Mea Kākau: Gregory Harris
Lā O Ka Hana: 16 Apelila 2021
HōʻAno Hou I Ka Lā: 26 Iune 2024
Anonim
Canagliflozin, Dapagliflozin, and Empagliflozin - Sodium Glucose Cotransporter Inhibitors
Wikiō: Canagliflozin, Dapagliflozin, and Empagliflozin - Sodium Glucose Cotransporter Inhibitors

Anter

Hoʻohana ʻia ʻo Canagliflozin me ka papaʻai a me ka hoʻoikaika kino, a i kekahi manawa me nā lāʻau ʻē aʻe, e hoʻohaʻahaʻa i nā pae kō kō i nā poʻe me ka maʻi diabetes type 2 (ke ʻano kiʻekiʻe ke kō kō no ka mea ʻaʻole hana a hoʻohana paha ke kino i ka insulin maʻamau). Hoʻohana pū ʻia ʻo Canagliflozin e hōʻemi i ka hopena o ka hahau ʻana, ka puʻuwai puʻuwai, a i ʻole ka make i nā poʻe i loaʻa i ka maʻi maʻamau ʻo 2 me ka maʻi puʻuwai a me nā kīʻaha koko. Hoʻohana pū ʻia ʻo Canagliflozin e hōʻemi i ka makaʻu o nā maʻi ʻōiwi pae hope loa, e hōʻeha ana i ka hana o nā puʻupaʻa, e pono ana i ka haukapila no ka maikaʻi ʻole o ka puʻuwai, a me ka make ʻana o ka puʻuwai maʻi i nā poʻe i loaʻa ka maʻi diabetes 2 me nā maʻi puʻuwai koʻikoʻi. Aia ʻo Canagliflozin i loko o kahi papa o nā lāʻau i kapa ʻia he sodium-glucose co-transporter 2 (SGLT2) nā mea kāohi. Hoʻoiho ia i ke kō i ke kō ma o ke kuhi ʻana i nā puʻupaʻa i ka nui o nā glucose i ka mimi. ʻAʻole hoʻohana ʻia ʻo Canagliflozin e mālama i ka ʻano diabetes 1 (kahi a ke kino e hana ʻole ai i ka insulin a, no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko).


I ka hala ʻana o ka manawa, hiki i ka poʻe i loaʻa i ka maʻi diabetes a me ke kō kō ke kiʻekiʻe ke hoʻomohala i nā pilikia koʻikoʻi a i ʻole hoʻoweliweli i ke ola, e like me ka maʻi puʻuwai, ka hahau, nā pilikia o ka puʻupaʻa, nā ʻeha o ke aʻa, a me nā pilikia o ka maka. ʻO ka lawe ʻana i nā lāʻau (s), ka hoʻololi ʻana i ka nohona (e laʻa me ka papaʻai, hoʻoikaika kino, haʻalele i ka puhipaka), a me ka nānā pinepine ʻana i kāu kō kō e kōkua paha i ka mālama ʻana i kāu maʻi kō. Hoʻoemi paha kēia hoʻomaʻamaʻa i kou manawa e loaʻa ai ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā ​​pilikia e pili ana i ka maʻi diabetes e like me ka hōʻino ʻana o ka puʻuwai, nā ʻāʻī nerve (numb, nā wāwae anu a i ʻole nā ​​wāwae; hoʻemi i ka hiki i ka wahine i nā kāne a me nā wahine), nā pilikia o ka maka, me nā loli. a i ʻole ka nalo ʻana o ka ʻike, a i ʻole ka maʻi gum. E kamaʻilio pū kāu kauka a me nā mea lawelawe ʻē aʻe iā ʻoe e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.

Hele mai ʻo Canagliflozin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia hoʻokahi manawa i ka lā ma mua o ka ʻaina kakahiaka a i ʻole ka pāʻina nui mua o ka lā. Lawe iā canagliflozin 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 pono iā canagliflozin 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 lāʻau haahaa o canagliflozin a hoʻonui iki i kāu lāʻau.

