Yu de wɔri smɔl bak se yu bon dɛn de wik we yu de ol? Ɔ yu dɔktɔ dɔn gi yu sɔm mɛrɛsin fɔ mek yu bon dɛn strɔng? If na so i bi, dis atikul go rili impɔtant to yu. Tide wi go tɔk bɔt wan mɛrɛsin we rili impɔtant fɔ bon, mɔ fɔ sik dɛn lɛk
ɔstioporosis . Na wan kɔmbaynshɔn fɔ tu mɛrɛsin dɛn we dɛn kɔl `(Alendronate)` ɛn `(Cholecalciferol)`.
Wetin na dis mɛrɛsin? Fɔ tɔk am simpul wan...
Dis mɛrɛsin we dɛn kɔl `(Alendronate; Cholecalciferol), gɛt tu men kayn mɛrɛsin. 1.
`(Alendronate)` (Alendronate): dεn kin yuz dis fכ ridyus di lכs fכ di kalsiכm (`
Calcium `) frכm yu bon dεm. Fɔ tɔk di kɔrɛkt tin, i kin ɛp fɔ mek yu bon dɛn strɔng. Bɔku tɛm dɛn kin gi am as tritmɛnt fɔ wan sik we dɛn kɔl
ɔstioporosis , we na wan sik we di bon dɛn kin wik ɛn brok. 2.
`(Colecalciferol)` (Colecalciferol): Dis na wetin wi sabi as
vaytam in D3 `( vaytam in D3)` .
Vitamin D de ɛp di bɔdi fɔ tek di kalsiɔm we de insay di it we wi de it. So, kalsiɔm ɛn vaytamɛn D impɔtant fɔ mek di bon dɛn strɔng. So, if yu put dɛn tu mɛrɛsin ya togɛda, dat kin ɛp fɔ protɛkt yu
bon wɛlbɔdi . Sɔmtɛm dɛn kin gi dis mɛrɛsin bak to ɔda pipul dɛn we de pan denja fɔ mek dɛn bon wik. Dɔn bak, yu dɔktɔ kin gi yu dis mɛrɛsin fɔ ɔda sik. If yu gɛt ɛni kwɛstyɔn bɔt am, aks yu dɔktɔ ɔ fama. Wan pɔpul brand nem fɔ dis mɛrɛsin na `(Fosamax Plus D)`.
Wetin na de tin wae yu nid fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin?
Dis na pɔynt we rili impɔtant. Bifo yu bigin dis mɛrɛsin,
yu fɔ rili tɛl yu dɔktɔ ɔ nɔs if yu gɛt ɛni wan pan dɛn tin ya. Bikɔs na da tɛm de nɔmɔ dɛn go disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn aw fɔ gi am.
- Blɔd prɔblɛm: Dat min se if yu blɔd izi ɔ yu gɛt prɔblɛm wit blɔd we de klɔt .
- Kansa: I fayn fɔ mek dɛn trit yu fɔ kansa, if yu gɛt wan.
- Dɛn tit prɔblɛm: Tin dɛn lɛk tut pen ɛn gɔm sik.
- I nɔ izi fɔ swɛla: If i nɔ izi fɔ yu fɔ swɛla it ɛn drink.
- di ay levul fכ vaytam in D na di bכdi: If di amount of vaytam in D na di bכdi bכku pas di amount we dεn rεkomεnd.
- Infεkshכn na yu bכdi: If yu gεt infεkshכn wit sayn dεm lεk fiva, kol, kכf, trot we de at, εn pen we yu de pis.
- Kidni sik: If ɛni prɔblɛm de wit di kidni.
- di lכw lεvεl dεm fכ kalsiכm כ כda minral dεm na di bכdi: Kכndishכn dεm lεk we yu nכ gεt kalsiכm.
- di rεd bכdi sεl dεm na di bכdi de dכn (anemia).
- Fɔ tek stɛroyd: Fɔ ɛgzampul, if yu de yuz mɛrɛsin lɛk Dexamethasone ɔ Prednisone.
- Bɛlɛ ɔ intestinal prɔblɛm: Tin dɛn lɛk gastritis, intestinal ɔlsa.
