ICarbamazepine, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Izexwayiso ze-FDA
  
• Ezinye izexwayiso
• Yini i-carbamazepine?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi yeCarbamazepine
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• ICarbamazepine ingaxhumana neminye imithi
• Izidakamizwa zenhliziyo
• Izidakamizwa zokutheleleka kwefungal
• Ukuphakama kwesidakamizwa sokugula
• Isidakamizwa sokulwa nokungezwani komzimba
• Imithi elwa namagciwane
• Izidakamizwa zesifo sofuba
• Isidakamizwa sokulwa nesicanucanu
• Izidakamizwa zempilo yengqondo
• Umuthi olwa ne-spasm
• Isidakamizwa sesinye
• Abanciphisa igazi
• Izidakamizwa zesilungulela
• Izidakamizwa ezilwa nokuquleka
• Imikhiqizo engamakhambi
• Izidakamizwa zomdlavuza
• Umuthi wezinhlungu
• Isidakamizwa sokulwa nokwaliwa
• Isidakamizwa se-bipolar disorder
• Izidakamizwa zokulawula ukubeletha kweHormonal
• Izidakamizwa zokuphefumula
• Iziphumuli zemisipha
• Izexwayiso zeCarbamazepine
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kokudla
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-carbamazepine
• Amafomu wezidakamizwa namandla
• Isikali sesifo sokuwa
• Isikali sobuhlungu bezinzwa ze-trigeminal
• 
  
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-carbamazepine
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ukutholakala
• Izindleko ezifihliwe
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-carbamazepine

1. Ithebhulethi yomlomo yeCarbamazepine iyatholakala njengezidakamizwa ezinamagama futhi njengomuthi ojwayelekile. Amagama omkhiqizo: Tegretol, Tegretol XR, Epitol.
2. ICarbamazepine iza ngezinhlobo ezinhlanu: ithebhulethi ekhishwa ngokushesha ngomlomo, ithebhulethi ekhishwa ngomlomo, ithebhulethi ehlafunwa ngomlomo, ukumiswa ngomlomo, kanye ne-capsule ekhishwe ngomlomo.
3. Ithebhulethi yomlomo yeCarbamazepine isetshenziselwa ukwelapha isithuthwane kanye ne-trigeminal neuralgia.

Izexwayiso ezibalulekile

Izexwayiso ze-FDA

• Lo muthi unezixwayiso zebhokisi elimnyama. Lezi izexwayiso ezibucayi kakhulu ezivela ku-Food and Drug Administration (FDA). Izixwayiso zebhokisi elimnyama zixwayisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Isixwayiso esinamandla sokuphendula isikhumba: Lesi sidakamizwa singadala ukusabela kokungezwani komzimba okusongela impilo okubizwa ngeStevens-Johnson syndrome (SJS) kanye ne-epidermal necrolysis enobuthi (TEN). Lokhu kusabela kungadala ukulimala okukhulu esikhunjeni nasezitho zangaphakathi. Ingozi yakho ingaba phezulu uma unokhokho base-Asia abanobungozi bezakhi zofuzo. Uma ungum-Asia, udokotela wakho angakuhlolela lesi sici sofuzo. Usengakwazi ukuthuthukisa lezi zimo ngaphandle kwesici sobungozi bofuzo.Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu ngenkathi uthatha lo muthi: ukuqubuka, isifuba, ukuvuvukala kolimi lwakho, izindebe, noma ubuso, amabhamuza esikhunjeni sakho noma ulwelwesi lomlomo wakho, impumulo, amehlo, noma izitho zangasese.
• Isexwayiso sokubalwa kwamaseli egazi okuphansi: Lesi sidakamizwa singanciphisa inani lamaseli egazi elenziwa ngumzimba wakho. Ezimweni ezingavamile, lokhu kungadala izinkinga ezinkulu noma ezisongela impilo. Tshela udokotela wakho uma uke waba namaseli egazi aphansi, ikakhulukazi uma abangelwa omunye umuthi. Shayela udokotela wakho khona manjalo uma unezinye zalezi zimpawu ngenkathi uthatha lesi sidakamizwa: umphimbo obuhlungu, umkhuhlane, noma ezinye izifo eziza zidlule noma zingapheli, ukulimaza kalula kunokujwayelekile, amabala abomvu noma ansomi emzimbeni wakho, ukopha ezinsinini noma emakhaleni, ukukhathala okukhulu, noma ubuthakathaka.

