Kukonzanso

Zamkati

• Risedronate mwina singagwire bwino ntchito ndipo itha kuwononga kholingo (chubu cholumikiza mkamwa ndi m'mimba) kapena kuyambitsa zilonda mkamwa ngati singatengedwe molingana ndi malangizo awa. Uzani dokotala wanu ngati simukumvetsa, mukuganiza kuti simukumbukira, kapena simungathe kutsatira malangizo awa:
• Musanatenge risedronate,
• Risedronate itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zotsatirazi, itanani dokotala nthawi yomweyo musanatengeko risedronate:
• Zizindikiro za bongo zingaphatikizepo izi:

Mapiritsi a Risedronate ndikuchedwa kutulutsidwa (mapiritsi otenga nthawi yayitali) amagwiritsidwa ntchito popewa komanso kuchiza kufooka kwa mafupa (vuto lomwe mafupa amafooka ndi kufowoka ndikuphwanya mosavuta) mwa azimayi omwe atha msambo ('' kusintha kwa moyo, '' kutha kusamba). Mapiritsi a Risedronate amagwiritsidwanso ntchito kuchiza kufooka kwa mafupa mwa amuna, komanso mwa abambo ndi amai omwe akutenga glucocorticoids (mtundu wa mankhwala a corticosteroid omwe angayambitse kufooka kwa mafupa). Mapiritsi a Risedronate amagwiritsidwanso ntchito kuthana ndi matenda a Paget a mafupa (vuto lomwe mafupa amafewa komanso ofooka ndipo atha kupunduka, opweteka, kapena osweka mosavuta). Risedronate ali mgulu la mankhwala otchedwa bisphosphonates. Zimagwira ntchito popewa kuwonongeka kwa mafupa ndikuwonjezera kuchuluka kwa mafupa (makulidwe).

Risedronate imabwera ngati piritsi komanso piritsi lotulutsira mochedwa kuti mutenge pakamwa. Mapiritsi otulutsira mochedwa nthawi zambiri amatengedwa kamodzi pa sabata m'mawa, akangodya chakudya cham'mawa. Mapiritsiwa amatengedwa m'mimba yopanda kanthu kamodzi patsiku m'mawa, kamodzi pa sabata m'mawa, kamodzi pamwezi m'mawa, kapena kamodzi pamwezi m'mawa awiri motsatizana kutengera momwe muliri komanso mulingo woyenera dokotala. Ngati mukumwa risedronate kamodzi pa sabata, kamodzi pamwezi, kapena kamodzi pamwezi masiku awiri motsatizana, tengani tsiku lomwelo sabata iliyonse kapena mwezi kapena masiku awiri ofanana mwezi uliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani risedronate ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kapena kwa nthawi yayitali kuposa momwe adalangizira dokotala.

Risedronate mwina singagwire bwino ntchito ndipo itha kuwononga kholingo (chubu cholumikiza mkamwa ndi m'mimba) kapena kuyambitsa zilonda mkamwa ngati singatengedwe molingana ndi malangizo awa. Uzani dokotala wanu ngati simukumvetsa, mukuganiza kuti simukumbukira, kapena simungathe kutsatira malangizo awa:

• Muyenera kumwa mapiritsi a risedronate nthawi yomweyo mutadzuka m'mawa musanadye kapena kumwa chilichonse. Muyenera kumwa mapiritsi otulutsidwa mochedwa risedronate mukangomaliza kudya kadzutsa. Musatenge risedronate nthawi yogona kapena musanadzuke ndi kutsika pabedi tsikulo.
• Kumeza mapiritsiwo ndi kapu yathunthu (180 mpaka 240 mL) yamadzi opanda madzi mukakhala pansi kapena mukuimirira. Kumeza mapiritsi otulutsidwa mochedwa omwe ali ndi ma ouniki pafupifupi 120 (120 mL) amadzi opanda madzi mukakhala pansi kapena mukuimirira. Musatenge risedronate ndi tiyi, khofi, msuzi, madzi amchere, mkaka, zakumwa zina za mkaka, kapena madzi aliwonse kupatula madzi wamba.
• Kumeza mapiritsi ndi mapiritsi otulutsidwa mochedwa. Osagawanika, kutafuna, kapena kuwaphwanya. Osamwa mapiritsi kapena kuwagwira mkamwa mwanu kwa nthawi yayitali.
• Mukamwa risedronate, musadye, kumwa, kapena kumwa mankhwala aliwonse osachepera mphindi 30. Osagona kwa mphindi 30 mutatenga risedronate. Khalani chilili kapena kuimirira mpaka mphindi 30 zitadutsa.

