ʻO Hydroxychloroquine

Anter

• Ma mua o ka lawe ʻana i ka hydroxychloroquine,
• Hiki i ka Hydroxychloroquine ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Ua aʻo ʻia ʻo Hydroxychloroquine no ka mālama ʻana a me ka pale ʻana i ka maʻi coronavirus 2019 (COVID-19).

Ua ʻae ka FDA i kahi ʻae hoʻohana hoʻohana ulia pōpilikia (EUA) ma Malaki 28, 2020 e ʻae i ka hāʻawi ʻana o ka hydroxychloroquine e mālama i nā mākua a me nā ʻōpio i kaupaona ma ka liʻiliʻi he 110 paona (50 kg) a ʻo wai haukapila me COVID-19, akā hiki ʻole ke komo i kahi noiʻi hoʻokolohua. Eia naʻe, ua kāpae ʻo FDA i kēia ma Iune 15, 2020 no ka mea ua hōʻike ʻia nā noiʻi hoʻokolohua ʻaʻole paha maikaʻi ka hydroxychloroquine no ka mālama ʻana i COVID-19 i kēia mau maʻi a me kekahi mau hopena ʻē aʻe koʻikoʻi, e like me ka puʻuwai puʻuwai ʻole.

Ua ʻōlelo ka FDA a me nā National Institutes of Health (NIH) e lawe wale ʻia ka hydroxychloroquine no ka mālama ʻana i COVID-19 ma lalo o ke alakaʻi a ke kauka i kahi noiʻi hoʻokolohua. Mai kūʻai i kēia lāʻau i ka pūnaewele me ka ʻole o ka lāʻau. Inā ʻike ʻoe i nā puʻuwai kīnā ʻole, ʻūpō, a maʻule paha i ka wā e lawe ana i ka hydroxychloroquine, e kāhea iā 911 no ka mālama olakino olakino. Inā he ʻaoʻao ʻē aʻe kou, e ʻike pono i kāu kauka.

Hoʻohana ʻia ʻo Hydroxychloroquine e pale a mālama i nā hōʻeha koʻikoʻi o ka malaria. Hoʻohana ʻia ia e mālama i ka maʻi discus lupus erythematosus (DLE; kahi maʻi līlū o ka ʻili) a i ʻole lupic erythematosus systemic (SLE; kahi maʻi inflammatory o ke kino) a me nā rheumatoid arthritis i nā mea maʻi i hoʻomaikaʻi ʻole ʻia nā ʻōuli me nā lāʻau lapaʻau ʻē aʻe. Aia ʻo Hydroxychloroquine i ka papa o nā lāʻau i kapa ʻia nā antimalarials. Hana ia ma ka luku ʻana i nā meaola i kumu i ka malaria. Hiki paha i ka Hydroxychloroquine ke hana e mālama i ka rheumatoid arthritis a me ka lupus erythematosus systemic ma o ka hōʻemi ʻana i ka hana o ka ʻōnaehana pale.

Hele mai ʻo Hydroxychloroquine ma ke ʻano he papa e lawe ma ka waha. Inā he makua ʻoe a lawe i ka hydroxychloroquine e pale aku i ka malaria, lawe ʻia hoʻokahi lāʻau i hoʻokahi manawa i ka pule ma ka lā like o kēlā me kēia pule. E hoʻomaka ʻoe i ka mālama ʻana 1 a i 2 mau pule ma mua o kou huakaʻi ʻana i kahi e maʻa mau ai ka malaria a laila hoʻomau i kou manawa ma ia wahi a no 4 mau pule ma hope o kou hoʻi ʻana. Inā he makua ʻoe a lawe i ka hydroxychloroquine e mālama i ka maʻi maʻi malaria, lawe pinepine ʻia ka lāʻau mua, a ukali ʻia e kekahi mahele lāʻau 6 a 8 mau hola ma hope a laila nā mahele lāʻau hou aʻe i kēlā me kēia lā aʻe 2. No ka pale a mālama ʻana paha i ka malaria i nā pēpē a me nā keiki, hoʻokumu ʻia ka nui o ka hydroxychloroquine i ke kaupaona o ke keiki. E helu kāu kauka i kēia nui a haʻi iā ʻoe i ka nui o ka hydroxychloroquine e loaʻa i kāu keiki.

Inā lawe ʻoe i ka hydroxychloroquine e mālama i ka lupus erythematosus (DLE a i ʻole SLE), lawe ʻia hoʻokahi a ʻelua mau manawa paha i ka lā. Inā ʻoe e lawe i ka hydroxychloroquine e mālama i ka rheumatoid arthritis, lawe pinepine ʻia hoʻokahi a ʻelua paha i ka lā.

E ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

Hiki ke lawe ʻia i nā papa Hydroxychloroquine me ke kīʻaha o ka waiū a i ʻole kahi pāʻina e hoʻēmi ai i ka nausea.

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 pololei i ka hydroxychloroquine 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.

