Riluzole
Anter
- Ma mua o ka lawe ʻana i riluzole,
- Hoʻokumu paha ʻo Riluzole 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 kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Riluzole e mālama i ka amyotrophic lateral sclerosis (ALS; Lou Gehrig’s disease). Aia ʻo Riluzole i ka papa o nā lāʻau i kapa ʻia benzothiazoles. Hana ia ma ka hoʻololi ʻana i ka hana o kekahi mau mea kūlohelohe i ke kino e hoʻopili i nā aʻa a me nā mākala.
Hele mai ʻo Riluzole ma ke ʻano he papa a me kahi hoʻomaha (wai) e lawe ma ka waha. Lawe ʻia ia ma ka ʻōpū hakahaka (1 hola ma mua a i ʻole 2 mau hola ma hope o ka ʻai) ʻelua manawa i ka lā, i kēlā me kēia 12 hola. Lawe ʻoe iā ia i nā manawa like i kēlā me kēia lā (maʻamau i ke kakahiaka a me ke ahiahi). 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 pololei i ka riluzole. 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 hoʻoluliluli maikaʻi i ka hoʻomaha (ma ka liʻiliʻi he 30 kekona) ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau. E nānā pono i ka ʻōmole i luna a i lalo a hiki i kou ʻike ʻole ʻana i ka wai ma luna o luna a i ʻole nā ʻāpana o lalo o ka ʻōmole. E heluhelu i nā ʻōkuhi no ka hoʻohana ma mua o kou hoʻomaka ʻana i ke kau ʻana o riluzole. E ʻike pono i ka maopopo ʻana iā ʻoe i kēia mau ʻaoʻao, a nīnau i kāu kauka lāʻau inā he nīnau kāu.
Hoʻolohi paha ʻo Riluzole i ka holomua o ka ALS akā ʻaʻole ia e ola. E hoʻomau i ka lawe riluzole ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka riluzole me ke kamaʻilio ʻole ʻana me kāu kauka.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea 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 riluzole,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka riluzole, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka papa riluzole a i ʻole ka hoʻomaha ʻana. 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 hōʻike pono i kekahi o kēia mau mea: allopurinol (Aloprim, Lopurin, Zyloprim), carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), ciprofloxacin (Cipro), fluvoxamine (Luvox), methoxsalen (8-MOP, Oxsoralen) i Aldochlor), mexiletine, oral contraceptives (pills kaohi hānau), rifampin (Rifadin, ma Rifamate, ma Rifater), sulfasalazine (Azulfidine), vemurafenib (Zelboraf), a me zileuton (Zyflo).
- e haʻi i kāu kauka inā he moʻokūʻī Kepanī ʻoe a inā i loaʻa a i ʻole loaʻa iā ʻoe i ka maʻi puʻuwai a i ʻole ate.
- 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 riluzole, e kāhea i kāu kauka.
- 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.
Hōʻalo i ka ʻai ʻana i nā meaʻai nā mea nānahu.
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 Riluzole i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nāwaliwali
- ʻūpā
- waha maloo
- numbness waha
- paʻakikī e hiamoe a hiamoe paha
- hiamoe
- ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- wikiwiki o ka puʻuwai
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- hives
- hūwī
- ʻūlili
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- ʻūhū maloʻo
- nausea
- ʻeha ka ʻōpū
- ka luaʻi
- luhi loa
- kahe koko ʻole ʻana a palapū paha
- nalo ʻai ʻole
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- melemele o ka ʻili a me nā maka
- mimi ʻeleʻele
- ke kuni, ke anu, ka ʻū, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi
- ʻehaʻeha a ʻeha pū paha
- ʻeha poʻo
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, mai ka mālamalama a me ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua. Mai hoʻopili i ka hoʻomaha. E mālama pono i ka ʻōmole hoʻohālua i luna. E hoʻohana pono i ka hoʻomaha ma waena o 15 mau lā o ka wehe ʻana o ka ʻōmole a hoʻolei i nā lāʻau i koe ma hope o 15 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:
- hiamoe
- poho hoʻomanaʻo
- ka waihoʻoluʻu bluish o ka ʻili, ʻeha ke poʻo, māluhiluhi, pōkole o ka hanu, nele i ka ikaika
- paʻakikī e noʻonoʻo, nā neʻe ʻole, ka hopu ʻana
- koma
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 riluzole.
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.
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