Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 18 Iune 2021
HōʻAno Hou I Ka Lā: 23 Iune 2024
Anonim
Neurologist Discusses Zonisamide (Zonegran)
Wikiō: Neurologist Discusses Zonisamide (Zonegran)

Anter

Hoʻohana ʻia ʻo Zonisamide me ka hui pū me nā lāʻau ʻē aʻe e mālama i kekahi ʻano o ka hopu ʻana. Aia ʻo Zonisamide i ka papa o nā lāʻau i kapa ʻia anticonvulsants. Hana ia ma ka hoʻemi ʻana i ka hana uila uila ʻole i ka lolo.

Hele mai ʻo Zonisamide ma ke ʻano he capsule e lawe ma ka waha. Lawe pinepine ia hoʻokahi a ʻelua paha i ka lā me ka ʻai ʻole. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka zonisamide, e lawe ma kahi o ka manawa like (s) i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pololei iā zonisamide e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E ale i nā capsule holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka zonisamide a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku ka pinepine ma mua o hoʻokahi manawa i kēlā me kēia 2 pule.

Hiki paha iā Zonisamide ke kōkua i ke kaohi ʻana i kou ʻano akā ʻaʻole e hoʻōla iā ia. He 2 mau pule paha a ʻoi paha ka lōʻihi ma mua o kou ʻike ʻana i ka pono piha o zonisamide. E hoʻomau i ka lawe iā zonisamide inā ʻoe e manaʻo maikaʻi. Mai hooki i ka lawe ʻana i ka zonisamide me ke kamaʻilio ʻole ʻana me kāu kauka, ʻoiai inā ʻike ʻoe i nā hopena e like me nā loli maʻamau i ka lawena a i ʻole ke ʻano. Inā kū koke ʻoe i ka lawe ʻana i zonisamide, e ʻoi aku paha ka maikaʻi o kāu hopu ʻana. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.


E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me zonisamide a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i zonisamide,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka zonisamide, diuretics ('pills wai'), nā lāʻau lapaʻau waha no ka maʻi diabetes, nā lāʻau sulfa, a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i kekahi o kēia mau mea: amiodarone (Cordarone, Pacerone); nā antifungals e like me itraconazole (Sporanox) a me ketoconazole (Nizoral); nā mea kālika anicdrase kalapona e like me acetazolamide (Diamox) a me methazolamide; clarithromycin (Biaxin, i Prevpac); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin); fluvoxamine (Luvox); Nā mea hoʻopalekana protease HIV e like me indinavir (Crixivan), nelfinavir (Viracept), a me ritonavir (Norvir, ma Kaletra); nā lāʻau no ka maʻi hanu huhū, ka neʻe ʻana o ka maʻi, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; nā lāʻau lapaʻau ʻē aʻe no ka hopu ʻana e like me carbamazepine (Carbatrol, Epitol, Tegretol), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Phenytek), a me valproic acid (Depakene, Depakote); nefazodone (Serzone); nā pale hormonal (nā lāʻau kaohi o ka hānau ʻana, nā pāhoʻi, nā apo, a me nā hoʻopili ʻana); pioglitazone (Actos, i Actoplus, i Duetact); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); troleandomycin (TAO) (ʻaʻole loaʻa ma ka U.S.); a me verapamil (Calan, Covera, Isoptin, Verelan). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
  • e haʻi i kāu kauka inā ʻoe e ukali nei i ka papaʻai ketogenic (kahi momona momona, hoʻohaʻahaʻa momona i hoʻohana ʻia e kaohi ai i ka hopu ʻana) a i ʻole inā he pilikia hanu paha kāu, a me ka maʻi akepau. E haʻi pū aku i kāu kauka inā loaʻa ʻoe i ka maʻi palahō i kēia manawa, a i ʻole inā hoʻomohala ʻoe i ka maʻi pākī i kēlā me kēia manawa i kāu wā e lapaʻau ai.
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Pono ʻoe e hoʻohana i ka kaohi hānau e pale ai i ka hāpai ʻana i kāu wā lapaʻau. E kamaʻilio me kāu kauka e pili ana i nā hana kaohi hānau e holo pono nāu. Inā hāpai ʻoe i ka lawe ʻana i zonisamide, e kāhea i kāu kauka.
  • e haʻi i kāu kauka inā ʻoe e hānai umauma ana. Inā hānai ʻoe i ka umauma i kou wā e mālama ai, hiki i kāu pēpē ke loaʻa i kahi zonisamide i ka waiū umauma. E nānā pono i kāu pēpē no ka hiamoe maʻamau a i ʻole ka loaʻa ʻana o ke kaumaha maikaʻi ʻole.
  • inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i zonisamide.
  • pono ʻoe e ʻike i ka hiamoe ʻana o zonisamide iā ʻoe. Mai hoʻokele i kahi kaʻa, hana i nā mīkini, a hana i nā hana weliweli a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • pono ʻoe e ʻike hiki i ka zonisamide ke hoʻemi i ka hiki i ke kino ke hou a hana i ka paʻakikī i kou kino e hōʻalili ke wela nui ia. Hana pinepine kēia i ka wā mahana a i nā keiki e lawe i ka zonisamide. (ʻAʻole pono nā keiki e lawe zonisamide, akā i kekahi mau kumu, kuhikuhi ʻia ia e ke kauka.) Pono ʻoe e hōʻole i ka wela a kāhea koke aku i kāu kauka inā he kuni kou a / a ʻaʻole paha e sweating e like me ka mau.
  • pono ʻoe e ʻike e loli paha kou olakino noʻonoʻo i nā ala i manaʻo ʻole ʻia a lilo ʻoe i suicidal (e noʻonoʻo e pili ana i ka hōʻino ʻana a pepehi paha iā ʻoe iho a i ʻole ke hoʻolālā ʻana a hoʻāʻo ʻana paha e hana pēlā) ʻoiai ʻoe e lawe nei i ka zonisamide no ka mālama ʻana i ka epilepsy, nā maʻi noʻonoʻo, a i ʻole nā ​​kūlana ʻē aʻe. ʻO kahi liʻiliʻi o nā mākua a me nā keiki he 5 mau makahiki a ʻoi paha (ma kahi o 1 ma 500 mau kānaka) i lawe i nā anticonvulsants e like me zonisamide e mālama i nā ʻano like ʻole i ka manawa o nā noiʻi maʻi ʻana i lilo i suicidal i kā lākou mālama ʻia. Ua hoʻomohala kekahi o kēia poʻe i nā manaʻo suicidal a me ka lawena e like me 1 mau pule ma hope o ka hoʻomaka ʻana e lawe i ka lāʻau. Aia kekahi pilikia e ʻike paha ʻoe i nā loli i kou olakino noʻonoʻo inā ʻoe e lawe i kahi lāʻau anticonvulsants e like me zonisamide, akā aia paha paha kahi pilikia e ʻike ʻoe i nā loli i kou olakino noʻonoʻo inā ʻaʻole mālama ʻia kāu ʻano. E hoʻoholo ʻoe a me kāu kauka inā ʻoi aku ka nui o nā makaʻi o ka lawe ʻana i kahi lāʻau anticonvulsant ma mua o nā makaʻu o ka lawe ʻole ʻana i ka lāʻau. ʻO ʻoe, kou ʻohana, a i ʻole kāu mea mālama e kāhea koke aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli: weliweli weliweli; hoʻonāukiuki a hoʻomaha ʻole paha; hoʻonāukiuki hou a i ʻole ke kaumaha paha; hana ana i nā manaʻo hoʻoweliweli; paʻakikī e hiamoe a hiamoe paha; hana hoʻomāinoino, huhū, a kolohe paha; mania (pīhoihoi, ʻano hauʻoli ʻole); ke kamaʻilio a noʻonoʻo paha e pili ana i ka makemake e hōʻeha iā ʻoe iho a i ʻole hoʻopau i kou ola; ka haʻalele ʻana i nā hoaaloha a me ka ʻohana; hana nui me ka make a me ka make ʻana; ka hāʻawi ʻana i nā mea waiwai; a i ʻole nā ​​hoʻololi ʻē aʻe i ke ʻano a me ke ʻano. E ʻike pono i kou ʻohana a mea mālama paha e ʻike i nā hōʻailona e koʻikoʻi paha i hiki iā lākou ke kāhea i ke kauka inā ʻaʻole hiki iā ʻoe ke ʻimi iā ʻoe lāʻau ponoʻī.

