ʻO Erlotinib

Anter

• Ma mua o ka lawe ʻana iā erlotinib,
• Hoʻokumu ʻo Erlotinib 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, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hoʻohana ʻia ʻo Erlotinib e mālama i kekahi ʻano maʻi ʻaʻai liʻiliʻi liʻiliʻi i pāhola ʻia i nā mea kokoke a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i nā mea maʻi i mālama ʻia me hoʻokahi lāʻau chemotherapy ʻē aʻe a ʻaʻole i maikaʻi. Hoʻohana pū ʻia ʻo Erlotinib me kahi lāʻau lapaʻau ʻē aʻe (gemcitabine [Gemzar]) e mālama ai i ka maʻi ʻaʻai pancreatic i pāhola ʻia i nā mea kokoke a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino a ʻaʻole hiki ke mālama ʻia me ke ʻoki. Aia ʻo Erlotinib i kahi papa o nā lāʻau i kapa ʻia nā kinase inhibitors. Hana ia ma ke kāpae ʻana i ka hana o kahi protein pono ʻole e hōʻailona ai i nā hunaola maʻi ʻaʻai e hoʻonui. Kōkua kēia i ka hoʻolohi a hoʻopau paha i ka hoʻolaha ʻana o nā hunaola maʻi ʻaʻai.

Hele mai ʻo Erlotinib ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia ia ma ka ʻōpū hakahaka i hoʻokahi manawa i ka lā, ma ka liʻiliʻi he 1 hola ma mua a i ʻole 2 mau hola ma hope o ka ʻai ʻana i kahi pāʻina a i ʻole meaʻai māmā. Lawe iā erlotinib 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. Lawe iā erlotinib 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.

Hiki i kāu kauka ke hōʻemi i kāu lāʻau o erlotinib i kāu mālama ʻana. Aia kēia i ka maikaʻi o ka hana ʻana o ka lāʻau iā ʻoe a me nā hopena ʻē aʻe āu e ʻike ai. E kamaʻilio me kāu kauka e pili ana i kou ʻano i kāu mālama ʻana. E hoʻomau i ka lawe ʻana iā erlotinib inā ʻoe e ʻoluʻolu. Mai hōʻoki i ka lawe ʻana i ka erlotinib 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 iā erlotinib,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka erlotinib, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā papa erlotinib. 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, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E hōʻoia e haʻi i kekahi o kēia mau mea: angiogenesis mea kāohi e like me bevacizumab (Avastin); anticoagulants ('blood thinners') e like me warfarin (Coumadin); kekahi mau antifungals e like me itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), a me voriconazole (Vfend); boceprevir (Victrelis); carbamazepine (Tegretol); ciprofloxacin (Cipro, Proquin XR); clarithromycin (Biaxin); konivaptan (Vaprisol); Nā mea hoʻopalekana protease HIV e like me atazanavir (Reyataz), indinavir (Crixivan), lopinavir / ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), a me saquinavir (Fortovase, Invirase); H₂ nā poloka e like me cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), a me ranitidine (Zantac); nā lāʻau no ka huehue e like me benzoyl peroxide (i Epiduo, ma BenzaClin, i Benzamycin, a me nā mea ʻē aʻe); midazolam (Versed): nefazodone; nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); nā steroid ʻo waha e like me dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), a me prednisone (Deltasone); phenobarbital (Luminal, Solfoton); phenytoin (Dilantin); nā mea pale proton e like me esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), a me rabeprazole (AcipHex); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); rifapentine; nā lāʻau ʻauhau no ka maʻi ʻaʻai e like me docetaxel (Taxotere) a me paclitaxel (Abraxane, Taxol); telithromycin (Ketek); teriflunomide (Aubagio); a me troleandomycin (TAO) (ʻaʻole i loaʻa i ka 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 erlotinib, 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.
• inā ʻoe e lawe i nā antacids, lawe iā lākou i mau hola ma mua a i ʻole mau hola ma hope o kou lawe ʻana iā erlotinib.
• e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
• e haʻi i kāu kauka inā mālama ʻia ʻoe a i ʻole e mālama ʻia me chemotherapy a i ʻole radiation therapy (lapaʻau no ka maʻi ʻaʻai e hoʻohana ana i nā nalu o nā ʻikehu kiʻekiʻe e pepehi i nā hunaola maʻi ʻaʻai. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe i ka maʻi ākea a i ʻole maʻi maʻi paha, nā maʻi puʻupuʻu o ka ʻōpū, nā maʻi diverticular (ke ʻano e hana ʻia ai nā ʻeke kūpono ʻole i loko o ka ʻōpū nui a lilo paha i mea hoʻomāhuahua ʻia), a i ʻole ate a i ʻole nā ​​maʻi puʻupaʻa.
• e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. ʻAʻole pono ʻoe e hāpai i ka wā e lawe ana ʻoe i erlotinib a no ka liʻiliʻi o 1 mau mahina ma hope o kāu hopena hope loa. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hānau hiki iā ʻoe ke hoʻohana. Inā hāpai ʻoe, e kāhea koke i kāu kauka. Hoʻopilikia paha ʻo Erlotinib i ka fetus.
• e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. ʻAʻole pono ʻoe e hānai i ka wā o kāu mālama ʻana me erlotinib a no ʻelua mau pule ma hope o kāu hopena hope loa.
• 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 ʻoe e lawe nei iā erlotinib.
• e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. Hiki i ka uahi paka ʻana ke hōʻemi i ka pono o kēia lāʻau.
• hoʻolālā e hōʻalo i ka pono ʻole a hoʻolōʻihi paha i ka puka ʻana o ka lā a komo i ka pāpale, nā lole pale ʻē aʻe, nā aniani aniani, a me ka sunscreen. Koho i kahi sunscreen i loaʻa kahi pale pale lā (SPF) ma ka liʻiliʻi he 15 a loaʻa ka zinc oxide a i ʻole titanium dioxide. ʻO ka hōʻike i ka lā e hoʻonui i ka makaʻu e hoʻomohala ʻoe i kahi wīwī i kou wā e mālama ai me erlotinib.
• pono ʻoe e ʻike ʻo erlotinib ke kumu o ka huehue a me nā pilikia ʻili ʻē aʻe. I mea e pale ai i kou ʻili, e hoʻohana i kahi wai hoʻoluʻu wai ʻoluʻolu ʻole, holoi i kou ʻili me ke kopa maʻalahi, a hemo i nā mea hoʻoliʻiliʻi me kahi hoʻomaʻemaʻe maʻalahi.

