Mea Kākau: Gregory Harris
Lā O Ka Hana: 8 Apelila 2021
HōʻAno Hou I Ka Lā: 9 Malaki 2025
Anonim
Perampanel for Hard-to-Treat Epilepsy
Wikiō: Perampanel for Hard-to-Treat Epilepsy

Anter

ʻO ka poʻe i lawe i ka perampanel ua hoʻomohala i nā loli koʻikoʻi a hoʻoweliweli paha i ko lākou olakino a me ka lawena, ʻoi aku ka nui o ka inaina a i ʻole ka huhū i kekahi poʻe ʻē aʻe. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kekahi ʻano o ka maʻi noʻonoʻo a i ʻole ka hana kolohe. Eia nō naʻe, pono ʻoe e ʻike he hiki ke hoʻomohala i kēia mau hoʻololi i ke olakino noʻonoʻo a me ka lawena ʻoiai e lawe ana i ka perampanel inā ʻaʻole ʻoe i loaʻa i kahi pilikia me ke olakino a me ka lawena i ka wā i hala. ʻO ʻoe, kou ʻohana, a i ʻole kāu mea mālama e kāhea koke aku i kāu kauka inā ʻike ʻoe i nā loli i ke ʻano, ka lawena, a i ʻole ke ʻano i ka wā o kāu mālama ʻana me perampanel a i hoʻokahi mahina paha ma hope o ka hōʻoki ʻana i kāu lapaʻau. E nānā pono kāu kauka i kou olakino noʻonoʻo i kāu mālama ʻana me perampanel, keu hoʻi ke hoʻomaka ʻoe e lawe i kēia lāʻau a i kēlā me kēia manawa ke hoʻololi ʻia kāu lāʻau. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka huhū, ka inaina, ka huhū, ka hopohopo, ka huhū, ka hana kānalua a hilinaʻi ʻole paha, ka huikau, nā pilikia hoʻomanaʻo, a me ka noʻonoʻo ʻana e pili ana i ka hōʻeha a pepehi paha i nā poʻe ʻē aʻe a hoʻoweliweli a hoʻāʻo paha e hana pēlā Hiki i kāu kauka ke hōʻemi i kāu lāʻau a hoʻopau paha i kāu lāʻau.


E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me perampanel a i kēlā me kēia manawa e hoʻopiha hou i kāu kuhikuhi. 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.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka perampanel.

Hoʻohana ʻia ʻo Perampanel e mālama i kekahi ʻano o ka hopu ʻana i ka ʻāpana hoʻomaka (ka hopu ʻana e hoʻopili wale i hoʻokahi ʻāpana o ka lolo) i nā mākua a me nā keiki ʻo 4 mau makahiki a ʻoi paha. Hoʻohana ʻia ia me ka hui pū me nā lāʻau ʻē aʻe e mālama i kekahi ʻano o ka hopu ʻana o ka tonic-clonic laulaha (i ʻike ʻia ma ke ʻano he grand mal seizure; ka hopu ʻana e pili ana i ke kino holoʻokoʻa) i nā mākua a me nā keiki he 12 mau makahiki a ʻoi paha. Aia ʻo Perampanel i kahi 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 Perampanel ma ke ʻano he papa a ma ke ʻano he kaulia (wai) e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā i ka wā moe. Lawe i ka perampanel ma kahi o ka manawa like 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 i ka perampanel 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 hoʻoluliluli maikaʻi i ka hoʻomaha ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau.

E hoʻohana mau i ka waha (e ka waha) dring syringe e hele mai me ka hoʻomaha perampanel e hoʻomākaukau a ana i kāu hopena. Mai hoʻohana i ka puna o ka home e ana i kāu mahele.

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

Hoʻokumu paha ʻo Perampanel. Mai lawe i kahi lāʻau nui, lawe pinepine iā ia, a lawe ia no kahi manawa lōʻihi ma mua o ka mea i kauoha ʻia e kāu kauka.

Hiki i ka Perampanel ke kōkua i ke kaohi i kou kūlana akā ʻaʻole ia e hoʻōla iā ia. Mai hōʻoki i ka lawe ʻana i ka perampanel me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i ka perampanel, e ʻoi aku paha ka maikaʻi o kāu hopu ʻana. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.


