Toremifene

Zamkati

• Musanatenge toremifene,
• Matoremifene amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Toremifene imatha kuyambitsa kutalikirana kwa QT (mtima wosakhazikika womwe ungayambitse kukomoka, kutaya chidziwitso, kukomoka, kapena kufa mwadzidzidzi). Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda a QT (matenda obadwa nawo momwe munthu amakhala ndi kutalikirana kwa QT) kapena mwakhalapo ndi potaziyamu kapena magnesium m'magazi anu , kugunda kwamtima kosazolowereka, mtima kulephera, kapena matenda a chiwindi. Uzani dokotala wanu komanso wamankhwala ngati mukumwa amitriptyline (Elavil); antifungals monga ketoconazole (Nizoral), itraconazole (Sporanox), kapena voriconazole (Vfend); clarithromycin (Biaxin, mu Prevpac); erythromycin (EES, E-Mycin, Erythrocin); granisetron (Kytril); haloperidol (Haldol); mankhwala ena a kachirombo ka HIV (HIV) kapena matenda opatsirana m'thupi (AIDS) monga atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); mankhwala ena osagunda pamtima monga amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), ibutilide (Corvert), procainamide (Procanbid, Pronestyl), quinidine, ndi sotalol (Betapace, Betapace AF); levofloxacin (Levaquin); nefazodone; ofloxacin; ondansetron (Zofran); telithromycin (Ketek); thioridazine; ndi venlafaxine (Effexor). Ngati mukukumana ndi zizindikiro izi, lekani kumwa toremifene ndikuyimbira dokotala nthawi yomweyo: kusala pang'ono, kugunda, kapena kugunda kwamtima kosasinthasintha; kukomoka; kutaya chidziwitso; kapena kugwidwa.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti awone kuyankha kwa thupi lanu ku toremifene. Dokotala wanu amathanso kuyitanitsa ma electrocardiograms (EKGs, mayeso omwe amalemba zamagetsi mumtima) musanachitike komanso mukamalandira chithandizo kuti mutsimikizire kuti zili bwino kuti mutenge toremifene.

Lankhulani ndi dokotala wanu za kuopsa kotenga toremifene.

Toremifene amagwiritsidwa ntchito pochiza khansa ya m'mawere yomwe yafalikira kumadera ena amthupi mwa amayi omwe adayamba kusamba ('kusintha kwa moyo'; kutha kwa msambo wamwezi uliwonse). Toremifene ali mgulu la mankhwala otchedwa nonsteroidal antiestrogens. Zimagwira ntchito poletsa ntchito ya estrogen (mahomoni achikazi) m'mawere. Izi zitha kuyimitsa kukula kwa zotupa za m'mawere zomwe zimafunikira estrogen kuti ikule.

Toremifene amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Tengani toremifene mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani toremifene chimodzimodzi monga momwe mwauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

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

Musanatenge toremifene,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi toremifene, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a toremifene. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO LACHENJEZO ndi zina mwa izi: maanticoagulants ('' owonda magazi '') monga warfarin (Coumadin); carbamazepine (Epitol, Equetro, Tegretol); cimetidine (Tagamet); clonazepam (Klonopin); dexamethasone (Decadron, Dexone); diltiazem (Cardizem, Dilacor, Tiazac, ena); okodzetsa ('mapiritsi amadzi'); fluvoxamine; phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); ndi verapamil (Calan, Covera, Isoptin, Verelan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi toremifene, onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani adotolo ngati khansa yanu yafalikira m'mafupa anu ndipo ngati mwakhalapo kapena mwakhalapo ndi vuto lina lililonse lomwe limapangitsa kuti magazi anu azimira mosavuta kuposa hyperplasia yanthawi zonse kapena endometrial (kukulira kwa chiberekero).
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga toremifene, itanani dokotala wanu. Toremifene itha kuvulaza mwana wosabadwayo. Ngati simunayambe kusamba, muyenera kugwiritsa ntchito njira yodalirika yopewera mahomoni kuti musatenge mimba mukamamwa toremifene.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mankhwalawa.
• muyenera kudziwa kuti chotupa chanu chikhoza kukula pang'ono mukamayamba mankhwala ndi toremifene. Izi zikachitika, mutha kumva kupweteka pakhungu ndi mafupa. Izi si zachilendo ndipo sizitanthauza kuti khansa yanu ikuipiraipira. Mukapitiliza kulandira chithandizo chanu ndi toremifene, chotupa chanu chimachepa.

Musadye zipatso zamphesa kapena kumwa madzi amphesa pamene mukumwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Matoremifene amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutentha kotentha
• thukuta
• kusawona bwino kapena mawonekedwe osazolowereka
• kutengeka kwa kuwala kapena kuwona ma halos mozungulira magetsi
• zovuta kuwona usiku
• kutha kapena chikasu kwamitundu
• maso owuma
• chizungulire
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• magazi ukazi
• kupweteka kwa m'chiuno kapena kukakamizidwa
• nthawi zosasintha
• kutulutsa kwachilendo kwachilendo
• kugona
• chisokonezo
• kupweteka kwa minofu kapena kufooka
• kupweteka pamodzi
• kupweteka m'mimba
• kudzimbidwa
• kukodza pafupipafupi
• ludzu lokwanira
• kusowa chilakolako
• nseru
• kusanza

Anthu ena omwe adatenga toremifene adayamba khansa ya m'chiberekero.Palibe chidziwitso chokwanira choti mudziwe ngati toremifene idapangitsa anthuwa kukhala ndi khansa. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Matoremifene amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi kuwala, 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

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• mutu
• nseru
• kusanza
• chizungulire
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kusakhazikika
• kutentha kotentha
• magazi ukazi

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.

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