Munyori: William Ramirez
Zuva Rekusika: 24 Gunyana 2021
Gadziridza Zuva: 13 Mbudzi 2024
Anonim
Bexarotene: Medicare Part D’s Specialty Drug Shortcomings
Vhidhiyo: Bexarotene: Medicare Part D’s Specialty Drug Shortcomings

Zvemukati

Bexarotene haifanire kutorwa nevarwere vane nhumbu kana vanogona kuve nepamuviri. Pane njodzi huru yekuti bexarotene inokonzeresa kuti mwana azvarwe akaremara (matambudziko aripo pakuzvarwa).

Taura nachiremba wako nezve njodzi dzekutora bexarotene.

Kune varwere vechikadzi:

Kana iwe uchikwanisa kuve nepamuviri, iwe unofanirwa kudzivirira kudzivirira kuva nepamuviri panguva yekurapa kwako na bexarotene. Iwe unofanirwa kushandisa maviri anogamuchirwa maitiro ekudzivirira kuberekwa kwemwedzi mumwe usati watanga kutora bexarotene, nguva dzose panguva yekurapwa kwako, uye kwemwedzi mumwe mushure mekurapwa kwako. Chiremba wako anokuudza kuti ndedzipi nzira dzekudzivirira kuberekwa dzinogamuchirwa. Bexarotene inogona kudzikisira kushanda kwemadzimai ekudzivirira nhumbu (mapiritsi ekudzora kubereka, zvigamba, mhete, majekiseni, uye majekiseni), saka zvakanyanya kukosha kushandisa fomu yechipiri yekudzivirira kuberekwa pamwe nemhando iyi yekudzivirira.

Iwe unozotanga kutora bexarotene pazuva rechipiri kana rechitatu rekuenda kwako kumwedzi. Iwe unofanirwa kuve nemimba isina nhumbu bvunzo mukati me1 vhiki yekutanga kwekurapwa kwako uye mwedzi wega wega panguva yekurapwa kwako. Mushure mega yega bvunzo yekuzvitakura isina kunaka, iwe unozopihwa chete mwedzi mumwe wekupa bexarotene


Regedza kutora bexarotene uye danaidza chiremba wako ipapo ipapo kana iwe uchifunga kuti une nhumbu, unosuwa kuenda kumwedzi, kana iwe uchiita bonde usingashandisi nzira mbiri dzekudzivirira kuberekwa.

Kune varwere vevarume:

Unofanirwa kushandisa kondomu nguva dzese paunosangana pabonde nemukadzi ane nhumbu kana anokwanisa kuve nepamuviri paunenge uchitora bexarotene uye kwemwedzi mumwe mushure mekurapwa kwako. Shevedza chiremba wako kana mumwe wako akava nepamuviri panguva ino.

Bexarotene inoshandiswa kurapa akacheka T-cell lymphoma (CTCL, rudzi rwegomarara reganda) muvanhu vane chirwere chisingakwanise kurapwa zvinobudirira nemumwe mushonga. Bexarotene iri mukirasi yemishonga inonzi retinoids. Inoshanda nekumisa kukura kwekenza masero.

Bexarotene inouya sekapuleti kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva nechikafu. Tora bexarotene kwakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora bexarotene chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.


Medza macapsules akazara; usatsvage macapsule kana kuanyungudutsa mune mvura kana mumuromo mako. Kana iwe usingakwanise kumedza macapsulese akazara, taura nachiremba wako.

Bexarotene inogona kukuvadza kana ikasvika paganda. Usabata macapsule kana hupfu kubva mumacapsule kana akatyoka kana kubuda. Kana iyo poda kubva mukaputsuru kapuleti ikasvika paganda rako, geza nzvimbo yacho nesipo nemvura pakarepo uye danaidza chiremba wako.

Chiremba wako anokutanga iwe paavhareji muyero webexarotene uye anogona kudzikisa yako dosi kana iwe ukawana mhedzisiro kana kuwedzera dhosi yako kana mamiriro ako asina kusimuka.

Zvinogona kutora mwedzi yakati wandei kana kupfuura usati waona kubatsirwa kuzere kwebexarotene. Usarega kutora bexarotene 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 bexarotene,

  • udza chiremba wako uye wemishonga kana uri weergoria kune bexarotene; kana chero imwe retinoid, senge acitretin (Soriatane), etretinate (Tegison), isotretinoin (Accutane), kana tretinoin (Vesanoid); kana chero mimwe mishonga.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: amiodarone (Cordarone); mamwe maantifungal akadai ketoconazole (Nizoral) uye itraconazole (Sporanox); cimetidine (Tagamet); clarithromycin (Biaxin); diltiazem (Cardizem); erythromycin (EES, E-Mycin, Erythrocin); fluvoxamine; gemfibrozil (Lopid), HIV protease inhibitors senge indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra); insulin uye mishonga yemuromo yechirwere cheshuga; nefazodone; phenobarbital; phenytoin (Dilantin); rifampin (Rifadin, Rimactane); tamoxifen (Nolvadex); verapamil (Calan); uye vhitamini A. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana nexarotene, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kana ukanwa kana kuti wakambonwa doro rakawanda. Uyezve udza chiremba wako kana iwe wakambove kana wakamboita pancreatitis; kukwirira kwecholesterol uye zvimwe zvinhu zvine mafuta muropa; chirwere cheshuga; cataract; kana nduru dundira, utachiona, itsvo, kana chirwere chechiropa.
  • udza chiremba wako kana iwe uchiyamwisa.
  • bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchitora bexarotene. Doro rinogona kuita kuti mhedzisiro kubva kuna bexarotene iwedzere.
  • ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Bexarotene inogona kuita kuti ganda rako ribate chiedza chezuva.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.


Tora dosi rakarasika nechikafu nekukurumidza paunenge uchirangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

  • musoro
  • kushaya simba
  • kuneta
  • kuwedzera kwekunzwa kutonhora
  • kuwedzera uremu
  • kuora mwoyo
  • kubatana kana kurwadziwa kwemhasuru
  • bvudzi rakatetepa, rinopwanya kana nzara
  • kuvimbiswa
  • mapundu
  • ganda rakaoma
  • kutsvuka, kukura, kana kuchenesa kweganda
  • kurasikirwa nevhudzi
  • kuzvimba kwemakumbo, tsoka, uye makumbo
  • kunetseka kurara kana kuramba wakarara
  • kusvotwa
  • kurutsa
  • manyoka

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

  • kamwe-kamwe kana kuenderera shure kana kurwadziwa mudumbu
  • kusvotwa kwakanyanya uye kuri kuenderera mberi uye kurutsa
  • fivha, huro, chironda, kana zvimwe zviratidzo zvehutachiona
  • shanduko pane zvakaratidzwa

Bexarotene inogona kuwedzera huwandu hwecholesterol uye mamwe mafuta muropa rako uye inogona kumisa yako gland gland kuti isashande zvakajairika. Chiremba wako anozokutarisa nemazvo kuti aone kana uri kutarisana neimwe yemhedzisiro. Kana iwe ukawana imwe yeiyi mhedzisiro, chiremba wako anogona kunyorera mumwe mushonga kudzora mhedzisiro yacho paunenge uchitora bexarotene.

Bexarotene 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 pamhepo tembiricha uye kure nekupisa kwakanyanya, mwenje, 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.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kuna bexarotene

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi veirabhoritari kuti uri kutora bexarotene.

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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