I-Oxcarbazepine

-Delile

• Ngaphambi kokuthatha i-oxcarbazepine:
• I-Oxcarbazepine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

I-Oxcarbazepine (i-Trileptal) isetshenziswa yodwa noma ihlangene neminye imithi yokulawula izinhlobo ezithile zokubanjwa kwabantu abadala nezingane. Amathebulethi wokukhishwa kwe-Oxcarbazepine anwetshiwe (i-Oxtellar XR) asetshenziswa ngokuhlangana neminye imithi yokulawula izinhlobo ezithile zokubanjwa kwabantu abadala nezingane ezineminyaka engu-6 nangaphezulu. I-Oxcarbazepine isekilasini lemithi ebizwa ngama-anticonvulsants. Isebenza ngokunciphisa umsebenzi kagesi ongajwayelekile ebuchosheni.

I-Oxcarbazepine iza njengethebhulethi, ithebhulethi ekhishwa isikhathi eside, kanye nokumiswa (uketshezi) okuzothathwa ngomlomo. Ithebhulethi nokumiswa kuvame ukuthathwa njalo emahoreni ayi-12 (kabili ngosuku) nokudla noma ngaphandle. Ithebhulethi ekhishwa enwetshiwe ivame ukuthathwa kanye ngosuku esiswini esingenalutho, ihora eli-1 ngaphambi noma amahora amabili ngemuva kokudla. Thatha i-oxcarbazepine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-oxcarbazepine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Nyakazisa ukumiswa kahle ngaphambi kokusebenzisa ngakunye ukuxuba umuthi ngokulinganayo. Sebenzisa isirinji yomlomo oweza nomuthi ukukhipha inani elifanele lokumiswa ebhodleleni. Ungagwinya ukumiswa uqonde ngqo kwisirinji noma ungakuxuba nengilazi encane yamanzi bese ugwinya ingxube. Geza isirinji ngamanzi afudumele bese usivumela ukuthi some kahle ngemuva kokusetshenziswa.

Gwinya amaphilisi akhululiwe enziwe ngamanzi noma ngolunye uketshezi; ungawahlukanisi, ungawahlafune noma uwagxoze.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-oxcarbazepine futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa ezinsukwini ezintathu. Uma ubuthatha omunye umuthi ukwelapha ukuquleka kwakho futhi ushintshela ku-oxcarbazepine, udokotela wakho anganciphisa kancane umthamo wakho womunye umuthi ngenkathi ekhulisa umthamo wakho we-oxcarbazepine. Landela lezi zinkomba ngokucophelela bese ubuza udokotela wakho uma ungaqiniseki ukuthi ungakanani umuthi okufanele uwuthathe.

I-Oxcarbazepine ingasiza ekulawuleni ukuqubuka kwakho kepha ngeke iselaphe isimo sakho. Qhubeka uthathe i-oxcarbazepine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-oxcarbazepine ngaphandle kokukhuluma nodokotela wakho, noma ngabe uhlangabezana nemiphumela engemihle njengokushintsha okungajwayelekile kokuziphatha noma kwemizwelo. Uma ngokungazelelwe uyeka ukuthatha i-oxcarbazepine, ukuquleka kwakho kungahle kube kubi kakhulu. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-oxcarbazepine futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) noma iwebhusayithi yomkhiqizi ukuthola uMhlahlandlela Wezokwelapha.

I-Oxcarbazepine kwesinye isikhathi isetshenziselwa ukwelapha i-bipolar disorder (i-manic-depress disorder; isifo esibangela iziqephu zokudangala, iziqephu zenjabulo engajwayelekile, nezinye izimo ezingavamile). Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa. Buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-oxcarbazepine:

