ʻO Ibandronate
Anter
- ʻAʻole hiki ke hana pono ʻo Ibandronate a hōʻino paha i ka esophagus (paipu ma waena o ka waha a me ka ʻōpū) a i ʻole nā ʻeha ma ka waha inā ʻaʻole lawe ʻia e like me nā ʻōlelo aʻoaʻo aʻe. E haʻi i kāu kauka inā ʻaʻole ʻoe e maopopo, ʻaʻole ʻoe e noʻonoʻo e hoʻomanaʻo ʻoe, a i ʻole hiki ʻole iā ʻoe ke hāhai i kēia mau ʻōlelo aʻo.
- Ma mua o ka lawe ʻana i ibandronate,
- Hoʻokumu paha ʻo Ibandronate 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 ma mua o kou lawe hou ʻana i kahi ibandronate:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Ibandronate e pale a mālama i ka osteoporosis (kahi ʻano e lahilahi a nāwaliwali ai nā iwi a haki maʻalahi) i nā wahine i loaʻa i ka menopause ('' ka loli o ke ola, '' ka hopena o nā manawa menstrual). Aia ʻo Ibandronate i kahi papa o nā lāʻau i kapa ʻia ʻo bisphosphonates. Hana ia ma ka pale ʻana i ka haʻihaʻi iwi a me ka hoʻonui ʻana i ka iwi iwi (mānoanoa).
Hele mai ʻo Ibandronate ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia ka pālaha 2.5-mg i hoʻokahi manawa i ka lā i ke kakahiaka i ka ʻōpū nele a lawe pinepine ʻia ka papa 150 mg hoʻokahi manawa i ka mahina i ke kakahiaka ma kahi ʻōpū nele. Pono e lawe i ka papa 150-mg i ka lā like i kēlā me kēia mahina. 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 pono i ka ibandronate 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.
ʻAʻole hiki ke hana pono ʻo Ibandronate a hōʻino paha i ka esophagus (paipu ma waena o ka waha a me ka ʻōpū) a i ʻole nā ʻeha ma ka waha inā ʻaʻole lawe ʻia e like me nā ʻōlelo aʻoaʻo aʻe. E haʻi i kāu kauka inā ʻaʻole ʻoe e maopopo, ʻaʻole ʻoe e noʻonoʻo e hoʻomanaʻo ʻoe, a i ʻole hiki ʻole iā ʻoe ke hāhai i kēia mau ʻōlelo aʻo.
- Pono ʻoe e lawe i ka ibandronate ma hope pono o kou hele ʻana mai kahi moe i kakahiaka, ma mua o kou ʻai ʻana a inu ʻole paha i kekahi mea. Mai lawe i ka ibandronate i ka manawa moe a ma mua o kou ala ʻana a hele i waho o kahi moe no ka lā.
- E hoʻopau i nā papa me ke kīʻaha piha (6 a 8 auneke [180 a 240 mL]) o ka wai maʻamau. Mai lawe i ka ibandronate me ke kī, kope, wai, waiū, wai mineral, wai inu, a i ʻole nā wai ʻē aʻe ma mua o ka wai maʻamau.
- E ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou. Mai omo i nā papa.
- Ma hope o kou lawe ʻana i ka ibandronate, mai ʻai, inu, a i ʻole lawe i nā lāʻau ʻē aʻe (e like me nā huaora a i ʻole nā antacids) no 60 mau minuke. Mai moe i lalo no 60 mau minuke ma hope o kou lawe ʻana i ka ibandronate. Noho kū a kū i luna ma kahi o 60 mau minuke.
Mālama ʻo Ibandronate i ka osteoporosis akā ʻaʻole ia e hoʻōla iā ia. Kōkua ʻo Ibandronate e mālama a pale i ka osteoporosis ʻoiai ke lawe mau ʻia ia. E hoʻomau i ka lawe i ka ibandronate ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka ibandronate me ke kamaʻilio ʻole ʻana me kāu kauka, akā e kamaʻilio pū me kāu kauka mai kēlā me kēia manawa e pili ana inā pono ʻoe e lawe i ka ibandronate.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me ibandronate a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
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 ibandronate,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka ibandronate, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papaha ibandronate. 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 hoʻomaopopo pono e haʻi i kekahi o kēia mau mea: angiogenesis nā mea kāohi e like me bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), a sunitinib (Sutent); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Ibu-Tab, Motrin, a me nā mea ʻē aʻe) a me naproxen (Aleve, Naprelan, Naprosyn, a me nā mea ʻē aʻe); chemotherapy maʻi ʻaʻai; a me nā steroid oral e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- inā ʻoe e lawe i nā lāʻau i loko o ka waha, me nā mea hoʻopiha, nā wikamina, a i ʻole nā antacids, e lawe iā lākou ma kahi o 60 mau minuke ma hope o kou lawe ʻana i ka ibandronate.
