Tetrabenazine

Zamkati

• Musanamwe tetrabenazine,
• Tetrabenazine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO LOFUNIKA, siyani kumwa tetrabenazine ndikuyimbira dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Tetrabenazine imatha kukulitsa chiopsezo cha kukhumudwa kapena malingaliro ofuna kudzipha (kuganizira zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero) mwa anthu omwe ali ndi matenda a Huntington (matenda obadwa nawo omwe amachititsa kuwonongeka kwapang'onopang'ono kwamaselo amitsempha muubongo). Uzani dokotala wanu ngati mwakhalapo ndi vuto lakukhumudwa kapena ngati mudaganizapo zodzipweteka kapena kudzipha. Dokotala wanu angakuuzeni kuti musatenge tetrabenazine. Inu, banja lanu, kapena wosamalira muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: kukhumudwa kwatsopano kapena kukulirakulira, malingaliro odzivulaza kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero, kuda nkhawa kwambiri, kusokonezeka, kuvutika kugona kapena kugona, nkhanza kapena nkhanza, kukwiya, kuchita zinthu mosaganizira, kusakhazikika kwambiri, nkhawa, kusintha thupi, kusachita chidwi ndi kucheza, kuvuta kutchera khutu, kapena kusintha kwina kulikonse pamakhalidwe. Onetsetsani kuti achibale anu kapena omwe amakusamalirani amakufikirani pafupipafupi ndipo akudziwa zomwe zingakhale zovuta kuti athe kuyimbira adotolo ngati mukulephera kupeza chithandizo chanokha.

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu angafune kulankhula nanu zaumoyo wanu mukamamwa mankhwalawa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi tetrabenazine 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.

Tetrabenazine amagwiritsidwa ntchito pochizira chorea (mayendedwe mwadzidzidzi omwe simungathe kuwongolera) omwe amayamba chifukwa cha matenda a Huntington (matenda obadwa nawo omwe amachititsa kuwonongeka kwapang'onopang'ono kwamaselo amitsempha muubongo). Tetrabenazine ali mgulu la mankhwala otchedwa vesicular monoamine transporter 2 (VMAT2) inhibitors. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo zomwe zimakhudza mitsempha ndi minofu.

Tetrabenazine imabwera ngati piritsi kuti imwe pakamwa kapena wopanda chakudya. Nthawi zambiri amatengedwa kamodzi patsiku, kenako amakula kawiri patsiku sabata limodzi, kenako nkuwonjezeka katatu patsiku sabata limodzi pambuyo pake. Tengani tetrabenazine nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tetrabenazine monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu angayambe ndi mlingo wochepa wa tetrabenazine ndipo pang'onopang'ono amachepetsa kapena kuchepetsa mlingo wanu, osati kamodzi pa sabata, kutengera momwe mankhwalawo amakuthandizirani komanso zovuta zomwe mumakumana nazo. Onetsetsani kuti muuze dokotala momwe mukumvera kotero kuti dokotala wanu angakupatseni mankhwala oyenera kuti athetse vuto lanu ndi chiopsezo chochepa kwambiri cha zotsatirapo.

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

Musanamwe tetrabenazine,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la tetrabenazine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a tetrabenazine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala ngati mukumwa reserpine, deutetrabenazine (Austedo), valbenazine (Ingrezza), kapena monoamine oxidase (MAO) inhibitor monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcyprom (Parnate), kapena ngati mwasiya kumwa monoamine oxidase inhibitor m'masabata awiri apitawa kapena mwasiya kumwa mankhwala m'masiku 20 apitawa. Dokotala wanu angakuuzeni kuti simuyenera kumwa tetrabenazine.
• 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 izi: mankhwala a nkhawa; antipsychotics monga chlorpromazine, haloperidol (Haldol), olanzapine (Zyprexa), risperidone (Risperdal), thioridazine, ndi ziprasidone (Geodon); fluoxetine (Prozac, Sarafem, Selfemra); mankhwala ena am'magazi osagwirizana monga amiodarone (Cordarone, Nexterone, Pacerone), procainamide, quinidine (ku Nuedexta), ndi sotalol (Betapace, Sorine, Sotylize); moxifloxacin (Avelox); paroxetine (Brisdelle, Paxil, Pexeva); ndi mankhwala ogonetsa, mapiritsi ogona, kapena opondereza. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi matenda a chiwindi. Dokotala wanu angakuuzeni kuti musatenge tetrabenazine.
• auzeni adotolo ngati mwangodwala kumene mtima kapena ngati mwakhalapo ndi matenda a QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kukomoka kapena kufa mwadzidzidzi), mtundu wina wa kugunda kwamtima kosasinthasintha kapena mungoli wamtima vuto, kulephera kwa mtima, kapena matenda amtima. Muuzeni dokotala ngati muli ndi magazi ochepa a magnesium kapena potaziyamu m'magazi anu kapena khansa ya m'mawere.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga tetrabenazine, itanani dokotala wanu.
• muyenera kudziwa kuti tetrabenazine imatha kukupangitsani kugona kapena kuyambitsa kutopa. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Muyenera kudziwa kuti mowa umatha kuwonjezera kugona komwe kumayambitsidwa ndi mankhwalawa. Musamwe mowa mukamwa tetrabenazine.
• muyenera kudziwa kuti tetrabenazine imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka msanga kuchokera pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.

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.

Ngati mwaphonya kumwa tetrabenazine kwa masiku opitilira 5, lankhulani ndi dokotala musanayambirenso kumwa. Muyenera kuti muyambenso kuyitenga pamlingo wotsika.

Tetrabenazine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kusanza
• kuchepa kudya
• mutu
• kupweteka kapena kutentha pakukodza
• kuvulaza
• kuvuta kuyankhula kapena kumvedwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO LOFUNIKA, siyani kumwa tetrabenazine ndikuyimbira dokotala nthawi yomweyo:

• malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
• zovuta kusuntha, kapena kusunga malire
• kuuma minofu
• kugunda kwamtima kosasintha
• kupuma movutikira
• kusakhazikika

Tetrabenazine angayambitse mavuto ena. 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).

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:

• kupindika kapena kugwedeza kayendedwe
• kusuntha kwamaso mwachangu
• nseru
• kusanza
• thukuta
• kutopa kwambiri
• chisokonezo
• kutsegula m'mimba
• kuyerekezera zinthu m'maganizo (kuwona chinthu kapena mawu akumva omwe kulibe)
• kufiira kwa khungu
• Kugwedezeka kosalamulirika

Sungani maimidwe onse ku labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira tetrabenazine.

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.

• Xenazine^®