Tolmetin
Anter
- Ma mua o ka lawe ʻana i tolmetin,
- Hana paha ʻo Tolmetin 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 ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka. Mai lawe i kahi tolmetin hou a ʻōlelo ʻoe i kāu kauka:
ʻO ka poʻe e lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (ʻē aʻe ma mua o ka aspirin) e like me tolmetin hiki i ka nui o ka pilikia o ka puʻuwai puʻuwai a i ʻole ka hahau ʻana ma mua o ka poʻe ʻaʻole e lawe i kēia mau lāʻau. Hiki paha kēia mau hanana me ka ʻōlelo ʻole ʻole a make paha. Kiʻekiʻena paha kēia kiʻekiʻe no nā poʻe e lawe i nā NSAID no kekahi manawa lōʻihi. Mai lawe i kahi NSAID e like me tolmetin inā he maʻi puʻuwai kāu i neʻi nei, ke ʻole ke kuhikuhi ʻia e kāu kauka. E haʻi i kāu kauka inā loaʻa ʻoe a i ʻole kekahi i kou ʻohana i ka maʻi puʻuwai, ka puʻuwai puʻuwai, a i ʻole ka hahau ʻana, inā ʻoe e puhipaka, a inā he kolesterol kiʻekiʻe ʻoe, ke koko kiʻekiʻe, a diabetes paha. E kiʻi koke i ke kōkua olakino pilikia inā ʻike ʻoe i kekahi o nā ʻōuli penei: ka ʻeha o ka umauma, ka pōkole o ka hanu, nāwaliwali ma kahi ʻāpana a ʻaoʻao paha o ke kino, a i ʻole ʻōlelo lohi.
Inā ʻoe e hele i kahi pale bypass artery coronary (CABG; kahi ʻano o ke ʻoki puʻuwai), ʻaʻole pono ʻoe e lawe i ka tolmetin ma mua pono a ma hope paha o ke ʻoki.
ʻO nā NSAID e like me tolmetin ke kumu o ka ulcer, kahe ʻana o ke kahe, a i ʻole nā puka o ka ʻōpū a me ka ʻōpū. E ulu paha kēia mau pilikia i kēlā me kēia manawa i ka wā o ka mālama ʻana. ʻOi aku ka kiʻekiʻe o ka makaʻu no nā poʻe e lawe i nā NSAID no ka manawa lōʻihi, ʻelemakule i ka makahiki, maikaʻi ʻole ke olakino, a inu paha i ka nui o ka waiʻona i ka wā e lawe ana i ka tolmetin. E haʻi i kāu kauka inā lawe ʻoe i kekahi o nā lāʻau aʻe: anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); aspirin; nā NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft); aiʻole nā serotonin norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), a me venlafaxine (Effexor XR). E haʻi aku i kāu kauka inā loaʻa iā ʻoe a i ʻole he mau maʻi ulcer ʻoe, e kahe ana ke kō i kou ʻōpū a i ʻole nā ʻōpū, a i ʻole nā maʻi kahe ʻē aʻe. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hoʻōki i ka lawe ʻana i ka tolmetin a kāhea i kāu kauka: ʻeha ka ʻōpū, ʻeha ka puʻuwai, luaʻi i kahi mea koko a ʻano like paha me nā papa kope, ke koko i loko o ka pahu, a i ʻole nā papa noho ʻeleʻele a lohi hoʻi.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E nānā pono kāu kauka i kāu mau ʻōuli a e kauoha paha i kekahi mau hoʻokolohua e nānā i ka pane o kou kino iā tolmetin. E ʻike pono i kāu kauka pehea kou ʻano i hiki i kāu kauka ke kuhikuhi i ka nui kūpono o ka lāʻau e mālama ai i kou ʻano me ka makaʻu haʻahaʻa o nā hopena ʻino.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me tolmetin 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.
Hoʻohana ʻia ʻo Tolmetin e hōʻoluʻolu i ka ʻeha, ka palupalu, ka pehu ʻana, a me ka ʻoʻoleʻa i hoʻokumu ʻia e ka osteoarthritis (ka maʻi ʻōiwi i hoʻokumu ʻia e ka haki ʻana o ka uhi o nā hono) a me ka rheumatoid arthritis (ʻo arthritis ka mea i hoʻokumu ʻia e ka uhi o nā hono). Hoʻohana ʻia ʻo Tolmetin e hōʻoluʻolu i ka ʻeha, palupalu, pehu, a me ka ʻoʻoleʻa i hoʻokumu ʻia e ka ʻōpio rheumatoid arthritis i nā keiki 2 makahiki a ʻoi. Aia ʻo Tolmetin i kahi papa o nā lāʻau i kapa ʻia ʻo NSAIDs. Hana ia ma ka hoʻōki ʻana i ka hana a ke kino i kahi mea e hana i ka ʻeha, ke kuni, a me ka mumū.
