Mawallafi: William Ramirez
Ranar Halitta: 24 Satumba 2021
Sabuntawa: 1 Disamba 2024
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Dr. Cuchel discusses lomitapide - HoFH poster
Video: Dr. Cuchel discusses lomitapide - HoFH poster

Wadatacce

Lomitapide na iya haifar da mummunan lahani ga hanta. Faɗa wa likitanka idan kana da ko ka taɓa yin cutar hanta ko kuma idan ka taɓa samun matsalolin hanta yayin shan wasu magunguna. Likitanku na iya gaya muku kada ku sha lomitapide. Ka gaya wa likitanka idan ka sha giya. Shan barasa na iya kara haɗarin da za ka haifar da matsalolin hanta. Kada ku sha giya fiye da ɗaya a rana yayin da kuke shan lomitapide. Ka gaya wa likitanka da likitan harka idan kana shan acetaminophen (Tylenol, wasu), amiodarone (Cordarone), doxycycline (Doryx, Vibramycin, wasu), isotretinoin (Accutane), methotrexate (Rheumatrex), minocycline (Dynacin, Minocin), tamoxifen (Namocin, Minocin) ), ko tetracycline (Sumycin). Idan kun ji daya daga cikin wadannan alamun a kowane lokaci yayin jiyya, ku daina shan lomitapide kuma ku kira likitanku nan da nan: tsananin gajiya, rashin ƙarfi, rauni, tashin zuciya ko amai wanda ke taɓarɓarewa ko kuma ba zai tafi ba, zafi a saman dama wani ɓangare na ciki, rashin ci, sanya launin fata ko idanu, zazzaɓi, ko alamomin mura. Kwararka na iya buƙatar canza sashi ko dakatarwa ko jinkirta jiyya idan ka sami matsalolin hanta.


Wani shiri mai suna Juxtapid REMS® an amince da shi ta Hukumar Abinci da Magunguna (FDA) saboda yiwuwar lalacewar hanta haɗe da amfani da lomitapide. Duk mutanen da aka yiwa odar lomitapide dole ne su sami maganin lomitapide daga likitan da yayi rajista da Juxtapid REMS®, kuma a cika takardar sayan magani a wani kantin magani wanda yayi rajista da Juxtapid REMS® don karɓar wannan magani.

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitanku zai ba da umarnin wasu gwaje-gwaje kafin da lokacin aikinku don bincika amsar jikinku ga lomitapide.

Likitan ku ko likitan magunguna zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) lokacin da kuka fara magani tare da lomitapide kuma duk lokacin da kuka sake cika takardar sayan magani. Karanta bayanan a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi. Hakanan zaka iya ziyarci gidan yanar gizon Abinci da Magunguna (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ko kuma gidan yanar gizon masana'anta don samun Jagoran Magunguna.


Ana amfani da Lomitapide tare da sauye-sauyen abinci (ƙuntata cholesterol da mai mai) da sauran magunguna don rage yawan ƙananan cholesterol (LDL) cholesterol ('mummunan cholesterol'), duka cholesterol, da sauran abubuwa masu maiko a cikin jini cikin mutane wadanda ke da dangin homozygous hypercholesterolemia (HoFH; yanayin gado wanda ba za a iya cire cholesterol daga jiki ba). Kada ayi amfani da Lomitapide don rage matakan cholesterol a cikin mutanen da basu da HoFH. Lomitapide yana cikin ajin magungunan da ake kira magungunan rage cholesterol. Yana aiki ne ta hanyar rage samar da cholesterol a cikin jiki don rage adadin cholesterol da zai iya tasowa a bangon jijiyoyin tare da toshe jini zuwa zuciya, kwakwalwa, da sauran sassan jiki.

Haɗuwa da cholesterol da kitse tare da bangon jijiyoyin ku (tsarin da aka sani da atherosclerosis) yana rage gudan jini kuma, sabili da haka, iskar oxygen tana ba zuciyar ku, kwakwalwa, da sauran sassan jikin ku. Rage matakin jini na cholesterol da mai zai iya taimakawa hana cututtukan zuciya, angina (ciwon kirji), shanyewar jiki, da kuma bugun zuciya.


Lomitapide yana zuwa kamar kwantena don ɗauka da baki. Ana shan shi sau ɗaya a rana. Lomitapide ya kamata a sha ba tare da abinci a kan komai ba, aƙalla awanni 2 bayan abincin yamma. Sha cikakken gilashin ruwa tare da kowane kashi na lomitapide.

Auki lomitapide a kusan lokaci ɗaya kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Loauki lomitapide daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.

Hadiɗa capsules duka; kada ku rarraba, ku tauna, narkewa, ko murkushe su.

Kuna buƙatar shan ƙarin bitamin yayin jiyya tare da lomitapide Tabbatar ku bi shawarwarin da likitanku ya bayar a hankali.

