Yu gɛt psoriasis, we na wan sik we yu skin kin gɛt skel, rɛd, sɔntɛnde i kin it, ɛn i kin fil pen? Dis na sik we rili de mek pɔsin in at pwɛl. So, wan spɛshal mɛrɛsin we dɔktɔ dɛn kin advays fɔ dɛn kayn bad bad sik ya na di skin, dɛn kɔl am Acitretin. Lɛ wi tɔk bɔt dis mɛrɛsin ditayli tide, nɔto so?
Us kayn mɛrɛsin na Acitretin?
Fɔ tɔk am simpul wan, Acitretin na mɛrɛsin we dɛn kin yuz fɔ trit bad bad kayn psoriasis. Yu kin dɔn si dis mɛrɛsin ɔnda di brand nem `Soriatane`. I kin kam insay kapsul fɔm. Bɔt, dɔktɔ dɛn kin gi dis mɛrɛsin bak fɔ ɔda sik dɛn. So if yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, i go fayn fɔ aks yu dɔktɔ ɔ fama.
Wetin na de tin wae yu nid fɔ tɛl di dɔktɔ bifo yu tek mɛrɛsin?
Bifo yu bigin fɔ tek Acitretin, sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Dis mɛrɛsin nɔ kin fayn fɔ sɔm pipul dɛn. So, i rili impɔtant fɔ tɔk to yu dɔktɔ ɔnɛs wan bɔt dɛn tin ya:
- If yu na adikshɔn to rɔm.
- If yu gɛt wan sik lɛk pwɛl hat.
- If yu na pɔsin we gɛt dayabitis (`Diabetes Mellitus`).
- If yu kɔlɔstrel lɛvɛl ay.
- If yu gɛt at sik.
- If yu gɛt wan sik we gɛt fɔ du wit di kidni.
- If yu gɛt liva sik.
- If yu de yuz wan herbal supliment lek `St. Jɔn in Wɔt`.
- If yu gɛt ɛni prɔblɛm we yu nɔ de si ɔ yu gɛt prɔblɛm.
- If yu gɛt alɛji fɔ mɛrɛsin lɛk acitretin, etretinate, vaytamɛn A, isotretinoin, tretinoin, ɔda mɛrɛsin, it, atifishal kɔlɔ, ɔ tin dɛn we de mek yu nɔ pwɛl.
- Di tin we impɔtant pas ɔl na dat, if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, yu fɔ rili tɛl yu dɔktɔ . Wi go tɔk mɔ bɔt dis leta.
Aw yu kin yuz dis mɛrɛsin kɔrɛkt wan?
Dis mɛrɛsin na kapsul fɔ tek yu mɔt. Yu fɔ tek am wit wan glas wata. Di tin we impɔtant pas ɔl na fɔ tek dis mɛrɛsin wit it. Yu fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ dɔn tɛl yu, di rayt tɛm, di rayt we. Nɔ tek pas wetin di dɔktɔ tɛl yu fɔ tek, ɔ stɔp fɔ tek am bifo di tɛm we dɛn tɛl yu fɔ tek, if yu dɔktɔ nɔ advays yu.
We di famasi gi yu dis mɛrɛsin, yu go gɛt spɛshal instrɔkshɔn liflet bak (`MedGuide`). I rili impɔtant fɔ rid ɛn ɔndastand dis liflet gud gud wan ɛvri tɛm we yu gɛt nyu prɛskrishɔn ɔ we yu gɛt nyu wan.
If yu de gi dis mɛrɛsin to yɔŋ pikin dɛn, yu fɔ tɔk to dɔktɔ we de mɛn pikin dɛn bɔt am ɛn fala dɛn advays. Sɔntɛm dɛn go nid spɛshal kia da tɛm de.
Wetin a go du if a tek wan ɔvados?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ di imejensi rum we de nia yu wantɛm wantɛm.
Impɔtant: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb dis mɛrɛsin wit ɛni ɔda pɔsin fɔ ɛni rizin.
Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, skip di doz we yu mis ɛn tek yu nɛks doz na yu rɛgyula tɛm. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis.
Us ɔda tin dɛn kin miks wit dis mɛrɛsin? (Intarakshɔn dɛn)
Sɔm mɛrɛsin, it, ɔ sɔpɔtmɛnt kin miks wit Acitretin. So, we yu de tek dis mɛrɛsin, nɔ tek am wit dɛn tin ya:
- Rɔm: Dis rili impɔtant. Nɔ tek dis mɛrɛsin wit rɔm, we de insay drink, it, ɛn sɔm mɛrɛsin (inklud sɔm mɛrɛsin dɛn we nɔ de na kɔwnta).
- Etretinate: Tɛl yu dɔktɔ if yu dɔn ɛva tek dis mɛrɛsin bifo.
- Mɛtɔtreksɛt we dɛn kɔl
- Multivitamins ɔ nyutrishɔnal sɔpɔtmɛnt dɛn we gɛt vaytamɛn A.
- bכn kכntrכl pil dεm we nכ gεt εstrojen, bכt כnli gεt prכjestin (e.g., di mini pil).
- Di herbal supliment `St. Jɔn in Wɔt`.
- Tεtrasayklin-tayp antibaytik dεm (e.g. tεtrasayklin, dכksisayklin, maynosayklin).
- כda vaytam in A mεdikeshכn dεm (e.g. isotretinoin, tretinoin).
Dis list nɔ kin gɛt ɔl di intarakshɔn dɛn we pɔsin kin gɛt. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu nɔ de bay, we yu de yuz ɛbul, vaytamɛn, tin dɛn we yu de yuz fɔ mek yu bɔdi fayn), ɛn if yu de smok, drink rɔm, ɔ yu de yuz drɔgs we nɔ rayt. Sɔm tin kin miks wit yu mɛrɛsin.
Tek tɛm mɔ bɔt dɛn tin ya we yu de tek mɛrɛsin!
Sɔm tin dɛn de we yu fɔ pe atɛnshɔn to we yu de yuz Acitretin:
- We yu fɔs bigin fɔ tek dis mɛrɛsin, yu kin fil lɛk se yu psoriasis de wɔs. Nɔ wɔri, dis na nɔmal tin. I kin tek lɛk 2 to 3 mɔnt fɔ si di ful ifɛkt we di mɛrɛsin gɛt.
Bɛlɛ ɛn Acitretin - Dis na di tin we impɔtant pas ɔl!
Wonin: Acitretin na wan drɔg we kin mek pikin we nɔ gɛt bɛlɛ gɛt siriɔs prɔblɛm wit in bɛlɛ.
So, if yu na uman, yu nid fɔ rili tek tɛm wit dɛn tin ya:
- Nɔ gɛt bɛlɛ: Nɔ gɛt bɛlɛ fɔ ɛni rizin we yu de tek dis mɛrɛsin.
- Tεst fכ bεlε: Bifo yu stat di pil, yu fכ du tu nεgεtiv bεlε tεst fכ mek sכh se yu nכ bεlε. Afta dat, yu fɔ gɛt bɛlɛ tɛst ɛvri mɔnt fɔ di wan ol tɛm we yu de tek di pil. Dis fɔ bi ilɛksɛf yu nɔ de du mami ɛn dadi biznɛs.
- Fɔ kɔntrol di pikin: Yu fɔ yuz tu we dɛn fɔ kɔntrol di pikin we yu kin abop pan fɔ wan mɔnt bifo yu bigin di pil, fɔ di wan ol tɛm we yu de tek di pil, ɛn fɔ 3 ia afta yu dɔn stɔp fɔ tek di pil . Nɔ yuz bɔn kɔntrol pils we nɔ gɛt ɛstrojen (lɛk di mini pil) insay dis tɛm, bikɔs i nɔ kin wok fayn wit dis pil.
