Tretinoin

Anter

• Ma mua o ka lawe ʻana i ka tretinoin,
• Hoʻokumu paha ʻo Tretinoin 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:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hoʻokumu paha ʻo Tretinoin i nā hopena ʻino. Hāʻawi wale ʻia ʻo Tretinoin ma lalo o ka nānā ʻana a ke kauka i loaʻa ka ʻike i ka mālama ʻana i ka poʻe i loaʻa ka leukemia (maʻi ʻaʻai o nā hunaola keʻokeʻo) a ma kahi haukapila kahi e nānā ʻia ai nā mea maʻi no nā hopena ʻino a mālama ʻia inā pili kēia mau hopena.

Hoʻokumu paha ʻo Tretinoin i kahi hui koʻikoʻi a hoʻoweliweli paha o nā ʻōuli i kapa ʻia ʻo retinoic acid-APL (RA-APL) maʻi. E nānā pono kāu kauka iā ʻoe e ʻike inā ke hoʻomohala nei ʻoe i kēia maʻi maʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka: fever; loaʻa ke kaupaona; ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; pokole o ka hanu; hanu hana; ʻūhā; ʻeha ka umauma; aiʻole ka hano. I ka hōʻailona mua ke hoʻomohala nei ʻoe i ka maʻi RA-APL, e kau kauka i hoʻokahi a ʻoi paha nā lāʻau e mālama ai i ka maʻi maʻi.

Hoʻokumu paha ʻo Tretinoin i ka piʻi wikiwiki o ka nui o nā hunaola keokeo i loko o ke kino. Hoʻopili ʻia kēia me kahi kiʻekiʻe o ka hopena o ka hopena o ka hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kahi helu kiʻekiʻe o nā hunaola koko keʻokeʻo ma mua o kou hoʻomaka ʻana i ka mālama tretinoin, a i ʻole inā hoʻonui ʻia ka nui o nā hunaola keʻokeʻo i ka wā o kou mālama ʻia ʻana me tretinoin, ʻoi aku ka maikaʻi inā ʻike ʻoe i kekahi o nā ʻōuli o RA-APL Syndrome, hiki i kāu kauka ke kuhikuhi i hoʻokahi a ʻoi paha nā lāʻau e mālama a pale aku ai i ka hoʻonui ʻia o nā hunaola keʻokeʻo.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino iā tretinoin.

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

No nā maʻi wahine:

ʻAʻole pono e lawe ʻia ʻo Tretinoin e nā mea maʻi e hāpai a hāpai paha. Aia kahi makaʻu nui i ka tretinoin e hānau i ka pēpē me nā kīnā hānau (nā pilikia o ke kino i loaʻa i ka wā hānau).

Inā hiki iā ʻoe ke hāpai, pono ʻoe e hōʻalo i ka hāpai ʻana i ka wā o kāu mālama ʻana me tretinoin. Pono ʻoe e hoʻohana i ʻelua mau ʻano ʻoluʻolu o ka kaohi hānau i kou wā lapaʻau a no 1 mau mahina ma hope o kou lapaʻau ʻana, ʻoiai inā he infertility (paʻakikī i ka hāpai ʻana) a i ʻike paha i ka menopause ('hoʻololi o ke ola'; ka pau ʻana o nā mahina menstrual).Pono ʻoe e hoʻohana i kēia ʻano ʻelua o ka kaohi hānau i nā manawa āpau ke ʻole ʻoe e hoʻohiki ʻaʻole ʻoe e moe kolohe me kahi kāne no 1 mahina ma hope o kāu lapaʻau ʻana. E haʻi aku kāu kauka iā ʻoe i ke ʻano o ka kaohi hānau e ʻae ʻia, a e hāʻawi iā ʻoe i ka ʻike piha e pili ana i ka kaohi hānau.

Inā ʻoe e hoʻolālā e hoʻohana i nā mea pale oral (nā lāʻau kaohi hānau) ʻoiai e lawe ana i ka tretinoin, e haʻi i kāu kauka i ka inoa o ka pila āu e hoʻohana ai. ʻO ka Microdosed progestin ('minipill') oral contraceptives (Ovrette, Micronor, Nor-D) ʻaʻole paha kahi ʻano maikaʻi o ka kaohi hānau no ka poʻe e lawe ana i ka tretinoin.

Pono ʻoe i kahi hōʻoia hāpai maikaʻi ʻole ma waena o 1 mau pule ma mua o kou hoʻomaka ʻana e lawe i ka tretinoin. Pono ʻoe e hoʻāʻo ʻia no ka hāpai ʻana i ka hale hana i kēlā me kēia mahina i kāu mālama ʻana. E haʻi koke i kāu kauka inā manaʻo ʻoe e hāpai ana ʻoe i kēlā me kēia manawa i kāu mālama ʻana me tretinoin.