Mālama ʻo Canagliflozin i ka maʻi diabetes ʻano 2 akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka canagliflozin ʻoiai inā ʻoluʻolu ʻoe. Mai hoʻōki i ka lawe ʻana i canagliflozin 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 canagliflozin,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi āpau ʻoe (hū, hives, pehu o kou alo, lehelehe, alelo, a puʻu paha, a paʻakikī i ka hanu ʻana) i canagliflozin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā papa canagliflozin. 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 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 (i Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); angiotensin receptor blockers like azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, ma Benicar HCT, ma Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (Diovan, ma Diovan HCT, ma Exforge); digoxin (Lanoxin); diuretics ('pills wai'); insulina; nā lāʻau ʻē aʻe no ka maʻi kō; phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); and ritonavir (Norvir, in Kaletra). 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 ʻoe ma ka dialysis. E haʻi paha kāu kauka iā ʻoe mai lawe i ka canagliflozin.
  • e haʻi i kāu kauka inā inu pinepine ʻoe i ka waiʻona a i kekahi manawa inu i ka nui o ka waiʻona i loko o kahi manawa pōkole (inu inu inu), a i ʻole ma kahi papa sodium liʻiliʻi. Eia kekahi, e haʻi aku i kāu kauka inā ua loaʻa ʻoe i ka ʻokiʻoki, a i ʻole loaʻa i nā maʻi puʻuwai, maʻi maʻi ākea peripheral (hoʻoliʻiliʻi o nā kīʻaha koko i nā wāwae, nā wāwae, a i ʻole nā ​​lima e hoʻonāukiuki ai, ʻeha, a anuanu hoʻi i kēlā ʻāpana o ke kino). neuropathy (nerve nerve e kumu i ka tingling, numbness, a me ka ʻeha, maʻamau i kou mau lima a me kou mau wāwae), ka wāwae ulcer a i ʻole nā ​​ʻeha, ke koko haʻahaʻa, nā maʻi maʻi urinary, a i ʻole nā ​​pilikia urinary, maʻi pancreatic me pancreatitis (ʻōhū o ka pancreas) a i ʻole ua ʻoki ʻia i kāu pancreas, nā maʻi hū ma ka genital area, osteoporosis (kahi ʻano a lahilahi a nāwaliwali nā iwi a haki maʻalahi), nā puʻupaʻa a me nā maʻi ate. Inā he kāne ʻoe, e haʻi i kāu kauka inā ʻaʻole ʻoe i ʻoki poepoe ʻia. E haʻi i kāu kauka inā ʻoe e ʻai liʻiliʻi ana ma muli o ka maʻi, ʻoki kino, a i ʻole ka loli o kāu papaʻai a i ʻole hiki ʻole iā ʻoe ke ʻai a inu paha ma muli o ka nausea, ka luaʻi, ka maʻi pākī, a inā ua make wai ʻoe i ka lōʻihi o ka lā. .
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Mai hānai i ka wā e lawe ana ʻoe i canagliflozin. Inā hāpai ʻoe i ka lawe ʻana i canagliflozin, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i canagliflozin.
  • hiki i ka wai ʻona ke hoʻololi i ke kō kō. E noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe nei i canagliflozin.
  • pono ʻoe e ʻike he hiki i ka canagliflozin ke hoʻoluhi, ka māmā, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. Inā loaʻa kēia pilikia iā ʻoe, e kāhea i kāu kauka. ʻOi aku ka maʻamau o kēia pilikia ke hoʻomaka mua ʻoe e lawe i ka canagliflozin. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
  • e noi i kāu kauka i ka mea e hana ai inā loaʻa ʻoe i ka maʻi, hoʻomohala i kahi maʻi a i ʻole fiva, ʻike i ke koʻikoʻi koʻikoʻi ʻole, a ʻeha ʻia paha. Hiki i kēia mau kūlana ke hoʻololi i kāu kō kō a me ka nui o canagliflozin āu e pono ai.

E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. He mea nui ka ʻai ʻana i ka papaʻai olakino a hoʻoikaika mau.


E hāhai i nā ʻōkuhi a kāu kauka e pili ana i ka inu ʻana i nā wai i loko o ka lā a ʻoiai ʻoe ma kēia lāʻau.

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 kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.

