Gefitinib

-Delile

• Ngaphambi kokuthatha i-gefitinib,
• IGefitinib ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

I-Gefitinib isetshenziselwa ukwelapha umdlavuza wamaphaphu weseli ongeyona omncane osabalalele kwezinye izingxenye zomzimba kubantu abanezinhlobo ezithile zamathumba. UGefitinib usesigabeni semithi ebizwa nge-kinase inhibitors. Isebenza ngokuvimba isenzo sento ethile eyenzeka ngokwemvelo engadingeka ukusiza amangqamuzana omdlavuza ukuba ande.

IGefitinib iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa nokudla noma ngaphandle kokudla kanye ngosuku. Thatha i-gefitinib ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-gefitinib njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma ungakwazi ukugwinya amaphilisi, ungawaqothula emanzini. Beka ithebhulethi eyodwa kuma-ounces angu-4 kuya kwayi-8 (120 kuya ku-240 mL) wamanzi okuphuza angenalutho. Hlanganisa ngesipuni imizuzu engaba ngu-15 kuze kube yilapho ithebhulethi ichithwa. Phuza ingxube ngokushesha. Hlanza ingilazi ngamanye ama-ounces ayi-4 kuya kwayi-8 (120 kuya ku-240 mL) wamanzi bese uphuza amanzi ahlanze khona manjalo ukuze uqiniseke ukuthi uyayigwinya yonke le mithi.

Udokotela wakho angakubambezela noma amise unomphela ukwelashwa kwakho uma uhlangabezana nemiphumela ethile emibi. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ngenkathi welashwa nge-gefitinib.

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

Ngaphambi kokuthatha i-gefitinib,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-gefitinib, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi e-gefitinib. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); ama-antifungal anjenge-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole (i-Nizoral); i-metoprolol (iLopressor, iTrolrol XL, eDutoprol); i-phenytoin (iDilantin, Phenytek); kanye ne-tricyclic antidepressants efana ne-imipramine (Tofranil) ne-amitriptyline. Eminye imithi eminingi ingaxhumana ne-gefitinib, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha i-antacid noma i-H₂ umuthi we-blocker we-indigestion, isilungulela, noma izilonda ezifana ne-cimetidine (Tagamet), i-famotidine (i-Pepcid), i-nizatidine (i-Axid), noma i-ranitidine (i-Zantac), ibathathe okungenani amahora ayisithupha ngaphambi noma amahora angu-6 ngemuva kokuthatha i-gefitinib.
• uma uthatha umuthi we-proton pump inhibitor wokugaya ukudla, isilungulela, noma izilonda ezifana ne-esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), noma rabeprazole (AcipHex), yithathe okungenani amahora ayi-12 ngaphambi noma okungenani amahora ayi-12 ngemuva kokuthatha i-gefitinib.
• Tshela udokotela wakho uma uke waba ne-pulmonary fibrosis (isibazi samaphaphu) noma ezinye izinkinga zamaphaphu noma zokuphefumula, izinkinga zamehlo noma zokubona, noma isifo sesibindi.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. IGefitinib ingadala ukungazali (ubunzima bokukhulelwa) kwabesifazane. Kodwa-ke, kufanele usebenzise ukulawulwa kokubeletha ukuvimbela ukukhulelwa ngesikhathi sokwelashwa kwakho nge-gefitinib futhi okungenani amasonto ama-2 ngemuva kokuyeka ukuthatha umuthi. Uma ukhulelwa ngenkathi uthatha i-gefitinib, shayela udokotela wakho. IGefitinib ingalimaza umbungu futhi inyuse nengozi yokukhulelwa.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ibele ngenkathi uthatha i-gefitinib.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma kungaphansi kwamahora angu-12 ngaphambi komthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isikhumba esomile
• ukulunywa
• ukuqubuka
• induna
• izilonda zomlomo
• ubuthakathaka

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuphefumula okusha noma okwehlayo, ukukhwehlela, noma umkhuhlane
• uhudo olunzima noma oluqhubekayo
• ubuhlungu obukhulu besisu
• ukulahlekelwa isifiso sokudla
• ubuhlungu beso, ubomvu, noma ukucasuka
• umbono uyashintsha
• amehlo anamanzi
• ukuzwela kweso ekukhanyeni
• isifuba
• amabhamuza noma isikhumba esixobukayo
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izandla, izingalo, izinyawo, amaqakala noma imilenze engezansi
• isicanucanu
• ukuhlanza
• ukuphuzi kwesikhumba noma kwamehlo
• umchamo omnyama
• indle ephaphathekile
• ubuhlungu noma ukungaphatheki kahle endaweni engaphezulu yesisu

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

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.

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

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.

• U-Iressa^®