I-Divalproex Sodium, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Ezinye izexwayiso
• Yini i-divalproex sodium?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Divalproex sodium
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Divalproex sodium ingahlangana neminye imithi
• Isidakamizwa sokubulala izinzwa
• Isidakamizwa se-Antiseizure
• Isidakamizwa sokuvimbela i-antiseizure kanye ne-migraine
• I-Aspirin
• Isidakamizwa esincane segazi
• Ama-antibiotic e-Carbapenem
• Umuthi we-HIV
• Ukulawulwa kokubeletha kwe-Hormonal okuqukethe i-estrogen
• Ukuphazamiseka kwemizwelo nezidakamizwa zokubamba
• Isidakamizwa sofuba
• Izexwayiso ze-Divalproex sodium
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-divalproex sodium
• Amafomu wezidakamizwa namandla
• Isilinganiso sokuquleka
• Isilinganiso se-bipolar disorder mania
• Isilinganiso sokuvimbela i-migraine
• Ukucatshangelwa okukhethekile komthamo
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-divalproex sodium
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-divalproex sodium

1. Ithebhulethi yomlomo ye-Divalproex sodium iyatholakala njengezidakamizwa ezinamagama futhi njengemithi ejwayelekile. Amagama omkhiqizo: I-Depakote, i-Depakote ER.
2. I-Divalproex sodium iza ngezindlela ezintathu: amaphilisi okomlomo abambezeleke ngomlomo, amaphilisi wokukhishwa okwenziwe ngomlomo, namaphilisi afafaza ngomlomo abambezeleke ngomlomo.
3. Ithebhulethi yomlomo ye-Divalproex sodium isetshenziselwa ukwelapha izinhlobo ezithile zokubanjwa, ukwelapha iziqephu ze-manic zesifo se-bipolar, nokuvikela ikhanda elibuhlungu le-migraine.

Izexwayiso ezibalulekile

Ezinye izexwayiso

• Isexwayiso semicabango yokuzibulala: I-Divalproex sodium ingadala imicabango yokuzibulala noma isenzo kwinani elincane labantu, cishe umuntu oyedwa kwabangu-500. Ingozi yakho ingaba ngaphezulu uma usuvele unenkinga yemizwelo, njengokucindezeleka noma ukukhathazeka. Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu, ikakhulukazi uma zintsha noma zimbi kakhulu, noma uma zikukhathaza:
  • 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 kokusebenza nokukhuluma (mania)
  • ezinye izinguquko ezingavamile ekuziphatheni noma esimeni sengqondo
• Ukusabela okweqile: Lesi sidakamizwa singadala ukusabela okweqile (i-hypersensitivity). Shayela udokotela wakho uma unezimpawu ezilandelayo. Uma izimpawu zakho zinzima noma zisongela impilo, shayela ku-911 noma abezimo eziphuthumayo zasendaweni yakho noma uye egumbini lezimo eziphuthumayo eliseduzane. Lezi zimpawu zingafaka:
  • imfiva
  • Inkinga yokugwinya noma ukuphefumula
  • ukuvuvukala komphimbo wakho, ulimi, amehlo, noma izindebe
  • isifuba noma ukuqubuka kwesikhumba
  • izilonda emlonyeni wakho
  • ukushwabana nokuxebuka kwesikhumba sakho
  • ukuvuvukala kwama-lymph node akho

Shayela udokotela wakho uma uthatha lesi sidakamizwa futhi unezinguquko ezingazelelwe emizweni, ekuziphatheni, emicabangweni, noma emizweni engaholela emicabangweni noma ezenzweni zokuzibulala.

Yini i-divalproex sodium?

I-Divalproex sodium ngumuthi kadokotela. Iza ngezindlela ezintathu: amaphilisi okomlomo okulibaziseka ngomlomo, amaphilisi okukhishwa ngomlomo anwetshiwe, namaphilisi afafazwa ngomlomo.

