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Dr. Randall on Using Pexidartinib to Treat Tenosynovial Giant Cell Tumor
Daim Duab: Dr. Randall on Using Pexidartinib to Treat Tenosynovial Giant Cell Tumor

Zoo Siab

Pexidartinib tuaj yeem ua rau mob hnyav lossis ua kom lub siab ua rau lub siab puas. Qhia koj tus kws kho mob yog tias koj tau muaj lossis muaj kab mob siab dua. Qhia rau koj tus kws kho mob thiab kws muag tshuaj txog cov tshuaj koj siv yog li lawv tuaj yeem tshawb xyuas seb puas muaj ib qho ntawm koj cov tshuaj yuav ua rau muaj kev pheej hmoo ntxiv uas koj yuav ua mob rau daim siab thaum kho koj nrog pexidartinib Yog tias koj muaj cov tsos mob nram qab no, hu rau koj tus kws kho mob tam sim ntawd: nkees heev, tsis qab los, poob ceeb thawj, xeev siab, ntuav, ntshav txawv los yog doog, daj tawv nqaij lossis qhov muag, tsaus daj lossis xim xim tso zis, tso quav , lossis mob hauv sab xis sab xis ntawm lub plab. Koj tus kws kho mob yuav tsum txo qis koj cov koob tshuaj pexidartinib lossis tas mus li lossis txwv ib ntus koj kho.

Ib qho kev pab hu ua Turalio Qhov Kev Ntsuam Xyuas Kev Phom Sij thiab Kev Ua Dua (REMS) tau teeb tsa los tswj cov kev pheej hmoo ntawm cov tshuaj no. Koj tsuas yog yuav tau txais pexidartinib yog tias koj thiab tus kws kho mob sau ntawv noj tshuaj rau koj noj yog qhov kev zov me nyuam. Koj tsuas tau txais cov tshuaj los ntawm lub tsev muag tshuaj uas koom nrog txoj haujlwm. Nug koj tus kws kho mob yog tias koj muaj lus nug dab tsi txog kev koom tes hauv txoj haujlwm lossis yuav kom txais koj cov tshuaj li cas.


Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj sim ua ntej thiab thaum kho koj tus mob kom ntseeg tau tias koj noj pexidartinib thiab kuaj xyuas koj lub cev cov lus teb rau cov tshuaj.

Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Kev Siv Tshuaj) thaum koj pib kho nrog pexidartinib thiab txhua zaus koj rov ntim tshuaj rau koj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib tau Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) lossis cov chaw tsim tshuaj paus lub vev xaib kom tau txais Kev Qhia Tshuaj.

Tham nrog koj tus kws kho mob txog kev pheej hmoo noj pexidartinib.

Pexidartinib yog siv los kho mob qog nqaij hlav loj hauv lub cev (TGCT; qog cov hlav los yog ib puag ncig ntawm cov leeg uas tuaj yeem ua rau mob, o, thiab txo qhov txav mus los) hauv cov laus uas tsis tuaj yeem kho los ntawm kev phais mob. Pexidartinib yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua kinase inhibitors. Nws ua haujlwm los ntawm kev thaiv qhov kev ua ntawm cov protein tsis txaus uas tuaj yeem pab lub qog ua kom lub ntsej muag.


Pexidartinib los ua tshuaj ntsiav los noj ntawm qhov ncauj. Nws ib txwm noj ob zaug ib hnub rau ntawm ib lub plab khoob khoob tsawg kawg 1 teev ua ntej lossis 2 teev tom qab noj mov lossis khoom txom ncauj. Siv pexidartinib nyob ib ncig ntawm tib lub sijhawm (s) txhua txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj pexidartinib raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Nqos cov tsiav tshuaj tag nrho; tsis txhob qhib, chew, lossis zuaj lawv.

