Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 15 Iune 2021
HōʻAno Hou I Ka Lā: 24 Iune 2024
Anonim
Post-Hoc Analysis of Once-Nightly Sodium Oxybate (FT218) To Treat Narcolepsy
Wikiō: Post-Hoc Analysis of Once-Nightly Sodium Oxybate (FT218) To Treat Narcolepsy

Anter

ʻO Sodium oxybate kahi inoa ʻē aʻe no GHB, kahi mea i kūʻai pinepine ʻole ʻia i ke kānāwai a hoʻomāinoino ʻia, ʻo ia hoʻi e nā ʻōpio makua i nā wahi kaiaulu e like me nā hale kalapu. E haʻi i kāu kauka inā hoʻohana a hoʻohana paha ʻoe i nā lāʻau lapaʻau o ke alanui, a i ʻole inā ua hoʻohana nui ʻoe i nā lāʻau lapaʻau. Hiki ke hōʻino ka Sodium oxybate ke lawe ʻia e kekahi poʻe ʻē aʻe ma mua o ke kanaka nona ia i kuhikuhi ʻia ai. Mai kūʻai aku a hāʻawi i kāu sodium oxybate i kekahi mea ʻē aʻe; kūʻē aku ke kūʻai aku ʻana a kaʻana like ʻana i ke kānāwai. E mālama i ka sodium oxybate ma kahi palekana, e like me ka pahu laka a pahu paha, i hiki ʻole i kekahi mea ʻē aʻe ke lawe me ka ʻole E mālama i ka nui o ka wai i koe i loko o kāu ʻōmole i ʻike ʻoe inā e nalowale kekahi.

Hiki i ka Sodium oxybate ke hana i nā hopena ʻino, a me nā pilikia hanu weliweli a hoʻoweliweli paha. E haʻi i kāu kauka inā lawe ʻoe i nā hua moe. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka sodium oxybate ʻoiai ʻoe e lawe nei i kēia lāʻau. Eia kekahi, e haʻi i kāu kauka inā lawe ʻoe i nā antidepressants; nā benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), and triaz; nā lāʻau no ka maʻi noʻonoʻo, nausea, a i ʻole ka hopu ʻana i ka maʻi; nā mea hoʻomaha nāʻiʻo; a i ʻole nā ​​lāʻau ʻeha narcotic. Pono paha ʻoe e kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe. Mai inu i nā mea inu ʻona ʻoiai ʻoe e inu nei i ka sodium oxybate.


ʻAʻole loaʻa ka sodium oxybate ma nā hale kūʻai kūʻai liʻiliʻi. Loaʻa ʻo Sodium oxybate ma o kahi papahana hoʻoili palena ʻia i kapa ʻia ʻo Xywav a me Xyrem REMS Program. He papahana kūikawā ia e hoʻolaha ai i ka lāʻau a hāʻawi i ka ʻike e pili ana i ka lāʻau. E hoʻouna ʻia kāu lāʻau lapaʻau iā ʻoe mai kahi kauka lāʻau waena ma hope o kou heluhelu ʻana i ka ʻike a kamaʻilio pū me kahi kauka lāʻau. E nīnau i kāu kauka inā he nīnau kāu e pili ana pehea e loaʻa ai 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 sodium oxybate 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 loaʻa i ke alakaʻi lāʻau lapaʻau mai ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Mālama i nā manawa āpau me kāu kauka.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i ka sodium oxybate.


Hoʻohana ʻia ʻo Sodium oxybate e pale aku i nā hoʻouka ʻana o cataplexy (nā ʻāpana o ka nāwaliwali o ka nāwaliwali e hoʻomaka koke a hope no kahi manawa pōkole) a me ka hiamoe nui o ke ao i nā mākua a me nā keiki he 7 mau makahiki a ʻoi paha i loaʻa ka narcolepsy (kahi maʻi hiamoe e hiki ai ke hiamoe nui. , makemake ʻole e kaohi hiki ʻole ke hiamoe i nā hana o kēlā me kēia lā, a me cataplexy).ʻO Sodium oxybate i loko o ka papa o nā lāʻau i kapa ʻia ʻo depressants ʻōnaehana kikowaena. Hana ʻo Sodium oxybate e mālama i ka narcolepsy a me ka cataplexy ma o ka hōʻemi ʻana i ka hana i ka lolo.

