I-Anagrelide

-Delile

• Ngaphambi kokuthatha i-anagrelide,
• I-Anagrelide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Anagrelide isetshenziselwa ukunciphisa inani lama-platelets (uhlobo lweseli legazi oludingekayo ukulawula ukopha) egazini leziguli ezinenkinga yomnkantsha, lapho umzimba wenza izinhlobo eziningi kakhulu zamangqamuzana egazi, njenge-thrombocythemia ebalulekile (isimo lapho umzimba wenza amaplatelets amaningi kakhulu) noma i-polycythemia vera (isimo lapho umzimba wenza amangqamuzana egazi abomvu amaningi kakhulu futhi kwesinye isikhathi nama-platelet amaningi kakhulu). I-Anagrelide isekilasini lemithi ebizwa ngama-platelet-reduction agents. Isebenza ngokunciphisa ukukhiqizwa kwama-platelets emzimbeni.

I-Anagrelide iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa ngokudla noma ngaphandle kokudla izikhathi ezimbili noma ezine ngosuku. Thatha i-anagrelide ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-anagrelide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-anagrelide futhi akhuphule kancane umthamo wakho, hhayi kaningi ngesonto. Udokotela wakho angashintsha umthamo wakho ngesikhathi sokwelashwa kwakho ngokususelwa ekuphenduleni komzimba wakho emithini. Landela lezi zinkomba ngokucophelela.

I-Anagrelide ingakusiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka nokuthatha i-anagrelide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-anagrelide ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-anagrelide, inani lama-platelets egazini lakho lizokhula futhi ungathola izimpawu.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-anagrelide,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-anagrelide noma omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: atazanavir (Reyataz); i-cilostazol (i-Pletal); i-cimetidine (Tagamet); i-clozapine (iClozaril); i-cyclobenzaprine (Flexeril); ama-antibiotic e-fluoroquinolone afaka i-ciprofloxacin (Cipro), gatifloxacin (Tequin), levofloxacin (Levaquin), norfloxacin (Noroxin), ofloxacin (Floxin), amanye; i-fluvoxamine (i-Luvox); imipramine (Tofranil); inamrinone; i-mexiletine (Mexitil); i-milrinone (i-Primacor); naproxen (Aleve, Naprosyn, ku-Prevacid NapraPAC); i-riluzole (Rilutek); i-sucralfate (iCarafate); tacrine (Cognex); theophylline (Elixophyllin, Theo-24, Theolair, nabanye); kanye ne-ticlopidine (Ticlid). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nezinkinga zokopha noma wake waba nazo; umfutho wegazi ophakeme noma ophansi; ukungabekezelelani kwe-lactose (ukungakwazi ukugaya imikhiqizo yobisi) noma isifo senhliziyo, sezinso noma sesibindi.
• ungathathi i-anagrelide uma ukhulelwe noma uhlela ukukhulelwa.Kufanele usebenzise indlela ephumelelayo yokulawula ukubeletha ukuvimbela ukukhulelwa ngesikhathi sokwelashwa kwakho nge-anagrelide. Khuluma nodokotela wakho ngezinhlobo zokulawulwa kokuzalwa okulungele wena. Uma ukhulelwa ngenkathi uthatha i-anagrelide, shayela udokotela wakho ngokushesha. Ungancelisi ibele ngenkathi uthatha i-anagrelide.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-anagrelide.
• kufanele wazi ukuthi i-anagrelide ingakwenza ube nesiyezi, ikakhulukazi lapho uqala ukuthatha umuthi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-anagrelide ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni olele kuyo. Lokhu kuvame kakhulu lapho uqala ukuthatha i-anagrelide. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. I-Anagrelide ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.

Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Anagrelide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• igesi
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• ubuhlungu besisu
• isilungulela
• ukubopha
• ukulahlekelwa isifiso sokudla
• ikhala eligijimayo
• ekhaleni
• Umphimbo obuhlungu
• izilonda zomlomo
• isiyezi
• ukudana
• uvalo
• ukukhohlwa
• ukudideka
• ubunzima bokulala noma ukulala
• ukungabi namandla noma ukulala
• ubuthakathaka
• ubuhlungu bemisipha, bamalunga noma beqolo
• amajaqamba omlenze
• ukulahleka kwezinwele
• imfiva
• izimpawu ezinjengomkhuhlane
• ukuchama kabuhlungu
• kukhala ezindlebeni
• ukulunywa

Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukopha okungajwayelekile noma ukulinyazwa
• igazi emchameni noma esitulweni
• indle emnyama noma yokulibala
• ubuhlungu besifuba
• ukuzwa ukushaya esifubeni
• ukushaya kwenhliziyo okusheshayo, okuphoqelelayo, noma okungajwayelekile
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima
• ukukhwehlela
• inkulumo ehamba kancane noma enzima
• ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
• ukudlikiza
• izinguquko embonweni

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nokukhanya noma ukushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ukopha okungajwayelekile noma ukulinyazwa

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-anagrelide.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Agrylin^®