Cinacalcet
Zvemukati
- Usati watora cinacalcet,
- Cinacalcet inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira:
Cinacalcet inoshandiswa yoga kana nemimwe mishonga kurapa yechipiri hyperparathyroidism (mamiriro umo muviri unoburitsa mahormone akawandisa eparathyroid [chinhu chakasikwa chinodiwa kudzora huwandu hwecalcium muropa] izvo zvinogona kukonzera matambudziko akakomba nemapfupa, moyo, tsinga dzeropa, nemapapu) mune varwere vane chirwere chisingaperi cheitsvo (mamiriro umo itsvo dzinomira kushanda zvishoma nezvishoma uye zvishoma nezvishoma) vari kurapwa ne dialysis (kurapwa kwekuchenesa ropa apo itsvo dzisiri kushanda nemazvo). Cinacalcet inoshandiswawo kurapa huwandu hwakawanda hwecalcium muropa revarwere vane gomarara reparathyroid (gomarara remaronda mumutsipa anogadzira parathyroid hormone). Cinacalcet iri mukirasi yemishonga inonzi calcimimetics. Inoshanda nekusaina muviri kuti ubudise mashoma parathyroid hormone kuti udzikise huwandu hwecalcium muropa.
Cinacalcet inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva nechikafu kana nguva pfupi mushure mekudya. Kuti ikubatsire iwe kurangarira kutora cinacalcet, tora iyo panguva yakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora cinacalcet chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.
Chiremba wako angangotanga iwe padosi yakaderera yecinacalcet uye zvishoma nezvishoma wedzera yako dosi, kwete kanopfuura kamwe chete kwega kwevhiki 2-4.
Cinacalcet inogona kubatsira kudzora mamiriro ako asi haizorape. Ramba uchitora cinacalcet kunyangwe iwe uchinzwa zvakanaka. Usarega kutora cinacalcet usina kutaura nachiremba wako.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora cinacalcet,
- udza chiremba wako uye wemishonga kana uri weergoria kune cinacalcet kana chero mumwe mushonga.
- udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero eanotevera: antidepressants (mood elevator) senge amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), nefazodone, nortriptyline (Aventyl, Pamelor ), paroxetine (Paxil), protriptyline (Vivactil) uye trimipramine (Surmontil); antifungals senge fluconazole (Diflucan), itraconazole (Sporanox), uye ketoconazole (Nizoral); cimetidine (Tagamet); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (EES, E-Mycin, Erythrocin); flecainide (Tambocor); HIV protease inhibitors senge indinavir (Crixivan) uye ritonavir (Norvir); isoniazid (INH, Nydrazid); metronidazole (Flagyl); mishonga yekudzivirira pamuromo (mapiritsi ekudzivirira kubereka); thioridazine (Mellaril); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); vinblastine (Velban); uye zafirlukast (Akarurama). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- udza chiremba wako kana iwe wakambove nekugumburwa kana chirwere chechiropa.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora cinacalcet, fonera chiremba wako.
Taura nachiremba wako nezve kunwa muto wemazambiringa paunenge uchitora mushonga uyu.
Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Cinacalcet inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kugumbuka mudumbu
- kurutsa
- manyoka
- dzungu
- kushaya simba
- kurwadziwa pachipfuva
Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:
- kupisa, kurira, kana kunzwa kusingajairike kwemiromo, rurimi, minwe, kana tsoka
- tsandanyama aches kana cramps
- kuomesa kamwe kamwe kwetsandanyama dziri mumaoko, tsoka, kumeso, kana pahuro
- pfari
- kutapukirwa kwedialysis kuwana (kuvhiya kwakagadzirwa muropa ropa panobuda ropa nekupinda mumuviri panguva yedialysis)
Cinacalcet 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).
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.
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
Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.
Zviratidzo zvekuwedzeredza zvinogona kusanganisira:
- kupisa, kurira, kana kunzwa kusingajairike kwemiromo, rurimi, minwe, kana tsoka
- tsandanyama aches kana cramps
- kuomesa kamwe kamwe kwetsandanyama dziri mumaoko, tsoka, kumeso, kana pahuro
- pfari
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozoraira kumwe kuongorora kwelebhu kuti utarise mhinduro yemuviri wako ku cinacalcet.
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.
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