Alendronate

Zvemukati

• Alendronate inogona kusashanda nemazvo uye inogona kukuvadza ezophagus (chubhu iri pakati pemuromo nedumbu) kana kukonzera maronda mumuromo kana ikasatorwa maererano nemirairo inotevera. Udza chiremba wako kana iwe usinganzwisise, haufunge kuti uchayeuka, kana kuti haugone kutevedzera iyi mirairo.
• Usati watora alendronate,
• Alendronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune YAKAKOSHA PRECAUTIONS chikamu, dana chiremba wako nekukurumidza usati watora chero zvekare alendronate:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Alendronate inoshandiswa kurapa nekudzivirira osteoporosis (mamiriro ayo mapfupa anoonda uye kupera simba nekutyoka zviri nyore) mumadzimai akaguma kuenda kumwedzi ('' shanduko yehupenyu, '' kupera kwemazuva ekuenda kumwedzi) uye kurapa osteoporosis muvarume. Alendronate inoshandiswawo kurapa osteoporosis muvarume nevakadzi vari kutora corticosteroids (mhando yemishonga inogona kukonzera osteoporosis mune vamwe varwere). Alendronate inoshandiswawo kurapa chirwere chePaget chepfupa (mamiriro ayo mapfupa akapfava uye asina kusimba uye anogona kunge akaremara, anorwadza, kana kuputswa zviri nyore). Alendronate iri mukirasi yemishonga inonzi bisphosphonates. Inoshanda nekudzivirira kuputsika kwemapfupa uye kuwedzera kuwedzera kwefupa (ukobvu).

Alendronate inouya sehwendefa, piritsi rinoshanda, uye mhinduro (mvura) yekutora nemuromo. Mhinduro yacho inowanzo kutorwa pasina chinhu kamwe chete pasvondo mangwanani. Iyo 5-mg uye 10-mg mapiritsi anowanzo kutorwa pane isina chinhu dumbu kamwe pazuva pazuva mangwanani, uye iyo 35-mg uye 70-mg mapiritsi anowanzo kutorwa pane isina chinhu dumbu kamwe pavhiki mangwanani. Mahwendefa e40-mg anowanzo kutorwa kamwe chete pazuva mangwanani kwemwedzi mitanhatu yekurapa chirwere chePaget chepfupa. Mahwendefa emagetsi anowanzo kutorwa pasina chinhu kamwechete pasvondo mangwanani. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora alendronate chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Alendronate inogona kusashanda nemazvo uye inogona kukuvadza ezophagus (chubhu iri pakati pemuromo nedumbu) kana kukonzera maronda mumuromo kana ikasatorwa maererano nemirairo inotevera. Udza chiremba wako kana iwe usinganzwisise, haufunge kuti uchayeuka, kana kuti haugone kutevedzera iyi mirairo.

• Unofanirwa kutora alendronate uchangobuda pamubhedha mangwanani, usati wadya kana kunwa chero chinhu. Usambofa wakatora alendronate panguva yekurara kana usati wamuka uye kumuka pamubhedha kwezuva racho.
• Mushure mekutora alendronate, usadya, kunwa, kana kutora chero mimwe mishonga (inosanganisira mavitamini kana maantacids) kwemaminitsi makumi matatu. Usarara pasi kweinenge 30 maminetsi mushure mekutora alendronate. Gara wakamira kana kumira wakamira kusvika maminetsi makumi matatu apfuura uye iwe wadya chako chekutanga chezuva.
• Kana iwe uri kutora mahwendefa ealendronate, omedza piritsi racho negirazi rizere (matanhatu kusvika 8 maunzi (180 kusvika 240 mL) emvura isina mvura. Usambofa wakatora alendronate mahwendefa netii, kofi, muto, mukaka, maminera emvura, mvura inopenya, kana chero chinhu chemvura kunze kwemvura isina mvura. Medza mapiritsi akazara; usatsemure, kutsenga kana kuapwanya. Usayamwa mapiritsi.
• Kana iwe uri kutora alendronate yemuromo mhinduro, inwa angangoita 2 maunzi (60 milliliters [1/4 mukombe]) yemvura mushure mekutora alendronate yemumuromo mhinduro. Usambofa wakatora alendronate mhinduro netii, kofi, muto, mukaka, maminera emvura, mvura inopenya, kana chero chinhu chemvura kunze kwemvura isina mvura.
• Kana iwe uri kutora mapiritsi ealendronate effervescent, nyungudutsa rimwe piritsi rekuchenesa mugirazi izere (4 ounces (120 milliliters]) yemvura yekunwa isina kujeka, isina kabhoni usati wanwa. Usambofa wakanyungudutsa mahwendefa e-alendronate effervescent ane tii, kofi, muto, mukaka, maminera emvura, mvura inopenya, kana chero chero mvura kunze kwemvura isina mvura Mira kwemaminitsi mashanu mushure mekumira kweyekuchenesa, simudzira mhinduro kwemasekonzi gumi woinwa. Usamedze, kuyamwa, kana kutsenga pamahwendefa emvura.

