Gabapentin

Zamkati

• Musanatenge gabapentin,
• Gabapentin ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zingakhale zovuta. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Makapisozi a Gabapentin, mapiritsi, ndi yankho la m'kamwa amagwiritsidwa ntchito limodzi ndi mankhwala ena othandiza kuthana ndi matenda ena mwa anthu omwe ali ndi khunyu. Makapisozi a Gabapentin, mapiritsi, ndi yankho la m'kamwa amagwiritsidwanso ntchito kuthana ndi ululu wa neuralgia yaposachedwa (PHN; kupweteka, kubaya kupweteka kapena zopweteka zomwe zimatha miyezi kapena zaka pambuyo poti ma shingles aukira). Mapiritsi otulutsidwa a Gabapentin (Horizant) amagwiritsidwa ntchito pochiza matenda amiyendo yopumula (RLS; zomwe zimayambitsa kusakhazikika kwamiyendo ndikulimbikitsa mwamphamvu kusuntha miyendo, makamaka usiku komanso pokhala kapena kugona). Gabapentin ali mgulu la mankhwala otchedwa anticonvulsants. Gabapentin amathandizira kukomoka pochepetsa chisangalalo chachilendo muubongo. Gabapentin amachepetsa kupweteka kwa PHN posintha momwe thupi limamvera kupweteka. Sidziwika momwe gabapentin amagwirira ntchito kuti athetse matenda amiyendo yopanda pake.

Gabapentin imabwera ngati kapisozi, piritsi, piritsi lotulutsa nthawi yayitali, komanso yankho lakumwa (madzi) kuti mutenge pakamwa. Makapisozi a Gabapentin, mapiritsi, ndi mankhwala am'madzi amamwa nthawi zonse ndi kapu yamadzi (ma ola 240), kapena wopanda chakudya, katatu patsiku.

Mankhwalawa ayenera kumwedwa nthawi yofanana usana ndi usiku; pasadutse maola 12 pakati pa mlingo. Piritsi lotulutsa (Horizant) limatengedwa ndi chakudya kamodzi tsiku lililonse pafupifupi 5 PM. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani gabapentin monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mapiritsi otulutsa Gabapentin sangasinthidwe ndi mtundu wina wa mankhwala a gabapentin. Onetsetsani kuti mumalandira mtundu wa gabapentin wokha womwe adakupatsani dokotala. Funsani wamankhwala wanu ngati muli ndi mafunso okhudza mtundu wa gabapentin womwe mudapatsidwa.

Kumeza mapiritsi otulutsidwa otalikiratu; musadule, kutafuna, kapena kuwaphwanya.

Ngati dokotala akukuuzani kuti mutenge theka la piritsi lanu ngati gawo lanu, gawani piritsi mosamala. Gwiritsani ntchito theka la piritsi lanu ngati gawo la gawo lanu lotsatira. Sungani bwino mapiritsi aliwonse omwe simunagwiritsepo ntchito masiku angapo mutaphwanya.

Ngati mukumwa gabapentin kuti muchepetse khunyu kapena PHN, dokotala wanu angakuyambitseni pa mlingo wocheperako wa gabapentin ndipo pang'onopang'ono muwonjezere mlingo wanu pakufunika kuthana ndi vuto lanu. Ngati mukumwa gabapentin kuchiza PHN, uzani dokotala ngati zizindikiro zanu sizikusintha mukamamwa mankhwala.

Gabapentin atha kuthandiza kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa gabapentin ngakhale mukumva bwino. Osasiya kumwa gabapentin osalankhula ndi dokotala, ngakhale mutakhala ndi zovuta zina monga kusintha kosasintha kwamakhalidwe kapena malingaliro. Ngati mwasiya mwadzidzidzi kumwa mapiritsi a gabapentin, makapisozi, kapena yankho la m'kamwa, mutha kukhala ndi zizindikilo zakusiya monga nkhawa, kuvuta kugona kapena kugona, nseru, kupweteka, ndi thukuta. Ngati mukumwa gabapentin kuti muzitha kugwidwa ndipo mwadzidzidzi mumasiya kumwa mankhwalawo, mutha kugwidwa pafupipafupi. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono kwa sabata.

