Siponimod
Zvemukati
- Usati watora siponimod,
- Siponimod 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 nekukasira:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Siponimod inoshandiswa kudzivirira zvikamu zvezviratidzo uye kunonoka kuwedzera kwekuremara kune vanhu vakuru nekudzokazve-kudzora mafomu (kosi yechirwere uko zviratidzo zvinopisa nguva nenguva) ye multiple sclerosis (MS; chirwere umo tsinga dzisingashande mushe uye vanhu vanogona kuona kushaya simba, chiveve, kurasikirwa kwekufambirana kwemhasuru, uye matambudziko nekuona, kutaura, uye kudzora kwedundira). Siponimod iri mukirasi yemishonga inonzi sphingosine l-phosphate receptor modulators. Inoshanda nekudzora kuita kwema immune maseru anogona kukonzera kukuvara kwetsinga.
Siponimod inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva kana pasina chikafu. Tora siponimod panguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora siponimod chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Chiremba wako angangotanga iwe pane yakaderera dosi yesiponimod uye zvishoma nezvishoma wedzera yako dosi kune yekutanga 4 kana mazuva mashanu,
Siponimod inogona kukonzera kurova kwemoyo kunonoka, kunyanya panguva yekutanga maawa matanhatu mushure mekutora yako yekutanga dosi. Iwe unozogashira iyo electrocardiogram (ECG; bvunzo iyo inorekodha mashandiro emagetsi emoyo) usati watora yako yekutanga dhizeti uye zvakare maawa matanhatu mushure mekutora iwo muyero. Iwe unotora yako yekutanga dosi yesiponimod muhofisi yechiremba wako kana imwe nzvimbo yekurapa. Iwe unozofanirwa kugara kunzvimbo yekurapa kweinenge maawa matanhatu mushure mekunwa mushonga kuti ugone kuongororwa. Iwe ungangoda kugara kunzvimbo yekurapa kwenguva yakareba kupfuura maawa matanhatu kana husiku husiku kana uine mamwe mamiriro kana kutora mimwe mishonga inowedzera njodzi yekuti kurova kwemoyo wako kunonoka kana kana kurova kwemoyo wako kuchinonoka kupfuura zvaitarisirwa kana kuramba uchinonoka mushure mekutanga 6 maawa. Iwe unogona zvakare kuda kugara kuchipatara kweanenge maawa matanhatu mushure mekutora yako yechipiri dosi kana kurova kwemoyo wako kuchinonoka zvakanyanya kana iwe uchitora yako yekutanga dosi. Udza chiremba wako kana iwe uchinzwa dzungu, kuneta, kurwadziwa pachipfuva, kana kunonoka kana kusagadzikana kwemoyo chero nguva panguva yekurapwa kwako.
Siponimod inogona kubatsira kudzora multiple sclerosis asi haizorape. Usarega kutora siponimod usina kutaura nachiremba wako. Kana iwe ukasatora siponimod kwezuva rimwe kana kupfuura mukati memazuva mana kana mashanu ekurapwa kana kwemazuva mana kana kupfuura mushure mevhiki rekutanga rekurapwa, taura nachiremba wako usati watanga kuitora zvakare. Iwe unogona kunzwa kunonoka kurova kwemoyo paunotanga kutora siponimod zvakare, saka iwe uchafanirwa kutangazve mishonga pane yakaderera dosi muhofisi yechiremba wako uye zvishoma nezvishoma wedzera iyo muyero kupfuura mazuva mana kana mashanu.
Chiremba wako kana wemishonga anokupa iro gwaro reruzivo rwevarwere (reMedicine Gwara) paunotanga kurapwa nesiponimod 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.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora siponimod,
- udza chiremba wako uye wemishonga kana uri weergoria kune siponimod chero mimwe mishonga, kana chimwe chezvinhu zvinosanganiswa mumapiritsi esiponimod. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
- 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: alemtuzumab (Campath, Lemtrada); amiodarone (Nexterone, Pacerone); beta-blockers senge atenolol (Tenormin, muTenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol-XL, muDutoprol, muLopressor HCT), nadolol (Corgard, muCorzide), nebivolol (Bystolic, muByvalson ), propranolol (Inderal LA, Innopran XL), uye timolol; carbamazepine (Carbatrol, Equetro, Tegretol, vamwe); digoxin (Lanoxin); diltiazem (Cardizem, Cartia, Tiazac, nevamwe); efavirenz (Sustiva, muAtripla, muSymfi); fluconazole (Diflucan); ivabradine (Corlanor); modafinil (Provigil); procainamide; quinidine (muNuedexta); rifampin (Rifadin, Rimactane, muRifamate, vamwe); sotalol (Betapace, Sorine, Sotylize); uye verapamil (Calan, Verelan, muTarka). Zvakare kukuudza iwe chiremba kana iwe uri kutora chero einotevera mishonga, kana kana iwe wakambonwa kare: corticosteroids senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); mishonga yekenza; uye mishonga yekushayisa simba kana kudzora immune system se glatiramer acetate (Copaxone, Glatopa) uye interferon beta (Betaseron, Extavia, Plegridy). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kusangana nesiponimod, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
- udza chiremba wako kana iwe wakambove kana nechero cheaya mamiriro mumwedzi mitanhatu yapfuura: chirwere chemwoyo, angina (kurwadziwa pachipfuva), sitiroko kana mini-stroke, kana kukundikana kwemoyo. Uyezve udza chiremba wako kana iwe uine irregular moyo mutinhimira. Chiremba wako anogona kukuudza kuti usatora siponimod.
