Lamotrigine

Zamkati

• Musanatenge lamotrigine,
• Lamotrigine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zafotokozedwa mgawo la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

[Wolemba 03/31/2021]

NKHANI: Kafukufuku akuwonetsa chiwopsezo chowonjezeka chamatenda amtima ndikumagwidwa ndi mankhwala amisala lamotrigine (Lamictal) mwa odwala matenda amtima

Omvera: Wodwala, Zaumoyo, Pharmacy

NKHANI: Kuwunika kwa US Food and Drug Administration (FDA) kwa zomwe zapezedwa kunawonetsa chiwopsezo chowonjezeka chamatenda amtima, chotchedwa arrhythmias, mwa odwala omwe ali ndi matenda amtima omwe akulanda ndi mankhwala amisala lamotrigine (Lamictal). Tikufuna kuwunika ngati mankhwala ena omwe ali mgulu lomweli ali ndi zotsatirapo zofanana pamtima ndipo akufunikiranso maphunziro achitetezo pa awa. Tidzakonzanso pagulu pomwe zina zowonjezera kuchokera m'maphunziro awa zizipezeka. FDA idafunikira maphunziro awa, omwe amatchedwa maphunziro a vitro, kuti apitilize kufufuza zomwe Lamictal adachita pamtima titalandira malipoti azofufuza zamagetsi zamagetsi zamagetsi (ECG) komanso mavuto ena akulu. Nthawi zina, mavuto kuphatikizapo kupweteka pachifuwa, kutaya chidziwitso, ndi kumangidwa kwa mtima kumachitika. Kafukufuku wa vitro ndi maphunziro omwe amachitika m'mayeso oyeserera kapena mbale za petri osati mwa anthu kapena nyama. Tidawonjezera zambiri pazowopsa izi ku lamotrigine yolemba zambiri ndi Maupangiri a Zamankhwala mu Okutobala 2020, zomwe tasintha.

MALANGIZO: Lamotrigine imagwiritsidwa ntchito payokha kapena ndi mankhwala ena kuchiza khunyu mwa odwala azaka 2 kapena kupitilira apo. Itha kugwiritsidwanso ntchito ngati chithandizo chokomera odwala omwe ali ndi matenda amisala ochititsa munthu kusinthasintha zochitika kuti athandizire kuchedwetsa zochitika zamankhwala monga kukhumudwa, mania, kapena hypomania. Lamotrigine wavomerezedwa ndipo ali pamsika kwazaka zopitilira 25 ndipo amapezeka pansi pa dzina Lamictal komanso ngati generic.

KUYAMIKIRA:

Ophunzira Zaumoyo

• Onetsetsani ngati phindu la lamotrigine lingapose chiopsezo cha arrhythmias kwa wodwala aliyense.
• Kuyesa kwa Laborator komwe kumachitika pazithandizo zakuwonetsa kuti lamotrigine imatha kuwonjezera chiopsezo cha arrhythmias, yomwe imatha kukhala yowopsa kwa odwala omwe ali ndi vuto lofunikira kapena lantchito yamtima. Zovuta zamatenda am'maganizo ndi magwiridwe antchito zimaphatikizira kulephera kwamtima, matenda amtima a valvular, matenda obadwa nawo amtima, matenda amadzimadzi, ma ventricular arrhythmias, ma cardiopathies amtima monga matenda a Brugada, matenda am'mimba ofunikira, kapena zoopsa zingapo zamatenda amitsempha.
• Kuopsa kwa arrhythmias kumakulanso ngati kugwiritsidwa ntchito limodzi ndi mankhwala ena omwe amaletsa njira za sodium mumtima. Ma blocker ena a sodium omwe amavomereza khunyu, matenda ochititsa munthu kusinthasintha zochitika, komanso zisonyezo zina siziyenera kuonedwa ngati njira zabwino kuposa lamotrigine pakalibe zambiri.

Odwala, Makolo, ndi Osamalira

• Osasiya kumwa mankhwala anu musanalankhule ndi omwe anakulemberani chifukwa kuletsa lamotrigine kumatha kubweretsa kugwa kosalamulirika, kapena mavuto atsopano kapena owopsa amisala.
• Lumikizanani ndi a zamankhwala nthawi yomweyo kapena pitani kuchipinda chodzidzimutsa ngati mukumva kugunda kwamtima kapena kusakhazikika, kapena zizindikilo monga kugunda kwamtima, kudumphadumpha kapena kugunda pang'ono, kupuma movutikira, chizungulire, kapena kukomoka.