Ithebhulethi yomlomo ye-Divalproex sodium iyatholakala njengezidakamizwa ezinegama lomkhiqizo I-Depakote (ukubambezeleka ukukhishwa) kanye I-Depakote ER (ukukhululwa okunwetshiwe). Iphinde itholakale ngamafomu ejwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengesidakamizwa esinegama lomkhiqizo.

I-Divalproex sodium ingasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokho kusho ukuthi ungadinga ukuyithatha nezinye izidakamizwa.

Kungani kusetshenziswa

Ithebhulethi yomlomo ye-Divalproex isetshenziswa yodwa noma neminye imithi uku:

• Phatha isithuthwane. Lokhu kufaka phakathi:
  • ukubanjwa okuyingxenye eyinkimbinkimbi okwenzeka ngokwabo noma ngokuhlangana nezinye izinhlobo zokubamba.
  • ukubanjwa kokungabikho okulula futhi okuyinkimbinkimbi.
  • izinhlobo eziningi zokubanjwa okubandakanya ukufakwa kokungabikho.
• Phatha isigaba se-manic se ukuphazamiseka kwengqondo okuguquguqukayo. Isiqephu se-manic yisikhathi lapho imizwa yakho inamandla ngokwedlulele. Lokhu kungabandakanya imizwa ephakeme noma ecasukile.
• Vimbela migraine ikhanda. Akunabufakazi bokuthi kuyasebenza ukwelapha ikhanda elibuhlungu uma usunayo.

Isebenza kanjani

I-Divalproex sodium tablet tablet ingeyesigaba semithi ebizwa ngama-anti-epileptics. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

Lesi sidakamizwa sisebenza ngokwandisa ukugxila kobuchopho bekhemikhali ethile, i-GABA, eyehlisa ukuthokozisa kwesistimu yakho yezinzwa. Lokhu kusiza ekwelapheni ukuquleka kanye neziqephu ze-manic futhi kuvimbele ikhanda elibuhlungu le-migraine.

Imiphumela emibi ye-Divalproex sodium

Ithebhulethi yomlomo ye-Divalproex sodium ingadala ukozela nesiyezi. Ungashayeli imoto, sebenzisa imishini, noma wenze eminye imisebenzi edinga ukuqaphela uze wazi ukuthi lesi sidakamizwa sikuthinta kanjani.

Lesi sidakamizwa singadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-divalproex sodium ifaka:

• isicanucanu
• ikhanda
• ubuthongo
• ukuhlanza
• ubuthakathaka
• ukuthuthumela
• isiyezi
• ubuhlungu besisu
• ukufiphala noma ukubona kabili
• isifo sohudo
• ukwanda kwesifiso sokudla noma ukulahlekelwa isifiso sokudla
• ukuzuza kwesisindo
• ukuncipha komzimba
• ukulahleka kwezinwele
• izinkinga zokuhamba noma ukuxhumanisa

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 ku-911 noma abezimo eziphuthumayo zasendaweni yakho noma uye egumbini lezimo eziphuthumayo eliseduze uma izimpawu zakho zizwakala zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Izinkinga zokopha. Izimpawu zingafaka:
  • amabala abomvu noma ansomi esikhunjeni sakho
  • ukulimaza kalula kunokujwayelekile
  • ukopha emlonyeni noma ekhaleni
• Amazinga aphezulu e-ammonia egazini lakho. Izimpawu zingafaka:
  • ngizizwe ngikhathele
  • ukuhlanza
  • ukudideka
• Izinga lokushisa lomzimba eliphansi (hypothermia). Izimpawu zingafaka:
  • yehla ekushiseni komzimba wakho kube ngaphansi kuka-95 ° F (35 ° C)
  • ukukhathala
  • ukudideka
  • ikhoma
  • ukuphefumula kancane, okungajulile
  • ukushaya ngamandla
  • inkulumo engahambi kahle
• Ukungezwani komzimba (i-hypersensitivity), kufaka phakathi ukusabela kokuzwela komzimba okuningi. Izimpawu zingafaka:
  • imfiva
  • ukuqubuka kwesikhumba
  • isifuba
  • izilonda emlonyeni wakho
  • ukushwabana nokuxebuka kwesikhumba sakho
  • ukuvuvukala kwama-lymph node akho
  • ukuvuvukala kobuso bakho, amehlo, izindebe, ulimi, noma umphimbo
  • Inkinga yokugwinya noma ukuphefumula
  • ama-lymph node avuvukile
  • ubuhlungu nokuvuvukala kuzungeze izitho ezinkulu, njengesibindi, izinso, inhliziyo, noma imisipha
• Ukozela noma ukulala, ikakhulukazi kwabadala
• Ukulimala kwesibindi. Izimpawu zingafaka:
  • ubuthakathaka
  • ukuvuvukala kobuso
  • ukungabi nesifiso sokudla
  • ukuhlanza
• I-Pancreatitis. Izimpawu zingafaka:
  • isicanucanu
  • ukuhlanza
  • ubuhlungu obukhulu besisu
  • ukulahlekelwa isifiso sokudla

