ʻO Rivastigmine
Anter
- E lawe i kahi mahele o ka hopena rivastigmine, e hāhai i kēia mau kaʻina:
- Ma mua o ka lawe rivastigmine,
- Hoʻokumu paha ʻo Rivastigmine 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 koke i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Rivastigmine e mālama i ka dementia (kahi maʻi lolo e pili ana i ka hiki ke hoʻomanaʻo, noʻonoʻo pono, kamaʻilio, a hana i nā hana o kēlā me kēia lā a hiki ke hoʻololi i ka naʻau a me ke ʻano) i ka poʻe me ka maʻi ʻo Alzheimer (kahi maʻi lolo e hoʻopau mālie i ka hoʻomanaʻo a hiki ke noʻonoʻo, aʻo, kamaʻilio a mālama i nā hana o kēlā me kēia lā). Hoʻohana ʻia ʻo Rivastigmine e mālama i ka dementia i ka poʻe me ka maʻi ʻo Parkinson (kahi lolo a me nā maʻi ʻōnaehana me nā ʻōuli o ka lohi o ka neʻe ʻana, nāwaliwali o nā mākala, ka hele ʻana o ka shuffling, a me ka nalo ʻana o ka hoʻomanaʻo). Aia ʻo Rivastigmine i kahi papa o nā lāʻau i kapa ʻia nā mea kāohi iā cholinesterase. Hoʻomaikaʻi i ka hana noʻonoʻo (e like me ka hoʻomanaʻo a me ka noʻonoʻo ʻana) e ka hoʻonui ʻana i ka nui o kekahi mea kūlohelohe i ka lolo.
Hele mai ʻo Rivastigmine ma ke ʻano he capsule a me ka hopena (wai) e lawe ma ka waha. Lawe ʻia ia i ʻelua mau manawa i ka lā me ka ʻai i ke kakahiaka a me ke ahiahi. 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 rivastigmine 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 kāu kauka iā ʻoe ma kahi lāʻau haahaa o rivastigmine a hoʻonui mālie i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 2 pule.
Hiki i ka Rivastigmine ke hoʻomaikaʻi i ka hiki ke noʻonoʻo a hoʻomanaʻo a lohi paha i ka nalo ʻana o kēia mau hiki akā ʻaʻole e hoʻōla i ka maʻi o Alzheimer a i ʻole dementia i ka poʻe me ka maʻi ʻo Parkinson. E hoʻomau i ka lawe rivastigmine ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka rivastigmine me ke kamaʻilio ʻole ʻana me kāu kauka.
Inā ʻoe e lawe nei i ka pane waha rivastigmine, e noi i kāu kauka lāʻau a i ʻole kauka no kahi kope o nā ʻōlelo a ka mea hana no ka hoʻohana. E heluhelu pono i kēia mau ʻōlelo aʻo. E hoʻohana mau i ka syringe dosing waha e hele mai me ka hopena rivastigmine e ana i kāu mahele. E kamaʻilio i kāu kauka a kauka paha inā he nīnau kāu e pili ana i ke ana ʻana i kāu hopena o ka hopena rivastigmine.
E ale pololei ʻia ka hopena waha ʻo Rivastigmine mai ke ʻaki a i ʻole e hui ʻia me kahi wai ma mua o ka hoʻohana. E kāwili iā ia me kahi kīʻaha wai liʻiliʻi, wai huaʻai anuanu, a i ʻole soda. E hoʻowalewale loa i ka hui. Mai hoʻopili i kēia lāʻau me kekahi wai ʻē aʻe ma mua o nā mea i helu ʻia. Inā hui ʻia ka lāʻau me ka wai, wai, a i ʻole soda, pono e lawe ʻia i loko o 4 mau hola.
E lawe i kahi mahele o ka hopena rivastigmine, e hāhai i kēia mau kaʻina:
- Wehe i ka syringe dosing waha i hele mai me kēia lāʻau mai kāna pahu pale.
- Pahu i lalo a wili i ka pāpale pale keiki e wehe i ka ʻōmole o ka hopena rivastigmine.
- E hoʻokomo i ka wēlau o ka syringe waha i loko o ka puka keʻokeʻo pani ma luna o ka ʻōmole.
- ʻOiai e hoʻopaʻa pololei ana i ka nū, e huki i ka plunger i ka māka ma ka syringe e like me kāu kau.