- udza chiremba wako kana wakambofenda, wakabatwa nechirwere chemwoyo, sitiroko, kana kuti sitiroko. kana iwe parizvino uine fever kana zvimwe zviratidzo zvehutachiona kana kana uine hutachiona hunouya nekuenda kana husingaendi; uye kana iwe kana wakambove nechirwere cheshuga; kurara kufema (mamiriro umo iwe unomira kwenguva pfupi kufema kazhinji mukati mehusiku) kana zvimwe zvinetso zvekufema; kukwirira kweropa; uveitis (kuzvimba kweziso) kana mamwe matambudziko eziso; kurova kwemoyo kunononoka; gomarara reganda, kana chirwere chemoyo kana chechiropa. Uyezve udza chiremba wako kana uchangobva kugamuchira mushonga.
- udza chiremba wako kana iwe uri nepamuviri kana kuronga kuva nepamuviri, kana uri kuyamwisa. Iwe unofanirwa kushandisa kuberekwa kudzivirira kubata pamuviri panguva yekurapwa uye kwemazuva gumi kana mushure mekupedzisira kwedosi. Kana iwe ukava nepamuviri uchitora siponimod kana mukati memazuva gumi mushure medosi yako yekupedzisira, danaidza chiremba wako.
- hauna majekiseni kwevhiki imwe usati watanga kurapwa kwako nesiponimod, panguva yekurapwa kwako, kana kwemwedzi mumwe mushure meyero yako yekupedzisira usina kutaura nachiremba wako. Taura nachiremba wako nezve majekiseni aungangoda kugamuchira usati watanga kurapwa kwako nesiponimod.
- udza chiremba wako kana usati wambobata chepfu uye usati wawana mushonga wekurapa. Chiremba wako anogona kuraira kuongororwa kweropa kuti aone kana iwe wakambosangana nehuku hwehuku. Iwe ungangoda kugamuchira mushonga wekurwara wehuku wozomirira mwedzi mumwe usati watanga kurapwa kwako nesiponimod.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yave nguva yenguva inotevera, svetuka chirwere chakarasika uye danaidza chiremba wako usati watora chirwere chinotevera. Iwe ungangoda kuongororwa sezvo iwe uchitangazve yako mushonga padosi yakaderera uye sezvo iyo dosi ichiwedzera zvishoma nezvishoma pamusoro pe4 kana mazuva mashanu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Siponimod inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kushaya simba
- kurwadziwa mumaoko, makumbo, maoko, kana tsoka
- manyoka
- musoro
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:
- kunonoka kurova kwemoyo
- kurwadziwa pahuro, kurwadziwa nemuviri, kupisa muviri, kutonhora, kukosora, uye zvimwe zviratidzo zvehutachiona uye panguva yekurapwa uye kusvika pamwedzi mumwe mushure mekurapwa kwako
- kurwadziwa nemusoro, kuomarara kwemutsipa, kupisa muviri, kunzwisisika kuchiedza, kuda kurutsa, kana kuvhiringidzika panguva yekurapwa uye kusvika pamwedzi mumwe mushure mekurapwa
- kamwe kamwe kwakakomba musoro, kuvhiringidzika, shanduko muchiono, kana kubatwa
- kusvibiswa, mimvuri, kana bofu nzvimbo pakati pechiratidzo chako; kunzwisisika kuchiedza; isina kujairika ruvara kune chiono chako kana mamwe matambudziko ekuona
- kushaya simba kune rumwe rutivi rwemuviri kana kusindimara kwemaoko kana makumbo izvo zvinowedzera kuwedzera nekufamba kwenguva; shanduko mukufunga kwako, ndangariro, kana kuenzanisa; kuvhiringidzika kana kuchinja hunhu; kana kupera simba
- nyowani kana kuwedzera kupfupika kwekufema
- kusvotwa, kurutsa, kurasikirwa nehavi, kurwadziwa mudumbu, kuita yero kweganda kana maziso, kana weti yakasviba
Siponimod inogona kuwedzera njodzi yekuva nekenza yeganda. Taura nachiremba wako nezve njodzi dzekutora mushonga uyu.
Iko kamwe kamwe kuwedzera kwezvikamu zveMS zviratidzo uye kuwedzera kwekuremara kunogona kuitika mushure mekumira kutora siponimod. Udza chiremba wako kana zviratidzo zvako zveMS zvichiwedzera mushure mekumisa siponimod.
Siponimod 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. Chengeta midziyo isina kuvhurwa yemushonga uyu mufiriji. Akavhura blister mapakeji nemabhodhoro anogona kuchengetwa pakushambidza kwemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi) kwenguva yakati. Yakavhurwa blister mapakeji anogona kuchengetwa pane tembiricha yemukati kweinosvika 1 vhiki mushure mekutanga kushandiswa. Mabhodhoro akavhurwa anogona kuchengetwa pane tembiricha yemukamuri kusvika kumwedzi mumwe mushure mekutanga kushandiswa.
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.
Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
- kunonoka kana kusagadzikana kwemoyo
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira kumwe kuongorora kwelebhu, bvunzo dzemaziso, uye anozotarisa kuwedzerwa kweropa rako usati uye panguva yekurapwa kwako kuti uve nechokwadi chekuti zvakachengeteka kuti utange kutora kana kuramba uchitora siponimod.
Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora siponimod.
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.
- Mayzent®