ʻO Quinine

Anter

• Ma mua o ka lawe ʻana i ka quinine,
• Hoʻokumu paha kēia lāʻau i ke kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō kō kō a me nā mea e hana ai inā e hoʻomohala ʻoe i kēia mau ʻōuli.
• Hiki i ka Quinine 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 aku i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

ʻAʻole pono e hoʻohana i ka Quinine e mālama a pale aku ai i ka wāwae wāwae o ka pō. ʻAʻole i hōʻike ʻia ʻo Quinine e maikaʻi no kēia kumu, a he kumu paha i nā hopena ʻino a weliweli paha i ke ola, e like me nā pilikia kahe ʻana o ke kahe, ka hōʻino ʻana o ka puʻuwai, ka puʻuwai kīnā ʻole, a me nā hopena maʻi ʻino loa.

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 ka quinine 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 wale ʻia ʻo Quinine a i ʻole me nā lāʻau ʻē aʻe e mālama ai i ka malaria (kahi maʻi nui a hoʻoweliweli paha i hoʻolaha ʻia e nā mosquitos i kekahi mau wahi o ka honua). ʻAʻole pono e hoʻohana i ka Quinine e pale aku i ka malaria. Aia ʻo Quinine i ka papa o nā lāʻau i kapa ʻia nā antimalarials. Hana ia ma ka luku ʻana i nā meaola i kumu i ka malaria.

Hele mai ʻo Quinine ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia ia me ka meaʻai ʻekolu mau manawa i ka lā (i kēlā me kēia 8 mau hola) no 3 a 7 mau lā. Lawe i ka quinine 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 i ka quinine 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 ale i nā capsule holoʻokoʻa; mai wehe, nau, a wāwahi paha iā lākou. He ʻawaʻawa kā Quinine.

E hoʻomaka ʻoe e ʻoi aku ka maikaʻi i nā lā 1-2 mua o kāu mālama ʻana. Kāhea i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau ʻōuli a i ʻole ke ʻino lākou. Kāhea pū i kāu kauka inā he kuni kou ma hope koke o ka pau ʻana o kāu lāʻau. He hōʻailona paha kēia e ʻike nei ʻoe i kahi mahele ʻelua o ka malaria.

Lawe i ka quinine a hiki i kou hoʻopau ʻana i ke kuhikuhi, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Inā kū koke ʻoe i ka lawe ʻana i ka quinine a i ʻole ke lele ʻana ʻoe i nā lāʻau, ʻaʻole e mālama pono ʻia kāu maʻi a hiki ke kūʻē i nā meaola i nā antimalarials.

Hoʻohana ʻia ʻo Quinine i kekahi manawa e mālama i ka babesiosis (kahi maʻi nui a weliweli paha i lawe ʻia mai nā holoholona i nā kānaka e nā ticks). E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

