Raloxifene
Anter
- Ma mua o ka lawe ʻana i raloxifene,
- Hoʻokumu paha ʻo Raloxifene i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
ʻO ka lawe ʻana i ka raloxifene e hoʻonui ai i ka makaʻu e hoʻomōhala ʻoe i ke kōkō ʻana o ke koko i kou mau wāwae a i ʻole nā ake māmā. E haʻi aku i kāu kauka inā loaʻa iā ʻoe a i ʻole he ʻāko koko i kou mau wāwae, nā māmā, a me nā maka. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka raloxifene. E hōʻoki i ka lawe ʻana i ka raloxifene a kāhea koke aku i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: ʻeha o ka wāwae; manaʻo o ka mahanahana i ka wāwae lalo; ka pehu ʻana o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; ʻeha puʻuwai ʻāwīwī; pokole o ka hanu; ʻū kahe i ke koko; a i ʻole hoʻololi koke i ka hihiʻo, e like me ka nalo ʻana o ka hihi a i ʻole ka hihio blur.
Ke hoʻomau nei no kahi manawa lōʻihi e hoʻonui ai i ka manawa e hoʻomohala ʻoe i kahi ʻōpū o ke koko. E haʻi paha kāu kauka iā ʻoe e hōʻoki i ka lawe ʻana i ka raloxifene ma kahi o ʻekolu mau lā ma mua o kahi ʻoki lāʻau i hoʻonohonoho ʻia a mai lawe i ka lāʻau inā koi ʻoe i kahi lōʻihi o ka hoʻomaha no kahi kumu. Inā ʻoe e hana ana i kahi ʻoki, e ʻike pono i kāu kauka ke lawe nei ʻoe i ka raloxifene. Inā ʻoe e huakaʻi ʻoiai ʻoe e lawe ana i ka raloxifene, e hōʻalo i ka hoʻomaha ʻana (e like me ka noho ʻana i ka mokulele a i ʻole ke kaʻa) no nā manawa lōʻihi i kāu huakaʻi.
Inā loaʻa ʻoe i ka maʻi o ke aʻa coronary (paʻakikī o nā aʻa e alakaʻi ai i ka puʻuwai e hōʻeha ai i ka umauma a i ʻole nā puʻuwai puʻuwai) ai ʻole ʻoe e makaʻu nui i ka hoʻomohala ʻana i nā maʻi o ke aʻa coronary, hiki i ka lawe ʻana i ka raloxifene ke hoʻonui i ka manawa e loaʻa ʻoe i kahi koʻikoʻi. a hahau make paha. E haʻi i kāu kauka inā ua loaʻa ʻoe i ka maʻi hahau a i ʻole ka puʻupuʻu liʻiliʻi, inā ʻoe e puhi, a inā ʻoe i loaʻa a i ʻole loaʻa paha i kahi kahe koko kiʻekiʻe a i ʻole kahi puʻuwai kūwaho ʻole.
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 raloxifene 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) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
Hoʻohana ʻia ʻo Raloxifene e pale a mālama i ka osteoporosis (ke ʻano a lahilahi a nāwaliwali nā iwi a haki maʻalahi) i ka postmenopausal (nā wahine i ʻike i ka loli o ke ola; ka hopena o nā wā menstrual) nā wahine. Hoʻohana ʻia ʻo Raloxifene e hōʻemi i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai maʻi maʻi (ka maʻi ʻaʻai umauma i pāhola ma waho o nā aʻa waiū a i ʻole nā lobule i loko o nā aʻa o ka umauma e pili ana) . ʻAʻole hiki ke hoʻohana ʻia ʻo Raloxifene e mālama i ka maʻi ʻaʻai maʻi maʻi a i ʻole e pale aku i ka maʻi ʻaʻai maʻi maʻi mai ka hoʻi ʻana i nā wahine i loaʻa mua i kēia ʻano. ʻAʻole hiki ke hoʻohana ʻia ʻo Raloxifene e hōʻemi i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai noninvasive umauma. Pono ʻo Raloxifene ʻaʻole e hoʻohana i nā wahine i ʻike ʻole i ka menopause. Aia ʻo Raloxifene i kahi papa o nā lāʻau i kapa ʻia he mau modulator receptor estrogen (SERMs). Pale a mālama ʻo Raloxifene i ka osteoporosis ma ka mimicking ʻana i nā hopena o ka estrogen (kahi wahine wahine i hana ʻia e ke kino) e hoʻonui ai i ka mānoanoa (mānoanoa) o ka iwi. Hoʻoemi ʻo Raloxifene i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai maʻi maʻi ma o ka pale ʻana i nā hopena o ka estrogen ma kaʻiʻo umauma. Hoʻomaha paha kēia i ka hoʻomohala ʻana o nā tumors e pono ai e ulu ʻo estrogen.