Ezinye izexwayiso

• Ingozi yesixwayiso sokuzibulala: Lesi sidakamizwa singadala imicabango yokuzibulala noma isenzo kwinani elincane labantu. Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu:
  • imicabango ngokuzibulala noma ngokufa
  • imizamo yokuzibulala
  • ukucindezeleka okusha noma okubi kakhulu
  • ukukhathazeka okusha noma okubi
  • ukuzizwa uthukuthele noma ungenakho ukuphumula
  • ukwethuka
  • inkathazo yokulala
  • ukucasuka okusha noma okubi kakhulu
  • ukwenza ulaka noma udlame noma uthukuthele
  • esebenza ngemicabango eyingozi
  • ukwanda okwedlulele komsebenzi noma ukukhuluma
  • okunye ukuziphatha okungajwayelekile noma ukuguquka kwemizwelo
• Isexwayiso sezinkinga zenhliziyo: Lesi sidakamizwa singadala ukushaya kwenhliziyo okungajwayelekile. Izimpawu zingafaka:
  • ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okushaya ngamandla
  • ukuphelelwa umoya
  • ngizizwe nginekhanda elincane
  • ukuquleka
• Isexwayiso sezinkinga zesibindi: Lesi sidakamizwa singakhuphula ubungozi bezinkinga zesibindi. Izimpawu zingafaka:
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
  • umchamo onombala omnyama
  • ubuhlungu ohlangothini lwesokunene sesisu sakho
  • ukulimaza kalula kunokujwayelekile
  • ukulahlekelwa isifiso sokudla
  • isicanucanu noma ukuhlanza
• I-anaphylaxis ne-angioedema isixwayiso: Ezimweni ezingavamile, lo muthi ungadala ukusabela okweqile okwedlulele okungabulala. Uma lokhu kuphendula kwenzeka, shayela udokotela wakho noma u-911 khona manjalo. Kufanele uyeke ukuthatha lo muthi futhi udokotela wakho akufanele akunikeze futhi. Izimpawu zalokhu kusabela zingabandakanya:
  • ukuvuvukala komphimbo wakho, izindebe, namajwabu amehlo

Yini i-carbamazepine?

ICarbamazepine umuthi kadokotela. Iza ngezinhlobo ezinhlanu zomlomo: ithebhulethi ekhishwa ngokushesha, ithebhulethi ekhishwa enwetshiwe, i-capsule ekhishwe isikhathi eside, ithebhulethi engabhekwa, nokumiswa. Kubuya futhi ngendlela efakwa ngemithambo (IV).

Ithebhulethi yomlomo yeCarbamazepine iyatholakala njengezidakamizwa ezinegama lomkhiqizo Tegretol, I-Tegretol XR, futhi I-Epitol. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengesidakamizwa esinegama lomkhiqizo.

Kungani kusetshenziswa

ICarbamazepine ingeyesigaba semithi ebizwa ngama-anticonvulsants. Isigaba semithi sibhekisa emithini esebenza ngokufanayo. Zinezakhiwo zamakhemikhali ezifanayo futhi zivame ukusetshenziselwa ukwelapha izimo ezifanayo.

ICarbamazepine isetshenziselwa ukwelapha izimo ezimbili:

• izinhlobo ezithile zokuquleka okubangelwa isithuthwane, lokhu kuqubuka kufaka:
  • ukuquleka okuyingxenye
  • ukuquleka okujwayelekile kwe-tonic-clonic (grand mal)
  • amaphethini wokuthathwa okuxubile, afaka izinhlobo zokuquleka ezibalwe lapha noma okunye ukuquleka okuyingxenye noma okujwayelekile
• i-trigeminal neuralgia, isimo esibangela ubuhlungu bezinzwa ebusweni

Isebenza kanjani

Akwaziwa ngokuphelele ukuthi lesi sidakamizwa siphatha kanjani isithuthwane noma ubuhlungu bezinzwa ze-trigeminal. Kuyaziwa ukuvimba imisinga ye-sodium ebuchosheni nasemzimbeni wakho. Lokhu kusiza ukunciphisa ukusebenza okungavamile kukagesi phakathi kwamangqamuzana akho ezinzwa.

