Kumuhana Diclofenac (keratosis actinic)

Anter

• Ma mua o ka hoʻohana ʻana i ka gel diclofenac,
• Hiki i nā gel Diclofenac ke kumu 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:

ʻO ka poʻe e hoʻohana nei i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (ʻē aʻe ma mua o ka aspirin) e like me ka topical diclofenac (Solaraze) hiki ke loaʻa i kahi kiʻekiʻe o ka hopena o ka puʻuwai puʻuwai a i ʻole ka hahau ma mua o ka poʻe e hoʻohana ʻole i kēia mau lāʻau. Hiki paha kēia mau hanana me ka ʻōlelo ʻole ʻole a make paha. ʻOi aku ke kiʻekiʻe o kēia makaʻi no ka poʻe hoʻohana i nā NSAID no kekahi manawa lōʻihi. Mai lawe i kahi NSAID e like me diclofenac kumuhana inā ʻoe i loaʻa i kahi puʻuwai puʻuwai, ke ʻole ke kuhikuhi ʻia e kāu kauka. E haʻi i kāu kauka inā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa a loaʻa paha i ka maʻi puʻuwai, i ka puʻuwai puʻuwai, a i ʻole ka hahau ʻana; inā puhi ʻoe; a inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe ke kiʻekiʻe o ke kōkōhō, ke koko kiʻekiʻe, a i ʻole ka diabetes. E kiʻi koke i ke kōkua olakino pilikia inā ʻike ʻoe i kekahi o nā ʻōuli penei: ka ʻeha o ka umauma, ka pōkole o ka hanu, nāwaliwali ma kahi ʻāpana a i ʻole ʻaoʻao o kou kino, a i ʻole ʻōlelo lohi.

Inā ʻoe e hana i kahi bypass coronaary bypass graft (CABG; kahi ʻano o ke ʻoki puʻuwai), ʻaʻole pono ʻoe e hoʻohana i ka diclofenac kumuhana (Solaraze) ma mua a ma hope pono paha o ke ʻoki.

ʻO nā NSAID e like me ke kumuhana diclofenac (Solaraze) ke kumu o ka pehu ʻana, ulcer, kahe ʻana o ke kō, a i ʻole nā ​​puka o ka ʻōpū a me ka ʻōpū. E ulu paha kēia mau pilikia i kēlā me kēia manawa i ka wā o ka mālama ʻana. ʻOi aku ka kiʻekiʻe o ka makaʻu no nā poʻe e hoʻohana i nā NSAID no ka manawa lōʻihi, ʻoi aku ka nui o ka makahiki, maikaʻi ʻole ke olakino, puhipaka, a inu waiʻona paha i ka hoʻohana ʻana i ka diclofenac kumuhana. E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau pilikia a inā loaʻa a loaʻa paha iā ʻoe nā ulcer a i ʻole ke kahe ʻana i kou ʻōpū a i ʻole nā ​​ʻōpū. E haʻi i kāu kauka inā lawe ʻoe i kekahi o nā lāʻau aʻe: anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); aspirin; nā NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft); aiʻole nā ​​serotonin norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), a me venlafaxine (Effexor XR). Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hoʻōki i ka hoʻohana ʻana i ka diclofenac kumuhana a kāhea i kāu kauka: ʻeha ka ʻōpū, ʻehaʻeha ka puʻuwai, luaʻi i kahi mea koko a ʻano like paha me nā papa kope, ke koko i loko o ka pahu, a i ʻole nā ​​papa noho ʻeleʻele a lohi hoʻi.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E nānā pono kāu kauka i kāu mau hōʻailona a lawe paha i kou kaomi koko a kauoha i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ka diclofenac kumuhana (Solaraze). E ʻike pono i kāu kauka pehea kou ʻano i hiki i ke kauka ke kuhikuhi i ka nui kūpono o ka lāʻau e mālama ai i kou ʻano me ka makaʻu haʻahaʻa o nā hopena ʻino.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me diclofenac kumuhana a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) e kiʻi i ke alakaʻi Medication.

Hoʻohana ʻia ʻo Diclofenac topical gel (Solaraze) e mālama ai i ka keratosis actinic (pālahalaha, ulu ulu ma ka ʻili i hana ʻia e ka lā i hōʻike nui ʻia). Aia ʻo Diclofenac i kahi papa o nā lāʻau i kapa ʻia ʻo nonsteroidal anti-inflammatory drug (NSAIDs). ʻO ke ala e hana ai ka gel diclofenac e mālama ai i ka keratosis actinic ʻaʻole ʻike ʻia.

Loaʻa ʻo Diclofenac ma ke ʻano he wai (Pennsaid) a me kahi gel (Voltaren) i hoʻopili ʻia i ka ʻili e mālama i ka ʻeha o ka maʻi. Hāʻawi wale kēia monograf i ka ʻike e pili ana i ka gel diclofenac (Solaraze) no ka keratosis actinic. Inā ʻoe e hoʻohana nei i kekahi o nā huahana no ka osteoarthritis, heluhelu i ka monograph i kapa ʻia diclofenac topical (osteoarthritis pain).

