Carbamazepine

Wadatacce

• Kafin shan carbamazepine,
• Carbamazepine na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
• Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun alamun ko waɗanda aka lissafa a cikin MUHIMMAN GARGADI da KYAUTA NA MUSAMMAN, kira likitan ku nan da nan:
• Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

Carbamazepine na iya haifar da halayen rashin lafiyar da ke barazanar rayuwa da ake kira Stevens-Johnson syndrome (SJS) ko epidermal necrolysis mai guba (TEN). Wadannan halayen rashin lafiyar na iya haifar da mummunar lahani ga fata da gabobin ciki. Haɗarin SJS ko GOMA shine mafi girma a cikin mutanen asalin Asiya waɗanda ke da halayen haɗari (gado). Idan kai Asiya ne, likitanka galibi zai ba da umarnin gwaji don ganin ko kuna da matsalar haɗarin kwayar halitta kafin yin odar carbamazepine. Idan baku da wannan matsalar haɗarin kwayoyin, likitanku na iya ba da umarnin carbamazepine, amma har yanzu akwai ƙaramin haɗarin da za ku ci gaba SJS ko TEN. Kira likitanku nan da nan idan kun sami ciwo mai zafi, amya, ɓarna ko ɓarkewar fata, rauni mai sauƙi, ciwon baki, ko zazzabi yayin jiyya tare da carbamazepine. Ciwo na Stevens-Johnson ko cututtukan epidermal mai haɗari yawanci yakan faru ne a cikin fewan watannin farko na magani tare da carbamazepine.

Carbamazepine na iya rage adadin ƙwayoyin jinin da jikin ku yake samarwa. A cikin wasu lamura da ba kasafai ake samun su ba, yawan kwayoyin halittar jini na iya raguwa yadda ya kamata don haifar da matsaloli ko kuma barazanar rayuwa. Faɗa wa likitanka idan ka taɓa samun baƙin ciki na ƙashi (rage adadin ƙwayoyin jini) ko duk wata cuta ta jini, musamman ma idan wani magani ne ya haifar da ita. Idan kun ji daya daga cikin wadannan alamun, ku kira likitan ku nan da nan: ciwon makogaro, zazzabi, sanyi, ko wasu alamomin kamuwa da cuta waɗanda ke zuwa ko ba su tafi; rashin numfashi; gajiya; zubar jini ko rauni kamar jinin haila mai nauyi, zubar jini a hanci, ko kuma gumis na jini; kananan jajayen launuka masu launin shuɗi ko shunayya ko tabo a fata; ko ciwon baki ..

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitanku zai ba da umarnin wasu gwaje-gwajen gwaje-gwaje a gabanin da yayin jiyya don bincika martanin jikinku ga carbamazepine.

Likitan ku ko likitan magunguna zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) lokacin da kuka fara magani tare da carbamazepine kuma duk lokacin da kuka sake cika takardar sayan magani. Karanta bayanan a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi. Hakanan zaka iya ziyarci gidan yanar gizon Abincin da Magunguna (FDA) (http://www.fda.gov/Drugs) ko gidan yanar gizon masana'anta don samun Jagoran Magunguna.

Ana amfani da Carbamazepine shi kaɗai ko a hade tare da wasu magunguna don sarrafa wasu nau'ikan kamala a cikin mutanen da ke fama da cutar farfadiya. Hakanan ana amfani dashi don magance ƙananan ƙwayoyin cuta (yanayin da ke haifar da ciwon jijiya na fuska). Ana amfani da capsules mai yaduwa na Carbamazepine (alama ce ta Equetro kawai) don magance lokuttan mania (frenzied, mummunan tashin hankali ko yanayin haushi) ko ɓangarorin haɗuwa (alamun cututtukan mania da ɓacin rai da ke faruwa a lokaci guda) a cikin marasa lafiya da ke fama da cutar bipolar I ( cututtukan manic-depressive; cutar da ke haifar da aukuwa na ɓacin rai, aukuwa na mania, da sauran yanayi mara kyau). Carbamazepine yana cikin rukunin magungunan da ake kira anticonvulsants. Yana aiki ne ta hanyar rage aikin lantarki mara kyau a cikin kwakwalwa.

Carbamazepine ya zo ne a matsayin kwamfutar hannu, ƙaramin abu mai ɗanɗano, ƙara-saki (ƙara-aiki) kwamfutar hannu, ƙaramin fitowar kwantena, kuma azaman dakatarwa (ruwa) ɗauka da baki. Ana amfani da kwamfutar hannu na yau da kullun, ƙaramin tabarau, da dakatarwa sau biyu zuwa huɗu a rana tare da abinci. Ana ɗaukar kwamfutar hannu mai ƙarawa (Tegretol XR) sau biyu a rana tare da abinci. Capwafin sakin-fitarwa (Carbatrol, Equetro) yawanci ana ɗauka sau biyu a rana tare da ko ba tare da abinci ba. Don taimaka muku tuna ɗaukar carbamazepine, ɗauka a kusan lokaci ɗaya kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Carauki carbamazepine daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.

