Methylnaltrexone
Anter
- Ma mua o ka lawe ʻana i ka methylnaltrexone,
- Hiki i ka Methylnaltrexone ke hana 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, e pau ka lawe ʻana i ka methylnaltrexone a kāhea koke i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ka Methylnaltrexone e mālama i ka constipation i hoʻokumu ʻia e nā lāʻau ʻeha opioid (narcotic) i ka poʻe me ka ʻeha mau (hoʻomau) ʻole i hoʻokumu ʻia e ka maʻi ʻaʻai akā pili paha i ka maʻi ʻaʻai mua a i ʻole ka maʻi maʻi maʻi maʻi. Aia ʻo Methylnaltrexone i loko o ka 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 opioid (narcotic).
Hele mai ʻo Methylnaltrexone ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia hoʻokahi manawa i ka lā me ka wai, ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai mua o ka lā. Lawe i ka methylnaltrexone 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 lawe pololei i ka methylnaltrexone 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.
E lawe ʻia ka Methylnaltrexone e ka poʻe e lawe nei i nā lāʻau opioid (narcotic). E kamaʻilio me kāu kauka inā hoʻololi ʻoe i ka nui a i ka manawa hea ʻoe e lawe ai i kāu lāʻau opioid. Inā kū ʻoe i ka lawe ʻana i nā lāʻau lapaʻau opioid, pono ʻoe e hōʻoki i ka lawe ʻana i ka methylnaltrexone.
Pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau laxative ʻē aʻe ke hoʻomaka ʻoe e lawe i ka methylnaltrexone. Eia nō naʻe, e ʻike pono i kāu kauka inā ʻaʻole holo pono ka methylnaltrexone iā ʻoe ma hope o ka lawe ʻana no 3 mau lā. E haʻi paha kāu kauka iā ʻoe e lawe i nā lāʻau laxative ʻē aʻe.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui a ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me methylnaltrexone 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) e kiʻi i ke alakaʻi Medication.
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 methylnaltrexone,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka methylnaltrexone, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa methylnaltrexone. 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻike pono i kekahi o kēia mau mea: alvimopan (Entereg), naldemedine (Symproic), naloxegol (Movantik), naloxone (Evzio, Narcan, ma Bunavail, Suboxone, Zubsolv), a i ʻole naltrexone (Vivitrol, ma Contrave, Embeda). 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 iā ʻoe a i ʻole loaʻa i kahi kahakaha gastrointestinal (kahi paʻa i kou ʻōpū). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka methylnaltrexone.
- 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 ulcer ʻōpū (ʻeha i ka pale o ka ʻōpū), maʻi ʻaʻai o ka ʻōpū a i ʻole ʻōpū, maʻi ʻo Crohn (kahi ʻano e hoʻouka ai ke kino i ka uhi o ka digestive tract , ke kumu o ka ʻeha, ka maʻi pākī, ka pohō kaumaha, a me ke kuni), divertikulitis (nā ʻeke liʻiliʻi i ka uhi ʻana o ka ʻōpū nui e hiki ke lilo i mea hoʻowali), ʻo Ogilvie's Syndrome (kahi ʻano i loaʻa kahi ʻōpū i loko o ka ʻōpū), a i ʻole nā puʻupaʻa a i ʻole ate maʻi.
- E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ka methylnaltrexone, e kāhea i kāu kauka. Inā ʻoe e lawe i ka methylnaltrexone i kou hāpai ʻana, e ʻike paha kāu pēpē i nā hōʻailona haʻalele opioid.
- e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. Mai hānai i ka wā e lawe ana ʻoe i ka methylnaltrexone.
- pono ʻoe e ʻike ʻo ka hapanui o ka poʻe i loaʻa i kahi ʻōpū i loko o kekahi mau minuke i kekahi mau hola ma hope o ka lawe ʻana i ka methylnaltrexone. E ʻike pono ua kokoke ʻoe i kahi lumipaku ke lawe ʻoe i kēia lāʻau.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hiki i ka Methylnaltrexone ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ka luaʻi
- ka houʻu ʻana
- haʻalulu
- hopohopo
- auwē
- ʻeha poʻo
- ʻeha o ka ʻōpū a me ka pehu
- ʻūpē mākala
- ihu ihope
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e pau ka lawe ʻana i ka methylnaltrexone a kāhea koke i kāu kauka:
- ʻōpū nui loa
- ʻeha nui i ka ʻōpū
Hiki i ka Methylnaltrexone ke hana 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. Inā hele mai kāu lāʻau lapaʻau me kahi kēpau desiccant (pahu liʻiliʻi i loaʻa kahi mea e omo i ka wai e hoʻomau i ka lāʻau i maloʻo), e waiho i ka kini i loko o ka ʻōmole.
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:
- ʻino, puʻupuʻu, a maule hoʻi ke ala koke ʻoe mai kahi kūlana wahaheʻe
- haʻalulu
- ka houʻu ʻana
- ihu ihope
- pāhoehoe
- abdominal eha
- hopohopo
- auwē
- hoʻemi i ka ʻeha e hoʻomaha ai i nā hopena o ka lāʻau opioid
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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