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 perampanel,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka perampanel, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa perampanel a i ʻole ka hoʻomaha waha. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: antidepressants; nā barbiturates e like me phenobarbital a me secobarbital (Seconal); nā lāʻau no ka maʻi ʻaʻai, ka pīhoihoi, ka puʻu a me ke anuanu, nā maʻi noʻonoʻo, a me ka ʻeha; nā lāʻau no ka hopu ʻana e like me ka carbamazepine (Carbatrol, Tegretol, Equetro), oxcarbazepine (Trileptal, Oxtellar), phenytoin (Dilantin, Phenytek), primidone (Mysoline), a me topiramate (Topamax); rifampin (Rifadin); nā mea hoʻonanea; paina moe; a me nā tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me perampanel, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
  • pono ʻoe e ʻike he hiki i ka perampanel ke hoʻemi i ka pono o nā kaola pale hormonal (nā lāʻau kaohi hānau, nā pā, nā apo, a i nā implants) i loaʻa ka levonorgestrel. E hoʻohana i kahi ʻano o ka kaohi hānau ʻoiai e lawe ana i ka perampanel a no 1 mau mahina ma hope o kāu hopena hope loa. E noi i kāu kauka a kauka paha inā ʻaʻole maopopo iā ʻoe inā he levonorgestrel kāu kaohi hānau.
  • e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
  • e haʻi i kāu kauka inā inu ʻoe a inu paha i ka nui o ka waiʻona, inā ʻoe i hoʻohana a i ʻole hoʻohana i nā lāʻau lapaʻau i ke alanui, a i ʻole inā loaʻa nā lāʻau lapaʻau i hoʻohana mua ʻia. E haʻi pū aku i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa paha i ka maʻi puʻuwai a i ʻole ate.
  • 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 perampanel, e kāhea i kāu kauka.
  • pono ʻoe e ʻike ʻo ka perampanel ka mea e hoʻolilo ai i ka luʻuluʻu, ka hiamoe, a me nā pilikia me ka laulima a me ke kaulike Hiki i kēia ke hoʻonui i ka makaʻu o ka hāʻule i hiki ke hōʻeha i nā ʻehaʻeha, keu hoʻi inā ʻelemakule ʻoe. Mai kalaiwa i ke kaʻa, hana i nā mīkini, a i ʻole e komo i nā hana e koi ai i ka makaʻala a i ʻole ka hoʻohui ʻana a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ke lawe nei ʻoe i ka perampanel. Hiki i ka waiʻona ke hana i nā hopena ʻino mai perampanel i ʻoi aku ka maikaʻi.
  • pono ʻoe e ʻike e loli paha kou olakino i nā ala i manaʻo ʻole ʻia a lilo ʻoe i suicidal (e noʻonoʻo e pili ana i ka hōʻeha a pepehi paha iā ʻoe iho a i ʻole ke hoʻolālā ʻana a hoʻāʻo paha e hana pēlā) ʻoiai ʻoe e lawe ana i ka perampanel. 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 perampanel 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 anticonvulsant e like me perampanel, 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 nā ʻōuli penei: 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; 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.

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

E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. Inā ʻoe e nalo ma mua o hoʻokahi ana, e hoʻokaʻaʻike i kāu kauka.

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

  • dizziness a i ʻole ke ʻano o ka milo
  • hiamoe
  • kōpaʻa
  • nausea
  • ka luaʻi
  • ʻeha poʻo
  • luhi
  • loaʻa kaupaona
  • ukiuki
  • nāwaliwali
  • nā pilikia me ka hoʻohui ʻana
  • ʻeha, kua, a ʻeha pū paha
  • hoʻemi i ke ʻano o ka pā a i ʻole ka manaʻo
  • ʻike hihi ʻole a pālua paha

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i nā ʻARlelo AOAO IMPORTANT a me nā WAIWAI HOU, e hoʻōki i ka lawe ʻana i ka perampanel a kāhea koke aku i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.

  • ʻehu; hives; fiva a pehu paha. ka pehu ʻana o kou alo a mau wāwae paha; pokole o ka hanu; melemele o ka ʻili a me nā maka; aiʻole mimi ʻeleʻele

Hoʻokumu paha ʻo Perampanel i 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 kamaliʻi. 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. Mai hoʻopili i ka hoʻomaha. E hoʻolei i kahi hoʻomaha hoʻomaha ʻole hoʻohana 90 mau lā ma hope o ka wehe mua ʻana i ka ʻōmole.

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

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.

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.

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

  • ʻūpā
  • nā loli maʻamau i ka lawena a i ʻole ke ʻano
  • hoohaunaele
  • hana hoʻomāinoino

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. ʻO Perampanel kahi lāʻau i kāohi ʻia. Hiki ke hoʻopiha hou ʻia nā kuhikuhi ma nā helu kau palena wale nō; e noi i kāu kauka lāʻau inā he nīnau kāu.

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.

  • Fycompa®
Nānā Hou - 12/15/2018

NāʻAtikala Hou

ʻO nā kāne ma ka papakaumaka e unuhi i ke aloha maoli

ʻO nā kāne ma ka papakaumaka e unuhi i ke aloha maoli

ʻAʻole ia he mea huna i ka nui o nā hōkū TV a me nā kiʻiʻoniʻoni e hoʻomau i ke ahi ma ka pale ma hope o ka ʻoki ʻana o nā alakaʻi. Hoʻolālā nā mea hana ke hana i nā hola lōʻihi i ka hoʻonohonoho, e h...
3 Nā ʻano pilikino maikaʻi ʻole i loaʻa nā pōmaikaʻi maikaʻi

3 Nā ʻano pilikino maikaʻi ʻole i loaʻa nā pōmaikaʻi maikaʻi

E ae kakou: Ua pau loa loaʻa nā ʻano maikaʻi ʻole a me nā maʻamau maikaʻi ʻole (nail biting! Being chronically late!) ʻaʻole mākou e haʻaheo loa. ʻO ka nūhou maikaʻi? Aia paha ka ʻepekema i kou kihi: ...