Toremifene

-Delile

• Ngaphambi kokuthatha i-toremifene,
• I-Toremifene ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Toremifene ingadala ukwandiswa kwe-QT (isigqi senhliziyo esingajwayelekile esingaholela ekuphelelweni amandla, ekulahlekelweni ukwazi, ekuqulekeni, noma ekufeni okungazelelwe). Tshela udokotela wakho ukuthi ngabe wena noma omunye emndenini wakho une-QT syndrome ende (isimo esizuzwe njengefa lapho umuntu kungenzeka abe ne-QT prolongation) noma uke waba namazinga aphansi we-potassium noma i-magnesium egazini lakho , ukushaya kwenhliziyo okungajwayelekile, ukwehluleka kwenhliziyo, noma isifo sesibindi. Tshela udokotela kanye nosokhemisi wakho uma usebenzisa i-amitriptyline (Elavil); ama-antifungal anjenge ketoconazole (Nizoral), itraconazole (Sporanox), noma i-voriconazole (Vfend); i-clarithromycin (i-Biaxin, ku-Prevpac); i-erythromycin (E.E.S., E-Mycin, Erythrocin); i-granisetron (i-Kytril); i-haloperidol (iHaldol); imishanguzo ethile yegciwane lesandulela ngculazi (i-HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, e-Kaletra), ne-saquinavir (i-Invirase); imishanguzo ethile yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), ibutilide (Corvert), procainamide (Procanbid, Pronestyl), quinidine, ne-sotalol (Betapace, Betapace AF); levofloxacin (Levaquin); nefazodone; ofloxacin; i-ondansetron (iZofran); i-telithromycin (Ketek); thioridazine; kanye ne-venlafaxine (i-Effexor). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-toremifene bese ushayela udokotela wakho ngokushesha: ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile; ukuquleka; ukulahlekelwa ukwazi; noma ukuquleka.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kuma-toremifene. Udokotela wakho futhi anga-oda ama-electrocardiograms (EKGs, izivivinyo ezirekhoda umsebenzi kagesi wenhliziyo) ngaphambi nangesikhathi sokwelashwa kwakho ukuze uqiniseke ukuthi kuphephile kuwe ukuthatha i-toremifene.

Khuluma nodokotela wakho ngezingozi zokuthatha i-toremifene.

I-Toremifene isetshenziselwa ukwelapha umdlavuza webele osudlulele kwezinye izingxenye zomzimba kubantu besifazane asebeke babhekana nokunqamuka kokuya esikhathini ('change of life'; end of the monthly menstrual period). I-Toremifene isekilasini lemithi ebizwa nge-nonsteroidal antiestrogens. Isebenza ngokuvimba umsebenzi we-estrogen (i-hormone yabesifazane) esifubeni. Lokhu kungamisa ukukhula kwezinye izicubu zesifuba ezidinga i-estrogen ukuze zikhule.

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

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

Ngaphambi kokuthatha i-toremifene,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-toremifene, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-toremifene. 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: ama-anticoagulants (’’ ama-thinner egazi ’’) njenge-warfarin (i-Coumadin); carbamazepine (Epitol, Equetro, Tegretol); i-cimetidine (Tagamet); i-clonazepam (iKlonopin); i-dexamethasone (i-Decadron, i-Dexone); i-diltiazem (Cardizem, Dilacor, Tiazac, abanye); isisu (‘amaphilisi amanzi’); i-fluvoxamine; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifabutin (i-Mycobutin); i-rifampin (i-Rifadin, i-Rimactane); kanye ne-verapamil (Calan, Covera, Isoptin, Verelan). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-toremifene, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma umdlavuza wakho ususabalele emathanjeni akho futhi uma ngabe uke waba nanoma yisiphi isimo esidala ukuthi igazi lakho livale kalula kunaleyo ejwayelekile noma i-endometrial hyperplasia (ukwanda kolwelwesi lwesibeletho).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-toremifene, shayela udokotela wakho. I-Toremifene ingalimaza umbungu. Uma ungakaze ubhekane nokunqamuka kokuya esikhathini, kufanele usebenzise indlela ethembekile yokulawula ukubeletha ukuvimbela ukukhulelwa ngenkathi uthatha i-toremifene.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-toremifene.
• kufanele wazi ukuthi isimila sakho singakhula sibe sikhulu kancane lapho uqala ukwelashwa nge-toremifene. Uma lokhu kwenzeka, ungahle ube nobomvu besikhumba nobuhlungu bamathambo. Lokhu kujwayelekile futhi akusho ukuthi umdlavuza wakho uya ngokuya uba mandundu. Njengoba uqhubeka nokwelashwa kwakho nge-toremifene, isimila sakho sizoncipha.

Ungadli isithelo samagilebhisi noma uphuze 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-Toremifene ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukushisa okushisayo
• ukujuluka
• ukufiphala noma umbono ongajwayelekile
• ukuzwela ekukhanyeni noma ukubona ama-halos azungeze amalambu
• kunzima ukubona ebusuku
• ukufiphala noma umbala ophuzi
• amehlo omile
• isiyezi
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukopha esithweni sangasese
• ubuhlungu be-pelvic noma ingcindezi
• izikhathi ezingajwayelekile
• ukukhishwa kwesitho sangasese sowesifazane okungavamile
• ubuthongo
• ukudideka
• ubuhlungu bemisipha noma ubuthakathaka
• ubuhlungu obuhlangene
• ubuhlungu besisu
• ukuqunjelwa
• ukuchama kaningi
• ukoma ngokweqile
• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuhlanza

Abanye abantu abathathe i-toremifene baba nomdlavuza wolwelwesi lwesibeletho.Akukho lwazi olwanele ukusho ukuthi ngabe i-toremifene ibangele laba bantu ukuba nomdlavuza. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

I-Toremifene 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. Yigcine ekamelweni lokushisa kude nokukhanya, 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 okulandelayo:

• ikhanda
• isicanucanu
• ukuhlanza
• isiyezi
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukungazinzi
• ukushisa okushisayo
• ukopha esithweni sangasese

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.

• UFareston^®