ʻO Rivaroxaban

Anter

• Ma mua o ka lawe rivaroxaban,
• Hoʻokumu paha ʻo Rivaroxaban 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:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Inā loaʻa iā ʻoe ka fibrillation atrial (kahi ʻano e kuʻi pinepine ka puʻuwai, e hoʻonui ana i ka manawa o nā ʻōpala i loko o ke kino, a e hōʻeha paha i nā hahau) a ke lawe nei i ka rivaroxaban e pale aku i nā hahau a i ʻole nā ​​maʻi koko koʻikoʻi, aia ʻoe i kahi kiʻekiʻe kiʻekiʻe o ke loaʻa i kahi hahau ma hope o kou hooki ʻana i ka lawe ʻana i kēia lāʻau. Mai hōʻoki i ka lawe rivaroxaban me ka walaʻau ʻole ʻana me kāu kauka. E hoʻomau i ka rivaroxaban ʻoiai inā maikaʻi ʻoe. E hoʻopihapiha hou i kāu kuhikuhi ma mua o ka pau ʻana o kāu lāʻau i ʻole ʻoe e nalo i nā kaha o ka rivaroxaban. Inā pono ʻoe e haʻalele i ka lawe ʻana i rivaroxaban, hiki i kāu kauka ke kuhikuhi i kahi anticoagulant ('' kaʻi lahilahi '') e kōkua ai i ka pale ʻana i ke kūpē ʻana o ke koko a loaʻa iā ʻoe kahi maʻi hahau.

Inā loaʻa ʻoe i ka epidural a i ʻole ka lāʻau anesthesia a i ʻole ka puncture o ka iwi i ka wā e lawe ana i kahi 'koko lahilahi' e like me rivaroxaban, makaʻu ʻoe i ka loaʻa ʻana o kahi ʻano koko i loko a puni paha o kou kuamoʻo i hiki ai iā ʻoe ke maʻi lōlō. E haʻi i kāu kauka inā loaʻa iā ʻoe kahi catheter epidural i koe i loko o kou kino a i ʻole ua hana pinepine paha i nā epidural a i ʻole nā ​​punctures spinal, deformity spinal, a i ʻole ke kaʻi ʻōiwi. E haʻi i kāu kauka a me ka kauka inā ʻoe e lawe ana i ka anagrelide (Agrylin); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin, a me nā mea ʻē aʻe), indomethacin (Indocin, Tivorbex), ketoprofen, a me naproxen (Aleve, Anaprox, a me nā mea ʻē aʻe); cilostazol (Pletal); clopidogrel (Plavix); dipyridamole (Persantine); eptifibatide (Integrilin); heparin; prasugrel (Pono); nā mea kālailai serotonin-reuptake e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft); serotonin – norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella), a me venlafaxine (Effexor); ticagrelor (Brilinta); ticlopidine; tirofiban (Aggrastat), a me warfarin (Coumadin, Jantoven). Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ʻehaʻeha o ke kua, nāwaliwali o nā mākala, numbness a i ʻole ke kaniʻu ʻana (ʻoi aku i kou mau wāwae), ka nalowale o ka kaohi o kou ʻōpū a i ʻole ka huehue, a i ʻole hiki ʻole ke neʻe i kou mau wāwae.

