Lapatinib
Zvemukati
- Usati watora lapatinib,
- Lapatinib 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 kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu kana iyo INOKOSHA YEMAHARA chikamu, fonera chiremba wako nekukasira:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Lapatinib inogona kukonzera kukuvara kwechiropa kunogona kukuvadza kana kutyisidzira hupenyu. Kukuvara kwechiropa kunogona kuitika nekukurumidza kana mazuva akati wandei kana kupera kwemwedzi yakati wandei mushure mekutanga kwekurapwa neparatinib. Udza chiremba wako kana iwe wakambove kana wakambove nechirwere chechiropa. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozoraira kumwe kuongorora kwerabhoritari usati uye panguva yekurapa kwako kuti uone kana chiropa chako chingangodaro chakakuvara kana chakakuvara ne lapatinib.
Taura nachiremba wako nezve njodzi dzekutora lapatinib.
Lapatinib inoshandiswa ne capecitabine (Xeloda) kurapa imwe mhando yekenza yemazamu yepamusoro mune vanhu vakatorapwa nemamwe mishonga yekemotherapy. Lapatinib inoshandiswawo ne letrozole (Femara) kurapa imwe mhando yekenza yemazamu mumadzimai epostmenopausal (vakadzi vakaona shanduko yehupenyu, kupera kwekuenda kumwedzi) iyo yakapararira kune dzimwe nhengo dzomuviri. Lapatinib iri mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira chiito chepuroteni isina kujairika iyo inoratidza masero ekenza kuti iwande. Izvi zvinobatsira kumisa kana kunonoka kupararira kwekenza masero.
Lapatinib inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva, ingangoita 1 awa usati wasvika kana 1 awa mushure mekudya. Kana lapatinib inoshandiswa kurapa yakakwira kana metastatic kenza yemazamu, inowanzo kupihwa kamwe zuva nezuva pamazuva 1 kusvika 21 (pamwe ne capecitabine pamazuva 1 kusvika 14) ezuva re21-zuva. Iko kutenderera kunogona kudzokororwa sekurudzirwa nachiremba wako. Kana lapatinib ichishandiswa kurapa kenza yemazamu mumadzimai epostmenopausal, inowanzo kupihwa kamwe zuva nezuva pamwe neletrozole Tora mapiritsi ese eparatinib yedosi rako rezuva nezuva panguva imwe chete zuva rega rega; usaparadzanise mahwendefa ekutora seyakasiyana madhayeti. Tora lapatinib panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora lapatinib chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.
Chiremba wako anogona kuwedzera zvishoma nezvishoma kana kudzikisa dosi yako yeparatinib panguva yekurapa kwako. Izvi zvinoenderana nekuti mushonga unoshanda sei kwauri uye chero mhedzisiro iwe yaungasangana nayo. Ramba uchitora lapatinib kunyangwe iwe uchinzwa zvakanaka. Usarega kutora lapatinib usina kutaura nachiremba wako.
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 lapatinib,
- udza chiremba wako uye wemishonga kana iwe uri weergoria kune lapatinib, chero mimwe mishonga, kana chimwe chezvinhu zvinoshandiswa mumapiritsi epa lapatinib. 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 eanotevera: mamwe maantibhakitiriya akadai clarithromycin (Biaxin, muPrevpac), erythromycin (EES, E-Mycin, Erythrocin), moxifloxacin (Avelox), rifabutin (Mycobutin), rifampin (Rifadin, muRifamate, in Rifater, Rimactane), rifapentine (Priftin), sparfloxacin (Zagam) (isingawanikwe muUS), uye telithromycin (Ketek); antifungals senge itraconazole (Sporanox), ketoconazole (Nizoral), uye voriconazole (Vfend); calcium chiteshi blockers senge amlodipine (Norvasc, muCaduet neLotrel), diltiazem (Cardizem, Dilacor, Tiazac, vamwe), felodipine (Plendil, muLexxel), nifedipine (Adalat, Nifedical XL, Procardia, vamwe), nisoldipine (Sular) , uye verapamil (Calan, Isoptin, Verelan, vamwe); cisapride (Propulsid) (haisipo muU.S.); dexamethasone (Decadron, Dexpak); mimwe mishonga yekushungurudzika senge nefazodone; mamwe makemikari ekurapa anosanganisira daunorubicin (Cerubidine, DaunoXome), doxorubicin (Adriamycin, Doxil, Rubex), epirubicin (Ellence), idarubicin (Idamycin), tamoxifen (Nolvadex), valrubicin (Valstar), vinblastine, mimwe mishonga yehutachiona hwehutachiona hwehutachiona hweHIV (HIV) kana yakawana immunodeficiency syndrome (AIDS) inosanganisira atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase); mishonga yekurova kwemoyo zvisina kufanira kusanganisira amiodarone (Cordarone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine, uye sotalol (Betapace, Betapace AF, Sorine); mimwe mishonga yekubatwa senge carbamazepine (Carbatrol, Epitol, Tegretol), phenobarbital (Luminal), uye phenytoin (Dilantin, Phenytek); pimozide (Orap); uye thioridazine. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne lapatinib, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
- udza chiremba wako uye wemishonga kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
- udza chiremba wako kana iwe wakambove nekumwe kunonoka, nekukurumidza, kana kusagadzikana kwemwoyo; nguva yakareba yeQT (chinetso chemoyo chisingawanzo chinogona kukonzera kurova kwemoyo zvisina kujairika, kufenda, kana kufa kamwe kamwe); yakaderera mwero wemagesium kana potasium muropa rako; kana chirwere chemwoyo kana chemapapu.
- udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe uchafanirwa kutora bvunzo yepamuviri usati watanga kurapwa. Kana iwe uri mukadzi anokwanisa kuve nepamuviri, iwe unofanirwa kushandisa zvinobudirira kudzora kubereka panguva yekurapa kwako uye kwevhiki rimwe mushure mekupedzisira kwako dosi Kana iwe uri murume aine mukadzi mukadzi waunogona kuve nepamuviri, iwe unofanirwa kushandisa anoshanda ekuberekesa kudzora panguva yekurapa kwako uye kwevhiki rimwe mushure mekupedzisira kwako dosi. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana iwe ukava nepamuviri uchitora lapatinib, dana chiremba wako nekukurumidza. Lapatinib inogona kukuvadza fetus.
- udza chiremba wako kana iwe uchiyamwisa kana kuronga kuyamwisa. Iwe haufanire kuyamwa uchi tora lapatinib uye kwevhiki rimwe mushure mekupedzisira kwezita rako.
- iwe unofanirwa kuziva kuti lapatinib inowanzo kukonzera manyoka, ayo anogona kuve akaomarara. Dana chiremba wako kana iwe uine manyoka uchitora lapatinib. Chiremba wako anogona kukuudza kuti unwe zvinwiwa zvakawanda, ita shanduko mukudya kwako, uye utore mishonga yekudzora manyoka uye kudzivirira kupera simba (kurasikirwa nemvura yakawandisa kubva mumuviri wako). Shevedza chiremba wako nekukasira kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona mvura.
Usadye grapefruit kana kunwa muto wemazambiringa uchinwa mushonga uyu.
Tora dosi rakarasika nekukurumidza kana uchinge warangarira iro zuva. Nekudaro, kana iwe ukasarangarira kusvika zuva rinotevera, kana iwe usingakwanise kurangarira kana iwe wakanwa mushonga, kana kana ukarutsa mushonga wako, svetuka iro rakarasika dosi uye pfuurira yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Lapatinib inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kusvotwa
- kurutsa
- chirungurira
- maronda pamuromo, pamuromo, kana pahuro
- kurasikirwa nenzara
- dzvuku, dzinorwadza, dzakati rukutu, kana kurova maoko nemakumbo
- ganda rakaoma
- kurwadziwa mumaoko, makumbo, kana musana
- kunetseka kurara kana kuramba wakarara
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu kana iyo INOKOSHA YEMAHARA chikamu, fonera chiremba wako nekukasira:
- mweya wekufema
- chikosoro chakaoma
- kukosora pingi kana ropa rinobuda ropa
- nekukurumidza, zvisina kujairika, kana kurova kurova kwemoyo
- kushaya simba
- kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
- mapundu
- kupindwa nechando
- kuputika kana kubvisa ganda
Lapatinib inogona kuchinja nzira iyo moyo wako unorova uye kupomba ropa kuburikidza nemuviri wako. Chiremba wako anozokutarisa nemazvo kuti aone kana lapatinib yakanganisa moyo wako. Taura nachiremba wako nezve njodzi dzekutora lapatinib.
Lapatinib inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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 zvinotevera:
- manyoka
- kurutsa
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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