Ketoconazole
Anter
- Ma mua o ka lawe ʻana i ketoconazole,
- Hoʻokumu paha ʻo Ketoconazole 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. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o lākou a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.
E hoʻohana wale ʻia ʻo Ketoconazole e mālama ai i nā maʻi fungal ke loaʻa ʻole nā lāʻau ʻē aʻe a i ʻole hiki ke ʻae ʻia.
Hoʻokumu paha ʻo Ketoconazole i ka hōʻino o ke ake, i kekahi manawa kūpono kūpono e koi ai i ke kaʻe ʻana o ka ate a i ʻole ka mea e make ai. Hiki ke hōʻino ʻia ke akepaʻa i ka poʻe i loaʻa ʻole i nā maʻi ate a i ʻole nā kūlana ʻē aʻe e hoʻonui ai i ka makaʻu e hoʻomālamalama lākou i ke ake. E haʻi i kāu kauka inā inu ʻoe a ua inu paha i ka nui o ka waiʻona a inā loaʻa a loaʻa paha ʻoe i ka maʻi ate. Mai inu i nā mea inu waiʻona i kou wā e mālama ai me ka ketoconazole ma muli o ka inu ʻana i nā mea inu ʻona hiki ke hoʻonui i ka makaʻu e loaʻa iā ʻoe ka hōʻino ʻia o ke ake.Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka luhi nui loa, ka nalo ʻana o ka makemake, ka pohō kaumaha, kahoʻi, ka luaʻi, ka melemele ʻana o ka ʻili a me nā maka, ka mimi melemele ʻeleʻele, nā pale mae, ʻeha ma ka ʻaoʻao ʻākau i luna o ʻōpū, kuni, a hū paha.
Hiki i Ketoconazole ke hoʻolōʻihi i ka QT (kahi puʻuwai puʻuwai kūpono ʻole e hiki ai i ka nāwaliwali, nalowale o ka ʻike, hopu ʻia, a make koke paha). Mai lawe disopyramide (Norpace), dofetilide (Tikosyn), dronedarone (Multaq), pimozide (Orap), quinidine (Quinidex, Quinaglute), cisapride (Propulsid; ʻaʻole i loaʻa hou ma ka US), methadone (Dolophine, Methadose), a ranolazine (Ranexa) ʻoiai ʻoe e lawe nei i ketoconazole. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hoʻōki i ka lawe ʻana i ka ketoconazole a kāhea koke aku i kāu kauka: wikiwiki, kuʻi, a i ʻole kūʻē kuʻikuʻi ʻole. maule ana; ʻūpā; ʻālohilohi; aiʻole ka nalowale o ka ʻike.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ketoconazole.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me ketoconazole 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.
E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ketoconazole.
Hoʻohana ʻia ʻo Ketoconazole e mālama i nā maʻi fungal ke loaʻa ʻole nā lāʻau ʻē aʻe a i ʻole hiki ʻole ke ʻae ʻia. ʻAʻole pono e hoʻohana ʻia ʻo Ketoconazole e mālama i ka meningitis fungal (maʻi o nā membrane e puni ana i ka lolo a me ka iwi kuamoo i hoʻokumu ʻia e kahi fungus) a i ʻole nā maʻi kui kui. Aia ʻo Ketoconazole i kahi papa o nā antifungals i kapa ʻia ʻo imidazoles. Hana ia me ka hoʻolohi i ka ulu ʻana o nā fungi i kumu i ka maʻi.
Hele mai ʻo Ketoconazole ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā Lawe i ka ketoconazole ma kahi o ka 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 ketoconazole 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 hoʻonui paha kāu kauka i kāu lāʻau inā ʻaʻole hoʻomaikaʻi kāu ʻano.
Pono paha ʻoe e lawe i ka ketoconazole no 6 mau mahina a ʻoi aku paha o ka lōʻihi e hoʻōla loa ai i kāu maʻi. E hoʻomau i ka lawe ʻana i ka ketoconazole a hiki i ke kauka ʻana iā ʻoe e kū ʻoe, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Mai hōʻoki i ka lawe ʻana i ka ketoconazole me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i ka ketoconazole, hoʻi hou paha kāu maʻi ma hope o ka manawa pōkole.
