UGabapentin

-Delile

• Ngaphambi kokuthatha i-gabapentin,
• IGabapentin 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:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Amaphilisi we-Gabapentin, amaphilisi, kanye nesisombululo somlomo kuyasetshenziswa kanye neminye imithi yokusiza ukulawula izinhlobo ezithile zokubanjwa kwabantu abanesithuthwane. Ama-capsules we-Gabapentin, amaphilisi, kanye nesisombululo somlomo nakho kusetshenziselwa ukudambisa izinhlungu ze-postherpetic neuralgia (PHN; ukushisa, ukugwaza izinhlungu noma ama-aches angahlala izinyanga noma iminyaka ngemuva kokuhlaselwa kwama-shingles). Amathebulethi akhishwa eGabapentin enwetshiwe (Horizant) asetshenziselwa ukwelapha ukuqaqanjelwa kwemilenze (RLS; isimo esidala ukungakhululeki emilenzeni kanye nesifiso esinamandla sokuhambisa imilenze, ikakhulukazi ebusuku nalapho uhleli noma ulele phansi). UGabapentin usesigabeni semithi ebizwa ngama-anticonvulsants. IGabapentin ilapha ukuquleka ngokwehlisa isasasa elingajwayelekile ebuchosheni. IGabapentin iqeda ubuhlungu be-PHN ngokushintsha indlela umzimba obuzwa ngayo ubuhlungu. Akwaziwa ncamashi ukuthi i-gabapentin isebenza kanjani ukwelapha isifo semilenze esingenakuphumula.

IGabapentin iza njenge-capsule, ithebhulethi, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), nesisombululo somlomo (uketshezi) ukuthatha ngomlomo. Ama-capsules we-Gabapentin, amaphilisi, kanye nesixazululo somlomo kuvame ukuthathwa ngengilazi egcwele yamanzi (ama-ounces angu-8) (ngokudla noma ngaphandle, kathathu ngosuku.

Le mithi kufanele iphuzwe ngezikhathi ezilinganayo phakathi nobusuku nemini; akukho ngaphezu kwamahora ayi-12 okufanele kudlule phakathi kwemithamo. Ithebhulethi ekhishwa isikhathi eside (Horizant) ithathwa ngokudla kanye nsuku zonke ngabo 5 PM. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-gabapentin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Amathebulethi akhishwa eGabapentin anwetshiwe awakwazi ukufakwa olunye uhlobo lomkhiqizo we-gabapentin. Qiniseka ukuthi uthola kuphela uhlobo lwe-gabapentin olunikezwe udokotela wakho. Buza usokhemisi wakho uma unanoma yimiphi imibuzo ngohlobo lwe-gabapentin onikezwe yona.

Gwinya wonke amaphilisi akhululiwe; ungazisiki, uzihlafune noma uzichoboze.

Uma udokotela wakho ekutshela ukuthi uthathe uhhafu wengxenye yethebhulethi ejwayelekile njengengxenye yesilinganiso sakho, hlukanisa ngokucophelela ithebhulethi eceleni komaki wamaphuzu. Sebenzisa enye ithebhulethi uhhafu njengengxenye yomthamo wakho olandelayo. Lahla ngokufanele noma imaphi amaphilisi uhhafu ongawasebenzisanga ezinsukwini ezimbalwa zokuwaphula.

Uma uthatha i-gabapentin ukulawula ukuqubuka noma i-PHN, udokotela wakho kungenzeka akuqale ngomthamo ophansi we-gabapentin futhi akhuphule kancane umthamo wakho njengoba kudingeka ukwelapha isimo sakho. Uma uthatha i-gabapentin ukwelapha i-PHN, tshela udokotela wakho uma izimpawu zakho zingakhuli ngesikhathi sokwelashwa kwakho.

