Umeclidinium a me Vilanterol Oral Inhalation

Anter

• E hoʻohana ai i ka inhaler, e hāhai i kēia mau kaʻina hana:
• Ma mua o ka hoʻohana ʻana i ka umeclidinium a me ka vilanterol,
• Hoʻokumu paha ʻo Umeclidinium a me vilanterol 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 hooki i ka hoʻohana ʻana i ka umeclidinium a me ka vilanterol a kāhea koke aku 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:

Hoʻohana ʻia ka hui pū ʻana o ka umeclidinium a me ka vilanterol e kaohi ai i ke kaniʻuhū, ka hanu ʻana o ka hanu, ke kahe ʻana o ka uha, a me ka paʻa o ka umauma i hoʻokumu ʻia e ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi e pili ana i nā akemāmā a me nā alaloa, e komo pū ana me ka bronchitis mau loa a me ka emphysema). Aia ʻo Umeclidinium i kahi papa o nā lāʻau i kapa ʻia anticholinergics. Aia ʻo Vilanterol i kahi papa o nā lāʻau i kapa ʻia ʻo beta-agonists (LABA) lōʻihi. Hana kēia mau lāʻau i ka hoʻomaha a me ka wehe ʻana i nā ala ea i nā akemāmā, e maʻalahi ai ka hanu ʻana.

ʻO ka hui pū ʻana o ka umeclidinium a me ka vilanterol e hele mai me he pauka lā e inhale e ka waha e hoʻohana ana i kahi inhaler kūikawā. Hoʻokomo pinepine ia i hoʻokahi manawa i ka lā. Inhale umeclidinium a me vilanterol 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 hoʻohana pono i ka umeclidinium a me ka vilanterol. 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 hoʻohana i ka inhalation umeclidinium a me vilanterol e mālama ai i ka hoʻouka kaua ʻana o COPD. Na kāu kauka e kuhikuhi i kahi lāʻau beta agonist hana pōkole e like me albuterol (Accuneb, Proair, Proventil, Ventolin) e hoʻohana ai i ka wā hoʻouka. Inā ʻoe e hoʻohana nei i kēia ʻano lāʻau i kēlā me kēia manawa ma mua o kou hoʻomaka ʻana i ka mālama ʻana me umeclidinium a me vilanterol, e ʻōlelo paha kāu kauka iā ʻoe e haʻalele i ka hoʻohana mau ʻana akā e hoʻomau i ka hoʻohana iā ia e mālama i nā hōʻeha.

ʻAʻole pono e hoʻohana ʻia ka umeclidinium a me ka inhalation vilanterol e mālama ai i ka COPD e ʻino koke ana. Kāhea i kāu kauka a loaʻa i ke kōkua olakino pilikia inā pilikia kou hanu, inā pono ʻoe e hoʻohana i kāu inhaler hana pōkole e mālama pinepine i nā hōʻeha o COPD, a i ʻole inā hoʻomaha ʻole kāu inhaler hana pōkole i kāu mau ʻōuli.

Mālama ʻo Umeclidinium a me vilanterol inhalation iā COPD akā ʻaʻole ia e hoʻōla. E hoʻomau i ka hoʻohana umeclidinium a me vilanterol ʻoiai ʻoe e manaʻo maikaʻi. Mai hooki i ka hoʻohana ʻana i ka umeclidinium a me ka vilanterol me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka hoʻohana ʻana i ka umeclidinium a me ka inhalation vilanterol, eʻoi aku ka maikaʻi o kāu mau ʻōuli.

Ma mua o kou hoʻohana ʻana i ka inhalation umeclidinium a me vilanterol no ka manawa mua, e noi i kāu kauka, kauka, a i ʻole ka mea hoʻohana hanu e hōʻike iā ʻoe pehea e hoʻohana ai i ka inhaler E hoʻomaʻamaʻa i ka hoʻohana ʻana i kāu inhaler ʻoiai ʻo ia e kiaʻi.

