ʻole a hoʻolōʻihi ʻia i ka lā a i ʻole ke kukui ultraviolet (nā pā humuhumu) a me ka ʻaʻahu ʻana i nā kapa pale, nā aniani aniani, a me nā pale lā me kahi pale pale ʻili kiʻekiʻe (SPF).
• mai inu i nā mea inu ʻona ʻoiai ʻoe e inu nei i nā capsule hoʻolōʻihi ʻia ʻo tacrolimus a i ʻole nā ​​papa hoʻolōʻihi lōʻihi. Hiki i ka waiʻona ke hana i nā hopena ʻino mai tacrolimus ʻoi aku ka maikaʻi.
• pono ʻoe e ʻike ʻo ka tacrolimus paha ke kumu o ke kahe kiʻekiʻe. E nānā pono kāu kauka i kou kaomi koko, a kauoha paha i ka lāʻau e mālama i ke koko kiʻekiʻe inā ulu ia.
• pono ʻoe e ʻike aia kahi makaʻu e hoʻomohala ʻoe i ka maʻi kō i kou wā e mālama ai me ka tacrolimus. ʻO nā mea maʻi ʻApelika ʻApelika a me Hispanic i loaʻa i nā transplants hakuʻala kahi kūlana kiʻekiʻe loa i ka hoʻomohala ʻana i ka maʻi kō i ka wā o kā lākou mālama ʻia ʻana me ka tacrolimus. E haʻi i kāu kauka inā ʻo ʻoe a ʻo kekahi paha o kou ʻohana i loaʻa a i ʻole he maʻi diabetes. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka: make wai loa; pōloli nui; urination pinepine; ʻike hū ʻole a huikau paha.
• ʻaʻohe o nā lāʻau āpau ke kamaʻilio ʻole ʻia me kāu kauka.

Hōʻalo i ka ʻai ʻana i ka huaʻikuʻi a i ʻole inu i ka wai momona i ka wā e lawe ana i ka tacrolimus.

Inā hala ka capsule hoʻokuʻu koke a i ʻole ka lāʻau hoʻomaha lāʻau waha, e lawe ke hoʻomanaʻo koke ʻoe iā ia. 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.

Inā hala ka lāʻau capsule hoʻolōʻihi ʻia, e lawe i ka lāʻau inā aia ma waena o 14 mau hola ma hope o ka nalo ʻana i ka lāʻau. Eia nō naʻe, inā ʻoi aku ia ma mua o 14 mau hola, e lele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Inā ʻaʻole e hala ka mahele lāʻau hoʻolōʻihi ʻia, e lawe i ka lāʻau inā aia ia ma loko o 15 mau hola ma hope o ka nalo ʻana o ka lāʻau. Eia nō naʻe, inā ʻoi aku ia ma mua o 15 mau hola, e lele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

• ʻeha poʻo
• pāhoehoe
• kōpaʻa
• nausea
• ka luaʻi
• puʻuwai puʻuwai
• ʻeha ka ʻōpū
• nalo ʻai ʻole
• paʻakikī e hiamoe a hiamoe paha
• ʻūpā
• nāwaliwali
• ʻeha hope a hui pū paha
• ka wela, ka helu ʻana, ka ʻeha, a me ke kani ʻana i nā lima a me nā wāwae

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

• hoʻemi urination
• ʻeha a ʻā paha i ka urination
• pōkole o ka hanu, ka hives, ka hū a i ʻole ka ʻili
• ʻili mae, pōkole o ka hanu, a i ʻole ka pākuʻi puʻuwai wikiwiki
• luhi; loaʻa ke kaupaona; ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; a me ka pōkole o ka hanu
• kahe koko ʻole ʻana a palapū paha
• ka hopu ʻana, ka loli ʻana o ka hihiʻo, ka maʻi poʻo, ka huikau, a me ka luliluli ʻole ʻana o kahi ʻāpana o ke kino
• koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)

Hoʻokumu paha ʻo Tacrolimus i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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.

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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• hives
• hiamoe
• nausea, luaʻi, a me ka diarrhea
• luliluli ʻole o kahi ʻāpana o ke kino, ʻeha poʻo, huikau, ʻano kaulike ʻole, a me ka luhi nui loa
• pehu o nā lima a mau wāwae paha
• fiva a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua ma mua a i kou wā e mālama ai e nānā i ka pane o kou kino iā tacrolimus.

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.

• Astagraf XL^®
• ʻO Envarsus XR^®
• ʻO Prograf^®

• EK 506