Hele mai ʻo Sodium oxybate ma ke ʻano he hopena (wai) e hui me ka wai a lawe i ka waha. Lawe pinepine ʻia ia i kēlā me kēia pō no ka mea pau ke sodium oxybate ma hope o ka manawa pōkole, a ʻaʻole e mau nā hopena o hoʻokahi mahele no ka pō holoʻokoʻa. Lawe ʻia ka mahele mua i ka wā moe, a lawe ʻia ka lua o ka mahele 2 2 a 4 mau hola ma hope o ka mahele mua. Pono e lawe i ka sodium Sodium oxybate ma kahi ʻōpū nele, no laila e lawe ʻia ka mahele ma mua o 2 mau hola ma hope o ka ʻai ʻana. 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.


Mai lawe i kāu kau moe o ka sodium oxybate a hiki i ka wā e hiamoe ai ʻoe a ʻo kāu keiki paha a mākaukau e hiamoe no ka pō. Hoʻomaka ka Sodium oxybate e hana wikiwiki, ma waena o 5 a 15 mau minuke ma hope o ka lawe ʻana. E kau i kāu mahele lāʻau ʻelua o ka sodium oxybate ma kahi palekana ma kahi o kou wahi moe (a i kahi wahi palekana e hāʻawi ai i kāu keiki) ma mua o ka hiamoe. E hoʻohana i kahi uaki alarm e hōʻoia e ala ʻoe i ka manawa e lawe i ka lua o ka lāʻau. Inā ala ʻoe a ʻo kāu keiki paha ma mua o ka pio ʻana o ka pū waikaua a ma ka liʻiliʻi he 2 1/2 mau hola mai kou wā i lawe ai i kāu kau palena mua, e lawe i kāu lāʻau ʻelua, hoʻopau i ka pū waikaua, a hoʻi i ka hiamoe.

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

ʻO Sodium oxybate kahi hana maʻamau. Mai lawe i nā mea hou aʻe a lawe pinepine paha ma mua o ka mea i kauoha ʻia e kāu kauka. Inā ʻoe e lawe i ka sodium oxybate he nui loa, ʻike paha ʻoe i nā ʻōuli hoʻoweliweli ola me ke kuʻi ʻana, hoʻolohi a kū hoʻi i ka hanu ʻana, ka nalowale o ka ʻike, a me ka koma. Hiki paha iā ʻoe ke hoʻomohala i kahi kuko no ka sodium oxybate, manaʻo he pono e lawe i nā lāʻau nui a nui aku, a i ʻole makemake e hoʻomau i ka lawe ʻana i ka sodium oxybate ʻoiai ke kumu ia o nā ʻōuli maikaʻi ʻole. Inā ʻoe i lawe i ka sodium oxybate i nā nui i ʻoi aku i kau ʻia e kāu kauka, a kū koke ʻoe i ka lawe ʻana, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli e like me ka hiamoe ʻana a me ka hiamoe ʻana, hoʻomaha ʻole, hopohopo, noʻonoʻo maʻamau, nalo ʻana o ka pilina me ka ʻoiaʻiʻo, hiamoe. , hoʻonāukiuki i ka ʻōpū, hoʻoluliluli i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kaohi, ka hou ʻana, ka ʻeha ʻana o nā mākala, a me ka puʻuwai wikiwiki.

Hiki ke kōkua i ka sodium oxybate e kaohi i kāu mau ʻōuli akā ʻaʻole e hoʻōla i kou ʻano. E hoʻomau i ka lawe i ka sodium oxybate ʻoiai ʻoe e manaʻo maikaʻi. Mai hoʻoki i ka lawe ʻana i ka sodium oxybate me ke kamaʻilio ʻole ʻana me kāu kauka. E makemake paha kāu kauka e hōʻemi i kāu lāʻau. Inā kū koke ʻoe i ka lawe ʻana i ka sodium oxybate, loaʻa paha iā ʻoe nā hoʻouka hou ʻana o cataplexy a ʻike paha ʻoe i ka hopohopo a me ka paʻakikī e hiamoe a hiamoe paha.

