Lamotrigine, Rubutun baka

Wadatacce

• Gargaɗi masu mahimmanci
• Gargadin FDA
  
• Sauran gargadi
• Menene lamotrigine?
• Me yasa ake amfani dashi
• Yadda yake aiki
• Lamotrigine sakamako masu illa
• Commonarin sakamako masu illa na kowa
• M sakamako mai tsanani
• Lamotrigine na iya ma'amala da wasu magunguna
• Magungunan rigakafin
• Magungunan cututtukan zuciya
• Magungunan HIV
• Maganin hana haihuwa na baka
• Maganin tarin fuka
• Gargadin Lamotrigine
• Gargadi game da rashin lafiyan
• Gargadi ga mutanen da ke da wasu yanayin lafiya
• Gargadi ga wasu kungiyoyi
• Yadda ake shan lamotrigine
• Magungunan ƙwayoyi da ƙarfi
• Sashi don kamuwa da mutane tare da farfadiya
• Sashi don rashin lafiya
• Dosididdigar sashi na musamman
• Gargadin Yanayi
• Asauki kamar yadda aka umurta
• Muhimman ra'ayoyi don shan lamotrigine
• Janar
• Ma'aji
• Sake cikawa
• Tafiya
• Gudanar da kai
• Kulawa da asibiti
• Samuwar
• Kafin izini
• Shin akwai wasu hanyoyi?

Karin bayanai ga lamotrigine

1. Lamotrigine na baka ana samunsa azaman magunguna masu suna da kuma na kwayoyi. Sunan sunayen: Lamictal, Lamictal XR, Lamictal CD, kuma Lamictal ODT.
2. Lamotrigine yazo da nau'i huɗu: fitarwa na kano kai tsaye, da na baka da aka saki, da allunan baka na taunawa, da allunan da ke tarwatsewa da baki (ana iya narkar da shi a kan harshe).
3. Lamotrigine na baka kwamfutar hannu magani ne da ake amfani dashi don magance wasu nau'ikan kamala a cikin mutanen da ke fama da cutar farfadiya. Hakanan ana amfani dashi don magance cututtukan bipolar.

Gargaɗi masu mahimmanci

Gargadin FDA

• Wannan magani yana da gargaɗin akwatin baƙar fata. Wannan shine gargadi mafi tsanani daga Hukumar Abinci da Magunguna (FDA). Gargadi mai baƙar gargaɗi yana faɗakar da likitoci da majiyyata game da tasirin ƙwayoyi waɗanda na iya zama haɗari.
• Rushewar rai: Wannan magani na iya haifar da ƙarancin rasushi amma mai tsanani wanda zai iya zama barazanar rai. Wadannan rashes na iya faruwa a kowane lokaci, amma suna iya faruwa a farkon makonni biyu zuwa takwas na fara wannan maganin. Kar ka ƙara sashi na wannan magani da sauri fiye da yadda likitanka ya gaya maka. Kwararka na iya dakatar da shan wannan magani a farkon alamar rash.

Sauran gargadi

• Rashin haɗarin tsarin rigakafin rai: A cikin al'amuran da ba safai ba, wannan magani na iya haifar da mummunan tasirin garkuwar jiki da ake kira hemophagocytic lymphohistiocytosis (HLH). Wannan aikin yana haifar da mummunan kumburi a cikin jiki duka, kuma ba tare da saurin magani ba, yana iya haifar da mutuwa. Alamomin gama gari sun hada da zazzabi, kurji, da faɗaɗa ƙwayoyin lymph, hanta, da baƙin ciki. Hakanan sun haɗa da rage ƙididdigar ƙwayoyin jini, rage aikin hanta, da matsalolin ƙulla jini.
• Gargaɗi game da lalacewa: Wannan magani na iya haifar da matsala mai tsanani ga wasu sassan jikin ku. Waɗannan sun haɗa da hanta da ƙwayoyin jininka.
• Gargadin kashe kansa: Wannan magani na iya haifar da tunanin cutar da kanku. Kira likitan ku idan kun lura da canje-canje kwatsam a cikin yanayin ku, halaye, tunani, ko jin daɗin ku.

