Mea Kākau: William Ramirez
Lā O Ka Hana: 18 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 13 Nowemapa 2024
Anonim
Dr. Roila on Aprepitant for the Prevention of Cisplatin-Induced Delayed Emesis
Wikiō: Dr. Roila on Aprepitant for the Prevention of Cisplatin-Induced Delayed Emesis

Anter

Hoʻohana ʻia ʻo Aprepitant me nā lāʻau ʻē aʻe i nā mākua a me nā keiki 6 mau makahiki o ka makahiki a ʻoi aku e pale i ka nausea a me ka luaʻi e hiki ke hana ʻia ma hope o ka loaʻa ʻana o ka lāʻau chemotherapy chemotherapy. Hoʻohana ʻia ia me nā lāʻau ʻē aʻe i nā mākua a me nā keiki 6 mau makahiki o ka makahiki a ʻoi aku e pale i ka lohi a me ka luaʻi e hiki ke hana ʻia i kekahi mau lā ma hope o ka loaʻa ʻana o kekahi lāʻau chemotherapy. ʻAʻole hoʻohana ʻia ʻo Aprepitant e mālama i ka nausea a me ka luaʻi i loaʻa iā ʻoe. Aia ʻo Aprepitant i kahi papa o nā lāʻau i kapa ʻia antiemetics. Hana ia ma ka pale ʻana i ka hana o neurokinin, kahi mea kūlohelohe i ka lolo e hana ai i ka nausea a me ka luaʻi.

Hele mai ʻo Aprepitant ma ke ʻano he capsule a ma ke ʻano he oral oral (wai) e lawe ʻia e ka waha. I mea e pale aku ai i ka nausea a me ka luaʻi ʻana o ka chemotherapy maʻi ʻaʻai, lawe pinepine ʻia ka aprepitant i hoʻokahi manawa i kēlā me kēia lā, me ka ʻole o ka meaʻai, i nā lā mua o kou chemotherapy chemotherapy. E lawe paha ʻoe i ka aprepitant i hoʻokahi hola ma mua o kou chemotherapy ma nā lā 1, 2, a me 3 o kāu lapaʻau ʻana. Inā ʻaʻole ʻoe e loaʻa i ka chemotherapy i nā lā 2 a me 3, a laila e lawe ʻoe i ka aprepitant i kēlā mau lā 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. E lawe aprepitant 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.


Hele mai nā capsule Aprepitant i nā ikaika ʻelua. Kauoha paha kāu kauka i nā ikaika ʻelua nāu e lawe i nā manawa like ʻole. E akahele ʻoe e lawe i ka ikaika kūpono i ka manawa kūpono e like me ke kuhikuhi a kāu kauka.

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

E hoʻomākaukau ʻia ka hoʻopālua waha e kāu mea mālama ola a hāʻawi ʻia iā ʻoe i kahi dispenser waha. E mālama i ka dispenser waha i loko o ka pahu hau a hiki i ka manawa o kāu kau; akā, hiki ke mālama ʻia i ka mahana o ka lumi a i 3 mau hola ma mua o ka hoʻohana. Ke mākaukau e hoʻohana, hemo i ka pāpale mai ka dispenser ma mua o ka waiho ʻana i kou waha e hoʻokuʻu mālie i ka lāʻau.

Hana wale ʻo Aprepitant i mea e pale ai i ka nausea a me ka luaʻi. Kāhea i kāu kauka inā loaʻa iā ʻoe kēia mau hōʻailona a mai hoʻomaka e lawe i ka aprepitant.

Ke hoʻohana ʻia e pale aku i ka nausea a me ka luaʻi i hoʻokumu ʻia e ka chemotherapy maʻi ʻaʻai, hoʻohana pinepine ʻia ka aprepitant ma nā lā he 3 wale nō o ka hoʻomaʻamaʻa chemotherapy. Mai hoʻomau i ka lawe ʻana i ka aprepitant ma mua o ke kauoha a kāu kauka.


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 aprepitant,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka aprepitant, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka capsule aprepitant a i ʻole ka hoʻomaha waha. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • mai lawe i ka aprepitant inā lawe ʻoe i pimozide (Orap). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka aprepitant inā ʻoe e lawe i kēia lāʻau.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hōʻoia e haʻi i kekahi o kēia mau mea: anticoagulants ('nā mea hōʻemi koko') e like me warfarin (Coumadin, Jantoven); nā antifungals e like me itraconazole (Onmel, Sporanox) a me ketoconazole; nā benzodiazepines e like me alprazolam (Xanax), diazepam (Valium), midazolam, a me triazolam (Halcion); nā lāʻau chemotherapy chemotherapy e like me ifosfamide (Ifex), irinotecan (Camptosar), vinblastine, a me vincristine (Marqibo Kit); carbamazepine (Equetro, Tegretol, Teril); clarithromycin (Biaxin, i Prevpac); diltiazem (Cardizem, Cartia, Tiazac); Nā mea hoʻopalekana protease HIV e like me nelfinavir (Viracept) a me ritonavir (Norvir); nā pale hormonal (nā lāʻau kaohi o ka hānau ʻana, nā pāhoʻi, nā apo, a me nā hoʻopili ʻana); nefazodone; nā steroid ʻo waha e like me dexamethasone a me methylprednisolone (Medrol); phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); a me troleandomycin (TAO; ʻaʻole loaʻa hou ma U.S.). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka aprepitant, 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 a loaʻa paha ʻoe i ka maʻi ate.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā ʻoe e lawe a loaʻa paha i nā pale pale hormonal (nā lāʻau kaohi hānau, nā pā, nā apo, nā implant, a i ʻole nā ​​injection) i ka wā o ka mālama ʻana me ka aprepitant, pono ʻoe e hoʻohana i kahi hana hou o ka kaohi hānau (spermicide, condom) e pale i ka hāpai ʻana i ka wā o ka mālama ʻana me ka aprepitant a no hoʻokahi mahina ma hope o kāu hopena hope loa. E kamaʻilio me kāu kauka e pili ana i ka hana kaohi hānau ʻoiai ʻoe e lawe aprepitant a ma hope o ka lāʻau. Inā hāpai ʻoe i ka lawe ʻana i ka aprepitant, e kāhea i kāu kauka.

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.

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

  • nāwaliwali
  • luhi
  • ʻūpā
  • pāhoehoe
  • kōpaʻa
  • ʻenekini
  • ʻeha ka ʻōpū
  • puʻuwai puʻuwai
  • nausea
  • hiccups
  • nalo ʻai ʻole
  • ʻeha poʻo
  • fiva
  • poho lauoho

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

  • hives
  • hūwī
  • ʻūlili
  • ʻiliʻiliʻili a i ʻole palapū
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hiki i ka Aprepitant ke kumu 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 i nā capsule i ka mahana wela a mamao aku i ka wela a me ka makū (ʻaʻole i loko o ka lua. Pono e hoʻohana ʻia ka mahele hoʻolōʻihi waha ma waena o 72 mau hola o ka hoʻomākaukau; hoʻolei i nā lāʻau i hoʻohana ʻole ʻia ma hope o 72 mau hola.

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.

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

  • hiamoe
  • ʻeha poʻo

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.

  • Emend®
Nānā Hou - 02/15/2020

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