Phenytoin

Zvemukati

• Usati watora phenytoin,
• Phenytoin inogona kukonzera kuwedzera muropa rako shuga. Taura nachiremba wako nezvezviratidzo zvehuga yakakwira muropa uye zvaunofanira kuita kana ukaona izvi zviratidzo.
• Phenytoin inogona kukonzera 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:.
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana chero yeanotevera zviratidzo, rega kutora phenytoin uye udana chiremba wako:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Phenytoin inoshandiswa kudzora imwe mhando yekubatwa, uye kurapa uye kudzivirira kubatwa kunogona kutanga panguva kana mushure mekuvhiyiwa kuuropi kana huta hurongwa. Phenytoin iri mukirasi yemishonga inonzi anticonvulsants. Inoshanda nekuderedza zvisingaite zvemagetsi zviitiko muuropi.

Phenytoin inouya seyakawedzerwa-kuburitswa (refu-inoshanda) kapuleti, piritsi rinotsemuka, uye kumiswa (mvura) kutora nemuromo. Hwendefa rinotsemurwa uye kumiswa zvinowanzo kutorwa kaviri kana katatu pazuva. Iwo akawedzeredzwa-kuburitswa makapuru anowanzo kutorwa kamwe kana mana pazuva. Tora phenytoin panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora phenytoin chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anozokutangira pane yakaderera dosi ye phenytoin uye zvishoma nezvishoma wedzera yako dosi, kwete kazhinji kanopfuura kamwe chete kwemazuva manomwe kusvika gumi.

Zvigadzirwa zvakasiyana zve phenytoin zvinosanganiswa nemuviri nenzira dzakasiyana uye hazvigone kutsiviwa. Kana iwe uchida kuchinja kubva kune imwe phenytoin chigadzirwa kuenda kune imwe, chiremba wako angangoda kugadzirisa yako dose. Nguva imwe neimwe yaunogamuchira mushonga wako, tarisa kuti uve nechokwadi chekuti wagamuchira phenytoin chigadzirwa chawakatemerwa iwe. Bvunza wako wemishonga kana iwe usina chokwadi chekuti wakagamuchira chaiyo mishonga.

Zunza mvura zvakanaka musati mese mushandisa kusanganisa mishonga zvakaenzana. Shandisa chaiyo yekuyera mudziyo kuti uve nechokwadi chekuti unogashira iyo chaiyo huwandu hwemishonga. Kumbira chiremba wako kana wemishonga kana iwe uine chero mibvunzo nezve nzira yekuyera muyero wako.

Medza macapuleti akasunungurwa-akazara; usatsemure, kutsenga, kana kuvapwanya. Usatore makapisi ane mavara.

Iwe unogona kutsenga mahwendefa akatsenga musati wamedza, kana iwe unogona kuamedza ese asina kutsenga.

Kana iwe uri kugamuchira fomula kana zvinowedzerwa kuburikidza neyekupa chubhu, taura nachiremba wako nezvekuti iwe unofanirwa kutora rinhi phenytoin. Iwe unozofanirwa kubvumidza imwe nguva pakati pekugamuchira yako feedings uye kutora phenytoin.

Phenytoin inogona kubatsira kudzora mamiriro ako asi haizorape. Ramba uchitora phenytoin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora phenytoin usingataure nachiremba wako, kunyangwe iwe ukave nemhedzisiro senge shanduko isina kujairika mumaitiro kana manzwiro. Kana iwe ukangoerekana warega kutora phenytoin, kubatwa kwako kunogona kuwedzera. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

Phenytoin inoshandiswawo kudzora kurova kwemoyo zvisina kujairika. 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 watora phenytoin,

• udza chiremba wako uye wemishonga kana uri weergoria kune phenytoin, mamwe mahydantoin mishonga yakadai seethotoin (Peganone) kana fosphenytoin (Cerebyx), chero mimwe mishonga, kana chero chinongedzo mu phenytoin. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora delavirdine (Rescriptor). Chiremba wako angangokuudza kuti usatore phenytoin kana uri kutora mushonga uyu.
• 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); sucralfate (Carafate); 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 kana uri kutora antacids ine calcium, magnesium, kana aluminium (Maalox, Mylanta, Tums, nevamwe). Chiremba wako anogona kukuudza kuti utendere nguva kuti ipfuure pakati pekutora antacid uye kutora phenytoin.
• 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 angangokuudza kuti usatore phenytoin zvakare.
• 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 umo zvimwe zvinhu zvakasikwa zvinovaka mumuviri uye zvinogona kukonzera kurwadziwa kwemudumbu, shanduko mukufunga kana maitiro, kana zvimwe zviratidzo); osteopenia, osteomalacia, kana osteoporosis (mamiriro umo mapfupa akapfava kana kupwanyika uye anogona kutyora nyore); yakaderera mwero yealbumin muropa rako; kana moyo, itsvo kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Iwe haufanire kuve nepamuviri iwe paunenge uchitora phenytoin. Taura nachiremba wako nezvenzira dzinoshanda dzekudzora kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana iwe ukava nepamuviri uchitora phenytoin, fonera chiremba wako. Phenytoin inogona kukuvadza fetus.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora 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.
• 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 phenytoin. Chiverengero chidiki chevakuru uye vana vane makore mashanu ekuberekwa uye kupfuura (vangangoita 1 muvanhu mazana mashanu) vakatora anticonvulsants senge phenytoin kurapa akasiyana mamiriro panguva yekiriniki yekudzidzira vakava kuzviuraya panguva yekurapwa kwavo. Vamwe vevanhu ava vakaita pfungwa dzekuzviuraya pamwe nehunhu pakutanga kwevhiki rimwe chete vatanga kutora mushonga. Pane njodzi yekuti unogona kusangana neshanduko yehutano hwepfungwa kana ukatora mishonga inorwisa antivulsion yakadai se phenytoin, 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.
• 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.

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

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

Phenytoin inogona kukonzera 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 gland
• mhoni
• 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
• dzungu, kuneta, kusagadzikana kwemwoyo, kana kurwadziwa pachipfuva
• mweya wekufema
• mikoko

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana chero yeanotevera zviratidzo, rega kutora phenytoin uye udana chiremba wako:

• kuzvimba kwechiso, maziso, huro, rurimi kana miromo
• kunetseka kumedza kana kufema

Phenytoin 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 uchaita osteopenia, osteoporosis, kana osteomalacia nematambudziko nema lymph node ako anosanganisira chirwere cheHodgkin (cancer inotanga mune lymph system). Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kurapa mamiriro ako.

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati, kure nechiedza uye kupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usaisa chando mvura.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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.

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
• kusaona zvakanaka
• kuneta
• kuzunza kusingadzoreki nhengo yemuviri
• kusvotwa
• kurutsa
• coma (kurasikirwa kwekuziva kwenguva yakati)
• dzungu, kuneta, kusagadzikana kwemwoyo, kana kurwadziwa pachipfuva
• mweya wekufema

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari ekuongorora kuti uone mhinduro yako kune phenytoin.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi veirabhoritari kuti uri kutora phenytoin.

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.

• Dilantin^®
• Phenytek^®