Lamotrigine

Zvemukati

• Usati watora lamotrigine,
• Lamotrigine 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 zvinotsanangurwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

[Yakatumirwa 03/31/2021]

NYAYA: Zvidzidzo zvinoratidza kuwedzera kwenjodzi yematambudziko emoyo kurira nekubata uye hutano hwepfungwa mushonga lamotrigine (Lamictal) mune varwere vane chirwere chemwoyo

Vateereri: Murwere, Hutano Nyanzvi, Chemishonga

NYAYA: US Food and Drug Administration (FDA) ongororo yezvakawanikwa pakudzidza yakaratidza njodzi inowedzera yezvinetso zvemutinhimira wemwoyo, unonzi arrhythmias, mune varwere vane chirwere chemwoyo avo vari kutora chirwere chekubata uye chehutano hwepfungwa lamotrigine (Lamictal). Tinoda kuongorora kuti mimwe mishonga iri mukirasi imwe chete yezvinodhaka inezvakafanana pamwoyo uye iri kuda zvidzidzo zvekuchengetedza pane izvo zvakare. Tichadzokorora ruzhinji kana rumwe ruzivo kubva kuidzi fundo rukwanisika. FDA yaida zvidzidzo izvi, zvinodaidzwa kuti in vitro studies, kuti zviongororezve zvinoitika zveLamictal pamwoyo mushure mekunge tagamuchira mishumo yezvisina kujairika electrocardiographic (ECG) zvakawanikwa uye nemamwe matambudziko akakomba. Mune zvimwe zviitiko, matambudziko anosanganisira kurwadziwa pachipfuva, kurasikirwa kwekuziva, uye kusungwa kwemoyo kwakaitika. In vitro zvidzidzo zvinoitwa mumayedzo machubhu kana petri madhishi uye kwete muvanhu kana mhuka. Isu takatanga tawedzera ruzivo nezve njodzi iyi kune lamotrigine inorondedzera ruzivo uye Mishonga Guides muna Gumiguru 2020, iyo yatino gadziridza.

NZVIMBO: Lamotrigine inoshandiswa yoga kana iine mimwe mishonga kurapa kubatwa nevarwere makore maviri zvichikwira. Inogona zvakare kushandiswa sekurapa kwekurapa mune varwere vane hutano hwepfungwa mamiriro bipolar kusagadzikana kubatsira kunonoka kuitika kwezviitiko zvepfungwa senge kushushikana, mania, kana hypomania. Lamotrigine yakatenderwa uye pamusika kweanopfuura makore makumi maviri nemashanu uye inowanikwa pasi pezita rekuti Lamictal uye semagetsi.

RUDZIDZO:

Nyanzvi dzezvehutano

• Wongorora kana izvo zvingabatsire zve lamotrigine zvinopfuura mukana wekugona arrhythmias kune mumwe murwere.
• Kuongororwa kwerabhoritari kunoitwa pakurapa kwakaringana kwakaratidza kuti lamotrigine inogona kuwedzera njodzi yezvakakomba arrhythmias, izvo zvinogona kutyisidzira hupenyu kune varwere vane hutano hwakakosha hwekiriniki kana hunoshanda. Zvirwere zvakakosha zvechimiro uye zvinoshanda pamoyo zvinosanganisira kutadza kwemoyo, chirwere chemoyo chevvalvular, chirwere chepfungwa chekuzvarwa, conduction system chirwere, ventricular arrhythmias, cardiac channelopathies senge Brugada syndrome, kiriniki yakakosha ischemic moyo chirwere, kana akawanda njodzi mungozi yecoronary artery chirwere.
• Ngozi ye arrhythmias inogona kuwedzera kumberi kana ikashandiswa pamwe chete nemimwe mishonga inovhara chiteshi sodiamu mumoyo. Mamwe maSodium chiteshi blockers anotenderwa pfari, bipolar kusagadzikana, uye zvimwe zvinoratidza hazvifanirwe kutarisirwa senzira dzakachengeteka kune lamotrigine mukushaikwa kweruzivo rwekuwedzera.

Varwere, Vabereki, uye Vanochengeta

• Usarega kutora mushonga wako usati watanga kutaura kune wawakanyora nekuti kumisa lamotrigine kunogona kutungamira mukubata kusingadzorwe, kana nyowani kana kuwedzera matambudziko ehutano hwepfungwa.
• Bata nyanzvi yako yehutano ipapo kana kuenda kuchimbichimbi kamuri kana iwe ukawana isina kujairika kurova kwemoyo kana mutserendende usina kujairika, kana zviratidzo zvakaita sekumhanya kwemoyo, kurovera kana kunonoka kurova kwemoyo, kupfupika kwemweya, dzungu, kana kupera simba.

