ʻO Tamoxifen

Anter

• Ma mua o ka lawe ʻana i ka tamoxifen,
• Hoʻokumu paha ʻo Tamoxifen 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 nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hiki i ka Tamoxifen ke kumu i ka maʻi ʻaʻai o ka kōpū (ʻōpū), nā hahau, a me nā kahe o ke koko i nā akemāmā. Kūleʻa a make paha kēia mau kūlana. E haʻi aku i kāu kauka inā loaʻa ʻoe i ke koko i loko o ka akemāmā a i ʻole nā ​​wāwae, ka hahau ʻana, a i ʻole ka puʻuwai puʻuwai. E haʻi pū aku i kāu kauka inā puhi ʻoe, inā he koko kiʻekiʻe a diabetes paha, inā he palena kou hiki ke neʻe i kou wā ala ʻana, a i ʻole inā ʻoe e lawe i nā anticoagulants ('blood thinners') e like me warfarin (Coumadin). Inā ʻoe e ʻike i kekahi o nā ʻōuli ma hope a i ʻole a ma hope paha o kāu mālama ʻana, e kāhea koke aku i kāu kauka: mau manawa menstrual maʻamau; nā loli i ka hoʻokuʻu ʻana o ka hānai, keu hoʻi inā he koko, ʻeleʻele, a pala paha ka hoʻokuʻu; ʻeha a ʻeha paha i ka pelvis (ka ʻōpū ma lalo o ka ʻōpū); pehu ka wāwae a palupalu paha; ʻeha ka umauma; pokole o ka hanu; ʻū kahe i ke koko; ka nāwaliwali koke, ke kani ʻana, a i ʻole ka helu ʻana i kou helehelena, lima, a ʻūhā paha, keu hoʻi ma kekahi ʻaoʻao o kou kino; huikau koke; paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ka paʻakikī hiki ʻole ke ʻike i hoʻokahi a i ʻole nā ​​maka ʻelua paha; paʻakikī paʻakikī hele wāwae; ʻūpā; nalo o ke kaulike a i ʻole ka hoʻohui ʻana; a i ʻole kūpilikiʻi koʻikoʻi loa.

Mālama i nā manawa āpau me kāu kauka. Pono ʻoe e loaʻa i nā loiloi gynecological (examinations o nā kino wahine) e ʻike i nā hōʻailona mua o ka maʻi ʻaʻai o ka kōpū.

Inā ʻoe e noʻonoʻo e pili ana i ka lawe ʻana i ka tamoxifen e hōʻemi i ka manawa e ulu ai ʻoe i ka maʻi ʻaʻai umauma, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o kēia lapaʻau. E hoʻoholo ʻoe a me kāu kauka inā paha ʻo ka pōmaikaʻi kūpono o ka mālama ʻana i ka tamoxifen ka mea kūpono i nā pilikia o ka lawe ʻana i ka lāʻau. Inā pono ʻoe e lawe i ka tamoxifen e mālama i ka maʻi ʻaʻai o ka umauma, ʻoi aku ka maikaʻi o ka tamoxifen ma mua o nā pilikia.

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 tamoxifen 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) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Hoʻohana ʻia ʻo Tamoxifen e mālama i ka maʻi ʻaʻai umauma i pāhola ʻia i nā wahi ʻē aʻe o ke kino i nā kāne a me nā wahine. Hoʻohana ʻia ia e mālama i ka maʻi ʻaʻai mua i nā wahine i mālama mua ʻia me ke ʻoki, radiation, a me / a me chemotherapy. Hoʻohana ʻia ia e hōʻemi i ka makaʻu o ka ulu ʻana i kahi ʻano maʻi ʻē aʻe o ka maʻi ʻaʻai umauma i nā wahine i loaʻa i ka carcinoma ductal in situ (DCIS; kahi ʻano o ka maʻi ʻaʻai umauma ʻaʻole pālahalaha ma waho o ke kahe waiū kahi e hana ai) a ʻo wai i mālama ʻia me ke kaha ʻana a me ka radiation. Hoʻohana ʻia ia e hōʻemi i ka makaʻu o ka maʻi ʻaʻai umauma i nā wahine i makaʻu nui i ka maʻi ma muli o ko lākou mau makahiki, ka mōʻaukala pilikino, a me ka mōʻaukala olakino ʻohana.

Aia ʻo Tamoxifen i kahi papa o nā lāʻau i ʻike ʻia he antiestrogens. Paʻa ia i ka hana o ka estrogen (kahi wahine wahine) i ka umauma. Hiki paha i kēia ke ho'ōki i ka uluʻana o kekahi mau umauma e pono ai ka estrogen e ulu.

Hele mai ʻo Tamoxifen ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia ʻo Tamoxifen i hoʻokahi a ʻelua paha manawa o ka lā me ka ʻai ʻole. Lawe i ka tamoxifen 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 kekahi mea āu e maopopo ʻole ai. Lawe pono i ka tamoxifen 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 hoʻopau i nā papa tamoxifen āpau; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou. E ale i nā papa me ka wai a i ʻole nā ​​mea inu ʻona ʻole.

Inā ʻoe e lawe i ka tamoxifen e pale aku ai i ka maʻi ʻaʻai o ka umauma, e lawe paha ʻoe ia no ʻelima mau makahiki. Inā ʻoe e lawe i ka tamoxifen e mālama i ka maʻi ʻaʻai o ka umauma, e hoʻoholo kāu kauka i ka lōʻihi o kou mālama ʻana. Mai hōʻoki i ka lawe ʻana i ka tamoxifen me ke kamaʻilio ʻole ʻana me kāu kauka.

