Yu dɔktɔ dɔn gi yu wan mɛrɛsin we dɛn kɔl Vandetanib? Ɔ dɛn dɔn gi pɔsin we de nia yu dis mɛrɛsin? Dis na mɛrɛsin we dɛn kin gi fɔ trit sɔm kayn kansa we kin apin na di tayroyd gland (mɛdula tayroyd kansa). Sɔm tin dɛn de we wi fɔ rili tek tɛm wit we wi de yuz dis mɛrɛsin. So nɔ wɔri, lɛ wi tɔk bɔt ɔltin simpul wan ɛn klia wan.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Dis na bikɔs sɔm mɛrɛsin kin mek i denja fɔ yuz dis mɛrɛsin wit. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
- Hat sik: Yu gɛt ɛni at sik, yu at nɔ de bit ɔltɛm, ɔ yu gɛt histri fɔ QT intaval fɔ lɔng tɛm?
- Blɔd prɛshɔn: Yu gɛt ay blɔd prɛshɔn?
- Prɔblɛm fɔ blɔd: Yu gɛt ɛni prɔblɛm wit blɔd ɔ blɔd we nɔ de klɔt?
- Liva ɔ kidni sik: Yu gɛt ɛni liva ɔ kidni sik?
- Lɔng sik: Yu gɛt prɔblɛm wit yu brith ɔ ɔda sik dɛn na yu lɔng lɛk asma?
- Di minral lɛvɛl na yu blɔd: Dɛn dɔn ɛva tɛl yu se di lɛvɛl na yu blɔd we gɛt kalsiɔm, magnɛsiɔm, ɔ potashɔm nɔ bɔku?
- di lεvεl dεm na di tayroyd כmon: di lεvεl fכ di tayroyd-stimulεt כmon (TSH) na di bכdi de εlevεt?
- Ɔda tin dɛn we kin apin: Yu gɛt dayarɛa, sik we de mek yu fil lɛk yu bɔdi, sik dɛn na yu skin ɔ yu kin gɛt prɔblɛm wit yu skin?
- Opareshɔn: Yu go gɛt ɔpreshɔn jisnɔ? Ɔ dɛn jɔs dɔn du ɔpreshɔn pan yu?
- Alɛji: Ɛni alɛji de fɔ dis Vandetanib mɛrɛsin, ɔda mɛrɛsin, it, ɔ day?
- Bεlε εn we yu de gi pikin bεlε: Yu bεlε? Yu de tray fɔ gɛt bɛlɛ? Ɔ yu na mama we de gi pikin in bɛlɛ?
Nɔ ayd ɛni wan pan dɛn tin ya. I rili impɔtant fɔ yu sef fɔ mek di dɔktɔ no ɔl dis.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Di we aw fɔ yuz dis mɛrɛsin rili simpul, bɔt i impɔtant fɔ fala di instrɔkshɔn dɛn kɔrɛkt wan.
- Swɛla dis pil ɔl wit wan glas wata .
- Nɔ brok, krɔs, ɔ chew di tablɛt.
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm we dɛn tɛl yu. Nɔ tek am pas di tɛm we dɛn tɛl yu fɔ tek am fɔ wan de.
- Nɔ stɔp fɔ tek di mɛrɛsin if yu dɔktɔ nɔ advays yu . If yu du dat, dat kin mek yu sik wɔs.
- We dɛn gi yu dis mɛrɛsin, yu go gɛt wan spɛshal infɔmeshɔn liflet (MedGuide) bɔt am. I kin kam wit ɛvri prɛskrishɔn. Rid am gud gud wan ɔltɛm.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i nɔ rich 12 awa te yu tek di nɛks doz, skip di doz we yu mis. Jɔs tek di nɛks doz na di tɛm we dɛn dɔn sɛtul. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.
Ɔda mɛrɛsin dɛm wae nɔr fɔ yuse wit dis mɛrɛsin ɛn kin intarakt wit am
Vandetanib na mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm, so yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛm).