Ci gaba da shan lomitapide koda kuna cikin koshin lafiya. Kada ka daina shan lomitapide ba tare da yin magana da likitanka ba.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan lomitapide,

  • gaya wa likitan ku da likitan ku idan kun kasance masu rashin lafiyan lomitapide, duk wasu magunguna, ko kuma duk wani abin da ke cikin lomitapide capsules. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
  • gaya wa likitanka idan kana shan magungunan antifungal kamar su fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), da voriconazole (Vfend); boceprevir (Victrelis); aprepitant (Emend); ciprofloxacin (Cipro); clarithromycin (Biaxin); crizotinib (Xalkori); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin); Masu hana yaduwar kwayar cutar HIV kamar amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (a Kaletra), nelfinavir (Viracept), saquinavir (Invira) a cikin Kaletra), ritonavir da tipranavir (Aptivus), da teleprevir (Incivek); imatinib (Gleevec); nefazodone; telithromycin (Ketek); da verapamil (Calan, Covera, Isoptin, Verelan). Kila likitanku zai gaya muku kar ku sha lomitapide idan kuna shan ɗaya ko fiye daga waɗannan magunguna.
  • gaya wa likitanka da likitan kantin ku wasu irin magunguna da magunguna marasa magani, bitamin, kayan abinci mai gina jiki, da kayan ganyen da kuke sha ko shirin dauka. Tabbatar da ambaton magungunan da aka jera a Sashin GARGADI MAI MUHIMMANCI da kowane ɗayan masu zuwa: aliskiren (Tekturna); alprazolam (Xanax); ambrisentan (Letairis); amiodarone (Cordarone, Pacerone); amlodipine (Norvasc, a cikin Caduet); bicalutamide (Casodex); cilostazol (Pletal); wasu magunguna na baka don ciwon sukari kamar saxagliptin (Onglyza a Kombiglyze) da sitagliptin (Januvia, a Janumet); cimetidine (Tagament); colchicine (cryira); dabigatran (Pradaxa); digoxin (Lanoxin); everolimus (Afinitor, Zortress); fexofenadine (Allegra); fluoxetine (Prozac); fluvoxamine (Luvox); isoniazid (INH, Nydrazid); lapatinib (Tykerb); maraviroc (Selzentry); magungunan da ke dankwafar da garkuwar jiki kamar su cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune) da tacrolimus (Prograf); nilotinib (Tasigna); magungunan hana daukar ciki (kwayoyin hana haihuwa); sauran magungunan rage cholesterol kamar atorvastatin (Lipitor, a Caduet, a Liptruzet), lovastatin (Mevacor), da simvastatin (Zocor, a Simcor, a Vytorin); pazopanib (Mai jefa kuri'a); ranitidine (Zantac); ranolazine (Ranexa); ticagrelor (Brilinta); tolvaptan (Samsca); Topotecan (Hycamtin); warfarin (Coumadin); da zileuton (Zyflo). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa. Sauran magunguna da yawa na iya ma'amala da lomitapide, don haka tabbatar da gaya wa likitanka duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba.
  • gaya wa likitanka irin kayan da kuke sha, musamman ginkgo ko goldenseal.
  • idan kuna shan cholestyramine (Questran), colesevelam (WellChol), ko colestipol (Colestid), ɗauki awanni 4 kafin ko awa 4 bayan lomitapide.
  • gaya wa likitanka idan kana da ko ka taba yin galactose rashin haƙuri ko kuma malabsorption na glucose-galactose (yanayin gado wanda jiki ba zai iya jurewa lactose ba), ci gaba da ciwan ciki ko na hanji, ko pancreas ko cutar koda.
  • Faɗa wa likitanka idan kana da ciki ko ka shirya yin ciki. Idan macece wacce zata iya daukar ciki, kuna bukatar yin gwajin ciki kafin fara shan lomitapide. Idan zaku iya samun ciki, yakamata kuyi amfani da maganin hana haihuwa yadda ya kamata yayin shan lomitapide. Yi magana da likitanka game da hanyoyin hana haihuwa waɗanda zasu yi aiki a gare ku. Idan kun yi ciki yayin shan lomitapide, ku daina shan magungunan kuma ku kira likitanku nan da nan. Lomitapide na iya cutar da ɗan tayi.
  • gaya wa likitanka idan kana shan nono. Kada ku shayar da nono yayin shan lomitapide.

Kada ku ci ɗan itacen inabi ko shan ruwan anab yayin shan wannan magani.

Likitanku zai gaya muku ku ci abinci mai ƙoshin mai. Cin abinci mai ƙananan mai na iya rage damar da za ku sami matsalolin ciki ciki har da tashin zuciya, amai, ciwon ciki, da gudawa yayin da kuke shan lomitapide. Bi duk shawarwarin abincin da likitan ku ko likitan kuyi a hankali.

Tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da gobe. Kar a sha kashi biyu domin biyan wanda aka rasa.

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

  • gudawa
  • tashin zuciya
  • amai
  • ciwon ciki
  • maƙarƙashiya
  • kumburin ciki
  • gas
  • ciki ciki
  • asarar nauyi
  • ciwon kai
  • jiri
  • ciwon wuya
  • hanci hanci
  • ciwon baya

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun alamun ko waɗanda aka lissafa a cikin Sashin GARGADI MAI MUHIMMAN, dakatar da shan lomitapide kuma kira likitanku nan da nan ko ku sami likita na gaggawa:

  • zawo mai tsanani
  • rashin haske
  • rage fitowar fitsari

Lomitapide 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).

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Ajiye shi a zafin jiki na ɗaki kuma nesa da yawan zafin rana da danshi (ba cikin gidan wanka ba).

Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.

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.

Kar ka bari wani ya sha maganin ka. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.

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.

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