Zosakanikirana

Zamkati

• Ibandronate mwina singagwire bwino ntchito ndipo itha kuwononga kholingo (chubu pakati pakamwa 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 ibandronate,
• Ibandronate imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo musanatenge ibandronate ina:
• Zizindikiro za bongo zingaphatikizepo izi:

Ibandronate amagwiritsidwa ntchito popewa komanso kuchiza matenda a osteoporosis (vuto lomwe mafupa amafooka komanso kufooka ndikuphwanya mosavuta) mwa azimayi omwe asintha msambo ('' kusintha kwa moyo, '' kutha kwa msambo). Ibandronate ali mgulu la mankhwala otchedwa bisphosphonates. Zimagwira ntchito popewa kuwonongeka kwa mafupa ndikuwonjezera kuchuluka kwa mafupa (makulidwe).

Ibandronate imabwera ngati piritsi kuti itenge pakamwa. Piritsi la 2.5-mg nthawi zambiri limatengedwa kamodzi patsiku m'mawa wopanda kanthu ndipo piritsi la 150-mg limamwedwa kamodzi pamwezi m'mawa wopanda kanthu. Piritsi la 150-mg liyenera kumwedwa tsiku lomwelo mwezi uliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ibandronate ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ibandronate mwina singagwire bwino ntchito ndipo itha kuwononga kholingo (chubu pakati pakamwa 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 kutenga ibandronate mukangodzuka m'mawa, musanadye kapena kumwa chilichonse. Musamamwe ibandronate nthawi yogona kapena musanadzuke ndi kutsika pabedi tsikulo.
• Kumeza mapiritsiwo ndi kapu yathunthu (180 mpaka 240 mL) yamadzi wamba. Musatenge ibandronate ndi tiyi, khofi, msuzi, mkaka, madzi amchere, madzi owala, kapena madzi aliwonse kupatula madzi wamba.
• Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya. Osayamwa mapiritsi.
• Mukamwa ibandronate, musadye, kumwa, kapena kumwa mankhwala ena aliwonse (kuphatikiza mavitamini kapena maantacid) osachepera mphindi 60. Osagona kwa mphindi 60 mutatenga ibandronate. Khalani mowongoka kapena imani chilili kwa mphindi 60.

Ibandronate amawongolera kufooka kwa mafupa koma samachiritsa. Ibandronate imathandizira kuchiza ndikupewa kufooka kwa mafupa pokhapokha bola ndikumwa nthawi zonse. Pitirizani kutenga ibandronate ngakhale mukumva bwino. Osasiya kumwa ibandronate osalankhula ndi dokotala, koma lankhulani ndi dokotala nthawi ndi nthawi ngati mukufunikirabe kumwa ibandronate.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi ibandronate ndipo nthawi iliyonse mukadzaza 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 ibandronate,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la ibandronate, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa m'mapiritsi a ibandronate. Funsani wamankhwala wanu kuti awonetse 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; ndi steroids amlomo monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa mankhwala aliwonse am'kamwa, kuphatikiza zowonjezera mavitamini, mavitamini, kapena maantacid, tengani osachepera mphindi 60 mutamwa ibandronate.
• uzani dokotala wanu ngati mukulephera kukhala wowongoka kapena kuyimirira molunjika kwa mphindi zosachepera 60 ndipo ngati mwakhalapo ndi calcium yotsika pang'ono m'magazi anu. Dokotala wanu angakuuzeni kuti musatenge ibandronate.
• uzani adotolo ngati mukumwa mankhwala a radiation komanso ngati mudakhalapo ndi kuchepa kwa magazi m'thupi (momwe maselo ofiira samabweretsa mpweya wokwanira kumadera onse amthupi); zovuta kumeza; kutentha pa chifuwa; Zilonda zam'mimba kapena zovuta zina m'mimba mwanu kapena m'mero ​​(chubu cholumikiza mmero ndi m'mimba); 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 impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Komanso muuzeni dokotala ngati mukufuna kukhala ndi pakati nthawi ina iliyonse m'tsogolo, chifukwa ibandronate imatha kukhala mthupi lanu kwazaka zambiri mutasiya kumwa. Itanani dokotala wanu mukakhala ndi pakati mukamamwa kapena mukalandira chithandizo.
• muyenera kudziwa kuti ibandronate imatha kuyambitsa matenda a osteonecrosis a nsagwada (ONJ, vuto lalikulu la nsagwada), makamaka ngati mwachitidwa opareshoni yamazinyo kapena chithandizo mukamamwa mankhwalawa. Dokotala wamano ayenera kuwerengera mano anu ndikuchita chithandizo chilichonse chofunikira, kuphatikiza kuyeretsa kapena kukonza mano oyenera, musanayambe kumwa ibandronate. Onetsetsani kutsuka mano ndikutsuka mkamwa mwanu moyenera mukamamwa ibandronate. Lankhulani ndi dokotala musanalandire chithandizo chilichonse cha mano mukamamwa mankhwalawa.
• muyenera kudziwa kuti ibandronate imatha kupweteketsa mafupa, minofu, kapena mafupa. Mutha kuyamba kumva kuwawa pasanathe masiku, miyezi, kapena zaka mutangotenga ibandronate. Ngakhale kupweteka kwamtunduwu kumatha kuyamba mutatenga ibandronate kwakanthawi, ndikofunikira kuti inu ndi dokotala muzindikire kuti mwina imayambitsidwa ndi ibandronate. Itanani dokotala wanu nthawi yomweyo ngati mukumva kuwawa kwambiri nthawi iliyonse mukamalandira mankhwala ndi ibandronate. Dokotala wanu angakuuzeni kuti musiye kumwa mankhwalawa ndipo ululu wanu ukhoza kutha mukasiya kumwa mankhwalawo.
• 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 ndi kumwa zakudya ndi zakumwa zambiri zomwe zili ndi calcium ndi vitamini D wochuluka mukamamwa ibandronate. Dokotala wanu angakuuzeni zakudya ndi zakumwa zabwino zomwe zimapatsa thanzi komanso kuchuluka kwa zosowa zanu tsiku lililonse. Ngati zikukuvutani kudya zakudya zokwanira, uzani dokotala wanu. Zikatero, dokotala wanu akhoza kukupatsirani mankhwala kapena akuwonjezerani chowonjezera.

