Teriflunomide

Zvemukati

• Usati watora teriflunomide,
• Teriflunomide 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, rega kutora teriflunomide uye kufonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

Teriflunomide inogona kukonzeresa kana kutyisidzira hupenyu kukuvadza kwechiropa, izvo zvingangoda kuisirwa chiropa. Ngozi yekukuvara kwechiropa inogona kuwedzerwa muvanhu vanotora mimwe mishonga inozivikanwa kukonzera kukuvara kwechiropa, uye nevanhu vane chirwere chechiropa. Udza chiremba wako kana iwe une chirwere chechiropa. Chiremba wako anogona kukuudza kuti usatora teriflunomide. Udza chiremba wako uye wemishonga pamusoro pemishonga yose yauri kutora kuitira kuti vatarise kana paine imwe yemishonga yako inogona kuwedzera njodzi yekuti uchave nekukuvara kwechiropa panguva yekurapwa kwako neteriflunomide. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza: kusvotwa, kurutsa, kuneta zvakanyanya, kubuda ropa kusingawanzo kana kupwanya, kushaya simba, kurasikirwa nenzara, kurwadziwa nechekumusoro kurudyi mudumbu, yero yeganda kana maziso , weti yakasviba, kana zviratidzo zvakaita sefuru. Kana kukuvara kwechiropa kuchifungidzirwa, chiremba wako anogona kumisa teriflunomide uye anogona kukupa iwe kurapwa kunobatsira kubvisa teriflunomide nekukurumidza kubva mumuviri wako.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mimwe bvunzo usati watanga kurapwa kwako uye nguva dzose panguva yekurapa kwako kuti utarise mhinduro yemuviri wako kune teriflunomide.

Usatore teriflunomide kana iwe uri nepamuviri kana kuronga kuve nepamuviri. Teriflunomide inogona kukuvadza fetus. Iwe haufanire kutanga kutora teriflunomide kusvikira iwe watora bvunzo yepamuviri nemhedzisiro yakaipa uye chiremba wako anokuudza kuti hauna nhumbu. Iwe unofanirwa kushandisa nzira inoshanda yekudzivirira kubereka usati watanga kutora teriflunomide, panguva yekurapwa kwako neteriflunomide, uye kusvika kumakore maviri mushure mekurapwa, kusvikira kuongororwa kweropa kuchiratidza kuti une yakaderera zvakakwana mwero yeteriflunomide muropa rako. Kana nguva yako yakanonoka, unosuwa imwe nguva, kana iwe uchifunga kuti unogona kuve nepamuviri panguva yekurapwa kwako neteriflunomide kana kwemakore maviri mushure mekurapwa kwako, danaidza chiremba wako nekukasira. Kana iwe uri murume uye mumwe wako achigona kuve nepamuviri, iwe nemumwe wako munofanira kushandisa anoshanda ekudzivirira kubereka panguva yekurapa kwako. Kana iwe kana mumwe wako achironga kuve nepamuviri kana kugona kubata nhumbu, taura nachiremba wako nezve kurapwa kuchabatsira kubvisa teriflunomide nekukurumidza kubva mumuviri wako mushure mekumira kutora mushonga.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa neteriflunomide uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi dzekutora teriflunomide.

Teriflunomide inoshandiswa kurapa vanhu vakuru vane mhando dzakasiyana dze multiple sclerosis (MS; chirwere umo tsinga dzisingashande nemazvo uye vanhu vanogona kuona kushaya simba, kupera simba, kurasikirwa nekubatana kwetsandanyama, nematambudziko nemaonero, kutaura, uye kudzora kwedundira) kusanganisira :

• kiriniki yakasarudzika syndrome (CIS; nerve chiratidzo zviratidzo izvo zvinogara anopfuura maawa makumi maviri nemana),
• kudzokerazve-kuregedza mafomu (kosi yechirwere uko zviratidzo zvinopisa nguva nenguva), kana
• yechipiri inofambira mberi mafomu (kosi yechirwere uko kudzokazve kunoitika kazhinji).

Teriflunomide iri mukirasi yemishonga inonzi immunomodulatory agents. Iyo inofungidzirwa kuti inoshanda nekudzora kuzvimba uye kudzikisira chiito chemaseru ekudzivirira ayo anogona kukonzera kukuvara kwetsinga.

Teriflunomide inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva kana pasina chikafu. Tora teriflunomide 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 teriflunomide chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Teriflunomide inogona kubatsira kudzora zviratidzo zve multiple sclerosis, asi hairape. Ramba uchitora teriflunomide kunyangwe iwe uchinzwa zvakanaka. Usarega kutora teriflunomide usina kutaura nachiremba wako.

