ʻO Ertugliflozin

Anter

• Ma mua o ka lawe ʻana i ertugliflozin,
• Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.
• Hiki i ka Ertugliflozin 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 kāhea koke i kāu kauka:
• Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana iā ertugliflozin a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Inā loaʻa iā ʻoe kekahi o nā ʻōuli o ketoacidosis, e hoʻōki i ka lawe ʻana iā ertugliflozin a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino. Inā hiki, e nānā i nā ketona i loko o kou mimi inā loaʻa kēia mau ʻōuli, ʻoiai inā ʻoi aku ka emi o kāu kō kō i mua o 250 mg / dL:

Hoʻohana ʻia ʻo Ertugliflozin me ka papaʻai a me ka hoʻoikaika kino, a i kekahi manawa me nā lāʻau ʻē aʻe, e hoʻohaʻahaʻa i nā pae kō kō i nā poʻe me ka maʻi diabetes 2 (ke ʻano kiʻekiʻe ke kō kō no ka mea ʻaʻole hana a hoʻohana paha ke kino i ka insulin maʻamau). Aia ʻo Ertugliflozin i loko o ka papa o nā lāʻau i kapa ʻia he sodium-glucose co-transporter 2 (SGLT2) nā mea kūpale. Hoʻoiho ia i ke kō i ke kō ma o ke kuhi ʻana i nā puʻupaʻa i ka nui o nā glucose i ka mimi. ʻAʻole hoʻohana ʻia ʻo Ertugliflozin e mālama i ka maʻi diabetes 1 (kahi a ke kino e hua ʻole ai ka insulin a, no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko) a i ʻole ka ketoacidosis diabetic (kahi ʻano koʻikoʻi e ulu inā ʻaʻole mālama ʻia ke kō kiʻekiʻe. ).

I ka hala ʻana o ka manawa, hiki i ka poʻe i loaʻa i ka maʻi diabetes a me ke kō kō ke kiʻekiʻe ke hoʻomohala i nā pilikia koʻikoʻi a i ʻole hoʻoweliweli i ke ola, e like me ka maʻi puʻuwai, ka hahau, nā pilikia o ka puʻupaʻa, nā ʻeha o ke aʻa, a me nā pilikia o ka maka. ʻO ka lawe ʻana i nā lāʻau (s), ka hoʻololi ʻana i ka nohona (e laʻa me ka papaʻai, hoʻoikaika kino, haʻalele i ka puhipaka), a me ka nānā pinepine ʻana i kāu kō kō e kōkua paha i ka mālama ʻana i kāu maʻi kō. Hoʻoemi paha kēia hoʻomaʻamaʻa i kou manawa e loaʻa ai ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā ​​pilikia e pili ana i ka maʻi diabetes e like me ka hōʻino ʻana o ka puʻuwai, nā ʻāʻī nerve (numb, nā wāwae anu a i ʻole nā ​​wāwae; hoʻemi i ka hiki i ka wahine i nā kāne a me nā wahine), nā pilikia o ka maka, me nā loli. a i ʻole ka nalo ʻana o ka ʻike, a i ʻole ka maʻi gum. E kamaʻilio pū kāu kauka a me nā mea lawelawe ʻē aʻe iā ʻoe e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.

Hele mai ʻo Ertugliflozin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā i ke kakahiaka me ka ʻole o ka meaʻai. Lawe iā ertugliflozin 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 pololei iā ertugliflozin 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 hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ertugliflozin a hoʻonui iki i kāu lāʻau.

Mālama ʻo Ertugliflozin i ka maʻi diabetes ʻano 2 akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ertugliflozin ʻoiai inā maikaʻi ʻoe. Mai hooki i ka lawe ʻana i ertugliflozin me ka walaʻau ʻole ʻana me kāu kauka.

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 ertugliflozin 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 ertugliflozin,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻino ʻoe (hū, hives, pehu o kou alo, lehelehe, alelo, a puʻu paha, a paʻakikī i ka hanu ʻana) e ertugliflozin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā papa ertugliflozin. 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 kekahi o kēia mau mea: angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), captopril, enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril (Qbrelis, Zestril), moexipril, perindopril ( ma Prestalia), quinapril (Accupril, ma Accuretic, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, ma Tarka); angiotensin receptor blockers like azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, ma Benicar HCT, ma Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (Diovan, ma Diovan HCT, ma Exforge); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); diuretics ('pills wai'); a me ka insulin a i ʻole nā ​​lāʻau no ka maʻi kō e like me chlorpropamide (Diabinese), glimepiride (Amaryl, in Duetact), glipizide (Glucotrol), glyburide (DiaBeta, Glynase), tolazamide, a me tolbutamide. 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 ʻoe e pili ana i ka dialysis a inā ua loaʻa a i ʻole loaʻa iā ʻoe ka maʻi ʻaʻai. E haʻi paha kāu kauka iā ʻoe mai lawe i ertugliflozin.
• e haʻi i kāu kauka inā inu pinepine ʻoe i ka waiʻona a i kekahi manawa inu i ka nui o ka waiʻona i loko o kahi manawa pōkole (inu inu inu), ua hōʻoki ʻia a i ʻole ma kahi papa sodium liʻiliʻi. Eia kekahi, e haʻi i kāu kauka inā loaʻa a i ʻole loaʻa iā ʻoe ke koko haʻahaʻa, kiʻekiʻe kolesterol, nā maʻi maʻi urinary a i ʻole nā ​​pilikia urinary, maʻi pancreatic me ka pancreatitis (ka pehu ʻana o ka pancreas) a i ʻole ua ʻoki ʻia kāu pancreas, nā maʻi hū ma ka genital area , puʻuwai puʻuwai, maʻi vipher peripheral (hoʻoliʻiliʻi o nā kīʻaha koko i nā wāwae, nā wāwae, a i ʻole nā ​​lima e hoʻoulu ai i ka helu, ʻeha, a i ʻole ke anuanu i kēlā ʻāpana o ke kino), neuropathy nā lima a me nā wāwae), nā ʻeha o ka wāwae a i ʻole nā ​​ʻeha, a me ka puʻuwai, nā puʻupaʻa, a me nā maʻi ate. Inā he kāne ʻoe, e haʻi i kāu kauka inā ʻaʻole ʻoe i ʻoki poepoe ʻia. E haʻi i kāu kauka inā ʻoe e ʻai liʻiliʻi ana ma muli o ka maʻi, ʻoki kino, a i ʻole ka loli o kāu papaʻai a i ʻole hiki ʻole iā ʻoe ke ʻai a inu paha ma muli o ka nausea, ka luaʻi, ka maʻi pākī, a inā ua make wai ʻoe i ka lōʻihi o ka lā. .
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Mai hānai i ka wā e lawe ana ʻoe i ertugliflozin. Inā hāpai ʻoe i ka lawe ʻana iā ertugliflozin, e kāhea i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe e lawe ana iā ertugliflozin.
• hiki i ka wai ʻona ke hoʻololi i ke kō kō. E noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe ana i ertugliflozin.
• pono ʻoe e ʻike ʻo ertugliflozin ke kumu o ka hoʻoluhi, hoʻomālamalama, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. Inā loaʻa kēia pilikia iā ʻoe, e kāhea i kāu kauka. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
• e noi i kāu kauka i ka mea e hana ai inā loaʻa ʻoe i ka maʻi, hoʻomohala i kahi maʻi a i ʻole fiva, ʻike i ke koʻikoʻi koʻikoʻi ʻole, a ʻeha ʻia paha. Hiki i kēia mau kūlana ke hoʻololi i kāu kō kō a me ka nui o ertugliflozin āu e pono ai.

