Chloroquine

Anter

• Ma mua o ka hoʻohana ʻana i ka phlateate chloroquine,
• Hiki ke hana i nā hopena ʻaoʻao mai ka chloroquine phosphate. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Ua aʻo ʻia ʻo Chloroquine no ka mālama ʻana a me ka pale ʻana i ka maʻi coronavirus 2019 (COVID-19).

Ua ʻae ka FDA i kahi ʻae hoʻohana hoʻohana ulia pōpilikia (EUA) ma Malaki 28, 2020 e ʻae i ka hāʻawi ʻana i ka chloroquine no nā mākua lapaʻau a me nā ʻōpio e kaupaona ma ka liʻiliʻi he 110 paona (50 kg) a ʻo wai haukapila me COVID-19, akā hiki ʻole ke komo i kahi noiʻi hoʻokolohua. Eia naʻe, ua kāpae ʻo FDA i kēia ma Iune 15, 2020 no ka mea ua hōʻike ʻia nā noiʻi hoʻokolohua ʻaʻole paha e maikaʻi ka chloroquine no ka mālama ʻana i COVID-19 i kēia mau maʻi a me kekahi mau hopena ʻino, e like me ka puʻuwai puʻuwai ʻole i hōʻike ʻia.

Ua ʻōlelo ka FDA a me nā National Institutes of Health (NIH) e lawe wale ʻia ka chloroquine no ka mālama ʻana i COVID-19 ma lalo o ke alakaʻi a ke kauka i kahi noiʻi hoʻokolohua. Mai kūʻai i kēia lāʻau i ka pūnaewele me ka ʻole o ka lāʻau. Inā ʻoe e ʻike i nā puʻuwai puʻuwai maikaʻi ʻole, dizziness, a maule paha i ka lawe ʻana i ka chloroquine, e kāhea iā 911 no ka lāʻau lapaʻau olakino Inā he ʻaoʻao ʻē aʻe kou, e ʻike pono i kāu kauka.

Mai lawe i ka chloroquine i manaʻo nui ʻia no ka hoʻohana holoholona - e like me ka mālama ʻana i nā iʻa i nā aquarium a i ʻole no ka hoʻohana ʻana i nā holoholona ʻē aʻe - e mālama a pale aku iā COVID-19. Ua hōʻike ʻo ka FDA i ka hōʻeha koʻikoʻi a me ka make i hōʻike hewa ʻia i ka poʻe e hoʻohana hewa ʻole ana i kēia mau hoʻomākaukau. https://bit.ly/2KpIMcR

Hoʻohana ʻia ʻo Chloroquine phosphate e pale a mālama i ka malaria. Hoʻohana ʻia ia e mālama i ka amebiasis. ʻO Chloroquine phosphate kahi papa o nā lāʻau i kapa ʻia antimalarials a me amebicides. Hana ia ma ka luku ʻana i nā meaola i kumu i ka malaria a me ka amebiasis.

Hele mai ʻo Chloroquine phosphate ma ke ʻano he papa e lawe ma ka waha. No ka pale ʻana i ka malaria i nā poʻe mākua, lawe pinepine ʻia hoʻokahi lāʻau i hoʻokahi manawa i ka pule ma ka lā like o ka pule. E haʻi aku kāu kauka iā ʻoe i ka nui o nā papa e lawe ai no kēlā me kēia kau. Lawe ʻia kahi mahele lāʻau e hoʻomaka ana i 2 mau pule ma mua o ka huakaʻi ʻana i kahi e maʻa mau ai ka malaria, ʻoiai ʻoe ma ia wahi, a laila no 8 mau pule ma hope o kou hoʻi ʻana mai ia wahi. Inā hiki ʻole iā ʻoe ke hoʻomaka e lawe i ka chloroquine no 2 mau pule ma mua o ka huakaʻi ʻana, e ʻōlelo paha kāu kauka iā ʻoe e lawe pāpālua i ka lāʻau (no ka mahele mua).

No ka mālama ʻana i ka hōʻeha, ka hōʻeha nui ʻana o ka malaria i nā mākua, lawe pinepine ʻia kahi lāʻau, a ukali ʻia e ka hapalua o ka mahele lāʻau 6 a 8 mau hola ma hope a laila ka hapalua o ka mahele lāʻau hoʻokahi i hoʻokahi lā no nā lā aʻe 2

No ka pale a me ka mālama ʻana i ka malaria i nā pēpē a me nā keiki, hoʻokumu ʻia ka nui o ka chloroquine phosphate ma ke kaupaona o ke keiki. E helu kāu kauka i kēia nui a haʻi iā ʻoe i ka nui o nā chloroquine phosphate e loaʻa i kāu keiki.

No ka mālama ʻana i ka amebiasis, lawe ʻia hoʻokahi mahele mau no 2 mau lā a laila ka hapalua o ka mahele lāʻau i kēlā me kēia lā no 2 a 3 mau pule. Lawe ʻia ia i ka hui pū me nā amebicides ʻē aʻe.

Hoʻokumu paha ʻo Chloroquine phosphate i kahi ʻōpū huhū. E lawe i ka chloroquine phosphate me ka meaʻai.

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 hoʻohana pono i ka chloroquine phosphate e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Hoʻohana ʻia ʻo Chloroquine phosphate i kekahi manawa e hoʻoliʻiliʻi i nā ʻōuli o ka rheumatoid arthritis a mālama i ka systemic a me ka discoid lupus erythematosus, sarcoidosis, a me porphyria cutanea tarda. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kou maʻi.

