Ivabradine

Anter

• Ma mua o ka lawe ʻana i ka ivabradine,
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau olakino.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hoʻohana ʻia ʻo Ivabradine e mālama i kekahi mau mākua me ka puʻuwai puʻuwai (kahi e hiki ʻole ai i ka puʻuwai ke pauma i ke koko i nā ʻāpana ʻē aʻe o ke kino) e hoʻēmi i ka makaʻala e ulu ana ko lākou kūlana a pono e mālama ʻia i kahi haukapila. Hoʻohana ʻia ia e mālama i kekahi ʻano o ka puʻuwai puʻuwai i nā keiki 6 mau makahiki o ka makahiki a ʻoi aku paha ma muli o ka cardiomyopathy (kahi ʻano a nāwaliwali ka puʻuwai puʻuwai). Aia ʻo Ivabradine i loko o ka papa o nā lāʻau i kapa ʻia he hyperpolarization-activated cyclic nucleotide-gated (HCN) channel blockers. Hana ia me ka hoʻolohi i ka helu o ka puʻuwai i hiki i ka puʻuwai ke pauma i ke koko i loko o ke kino i kēlā me kēia manawa ke kuʻi.

Hele mai ʻo Ivabradine ma ke ʻano he papaha a ma ke ʻano he oral solution (wai) e lawe ma ka waha. Lawe ʻia ia me ka meaʻai i ʻelua mau manawa o ka lā. Lawe iā ivabradine 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 pono iā ivabradine 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.

Hele mai kekahi mau papa ivabradine me kahi laina i lalo o ka waena. Inā haʻi kāu kauka iā ʻoe e lawe i ka hapalua o ka papa, e haki pono iā ia i ka laina. E lawe i ka hapalua o ka papa e like me ke kuhikuhi, a mālama i ka hapalua ʻē aʻe no kāu kau aʻe.

E hoʻohana i kahi syringe waha (ana pono) a me kahi kīʻaha lāʻau e ana pono a lawe i kāu mahele lāʻau o ka hopena ʻo ivabradine. E noi i kāu kauka lāʻau no kahi kīʻaha lāʻau inā ʻaʻole i hui pū ʻia me kāu lāʻau. E hāʻawi aku kāu kauka lāʻau iā ʻoe i kahi syringe waha e hana maikaʻi loa e ana i kāu lāʻau. Hōʻalo i nā hāʻina āpau mai ka ampule (s) i loko o ke kīʻaha lāʻau. E ana i kāu mahele lāʻau mai ke kīʻaha lāʻau e hoʻohana ana i ka syringe waha. E hāhai i nā ʻōkuhi a ka mea hana e pili ana i ka hoʻohana a hoʻomaʻemaʻe i ka ʻekekoke waha. E noi i kāu kauka a kauka paha inā ʻoe he nīnau.

Inā luaʻi ʻoe a kuha aku paha ma hope o ka lawe ʻana i ka ivabradine, mai lawe i kahi lāʻau ʻē aʻe. E hoʻomau i kāu papa hana maʻamau.

Hiki i kāu kauka ke hoʻonui a hōʻemi paha i kāu lāʻau ma hope o 2 mau pule e pili ana i ka maikaʻi o ka lāʻau ʻana iā ʻoe, a me nā hopena ʻaoʻao āu e ʻike ai. E haʻi pono i kāu kauka i kou ʻano i kou wā e mālama ai me ivabradine.

Mālama ʻo Ivabradine i nā ʻōuli o ka puʻuwai akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka ivabradine inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i ka ivabradine me ke kamaʻilio ʻole ʻana me kāu kauka.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka ʻikepili ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me ivabradine 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 ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

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 ka ivabradine,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka ivabradine, kekahi lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa ivabradine a me ka hopena waha. 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 e lawe nei ʻoe i kekahi lāʻau ʻalopika e like me clarithromycin (Biaxin, ma Prevpac) a me telithromycin (Ketek), kekahi mau antifungals e like me itraconazole (Onmel, Sporanox), kekahi mau mea hoʻopale protease HIV e like me nelfinavir (Viracept), a me nefazodone. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka ivabradine inā ʻoe e lawe nei i hoʻokahi aʻoi aku paha o kēia mau lāʻau.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: amiodarone (Nexterone, Pacerone); beta blockers e like me atenolol (Tenormin, ma Tenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, Corzide), propranolol (Inderal, InnoPran XL, Hemangeol, i Inderide), sotalol (Betapace, Sorine, Sotylize), a me timolol; digoxin (Lanoxin); diltiazem (Cardizem, Cartia, Tiazac, nā mea ʻē aʻe); phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rifamate, Rifater, Rimactane); a me ka verapamil (Calan, 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 ivabradine, 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
• e haʻi i kāu kauka inā loaʻa kahi puʻuwai puʻuwai kūwaliwali a haʻahaʻa paha, ke koko haʻahaʻa, kahi pacemaker, nā ʻōuli o ka puʻuwai puʻuwai i hōʻino loa ʻia, a i ʻole nā ​​maʻi ate. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka ivabradine.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i nā pilikia puʻuwai ʻē aʻe.
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. ʻAʻole pono ʻoe e hāpai i ka wā e lawe ana ʻoe i ka ivabradine. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hānau hiki iā ʻoe ke hoʻohana i kāu wā o kāu mālama ʻana. Inā hāpai ʻoe i ka lawe ʻana iā ivabradine e kāhea i kāu kauka.
• pono ʻoe e ʻike i ka hopena o ka ivabradine i kāu ʻike, keu hoʻi ke hoʻololi ka ʻōlinolino o ke kukui a puni ʻoe. Pākuʻi paha kēia i ka ʻike ʻana i nā kiko mālamalama, nā pōʻai ʻōlinuile a puni nā kukui, nā kukui ʻōlinolino mālamalama, ʻike ʻana i ka pālua, a me nā pilikia ʻē aʻe me kāu hihiʻo Kūleʻa kēia mau pilikia ʻike inā hoʻomaka mua ʻoe e lawe i ka ivabradine a hele pinepine lākou ma hope o kekahi mau mahina o ka mālama ʻana me kēia lāʻau. Mai hoʻokele kaʻa, keu hoʻi i ka pō, a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.

Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu i ka wā e lawe ana i kēia lāʻau.

Inā hoʻopoina ʻoe i kahi lāʻau o ivabradine, 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 kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau olakino.

• wikiwiki, kūlike ʻole, a kuʻi paha i ka puʻuwai puʻuwai
• lohi a kū hoʻi i kuʻi ka naʻau
• ʻeha ka umauma a i ʻole kaomi
• worsening shortness of breath
• ʻūpā
• luhi nui loa
• nele i ka ikaika
• pehu o ka maka, puʻu, alelo, lehelehe, a me nā maka
• pilikia i ka ale ʻana a me ka hanu ʻana
• hulahula

Hiki i nā Ivabradine ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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. E hoʻolei i nā haʻina waha i hoʻohana ʻole ʻia i waiho ʻia i ke kīʻaha lāʻau a i ʻole ka ampule.

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:

• ʻūlū puʻuwai
• ʻūpā
• luhi nui loa
• nele i ka ikaika

Mālama i nā manawa āpau me kāu kauka. E nānā kāu kauka i kou puʻuwai puʻuwai a me ke kahe o ke koko mai kēlā manawa a kēia manawa e nānā i ka pane o kou kino iā ivabradine.

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.

• Corlanor^®