Bexarotene

Anter

• Ma mua o ka lawe ʻana i ka bexarotene,
• Hoʻokumu paha ʻo Bexarotene 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:

ʻAʻole pono e lawe ʻia ʻo Bexarotene e nā mea maʻi e hāpai a hāpai paha. Aia kahi makaʻu nui i ka bexarotene e hānau ai ka pēpē me nā kīnā hānau (nā pilikia e kū nei ma ka wā hānau).

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka bexarotene.

No nā maʻi wahine:

Inā hiki iā ʻoe ke hāpai, pono ʻoe e hōʻalo i ka hāpai ʻana i ka wā o kāu mālama ʻana me ka bexarotene. Pono ʻoe e hoʻohana i ʻelua mau ʻano ʻoluʻolu o ka kaohi hānau no 1 mau mahina ma mua o kou hoʻomaka ʻana e lawe i ka bexarotene, i nā manawa āpau i kāu mālama ʻana, a no 1 mahina ma hope o kāu lapaʻau. E haʻi aku kāu kauka iā ʻoe i ke ʻano o ka kaohi hānau e ʻae ʻia. Hiki i ka Bexarotene ke hoʻoliʻiliʻi i ka pono o nā kaola hormonal (nā lāʻau kaohi hānau, nā pāhoʻi, nā apo, nā implants, a me nā injection), no laila he mea nui ia e hoʻohana i ka lua o ke ʻano o ka kaohi hānau ʻana me kēia ʻano contraceptive.

E hoʻomaka ʻoe e lawe i ka bexarotene i ka lā ʻelua a i ʻole ʻekolu o kou manawa menstrual. Pono ʻoe e hōʻoia i kahi hāpai hāpai maikaʻi ʻole ma waena o 1 mau pule o ka hoʻomaka o kāu mālama ʻana a me kēlā me kēia mahina i kāu mālama ʻana. Ma hope o kēlā me kēia hōʻoia maikaʻi ʻole hāpai, e hāʻawi ʻia iā ʻoe wale nō 1 mahina o ka bexarotene.

E hōʻoki i ka lawe ʻana i ka bexarotene a kāhea koke aku i kāu kauka inā manaʻo ʻoe he hāpai ʻoe, ua hala ʻoe i kahi wā menstrual, a i ʻole he moe kolohe ʻoe me ka hoʻohana ʻole ʻana i ʻelua ʻano o ka kaohi hānau.

No nā maʻi kāne:

Pono ʻoe e hoʻohana i kahi pale condom i kēlā me kēia manawa ke moe kolohe ʻoe me kahi wahine hāpai a hiki paha i ka hāpai ʻana ke lawe ʻoe i ka bexarotene a no 1 mahina ma hope o kāu lapaʻau. Kāhea i kāu kauka inā hāpai kāu hoa i kēia manawa.

Hoʻohana ʻia ʻo Bexarotene e mālama ai i ka lymphoma T-cell cutaneous (CTCL, kahi ʻano maʻi ʻaʻai ʻili) i ka poʻe i hiki ʻole ke mālama kūleʻa ʻia i ko lākou maʻi me ka liʻiliʻi o hoʻokahi lāʻau ʻē aʻe. Aia ʻo Bexarotene i kahi papa o nā lāʻau i kapa ʻia retinoids. Hana ia ma ka hoʻōki ʻana i ka ulu ʻana o nā hunaola maʻi ʻaʻai.

Hele mai ʻo Bexarotene ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka meaʻai. E lawe i ka bexarotene 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. E lawe pololei i ka bexarotene 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.

E ale i nā capsule holoʻokoʻa; ʻaʻole e nau i nā capsule a hoʻoheheʻe iā lākou i ka wai a i loko o kou waha. Inā hiki ʻole iā ʻoe ke ale i nā capsule holoʻokoʻa, e kamaʻilio me kāu kauka.

Hoʻopilikia paha ʻo Bexarotene ke hele i ka ʻili. Mai hoʻopā i nā capsule a i ʻole ka pauka mai nā capsule inā haki a kulu paha lākou. Inā loaʻa ka pauka mai kahi capsule haki i kou ʻili, holoi i kahi me ke kopa a me ka wai koke a kāhea i kāu kauka.