Risedronate amawongolera kufooka kwa mafupa ndi matenda a Paget a mafupa koma samachiritsa izi. Risedronate imathandizira kuchiza ndikupewa kufooka kwa mafupa pokhapokha bola ndikumwa nthawi zonse. Pitirizani kutenga risedronate ngakhale mutakhala bwino. Osasiya kumwa risedronate osalankhula ndi dokotala, koma lankhulani ndi dokotala nthawi ndi nthawi ngati mukufunikirabe kumwa risedronate.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi risedronate ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge risedronate,

• auzeni adotolo ndi asayansi yanu ngati muli ndi vuto la risedronate, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a risedronate kapena mapiritsi otulutsidwa mochedwa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: angiogenesis inhibitors monga bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), kapena sunitinib (Sutent); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Ibu-Tab, Motrin, ena) ndi naproxen (Aleve, Naprelan, Naprosyn, ena); khansa chemotherapy; kapena steroids yamlomo monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos). Ngati mukumwa mapiritsi otulutsidwa mochedwa, muyenera kuuzanso dokotala ngati mukumwa H₂ blocker monga cimetidine, famotidine (Pepcid), nizatidine (Axid), ndi ranitidine (Zantac) kapena proton pump inhibitor monga esomeprazole (Nexium, ku Vimovo), lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole ), ndi rabeprazole (AcipHex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Muyenera kudziwa kuti Actonel ndi Atelvia onse ali ndi risedronate. Simungamwe mankhwala onsewa nthawi imodzi.
• ngati mukumwa mankhwala ena aliwonse am'kamwa kuphatikiza mavitamini, zowonjezera mavitamini, kapena maantacid, tengani osachepera mphindi 30 mutatenga risedronate.
• auzeni dokotala ngati mwakhalapo ndi calcium yotsika pang'ono m'magazi anu kapena mavuto aliwonse ndi kholingo lanu ndipo ngati simungathe kukhala wowongoka kapena kuimirira chilili kwa mphindi zosachepera 30. Dokotala wanu angakuuzeni kuti simuyenera kutenga risedronate.
• uzani dokotala wanu ngati mukumwa mankhwala a radiation; ngati mwakhala mukuvutikira kumeza; kutentha pa chifuwa; zilonda zam'mimba kapena mavuto ena m'mimba mwanu; kuchepa magazi (momwe maselo ofiira am'magazi samabweretsa mpweya wokwanira kumadera onse amthupi); khansa; matenda amtundu uliwonse, makamaka mkamwa mwanu; mavuto pakamwa panu, mano, kapena m'kamwa; vuto lililonse lomwe limaletsa magazi anu kuti asagundike bwino; kapena matenda a mano kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukuyamwitsa. Komanso muuzeni dokotala ngati mukufuna kukhala ndi pakati nthawi ina iliyonse m'tsogolo, chifukwa risedronate imatha kukhala mthupi lanu kwazaka zambiri mutasiya kumwa. Itanani dokotala wanu mukakhala ndi pakati mukamamwa kapena mutalandira chithandizo cha risedronate.
• muyenera kudziwa kuti risedronate imatha kupweteketsa mafupa, minofu, kapena mafupa. Mutha kuyamba kumva kuwawa pasanathe masiku, miyezi, kapena zaka mutangotenga risedronate. Ngakhale kupweteka kwamtunduwu kumatha kuyamba mutatenga risedronate kwakanthawi, ndikofunikira kuti inu ndi dokotala muzindikire kuti mwina imayambitsidwa ndi risedronate. Itanani dokotala wanu nthawi yomweyo ngati mukumva kuwawa kwambiri nthawi iliyonse mukamalandira risedronate. Dokotala wanu angakuuzeni kuti musiye kumwa risedronate ndipo ululu wanu ukhoza kutha mukasiya kumwa mankhwala.
• muyenera kudziwa kuti risedronate imatha kuyambitsa matenda a osteonecrosis a nsagwada (ONJ, vuto lalikulu la nsagwada), makamaka ngati mwachita opaleshoni yamano kapena chithandizo mukamamwa mankhwalawa. Dokotala wamano ayenera kuwerengetsa mano anu ndikuchita chithandizo chilichonse chofunikira, kuphatikiza kuyeretsa kapena kukonza mano oyenera, musanayambe kumwa risedronate. Onetsetsani kutsuka mano ndikutsuka mkamwa mwanu moyenera mukamamwa risedronate. Lankhulani ndi dokotala musanalandire chithandizo chilichonse cha mano mukamamwa mankhwalawa.
• lankhulani ndi dokotala wanu pazinthu zina zomwe mungachite kuti muteteze kufooka kwa mafupa kuti kukula kapena kukulira. Dokotala wanu angakuuzeni kuti mupewe kusuta fodya komanso kumwa mowa wambiri komanso kutsatira njira zolimbitsa thupi zolimbitsa thupi.

Muyenera kudya zakudya zambiri zomwe zili ndi calcium yambiri ndi vitamini D mukamamwa risedronate. Dokotala wanu angakuuzeni kuti ndi zakudya ziti zomwe zimapatsa thanzi komanso kuchuluka kwa zosowa zanu tsiku lililonse. Ngati zikukuvutani kudya zakudya zokwanira, uzani dokotala wanu. Zikatero, dokotala wanu angakupatseni mankhwala kapena akuwonjezerani chowonjezera.

