Topiramate

Zamkati

• Kuti mutenge makapisozi owaza kapena makapisozi otulutsidwa (Qudexy XR mtundu wokha) ndi chakudya, tsatirani izi:
• Musanatenge topiramate,
• Topiramate imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mgulu la ZOYENERA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Topiramate imagwiritsidwa ntchito payokha kapena ndi mankhwala ena kuti athetse mitundu ina yakugwa khunyu kuphatikiza kugwidwa kwa tonic-clonic khunyu (komwe kumadziwika kuti kugwidwa kwakukulu; kugwidwa komwe kumakhudza thupi lonse) ubongo). Topiramate imagwiritsidwanso ntchito ndi mankhwala ena kuti muchepetse kugwidwa kwa anthu omwe ali ndi matenda a Lennox-Gastaut (matenda omwe amayambitsa khunyu ndikuchedwa kukula). Topiramate imagwiritsidwanso ntchito popewera mutu waching'alang'ala koma osathetsa kupweteka kwa migraine ikamachitika. Topiramate ili mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa chisangalalo chachilendo muubongo.

Topiramate imabwera ngati piritsi, kapisozi wowaza (kapisozi yemwe amakhala ndi mikanda yaying'ono yamankhwala yomwe imatha kuwazidwa pachakudya), ndi kapisozi womasula (wotenga nthawi yayitali) woti atenge pakamwa. Mapiritsiwo ndi makapisozi owaza nthawi zambiri amatengedwa kapena popanda chakudya kamodzi kapena kawiri patsiku. Makapisozi otulutsidwa nthawi zambiri amatengedwa kapena opanda chakudya kamodzi patsiku. Tengani topiramate mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani topiramate ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Palinso mankhwala ena omwe ali ndi dzina lofanana ndi dzina la topiramate. Muyenera kukhala otsimikiza kuti mumalandira mankhwala a topiramate osati mankhwala ofanana nawo nthawi iliyonse mukadzaza mankhwala anu. Onetsetsani kuti mankhwala omwe dokotala akukupatsani ndiwosavuta kuwerenga. Lankhulani ndi wamankhwala wanu kuti mutsimikizire kuti mwapatsidwa topiramate. Ngati mukuganiza kuti munapatsidwa mankhwala olakwika, lankhulani ndi wamankhwala wanu. Musamamwe mankhwala pokhapokha mutatsimikiza kuti ndi mankhwala omwe dokotala wanu adakupatsani.

Mapiritsi a Topiramate ali ndi kulawa kowawa kotero muyenera kuwameza onse. Ndikofunikira kwambiri kuti musamwe mapiritsi a topiramate omwe athyoledwa kwa nthawi yayitali chifukwa mapiritsi omwe asweka amatha kuchepa pakapita nthawi.

Ma capsule otulutsa ndi owonjezera (Qudexy XR okha) atha kumezedwa kwathunthu kapena kutsegulidwa ndikutsanulira chakudya chofewa. Kumeza makapisozi otulutsa nthawi yayitali (mtundu wa Trokendi XR okha) wathunthu; osagawanika, kutafuna, kapena kuwaza chakudya.

Kuti mutenge makapisozi owaza kapena makapisozi otulutsidwa (Qudexy XR mtundu wokha) ndi chakudya, tsatirani izi:

1. Konzani supuni ya tiyi ya chakudya chofewa monga maapulo, msuzi, ayisikilimu, oatmeal, pudding, kapena yogurt.
2. Gwirani kapisozi pamwamba pa chakudya.
3. Chotsani pamwamba pa kapisozi ndikutsanulira zonsezo mu supuni ya chakudya.
4. Kumeza chisakanizo chonse nthawi yomweyo osatafuna.
5. Imwani zamadzimadzi mutangomeza kutsuka chisakanizocho ndikuonetsetsa kuti mumeza zonse.

Dokotala wanu angayambe kukupatsani mlingo wochepa wa topiramate ndipo pang'onopang'ono muonjezere mlingo wanu, osati kamodzi pa sabata.

Topiramate imatha kuwongolera kugwidwa kapena kupweteka kwa mutu koma sichitha matenda anu. Pitirizani kutenga topiramate ngakhale mukumva bwino. Osasiya kumwa topiramate osalankhula ndi dokotala, ngakhale mutakhala ndi zovuta zina monga kusintha kosasintha kwamakhalidwe kapena malingaliro. Ngati mwasiya mwadzidzidzi kumwa topiramate, mutha kugwidwa koopsa, ngakhale simunagwidwepo m'mbuyomu. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Chithandizo cha Mankhwala) mukayamba mankhwala ndi topiramate 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.

