I-Tiagabine

-Delile

• Ngaphambi kokuthatha i-tiagabine,
• I-Tiagabine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Tiagabine isetshenziswa ngokuhlangana neminye imithi yokwelapha ukuhlaselwa okuncane (uhlobo lwesifo sokuwa). I-Tiagabine isekilasini lemithi ebizwa ngama-anticonvulsants. Akwaziwa ncamashi ukuthi i-tiagabine isebenza kanjani, kepha inyusa inani lamakhemikhali emvelo ebuchosheni avimbela umsebenzi wokubamba.

I-Tiagabine iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa ngokudla kabili noma kane ngosuku. Kodwa-ke, ngesonto lokuqala lokwelashwa uzothatha i-tiagabine kanye ngosuku. Udokotela wakho uzokhuphula kancane umthamo wakho (hhayi kaningi ngaphezu kwesonto ngalinye) uze ufinyelele kumthamo we-tiagabine okufanele uyiphuze njalo. Ukukusiza ukuthi ukhumbule ukuthatha i-tiagabine, yithathe ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-tiagabine njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Qhubeka uphuze i-tiagabine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-tiagabine ngaphandle kokukhuluma nodokotela wakho, noma ngabe uhlangabezana nemiphumela engemihle njengokushintsha okungajwayelekile kokuziphatha noma kwemizwelo. Ukumisa ngokungazelelwe lo muthi kungadala ukuquleka. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-tiagabine 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-Tiagabine akufanele ibekelwe okunye ukusetshenziswa. Buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-tiagabine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tiagabine noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: amiodarone (Cordarone, Pacerone); ama-anticonvulsants anjenge carbamazepine (Tegretol), ethosuximide (Zarontin), gabapentin (Neurontin), lamotrigine (Lamictal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Dilantin I-Phenytek), i-primidone (i-Mysoline), ne-valproic acid (i-Depakene, i-Depakote); ama-anticholinesterases anjenge-neostigmine (Prostigmin), i-physostigmine (i-Antilirium), ne-pyridostigmine (iMestinon, i-Regonol); imishanguzo; ama-antifungals afana ne-fluconazole (i-Diflucan), i-itraconazole (i-Sporanox), ne-ketoconazole (i-Nizoral); i-chloroquine sulfate (Aralen); i-clarithromycin (i-Biaxin, ku-Prevpac); odayi bokuqhathanisa abasetshenziswa ngesikhathi senqubo ye-radiology (ukuskena kwe-CAT, ama-X-ray); i-cyclosporine (iNeoral, iSandimmune); i-dexamethasone (i-Decadron, i-Dexpak); diazepam (Valium); i-dicloxacillin; i-diltiazem (Cardizem, Dilacor, Tiazac, abanye); i-erythromycin (E.E.S., E-Mycin, Erythrocin); i-furosemide (i-Lasix); i-griseofulvin (i-Fulvicin-U / F, i-Grifulvin V, i-Gris-PEG); i-isoniazid (INH, Laniazid, Nydrazid); imipenem-cilastatin (Primaxin); i-lovastatin (Altocor, Mevacor, ku-Advicor); imithi yokwelapha ukutheleleka nge-HIV kubandakanya i-delavirdine (Rescriptor), i-efavirenz (Sustiva), i-nevirapine (i-Viramune), ne-ritonavir (i-Norvir, e-Kaletra); imishanguzo engakwenza ukozele njengokukhwehlela, ukubanda, kanye nemikhiqizo yokungezwani komzimba, imithi yokukhathazeka, ukuphumula kwemisipha, imishanguzo yezinhlungu, imishanguzo, amaphilisi okulala, noma ama-tranquilizers; imithi yokugula kwengqondo; i-methocarbamol (Robaxin); i-mycophenolate mofetil (CellCept); ama-penicillin; i-phenylbutazone (ayisatholakali e-US); i-propranolol (Inderal, Inderide); i-quinidine (i-Quinidex); ama-quinolones afana ne-cinoxacin (Cinobac) (awasatholakali e-US), ciprofloxacin (Cipro), enoxacin (Penetrex) (ayisatholakali e-US), gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxequin), nalidi i-asidi (NegGram) (ayisatholakali e-US), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam) kanye nenhlanganisela ye-trovafloxacin / alatrofloxacin (iTrovan) (ayisatholakali e-US); i-rifabutin (i-Mycobutin); i-rifampin (i-Rifadin, i-Rifamate, i-Rimactane, abanye); izikhuthazi ezifana nemikhiqizo equkethe i-caffeine nama-decongestants; itacrolimus (Prograf); i-triazolam (iHalcion); troleandomycin (TAO); i-verapamil (Calan, Covera, Isoptin, Verelan); i-warfarin (i-Coumadin); noma i-zafirlukast (Inembile).
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• tshela udokotela wakho uma ngabe uke waba nokuqubuka okukhulu okubangelwa ukuthatha umuthi; status epilepticus (ukuquleka okulandelana ngaphandle kwekhefu); noma isifo samehlo noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-tiagabine, shayela udokotela wakho ngokushesha.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uphuza i-tiagabine.
• kufanele wazi ukuthi i-tiagabine ingakwenza ukozele futhi ingathinta ikhono lakho lokucabanga kahle. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi uzokuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-tiagabine.
• kufanele wazi ukuthi ukuquleka, kufaka phakathi i-status epilepticus, kwenzeke kubantu abangenaso isithuthwane abathatha i-tiagabine. Lokhu kubanjwa ngokuvamile kwenzeka ngokushesha nje ngemuva kokuqala ukwelashwa nge-tiagabine noma eduze nesikhathi sokwanda komthamo, kodwa futhi kwenzeke nangezinye izikhathi ngenkathi welashwa.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-tiagabine ukwelashwa kwesifo sokuwa, ukugula ngengqondo, noma ezinye izimo. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants afana ne-tiagabine 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 onjenge-tiagabine, kodwa futhi 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.