Kuti mumve zambiri pitani patsamba la FDA ku: http://www.fda.gov/Safety/MedWatch/SafetyInformation ndi http://www.fda.gov/Drugs/DrugSafety.

Lamotrigine imatha kuyambitsa ziphuphu, kuphatikiza zotupa zazikulu zomwe zimafunikira kuthandizidwa kuchipatala kapena zimayambitsa kulumala kapena kufa kwamuyaya. Uzani dokotala wanu ngati mukumwa mankhwala a valproic acid (Depakene) kapena divalproex (Depakote) chifukwa kumwa mankhwalawa ndi lamotrigine kungapangitse kuti mukhale pachiwopsezo chachikulu. Muuzeni dokotala ngati mwayamba kuchita zotupa mutalandira lamotrigine kapena mankhwala aliwonse a khunyu kapena ngati muli ndi vuto la mankhwala aliwonse a khunyu.

Dokotala wanu akuyambitsani mlingo wochepa wa lamotrigine ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi pa sabata limodzi kapena awiri. Mutha kukhala ndi vuto lalikulu ngati mutenga muyeso woyambira kapena kuwonjezera mlingo wanu mwachangu kuposa momwe dokotala akukuuzani kuti muyenera kutero. Mlingo wanu woyamba wamankhwala atha kukhala m'matumba oyambira omwe angakuwonetseni kuchuluka kwa mankhwala omwe mungamwe tsiku lililonse m'masabata asanu oyambira. Izi zidzakuthandizani kutsatira malangizo a dokotala wanu pamene mlingo wanu ukuwonjezeka pang'onopang'ono. Onetsetsani kuti mwatenga lamotrigine monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Zotupa zazikulu zimayamba pakadutsa milungu iwiri kapena isanu ndi iwiri yamankhwala a lamotrigine, koma zimatha kukhala nthawi iliyonse mukamalandira chithandizo. Ngati mukukhala ndi zizindikiro zotsatirazi mukamamwa lamotrigine, itanani dokotala wanu mwachangu: kuthamanga; matuza kapena khungu; ming'oma; kuyabwa; kapena zilonda zopweteka mkamwa mwako kapena mozungulira maso ako.

Lankhulani ndi dokotala wanu za kuopsa kotenga lamotrigine kapena kupereka lamotrigine kwa mwana wanu. Ana azaka za 2-17 omwe amatenga lamotrigine amatha kukhala ndi zotupa zazikulu kuposa achikulire omwe amamwa mankhwalawa.

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

Mapiritsi a Lamotrigine otulutsidwa (otenga nthawi yayitali) amagwiritsidwa ntchito ndi mankhwala ena kuti athetse mitundu ina ya khunyu mwa odwala omwe ali ndi khunyu. Mitundu yonse yamapiritsi a lamotrigine (mapiritsi, mapiritsi osweka pakamwa, ndi mapiritsi otafuna) kupatula mapiritsi otulutsidwa omwe amagwiritsidwa ntchito pawokha kapena ndi mankhwala ena othandizira odwala omwe ali ndi khunyu kapena Lennox-Gastaut syndrome (matenda omwe amayambitsa khunyu ndi nthawi zambiri zimayambitsa kuchedwa kwachitukuko). Mitundu yonse yamapiritsi a lamotrigine kupatula mapiritsi otulutsira ntchito amagwiritsidwanso ntchito kuonjezera nthawi pakati pa magawo a kukhumudwa, mania (kukwiya kapena kusangalala modabwitsa), ndi zovuta zina zodwala omwe ali ndi bipolar I disorder (manic-depression disorder; a Matenda omwe amayambitsa magawo okhumudwa, magawo amanjenje, ndimikhalidwe ina yachilendo). Lamotrigine sanawonetsedwe kuti ndiwothandiza anthu akamakumana ndi zovuta zakukhumudwa kapena mania, chifukwa chake mankhwala ena ayenera kugwiritsidwa ntchito kuthandiza anthu kuti achire. Lamotrigine ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa magwiridwe antchito amagetsi muubongo.

