Didanosine
Anter
- Ma mua o ka lawe ʻana i ka didanosine,
- Hoʻokumu paha ʻo Didanosine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kēia ʻōuli a hele ʻole paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli aʻe a i ʻole i ʻōlelo ʻia i ka ʻ thelelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻokumu paha ʻo Didanosine i ka pancreatitis koʻikoʻi a hoʻoweliweli paha (ka pehu ʻana o ka pancreas). E haʻi i kāu kauka inā inu ʻoe a inu paha i ka nui o nā mea inu ʻona a inā loaʻa a i ʻole loaʻa paha iā ʻoe pancreatitis, a i ʻole pancreas a i ʻole nā maʻi puʻupaʻa. Inā ʻike ʻoe i kekahi o nā ʻōuli aʻe, e kāhea koke i kāu kauka: ʻeha ka ʻōpū a huʻi paha, nausea, luaʻi, a fiva paha.
Hiki i ka Didanosine ke kumu i ka hōʻeha ola i ke ake a me kahi kūlana hoʻoweliweli i kapa ʻia ʻo lactic acidosis (buildup o ka lactic acid i ke koko). ʻOi aku ka kiʻekiʻe o ka makaʻu āu e hoʻomohala ai i ka lactic acidosis inā he wahine ʻoe, inā ʻoi aku kou kaumaha, a inā ua mālama ʻia ʻoe me nā lāʻau no HIV no ka manawa lōʻihi. E haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi ate. E haʻi i kāu kauka inā lawe ʻoe i stavudine (Zerit). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka didanosine inā ʻoe e lawe i kēia lāʻau. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau lapaʻau pōpilikia: ka liʻiliʻi o ka hanu; hanu wikiwiki; nā hoʻololi i ka puʻuwai puʻuwai; nausea; ka luaʻi; lilo o ka makemake ʻole; Kaumaha emi; pāhoehoe; ʻeha ma ka ʻaoʻao ʻākau i luna o kou ʻōpū; kahe koko ʻole a ʻeha paha; melemele o ka ʻili a i ʻole nā maka; mimi ʻeleʻele; nā ʻōniʻoniʻo o ke ʻōpū māmā; luhi loa; nā lima a me nā wāwae me ke anuanu a i ʻole nā uliuli; a ʻeha ʻeha paha.
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 didanosine.
E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka didanosine.
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 mālama ʻana me didanosine 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 Didanosine me nā lāʻau ʻē aʻe e mālama ai i ka maʻi maʻi maʻi (HIV) maʻi kanaka. Aia ʻo Didanosine i loko o ka papa o nā lāʻau i kapa ʻia he nucleoside reverse transcriptase inhibitors (NRTI). Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi HIV i loko o ke koko. ʻOiai ʻaʻole hoʻōla ʻo didanosine i ka maʻi HIV, hiki iā ia ke hōʻemi i kou manawa o ka hoʻomohala ʻia ʻana o ka maʻi maʻi maʻi (AIDS) a me nā maʻi e pili ana i ka maʻi HIV e like me nā maʻi nui a i ʻole ke kanesa. ʻO ka lawe ʻana i kēia mau lāʻau a me ka hoʻomaʻamaʻa ʻana i ka moekolohe ʻoi aku ka maikaʻi a me ka hoʻololi ʻana i nā ʻano nohona ʻē aʻe e hōʻemi paha i ka lawe ʻana (hoʻolaha) i ka maʻi HIV i kekahi poʻe ʻē aʻe.
Hele mai ʻo Didanosine ma ke ʻano he capsule hoʻolōʻihi (hana lōʻihi) a ma ke ʻano he haʻina waha (wai) e lawe ma ka waha. Lawe pinepine ʻia ka hopena waha i hoʻokahi a ʻelua paha manawa i ka lā 30 mau minuke ma mua a i ʻole 2 mau hola ma hope o ka ʻai ʻana. Lawe pinepine nā capsule hoʻokuʻu hoʻokuʻu i hoʻokahi manawa i ka lā ma kahi ʻōpū nele. Lawe i ka didanosine 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 i ka didanosine 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.
Inā ʻoe e hoʻohana nei i nā capsule hoʻolōʻihi lōʻihi, ale iā lākou holoʻokoʻa; mai hoʻokaʻawale, nau, ʻānai, wāwahi, a hoʻonā paha iā lākou. E haʻi i kāu kauka inā ʻaʻole hiki iā ʻoe ke ale i nā capsule hoʻolōʻihi lōʻihi.
Inā ʻoe e lawe i ka hopena waha, pono ʻoe e hoʻoluliluli maikaʻi ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau. E hoʻohana i ka puna o ka ana ʻana a me ke kīʻaha e ana i ka nui kūpono o ka wai no kēlā me kēia kaha, ʻaʻole kahi puna o ka home.
Mālama ʻo Didanosine i ka maʻi HIV akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka didanosine ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka didanosine me ke kamaʻilio ʻole ʻana me kāu kauka. Inā ʻoe e nalo i nā lāʻau a oki paha i ka lawe ʻana i ka didanosine, e lilo ana paha kāu paʻakikī i mea paʻakikī e mālama.