Topiramate imagwiritsidwanso ntchito poyang'anira kudalira mowa. 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 topiramate,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi topiramate, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a topiramate, kuwaza makapisozi, ndi makapisozi otulutsidwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni dokotala ngati muli ndi kagayidwe kachakudya acidosis (chisokonezo mu asidi-m'munsi moyenera chomwe chimapangitsa acidity yambiri yamagazi) ndipo mukumwa metformin (Fortamet, Glucophage, Riomet, ena). Dokotala wanu angakuuzeni kuti musatenge metformin ngati muli ndi metabolic acidosis ndipo mukumwa mankhwalawa.
• 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: acetazolamide (Diamox); kutchinjiriza; anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); mankhwala opatsirana pogonana; mankhwala; aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); digoxin (Lanoxin); njira zolerera za mahomoni (mapiritsi olera, zigamba, mphete, zopangira, kapena jakisoni); hydrochlorothiazide (Microzide, Oretic); lamotrigine (Lamictal); lifiyamu (Lithobid); mankhwala a matenda oyenda, zilonda zam'mimba, kapena mavuto amikodzo; metformin (Fortamet, Glucophage, Riomet, ena); Mankhwala ena ogwidwa monga carbamazepine (Epitol, Equetro, Tegretol, Teril), phenytoin (Dilantin, Phenytek), valproic acid (Depakene), ndi zonisamide (Zonegran); ndi pioglitazone (Actos, mu Actoplus Met ER). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati inu kapena abale anu muli nawo kapena mudakhalapo ndi miyala ya impso, komanso ngati munaganizapo zodzipha kapena kuyesa kutero. Komanso muuzeni dokotala ngati mwakhalapo kapena munakhalapo ndi kagayidwe kachakudya acidosis (chisokonezo m'malingaliro amthupi omwe amakhala ndi acidity omwe amachititsa acidity yambiri yamagazi); osteopenia, osteomalacia, kapena kufooka kwa mafupa (zomwe mafupa amafewa kapena kuphulika ndipo amatha kuphwanya mosavuta); matenda ashuga; khungu (mtundu wa matenda amaso); matenda aliwonse omwe amakhudza kupuma kwanu monga mphumu kapena matenda osokoneza bongo (COPD); kukhumudwa kapena kusakhazikika; vuto lakukula; kapena chiwindi kapena matenda a impso. Muuzeni dokotala ngati muli ndi matenda otsekula m'mimba kapena ngati mukudwala m'mimba mukamalandira chithandizo.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, dokotala wanu akhoza kukupatsani mankhwala osiyana m'malo mwa topiramate chifukwa topiramate imatha kuvulaza mwana wosabadwayo. Ngati simukufuna kutenga pakati, muyenera kugwiritsa ntchito njira zolerera popewa kutenga pakati mukamamwa mankhwala a topiramate. Lankhulani ndi dokotala wanu za mtundu wa njira zakulera zomwe muyenera kugwiritsa ntchito, chifukwa kutenga topiramate kumachepetsa mphamvu ya mitundu ina yoletsa kubereka. Mukakhala ndi pakati mukamamwa topiramate, itanani dokotala wanu nthawi yomweyo, koma osasiya kumwa topiramate musanalankhule ndi dokotala.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa topiramate.
• muyenera kudziwa kuti topiramate imatha kukupangitsani kugona, chizungulire, kusokonezeka, kapena kulephera kuyang'ana. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• ngati mukumwa topiramate kuti muchepetse kugwidwa, muyenera kudziwa kuti mutha kupitiriza kugwidwa mukamalandira chithandizo. Muyenera kupewa zinthu monga kusambira, kuyendetsa galimoto, ndi kukwera kuti musadzipweteke nokha kapena ena ngati mungataye chikumbumtima panthawi yomwe mukugwidwa.
• uzani dokotala wanu ngati mumamwa mowa. Simuyenera kumwa mowa pasanathe maola 6 musanathe maola 6 mutatenga makapisozi otulutsidwa (Trokendi XR mtundu wokha). Dokotala wanu angakuuzeni kuti musamwe mowa mukamamwa topiramate.
• muyenera kudziwa kuti topiramate imatha kukulepheretsani kutuluka thukuta ndikupangitsa kuti thupi lanu lizizizira kuzizira mukatentha kwambiri. Izi zimachitika nthawi zambiri nyengo yotentha komanso kwa ana omwe amatenga topiramate. 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 mutha kukhala ndi mwala wa impso mukamamwa topiramate. Imwani magalasi 6 mpaka 8 amadzi tsiku lililonse kuti mupewe miyala ya impso.
• muyenera kudziwa kuti thanzi lanu lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa topiramate yothandizira khunyu, matenda amisala, kapena mavuto ena. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants monga topiramate kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amathandizidwa. Ena mwa anthuwa adayamba kudzipha pakangotha ​​sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga topiramate, koma pakhoza kukhala 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.

