Munyori: Janice Evans
Zuva Rekusika: 23 Chikunguru 2021
Gadziridza Zuva: 20 Mbudzi 2024
Anonim
Oxcarbazepine - Mechanism, side effects, precautions & uses
Vhidhiyo: Oxcarbazepine - Mechanism, side effects, precautions & uses

Zvemukati

Oxcarbazepine (Trileptal) inoshandiswa yoga kana musanganiswa nemimwe mishonga kudzora mamwe marudzi ekubatwa muvakuru nevana. Mahwendefa eOxcarbazepine akawedzera-kuburitsa mapiritsi (Oxtellar XR) anoshandiswa pamwechete nemimwe mishonga kudzora mamwe marudzi ekubatwa muvanhu vakuru uye vana vane makore matanhatu ekuberekwa nepamusoro. Oxcarbazepine iri mukirasi yemishonga inonzi anticonvulsants. Inoshanda nekuderedza zvisingaite zvemagetsi zviitiko muuropi.

Oxcarbazepine inouya sehwendefa, yakawedzera-kuburitsa piritsi, uye kumiswa (mvura) kutora nemuromo. Hwendefa uye kumiswa zvinowanzo kutorwa maawa gumi nemaviri (kaviri pazuva) pamwe kana pasina chikafu. Iyo yakawedzerwa-kuburitsa piritsi inowanzo kutorwa kamwe pazuva pazuva risina chinhu mudumbu, 1 awa pamberi kana maviri maawa mushure mekudya. Tora oxcarbazepine panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora oxcarbazepine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.


Zunza kumiswa zvakanaka musati mese mushandisa kusanganisa mishonga zvakaenzana. Shandisa yemuromo dosing sirinji yakauya nemushonga kuti ubvise yakaenzana chiyero chekumiswa kubva mubhodhoro. Unogona kumedza kuturika wakananga kubva mujekiseni kana kuti unogona kurisanganisa negirazi diki remvura uye kumedza musanganiswa wacho. Shamba jekiseni nemvura inodziya uye rega riome zvakanaka mushure mekushandisa.

Medza mahwendefa akasunungurwa-akazara nemvura kana imwe mvura; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako angangotanga iwe pane yakaderera dosi ye oxcarbazepine uye zvishoma nezvishoma wedzera yako dosi, kwete kazhinji kazhinji kamwe kamwe kwemazuva matatu. Kana iwe wanga uchitora mumwe mushonga kuti urape kubatwa kwako uye uri kuchinjira ku oxcarbazepine, chiremba wako anogona kudzikira zvishoma nezvishoma muyero wako wemumwe mushonga uku uchiwedzera muyero wako we oxcarbazepine. Tevedza aya madhiri nokungwarira uye bvunza chiremba wako kana iwe usina chokwadi kuti ingani mishonga yaunofanira kutora.

Oxcarbazepine inogona kubatsira kudzora kubatwa kwako asi isingarape mamiriro ako. Ramba uchitora oxcarbazepine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora oxcarbazepine usingataure nachiremba wako, kunyangwe iwe ukave nemhedzisiro senge shanduko isina kujairika mukuzvibata kana mafungiro. Kana iwe ukangoerekana warega kutora oxcarbazepine, kubatwa kwako kunogona kuwedzera. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.


Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa ne oxcarbazepine uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Oxcarbazepine zvakare dzimwe nguva inoshandiswa kurapa bipolar kusagadzikana (manic-kushushikana kusagadzikana; chirwere chinokonzeresa zvikamu zvekushushikana, zvikamu zvekushushikana kusingafadzi, uye mamwe mamood asina kujairika). Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa. Kumbira chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora oxcarbazepine:

