Erlotinib

Zvemukati

• Usati watora erlotinib,
• Erlotinib inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Erlotinib inoshandiswa kurapa mamwe marudzi ekenza isiri-diki yemukenza yemapapu yakapararira kumatishu ari padyo kana kune zvimwe zvikamu zvemuviri muvarwere vakatorapwa nechero imwe chemotherapy mishonga uye vasina kuwana nani. Erlotinib inoshandiswawo pamwe chete nemimwe mishonga (gemcitabine [Gemzar]) kurapa kenza yepancreatic yakapararira kumatishu ari pedyo kana kune dzimwe nhengo dzemuviri uye isingakwanise kurapwa nekuvhiya. Erlotinib ari mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira chiito chepuroteni isina kujairika iyo inoratidza masero ekenza kuti iwande. Izvi zvinobatsira kudzora kana kumisa kupararira kwekenza maseru.

Erlotinib anouya sehwendefa kutora nemuromo. Inowanzo kutorwa isina chinhu mudumbu kamwe pazuva, inokwana 1 awa zvisati kana maawa maviri mushure mekudya chikafu kana chikafu. Tora erlotinib panguva dzakatenderedza zuva rimwe nerimwe. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora erlotinib chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kudzikisira muyero wako weerlotinib panguva yekurapa kwako. Izvi zvinoenderana nekuti mushonga unoshanda sei kwauri uye nemhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako. Ramba uchitora erlotinib kunyangwe iwe uchinzwa zvakanaka. Usarega kutora erlotinib usina kutaura nachiremba wako.

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

Usati watora erlotinib,

• udza chiremba wako uye wemishonga kana uri weergoria kune erlotinib, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi eerlotinib. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: angiogenesis inhibitors senge bevacizumab (Avastin); anticoagulants ('blood thinner') senge warfarin (Coumadin); mamwe maantifungal akadai itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), uye voriconazole (Vfend); boceprevir (Victrelis); carbamazepine (Tegretol); ciprofloxacin (Cipro, Proquin XR); clarithromycin (Biaxin); conivaptan (Vaprisol); HIV protease inhibitors senge atazanavir (Reyataz), indinavir (Crixivan), lopinavir / ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), uye saquinavir (Fortovase, Invirase); H₂ blockers senge cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), uye ranitidine (Zantac); mishonga yemakemikari akadai sebenzoyl peroxide (muEpiduo, muBenzaClin, muBenzamycin, vamwe); midazolam (Ndima): nefazodone; nonsteroidal anti-inflammatory drug (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); muromo steroid senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); phenobarbital (Luminal, Solfoton); phenytoin (Dilantin); proton pump inhibitors senge esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), uye rabeprazole (AcipHex); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); rifapentine; mishonga yemitero yekenza yakadai se docetaxel (Taxotere) uye paclitaxel (Abraxane, Taxol); telithromycin (Ketek); teriflunomide (Aubagio); uye troleandomycin (TAO) (isingawanikwe muU.S.). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neerlotinib, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• kana iwe uri kutora antacids, tora iwo akati wandei maawa pamberi kana maawa akati wandei mushure mekutora erlotinib.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
• udza chiremba wako kana iwe uri kurapwa kana kuti uchangobva kurapwa nekemotherapy kana radiation radiation (kurapwa kwegomarara inoshandisa mafungu eakanyanya simba masuntsu kuuraya cancer maseru). Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemapapu kana hutachiona, maronda emudumbu, diverticular chirwere (mamiriro umo muhomwe dzisina kujairika dzinoumba mumatumbo makuru uye dzinogona kupiswa), kana chiropa kana chirwere cheitsvo.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanire kuve nepamuviri iwe paunenge uchitora erlotinib uye kweinenge mwedzi mumwe mushure mekupedzisira kwako dose. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa. Kana iwe ukava nepamuviri, danaidza chiremba wako pakarepo. Erlotinib inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa panguva yekurapa kwako neerlotinib uye kusvika kweanosvika mavhiki maviri mushure medosi yako yekupedzisira.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora erlotinib.
• udza chiremba wako kana ukashandisa zvigadzirwa zvefodya. Kusvuta fodya kunogona kudzora kushanda kwemushonga uyu.
• ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka ngowani, zvimwe zvipfeko zvekudzivirira, magirazi ezuva, uye sunscreen. Sarudza sunscreen ine zuva inodzivirira chinhu (SPF) ine gumi neshanu uye ine zinc oxide kana titanium dioxide. Kujekesa kune chezuva kunowedzera njodzi yekuti iwe unozokurumidza kuputika panguva yekurapa kwako ne erlotinib.
• iwe unofanirwa kuziva kuti erlotinib inogona kukonzera kuputika uye mamwe matambudziko eganda. Kuti uchengetedze ganda rako, shandisa mafuta anodzivirira asina kana doro, geza ganda rako nesipo yakapfava, uye bvisa zvigadzirwa nemushambadzi munyoro.

Dzivisa kudya grapefruit uye kunwa muto wemazambiringa apo uchinwa mushonga uyu.

Kuti udzivise manyoka anogona kukonzerwa neerlotinib, inwa sips diki yemvura yakadai semushonga wemitambo isina shuga nguva zhinji muswere wese wezuva, idya zvinyoro zvinyoro sekutsemura uye toast, uye dzivisa chikafu chinonaka.

Tora iyo inotevera dosi panguva yako yenguva dzose zuva rinotevera. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• manyoka
• kurasikirwa nenzara
• kusvotwa
• kurutsa
• chirungurira
• gasi
• kuvimbiswa
• maronda emuromo
• kuonda
• kuneta zvakanyanya
• musoro
• kurwadziwa kwepfupa kana mhasuru
• kuora mwoyo
• kushushikana
• chiveve, kupisa, kana kurira kwemaoko kana tsoka
• kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
• kusviba kweganda
• kurasikirwa nevhudzi
• shanduko pakuonekwa kwebvudzi nezvipikiri

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• mapundu (anogona kuita kunge acne uye anogona kukanganisa ganda kumeso, kumusoro chifuva, kana kumashure)
• blister, peeling, yakaoma, kana kutsemuka ganda
• kuchenesa, unyoro, kana kupisa kweganda
• mweya wekufema
• kukosora
• kupisa kana kutonhora
• kukura kwema eyelashes mukati meiyo eyelid
• kurwadziwa kwakanyanya mudumbu
• yakaoma, tsvuku, inorwadza, kuchema, kana kutsamwa maziso
• kusaona zvakanaka
• ziso kunzwisisika kuchiedza
• kurwadziwa pachipfuva kana kumanikidza
• kurwadziwa mumaoko, mutsipa, kana kumusoro kumashure
• inokurumidza, isina kujairika, kana kurova kurova kwemoyo
• kutaura kunonoka kana kuoma
• dzungu kana kupera simba
• kushaya simba kana kushama ruoko kana gumbo
• kupwanya kusingawanzo kana kubuda ropa
• nhema uye mira kana zvituru zvine ropa
• rutsa rune ropa kana rwunoita kunge kofi nzvimbo
• maziso akanyura
• muromo wakaoma
• kuderera kwekuita weti
• weti yakasviba
• ganda rakachenuruka kana yero
• kutsvuka, kudziya, kurwadziwa, unyoro, kana kuzvimba mune rimwe gumbo

Erlotinib 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. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-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 uye kusvika 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 wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. 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:

• manyoka
• mapundu

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

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.

• Tarceva^®