Cabozantinib (kenza yehutachiona)

Zvemukati

• Usati watora cabozantinib (Cometriq),
• Cabozantinib (Cometriq) inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Cabozantinib (Cometriq) inoshandiswa kurapa imwe mhando yegomarara rekirinoro iri kuramba ichipararira uye yakapararira kune dzimwe nhengo dzemuviri. Cabozantinib (Cometriq) iri mukirasi yemishonga inonzi tyrosine kinase inhibitors. Inoshanda nekudzivirira chiito chepuroteni isina kujairika iyo inoratidza masero ekenza kuti iwande. Izvi zvinobatsira kudzora kana kumisa kupararira kwekenza maseru.

Cabozantinib inowanikwawo sehwendefa (Cabometyx) yekurapa yakakwira renal cell carcinoma (RCC; mhando yekenza inotanga mumasero eitsvo) uye hepatocellular carcinoma (HCC; rudzi rwecancer yechiropa) mune vamwe varwere vakambo kurapwa nemumwe mushonga. Iyi monograph inopa chete ruzivo nezve cabozantinib capsules (Cometriq) yegomarara rekenza. Kana iwe uri kushandisa iyi mushonga weiyo yepamusoro RCC kana HCC, verenga iyo monograph yakanzi cabozantinib (chiropa uye kenza yeitsvo).

Cabozantinib (Cometriq) inouya sekapuleti kutora nemuromo. Inotorwa kazhinji kamwe pazuva pazuva musina chinhu, ingangoita 1 awa zvisati zvaitika uye maawa maviri mushure mekudya. Tora cabozantinib (Cometriq) panenge panguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora cabozantinib (Cometriq) chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza makapuleti akazara negirazi izere (8 ounces, 240 mL) emvura. Usavhure.

Chiremba wako anogona kudzikisa dosi yako ye cabozantinib (Cometriq) kana zvachose kana kwechinguva kumisa kurapwa kwako kana iwe ukava nematambudziko akakomba. Ive neshuwa yekutaura nachiremba wako nezvekuti urikunzwa sei panguva yekurapwa kwako necabozantinib (Cometriq).

Kureba kwekurapa kwako kunoenderana nekuti unopindura sei kumushonga uye mhedzisiro yaunosangana nayo. Ramba uchitora cabozantinib (Cometriq) kunyangwe iwe uchinzwa zvakanaka. Usarega kutora cabozantinib (Cometriq) 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 cabozantinib (Cometriq),

• udza chiremba wako uye wemishonga kana uri weergoria kune cabozantinib (Cabometyx, Cometriq), chero mimwe mishonga, kana chero chinhu chinowanikwa mumacabozantinib capsules. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa 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: adefovir (Hepsera); antifungals senge itraconazole (Sporanox), ketoconazole, uye voriconazole (Vfend); clarithromycin (Biaxin, muPrevpac); dexamethasone; furosemide (Lasix); mimwe mishonga yeHIV kana AIDS yakadai se abacavir (Ziagen), atazanavir (Reyataz), cidofovir, indinavir (Crixivan), lamivudine (Epivir, muCombivir); nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, muKaletra), saquinavir (Invirase), uye tenofovir (Viread); mimwe mishonga yekubatwa senge carbamazepine (Equetro, Tegretol, Teril), phenobarbital, uye phenytoin (Dilantin, Phenytek); nefazodone; probenecid (Probalan), rifabutin (Mycobutin); rifampin (Rifactin, Rifadin, muRifamate, muRifater); rifapentine (Priftin); telithromycin (Ketek); uye warfarin (Coumadin, Jantoven). Mimwe mishonga yakawanda inogona zvakare kubatana ne cabozantinib (Cometriq), saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura kuyerwa kwemishonga yako kana kukutarisisa zvakanyatso chenjera mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
• udza chiremba wako kana iwe uchangobva kuve nekumwe kubuda kwechienzi kana kwakanyanya sekukosora ropa, kurutsa ropa, kana zvituru zvine ropa kana nhema. Uyezve udza chiremba wako kana uine ronda rakavhurika kana kupora, kana kana uine kana wakambove neBP yepamusoro kana chirwere chechiropa.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe unozofanirwa kuve nepamuviri bvunzo usati watanga kurapwa ne cabozantinib. Iwe haufanire kuve nepamuviri panguva yekurapa kwako necabozantinib uye kwemwedzi mina mushure meiyo dosi yekupedzisira. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana iwe ukava nepamuviri iwe uchitora cabozantinib (Cometriq), dana chiremba wako nekukurumidza. Cabozantinib inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Chiremba wako anogona kukuudza kuti usamwisa mukaka panguva yekurapa kwako uye kwemwedzi mina mushure mekupedzisira kwezita rako.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora cabozantinib (Cometriq).
• kana uri kuvhiyiwa, udza chiremba kana chiremba wemazino kuti urikutora cabozantinib (Cometriq). Chiremba wako angangokuudza kuti rega kutora cabozantinib (Cometriq) mazuva makumi maviri nemaviri usati wavhiyiwa uye anokuudza iwe paunofanira kutanga kutora mushonga zvakare mushure mekuvhiyiwa kwako.
• iwe unofanirwa kuziva kuti cabozantinib (Cometriq) inogona kukonzera matambudziko akakomba nejaya rako. Chiremba wemazino anofanira kuongorora mazino ako usati watanga kutora cabozantinib uye nguva dzose panguva yekurapa kwako. Ive neshuwa yekugeza mazino nekuchenesa muromo wako zvakanaka paunenge uchitora cabozantinib (Cometriq). Taura nachiremba wako usati wawana chero kurapwa kwemazino iwe paunenge uchinwa mushonga uyu. Chiremba wako angangokuudza kuti rega kutora cabozantinib mazuva makumi maviri nemaviri pamberi pekuvhiyiwa mazino.
• iwe unofanirwa kuziva kuti yako yeropa inogona kuwedzera panguva yekurapa kwako ne cabozantinib (Cometriq). Chiremba wako angangotarisa yako yeropa panguva yekurapa kwako.