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.

I-Divalproex sodium ingahlangana neminye imithi

Ithebhulethi yomlomo ye-Divalproex yomlomo ingasebenzisana neminye imithi, amavithamini, noma amakhambi ongahle uwathathe. 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 zemithi engadala ukuhlangana ne-divalproex sodium zibhalwe ngezansi.

Isidakamizwa sokubulala izinzwa

Ukuthatha zandisile nge-divalproex sodium ingakhuphula amazinga e-propofol emzimbeni wakho. Uma udinga ukuthatha le mithi ndawonye, ​​udokotela wakho kungenzeka anciphise isilinganiso sakho sepropofol.

Isidakamizwa se-Antiseizure

Ukuthatha felbamate nge-divalproex sodium ingakhuphula izinga le-divalproex sodium emzimbeni wakho futhi ikhulise ubungozi bemiphumela emibi. Uma uthatha i-felbamate nge-divalproex sodium, udokotela wakho angalungisa isilinganiso sakho se-divalproex sodium.

Isidakamizwa sokuvimbela i-antiseizure kanye ne-migraine

Ukuthatha topiramate nge-divalproex sodium ingakhuphula ubungozi bamazinga aphezulu e-ammonia egazini lakho, noma izinga lokushisa lomzimba eliphansi (hypothermia). Uma uthatha le mithi ndawonye, ​​udokotela wakho kufanele aqaphe amazinga akho egazi ne-ammonia yegazi nokushisa.

I-Aspirin

Ukuthatha i-aspirin nge-divalproex sodium ingakhuphula izinga le-divalproex sodium emzimbeni wakho futhi ikhulise ubungozi bemiphumela emibi. Uma uthatha i-aspirin nge-divalproex sodium, udokotela wakho angalungisa isilinganiso sakho se-divalproex sodium.

Isidakamizwa esincane segazi

Ukuthatha warfarin nge-divalproex sodium ingakhuphula amazinga e-warfarin emzimbeni wakho. Udokotela wakho angaqapha i-INR yakho kaningi uma udinga ukuthatha i-divalproex sodium kanye ne-warfarin.

Ama-antibiotic e-Carbapenem

Ukuthatha le mithi nge-divalproex sodium kunganciphisa izinga le-divalproex sodium emzimbeni wakho. Lokhu kusho ukuthi kungenzeka kungasebenzi ukwelapha isimo sakho. Uma kufanele uthathe i-carbapenem antibiotic ngenkathi uthatha i-divalproex sodium, udokotela wakho uzoqapha amazinga egazi lakho eduze. Izibonelo zala ma-antibiotic zifaka:

• ertapenem
• imipenem
• meropenem

Umuthi we-HIV

Ukuthatha i-zidovudine nge-divalproex sodium ingakhuphula amazinga e-zidovudine emzimbeni wakho. Udokotela wakho angakuqapha kakhulu ngemiphumela emibi.

