Mifepristone (Mifeprex)

Wadatacce

• Kafin shan mifepristone,
• Mifepristone na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
• Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

Zubar jini na farji mai tsanani ko barazanar rai na iya faruwa yayin da ciki ya ƙare ta ɓarna ko kuma ta hanyar likita ko zubar da ciki. Ba a san idan shan mifepristone yana ƙara haɗarin cewa za ku fuskanci zub da jini mai nauyi sosai ba. Faɗa wa likitanka idan kana da ko ka taɓa samun matsalar zub da jini, anemia (ƙasa da yawan adadin jinin ja), ko kuma idan kana shan magungunan kashe jini ('masu saukad da jini') kamar su aspirin, apixaban (Eliquis), dabigatran (Pradaxa) , dalteparin (Fragmin), edoxaban (Savaysa). enoxaparin (Lovenox), Fondaparinux (Arixtra), heparin, rivaroxaban (Xarelto), ko warfarin (Coumadin, Jantoven). Idan haka ne, likita na iya gaya muku kar ku ɗauki mifepristone. Idan kun fuskanci zub da jini na farji mai nauyi sosai, kamar shan ruwa mai laushi mai cikakken girma kowane sa'a guda har tsawon awanni biyu, kira likitanku kai tsaye ko neman gaggawa na gaggawa.

Cututtuka masu tsanani ko barazanar rai na iya faruwa yayin da ciki ya ƙare ta hanyar ɓarna ko ta hanyar likita ko zubar da ciki ta hanyar tiyata. Numberananan marasa lafiya sun mutu saboda cututtukan da suka ɓullo da su bayan sun yi amfani da mifepristone da misoprostol don kawo ƙarshen ciki. Ba a san idan mifepristone da / ko misoprostol suka haifar da waɗannan cututtuka ko mutuwa ba. Idan ka sami kamuwa da cuta mai tsanani, maiyuwa ba ka da alamomi da yawa kuma alamun ka ba za su iya zama masu tsanani ba. Ya kamata ku kira likitanku nan da nan ko ku sami likita na gaggawa idan kun sami ɗayan waɗannan alamun bayyanar: zazzabi mafi girma fiye da 100.4 ° F (38 ° C) wanda ke ɗaukar fiye da awanni 4, ciwo mai tsanani ko taushi a yankin da ke ƙasa da kugu, sanyi, bugun zuciya mai sauri, ko suma.

Hakanan yakamata ku kira likitanku nan da nan ko ku sami likita na gaggawa idan kuna da alamun bayyanar cututtuka na rashin lafiya kamar rauni, tashin zuciya, amai, gudawa, ko jin ciwo fiye da awanni 24 bayan shan mifepristone koda kuwa ba ku da zazzabi ko ciwo a yankin da ke ƙasa da kugu.

Saboda haɗarin rikice-rikice masu tsanani, ana samar da mifepristone ne ta hanyar takaitaccen shirin. An shirya wani shiri a karkashin mai suna Mifeprex Risk Evaluation and Mitigation Strategies (REMS) Shirin ga dukkan mata marasa lafiya wadanda aka tsara musu mifepristone. Likitanku zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) don karantawa kafin ku fara magani tare da mifepristone. Hakanan kuna buƙatar sa hannu kan yarjejeniyar haƙuri kafin ɗaukar mifepristone. Faɗa wa likitanka idan kuna da tambayoyi game da magani tare da mifepristone ko kuma idan ba za ku iya bin sharuɗɗan cikin yarjejeniyar haƙuri ba. Mifepristone yana samuwa ne kawai a dakunan shan magani, ofisoshin likita, da asibitoci kuma ba a ba da shi ta hanyar kantunan sayar da kantin sayar da kaya

Yi magana da likitanka kuma yanke shawara wanda zaka kira da abin da zaka yi idan akwai gaggawa bayan shan mifepristone. Faɗa wa likitanka idan ba ka tsammanin za ku iya bin wannan shirin ko kuma samun magani cikin sauri a cikin gaggawa cikin makonni biyu na farko bayan ɗaukar mifepristone. Guideauki jagorar magungunanku tare da ku idan kun ziyarci ɗakin gaggawa ko neman likita na gaggawa don likitocin da suka kula da ku za su fahimci cewa kuna zubar da ciki na likita.

Ci gaba da duk alƙawura tare da likitan ku. Waɗannan alƙawura wajibi ne don tabbatar da cewa cikinku ya ƙare kuma ba ku ci gaba da rikicewar rikicewar zubar da ciki na likita ba.

Yi magana da likitanka game da haɗarin shan mifepristone.