Menene lamotrigine?

Lamotrigine magani ne na magani. Ya zo a siffofi huɗu waɗanda za a sha ta baki (da baki): a kai-tsaye a saki allunan baka, a ci gaba da sako-sako da allunan, da allunan baka da za a iya taunawa, da kuma allunan da ke tarwatsewa da baki (ana iya narkar da shi a kan harshen)

Ana samun Lamotrigine azaman magunguna masu ɗauke da suna Lamictal, Lamictal XR (fadada-saki), Lamictal CD (taunawa), kuma Lamictal ODT (narkewa akan harshe). Har ila yau, ana samun shi azaman magunguna na asali. Magungunan ƙwayoyi yawanci suna cin ƙasa da sifofin iri-iri. A wasu lokuta, maiyuwa ba za a same su a cikin kowane ƙarfi ko tsari ba a matsayin magungunan ƙwayoyi-iri.

Ana iya amfani da Lamotrigine a zaman ɓangare na haɗin haɗin gwiwa. Wannan yana nufin cewa kuna iya buƙatar ɗauka tare da wasu magunguna.

Me yasa ake amfani dashi

Ana amfani da Lamotrigine don magance wasu nau'ikan kamala a cikin mutanen da ke fama da cutar farfadiya. Ana iya amfani dashi a haɗe tare da wasu magunguna masu ƙyama. Ko ana iya amfani dashi shi kaɗai yayin sauyawa daga wasu magunguna masu ƙyama.

Lamotrigine ana amfani dashi don maganin dogon lokaci na rashin lafiyar yanayi da ake kira bipolar disorder. Tare da wannan yanayin, mutum yana da matsanancin motsin rai da ƙasa.

Yadda yake aiki

Lamotrigine yana cikin rukunin magungunan da ake kira anticonvulsants ko antiepileptic drugs (AEDs). Ajin magunguna wani rukuni ne na magunguna waɗanda ke aiki iri ɗaya. Ana amfani da waɗannan magungunan don magance irin wannan yanayin.

Ga mutanen da ke fama da cutar farfadiya, wannan magani yana rage sakin abu a cikin kwakwalwarku da aka sani da suna 'glutamate'. Wannan aikin yana hana ƙananan jijiyoyin cikin kwakwalwar ku yin aiki sosai. A sakamakon haka, ƙila ku sami raguwa kaɗan.

Ga mutanen da ke fama da rashin lafiya, wannan magani na iya shafar wasu masu karɓa a cikin kwakwalwarka waɗanda ke taimakawa sarrafa yanayinku. Wannan na iya rage adadin aukuwa na yanayi da kuke dashi.

Lamotrigine sakamako masu illa

Lamotrigine na baka na iya haifar da bacci. Kada ku tuƙi, yi amfani da injina masu nauyi, ko kuma yin wasu abubuwa masu haɗari har sai kun san yadda wannan maganin ya shafe ku.

Lamotrigine kuma na iya haifar da wasu sakamako masu illa.

Commonarin sakamako masu illa na kowa

Abubuwan da ke faruwa na yau da kullun waɗanda zasu iya faruwa tare da amfani da lamotrigine sun haɗa da:

• jiri
• bacci
• ciwon kai
• gani biyu
• hangen nesa
• tashin zuciya da amai
• gudawa
• ciwon ciki
• matsala tare da daidaito da daidaito
• matsalar bacci
• ciwon baya
• cushe hanci
• ciwon wuya
• bushe baki
• zazzaɓi
• kurji
• rawar jiki
• damuwa

Idan waɗannan tasirin ba su da sauƙi, suna iya wucewa cikin fewan kwanaki kaɗan ko makonni biyu. Idan sun fi tsanani ko kuma basu tafi ba, yi magana da likitanka ko likitan magunguna.