Ukulawulwa kokubeletha kwe-Hormonal okuqukethe i-estrogen

Ukuthatha imithi ethile yokulawula ukuzalwa nge-divalproex sodium kunganciphisa inani le-divalproex sodium emzimbeni wakho, kuyenze ingasebenzi kahle. Uma udinga ukusebenzisa ukukhulelwa kwe-hormonal, njengephilisi, udokotela wakho cishe uzoqapha inani le-divalproex sodium emzimbeni wakho.

Ukuphazamiseka kwemizwelo nezidakamizwa zokubamba

Ukuthatha ukuphazamiseka kwemizwa ethile kanye nezidakamizwa zokubamba nge-divalproex sodium kungakhuphula amazinga alezi zidakamizwa emzimbeni wakho. Udokotela wakho angalungisa isilinganiso sakho sale mithi noma akuqaphe kakhulu ngemiphumela emibi. Izibonelo zale mithi zifaka:

• amitriptyline / nortriptyline
• mzingisi
• ethosuximide
• lamotrigine
• lindokuhle
• mthombeni
• i-primidone
• rufinamide

Ukuthatha okunye ukuphazamiseka kwemizwelo nokudla izidakamizwa nge-divalproex sodium kunganciphisa izinga le-divalproex sodium emzimbeni wakho. Lokhu kusho ukuthi kungenzeka kungasebenzi ukwelapha isimo sakho. Udokotela wakho angalungisa isilinganiso sakho se-divalproex sodium. Izibonelo zale mithi zifaka:

• carbamazepine
• lindokuhle
• mthombeni
• i-primidone

Isidakamizwa sofuba

Ukuthatha phumlani nge-divalproex sodium inganciphisa izinga le-divalproex sodium emzimbeni wakho. Lokhu kusho ukuthi kungenzeka kungasebenzi ukwelapha isimo sakho. Uma uthatha le mithi ndawonye, ​​udokotela wakho angalungisa isilinganiso sakho se-divalproex sodium.

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 ze-Divalproex sodium

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

Lesi sidakamizwa singadala ukusabela okweqile (i-hypersensitivity). Izimpawu zingafaka:

• imfiva
• Inkinga yokugwinya noma ukuphefumula
• ukuvuvukala komphimbo wakho, ulimi, amehlo, noma izindebe
• isifuba noma ukuqubuka kwesikhumba
• izilonda emlonyeni wakho
• ukushwabana nokuxebuka kwesikhumba sakho
• ukuvuvukala kwama-lymph node akho

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma abezimo eziphuthumayo zasendaweni yakho noma uye egumbini lezimo eziphuthumayo eliseduzane.

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

Isexwayiso sokusebenzisana kotshwala

I-Divalproex sodium ingadala ukozela nesiyezi. Ungaphuzi utshwala ngenkathi uthatha lo muthi ngoba ungakhuphula ubungozi bakho bokuhamba kancane, ukwahlulela okungafanele, nokulala.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo sesibindi: Uma unomlando wesifo sesibindi, ungaba nengozi enkulu yokuhluleka kwesibindi ezinyangeni eziyisithupha zokuqala zokwelashwa ngalo muthi. Udokotela wakho uzokuqapha ngezimpawu zokulimala kwesibindi.

Kubantu abanesifo se-mitochondrial: Uma une-Alpers-Huttenlocher syndrome noma unomlando womndeni walesi sifo se-metabolic, ungaba nengozi enkulu yokuhluleka kwesibindi lapho uthatha i-divalproex sodium.