- I nɔ izi fɔ sidɔm ɔ tinap fɔ 30 minit wan tɛm: If yu nɔ ebul fɔ du dat.
- If yu dɔn gɛt alɛji fɔ dis mɛrɛsin (Alendronate, Cholecalciferol) ɔ ɛni ɔda mɛrɛsin, it, day, ɔ prɛzɛvɛtiv.
- If yu gɛt bɛlɛ, ɔ yu de op fɔ bɔn pikin insay di nɛks tɛm.
- If yu na mama we de gi pikin in bɛlɛ.
Nɔ shem fɔ tɔk dɛn tin ya, bikɔs yu sef na di tin we impɔtant pas ɔl.
Aw ɛksaktɔli a fɔ yuz dis mɛrɛsin?
Dis na sɔntin we pɔsin fɔ tek tɛm du. Bikɔs if yu yuz dis mɛrɛsin di rɔŋ we, chans de fɔ mek yu gɛt sɔm sayd ɛfɛkt dɛn. So mɛmba dis.
- Dis pil fɔ tek am bay mɔt. Drink am wit wan ful glas wata .
- Mek yu abit fɔ tek dis di sem de insay di wik, di sem tɛm, lɛk aw yu dɔktɔ dɔn advays yu.
- I bɛtɛ fɔ drink dis jɔs afta yu wek na mɔnin , bifo yu it ɔ drink ɛni ɔda tin.
- Nɔ drink ɔda tin pas wata bifo yu tek dis mɛrɛsin. Nɔ tek am wit ti, kɔfi, milk, frut jus, ɛn ɔda tin dɛn Na wata nɔmɔ.
- Nɔ chew ɔ krɔs di tablɛt. Swɛla am ɔl.
- Afta yu dɔn tek di mɛrɛsin, nɔ it brɛf, drink ɛni ɔda tin (eksept wata), ɔ tek ɛni ɔda mɛrɛsin ɔ vaytamɛn fɔ at le 30 minit.
- Di tin we impɔtant pas ɔl: Afta yu dɔn tek di mɛrɛsin, sidɔm ɔ tinap stret fɔ at le 30 minit. Nɔ slo ɔ ledɔm. Dis kin ɛp di mɛrɛsin fɔ rich na di bɛlɛ fayn fayn wan ɛn mek i nɔ stɔp na yu trot.
- Kɔntinyu fɔ yuz dis mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp.
We yu gɛt dis mɛrɛsin frɔm di famasi, dɛn go gi yu wan spɛshal instrɔkshɔn liflet (wan `MedGuide`). Mek shɔ se yu rid da liflet de fayn fayn wan ɛvri tɛm we yu gɛt yu mɛrɛsin ɔ gɛt `rifil`. I gɛt bɔku impɔtant tin dɛn fɔ yu.
If yu de gi pikin dɛn dis mɛrɛsin: Yu fɔ tek tɛm spɛshal we yu de yuz dis mɛrɛsin fɔ pikin dɛn. So, tɔk to yu dɔktɔ bɔt dis ɛn gɛt advays.
Wetin fɔ du if yu tek bɔku tin? If yu tink se yu dɔn tek dis mɛrɛsin tumɔs,
go na di imejensi dipatmɛnt na di ɔspitul we de nia yu ɔ kɔl pɔyzin kɔntrol sɛnta wantɛm wantɛm. Impɔtant notis: Dɛn dɔn gi yu dis mɛrɛsin
fɔ yu nɔmɔ. Nɔ ɛva gi am to yu padi ɔ fambul dɛn, ilɛksɛf yu tink se dɛn de gɛt di sem prɔblɛm we yu gɛt.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
- Yu kin tek dis mɛrɛsin wan tɛm insay di de, so if yu fɔgɛt: Skip di doz we yu mis da de de. Nɔ wɔri. Tek di nɛks doz di tɛm we yu kin tek di nɛks mɔnin. Nɔ tek tu dos insay di sem de.
