Apalutamide

Zvemukati

• Usati watora apalutamide,
• Apalutamide 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, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

Apalutamide inoshandiswa kurapa mamwe marudzi ekenza yeprostate (gomarara muvarume rinotanga muprostate [gland rekubereka rechirume]) uye rapararira kune dzimwe nhengo dzemuviri kana kuti risina kupararira kune dzimwe nhengo dzemuviri asi risati akabatsirwa nemamwe marapirwo. Apalutamide iri mukirasi yemishonga inonzi uyerogen receptor inhibitors. Izvo zvinoshanda nekudzivirira mhedzisiro ye androgen (yemurume yekubereka mahormone) kumisa kukura uye kupararira kwemakenza maseru.

Apalutamide inouya sehwendefa kutora nemuromo. Inowanzo kutorwa pamwe kana pasina chikafu kamwe pazuva. Tora apalutamide panguva dzakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora apalutamide chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya. Kana iwe usingakwanise kumedza mahwendefa akazara, isa mahwendefa akazara mu120 mL (4 ounces) emaapurauce nekumutsa; zvisinei, usapwanya mahwendefa. Mirira maminetsi gumi neshanu wozomutsa musanganiswa nemapiritsi kusvika zvanyatso sanganiswa pasina zvidimbu zvasara. Uchishandisa chipunu, chimedza musanganiswa ipapo. Shenesa mudziyo uine 60 mL (2 ounces) emvura uye pakarepo tora musanganiswa. Shenesa mudziyo zvakare ne60 mL (2 ounces) emvura kuti uone kuti muyero wese watorwa. Edza musanganiswa wese nekukasira kana mukati meawa rimwe rekugadzirira. Usachengetedze musanganiswa kuti ushandise mune ramangwana.

Chiremba wako anogona kukuudza kuti rega kutora apalutamide kwenguva pfupi kana kudzikisa dosi yako kana iwe ukava nemhedzisiro yakaipa panguva yekurapa kwako. Ive neshuwa yekutaura nachiremba wako nezvekuti urikunzwa sei panguva yekurapwa kwako neapalutamide.

Kana chiremba wako akaraira mumwe mushonga senge goserelin (Zoladex), histrelin (Supprelin LA, Vantas), leuprolide (Eligard, Lupron, muLupaneta Pack), kana triptorelin (Trelstar, Triptodur) kurapa kenza yeprostate, uchafanirwa ramba uchigamuchira mushonga uyu panguva yekurapa kwako ne apalutamide.

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

• udza chiremba wako uye wemishonga kana uri weergoria kune apalutamide, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi eapalutamide. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera zvinovaka muviri uye zvigadzirwa zvemakwenzi zvauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin), fexofenadine (Allegra), gemfibrozil (Lopid), itraconazole (Onmel, Sporanox, Tolsura), ketoconazole (Nizoral), omeprazole ( , muYosprala, Zegerid), midazolam (Nayzilam, Seizalam), rifampin (Rifadin, Rimactane, muRifamate, muRifater), rosuvastatin (Crestor, Ezallor). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neapalutamide, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana wakambove kana nedambudziko remwoyo senge chirwere chemwoyo, angina (kurwadziwa pachipfuva), kutadza kwemoyo, kana hosha yeropa kana sitiroko kana minister. Zvakare, udza chiremba wako kana wakambobatwa nepfari, kukuvara muuropi, bundu repfungwa, cholesterol yakawanda, chirwere cheshuga, kana osteoporosis.
• iwe unofanirwa kuziva kuti apalutamide ndeye chete yekushandisa muvarume. Vakadzi havafanirwe kutora mushonga uyu, kunyanya kana vari kana vanogona kutora nhumbu kana kuyamwisa. Kana ikatorwa nevakadzi vane nhumbu, apalutamide inogona kukuvadza fetus. Kana mukadzi ane pamuviri achitora apalutamide, anofanira kufonera chiremba wake nekukasika.
• kana mumwe wako aine nhumbu, unofanirwa kushandisa kondomu pese paunoita bonde panguva yekurapwa kwako neapalutamide uye kwemwedzi mitatu mushure mekupedzisira kwako. Kana mumwe wako asina pamuviri asi achigona kuve nepamuviri, iwe unofanirwa kushandisa kondomu uye imwe nzira yekudzivirira kuberekwa pese paunoita bonde panguva yekurapwa kwako uye kwemwedzi mitatu mushure meyero yako yekupedzisira. Usape doneni kana urume paunenge uchitora apalutamide uye kwemwedzi mitatu mushure mekupedzisira dosi.
• iwe unofanirwa kuziva kuti apalutamide inogona kukonzeresa. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti apalutamide inogona kukonzeresa tsandanyama dzako nemapfupa, izvo zvinogona kuwedzera njodzi yako yekudonha uye kutyora pfupa.

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

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana iwe ukasarangarira kusvika zuva rinotevera, ruka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore inopfuura kamwechete dozi muzuva rimwe uye usatore dosi yakapetwa kuti uwane imwe yakarasika.

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

• kushaya simba
• kuneta
• kurwadza kwemajoini
• kushaya simba kwemhasuru kana kuomarara
• manyoka
• kusvotwa
• kurasikirwa nenzara
• kuonda
• kupisa kunopisa

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• pfari
• kurasikirwa kwekuziva
• kuzvimba kwemaoko, makumbo, maoko, kana tsoka
• kudonha
• kurwadziwa pachipfuva
• mweya wekufema
• chiveve kana kushaya simba kwechiso, ruoko, kana gumbo, kunyanya kune rumwe rutivi rwemuviri; kunetseka kutaura kana kunzwisisa; kuoma kuona mune rimwe kana maviri maziso; dzungu; kurasikirwa kwechiyero kana kubatana; kana kunetseka kufamba
• mapundu
• ganda rinobuda, kubvarura, kana kutsvuka neine kana pasina fivhiri

Apalutamide 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).

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 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 apalutamide.

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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