Kubantu abanezinkinga zomjikelezo we-urea: Uma unenkinga yomjikelezo we-urea, akufanele uthathe lo muthi. Kungakhuphula ubungozi bakho be-hyperammonemia (amazinga aphezulu e-ammonia egazini lakho). Lesi simo singabulala.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Lesi sidakamizwa singadala ingozi enkulu ekukhulelweni kwakho. Uma uthatha lesi sidakamizwa ngesikhathi ukhulelwe, ingane yakho isengozini yokukhubazeka okukhulu kokuzalwa. Lokhu kufaka phakathi ukukhubazeka kokuzalwa okuthinta ubuchopho, umgogodla, inhliziyo, ikhanda, izingalo, imilenze, nokuvuleka lapho kuphuma khona umchamo. Lokhu kukhubazeka kungenzeka ngenyanga yokuqala yokukhulelwa, ngaphambi kokuthi wazi ukuthi ukhulelwe. Lesi sidakamizwa singadala ukwehla kwe-IQ nokucabanga, ukufunda, nokuphazamiseka kwemizwa enganeni yakho.

Ngokwemibiko yamacala eshicilelwe, ukwehluleka kwesibindi okubulalayo kubonakele nasezinganeni zabesifazane abasebenzisa lesi sidakamizwa ngenkathi bekhulelwe.

Uma ukhulelwa ngenkathi uthatha lesi sidakamizwa, khuluma nodokotela wakho mayelana nokubhalisa ne-North American Antiepileptic Drug Pregnancy Registry. Inhloso yale registry ukuqoqa imininingwane mayelana nokuphepha kwezidakamizwa ezisetshenziselwa ukwelapha ukuquleka ngesikhathi sokukhulelwa.

Uma ukhulelwa ngenkathi usebenzisa lesi sidakamizwa, shayela udokotela wakho ngokushesha. Ungayeki ukuthatha umuthi ngaphandle uma uqondiswe ngudokotela wakho.

• Ukwelashwa kokuquleka kanye neziqephu ze-manic zesifo se-bipolar kwabesifazane abakhulelwe: Ucwaningo lukhombisa ubungozi bemiphumela emibi embungwini lapho umama ethatha i-divalproex sodium. Izinzuzo zokuphuza umuthi ngesikhathi sokukhulelwa zingadlula izingozi ezingaba khona ezimweni ezithile.

Tshela udokotela wakho uma ukhulelwe. I-Divalproex sodium kufanele isetshenziswe kuphela ngesikhathi sokukhulelwa ngabesifazane abanokuquleka noma iziqephu ze-manic abanezimpawu ezingalawulwa eminye imithi.

• Ukuvimbela i-migraine ikhanda kwabesifazane abakhulelwe: I-Divalproex sodium akufanele isetshenziswe ngesikhathi sokukhulelwa kwabesifazane abanezinhlungu ze-migraine.

Kwabesifazane abancelisayo: Lesi sidakamizwa sidlula ubisi lwebele futhi singadala imiphumela emibi enganeni ebelethayo. Khuluma nodokotela wakho ngezingozi nezinzuzo zokuncelisa ngenkathi uthatha i-divalproex.

Kwabesifazane abangakhulelwe abaneminyaka yobudala bokubeletha: Uma uhlela ukukhulelwa futhi unesifo sokuwa noma i-bipolar, akufanele usebenzise lesi sidakamizwa ngaphandle kokuthi izimpawu zakho azikwazi ukulawulwa eminye imithi.

Uma unekhanda le-migraine, akufanele usebenzise lesi sidakamizwa ngaphandle kokuthi izimpawu zakho azikwazi ukulawulwa eminye imithi futhi usebenzisa nokuvimbela inzalo okusebenzayo.

Khuluma nodokotela wakho ukuze unqume ukuthi yini ekufanele kakhulu.

Okwabadala: Umzimba wakho ucubungula i-divalproex sodium kancane. Ungase futhi uhlangabezane nomphumela wokuthambisa ovela kulo muthi. Ukozela ngokweqile kungakwenza udle noma uphuze kancane kunokujwayelekile. Tshela udokotela wakho uma lokhu kwenzeka.

Udokotela wakho uzoqapha ukuthi udla uphuze kangakanani futhi akuhlolele izimpawu zokoma, ukozela, isiyezi neminye imiphumela emibi. Bangayeka ukukunikeza lo muthi uma ungadli noma ungaphuzi ngokwanele noma uma ulele ngokweqile.