- If yu gɛt bɛlɛ: If yu gɛt bɛlɛ we yu de tek dis mɛrɛsin, if yu prɛgnɛshɔn stɔp, ɔ if yu stɔp fɔ yuz bɔn kɔntrol, yu fɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm ɛn tɛl yu dɔktɔ . Siriɔs prɔblɛm dɛn we dɛn bɔn kin apin.
- Fɔ gi yu pikin in mama in bɛlɛ: Nɔ gi yu pikin in mama in bɛlɛ we yu de tek dis mɛrɛsin ɔ bifo yu tek am.
- Speshal buklet (`Do Your PART buklet`): We dɛn gi yu mɛrɛsin, yu dɔktɔ ɔ fama go gi yu wan spɛshal buklet we dɛn kɔl ``Do Your PART``, wan pesin handout, wan bɔn kɔntrol riferal fɔm fɔ uman pasɛnt dɛn, ɛn wan ``Patient Agreement/Informed Consent Form``. Dɛn fɔ rid dɛn tin ya, ɔndastand dɛn, ɛn sayn dɛn. If yu nɔ tɔk ɔ sayn dis wit yu dɔktɔ, go to yu dɔktɔ wantɛm wantɛm.
Nɔ sheb dis mɛrɛsin wit ɛni ɔda pɔsin bikɔs ɔf di risk fɔ bɔn pikin we nɔ fayn ɛn ɔda siriɔs sayd ɛfɛkt dɛn.
Bɔt aw fɔ gi blɔd
Nɔ gi blɔd we yu de tek dis mɛrɛsin ɛn fɔ 3 ia afta yu dɔn stɔp fɔ tek am. Dis mɛrɛsin we de na yu blɔd kin ambɔg di pikin we nɔ bɔn yet if dɛn gi am to uman we gɛt bɛlɛ. Bɔt yu nɔ fɔ gɛt ɛni prɔblɛm fɔ gɛt blɔd we yu de tek dis mɛrɛsin.
We yu de go na do na di san
Dis mɛrɛsin kin mek yu skin fil bad fɔ di san. So, nɔ fɔ de na di san as yu ebul. If yu fɔ go na do na di san, wɛr klos we de kɔba yu skin ɛn yuz tin fɔ protɛkt yusɛf frɔm di san. Nɔ yuz san lamp. If yu de tek fototɛrapi, yu dɔktɔ go nid fɔ ajɔst di layt we yu de pan fɔ mek yu nɔ bɔn na di san.
Ɔda tin dɛn we wi fɔ tink bɔt
- Dray mɔt: Yu mɔt kin fil lɛk se i dɔn dray. If yu chef gɔm we nɔ gɛt shuga, sok wan jinja, ɛn drink bɔku wata, dat kin ɛp fɔ kɔntrol dis. Dis prɔblɛm kin de ɔltɛm ɔ i kin rili bad.Tɛl di dɔktɔ .
- Kɔlɔstrel ɛn triglisrayd lɛvɛl: Dis mɛrɛsin kin mek yu kɔlɔstrel ɛn triglisrayd lɛvɛl go ɔp ɛn i kin mek yu HDL (gud kɔlɔstrel) lɛvɛl go dɔŋ. Yu dɔktɔ go wach dɛn lɛvul ya ɛn tɛl yu fɔ it, ɛksesaiz, ɔ ɔda mɛrɛsin dɛn we yu nid.
- Dayabitis: If yu gɛt dayabitis, dis mɛrɛsin kin afɛkt di shuga na yu blɔd. Tɛl yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs if yu notis ɛni chenj na yu blɔd shuga tɛst.
- Alkol bak! Nɔ drink rɔm, it, ɛn ɔl di mɛrɛsin (inklud di mɛrɛsin dɛn we dɛn kin bay na kɔt) we gɛt rɔm we yu de tek dis mɛrɛsin ɛn fɔ 2 mɔnt afta yu dɔn stɔp di mɛrɛsin. Fɔ avɔyd fɔ drink rɔm rili impɔtant bikɔs rɔm kin chenj di mɛrɛsin to difrɛn kemikal kɔmpawnd ɛn i kin tek 3 ia fɔ kɔmɔt na yu bɔdi. If yu drink rɔm we yu de tek dis mɛrɛsin ɔ insay 2 mɔnt afta yu dɔn stɔp am, di risk fɔ bɔn pikin we nɔ fayn kin las pas 3 ia.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Naw lɛ wi si us sayd ɛfɛkt kin apin we yu tek dis mɛrɛsin. Nɔ wɔri, nɔto ɔlman go gɛt dɛn tin ya. Bɔt i fayn fɔ mek wi no bɔt dɛn.