Haɗa allunan da aka faɗaɗa gaba ɗaya; kada ku rarraba, ku tauna, ko murkushe su. Mayila za a buɗe kawunansu da aka faɗaɗa kuma a yayyafa ƙulle-ƙullen da ke ciki a cikin abinci, kamar ƙaramin teaspoon na applesauce ko abinci makamancin haka. Kada a murkushe ko cinta daɗaɗan sako-sako da kwalliya ko kumburi a cikinsu.

Girgiza dakatarwar sosai kafin kowane amfani don haɗa magungunan daidai.

Likitanku zai fara muku kan ƙananan ƙwayar carbamazepine kuma a hankali ku ƙara yawan kuzarinku.

Carbamazepine na iya taimakawa wajen sarrafa yanayinka amma ba zai warkar da shi ba. Yana iya ɗaukar weeksan makonni ko mafi tsayi kafin ku ji cikakken amfanin carbamazepine. Ci gaba da shan carbamazepine koda kuna jin lafiya. Kada ka daina shan carbamazepine ba tare da yin magana da likitanka ba, koda kuwa kuna fuskantar lahani kamar sauye-sauye na ɗabi'a ko yanayi. Idan kana fama da matsalar kamuwa da cuta kuma kwatsam ka daina shan carbamazepine, kamuwa da cutar na iya zama mafi muni. Kila likitanku zai iya rage yawan ku a hankali.

Hakanan ana amfani da Carbamazepine a wasu lokuta don magance cututtukan ƙwaƙwalwa, ɓacin rai, rikicewar damuwa bayan tashin hankali, shan ƙwayoyi da shan giya, cututtukan ƙafafu marasa ƙarfi, ciwon sukari insipidus, wasu cututtukan ciwo, da cuta a cikin yara da ake kira chorea. Yi magana da likitanka game da yiwuwar haɗarin amfani da wannan magani don yanayinku.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan carbamazepine,