Hoʻohana ʻia nā mea kiʻekiʻe o ka ketoconazole e mālama ai i ka maʻi Cushing (kahi ʻano e loaʻa inā nui ka nui o ka hormone corticosteroid i loko o ke kino) a me ka maʻi ʻaʻai prostate holomua (cancer o kahi kāne hānau keiki). ʻAʻole hōʻike ʻia ʻo Ketoconazole i kahi palekana a maikaʻi paha no kēia mau hoʻohana. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ketoconazole no kāu 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 ketoconazole,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka ketoconazole a i ʻole nā lāʻau ʻē aʻe a i ʻole kekahi o nā mea hana i nā papa ketoconazole. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā lawe ʻoe i ka alprazolam (Niravam, Xanax); eplerenone (Inspra); nā eralo alkaloid e like me ergotamine (Ergomar, ma Cafergot, ma Migergot), dihydroergotamine (D.H.E 45, Migranal), a me methylergonovine (Methergine); felodipine (Plendil); irinotecan (Camptosar); lovastatin (Mevacor); lurasidone (Latuda); midazolam (Versed); nisoldipine (Sular); simvastatin (Zocor); tolvaptan (Samsca); and triazolam (Halcion). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka ketoconazole inā ʻoe e lawe nei i hoʻokahi aʻoi aku paha o kēia mau lāʻau a i ʻole kekahi o nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT.
- e haʻi i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei. E ʻike pono i nā lāʻau i helu ʻia i ka ʻĀINA WAIWAI nui a me kekahi o nā mea penei: aliskiren (Tekturna, ma Valturna, ma Amturnide); anticoagulants ('blood thinners') e like me dabigatran (Pradaxa), rivaroxaban (Xarelto) a me warfarin (Coumadin); aprepitant (Emend); aripiprazole (Abilify); atorvastatin (Lipitor); bosentan (Tracleer); budesonide (Uceris); buspirone (BuSpar); carbamazepine (Tegretol); nā poloka kalipuna e like me amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), nicardipine (Cardene), nifedipine (Adalat, Procardia), a me verapamil (Calan, Covera, Isoptin, Verelan); nā lāʻau ʻaʻai e like me bortezomib (Velcade); busulfan (Myleran); dasatinib (Sprycel); docetaxel (Taxotere), erlotinib (Tarceva); ixabepilone (Ixempra); lapatinib (Tykerb); nilotinib (Tasigna); paclitaxel (Taxol), trimetrexate (Neutrexin), vincristine (Vincasar), vinblastine, a me vinorelbine (Navelbine); ciclesonide (Alvesco); cilostazol (Pletal); cinacalcet (Sensipar); colchisin (Colcrys, ma Col-Probenecid); dexamethasone; digoxin (Lanoxin); eletriptan (Relpax); fentanyl (Abstral, Actiq, Duragesic, Fentora, Lazanda, Onsolis); fesoterodine (Toviaz); fluticasone (Flonase, Flovent); haloperidol (Haldol); ʻO nā lāʻau HIV e like me darunavir (Prezista), efavirenz (Sustiva), fosamprenavir (Lexiva), indinavir (Crixivan), maraviroc (Selzentry), nevirapine (Viramune), ritonavir (Norvir), a me saquinavir (Invirase, Fortovase); nā immunosuppressants e like me cyclosporine (Neoral, Sandimmune), everolimus (Afinitor, Zortress), sirolimus (Rapamune), a me tacrolimus (Prograf); imatinib (Gleevec); nā lāʻau no ka hana erectile e like me sildenafil (Viagra), tadalafil (Cialis), a me vardenafil (Levitra); nā lāʻau no ka hoʻoinu ʻole, ka puʻuwai, a i ʻole nā maʻi ulcer e like me cimetidine (Tagamet), famotidine (Pepcid), lansoprazole (Prevacid), nizatidine (Axid), omeprazole (Prilosec), a me ranitidine (Zantac); nā lāʻau e mālama ai i ka maʻi kō e like me isoniazid (INH, Nydrazid), rifabutin (Mycobutin), rifampin (Rifadin, Rimactane); methylprednisolone (Medrol); nadolol (Corgard); ʻoxycodone (Oxecta, Oxy Contin, ma Percocet, a me nā mea ʻē aʻe); phenytoin (Dilantin); praziquantel (Biltricide); quetiapine (Seroquel); ramelteon (Rozerem); repaglinide (Prandin, ma PrandiMet); risperidone (Risperdal); salmeterol (Serevent, ma Advair); saxagliptin (Onglyza); solifenacin (Vesicare); nā immunosuppressants e like me cyclosporine (Neoral, Sandimmune), sirolimus (Rapamune), a me tacrolimus (Prograf); tamsulosin (Flomax, i Jalyn); telithromycin (Ketek); a tolterodine (Detrol). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Pili pū paha nā lāʻau ʻē aʻe he nui me ka ketoconazole, 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 kahi antacid i loko o ka aluminika, calcium, a magnesium (Maalox, Mylanta, Tums, a me nā mea ʻē aʻe), e lawe i hoʻokahi hola ma mua a i ʻole 2 mau hola ma hope o kou lawe ʻana i ka ketoconazole.
- e haʻi i kāu kauka inā loaʻa a i ʻole loaʻa iā ʻoe nā kūlana i ʻōlelo ʻia i loko o ka ʻARlelo Aʻoaʻo PALAPALA a i ʻole ka lawa ʻole adrenal (ke ʻano ʻaʻole lawa nā hormones steroid).
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ketoconazole, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ketoconazole.
- pono ʻoe e ʻike i ka inu ʻana i nā mea inu ʻona (me ka waina, pia, a me nā lāʻau i loaʻa ka wai ʻona e like me ka syrup batū) ʻoiai e lawe ana i ka ketoconazole e hoʻonui ai i ka makaʻu e hoʻomohala ʻoe i ke akepaʻa a e hōʻeha paha i nā ʻōuli maikaʻi ʻole e like me ka pīpī ʻana, ka pīpī, ka ʻeha, ʻeha poʻo, a me ka pehu ʻana o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo inā ʻoe e inu ʻona i ka wā e lawe ana ʻoe i ka ketoconazole.
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.
Hoʻokumu paha ʻo Ketoconazole i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha poʻo
- ʻeha ka ʻōpū
- pāhoehoe
- kōpaʻa
- puʻuwai puʻuwai
- ʻenekini
- hoʻololi i ka hiki ke ʻono i ka meaʻai
- waha maloo
- hoʻololi i ke kala o ka alelo
- paʻakikī e hiamoe a hiamoe paha
- hopohopo
- numbness, puhi ʻana, a i ʻole ke kani ʻana o nā lima a me nā wāwae paha
- ʻeha mākala
- poho lauoho
- ʻōhinu
- haʻalulu
- ʻike i ka mālamalama
- ihu ihu
- hoʻonui ka umauma i nā kāne
- hoʻemi i ka moekolohe
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o lākou a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.
- hūwī
- hives
- ʻūlili
- pehu o nā maka, helehelena, lehelehe, alelo, lima, wāwae, kuʻekuʻe wāwae, a i ʻole nā wāwae lalo
- hulahula
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- nāwaliwali a nāwaliwali paha
Hoʻokumu paha ʻo Ketoconazole i kahi hōʻemi o ka sperm (male reproductive cells) i hana ʻia, keu hoʻi inā lawe ʻia i nā koina kiʻekiʻe. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i kēia lāʻau inā he kāne ʻoe a makemake ʻoe e hānau keiki.
Hoʻokumu paha ʻo Ketoconazole 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 hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ketoconazole.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E noi i kāu kauka lāʻau inā he mau nīnau kāu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi. Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ma hope o kou hoʻopau ʻana i ka ketoconazole, e kāhea i kāu kauka.
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.
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