Naloxegol
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- Ma mua o ka lawe ʻana i naloxegol,
- Hoʻokumu paha ʻo Naloxegol 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 kēia ʻōuli, e hoʻōki i ka lawe ʻana i ka naloxegol a kāhea koke aku i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Naloxegol e mālama i ka paʻa paʻa ʻana e ka lāʻau opiate (narcotic) ʻeha i nā mākua me ka ʻeha mau (hoʻomau) ʻole i hoʻokumu ʻia e ka maʻi ʻaʻai. Aia ʻo Naloxegol i kahi papa o nā lāʻau i kapa ʻia he peragonally receptor antagonists. Hana ia ma ka pale ʻana i ka ʻōpū mai nā hopena o nā lāʻau opiate (narcotic).
Hele mai ʻo Naloxegol ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā, ma ka liʻiliʻi he 1 hola ma mua a i ʻole 2 mau hola ma hope o ka ʻai mua o ka lā. E lawe i ka naloxegol 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 i naloxegol 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 āpau, haki i ka papa i kahi pauka a kāwili ʻia i loko o ke kīʻaha me 4 auneke (120 ml) o ka wai. Inu koke ka hui ʻana. A laila, hoʻopiha hou i ke kīʻaha me 4 auneke (120 ML) o ka wai, e hoʻoulu i nā mea o loko, a inu i nā koina i koe.
Inā loaʻa iā ʻoe kahi paipu nasogastric (NG), e wehewehe kāu kauka a mea kauka paha pehea e hoʻomākaukau ai i nā papa naloxegol e hāʻawi ai ma o kahi Tube NG.
Pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau laxative ʻē aʻe ma mua o kou hoʻomaka ʻana i ka naloxegol. E hoʻomaopopo pono i kāu kauka inā ʻaʻole hana ka naloxegol ma hope o kou lawe ʻana no 3 mau lā. E haʻi paha kāu kauka iā ʻoe e lawe i nā lāʻau laxative ʻē aʻe.
E haʻi i kāu kauka inā kū ʻoe i ka lawe ʻana i nā lāʻau opiate (narcotic). E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka naloxegol.
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 naloxegol,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka naloxegol, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa naloxegol. 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 ʻoe e lawe i ka clarithromycin (Biaxin), itraconazole (Onmel, Sporanox), a i ʻole ketoconazole (Nizoral). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka naloxegol inā ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau lāʻau.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, lawe ʻoe a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: carbamazepine (Tegretol); diltiazem (Cardizem, Dilacor, Tiazac); efavirenz (in Atripla, Sustiva); erythromycin (E.E.S., E-Mycin, Erythrocin); methadone (Dolophine, Methadose); nā antagonist opiate ʻē aʻe e like me methylnaltrexone (Relistor), naloxone (Evzio, ma Bunavail, ma Suboxone, ma Zubsolv), a i ʻole naltrexone (Revia, ma Contrave, ma Embeda, Vivitrol); rifampin (Rifadin, ma Rifamate, Rifater, Rimactane); aiʻole verapamil (Calan, Covera, Verelan). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Pili pū paha nā lāʻau ʻē aʻe he nui me naloxegol, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, 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 keu ʻo St. John's Wort.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi kahakaha ʻōpū (kahi paʻa i kou ʻōpū). E haʻi paha kāu kauka iā ʻoe mai lawe i ka naloxegol.
- e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kahi pilikia o ka ʻōpū a me ka ʻōpū e like me ka maʻi puʻupuʻu o ka ʻōpū (nā ʻeha ma ka pale o ka ʻōpū), ka maʻi o Crohn ka hoʻohaʻahaʻa kaumaha, a me ke kuni), diverticulitis (hoʻā i nā ʻōpū o ka ʻōpū nui), ka maʻi ʻaʻai o ka ʻōpū a i ʻole ka ʻōpū, a i ʻole ʻo Ogilvie Syndrome (kahi ʻano i loaʻa kahi ʻōpū i loko o ka ʻōpū); aiʻole ka maʻi puʻuwai a i ʻole 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 naloxegol, e kāhea i kāu kauka.
Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu i ka wā e lawe ana i 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.
Hoʻokumu paha ʻo Naloxegol i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- nausea
- ʻenekini
- ʻeha ka ʻōpū
- ka luaʻi
- ʻeha poʻo
- ka houʻu ʻana
- haʻalulu
- hopohopo
- ukiuki
- auwē
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kēia ʻōuli, e hoʻōki i ka lawe ʻana i ka naloxegol a kāhea koke aku i kāu kauka:
- ʻeha a ʻeha paha ka ʻeha o ka ʻōpū a me ka diarrhea
- ʻehu; hives; pehu o ka maka, lehelehe, puʻu, alelo, lima, a me nā wāwae
Hoʻokumu paha ʻo Naloxegol 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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- ʻeha ka ʻōpū
- pāhoehoe
- nausea
- haʻalulu
- ihu ihope
- ka houʻu ʻana
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.
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