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Mɛrɛsin dɛn we nɔ fɔ ɛva tek wit Vandetanib | |
| Difrɛn mɛrɛsin dɛn | Sisaprid, Dronedarɔn, Pimozayd, Tioridazin, Ziprasidɔn |
| Ɔda drɔgs dɛm wae kin intarakt wit Vandetanib | |
| Mɛrɛsin fɔ mek yu at bit ɔltɛm | Drug dɛn lɛk Amiodarone, Sotalol, Quinidine, Procainamide |
| Mɛrɛsin fɔ mek pɔsin gɛt sik we de mek pɔsin sik | Kabamazɛpin, Fɛnobarbital, Fɛnitɔyn |
| Ɔda mɛrɛsin ɛn ɔyl dɛn | Digoksin, Mɛtfɔmin, Rifampin, Sɛnt Jɔn Wɔt (Hypericum perforatum) . |
| Drug dεm we de prolong di QT intaval na di at | Drug dɛn lɛk Dofetilide, Ziprasidone |
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek, ilɛksɛf na dɔktɔ gi yu am, yu bay am na famasi, ɔ na ɛbul prɔdak.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek di mɛrɛsin
Bεlε εn we i de gi pikin in bεlε
Dis rili impɔtant . Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin. Uman dɛn fɔ yuz fayn fayn bɔn kɔntrol we dɛn de tek dis mɛrɛsin ɛn fɔ 4 mɔnt afta dɛn dɔn stɔp am. I kin mek bad bad tin apin to di pikin we de na di bɛlɛ. Dɔn bak, nɔ gi yu pikin in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 4 mɔnt afta yu dɔn stɔp am.
Bifo dɛn du di ɔpreshɔn
If yu go du ɔpreshɔn, yu fɔ tɛl yu dɔktɔ bɔt am. Dis mɛrɛsin kin mek di wund dɛn we dɛn dɔn du ɔpreshɔn nɔ wɛl. So, yu fɔ stɔp fɔ tek dis mɛrɛsin wan mɔnt bifo di ɔpreshɔn. Afta di ɔpreshɔn, yu fɔ wet fɔ at le 2 wik bifo yu bigin di mɛrɛsin bak. Dɛn fɔ jɔs bigin di mɛrɛsin afta di wund dɔn wɛl ɔl. Tɔk to yu dɔktɔ bɔt dis.
Fɔ protɛkt yusɛf frɔm di san
Dis mɛrɛsin kin mek yu skin rili sɛnsitiv to san layt (photosensitivity). So, avɔyd dairekt san layt as yu ebul we yu de tek di mɛrɛsin ɛn fɔ 4 mɔnt afta yu dɔn stɔp. If yu go na do, wɛr klos we kɔba yu bɔdi fayn ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san. Nɔ yuz san lamp ɔ tanning bed.
Ɔda pɔynt dɛn
- Yu kin fil fɔ slip ɔ yu kin gɛt diziz we yu de tek dis mɛrɛsin. So, nɔ du tin dɛn we nid fɔ de wach, lɛk fɔ drayv ɔ fɔ yuz mashin, te yu no aw dis mɛrɛsin de afɛkt yu.
- Yu dɔktɔ go de chɛk yu blɔd wok ɛn aw yu at de wok ɔltɛm (lɛk ECG). Mek shɔ se yu atɛnd dɛn tɛst ɛn klinik dɛn de.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɔl di mɛrɛsin dɛn, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| If yu gɛt dɛn sik ya, go to dɔktɔ ɔ ETU wantɛm wantɛm. | |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| Di sik we de mek pɔsin in at | Chɛst pen, at de bit fast ɔ nɔ de bit ɔltɛm, yu de fɔdɔm, yu de tɔn diziz. |
| Blɔd we de kɔmɔt | Blɔd na di stɔl ɔ blak stɔl, vɔmit kɔfi grɔn, brus we nɔ kɔmɔn, ɛn rɛd/dak brawn urine. |
| Skin we gɛt fɔ du wit am | Rɛd, blista, pil pan di skin (ivin insay di mɔt). |
| Nɛvɔ sistɛm | Bɔrku ed pen, siz, chenj wae yu de si, yu kɔnfyus, yu nɔr kin ebul fɔ tɔk, yu fes, yu an, ɔr leg kin swɛt ɔ wik. |
| Ɔda siriɔs sayn dɛn | I nɔ izi fɔ blo, fiva, yu stɔl we de shayn, yu yay ɔ yu skin de yɔlɔ (jaundice), yu leg ɔ yu ankles de swel. |
| Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ (bɔt tɛl yu dɔktɔ if dɛn kɔntinyu fɔ de) . | |
| |
Mɛsej we dɛn kin kɛr go na os
- Vandetanib na spɛshal mɛrɛsin fɔ tayroyd kansa. Yuz am jɔs lɛk aw yu dɔktɔ advays yu .
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni mɛrɛsin we yu gɛt.
- Nɔ gɛt bɛlɛ ɛn gi pikin in bɛlɛ we yu de tek di mɛrɛsin ɛn fɔ 4 mɔnt afta yu dɔn stɔp.
- Go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛn lɛk ed we de at bad bad wan, pen na yu chɛst, blɔd we nɔ kɔmɔn, ɔ we yu gɛt siriɔs riakshɔn na yu skin.
- Yu kin fil lɛk di san we de shayn, so tek tɛm fɔ protɛkt yusɛf frɔm di san.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ tɛl ɔda pipul dɛn bɔt am. Kip am usay pikin dɛn nɔ go ebul fɔ rich.
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