Okwezingane: Izingane ezingaphansi kweminyaka engu-2 ubudala zinengozi eyengeziwe yokulimala kwesibindi ngenkathi zithatha lesi sidakamizwa, ikakhulukazi uma nazo zisebenzisa ezinye izidakamizwa ukwelapha ukuquleka.

Ungayithatha kanjani i-divalproex sodium

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
• umzimba wakho uphendula kanjani kumuthi

Amafomu wezidakamizwa namandla

Okujwayelekile: I-Divalproex sodium

• Ifomu: ithebhulethi yomlomo ebambezelekile
• Amandla: 125 mg, 250 mg, 500 mg

• Ifomu: ithebhulethi yomlomo ekhishwe isikhathi eside
• Amandla: 250 mg, 500 mg

Umkhiqizo: I-Depakote

• Ifomu: ithebhulethi yomlomo ebambezelekile
• Amandla: 125 mg, 250 mg, 500 mg

Umkhiqizo: I-Depakote ER

• Ifomu: ithebhulethi yomlomo ekhishwe isikhathi eside
• Amandla: 250 mg, 500 mg

Isilinganiso sokuquleka

Isilinganiso sabantu abadala (abaneminyaka engu-18 kuye kwengu-64)

• Ukuquleka okuyingxenye eyinkimbinkimbi:
  • Isilinganiso sokuqala esivamile: U-10-15 mg / kg othathwe ngomlomo kanye ngosuku uma uthatha amaphilisi wokukhishwa okunwetshiwe. Kumathebulethi wokukhishwa okubambezelekile, umthamo uphindwe kabili noma kathathu ngosuku.
  • Izilinganiso ezijwayelekile ziyakhula: Udokotela wakho kungenzeka andise umthamo wakho ngezikhathi ezi-1 ngesonto ngo-5-10 mg / kg ngosuku.
  • Umthamo omkhulu: 60 mg / kg ngosuku.
• Ukungabikho kokuhlaselwa:
  • Isilinganiso sokuqala esivamile: I-15 mg / kg ethathwa ngomlomo kanye ngosuku uma uthatha amaphilisi wokukhishwa okunwetshiwe. Kumathebulethi wokukhishwa okubambezelekile, umthamo uphindwe kabili noma kathathu ngosuku.
  • Izilinganiso ezijwayelekile ziyakhula: Udokotela wakho kungenzeka andise umthamo wakho ngezikhathi ezi-1 ngesonto ngo-5-10 mg / kg ngosuku.
  • Umthamo omkhulu: 60 mg / kg ngosuku.

Isilinganiso sengane (iminyaka eyi-10 kuye kwengu-17)

• Ukuquleka okuyingxenye eyinkimbinkimbi:
  • Isilinganiso sokuqala esivamile: U-10-15 mg / kg othathwa ngomlomo kanye ngosuku uma ingane yakho iphuza amaphilisi akhululwa. Kumathebulethi wokukhishwa okubambezelekile, umthamo uphindwe kabili noma kathathu ngosuku.
  • Izilinganiso ezijwayelekile ziyakhula: Udokotela wakho kungenzeka andise umthamo wengane yakho ngezikhawu zeviki elingu-5-10 mg / kg ngosuku.
  • Umthamo omkhulu: 60 mg / kg ngosuku.
• Ukungabikho kokuhlaselwa:
  • Isilinganiso sokuqala esivamile: I-15 mg / kg ethathwa ngomlomo kanye ngosuku uma ingane yakho iphuza amaphilisi akhululwa. Kumathebulethi wokukhishwa okubambezelekile, umthamo uphindwe kabili noma kathathu ngosuku.
  • Izilinganiso ezijwayelekile ziyakhula: Udokotela wakho kungenzeka andise umthamo wengane yakho ngezikhawu zeviki elingu-5-10 mg / kg ngosuku.
  • Umthamo omkhulu: 60 mg / kg ngosuku.