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-oxcarbazepine, carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), noma imuphi omunye umuthi, noma iziphi izithako ezingasebenzi kumathebulethi e-oxcarbazepine, amaphilisi wokukhishwa anwetshiwe, noma ukumiswa. Buza usokhemisi wakho ukuthola uhlu lwezithako ezingasebenzi kumathebulethi e-oxcarbazepine noma ukumiswa.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone); i-amitriptyline (u-Elavil); ama-calcium channel blocker afana ne-amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Procardia), nimodipine (Nimotop), nisoldipine (Sular) i-verapamil (Calan, Covera, Isoptin, Verelan); i-chlorpromazine (i-Thorazine); i-clomipramine (i-Anafranil); i-cyclophosphamide (iCytoxan, Neosar); i-desmopressin (i-DDAVP, iMinirin, iStimate); diazepam (Valium); isisu (‘amaphilisi amanzi’); indapamide (Natrilix); eminye imishanguzo yokuquleka efana ne-carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin), ne-valproic acid (Depakene, Depakote); ama-proton-pump inhibitors afana ne-lansoprazole (Prevacid), omeprazole (Prilosec), ne-pantoprazole (Protonix); i-theophylline (Theo-Dur); ne-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-duloxetine (i-cymbalta), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft). Eminye imishanguzo ingaxhumana ne-oxcarbazepine, ngakho-ke qiniseka ukuthi utshela udokotela kanye nosokhemisi ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma uke waba nesifo sezinso noma sesibindi.
• tshela udokotela wakho uma ungowaseChina, Thai, Malaysian, Korean, Indian, noma Filipino. Ingcuphe yokwesabela impilo yokungezwani nezinto ezibizwa ngokuthi yiStevens-Johnson syndrome (SJS) noma i-epidermal necrolysis (TEN) enobuthi iyanda kubantu bezizukulwane zase-Asia abanobungozi (obuzuzwe njengefa). Uma ungowase-Asia, udokotela wakho angayalela ukuhlolwa ukuze abone ukuthi ngabe unazo yini izakhi zofuzo ngaphambi kokunquma i-oxcarbazepine.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma usebenzisa izinto zokuvimbela inzalo ze-hormonal, kufanele wazi ukuthi lolu hlobo lokulawulwa kokuzalwa kungenzeka lungasebenzi kahle uma lusetshenziswa ne-oxcarbazepine. Izindlela zokuvimbela inzalo zeHormonal akufanele zisetshenziswe njengendlela yakho kuphela yokulawula ukubeletha ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ezizokusebenzela. Shayela udokotela wakho uma uphuthelwa yisikhathi noma ucabanga ukuthi kungenzeka ukhulelwe ngenkathi uthatha i-oxcarbazepine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele noma ube nesiyezi, uthinte indlela ohamba ngayo, noma ungadala umbono ophindwe kabili noma olunye ushintsho lombono. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabange ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-oxcarbazepine ukwelashwa kwesifo sokuwa, ukugula kwengqondo, noma ezinye izimo. Inani elincane labantu abadala nezingane ezineminyaka engu-5 ubudala nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants afana ne-oxcarbazepine ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba ukuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulele imicabango yokuzibulala nokuziphatha kusasele isonto eli-1 ngemuva kokuqala ukuphuza umuthi. Kunobungozi bokuthi ungathola ushintsho empilweni yakho yengqondo uma uthatha umuthi we-anticonvulsant ofana ne-oxcarbazepine, kepha kungahle kube nengozi yokuthi uzohlangabezana nezinguquko empilweni yakho yengqondo uma isimo sakho singelashwa. Wena nodokotela wakho nizonquma ukuthi izingozi zokuthatha umuthi we-anticonvulsant zinkulu yini kunezingozi zokungawuthathi umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukwethuka; ukuphazamiseka noma ukungahlaliseki; ukucasuka okusha noma okuya kuba kubi, ukukhathazeka, noma ukucindezeleka; ukwenza izinkanuko eziyingozi; ubunzima bokulala noma ukulala; ulaka, intukuthelo, noma ukuziphatha okunodlame; i-mania (i-frenzied, imood ejabule ngokungavamile); ukukhuluma noma ukucabanga ngokufuna ukuzilimaza noma ukuqeda impilo yakho; ukuhoxa kubangani nomndeni; ukukhathazeka ngokufa nokufa; ukuphana ngezinto eziyigugu; noma olunye uguquko olungajwayelekile ekuziphatheni noma emoyeni. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Ngaphambi kokuba uqale ukwelashwa kwakho, khuluma nodokotela wakho ngalokho okufanele ukwenze uma ngephutha uphuthelwa umthamo. Qiniseka ukuthi ubuza udokotela wakho ukuthi kufanele ulinde isikhathi esingakanani phakathi kokuthatha umthamo olahlekile nokuthatha umthamo wakho olandelayo ohleliwe we-oxcarbazepine. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Oxcarbazepine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ngokushesha, ukuphinda ukunyakaza kwamehlo ongeke ukwazi ukukulawula
• isifo sohudo
• ukuqunjelwa
• isilungulela
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• ukulahlekelwa isifiso sokudla
• izinguquko endleleni ukudla okunambitha ngayo
• umlomo owomile
• ukoma
• ukuzuza kwesisindo
• ikhanda
• ukuzamazama kwesitho somzimba ongeke ukwazi ukusilawula; ubunzima bokuxhumanisa ukunyakaza; Iwela phansi
• ukunyakaza okucothayo noma imicabango; ukukhohlwa, ubunzima bokugxila, nezinkinga zokukhuluma
• iqolo, ingalo, noma ubuhlungu bomlenze
• ubuthakathaka bemisipha noma ukuqina okungazelelwe
• ukujuluka okwandayo
• ukuvuvukala, ububomvu, ukucasuka, ukushisa, noma ukulunywa kwesitho sangasese sowesifazane, ukuphuma okumhlophe kwesitho sangasese sowesifazane

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukuqubuka; isifuba; ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala, noma imilenze engezansi: noma ubunzima bokugwinya noma ukuphefumula
• isicanucanu, ukuphathwa ikhanda, ukungabi namandla, ukudideka, noma ukuquleka okuhlala isikhathi eside noma okwenzeka kaningi kunakuqala
• ukuxebuka, ukushwabana, noma ukuchitha isikhumba
• ukuqubuka; isifuba; izilonda emlonyeni noma ezungeze amehlo; imfiva; ukukhathala ngokweqile; ubuhlungu besifuba; ubuthakathaka bemisipha noma ubuhlungu; ukuvuvukala kobuso, intamo, ukubola, noma indawo engaphansi kwekhwapha; ukuphuzi kwesikhumba noma kwamehlo; ukopha okungavamile noma ukulimaza; ukuchitha igazi, ukunamafu, ukwanda, ukwehla, noma ukuchama okubuhlungu
• umphimbo obuhlungu, ukukhwehlela, ukubanda, nezinye izimpawu zokutheleleka

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivaleke ngci, futhi ingafinyeleleki futhi ingabonakali ezinganeni. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Gcina amaphilisi akhululiwe kude nokukhanya. Lahla noma yikuphi ukumiswa okungasetshenziswanga emasontweni ayisikhombisa ngemuva kokuba ibhodlela livulwe okokuqala.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yakho ku-oxcarbazepine.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-oxcarbazepine.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Oxtellar XR^®
• I-Trileptal^®