Hōʻalo i ka ʻai ʻana i ka huaʻikuʻi a me ka inu ʻana i ka waiʻulu i ka wā e lawe ana i kēia lāʻau.

I mea e pale aku ai i ka maʻi palahēhē e kena ʻia e erlotinib, inu i nā wai ʻopa liʻiliʻi e like me ka inu kō ʻana o ke kō me ke kō ʻole i loko o ka lā, ʻai i nā meaʻai maʻalahi e like me nā pahū a me ka toast, a pale i nā meaʻai nīoi.

E lawe i ka mahele lāʻau aʻe i kāu manawa maʻamau i ka lā aʻe. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

• pāhoehoe
• nalo ʻai ʻole
• nausea
• ka luaʻi
• puʻuwai puʻuwai
• ʻenekini
• kōpaʻa
• ʻeha nā waha
• Kaumaha emi
• luhi loa
• ʻeha poʻo
• ʻeha ka iwi a ʻeha paha
• kaumaha
• hopohopo
• numbness, puhi ʻana, a i ʻole ke kani ʻana o nā lima a me nā wāwae paha
• ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i nā wāwae lalo
• ʻeleʻele o ka ʻili
• poho lauoho
• nā hoʻololi i ka helehelena o ka lauoho a me nā kui

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• hū (e like paha me ka huehue a hoʻopili paha i ka ʻili ma ka maka, luna o ka umauma, a i hope paha)
• ʻili, ʻili, maloʻo, a i ʻili nahae
• ʻili, palupalu, a i ʻole ʻā ʻana o ka ʻili
• pokole o ka hanu
• ʻūhā
• ke kunu a i ʻole ke anuanu
• ka ulu ʻana o nā maka maka i loko o ka maka
• ʻeha ka ʻōpū nui
• maloʻo, ʻulaʻula, ʻeha, haehae, a i ʻole hoʻonāukiuki nā maka
• ʻike hihi
• ʻike maka i ka mālamalama
• ʻeha ka umauma a i ʻole kaomi
• ʻeha ma nā lima, ʻāʻī, a i luna hoʻi
• wikiwiki, kūlike ʻole, a kuʻi paha i ka puʻuwai puʻuwai
• ʻolelo lohi a paʻakikī paha
• paupauaho a maʻule paha
• nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae
• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
• ʻūlū ʻeleʻele a lohi a koko paha
• luaʻi ka mea koko a nānā paha e like me nā kahua kope
• maka pohō
• waha maloo
• hoʻemi urination
• mimi ʻeleʻele
• ʻili ʻulaʻula a melemele paha
• ʻulaʻula, mehana, ʻeha, palupalu, a huʻi paha i ka wāwae hoʻokahi

Hoʻokumu ʻo Erlotinib 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:

• pāhoehoe
• hūwī

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

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.

• ʻO Tarceva^®