Toremifene
Anter
- Ma mua o ka lawe ʻana i ka toremifene,
- Hoʻokumu paha ʻo Toremifene 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 a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻokumu paha ʻo Toremifene i ka hoʻolōʻihi ʻana i QT (kahi puʻuwai puʻuwai kūpono ʻole e hiki ai i ka nāwaliwali, nalowale o ka ʻike, hopu ʻia, a make koke paha). E haʻi i kāu kauka inā ʻo ʻoe a i ʻole kekahi o kou ʻohana i loaʻa a loaʻa paha iā QT maʻi lōʻihi (kahi ʻano hoʻoilina e nui ai ka lōʻihi o ka QT) a i ʻole loaʻa paha iā ʻoe nā haʻahaʻa o ka potassium a me ka magnesium i loko o kou koko. , kahi kīʻaha puʻuwai ʻole, kū ʻole o ka puʻuwai, a i ʻole nā maʻi ate. E haʻi i kāu kauka a me kāu kauka lāʻau inā ʻoe e lawe amitriptyline (Elavil); nā antifungals e like me ketoconazole (Nizoral), itraconazole (Sporanox), a i ʻole voriconazole (Vfend); clarithromycin (Biaxin, i Prevpac); erythromycin (E.E.S., E-Mycin, Erythrocin); granisetron (Kytril); haloperidol (Haldol); kekahi mau lāʻau no ka maʻi pale maʻi (HIV) a i ʻole loaʻa i ka maʻi maʻi maʻi maʻi (AIDS) e like me atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra), a me saquinavir (Invirase); kekahi mau lāʻau no ka puʻuwai kūlohelohe e like me amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), ibutilide (Corvert), procainamide (Procanbid, Pronestyl), quinidine, a me sotalol (Betapace, Betapace AF); levofloxacin (Levaquin); nefazodone; ofloxacin; ondansetron (Zofran); telithromycin (Ketek); thioridazine; a me ka venlafaxine (Effexor). Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka toremifene a kāhea koke aku i kāu kauka: wikiwiki, kuʻi, a i ʻole kuʻi ka naʻau maikaʻi ʻole. maule ana; nalowale o ka ʻike; aiʻole 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 toremifene. Hiki paha i kāu kauka ke kauoha i nā electrocardiograms (EKGs, nā hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai) ma mua a i kāu wā e hoʻomaʻamaʻa pono ai e palekana no ʻoe e lawe i ka toremifene.
E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i ka toremifene.
Hoʻohana ʻia ʻo Toremifene e mālama ai i ka maʻi ʻaʻai umauma i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino i nā wahine i ʻike i ka menopause ('hoʻololi o ke ola'; ka pau ʻana o nā wā menstrual o ka mahina). Aia ʻo Toremifene i kahi papa o nā lāʻau i kapa ʻia nonsteroidal antiestrogens. Hana ia ma ka pale ʻana i ka hana o ka estrogen (kahi wahine wahine) i ka umauma. Hiki paha i kēia ke ho'ōki i ka uluʻana o kekahi mau umauma e pono ai ka estrogen e ulu.
Hele mai ʻo Toremifene ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia me ka ʻai ʻole a ʻai ʻole hoʻokahi manawa i ka lā. E lawe i ka toremifene 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 pono i ka toremifene 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.
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 toremifene,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka toremifene, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa toremifene. 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 ʻōlelo pono i nā lāʻau i helu ʻia ma ka ʻĀINA AOAO IMPORTANT a me kekahi o kēia mau mea: anticoagulants ('' blood thinners '') e like me warfarin (Coumadin); carbamazepine (Epitol, Equetro, Tegretol); cimetidine (Tagamet); clonazepam (Klonopin); dexamethasone (Decadron, Dexone); diltiazem (Cardizem, Dilacor, Tiazac, nā mea ʻē aʻe); diuretics ('pills wai'); fluvoxamine; phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); a me verapamil (Calan, Covera, Isoptin, Verelan). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau lapaʻau ʻē aʻe ke launa pū me ka toremifene, 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
- e haʻi i kāu kauka inā ua pālahalaha kou maʻi ʻaʻai i kou mau iwi a inā loaʻa a i ʻole loaʻa iā ʻoe kekahi ʻano e kumu e maʻalahi ka maʻalahi ʻana o kou koko ma mua o ka hyperplasia maʻamau a endometrial paha (ka ulu ʻana o ka uhi o ka uterus).
- 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 toremifene, e kāhea i kāu kauka. Hoʻopilikia paha ʻo Toremifene i ka fetus. Inā ʻaʻole ʻoe i ʻike i ka menopause, pono ʻoe e hoʻohana i kahi ʻano hana pono ʻole nonhormonal o ka kaohi hānau e pale ai i ka hāpai ʻana ʻoiai ʻoe e lawe nei i ka toremifene.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka toremifene.
- pono ʻoe e ʻike e ulu nui aʻe kāu tumo ke hoʻomaka ʻoe i ka lāʻau me ka toremifene. Inā kū kēia, ʻike paha ʻoe i ka ʻula o ka ʻili a me ka ʻeha o ka iwi. He mea maʻamau kēia a ʻaʻole ia he manaʻo e ulu maikaʻi ana kou maʻi ʻaʻai. Ke hoʻomau nei ʻoe i kāu lāʻau me ka toremifene, e emi iho kou tumo.
Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu ke lawe nei ʻoe 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 Toremifene i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻālohilohi wela
- ka houʻu ʻana
- ʻike hihi a pohihihi paha
- ʻike i ke kukui a i ʻole ke ʻike ʻana i ka ʻāpana a puni nā kukui
- pilikia i ka ʻike ʻana i ka pō
- e mae ana a e melemele ana i nā kala
- maka maloʻo
- ʻūpā
- ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- kahe koko
- ʻeha pelvic a i ʻole kaomi
- wā kūlike ʻole
- hoʻokuʻu hoʻokuʻu ʻokoʻa
- hiamoe
- huikau
- ʻehaʻeha a nāwaliwali paha
- ʻeha pū
- abdominal eha
- kōpaʻa
- urination pinepine
- make wai nui loa
- nalo ʻai ʻole
- nausea
- ka luaʻi
ʻO kekahi poʻe i lawe i ka toremifene i hoʻomohala i ka maʻi ʻaʻai o ka pale o ka kōpū.ʻAʻole lawa ka ʻike e haʻi inā toremifene i hoʻokumu i kēia poʻe i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka e pili ana i ka makaʻu i ka lawe ʻana i kēia lāʻau.
Hoʻokumu paha ʻo Toremifene i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
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 a mamao aku mai ka mālamalama, ka wela nui, a me ka makū (ʻaʻole i loko o 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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- ʻeha poʻo
- nausea
- ka luaʻi
- ʻūpā
- hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
- kūmau ʻole
- ʻālohilohi wela
- kahe koko
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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