Usamwe jisi remuzambiringa kana kudya grapefruit kana chero chikafu kana zvekuwedzera zvine muchero wemuzambiringa kana muto wemazambiringa paunenge uchitora mushonga uyu.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana iri isingasviki maawa gumi nemaviri kusvikira yako inotevera yakarongwa dhizaini, ruka iro rakarasika dhizaini uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Cabozantinib (Cometriq) inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kuvimbiswa
• Mamota
• kusvotwa
• kurutsa
• chirungurira
• chinja mukugona kuravira chikafu
• kunetseka kumedza
• kutsvuka, kuzvimba, maronda, kana kurwadziwa mumuromo kana pahuro
• kurasikirwa nenzara
• kuonda
• kuneta kana kushaya simba
• kurwadziwa muzvibatanidzwa
• kurwadziwa kwemhasuru kana kutsemuka
• kushushikana
• chiveve, kupisa, kana kugwinha mumaoko, maoko, tsoka, kana makumbo
• ganda rakaoma
• patchy thickening yeganda
• kurasikirwa nevhudzi
• bvudzi vhudzi rinoshanduka kureruka kana kuchena
• izwi rinochinja kana kushatirwa

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• kukosora ropa kana kugwamba kweropa
• kurutsa zvinhu zvine ropa kana zvinoita kunge kofi nzvimbo
• kubuda kumwedzi kunorema kupfuura nguva dzose
• tsvuku kana nhema, tarry chituru
• chero kusarongeka kana kubuda ropa kana kupwanya
• manyoka
• nyoro kana inorwadza nzvimbo yedumbu
• kuzvimba kana kurwadziwa mumaoko kana makumbo
• mweya wekufema
• husina musoro kana kufenda
• vangadikitira
• chiveve kana kushaya simba kwechiso, ruoko, kana gumbo kune rimwe divi remuviri wako
• dzungu
• kamwe kamwe kunetsekana nekuenzanisa kana kubatana
• matadza akazvimba kana anorwadza
• pakarepo, musoro wakakomba
• marwadzo eshaya
• kurwadziwa nemazino
• pfari
• pakarepo dambudziko rekufamba
• matambudziko ekuona pakarepo
• kuvhiringidzika
• kamwe kamwe kunetseka kufunga kana kutaura zvakajeka
• mapundu
• kutsvuka, kurwadziwa, kuzvimba, kana kuputika pamichindwe kana pasi petsoka
• kunetseka kudya kana kunwa nekuda kwemaronda emuromo kana kusvotwa uye kurutsa

Cabozantinib (Cometriq) 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 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

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.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo runowanikwawo pamhepo 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:

• ndangariro kurasikirwa
• kuvhiringidzika
• kuonda

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune cabozantinib (Cometriq).

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.

• Cometriq^®