Imiphumela emibi yeCarbamazepine

Ithebhulethi yomlomo yeCarbamazepine ingadala ukozela. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-carbamazepine ifaka:

• isicanucanu
• ukuhlanza
• izinkinga zokuhamba nokuxhumanisa
• isiyezi
• ukozela

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• ukusabela okunzima kwesikhumba, izimpawu zingafaka:
  • ukuqubuka kwesikhumba
  • isifuba
  • ukuvuvukala kolimi lwakho, izindebe, noma ubuso
  • amabhamuza esikhunjeni sakho noma ulwelwesi lwamafinyila lomlomo wakho, amakhala, amehlo, noma izitho zangasese
• ukubalwa kwamaseli egazi aphansi, izimpawu zingafaka:
  • umphimbo obuhlungu, umkhuhlane, noma ezinye izifo eziza zidlule noma ezingapheli
  • ukulimaza kalula kunokujwayelekile
  • amabala abomvu noma ansomi emzimbeni wakho
  • ukopha ezinsinini noma ekhaleni
  • ukukhathala okukhulu noma ubuthakathaka
• Izinkinga zenhliziyo, izimpawu zingafaka:
  • ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okushaya ngamandla
  • ukuphelelwa umoya
  • ngizizwe nginekhanda elincane
  • ukuquleka
• Izinkinga zesibindi, izimpawu zingafaka:
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
  • umchamo onombala omnyama
  • ubuhlungu ohlangothini lwesokunene sesisu sakho
  • ukulimaza kalula kunokujwayelekile
  • ukulahlekelwa isifiso sokudla
  • isicanucanu noma ukuhlanza
• imicabango yokuzibulala, izimpawu zingafaka:
  • imicabango ngokuzibulala noma ngokufa
  • imizamo yokuzibulala
  • ukucindezeleka okusha noma okubi kakhulu
  • ukukhathazeka okusha noma okubi
  • ukuzizwa uthukuthele noma ungenakho ukuphumula
  • ukwethuka
  • inkathazo yokulala
  • ukucasuka okusha noma okubi kakhulu
  • ukwenza ulaka noma udlame noma uthukuthele
  • esebenza ngemicabango eyingozi
  • ukwanda okwedlulele komsebenzi noma ukukhuluma
  • okunye ukuziphatha okungajwayelekile noma ukuguquka kwemizwelo
• amazinga aphansi e-sodium egazini lakho, izimpawu zingafaka:
  • ikhanda
  • ukuquleka okusha noma ukuquleka kaningi
  • izinkinga zokuhlushwa
  • izinkinga zememori
  • ukudideka
  • ubuthakathaka
  • inkinga yokulinganisa

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

ICarbamazepine ingaxhumana neminye imithi

Ithebhulethi yomlomo yeCarbamazepine ingaxhumana neminye imithi, amavithamini, noma amakhambi ongahle uwuthathe. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zezidakamizwa ezingadala ukusebenzisana ne-carbamazepine zibalwe ngezansi.

Izidakamizwa zenhliziyo

Ukuthatha izidakamizwa ezithile zenhliziyo nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• umabhebhana
• sibongile

Izidakamizwa zokutheleleka kwefungal

Ukuthatha eyodwa yalezi zidakamizwa nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• ketoconazole
• itraconazole
• i-fluconazole
• voriconazole

Ukuphakama kwesidakamizwa sokugula

Ukuthatha acetazolamide nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Isidakamizwa sokulwa nokungezwani komzimba

Ukuthatha loratadine nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Imithi elwa namagciwane

Ukuthatha ama-antibiotic athile nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• kucofe
• erythromycin
• ciprofloxacin

Izidakamizwa ze-HIV

Ukuthatha imishanguzo ethile ye-HIV nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• i-ritonavir
• indimvir
• umagazine
• sphiwe

Izidakamizwa zesifo sofuba

Ukuthatha phumlani nge-carbamazepine kuzokwehla izinga le-carbamazepine emzimbeni wakho. Lokhu kusho ukuthi ngeke kusebenze nokuphatha isimo sakho. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Ukuthatha i-isoniazid nge-carbamazepine kungandisa ingozi yokulimala kwesibindi.