Alendronate inodzora osteoporosis uye chirwere chePaget chepfupa asi hachirape aya mamiriro. Zvinogona kutora mwedzi mitatu kana kureba mapfupa ako asati atanga kuwedzera. Alendronate inobatsira kurapa uye kudzivirira osteoporosis chete chero bedzi ichitorwa nguva dzose. Ramba uchitora alendronate kunyangwe uchinzwa mushe. Usarega kutora alendronate usina kutaura nachiremba wako, asi taura nachiremba wako nguva nenguva nezve kana uchiri kuda kutora alendronate.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora alendronate,

• udza chiremba wako uye wemishonga kana uri weergisi kune alendronate kana chero mimwe mishonga.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: angiogenesis inhibitors senge bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), kana sunitinib (Sutent); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Ibu-Tab, Motrin, vamwe) uye naproxen (Aleve, Naprelan, Naprosyn, vamwe); kenza chemotherapy; kana oral steroids senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• kana iwe uri kutora chero mimwe mishonga inosanganisira zvinowedzera, mavitamini, kana maantacids nemuromo, tora iwo angangoita maminetsi makumi matatu mushure mekutora alendronate.
• udza chiremba wako kana iwe usingakwanise kugara wakamira kana kumira wakamira kweinenge maminetsi makumi matatu, kana iwe kana wakambove nehuremu hwakaderera hwecalcium muropa rako, njodzi yekufema chikafu kana mvura mumapapu, kana kana iwe une chero matambudziko nesophagus yako. Chiremba wako anogona kukuudza kuti haufanire kutora alendronate.
• udza chiremba wako kana uchirapwa nemwaranzi kana iwe uri pachikafu chinorambidzwa nesodium (kana uchitora mapiritsi efarescent); uye kana iwe uine kana wakambove neropa (mamiriro ayo masero matsvuku eropa asingaunze oxygen yakakwana kunhengo dzese dzemuviri); yakaderera mwero wevhitamini D mumuviri wako; kunetsa kumedza; chirungurira; maronda kana zvimwe zvinetso zvemudumbu; gomarara; chero mhando yehutachiona, kunyanya mumuromo mako; matambudziko nemuromo wako, mazino, kana matadza chero mamiriro anomisa ropa rako kubva kugwamba kazhinji; kana chirwere chemazino kana cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri kana uchiyamwisa. Uyezve udza chiremba wako kana iwe uronga kuve nepamuviri chero nguva mune ramangwana, nekuti alendronate inogona kuramba iri mumuviri wako kwemakore mushure mekurega kuitora. Dana chiremba wako kana iwe ukava nepamuviri panguva kana mushure mekurapa kwako.
• iwe unofanirwa kuziva kuti alendronate inogona kukonzera osteonecrosis yeshaya (ONJ, yakakomba mamiriro ejaya pfupa), kunyanya kana iwe ukavhiyiwa mazino kana kurapwa paunenge uchitora mushonga. Chiremba wemazino anofanira kuongorora mazino ako uye aite chero marapirwo anodikanwa, kusanganisira kuchenesa kana kugadzirisa mazino asina kukodzera, usati watanga kutora alendronate. Ive neshuwa yekugeza mazino nekuchenesa muromo wako zvakanaka paunenge uchitora alendronate. Taura nachiremba wako usati wawana chero kurapwa kwemazino iwe paunenge uchinwa mushonga uyu.
• iwe unofanirwa kuziva kuti alendronate inogona kukonzeresa kurwadziwa kwepfupa, mhasuru, kana kubatana. Unogona kutanga kunzwa kurwadziwa uku mukati memazuva, mwedzi, kana makore mushure mekunge iwe watora alendronate. Kunyangwe rudzi urwu rwekurwadziwa rungangotanga mushure mekutora alendronate kwenguva yakati, zvakakosha kuti iwe nachiremba wako muone kuti inogona kukonzerwa nealendronate. Fonera chiremba wako ipapo kana iwe uchinge uchinzwa kurwadziwa kwakanyanya chero nguva panguva yekurapwa kwako nealendronate. Chiremba wako anogona kukuudza kuti rega kutora alendronate uye kurwadziwa kwako kunogona kupera mushure mekumira kutora mushonga.
• taura nachiremba wako nezve zvimwe zvinhu zvaunogona kuita kudzivirira osteoporosis kubva mukukura kana kuwedzera. Chiremba wako angangokuudza kuti usapute uye usanwa doro rakawanda uye kuti uteedzere chirongwa chenguva dzose chekutakura huremu.

