Yu dɔktɔ dɔn gi yu wan pil we dɛn kɔl Bosentan fɔ yu ɔ pɔsin na yu famili? If na so, i nɔmal fɔ mek yu gɛt bɔku kwɛstyɔn bɔt wetin na dis mɛrɛsin, wetin mek dɛn de yuz am, ɛn wetin kin apin we yu tek am. Nɔ wɔri. Tide, lɛ wi tɔk bɔt dis mɛrɛsin we dɛn kɔl Bosentan insay wan simpul we we yu go ɔndastand.
Wetin rili na Bosentan?
Fɔ tɔk am simpul wan, Bosentan na mɛrɛsin we dɛn kin yuz fɔ mɛn wan siriɔs at ɛn lɔng sik we dɛn kɔl Pulmonary Hypertension .
Tink bɔt am, wi gɛt blɔd vesel dɛn we de kɛr blɔd kɔmɔt na wi at to wi lɔng, nɔto so? We dɛn vesel dɛn de smɔl ɛn di blɔd prɛshɔn we de insay dɛn kin rili ay, wi kin kɔl am Pulmonary Hypertension. Dis kin mek di at fɔ wok tranga wan fɔ pɔmp blɔd to di lɔng dɛn. As tɛm de go, dis kin rili ambɔg di at.
So, wetin Bosentan de du na fɔ mek dɛn blɔd vesel dɛn we dɔn smɔl, big (rilaks), fɔ mek i izi fɔ mek blɔd flɔ tru. Dis kin mek di wok we de na di at nɔ bɔku. Dis dɔn mek dis mɛrɛsin de ɛp yu fɔ mek yu ebul fɔ du ɛksɛsayz mɔ ɛn mɔ ɛn fɔ mek yu nɔ blo shɔt .
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Dis rili impɔtant. Bifo yu bigin fɔ tek Bosentan, i impɔtant fɔ tɛl yu dɔktɔ dɛn tin ya.
- If yu gɛt liva sik: Dis rili impɔtant bikɔs Bosentan kin afɛkt di liva.
- If yu de tray fɔ gɛt bɛlɛ, yu gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ: Dɛn nɔ kin tɛl yu fɔ tek dis mɛrɛsin we yu gɛt bɛlɛ. Dɔn bak, if yu de plan fɔ bɔn pikin, yu fɔ tɔk to yu dɔktɔ bɔt am.
- If yu dɔn ɛva gɛt alɛji to Bosentan ɔ ɛni ɔda mɛrɛsin, it, ɔ day: Dis min se if yu dɔn ɛva gɛt skin iritashɔn, it, ɔ swel afta yu dɔn tek sɔntin bifo, tɛl wi bɔt am.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul mɛrɛsin dɛn (lɛk mɛrɛsin dɛn we yu nɔ de bay na kɔt) we yu de tek, bikɔs sɔm mɛrɛsin dɛn kin miks wit Bosentan.
Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan di mɛrɛsin, i impɔtant fɔ yuz am di rayt we.
1. Fɔ fala yu dɔktɔ in instrɔkshɔn: Tek di doz jɔs lɛk aw yu dɔktɔ tɛl yu. Nɔ mek i bɔku ɔ smɔl.
2. Tek am di rayt tɛm: Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride if i pɔsibul. If na mɔnin ɛn ivintɛm, tek am ɔl tu di tɛm dɛn.
3. Wit ɔ atɔl it: Dɛn kin tek dis mɛrɛsin bifo ɔ afta it. Bɔt if yu fil se yu bɛlɛ de pwɛl, i bɛtɛ fɔ tek am wit it.
4. 4. .Tek wit wata: Swɛla di tablɛt ɔl wit wan glas wata.
5. Nɔ stɔp: Nɔ stɔp fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. Yu fɔ kɔntinyu fɔ tek am ilɛksɛf yu sik dɛn dɔn stɔp.
Impɔtant: We yu gɛt yu mɛrɛsin frɔm di famasi, yu go gɛt wan spɛshal infɔmeshɔn liflet (MedGuide) bɔt dis mɛrɛsin. Mek shɔ se yu tek tɛm rid am ɛvri tɛm we yu gɛt yu mɛrɛsin. I gɛt bɔku impɔtant tin dɛn.
