Mlembi: Clyde Lopez
Tsiku La Chilengedwe: 22 Kulayi 2021
Sinthani Tsiku: 24 Kuguba 2025
Anonim
Kathryn Davis, MD, MSTR: Off-Label Clobazam Use in Refractory Epilepsy
Kanema: Kathryn Davis, MD, MSTR: Off-Label Clobazam Use in Refractory Epilepsy

Zamkati

Clobazam ikhoza kuonjezera chiopsezo cha kupuma koopsa kapena koopsa, kupuma, kapena kukomoka ngati mutagwiritsa ntchito mankhwala ena. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa: antidepressants; mankhwala a nkhawa, matenda amisala, ndi khunyu; mankhwala ogonetsa; mapiritsi ogona; ma opioid monga codeine, fentanyl (Duragesic, Subsys), morphine (Astramorph, Kadian), kapena oxycodone (ku Percocet, ku Roxicet, ena); kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mutenga clobazam ndi ina mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.


Clobazam ikhoza kukhala chizolowezi chopanga. Musatenge mlingo waukulu, tengani nthawi zambiri, kapena kwa nthawi yayitali kuposa momwe dokotala akukuuzani. Uzani dokotala wanu ngati munamwapo mowa wambiri, ngati mumamwa kapena munagwiritsapo ntchito mankhwala osokoneza bongo, kapena mumwa mankhwala osokoneza bongo. Musamwe mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala. Kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamalandira clobazam kumawonjezeranso chiopsezo choti mudzakumana ndi zovuta zoyipa izi. Uzaninso dokotala wanu ngati mwakhalapo ndi vuto la kukhumudwa kapena matenda amisala.

Clobazam ikhoza kuyambitsa kudalira kwakuthupi (vuto lomwe zimakhala zosasangalatsa ngati mankhwala atayimitsidwa modzidzimutsa kapena kumwa pang'ono), makamaka mukawatenga kwa masiku angapo mpaka milungu ingapo. Osasiya kumwa mankhwalawa kapena kumwa ochepa osalankhula ndi dokotala. Kuyimitsa clobazam mwadzidzidzi kumatha kukulitsa vuto lanu ndikupangitsa zizindikiritso zomwe zitha kukhala milungu ingapo mpaka miyezi yopitilira 12. Dokotala wanu mwina amachepetsa mlingo wanu wa clobazam pang'onopang'ono. Itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi mukakumana ndi izi: kulira m'makutu anu; nkhawa; mavuto okumbukira; zovuta kulingalira; mavuto ogona; kugwidwa; kugwedeza; kugwedezeka kwa minofu; kusintha kwa thanzi; kukhumudwa; kutentha kapena kumenyetsa m'manja, mikono, miyendo kapena mapazi; kuwona kapena kumva zinthu zomwe ena sawona kapena kumva; malingaliro odzivulaza kapena kudzipha nokha kapena ena; kupambanitsa; kapena kutaya kulumikizana ndi zenizeni.


Clobazam imagwiritsidwa ntchito ndi mankhwala ena kuti athetse kugwidwa kwa achikulire ndi ana azaka ziwiri kapena kupitilira apo omwe ali ndi matenda a Lennox-Gastaut (matenda omwe amayambitsa khunyu ndipo nthawi zambiri amachititsa kuchepa kwachitukuko). Clobazam ali m'gulu la mankhwala otchedwa benzodiazepines. Zimagwira ntchito pochepetsa magwiridwe antchito amagetsi muubongo.

Clobazam imabwera ngati piritsi komanso kuyimitsa (madzi) kuti atenge pakamwa, komanso ngati kanema wogwiritsa ntchito lilime. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku, popanda chakudya. Tengani clobazam nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Ngati mukulephera kumeza mapiritsi athunthu, mutha kuwaphwanya pakati kapena kuwaphwanya ndikuwasakaniza ndi maapulosi ochepa.

Madziwo amabwera ndi adaputala ndi ma syringe awiri am'kamwa. Gwiritsani ntchito syringes imodzi yokha mwa milingo iwiri yoyeseza pakamwa kuti muyese mlingo wanu ndikusunga syringe yachiwiri. Ngati syringe yoyamba yapakamwa yawonongeka kapena kutayika, syringe yachiwiri yomwe ingaperekedwe itha kugwiritsidwa ntchito m'malo mwake.


Kuti mutenge madzi, tsatirani izi:

  1. Musanagwiritse ntchito koyamba, tulutsani botolo ndikuyika adapter mu khosi la botolo mpaka chosinthira chikhale chophatikizira ndi botolo. Musachotse adaputala panthawi yomwe mukugwiritsa ntchito botolo ili.
  2. Sambani madzi bwino musanagwiritse ntchito mankhwala osakanikirana.
  3. Kuti muyese mlingo wanu, kanikizani jakisoniyo mpaka pansi ndikuyika syringe mu adapter ya botolo lowongoka. Kenako tembenuzirani botolo mozondoka ndipo pang'onopang'ono mukokereni plunger mpaka mphete yakuda ikugwirizana ndi muyeso wanu.
  4. Chotsani syringe kuchokera pa adapter ya botolo ndikuchepetsa pang'onopang'ono madziwo kuchokera mu syringe kupita pakona pakamwa panu.
  5. Ikani botolo la botolo pamwamba pa adapter mukatha kugwiritsa ntchito.
  6. Sambani jekeseni wamlomo mukatha kugwiritsa ntchito. Kuti musambe syringe, chotsani plunger kwathunthu, tsukani mbiya ndi donthe ndi sopo ndi madzi, tsukani, ndi kulola kuti ziume. Osayika magawo a syringe mu chotsukira mbale.