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

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me rivaroxaban 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/downloads/Drugs/DrugSafety/UCM280333.pdf) a i ʻole ka pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Hoʻohana ʻia ʻo Rivaroxaban e mālama i ka thrombosis hohonu (DVT; kahi kīʻaha koko, maʻamau i ka wāwae) a me ka pulmonary embolism (PE; kahi kōkuʻu koko i ka akemāmā). Hiki ke hoʻomau ʻia ʻo Rivaroxaban e pale aku iā DVT a me / a i ʻole PE mai ka hana hou ʻana ma hope o ka pau ʻana o ka lapaʻau mua. Hoʻohana ʻia ia e kōkua i ka pale ʻana i nā hahau a i ʻole nā ​​maʻi koko koʻikoʻi i ka poʻe i loaʻa i ka fibrillation atrial (kahi ʻano e kuʻi pinepine ka puʻuwai, e hoʻonui ana i ka manawa o nā clots e hana i loko o ke kino, a hiki paha ke hōʻeha) me ka ʻole o ka maʻi puʻuwai puʻuwai. Hiki i ka Rivaroxaban ke hoʻēmi i ka makaʻu o ka DVT, hiki ke alakaʻi iā PE i ka poʻe e loaʻa ana i ka hakahaka a i ʻole ke kuli e pani ai. Hoʻohana pū ʻia me ka aspirin e hoʻohaʻahaʻa i ka makaʻu o ka puʻuwai, hahau ʻana, a i ʻole make i ka poʻe me nā maʻi o ke aʻa (coronary o nā kīʻaha koko e hāʻawi i ke koko i ka puʻuwai) a i ʻole ka maʻi ākea ākea (ka maikaʻi ʻole o ke kahe o nā kīʻaha koko. hāʻawi i ke koko i nā lima a me nā wāwae). Aia ʻo Rivaroxaban i loko o ka papa o nā lāʻau i kapa ʻia nā mea hōʻoki Xa factor. Hana ia ma ka hōʻemi ʻana i ka hiki ke kō ʻana o ke koko.

Hele mai ʻo Rivaroxaban ma ke ʻano he papa e lawe ma ka waha. Ke hoʻohana ʻia ʻo rivaroxaban e treata DVT a i ʻole PE, lawe mau ʻia ia me ka meaʻai i ʻelua mau lā no 21 mau lā, a laila hoʻokahi manawa i kēlā me kēia lā me ka meaʻai. Ke hoʻohana ʻia ʻo rivaroxaban e pale aku iā DVT a i ʻole PE, lawe pinepine ʻia ia i kēlā me kēia lā me ka ʻole a me ka ʻole o ka ʻai ma hope o 6 mau mahina o ka mālama anticoagulation (ʻoi aku ka liʻiliʻi o ke koko). Ke hoʻohana ʻia ʻo rivaroxaban i mea e pale aku ai i kahi hahau i kēlā mau mea me ka puʻuwai puʻuwai kūpono ʻole, lawe mau ʻia hoʻokahi manawa i kēlā me kēia lā me ka ʻaina ahiahi. Ke lawe ʻia ʻo rivaroxaban e pale aku i ka DVT a me ka PE ma hope o ke kīpē a i ʻole ke kuli, e lawe mau ʻia me ka ʻai ʻole i hoʻokahi manawa i kēlā me kēia lā. Pono e lawe i ka mahele lāʻau ma mua o 6 a 10 mau hola ma hope o ke kahakaha ʻana. Lawe pinepine ʻia ʻo Rivaroxaban no 35 mau lā ma hope o kahi kīʻaha pani hakahaka a no 12 mau lā ma hope o ke kuli o ke kuli. Ke lawe ʻia ka rivaroxaban me ka aspirin i ka poʻe me ka maʻi o ke aʻa a i ʻole ka maʻi ākea ākea, lawe pinepine ʻia ia i kēlā me kēia lā me ka ʻai ʻole. Lawe i ka rivaroxaban 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 i rivaroxaban 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.

Inā hiki ʻole iā ʻoe ke ale i nā papa, hiki iā ʻoe ke lūlū iā lākou a kāwili pū me ka ʻōpala. E ale pono i ka hui ma hope o kou hoʻomākaukau ʻana. Hiki ke hāʻawi ʻia ʻo Rivaroxaban i kekahi ʻano o nā paipu hānai. E noi i kāu kauka inā pono ʻoe e lawe i kēia lāʻau i kāu paipu hānai. E mālama pono i nā kuhikuhi a kāu kauka.