Isilinganiso sengane (iminyaka engu-0 kuye kwengu-9)

Le mithi ayikaze ifundwe ezinganeni ezingaphansi kweminyaka eyi-10. Akufanele isetshenziswe ezinganeni ezikule banga lobudala.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Umzimba wakho ungacubungula lo muthi ngokunensa futhi ungaba nomphumela wokuthambisa ngaphezulu. Udokotela wakho angakuqala kumthamo owehlisiwe futhi uwukhulise kancane ukuze lo muthi omningi ungakheki emzimbeni wakho. Isidakamizwa esiningi kakhulu emzimbeni wakho singadala imiphumela eyingozi.

Ngokuvamile, udokotela wakho uzokugcina kumthamo ophansi kakhulu osebenzayo okwazi ukubekezelela ngaphandle kwemiphumela emibi.

Isilinganiso se-bipolar disorder mania

Isilinganiso sabantu abadala (abaneminyaka engu-18 kuye kwengu-64)

• Isilinganiso sokuqala esivamile: Kumathebulethi akhiphe ukubambezeleka, kungama-375 mg athathwa ngomlomo kabili ngosuku, noma ama-250 mg kathathu ngosuku. Kumaphilisi akhululiwe, kungama-25 mg / kg athathwa ngomlomo kanye ngosuku.
• Izilinganiso ezijwayelekile ziyakhula: Udokotela wakho cishe uzokhuphula isilinganiso sakho ngokushesha okukhulu kuze kube yilapho umuthi usebenza ngempumelelo noma kuze kufinyelelwe ezingeni legazi olifunayo.
• Umthamo omkhulu: 60 mg / kg ngosuku.

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

Lo muthi awuzange ukhombise ukusebenza ezinganeni ze-mania. Akufanele isetshenziswe kubantu abane-mania abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Umzimba wakho ungacubungula lo muthi ngokunensa futhi ungaba nomphumela wokuthambisa ngaphezulu. Udokotela wakho angakuqala kumthamo owehlisiwe futhi uwukhulise kancane ukuze lo muthi omningi ungakheki emzimbeni wakho. Isidakamizwa esiningi kakhulu emzimbeni wakho singadala imiphumela eyingozi.

Ngokuvamile, udokotela wakho uzokugcina kumthamo ophansi kakhulu osebenzayo okwazi ukubekezelela ngaphandle kwemiphumela emibi.

Isikali isixwayiso

Akunabufakazi bokuthi i-divalproex iyasebenza ekusetshenzisweni kwesikhathi eside kwi-mania (isikhathi esingaphezu kwamasonto amathathu). Uma udokotela wakho ethanda ukuthi uthathe lesi sidakamizwa isikhathi eside, bazokubheka ukuthi usasidinga yini lesi sidakamizwa njalo.

Isilinganiso sokuvimbela i-migraine

Isilinganiso sabantu abadala (abaneminyaka engu-18 kuye kwengu-64)

• Isilinganiso sokuqala esivamile: Kumathebulethi akhiphe ukubambezeleka, kuthathwa ama-250 mg kabili ngosuku. Kumaphilisi akhululiwe, kuthathwa ama-500 mg kanye ngosuku.
• Izilinganiso ezijwayelekile ziyakhula: Udokotela wakho cishe uzokwandisa isilinganiso sakho njengoba kudingeka.
• Umthamo omkhulu: 1,000 mg ngosuku.

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

Le mithi ayikhombisanga ukusebenza kahle kwezingane ekuvimbeleni i-migraine. Akufanele isetshenziswe kubantu abane-migraine ekhanda abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Umzimba wakho ungacubungula lo muthi ngokunensa futhi ungaba nomphumela wokuthambisa ngaphezulu. Udokotela wakho angakuqala kumthamo owehlisiwe futhi uwukhulise kancane ukuze lo muthi omningi ungakheki emzimbeni wakho. Isidakamizwa esiningi kakhulu emzimbeni wakho singadala imiphumela eyingozi.