Ngati mwaiwala kumwa piritsi la 2.5-mg tsiku lililonse, musamamwe tsiku lomwelo. Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu la dosing m'mawa mwake. Musatenge mapiritsi awiri a ibandronate tsiku limodzi.

Mukaiwala kumwa piritsi la 150-mg kamodzi pamwezi, ndipo tsiku lanu lotsatira kuti mutenge ibandronate ndi masiku opitilira 7, tengani piritsi limodzi m'mawa mukakumbukira. Kenako bwererani kokatenga piritsi limodzi mwezi uliwonse patsiku lokonzedwa nthawi zonse. Ngati muiwala kutenga piritsi limodzi la 150-mg kamodzi patsiku lanu ndipo tsiku lanu lotsatira kuti mutenge ibandronate ndi masiku 7 kapena ochepa, tulukani mlingo ndikudikirira tsiku lanu lotsatira. Simuyenera kumwa mapiritsi a ibandronate 150 mg mg mkati mwa sabata limodzi.

Ngati simukudziwa chomwe mungachite mukaphonya mankhwala a ibandronate, itanani dokotala wanu.

Ibandronate imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kupweteka m'mimba
• kutsegula m'mimba
• kudzimbidwa
• kufooka
• chizungulire
• mutu
• malungo, zilonda zapakhosi, kuzizira, chifuwa, ndi zizindikiro zina za matenda
• pafupipafupi kapena mwachangu kufunika kokodza
• pokodza kwambiri

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo musanatenge ibandronate ina:

• kutentha pa chifuwa kwatsopano kapena kukulira
• zovuta kumeza
• kupweteka pakumeza
• kupweteka pachifuwa chapamwamba
• zidzolo
• nkhama zopweteka kapena zotupa
• kumasula mano
• dzanzi kapena kumverera kolemetsa pachibwano
• kuchiritsa koyipa kwa nsagwada
• kupweteka, kupweteka m'chiuno, kubuula, kapena ntchafu

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

Kutenga mankhwala a bisphosphonate monga ibandronate ya kufooka kwa mafupa kumatha kuonjezera chiopsezo kuti mutha kuthyola 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 sangatenge ibandronate. Lankhulani ndi dokotala wanu za kuopsa kotenga ibandronate.

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. Musalole kuti wovulalayo agone pansi ndipo musayese kumusambitsa.

Zizindikiro za bongo zingaphatikizepo izi:

• nseru
• kupweteka m'mimba
• kutentha pa chifuwa

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amatha kuyitanitsa mayeso ena kuti aone momwe thupi lanu likuyankhira ku ibandronate.

Musanaphunzire za kulingalira za fupa, uzani adotolo ndi othandizira kuti mukumwa ibandronate.

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.

• Boniva^®