ʻO Tiagabine
Anter
- Ma mua o ka lawe ʻana i ka tiagabine,
- Hoʻokumu paha ʻo Tiagabine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- 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:
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
Hoʻohana ʻia ʻo Tiagabine me ka hui pū me nā lāʻau ʻē aʻe e mālama ai i ka hopu ʻana i nā ʻāpana hapa (kahi ʻano epilepsy). Aia ʻo Tiagabine i ka papa o nā lāʻau i kapa ʻia anticonvulsants. ʻAʻole maopopo ʻia pehea e hana ai ka tiagabine, akā hoʻonui ia i ka nui o nā kemika maoli i ka lolo e pale i ka hana hopu.
Hele mai ʻo Tiagabine ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia me ka meaʻai ʻelua a ʻehā mau manawa o ka lā. Eia nō naʻe, no ka pule mua o ka hoʻomaʻamaʻa e lawe wale ʻoe i ka tiagabine hoʻokahi wale nō i ka lā. E hoʻonui mālie kāu kauka i kāu mahele lāʻau (ʻaʻole ʻoi aku ka nui ma mua o hoʻokahi manawa i kēlā me kēia pule) a hiki i kou hōʻemi ʻana i ka tiagabine e lawe mau ʻoe. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka tiagabine, e lawe a puni 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. E lawe pololei i ka tiagabine. 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 hoʻomau i ka lawe ʻana i ka tiagabine ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka tiagabine 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. Ke kū nei me ka hōʻoki ʻana i kēia lāʻau i hiki ke hoʻopilikia ʻia E hoʻoliʻiliʻi paha kāu kauka 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 tiagabine 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) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
ʻAʻole pono e kuhikuhi ʻia ʻo Tiagabine 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 tiagabine,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka tiagabine a i ʻole nā lāʻau ʻē aʻe.
- 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 hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: amiodarone (Cordarone, Pacerone) Phenytek), primidone (Mysoline), a me valproic acid (Depakene, Depakote); anticholinesterases e like me neostigmine (Prostigmin), physostigmine (Antilirium), a me pyridostigmine (Mestinon, Regonol); antidepressants; nā antifungals e like me fluconazole (Diflucan), itraconazole (Sporanox), a me ketoconazole (Nizoral); chloroquine sulfate (Aralen); clarithromycin (Biaxin, i Prevpac); hoʻohana ʻia nā kala ʻokoʻa i nā kaʻina hana radiology (CAT scans, X-ray); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron, Dexpak); diazepam (Valium); dicloxacillin; diltiazem (Cardizem, Dilacor, Tiazac, nā mea ʻē aʻe); erythromycin (E.E.S., E-Mycin, Erythrocin); furosemide (Lasix); griseofulvin (Fulvicin-U / F, Grifulvin V, Gris-PEG); isoniazid (INH, Laniazid, Nydrazid); imipenem-cilastatin (Primaxin); lovastatin (Altocor, Mevacor, i Advicor); nā lāʻau e mālama ai i ka maʻi HIV me delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune), a me ritonavir (Norvir, ma Kaletra); nā lāʻau e hoʻonāukiuki ai iā ʻoe e like me ka huehue, anuanu, a me nā huahana alapiʻi, nā lāʻau no ka hopohopo, nā mea hoʻomaha nāʻiʻo, nā lāʻau ʻeha, nā mea hoʻohiamoe, nā lāʻau moe, a i ʻole nā mea hoʻomalule nā lāʻau no ka maʻi noʻonoʻo; methocarbamol (Robaxin); mycophenolate mofetil (CellCept); penikila; phenylbutazone (ʻaʻole loaʻa hou ma ka US); propranolol (Inderal, Inderide); quinidine (Quinidex); nā quinolones e like me cinoxacin (Cinobac) (ʻaʻole loaʻa i ka US), ciprofloxacin (Cipro), enoxacin (Penetrex) (ʻaʻole loaʻa i ka US), gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxequin) waikawa (NegGram) (ʻaʻole loaʻa hou ma ka US), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam) a me trovafloxacin / alatrofloxacin hui pū ʻia (Trovan) (ʻaʻole loaʻa hou ma ka US); rifabutin (Mycobutin); rifampin (Rifadin, Rifamate, Rimactane, nā mea ʻē aʻe); nā mea hoʻonāukiuki e like me nā huahana i loaʻa i ka caffeine a me nā decongestants; tacrolimus (Prograf); triazolam (Halcion); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); warfarin (Coumadin); aiʻole zafirlukast (Hoʻohui).