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

  • mimiki nui loa, me ka pō hoʻi
  • hoʻonui ka make wai
  • kōpaʻa
  • waha maloo

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

  • pinepine, wikiwiki, wela, a i ʻole ka mimino ʻeha
  • hoʻemi i ka nui o ka mimi
  • ʻehu ke ao, ʻulaʻula, ʻulaʻula, a ʻeleʻele paha
  • mimi ikaika loa
  • ʻeha pelvic a i ʻole rectal pain
  • (i nā wahine) pilau a keʻokeʻo, keʻokeʻo a melemele paha i ka hemo (hiki i ka lumpy a i ʻole ke nānā aku e like me ka tī liʻiliʻi), a i ʻole ka huehue wahine
  • (i nā kāne) ʻulaʻula, aniani, a pehu paha o ka peni; lapuwale ma ka peni; hoʻokuʻu kīnā ʻole mai ka peni; aiʻole kaʻeha ma kaʻili a puni ka peni
  • luhi, nāwaliwali, a ʻoluʻolu ʻole paha; me ke kuni a me ka ʻeha, palupalu, ʻulaʻula, a me ka pehu ʻana o nā genital a i ʻole ka wahi ma waena o nā genital a me ka pololei.

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka canagliflozin a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • hūwī
  • hives
  • ʻūlili
  • paʻakikī i ka ale ʻana
  • pehu o ka maka, ʻāʻī, elelo, lehelehe, waha, a i ʻole nā ​​maka
  • hulahula

Inā ʻoe e ʻike i kekahi o nā ʻōuli o ketoacidosis (kahi ʻano koʻikoʻi e ulu paha inā ʻaʻole mālama ʻia ke kō koko kiʻekiʻe), e hoʻōki i ka lawe ʻana i ka canagliflozin a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino. Inā hiki, e nānā i nā ketona i loko o kou mimi inā loaʻa kēia mau ʻōuli, ʻoiai inā ʻoi aku ka emi o kāu kō kō i mua o 250 mg / dL:

  • nausea
  • ka luaʻi
  • ʻeha ʻeha o ka ʻōpū
  • luhi
  • paʻakikī i ka hanu ʻana

Pono ʻoe e ʻike he hiki i ka canagliflozin ke hoʻonui i ka makaʻu o ka loaʻa ʻana o ka lālā o lalo (manamana wāwae, wāwae a i ʻole ka wāwae) i ka ʻokiʻoki. E haʻi aku kāu kauka iā ʻoe pehea e mālama pono ai i kou mau wāwae a me nā wāwae e kōkua pono ai e hōʻalo i nā maʻi a me nā pilikia i hiki ke alakaʻi ʻia i ka ʻokiʻoki. E hāhai pono i nā ʻōlelo a ke kauka a kāhea koke aku i kāu kauka inā loaʻa iā ʻoe ka ʻeha, palupalu, ʻeha, ʻeha, a pehu paha, mehana, ʻulaʻula hoʻi i kou wāwae a i ʻole ka wāwae, ka fiva a me ke anuanu, a i ʻole nā ​​hōʻailona ʻē aʻe a me nā ʻōuli o ka maʻi.

Hiki i ka Canagliflozin ke hoʻonui i ka manawa o ka haki (haki ka iwi), keu hoʻi i nā lima o luna, nā pūlima, a me nā lima. E kamaʻilio me kāu kauka e pili ana i ka makaʻu i ka lawe ʻana i kēia lāʻau.

Hiki i ka Canagliflozin ke kumu 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.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kahi hoʻokolohua hoʻokolohua ma mua a i kou wā e mālama ai me canagliflozin e nānā i ke ʻano o ka maikaʻi o ka hana o kāu mau puʻupaʻa. Pono e nānā pinepine i kāu mau kō kō kō e hoʻoholo ai i kāu pane i ka canagliflozin. E kauoha kāu kauka i nā hoʻokolohua lab e ae, e like me glycosylated hemoglobin (HbA1c), e nānā i kāu pane i ka canagliflozin. E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i kēia lāʻau ma ke ana ʻana i kou kiʻekiʻe o ke kō i ka home. E hāhai pono i kēia mau ʻōkuhi.

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 canagliflozin. Ma muli o ke ʻano o ka hana ʻana o kēia lāʻau, hōʻoia paha ka mimi i ka maikaʻi o ka glucose.

Pono ʻoe e ʻaʻa mau i ke kūpeʻe kuhi diabetic e ʻike pono i ka loaʻa ʻana o kahi lāʻau kūpono i kahi ulia pōpilikia.

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.

  • Invokana®
  • Kāhea® (nona ka Canagliflozin a me Metformin)
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