Topiramate: ndi chiyani ndi zovuta zake

Zamkati

• Momwe mungagwiritsire ntchito
• 1. Chithandizo chothandiza cha khunyu
• 2. Khunyu monotherapy chithandizo
• 3. Migraine prophylaxis
• Yemwe sayenera kugwiritsa ntchito
• Zotsatira zoyipa

Topiramate ndi mankhwala a anticonvulsant omwe amadziwika kuti ndi malonda a Topamax, omwe amagwira ntchito pakatikati pa mitsempha, amakhazikika pamalingaliro, komanso amateteza ubongo. Mankhwalawa akuwonetsedwa ngati chithandizo cha khunyu mwa akulu ndi ana, pochiza zovuta zomwe zimakhudzana ndi Lennox-Gastaut Syndrome komanso pochiza migraine.

Topiramate ingagulidwe m'masitolo, pamtengo wokwanira pafupifupi 60 mpaka 300 reais, kutengera kuchuluka kwa mankhwala, kukula kwa kapangidwe kake ndi mtundu wa mankhwalawo, ndipo palinso mwayi wosankha generic.

Momwe mungagwiritsire ntchito

Chithandizo chiyenera kuyambika ndi mlingo wochepa, womwe uyenera kuwonjezeka pang'onopang'ono, mpaka mulingo woyenera ufike.

1. Chithandizo chothandiza cha khunyu

Mlingo wochepa kwambiri ndi 200 mg patsiku, mpaka 1600 mg patsiku, womwe umawonedwa ngati mulingo wambiri. Chithandizo chiyenera kuyamba ndi 25 mpaka 50 mg, yoperekedwa madzulo, kwa sabata limodzi. Kenako, pakadutsa 1 kapena 2 milungu, mlingowo uyenera kukulitsidwa ndi 25 mpaka 50 mg / tsiku ndikugawika magawo awiri.

Kwa ana opitirira zaka 2, mlingo woyenera wa tsiku ndi tsiku ndi 5 mpaka 9 mg / kg pa tsiku, ogawidwa m'magulu awiri.

2. Khunyu monotherapy chithandizo

Mankhwala ena ochotsera matenda akachotsedwa kuchipatala, kuti apititse patsogolo mankhwala a topiramate ngati monotherapy, zotsatira zake zomwe zingakhudzidwe ndi kugwidwa ziyenera kulingaliridwa, kuwalangiza, ngati kuli kotheka, kusiya pang'ono pang'ono mankhwala am'mbuyomu.

Kwa ana opitirira zaka 2, mlingo woyambira umasiyanasiyana 0,5 mpaka 1 mg / kg pa tsiku, madzulo, kwa sabata limodzi. Kenako, mlingowo uyenera kuwonjezeka ndi 0,5 mpaka 1 mg / kg pa tsiku, pamasabata 1 mpaka 2, agawika m'magulu awiri.

3. Migraine prophylaxis

Chithandizo chiyenera kuyamba ndi 25 mg madzulo kwa sabata limodzi. Mlingowu uyenera kuwonjezeka ndi 25 mg / tsiku, kamodzi pa sabata, mpaka 100 mg / tsiku, logawika m'magulu awiri.

Yemwe sayenera kugwiritsa ntchito

Topiramate sayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi vuto loganizira za fomuyi, mwa amayi apakati kapena amayi omwe akukayikira kuti ali ndi pakati.

Zotsatira zoyipa

Zina mwazovuta zomwe zimachitika mukamamwa mankhwala a topiramate ndi kugona, chizungulire, kutopa, kukwiya, kuonda, kuganiza pang'onopang'ono, kugwedezeka, kuwona kawiri, kulumikizana kwachilendo, nseru, nystagmus, ulesi, anorexia, kuvutika kuyankhula, kusawona bwino , kuchepa kwa njala, kulephera kukumbukira komanso kutsegula m'mimba.