  • udza chiremba wako uye wemishonga kana uri weergoria kune oxcarbazepine, carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), chero mimwe mishonga, kana chero chinhu chisingashandi mumapiritsi e oxcarbazepine, akawedzera mahwendefa ekuburitsa, kana kumiswa Kumbira wemishonga wako kuti uwane rondedzero yezvinhu zvisina basa mumapiritsi e oxcarbazepine kana kumiswa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: amiodarone (Cordarone); amitriptyline (Elavil); calcium chiteshi blockers senge amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Procardia), nimodipine (Nimotop), nisoldipine (Sular) verapamil (Calan, Covera, Isoptin, Verelan); chlorpromazine (Thorazine); clomipramine (Anafranil); cyclophosphamide (Cytoxan, Neosar); desmopressin (DDAVP, Minirin, Inofungidzira); diazepam (Valium); diuretics ('mapiritsi emvura'); indapamide (Natrilix); mimwe mishonga yekubatwa senge carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin), uye valproic acid (Depakene, Depakote); proton-pump inhibitors senge lansoprazole (Prevacid), omeprazole (Prilosec), uye pantoprazole (Protonix); theophylline (Theo-Dur); uye inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), uye sertraline (Zoloft). Mimwe mishonga inogona kubatana ne oxcarbazepine, saka ive shuwa kuudza chiremba wako uye wemishonga nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe wakambove kana uine chirwere cheitsvo kana chiropa.
  • udza chiremba wako kana iwe uri wechiChinese, Thai, Malaysian, Korean, Indian, kana Filipino dzinza. Njodzi yekutyisidzira hupenyu kukanganiswa nehutachiona hunodaidzwa kunzi Stevens-Johnson syndrome (SJS) kana chepfu epidermal necrolysis (TEN) inowedzerwa mune vanhu vedzinza reAsia vane hutachiona (hwakagara nhaka) ngozi chinhu. Kana iwe uri weAsia, chiremba wako anogona kuraira bvunzo kuti aone kana iwe uine iyo majini njodzi ngozi usati wagadza oxcarbazepine.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe uri kushandisa mahormone ekudzivirira kubata pamuviri, iwe unofanirwa kuziva kuti mhando iyi yekuberekwa inogona kusashanda zvakanaka kana ichishandiswa ne oxcarbazepine. Mahormone ekudzivirira kubata pamuviri haafanire kushandiswa senzira yako chete yekuzvarwa paunenge uchitora mushonga uyu. Taura nachiremba wako nezvenzira dzekudzivirira kuberekwa dzinokushandira. Fonera chiremba wako kana ukarasikirwa nenguva kana kufunga kuti ungave nepamuviri paunenge uchitora oxcarbazepine.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita kuti ubatwe nehope kana kuita dzungu, kukanganisa nzira yaunofamba, kana kunogona kukonzeresa kuona kaviri kana kumwe kuchinja kwemaonero. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
  • rangarira kuti doro rinogona kuwedzera kuhope dzinokonzerwa nemushonga uyu.
  • iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwe uye unogona kuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza kuzviita) paunenge uchitora oxcarbazepine yekurapa pfari, kurwara nepfungwa, kana mamwe mamiriro. Chiverengero chidiki chevakuru uye vana vane makore mashanu ekuberekwa uye kupfuura (vangangoita 1 muvanhu mazana mashanu) vakatora anticonvulsants senge oxcarbazepine kurapa akasiyana mamiriro panguva yekiriniki yekudzidzira kuzviuraya panguva yekurapa kwavo. Vamwe vevanhu ava vakaita pfungwa dzekuzviuraya uye hunhu sekutanga svondo rimwe mushure mekutanga kwavo kutora mishonga. Pane njodzi yekuti iwe unogona kusangana neshanduko muhutano hwepfungwa kana ukatora mushonga unodzivirira senge oxcarbazepine, asi pangave nenjodzi yekuti iwe uchaona shanduko muhutano hwako hwepfungwa kana mamiriro ako asina kurapwa. Iwe nachiremba wako muchasarudza kana njodzi dzekutora mushonga weanticonvulsant dzakakura kudarika njodzi dzekusatora mushonga. Iwe, mhuri yako, kana mutarisiri wako unofanirwa kufonera chiremba wako ipapo kana iwe ukawana chero cheanotevera zviratidzo: kuvhunduka kwekutya; kusagadzikana kana kusagadzikana; kutsva kana kuwedzera kutsamwa, kushushikana, kana kushushikana; kuita zvishuvo zvine ngozi; kunetseka kudonha kana kuramba wakarara; hasha, hasha, kana kuita zvechisimba; mania (kupenga, kusanzwisisika zvisingaite); kutaura kana kufunga nezvekuda kuzvikuvadza kana kupedza hupenyu hwako; kurega shamwari nemhuri; kubatikana nerufu nekufa; kupa zvinhu zvinokosha; kana chero imwe shanduko isina kujairika mumaitiro kana manzwiro. Iva nechokwadi chekuti mhuri yako kana muchengeti anoziva kuti ndezvipi zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa iwe wega.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.


Usati watanga kurapwa kwako, taura nachiremba wako nezve izvo zvaunofanira kuita kana ukarasikirwa netsaona netsaona. Ive neshuwa yekubvunza chiremba wako kuti inguvai yaunofanira kumirira pakati pekutora dhosi rakarasika uye kutora yako inotevera yakatarwa dosi ye oxcarbazepine. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Oxcarbazepine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • nekukurumidza, kudzokorora kufamba kwemaziso iwe kwausingakwanise kudzora
  • manyoka
  • kuvimbiswa
  • chirungurira
  • kurwadziwa nemudumbu
  • kusvotwa
  • kurutsa
  • kurasikirwa nenzara
  • shanduko munzira iyo chikafu chinonaka
  • muromo wakaoma
  • nyota
  • kurema kuwedzera
  • musoro
  • kuzunza chikamu chemuviri chausingakwanise kudzora; kuoma kurongedza mafambiro; kudonha
  • kunonoka kufamba kana kufunga; kukanganwa, kunetseka kuisa pfungwa, uye matambudziko ekutaura
  • musana, ruoko, kana kurwadziwa kwegumbo
  • kushaya simba kwemhasuru kana kuomarara kamwe kamwe
  • kuwedzera kudikitira
  • kuzvimba, kutsvuka, kutsamwa, kupisa, kana kuchenesa mukadzi, kuchena kusangana nekutsi kwemukadzi kubuda

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

  • mapundu; mikoko; kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi: kana kunetseka kumedza kana kufema
  • kushungurudza, kuora musoro, kusava nesimba, kuvhiringidzika, kana kugumburwa kunogara kwenguva yakareba kana kuitika kakawanda kupfuura kare
  • peeling, blister, kana kudurura ganda
  • mapundu; mikoko; maronda mumuromo kana akakomberedza maziso; kupindwa nechando; kuneta kwakanyanya; kurwadziwa muchipfuva; kushaya simba kwemhasuru kana kurwadziwa; kuzvimba kwechiso, mutsipa, kugomera, kana nzvimbo yepasi; yero yeganda kana maziso; kubuda ropa kusingawanzo kana kupwanya; reropa, rine makore, rakawedzera, rakaderera, kana rinorwadza weti
  • huro, kukosora, kutonhora, uye zvimwe zviratidzo zvehutachiona

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike uye kuona kwevana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Chengetedza mahwendefa akasunungurwa-kure kure nechiedza. Bvisa kumiswa kupi nekupi kusati kwashandiswa mavhiki manomwe bhodhoro ratanga kuvhurwa.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti aongorore mhinduro yako kune oxcarbazepine.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora oxcarbazepine.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Oxtellar XR®
  • Trileptal®
Yekupedzisira Yakagadziridzwa - 04/15/2019

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