Phenytoin jekiseni

Zvemukati

• Usati wagamuchira phenytoin jekiseni,
• Phenytoin inogona kukonzera kuwedzera muropa rako shuga. Taura nachiremba wako nezvezviratidzo zvehuga yakakwira muropa uye zvaunofanira kuita kana ukaona izvi zviratidzo.
• Phenytoin jekiseni inogona kukonzeresa mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune YAKAKOSHA PRECAUTIONS chikamu, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Iwe unogona kusangana zvakakomba kana kutyisidzira hupenyu kushomeka kweropa kana zvisina kujairika moyo zvitaira paunenge uchigamuchira phenytoin jekiseni kana mumashure. Udza chiremba wako kana iwe wakambove uine zvisina kujairika moyo mutinhimira kana moyo block (mamiriro umo magetsi emagetsi asina kupfuudzwa zvakajairika kubva kumakamuri epamusoro emoyo kuenda kumakamuri epasi). Chiremba wako anogona asingade kuti iwe ugamuchire phenytoin jekiseni. Uyezve, udza chiremba wako kana iwe wakambove nekutadza kwemoyo kana yakaderera BP. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, udza chiremba wako nekukurumidza: dzungu, kuneta, kusagadzikana kwemwoyo, kana kurwadziwa pachipfuva.

Iwe unozogamuchira yega yega muyero we phenytoin jekiseni mune yekurapa nzvimbo, uye chiremba kana mukoti anozokutarisa zvakanyatsonaka paunenge uchigamuchira mushonga uye mushure.

Phenytoin jekiseni inoshandiswa kurapa yekutanga generalized tonic-clonic seizures (yaimbozivikanwa seyakakura mal seizure; kubatwa uko kunosanganisira muviri wese) uye kurapa nekudzivirira kubatwa kunogona kutanga panguva kana mushure mekuvhiyiwa kuuropi kana huta hurongwa. Phenytoin jekiseni inogona zvakare kushandiswa kudzora mamwe marudzi ekubatwa mune vanhu vasingakwanise kutora nemuromo phenytoin. Phenytoin iri mukirasi yemishonga inonzi anticonvulsants. Inoshanda nekuderedza zvisingaite zvemagetsi zviitiko muuropi.

Jekiseni rePhenytoin rinouya semhinduro (mvura) kuti irapiswe zvishoma nezvishoma mukati (mutsinga) nachiremba kana mukoti munzvimbo yekurapa. Inowanzojowa kamwe chete maawa matanhatu kana masere.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Phenytoin jekiseni inoshandiswawo kudzora zvisina kujairika kurova kwemoyo. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati wagamuchira phenytoin jekiseni,

