Leucovorin

Anter

• Ma mua o ka lawe ʻana i ka leucovorin,
• 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:

Hoʻohana ʻia ʻo Leucovorin e pale i nā hopena ʻino o ka methotrexate (Rheumatrex, Trexall; ka lāʻau chemotherapy chemotherapy) ke hoʻohana ʻia ka methotrexate e mālama i kekahi ʻano maʻi ʻaʻai. Hoʻohana ʻia ʻo Leucovorin e mālama i ka poʻe i loaʻa a loaʻa hewa ʻia ka overhot o methotrexate a i ʻole nā ​​lāʻau like. Aia ʻo Leucovorin i kahi papa o nā lāʻau i kapa ʻia folic acid analogs. Hana ia ma ka pale ʻana i nā hunaola olakino mai nā hopena o ka methotrexate a i ʻole nā ​​lāʻau like e like me ka ʻae ʻana i ka methotrexate e komo a pepehi i nā hunaola maʻi ʻaʻai.

Hele mai ʻo Leucovorin ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ia i kēlā me kēia 6 hola a hiki i ka hōʻikeʻana i nā hōʻikeʻana o nā hale hanaʻaʻole pono ia. I kekahi manawa lawe ʻia ka leucovorin ma kahi papa ʻokoʻa, ke kaukaʻi ʻia i ke kumu e pono ai. Lawe iā leucovorin ma kahi o ka manawa like (s) 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 pono iā leucovorin 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.

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 leucovorin,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka leucovorin, levoleucovorin, folic acid (Folicet, i nā multivitamins), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa leucovorin. E noi i kāu kauka 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 kuhikuhi pono i kekahi o kēia mau mea: kekahi mau lāʻau no ka hopu ʻana e like me phenobarbital, phenytoin (Dilantin), a me primidone (Mysoline); a me trimethoprim-sulfamethoxazole (Bactrim, Septra). 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 he anemia kou (ka helu haʻahaʻa o nā hunaola koko ʻulaʻula) i hoʻokumu ʻia e ka ʻole o ka wikamina B12 a i ʻole hiki ʻole ke omo i ka wikamina B12. ʻAʻole kau kauka e kuhikuhi i ka leucovorin e mālama i kēia ʻano anemia.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi wai kahe i loko o ka umauma umauma a i ʻole ka wahi o ka ʻōpū a i ʻole nā ​​maʻi puʻupaʻa. E haʻi pū aku i kāu kauka inā hoʻoluhi ʻoe.
• 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 leucovorin, e kāhea i kāu kauka.

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.

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:

• pāhoehoe
• hūwī
• hives
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hoʻokumu paha ʻo Leucovorin 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.

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.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino iā leucovorin.

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 Wellcovorin^¶

• kumumea citrovorum
• waikawa folinic
• 5-formyl tetrahydrofolate

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