- e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
- e haʻi i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa i ka ʻino nui ma muli o ka lawe ʻana i kahi lāʻau. kūlana epilepticus (hopu i ka hahai ʻana kekahi i kekahi me ka hoʻomaha ʻole); a i ʻole ka maʻi maka a i ʻole ate.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i tiagabine, e kāhea koke i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka tiagabine.
- pono ʻoe e ʻike i ka tiagabine e hiamoe ai ʻoe a e hoʻopili ai i kou hiki ke noʻonoʻo pono. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- E hoʻomanaʻo e hoʻohui paha ka waiʻona i ka hiamoe i hoʻokumu ʻia e kēia lāʻau. E noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe nei i ka tiagabine.
- pono ʻoe e ʻike ʻo ka hopu ʻana, me ke kūlana epilepticus, i kū i ka poʻe me ka ʻole epilepsy e lawe i ka tiagabine. Kū pinepine kēia mau hopu ʻana ma hope koke o ka hoʻomaka ʻana o ka mālama ʻana me tiagabine a i ʻole kokoke i ka manawa o ka hoʻonui ʻana o ka lāʻau, akā ua hana ʻia kekahi i nā manawa ʻē aʻe i ka wā o ka lapaʻau.
- 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 ʻana paha e hana pēlā) ʻoiai ʻoe e lawe nei i ka tiagabine no ka mālama ʻana i ka maʻi 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 tiagabine e mālama i nā ʻano like ʻole i ka manawa o nā noiʻi maʻi ʻana i lilo i suicidal i kā lākou mālama ʻia. ʻO kekahi o kēia poʻe i hoʻomohala i nā manaʻo suicidal a me ka lawena ma mua o hoʻokahi 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 tiagabine, 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; 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 inu ʻana i ka wai huaʻomaʻo i ka lawe ʻana i kēia lāʻau.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. Inā ua hala ʻoe ma mua o hoʻokahi lāʻau, e kāhea i kāu kauka no nā ʻōkuhi e pili ana i ka hoʻomaka hou ʻana i kāu lāʻau.
Hoʻokumu paha ʻo Tiagabine 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 ʻālohilohi
- hiamoe
- ka nele o ka ikaika a me ka nāwaliwali
- wobbliness, unsteadiness, a i ʻole incoordination e hoʻonāukiuki ana i ka hele wāwae
- kaumaha
- ka inaina a huhū paha
- ukiuki
- huikau
- paʻakikī e noʻonoʻo a nānā paha
- noʻonoʻo ʻano ʻole
- pilikia i ka ʻōlelo a i ʻole ka ʻōlelo
- māhuahua ka makemake
- nausea
- ʻeha ka ʻōpū
- hopohopo
- paʻakikī e hiamoe a hiamoe paha
- ʻūlili
- ʻāpala
- ʻeha a pinepine paha ka urino
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
- ʻeha ma loko o kou waha, ihu, maka a ʻaʻā paha
- nā ʻōuli like flu
- nā hoʻololi i ka hihiʻo
- nāwaliwali loa
- lulu lima ʻaʻole hiki iā ʻoe ke kāohi
- numbness, ʻeha, puhi ʻana, a i ʻole nā kani ʻana i nā lima a me nā wāwae
- ka hopu ʻana, me ke kūlana epilepticus
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.
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.
Pākuʻi ʻia paha nā ʻōuli o ka overdose:
- luhi
- nāwaliwali
- wobbliness, unsteadiness, a i ʻole incoordination e hoʻonāukiuki ana i ka hele wāwae
- lulu lima ʻaʻole hiki iā ʻoe ke kāohi
- huikau
- pilikia i ka ʻōlelo a i ʻole ka ʻōlelo
- hoohaunaele
- huhū a inaina paha
- kaumaha
- ka luaʻi
- nalowale o ka ʻike
- ʻokoʻa, ʻaʻa ʻole nā kuʻikuʻi mākala hiki ʻole ke kaohi ʻia
- hiki ʻole ke neʻe (lōlō)
- ka hopu ʻana, me ke kūlana epilepticus
E mālama i nā manawa a pau me kāu kauka a me ka hale hana.
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.
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