ʻO Topotecan
Anter
- Ma mua o ka lawe ʻana i ka topotecan,
- Hoʻokumu ʻo Topotecan 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 a i ʻole nā mea i helu ʻia i nā ʻARlelo AOAO IMPORTANT a i ʻole SPECIAL PRECAUTIONS ʻāpana, e kelepona koke i kāu kauka.
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
Hiki iā Topotecan ke hōʻemi i ka helu o nā hunaola i hana ʻia e kou iwi iwi. Hoʻonui kēia i ka makaʻu e hoʻomohala ʻoe i kahi maʻi kūpilikiʻi. ʻAʻole pono ʻoe e lawe i ka topotecan inā loaʻa iā ʻoe kahi helu haʻahaʻa o nā hunaola koko. E kauoha pinepine kāu kauka i nā hoʻokolohua hale hana ma mua a i kāu wā e hoʻomaʻamaʻa ai e nānā inā lawa paha nā pūnaewele koko o kou kino. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ʻeha ka ʻāʻī, nā anu, ke kuni, ka pehu, ke ahi a i ʻole ka urination ʻeha a i ʻole nā hōʻailona ʻino ʻē aʻe; ʻeha ka ʻōpū; ʻehaʻeha a hoʻokahe koko paha; luhi nui loa; ʻeha poʻo; ʻūpā; huikau; ʻili mae; puʻuwai wikiwiki; a me ka pōkole o ka hanu.
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 i topotecan.
E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i topotecan.
Hoʻohana ʻia ʻo Topotecan e mālama i ka maʻi ʻaʻai liʻiliʻi liʻiliʻi (kahi ʻano o ka maʻi ʻaʻai e hoʻomaka i nā akemāmā) i mālama maikaʻi ʻia me kahi lāʻau chemotherapy ʻē aʻe akā ua hoʻi mai ma mua o 45 mau lā ma hope o ka lawe ʻia ʻana o ka lāʻau hope loa o ka lāʻau chemotherapy mua. Aia ʻo Topotecan i loko o ka papa o nā lāʻau i kapa ʻia nā mea kūpale ʻo topoisomerase I. Hana ia ma ka luku ʻana i nā hunaola maʻi ʻaʻai.
Hele mai ʻo Topotecan ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia paha me ka ʻai ʻole. Lawe ʻia ia i hoʻokahi manawa i ka lā no 5 mau lā i ka lālani i kēlā me kēia 21 mau lā. E hoʻoholo kāu kauka i nā manawa āu e hana hou ai i kēia pōʻaiapuni. Lawe i ka topotecan 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 topotecan 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 a pau i ka wai; mai wehe, nau, a wāwahi paha iā lākou.
Hele mai nā capsule Topotecan i nā ikaika ʻelua. Makemake paha kāu kauka iā ʻoe e lawe i kahi hui o nā ikaika ʻelua o nā capsule i mea e piha ai kāu lāʻau. E ʻike pono i ke ʻano o kēlā me kēia ʻano o ka capsule a me ka nui āu e lawe ai i kēlā me kēia. E noi i kāu kauka a kauka paha inā he nīnau kāu.
Inā haki a kulu paha kekahi o nā capsule, mai hoʻopili aku iā lākou me kou mau lima. E hoʻolei pono i nā capsule haʻihaʻi me ka hoʻopili ʻole ʻana iā lākou a laila holoi maikaʻi i kou mau lima me ke kopa a me ka wai. Inā pili ka pilina o ka capsule i kou ʻili, holoi maikaʻi i kahi me ke kopa a me ka wai. Inā loaʻa i kahi mau capsule i kou mau maka, holoi koke i kou mau maka me ka wai kahe mālie no 15 mau minuke. Kāhea i kāu kauka inā loaʻa iā ʻoe ka hopena o ka ʻili a i ʻole inā loaʻa ka lāʻau i kou mau maka.
E luai paha ʻoe ma hope o kou lawe ʻana i ka lāʻau. Inā kū kēia, e hoʻomaopopo koke i kāu kauka. Mai lawe i kahi lāʻau o topotecan i ka lā like.
Pono paha kāu kauka e hoʻolohi i kāu lāʻau a hoʻoponopono paha i kāu lāʻau inā ʻike ʻoe i kekahi mau hopena ʻaoʻao. E hoʻomaopopo pono e haʻi aku i kāu kauka i kou ʻano i kou wā e mālama ai me ka topotecan.
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 topotecan,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka topotecan, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā capsule topotecan 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, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻike pono i kekahi o kēia mau mea: cyclosporine (Gengraf, Neoral, Sandimmune); ketoconazole (Nizoral); ritonavir (Norvir, ma Kaletra); aiʻole saquinavir (Fortovase, Invirase). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa i ka maʻi maʻi kidney.
- e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. ʻAʻole pono ʻoe e hāpai i ka wā e lawe ana ʻoe i topotecan. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hānau hiki iā ʻoe ke hoʻohana i kāu wā o kāu mālama ʻana. Inā hāpai ʻoe i ka lawe ʻana i topotecan, e kāhea koke i kāu kauka. Hoʻopilikia paha ʻo Topotecan i ka fetus.
- e haʻi i kāu kauka inā ʻoe e hānai umauma ana. ʻAʻole pono ʻoe e hānai i ka hānai iā ʻoe e lawe ana i topotecan.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka topotecan.
- pono ʻoe e ʻike i ka topotecan e hiamoe ai ʻoe, māluhiluhi ai ʻole nāwaliwali. Mai hoʻokele i kahi kaʻa, hoʻohana i nā mea hana kaumaha, a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- pono ʻoe e ʻike he hiki i ka topotecan ke hana i ka maʻi diarrhea nui e pono ai e mālama ʻia i kahi haukapila. E kamaʻilio me kāu kauka e pili ana i ka pale a mālama ʻana i ka maʻi pākī. Kāhea koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli: diarrhea me ka fiva, diarrhea 3 a ʻoi aku paha mau manawa i ka lā, a i ʻole ka palahī me ka ʻeha o ka ʻōpū a i ʻole ke kuʻi.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. E hoʻomaopopo i kāu kauka inā ʻoe e nalo i kahi lāʻau.
Hoʻokumu ʻo Topotecan i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ka luaʻi
- pāhoehoe
- nalo ʻai ʻole
- poho lauoho
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i nā ʻARlelo AOAO IMPORTANT a i ʻole SPECIAL PRECAUTIONS ʻāpana, e kelepona koke i kāu kauka.
- hives
- hūwī
- ʻūlili
- hulahula
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
Hoʻokumu ʻo Topotecan 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 loko o ka pahu hau a pale iā ia mai ka mālamalama.
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 ka ʻāʻī, ʻūlū, kuni, batukū, puhi ʻana a i ʻole ka mimiki ʻeha a i ʻole nā hōʻailona ʻē aʻe o ka maʻi
- ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
- luhi nui loa
- ʻeha poʻo
- ʻūpā
- huikau
- ʻili mae
- puʻuwai wikiwiki
- pokole o ka hanu
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.
- ʻO Hycamtin®