Tepotinib

Zamkati

• Musanatenge tepotinib,
• Tepotinib itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Tepotinib imagwiritsidwa ntchito pochiza mtundu wina wa khansa ya m'mapapo yaing'ono (NSCLC) yomwe yafalikira mbali zina za thupi mwa akulu. Tepotinib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito poletsa proteni yachilendo yomwe imawonetsa kuti ma cell a khansa achulukane. Izi zimathandiza kuchepetsa kapena kuletsa kufalikira kwa maselo a khansa.

Tepotinib imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse ndi chakudya. Tengani tepotinib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tepotinib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Ngati musanza mutatenga tepotinib, musamwe mlingo wina. Pitirizani dongosolo lanu lokhazikika.

Dokotala wanu akhoza kuchepetsa mlingo wanu kapena kuimitsa kanthawi kochepa kapena kosatha malinga ndi zomwe mukukumana nazo. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira tepotinib.

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

Musanatenge tepotinib,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la tepotinib, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a tepotinib. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu zakumwa zina mankhwala ndi mavitamini, mavitamini, zowonjezera zakudya, ndi zitsamba} zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); woyendetsa galimoto (Tybost); conivaptan (Vaprisol); corticosteroids; cyclosporine (Gengraf, Neoral); dabigatran (Pradaxa); efavirenz (Sustiva, ku Atripla); zokhala; itraconazole (Onmel, Sporanox); ketoconazole; nevirapine (Viramune); phenobarbital; phenytoin (Dilantin, Phenytek); posaconazole (Noxafil); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); mwambo (Norvir); saquinavir (Invirase); ndi tacrolimus (Prograf). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi tepotinib, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo ndi vuto la m'mapapo kapena kupuma kupatula khansa ya m'mapapo kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Simuyenera kutenga pakati mukatenga tepotinib. Muyenera kuyezetsa musanalandire chithandizo chamankhwala, ndipo muyenera kugwiritsa ntchito njira zakulera kuti muchepetse kutenga pakati mukamalandira chithandizo komanso kwa sabata limodzi mutangomaliza kumwa mankhwala. Ngati ndinu wamwamuna wokhala ndi mkazi yemwe angatenge pakati, muyenera kugwiritsa ntchito njira yoletsa kuteteza mimba mukamalandira chithandizo komanso kwa sabata limodzi mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Tepotinib itha kuvulaza mwana wanu wosabadwa. Ngati inu kapena mnzanu mutakhala ndi pakati mukamamwa tepotinib, itanani dokotala wanu mwachangu.
• uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwitsa mukamamwa tepotinib komanso kwa mlungu umodzi mutatha kumwa mankhwala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati mkati mwa maola 8 a mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Tepotinib itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutupa kwa mikono, manja, mapazi, kapena miyendo yakumunsi
• nseru
• kutsegula m'mimba
• kudzimbidwa
• kusanza
• kusowa chilakolako
• kupweteka m'mimba
• kutopa
• kupweteka kwa minofu, olowa, kapena mafupa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kupuma movutikira, kutentha thupi, kapena kutsokomola
• kupweteka kumtunda chakumanja kwam'mimba; kuvulaza kapena kutuluka mwachilendo; mkodzo wamdima; chikasu cha khungu ndi maso; kapena kusowa kwa njala

Tepotinib ikhoza 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. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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

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.

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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira tepotinib. Dokotala wanu ayeneranso kuyitanitsa mayeso a labu musanayambe mankhwala anu kuti mudziwe ngati khansa yanu imatha ndi tepotinib.

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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