Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 15 Iune 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Prasugrel ou ticagrelor
Wikiō: Prasugrel ou ticagrelor

Anter

Hoʻokumu paha ʻo Ticagrelor i ke kahe koko nui a weliweli paha. E haʻi i kāu kauka inā loaʻa iā ʻoe i kēia manawa a i ʻole loaʻa i kahi ʻano e hōʻemi ʻoe i ke kahe ma mua o ka maʻamau. inā ua hana hou ʻoe i kahi ʻoki a ʻeha paha ma kekahi ʻano; aiʻole inā ua loaʻa paha iā ʻoe kahi maʻi maʻi ʻōpū; ke kahe ʻana o kou kō, ʻōpū, a lolo paha; kahi hahau a i ʻole pā liʻiliʻi; kahi kūlana e kumu ai i ke kahe ʻana o ke kō i kou mau ʻōpū e like me polyps (ulu ulu ʻole i ka pale o ka ʻōpū nui); aiʻole ka maʻi ate. E haʻi i kāu kauka a me ka mea kauka lāʻau inā ʻoe e lawe i nā lāʻau i hiki ke kumu i ke kahe ʻana o ke koko me nā anticoagulants (nā mea lahilahi o ke koko) e like me warfarin (Coumadin, Jantoven); heparin; nā lāʻau ʻē aʻe e mālama a pale aku ai i ke kahe o ke koko; a i ʻole ka hoʻohana mau ʻana i nā lāʻau anti-inflammatory non-steroidal e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve). ʻAʻole paha e kau kauka i kauka ticagrelor inā pono ʻoe i kahi ʻoki bypass puʻuwai (kahi ʻano o ka ʻoki puʻuwai puʻuwai) koke. ʻOiai ʻoe e lawe nei i ka ticagrelor, e ʻeha paha ʻoe a maʻalahi ke kahe ma mua o ka maʻamau a i ʻole kahe no ka lōʻihi ma mua o ka maʻamau a loaʻa paha i nā nosebleeds. Eia nō naʻe, inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: kahe ʻana i ke koko e wehewehe ʻole ʻia, ʻino, lōʻihi, a i ʻole kaohi ʻole ʻia; mimi ʻulaʻula a ʻeleʻele paha; ʻulaʻula a ʻeleʻele, noho aliʻi. ka luaʻi koko a i ʻole ke nānā aku e like me ke kahua kope; aiʻole ke kuʻi ʻana i ke koko a i ʻole ke koko.


Inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, a i ʻole kekahi ʻano o ke kaʻina olakino, e haʻi i kāu kauka a i ʻole kauka niho paha ʻoe e lawe nei i ka ticagrelor. E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka ticagrelor ma kahi o 5 mau lā ma mua o ka hoʻonohonoho ʻia ʻana o kāu ʻoki.

E haʻi paha kāu kauka iā ʻoe e lawe i kahi lāʻau haʻahaʻa o ka aspirin (ma lalo o 100 mg) i ka wā o kou lapaʻau ʻana, akā ʻo ka lawe ʻana i nā kaha kiʻekiʻe o ka aspirin e pale aku i ka hana ʻana o ticagrelor e like me ka mea e pono ai. Nui nā lāʻau i loko o ka counter (OTC) i ka aspirin, no laila e heluhelu pono i nā lepili āpau. Mai lawe i nā huahana aspirin hou a i ʻole aspirin i loko o kāu mālama ʻana me ka ticagrelor me ke kamaʻilio ʻole ʻana me kāu kauka.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me ka ticagrelor 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) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.


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

Hoʻohana ʻia ʻo Ticagrelor i mea e pale aku ai i kahi puʻuwai puʻuwai koʻikoʻi a hoʻoweliweli paha, a make paha i ka poʻe i loaʻa i ka puʻuwai puʻuwai a i ʻole ka mea i loaʻa i ka maʻi coronary syndrome (ACS; kahe o ke kahe o ke koko i ka puʻuwai). Hoʻohana ʻia ia e pale i nā kahe o ke koko mai ka hoʻokumu ʻana i ka poʻe i loaʻa nā ston coronary (nā paipu hao i hoʻokau ʻia i loko o nā kīʻaha koko e hoʻomaikaʻi i ke kahe o ke koko) e mālama iā ACS. Hoʻohana ʻia ʻo Ticagrelor e hoʻoliʻiliʻi i ka makaʻu o ka puʻuwai mua a i ʻole ka hahau ʻana i ka poʻe i ka makaʻu me ka maʻi coronary artery (CAD; hoʻoliʻiliʻi ke kahe o ke koko i ka puʻuwai). Hoʻohana ʻia ia e hoʻoliʻiliʻi i ka hopena o kahi hahau koʻikoʻi ʻē aʻe i ka poʻe e loaʻa ana i kahi hahau haʻahaʻa a akahai a i ʻole kahi hoʻouka ischemic kuewa (TIA; ministroke). Aia ʻo Ticagrelor i kahi papa o nā lāʻau i kapa ʻia nā lāʻau antiplatelet. Hana ia ma ka pale ʻana i nā platelet (kahi ʻano o ke kele koko) mai ka hōʻiliʻili ʻana a me ke kūkulu ʻana i nā clots e hiki ai ke hōʻeha i ka puʻuwai a i ʻole ka hahau.