Khuluma nodokotela wakho ngokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

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. Uma uphuthelwe umthamo ongaphezu kowodwa, shayela udokotela wakho imiyalo mayelana nokuqala kabusha imithi yakho.

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

• isiyezi noma ikhanda elikhanyayo
• ukozela
• ukungabi namandla noma ubuthakathaka
• ukuxega, ukungaqinisi, noma ukungqubuzana okubangela ubunzima bokuhamba
• ukudana
• inzondo noma intukuthelo
• ukucasuka
• ukudideka
• ubunzima bokugxila noma ukunaka
• ukucabanga okungavamile
• izinkinga zokukhuluma noma zolimi
• ukwanda kwesifiso sokudla
• isicanucanu
• ubuhlungu besisu
• uvalo
• ubunzima bokulala noma ukulala
• ukulunywa
• ukulinyazwa
• ukuchama kabuhlungu noma kaningi

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ukuqubuka
• izilonda ngaphakathi emlonyeni wakho, ekhaleni, emehlweni noma emphinjeni
• izimpawu ezinjengomkhuhlane
• izinguquko embonweni
• ubuthakathaka obukhulu
• ukuxhawula izandla awukwazi ukukulawula
• ukuba ndikindiki, ubuhlungu, ukushiswa, noma ukushosheka ezandleni noma ezinyaweni
• ukuquleka, kufaka phakathi isimo se-epilepticus

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).

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:

• ukukhathala
• ubuthakathaka
• ukuxega, ukungaqinisi, noma ukungqubuzana okubangela ubunzima bokuhamba
• ukuxhawula izandla awukwazi ukukulawula
• ukudideka
• izinkinga zokukhuluma noma zolimi
• ukuyaluza
• ulaka noma ubutha
• ukudana
• ukuhlanza
• ukulahlekelwa ukwazi
• ukuphambana kwemisipha okungavamile, okungalawuleki
• ukungakwazi ukuhamba okwesikhashana (ukukhubazeka)
• ukuquleka, kufaka phakathi isimo se-epilepticus

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri.

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.

• IGabitril^®