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 quinine,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka quinine, quinidine, mefloquine (Lariam), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā capsule quinine. E noi i kāu kauka a kauka paha 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 haʻi pono i kekahi o kēia mau mea: acetazolamide (Diamox); aminophylline; anticoagulants ('blood thinners') e like me warfarin (Coumadin) a me heparin; nā antidepressants ('nā mea hoʻokiʻekiʻe i ke ʻano') e like me desipramine; kekahi mau antifungals e like me fluconazole (Diflucan), ketoconazole (Nizoral), a me itraconazole (Sporanox); nā lāʻau hoʻohaʻahaʻa kolesterol e like me atorvastatin (Lipitor), lovastatin (Mevacor), simvastatin (Zocor); cisapride (Propulsid); dextromethorphan (kahi lāʻau i loko o nā huahana he maha); fluoroquinolone antibiotics e like me ciprofloxacin (Cipro), gatifloxacin (Tequin) (ʻaʻole loaʻa i ka US), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofxxin ) (ʻaʻole loaʻa ma ka US); nā antibiotic macrolide e like me erythromycin (E.E.S., E-Mycin, Erythrocin) a me troleandomycin (ʻaʻole i loaʻa i ka US). nā lāʻau no ka maʻi kō e like me repaglinide (Prandin); nā lāʻau no ke koko kiʻekiʻe; nā lāʻau no ke kuʻi puʻuwai ʻole e like me amiodarone (Cordarone, Pacerone), digoxin (Lanoxin), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide (Procanbid, Pronestyl), quinidine, a me sotalol (Betapace); kekahi mau lāʻau no ka hopu ʻana e like me carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), a me phenytoin (Dilantin); nā lāʻau no nā ulcer e like me cimetidine (Tagamet); mefloquine (Lariam); metoprolol (Lopressor, Toprol XL); paclitaxel (Abraxane, Taxol); pimozide (Orap); rifampin (Rifadin, Rimactane); ʻo kekahi mau mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), a me paroxetine (Paxil); sodium bicarbonate; tetracycline; a me ka theophylline. 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 quinine, 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.
• mai lawe i nā antacids i loaʻa ka magnesium a i ʻole ka aluminika (Alternagel, Amphogel, Alu-cap, Alu-tab, Basaljel, Gaviscon, Maalox, Milk o Magnesia, a me Mylanta) i ka manawa like ke lawe ʻoe i ka quinine. E kamaʻilio i kāu kauka a kauka lāʻau paha e pili ana i ka lōʻihi e kali ai ʻoe ma waena o ka lawe ʻana i kēia ʻano antacid a me ka lawe ʻana i ka quinine.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana i kahi wā QT hoʻolōʻihi (kahi pilikia puʻuwai laha ʻole e hoʻomaka ai ka maʻule a me ke kuʻi ʻole o ka puʻuwai), kahi uila electrocardiogram (ECG; kahi hoʻāʻo e ana i ka hana uila o ka puʻuwai) , a inā i loaʻa a loaʻa paha iā ʻoe ka hemahema G-6-PD (kahi maʻi koko hoʻoilina), a i ʻole inā loaʻa a loaʻa paha iā ʻoe ka myasthenia gravis (MG; ke ʻano e nāwaliwali ai kekahi mau mākala), a i ʻole neuritis optic (huʻihuʻi o ke aʻalolo optic i hiki ke hoʻololi i ka ʻike i ka hiki koke. E haʻi pū aku i kāu kauka inā ua loaʻa ʻoe i kahi hopena koʻikoʻi, keu hoʻi i kahi pilikia kahe a me nā pilikia me kou koko ma hope o ka lawe ʻana i ka quinine i ka wā i hala. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka quinine.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha i kahi puʻuwai lohi a i ʻole maʻamau. nā pae haʻahaʻa o ka potassium i kou koko; aiʻole ka puʻuwai, ka puʻuwai, a me nā maʻi ate.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka quinine, e kāhea i kāu kauka.
• inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka quinine.
• e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. Hiki i ka uahi paka ʻana ke hōʻemi i ka pono o kēia lāʻau.

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 ʻoi aku ia ma mua o 4 mau hola mai ka manawa āu e lawe ai i ka lāʻau i hala, 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.

Hoʻokumu paha kēia lāʻau i ke kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō kō kō a me nā mea e hana ai inā e hoʻomohala ʻoe i kēia mau ʻōuli.

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

• nausea
• hoʻomaha ʻole
• paʻakikī i ka lohe a kani ʻana paha i nā pepeiao
• huikau
• hopohopo

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

• hūwī
• hives
• ʻūlili
• ʻōhinu
• hulahula
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• pehu o ka maka, ʻāʻī, lehelehe, maka, lima, wāwae, kuʻekuʻe wāwae a i ʻole nā ​​wāwae lalo
• fiva
• ʻōhū
• ʻeha ka ʻōpū
• ka luaʻi
• pāhoehoe
• hoʻololi a hoʻololi paha i ka hihi kala
• hiki ʻole ke lohe a ʻike paha
• maule
• paopao maʻalahi
• poni, ʻeleʻele, a ʻulaʻula paha i ka ʻili
• kahe koko ʻole ʻana
• koko i ka mimi
• ʻūlū pouli a palau paha
• ihu ihu
• gums kahe
• eha ka 'ā'ī
• wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
• ʻeha ka umauma
• nāwaliwali
• ka houʻu ʻana
• ʻūpā

Hoʻokumu paha ʻo Quinine 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. Mai hoʻomaʻalili a paʻa ʻole i ka lāʻau.

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:

• hoʻololi a hoʻololi paha i ka hihi kala
• nā ʻōuli o ke kō kō kō
• nā hoʻololi i ka puʻuwai puʻuwai
• ʻeha poʻo
• nausea
• ka luaʻi
• ʻeha ka ʻōpū
• pāhoehoe
• kani i nā pepeiao a paʻakikī paha i ka lohe
• ka hopu ʻana
• hanu lohi a paʻakikī hoʻi

Mālama i nā manawa āpau me kāu kauka.

Ma mua o ka hoʻāʻo ʻana i kahi hale hana, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka quinine.

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.

• Qualaquin^®