IGabapentin ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka uthathe i-gabapentin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-gabapentin ngaphandle kokukhuluma nodokotela wakho, noma ngabe uhlangabezana nemiphumela emibi njengokushintsha okungavamile kokuziphatha noma kwemizwelo. Uma uyeka ngokungazelelwe amaphilisi e-gabapentin, ama-capsules, noma isisombululo somlomo, ungahle uhlangabezane nezimpawu zokuhoxa njengokukhathazeka, ubunzima bokulala noma ukulala, isicanucanu, ubuhlungu nokujuluka. Uma uthatha i-gabapentin ukwelapha ukuqubuka futhi ngokungazelelwe uyeke ukuthatha imishanguzo, ungahle ube nokuquleka kaningi. Udokotela wakho anganciphisa umthamo wakho kancane kancane okungenani isonto.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-gabapentin 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-Gabapentin nayo kwesinye isikhathi isetshenziselwa ukudambisa ubuhlungu be-neuropathy yesifo sikashukela (ukuba ndikindiki noma ukuhayiza ngenxa yokulimala kwemizwa kubantu abanesifo sikashukela), nokwelapha nokuvimbela ukushisa okukhulu (imizwa engazelelwe yokushisa nokujuluka) kwabesifazane abelashwa umdlavuza webele noma oseke wabona ukuya esikhathini ('' ushintsho lwempilo '', ukuphela kwezikhathi zokuya esikhathini njalo ngenyanga). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-gabapentin,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergism ku-gabapentin, noma imiphi eminye imithi, noma iziphi izithako ezingasebenzi ohlobo lwe-gabapentin ohlela ukuludla. Buza usokhemisi wakho ukuthola uhlu lwezithako ezingasebenzi.
• kufanele wazi ukuthi i-gabapentin iyatholakala ngezindlela ezahlukahlukene ezingabekelwa ukusetshenziswa okuhlukile. Buza udokotela wakho ukuthi aqiniseke ukuthi awuthathi umkhiqizo ongaphezu kowodwa oqukethe i-gabapentin.
• 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: imishanguzo; ama-antihistamine; imithi yokukhathazeka; imithi ekwenza uzizwe unesiyezi noma wozela; imithi yokugula kwengqondo; naproxen (Aleve, Anaprox, Naprosyn, abanye); imishanguzo ye-opioid (narcotic) yezinhlungu ezifana ne-hydrocodone (e-Hydrocet, eVicodin, abanye), i-morphine (i-Avinza, iKadian, i-MSIR, abanye), noma i-oxycodone OxyContin, ePercocet, eRoxicet, abanye); isidambisi; imithi yokuquleka; amaphilisi okulala, kanye nezidakamizwa. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha ama-antacids afana neMaalox noma iMylanta, thatha okungenani amahora ama-2 ngaphambi kokuba uthathe amaphilisi, amaphilisi noma isisombululo se-gabapentin.
• Tshela udokotela wakho uma uke waba nesifo samaphaphu noma sezinso. Uma uzophuza amaphilisi akhululiwe, phinda utshele udokotela wakho uma udinga ukulala emini futhi uhlale uphapheme ebusuku.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-gabapentin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-gabapentin.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele noma ube nesiyezi, unganciphisa ukucabanga kwakho, futhi kungadala ukulahleka kokuxhumana. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani, futhi udokotela wakho uyavuma ukuthi kuphephile ukuthi uqale le misebenzi.
• uma unika ingane yakho i-gabapentin, kufanele wazi ukuthi isimilo nengqondo yengane yakho ingashintsha ngenkathi ithatha i-gabapentin. Ingane yakho ingahle iguquke ngokuzumayo emizwelo, ibe nobutha noma igadle, ibe nobunzima bokugxila noma ukunaka, noma izele noma iqinise. Yenza ingane yakho igweme izinto ezingaba yingozi, njengokugibela ibhayisikili, uze wazi ukuthi i-gabapentin imthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-gabapentin ekwelashweni kwesifo sokuwa, ukugula ngengqondo, noma ezinye izimo. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants anjenge-gabapentin ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba nokuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulela imicabango yokuzibulala nokuziphatha kungakapheli isonto elilodwa beqale ukuthatha umuthi. Kunobungozi bokuthi ungathola ushintsho empilweni yakho yengqondo uma uthatha umuthi we-anticonvulsant ofana ne-gabapentin, kepha kungaba khona 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.

Uma ukhohlwa ukuthatha ama-gabapentin capsules, amaphilisi, noma isisombululo somlomo, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekusondele isikhathi somthamo olandelayo noma uma ukhohlwa ukuthatha amaphilisi wokukhishwa okwandisiwe kwe-gabapentin, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

IGabapentin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukozela
• ukukhathala noma ubuthakathaka
• isiyezi
• ikhanda
• ukuzamazama okungalawuleki kwengxenye yomzimba wakho
• umbono ophindwe kabili noma ofiphele
• ukungazinzi
• ukukhathazeka
• izinkinga zememori
• imicabango engajwayelekile noma engajwayelekile
• ukunyakaza kwamehlo okungafuneki
• isicanucanu
• ukuhlanza
• isilungulela
• isifo sohudo
• umlomo owomile
• ukuqunjelwa
• ukwanda kwesifiso sokudla
• ukuzuza kwesisindo
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ubuhlungu emuva noma ngokuhlanganyela
• imfiva
• ukuphuma kwamakhala, ukuthimula, ukukhwehlela, umphimbo obuhlungu, noma izimpawu ezifana nomkhuhlane
• ubuhlungu bendlebe
• amehlo abomvu, alumayo (kwesinye isikhathi anokuvuvukala noma ukuphuma)

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

• ukuqubuka
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ukushaqeka
• ubunzima bokugwinya noma ukuphefumula
• isithuthwane
• ukuphefumula kanzima; isikhumba esine-bluish-tinged, izindebe, noma izinzipho zeminwe; ukudideka; noma ukulala ngokweqile

IGabapentin 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 amaphilisi, amaphilisi akhululiwe, nama-capsule ekamelweni lokushisa, kude nokushisa okwedlulele nomswakama (hhayi endlini yangasese). Gcina isisombululo somlomo esiqandisini.

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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukubona kabili
• inkulumo engahambi kahle
• ukozela
• isifo sohudo

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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

Uma usebenzisa i-dipstick ukuhlola umchamo wakho ukuthola amaprotheni, buza udokotela wakho ukuthi yimuphi umkhiqizo okufanele uwusebenzise ngenkathi uthatha lo muthi.

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-Gralise^®
• I-Horizant^®
• I-Neurontin^®