Isidakamizwa sokulwa nesicanucanu

Ukuthatha i-aprepitant nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Izidakamizwa zempilo yengqondo

Ukuthatha izidakamizwa ezithile zempilo yengqondo nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• i-fluoxetine
• i-fluvoxamine
• trazodone
• olanzapine
• umabhebhana
• quetiapine

Ukuthatha nefazodone nge-carbamazepine kuzokwehla izinga le-nefazodone emzimbeni wakho. Ukuthatha le mithi emibili ndawonye akunconyiwe.

Ukuthatha umabhebhana ne-carbamazepine izokwehla amazinga e-aripiprazole emzimbeni wakho. Udokotela wakho angakhuphula umthamo wakho we-aripiprazole.

Umuthi olwa ne-spasm

Ukuthatha dantrolene nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Isidakamizwa sesinye

Ukuthatha oxybutynin nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Abanciphisa igazi

Ukuthatha i-carbamazepine ngemithi ethile ebizwa ngama-anticoagulants kungehlisa imiphumela yale mithi. Lokho kusho ukuthi ngeke zisebenze kahle ukuvimbela amahlule egazi. Izibonelo zale mithi zifaka:

• i-Rivaroxaban powder
• umabhebhana
• dabigatran
• edoxaban

Ukuthatha i-ticlopidine nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Izidakamizwa zesilungulela

Ukuthatha izidakamizwa ezithile zesilungulela nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• cimetidine
• omeprazole

Izidakamizwa ezilwa nokuquleka

Ukuthatha imishanguzo ethile yokulwa nokubanjwa nge-carbamazepine kuzokwehlisa izinga le-carbamazepine emzimbeni wakho. Lokhu kusho ukuthi ngeke kusebenze nokuphatha isimo sakho. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• felbamate
• mandla
• mthombeni
• fosphenytoin
• lindokuhle
• i-primidone

Ukuthatha ezinye izidakamizwa zokulwa nokubanjwa nge-carbamazepine nomunye wale mithi kungathinta ukuthi i-hormone yakho yegilo isebenza kanjani. Le mithi ihlanganisa:

• mthombeni
• lindokuhle

Ukuthatha i-valproic acid nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Imikhiqizo engamakhambi

Ukuthatha niacinamide nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Izidakamizwa zomdlavuza

Ukuthatha izidakamizwa ezithile zomdlavuza nge-carbamazepine kuzokwehlisa izinga le-carbamazepine emzimbeni wakho. Lokhu kusho ukuthi ngeke kusebenze nokuphatha isimo sakho. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• umabhebhana
• doxorubicin

Ukuthatha ezinye izidakamizwa zomdlavuza nge-carbamazepine kuzoshintsha izinga lomuthi womdlavuza emzimbeni wakho. Udokotela wakho kufanele agweme ukusebenzisa le mithi ndawonye. Kodwa-ke, uma kufanele zisetshenziswe ndawonye, ​​udokotela wakho angashintsha isilinganiso somuthi wakho womdlavuza. Izibonelo zale mithi zifaka:

• temsirolimusi
• lapatinib

Ukuthatha cyclophosphamide nge-carbamazepine kuzokhuphula izinga lomuthi womdlavuza emzimbeni wakho. Udokotela wakho angashintsha isilinganiso sakho somuthi womdlavuza uma uwuthatha nge-carbamazepine.

Umuthi wezinhlungu

Ukuthatha ibuprofen nge-carbamazepine kuzokhuphula izinga le-carbamazepine emzimbeni wakho. Lokhu kungadala imiphumela emibi. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nalesi sidakamizwa.

Isidakamizwa sokulwa nokwaliwa

Ukuthatha tacrolimus nge-carbamazepine kuzoshintsha amazinga we-tacrolimus emzimbeni wakho. Udokotela wakho angaqapha amazinga akho egazi e-tacrolimus futhi ashintshe isilinganiso sakho.

Isidakamizwa se-bipolar disorder

Ukuthatha lithium nge-carbamazepine kungandisa ingozi yemiphumela emibi.