Kuti uwane rumwe ruzivo shanyira iyo FDA webhusaiti pa: http://www.fda.gov/Safety/MedWatch/SafetyInformation uye http://www.fda.gov/Drugs/DrugSafety.

Lamotrigine inogona kukonzera kuputika, kusanganisira mapundu akakomba angangoda kurapwa muchipatara kana kukonzera kuremara zvachose kana kufa. Udza chiremba wako kana uri kutora valproic acid (Depakene) kana divalproex (Depakote) nekuti kutora mishonga iyi ne lamotrigine kunogona kuwedzera njodzi yako yekukura kwakanyanya. Uyezve udza chiremba wako kana iwe wakamboita rash mushure mekutora lamotrigine kana chero imwe mishonga yekurapa kana iwe uri weergoria kune chero mishonga ye pfari.

Chiremba wako anozokutangira pane yakaderera dosi ye lamotrigine uye zvishoma nezvishoma wedzera yako dosi, kwete kanopfuura kamwe chete kwe1 kusvika kumavhiki maviri. Iwe unogona kunge uchikwanisa kukura nekukurumidza kukurumidza kana iwe ukatora yakakwira yekutanga dosi kana kuwedzera yako dosi nekukurumidza kupfuura izvo chiremba wako anokuudza iwe kuti iwe unofanirwa. Yako yekutanga dosi yemushonga inogona kuve yakarongedzwa mune yekutanga kit iyo inonyatsokuratidza iwe yakaenzana huwandu hwemishonga yekutora zuva rega rega mukati mavhiki mashanu ekutanga ekurapwa kwako. Izvi zvinokubatsira iwe kutevedzera zvaakarairwa nachiremba wako sezvo chipimo chako chichiwedzera zvishoma nezvishoma. Ive neshuwa yekutora lamotrigine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Makukutu akakomba anowanzo kukura mukati memavhiki maviri ekutanga ekurapwa ne lamotrigine, asi anogona kukura chero nguva panguva yekurapa. Kana iwe ukagadzira chero cheanotevera zviratidzo paunenge uchitora lamotrigine, dana chiremba wako nekukurumidza: mapundu; kuputika kana kubvisa kweganda; mikoko; kuvava; kana maronda anorwadza mumuromo mako kana kutenderedza maziso ako.

Taura nachiremba wako nezve njodzi dzekutora lamotrigine kana yekupa lamotrigine kumwana wako. Vana vane makore 2-17 ekuberekwa vanotora lamotrigine vanowanzo kuve nekukuvara kwakakomba kupfuura vanhu vakuru vanotora mushonga.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa ne lamotrigine 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.

Lamotrigine akawedzera-kuburitsa (marefu-anoita) mapiritsi anoshandiswa nemimwe mishonga kurapa mamwe marudzi ekubatwa nevarwere vane pfari. Mhando dzese dzemapiritsi e lamotrigine (mahwendefa, mahwendefa anoparadzaniswa nemuromo, uye mapiritsi anotsemuka) mamwe asiri mapiritsi akasunungurwa-anoshandiswa ega kana nemimwe mishonga yekurapa pfari kune vanhu vane pfari kana Lennox-Gastaut syndrome (chirwere chinokonzeresa uye zvinowanzo kukonzera kukura kunonoka). Mhando dzese dzemapiritsi e lamotrigine kunze kwemahwendefa akawedzeredzwa-anoshandiswa zvakare kuwedzera nguva pakati pezvikamu zvekushungurudzika, mania (frenzied kana zvisingaite manzwiro), uye mamwe mamood asina kujairika mune varwere vane bipolar I kusagadzikana (manic-depression disorder; a chirwere chinokonzera zvikamu zvekusuwa, zvikamu zvemania, uye zvimwe zvisina kujairika mamoods). Lamotrigine haina kuratidzwa kuti inoshanda kana vanhu vachinge vaona zvikamu chaizvo zvekushungurudzika kana mania, saka mimwe mishonga inofanirwa kushandiswa kubatsira vanhu kupora kubva muzvikamu izvi. Lamotrigine ari mukirasi yemishonga inonzi anticonvulsants. Inoshanda nekuderedza zvisingaite zvemagetsi zviitiko muuropi.