E hoʻomaka kāu kauka iā ʻoe ma ka awelika o ka bexarotene a hoʻemi paha i kāu lāʻau inā ʻike ʻoe i nā hopena a hoʻonui paha i kāu lāʻau inā ʻaʻole hoʻomaikaʻi kāu ʻano.

He mau mahina paha a ʻoi paha ka lōʻihi ma mua o kou ʻike ʻana i ka pono piha o ka bexarotene. Mai hōʻoki i ka lawe ʻana i ka bexarotene me ke kamaʻilio ʻole ʻana me kāu kauka.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

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 bexarotene,

• e haʻi i kāu kauka a me ka mea kauka inā ua maʻi ʻoe i ka bexarotene; a i ʻole nā ​​retinoid ʻē aʻe, e like me acitretin (Soriatane), etretinate (Tegison), isotretinoin (Accutane), a i ʻole tretinoin (Vesanoid); a i ʻole nā ​​lāʻau ʻē aʻe.
• 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 ʻōlelo pono i kekahi o kēia mau mea: amiodarone (Cordarone); kekahi mau antifungals e like me ketoconazole (Nizoral) a me itraconazole (Sporanox); cimetidine (Tagamet); clarithromycin (Biaxin); diltiazem (Cardizem); erythromycin (E.E.S., E-Mycin, Erythrocin); fluvoxamine; gemfibrozil (Lopid), nā mea kūpale protease HIV e like me indinavir (Crixivan), nelfinavir (Viracept), a me ritonavir (Norvir, ma Kaletra); ka insulin a me nā lāʻau lapaʻau waha no ka maʻi kō; nefazodone; phenobarbital; phenytoin (Dilantin); rifampin (Rifadin, Rimactane); tamoxifen (Nolvadex); verapamil (Calan); a me ka wikamina A. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a i ʻole e nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka bexarotene, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
• e haʻi i kāu kauka inā inu ʻoe a ua inu paha i ka nui o ka waiʻona. E haʻi aku i kāu kauka inā loaʻa iā ʻoe a ua loaʻa paha iā ʻoe pancreatitis; nā kiʻekiʻe o ke kolesterol a me nā mea momona ʻē aʻe i ke koko; mimikō; cataract; a i ʻole ka maʻi ʻaʻai, thyroid, hakuʻala, a i ʻole ka maʻi ate.
• e haʻi i kāu kauka inā ʻoe e hānai umauma ana.
• e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe nei i ka bexarotene. Hiki i ka waiʻona ke hana i nā hopena ʻino mai bexarotene i ʻoi aku ka maikaʻi.
• e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hoʻomaopopo paha ʻo Bexarotene i kou ʻili i ka lā o ka lā.

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.

E lawe i ka lāʻau i hala me ka ʻai ke hoʻomanaʻo ʻoe iā ia. 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 Bexarotene i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha poʻo
• nāwaliwali
• luhi
• hoʻonui i ka ʻike i ke anuanu
• hoʻonui i ka kaupaona
• kaumaha
• ʻeha hui a ʻeha ʻeha paha
• lahilahi, lauoho maka a wili paha
• kōpaʻa
• hūwī
• ʻili maloʻo
• ʻulaʻula, kaha ʻana, a ʻili hoʻi o ka ʻili
• poho lauoho
• pehu o nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae
• paʻakikī e hiamoe a hiamoe paha
• nausea
• ka luaʻi
• pāhoehoe

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:

• ʻeha a ʻānō e mau ana a i ʻole ʻeha ka ʻōpū
• nausea nui a mau loa hoʻi
• fiva, ʻeha ka ʻāʻī, haʻalulu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
• nā hoʻololi i ka hihiʻo

Hiki i ka Bexarotene ke hoʻonui i nā kiʻekiʻe o ke kōkōlika a me nā momona ʻē aʻe i loko o kou koko a hoʻōki paha i ka hana o ka thyroid. E nānā pono kāu kauka iā ʻoe e ʻike inā ke ʻike nei ʻoe i kekahi o kēia mau hopena ʻaoʻao. Inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao, hiki i kāu kauka ke kauoha i kahi lāʻau hou e kaohi i ka hopena ke lawe ʻoe i ka bexarotene.

Hoʻokumu paha ʻo Bexarotene 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 a mamao aku mai ka nui o ka wela, ka mālamalama, 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.

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 bexarotene.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka bexarotene.

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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