- Yu kin tek dis mɛrɛsin wan tɛm insay di wik, ɛn if yu fɔgɛt fɔ tek am: Tek di doz we yu mis di mɔnin afta yu mɛmba. Dɔn tek yu nɛks doz pan yu ɔspitul de insay di wik. Bɔt nɔ ɛva tek tu dos di sem de.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (`Interactions`)
Yɛs, dis mɛrɛsin kin miks wit sɔm ɔda mɛrɛsin dɛn, it dɛn, ɛn sɔpɔtmɛnt dɛn. Dis min se if yu tek dɛn togɛda, i kin chenj aw dis mɛrɛsin de wok fayn ɔ i kin mek i gɛt mɔ sayd ɛfɛkt. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu de bay, we yu de yuz ɛbul, vaytamɛn, ɔ it we yu de it). Dɔn bak, tɛl yu
dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Na sɔm tin dɛm wae kin miks wit dis mɛrɛsin:
- Mεdisin dεm fכ bεlε inflameshn εn gεstritis (`Antacids`) .
- Aspirin ɛn drɔgs dɛn we tan lɛk aspirin
- Kalsiɔm sɔpɔtmɛnt, mɔ di wan dɛn we gɛt vaytamɛn D
- Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel (e.g., Cholestyramine, Colestipol) .
- Mεdisin dεm we de ridyus di bεlε asid (e.g. Cimetidine, Ranitidine) .
- `(Kɔtikosterɔyd)` (stɛroyd-tayp mɛrɛsin)
- Ayɔn sɔpɔtmɛnt dɛn
- Magnɛsiɔm sɔpɔtmɛnt dɛn
- `(Minral ɔyl)`
- Pen kil ɛn anti-inflammatory drɔgs (NSAID - ɛgz. Ibuprofen, Naproxen) .
- `(Orlistat)` (wan drɔg we de mek pɔsin nɔ gɛt bɔku bɔku bɔdi)
- Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ ɛpilepsi (e.g., `(Phenobarbital)`, `(Phenytoin)`)
- Fɔsfɔr sɔpɔtmɛnt dɛn
- Wan ɔda mɛrɛsin fɔ ɛpilepshi (`(Primidone)`)
- Steroid mεdikeshכn dεm (e.g. Prednisone, Cortisone) .
- Sɔm mɛrɛsin dɛn we kin mek pɔsin pis (`Thiazide diuretics`) .
- Vitamin dεm we de kam wit minral dεm, spεshal wan dεm we gεt vaytam in D.
Dis list nɔr de ɔlsay, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Us spɛshal tin dɛn fɔ tek tɛm wit we yu de tek dis mɛrɛsin?
- Kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm. Dɛn go kɛr yu go fɔ chɛk-ap fɔ si aw yu de du wit di mɛrɛsin.
- I kin tek sɔm tɛm fɔ si di rizɔlt fɔ dis mɛrɛsin. So nɔ wɔri, jɔs kɔntinyu fɔ yuz am lɛk aw yu dɔktɔ tɛl yu.
- Sɔm pipul dɛn kin gɛt bad bad pen na dɛn bon, jɔyn, ɔr mɔsul dɛn we dɛn de tek dis mɛrɛsin. Dis mɛrɛsin kin mek yu gɛt prɔblɛm wit yu jaw ɔ i kin mek yu gɛt bɔku prɔblɛm wit yu shɔl . If yu gɛt bad bad pen na yu jaw, bon, jɔyn, ɔ mɔsul, tɛl yu dɔktɔ wantɛm wantɛm. Dɔn bak, tɛl yu dɔktɔ if yu gɛt ɛni pen we nɔ de go ɔ we de wɔs.
- If yu go go to dɛntist, tɛl am se yu de tek dis mɛrɛsin. Yu fɔ avɔyd fɔ gɛt big big ɔpreshɔn pan yu tit we yu de tek dis mɛrɛsin. I fayn fɔ go to dɛntist fɔ chɛk yu tit ɛn kɔrɛkt ɛni prɔblɛm bifo yu bigin dis mɛrɛsin. Kip yu tit klin we yu de tek dis mɛrɛsin. Si yu dɛntist ɔltɛm fɔ mek dɛn fala yu.