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

Gabapentin nthawi zina amagwiritsidwanso ntchito kuthana ndi vuto la matenda ashuga (kufooka kapena kumva kuwawa chifukwa cha kuwonongeka kwa mitsempha mwa anthu omwe ali ndi matenda ashuga), komanso kuchiza ndikupewa kutentha (kutentha kwadzidzidzi ndi thukuta) mwa amayi omwe akuchiritsidwa khansa ya m'mawere kapena omwe adayamba kusamba ('' kusintha kwa moyo '', kutha kwa msambo). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge gabapentin,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la gabapentin, mankhwala aliwonse, kapena chilichonse chosagwiritsidwa ntchito mu mtundu wa gabapentin womwe mukufuna kumwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazinthu zosagwira.
• muyenera kudziwa kuti gabapentin imapezeka m'njira zosiyanasiyana zomwe zitha kuperekedwa kuti zigwiritsidwe ntchito mosiyanasiyana. Funsani dokotala wanu kuti atsimikizire kuti simukugwiritsa ntchito mankhwala amodzi omwe ali ndi gabapentin.
• 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: mankhwala; mankhwala a nkhawa; mankhwala omwe amakupangitsani kukhala ozunguzika kapena kusinza; mankhwala a matenda amisala; naproxen (Aleve, Anaprox, Naprosyn, ena); mankhwala opioid (mankhwala osokoneza bongo) opweteka monga hydrocodone (mu Hydrocet, ku Vicodin, ena), morphine (Avinza, Kadian, MSIR, ena), kapena oxycodone OxyContin, ku Percocet, ku Roxicet, ena); mankhwala ogonetsa; mankhwala a khunyu; mapiritsi ogona, ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa maantacid monga Maalox kapena Mylanta, amwe maola 2 musanamwe mapiritsi a gabapentin, capsules, kapena solution.
• uzani dokotala wanu ngati mwakhalapo ndi matenda am'mapapo kapena impso. Ngati mukumwa mapiritsi otulutsidwa, muuzeni dokotala ngati mukufunika kugona masana ndikukhala ogona usiku.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga gabapentin, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa gabapentin.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona kapena chizungulire, kumachedwetsani kuganiza kwanu, komanso kuthana ndi mgwirizano. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani, ndipo dokotala akuvomereza kuti zili bwino kuti muyambe izi.
• ngati mukupatsa gabapentin kwa mwana wanu, muyenera kudziwa kuti machitidwe a mwana wanu komanso malingaliro ake amatha kusintha akamamwa gabapentin. Mwana wanu amatha kusintha modzidzimutsa, amakhala wamwano kapena wosachedwa kupsa mtima, amavutika kuyika chidwi kapena kutchera khutu, kapena amatha kuwodzera kapena kuwuma. Muuzeni mwana wanu kuti apewe zinthu zomwe zitha kukhala zowopsa, monga kukwera njinga, mpaka mutadziwa momwe gabapentin imamukhudzira.
• 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 gabapentin pochiza khunyu, matenda amisala, kapena zovuta zina. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants monga gabapentin kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amalandira chithandizo. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga gabapentin, 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.

Mukaiwala kumwa makapisozi a gabapentin, mapiritsi, kapena yankho la m'kamwa, imwani mankhwalawa mukangokumbukira. Komabe, ngati ili pafupi nthawi yamphatso yotsatira kapena ngati muiwala kumwa mapiritsi otulutsa gabapentin, tulukani mlingo womwe mwaphonya ndikupitilizabe kuchuluka kwanu. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• Kusinza
• kutopa kapena kufooka
• chizungulire
• mutu
• kugwedezeka kosalamulirika kwa gawo lina la thupi lanu
• kuwona kawiri kapena kusawona bwino
• kusakhazikika
• nkhawa
• mavuto okumbukira
• malingaliro achilendo kapena achilendo
• kusuntha kwa diso kosafunikira
• nseru
• kusanza
• kutentha pa chifuwa
• kutsegula m'mimba
• pakamwa pouma
• kudzimbidwa
• kuchuluka kudya
• kunenepa
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka kumbuyo kapena kumalumikizana
• malungo
• kutuluka mphuno, kuyetsemula, kutsokomola, zilonda zapakhosi, kapena zizindikiro zonga chimfine
• khutu kupweteka
• ofiira, oyabwa (nthawi zina amatupa kapena amatulutsa)

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

• zidzolo
• kuyabwa
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• ukali
• zovuta kumeza kapena kupuma
• kugwidwa
• kuvuta kupuma; khungu lamiyala yabuluu, milomo, kapena zikhadabo; chisokonezo; kapena kugona kwambiri

Gabapentin 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. Sungani mapiritsi, mapiritsi otulutsidwa, ndi makapisozi kutentha, osatentha kwambiri komanso chinyezi (osati kubafa). Sungani njira yothetsera pakamwa mufiriji.

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:

• masomphenya awiri
• mawu osalankhula
• Kusinza
• kutsegula m'mimba

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa gabapentin.

Ngati mugwiritsa ntchito chidindo choyesera mkodzo wanu kuti mumve zomanga thupi, funsani dokotala zomwe muyenera kugwiritsa ntchito pomwa mankhwalawa.

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.

• Kukula^®
• Kutalika^®
• Neurontin^®