Lamotrigine inouya sehwendefa, piritsi rakaburitswa-rakaburitswa, hwendefa inopwanyika nemuromo (inonyungudika mumuromo uye inogona kumedzwa isina mvura), uye inogona kutsvairwa (inogona kutsengwa kana kunyungudika mumvura) piritsi rekutora nemuromo kana kana pasina chikafu. Mahwendefa akasunungurwa-anotorwa anotorwa kamwe pazuva. Mahwendefa, mahwendefa anoparadzaniswa nemuromo, uye mapiritsi asingataurike anonwa anowanzo kutorwa kamwe kana kaviri pazuva, asi anogona kutorwa kamwe chete zuva rega rega pakutanga kwekurapwa. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

Kune mimwe mishonga ine mazita akafanana nezita rechiratidzo re lamotrigine. Iwe unofanirwa kuve nechokwadi chekuti unogamuchira lamotrigine uye kwete imwe yemishonga yakafanana nguva dzese paunozadza tsamba yako. Iva nechokwadi chekuti mushonga waunopihwa nachiremba wakajeka uye uri nyore kuverenga. Taura nachiremba wako kuti uve nechokwadi chekuti iwe unopihwa lamotrigine. Mushure mekutambira mishonga yako, enzanisa mahwendefa acho nemifananidzo iri mupepa remurwere remugadziri wemugadziri. Kana iwe uchifunga kuti wakapihwa isiriyo mishonga, taura nachiremba wako. Usatore chero mushonga kunze kwekunge uine chokwadi kuti ndiwo mushonga wakarairwa nachiremba wako.

Medza mahwendefa uye akawedzera-kusunungura mahwendefa akazara; usatsemure, kutsenga, kana kuvapwanya.

Kana iwe uri kutora mapiritsi anogona kutsetseka anopararira, unogona kuamedza akazara, kuatsenga, kana kuanyungudutsa ari mvura. Kana iwe uchitsenga mapiritsi, inwa shoma shoma yemvura kana yakasanganiswa muto wemichero mushure mekushambidza mushonga. Kuti unyungudise mapiritsi ave mvura, isa 1 teaspoon (5 mL) yemvura kana yakasanganiswa muto wemichero mugirazi. Isa iyo piritsi mukati memvura uye mirira 1 mineti kuti iite kuti iparadze. Wobva wamhanyisa mvura uye nekunwa yese ipapo. Usaedze kupatsanura piritsi rimwe chete kuti ishandiswe kweanopfuura mwero mumwe.

Kuti utore piritsi rakaparadzaniswa nemuromo, riise parurimi rwako wozvifambisa mumuromo mako. Mirira nguva pfupi kuti piritsi rinyungudike, uye wozoimedza pamwe kana pasina mvura.

Kana mushonga wako ukauya mublisterpack, tarisa blisterpack usati watora yako yekutanga dosi. Usashandise chero chemushonga kubva mupakeji kana paine chero mablister akabvaruka, akatyoka, kana asina mahwendefa.

Kana iwe wanga uchitora mumwe mushonga kurapa pfari uye uri kuchinjira kune lamotrigine, chiremba wako anozodzora zvishoma nezvishoma muyero wako wemumwe mushonga uye zvishoma nezvishoma uwedzere muyero wako we lamotrigine. Tevedza aya madhiri nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine mibvunzo nezve huwandu hwemumwe mushonga waunofanira kutora.

Lamotrigine inogona kudzora mamiriro ako, asi haizorape. Zvinogona kutora vhiki dzinoverengeka kuti iwe unzwe kuzara kwakazara kwe lamotrigine. Ramba uchitora lamotrigine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora lamotrigine usingataure nachiremba wako, kunyangwe iwe ukava nemhedzisiro senge shanduko isina kujairika mumaitiro kana manzwiro. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma. Kana iwe ukangoerekana warega kutora lamotrigine, unogona kusangana nepfari. Kana iwe ukarega kutora lamotrigine chero chikonzero, usatange kuitora zvakare usina kutaura nachiremba wako.

