Mea Kākau: William Ramirez
Lā O Ka Hana: 24 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 12 Nowemapa 2024
Anonim
Drugs used in glaucoma, Pilocarpine, Latanoprost, Timolol, Apraclonidine mechanism of action
Wikiō: Drugs used in glaucoma, Pilocarpine, Latanoprost, Timolol, Apraclonidine mechanism of action

Anter

Hoʻohana ʻia ʻo Apraclonidine 0.5% mau kulu maka no ka lapaʻau pōkole o ka glaucoma (kahi ʻano e hiki ai ke hōʻino i ke aʻalolo optic a me ka nalo ʻana o ka ʻike, ma muli o ka hoʻonui ʻia o ka kaomi i ka maka) i ka poʻe e lawe nei i nā lāʻau ʻē aʻe no kēia ʻano a ua māhuahua kaomi i ka maka. Hoʻohana ʻia ʻo Apraclonidine 1% mau kulu maka e pale a hoʻēmi paha i ka hoʻonui ʻana o kaomi i ka maka i ka wā a ma hope o kekahi mau ʻano o ke ʻoki ʻana o ka maka laser. Aia ʻo Apraclonidine i kahi papa o nā lāʻau i kapa ʻia nā alpha-2-adrenergic agonists. Hoʻoiho ia i ke kaomi i ka maka ma ka hoʻoliʻiliʻi ʻana i ka nui o ka wai i hana ʻia i loko o ka maka.

Hele mai ʻo Apraclonidine ma ke ʻano he 0.5% hopena (wai) a me kahi hāʻina 1% e hoʻokomo i ka maka. Hoʻokomo pinepine ʻia ka hāʻina 0.5% i ka maka i hoʻopili ʻia ʻekolu mau manawa o ka lā. Hoʻokomo pinepine ʻia ka hopena 1% i ka maka e mālama ʻia ana i hoʻokahi hola ma mua o ke kaha ʻana o ka maka laser a ma hope koke iho o ke kaha ʻana. Inā ʻoe e hoʻohana nei i ka maka apraclonidine maka e hāʻule mau, e hoʻohana iā lākou ma nā 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 hoʻohana pono i nā maka apraclonidine e like me ke kuhikuhi. Mai hoʻohana i nā mea ʻoi aku a liʻiliʻi paha o lākou a hoʻohana pinepine paha iā lākou ma mua o ka mea i kauoha ʻia e kāu kauka.


ʻO nā kulu maka Apraclonidine wale nō e hoʻohana ai i ka maka. Mai ale i nā kulu o ka maka.

ʻAʻole hiki i ka Apraclonidine 0.5% mau kulu maka ke hoʻomau i ka kaohi i kou kaomi maka ma hope o kou hoʻohana ʻana iā lākou no kahi manawa, ʻoi aku ka liʻiliʻi ma mua o 1 mahina. E nānā pinepine kāu kauka iā ʻoe i ka wā e hoʻohana ana ʻoe i ka 0.5% apraclonidine maka e ʻike ai ke hana mau nei nā maka o ka maka iā ʻoe.

ʻO ka Apraclonidine 0.5% mau kulu maka e kōkua i ka mālama ʻana i ka glaucoma no kekahi manawa pōkole akā ʻaʻole hoʻōla i ke ʻano. Hoʻomau e hoʻohana i ka apraclonidine 0.5% mau kulu maka inā ʻoe e noʻonoʻo maikaʻi. Mai hōʻoki i ka hoʻohana ʻana i ka apraclonidine 0.5% mau kulu maka me ke kamaʻilio ʻole ʻana me kāu kauka.

E hoʻoulu i nā maka o ka maka, e hāhai i kēia mau kaʻina hana:

  1. E holoi pono i kou mau lima me ke kopa a me ka wai.
  2. E hōʻoia i ka kulu kulu e hōʻoia ʻaʻole i ʻoki a wāwahi ʻia.
  3. Hōʻalo i ka hoʻopili ʻana i ka piko dropper e kūʻē i kou maka a i ʻole nā ​​mea ʻē aʻe; Pono e mālama maʻemaʻe nā maka maka a me nā ʻōpala.
  4. ʻOiai e kuli ana i kou poʻo i hope, huki i ka poʻi lalo o kou maka me kou manamana lima e hana i kahi ʻeke.
  5. E paʻa i ka dropper (kihi i lalo) me ka lima ʻē aʻe, kokoke i ka maka i hiki ke loaʻa me ka hoʻopā ʻole ʻana iā ia.
  6. E hoʻopaʻa i nā manamana lima i koe o kēlā lima i kou alo.
  7. ʻOiai e nānā ana i luna, kaomi mālie i ka dropper i hāʻule hoʻokahi kulu i loko o ka ʻeke i hana ʻia e ka eyelid lalo. Wehe i kou manamana lima mai ka maka lalo.
  8. Pani i kou maka no 2 a 3 mau minuke a kihi i kou poʻo i lalo me he mea lā ke nānā nei i ka papahele. E hoʻāʻo ʻaʻole e blink a ʻūlū i kou mau lihilihi.
  9. E kau i kahi manamana lima ma ke kahe waimaka a hoʻopili i ka kaomi haʻahaʻa.
  10. E holoi i kahi wai keu mai kou alo me kahi kiko.
  11. Inā ʻoe e hoʻohana ma mua o hoʻokahi kulu i ka maka like, kali ma ka liʻiliʻi he 5 mau minuke ma mua o ke kulu ʻana i ke kulu aʻe.
  12. Inā ʻoe e hoʻohana ana i nā kulu maka 0,5%, e hoʻololi a hoʻopaʻa i ka pāpale ma ka ʻōmole dropper. Mai holoi a holoi paha i ka piko dropper. Inā ʻoe e hoʻohana ana i nā kulu maka 1%, hoʻolei i ka ʻōmole a hoʻohana i kahi ʻōmole hou no kāu kauā ʻelua.
  13. E holoi i kou mau lima e hemo i nā lāʻau.