Izidakamizwa zokulawula ukubeletha kweHormonal

Ukuthatha i-carbamazepine ngokulawulwa kokuzalwa kwe-hormonal, njengephilisi yokulawula ukubeletha, kungenza ukulawulwa kokuzalwa kungasebenzi kahle. Ungahle udinge ukusebenzisa ezinye izindlela noma izindlela zokuzivikela zokuvimbela inzalo.

Izidakamizwa zokuphefumula

Ukuthatha izidakamizwa ezithile zokuphefumula nge-carbamazepine kuzokwehlisa izinga le-carbamazepine emzimbeni wakho. Lokhu kusho ukuthi ngeke kusebenze nokuphatha isimo sakho. Udokotela wakho angaqapha amazinga akho egazi e-carbamazepine uma uwuthatha nomunye wale mithi:

• aminophylline
• thindokuhle

Iziphumuli zemisipha

Ukuthatha eyodwa yalezi zidakamizwa nge-carbamazepine kunganciphisa umphumela wale mithi. Udokotela wakho angalungisa isilinganiso sakho salezi zidakamizwa uma uzithatha nge-carbamazepine. Le mithi ihlanganisa:

• i-pancuronium
• i-vecuronium
• rocuronium
• cisatracurium

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso zeCarbamazepine

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

Lesi sidakamizwa singadala ukusabela okweqile komzimba. Izimpawu zifaka:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi
• isifuba noma ukuqubuka
• isikhumba esishayayo noma esikhanyayo

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kokudla

Ijusi lamagilebhisi livimba i-enzyme ephula i-carbamazepine. Ukuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi kungadala amazinga aphezulu omuthi emzimbeni wakho. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Isexwayiso sokusebenzisana kotshwala

Ukuphuza utshwala ngenkathi uthatha i-carbamazepine kungakhuphula ubungozi bokuzela.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo sesibindi: Lo muthi awunconyelwe ukusetshenziswa nesifo esibi sesibindi ngoba kungenza isimo sibe sibi kakhulu. Uma unesifo esizinzile sesibindi, udokotela wakho uzoqapha futhi alungise isilinganiso sakho salesi sidakamizwa. Uma isifo sesibindi sakho siba sibi ngokungazelelwe, shayela udokotela wakho ukuthi axoxe ngomthamo nokusetshenziswa kwalesi sidakamizwa.

Kubantu abanesifo senhliziyo: Uma kukhona ukulimala enhliziyweni yakho noma isigqi senhliziyo esingajwayelekile, lo muthi ungawenza ube mubi kakhulu.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Lesi sidakamizwa yisigaba D somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

1. Ucwaningo lukhombisa ubungozi bemiphumela emibi embungwini lapho umama ethatha umuthi.
2. Izinzuzo zokuphuza umuthi ngesikhathi sokukhulelwa zingadlula izingozi ezingaba khona ezimweni ezithile.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Lesi sidakamizwa kufanele sisetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona.

Uma ukhulelwa ngenkathi usebenzisa lesi sidakamizwa, shayela udokotela wakho ngokushesha.

Kwabesifazane abancelisayo: Lesi sidakamizwa sidlulela ebisini lwebele. Kungadala imiphumela emibi enganeni enceliswa ibele. Wena nodokotela wakho kungadingeka ukuthi ninqume ukuthi uzowuphuza yini lo muthi noma uncelise.

Okwabadala: Abantu abadala bangasicubungula lesi sidakamizwa kancane kancane. Ngenxa yalokhu, udokotela wakho kufanele akuqaphele kakhulu ngenkathi uthatha lo muthi.

Okwezingane: Ukuphepha nokusebenza kwalesi sidakamizwa se-trigeminal neuralgia akukasungulwa kubantu abangaphansi kweminyaka eyi-18.