- e haʻi i kāu kauka inā ʻaʻole hiki iā ʻoe ke noho kū aʻe a kū pololei paha ma kahi o 60 mau minuke a inā loaʻa a loaʻa paha iā ʻoe kahi pae calcium liʻiliʻi i loko o kou koko. E haʻi paha kāu kauka iā ʻoe mai lawe i ka ibandronate.
- e haʻi i kāu kauka inā e hele ana i ka radiation therapy a inā he anemia a i ʻole loaʻa iā ʻoe (kahi e lawe ʻole ai nā hunaola ʻulaʻula i ka nui o ka oxygen i nā ʻāpana āpau o ke kino); pilikia i ka ale ʻana; puʻuwai puʻuwai; ulcer a i ʻole nā pilikia ʻē aʻe me kou ʻōpū a i ʻole esophagus (Tube e hoʻohui i ka ʻāʻī i ka ʻōpū); maʻi ʻaʻai; kekahi ʻano maʻi, ʻoi loa i kou waha; nā pilikia me kou waha, nā niho, a i ʻole nā gum; i kekahi ʻano e hōʻoki i kou koko mai ka hoʻopili ʻana maʻamau; a maʻi maʻi ʻōpae paha.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. E haʻi aku i kāu kauka inā ʻoe e hoʻolālā e hāpai i kēlā me kēia manawa i ka wā e hiki mai ana, no ka mea hiki ke noho ʻo ibandronate i kou kino no nā makahiki he nui ma hope o kou hoʻoki ʻana i ka lawe. Kāhea i kāu kauka inā hāpai ʻoe i ka wā a ma hope paha o kāu mālama ʻana.
- pono ʻoe e ʻike he hiki i ka ibandronate ke hana i ka osteonecrosis o ka iwi ā (ONJ, kahi kūlana koʻikoʻi o ka iwi ā), keu hoʻi inā he ʻoki niho ʻoe a i ʻole ke mālama ʻana ʻoiai ʻoe e lawe nei i ka lāʻau. Pono kahi kauka niho e nānā i kou mau niho a hana i nā hana e pono ai, e like me ka hoʻomaʻemaʻe a me ka hoʻoponopono ʻana i nā niho pono ʻole, ma mua o kou hoʻomaka ʻana e lawe i ka ibandronate. E hoʻomaʻemaʻe i kou mau niho a hoʻomaʻemaʻe i kou waha pono ʻoiai ʻoe e lawe nei i ka ibandronate. E kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana o nā lāʻau lapaʻau iā ʻoe e lawe nei i kēia lāʻau.
- pono ʻoe e ʻike ʻo ka ibandronate ke kumu o ka iwi nui, nā mākala, a me nā ʻeha pū. Hoʻomaka paha ʻoe e ʻeha i kēia ʻeha i loko o nā lā, mau mahina, a mau makahiki paha ma hope o kou lawe mua ʻana i ka ibandronate. ʻOiai paha e hoʻomaka kēia ʻano ʻeha ma hope o kou lawe ʻana i ka ibandronate no kekahi manawa, he mea nui ia no ʻoe a me kāu kauka e hoʻomaopopo ai ma muli o ka ibandronate. Kāhea koke aku i kāu kauka inā ʻike ʻoe i ka ʻehaʻeha loa i kēlā me kēia manawa i kāu mālama ʻana me ibandronate. E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka ibandronate a hele aku paha kou ʻeha ma hope o kou hōʻoki ʻana i ka lawe ʻana i ka lāʻau.
- e kamaʻilio me kāu kauka e pili ana i nā mea ʻē aʻe hiki iā ʻoe ke hana e pale aku ai i ka osteoporosis mai ka hoʻomohala ʻana a i ʻole ka hōʻino ʻana. E haʻi paha kāu kauka iā ʻoe e hōʻalo i ka puhī ʻana a me ka inu ʻana i ka nui o ka waiʻona a e hāhai i kahi papahana maʻamau o ka hoʻoikaika kino.
Pono ʻoe e ʻai a inu i ka nui o nā meaʻai a me nā mea inu i waiwai i ka calcium a me ka huaola D ʻoiai ʻoe e lawe ana i ka ibandronate. E haʻi aku kāu kauka iā ʻoe i nā meaʻai a me nā mea inu i kūpono i kēia mau meaola a me ka nui o nā lawelawe āu e pono ai i kēlā me kēia lā. Inā paʻakikī ʻoe e ʻai lawa i kēia mau meaʻai, e haʻi i kāu kauka. I kēlā hihia, hiki i kāu kauka ke kauoha a koi paha i kahi mea kōkua.