- Yu nid fɔ mek shɔ se yu de gɛt inof kalsiɔm ɛn vaytamɛn D we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt di it ɛn vaytamɛn dɛn we yu de tek. Dɛn kin advays yu bak fɔ tek kalsiɔm ɛn vaytamɛn D tablɛt.
- Sɔmtɛm yu dɔktɔ kin want fɔ du blɔd wok bak we yu de tek dis mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt sɔm pipul dɛn kin gɛt dɛn.
Di sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn sik ya, go to yu
dɔktɔ ɔ di ɔspitul we de nia yu ɛn nɔ de te.
- Alɛji riakshɔn: skin de rɔsh, it, swel (espɛshali na di fes, lip, tɔng).
- Bɔn pen.
- At-bɔn: Dis kin apin afta yu it ɔ we yu ledɔm.
- Jaw pen: Ɛspɛshali afta dɛn dɔn trit yu tit.
- Pen na di jɔyn dɛn.
- Di sayn dɛm we de sho se di kalsiɔm we de na di blɔd nɔ bɔku:Fast at bit; di mɔsul dɛn de twitch ɔ pen; di an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk ɔ we de fil pen; di sik dɛn we kin mek pɔsin sik.
- Mɔsul dɛn kin pen.
- I kin pen ɔ i nɔ kin izi fɔ swɛla.
- Rɛd, blista, di skin kin kɔmɔt, ɛn ɔda kayn tin dɛn we kin apin insay di mɔt.
- Di sayn dɛm we de sho se yu bɛlɛ de blɔd: Blak, tar stɔl; we yu de vɔmit blɔd we tan lɛk kɔfi grɔn.
Sayd ɛfɛkt dɛn we nɔ kin nid fɔ go to dɔktɔ, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de ɔ we de mɔna yu:
Bɔku tɛm, dɛn tin ya nɔ kin siriɔs ɛn dɛn go dɔn insay sɔm dez. Bɔt if dɛn kɔntinyu fɔ du dat ɔ dɛn de mɔna yu, tɛl
yu dɔktɔ .
- Banbɛlɛ.
- Rɔnbɛlɛ.
- Vɔmit.
- Bɛlɛ de pen.
Dis list nɔto ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, go to yu dɔktɔ.
Usay a fɔ kip dis mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich . Dis rili impɔtant.
- Stɔr na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs / 59 ɛn 86 digri Fahrenheit). Protɛkt frɔm layt ɛn mɔstɔ. Dat min se, nɔ kip am na say dɛn we wet lɛk di bafa.
- Kip di mɛrɛsin na di ɔrijinal paket we i kam insay te yu gɛt am.
- Nɔ yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn fayn fayn wan.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Okay, wi don tok plenti abaut dis `(Alendronate; Cholecalciferol)` drug, no bi so? Fɔ tɔk smɔl:
- Dis na mɛrɛsin we de mek yu bon dɛn strɔng , mek yu nɔ gɛt bɔku kalsiɔm, ɛn i de gi yu vaytamɛn D.
- We yu de tek di mɛrɛsin, yu nid fɔ fala di instrɔkshɔn dɛn di rayt we. Ɛspɛshali fɔ tek am na mɔnin we yu ɛmti bɛlɛ wit wata ɛn we yu tinap stret fɔ 30 minit.
- Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek .
- If yu gɛt ɛni nyu sayd ɛfɛkt, mɔ we yu de fil bad bad wan, yu jaw prɔblɛm, ɔ i nɔ izi fɔ swɛla, tɛl yu dɔktɔ wantɛm wantɛm.
- Tek kia ɔf yu tit wɛlbɔdi bak.
- Mek shɔ se yu de gɛt inof kalsiɔm ɛn vaytamɛn D we yu de tek dis mɛrɛsin.
Nɔ wɔri, yu dɔktɔ dɔn gi yu dis mɛrɛsin fɔ yu wɛlbɔdi. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ fred fɔ tɔk to dɛn. Dis mɛrɛsin go ɛp yu fɔ mek yu bon dɛn gɛt wɛlbɔdi!
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