ʻO Cinacalcet

Anter

• Ma mua o ka lawe ʻana i ka cinacalcet,
• Hoʻokumu paha ʻo Cinacalcet 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:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hoʻohana hoʻokahi ʻia ʻo Cinacalcet a i ʻole me nā lāʻau ʻē aʻe e mālama ai i ka hyperparathyroidism lua (kahi ʻano e hana ai ke kino i ka nui o ka hormone parathyroid [kahi mea maoli e pono ai e kaohi i ka nui o ka calcium i loko o ke koko] i hiki ke hoʻopilikia i nā iwi me ka iwi, puʻuwai, nā kīʻaha koko, a me nā akemāmā) i nā mea maʻi me nā maʻi puʻuwai mau (ke ʻano e hoʻopau mālie ai nā puʻupaʻa) e mālama ʻia me ka dialysis (lapaʻau lapaʻau e hoʻomaʻemaʻe i ke koko ke hana maikaʻi ʻole nā ​​puʻupaʻa) Hoʻohana pū ʻia ʻo Cinacalcet e mālama i nā kiʻekiʻe o ka calcium i loko o ke koko o nā mea maʻi i loaʻa i ka maʻi ʻaʻai parathyroid (maʻi ʻaʻai o nā aʻa i ka ʻāʻī e hana i ka hormone parathyroid). Aia ʻo Cinacalcet i kahi papa o nā lāʻau i kapa ʻia he calculimimetics. Hana ia ma ka hōʻailona ʻana i ke kino e hana i ka liʻiliʻi o ka hormone parathyroid i mea e hoʻemi ai i ka nui o ka calcium i loko o ke koko.

Hele mai ʻo Cinacalcet ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka meaʻai a i ʻole ma hope koke iho o ka pāʻina ʻana. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka cinacalcet, e lawe ma kahi o ka manawa like 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 cinacalcet 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 ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haahaa o ka cinacalcet a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 2-4 pule.

Hiki paha i ka Cinacalcet ke kōkua i ke kaohi i kou ʻano akā ʻaʻole e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka cinacalcet ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka cinacalcet me ke kamaʻilio ʻole ʻana me kāu kauka.

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 cinacalcet,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka cinacalcet 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 hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: antidepressants (mood elevator) e like me amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), nefazodone, nortriptyline (Aventyl, Pamel ), paroxetine (Paxil), protriptyline (Vivactil) a me trimipramine (Surmontil); nā antifungals e like me fluconazole (Diflucan), itraconazole (Sporanox), a me ketoconazole (Nizoral); cimetidine (Tagamet); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Mea kākau); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin); flecainide (Tambocor); Nā mea hoʻopuka protease HIV e like me indinavir (Crixivan) a me ritonavir (Norvir); isoniazid (INH, Nydrazid); metronidazole (Flagyl); nā pale pale waha (nā pā kaohi hānau); thioridazine (Mellaril); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); vinblastine (Velban); a me zafirlukast (Hoʻohui). 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 loaʻa ʻoe i ka maʻi seizure a i ʻole nā ​​maʻi ate.
• 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 cinacalcet, e kāhea i kāu kauka.

E kamaʻilio me kāu kauka e pili ana i ka inu ʻana i ka wai huaʻomaʻo i ka lawe ʻana i kēia lāʻau.

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.

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

• hoʻohuhū ʻōpū
• ka luaʻi
• pāhoehoe
• ʻūpā
• nāwaliwali
• ʻeha ka umauma

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:

• lapalapa, ʻalalā, a ʻano ʻē paha o nā lehelehe, elelo, nā manamana lima, a me nā wāwae
• ʻeha nā mākala a i ʻole ke ʻūlū
• ʻākoakoa paʻa ʻana o nā mākala i nā lima, nā wāwae, ka maka, a me ka ʻāʻī
• ka hopu ʻana
• maʻiʻaʻai o dialysis ke kōkua o (surgically hana koko ipu kahi koko haʻalele a komo i loko o ke kino i ka wā dialysis)

Hoʻokumu paha ʻo Cinacalcet 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.

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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• lapalapa, ʻalalā, a ʻano ʻē paha o nā lehelehe, elelo, nā manamana lima, a me nā wāwae
• ʻeha nā mākala a i ʻole ke ʻūlū
• ʻākoakoa paʻa ʻana o nā mākala i nā lima, nā wāwae, ka maka, a me ka ʻāʻī
• ka hopu ʻana

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

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.

• Sensipar^®