E hoʻomau i ka rivaroxaban ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe rivaroxaban me ka walaʻau ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe rivaroxaban, hoʻonui ʻia kou makaʻi o ke kōkō koko.

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 rivaroxaban,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka rivaroxaban, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā papa rivaroxaban. 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, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: amiodarone (Pacerone), azithromycin (Zithromax), carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Tegretol-XR, Teril), clarithromycin (Biaxin, in Prevpac), conivaptan (Vaprisol), diltiazem (Cardizem, Dilacor, Tiazac), dronedarone (Multaq), erythromycin (EES, E-Mycin, Erythrocin), felodipine (Plendil), fluconazole (Diflucan), indinavole (Crix) Onmel, Sporanox), ketoconazole (Nizoral), lopinavir (i Kaletra), phenobarbital, phenytoin (Dilantin, Phenytek), quinidine, ranolazine (Ranexa), rifampin (Rifadin, i Rifamate, i Rifater, Rimactane), ritonavir (Norif Kaletra), a me verapamil (Calan, Verelan, ma Tarka). 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
• e haʻi i kāu kauka inā loaʻa kou kahe nui i nā wahi āpau o kou kino i hiki ʻole ke kū. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka rivaroxaban.
• E haʻi i kāu kauka inā loaʻa ʻoe i kahi kolo i loko o kou puʻuwai i pani a i ʻole loaʻa paha iā ʻoe nā pilikia me ke kahe ʻole o ke kahe, kahi maʻi kahe o ke kahe, a i ʻole nā ​​maʻi puʻupaʻa a ate paha.
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i rivaroxaban, e kāhea i kāu kauka.
• e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe rivaroxaban inā he 75 ou mau makahiki a ʻoi paha.
• 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 nei ʻoe i rivaroxaban.

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

Inā lawe ʻoe i rivaroxaban i hoʻokahi manawa i ka lā, e lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai ia lā. Hoʻomau i kāu papa hana maʻamau i ka lā aʻe.

Inā lawe ʻoe i rivaroxaban ʻelua mau manawa i ka lā no ka mālama ʻana i kahi DVT a i ʻole PE, e lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai ia lā. Hiki iā ʻoe ke lawe i 2 nā lāʻau i ka manawa like e pani ai no ka mahele i hala. Hoʻomau i kāu papa hana maʻamau i ka lā aʻe

Inā he CAD a PAD paha kāu a lawe i rivaroxaban i ʻelua mau manawa i ka lā e hōʻemi ai i ka makaʻu o DVT a me PE a haʻalele i kahi lāʻau, e hoʻomau wale i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Rivaroxaban i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• spasm Muscle

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:

• nā noho koko, ʻeleʻele, a i ʻole nā ​​papa noho
• ʻākala, a i ʻole mimi brown
• ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope
• ihu ihu pinepine
• e kahe ana ke kahe o kou gums
• kahe nui ke haehae
• nāwaliwali
• luhi
• ʻeha poʻo
• paupauaho a maʻule paha
• ʻike hihi
• ʻeha ma ka lima a me ka wāwae
• hūwī
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• hives
• ʻeha a pehu paha ma nā wahi ʻeha

Pale aku ʻo Rivaroxaban i ke koko mai ke kāpili ʻana i ʻoi aku ka lōʻihi ma mua o ka maʻamau no ka mea e oki ana ke kahe ʻana inā ʻoki a ʻeha paha ʻoe. Hiki i kēia lāʻau ke hōʻeha iā ʻoe a maʻalahi ke kahe. Kāhea koke aku i kāu kauka inā he mea ʻokoʻa ke kahe ʻana o ke kahe a me ka ʻeha.

Hoʻokumu paha ʻo Rivaroxaban 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 ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

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.

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.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

• kahe koko ʻole ʻana a palapū paha
• nā noho koko, ʻeleʻele, a i ʻole nā ​​papa noho
• koko i ka mimi
• ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope

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

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. ʻAʻole hiki ke hoʻopiha hou ʻia kāu palapala 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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