Inā hoʻopoina ʻoe i ka lawe ʻana i kahi lāʻau o tamoxifen, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia, a lawe i kāu lāʻau aʻe e like me ka mau. Eia nō naʻe, inā kokoke i ka manawa no kāu kaukona 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.

Hoʻohana ʻia ʻo Tamoxifen i kekahi manawa e hoʻoulu i ka ovulation (hana hua manu) i nā wahine hana ʻole i nā hua akā makemake e hāpai. Hoʻohana pū ʻia ʻo Tamoxifen i kekahi manawa e mālama iā McCune-Albright Syndrome (MAS; kahi ʻano e hiki ai ke hōʻeha i ka iwi, ka ulu ʻana o ka moekolohe a me nā kiko ʻeleʻele i ka ʻili i nā keiki) E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana 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 tamoxifen,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka tamoxifen 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 haʻi pono i kekahi o kēia mau mea: aminoglutethimide (Cytadren); anastrozole (Arimidex), bromocriptine (Parlodel); ka lāʻau chemotherapy chemotherapy e like me cyclophosphamide (Cytoxan, Neosar) letrozole (Femara); medroxyprogesterone (Depo-Provera, Provera, ma Prempro); phenobarbital; a me rifampin (Rifadin, Rimactane). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• i ka hoʻohui ʻana i nā kūlana i helu ʻia i ka ʻĀINA WAIWAI, e haʻi i kāu kauka inā loaʻa a loaʻa paha i nā kiʻekiʻe o ke koko kiʻekiʻe o ka kolesterol.
• e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. ʻAʻole pono ʻoe e hoʻolālā e hāpai i ka lawe ʻana i tamoxifen a i ʻole no 2 mau mahina ma hope o kāu lapaʻau. E hana paha kāu kauka i kahi hoʻokolohua hāpai a haʻi paha iā ʻoe e hoʻomaka i kāu mālama ʻana i kou manawa menstrual e ʻike pono ʻaʻole ʻoe i hāpai. Ke hoʻomaka ʻoe e lawe i ka tamoxifen. Pono ʻoe e hoʻohana i kahi ʻano hana pono ʻole nonhormonal o ka kaohi hānau e pale ai i ka hāpai ʻana ʻoiai ʻoe e lawe nei i ka tamoxifen a no 2 mau mahina ma hope o kāu lapaʻau. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka kaohi hānau kūpono iā ʻoe, a hoʻomau i ka hoʻohana ʻana i ka hānau hānau ʻoiai inā ʻaʻohe ou manawa maʻamau i kāu wā e mālama ai. E hoʻōki i ka lawe ʻana i ka tamoxifen a kāhea koke aku i kāu kauka inā manaʻo ʻoe ua hāpai ʻoe i kāu wā lapaʻau. Hoʻopilikia paha ʻo Tamoxifen i ka fetus.
• e haʻi i kāu kauka inā ʻoe e hānai umauma ana. ʻAʻole pono ʻoe e hānai i ka wā o kāu mālama ʻana me tamoxifen.
• haʻi i kāu kauka āpau a me nā lawelawe mālama ola ʻē aʻe āu e lawe nei i ka tamoxifen.
• pono ʻoe e nānā no nā ʻōuli mua o ka maʻi ʻaʻai umauma ʻoiai hiki ke ulu i ka maʻi ʻaʻai umauma ʻoiai i ka wā o ka mālama ʻana me tamoxifen. E kamaʻilio me kāu kauka e pili ana i ka manawa pinepine e nānā ai i kou umauma iā ʻoe iho, i kahi kauka e nānā i kou umauma, a loaʻa i nā mammograms (x-ray examinations o nā umauma). Kāhea koke i kāu kauka inā ʻike ʻoe i kahi puʻupuʻu hou i kou umauma.

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.

Hoʻokumu paha ʻo Tamoxifen i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• hoʻonui i ka iwi a i ʻole ka ʻeha tumora
• ʻeha a ʻulaʻula paha a puni ka pūnaewele tumo
• ʻālohilohi wela
• nausea
• luhi nui loa
• ʻūpā
• kaumaha
• ʻeha poʻo
• lahilahi o ka lauoho
• Kaumaha emi
• ʻōpū o ka ʻōpū
• kōpaʻa
• ka nalowale o ka moekolohe a i ʻole ka hiki (i nā kāne)

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

• pilikia pilikia ʻike
• nalo ʻai ʻole
• melemele o ka ʻili a me nā maka
• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
• fiva
• ʻōhū
• hūwī
• ka pehu o nā maka, ka maka, ka lehelehe, ke alelo, ka ʻāʻī, nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• make wai
• nāwaliwali o nā mākala
• hoʻomaha ʻole

Hiki paha i ka Tamoxifen ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā maʻi ʻē aʻe, e like me ka maʻi ʻaʻai ate. E kamaʻilio me kāu kauka e pili ana i kēia pilikia.

Hiki paha i ka Tamoxifen ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā cataract (ke ao ʻana o ka maka aniani i ka maka) i pono e mālama ʻia me ke kaha. E kamaʻilio me kāu kauka e pili ana i kēia pilikia.

Hoʻokumu paha ʻo Tamoxifen i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

E mālama i ka tamoxifen i loko o ka pahu i komo mai ai, pani paʻa loa ʻia, a me kahi hiki ʻole i nā keiki. 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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• luliluli ʻole ʻana i kahi ʻāpana o ke kino
• kūmau ʻole
• ʻūpā

• 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 i ka tamoxifen.
• 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 i ka tamoxifen.
• Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E kamaʻilio me kāu kauka lāʻau inā he nīnau kāu 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.

• Nolvadex^®
• Soltamox^®¶

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