Hele mai ʻo Raloxifene ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. Lawe i ka raloxifene 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. E lawe pololei i ka raloxifene. 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 hoʻomau i ka lawe raloxifene ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka raloxifene me ke kamaʻilio ʻole ʻana me 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 raloxifene,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka raloxifene, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa raloxifene. 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 hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven), cholestyramine (Prevalite), colestipol (Colestid), diazepam (Valium), diazoxide (Proglycem), nā lāʻau i loaʻa i ka estrogen pēlā e like me ka hoʻowalewale hōmona (ERT a i ʻole HRT), a me ka lidocaine (Akten, Lidoderm, Xylocaine). 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 loaʻa kekahi ʻano maʻi ʻaʻai a inā loaʻa a loaʻa paha iā ʻoe nā lumps umauma a i ʻole ka maʻi ʻaʻai umauma; puʻuwai puʻuwai; maʻi maʻi ʻōpū; aiʻole ka maʻi ate. Inā ua lawe ʻoe i ka estrogen, e haʻi i kāu kauka inā hoʻonui kāu triglycerides i kāu mālama ʻana.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Mai hāpai i ka wā e lawe ana i ka raloxifene. Inā hāpai ʻoe i ka lawe ʻana i raloxifene, e kāhea koke i kāu kauka. Hoʻopilikia paha ʻo Raloxifene i ka fetus.
- pono ʻoe e ʻike ʻaʻole i loaʻa ka raloxifene e hoʻomālamalama i ke kiko a i ʻole ke kahe e like me ka menstrual ʻaʻole hoʻi e hoʻonui i ka makaʻu o ka maʻi ʻaʻai o ka uhi o ka kōpū. E haʻi i kāu kauka inā hoʻomohala ʻoe i ke kahe o ka maʻi a i ʻole ke kiko. Pono kāu kauka e nānā iā ʻoe a kauoha i nā hoʻokolohua e ʻike i ke kumu o ke kahe ʻana.
- pono ʻoe e ʻike ʻoiai ʻo raloxifene e hōʻemi i ka manawa e ulu ai ʻoe i ka maʻi ʻaʻai maʻi maʻi maʻi, aia nō kahi pilikia e hoʻomohala ʻoe i kēia ʻano. Pono mau ʻoe i nā hoʻokolohua umauma a me nā mammograms ma mua o kou hoʻomaka ʻana e lawe i ka raloxifene a i kou wā e mālama ai me ka raloxifene. Kāhea i kāu kauka inā ʻike ʻoe i ka palupalu, hoʻonui, puʻupuʻu, a i ʻole nā hoʻololi ʻē aʻe i kou umauma.
- inā lawe ʻoe i ka raloxifene e mālama i ka osteoporosis, e kamaʻilio me kāu kauka e pili ana i nā mea ʻē aʻe hiki iā ʻoe ke hana e pale ai i ka osteoporosis mai ka ulu ʻana a i ʻole ka ʻino ʻana. E haʻi paha kāu kauka iā ʻoe e hōʻalo i ka puhī ʻana a me ka inu ʻana i ka nui o ka waiʻona a e hāhai i kahi papahana maʻamau o ka hoʻoikaika kino.
Pono ʻoe e ʻai a inu i ka nui o nā meaʻai a me nā mea inu i waiwai i ka calcium a me ka huaola D ʻoiai ʻoe e lawe ana i ka raloxifene. E haʻi aku kāu kauka iā ʻoe i nā meaʻai a me nā mea inu i kūpono i kēia mau meaola a me ka nui o nā lawelawe āu e pono ai i kēlā me kēia lā. Inā he mea paʻakikī ʻoe e ʻai lawa i kēia mau meaʻai a i ʻole he kūlana kou e paʻakikī ai i kou kino ke komo i nā meaʻai āu e ʻai ai, e haʻi i kāu kauka. I kēlā hihia, hiki i kāu kauka ke kauoha a koi paha i kahi mea hoʻopiha.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. 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.
Hoʻokumu paha ʻo Raloxifene i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nā uila wela (ʻoi aku ka maʻamau i nā mahina 6 mua o ka raloxifene therapy)
- ʻūhā wāwae
- ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- maʻi palū-like syndrome
- ʻeha pū
- ka houʻu ʻana
- paʻakikī e hiamoe a hiamoe paha
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli i ʻōlelo ʻia ma ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
Hoʻokumu paha ʻo Raloxifene i nā hopena ʻē aʻe. Kāhea i kāu kauka inā ʻike ʻoe i nā ʻōuli maʻamau ke lawe nei ʻoe 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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- ʻūhā wāwae
- ʻūpā
- nalo o ke kūlike
- ka luaʻi
- hūwī
- pāhoehoe
- haʻalulu
- ʻōhinu
E mālama i nā manawa a pau me kāu kauka a me ka hale hana.
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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