Edoxaban
Anter
- Ma mua o ka lawe ʻana i edoxaban,
- Hoʻokumu paha ʻo Edoxaban 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 ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e hoʻōki i ka lawe ʻana i ka edoxaban a kāhea koke aku i kāu kauka.
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Inā loaʻa ʻoe i ka fibrillation atrial (kahi ʻano e kuʻi mau ka puʻuwai, e hoʻonui ana i ka manawa o ke kō ʻana o ke kino i loko o ke kino, a hiki paha ke hahau) a ke lawe nei ʻoe i ka edoxaban 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 ka edoxaban me ke kamaʻilio ʻole ʻana me kāu kauka. E hoʻomau i ka lawe ʻana iā edoxaban ʻoiai inā maikaʻi ʻoe. E hoʻopiha hou i kāu kuhikuhi ma mua o ka pau ʻana o kāu lāʻau i ʻole ʻoe e nalo i nā kaha o ka edoxaban. Inā pono ʻoe e hōʻoki i ka lawe ʻana i ka edoxaban, hiki i kāu kauka ke kauoha i kahi anticoagulant ('' kaʻi lahilahi '') e kōkua ai i ka pale ʻana i ke kūpē ʻana o ke koko a loaʻa iā ʻoe kahi maʻi hahau.
Inā loaʻa ʻoe i ka epidural a i ʻole ka lāʻau anesthesia a i ʻole ka puncture ʻōiwi i ka wā e lawe ana i kahi 'mea lahilahi o ke koko' e like me edoxaban, 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 ana i ka 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: ʻehaʻeha o ke kua, nāwaliwali o nā mākala, numbness a i ʻole ke kaniʻu ʻana (ʻoi aku i kou mau wāwae), ka nalowale o ka kaohi o kou ʻōpū a i ʻole ka huehue, a i ʻole hiki ʻole ke neʻe i kou mau wāwae.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kahi hōʻoia e hōʻoia i ka maikaʻi o ka hana o kāu mau puʻupaʻa ma mua a me kekahi mau manawa i kāu mālama ʻana me edoxaban.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me edoxaban 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 Food and Drug Administration (FDA) (http://www.fda.gov/downloads/Drugs/DrugSafety/) a i ʻole ka pūnaewele a 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 edoxaban.
Hoʻohana ʻia ʻo Edoxaban 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 kīpona puʻuwai Hoʻohana ʻia ʻo Edoxaban 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 kīʻaha koko i ka akemāhā) i ka poʻe i mālama ʻia me kahi lāʻau hoʻomake koko i hoʻokomo ʻia no 5 a 10. nā lā. Aia ʻo Edoxaban 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 Edoxaban ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia me ka ʻai ʻole a ʻai ʻole hoʻokahi manawa i ka lā. Lawe iā edoxaban 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 i ka edoxaban 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, haki a kāwili iā lākou me 2 i 3 auneke (60 a 90 mL) o ka wai a i ʻole ka ʻoma. Lawe koke i ka hui.
Inā loaʻa kahi ʻōpū ʻōpū, hiki ke wāwahi ʻia nā papa a kāwili ʻia i ka wai a hāʻawi ʻia ma o ka paipu. E noi i kāu kauka a kauka paha pehea ʻoe e lawe ai i ka lāʻau. E hāhai pono i kēlā mau kuhikuhi.
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 edoxaban,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka edoxaban, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o ka papa edoxaban. 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 ʻōlelo i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: amiodarone (Cordarone, Pacerone), atorvastatin (Lipitor, ma Caduet, ma Liptruzet), cyclosporine (Gengraf, Neoral), digoxin (Lanoxin), dronedarone Multaq), erythromycin (EES, E-Mycin, Erythrocin), esomeprazole (Nexium, ma Vimovo), ketoconazole (Nizoral), quinidine, rifampin (Rifadin, ma Rifamate, ma Rifater, Rimactane), nā mea hoʻoneʻe serotonin-reuptake like (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft); serotonin – norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella), a me venlafaxine (Effexor); a me ka verapamil (Calan, Covera, Isoptin, Verelan, ma Tarka). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me edoxaban, 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 inā loaʻa kou kahe nui i nā wahi āpau o kou kino i hiki ʻole ke kū. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka edoxaban.
- e haʻi i kāu kauka inā kau kaupaona ʻoe i 132 mau paona (60 kilokilo) a i ʻole ka liʻiliʻi a inā loaʻa iā ʻoe a loaʻa paha iā ʻoe kekahi ʻano o ka pilikia kahe ʻana o ke kahe, kahi kiwikā puʻuwai mechanical, antiphospholipid Syndrome (kahi maʻi autoimmune nāna e hoʻoulu ke koko), maʻi ʻaʻai o ka ʻōpū a ʻōpū, a puʻuwai paha, hakuʻala a i ʻole 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 ka edoxaban, 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 ka edoxaban.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe i ka lāʻau i hala ma hope ke hoʻomanaʻo ʻoe ia i ka lā like. Eia nō naʻe, inā ʻo ia ka lā aʻe, kāpae i ka lāʻau i hala ʻole a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu paha ʻo Edoxaban i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- hūwī
- luhi ʻole a nawaliwali paha
- ʻūpā
- ʻili mae
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e hoʻōki i ka lawe ʻana i ka edoxaban a kāhea koke aku i kāu kauka.
- 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
Hoʻokumu paha ʻo Edoxaban 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.
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
- nā noho koko, ʻeleʻele, a i ʻole nā papa noho
- koko i ka mimi
- ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope
Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka edoxaban.
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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