Afatinib

Zvemukati

• Usati watora afatinib,
• Afatinib 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, rega kutora afatinib uye udane chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Afatinib inoshandiswa kurapa mamwe marudzi ekenza isiri-diki yemukenza yemapapu yakapararira kumatishu ari pedyo kana kune zvimwe zvikamu zvemuviri. Afatinib iri mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira chiito chechimwe chinhu chinowanzoitika chinogona kudikanwa kubatsira maseru ekenza kuwanda.

Afatinib inouya sehwendefa kutora nemuromo. Inowanzo kutorwa isina chinhu mudumbu kamwe pazuva, inokwana 1 awa zvisati kana maawa maviri mushure mekudya chikafu kana chikafu. Tora afatinib 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 afatinib chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kumisa kwenguva pfupi kana zvachose kurapa kwako kana kudzikisira iyo dose kana iwe ukawana zvakakomba mhedzisiro yeafatinib. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako.

Ramba uchitora afatinib kunyangwe iwe uchinzwa zvakanaka. Usarega kutora afatinib 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 afatinib,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune afatinib, chero mimwe mishonga, kana chimwe chezvinhu zvinosanganiswa mumapiritsi eafatinib. 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: amiodarone (Cordarone, Pacerone); mamwe antifungal mishonga senge itraconazole (Sporanox) uye ketoconazole (Nizoral); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (EES, Erythrocin, vamwe); mimwe mishonga yehutachiona hwehutachiona hwehutachiona (HIV) senge nelfinavir (Viracept), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase); mimwe mishonga yekubatwa senge carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, uye phenytoin (Dilantin); quinidine (muNuedexta); rifampin (Rimactane, Rifadin, muRifater); tacrolimus (Prograf); uye verapamil (Calan, Covera, Isoptin, Verelan). Mimwe mishonga yakawanda inogona zvakare kubatana neafatinib, saka ive shuwa yekuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
• udza chiremba wako kana iwe uri wedzinza reAsia kana uine kana wakambove nematambudziko emapapu kana kufema (kunze kwekenza yemapapu); matambudziko eziso, kusanganisira maziso akaoma; matambudziko emwoyo; chiropa kana itsvo chirwere; kana chero imwe mamiriro ekurapa. Uyezve, udza chiremba wako kana iwe ukapfeka malensi ekubatana.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanirwe kuve nepamuviri iwe paunenge uchitora afatinib uye kweinenge mavhiki maviri mushure mekurapwa kwako. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana iwe ukava nepamuviri paunenge uchitora afatinib, dana chiremba wako pakarepo. Afatinib inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa-mwana paunenge uchitora afatinib.
• ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Afatinib inogona kuita kuti ganda rako ribate chiedza chezuva. Kujekesa kuchiedza chezuva kunowedzera njodzi yekuti iwe unozokurumidza kumhanyisa kana acne panguva yekurapa kwako neafatinib.

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

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana iri isingasviki maawa gumi nemaviri usati warongerwa kutora yako inotevera dosi, svetuka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kutsemuka kana kuzvimba kwemiromo kana maronda mumakona emuromo
• ganda rakaoma kana kuchenesa
• kurasikirwa nenzara
• nzwara chirwere
• acne
• mhino inobuda ropa

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

• manyoka
• muromo wakaoma, weti yakasviba, kudikitira kudikitira, kuoma ganda, uye zvimwe zviratidzo zvekushaya mvura
• kuderera kwekuita weti
• kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
• mapundu
• kurwadziwa, kutsvuka, kupenya, kana kubuda ganda
• kunetseka kufema
• mweya wekufema
• inokurumidza, isina kujairika, kana kurova kurova kwemoyo
• kamwe kamwe kuwedzera uremu
• kukosora
• kupindwa nechando
• kuneta zvakanyanya
• kurwadziwa kuchikamu chepamusoro chepamusoro chedumbu
• kupwanya kusingawanzo kana kubuda ropa
• kusvotwa
• kurutsa
• yero yeganda kana maziso
• weti yakasviba
• akatsvuka, akazvimba, anorwadza, kana kuchema maziso
• kuchinja kamwe kamwe mune zvakaratidzwa, kusanganisira kuona kwakashata
• kunzwisisika kuchiedza

Afatinib 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 nechiedza, kupisa 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. 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 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:

• kusvotwa
• kurutsa
• kushaya simba
• dzungu
• musoro
• kurwadziwa nemudumbu

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune afatinib.

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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