Ngokuvamile, udokotela wakho uzokugcina kumthamo ophansi kakhulu osebenzayo okwazi ukubekezelela ngaphandle kwemiphumela emibi.

Ukucatshangelwa okukhethekile komthamo

Kubantu abanesifo sesibindi: Uma unesifo sesibindi, ungahle ungakwazi ukucubungula lesi sidakamizwa ngendlela efanele. Kufanele ugweme ukuthatha i-divalproex sodium uma unezinkinga ezinzima zesibindi.

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.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo ye-Divalproex sodium isetshenziselwa ukwelashwa kwezidakamizwa isikhathi eside. Ngeziqephu ze-manic zesifo se-bipolar, udokotela wakho uzonquma ukuthi ngabe lokhu kuyindlela yokwelashwa yesikhashana noma yesikhathi eside.

Lesi sidakamizwa siza nezingozi ezinkulu uma ungathathi njengoba kuchaziwe.

Uma ungayithathi nhlobo noma uphuthelwe imithamo: Uma ungathathi lo muthi njalo, uphuthelwa imithamo, noma uyeka ukuwuthatha ngokuzumayo, kungaba nezingozi ezinkulu. Isimo ozama ukuselapha singahle singabi ngcono. Ungase futhi ube nemiphumela emibi eminingi evela kulo muthi uma uqhubeka nokuvala.

Uma uyeka ukuthatha ngokuzumayo: Uma uthatha lo muthi ukwelapha ukuquleka, ukuwumisa ngokuzumayo kungadala ukuquleka okungayeki (status epilepticus).

Uma uthatha kakhulu: Ukuthatha kakhulu lo muthi kungadala imiphumela eyingozi, efana:

• ukukhathala ngokweqile
• ukushaya kwenhliziyo okungafani nesigqi
• amazinga aphezulu kasawoti egazini lakho
• ikhoma ejulile
• ukufa

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma abezimo eziphuthumayo zasendaweni yakho noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo wakho walesi sidakamizwa, wuthathe ngokushesha nje lapho ukhumbula. Uma kungamahora ambalwa kuphela kuze kufike isikhathi somthamo wakho olandelayo, linda uthathe umthamo owodwa kuphela ngaleso sikhathi.

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

Ungasho kanjani ukuthi umuthi uyasebenza:Ukwelashwa kokuquleka: Kufanele ube nokuquleka okumbalwa.

Ukwelashwa kweziqephu ze-manic zesifo se-bipolar: Kufanele ubone ukwehla kwezimpawu ezibangelwa isigaba se-manic sokuphazamiseka kwengqondo okuguquguqukayo. Isimo sakho semizwa kufanele silawulwe kahle.

Ukuvimbela i-migraine ikhanda: Kufanele ube nezinhlungu ezimbalwa zekhanda le-migraine.

Ukucatshangelwa okubalulekile kokuthatha i-divalproex sodium

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-divalproex sodium.

Jikelele

• Uma lo muthi ucasula isisu sakho, wuthathe ngokudla.
• Musa ukuchoboza noma ukuhlafuna amaphilisi.

Isitoreji

• Gcina amaphilisi wokukhipha abambezelekile angaphansi kuka-86 ° F (30 ° C).
• Gcina amaphilisi wokukhipha enwetshiwe ezingeni lokushisa eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
• 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 kokuqala nangesikhathi sokwelashwa ngalo muthi, udokotela wakho angahlola okulandelayo:

• amazinga e-plasma yezidakamizwa (udokotela wakho angahlola amazinga omuthi emzimbeni wakho uma unemiphumela engemihle noma anqume ukuthi ngabe udinga ukulungiswa komthamo)
• ukusebenza kwesibindi
• izinga lokushisa komzimba
• izinga le-ammonia

Udokotela wakho futhi angakuqapha ngezimpawu ze-pancreatitis noma imicabango yokuzibulala noma izenzo.

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.