- E hōʻoia i ka wai i ka syringe no nā huʻa ea. Inā nui nā ʻōhū o ka ea, e hoʻoneʻe mālie i ka syringe plunger i luna a i lalo i kekahi mau manawa. Mai hopohopo e pili ana i kekahi mau huʻa ea liʻiliʻi.
- E hōʻoia i ka plunger ma ka māka ma ka syringe i kūlike i kāu kau.
- Wehe i ka syringe waha mai ka ʻōmole ma ka huki ʻana i luna.
- E ale pono i kāu lāʻau mai ka syringe, aiʻole e kāwili iā ia me ka wai āu i koho ai. Inu a ale paha i nā hopena āpau.
- E holoi i waho o ka syringe waha me kahi kiko maʻemaʻe, a hoʻihoʻi i ke syringe i kāna hihia.
- Pani i ka pāpale pale keiki i ka hue o ka lāʻau.
Hoʻohana ʻia ʻo Rivastigmine i kekahi manawa e mālama iā Lewy kino dementia (kahi ʻano e hoʻomohala ai ka lolo i nā hanana protein kūlohelohe, a luku ʻia ka lolo a me nā ʻōnaehana i ka hala ʻana o ka manawa). E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kāu maʻi.
Ma mua o ka lawe rivastigmine,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā ua loaʻa iā ʻoe kahi hopena maʻi ʻaʻai i rivastigmine ma hope o ka lawe ʻana i ka capsule a i ʻole ka hopena waha a i ʻole ka hoʻohana ʻana i ka ʻili o ka ʻili, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka hopena rivastigmine a i ʻole nā capsule 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 hōʻoia e haʻi i kekahi o kēia: antihistamines; aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); bethanechol (Duvoid, Urecholine); ipratropium (Atrovent, i Combivent, DuoNeb); a me nā lāʻau no ka maʻi ʻo Alzheimer, glaucoma, maʻi ʻōpū huhū, maʻi neʻe, ulcer, a me nā pilikia mimi. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā kau kaupaona ma lalo o 110 lb (50 kg), inā loaʻa ʻoe i ka hānō, nā maʻi ʻeha, nā puʻuwai puʻuwai ʻē aʻe, a i ʻole ka puʻuwai, ka ate, ka puʻuwai, a me nā maʻi lolo.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka rivastigmine, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka rivastigmine.
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.
Inā makemake ʻoe e lawe i ka rivastigmine ma mua o kekahi mau lā, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana e lawe hou. E hoʻomaka hou paha ʻoe i ka lawe ʻana i kahi mahele haʻahaʻa.
Hoʻokumu paha ʻo Rivastigmine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ka luaʻi
- nalo ʻai ʻole
- puʻuwai puʻuwai a i ʻole indigestion
- ʻeha ka ʻōpū
- Kaumaha emi
- pāhoehoe
- kōpaʻa
- ʻenekini
- nāwaliwali
- ʻūpā
- ʻeha poʻo
- luhi loa
- nele i ka ikaika
- haʻalulu a i ʻole worsening o ka haʻalulu
- hoʻonui sweating
- paʻakikī e hiamoe a hiamoe paha
- 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 koke i kāu kauka:
- hūwī
- hives
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- pahu noho ʻeleʻele a lohi hoʻi
- koko ʻulaʻula i nā noho
- luaʻi koko
- mea luaʻi e like me ke kahua kope
- pilikia urino
- urination ʻeha
- ka hopu ʻana
- kaumaha
- hopohopo
- hana hoʻomāinoino
- ka lohe ʻana i nā leo a i ʻole ke ʻike ʻana i nā mea i loaʻa ʻole
- neʻe hiki ʻole ke kaohi ʻia a me nā kuʻikuʻi mākala
Hoʻokumu paha ʻo Rivastigmine 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. E mālama i ka hopena rivastigmine ma kahi kū i luna. Mai hoʻokau i ka hopena rivastigmine i loko o ka pahu hau.
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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- nausea
- ka luaʻi
- hoʻonui kohu
- ka houʻu ʻana
- kuʻi ka puʻuwai lohi
- hiki ʻole ke hoʻopaʻa i ka mimi
- lohi ka noʻonoʻo a me ka neʻe
- ʻūpā
- maule ana
- ʻike hihi
- paʻakikī i ka hanu ʻana
- nalowale o ka ʻike
- ka hopu ʻana
Mālama i nā manawa āpau me 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.
- Exelon®