Netupitant ndi Palonosetron

Zamkati

• Musanatenge netupitant ndi palonosetron,
• Netupitant ndi palonosetron zitha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi:

Kuphatikiza kwa netupitant ndi palonosetron kumagwiritsidwa ntchito popewera nseru ndi kusanza komwe kumayambitsidwa ndi chemotherapy ya khansa. Netupitant ali mgulu la mankhwala otchedwa antagonists a neurokinin (NK1). Zimagwira ntchito poletsa neurokinin, chinthu chachilengedwe muubongo chomwe chimayambitsa nseru ndi kusanza. Palonosetron ali mgulu la mankhwala otchedwa 5-HT₃ otsutsana nawo. Zimagwira ntchito poletsa serotonin, chinthu chachilengedwe mthupi chomwe chimayambitsa nseru ndi kusanza.

Kuphatikiza kwa netupitant ndi palonosetron kumabwera ngati kapisozi woti amwe pakamwa. Nthawi zambiri amatengedwa pafupifupi ola limodzi mankhwala a chemotherapy asanayambe kapena wopanda chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani netupitant ndi palonosetron chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

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

Musanatenge netupitant ndi palonosetron,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi netupitant ndi palonosetron, alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso), ondansetron (Zofran, Zuplenz), mankhwala ena aliwonse, kapena chilichonse mwa makapisozi a netupitant ndi palonosetron . Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: benzodiazepines kuphatikiza alprazolam (Xanax), midazolam, ndi triazolam (Halcion); mankhwala ena a chemotherapy monga cyclophosphamide (Cytoxan), docetaxel (Docefrez, Taxotere), etoposide, ifosfamide (Ifex), imatinib (Gleevec), irinotecan (Camptosar), paclitaxel (Taxol), vinblastine, vincristine, ndi vinorebine dexamethasone; erythromycin (EES, Ery-tab, ena); fentanyl (Abstral, Actiq, Duragesic, Fentora, Lazanda, Onsolis, Subsys); ketoconazole (Nizoral); lifiyamu (Lithobid); mankhwala ochizira migraines monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); methylene buluu; mirtazapine (Remeron); monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); phenobarbital; rifampin (Rifadin, Rimactane, ku Rifater, ku Rifamate); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); ndi tramadol (Conzip, Ultram, mu Ultracet). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwadwalapo chiwindi kapena impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga netupitant ndi palonosetron, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Netupitant ndi palonosetron ziyenera kungotengedwa musanafike chemotherapy monga momwe adanenera dokotala. Sitiyenera kutengedwa nthawi zonse.

Netupitant ndi palonosetron zitha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kupweteka m'mimba
• kutentha pa chifuwa
• kudzimbidwa
• kufooka
• kufiira kwa khungu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi:

• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupuma movutikira
• chizungulire, mutu wopepuka, ndi kukomoka
• kuthamanga, kuchepa kapena kusakhazikika kwamtima
• kubvutika
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo
• kuchapa
• thukuta kwambiri
• chisokonezo
• nseru, kusanza, ndi kutsegula m'mimba
• kutayika kwa mgwirizano
• zolimba kapena zopindika minofu
• kugwidwa
• chikomokere (kutaya chidziwitso)

Netupitant ndi palonosetron zitha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri ndi chinyezi (osati kubafa). Tayani mankhwala aliwonse omwe ndi achikale kapena osafunikanso. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

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

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti aliyense azimwa 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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