Fentamini ndi Topiramate

Zamkati

• Asanamwe fentamini ndi topiramate,
• Fentamini ndi topiramate zimatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Phentermine ndi topiramate yotulutsidwa (yotenga nthawi yayitali) imagwiritsidwa ntchito kuthandiza achikulire omwe onenepa kwambiri kapena onenepa kwambiri ndipo ali ndi zovuta zamankhwala zokhudzana ndi kulemera kuti achepetse thupi kuti asapezenso kulemerako. Phentermine ndi topiramate mapiritsi otulutsidwa ayenera kugwiritsidwa ntchito limodzi ndi kuchepa kwa kalori ndi zolimbitsa thupi. Phentermine ali mgulu la mankhwala otchedwa anorectics. Zimagwira ntchito pochepetsa njala. Topiramate ili mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa njala ndikupangitsa kuti kukhutira kuzikhala kwakanthawi pambuyo pa kudya.

Phentermine ndi topiramate zimabwera ngati makapisozi otulutsidwa kuti atenge pakamwa. Mankhwalawa amatengedwa kapena opanda chakudya kamodzi patsiku m'mawa. Mankhwalawa atha kubweretsa kugona kapena kugona ngati atamwa madzulo. Tengani fentamini ndi topiramate pa nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani fentamini ndi topiramate chimodzimodzi monga malangizo.

Dokotala wanu mwina kuyamba inu pa mlingo wochepa wa fentamini ndi topiramate ndi kuonjezera mlingo wanu pambuyo masiku 14. Mutamwa mankhwalawa kwa masabata 12, dokotala wanu adzawunika kuti awone kulemera kwanu komwe mwataya. Ngati mulibe kuonda wina kulemera, dokotala angakuuzeni kuti asiye kumwa fentamini ndi topiramate kapena azitaya mlingo wanu ndiyeno kuonjezera kachiwiri pambuyo masiku 14. Mukamamwa mankhwalawa kwa milungu 12, dokotala wanu adzawona kuchuluka kwanu komwe mwataya. Ngati simunatayese pang'ono thupi, sizokayikitsa kuti mungapindule ndi kumwa fentamini ndi topiramate, kotero dokotala wanu angakuuzeni kuti musiye kumwa mankhwalawa.

Fentamini ndi topiramate zitha kukhala zizolowezi. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala.

Phentermine ndi topiramate zidzakuthandizani kuchepetsa kulemera kwanu pokhapokha mutapitiliza kumwa mankhwalawo. Osasiya kumwa fentamini ndi topiramate osalankhula ndi dokotala. Ngati mwadzidzidzi kusiya kumwa fentamini ndi topiramate, inu mukhoza kukomoka. Dokotala wanu adzakuuzani momwe mungachepetsere mlingo wanu pang'onopang'ono.

Phentermine ndi topiramate sizipezeka m'masitolo ogulitsa. Mankhwalawa amapezeka pokhapokha kudzera pama pharmacies oyitanitsa makalata. Funsani dokotala wanu ngati muli ndi mafunso okhudza momwe mudzalandire mankhwala anu.

Dokotala wanu kapena wazamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi fentamini ndi topiramate ndipo nthawi iliyonse mukamadzaza 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.

Asanamwe fentamini ndi topiramate,

• Uzani dokotala ndi pharmacist ngati matupi awo sagwirizana ndi fentamini (Adipex-P, Suprenza); topiramate (Topamax); mankhwala a sympathomimetic amine monga midodrine (Orvaten, ProAmatine) kapena phenylephrine (mu chifuwa ndi mankhwala ozizira); mankhwala ena aliwonse, kapena zosakaniza zilizonse mu fentamini ndi makapisozi topiramate. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukumwa monoamine oxidase inhibitor (MAOI) kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwamwa imodzi mwa mankhwalawa nthawi masabata awiri apitawa. Dokotala wanu mwina angakuuzeni kuti musamwe mankhwala a fentamini ndi topiramate ngati mukumwa mankhwala amodzi kapena angapo kapena ngati mwamwa mankhwala awa m'masabata awiri apitawa.
• 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 mwatchulapo mankhwala ena akuchipatala kapena osapereka mankhwala kapena mankhwala azitsamba ochepetsa thupi ndi zina mwa izi: amitriptyline (Elavil); carbonic anhydrase inhibitors monga acetazolamide (Diamox), methazolamide, kapena zonisamide (Zonegran); okodzetsa ('mapiritsi amadzi') kuphatikiza furosemide (Lasix) kapena hydrochlorothiazide (HCTZ); insulin kapena mankhwala ena a shuga; ipratropium (Atrovent); lifiyamu (Lithobid); mankhwala a nkhawa, kuthamanga kwa magazi, matumbo osachedwa kupsa mtima, matenda amisala, kuyenda koyenda, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo; mankhwala ogwidwa ngati carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), kapena valproic acid (Stavzor, ​​Depakene); pioglitazone (Actos, mu Actoplus, mu Duetact); mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati muli ndi glaucoma (momwe kupanikizika kowonjezereka kumatha kuyambitsa kutaya kwa masomphenya) kapena chithokomiro chopitilira muyeso. Dokotala wanu mwina angakuuzeni kuti musamwe fentamini ndi topiramate.
• auzeni adotolo ngati mwadwala matenda a mtima kapena sitiroko m'miyezi 6 yapitayi, ngati munaganizapo zodzipha kapena kuyesera kutero, komanso ngati mukutsata zakudya za ketogenic (mafuta ambiri, chakudya chochepa kwambiri kulanda khunyu). Komanso muuzeni dokotala ngati mwakhalapo ndi vuto la kukhumudwa kapena mwakhalapo; kugunda kwamtima kosasintha; mtima kulephera; kugwidwa; kagayidwe kachakudya acidosis (asidi kwambiri m'magazi); osteopenia, osteomalacia, kapena kufooka kwa mafupa (zinthu zomwe mafupa amafufuma kapena ofooka ndipo amatha kutha mosavuta); kutsekula m'mimba kosalekeza; vuto lililonse lomwe limakhudza kupuma kwanu; matenda ashuga; impso miyala; kapena matenda a impso kapena chiwindi.

• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mutenga fentamini ndi topiramate mukakhala ndi pakati, mwana wanu akhoza kukhala ndi vuto lobadwa nalo lotchedwa milomo yolumikizana. Mwana wanu amatha kukhala ndi vuto lobadwa kumeneku asanabadwe, musanadziwe kuti muli ndi pakati. Muyenera kugwiritsa ntchito njira zakulera popewa kutenga mimba mukamalandira chithandizo. Muyenera kuyezetsa asanayambe kulandira chithandizo komanso kamodzi pamwezi mukamalandira chithandizo. Ngati mutakhala ndi pakati mukamamwa fentamini ndi topiramate, siyani kumwa mankhwalawo ndikuyimbira dokotala nthawi yomweyo.

  
  
• mutha kugwiritsa ntchito njira zakulera zakumwa (mapiritsi oletsa kubereka) kuti muchepetse mimba mukamachiza ndi fentamini ndi topiramate. Mutha kuwona kosazolowereka (kutuluka mwadzidzidzi kumaliseche) mukamagwiritsa ntchito njira zakulera izi.Mudzakhala otetezedwa ku mimba ngati mukuwona, koma mutha kuyankhula ndi adotolo za mitundu ina yoletsa kubereka ngati kuwona kuli kovuta.

• uzani dokotala wanu ngati mukuyamwitsa.

• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa fentamini ndi topiramate.
• muyenera kudziwa kuti fentamini ndi topiramate akhoza m'mbuyo kuganiza kwanu ndi kayendedwe ndi bwanji masomphenya anu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• osamwa zakumwa zoledzeretsa pamene mukumwa fentamini ndi topiramate. Mowa ungapangitse zotsatira zoyipa za fentamini ndi topiramate kukulira.
• muyenera kudziwa kuti fentamini ndi topiramate chingakulepheretseni kutuluka thukuta ndikupangitsa kuti zikhale zovuta kuti thupi lanu liziziziritse likatentha kwambiri. Pewani kutentha, imwani madzi ambiri ndipo muuzeni dokotala ngati muli ndi malungo, mutu, kupweteka kwa minofu, kapena m'mimba, kapena ngati simukutuluka thukuta monga mwa nthawi zonse.
• muyenera kudziwa kuti thanzi lanu lamaganizidwe lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa fentamini ndi topiramate. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga antiepileptics monga topiramate kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amalandira chithandizo. Ena mwa anthuwa adayamba kudzipha pakangotha ​​sabata limodzi atayamba kumwa 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.

Imwani zamadzimadzi zowonjezera mukamachiza ndi fentamini ndi topiramate.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikumwa zomwe mumachita m'mawa mwake. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Fentamini ndi topiramate zimatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chizungulire
• dzanzi, kutentha, kapena kumva kulasalasa m'manja, mapazi, nkhope kapena pakamwa
• kuchepa kwa kukhudza kapena kutha kumva kumva
• zovuta kukhazikika, kuganiza, kutchera khutu, kuyankhula, kapena kukumbukira
• kutopa kwambiri
• pakamwa pouma
• ludzu lachilendo
• kusintha kapena kuchepa kwa kulawa chakudya
• kutsegula m'mimba
• kudzimbidwa
• kutentha pa chifuwa
• msambo wowawa
• kupweteka kumbuyo, khosi, minofu, mikono kapena miyendo
• kumangika kwa minofu
• kupweteka kovuta, kovuta, kapena pafupipafupi
• kutayika tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kuthamanga kapena kugunda kwamtima komwe kumatenga mphindi zingapo
• kuchepa kwadzidzidzi m'masomphenya
• kupweteka kwa diso kapena kufiira
• kuthamanga, kupuma pang'ono
• kupweteka kwambiri paketi kapena mbali
• magazi mkodzo
• zotupa kapena zotupa, makamaka ngati mulinso ndi malungo
• ming'oma

Fentamini ndi topiramate zingayambitse 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. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Sungani fentamini ndi topiramate pamalo otetezeka kuti wina asazitengere mwangozi kapena mwadala. Onetsetsani kuti ndi makapisozi angati amene atsala kuti mudziwe ngati pali ena omwe akusowa.

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.

Zizindikiro za bongo zingaphatikizepo izi:

• kusakhazikika
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kupuma mofulumira
• chisokonezo
• ndewu
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• mantha
• kutopa kwambiri
• kukhumudwa
• kugunda kwamtima kosasintha
• nseru
• kusanza
• kutsegula m'mimba
• kupweteka m'mimba kapena kukokana
• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)
• chizungulire
• kusokonezeka kwa malankhulidwe
• kusawona bwino kapena masomphenya awiri
• mavuto ndi mgwirizano

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala anu kuyitanitsa mayesero ena labu kuti aone mmene thupi lanu fentamini ndi topiramate.

Musalole kuti aliyense azimwa mankhwala anu. Kupatsa kapena kugulitsa fentamini ndi topiramate kwa ena kumatha kuwavulaza ndipo ndichotsutsana ndi lamulo. Phentermine ndi topiramate 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.

• Maganizo^® (okhala ndi Phentermine, Topiramate)