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

Usati watora teriflunomide,

• udza chiremba wako uye wemishonga kana uri weergoria kune teriflunomide (mapundu, mikoko, kupfupika kwemweya, kuzvimba kwechiso, maziso, muromo, huro, rurimi, miromo, maoko, tsoka, makumbo, kana makumbo ezasi), leflunomide (Arava) , chero mimwe mishonga, kana chimwe chezvinhu zviri mumatafura eteriflunomide. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora leflunomide (Arava). Chiremba wako angangokuudza kuti usatore teriflunomide kana iwe uri kutora mushonga uyu.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: alosetron (Lotronex); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); atorvastatin (Lipitor, muCaduet); cefaclor; cimetidine (Tagamet); ciprofloxacin (Cipro); duloxetine (Cymbalta); eltrombopag (Promacta); furosemide (Lasix); gefitinib (Iressa); ketoprofen; mishonga inogona kukonzera kukuvara kwetsinga senge mishonga yekenza, HIV, kana AIDS; mimwe mishonga inodzvinyirira immune system yakadai saazathioprine (Azasan, Imuran), cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), uye tacrolimus (Astagraf, Envarsus XR, Prograf); methotrexate (Otrexup, Rasuvo, Trexall); mitoxantrone; nateglinide (Starlix); mishonga yekudzivirira pamuromo (mapiritsi ekudzivirira kubereka); paclitaxel (Abraxane, Mutero); penicillin G; pioglitazone (Actos, muActoplus Met, muDuetact); pravastatin (Pravachol); repaglinide (Prandin, muPrandimet); rifampin (Rifadin, Rimactane, muRifamate, muRifater); rosiglitazone (Avandia); rosuvastatin (Crestor); simvastatin (Zocor, muVytorin); theophylline (Elixophyllin, Theo-24, Uniphyl, nevamwe); tizanidine (Zanaflex); uye zidovudine (Retrovir, muCombivir, muTrizivir). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne teriflunomide, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana iwe uine hutachiona izvozvi, kusanganisira hutachiona huri kuenderera husingaendi, kana kana iwe kana wakambove nekuita kwakakomba ganda mushure mekutora mumwe mushonga; chirwere cheshuga; matambudziko ekufema; kenza kana mamwe mamiriro anokanganisa mwongo wemapfupa kana immune system; kukwirira kweropa; peripheral neuropathy (chiveve, kupisa kana kurira mumaoko kana tsoka dzinonzwa dzakasiyana nezviratidzo zveMS); kana chirwere cheitsvo.
• udza chiremba wako kana iwe uchiyamwisa. Usamwisa mwana paunenge uchitora teriflunomide.
• kana mumwe wako akaronga kubata pamuviri, iwe unofanirwa kutaura nachiremba wako nezve kumisa teriflunomide uye kugamuchira kurapwa kwekubatsira kubvisa uyu mushonga kubva mumuviri wako nekukurumidza. Kana mumwe wako asingaronge kuita nhumbu, iwe nemumwe wako munofanira kushandisa nzira inoshanda yekudzivirira kuberekwa panguva yekurapa kwako ne teriflunomide uye kusvika kumakore maviri mushure mekurapwa, kudzamara kuongororwa kweropa kuchiratidza kuti une mwero wakaringana weteriflunomide mune yako ropa.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora teriflunomide.
• unogona kunge uine hutachiona (TB; chirwere chakakomba chemapapu) asi usina zviratidzo zvechirwere. Udza chiremba wako kana wakambove neTB kana kuti wakambove neTB, kana wakambogara kana kushanyira nyika ine TB yakajairika, kana kuti kana wakambove pedyo nemunhu ane kana akamborwara neTB. Usati watanga kurapwa kwako ne teriflunomide, chiremba wako achaita bvunzo yeganda kuti aone kana une TB. Kana iwe uine TB, chiremba wako acharapa hutachiona uhu usati watanga kutora teriflunomide.
• hauna majekiseni pasina kutaura nachiremba wako paunenge uchitora teriflunomide uye kwemwedzi mitanhatu mushure mekumira kuitora.
• iwe unofanirwa kuziva kuti teriflunomide inogona kukonzera kukwira kweropa. Iwe unofanirwa kuve nekuongororwa kweropa rako usati watanga kurapwa uye nguva zhinji paunenge uchitora mushonga uyu.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

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.

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

• kurasikirwa nevhudzi
• manyoka
• kuona kwakadzikama
• kurwadziwa nemazino
• acne
• kubatana kana kurwadziwa kwemhasuru
• kushushikana
• kuonda

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, rega kutora teriflunomide uye kufonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• inokurumidza, isina kujairika, kana inononoka kurova kwemoyo
• musoro
• dzungu
• ganda rakachenuruka
• kuvhiringidzika
• fivha, kukosora, kurwadziwa pahuro, kutonhora, uye zvimwe zviratidzo zvehutachiona
• chiveve, kupisa, kana kugwinha mumaoko, maoko, tsoka, kana makumbo
• kurasikirwa kwemhasuru toni
• kushaya simba kana kurema mumakumbo
• kutonhora, grey ganda
• tsvuku, peeling, kana kubvaruka ganda
• mapundu
• mikoko
• kuvava
• kunetseka kumedza
• kuzvimba kwechiso, maziso, muromo, huro, rurimi kana miromo
• mweya wekufema
• kuputika kunogona kuitika nefivha, kuzvimba gland, kana kuzvimba kwechiso
• mudumbu, padivi, kana kurwadziwa musana

Teriflunomide 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).

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

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.

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.

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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