Lamotrigine imabwera ngati piritsi, piritsi lotulutsira kwina, piritsi lomwe limasweka pakamwa (limasungunuka mkamwa ndipo litha kumezedwa popanda madzi), komanso chosakanikirana chosakanika (chingatafunidwe kapena kusungunuka m'madzi) piritsi kuti mutenge pakamwa kapena popanda chakudya. Mapiritsi otulutsidwa amatengedwa kamodzi patsiku. Mapiritsiwa, mapiritsi omwe amawonongeka pakamwa, komanso mapiritsi omwe amatha kufalikira nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku, koma amatha kumwa kamodzi tsiku lililonse kumayambiriro kwa chithandizo. Tsatirani malangizo omwe mwalandira mosamala ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Palinso mankhwala ena omwe ali ndi mayina ofanana ndi dzina la lamotrigine. Muyenera kukhala otsimikiza kuti mumalandira lamotrigine osati mankhwala amtundu uliwonse nthawi iliyonse mukadzaza mankhwala anu. Onetsetsani kuti mankhwala omwe dokotala akukupatsani ndiwosavuta kuwerenga. Lankhulani ndi wamankhwala wanu kuti mutsimikizire kuti mwapatsidwa lamotrigine. Mukalandira mankhwala anu, yerekezerani mapiritsiwo ndi zithunzi zomwe zili mu pepala lazidziwitso za wodwala. Ngati mukuganiza kuti munapatsidwa mankhwala olakwika, lankhulani ndi wamankhwala wanu. Musamamwe mankhwala pokhapokha mutatsimikiza kuti ndi mankhwala omwe dokotala wanu adakupatsani.

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

Ngati mukumwa mapiritsi otafuna kuwonongeka, mutha kuwameza, kuwatafuna, kapena kuwasungunula m'madzi. Ngati mumatafuna mapiritsiwo, imwani madzi pang'ono kapena madzi azitsamba pambuyo pake kuti musambe mankhwalawo. Pofuna kusungunula mapiritsiwo ndi madzi, ikani supuni 1 ya madzi (5 ml) kapena madzi osakaniza zipatso mu galasi. Ikani piritsi m'madzi ndikudikirira miniti 1 kuti lisiye. Kenako sungani madziwo ndikumwa zonse nthawi yomweyo. Musayese kugawa piritsi limodzi kuti ligwiritsidwe ntchito mopitilira muyeso umodzi.

Kuti mutenge piritsi lowonongeka pakamwa, liyikeni lilime lanu ndikuyendetsa pakamwa panu. Dikirani kanthawi kochepa kuti piritsi lisungunuke, kenako ndikuyimeza kapena wopanda madzi.

Ngati mankhwala anu amabwera mu blisterpack, yang'anani blisterpack musanamwe mankhwala anu oyamba. Musagwiritse ntchito mankhwala aliwonse omwe amachokera paketiyo ngati matuza aliwonse adang'ambika, atasweka, kapena mulibe mapiritsi.

Mukadakhala kuti mukumwa mankhwala ena kuti muthane ndi kusintha kwa lamotrigine, dokotala wanu amachepetsa pang'onopang'ono mankhwala anu ndikuchulukitsa mlingo wa lamotrigine. Tsatirani malangizowa mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso okhudza kuchuluka kwa mankhwala omwe muyenera kumwa.

Lamotrigine amatha kuwongolera matenda anu, koma sangachiritse. Zitha kutenga milungu ingapo kuti mumve bwino lamotrigine. Pitirizani kumwa lamotrigine ngakhale mutakhala bwino. Osasiya kumwa lamotrigine osalankhula ndi dokotala, ngakhale mutakumana ndi zovuta monga kusintha kwakanthawi pamakhalidwe kapena malingaliro. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukasiya mwadzidzidzi kumwa lamotrigine, mutha kugwidwa. Mukasiya kumwa lamotrigine pazifukwa zilizonse, musayambirenso kumwa popanda kulankhula ndi dokotala wanu.