Wetin a go du if a tek bɔku mɛrɛsin wantɛm wantɛm?
If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
Tek di doz we yu mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm.
Ɔda drɔgs wae kin intarakt wit Bosentan (Drug Interactions) .
Dis na sɔntin we wi fɔ rili tek tɛm wit. Sɔm mɛrɛsin kin intarakt wit Bosentan ɛn mek bad bad tin apin. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
| Drugs wae kin intarakt wit Bosentan | |
|---|---|
| Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda: | |
| Sayklɔspɔrin we dɛn kɔl | Na drɔg we de kɔntrol di imyuniti. |
| Glyburide we gɛt di sik | Wan mɛrɛsin fɔ sik we dɛn kɔl dayabitis. |
| Ɛstrojen ɔ prɔjɛstin ɔmon dɛn | Ɔmon mɛrɛsin dɛn, lɛk bɔn kɔntrol pils. |
| Yu fɔ tek tɛm yuz am, .Di mɛrɛsin dɛn we yu fɔ tɛl di dɔktɔ bɔt: | |
| Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel | Eks: Atorvastatin, Simvastatin, ɛn ɔda pipul dɛn |
| Drug dɛn we de mek pɔsin nɔ gɛt bɛlɛ | Eks: Kεtokonazכl, Flukonazכl |
| Ɔda mɛrɛsin dɛn | Drug dɛn lɛk Amiodarone, Diltiazem, Rifampin, Ritonavir. |
Dis list nɔ kɔmplit. Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɛbul mɛrɛsin, ɔ sɔpɔtmɛnt we yu de tek, ɛn bak if yu de smok ɔ drink rɔm .
Tin dɛn we yu fɔ tek tɛm wit we yu de tek di mɛrɛsin
Di mɛdikal tɛst dɛn we dɛn dɔn arenj fɔ du
Yu dɔktɔ go de chɛk yu ɔltɛm we yu de tek Bosentan. Mek shɔ se yu go na di klinik di rayt tɛm. Yu go nid fɔ du blɔd tɛst ɔltɛm fɔ chɛk if di liva dɔn pwɛl bikɔs ɔf di mɛrɛsin. Dis rili impɔtant fɔ mek yu sef.
Bεlε εn fεtiliti
Dis na tin we rili impɔtant.
- We uman gɛt bɛlɛ: Bosentan kin mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm wit in bɛlɛ. So, yu fɔ avɔyd fɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt aw fɔ yuz di rayt we fɔ kɔntrol pikin.
- Fɔ man dɛn: Dis mɛrɛsin kin afɛkt man dɛn fɔ bɔn pikin, we na dɛn ebul fɔ bɔn pikin dɛn. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ.
Di riakshɔn dɛn we pɔsin kin gɛt na di skin
Pan ɔl we i nɔ kin apin so ɔltɛm, sɔm pipul dɛn kin gɛt siriɔs skin riakshɔn to Bosentan. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:
- Wan rɛd ɔ pepul rash na di skin, we kin kam wit fiva ɛn kol. Leta i kin blista ɔ i kin pul.
- Rɛd rash na di skin wit swel na di fes, lip, ɔ limf no dɛm na di nɛk/ampit .
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Bosentan kin mek pɔsin gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, ɛn ɔda wan dɛn kin kɔmɔn.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm |
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| Kɔmɔn sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de |
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Mɛsej we dɛn kin kɛr go na os
- Bosentan na spɛshal mɛrɛsin we dɛn kin gi fɔ wan siriɔs sik we dɛn kɔl Pulmonary Hypertension. I de ɛp fɔ ridyus di prɛshɔn we de pan yu at ɛn mek layf izi.
- I rili impɔtant fɔ avɔyd fɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin, bikɔs i kin rili ambɔg di pikin.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn Sinhala mɛrɛsin dɛn we yu de tek.
- Go to dɔktɔ kwik kwik wan if yu gɛt sayn dɛn we de sho se yu liva dɔn pwɛl (yu yay de yɔlɔ, yu urine dak) ɔ yu gɛt siriɔs riakshɔn na yu skin.
- Nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu. Atɛnd blɔd tɛst ɛn klinik dɛn di rayt tɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
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