M sakamako mai tsanani

Kira likitanku nan da nan idan kuna da mummunar illa. Kira 911 idan alamunku suna jin barazanar rai ko kuma idan kuna tunanin kuna samun gaggawa na likita. M sakamako masu illa da alamomin su na iya haɗawa da masu zuwa:

• Rasananan cututtukan fata da ake kira cututtukan Stevens-Johnson da cututtukan epidermal necrolysis masu guba. Kwayar cutar na iya haɗawa da:
  • blistering ko peeling na fata
  • amya
  • kurji
  • ciwo mai zafi a bakinka ko kewaye idanunka
• Perswayar ƙwayoyin cuta da yawa, wanda kuma ake kira maganin ƙwayoyi tare da eosinophilia da alamun cututtuka na jiki (DRESS). Kwayar cutar na iya haɗawa da:
  • zazzaɓi
  • kurji
  • kumburin lymph gland
  • ciwon tsoka mai tsanani
  • m cututtuka
  • kumburin fuskarka, idanunka, lebenka, ko harshenka
  • raunana ko jini
  • rauni ko kasala
  • raunin fata ko farin ɓangaren idanunka
• Cellananan ƙwayoyin jini suna ƙidaya. Kwayar cutar na iya haɗawa da:
  • gajiya
  • rauni
  • yawan kamuwa da cuta ko kamuwa da cuta wanda ba zai tafi ba
  • rauni da ba a bayyana ba
  • zubar hanci
  • zubar jini daga gumis
• Canje-canje a yanayi ko ɗabi'a. Kwayar cutar na iya haɗawa da:
  • tunanin kashe kanka
  • ƙoƙarin cutar da kai ko kashe kanka
  • baƙin ciki ko damuwa wanda yake sabo ko ya ƙara muni
  • rashin natsuwa
  • firgita
  • matsalar bacci
  • fushi
  • m ko tashin hankali hali
  • crankiness da ke sabo ko ta zama mafi muni
  • halayyar haɗari ko motsawa
  • matsanancin ƙaruwa cikin aiki da magana
• Aseptic meningitis (ƙonewa daga cikin membrane wanda ke rufe kwakwalwar ku da laka). Kwayar cutar na iya haɗawa da:
  • ciwon kai
  • zazzaɓi
  • tashin zuciya da amai
  • m wuya
  • kurji
  • kasancewa mafi saurin haske fiye da yadda aka saba
  • tsoka
  • jin sanyi
  • rikicewa
  • bacci
• Hemophagocytic lymphohistiocytosis (HLH, mai barazanar barazanar garkuwar jiki). Kwayar cutar na iya haɗawa da:
  • babban zazzaɓi, yawanci sama da 101 ° F
  • kurji
  • kara narkarda lymph

Bayanin sanarwa: Manufarmu ita ce samar muku da mafi dacewa da bayanin yanzu. Koyaya, saboda ƙwayoyi suna shafar kowane mutum daban, ba zamu iya ba da tabbacin cewa wannan bayanin ya haɗa da duk illa mai yuwuwa ba. Wannan bayanin baya maye gurbin shawarar likita. Koyaushe ku tattauna yiwuwar illa tare da mai ba da lafiya wanda ya san tarihin lafiyar ku.

Lamotrigine na iya ma'amala da wasu magunguna

Lamotrigine na baka na iya hulɗa tare da wasu magunguna, bitamin, ko ganye da zaku iya sha. Saduwa shine lokacin da abu ya canza yadda magani yake aiki. Wannan na iya zama cutarwa ko hana miyagun ƙwayoyi yin aiki da kyau.

Don taimakawa kauce wa ma'amala, likitanku ya kamata ya sarrafa duk magungunan ku a hankali. Tabbatar da gaya wa likitanka game da duk magunguna, bitamin, ko tsire-tsire da kuke sha. Don gano yadda wannan magani zai iya hulɗa tare da wani abu da kuke ɗauka, yi magana da likitanku ko likitan magunguna.

Misalan magunguna waɗanda zasu iya haifar da ma'amala da lamotrigine an jera su a ƙasa.

Magungunan rigakafin

Shan wasu magungunan hana yaduwa tare da lamotrigine na iya rage matakin lamotrigine a jikinka. Wannan na iya shafar yadda lamotrigine ke aiki sosai. Misalan waɗannan kwayoyi sun haɗa da:

• carbamazepine
• hanadarin
• primidone
• phenytoin

- mai amfani, a gefe guda, na iya ɗaga matakin lamotrigine a jikinka. Wannan na iya haifar da ƙarin illolin da ke iya zama haɗari.

