Zamgululi

Zamkati

• Musanatenge oxcarbazepine:
• Oxcarbazepine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

Oxcarbazepine (Trileptal) imagwiritsidwa ntchito payokha kapena kuphatikiza ndi mankhwala ena kuti athetse matenda ena achikulire ndi ana. Mapiritsi otulutsidwa a Oxcarbazepine (Oxtellar XR) amagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse matenda ena achikulire ndi ana azaka 6 kapena kupitilira apo. Oxcarbazepine ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa magwiridwe antchito amagetsi muubongo.

Oxcarbazepine imabwera ngati piritsi, piritsi lotulutsidwa, komanso kuyimitsidwa (madzi) kuti mutenge pakamwa. Piritsi ndi kuyimitsa nthawi zambiri kumatengedwa maola khumi ndi awiri (kawiri patsiku) kapena wopanda chakudya. Pulogalamu yotulutsira nthawi zambiri imamwedwa kamodzi patsiku m'mimba yopanda kanthu, ola limodzi musanadye kapena maola awiri mutadya. Tengani oxcarbazepine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani oxcarbazepine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Sambani kuyimitsidwa bwino nthawi iliyonse musanagwiritse ntchito kusakaniza mankhwala mofanana. Gwiritsani ntchito sirinji ya pakamwa yomwe idabwera ndi mankhwalawa kuti muchotse kuyimitsidwa koyenera mu botolo. Mutha kumeza kuyimitsidwa molunjika kuchokera mu syringe kapena mutha kusakaniza ndi kapu ya madzi ndikumeza chisakanizo. Sambani syringe ndi madzi ofunda ndipo mulole kuti iume bwino mutagwiritsa ntchito.

Kumeza mapiritsi otulutsidwa otalikiratu ndi madzi kapena madzi ena; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu angayambe ndi mlingo wochepa wa oxcarbazepine ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo kamodzi pa masiku atatu. Mukadakhala kuti mukumwa mankhwala ena kuti muzitha kugwidwa ndipo mukusinthira ku oxcarbazepine, dokotala wanu amachepetsa pang'onopang'ono mankhwala anu ndikuwonjezera oxcarbazepine. Tsatirani malangizowa mosamala ndikufunsani dokotala ngati simukudziwa kuchuluka kwa mankhwala omwe muyenera kumwa.

Oxcarbazepine itha kuthandizira kuwongolera kugwidwa kwanu koma sichichiza matenda anu. Pitilizani kumwa oxcarbazepine ngakhale mukumva bwino. Osasiya kumwa oxcarbazepine osalankhula ndi dokotala, ngakhale mutakhala ndi zovuta zina monga kusintha kwachilendo pamakhalidwe kapena malingaliro. Ngati mwasiya mwadzidzidzi kutenga oxcarbazepine, kugwidwa kwanu kumatha kukulirakulira. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi oxcarbazepine ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Oxcarbazepine nthawi zina amagwiritsidwa ntchito pochiza matenda ochititsa munthu kusinthasintha zochitika (manic-depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo azisangalalo zosaneneka, ndi zina zosakhala bwino). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Mankhwalawa amatha kupatsidwa ntchito zina. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge oxcarbazepine:

