ʻO Pitavastatin
Anter
- Ma mua o ka lawe ʻana i ka pitavastatin,
- Hoʻokumu paha ʻo Pitavastatin 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, e kāhea koke i kāu kauka a i ʻole e loaʻa i ke kōkua olakino pilikia.
Hoʻohana pū ʻia ʻo Pitavastatin me ka papaʻai, ka pohō kaumaha, a me ka hoʻoikaika kino e hoʻemi ai i ka nui o nā mea momona e like me ka lipoprotein haʻahaʻa (LDL) kolesterol ('kolesterol maikaʻi') i ke koko a hoʻonui i ka nui o ka lipoprotein kiʻekiʻe ( HDL) kōkōlika ('kolesterol maikaʻi') i nā mākua. Hoʻohana pū ʻia ʻo Pitavastatin me ka papaʻai e hoʻoliʻiliʻi i ka nui o ka kolesterol a me nā mea momona ʻē aʻe i loko o ke koko i nā ʻōpio a me nā keiki ʻo 8 mau makahiki a ʻoi paha o ka makahiki i loaʻa he hyperoʻoloka heterozygous ʻohana (kahi ʻano hoʻoilina kahi hiki ʻole ke hemo ʻia ka cholesterol mai ke kino maʻamau . Aia ʻo Pitavastatin i kahi papa o nā lāʻau i kapa ʻia ʻo HMG-CoA reductase (nā statins). Hana ia ma ka hoʻolohi ʻana i ka hana ʻana o ka kōkōkō i loko o ke kino e hōʻemi i ka nui o ka kolesterol e kūkulu ʻia ma nā paia o nā aʻa a ālai i ke kahe o ke koko i ka puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o ke kino.
ʻO ka hōʻuluʻulu ʻana o ka cholesterol a me nā momona ma nā paia o kou aʻa (kahi hana i ʻike ʻia ʻo atherosclerosis) e hoʻemi ana i ke kahe o ke koko a, no laila, hāʻawi ka oxygen i kou puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o kou kino ʻO ka hoʻohaʻahaʻa ʻana i ke kiʻekiʻe o kou koko a me nā momona me ka pitavastatin i hōʻike ʻia e pale ai i nā maʻi puʻuwai, angina (ʻeha o ka umauma), nā hahau, a me nā hōʻeha puʻuwai.
Hele mai ʻo Pitavastatin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. Lawe i ka pitavastatin 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 i ka pitavastatin 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 hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o pitavastatin a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 4 pule.
E hoʻomau i ka lawe ʻana i ka pitavastatin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka pitavastatin 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 pitavastatin,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka pitavastatin, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa pitavastatin E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- E haʻi i kāu kauka inā lawe ʻoe i ka cyclosporine (Gengraf, Neoral, Sandimmune). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka pitavastatin inā ʻoe e lawe i kēia 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 ʻōlelo pono i kekahi o kēia mau mea: erythromycin (E.E.S., E-Mycin, Erythrocin); nā lāʻau hoʻohaʻahaʻa kolesterol e like me fenofibrate (Tricor), gemfibrozil (Lopid), a me ka niacin (acid nicotinic, Niacor, Niaspan); rifampin (Rifadin, ma Rifamate, ma Rifater, Rimactane); lawe ʻia ʻo ritonavir (Norvir) me atazanavir (Reyataz); aiʻole warfarin (Coumadin, Jantoven). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. E launa pū paha nā lāʻau ʻē aʻe me ka pitavastatin, 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 ʻoe i ka maʻi ate.E kauoha aku kāu kauka i nā hoʻokolohua ʻana i nā keʻena hoʻokolohua e ʻike i ke ʻano o ka maikaʻi o ka hana a kou ake a ʻoiai ʻaʻole ʻoe e manaʻo he maʻi ate kou. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka pitavastatin inā loaʻa ʻoe i ka maʻi ate a i ʻole inā hōʻike ʻia nā hoʻokolohua ke ulu nei ʻoe i ka maʻi ate.
- e haʻi i kāu kauka inā inu ʻoe i ka nui o ka waiʻona, inā he 65 kou mau makahiki a ʻoi paha, inā ua loaʻa ʻoe i ka maʻi akepau, a inā i loaʻa iā ʻoe a i ʻole loaʻa i nā kuʻi, nā ʻeha a me nā nāwaliwali paha, kaomi koko haʻahaʻa, a i ʻole ka thyroid a maʻi maʻi ʻōpae paha.
- 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 ka pitavastatin. E kamaʻilio me kāu kauka e pili ana i nā hana kaohi hānau e holo pono nāu. Inā hāpai ʻoe i ka lawe ʻana i ka pitavastatin, e hoʻōki i ka lawe ʻana i ka pitavastatin a kāhea koke aku i kāu kauka. Hoʻopilikia paha ʻo Pitavastatin i ka fetus.
- mai hānai i ka wā e lawe ana ʻoe i kēia lāʻau.
- inā ke ʻoki ʻia ʻoe, e haʻi i ke kauka e lawe nei ʻoe i ka pitavastatin. Inā hoʻokipa ʻia ʻoe ma ka haukapila ma muli o ka hōʻeha koʻikoʻi a maʻi paha, e haʻi i ke kauka e mālama nei iā ʻoe ke lawe nei ʻoe i ka pitavastatin.
- e noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe nei i ka pitavastatin. Hiki i ka waiʻona ke hoʻonui i ka hopena o nā hopena ʻino.
ʻAi i kahi papaʻai momona momona, momona momona. E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. Hiki iā ʻoe ke kipa aku i ka pūnaewele Cholesterol Education Program (NCEP) pūnaewele no ka ʻike pili i ka papaʻai ma http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.
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 Pitavastatin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha kua
- kōpaʻa
- pāhoehoe
- poho poʻomanaʻo a poina paha
- huikau
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e loaʻa i ke kōkua olakino pilikia.
- ʻeha ʻeha, palupalu, a nāwaliwali paha
- fiva
- nausea
- luhi loa
- kahe koko ʻole ʻana a palapū paha
- nele i ka ikaika
- nāwaliwali
- nalo ʻai ʻole
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- melemele o ka ʻili a me nā maka
- mimi ʻeleʻele
- nā ʻōuli like flu
- hūwī
- ʻūlili
- hives
Hoʻokumu paha ʻo Pitavastatin 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
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. Hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua lab i kāu mālama ʻana, keu hoʻi inā hoʻomohala ʻoe i nā hōʻailona o ka hōʻino o ke ake.
Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka pitavastatin.
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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