Hele mai ʻo Ticagrelor ma ke ʻano he papa e lawe ma ka waha. Lawe mau ʻia me ka ʻai ʻole a i ʻole ʻelua mau manawa i ka lā. E lawe i ka ticagrelor 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 pono i ka ticagrelor 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 ʻaʻole hiki iā ʻoe ke ale i nā papa ticagrelor, hiki iā ʻoe ke haki i ka papa a kāwili ʻia me ka wai. E inu koke i ka hui, a laila e hoʻopiha hou i ke aniani me ka wai a hoʻowali a inu hou i ka hui.Inā loaʻa iā ʻoe kahi paipu nasogastric (NG), e wehewehe kāu kauka a mea kauka paha pehea e hoʻomākaukau ai i ka ticagrelor e hāʻawi ma o kahi Tube NG.

E kōkua ʻo Ticagrelor i ka pale ʻana i nā pilikia koʻikoʻi me kou puʻuwai a me nā kīʻaha koko ke pau ʻoe i ka lāʻau. E hoʻomau i ka lawe i ka ticagrelor ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka ticagrelor me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe ʻana i ka ticagrelor, aia kahi ʻoi aku ka nui o ka makaʻu i loaʻa iā ʻoe i ka puʻuwai puʻuwai a i ʻole hahau. Inā loaʻa iā ʻoe kahi stent, aia kekahiʻoi akuʻoi aku ka kiʻekiʻe i hiki iā ʻoe ke hoʻomohala i kahi koko i ka stent inā kū koke ʻoe i ka lawe ʻana i ka ticagrelor.

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 ticagrelor,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka ticagrelor, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa ticagrelor. E noi i kāu kauka lāʻau a nānā i ke alakaʻi 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 ʻōlelo pono i nā lāʻau i helu ʻia i ka ʻĀINA WAIWAI nui a me kekahi o kēia mau mea: antibiotics e like me clarithromycin (Biaxin, ma PrevPak) a me telithromycin (Ketek); nā lāʻau antifungal e like me itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), a me voriconazole (Vfend); nā lāʻau hoʻohaʻahaʻa kolesterol e like me lovastatin (Altoprev, in Advicor) a me simvastatin (Zocor, i Simcor, i Vytorin); digoxin (Lanoxin); nā lāʻau no ke koko kiʻekiʻe; nā lāʻau lapaʻau no ka maʻi pale maʻi (HIV) e like me atazanavir (Reyataz, ma Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra, ma Viekira Pak), a me saquinavir (Invirase); nā lāʻau no ka hopu ʻana e like me ka carbamazepine (Carbatrol, Equetro, Tegretol, a me nā mea ʻē aʻe), phenobarbital, a me phenytoin (Dilantin); nefazodone; nā lāʻau lapaʻau opioid (narcotic) no ka ʻeha e like me hydrocodone (i Hydrocet, i Vicodin, a me nā mea ʻē aʻe), morphine (Avinza, Kadian, MSIR, a me nā mea ʻē aʻe), a i ʻole oxycodone (OxyContin, i Percocet, i Roxicet, a me nā mea ʻē aʻe); a me rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater). 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 iā ʻoe a i ʻole he kuʻi puʻuwai kūpono ʻole i hoʻoponopono ʻole ʻia e kahi mea hana pacemaker, kahi ʻano o ka maʻi māmā e like me ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi e hoʻopili i nā akemāmā a me nā alaloa) a i ʻole hānō.
  • 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 ka ticagrelor, e kāhea i kāu kauka.

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.

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

  • ʻūpā
  • nausea

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:

  • pōkole o ka hanu e puka ana i kou wā e hoʻomaha ai, ma hope o ka liʻiliʻi o ka hoʻoikaika kino, a ma hope paha o kekahi hana hoʻoikaika kino
  • ʻeha ka umauma
  • wikiwiki, lohi, kuʻi, a i ʻole kuʻi puʻuwai ʻole
  • hūwī
  • pehu o ka maka, puʻu, alelo, lehelehe, a me nā maka

Hoʻokumu paha ʻo Ticagrelor 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 ana ke koko
  • nausea
  • ka luaʻi
  • pāhoehoe
  • kuʻi puʻuwai ʻole

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 ka ticagrelor.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka ticagrelor.

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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