Ngati mwaphonya mlingo wa risedronate kamodzi patsiku, musadzamwe tsiku lomwelo. Pitani muyezo womwe mwaphonya ndikumwa kamodzi m'mawa mwake monga mwanthawi zonse.

Ngati mwaphonya mlingo wa risedronate kamodzi pamlungu, musamamwe tsiku lomwelo. Imwani mlingo umodzi m'mawa mutakumbukira. Kenako mubwerere kumwa kamodzi kamodzi sabata iliyonse patsiku lanu lokhazikika.

Ngati mwaphonya mlingo wa risedronate kamodzi pamwezi koma kumbukirani masiku opitilira 7 tsiku lanu lotsatira lisanakwane, tengani mlingo womwe mwaphonya m'mawa mukakumbukira. Ngati mukukumbukira masiku ochepera asanu ndi awiri isanakwane tsiku lanu lotsatira, musamwe mankhwalawo. M'malo mwake, dikirani mpaka m'mawa m'mawa omwe mudzakonzekere kenako mutenge risedronate mwachizolowezi.

Ngati mwaphonya chimodzi kapena ziwiri za masiku awiri motsatizana, risedronate kamodzi pamwezi koma mukukumbukira masiku opitilira 7 isanakwane mlingo wanu wotsatira, mutha kumwa mankhwala omwe mwaphonya. Tengani mlingo woyamba kuphonya m'mawa mutakumbukira ndipo ngati mwaphonya mlingo wonsewo, tengani mlingo wachiwiri womwe mwaphonya m'mawa mutangomaliza kulandira woyamba. Ngati mukukumbukira masiku ochepera asanu ndi awiri isanakwane tsiku lanu lotsatira, musamwe mankhwala omwe munaphonya. M'malo mwake, dikirani mpaka m'mawa m'mawa omwe mudzakonzekere kenako mutenge risedronate mwachizolowezi.

Ngati mwaphonya mlingo wa risedronate ndipo simukudziwa choti muchite, itanani dokotala wanu. Nthawi zonse tengani risedronate choyamba m'mawa. Musatenge mlingo wowirikiza kuti mugwiritse ntchito yomwe mwaphonya, ndipo musamwe mowa woposa umodzi tsiku limodzi.

Risedronate itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kubowola
• pakamwa pouma
• kupweteka m'mimba
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• mutu
• chizungulire
• kufooka
• kukokana kwamiyendo
• kupweteka kwa msana
• pafupipafupi kapena mwachangu kufunika kokodza
• pokodza kwambiri

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zotsatirazi, itanani dokotala nthawi yomweyo musanatengeko risedronate:

• kuvuta kumeza kapena kupweteka mukamedza
• kutentha pa chifuwa kwatsopano kapena kukulira
• kupweteka pachifuwa
• kuyabwa
• zidzolo
• ming'oma
• matuza pakhungu
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma
• ukali
• kutuluka kwa minofu, kugwedezeka, kapena kukokana
• dzanzi kapena kumva kulasalasa pakamwa kapena m'manja kapena m'mapazi
• maso otupa, ofiira, kapena opweteka
• kutengeka ndi kuwala
• nkhama zopweteka kapena zotupa
• kumasula mano
• dzanzi kapena kumverera kolemetsa pachibwano
• kuchiritsa koyipa kwa nsagwada
• kupweteka, kupweteka m'chiuno, kubuula, kapena ntchafu

Risedronate imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Kutenga mankhwala a bisphosphonate monga risedronate for osteoporosis kungapangitse ngozi kuti muswe mafupa anu. Mutha kumva kupweteka m'chiuno mwanu, kubuula kwanu, kapena ntchafu zanu kwa milungu ingapo kapena miyezi isanaphwanye mafupa, ndipo mutha kupeza kuti limodzi kapena mafupa anu onse a ntchafu athyoledwa ngakhale simunagwe kapena kukumana ndi zoopsa zina.Ndizachilendo kuti fupa la ntchafu limathyoledwa mwa anthu athanzi, koma anthu omwe ali ndi matenda otupa mafupa amatha kuthyola fupa ngakhale atapanda kutenga risedronate. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito risedronate.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Pakadwala mopitirira muyeso, mupatseni mkaka wathunthu mkaka ndikuyimbira malo oyang'anira poyizoni ku 1-800-222-1222. Ngati wovulalayo wagwa kapena sakupuma, itanani oyang'anira zadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• dzanzi kapena kumva kulasalasa pakamwa kapena m'manja kapena m'mapazi
• kutuluka kwa minofu, kukokana, kapena kupindika
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

Musanaphunzire za labotale kapena kuyerekezera mafupa, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa risedronate.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Wachitetezo^®
• Atelvia

• Wachitetezo^® ndi calcium (yomwe ili ndi calcium, Risedronate)