ʻO ka diclofenac kumuhana no ka keratosis actinic e hele mai ma ke ʻano he gel (Solaraze) e hoʻopili i ka ʻili. Hoʻohana ʻia ia i ka wahi i hoʻopilikia ʻia i ʻelua manawa i ka lā no 60 a 90 mau lā. E noi i ka gel diclofenac ma kahi o 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 ka gel diclofenac e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Mai hoʻopili i ka gel diclofenac e wehe i nā ʻeha o ka ʻili, nā maʻi, a me ka ʻulaʻula, scaly, a me ka ʻili ihi.

Hoʻohana wale ʻia ka gel Diclofenac ma ka ʻili. E makaʻala i ʻole e loaʻa ka lāʻau i kou maka.

E holoi i kou mau lima ma mua o ka hoʻopili ʻana i ka gel diclofenac. A laila e hoʻohana i kou mau manamana lima e hoʻomaʻamaʻa mālie i ka gel ma kēlā me kēia wahi i pā. E hoʻohana i ka gel lawa e uhi pono ai i nā wahi. Ke pau kāu noi ʻana i ka gel, holoi hou i kou mau lima. E makaʻala i ʻole e hoʻopā i kou mau maka a i ʻole ka ihu ma mua o ka holoi ʻana i kou mau lima.

E hoʻomaka paha kāu kūlana e hoʻomaikaʻi ma hope o 30 mau lā o ka mālama ʻana, akā hiki paha i 30 mau lā ma hope o ka pau ʻana o ka lāʻau ma mua o kou ʻike ʻana i ka hoʻōla piha o ka wahi i hoʻopilikia ʻia a i ʻole ka pono piha o ka gel diclofenac E hoʻomau i ka hoʻohana ʻana i ka gel diclofenac ʻoiai inā ua hoʻomaka kou kūlana e hoʻomaikaʻi. Mai hōʻoki i ka hoʻohana ʻana i ka lāʻau 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 hoʻohana ʻana i ka gel diclofenac,

• e haʻi i kāu kauka a me kāu kauka inā he maʻi ʻoe i ka diclofenac (Cambia, Flector, Voltaren, Pennsaid, Zipsor, Zorvolex, ma Arthrotec), aspirin, a i ʻole nā ​​NSAID ʻē aʻe; nā lāʻau lapaʻau ʻē aʻe; aiʻole i kekahi o nā mea hoʻohui i ka gel diclofenac. 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 i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e haʻi i kekahi o kēia mau mea: angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), captopril, enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, ma Prinzide a me Zestoretic) , moexipril (Univasc, ma Uniretic), perindopril (Aceon, ma Prestalia), quinapril (Accupril, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, i Tarka); angiotensin receptor blockers like candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (i Exforge HCT); aspirin a i ʻole nā ​​lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); diuretics ('pills wai'); a me nā lāʻau ʻē aʻe i hoʻopili ʻia i ka ʻili. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e kamaʻilio me kāu kauka ma mua o ka hoʻopili ʻana i ka sunscreen a i ʻole nā ​​mea hoʻonaninani i ka ʻili e mālama ʻia me ka gel diclofenac.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i loaʻa paha ʻoe i ka hānō, keu hoʻi inā pinepine ʻoe i ka ihu a i ʻole ka ihu ihu a i ʻole nā ​​polyps nasal (ka pehu ʻana o ka uhi o ka ihu), maikaʻi ʻole o ka puʻuwai, a i ʻole ka maʻi puʻuwai a i ʻole ate.
• e haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai. aiʻole e hānai umauma ana. Hoʻopilikia paha ʻo Diclofenac i ka fetus a hana i nā pilikia me ka lawe ʻana inā hoʻohana ʻia ma kahi o 20 mau pule a i ʻole ma ka wā hāpai. Mai hoʻohana i ka gel diclofenac a puni a ma hope paha o 20 mau pule o ka hāpai ʻana, ke ʻole ʻoe e haʻi ʻia e kāu kauka. Inā hāpai ʻoe i ka hoʻohana ʻana i ka gel diclofenac, e kāhea i kāu kauka.
• hoʻolālā e hōʻalo i ka hōʻike ʻana i ka lā maoli a me ka lā hana (kukui o ka lā) a komo i nā lole pale a me nā aniani aniani i kou wā e mālama ai me ka gel diclofenac.

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

E noi 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 hoʻopili i kahi gel keu no ka pau ʻana o kahi lāʻau.

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

• ʻulaʻula, aniani, ʻili a i ʻole ʻili maloʻo, hoʻonāukiuki, pehu, a wīwī paha ma kahi āu i noi ai i ka lāʻau
• ʻeha, puhi ʻana, numbness a i ʻole ʻili ʻana o ka ʻili i mālama ʻia
• Muscle, ami, a ʻeha hoʻi
• ʻeha poʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka:

• hives
• hūwī
• ʻūlili
• paʻakikī i ka ale ʻana
• hulahula
• loaʻa kaumaha kaumaha ʻole
• pōkole o ka hanu a paʻakikī hoʻi i ka hanu ʻana
• pehu i ka ʻōpū, nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae

Hiki i ka gel Diclofenac ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana 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 mālamalama, ka wela nui, a me ka makū (ʻaʻole i loko o ka lua. Mai ʻae i ka gel diclofenac e paʻa.

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

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.

Inā e ale kekahi i ka gel diclofenac, 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.

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.

• Solaraze^® ʻ .lika