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

Usati watora lamotrigine,

• udza chiremba wako uye wemishonga kana uri weergoria kune lamotrigine, chero mimwe mishonga. kana chero chipi zvacho chemhando yemhando yemapiritsi emamotrigine auchange uchitora. Kumbira chiremba wako kana wemishonga kana tarisa Gwaro reMishonga kuti uwane pane zvinyorwa.
• 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 mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye atazanavir ne ritonavir (Reyataz naNorvir); lopinavir ne ritonavir (Kaletra); methotrexate (Rasuvo, Trexall, Trexup); mimwe mishonga yekubatwa senge carbamazepine (Epitol, Tegretol, vamwe), oxcarbazepine (Oxtellar XR, Trileptal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Phenytek), uye primidone (Mysoline); pyrimethamine (Daraprim); rifampin (Rifadin, Rimactane, muRifamate, Rifater); uye trimethoprim (Primsol, muBactrim, Septra). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe uri kushandisa echikadzi mahormone mishonga senge mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, majekiseni, mapiritsi, kana zvishandiso zveiyo intrauterine), kana iyo hormone kutsiva kurapa (HRT). Taura nachiremba wako usati watanga kana kurega kutora chero ipi yemishonga iyi paunenge uchitora lamotrigine. Kana iwe uri kutora mukadzi wehomoni mishonga, udza chiremba wako kana iwe uine chero kubuda ropa pakati pekutarisirwa kumwedzi.
• udza chiremba wako kana iwe kana wakambove nechirwere chekuzvidzivirira muviri (mamiriro umo muviri unorwisa nhengo dzawo, zvichikonzera kuzvimba uye kurasikirwa nebasa) senge lupus (mamiriro umo muviri unorwisa nhengo zhinji dzakasiyana zvichikonzera zviratidzo zvakasiyana) , kusagadzikana kweropa, mamwe mamiriro ehutano hwepfungwa, kana chirwere cheitsvo kana chiropa, kana ascites (kuzvimba kwedumbu kunokonzerwa nechirwere chechiropa).
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukava nepamuviri uchitora lamotrigine, danaidza chiremba wako.
• udza chiremba wako kana iwe uchiyamwisa. Kana iwe uchiyamwisa mwana panguva yekurapa kwako ne lamotrigine, mwana wako anogona kuwana mamwe lamotrigine mumukaka wemvere. Tarisa mwana wako padhuze nekurara zvisina kujairika, kukanganisa kufema, kana kuyamwa kusakwana.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira kana kuita dzungu. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• 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 lamotrigine 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 lamotrigine kurapa mamiriro akasiyana siyana panguva yekiriniki yekudzidzira 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 muhutano hwepfungwa kana ukatora mishonga inorwisa antivivulsant senge lamotrigine, 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.

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.

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

• kurasikirwa kwechiyero kana kubatana
• kuona kaviri
• kusaona zvakanaka
• kusadzora kufamba kwemeso
• kunetseka kufunga kana kuisa pfungwa
• kuoma kutaura
• musoro
• kutsimwaira
• dzungu
• manyoka
• kuvimbiswa
• kurasikirwa nenzara
• kuonda
• chirungurira
• kusvotwa
• kurutsa
• muromo wakaoma
• dumbu, musana, kana kurwadziwa kwemajoini
• kusuwa kana kurwadza kwekuenda kumwedzi
• kuzvimba, kuchenesa, kana kutsamwa kwemukadzi
• kuzunza kusingadzoreki nhengo yemuviri

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvinotsanangurwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukasira:

• kuzvimba kwechiso, huro, rurimi, miromo, uye maziso, kunetseka kumedza kana kufema, kutota
• kugwinha kunoitika kazhinji, kunogara kwenguva refu, kana kwakasiyana nekugwinha kwawaive nako munguva yakapfuura
• musoro, fivha, kusvotwa, kurutsa, mitsipa yakaoma, kunzwisisika kuchiedza, kutonhora, kuvhiringidzika, kurwadziwa kwemhasuru, kukotsira
• kubuda ropa zvisina kujairika kana kupwanya
• fever, rash, kuzvimba lymph node, yero yeganda kana maziso, kurwadziwa mudumbu, kurwadza kana kudeura kweropa, kurwadziwa pachipfuva, kushomeka kwemhasuru kana kurwadziwa, kubuda ropa kusingawanzo kana kupwanya, kufenda, kunetseka kufamba, kunetsekana kuona kana mamwe matambudziko ekuona.
• kurwadziwa pahuro, kupisa muviri, kutonhora, kukosora, kunetseka kufema, kurwadziwa nzeve, ziso repingi, kuita weti kakawanda kana kunorwadza, kana zvimwe zviratidzo zvehutachiona.

Lamotrigine 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).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pamhepo tembiricha, kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

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

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.

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:

• kurasikirwa kwechiyero kana kubatana
• kusadzora kufamba kwemeso
• kuona kaviri
• kuwedzera kufenda
• zvisina kujairika moyo kurova
• kurasikirwa kwekuziva
• coma

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

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

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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