Inā lawe ʻoe i ka hydroxychloroquine no nā ʻōuli o ka rheumatoid arthritis, pono e hoʻomaikaʻi i kāu mau hōʻailona ma waena o 6 mau mahina. Inā hoʻomaikaʻi ʻole kāu mau rheumatoid arthritis, a i ʻole inā e ʻino, e hoʻōki i ka lawe ʻana i ka lāʻau a kāhea i kāu kauka. I ka manawa e maopopo pono iā ʻoe a me kāu kauka ka lāʻau no ʻoe, mai hooki i ka lawe ʻana i ka hydroxychloroquine me ke kamaʻilio ʻole ʻana me kāu kauka. E hoʻi nā ʻōuli o ka rheumatoid arthritis inā kū ʻoe i ka lawe ʻana i ka hydroxychloroquine.

Hoʻohana ʻia ʻo Hydroxychloroquine i kekahi manawa e mālama i ka porphyria cutanea tarda. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kou maʻi.

Kuhi ʻia kēia lāʻau i kekahi manawa 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 hydroxychloroquine,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka hydroxychloroquine, chloroquine, primaquine, quinine, 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 ʻōlelo pono i ka acetaminophen (Tylenol, nā mea ʻē aʻe); azithromycin (Zithromax); cimetidine (Tagamet); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin), insulin a me ka lāʻau o ka waha no ka maʻi kō; nā lāʻau no ka hopu ʻana e like me ka carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), phenytoin (Dilantin, Phenytek), a i ʻole valproic acid (Depakene); kekahi mau lāʻau no ka puʻuwai kīnā ʻole e like me amiodarone (Pacerone); methotrexate (Trexall, Xatmep); moxifloxacin (Avelox); praziquantel (Biltricide); a me tamoxifen (Nolvadex). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me ka hydroxychloroquine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
• inā ʻoe e lawe i nā antacids, lawe iā lākou i 4 mau hola ma mua a i ʻole 4 mau hola ma hope o ka hydroxychloroquine. Inā ʻoe e lawe ana i ka ampicillin, lawe ia ma kahi o 2 mau hola ma mua a i ʻole 2 mau hola ma hope o ka hydroxychloroquine.
• e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi akepau, nā maʻi puʻuwai, kahi wā QT lōʻihi (kahi pilikia puʻuwai laha ʻole e hiki ai ke hōʻeha i ka puʻuwai ʻole, maʻule, a make koke paha), kahi puʻuwai puʻuwai ʻole, kahi pae haʻahaʻa o ka magnesium a me ka potassium i kou koko, psoriasis, porphyria a i ʻole nā ​​maʻi koko ʻē aʻe, hemahema G-6-PD (kahi maʻi koko i hoʻoili ʻia), dermatitis (hoʻowalewale ʻana i ka ʻili), nā maʻi hū, pilikia ʻike, diabetes, pilikia pākī, a inā inu ʻoe i ka nui o ka waiʻona.
• e haʻi i kāu kauka inā ua ʻike ʻoe i nā loli i ka wā e lawe ana i ka hydroxychloroquine, chloroquine (Aralen), a i ʻole primaquine.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka hydroxychloroquine, e kāhea i kāu kauka.

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 Hydroxychloroquine ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha poʻo
• ʻūpā
• nalo ʻai ʻole
• nausea
• pāhoehoe
• ʻeha ka ʻōpū
• ka luaʻi
• hūwī

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

• paʻakikī e heluhelu a ʻike paha (nā huaʻōlelo, nā leka, a i ʻole nā ​​ʻāpana o nā mea e nalo ana)
• ʻike i ka mālamalama
• ʻike hihi
• nā hoʻololi i ka hihiʻo
• ʻike i nā kukuna uila a i ʻole nā ​​kaha
• pilikia i ka lohe ʻana
• kani i nā pepeiao
• nāwaliwali o nā mākala
• kahe koko ʻole ʻana a palapū paha
• hoʻohaʻahaʻa a nalowale paha o ka lauoho
• ke ʻano a i ʻole nā ​​hoʻololi noʻonoʻo
• kuʻi puʻuwai ʻole
• hiamoe
• haʻalulu
• hoʻemi i ka ʻike a i ʻole ka lilo o ka ʻike
• e noʻonoʻo nei e pili ana i ka hōʻino a pepehi paha iā ʻoe iho

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:

• ʻeha poʻo
• hiamoe
• nā haunaele ʻike
• haʻalulu
• kuʻi puʻuwai ʻole

Hiki i nā keiki ke makaʻala loa i kahi overdose, no laila e mālama i ka lāʻau i hiki ʻole i nā keiki. ʻAʻole pono nā keiki e lawe i ka hydroxychloroquine no ka wā lōʻihi.

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 a me nā electrocardiograms (EKG, kahi hōʻike e nānā i ka helu o kou puʻuwai a me kāu mele) e nānā i kāu pane i ka hydroxychloroquine.

Inā lawe ʻoe i ka hydroxychloroquine no kekahi manawa lōʻihi, e paipai ka kauka iā ʻoe i nā hoʻokolokolo maka ʻana pinepine. He mea nui e mālama ʻoe i kēia mau wā i hoʻopaʻa ʻia. Hiki i ka Hydroxychloroquine ke hoʻopilikia i nā pilikia o ka ʻike. Inā ʻike ʻoe i nā loli i ka hihiʻo, e hoʻōki i ka lawe ʻana i ka hydroxychloroquine a kāhea koke aku i kāu kauka.

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.

• Plaquenil^®