E hoʻohana ai i ka inhaler, e hāhai i kēia mau kaʻina hana:

1. Inā ʻoe e hoʻohana ana i kahi inhaler hou no ka manawa mua, hemo iā ia mai ka pahu a me ka pā foil. Hoʻopiha i ka "Tray open" a me "Discard" blanks ma ka inoa inhaler me ka lā āu i wehe ai i ka pā a me ka lā 6 mau pule ma hope ke pono ʻoe e pani i ka inhaler.
2. Ke mākaukau ʻoe e inu i kāu lāʻau, paheʻe i ka uhi i lalo e hōʻike i ka waha waha a hiki i ke kaomi ʻana. Inā wehe a pani ʻoe i ka mea inhaler me ka hoʻohana ʻole ʻana i kāu lāʻau, e hoʻopau ʻoe i ka lāʻau.
3. E helu ka counter i 1 i kēlā me kēia manawa ke wehe ʻoe i ka uhi. Inā ʻaʻole e helu ka counter, ʻaʻole hāʻawi kāu inhaler i ka lāʻau. Inā ʻaʻole e helu ʻia kāu inhaler, kāhea i kāu kauka lāʻau a i ʻole kauka.
4. E kāpae i ka mea inhaler mai kou waha a hanu i waho e like me ka hiki iā ʻoe ke ʻoluʻolu. Mai hanu i loko o ka waha waha.
5. E kau i ka waha waha ma waena o kou mau lehelehe, a pili paʻa i kou mau lehelehe a puni ia. E lawe i kahi hanu lōʻihi, kūmau, hohonu i loko o kou waha. Mai hanu i loko o kou ihu. E makaʻala i ʻole e ālai i ka ea ea me kou manamana lima.
6. Wehe i ka inhaler mai kou waha, a paʻa i kou hanu ma kahi o 3 a 4 kekona a i ʻole hiki iā ʻoe ke ʻoluʻolu. Hanu mālie.
7. ʻAʻole paha ʻoe e ʻono a ʻoluʻolu paha i ka lāʻau i hoʻokuʻu ʻia e ka inhaler. ʻOiai ʻaʻole ʻoe, mai inhale i kahi lāʻau ʻē aʻe. Inā ʻaʻole maopopo iā ʻoe ke loaʻa nei kāu lāʻau o ka umeclidinium a me ka vilanterol, e kāhea i kāu kauka a kauka paha.
8. Hiki iā ʻoe ke hoʻomaʻemaʻe i ka waha waha me kahi mea maloʻo, inā pono. E hoʻoheʻe i ka uhi ma luna o ka waha waha a hiki i ka wā e pani ai i ka mea hoʻōha.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

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 umeclidinium a me ka vilanterol,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka umeclidinium, vilanterol, i nā lāʻau ʻē aʻe, ka protein waiū, a i ʻole kekahi o nā mea hana i loko o umeclidinium a me ka inhalation vilanterol. 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 inā hoʻohana ʻoe i kekahi LABA e like me arformoterol (Brovana), formoterol (Perforomist, ma Bevespi Aerosfer, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, ma Stiolto Respimat), a i ʻole salmeterol (Serevent, ma Advair). E haʻi aku kāu kauka iā ʻoe i ka lāʻau e pono ai ʻoe e hoʻohana a i ka lāʻau hea ʻoe e haʻalele ai i ka hoʻohana ʻana.
• 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 haʻi pono i kekahi o kēia mau mea: antifungals e like me itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, a me voriconazole (Vfend); antihistamines; atropine; beta-blockers e like me atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), a me propranolol (Inderal, Innopran); clarithromycin; konivaptan (Vaprisol); diuretics ('pills wai'); Nā mea hoʻopalekana protease HIV e like me indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viracept), ritonavir (Norvir), a me saquinavir (Invirase); nā lāʻau lapaʻau ʻē aʻe no COPD me aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA), a me tiotropium (Spiriva); nā lāʻau no ka maʻi hanu huhū, ka neʻe ʻana o ka maʻi, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; a me nefazodone. E haʻi aku i kāu kauka a me ka kauka inā ʻoe e lawe i nā lāʻau aʻe a i ʻole ua oki ka lawe ʻana iā lākou i nā pule he 2 i hala: antidepressants e like me amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine (Surmontil); amiodarone (Nexterone, Pacerone); anagrelide (Agrylin); chloroquine; chlorpromazine; cilostazol; ciprofloxacin (Cipro); citalopram (Celexa); clarithromycin; disopyramide (Norpace); dofetilide (Tikosyn); donepezil (Aricept); dronedarone (Multaq); escitalopram (Lexapro); flecainide (Tambocor); fluconazole (Diflucan); haloperidol (Haldol); ibutilide (Corvert); levofloxacin; methadone (Dolophine, Methadose); moxifloxacin (Avelox); ondansetron (Zuplenz, Zofran); pentamidine (Pentam); pimozide (Orap); procainamide; quinidine (i Nuedexta); sotalol (Betapace, Sorine, Sotylize); thioridazine; a me nā mea hoʻopaneʻe monoamine oxidase (MAO) e like me isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), a me tranylcypromine (Parnate). Hiki paha i nā lāʻau lapaʻau ʻē aʻe ke launa pū me umeclidinium a me vilanterol, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea hoʻi i ʻike ʻole ʻia ma kēia papa inoa. 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 ʻoe i ka hānō. E haʻi aku kāu kauka iā ʻoe mai hoʻohana i ka umeclidinium a me ka vilanterol ke ʻole ʻoe e hoʻohana pū me ia me kahi lāʻau steroid i inhaled.
• e haʻi i kāu kauka inā loaʻa paha iā ʻoe ke kiʻekiʻe o ke koko kiʻekiʻe, ka puʻuwai puʻuwai ʻole, QT hoʻolōʻihi (kahi puʻuwai puʻuwai kūpono ʻole e hiki ai i ka nāwaliwali, ka nalowale o ka ʻike, ka hopu ʻana, a me ka make koke), ka hopu ʻana, ka maʻi diabetes, glaucoma (maʻi maʻi ), hoʻopaʻa mimi (paʻakikī urination), prostate a i ʻole ka maʻi ʻaʻa, a i ʻole puʻuwai, thyroid, a i ʻole 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 hoʻohana ʻana i ka umeclidinium a me ka vilanterol, e kāhea i kāu kauka.
• oe e ike i ka umeclidinium a me ka vilanterol inhalation i kekahi manawa ke kumu o ka wheezing a me ka paʻakikī e hanu koke ma hope o ka hanu ʻia ʻana. Inā kū kēia, e kāhea koke i kāu kauka. Mai hoʻohana hou i ka umeclidinium a me ka inhalation vilanterol inā ʻaʻole i haʻi aku kāu kauka iā ʻoe.