Hoʻohana ʻia ʻo Tretinoin e mālama i ka leukemia promyelocytic koʻikoʻi (APL; kahi ʻano o ka maʻi ʻaʻai i nui a keu ʻole nā ​​kahe o ke koko i loko o ke koko a me ka iwi iwi) i ka poʻe i kōkua ʻole ʻia e nā ʻano chemotherapy a i ʻole ua hoʻomaikaʻi ʻia ke ʻano ʻoi aku ka maikaʻi ma hope o ka mālama ʻana me nā ʻano chemotherapy ʻē aʻe. Hoʻohana ʻia ʻo Tretinoin e hana i ke kala ʻana (kahi hōʻemi a nalo paha o nā hōʻailona a me nā ʻōuli o ka maʻi ʻaʻai) o APL, akā pono e hoʻohana ʻia nā lāʻau ʻē aʻe ma hope o ka mālama ʻana me tretinoin e pale ai i ka hoʻi ʻana o ka maʻi ʻaʻai. Aia ʻo Tretinoin i ka papa o nā lāʻau i kapa ʻia retinoids. Hana ia ma ka hoʻolohi a paʻa ʻana paha i ka ulu ʻana o nā hunaola maʻi ʻaʻai ma o ka hoʻomohala ʻana i nā hunaola kō ʻole e ulu a lilo i mau hunaola maʻamau.

Hele mai ʻo Tretinoin ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia ia i ʻelua mau manawa i ka lā a hiki i 90 mau lā. Lawe i ka tretinoin 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. Lawe i ka tretinoin 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 hoʻomau i ka lawe tretinoin inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka tretinoin me ke kamaʻilio ʻole ʻana me 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 tretinoin,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka tretinoin, retinoids ʻē aʻe e like me acitretin (Soriatane), etretinate (Tegison), bexarotene, a i ʻole isotretinoin (Accutane, Claravis, Sotret), nā lāʻau ʻē aʻe, parabens (kahi mālama mālama), a i ʻole kekahi o nā mea hoʻohui ʻē aʻe i nā capsule tretinoin. E noi i kāu kauka a kauka paha 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 ʻōlelo pono i kekahi o kēia mau mea: aminocaproic acid (Amicar); kekahi mau blockers channel calcium e like me diltiazem (Cardizem, Dilacor, Tiazac, kekahi) a me verapamil (Calan, Covera, Isoptin, Verelan); cimetidine (Tagamet); cyclosporine (Sandimmune, Gengraf, Neoral); erythromycin (E.E.S., Erythrocin, E-Mycin); hydroxyurea (Droxia); ketoconazole (Nizoral); pentobarbital; phenobarbital; rifampin (Rifadin, Rimactane); nā steroid oral e like me dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), a me prednisone (Deltasone); tetracycline antibiotics e like me demeclocycline (Declomycin), doxycycline (Monodox, Vibramycin, a me nā mea ʻē aʻe), minocycline (Minocin), oxytetracycline (Terramycin), a me tetracycline (Sumycin, Tetrex, a me nā mea ʻē aʻe); tranexamic acid (Cyklokapron); 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 tretinoin, 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 loaʻa a i ʻole ua hoʻonui ʻoe i ka nui o nā kolesterol (kahi mea momona-like) a me nā mea momona ʻē aʻe i ke koko, a i ʻole ate a i ʻole maʻi puʻuwai.
• e haʻi i kāu kauka inā ʻoe e hānai umauma ana.
• inā e hana ana ʻoe i kahi ʻoki, e like me ke ʻoki niho, e haʻi i kāu kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka tretinoin.
• pono ʻoe e ʻike ʻo ka tretinoin ka mea e hoʻolilo ai i ka dizziness a i ʻole ʻeha nui. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.

E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona i ka wā e lawe ana 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 Tretinoin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• nāwaliwali
• luhi loa
• haʻalulu
• ʻeha
• ʻeha pepeiao
• manaʻo o ka piha i nā pepeiao
• ʻili maloʻo
• hūwī
• poho lauoho
• kōpaʻa
• pāhoehoe
• ʻeha ka ʻōpū
• puʻuwai puʻuwai
• nalo ʻai ʻole
• Kaumaha emi
• ʻeha iwi
• ʻūpā
• numbness, puhi ʻana, a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha
• hopohopo
• kaumaha
• paʻakikī e hiamoe a hiamoe paha
• huikau
• hoohaunaele
• hallucinating (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole)
• pilikia urino
• ʻōhinu

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:

• ʻeha poʻo
• nausea
• ka luaʻi
• pohihihi a ʻike pālua paha, a i ʻole nā ​​pilikia ʻike ʻē aʻe
• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
• luaʻi ka mea koko a nānā paha e like me nā kahua kope
• ʻulaʻula ʻulaʻula a ʻeleʻele a me nā noho
• kuʻi puʻuwai ʻole
• poho lohe
• kahe ana ke koko
• nā maʻi maʻi

Hiki i ka Tretinoin ke hoʻonui i nā kiʻekiʻe o ka kolesterol a me nā momona ʻē aʻe i loko o kou koko a hoʻōki paha i kou ake mai ka hana maʻamau. E nānā pono kāu kauka iā ʻoe e ʻike inā ke ʻike nei ʻoe i kekahi o kēia mau hopena ʻaoʻao.

Hoʻokumu paha ʻo Tretinoin 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 mai ka wela a me ka makū (ma 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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• ʻeha poʻo
• ʻōhinu
• ʻulaʻula, māwae, a ʻeha nā lehelehe
• ʻeha ka ʻōpū
• ʻūpā
• nalo o ke kūlike

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E noi i kāu kauka lāʻau inā he mau nīnau kāu 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.

• Vesanoid^®