Ramelteon
Anter
- Ma mua o ka lawe ʻana i ka ramelteon,
- Hoʻokumu paha ʻo Ramelteon 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 ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
Hoʻohana ʻia ʻo Ramelteon e kōkua i nā mea maʻi i loaʻa ka hiamoe-hoʻomaka (pilikia e hiamoe) e hiamoe me ka wikiwiki. Aia ʻo Ramelteon i kahi papa o nā lāʻau i kapa ʻia he agonists receptor melatonin. Hana like ia i melatonin, kahi mea kūlohelohe i ka lolo e pono ai no ka hiamoe.
Hele mai ʻo Ramelteon ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia hoʻokahi manawa i ka lā, ʻaʻole ma mua o 30 mau minuke ma mua o ka hiamoe. Mai lawe i ka ramelteon me a i ʻole ma hope koke iho o ka pāʻina ʻana. 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 ramelteon. 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 hiamoe paha ʻoe ma hope koke iho o kou lawe ʻana i ka ramelteon. Ma hope o kou lawe ʻana i ka ramelteon, pono ʻoe e hoʻopiha i kekahi hoʻomākaukau pono no ka hiamoe a hele i kahi moe. Mai hoʻolālā i nā hana ʻē aʻe no kēia manawa. Mai lawe i ka ramelteon inā ʻaʻole hiki iā ʻoe ke hiamoe no 7 a 8 mau hola ma hope o ka lawe ʻana i ka lāʻau.
Pono e hoʻonui i kāu hiamoe ma waena o 7 a 10 mau lā ma hope o kou hoʻomaka ʻana i ka lāʻau me ka ramelteon. Kāhea i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu hiamoe i kēia manawa a i ʻole e ʻoi aku ka maikaʻi i kēlā me kēia manawa i kāu mālama ʻana.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me ka ramelteon 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) 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 ka ramelteon,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka ramelteon, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa ramelteon. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā lawe ʻoe i ka fluvoxamine (Luvox). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka ramelteon ʻoiai ʻoe e lawe nei 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 ʻike pono i kekahi o kēia mau mea: kekahi antifungals e like me fluconazole (Diflucan), itraconazole (Sporanox), a me ketoconazole (Nizoral); cimetidine (Tagamet); clarithromycin (Biaxin, i Prevpac); nā fluoroquinolones me ciprofloxacin (Cipro, Proquin XR), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Floxin), a me nā mea ʻē aʻe; Nā mea hoʻopuka protease HIV me indinavir (Crixivan), nelfinavir (Viracept), a me ritonavir (Norvir, ma Kaletra); nā lāʻau no ka hopohopo, ʻeha a hopu paha; nefazodone; rifampin (Rifadin, ma Rifamate, ma Rifater, Rimactane); nā mea hoʻonanea; nā pila moe ʻē aʻe; ticlopidine (Ticlid); a me nā tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Pili pū paha nā lāʻau ʻē aʻe he nui me ka ramelteon, 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 ua noʻonoʻo paha ʻoe e pili ana i ka luku ʻana iā ʻoe iho a i ʻole hoʻolālā a hoʻāʻo paha e hana pēlā, a inā ua loaʻa a i ʻole loaʻa paha iā ʻoe i kahi maʻi pulmonary obstructive maʻi (COPD, hōʻino ʻia i nā mumū e paʻakikī ai ka hanu ʻana) a i ʻole nā maʻi ʻū aʻe, sleep apnea (ke ʻano kahi e hoʻomaha iki ai i ka hanu ʻana i nā manawa he nui i ka pō) a i ʻole nā pilikia hanu ʻē aʻe, kaumaha, maʻi noʻonoʻo, 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 ramelteon, e kāhea i kāu kauka.
- pono ʻoe e ʻike i ka ramelteon e hiamoe ai i ke ao. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- mai inu i ka waiʻona i kou wā e mālama ai me ka ramelteon. Hiki i ka waiʻona ke hana i nā hopena ʻino o ka ramelteon i ʻoi aku ka maikaʻi.
- pono ʻoe e ʻike ʻo kekahi poʻe i lawe i ka ramelteon i hele aʻe mai kahi moe a hoʻokele i kā lākou kaʻa, hoʻomākaukau a ʻai i ka meaʻai, moekolohe, kāhea kelepona, a i ʻole i pili i nā hana ʻē aʻe i ka hiamoe hapa ʻana. Ma hope o ko lākou ala ʻana, ʻaʻole hiki i kēia poʻe ke hoʻomanaʻo i ka mea a lākou i hana ai. Kāhea koke i kāu kauka inā ʻike ʻoe e hoʻokele a hana paha ʻoe i kahi mea ʻē aʻe ke hiamoe ʻoe.
- pono ʻoe e ʻike e loli paha kou olakino i nā ala i manaʻo ʻole ʻia ke lawe ʻoe i kēia lāʻau. He paʻakikī e haʻi inā pili kēia mau hoʻololi i ka ramelteon a i ʻole nā hopena maʻi a i ʻole nā maʻi kino i loaʻa iā ʻoe a ulu koke paha. E haʻi koke aku i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: ka pīhoihoi, ka hopohopo, ka pīhoihoi a i ʻole ke ʻano pīhoihoi ʻole, nā haʻalulu (ʻike ʻana i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole), nā moeʻuhane, nā pilikia hoʻomanaʻo, nā kaumaha hou a i ʻole ke kaumaha paha, e noʻonoʻo ana e ke hoʻāʻo nei e pepehi iā ʻoe iho, a me nā hoʻololi ʻē aʻe i kāu mau manaʻo maʻamau, ʻano, a me nā ʻano. E ʻike pono i kou ʻohana i nā ʻōuli e koʻikoʻi paha i hiki iā lākou ke kāhea i ke kauka inā ʻaʻole hiki iā ʻoe ke ʻimi i ka lāʻau iā ʻoe iho.
E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻōlau a me ka inu ʻana i ka wai momona a ke lawe nei ʻoe i kēia lāʻau.
Lawe wale ʻia ʻo Ramelteon i ka wā moe. Inā ʻaʻole ʻoe i lawe i ka ramelteon i ka manawa moe a ʻaʻole hiki iā ʻoe ke hiamoe, hiki iā ʻoe ke lawe i ka ramelteon inā hiki iā ʻoe ke noho i kahi moe no 7 a 8 mau hola ma hope. Mai lawe i ka ramelteon inā ʻaʻole ʻoe mākaukau e hiamoe a hiamoe no 7 a 8 mau hola.
Hoʻokumu paha ʻo Ramelteon i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- hiamoe a luhi paha
- ʻūpā
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:
- pehu o ke alelo a i ʻole ka puʻu
- pilikia i ka ale ʻana a me ka hanu ʻana
- ke manaʻo nei e pani ana ka ʻāʻī
- nausea
- ka luaʻi
- wā kūleʻa a hala paha
- hoʻokuʻu waiū mai nā nipples
- hoʻemi i ka moekolohe
- pilikia pilikia
Hoʻokumu paha ʻo Ramelteon 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.
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.
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.
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