• gaya wa likitan ku da likitan ku idan kun kasance masu rashin lafiyan (kurji, haushi, kumburi, wahalar haɗiye ko numfashi, kumburin fuskarku, idanunku, fatar ido, lebe, ko harshe) zuwa carbamazepine, amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), oxcarbazepine (Trileptal), protriptyline (Vivactil), sauran magunguna na kamuwa kamar su phenobarbital, phenytoin (Dilantin, Pheny) Mysoline), duk wasu magunguna, ko kowane irin kayan haɗin cikin shirye-shiryen carbamazepine. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
• gaya wa likitanka idan kana shan nefazadone ko wasu masu hana hana yaduwar kwayar halitta (NNRTIs) kamar su delavirdine (Rescriptor). Kila likitanku zai gaya muku kar ku ɗauki carbamazepine tare da waɗannan magunguna. Har ila yau, gaya wa likitanka idan kana shan mai hana maganin monoamine oxidase (MAO) kamar isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), da tranylcypromine (Parnate) , ko kuma idan ka daina shan mai hana MAO a cikin kwanakin 14 da suka gabata. Kila likitanku zai gaya muku kar ku ɗauki carbamazepine. Idan ka daina shan carbamazepine, ya kamata ka jira aƙalla kwanaki 14 kafin ka fara ɗaukar mai hana MAO.
• gaya wa likitanka da likitan kantin ku wasu irin takaddun magani da magunguna marasa magani, bitamin, da kayan abinci mai gina jiki da kuke sha ko shirin sha. Tabbatar da ambaci kowane ɗayan masu zuwa: acetaminophen (Tylenol); acetazolamide (Diamox); albendazole (Albenza); alprazolam (Panax); aminophylline; maganin hana yaduwar jini (‘masu kara jini)’ kamar su apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban (Xarelto), da warfarin (Coumadin, Jantoven); antidepressants kamar amitriptyline (Elavil), bupropion (Wellbutrin, Zyban), buspirone (BuSpar), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), fluvoxamineta (Luvox) ), nortriptyline (Pamelor); antifungals kamar su fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, da voriconazole (Vfend); aprepitant (Emend); aripiprazole (Abilify); buprenorphine (Butrans, Sublocade); fashewa (Aplenzin, Wellbutrin, Zyban); cimetidine (Tagamet); ciprofloxacin; cisplatin (Platinol); corticosteroids kamar dexamethasone da prednisolone (Prelone); clarithromycin (Biaxin, a cikin Prevpac); clonazepam (Klonopin); clozapine (Clozaril); cyclophosphamide; cyclosporine (Gengraf, Neoral, Sandimmune); dalfopristin da quinupristin (Synercid); danazol (Danocrine); dantrolene (Dantrium); diltiazem (Cardizem, Diltzac, Tiazac, wasu); diuretics (kwayoyin kwayoyi); doxorubicin (Adriamycin, Rubex); doxycycline (Vibramycin); erythromycin (E.E.S., E-Mycin, Erythrocin); eslicarbazepine (Aptiom); everolimus (Afinitor, Zortress); felodipine (Plendil); haloperidol (Haldol); Masu hana yaduwar kwayar cutar HIV ciki har da atazanavir (Reyataz), indinavir (Crixivan), lopinavir (a Kaletra), nelfinavir (Viracept), ritonavir (Norvir, a cikin Kaletra), da saquinavir (Fortovase, Invirase); ibuprofen (Advil); imatinib (Gleevec); isoniazid (INH, Laniazid, a cikin Rifater); levothyroxine (Levoxyl, Synthroid); lithium (Lithobid); loratadine (Claritin); lorazepam (Ativan); loxapine (Adasuve); wasu magunguna don magance zazzabin cizon sauro kamar chloroquine (Aralen) da mefloquine; magunguna don damuwa ko rashin tabin hankali; wasu magunguna don kamuwa kamar ethosuximide (Zarontin), felbamate (Felbatol), fosphenytoin (Cerebyx); lamotrigine (Lamictal), methsuximide (Celontin), oxcarbazepine (Trileptal), phenobarbital, phensuximide (Milontin) (babu a Amurka), phenytoin (Dilantin, Phenytek), primidone (Mysoline), tiagabine (Gabitrilama) , da kuma valproic acid (Depakene, Depakote); lapatinib; methadone (Dolophine, Methadose); midazolam; niacinamide (nicotinamide, Vitamin B3); olanzapine; omeprazole; oxybutynin; propoxyphene (Darvon); praziquantel (Biltricide); quetiapine; quinine; rifampin (Rifadin, Rimactane); risperidone; masu kwantar da hankali; sertraline (Zoloft); sirolimus; kwayoyin bacci; tacrolimus (Prograf); tadalafil (Adcirca, Cialis); temsirolimus (Torisel); terfenadine (Seldane) (babu a Amurka); theophylline (Theo-24, Theochron, wasu); ticlopidine; tramadol (Ultram); abubuwan kwantar da hankali; trazodone; troleandomycin (TAO); verapamil (Calan, Verelan); zileuton (Zyflo); ziprasidone (Geodon), da zonisamide (Zonegran). Sauran magunguna da yawa na iya ma'amala da carbamazepine, don haka tabbatar da gaya wa likitanka game da duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba. Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa.
• idan kuna shan wasu magungunan ruwa, kada ku sha su a lokaci guda kamar dakatarwar carbamazepine.
• gaya wa likitanka idan kana da ko ka taba yin glaucoma (yanayin da karin matsi a ido ke haifar da rashin gani a hankali); ko zuciya, koda, thyroid, ko ciwon hanta.
• Ya kamata ku sani cewa carbamazepine na iya rage tasirin maganin hana daukar ciki na ciki (kwayoyin hana haihuwa, faci, zobba, allura, kayan ciki, ko kuma kayan ciki). Yi amfani da wani nau'in kulawar haihuwa yayin shan carbamazepine. Faɗa wa likitanka idan kana jinni na farji ko ba tsammani za ka iya ɗaukar ciki yayin shan carbamazepine.
• gaya wa likitanka idan kana da juna biyu, ka shirya yin ciki, ko kuma kana shayarwa. Carbamazepine na iya cutar da ɗan tayi. Idan kayi ciki yayin shan carbamazepine, kira likitanka kai tsaye.
• idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa kuna shan carbamazepine.
• ya kamata ku sani cewa carbamazepine na iya sa ku bacci. Kada ku tuƙa mota ko kuyi aiki da injina har sai kun san yadda wannan magani yake shafar ku.
• tuna cewa barasa na iya karawa cikin barcin da wannan magani ya haifar.
• ya kamata ku sani cewa lafiyar hankalinku na iya canzawa ta hanyoyin da ba zato ba tsammani kuma kuna iya zama kunar bakin wake (tunani game da cutar ko kashe kanku ko shiryawa ko ƙoƙarin yin hakan) yayin da kuke shan carbamazepine don maganin farfadiya, cutar tabin hankali, ko wasu yanayi. Numberananan manya da yara masu shekaru 5 zuwa sama (kusan 1 a cikin mutane 500) waɗanda suka ɗauki ƙwayoyin cuta kamar su carbamazepine don magance yanayi daban-daban yayin karatun asibiti sun zama masu kashe kansu yayin jiyyarsu. Wasu daga cikin waɗannan mutane sun haɓaka tunani da halaye na kisan kai tun farkon mako ɗaya bayan sun fara shan magani. Akwai haɗarin da za ku iya fuskantar canje-canje a cikin lafiyar hankalinku idan kuka sha magani mai rikitarwa kamar carbamazepine, amma kuma akwai yiwuwar ku fuskanci canje-canje a cikin lafiyar hankalinku idan ba a kula da yanayinku ba. Kai da likitanku za ku yanke shawara ko haɗarin shan magani mai hana cin hanci ya fi haɗarin rashin shan shan magani. Ku, danginku, ko mai kula da ku ya kamata ku kira likitanku nan da nan idan kun sami ɗayan waɗannan alamun bayyanar: hare-haren tsoro; tashin hankali ko rashin nutsuwa; sabo ko damuwa da damuwa, damuwa, ko damuwa; yin aiki a kan haɗari masu haɗari; wahalar faduwa ko bacci; m, fushi, ko tashin hankali; mania (frenzied, yanayi mai ban sha'awa); magana ko tunani game da son cutar da kanku ko kawo ƙarshen rayuwarku; janyewa daga abokai da dangi; shagaltarwa da mutuwa da mutuwa; bayar da abubuwa masu tamani; ko wani canje-canje na daban na ɗabi'a ko yanayi. Tabbatar cewa danginku ko mai ba da kulawa sun san ko wane irin alamun cutar na iya zama mai tsanani saboda haka za su iya kiran likita idan ba za ku iya neman magani da kanku ba.
• idan kuna da rashin haƙuri na fructose (yanayin gado wanda jiki ba shi da furotin da ake buƙata don lalata fructose [ɗan itacen sukari da aka samo a cikin wasu kayan zaƙi irin su sorbitol]), ya kamata ku sani cewa dakatar da bakin yana da daɗi tare da sorbitol. Faɗa wa likitanka idan kana da haƙuri na fructose.

