I-Stiripentol
-Delile
- Ngaphambi kokuthatha i-stiripentol,
- I-Stiripentol 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-Stiripentol isetshenziswa kanye ne-clobazam (Onfi®) ukulawula ukubanjwa kwabantu abadala nezingane ezineminyaka emibili nangaphezulu abanesifo i-Dravet syndrome (isifo esiqala ebuntwaneni futhi esidala ukuquleka futhi kamuva kungaholela ekubambezelekeni kokuthuthuka kanye nasekushintsheni ekudleni, ekulinganiseni nasekuhambeni). I-Stiripentol isekilasini lemithi ebizwa ngama-anticonvulsants. Isebenza ngokunciphisa umsebenzi wenjabulo engajwayelekile ebuchosheni.
I-Stiripentol iza njenge-capsule kanye ne-powder yomlomo yokumiswa ukuthatha ngomlomo. Imvamisa kuthathwa kabili noma kathathu ngosuku ngesikhathi sokudla. Thatha i-stiripentol cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-stiripentol njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Gwinya wonke amaphilisi ngengilazi yamanzi; ungawaphuli noma uwavule.
Uma uthatha impuphu, kufanele uyixube namanzi ngokushesha ngaphambi kokuyiphuza. Udokotela uzokutshela ukuthi mangaki amaphakethe we-stiripentol powder ongayisebenzisa nokuthi mangaki amanzi okuyihlanganisa nawo. Funda ngokucophelela imiyalelo yomkhiqizi echaza ukuthi ungaxuba kanjani futhi uthathe umthamo we-stiripentol. Qiniseka ukuthi ubuza usokhemisi noma udokotela wakho uma unanoma yimiphi imibuzo mayelana nokuthi ungawuhlanganisa kanjani noma uwuthathe kanjani lo muthi.
I-Stiripentol ilawula isimo sakho kepha ayiyelaphi. Qhubeka uthathe i-stiripentol noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-stiripentol ngaphandle kokukhuluma nodokotela wakho, noma ngabe uhlangabezana nemiphumela emibi njengokushintsha okungajwayelekile kokuziphatha noma kwemizwelo. Uma ngokungazelelwe uyeka ukuthatha i-stiripentol, ukuqubuka 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-stiripentol 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/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-stiripentol,
- Tshela udokotela wakho kanye nosokhemisi uma une-aleji ku-stiripentol, noma imiphi eminye imithi, noma iziphi izithako kuma-capsuletipol capsule noma i-powder yomlomo yokumiswa. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-caffeine noma imishanguzo equkethe i-caffeine (i-Cafcit, i-Excedrin, eCafergot, abanye); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); i-clopidogrel (i-Plavix); diazepam (Valium); i-glyburide (i-Diabeta, i-Glynase); i-methotrexate (i-Otrexup, i-Rasuvo, i-Xatmep); i-midazolam (Seizalam); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-prazosin (iMinipress); i-quinidine (ku-Nuedexta); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); isidambisi, amaphilisi okulala, noma okokuqeda ukuthula; i-sertraline (iZoloft); i-theophylline (i-Elixophyllin, i-Theo-24, i-Theochron); thiotepa (Tepadina); noma i-triazolam (Halcion). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-stiripentol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
- futhi utshele udokotela wakho uma uke waba nengcindezi, izinkinga zemizwa, noma imicabango yokuzibulala noma isimilo noma isifo sezinso noma sesibindi.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-stiripentol, shayela udokotela wakho.
- kufanele wazi ukuthi i-stiripentol ingakwenza ube nesiyezi noma uzele futhi kungathinta ukusebenzisana kwakho. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
- buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-stiripentol. Utshwala bungenza imiphumela emibi ye-stiripentol ibe yimbi kakhulu.
- uma une-phenylketonuria (i-PKU, isimo esizuzwe njengefa lapho kufanele kulandelwe ukudla okhethekile ukuvimbela ukubola kwengqondo), kufanele wazi ukuthi i-stiripentol powder powder iswidi ne-aspartame eyakha i-phenylalanine.
- kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabange ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-stiripentol. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants, afana ne-stiripentol, ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba ukuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulela imicabango yokuzibulala nokuziphatha kungakapheli isonto elilodwa beqale ukuthatha umuthi. 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); ukucabanga ngokuzilimaza noma ukuzibulala, noma ukuhlela noma ukuzama ukwenza kanjalo; 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.
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-Stiripentol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ubuthongo
- ukukhathala
- izinkinga ngokuxhumanisa
- ukuzamazama okungalawuleki kwengxenye yomzimba
- ukulahleka kwethoni yemisipha
- kunzima ukukhuluma
- ukumunca amathe
- isicanucanu
- ukuhlanza
- izinguquko esisindweni
- ubuhlungu obuhlangene
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
- ukukhwehlela, umphimbo obuhlungu, umkhuhlane, ukubanda, noma ezinye izimpawu zokutheleleka
- ukulimaza noma ukopha okungavamile
- igazi umchamo noma indle
I-Stiripentol ingadala ukulahleka kwesifiso nokulahlekelwa isisindo. Uma ubona ukuthi ingane yakho ilahlekelwa isisindo, shayela udokotela wakho.Udokotela wakho uzokubuka ngokucophelela ukukhula kwengane yakho. Khuluma nodokotela wakho uma unenkinga ngokukhula noma isisindo sengane yakho ngenkathi ithatha lo muthi.
I-Stiripentol 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. Yigcine ekamelweni lokushisa futhi kude ne- {light,} ukushisa okweqile nomswakama (hhayi endlini yangasese).
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
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.
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 uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-Stiripentol.
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-Diacomit®