Yog tias koj ntuav tom qab noj pexidartinib, tsis txhob noj ib qho ntxiv. Ua koj cov tshuaj noj tas li.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj pexidartinib,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau pexidartinib, lwm yam tshuaj, lossis ib yam ntawm cov tshuaj hauv pexidartinib tsiav tshuaj. Nug koj tus kws muag tshuaj lossis tshawb xyuas Phau Ntawv Qhia Tshuaj Kho Mob rau cov npe ntawm cov khoom siv.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: clarithromycin (Biaxin, hauv Prevpac); qee yam antifungals xws li itraconazole (Onmel, Sporanox) lossis ketoconazole; enzalutamide (Xtandi); qee cov tshuaj rau tib neeg cov tshuaj tiv thaiv kab mob (HIV) lossis tau txais tshuaj tiv thaiv kab mob (AIDS) xws li efavirenz (Sustiva, hauv Atripla), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, hauv Kaletra), thiab saquinavir (Invirase); modafinil (Provigil); nefazodone; pioglitazone (Actos, hauv Duetact, Oseni); probenecid (Probalan); proton-twj tso kua mis inhibitors xws li esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), thiab rabeprazole (AcipHex); rifabutin (Mycobutin); rifampin (Rifadin); qee yam tshuaj rau qaug dab peg xws li carbamazepine (Equetro, Tegretol, Teril), phenobarbital, thiab phenytoin (Dilantin, Phenytek); lossis cov tshuaj steroids xws li dexamethasone, methylprednisolone (Medrol), thiab prednisone. Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog pexidartinib, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no.
  • yog tias koj noj tshuaj antacids uas muaj cov tshuaj magnesium lossis aluminium (Maalox, Mylanta, Tums, lwm tus), noj cov tshuaj antacid 2 teev ua ntej lossis tsawg kawg 2 teev tom qab koj noj pexidartinib.
  • yog tias koj noj tshuaj rau kem plab, kub siab, lossis mob rau sab hauv xws li cimetidine (Tagamet), famotidine (Pepcid, hauv Duexis), nizatidine (Axid), lossis ranitidine (Zantac), noj nws tsawg kawg 10 teev ua ntej lossis tsawg kawg 2 sij hawm tom qab koj noj pexidartinib.
  • qhia koj tus kws kho mob thiab kws muag tshuaj uas cov tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John wort. Koj yuav tsum tsis txhob coj St. John lub wort thaum kho nrog pexidartinib.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis muaj dua li mob raum.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis yog koj npaj yuav leej txiv. Yog tias koj yog poj niam, koj yuav tsum tau kuaj cev xeeb tub ua ntej koj pib kho thiab siv tshuaj tswj kom tsis txhob muaj menyuam kom tiv thaiv kev xeeb tub lub sijhawm koj kho thiab rau 1 hlis tom qab koj koob kawg. Yog tias koj yog txiv neej, koj thiab koj tus khub yuav tsum siv tshuaj tswj kom tsis txhob muaj menyuam thaum lub sijhawm kho nrog pexidartinib thiab rau 1 lub lis piam tom qab koj koob kawg. Tham nrog koj tus kws kho mob txog cov hau kev tswj kev xeeb menyuam uas koj tuaj yeem siv thaum kho koj. Pexidartinib yuav txo qis kev muaj menyuam hauv txivneej thiab pojniam. Txawm li cas los xij, koj yuav tsum tsis txhob xav tias koj lossis koj tus khub tsis tuaj yeem cev xeeb tub. Yog tias koj lossis koj tus khub muaj menyuam hauv plab thaum noj pexidartinib, hu rau koj tus kws kho mob tam sim ntawd. Pexidartinib tuaj yeem tsim kev puas tsuaj rau tus menyuam hauv plab.
  • qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Koj yuav tsum tsis txhob pub niam mis thaum koj noj pexidartinib thiab rau 1 lub lis piam tom qab koj zaum kawg.

Tsis txhob noj txiv kab ntxwv qaub ntau lossis haus cov txiv kab ntxwv kua txiv thaum noj cov tshuaj no.


Hla lub tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Pexidartinib yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • kev hloov pauv cov plaub hau xim
  • hloov pauv hauv saj
  • nkees nkees
  • cem quav

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:

  • ua pob
  • khaus
  • o ntawm tes, taw, ceg lossis pob taws
  • mob mob ntawm caj npab lossis txhais ceg
  • o nyob rau hauv lossis ib ncig ntawm lub qhov muag

Pexidartinib tuaj yeem ua lwm cov kev mob tshwm sim. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej). Tsis txhob tshem tawm cov desiccant (pob ntawv me nrog suav nrog tshuaj kom nqus dej) los ntawm lub raj mis, yog tias muaj ib tus tau muab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

  • Turalio®
Kawg Kho - 10/15/2019

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