Kuti mutenge kanemayo, tsatirani izi:

  1. Tsegulani zojambulazo ndikuchotsa kanema. Onetsetsani kuti manja anu ndi ouma komanso oyera.
  2. Ikani kanema pamwamba pa lilime lanu.
  3. Tsekani pakamwa panu ndi kumeza malovu anu bwinobwino. Osatafuna, kulavulira, kapena kulankhula mufilimuyo ikusungunuka. Musatenge ndi zakumwa.
  4. Sambani manja anu.

Ngati dokotala wakuwuzani kuti mutenge kanema wopitilira muyeso umodzi, dikirani mpaka filimu yoyamba isungunuke musanatenge kanema wachiwiri.

Dokotala wanu angayambe ndi clobazam yochepa ndipo pang'onopang'ono azikulitsa mlingo wanu, osati kamodzi pa sabata.

Anthu ena amatha kuyankha mosiyanasiyana pa clobazam potengera kubadwa kwawo kapena chibadwa chawo. Dokotala wanu akhoza kuyitanitsa mayeso a magazi kuti akuthandizeni kupeza mlingo wa clobazam yomwe ili yabwino kwa inu.

Clobazam itha kuthandizira kuwongolera matenda anu koma sangakuchiritse. Pitirizani kutenga clobazam ngakhale mutakhala bwino. Osasiya kumwa clobazam osalankhula ndi dokotala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi clobazam 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/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

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

Musanatenge clobazam,

  • Uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi clobazam, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a clobazam, kuyimitsidwa, kapena kanema. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
  • auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi izi: dextromethorphan (Delsym, ku Nuedexta, ku Robitussin DM); fluconazole (Diflucan); fluvoxamine (Luvox); omeprazole (Prilosec, ku Zegerid); kapena ticlopidine. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi clobazam, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • uzani dokotala wanu ngati munaganizapo zodzipweteka kapena kudzipha nokha, kapena kukonzekera kapena kuyesa kutero kapena mapapo, impso, kapena matenda a chiwindi.
  • Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumatenga clobazam pafupipafupi m'miyezi ingapo yapitayo yamimba yanu, mwana wanu amatha kukhala ndi zizindikilo zobwereka atabadwa. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kapena kutsegula m'mimba. Mukakhala ndi pakati mukatenga clobazam, itanani dokotala wanu.
  • ngati mukugwiritsa ntchito njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, jakisoni, kapena zida za intrauterine), muyenera kudziwa kuti njira zakulera izi sizingagwire bwino ntchito mukamagwiritsa ntchito clobazam. Njira zakulera zam'madzi siziyenera kugwiritsidwa ntchito ngati njira yokhayo yolerera pamene mukumwa clobazam komanso masiku 28 mutalandira mankhwala. Lankhulani ndi dokotala wanu za njira zopewera kubereka zomwe zingakuthandizeni.
  • Uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukumwa clobazam, uzani dokotala ngati mwana wanu sakudya bwino kapena akugona kwambiri.
  • lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa mankhwalawa ngati muli ndi zaka 65 kapena kupitilira apo. Akuluakulu ayenera kulandira mankhwala ochepa a clobazam chifukwa kuchuluka kwake sikungagwire bwino ntchito ndipo kumatha kubweretsa zovuta zina.
  • muyenera kudziwa kuti clobazam imatha kukupangitsani kuti mugone ndikusokoneza malingaliro anu, kutha kupanga zisankho, komanso mgwirizano. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zoopsa mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • muyenera kudziwa kuti thanzi lanu lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa clobazam. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants, monga clobazam, kuti athetse zovuta zosiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yamankhwala. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. 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); kuganiza zodzipweteka kapena kudzipha, kapena kukonzekera kapena kuyesa kutero; 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.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Clobazam ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kutopa
  • mavuto ndi mgwirizano
  • kuvuta kuyankhula kapena kumeza
  • kutsitsa
  • kusintha kwa njala
  • kusanza
  • kudzimbidwa
  • chifuwa
  • kupweteka pamodzi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa m'magulu a SPECIAL PRECAUTIONS kapena MAFUNSO OYENERA KUCHENJEZA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

  • kukodza kovuta, kowawa, kapena pafupipafupi
  • chifuwa, kupuma movutikira, malungo
  • zilonda mkamwa mwako, zidzolo, ming'oma, khungu kapena khungu lotupa
  • malungo

Clobazam ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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 chosafikira ana. Musatsegule chikwama chojambulacho mufilimuyi musanakonzekere kuigwiritsa ntchito. Sungani clobazam pamalo otetezeka kuti pasapezeke wina amene angatenge mwangozi kapena mwadala. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Sungani kuyimitsidwa kwa clobazam (madzi) pamalo owongoka. Musagwiritse ntchito madzi otsala kuposa masiku 90 mutatsegula botolo.

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

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.

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.

Zizindikiro za bongo zingaphatikizepo izi:

  • Kusinza
  • chisokonezo
  • kusowa mphamvu
  • mavuto ndi mgwirizano
  • wodekha, kupuma pang'ono
  • kuchepa kulakalaka kupuma
  • kukomoka
  • kusawona bwino

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti aliyense azimwa mankhwala anu. Clobazam ndi chinthu cholamulidwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.

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.

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