Magungunan cututtukan zuciya

Dofetilide ana amfani dashi don magance cututtukan zuciya. Lokacin amfani da lamotrigine, matakan dofetilide a jikinku na iya ƙaruwa. Wannan na iya haifar da mummunan tashin hankali.

Magungunan HIV

Shan lamotrigine tare da wasu kwayoyi da ake amfani dasu don magance cutar kanjamau na iya rage matakin lamotrigine a jikinka. Wannan na iya shafar yadda lamotrigine ke aiki sosai. Misalan waɗannan kwayoyi sun haɗa da:

• lopinavir / ritonavir
• atazanavir / ritonavir

Maganin hana haihuwa na baka

Shan lamotrigine tare da hada magungunan hana daukar ciki (wadanda ke dauke da sinadarin estrogen da progesterone) na iya rage matakin lamotrigine a jikinka. Wannan na iya shafar yadda lamotrigine ke aiki sosai.

Maganin tarin fuka

Rifampin ana amfani dashi don magance tarin fuka. Idan ana amfani dashi da lamotrigine, zai iya rage matakin lamotrigine a jikinka. Wannan na iya shafar yadda lamotrigine ke aiki da kyau.

Bayanin sanarwa: Manufarmu ita ce samar muku da mafi dacewa da bayanin yanzu. Koyaya, saboda ƙwayoyi suna ma'amala daban-daban a cikin kowane mutum, baza mu iya ba da tabbacin cewa wannan bayanin ya haɗa da duk wata hulɗa mai yiwuwa ba. Wannan bayanin baya maye gurbin shawarar likita. Yi magana koyaushe tare da mai ba da sabis na kiwon lafiya game da yiwuwar hulɗa tare da duk magungunan ƙwayoyi, bitamin, ganye da kari, da kuma kantattun magungunan da kuke sha.

Gargadin Lamotrigine

Wannan magani ya zo tare da gargaɗi da yawa.

Gargadi game da rashin lafiyan

Wannan magani na iya haifar da mummunan rashin lafiyar. Kwayar cutar na iya haɗawa da:

• kurji
• matsalar numfashi
• kumburin fuskarka, makogwaro, harshe
• amya
• ƙaiƙayi
• m ciwo a bakinka

Idan ka ci gaba da waɗannan alamun, kira 911 ko je dakin gaggawa mafi kusa.

Kada ku sake shan wannan magani idan kun taɓa samun rashin lafiyan abu game da shi. Dauke shi kuma na iya zama sanadin mutuwa (sanadin mutuwa).

Gargadi ga mutanen da ke da wasu yanayin lafiya

Ga mutanen da ke da cutar hanta: Wannan maganin yana aiki ta hanta. Idan hanta ba ta aiki sosai, yawancin ƙwayoyi na iya zama cikin jikinka tsawon lokaci. Wannan yana sanya ka cikin haɗari don ƙarin tasirin sakamako. Kwararka na iya rage sashinka na wannan magani.

Ga mutanen da ke da cutar koda: Wannan ƙwayar an cire ku daga jikin ku ta koda. Idan kodanku ba sa aiki da kyau, yawancin ƙwayoyi na iya zama cikin jikinku tsawon lokaci. Wannan yana jefa ka cikin haɗarin ƙaruwa. Kwararka na iya rage sashinka na wannan magani. Idan matsalolin koda sun kasance masu tsanani, likitanku na iya dakatar da amfani da wannan magani, ko kuma ba zai rubuta shi kwata-kwata ba.

Gargadi ga wasu kungiyoyi

Ga mata masu ciki: Wannan magani ne nau'in C na maganin ciki. Wannan yana nufin abubuwa biyu:

1. Bincike a cikin dabbobi ya nuna mummunan sakamako ga ɗan tayin lokacin da mahaifiyarsa ta sha ƙwaya.
2. Babu cikakken karatun da aka yi a cikin mutane don tabbatar da yadda maganin zai iya shafan ɗan tayi.

