Toremifene

Umxholo

• Ngaphambi kokuba uthathe i-toremifene,
• I-Toremifene inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Toremifene inokubangela ukwanda kwe-QT (isingqisho sentliziyo esingaqhelekanga esinokukhokelela ekuphelelweni lithemba, ukuphulukana nokuqonda, ukuxhuzula, okanye ukufa ngesiquphe). Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho une-QT syndrome ende (imeko ezuzwe njengelifa apho umntu kunokwenzeka ukuba abe nokwandiswa kwe-QT) okanye unawo amanqanaba asezantsi e-potassium okanye wemagniziyam egazini lakho. , ukubetha kwentliziyo okungaqhelekanga, ukusilela kwentliziyo, okanye isifo sesibindi. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha i-amitriptyline (Elavil); izinto zokubulala ezinje nge ketoconazole (Nizoral), itraconazole (Sporanox), okanye voriconazole (Vfend); i-clarithromycin (i-Biaxin, kwi-Prevpac); i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin); igranisetron (iKytril); haloperidol (iHaldol); amayeza athile kwintsholongwane kaGawulayo (i-HIV) okanye i-immunodeficiency syndrome (i-AIDS) efana ne-atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, e Kaletra), kunye ne-saquinavir (i-Invirase) amayeza athile okubetha kwentliziyo okungaqhelekanga afana ne-amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), ibutilide (Corvert), procainamide (Procanbid, Pronestyl), quinidine, kunye ne-sotalol (Betapace, Betapace AF); levofloxacin (Levaquin); nefazodone; Ofloxacin; I-ondansetron (iZofran); telithromycin (Ketek); thioridazine; kunye ne-venlafaxine (Effexor). Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-toremifene kwaye ubize ugqirha ngoko nangoko: ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga; isiqaqa; ukulahleka kwengqondo; okanye ukuxhuzula.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-toremifene. Ugqirha wakho unokuyalela ii-electrocardiograms (EKGs, iimvavanyo ezirekhoda umsebenzi wombane wentliziyo) ngaphambi kwaye ngexesha lonyango lwakho ukuze uqiniseke ukuba kukhuselekile ukuba ungathatha i-toremifene.

Thetha nogqirha wakho malunga neengozi zokuthatha i-toremifene.

I-Toremifene isetyenziselwa ukunyanga umhlaza wamabele osasazeke kwamanye amalungu omzimba kwabasetyhini abanamava okuyeka ukuya exesheni ('utshintsho lobomi'; ukuphela kwexesha lokuya exesheni ngenyanga). I-Toremifene ikwiklasi yamayeza abizwa ngokuba yi-nonsteroidal antiestrogens. Isebenza ngokuthintela umsebenzi we-estrogen (ihomoni yabasetyhini) ebeleni. Oku kunokumisa ukukhula kwamanye amathumba ebele afuna i-estrogen ukuba ikhule.

I-Toremifene iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kunye okanye ngaphandle kokutya kube kanye ngemini. Thatha i-toremifene malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-toremifene ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-toremifene,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-toremifene, nawaphi na amanye amayeza, okanye nasiphi na isithako kwiipilisi ze-toremifene. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: ii-anticoagulants ('' blood thinners '') ezifana ne-warfarin (Coumadin); carbamazepine (Epitol, Equetro, Tegretol); cimetidine (iTagamet); clonazepam (iKlonopin); dexamethasone (Decadron, Dexone); diltiazem (Cardizem, Dilacor, Tiazac, nabanye); umchamo ('iipilisi zamanzi'); i-fluvoxamine; phenobarbital; phenytoin (iDilantin, iPhenytek); irifabutin (Mycobutin); irifampin (Rifadin, Rimactane); Kunye neverapamil (Calan, Covera, Isoptin, Verelan). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-toremifene, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba umhlaza wakho usasazekile emathanjeni akho kwaye ukuba unayo okanye wakha wanayo nayiphi na imeko ebangela ukuba igazi lakho ligqume ngokulula kunesiqhelo okanye i-endometrial hyperplasia (ukugqobhoza komtya wesibeleko).
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-toremifene, biza ugqirha wakho. I-Toremifene inokulimaza umbungu. Ukuba awukaze uyeke ukuya exesheni, kuya kufuneka usebenzise indlela ethembekileyo yolawulo lokuzalwa ukukhusela ukukhulelwa ngelixa uthatha i-toremifene.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-toremifene.
• Kuya kufuneka uyazi ukuba ithumba lakho lingakhula libe likhulu kancinci xa uqala unyango nge-toremifene. Ukuba oku kuyenzeka, unokufumana ukuba bomvu kwesikhumba kunye nentlungu yethambo. Oku kuqhelekile kwaye akuthethi ukuba umhlaza wakho uya usiba mbi. Njengoko uqhubeka unyango lwakho kunye ne-toremifene, i-tumor yakho iya kuncipha.

Sukutya igrapefruit okanye usele ijusi yeziqhamo xa usela eli yeza.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Toremifene inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• kushushu
• ukubila
• ukungaboni kakuhle okanye umbono ongaqhelekanga
• ubuntununtunu bokukhanya okanye ukubona iihalos ezijikeleze ukukhanya
• kunzima ukubona ebusuku
• ukutshabalalisa okanye ukuthungca kwemibala
• amehlo owomileyo
• isiyezi
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:

• ukopha kwilungu lobufazi
• iintlungu zangasese okanye uxinzelelo
• amaxesha angaqhelekanga
• Ukukhutshwa okungaqhelekanga kwilungu lobufazi
• ukozela
• ukudideka
• iintlungu zemisipha okanye ubuthathaka
• intlungu edibeneyo
• intlungu zesisu
• ukuqhina
• ukuchama rhoqo
• ukunxanwa ngokugqithiseleyo
• Ukuphelelwa ngumdla wokutya
• isicaphucaphu
• ukugabha

Abanye abantu abathathe i-toremifene baba nomhlaza kwilindle lesibeleko.Akukho lwazi lwaneleyo ukuxelela ukuba i-toremifene ibangele aba bantu ukuba babe nomhlaza. Thetha nogqirha wakho malunga nemingcipheko yokuthatha la mayeza.

I-Toremifene inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obungaphaya, kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• intloko ebuhlungu
• isicaphucaphu
• ukugabha
• isiyezi
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• ukungazinzi
• kushushu
• ukopha kwilungu lobufazi

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• UFareston^®