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 hoʻohana ʻana i ka phlateate chloroquine,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka chloroquine phosphate, chloroquine hydrochloride, hydroxychloroquine (Plaquenil), a i ʻole nā ​​lāʻau ʻē aʻe.
• 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 ʻōlelo pono i ka acetaminophen (Tylenol, nā mea ʻē aʻe); azithromycin (Zithromax); cimetidine (Tagamet); cyclosporine (Gengraf, Neoral, Sandimmune); ka insulin a me nā lāʻau lapaʻau waha no ka maʻi kō; nā lāʻau no ka hopu ʻana e like me ka carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), phenytoin (Dilantin, Phenytek), a i ʻole valproic acid (Depakene); kekahi mau lāʻau no ka puʻuwai kīnā ʻole e like me amiodarone (Pacerone); methotrexate (Trexall, Xatmep); moxifloxacin (Avelox); praziquantel (Biltricide); a me tamoxifen (Nolvadex). 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 ka chloroquine, 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.
• inā ʻoe e lawe i nā antacids, lawe iā lākou i 4 mau hola ma mua a i ʻole 4 mau hola ma hope o chloroquine. Inā lawe ʻoe i ka ampicillin, lawe ma ka liʻiliʻi he 2 mau hola ma mua a i ʻole 2 mau hola ma hope o chloroquine.
• e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi akepau, nā maʻi puʻuwai, kahi wā QT lōʻihi (kahi pilikia puʻuwai laha ʻole e hiki ai ke hōʻeha i ka puʻuwai ʻole, maʻule, a make koke paha), kahi puʻuwai puʻuwai ʻole, kahi pae haʻahaʻa o ka magnesium a potassium paha kou koko, hemahema G-6-PD (kahi maʻi koko hoʻoilina), nā pilikia lohe, porphyria a i ʻole nā ​​maʻi koko ʻē aʻe, psoriasis, ka hopu ʻana, nā pilikia ʻike, diabetes, nāwaliwali ma kou mau kuli a me nā kuʻekuʻe wāwae, a inā inu ʻoe i ka nui o ka waiʻona.
• e haʻi i kāu kauka inā ua ʻike ʻoe i nā loli i ka wā e lawe ana i ka chloroquine phosphate, chloroquine hydrochloride, a i ʻole hydroxychloroquine (Plaquenil).
• e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka hoʻohana ʻana i ka phlateate chloroquine, e kāhea i kāu kauka.
• e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū a i ʻole hoʻolālā e hānai. Hiki i ka Chloroquine phosphate ke hōʻeha i kahi pēpē hānai.
• ʻaʻohe o nā lāʻau āpau ke kamaʻilio ʻole ʻia me kāu kauka.

Inā ʻaʻole kuhikuhi kāu kauka iā ʻoe i kahi ʻē aʻe, e hoʻomau i kāu papaʻai maʻamau i ka lawe ʻana i ka chloroquine phosphate.

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

• ʻeha poʻo
• nausea
• nalo ʻai ʻole
• pāhoehoe
• hoʻohuhū ʻōpū
• ʻeha ka ʻōpū
• hūwī
• ʻūlili
• poho lauoho

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

• ke ʻike aku nei i nā kukui uila a me nā kaha
• ʻike hihi
• ka heluhelu ʻana a ʻike ʻana paha i nā pilikia (nalo nā huaʻōlelo, ʻike ʻana i ka hapalua o nā mea, ʻike maka a me ka noe)
• pilikia i ka lohe ʻana
• kani i nā pepeiao
• nāwaliwali o nā mākala
• hiamoe
• ka luaʻi
• puʻuwai kūlohelohe ʻole
• haʻalulu
• paʻakikī i ka hanu ʻana
• ke ʻano a i ʻole nā ​​hoʻololi noʻonoʻo
• hoʻemi i ka ʻike a i ʻole ka nalo ʻana o ka ʻaha kūkā
• e noʻonoʻo nei e pili ana i ka hōʻino a pepehi paha iā ʻoe iho

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 a mai ka mālamalama a me ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua.

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.

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

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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• nausea
• ka luaʻi
• ʻeha poʻo
• hiamoe
• nā haunaele ʻike
• haʻalulu
• kuʻi puʻuwai ʻole

Pilikia loa nā keiki i kahi overdose, no laila e mālama i ka lāʻau i hiki ʻole i nā keiki.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua lab a me nā electrocardiograms (EKG, kahi hoʻāʻo e nānā i ka helu o kou puʻuwai a me kāu mele) e nānā i kāu pane i ka chloroquine phosphate. E hoʻāʻo nō hoʻi kāu kauka i kou mau reflexes e ʻike inā loaʻa ka nāwaliwali o nā mākala i hiki i ka lāʻau.

Inā ʻoe e lawe nei i ka chloroquine phosphate no kahi manawa lōʻihi, e paipai ka kauka iā ʻoe i nā hoʻokolohua maka pinepine. He mea nui e mālama ʻoe i kēia mau wā i hoʻopaʻa ʻia. Hiki i ka Chloroquine phosphate ke hoʻopilikia i nā pilikia o ka ʻike. Inā ʻike ʻoe i nā loli i ka hihiʻo, e hoʻōki i ka lawe ʻana i ka chloroquine phosphate a kāhea koke aku i 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.

• Aralen^®¶

^¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.