Ospemifene
-Delile
- Ngaphambi kokuthatha i-ospemifene,
- I-Ospemifene 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:
Ukuthatha i-ospemifene kungakhuphula ubungozi bokuba nomdlavuza we-endometrium (umdlavuza wesibeletho [isibeletho]). Tshela udokotela wakho uma uke waba nomdlavuza noma wake wopha ngokweqile esithweni sangasese sowesifazane. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ospemifene. Uma unokopha okungavamile kwesitho sangasese sowesifazane ngenkathi uthatha i-ospemifene shayela udokotela wakho ngokushesha.
Ukuthatha i-ospemifene nakho kungakhuphula ubungozi bokushaywa unhlangothi namahlule egazi. Tshela udokotela wakho uma ubhema noma wake wahlaselwa isifo sohlangothi; uma wena noma omunye emndenini wakho uke waba namahlule egazi; noma uma uke waba nomfutho ophakeme wegazi, amazinga aphezulu egazi e-cholesterol noma amafutha, isifo sikashukela, isifo senhliziyo, noma i-lupus (isimo lapho umzimba uhlasela izicubu zawo ezidala ukulimala nokuvuvukala). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ospemifene. Khuluma nodokotela wakho njalo ezinyangeni ezintathu kuya kweziyisithupha ukuze uxoxe ngokuthi kufanele yini uqhubeke nokuphuza lo muthi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-ospemifene bese ufonela udokotela wakho ngokushesha: ukuvuvukala noma ubuhlungu emilenzeni yakho; isikhumba esifudumele noma esibomvu; inkulumo ehamba kancane noma enzima; isiyezi noma ukuquleka; ubuthakathaka noma ukuphazamiseka kwengalo noma umlenze; ngokuzumayo, ikhanda elibuhlungu; izinguquko ezingazelelwe embonweni; ubuhlungu esifubeni sakho, izingalo, emuva, entanyeni noma emhlathini; noma ukuphefumula okuncane.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho kuma-ospemifene.
Khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha lo muthi.
I-Ospemifene isetshenziselwa ukwelapha izinguquko ngenxa yokunqamuka kokuya esikhathini (’’ ushintsho lwempilo, ’’ ukuphela kwezikhathi zokuya esikhathini njalo ngenyanga) ngaphakathi nangaphakathi kwesitho sangasese esingadala ucansi olubuhlungu nokoma kwesitho sangasese sowesifazane. U-Ospemifene usesigabeni semithi ebizwa ngamahomoni. Isebenza ngokufaka esikhundleni se-estrogen evame ukukhiqizwa ngumzimba.
I-Ospemifene iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa ngokudla kanye ngosuku. Thatha i-ospemifene ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ospemifene njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
I-Ospemifene iyasiza ekulawuleni izimpawu zokunqamuka kokuya esikhathini ezingadala ukoma kwesitho sangasese sowesifazane nobuhlungu ngesikhathi sokuya ocansini kodwa zingayelaphi. Qhubeka uthathe i-ospemifene noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-ospemifene ngaphandle kokukhuluma nodokotela wakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-ospemifene,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ospemifene, noma imiphi eminye imishanguzo, noma ezinye izithako ezibhebheni ze-ospemifene. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal anjenge-itraconazole (Sporanox), i-fluconazole (i-Diflucan), i-ketoconazole (i-Nizoral); i-clarithromycin (i-Biaxin); ama-estrogens afana ne- (Premarin); ama-estrogen agonists / abaphikisi abanjengo-tamoxifen (Nolvadex); imishanguzo yegciwane lesandulela ngculazi (i-HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-indinavir (Crixivan), i-nelfinavir (i-Viracept), i-ritonavir (i-Norvir, e-Kaletra), i-saquinavir (i-Fortovase, i-Invirase); nefazodone; noma i-rifampin (i-Rifadin, i-Rimactane, e-Rifamate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uyondla. I-Ospemifene ingadala ukulimala kwengane. Uma ukhulelwa ngenkathi uthatha i-ospemifene, shayela udokotela wakho ngokushesha.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma uzophumula embhedeni, tshela udokotela noma udokotela wamazinyo uthatha i-ospemifene.
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-Ospemifene ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukushisa okushisayo noma ukuqhuma
- ukukhishwa kwesitho sangasese sowesifazane
- ukuphazamiseka kwemisipha
- ukujuluka okwandayo
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe. amehlo, izandla, izinyawo, amaqakala, noma imilenze engezansi
- ukushaqeka
- ubunzima bokugwinya noma ukuphefumula
- isifuba
- ukuqubuka
- ukulunywa
I-Ospemifene 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.
Gcina wonke ama-aphoyintimenti nodokotela wakho.
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.
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