• udza chiremba wako uye wemishonga kana uri weergoria kune phenytoin, mamwe mahydantoin mishonga yakadai seethotoin (Peganone) kana fosphenytoin (Cerebyx), chero mimwe mishonga, kana chero chinhu chinobatanidzwa mujekiseni re phenytoin. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora delavirdine (Rescriptor). Chiremba wako angangodaro asingade kuti iwe ugamuchire phenytoin jekiseni kana iwe uri kutora uyu mushonga.
• 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 eanotevera: albendazole (Albenza); amiodarone (Nexterone, Pacerone); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); antifungal mishonga yakadai se fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Onmel, Sporanox, Tolsura), miconazole (Oravig), posaconazole (Noxafil), uye voriconazole (Vfend); mamwe maantiviral akadai efavirenz (Sustiva, muAtripla), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase); bleomycin; capecitabine (Xeloda); carboplatin; chloramphenicol; chlordiazepoxide (Librium, muLibrax); cholesterol mishonga yakadai seatorvastatin (Lipitor, muCaduet), fluvastatin (Lescol), uye simvastatin (Zocor, muVytorin); cisplatin; clozapine (Fazaclo, Versacloz); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); diazoxide (Proglycem); digoxin (Lanoxin); disopyramide (Norpace); disulfiram (Antabuse); doxorubicin (Doxil); doxycycline (Acticlate, Doryx, Monodox, Oracea, Vibramycin); fluorouracil; fluoxetine (Prozac, Sarafem, muSymbyax, vamwe); fluvoxamine (Luvox); folic acid; fosamprenavir (Lexiva); furosemide (Lasix); H₂ vanopikisa vakaita sa cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), uye ranitidine (Zantac); mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, kana majekiseni); hormone replacement therapy (HRT); irinotecan (Camptosar); isoniazid (Laniazid, muRifamate, muRifater); mishonga yekurwara kwepfungwa uye kuda kurutsa; mimwe mishonga yekubatwa kwakadai se carbamazepine (Carbatrol, Equetro, Tegretol, vamwe), ethosuximide (Zarontin), felbamate (Felbatol), lamotrigine (Lamictal), methsuximide (Celontin), oxcarbazepine (Trilepta, Oxtellar XR), phenobate ), uye valproic acid (Depakene); methadone (Dolophine, Methadose); methotrexate (Otrexup, Rasuvo, Trexall, Xatmep); methylphenidate (Daytrana, Concerta, Metadate, Ritalin); mexiletine; nifedipine (Adalat, Procardia), nimodipine (Nymalize), nisoldipine (Sular); omeprazole (Prilosec); muromo steroid senge dexamethasone, methylprednisolone (Medrol), prednisolone, uye prednisone (Rayos); paclitaxel (Abraxane, Mutero); paroxetine (Paxil, Pexeva); praziquantel (Biltricide); quetiapine (Seroquel); quinidine (muNuedexta); reserpine; rifampin (Rifadin, Rimactane, muRifamate, muRifater); marwadzo e salicylate anodzora senge aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, vamwe), uye salsalate; sertraline (Zoloft); sulfa mishonga inorwisa mabhakitiriya; teniposide; theophylline (Elixophyllin, Theo-24, Theochron); ticlopidine; tolbutamide; trazodone; verapamil (Calan, Verelan, muTarka); vigabatrin (Sabril); uye vhitamini D. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa zvakanyatso chenjera mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
• udza chiremba wako kana wakamboita dambudziko rechiropa uchitora phenytoin. Chiremba wako angangodaro asingade kuti iwe ugamuchire phenytoin jekiseni.
• udza chiremba wako kana ukanwa kana kuti wakambonwa doro rakawanda. Udza chiremba wako kana iwe wakamboongororwa murabhoritari iyo yakashuma kuti iwe une nhaka yakawirwa nenjodzi inoita kuti zvinyanye kuitika kuti iwe unogona kuve neakakomba ganda maitiro kune phenytoin. Zvakare, udza chiremba wako kana iwe kana wakambove nechirwere cheshuga, porphyria (mamiriro ezvinhu apo zvimwe zvinhu zvakasikwa zvinovaka mumuviri uye zvinogona kukonzera kurwadziwa kwemudumbu, shanduko mukufunga kana maitiro, kana zvimwe zviratidzo), yakaderera mwero yealbumin mune yako ropa, kana itsvo kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Iwe haufanire kuve nepamuviri iwe uri kugamuchira phenytoin. Taura nachiremba wako nezvenzira dzinoshanda dzekudzora kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana iwe ukava nepamuviri iwe uchigamuchira phenytoin, fonera chiremba wako. Phenytoin inogona kukuvadza fetus.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikugamuchira phenytoin.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kukonzeresa dzungu, kukotsira, uye matambudziko nekubatana. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• taura nachiremba wako nezve kushandiswa kwakachengeteka kwedoro paunenge uchitora mushonga uyu.
• taura nachiremba wako nezvenzira yakanakisa yekutarisira mazino ako, matadza, uye muromo panguva yekurapa kwako ne phenytoin. Izvo zvakakosha kuti utarisire muromo wako nemazvo kudzikisa njodzi yekukanganisa chingamu kunokonzerwa ne phenytoin.

Phenytoin inogona kukonzera kuwedzera muropa rako shuga. Taura nachiremba wako nezvezviratidzo zvehuga yakakwira muropa uye zvaunofanira kuita kana ukaona izvi zviratidzo.

Phenytoin jekiseni inogona kukonzeresa mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kunetseka kurara kana kuramba wakarara
• kufamba kusingadzoreki kwemaziso
• kufamba zvisina kujairika kwemuviri
• kurasikirwa kwekubatana
• kuvhiringidzika
• kutaura kwakashata
• musoro
• shanduko mupfungwa yako yekuravira
• kuvimbiswa
• bvudzi risingadiwe kukura
• kuora kwechiso maficha
• kuwedzera kwemiromo
• kukura kwemazino
• kurwadziwa kana kukombama kwenhengo yesikarudzi

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune YAKAKOSHA PRECAUTIONS chikamu, dana chiremba wako nekukurumidza:

• kuzvimba, kushanduka, kana kurwadziwa panzvimbo yejojo
• mapundu
• mikoko
• kuvava
• kuzvimba kwemaziso, kumeso, pahuro, rurimi, maoko, maoko, makumbo, kana makumbo ezasi
• kunetseka kufema kana kumedza
• hoarseness
• kuzvimba gland
• kusvotwa
• kurutsa
• yero yeganda kana maziso
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• kuneta zvakanyanya
• kupwanya kusingawanzo kana kubuda ropa
• madiki matsvuku kana epepuru paganda
• kurasikirwa nenzara
• furu-kunge zviratidzo
• fever, kurwadziwa pahuro, kuputika, maronda emuromo, kana kupwanya kuri nyore, kana kuzvimba kumeso

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

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).

Kutora phenytoin kunogona kuwedzera njodzi yekuti iwe unozoita matambudziko nema lymph node ako kusanganisira chirwere cheHodgkin's (cancer inotanga mune lymph system). Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kurapa mamiriro ako.

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 zvinotevera:

• kufamba kusingadzoreki kwemaziso
• kurasikirwa kwekubatana
• kutaura kunonoka kana kushaya simba
• kuneta
• kusaona zvakanaka
• kuzunza kusingadzoreki nhengo yemuviri
• kusvotwa
• kurutsa

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe malebhu bvunzo kuti atarise mhinduro yako kune phenytoin jekiseni.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi ve murabhoritari kuti urikugamuchira jekiseni re phenytoin.

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.

• Dilantin^®¶

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.