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la oxcarbazepine, carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), mankhwala ena aliwonse, kapena chilichonse chosagwira ntchito m'mapiritsi a oxcarbazepine, mapiritsi otulutsidwa, kapena kuyimitsidwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazinthu zosagwira mu mapiritsi a oxcarbazepine kapena kuyimitsidwa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone); amitriptyline (Elavil); calcium blockers monga amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Procardia), nimodipine (Nimotop), nisoldipine (Sular) verapamil (Calan, Covera, Isoptin, Verelan); mankhwala a chlorpromazine (Thorazine); clomipramine (Anafranil); cyclophosphamide (Cytoxan, Neosar); desmopressin (DDAVP, Minirin, Wowona); diazepam (Valium); okodzetsa ('mapiritsi amadzi'); indapamide (Natrilix); Mankhwala ena ogwidwa monga carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin), ndi valproic acid (Depakene, Depakote); proton-pump inhibitors monga lansoprazole (Prevacid), omeprazole (Prilosec), ndi pantoprazole (Protonix); theophylline (Theo-Dur); ndi serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft). Mankhwala ena amatha kulumikizana ndi oxcarbazepine, chifukwa chake onetsetsani kuti mumauza dokotala komanso wazamankhwala zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi.
• uzani dokotala wanu ngati ndinu ochokera ku China, Thai, Malaysian, Korea, Indian, kapena Philippines. Chiwopsezo chokhala pachiwopsezo cha matenda omwe amatchedwa matenda a Stevens-Johnson (SJS) kapena poizoni epidermal necrolysis (TEN) awonjezeka mwa anthu ochokera ku Asia omwe ali ndi vuto lobadwa nalo. Ngati ndinu waku Asia, dokotala wanu amatha kuyitanitsa mayeso kuti awone ngati muli ndi chiopsezo cha majini musanapereke oxcarbazepine.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Ngati mukugwiritsa ntchito njira zakulera zamahomoni, muyenera kudziwa kuti njira zakulera izi sizigwira bwino ntchito mukamagwiritsa ntchito oxcarbazepine. Njira zakulera zama mahomoni siziyenera kugwiritsidwa ntchito ngati njira yokhayo yolerera pamene mukumwa mankhwalawa. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Itanani dokotala wanu ngati mwaphonya nthawi kapena mukuganiza kuti mutha kukhala ndi pakati mukamamwa oxcarbazepine.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona kapena chizungulire, kukhudza momwe mumayendera, kapena kungayambitse masomphenya awiri kapena masomphenya ena. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa oxcarbazepine pochiza khunyu, matenda amisala, kapena zina. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants monga oxcarbazepine kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amathandizidwa. Ena mwa anthuwa adayamba kudzipha pakangotha ​​sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha thanzi lanu lam'mutu mukamamwa mankhwala a anticonvulsant monga oxcarbazepine, koma pakhoza kukhala pachiwopsezo kuti musinthe thanzi lanu lamankhwala ngati matenda anu sakuchiritsidwa. Inu ndi dokotala wanu muwona ngati kuopsa kokumwa mankhwala a anticonvulsant ndiokulirapo kuposa kuopsa kosamwa mankhwalawo. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: mantha; kusakhazikika kapena kusakhazikika; kukwiya kwatsopano kapena kukulira, nkhawa, kapena kukhumudwa; kuchita zofuna zawo; kuvuta kugona kapena kugona; aukali, aukali, kapena achiwawa; mania (kukwiya, kusangalala modabwitsa); kuyankhula kapena kuganiza zofuna kudzipweteka kapena kudzipha; kudzipatula kwa abwenzi ndi abale; kutanganidwa ndi imfa ndi kufa; kupereka zinthu zamtengo wapatali; kapena kusintha kwina kulikonse pamakhalidwe kapena malingaliro. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Musanayambe mankhwala anu, lankhulani ndi dokotala wanu zomwe muyenera kuchita ngati mwaphonya mlingo mwangozi. Onetsetsani kuti mufunse dokotala kuti muyenera kuyembekezera nthawi yayitali bwanji pakati pa kumwa mowa ndikumwa mlingo wa oxcarbazepine. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Oxcarbazepine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuthamanga, kubwereza mayendedwe amaso omwe simungathe kuwongolera
• kutsegula m'mimba
• kudzimbidwa
• kutentha pa chifuwa
• kupweteka m'mimba
• nseru
• kusanza
• kusowa chilakolako
• kusintha momwe chakudya chimakondera
• pakamwa pouma
• ludzu
• kunenepa
• mutu
• kugwedeza gawo la thupi lomwe simungathe kulilamulira; zovuta kuwongolera mayendedwe; kugwa pansi
• mayendedwe ochepetsa kapena malingaliro; kuyiwala, kuvuta kuyang'ana, komanso mavuto olankhula
• msana, mkono, kapena kupweteka kwa mwendo
• kufooka kwa minofu kapena kufinya mwadzidzidzi
• thukuta lowonjezeka
• kutupa, kufiira, kuyabwa, kuwotcha, kapena kuyabwa kwa nyini, kutuluka koyera kumaliseche

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• zidzolo; ming'oma; kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi: kapena kuvutika kumeza kapena kupuma
• nseru, kupweteka mutu, kusowa mphamvu, kusokonezeka, kapena kugwidwa komwe kumatenga nthawi yayitali kapena kumachitika pafupipafupi kuposa kale
• khungu, kuphulika, kapena khungu
• zidzolo; ming'oma; zilonda mkamwa kapena kuzungulira maso; malungo; kutopa kwambiri; kupweteka pachifuwa; kufooka kwa minofu kapena kupweteka; kutupa kwa nkhope, khosi, kubuula, kapena malo apansi; chikasu cha khungu kapena maso; kutuluka mwachilendo kapena kuvulala; wamagazi, mitambo, kuchuluka, kuchepa, kapena kukodza kowawa
• zilonda zapakhosi, chifuwa, kuzizira, ndi zizindikilo zina za matenda

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosawonekera kwa ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Sungani mapiritsi otulutsira kutali ndi kuwala. Chotsani kuyimitsidwa kulikonse komwe sikugwiritsidwe ntchito patatha milungu 7 botolo litatsegulidwa koyamba.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone yankho lanu ku oxcarbazepine.

Musanayezetsedwe kwa labotale, uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukumwa oxcarbazepine.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Zowonjezera XR^®
• Trileptal^®