Tamoxifen: Ndi chiani komanso momwe mungatengere
Zamkati
- Zisonyezero
- Momwe mungatenge
- Zomwe muyenera kuchita mukaiwala kutenga Tamoxifen
- Zotsatira zoyipa
- Zotsutsana
Tamoxifen ndi mankhwala omwe amagwiritsidwa ntchito polimbana ndi khansa ya m'mawere, koyambirira, yowonetsedwa ndi oncologist. Mankhwalawa amatha kupezeka m'masitolo ogulitsa mankhwala wamba kapena mayina a Nolvadex-D, Estrocur, Festone, Kessar, Tamofen, Tamoplex, Tamoxin, Taxofen kapena Tecnotax, mwa mapiritsi.
Zisonyezero
Tamoxifen imawonetsedwa ngati chithandizo cha khansa ya m'mawere chifukwa imalepheretsa kukula kwa chotupacho, ngakhale atakhala wamkulu, kaya mkaziyo ali kumapeto kapena ayi, komanso momwe ayenera kumwa.
Phunzirani njira zonse zothandizira khansa ya m'mawere.
Momwe mungatenge
Mapiritsi a Tamoxifen ayenera kumwa kwathunthu, ndi madzi pang'ono, kutsatira nthawi yomweyo tsiku lililonse ndipo adotolo atha kuwonetsa 10 mg kapena 20 mg.
Nthawi zambiri, Tamoxifen 20 mg imalimbikitsidwa pakamwa, muyezo umodzi kapena mapiritsi awiri a 10 mg. Komabe, ngati palibe kusintha pakatha miyezi 1 kapena 2, mlingowo uyenera kukulitsidwa mpaka 20 mg kawiri patsiku.
Nthawi yayitali yothandizira sichinakhazikitsidwe ndi labotale, koma tikulimbikitsidwa kumwa mankhwalawa kwa zaka zosachepera 5.
Zomwe muyenera kuchita mukaiwala kutenga Tamoxifen
Ngakhale tikulimbikitsidwa kumwa mankhwalawa nthawi zonse nthawi imodzi, ndizotheka kumwa mankhwalawa mpaka maola 12 mochedwa, osataya mphamvu yake. Mlingo wotsatira uyenera kutengedwa nthawi yanthawi zonse.
Ngati mlingowu wasowa kwa maola opitilira 12, muyenera kulumikizana ndi adotolo, chifukwa sikulangizidwa kuti mutenge mlingo umodzi wosakwana maola 12.
Zotsatira zoyipa
Zotsatira zoyipa kwambiri zomwe zingachitike ndikugwiritsa ntchito mankhwalawa ndi nseru, kusungika kwamadzimadzi, mawondo otupa, kutuluka magazi kumaliseche, kutuluka kwamaliseche, zotupa pakhungu, khungu lotupa kapena khungu, kutentha ndi kutopa.
Kuphatikiza apo, ngakhale ndizosowa kwambiri, kuchepa kwa magazi m'thupi, ng'ala, kuwonongeka kwa m'maso, kusintha kwa thupi, kukwezeka kwa triglyceride, kukokana, kupweteka kwa minofu, uterine fibroids, stroko, mutu, zisokonekere, dzanzi / kumva kulira kumathanso kuchitika ndikusokoneza kapena kuchepa kwa kukoma, kuyabwa kumaliseche, kusintha kwa khoma la chiberekero, kuphatikiza kukulira ndi tizilombo tating'onoting'ono, kutaya tsitsi, kusanza, kutsekula m'mimba, kudzimbidwa, kusintha kwa michere ya chiwindi, mafuta a chiwindi ndi zochitika za m'mimba.
Zotsutsana
Tamoxifen imatsutsana ndi odwala omwe ali ndi chifuwa chilichonse pazinthu zilizonse za mankhwalawa, kuphatikiza pakusalangizidwa kwa amayi apakati kapena poyamwitsa. Kugwiritsiridwa ntchito sikukuwonetsedwanso kwa ana ndi achinyamata chifukwa maphunziro sanachitike kuti atsimikizire kufunika kwake ndi chitetezo chake.
Tamoxifen citrate iyenera kugwiritsidwa ntchito mosamala kwa odwala omwe amamwa mankhwala a anticoagulant, monga warfarin, chemotherapy mankhwala, rifampicin, ndi serotonin reuptake inhibitor antidepressants, monga paroxetine. Kuphatikiza apo, sayeneranso kugwiritsidwa ntchito nthawi yomweyo ndi aromatase inhibitors, monga anastrozole, letrozole ndi exemestane, mwachitsanzo.