E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. He mea nui ka ʻai ʻana i ka papaʻai olakino.

E hāhai i nā ʻōkuhi a kāu kauka e pili ana i ka inu ʻana i nā wai i loko o ka lā a ʻoiai ʻoe ma 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.

Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.

Hiki i ka Ertugliflozin ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• mimiki nui loa, me ka pō hoʻi
• hoʻonui ka make wai
• waha maloo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

• pinepine, wikiwiki, wela, a i ʻole ka mimino ʻeha
• hoʻemi i ka nui o ka mimi
• ʻehu ke ao, ʻulaʻula, ʻulaʻula, a ʻeleʻele paha
• mimi ikaika loa
• ʻeha pelvic a i ʻole rectal pain
• (i nā wahine) pilau a keʻokeʻo, keʻokeʻo a melemele paha i ka hemo (hiki i ka lumpy a i ʻole ke nānā aku e like me ka tī liʻiliʻi), a i ʻole ka huehue wahine
• (i nā kāne) ʻulaʻula, aniani, a pehu paha o ka peni; lapuwale ma ka peni; hoʻokuʻu kīnā ʻole mai ka peni; aiʻole kaʻeha ma kaʻili a puni ka peni
• luhi, nāwaliwali, a ʻoluʻolu ʻole paha; me ke kuni a me ka ʻeha, palupalu, ʻulaʻula, a me ka pehu ʻana o nā genital a i ʻole ka wahi ma waena o nā genital a me ka pololei.
• Kaumaha emi
• ke kuni, ke anu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
• ʻeha, palupalu, ʻeha, ulcer, a pehu paha, mehana, ʻulaʻula hoʻi i kou wāwae a me kou wāwae

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana iā ertugliflozin a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• hūwī
• hives
• ʻūlili
• paʻakikī i ka ale ʻana
• pehu o ka maka, ʻāʻī, elelo, lehelehe, waha, a i ʻole nā ​​maka
• hulahula

Inā loaʻa iā ʻoe kekahi o nā ʻōuli o ketoacidosis, e hoʻōki i ka lawe ʻana iā ertugliflozin a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino. Inā hiki, e nānā i nā ketona i loko o kou mimi inā loaʻa kēia mau ʻōuli, ʻoiai inā ʻoi aku ka emi o kāu kō kō i mua o 250 mg / dL:

• nausea
• ka luaʻi
• ʻeha ʻeha o ka ʻōpū
• luhi
• paʻakikī i ka hanu ʻana

Hiki i ka Ertugliflozin 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.

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.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kahi hoʻokolohua hoʻokolohua ma mua a i kou wā e mālama ai me ertugliflozin e nānā i ke ʻano o ka maikaʻi o ka hana o kāu mau puʻupaʻa. Pono e nānā pinepine i kāu mau kō kō kō e hoʻoholo ai i kāu pane iā ertugliflozin. E kauoha kāu kauka i nā hoʻokolohua lab e ae, e like me glycosylated hemoglobin (HbA1c), e nānā i kāu pane iā ertugliflozin. E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i kēia lāʻau ma ke ana ʻana i kou kiʻekiʻe o ke kō i ka home. E hāhai pono i kēia mau ʻōkuhi.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua e lawe nei ʻoe iā ertugliflozin. Ma muli o ke ʻano o ka hana ʻana o kēia lāʻau, hōʻoia paha ka mimi i ka maikaʻi o ka glucose.

Pono ʻoe e ʻaʻa mau i ke kūpeʻe kuhi diabetic e ʻike pono i ka loaʻa ʻana o kahi lāʻau kūpono i kahi ulia pōpilikia.

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.

• ʻO Steglatro^®

• ʻO Segluromet^® (i loaʻa ʻo Ertugliflozin, Metformin)
• ʻO Steglujan^® (i loaʻa ʻo Ertugliflozin, Sitagliptin)