ʻO Netupitant a me Palonosetron
Anter
- Ma mua o ka lawe netupitant a me ka palonosetron,
- Hiki i ka Netupitant a me ka palonosetron ke kumu 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 kāhea koke aku i kāu kauka a i ʻole e ʻimi i ka lāʻau olakino pōpilikia.
Hoʻohana ʻia ka hui pū ʻana o netupitant a me palonosetron e pale aku i ka nausea a me ka luaʻi i hoʻokumu ʻia e ka chemotherapy maʻi ʻaʻai. ʻO Netupitant kahi papa o nā lāʻau i kapa ʻia nā antagonist neurokinin (NK1). Hana ia ma ke kāpae ʻana i ka neurokinin, kahi mea kūlohelohe i ka lolo e hana ai i ka nausea a me ka luaʻi. Aia ʻo Palonosetron i kahi papa o nā lāʻau i kapa ʻia 5-HT3 ʻenemi antagonists. Hana ia ma ke kāpae ʻana i ka serotonin, kahi mea kūlohelohe i loko o ke kino e kumu ai ka nausea a me ka luaʻi.
ʻO ka hui pū ʻana o netupitant a me palonosetron ke hele mai me he capsule e lawe ma ka waha. Lawe ʻia ia ma kahi o 1 mau hola ma mua o ka hoʻomaka ʻana o ka chemotherapy me a me ka ʻole o ka meaʻai. 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 netupitant a me ka palonosetron 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.
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 netupitant a me ka palonosetron,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka netupitant a me ka palonosetron, alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso), ondansetron (Zofran, Zuplenz), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i netupitant a me palonosetron capsules . 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E kuhikuhi pono i kekahi o kēia mau mea: benzodiazepines me alprazolam (Xanax), midazolam, a me triazolam (Halcion); kekahi mau lāʻau chemotherapy e like me cyclophosphamide (Cytoxan), docetaxel (Docefrez, Taxotere), etoposide, ifosfamide (Ifex), imatinib (Gleevec), irinotecan (Camptosar), paclitaxel (Taxol), vinblastine, vincristine, (vinoreline); dexamethasone; erythromycin (E.E.S., Ery-tab, nā mea ʻē aʻe); fentanyl (Abstral, Actiq, Duragesic, Fentora, Lazanda, Onsolis, Subsys); ketoconazole (Nizoral); lithium (Lithobid); nā lāʻau e mālama ai i ka migraines e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), a me zolmitriptan (Zomig); polū methylene; mirtazapine (Remeron); monoamine oxidase (MAO) mea kāohi me isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate); phenobarbital; rifampin (Rifadin, Rimactane, ma Rifater, ma Rifamate); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft) a me tramadol (Conzip, Ultram, i Ultracet). 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 a loaʻa paha ʻoe i ka maʻi ate a me nā puʻupaʻa.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe netupitant a me ka palonosetron, e kāhea i kāu kauka.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Netupitant a me palonosetron e lawe wale ʻia ma mua o ka chemotherapy e like me ke kauoha a kāu kauka. ʻAʻole pono e lawe ʻia ma ka manawa maʻamau.
Hiki i ka Netupitant a me ka palonosetron ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha poʻo
- ʻeha ka ʻōpū
- puʻuwai puʻuwai
- kōpaʻa
- nāwaliwali
- ʻulaʻula o ka ʻili
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e ʻimi i ka lāʻau olakino pōpilikia.
- hives
- hūwī
- ʻūlili
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- pokole o ka hanu
- puʻupuʻu, uila, a maʻule hoʻi
- wikiwiki, lohi a i ʻole hoʻokū ʻole i ka puʻuwai
- hoohaunaele
- hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
- fiva
- ʻōhinu
- sweating nui loa
- huikau
- nausea, luaʻi, a me ka diarrhea
- nalo o ke kūlike
- ʻoʻoleʻa a wili paha nā mākala
- ka hopu ʻana
- koma (nalo o ka ʻike)
Hiki i ka Netupitant a me ka palonosetron 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 mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o ka lua. E hoʻolei i nā lāʻau i hala i ka wā kahiko a pono ʻole paha. E kamaʻilio me kāu kauka lāʻau e pili ana i ka hoʻolei kūpono ʻana o kāu lāʻau.
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
Mālama i nā manawa āpau me kāu kauka.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau.
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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