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

E hoʻopau 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 hoʻohana ma mua o hoʻokahi mahele lāʻau i ka lā a mai inhale i kahi lāʻau pālua e pani no kahi mea i hala.

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

• ke hoʻoluliluli nei i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kāohi
• hopohopo
• ihu ihope, ʻāʻī ʻāʻī
• kōpaʻa
• pāhoehoe
• ʻeha ma kou mau lima a me kou mau wāwae
• ʻūpē mākala
• ʻeha ʻāʻī
• ʻeha kua
• ʻeha pū
• abdominal eha
• ʻeha poʻo
• nausea
• ʻūpā
• ʻeha ʻeha

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hooki i ka hoʻohana ʻana i ka umeclidinium a me ka vilanterol a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• hūwī
• hives
• ʻūlili
• pehu o ka maka, waha, a alelo paha
• kuʻi, wikiwiki, a i ʻole kuʻi puʻuwai puʻuwai
• ʻeha ka umauma
• ʻeha o ka maka, ʻulaʻula, a ʻoluʻolu ʻole paha; ʻike maka ʻole; ke ʻike ʻana i nā ʻalalā a i ʻole nā ​​ʻōlinolino a puni nā kukui, i kekahi manawa me ka nausea a me ka luaʻi
• pilikia i ka mimi ʻana a i ʻole ka mimiki ʻana i kahi kahawai nāwaliwali a kulu paha
• urination pinepine a ʻeha paha

Hoʻokumu paha ʻo Umeclidinium a me vilanterol 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 pā i lawe ʻia mai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mamao aku mai ka lā o ka lā, ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua. E hoʻolei i ka mea inhaler 6 mau pule ma hope o kou hemo ʻana mai ka pā foil a i ʻole ma hope o ka hoʻohana ʻia ʻana o nā blister āpau (ke heluhelu ka helu lāʻau 0), ʻo kēlā me kēia mea e hele mua.

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:

• ka hopu ʻana
• ʻeha ka umauma
• pokole o ka hanu
• ʻūpā
• wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai
• hopohopo
• ʻeha poʻo
• ke hoʻoluliluli nei i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kāohi
• pulupulu nā mākala a i ʻole nāwaliwali
• waha maloo
• wela, maloʻo, ʻili huehue
• nausea
• luhi nui loa
• paʻakikī e hiamoe a hiamoe paha
• ʻike hihi
• dilated pupils
• ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole (hallucinating)

Mālama i nā manawa āpau me kāu kauka.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua (ʻo ia hoʻi nā mea e pili ana i ka methylene polū), e haʻi i kāu kauka a me nā limahana o ka hale hana e hoʻohana nei ʻoe i ka umeclidinium a me ka vilanterol.

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.

• Anoro Ellipta^® (nona ka umeclidinium, vilanterol)