Hele mai ʻo Tolmetin ma ke ʻano he papa a me kahi capsule e lawe ma ka waha. Lawe nā mākua iā tolmetin ʻekolu mau manawa i ka lā ma kahi ʻōpū nele, a ʻo nā keiki i ʻoi aku i ka 2 mau makahiki o ka makahiki e lawe mau i ka tolmetin ʻekolu a ʻehā mau manawa i ka lā ma kahi ʻōpū nele. E lawe i ka tolmetin ma nā manawa like i kēlā me kēia lā. ʻOi aku ka maikaʻi e lawe i ka hopena mua o ka lā ma hope o ke ala ʻana i kakahiaka a lawe i ka hopena hope loa o ka lā i ka wā moe. 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 ka tolmetin 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 haʻi i kāu kauka inā tolmetin hoʻonāukiuki i kou ʻōpū. E haʻi paha kāu kauka iā ʻoe e lawe i ka tolmetin me kahi antacid e pale ai i ka huhū o ka ʻōpū. E haʻi aku kāu kauka iā ʻoe i nā antacids e palekana e lawe me ka tolmetin.
Hiki paha iā Tolmetin ke kōkua i ka mālama ʻana i kāu mau ʻōuli akā ʻaʻole e hoʻōla i kou ʻano. E hoʻomaikaʻi paha kāu mau hōʻailona i loko o hoʻokahi pule ma hope o kou hoʻomaka ʻana e lawe i ka tolmetin, akā he mau pule paha ka lōʻihi a lōʻihi paha iā ʻoe e ʻike i ka pono piha o ka lāʻau. E kamaʻilio me kāu kauka e pili ana i ka hana a tolmetin iā ʻoe.
Hoʻohana ʻia ʻo Tolmetin e mālama i ka spondylitis ankylosing (arthritis e pili nui i ka iwi kuamoʻo). Hoʻohana ʻia ia i kekahi manawa e mālama i kekahi mau ʻano e hoʻonā ai i ka mākala a i ʻole ka pehu ʻana i ka poʻohiwi a i ʻole kuʻekuʻe lima a me nā ʻeha e like me nā sprains hou.
Kuhi ʻia kēia lāʻau i kekahi manawa 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 tolmetin,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka tolmetin, aspirin, a i ʻole nā NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana ʻole i loko o nā papa tolmetin a i ʻole nā capsule. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hana ʻole.
- 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 kuhikuhi pono i nā lāʻau i helu ʻia i ka ʻĀINA WAIWAI nui a me kekahi o kēia mau mea: nā mea hoʻopaneʻe enzyme angiotensin (ACE) e like me benazepril (Lotensin, ma Lotrel), captopril, enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril ( i Zestoretic), moexipril (Univasc), perindopril (Aceon, ma Prestalia), quinapril (Accupril, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, i Tarka); angiotensin receptor blockers like candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (i Exforge HCT); diuretics ('pills wai'); lithium (Lithobid); a me methotrexate (Otrexup, Rasuvo, Trexall). 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 kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole hānō, keu hoʻi inā ʻoe i ukuhi pinepine a i ʻole ka ihu ihu a i ʻole nā polyps nasal (ka pehu ʻana o ka uhi o ka ihu); puʻuwai puʻuwai; ka pehu ʻana o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; aiʻole ka ate a me nā maʻi pākī.
- e haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai. aiʻole e hānai umauma ana. Hiki paha iā Tolmetin ke hōʻeha i ka fetus a hana i nā pilikia me ka lawe ʻana inā lawe ʻia ma kahi o 20 mau pule a i ʻole ma hope o ka hāpai ʻana. Mai lawe tolmetin a puni a ma hope paha o 20 mau pule o ka hāpai ʻana, ke ʻole ʻoe e haʻi ʻia e kāu kauka. Inā hāpai ʻoe i ka lawe ʻana i tolmetin, e kāhea i kāu kauka.
- e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pōmaikaʻi o ka lawe ʻana i tolmetin inā he 75 ou mau makahiki a ʻoi paha. Mai lawe i kēia lāʻau no ka manawa ʻoi aku ka lōʻihi o ka manawa a i kahi lāʻau kiʻekiʻe ma mua o ka mea i ʻōlelo ʻia e kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka tolmetin.
- pono ʻoe e ʻike i hiki i kēia lāʻau ke hoʻohoka iā ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
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.
Hana paha ʻo Tolmetin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- kōpaʻa
- ʻenekini
- loaʻa kaupaona a pohō paha
- ʻeha poʻo
- kaumaha
- hoʻonāukiuki ʻili
- kani i nā pepeiao
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka. Mai lawe i kahi tolmetin hou a ʻōlelo ʻoe i kāu kauka:
- nā hoʻololi i ka hihiʻo
- loaʻa kaumaha kaumaha ʻole
- pōkole o ka hanu a paʻakikī hoʻi i ka hanu ʻana
- ka pehu o ka ʻōpū, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- fiva
- ʻōhū
- hūwī
- ʻūlili
- hives
- pehu o nā maka, maka, lehelehe, alelo, ʻāʻī, lima, a lima paha
- paʻakikī i ka ale ʻana
- hulahula
- melemele o ka ʻili a me nā maka
- luhi nui loa
- kahe koko ʻole ʻana a palapū paha
- nele i ka ikaika
- hoʻohuhū ʻōpū
- nalo ʻai ʻole
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- nā ʻōuli like flu
- ʻili mae
- puʻuwai wikiwiki
- ʻōpua, paʻalulu, a i ʻole mimi koko
- ʻeha kua
- urination paʻakikī a ʻeha paha
Hoʻokumu paha ʻo Tolmetin 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.
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 iā tolmetin.
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.
- Tolectin®¶
- Tolectin® DS¶
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 03/15/2021