Yi magana da likitanka idan kana da ciki ko shirin yin ciki. Ya kamata a yi amfani da wannan maganin ne kawai idan fa'idar da ke tattare da ita ta ba da damar haɗarin.

Idan kun yi ciki yayin shan wannan magani, kira likitanku nan da nan.

Ga matan da ke shayarwa: Wannan magani yana nan a cikin madara nono kuma yana iya haifar da mummunar illa ga yaron da aka shayar. Faɗa wa likitanka idan kana shayar da yaro nono. Tambayi game da hanya mafi kyau don ciyar da yaro yayin da kuke kan wannan magani.

Idan kun shayar yayin shan wannan magani, ku kula da yaranku sosai. Bincika alamun bayyanar cututtuka kamar matsalar numfashi, lokuta na ɗan lokaci lokacin da numfashi ya tsaya, matsanancin bacci, ko tsotsa mai kyau. Kira likitan yaron ku nan da nan idan ɗayan waɗannan alamun sun faru.

Ga yara: Ba a san shi ba idan fitowar nan take ta wannan magani ta kasance mai lafiya da tasiri don magance ɓarna a cikin yara ƙanana da shekaru 2. Hakanan ba a san shi idan sigar da aka bazu na wannan magani tana da aminci da tasiri ga yara ƙanana da shekaru 13.

Bugu da ƙari, ba a san shi ba idan fitowar nan take ta wannan magani tana da lafiya kuma tana da tasiri don magance cututtukan bipolar a cikin yara ƙanana da shekaru 18.

Yadda ake shan lamotrigine

Duk yiwuwar sashi da siffofin magani ba za a haɗa su nan ba. Sashin ku, tsari, da kuma sau nawa kuke shan magani zai dogara ne akan:

• shekarunka
• halin da ake ciki
• tsananin yanayinka
• wasu yanayin lafiyar da kake da su
• yadda kake amsawa ga maganin farko

Magungunan ƙwayoyi da ƙarfi

Na kowa: Lamotrigine

• Form: bakin kwamfutar hannu
• Sarfi: 25 mg, 50 mg, 100 mg, 150 mg, 200 MG
• Form: chewable kwamfutar hannu
• Sarfi: 2 MG, 5 MG, 25 MG
• Form: tabletwayar tarwatsewa ta baki (ana iya narkar da shi a kan harshe)
• Sarfi: 25 MG, 50 MG, 100 MG, 200 MG
• Form: Fadada-sakin kwamfutar hannu
• Sarfi: 25 mg, 50 mg, 100 mg, 200 mg, 250 mg, 300 MG

Alamar: Lamictal

• Form: bakin kwamfutar hannu
• Sarfi: 25 MG, 100 MG, 150 MG, 200 MG

Alamar: Lamictal CD

• Form: chewable kwamfutar hannu
• Sarfi: 2 MG, 5 MG, 25 MG

Alamar: Lamictal ODT

• Form: tabletwayar tarwatsewa ta baki (ana iya narkar da shi a kan harshe)
• Sarfi: 25 MG, 50 MG, 100 MG, 200 MG

Alamar: Lamictal XR

• Form: Fadada-sakin kwamfutar hannu
• Sarfi: 25 mg, 50 mg, 100 mg, 200 mg, 250 mg, 300 MG

Sashi don kamuwa da mutane tare da farfadiya

Sashi na manya (shekaru 18-64)

Sanarwa ta gaba-da-gaba (allunan, allunan da za'a iya taunawa, da lalata kwayoyi da baki)