Hoʻohana ʻia ʻo Didanosine i kekahi manawa me nā lāʻau ʻē aʻe e kōkua ai i ka pale ʻana i ka maʻi i nā limahana olakino a i ʻole nā poʻe ʻē aʻe i ʻike pinepine ʻia i ka maʻi HIV. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau 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 ka didanosine,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka didanosine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā capsule didanosine a i ʻole ka hopena waha. 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 allopurinol (Aloprim, Lopurin, Zyloprim), a i ʻole ribavirin (Copegus, Rebetol, Virazole). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka didanosine inā ʻoe e lawe i hoʻokahi a i ʻole ʻelua o kēia mau lāʻau.
- 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 hoʻomaopopo pono e ʻōlelo i kekahi o nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me nā mea aʻe: antacids i loaʻa i loko o ka aluminium a me ka magnesium (Maalox, Mylanta, a me nā mea ʻē aʻe): antifungals e like me itraconazole (Sporanox) a me ketoconazole; atazanvir (Reyataz); antibiotics e like me ciprofloxacin (Cipro), gatifloxacin (Tequin), moxifloxacin (Avelox), ofloxacin (Floxin), pentamidine (Nebupent, Pentam), sulfamethoxazole a me trimethoprim (Bactrim, Septra), a me tetracycline (Sumycin); cabazitaxel (Jevtana); dapsone (Aczone); delavirdine (Mea kākau); docetaxel (Taxotere); ganciclovir (Cytovene); hydroxyurea (Droxia, Hydrea); indinavir (Crixivan); methadone (Dolophine, Methadose); nelfinavir (Viracept); paclitaxel (Abraxane, Taxol); pentamidine (Nebupent, Pentam); ranitidine (Zantac); ritonavir (Norvir); sulfamethoxazole a me trimethoprim (Bactrim, Septra). tenofovir (Viread); tipranavir (Aptivus); valganciclovir (Valcyte); aiʻole vincristine (Marqibo). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau, hoʻololi ke lawe ʻoe i kāu mau lāʻau, a nānā pono paha iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka didanosine, 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.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe kahi neuropathy ākea (numbness, tingling, burn, a ʻehaʻeha paha i kou mau lima a me kou mau wāwae, a i ʻole hoʻemi ʻia ka hiki ke ʻike i ka mahana a pā i kou mau lima a i ʻole nā wāwae) a i ʻole nā maʻi puʻupaʻa.
- 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 ka didanosine, e kāhea i kāu kauka.ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a inā ʻoe e lawe ana i ka didanosine.
- pono ʻoe e ʻike he kumu ka didanosine i nā hopena ʻaoʻao e pono e mālama koke ʻia ma mua o ka lilo ʻana i mea koʻikoʻi. ʻAʻole hiki i nā keiki e lawe nei i ka didanosine ke haʻi iā ʻoe e pili ana i nā hopena a lākou e manaʻo nei. Inā ʻoe e hāʻawi ana i ka didanosine i kahi keiki, e nīnau i ke kauka o ke keiki pehea ʻoe e ʻike ai inā loaʻa i kēia keiki kēia mau hopena ʻaoʻao koʻikoʻi.
- pono ʻoe e ʻike he lilo paha kāu o ka momona o ke kino mai kou alo, nā wāwae, nā lima, a me nā puʻupuʻu. E kamaʻilio me kāu kauka inā ʻike ʻoe i kēia loli.
- pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kou ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i loko o kou kino. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha ma hope o ka hoʻomaka ʻana o ka lāʻau ʻana me didanosine, e ʻike pono 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.
Hoʻokumu paha ʻo Didanosine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kēia ʻōuli a hele ʻole paha:
- ʻeha poʻo
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli aʻe a i ʻole i ʻōlelo ʻia i ka ʻ thelelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
- hives
- hūwī
- ʻūlili
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- numbness, tingling, burn, a i ʻole ʻeha ma nā lima a me nā wāwae
- loli ka hihiʻo
- ka paʻakikī i ka ʻike maopopo ʻana i nā kala
Hoʻokumu paha ʻo Didanosine 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 nā capsule didanosine i loko o ka pahu i komo mai lākou, pani paʻa ʻia, a ʻaʻole i hiki i nā keiki. E mālama iā lākou i ka mahana wela a mamao aku mai ka nui o ka wela a me ka momona (ʻaʻole i loko o ka lua. E mālama i ka hopena oral didanosine i loko o ka pahu hau, paʻa paʻa, a hoʻolei i nā lāʻau i hoʻohana ʻole ʻia ma hope o 30 mau lā.
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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- pāhoehoe
- numbness, tingling, burn, a i ʻole ʻeha ma nā lima a me nā wāwae
- nausea
- ka luaʻi
- nalo ʻai ʻole
- ʻeha ka ʻōpū
- pehu o ka ʻōpū
- ʻehaʻeha a ʻeha pū paha
- luhi loa
- nāwaliwali
- ʻūpā
- ʻālohilohi
- wikiwiki, lohi a i ʻole hoʻokū ʻole i ka puʻuwai
- hanu hohonu a wikiwiki paha
- pokole o ka hanu
- ʻeleʻele melemele a ʻeleʻele paha
- kahe koko ʻole ʻana a palapū paha
- luaʻi i kahi mea koko a ʻano like paha me nā kumu kope
- pahu noho pouli
- melemele o ka ʻili a me nā maka
- ʻano anuanu
- fiva
- nā ʻōuli like flu
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.
E mālama i kahi lako o ka didanosine ma ka lima. Mai kali a hiki i ka pau ʻana o kāu lāʻau e hoʻopiha hou 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.
- Videx® EC
- Videx®
- ddI
- dideoxyinosine