Yi magana da likitanka game da cin ɗanyen inabi ko shan ruwan anab yayin shan wannan magani.

Doseauki kashi da aka rasa da zarar kun tuna shi. Koyaya, idan ya kusan zuwa lokaci na gaba, tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa.

Carbamazepine na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

• jiri
• tunanin mahaukaci
• wahalar magana
• girgizawar wani sashi na jiki
• maƙarƙashiya
• bushe baki

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun alamun ko waɗanda aka lissafa a cikin MUHIMMAN GARGADI da KYAUTA NA MUSAMMAN, kira likitan ku nan da nan:

• rikicewa
• kurji
• da sauri, a hankali, ko bugawar bugun zuciya
• rawaya fata ko idanu
• fitsari mai duhu
• zafi a gefen dama na yankinku na ciki
• rasa ci
• tashin zuciya
• amai
• hangen nesa ya canza
• gajiya
• kumburin fuskarka, idanunka, fatar ido, lebe, ko harshenka
• wahalar haɗiye ko numfashi
• ciwon kai, sabon ko ƙara yawan kamuwa, wahala mai da hankali, rikicewa, rauni, ko rashin ƙarfi
• mummunan rash tare da ɗaya ko fiye na masu zuwa: zazzabi, tsoka ko haɗin gwiwa, idanuwa ja ko kumbura, kumbura ko fatar jiki, ciwon baki, ko kumburin fuskarka ko wuyanka

Carbamazepine na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin shan wannan magani.

Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Ajiye shi a zafin jiki na ɗaki, nesa da haske, yawan zafin rana da danshi (ba cikin gidan wanka ba).

Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org

Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.

Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

• suma
• kamuwa
• rashin natsuwa
• juyawar tsoka
• motsi mara kyau
• girgiza wani sashi na jikinku wanda ba za ku iya sarrafawa ba
• rashin kwanciyar hankali
• bacci
• jiri
• hangen nesa ya canza
• rashin daidaituwa ko jinkirin numfashi
• saurin bugun zuciya
• tashin zuciya
• amai
• matsalar yin fitsari

Kafin yin gwajin gwaji, gaya wa likitanku da ma'aikatan dakin gwaje-gwajen cewa kuna shan carbamazepine.

Carbamazepine na iya tsoma baki tare da sakamakon gwajin ciki na gida. Yi magana da likitanka idan kuna tsammanin kuna iya yin ciki yayin shan carbamazepine. Kada kayi ƙoƙarin gwadawa don ɗaukar ciki a gida.

Tabletwayar da aka ƙara ba ta narkewa a cikin ciki bayan haɗiya ba. Yana fitar da magani a hankali yayin da yake ratsa tsarin narkewar abincinku. Kuna iya lura da murfin kwamfutar hannu a cikin kujerun ku.

Kar ka bari wani ya sha maganin ka. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

• Carbatrol^®
• Epitol^®
• Equetro^®
• Tegretol^®
• Tegretol^®-XR