• Shan tare da valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 25auki MG 25 kowace rana.
  • Makon 5 gaba: Kwararka zai kara yawan maganin ka ta hanyar 25-50 MG sau ɗaya a rana kowace mako ɗaya zuwa biyu.
  • Kulawa: 100auki 100-400 MG kowace rana.
• KADA KA SHAN carbamazepine, phenytoin, phenobarbital, primidone, ko valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 50auki MG 50 kowace rana.
  • Makon 5 gaba: Kwararka zai kara yawan maganin ka ta 50 MG sau ɗaya a rana kowane ɗaya zuwa makonni biyu.
  • Kulawa: Mgauki 225-375 MG kowace rana, a cikin kashi biyu raba biyu.
• DAUKAN carbamazepine, phenytoin, phenobarbital, ko primidone kuma KADA KYAU valproate:
  • Makonni 1-2: 50auki MG 50 kowace rana.
  • Makonni 3-4: 100auki 100 MG kowace rana, a cikin kashi biyu da aka raba.
  • Makon 5 gaba: Kwararka zai kara yawan maganin ka ta hanyar 100 MG sau ɗaya a rana kowace ɗaya zuwa makonni biyu.
  • Kulawa: 300auki 300-500 MG kowace rana, a cikin kashi biyu raba biyu.

Releaseaddamarwar-fitarwa (allunan)

• Shan tare da valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 25auki MG 25 kowace rana.
  • Makon 5: 50auki MG 50 kowace rana.
  • Makon 6: 100auki MG 100 kowace rana.
  • Makon 7: 150auki MG 150 kowace rana.
  • Kulawa: 200auki 200-250 MG kowace rana.
• KADA KA SHAN carbamazepine, phenytoin, phenobarbital, primidone, ko valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 50auki MG 50 kowace rana.
  • Makon 5: 100auki MG 100 kowace rana.
  • Makon 6: 150auki MG 150 kowace rana.
  • Makon 7: 200auki 200 MG kowace rana.
  • Kulawa: 300auki 300-400 MG kowace rana.
• DAUKAN carbamazepine, phenytoin, phenobarbital, ko primidone kuma KADA KA ɗauka valproate:
  • Makonni 1-2: 50auki MG 50 kowace rana.
  • Makonni 3-4: 100auki MG 100 kowace rana.
  • Makon 5: 200auki MG 200 kowace rana.
  • Makon 6: 300auki MG 300 kowace rana.
  • Makon 7: 400auki MG 400 kowace rana.
  • Kulawa: 400auki 400-600 MG kowace rana.

Canzawa daga farfadowa na yau da kullun zuwa kulawa guda ɗaya

Kwararka na iya zaɓar dakatar da sauran magungunan rigakafin ku kuma ku ɗauki lamotrigine da kanta. Wannan maganin zai bambanta da abin da aka zayyana a sama. Likitanku a hankali zai ƙara muku sashi na lamotrigine kuma sannu a hankali zai rage ƙwayoyin magungunanku na sauran maganin rigakafin cutar.

Juyawa daga saki-zuwa fitarwa mai saurin gaske (XR) lamotrigine

Likitanku na iya canza ku kai tsaye daga nau'in fitowar gaggawa na lamotrigine zuwa nau'in faɗaɗa-saki (XR). Wannan maganin zai bambanta da abin da aka zayyana a sama. Da zarar kun canza zuwa nau'in XR, likitanku zai saka muku ido don tabbatar da abubuwan da kuka kama. Kwararka na iya canza sashin ku bisa ga yadda kuka amsa magani.

Sashin yara (shekaru 13-17)

Sanarwa ta gaba-da-gaba (allunan, allunan da za'a iya taunawa, da lalata kwayoyi da baki)

• Shan tare da valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 25auki MG 25 kowace rana.
  • Makon 5 gaba: Kwararka zai kara yawan maganin ka ta hanyar 25-50 MG sau ɗaya a rana kowace mako ɗaya zuwa biyu.
  • Kulawa: 100auki 100-400 MG kowace rana.
• KADA KA SHAN carbamazepine, phenytoin, phenobarbital, primidone, ko valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 50auki MG 50 kowace rana.
  • Makon 5 gaba: Kwararka zai kara yawan maganin ka ta 50 MG sau ɗaya a rana kowane ɗaya zuwa makonni biyu.
  • Kulawa: Mgauki 225-375 MG kowace rana, a cikin kashi biyu raba biyu.
• DAUKAN carbamazepine, phenytoin, phenobarbital, ko primidone kuma KADA KA ɗauka valproate:
  • Makonni 1-2: 50auki MG 50 kowace rana.
  • Makonni 3-4: 100auki 100 MG kowace rana, a cikin kashi biyu da aka raba.
  • Makon 5 gaba: Kwararka zai kara yawan maganin ka ta hanyar 100 MG sau ɗaya a rana kowace ɗaya zuwa makonni biyu.
  • Kulawa: 300auki 300-500 MG kowace rana, a cikin kashi biyu raba biyu.

