I-Cinacalcet

-Delile

• Ngaphambi kokuthatha i-cinacalcet,
• ICinacalcet ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

ICinacalcet isetshenziswa yodwa noma neminye imithi yokwelapha i-hyperparathyroidism yesibili (isimo lapho umzimba ukhiqiza khona i-hormone eningi kakhulu ye-parathyroid [into yemvelo edingekayo ukulawula inani le-calcium egazini] engadala izinkinga ezinkulu ngamathambo, inhliziyo imithambo yegazi, namaphaphu) ezigulini ezinesifo esingapheliyo sezinso (isimo lapho izinso ziyeka ukusebenza kancane futhi kancane kancane) ezelashwa nge-dialysis (ukwelashwa ukuhlanza igazi lapho izinso zingasebenzi kahle). ICinacalcet ibuye isetshenziselwe ukwelapha amazinga aphezulu e-calcium egazini leziguli ezinomdlavuza we-parathyroid (umdlavuza wezindlala ezisentanyeni ezenza i-hormone ye-parathyroid). ICinacalcet isekilasini lemithi ebizwa ngama-calcimimetics. Isebenza ngokusayina umzimba ukuthi ukhiqize i-hormone engaphansi kwe-parathyroid ukuze wehlise inani le-calcium egazini.

ICinacalcet iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku ngokudla noma ngemuva nje kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-cinacalcet, yithathe ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-cinacalcet njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-cinacalcet futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo emavikini e-2-4.

ICinacalcet ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka uthathe i-cinacalcet noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-cinacalcet ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-cinacalcet,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-cinacalcet noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo yokulwa nokudangala (ama-elevator emood) njenge-amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), nefazodone, nortriptyline (Aventyl, Pamelor ), i-paroxetine (i-Paxil), i-protriptyline (i-Vivactil) ne-trimipramine (i-Surmontil); ama-antifungals afana ne-fluconazole (i-Diflucan), i-itraconazole (i-Sporanox), ne-ketoconazole (i-Nizoral); i-cimetidine (Tagamet); i-cyclosporine (iNeoral, iSandimmune); i-danazol (iDanocrine); i-delavirdine (i-Rescriptor); i-diltiazem (iCardizem, iDilacor, iTiazac); i-erythromycin (E.E.S., E-Mycin, Erythrocin); i-flecainide (iTambocor); I-HIV protease inhibitors efana ne-indinavir (Crixivan) ne-ritonavir (Norvir); i-isoniazid (INH, Nydrazid); i-metronidazole (i-Flagyl); izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); i-thioridazine (Mellaril); troleandomycin (TAO); i-verapamil (Calan, Covera, Isoptin, Verelan); i-vinblastine (iVelban); futhi zafirlukast (Accolate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma uke wahlaselwa yisifo sokuwa noma owake wahlaselwa yisifo sokuwa noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-cinacalcet, shayela udokotela wakho.

Khuluma nodokotela wakho ngokuphuza 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.

ICinacalcet ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isisu esibuhlungu
• ukuhlanza
• isifo sohudo
• isiyezi
• ubuthakathaka
• ubuhlungu besifuba

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ukuvutha, ukushosholoza, noma imizwa engajwayelekile yezindebe, ulimi, iminwe, noma izinyawo
• ubuhlungu bemisipha noma amajaqamba
• ukuqina okungazelelwe kwemisipha ezandleni, ezinyaweni, ebusweni, noma emphinjeni
• isithuthwane
• ukutheleleka kokufinyelela kwe-dialysis (umthambo wegazi owenziwe ngokuhlinzwa lapho igazi lishiya khona lingene emzimbeni ngesikhathi se-dialysis)

ICinacalcet ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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. Gcina ekamelweni lokushisa futhi kude nokushisa 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:

• ukuvutha, ukushosholoza, noma imizwa engajwayelekile yezindebe, ulimi, iminwe, noma izinyawo
• ubuhlungu bemisipha noma amajaqamba
• ukuqina okungazelelwe kwemisipha ezandleni, ezinyaweni, ebusweni, noma emphinjeni
• isithuthwane

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

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.

• ISenipar^®