Sɔm bad tin dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm:
If sɔntin lɛk dis apin to yu, go to dɔktɔ kwik kwik wan:
- Alɛji: yu skin de rɔsh, yu de it, yu fes, yu lip, ɛn yu tɔng de swel.
- I nɔ kin izi fɔ yu fɔ blo.
- Di chenj dɛn we de apin na di we aw pɔsin de si tin.
- Urin we gɛt dak kɔlɔ.
- Pwɛl hat ɛn/ɔr de fil bad, de tink bɔt fɔ du bad to yusɛf ɔr fɔ kil yusɛf.
- Nid fɔ pis bɔku tɛm, fɔ tɔsti pasmak, ɔ fɔ angri.
- Pen na di joyn, mɔsul, ɔ bon.
- Nays bad ɔ we nɔ de chenj, vɔmit, ɛn nɔ want fɔ it.
- Swel na wan leg.
- Yu yay ɔ yu skin kin yɔlɔ (Jaundice).
Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de:
Bɔku tɛm, dɛn tin ya nɔto big prɔblɛm, bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ :
- Di chenj dɛn we de apin na di teist.
- I nɔ kin izi fɔ mek yu slip.
- Dray nos, mɔt, ɛn yay.
- Di ia we de lɔs.
- We pɔsin de swet pasmak.
- I de it ɛn pul di skin na di finga dɛn, di an dɛn, ɛn di fut dɛn we de na di fut.
- Fɔ yɛri wan ring na di yes (`ringing in the ears`).
- Wan filin fɔ pul di skin ɔlsay na di bɔdi.
- We di nel dɛn wik.
Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. If yu gɛt ɛnitin fɔ wɔri bɔt ɛni sayd ɛfɛkt, tɔk to yu dɔktɔ. Yu kin ripɔt bak di sayd ɛfɛkt dɛn to di FDA (1-800-FDA-1088).
Aw yu kin kip di mɛrɛsin?
Kip dis mɛrɛsin usay pikin dɛn nɔ go ebul fɔ rich.
Stɔr am na rum tɛmpracha (15 to 25 digri sɛlshiɔs / 59 to 77 digri F) ɛn protɛkt am frɔm layt. Afta yu dɔn opin di bɔtul, nɔ put am na say we wam pasmak ɛn wet pasmak. Trowe di mɛrɛsin we dɔn pas.
Fɔ dɔn, sɔm tin dɛn fɔ mɛmba (Take-Home Message) .
Okay, so wi don tok plenti boht Acitretin. Pan ɔl we dis na mɛrɛsin fɔ siriɔs psoriasis, yu nid fɔ tek tɛm bad bad wan we yu de yuz am.
Di tin we impɔtant pas ɔl na dat, if yu na uman, i impɔtant fɔ mek yu nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 3 ia afta yu dɔn stɔp. Yu fɔ yuz bɔn kɔntrol bak kɔrɛkt wan.
Bɔt nɔr sheb dis mɛrɛsin wit ɛnibɔdi. Nɔ gi blɔd insay dis tɛm. Yu fɔ stɔp fɔ drink rɔm bak kpatakpata.
Dis infɔmeshɔn pepa na jɔs sɔmari. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, tɔk to yu dɔktɔ, fama, ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs. Dɛn go ebul fɔ ɛp yu mɔ. Stay wit wɛlbɔdi!
` Acitretin, Acitretin, psoriasis, skin sik, skin sik tritmɛnt, Soriatane, bɔn difrɛns, bɛlɛ
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