Ana amfani da Mifepristone a haɗe tare da misoprostol (Cytotec) don kawo ƙarshen ɗaukar ciki da wuri. Ciki da wuri yana nufin ya yi kwanaki 70 ko ƙasa da haka tun lokacin da jinin al'adarku na ƙarshe ya fara. Mifepristone yana cikin ajin magungunan da ake kira magungunan hana yaduwar cuta. Yana aiki ta hanyar toshe aikin progesterone, wani abu da jikinku yayi don taimakawa ci gaba da ɗaukar ciki.

Hakanan ana samun Mifepristone a matsayin wani samfurin (Korlym), wanda ake amfani da shi don sarrafa hyperglycemia (hawan jini mai yawa) a cikin mutanen da ke da wani nau'in Cutar Cutar Cushing wanda jiki ke yin yawancin hormone cortisol. Wannan rubutun yana ba da bayani ne kawai game da mifepristone (Mifeprex), wanda ake amfani da shi shi kaɗai ko a haɗe shi da wani magani don kawo ƙarshen ɗaukar ciki da wuri. Idan kana amfani da mifepristone don sarrafa hyperglycemia wanda cutar ta Cushing ta haifar, karanta kundin labarin mai taken mifepristone (Korlym) wanda aka rubuta game da wannan samfurin.

Mifepristone yana zuwa kamar kwamfutar hannu don ɗauka ta baki. Zaka sha daya kwamfutar hannu na mifepristone sau daya a ranar farko. A tsakanin awoyi 24 zuwa 48 bayan shan mifepristone, za ka yi amfani da allunan guda hudu a dunkule da wani magani da ake kira misoprostol a buccally (tsakanin danko da kunci) ta hanyar sanya alluna biyu a cikin kowane buhunan kunci na tsawon mintuna 30, sannan ka hadiye sauran abin da ruwa ko wani ruwa Tabbatar cewa kun kasance a wuri mai dacewa lokacin da kuka ɗauki misoprostol saboda zubar jini na farji, ciwon mara, tashin zuciya, da gudawa yawanci yana farawa tsakanin awanni 2 zuwa 24 bayan shan shi amma zai iya farawa cikin awanni 2.Zuban jini na farji ko tabo yawanci yakan kwashe kwanaki 9 zuwa 16 amma zai iya yin kwanaki 30 ko ya fi tsayi. Dole ne ku koma wurin likitanku don gwaji ko duban dan tayi kwanaki 7 zuwa 14 bayan shan mifepristone don tabbatar da cewa cikin ya ƙare kuma don bincika adadin zub da jini. Mauki mifepristone daidai yadda aka umurta.

Mifepristone kuma wani lokacin ana amfani dashi don kawo ƙarshen ɗaukar ciki lokacin da sama da kwanaki 70 suka wuce tun daga lokacin da mace ta gama jinin al'ada; azaman maganin hana daukar ciki na gaggawa bayan saduwa ba tare da kariya ba ('kwaya-bayan kwaya'); don magance ciwace-ciwacen kwakwalwa, endometriosis (haɓakar ƙwayar mahaifa a wajen mahaifar), ko fibroids (cututtukan da ba na cuta ba a cikin mahaifa); ko haifar da nakuda (don taimakawa fara tsarin haihuwa a cikin mace mai ciki). Yi magana da likitanka game da haɗarin amfani da wannan magani don yanayin ku.