Releaseaddamarwar-fitarwa (allunan)

• Shan tare da valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 25auki MG 25 kowace rana.
  • Makon 5: 50auki MG 50 kowace rana.
  • Makon 6: 100auki MG 100 kowace rana.
  • Makon 7: 150auki MG 150 kowace rana.
  • Kulawa: 200auki 200-250 MG kowace rana.
• KADA KA SHAN carbamazepine, phenytoin, phenobarbital, primidone, ko valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 50auki MG 50 kowace rana.
  • Makon 5: 100auki MG 100 kowace rana.
  • Makon 6: 150auki MG 150 kowace rana.
  • Makon 7: 200auki 200 MG kowace rana.
  • Kulawa: 300auki 300-400 MG kowace rana.
• DAUKAN carbamazepine, phenytoin, phenobarbital, ko primidone kuma KADA KA ɗauka valproate:
  • Makonni 1-2: 50auki MG 50 kowace rana.
  • Makonni 3-4: 100auki MG 100 kowace rana.
  • Makon 5: 200auki MG 200 kowace rana.
  • Makon 6: 300auki MG 300 kowace rana.
  • Makon 7: 400auki MG 400 kowace rana.
  • Kulawa: 400auki 400-600 MG kowace rana.

Canzawa daga farfadowa na yau da kullun zuwa kulawa guda ɗaya

Kwararka na iya zaɓar dakatar da sauran magungunan rigakafin ku kuma ku ɗauki lamotrigine da kanta. Wannan maganin zai bambanta da abin da aka zayyana a sama. Kwatancenku a hankali zai ƙara yawan adadinku na lamotrigine kuma sannu a hankali zai rage ƙwayoyin magungunan ku na sauran maganin rigakafin cutar.

Juyawa daga saki-zuwa fitarwa mai saurin gaske (XR) lamotrigine

Likitanku na iya canza ku kai tsaye daga nau'in fitowar lamotrigine kai tsaye zuwa nau'in faɗaɗa-saki (XR). Wannan maganin zai bambanta da abin da aka zayyana a sama. Da zarar kun canza zuwa nau'in XR, likitanku zai saka muku ido don tabbatar da abubuwan da kuka kama. Kwararka na iya canza sashin ku dangane da yadda kuka amsa magani.

Sashin yara (shekaru 2-12)

Sanarwa ta gaba-da-gaba (allunan, allunan da za'a iya taunawa, da lalata kwayoyi da baki)

• Shan tare da valproate:
  • Makonni 1-2: 0.auki 0.15 MG / kg kowace rana, a cikin kashi biyu kashi 1-2.
  • Makonni 3-4: 0.auki 0.3 MG / kg kowace rana, a cikin kashi biyu kashi 1-2.
  • Makon 5 gaba: Kwararka zai kara kashi ta 0.3 mg / kg kowace rana kowane mako zuwa biyu.
  • Kulawa: 1auki 1-5 mg / kg a kowace rana, a cikin kashi 1-2 da aka raba (matsakaicin 200 MG kowace rana).
• KADA KA SHAN carbamazepine, phenytoin, phenobarbital, primidone, ko valproate:
  • Makonni 1-2: 0.auki 0.3 MG / kg kowace rana, a cikin kashi biyu kashi 1-2.
  • Makonni 3-4: 0.auki 0.6 mg / kg kowace rana, a cikin kashi biyu raba biyu
  • Makon 5 gaba: Kwararka zai kara kashi ta 0.6 mg / kg kowace rana kowane sati daya zuwa biyu.
  • Kulawa: 4.5auki 4.5-7.5 MG / kg kowace rana, a cikin kashi biyu da aka raba (matsakaicin 300 MG kowace rana).
• DAUKAN carbamazepine, phenytoin, phenobarbital, ko primidone kuma KADA KYAU valproate:
  • Makonni 1-2: 0.auki 0.6 mg / kg kowace rana, a cikin kashi biyu raba biyu.
  • Makonni 3-4: 1.2auki MG 1.2 / kg kowace rana, a cikin kashi biyu raba biyu.
  • Makon 5 gaba: Kwararka zai kara kashi ta 1.2 mg / kg kowace rana kowane mako zuwa sati biyu.
  • Kulawa: 5auki 5-15 MG / kg kowace rana, a cikin kashi biyu da aka raba (mafi girman 400 MG kowace rana).