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

Musanatenge lamotrigine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la lamotrigine, mankhwala ena aliwonse. kapena zosakaniza zilizonse zamtundu wa lamotrigine zomwe mumamwa. Funsani dokotala wanu kapena wamankhwala kapena onani malangizo a Medication kuti muwone mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa.Onetsetsani kuti mwatchula mankhwala omwe adalembedwa mgawo LOFUNIKITSA CHENJEZO ndi atazanavir ndi ritonavir (Reyataz ndi Norvir); lopinavir ndi ritonavir (Kaletra); methotrexate (Rasuvo, Trexall, Trexup); Mankhwala ena ogwidwa monga carbamazepine (Epitol, Tegretol, ena), oxcarbazepine (Oxtellar XR, Trileptal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Phenytek), ndi primidone (Mysoline); pyrimethamine (Daraprim); rifampin (Rifadin, Rimactane, ku Rifamate, Rifater); ndi trimethoprim (Primsol, ku Bactrim, Septra). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mukugwiritsa ntchito mankhwala azimayi a mahomoni monga mapiritsi a mahomoni (mapiritsi oletsa kubala, zigamba, mphete, jakisoni, zopangira, kapena zida za intrauterine), kapena mankhwala obwezeretsa mahomoni (HRT). Lankhulani ndi dokotala musanayambe kapena kusiya kumwa mankhwala aliwonsewa mukamamwa lamotrigine. Ngati mukumwa mankhwala azimayi a mahomoni, uzani dokotala ngati muli ndi magazi pakati pa msambo.
• Uzani dokotala wanu ngati mwakhalapo ndi matenda omwe amadzichotsera yokha (momwe thupi limagwirira ziwalo zake, zomwe zimapangitsa kutupa ndi kutayika kwa ntchito) monga lupus (momwe thupi limagwirira ziwalo zosiyanasiyana zomwe zimayambitsa zizindikiro zosiyanasiyana) , matenda amwazi, matenda ena amisala, kapena matenda a impso kapena chiwindi, kapena ascites (kutupa m'mimba komwe kumayambitsidwa ndi matenda a chiwindi).
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga lamotrigine, itanani dokotala wanu.
• uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa mankhwala a lamotrigine, mwana wanu akhoza kulandira lamotrigine mkaka wa m'mawere. Onetsetsani mwana wanu kwambiri kuti agone tulo tachilendo, kusokonezeka kwa mpweya, kapena kuyamwa koyamwa.
• Muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona kapena kuzunguzika. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) pomwe mukumwa lamotrigine kuchiza khunyu, matenda amisala, kapena zovuta zina. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi munthu m'modzi mwa anthu 500) omwe adatenga ma anticonvulsants monga lamotrigine kuti athetse zovuta zosiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amathandizidwa. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga lamotrigine, koma pakhoza kukhalanso pachiwopsezo kuti musinthe thanzi lanu lam'mutu 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.

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.

Lamotrigine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutayika bwino kapena kulumikizana
• masomphenya awiri
• kusawona bwino
• mayendedwe osalamulirika amaso
• kuvuta kuganiza kapena kusamala
• zovuta kuyankhula
• mutu
• Kusinza
• chizungulire
• kutsegula m'mimba
• kudzimbidwa
• kusowa chilakolako
• kuonda
• kutentha pa chifuwa
• nseru
• kusanza
• pakamwa pouma
• m'mimba, kumbuyo, kapena kupweteka kwa mafupa
• kusamba kapena kupweteka msambo
• kutupa, kuyabwa, kapena kuyabwa kumaliseche
• kugwedezeka kosalamulirika kwa gawo lina la thupi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zafotokozedwa mgawo la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:

• kutupa kwa nkhope, mmero, lilime, milomo, ndi maso, kuvutika kumeza kapena kupuma, kuuma
• kugwidwa komwe kumachitika pafupipafupi, kumatenga nthawi yayitali, kapena kosiyana ndi kugwidwa komwe mudakhala nako m'mbuyomu
• kupweteka kwa mutu, kutentha thupi, nseru, kusanza, khosi lolimba, kuzindikira kuwala, kuzizira, kusokonezeka, kupweteka kwa minofu, kugona
• kutuluka mwachilendo kapena kuphwanya
• malungo, zotupa, ma lymph nodes otupa, khungu lachikaso kapena maso, kupweteka m'mimba, kupweteka kapena kukodza kwamagazi, kupweteka pachifuwa, kufooka kwa minofu kapena kupweteka, kutuluka mwazi kapena kuvulaza, kugwa, kuyenda movutikira, kuvutika kuwona kapena mavuto ena amaso
• zilonda zapakhosi, malungo, kuzizira, kutsokomola, kupuma movutikira, kupweteka kwa khutu, diso la pinki, kukodza pafupipafupi kapena kupweteka, kapena zizindikilo zina za matenda

Lamotrigine imatha kubweretsa 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. Zisunge kutentha, 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:

• kutayika bwino kapena kulumikizana
• mayendedwe osalamulirika amaso
• masomphenya awiri
• kuchuluka khunyu
• kugunda kwamtima kosasinthasintha
• kutaya chidziwitso
• chikomokere

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

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

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.

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