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 hoʻohana ʻana i nā kulu maka apraclonidine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka apraclonidine, clonidine (Catapres, Catapres TTS, ma Clorpres, Duraclon) a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi i kāu kauka inā e lawe ana ʻoe a i ʻole ua kū hou paha i ka lawe ʻana i nā mea hoʻopaneʻe monoamine oxidase (MAO) e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) a me tranylcypromine (Parnate). E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i nā kulu apraclonidine maka inā ʻoe e lawe a i ʻole ua kū koke paha ʻoe i ka lawe ʻana i kekahi o kēia mau 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 haʻi pono i kekahi o kēia mau mea: antidepressants, ʻoi loa amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor) , protriptyline (Vivactil), a me trimipramine (Surmontil); beta blockers e like me atenolol (Tenormin), betaxolol (Betoptic S), levobunolol (Betagan), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), a me timolol (Betimol, Timoptic) ; digoxin (Lanoxicaps, Lanoxin); nā lāʻau lapaʻau ʻē aʻe no ka glaucoma; nā lāʻau no ke koko kiʻekiʻe e like me clonidine (Catapres, i Clorpres, Duraclon), guanabenz (Wytensin), a i ʻole methyldopa: insulin; nā lāʻau no ka hopohopo, nā maʻi noʻonoʻo, a i ʻole ka hopu ʻana i ka maʻi; nā lāʻau narcotic (opiate) no ka ʻeha; nā mea hoʻonanea; paina moe; 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.
  • inā ʻoe e hoʻohana i nā lāʻau maka ʻē aʻe, hoʻokomo iā lākou ma kahi o 5 mau minuke ma mua a ma hope paha o kou hoʻoulu ʻana i nā kulu ʻapraclonidine maka
  • e haʻi i kāu kauka inā loaʻa koke kahi maʻi puʻuwai a inā ua loaʻa a ua kaumaha paha ʻoe; mimikō; ke koko kiʻekiʻe; kahi hahau a kuhina paha; Maʻi ʻo Raynaud (ke ʻano e hoʻopūloli koke i nā kīʻaha koko ma nā manamana lima a me nā manamana wāwae); nā thromboangiitis obliterans (ka hoʻohaunaele o nā kīʻaha koko i nā lima a me nā wāwae); maule ana; aiʻole ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa.
  • e haʻi i kāu kauka inā hāpai ʻoe, a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka wā e hoʻohana ana i nā kulu maka apraclonidine, e kāhea i kāu kauka.
  • e haʻi i kāu kauka inā ʻoe e hānai umauma ana. Inā ʻoe e hoʻohana ana i ka apraclonidine 1% mau kulu i ka lā i loaʻa iā ʻoe ka ʻoki ʻana o ka maka laser, e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e hānai i ka hānai i kēlā lā.
  • 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 hoʻohana ana ʻoe i nā kulu maka apraclonidine.
  • pono ʻoe e ʻike i ka hiamoe ʻana o ka maka o ka apraclonidine. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i nā kulu maka apraclonidine. Hiki i ka waiʻona ke hana i nā hopena ʻino mai ka apraclonidine i ʻoi aku ka maikaʻi.
  • pono ʻoe e ʻike ʻo ka hoʻohana ʻana i nā kulu apraclonidine e kumu ai i ka luhi, ka uila, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


E hoʻokomo 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 hoʻokomo i nā kulu hou aku e pani no kahi mahele lāʻau i hala.

Hiki i nā maka o Apraclonidine ke kuhi i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻulaʻula, pehu, ʻāʻī, a i ʻole nā ​​maka haehae
  • ʻoluʻolu maka
  • ke manaʻo nei he mea kekahi i ka maka
  • kūlike ʻole, lohi, a i ʻole kuʻi ka puʻuwai puʻuwai
  • ʻike hihi
  • pale maka
  • maka maloʻo
  • nā haumāna ākea (nā pōʻaiʻeleʻele i waenakonu o nā maka)
  • hāpai maka
  • ka nele o ka hoʻohui maʻamau
  • nele i ka ikaika
  • hiamoe
  • paʻakikī e hiamoe a hiamoe paha
  • moeʻuhane ʻano ʻole
  • ʻūpā
  • ʻeha poʻo
  • kaumaha
  • ukiuki
  • ʻeha, puhi ʻana, a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha
  • ua loli ke ʻano o ka ʻono a ʻaʻala paha
  • waha maloo
  • nausea
  • ka luaʻi
  • ʻeha ka ʻōpū
  • kōpaʻa
  • pāhoehoe
  • ihu maloʻo a wela paha
  • kaumaha o ka umauma a ʻā paha
  • ʻulaʻula ʻili
  • hūwī
  • ʻūlili
  • wela loa
  • pālima ʻaihie a sweaty paha
  • hoʻemi i ka moekolohe

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:

  • maule ana
  • pehu o ka maka, maka, lima, lima, wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae lalo
  • pokole o ka hanu

Hiki i nā kulu maka Apraclonidine ke kumu 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 mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (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

Inā kolo kekahi i nā maka o ka apraclonidine, e kāhea i kāu kikowaena lāʻau make kūloko ma 1-800-222-1222. Inā ua hāʻule ka mea i hōʻeha a ʻaʻole hanu paha, e kāhea i nā lawelawe kūloko kūloko ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • pulse lohi
  • hiamoe
  • haʻalulu

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kekahi e hoʻohana 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.

  • Iopidine®
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