E hoʻomākaukau i nā kaha o ka sodium oxybate, e hāhai i kēia mau kaʻina hana:

  1. E wehe i ka pahu pahu i komo mai kāu lāʻau a hemo i ka ʻōmole o ka lāʻau a me ka mīkini ana.
  2. Wehe i ka hāmeʻa ana mai kāna wahī.
  3. E wehe i ka ʻōmole ma ke kaomi ʻana i lalo i ka pāpale a huli i ka pāpale ma ka ʻaoʻao (i ka hema) i ka manawa like.
  4. E kau i ka ʻōmole hāmole i luna o ka pākaukau.
  5. E paʻa i ka ʻōmole me ka lima hoʻokahi. E hoʻohana i kou lima ʻē aʻe e kau i ka wēlau o ka hāmeʻa ana i ka puka waena ma luna o ka ʻōmole. E kaomi pono i ka piko i loko o ka wehe.
  6. E paʻa i ka ʻōmole a me ke ana ʻana me ka lima hoʻokahi. E hoʻohana i kou lima ʻē aʻe e huki hou i ka plunger a hiki i ke kau ʻana o ke kaha me ke kaha i kuhikuhi ʻia e kāu kauka. E mālama pono i ka ʻōmole i hiki i ke kauka ke kahe i loko o ka hāmeʻa ana.
  7. Wehe i ka hāmeʻa ana mai ka piko o ka ʻōmole. E kau i ka piko o ka hāmeʻa ana i kekahi o nā kīʻaha dosing i hāʻawi ʻia me ka lāʻau.
  8. E kaomi i lalo o ka plunger e ninini i ka lāʻau i loko o ke kīʻaha dosing.
  9. Hoʻohui i ʻelua auneke (60 milliliters, 1/4 kīʻaha, a i ʻole 4 mau punetēpu) o ka wai piula i ke kīʻaha dosing. ʻOi aku ka ʻono o ka lāʻau inā e kāwili ʻoe me ka wai anuanu. Hana ʻaʻole e kāwili i ka lāʻau me ka wai huaʻai, nā mea inu momona, a i ʻole nā ​​wai ʻē aʻe.
  10. E hana hou i nā ʻanuʻu 5 a 9 e hoʻomākaukau i kahi mahele o ka sodium oxybate i ka ʻelua kīʻaha dosing.
  11. E kau i nā pāpale ma nā kīʻaha dosing ʻelua. E hoʻohuli i kēlā me kēia pāpālua (ma ka ʻākau) a hiki i ke kaomi ʻana a me ka laka ʻana ma kahi.
  12. E holoi i ka mea ana i ka wai.
  13. E kuapo i ka pāpale ma ka hue o ka sodium oxybate a hoʻihoʻi i ka ʻōmole a me ka ana ʻana i kahi palekana i kahi e mālama ʻia ai lākou mai nā keiki a me nā holoholona. E kau i nā kīʻaha lāʻau i hoʻomākaukau ʻia i kahi wahi palekana kokoke i kou wahi moe a i kahi wahi palekana paha e hāʻawi ai i kāu keiki i kahi hiki ʻole i nā keiki a me nā holoholona.
  14. Ke hiki i kou manawa e lawe i ka mahele lāʻau mua o ka sodium oxybate, kaomi ma luna o ka pāpale a huli iā ia ma ka ʻaoʻao hema (ma ka hema). Inu i ka wai a pau ke noho ʻoe ma luna o kou wahi moe. E hoʻihoʻi i ka pāpale ma ke kīʻaha, huli iā ia i ka hola (i ka ʻākau) e laka ʻia ai, a moe pono i lalo.
  15. Ke ala ʻoe i 2 1/2 a i 4 mau hola ma hope e lawe i ka lua o ka lāʻau, e hana hou i ka ʻanuʻu 14.