E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona i ka wā e lawe ana i kēia lāʻau.


E inu i nā aniani 6-8 o ka wai i kēlā me kēia lā i kāu mālama ʻana me zonisamide.

E kamaʻilio me kāu kauka e pili ana i ka mea e hana ai inā ʻoe e nalo i kahi mahele o zonisamide. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Zonisamide i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • Kaumaha emi
  • hoʻololi i ka ʻono
  • pāhoehoe
  • kōpaʻa
  • puʻuwai puʻuwai
  • waha maloo
  • ʻeha poʻo
  • ʻūpā
  • huikau
  • ukiuki
  • paʻakikī e hiamoe a hiamoe paha
  • paʻakikī me ka hoʻomanaʻo
  • ʻeha, puhi ʻana, numbness, a ʻūlū paha i nā lima a me nā wāwae
  • neʻe ʻole o ka maka o ka maka
  • hihio pālua

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, e kāhea koke i kāu kauka:

  • hūwī
  • ʻele a ʻili paha o ka ʻili
  • ʻoi aku ka ʻino a lōʻihi paha o ka hopu ʻana
  • ʻeha ʻeha hope
  • ʻeha ka ʻōpū
  • ʻeha ke ʻimi
  • mimi koko a ʻeleʻele paha
  • fiva, ʻāʻī puʻupuʻu, ʻalalā, ʻū, a me nā hōʻailona ʻē aʻe o ka maʻi
  • ʻeha ma ka waha
  • paopao maʻalahi
  • pilikia i ka noʻonoʻo ʻana i nā huaʻōlelo a i ʻole ka pilikia e ʻōlelo
  • pilikia i ka noʻonoʻo a noʻonoʻo paha
  • nele i ka hoʻohui ʻana
  • paʻakikī i ka hele wāwae
  • nāwaliwali loa
  • ʻeha ʻeha mākala
  • luhi loa
  • nalo ʻai ʻole
  • wikiwiki, hā hanu
  • kuʻi puʻuwai ʻole
  • nalowale o ka ʻike

Hoʻokumu paha ʻo Zonisamide i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.


Hiki i ka Zonisamide ke kumu i ka metabolic acidosis (pae haʻahaʻa o kekahi ʻano kūlohelohe i ke koko). ʻO ka acidosis Metabolic i waiho ʻole ʻia no ka manawa lōʻihi e hoʻonui paha i ka pilikia e ulu ana nā pilikia olakino ʻē aʻe, e like me nā pōhaku hakuʻala a me nā pilikia iwi e hiki ai i nā haki. Hiki i ka untreated metabolic acidosis ke kumu i ka lohi o ka ulu ʻana a me ka hōʻemi ʻana o ke kiʻekiʻe hope i nā keiki. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i zonisamide.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi.E mālama iā ia i ka mahana wela o ka lumi a mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • ʻūlū puʻuwai
  • hanu lohi
  • ʻūpā
  • maule ana
  • koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino iā zonisamide.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • ʻO Zonegran®
Nānā Hou - 05/15/2020

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