Ungayithatha kanjani i-carbamazepine

Yonke imithamo namafomu okungenzeka angafakwa lapha. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu wezidakamizwa namandla

Okujwayelekile: I-Carbamazepine

• Ifomu: ithebhulethi yomlomo
• Amandla: 100 mg, 200 mg, 300 mg, 400 mg

• Ifomu: ithebhulethi yomlomo, iyahlafuna
• Amandla: 100 mg, 200 mg

• Ifomu: ithebhulethi yomlomo, ukukhishwa okunwetshiwe
• Amandla: 100 mg, 200 mg, 400 mg

Umkhiqizo: I-Epitol

• Ifomu: ithebhulethi yomlomo
• Amandla: 200 mg

• Ifomu: ithebhulethi yomlomo, iyahlafuna
• Amandla: 100 mg

Umkhiqizo: I-Tegretol / iTegretol XR

• Ifomu: ithebhulethi yomlomo
• Amandla: 200 mg

• Ifomu: ithebhulethi yomlomo, iyahlafuna
• Amandla: 100 mg

• Ifomu: ithebhulethi yomlomo (ukukhishwa okunwetshiwe)
• Amandla: 100 mg, 200 mg, 400 mg

Isikali sesifo sokuwa

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Umthamo wokuqala: I-200 mg ithathwe izikhathi ezimbili ngosuku.
• Isilinganiso esivamile: 800-1,200 mg ngosuku.
• Izinguquko zesilinganiso: Isonto ngalinye, udokotela wakho angakhuphula umthamo wakho wansuku zonke ngama-200 mg.
• Umthamo omkhulu: 1,600 mg ngosuku.

Isilinganiso sengane (iminyaka eyi-12 kuye kwengu-17)

• Umthamo wokuqala: I-200 mg ithathwe izikhathi ezimbili ngosuku.
• Isilinganiso esivamile: 800-1,200 mg ngosuku.
• Izinguquko zesilinganiso: Isonto ngalinye, udokotela wengane yakho angakhuphula umthamo wabo wansuku zonke ngama-200 mg.
• Umthamo omkhulu:
  • iminyaka eyi-12 kuye kwengu-15: 1,000 mg ngosuku.
  • Iminyaka engu-15 nangaphezulu: 1,200 mg ngosuku.

Isilinganiso sengane (iminyaka eyi-6 kuye kwengu-12)

• Umthamo wokuqala: U-100 mg uthathwe izikhathi ezimbili ngosuku.
• Isilinganiso esivamile: 400-800 mg ngosuku.
• Izinguquko zesilinganiso: Isonto ngalinye, udokotela wengane yakho angakhuphula umthamo wabo wansuku zonke nge-100 mg.
• Umthamo omkhulu: 1,000 mg ngosuku.

Isilinganiso sengane (iminyaka engu-0 kuye kwengu-5)

• Umthamo wokuqala: 10-20 mg / kg ngosuku. Umthamo kufanele uhlukaniswe futhi uthathe izikhathi ezingama-2-3 ngosuku.
• Izinguquko zesilinganiso: Udokotela wengane yakho angakhuphula isilinganiso sayo masonto onke.
• Umthamo omkhulu: 35 mg / kg ngosuku.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Abantu abadala bangase bacubungule izidakamizwa kancane. Umthamo ojwayelekile wabantu abadala ungadala ukuthi amazinga alo muthi abe phezulu kunokujwayelekile emzimbeni wakho. Uma ungumdala, ungadinga umthamo ophansi noma ishejuli yokwelashwa ehlukile.

Isikali sobuhlungu bezinzwa ze-trigeminal

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Umthamo wokuqala: U-100 mg uthathwe izikhathi ezimbili ngosuku.
• Isilinganiso esivamile: 400-800 mg ngosuku.
• Izinguquko zesilinganiso: Udokotela wakho angakhuphula isilinganiso sakho ngo-100 mg njalo emahoreni ayi-12.
• Umthamo omkhulu: 1,200 mg ngosuku.