Inā poina iā ʻoe ke lawe i ka papaha 2.5-mg i kēlā me kēia lā, mai lawe ia ma hope i ka lā. E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana hana maʻamau i ke kakahiaka aʻe. Mai lawe i ʻelua papa o ka ibandronate i ka lā like.
Inā hoʻopoina ʻoe e lawe i ka papa 150-mg hoʻokahi mahina, a ʻo kou lā e hiki mai ana e lawe i ka ibandronate ma mua o 7 mau lā, e lawe i hoʻokahi papa i ke kakahiaka ma hope o kou hoʻomanaʻo. A laila hoʻi i ka lawe ʻana i hoʻokahi papa i kēlā me kēia mahina ma ka lā i hoʻonohonoho mau ʻia. Inā hoʻopoina ʻoe e lawe i ka papa 150-mg hoʻokahi mahina a ʻo kou lā i koho ʻia e lawe i ibandronate he 7 a ʻoi aku paha mau lā, e lele i ka lāʻau a kali i kāu lā i hoʻonohonoho ʻia. ʻAʻole ʻoe e lawe i ʻelua papa 150-mg o ibandronate ma waena o 1 pule.
Inā ʻaʻole maopopo iā ʻoe ka mea e hana ai inā ʻoe e ʻike i kahi mahele o ibandronate, e kāhea i kāu kauka.
Hoʻokumu paha ʻo Ibandronate i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ʻeha ka ʻōpū
- pāhoehoe
- kōpaʻa
- nāwaliwali
- ʻūpā
- ʻeha poʻo
- fiva, ʻāʻī puʻupuʻu, ʻalalā, ʻū, a me nā hōʻailona ʻē aʻe o ka maʻi
- Pono pinepine a koi paha e mimi
- urination ʻeha
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka ma mua o kou lawe hou ʻana i kahi ibandronate:
- puʻuwai puʻuwai hou a ʻoi aku paha
- paʻakikī i ka ale ʻana
- ʻeha i ka ale ʻana
- ʻeha o ka umauma luna
- hūwī
- gums ʻeha a pehu paha
- ka hemo ʻana o nā niho
- ʻōniu a kaumaha paha i ka ā ā
- hoʻōla maikaʻi ʻole o ka iwi ā
- puʻupuʻu, ʻeha ʻeha ma nā pūhaka, ʻūlū, a i ʻole nā ʻūhā
Hoʻokumu paha ʻo Ibandronate i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
Lawe i ka lāʻau bisphosphonate e like me ibandronate no ka osteoporosis e hoʻonui i ka makaʻu e haki ʻoe i kou iwi ʻūhā. ʻIke paha ʻoe i ka ʻeha ma kou pūhaka, ʻūlū, a me nā ʻūhā no mau pule a i ʻole mau mahina ma mua o ka haki ʻana o ka iwi, a ʻike paha ʻoe ua haki kekahi o nā iwi o kou ʻūhā ʻoiai ʻaʻole ʻoe i hāʻule a i ʻole ʻike i kekahi ʻeha ʻē aʻe. He mea maʻamau ʻole ka haki ka iwi o ka ʻūhā i ka poʻe olakino, akā ʻo ka poʻe i loaʻa ka osteoporosis e haki paha kēia iwi inā ʻaʻole lākou e lawe i ka ibandronate. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka ibandronate.
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
Inā loaʻa ka overdose, e hāʻawi i ka mea i loaʻa i ke kīʻaha piha o ka waiū a kāhea i kāu kikowaena lāʻau make kūloko ma 1-800-222-1222. Inā ua hiolo ka mea i hōʻino ʻia a ʻaʻole hanu paha, e kāhea i nā lawelawe kūloko kūloko ma 911. Mai ʻae i ka mea i hōʻino ʻia e moe i lalo a mai hoʻāʻo e hoʻolawa i ka mea i hōʻino ʻia.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- nausea
- ʻeha ka ʻōpū
- puʻuwai puʻuwai
Mālama i nā manawa āpau me kāu kauka. E kauoha paha kāu kauka i kekahi mau hoʻokolohua e nānā ai i ka pane o kou kino iā ibandronate.
Ma mua o ka hoʻopaʻa ʻana i kahi kiʻi kiʻi iwi, e haʻi i kāu kauka a me nā limahana olakino e lawe nei ʻoe i ka ibandronate.
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.
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