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 ka sodium oxybate,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka sodium oxybate, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka hopena sodium oxybate. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no ka papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei. E ʻōlelo pono i kēia mau mea: divalproex (Depakote). 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 inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe ka succinic semialdehyde dehydrogenase deficit (kahi ʻano hoʻoilina kahi e kūkulu ai kekahi mau mea i loko o ke kino a hana i ka lohi a me nā lohi hoʻomohala). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka sodium oxybate.
  • e haʻi i kāu kauka inā ʻoe e ukali nei i ka papa paʻakai haʻahaʻa no nā kumu olakino. E haʻi aku i kāu kauka inā ʻūlū ʻoe; inā ʻoe i noʻonoʻo e pili ana i ka hōʻino a pepehi paha iā ʻoe iho a i ʻole hoʻolālā a hoʻāʻo paha e hana pēlā; a inā ua loaʻa a loaʻa paha ʻoe i ka maʻi lolo, paʻakikī i ka hanu ʻana, apnea hiamoe (kahi hiamoe hiamoe e kū ai ka hanu no nā manawa pōkole i ka wā hiamoe), ka hopu ʻana, kaumaha a i ʻole nā ​​maʻi noʻonoʻo ʻē aʻe, maikaʻi ʻole o ka puʻuwai, ke koko kiʻekiʻe, a me ke ake a i ʻole. maʻi maʻi ʻōpū.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka sodium oxybate, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka sodium oxybate.
  • pono ʻoe e ʻike he hiamoe loa ʻoe no 6 mau hola ma hope o kou lawe ʻana i ka sodium oxybate, a hiamoe paha ʻoe i ke ao. Mai hoʻokele i kahi kaʻa, hana i nā mīkini, lele i kahi mokulele, a i ʻole hana i nā hana weliweli ʻē aʻe no 6 mau hola ma hope o kou lawe ʻana i kāu lāʻau. Hōʻalo i nā hana weliweli i nā manawa āpau a ʻike ʻoe i ka hopena o ka sodium oxybate iā ʻoe.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

Inā ʻoe e nalo i ka mahele ʻelua o ka sodium oxybate, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau i ka pō aʻe. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. E ʻae mau ma ka liʻiliʻi ma 2 1/2 mau hola ma waena o nā kaha o ka sodium oxybate.

ʻO Sodium oxybate ke kumu o nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • hoʻomoe moe
  • ʻeha poʻo
  • ʻūpā
  • ʻona ʻona
  • ke hoʻoluliluli nei i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kāohi
  • manaʻo o ka ʻōlohelohe, ʻūlū ʻana, pricking, puhi ʻana, a i ʻole ke kolo ʻana i ka ʻili
  • paʻakikī e neʻe ke hiamoe a i ke ala ʻana
  • nausea
  • ka luaʻi
  • pāhoehoe
  • ʻeha ka ʻōpū
  • ʻeha kua
  • nāwaliwali
  • ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i nā wāwae lalo
  • ka houʻu ʻana

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o lākou a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.

  • hele wāwae hiamoe
  • moeʻuhane ʻino
  • hoohaunaele
  • hoʻouka kaua
  • hopohopo
  • kaumaha
  • huikau a me nā pilikia hoʻomanaʻo paha
  • loli i ka paona a i ʻole ka makemake
  • manaʻo o ka hewa
  • nā manaʻo e hōʻino a pepehi paha iā ʻoe iho
  • ke manaʻo nei e makemake nā poʻe ʻē aʻe e hōʻino iā ʻoe
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
  • lilo o ka launa pū ʻana me ka ʻoiaʻiʻo
  • nā pilikia hanu, ka hū ʻana, a i ʻole ka hiamoe apnea
  • hiamoe nui i ka lā

ʻO Sodium oxybate ke kumu o nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

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 keiki a me nā holoholona. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. E ninini i nā lāʻau i koe iho i lalo o ka poho inā ʻoi aku ia ma mua o 24 mau hola ma hope o ka hoʻomākaukau. E kīʻalo i ka lepili ma ka ʻōmole me kahi māka a hoʻolei i ka ʻōmole hakahaka i ka ʻōpala. E noi i kāu kauka a kāhea paha i ka kaona waena inā he mau nīnau kāu e pili ana i ka hoʻolilo kūpono ʻana i kāu lāʻau inā ua pau ka lā a ʻaʻole pono hou.

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

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • huikau
  • nā pilikia me ka hoʻohui ʻana
  • hoohaunaele
  • nalowale o ka ʻike
  • koma
  • lohi, pāpaʻu, a i ʻole hanu hoʻopau ʻia
  • lilo o ka mana o ka ʻaʻa
  • poho o ka mana ʻōpū
  • ka luaʻi
  • ka houʻu ʻana
  • ʻeha poʻo
  • ʻike hihi
  • nā ʻūlū mākala a i ʻole nā ​​mimina
  • ka hopu ʻana
  • ʻūlū puʻuwai
  • mahana wela o ke kino
  • nā mākala nāwaliwali

E noi i kāu kauka a kāhea i ka hale kūʻai lāʻau waena inā he nīnau kāu 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 Xyrem®
  • ʻO Sodoma Sodium Hydroxybutyrate
  • GBH Sodium
  • ʻO Sodoma GHB
  • ʻO Sodium ʻoxybate
Nānā Hou - 02/15/2021

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