Kafin shan mifepristone,

• gaya wa likitanka idan kana rashin lafiyan mifepristone (amya, kurji, ƙaiƙayi, kumburin fuska, idanu, bakin, maƙogwaro, hannu; wahalar numfashi ko haɗiye); misoprostol (Cytotec, a cikin Arthrotec); sauran prostaglandins kamar alprostadil (Caverject, Edex, Muse, wasu), carboprost tromethamine (Hemabate), dinoprostone (Cervidil, Prepidil, Prostin E2), epoprostenol (Flolan, Veletri), latanoprost (Xalatan), treprostinil (Orenitram, Rem ); duk wasu magunguna, ko kowane irin sinadaran a cikin allunan mifepristone. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
• gaya wa likitanka idan kana shan kwayoyin corticosteroid kamar su beclomethasone (Beconase, QNASL, QVAR), betamethasone (Celestone), budesonide (Entocort, Pulmicort, Uceris), cortisone, dexamethasone, fludrocortisone, flunisolide (Aerosputasas, Hero) , Veramyst, wasu), hydrocortisone (Cortef, Solu-Cortef, U-Cort, wasu), methylprednisolone (Medrol, Depo-Medrol), prednisolone (Omnipred, Prelone, wasu), prednisone (Rayos), da triamcinolone (Kenalog, wasu ). Likitanku zai iya gaya muku kar ku ɗauki mifepristone.
• gaya wa likitanka wasu magunguna da magunguna marasa magani, bitamin, da kayan abinci mai gina jiki da kake sha. Tabbatar da ambaton magungunan da aka jera a Sashin GARGADI MAI MUHIMMANCI da kowane ɗayan masu zuwa: benzodiazepines kamar alprazolam (Xanax), diazepam (Diastat, Valium), midazolam, ko triazolam (Halcion); buspirone; masu toshe hanyoyin tashar calcium kamar amlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, wasu), felodipine, nifedipine (Adalat, Afeditab CR, Procardia), nisoldipine (Sular), ko verapamil (Calan, Verelan, a Tarka); carbamazepine (Equetro, Tegretol, Teril, wasu); chlorpheniramine (antihistamine a cikin tari da kayan sanyi); magungunan rage yawan cholesterol (statins) kamar atorvastatin (Lipitor, in Caduet), lovastatin (Altoprev, a Advicor), ko simvastatin (Simcor, Zocor, in Vytorin); clarithromycin (Biaxin, a cikin Prevpac); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (E.E.S., Erythrocin, wasu); haloperidol; furosemide; Masu hana masu kare kwayar cutar HIV kamar indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, a cikin Kaletra, wasu), ko saquinavir (Invirase); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); methadone (Dolophine, Methadose); nefazodone; sashin jiki; phenytoin (Dilantin, Phenytek); pimozide (Orap); propranolol (Hemangeol, Cikin Gida, Innopran); quinidine (a cikin Nuedexta); rifampin (Rifadin, Rimactane, a cikin Rifamate, a cikin Rifater); rifabutin (Mycobutin); tacrolimus (Astagraf, Prograf, Protopic, wasu); tamoxifen (Soltamox); trazodone; ko vincristine (Marqibo Kit). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa.
• gaya wa likitanka irin kayan ganyen da kake sha, musamman St. John’s wort.
• gaya wa likitanka idan kana da ko ka taba yin juna biyu na ciki ('ciki na tubal' ko ciki a wajen mahaifa), rashin cin nasara (matsaloli tare da gland din ka), ko porphyria (cututtukan jini da aka gada wanda ka iya haifar da fata ko matsalolin tsarin jijiyoyi ). Likitanku zai iya gaya muku kar ku ɗauki mifepristone. Har ila yau, gaya wa likitanka idan an saka na'urar ciki (IUD). Dole ne a cire shi kafin ɗaukar mifepristone.
• ya kamata ku sani cewa mai yiwuwa ne mifepristone ba zai kawo karshen cikinku ba. Likitanku zai duba don tabbatar da cewa cikinku ya ƙare lokacin da kuka dawo don alƙawarinku bayan kun ɗauki mifepristone. Idan har yanzu kuna da ciki bayan shan mifepristone, akwai damar cewa za a iya haihuwar jaririn da lahani na haihuwa. Idan cikin ku bai ƙare ba kwata-kwata, likitan ku zai tattauna wasu zaɓuɓɓukan don la'akari. Kuna iya zaɓar jira, ɗauki wani kashi na misoprostol ko yin tiyata don kawo ƙarshen ciki. Idan ka ɗauki maimaita misoprostol, dole ne ka sami ziyarar bibiyar tare da likitanka a cikin kwanaki 7 bayan wannan maganin don tabbatar da cewa cikinku ya ƙare.

• gaya wa likitanka idan kana shayarwa.

• idan kuna yin tiyata, gami da tiyatar haƙori, gaya wa likita ko likitan haƙori cewa ku ɗauki mifepristone.
• ya kamata ku sani cewa bayan kawo karshen juna biyu tare da mifepristone, zaku iya sake samun juna biyu nan take, tun ma kafin lokacinku ya dawo. Idan ba kwa son yin ciki kuma, ya kamata ku fara amfani da maganin haihuwa da zarar wannan ciki ya kare ko kuma kafin ku fara yin jima'i.

Kar a sha mifepristone tare da ruwan inabi. Yi magana da likitanka game da shan ruwan anab bayan shan wannan magani.

Za ku ɗauki mifepristone kawai a cikin ofishin likitanku ko asibitin, don haka ba kwa da damuwa da mantawa da shan kashi a gida.

Mifepristone na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

• zubar jini ta farji ko tabo
• cramps
• ciwon mara
• konewar farji, kaikayi, ko zubar ruwa
• ciwon kai

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami wani alamun da aka ambata a cikin Sashin GARGADI MAI MUHIMMAN, kira likitan ku nan da nan.

Mifepristone na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin shan wannan magani.

Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Likitanku zai adana magungunan a ofishinsa.

Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org

Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

• jiri
• suma
• hangen nesa
• tashin zuciya
• gajiya
• rauni
• karancin numfashi
• bugun zuciya mai sauri

Ya kamata ku sami mifepristone kawai daga likitan likita kuma kuyi amfani da wannan magani kawai yayin ƙarƙashin kulawar likita. Bai kamata ku sayi mifepristone daga wasu hanyoyin ba, kamar su Intanit, saboda za ku tsallake mahimman hanyoyin kiyaye lafiyar ku.

Kar ka bari wani ya sha maganin ka.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

• Mifeprex^®

• RU-486