Apixaban

Anter

• Ma mua o ka lawe ʻana i apixaban,
• 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 kiʻi i ka lāʻau olakino olakino.
• 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 ʻōpū i loko o ke kino, a hiki paha ke hōʻeha) a ke lawe nei ʻo apixaban i mea e pale aku ai 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 ʻana i apixaban me ke kamaʻilio ʻole ʻana me kāu kauka. E hoʻomau i ka lawe apixaban 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 apixaban. Inā pono ʻoe e haʻalele i ka lawe ʻana i apixaban, hiki i kāu kauka ke kauoha i kekahi anticoagulant ('ka mea lahilahi o ke koko') e kōkua i ka pale ʻana i kahi kūpē ʻana o ke koko a loaʻa iā ʻoe kahi maʻi hahau.

Inā loaʻa iā ʻoe ka epidural a i ʻole ka lāʻau anesthesia a i ʻole ka puncture o ke kuamoʻo ʻoiai e lawe ana i kahi 'mea lahilahi koko' e like me apixaban, 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 i kekahi o kēia mau mea: 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); 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: nāwaliwali o nā mākala (ʻoi aku i kou mau wāwae a me kou mau wāwae), numbness a ʻūlū paha (ʻoi aku i kou mau wāwae), a i ʻole ka nalowale o ka kaohi o kou ʻōpū a i ʻole kīwī.

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 apixaban 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 nā makaʻu o ka lawe ʻana i apixaban.

Hoʻohana ʻia ʻo Apixaban e kōkua i ka pale ʻana i nā hahau a i ʻole ke kahe o ke koko 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 i hana ʻia i loko o ke kino a e hōʻeha paha i nā hahau) ʻaʻole ia e hoʻokumu ʻia e ka maʻi puʻuwai puʻuwai. Hoʻohana pū ʻia ʻo Apixaban i mea e pale aku ai i ka thrombosis hohonu (DVT; kahi kīʻaha koko, ka mea maʻamau i ka wāwae) a me ka pulmonary embolism (PE; kahi kōkuʻu koko i ka akemāhā) i ka poʻe e loaʻa ana i ka ʻūhā pani a i ʻole ke kuli e pani ai. Hoʻohana ʻia ʻo Apixaban e mālama iā DVT a me PE a hoʻomau ʻia paha e pale aku iā DVT a me PE mai ka hana hou ʻana ma hope o ka pau ʻana o ka lapaʻau mua. Aia ʻo Apixaban i loko o ka papa o nā lāʻau i kapa ʻia ʻo nā mea hōʻoki Xa factor. Hana ia ma ke kāpae ʻana i ka hana o kekahi mea kūlohelohe e kōkua ai i ke koko clots e hana.

Hele mai ʻo Apixaban 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. Ke lawe ʻia ʻo apixaban e pale aku iā DVT a me PE ma hope o ke kīʻaha hope a i ʻole ke kuli, pono e lawe i ka mahele lāʻau ma ka liʻiliʻi he 12 a 24 mau hola ma hope o ke kaha. Lawe pinepine ʻia ʻo Apixaban no 35 mau lā ma hope o ke kīpē pani hakahaka a no 12 mau lā ma hope o ke kaukuli pani. E lawe iā apixaban 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. E lawe iā apixaban 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 ʻia me ka wai, wai ʻāpala, a me nā ʻāpala. E ale pono i ka hui ma hope o kou hoʻomākaukau ʻana. Hiki ke hāʻawi ʻia iā Apixaban i kekahi mau 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 lawe apixaban ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i apixaban me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka hana ʻana i apixaban, e hoʻonui paha kāu makaʻi i ke kōkō ʻana o ke 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 ʻana i apixaban,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka apixaban, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa apixaban. 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, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i kekahi o kēia mau mea: carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); clarithromycin (Biaxin, i Prevpac); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ma Rifadin, ma Rifater); ritonavir (Norvir, ma Kaletra); 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); a me nā serotonin a me nā norepinephrine reuptake inhibitors (SNRI) e like me duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Fetzima, Savella), a me venlafaxine (Effexor). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau lapaʻau ʻē aʻe ke launa pū me apixaban, 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
• pono ʻoe e ʻike e pili pū paha ʻo apixaban me kekahi mau lāʻau i hiki ke hoʻohana ʻia e mālama iā ʻoe inā loaʻa ʻoe i ka maʻi hahau a i ʻole nā ​​pilikia olakino ʻē aʻe. Inā loaʻa kahi ulia pōpilikia, pono ʻoe a i ʻole lālā o ka ʻohana e haʻi i ke kauka a i ʻole limahana o ka lumi pōpilikia nāna e mālama iā ʻoe ke lawe nei ʻoe i ka apixaban.
• e haʻi i kāu kauka inā he kolo puʻuwai naʻe kāu a i ʻole inā he kahe nui kou i ke koko ma nā wahi āpau o kou kino i hiki ʻole ke kū. E haʻi paha kāu kauka iā ʻoe mai lawe i ka apixaban.
• e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kekahi ʻano o ka pilikia kahe ʻana o ke kahe, antiphospholipid Syndrome (APS; kahi ʻano e kumu ai ke kahe ʻana o ke koko), a i ʻole nā ​​puʻupaʻa a me nā maʻi ate.
• 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 apixaban, e kāhea i kāu kauka.
• 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 ka apixaban. E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ahixaban ma mua o ke ʻoki a me ke kaʻina hana. Inā pono ʻoe e haʻalele i ka lawe ʻana i apixaban no ka mea ke ʻoki nei ʻoe, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻokoʻa e pale aku i nā kahe koko i kēia manawa. E haʻi aku kāu kauka iā ʻoe i ka wā e hoʻomaka hou ai ʻoe e lawe i ka apixaban ma hope o kāu ʻoki ʻana. E hāhai pono i kēia mau ʻōkuhi.
• Kāhea koke i kāu kauka inā hāʻule ʻoe a hōʻeha iā ʻoe iho, keu hoʻi inā ku ʻoe i kou poʻo. Pono paha kāu kauka e nānā iā ʻoe.

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

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.

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 kiʻi i ka lāʻau olakino olakino.

• gums kahe
• ihu ihu
• kahe koko kahe nui
• mimi ʻulaʻula, a ʻulaʻula, a ʻeleʻele paha
• ʻulaʻula a ʻeleʻele, noho aliʻi
• ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope
• pehu a ʻeha pū paha
• ʻeha poʻo
• hūwī
• ʻeha o ka umauma a i ʻole ke kūiki
• pehu o ka maka a i ʻole ke alelo
• pilikia hanu
• ʻūhā
• luʻuluʻu a maule paha

Pale ʻo Apixaban i ke koko mai ka hoʻopili ʻana maʻamau, no laila ʻoi aku ka lōʻihi ma mua o ka maʻamau no ʻoe e hoʻōki i ke kahe ʻana inā ʻoki a ʻeha paha ʻoe. Hiki i kēia lāʻau ke hōʻeha iā ʻoe a maʻalahi ke kahe. Kāhea koke i kāu kauka inā he kolohe ʻole ke kahe ʻana a ʻeha paha.

Hoʻokumu paha ʻo Apixaban 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.

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

• kahe koko ʻole ʻana a palapū paha
• mimi ʻulaʻula, ʻeleʻele, a poni paha
• ʻulaʻula a ʻeleʻele, noho aliʻi
• ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope

Mālama i nā manawa āpau me kāu kauka.

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.

• Eliquis^®