Iwe unofanirwa kudya nekunwa zvekudya zvakawanda uye zvinwiwa zvakapfuma mucalcium uye vhitamini D paunenge uchitora alendronate. Chiremba wako anokuudza iwe kuti ndezvipi zvekudya uye zvinwiwa zvakanaka zviwanikwa zveizvi zvinovaka muviri uye kuti mangani masevhisi aunoda zuva rega rega. Kana iwe uchiona zvichinetsa kudya zvakakwana zveizvi zvekudya, udza chiremba wako. Muchiitiko ichocho, chiremba wako anogona kupa kana kukurudzira kuwedzera.

Kana iwe ukarasikirwa neiyo imwe yeanowanzo-zuva nezuva alendronate, usazvitore gare gare muzuva. Darika dosi rakarasika uye tora dhosi imwe mangwanani anotevera senguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirangarira. Wobva wadzokera kunotora dosi imwe chete pasvondo pawakagara wakarongwa zuva. Usambofa wakatora dhivhosi miviri kugadzira iyo yakarasika imwe, uye usatombotora inopfuura imwe dosi muzuva rimwe.

Alendronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurwadziwa nemudumbu
• kuvimbiswa
• manyoka
• gasi
• kuzvimba kana kuzara mudumbu
• chinja mukugona kuravira chikafu
• musoro
• dzungu
• kuzvimba kwemajoini, maoko, kana makumbo
• mhasuru, mhasuru, kana kupwanya

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune YAKAKOSHA PRECAUTIONS chikamu, dana chiremba wako nekukurumidza usati watora chero zvekare alendronate:

• nyowani kana kuwedzera kuora kwemoyo
• kunetseka kumedza
• kurwadziwa pakumedza
• kurwadziwa pachipfuva
• kurutsa kweropa kana kurutsa zvinoita kunge kofi nzvimbo
• nhema, mira, kana zvituru zvine ropa
• kupindwa nechando
• mhoni kana kubvisa ganda
• mapundu (anogona kuwedzerwa nekuvhenekerwa nezuva)
• kuvava
• mikoko
• kuzvimba kwemaziso, kumeso, miromo, rurimi kana huro
• kunetseka kufema
• hoarseness
• marini anorwadza kana kuzvimba
• kusununguka kwemeno
• chiveve kana kunzwa kunorema mushaya
• kurapa kwakashata kwesaya
• kurwadziwa kweziso
• kugwinha, kurwadziwa kurwadziwa muhudyu, kugomera, kana zvidya

Kutora bisphosphonate mishonga yakadai sealendronate yeosteoporosis kunogona kuwedzera njodzi yekuti iwe uchatyora chidya chako bone (s). Unogona kunzwa kurwadziwa muhudyu mako, kugomera, kana zvidya kwemavhiki akati wandei kana mwedzi bvupa risati ratsemuka, uye iwe unogona kuona kuti rimwe kana ako maviri mapfupa emapfupa atyoka kunyangwe iwe usina kudonha kana kusangana nekumwe kushungurudzika. Hazvishamise kuti pfupa rehudyu riputse muvanhu vane hutano, asi vanhu vane osteoporosis vanogona kutyora pfupa iri kunyangwe vasingatore alendronate. Taura nachiremba wako nezve njodzi dzekutora alendronate.

Alendronate inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usaomesera mhinduro yealendronate.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana paine ovhadhozi, ipa akabata girazi rizere remukaka uye fonera nzvimbo yako yekudzora chepfu pa1-800-222-1222. Kana munhu wacho akadonha kana kuti asiri kufema, fonera vekubazi nechimbichimbi panhamba 911. Usabvumire munhu akuvata pasi uye usaedze kumanikidza munhu kurutsa.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• chirungurira
• kusvotwa
• kurwadziwa nemudumbu
• kurutsa kweropa kana kurutsa zvinoita kunge kofi nzvimbo
• kunetseka kumedza kana kurwadziwa kana uchimedza
• reropa kana dema uye zvigaro zvekugara

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira kumwe kuongorora kwebazi kuti atarise mhinduro yemuviri wako kune alendronate.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Binosto^®
• Fosamax^®

• Fosamax^® Uyezve D (ine Alendronate, Cholecalciferol)