Munyori: Marcus Baldwin
Zuva Rekusika: 18 Chikumi 2021
Gadziridza Zuva: 15 Mbudzi 2024
Anonim
Neurologist Discusses Zonisamide (Zonegran)
Vhidhiyo: Neurologist Discusses Zonisamide (Zonegran)

Zvemukati

Zonisamide inoshandiswa pamwe chete nemimwe mishonga kurapa mamwe marudzi ekubatwa. Zonisamide iri mukirasi yemishonga inonzi anticonvulsants. Inoshanda nekuderedza zvisingaite zvemagetsi zviitiko muuropi.

Zonisamide inouya sekapuleti kutora nemuromo. Inowanzotorwa kamwe kana kaviri pazuva kana kana pasina chikafu. Kuti ikubatsire kuyeuka kutora zonisamide, tora iyo panguva yakafanana nguva (s) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora zonisamide chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza macapsules akazara; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako angangotanga iwe padosi yakaderera ye zonisamide uye zvishoma nezvishoma uwedzere dhosi rako, kwete kazhinji kanopfuura kamwe chete pavhiki mbiri.

Zonisamide inogona kubatsira kudzora mamiriro ako asi haizorape. Zvinogona kutora vhiki mbiri kana kupfuura usati wanzwa kuzara kwakazara kwe zonisamide. Ramba uchitora zonisamide kunyangwe iwe uchinzwa zvakanaka. Usarega kutora zonisamide usina kutaura nachiremba wako, kunyangwe iwe ukava nemhedzisiro senge shanduko isina kujairika mumaitiro kana manzwiro. Kana iwe ukangoerekana warega kutora zonisamide, kubatwa kwako kunogona kuwedzera. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.


Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (reMedicine Gwara) paunotanga kurapwa ne zonisamide 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/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

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

Usati watora zonisamide,

  • udza chiremba wako uye wemishonga kana uri weergoria kune zonisamide, diuretics ('mapiritsi emvura'), mishonga yemumuromo yechirwere cheshuga, sulfa zvinodhaka, kana chero mumwe mushonga.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: amiodarone (Cordarone, Pacerone); antifungals senge itraconazole (Sporanox) uye ketoconazole (Nizoral); carbonic anhydrase inhibitors senge acetazolamide (Diamox) uye methazolamide; clarithromycin (Biaxin, muPrevpac); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (EES, E-Mycin, Erythrocin); fluvoxamine (Luvox); HIV protease inhibitors senge indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra); mishonga yezvirwere zvinokanganisa ura, kufamba kwechirwere, chirwere cheParkinson, maronda, kana matambudziko eweti; imwe mishonga yekubatwa inosanganisira carbamazepine (Carbatrol, Epitol, Tegretol), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Phenytek), uye valproic acid (Depakene, Depakote); nefazodone (Serzone); mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, uye majekiseni); pioglitazone (Actos, muActoplus, muDuactact); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); troleandomycin (TAO) (haisipo muU.S.); uye verapamil (Calan, Covera, Isoptin, Verelan). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana uri kutevera ketogenic kudya (mafuta akakwirira, akaderera ehydrohydrate chikafu anoshandiswa kudzora kubatwa) kana kana iwe kana wakambove nematambudziko ekufema, itsvo chiropa, kana chirwere chemapapu. Uyezve udza chiremba wako kana iwe uine manyoka izvozvi, kana kana iwe ukava nemanyoka chero nguva panguva yekurapwa kwako.
  • udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe unofanirwa kushandisa kuberekwa kudzivirira kubata pamuviri panguva yekurapa kwako. Taura nachiremba wako nezvenzira dzekudzivirira kuberekwa dzinokushandira. Kana iwe ukava nepamuviri uchitora zonisamide, fonera chiremba wako.
  • udza chiremba wako kana iwe uchiyamwisa. Kana iwe uchiyamwisa mwana panguva yekurapwa kwako, mwana wako anogona kugamuchira imwe zonisamide mumukaka wemuzamu. Tarisa mwana wako padhuze nekurara zvisina kujairika kana kuwedzera huremu.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora zonisamide.
  • iwe unofanirwa kuziva kuti zonisamide inogona kukuwisira iwe. Usafambisa mota, shandisa michina, kana kuita mabasa ane njodzi kusvikira iwe waziva kuti uyu mushonga unokubata sei.
  • iwe unofanirwa kuziva kuti zonisamide inogona kudzikisira kugona kwemuviri kudikitira uye kuita kuti zviomere muviri wako kutonhorera kana kuchipisa zvakanyanya. Izvi zvinowanzoitika kazhinji mumamiriro ekunze anodziya uye kuvana vanotora zonisamide. (Vana havafanirwe kutora zonisamide, asi mune dzimwe nguva, inogona kupihwa nachiremba.) Iwe unofanirwa kudzivirira kusangana nekupisa uye kufonera chiremba wako ipapo kana uine fivha uye / kana usiri kudikitira senguva dzose.
  • iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi uye unogona kuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza kuzviita) paunenge uchitora zonisamide yekurapa pfari, kurwara nepfungwa, kana mamwe mamiriro. Chiverengero chidiki chevakuru nevana vane makore mashanu ekuberekwa uye kupfuura (vangangoita 1 muvanhu mazana mashanu) vakatora maanticonvulsants akadai zonisamide kurapa mamiriro akasiyana siyana panguva yekiriniki yekudzidzira kuzviuraya panguva yekurapwa kwavo Vamwe vevanhu ava vakaita pfungwa dzekuzviuraya uye hunhu sekutanga svondo rimwe mushure mekutanga kwavo kutora mishonga. Pane njodzi yekuti unogona kusangana neshanduko yehutano hwepfungwa kana ukatora mishonga inorwisa mabhakitiriya yakadai se zonisamide, asi panogona zvakare kuve 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.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.