Isilinganiso sengane (iminyaka engu-0 kuye kwengu-17)

Akukho okunikeziwe. Ukuphepha nokusebenza kwe-carbamazepine akukasungulwa ezinganeni ezingaphansi kweminyaka eyi-18 ukwelashwa kobuhlungu bezinzwa ze-trigeminal.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Abantu abadala bangase bacubungule izidakamizwa kancane. Umthamo wabantu abadala ojwayelekile ungadala ukuthi amazinga alo muthi abe phezulu kunokujwayelekile emzimbeni wakho. Uma ungumdala, ungadinga umthamo ophansi noma ishejuli yokwelashwa ehlukile.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

• Ungayeki ukuthatha lo muthi ngaphandle kokuholwa udokotela wakho. Ukuyeka lesi sidakamizwa kungakhuphula ubungozi bokuquleka. Uma ufuna ukuyeka ukuthatha lo muthi, khuluma nodokotela wakho mayelana nendlela engcono yokwenza.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo yeCarbamazepine isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma weqa noma uphuthelwa imithamo: Ungahle ungaboni inzuzo ephelele yalesi sidakamizwa ekwelapheni isimo sakho.

Uma uthatha kakhulu: Ungabona ingozi eyengeziwe yemiphumela emibi ehambisana nalo muthi. Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo wakho, wuthathe ngokushesha lapho ukhumbula. Uma kungamahora ambalwa kuphela kuze kufike isikhathi somthamo wakho olandelayo, thatha kuphela umthamo owodwa ngesikhathi sakho esihleliwe.

Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungadala imiphumela emibi eyingozi.

Uma ungayithathi nhlobo: Isimo sakho ngeke silashwe futhi izimpawu zakho zingase zibe zimbi kakhulu.

Ungasho kanjani ukuthi umuthi uyasebenza: Uma uthatha lo muthi ngesithuthwane: Kufanele ube nokuquleka okumbalwa.

Uma uthatha lo muthi nge-trigeminal neuralgia: Ubuhlungu bakho ebusweni kufanele bube ngcono.

Ukucatshangelwa okubalulekile kokuthatha i-carbamazepine

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-carbamazepine.

Jikelele

• Kufanele uthathe amaphilisi e-carbamazepine ngokudla.
• Landela le mihlahlandlela yokusebenzisa ithebhulethi:
  • Amathebulethi akhishwe isikhathi eside akufanele agxotshwe noma ahlafunwe.
  • Amathebulethi angahlafunwayo angachotshozwa noma ahlafunwe.
  • Ithebhulethi ekhishwa ngokushesha eyi-100-mg ingahlafunwa.
  • Ithebhulethi ekhishwa ngokushesha engama-200-mg ingachotshozwa, kepha akufanele ihlafunwe.
  • Udokotela wakho angakutshela ukuthi amaphilisi akhishwa ngokushesha angama-300-mg kanye no-400-mg angachotshozwa noma ahlafunwe.

Isitoreji

Lesi sidakamizwa kufanele sigcinwe ezingeni lokushisa elifanele.

• Amaphilisi akhishwa ngokushesha:
  • Ungagcini lesi sidakamizwa ngaphezu kwe-86 ° F (30 ° C).
  • Gcina lesi sidakamizwa kude nokukhanya.
  • Yigcine ikude nokushisa okuphezulu.
  • Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.
• Amathebulethi akhululiwe:
  • Gcina lamathebulethi ku-77 ° F (25 ° C). Ungazigcina kafushane ezingeni lokushisa eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
  • Gcina lesi sidakamizwa kude nokukhanya.
  • Yigcine ikude nokushisa okuphezulu.
  • Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Ngaphambi nokwelashwa kwakho ngalo muthi, udokotela wakho angenza izivivinyo ezilandelayo:

• ukuhlolwa kwegazi, njenge:
  • ukuhlolwa kofuzo
  • ukubalwa kwamangqamuzana egazi
  • ukuhlolwa kwesibindi
  • amazinga egazi e-carbamazepine
  • ukuhlolwa kwezinso
  • ukuhlolwa kwe-electrolyte
• izivivinyo zamehlo
• izivivinyo zomsebenzi wegilo
• ukuqapha isigqi senhliziyo
• ukuqapha izinguquko ekuziphatheni kwakho

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Izindleko ezifihliwe

Ngesikhathi sokwelashwa kwakho nalesi sidakamizwa, kungadingeka ukuthi ube nokuhlolwa kokuqapha okufana nalokhu:

• ukuhlolwa kwegazi
• izivivinyo zamehlo
• izivivinyo zomsebenzi wegilo
• ukuqapha isigqi senhliziyo

Izindleko zalezi zivivinyo zizoya ngokutholakala komshuwalense wakho.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.