Lankhulani ndi dokotala wanu za kuonjezera kuchuluka kwa zakudya zomwe mumadya ngati muchepetsa thupi mukamamwa topiramate.

Lankhulani ndi dokotala musanadye zakudya kapena kuyamba mtundu uliwonse wa pulogalamu yochepetsa thupi. Osatsatira zakudya za ketogenic (chakudya chamafuta ambiri, chochepa kwambiri chomwe chimagwiritsidwa ntchito poletsa kugwa) kapena zakudya zilizonse zamafuta, zopatsa mphamvu, monga zakudya za Atkins, mukamamwa mankhwalawa.

Ngati mukumwa mapiritsi a topiramate kapena kuwaza makapisozi, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati pasanathe maola 6 musanakonzekere kumwa mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ngati mukumwa makapisozi otulutsa topiramate, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya. Ngati mwaphonya mlingo umodzi, funsani dokotala wanu.

Topiramate imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• dzanzi, kutentha, kapena kumva kulasalasa m'manja kapena m'mapazi
• amachepetsa zochita
• manjenje
• mutu
• Kusinza
• kufooka
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• mayendedwe osalamulirika amaso
• kuonda
• kudzimbidwa
• kutentha pa chifuwa
• kusintha kwa kulawa chakudya
• pakamwa pouma
• m'mphuno
• misozi yowuma kapena youma
• msana, minofu, mwendo, kapena mafupa
• anasiya kusamba
• Kutaya magazi kwambiri msambo
• kutuluka mwachilendo kapena kuphwanya

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mgulu la ZOYENERA, itanani dokotala wanu mwachangu:

• zotupa, zotupa pakhungu, kapena khungu
• kusawona bwino
• kutaya masomphenya
• masomphenya awiri
• kupweteka kwa diso
• kufiira kwamaso
• kukulirakulira kwa kugwidwa
• kumva kuzizira, kuzizira, kapena kutentha thupi
• zovuta kulingalira
• mavuto olankhula, makamaka kuvuta kuganiza kwamawu
• chisokonezo
• mavuto okumbukira
• kutayika kwa mgwirizano
• kugunda kapena kugunda kwamtima kosazolowereka
• kupweteka pachifuwa
• kupuma movutikira
• kuvuta kupuma
• kuthamanga, kupuma pang'ono
• kulephera kuyankha pazinthu zokuzungulirani
• kutopa kwambiri
• kutsegula m'mimba
• nseru
• kusanza
• kupweteka m'mimba
• kusowa chilakolako
• ululu wammbuyo kapena wam'mbali
• wamagazi, mitambo kapena mkodzo wonunkha
• kufunika kokodza nthawi zonse
• kuvuta kukodza kapena kupweteka mukakodza
• malungo kapena zizindikiro zina za matenda

Topiramate imatha kuyambitsa kufooka kwa mafupa (momwe mafupa amatha kuthyola mosavuta) mwa akulu ndi ziwalo (kukula, mafupa okhota) mwa ana. Topiramate imathandizanso kuchepetsa kukula kwa ana ndipo imachepetsa kutalika komwe ana amafikira. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito topiramate.

Topiramate imatha 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. Mapiritsi ndi makapisozi otulutsidwa ayenera kusungidwa kutentha komanso kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Ma capsule owaza ayenera kusungidwa pansi kapena pansi pa 77 ° F (25 ° C). Osasunga mapiritsi osweka, makapisozi, kapena zosakaniza za zakumwa ndi zofewa. Izi ziyenera kugwiritsidwa ntchito nthawi yomweyo kapena kutayidwa.

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:

• kugwidwa
• Kusinza
• mavuto olankhula
• kusawona bwino
• masomphenya awiri
• kuvuta kuganiza
• kutopa
• kutayika kwa mgwirizano
• kutaya chidziwitso
• chizungulire
• kupweteka m'mimba
• kusanza
• kubvutika
• kukhumudwa
• kusowa chilakolako
• kugunda kapena kugunda kwamtima kosazolowereka
• kuthamanga, kupuma pang'ono

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira pa topiramate.

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.

• Qudexy XR^®
• Topamax^®
• Trokendi XR^®