Inwa 6-8 magirazi emvura zuva rega rega panguva yekurapa kwako ne zonisamide.

Taura nachiremba wako nezve zvaunofanira kuita kana ukarasikirwa nedosi ye zonisamide. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

  • kusvotwa
  • kurutsa
  • kuonda
  • shanduko mukuravira
  • manyoka
  • kuvimbiswa
  • chirungurira
  • muromo wakaoma
  • musoro
  • dzungu
  • kuvhiringidzika
  • kugumbuka
  • kunetseka kurara kana kuramba wakarara
  • kuoma ndangariro
  • kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka
  • kufamba kusingadzoreki kwemaziso
  • kuona kaviri

Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:

  • mapundu
  • kuputika kana kubvisa ganda
  • kuwedzera kana kubata kwenguva refu
  • kamwe kamwe kurwadziwa shure
  • kurwadziwa nemudumbu
  • kurwadziwa kana weti
  • weti ine ropa kana yerima
  • fivha, huro, chironda, chikosoro, uye zvimwe zviratidzo zvehutachiona
  • maronda mumuromo
  • kupwanya kuri nyore
  • kunetseka kufunga kwemazwi kana kunetseka kutaura
  • kunetseka kufunga kana kuisa pfungwa
  • kushomeka kwekubatana
  • kunetseka kufamba
  • kushaya simba kwakanyanya
  • kurwadziwa kwakanyanya kwemhasuru
  • kuneta zvakanyanya
  • kurasikirwa nenzara
  • kutsanya, kufema kwakadzika
  • kurova kwemoyo zvisina kujairika
  • kurasikirwa kwekuziva

Zonisamide inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.


Zonisamide inogona kukonzeresa metabolic acidosis (zvisirizvo zvakadzika zvikamu zveimwe yakasarudzika muropa). Metabolic acidosis iyo inosara isina kurapwa kwenguva yakareba inogona kuwedzera njodzi yekuti mamwe matambudziko ekurapa, kusanganisira matombo eitsvo nematambudziko emapfupa ayo anogona kutungamira kutsemuka. Kusarapwa metabolic acidosis kunogona zvakare kukonzera kunonoka kukura uye kuderera kwekupedzisira kukwirira muvana. Taura nachiremba wako nezve njodzi dzekutora zonisamide.

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 kune vana.Zvichengetedze pane tembiricha yemukati uye kure nechiedza, kupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

  • kunonoka kurova kwemoyo
  • kunonoka kufema
  • dzungu
  • kufenda
  • coma (kurasikirwa kwekuziva kwenguva yakati)

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune zonisamide.

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.

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