URufinamide

-Delile

• Ngaphambi kokuthatha i-rufinamide,
• I-Rufinamide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

I-Rufinamide isetshenziswa neminye imishanguzo yokulawula ukuqubuka kubantu abane-Lennox-Gastaut syndrome (uhlobo olunzima lwesifo sokuwa oluqala ngesikhathi sobuntwana futhi oludala izinhlobo eziningi zokuquleka, ukuphazamiseka kokuziphatha nokubambezeleka kokukhula). URufinamide usesigabeni semithi ebizwa ngama-anticonvulsants. Isebenza ngokunciphisa injabulo engavamile ebuchosheni.

URufinamide uza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa ngokudla kabili ngosuku. Thatha i-rufinamide ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-rufinamide njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Amaphilisi e-Rufinamide angagwinywa ephelele, aphulwe ngesigamu emaki lesikolo, noma acindezelwe. Khuluma nodokotela wakho noma usokhemisi mayelana nendlela engcono ongathatha ngayo i-rufinamide.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-rufinamide futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo ngosuku.

IRufinamide ingakusiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka uthathe i-rufinamide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-rufinamide ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-rufinamide, ukuquleka kwakho kungahle kube kubi. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-rufinamide 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.

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

Ngaphambi kokuthatha i-rufinamide,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-rufinamide noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin, primidone (Mysoline), triazolam (Halcion), ne-valproic acid (Depakene, Depakote, Stavzor). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba ne-QT syndrome emndenini (isimo esizuzwe njengefa esidala ukushaya kwenhliziyo okungajwayelekile, isiyezi, ukuquleka noma ukufa ngokuzuma). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-rufinamide.
• Tshela udokotela wakho uma welashwa nge-dialysis (ukwelashwa ukususa udoti egazini lapho izinso zingasebenzi kahle) nokuthi ngabe uke waba nesifo sesibindi noma wake waba naso yini.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-rufinamide, shayela udokotela wakho.
• kufanele wazi ukuthi i-rufinamide inganciphisa ukusebenza kahle kokuvimbela inzalo ngamahomoni (amaphilisi okulawula ukubeletha, amabala, izindandatho, okufakelwayo nemijovo). Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ezizokusebenzela ngenkathi uthatha i-rufinamide.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-rufinamide.
• kufanele wazi ukuthi i-rufinamide ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-rufinamide. Utshwala bungenza imiphumela emibi ye-rufinamide ibe yimbi kakhulu.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile, futhi ungazibulala (cabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-rufinamide. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu abathathe ama-anticonvulsants afana ne-rufinamide ngesikhathi sokuhlolwa komtholampilo kutholakale ukuthi banamathuba aphindwe kabili okuzibulala kunabantu abangawuthathi umuthi. Le ngozi eyengeziwe yokuziphatha kokuzibulala yabonwa ngemuva kwesonto elilodwa ngemuva kokuqala umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ubunzima bokulala noma ukulala, ukuziphatha okungacabangi nokuyingozi, ukwethuka, ukukhathazeka, ukuthukuthela, ubutha, i-mania (ukwesaba, ukujabula okungavamile imood), ukukhuluma noma ukucabanga ngokufuna ukuzilimaza noma ukuqeda impilo yakho, ukuhoxa kubangani nomndeni, ukucindezeleka okusha noma okuya kuba kubi kakhulu, ukukhathazeka ngokufa nokufa, noma ukunikela ngezinto eziyigugu. 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.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ubuthongo
• ikhanda
• ukulahleka kokuxhumanisa
• ukuhamba kanzima
• ukunyakaza ngokweqile noma umsebenzi
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukunyakaza okungalawuleki kwamehlo
• kunzima ukunaka
• isiyezi
• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuhlanza
• ukuhlungu obusemhlane
• ubuhlungu besisu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• imfiva
• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kobuso
• amandla anciphile okuphendula kwabanye
• isithuthwane
• ukufiphala noma ukubona kabili
• ukuphuzi kwesikhumba noma kwamehlo
• umchamo onombala omnyama
• isitulo esinombala okhanyayo

I-Rufinamide ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

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.

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.

• Banzel^®