Releaseaddamarwar-fitarwa (allunan)

Ba a tabbatar da cewa lamotrigine yana da lafiya da tasiri don amfani a cikin yara ƙanana da shekaru 13 ba. Kada a yi amfani da shi a cikin waɗannan yaran.

Sashin yara (shekaru 0-1 shekara)

Sanarwa ta gaba-da-gaba (allunan, allunan da za'a iya taunawa, da lalata kwayoyi da baki)

Ba a tabbatar da cewa waɗannan nau'ikan lamotrigine suna da aminci da tasiri don amfani ga yara ƙanana da shekaru 2 ba. Kada a yi amfani da su a cikin waɗannan yaran.

Babban sashi (shekaru 65 da haihuwa)

Manya manya na iya sarrafa kwayoyi a hankali. Halin na manya na yau da kullun na iya haifar da matakan ƙwayoyi a cikin jikin ku ya fi yadda yake. Wannan na iya zama haɗari. Don taimakawa kaucewa wannan, likitanku na iya fara ku a kan ƙananan kashi ko wani jadawalin daban.

Sashi don rashin lafiya

Sashi na manya (shekaru 18-64)

Sanarwa ta gaba-da-gaba (allunan, allunan da za'a iya taunawa, da lalata kwayoyi da baki)

• Shan tare da valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 25auki MG 25 kowace rana.
  • Makon 5: 50auki MG 50 kowace rana.
  • Makon 6: 100auki MG 100 kowace rana.
  • Makon 7: 100auki MG 100 kowace rana.
• KADA KA SHAN carbamazepine, phenytoin, phenobarbital, primidone, ko valproate:
  • Makonni 1-2: 25auki MG 25 kowace rana.
  • Makonni 3-4: 50auki MG 50 kowace rana.
  • Makon 5: 100auki MG 100 kowace rana.
  • Makon 6: 200auki MG 200 kowace rana.
  • Makon 7: 200auki MG 200 kowace rana.
• DAUKAN carbamazepine, phenytoin, phenobarbital, ko primidone kuma KADA KA ɗauka valproate:
  • Makonni 1-2: 50auki MG 50 kowace rana.
  • Makonni 3-4: 100auki 100 MG kowace rana, a cikin kashi biyu.
  • Makon 5: 200auki 200 MG kowace rana, a cikin kashi biyu.
  • Makon 6: 300auki 300 MG kowace rana, a cikin kashi biyu.
  • Makon 7: Upauki har zuwa 400 MG kowace rana, a cikin kashi biyu.

Sashin yara (shekaru 0-17)

Siffofin sakin nan da nan (allunan, allunan da ake taunawa, da lalata kwayoyi da baki)

Ba a tabbatar da cewa waɗannan nau'ikan lamotrigine suna da aminci da tasiri don amfani a cikin yara ƙanana da shekaru 18 don maganin cututtukan bipolar. Kada a yi amfani da su a cikin waɗannan yara don maganin cututtukan bipolar.

Babban sashi (shekaru 65 da haihuwa)

Manya manya na iya sarrafa kwayoyi a hankali. Tsarin al'ada na al'ada na iya haifar da matakan miyagun ƙwayoyi a cikin jikinku ya zama mafi girma fiye da al'ada. Wannan na iya zama haɗari. Don taimakawa kaucewa wannan, likitanku na fara muku kan ƙananan sashi ko jadawalin tsarin dosing daban.

Dosididdigar sashi na musamman

• Ga mutanen da ke da cutar hanta: Idan kana da matsakaici zuwa matsanancin matsalolin hanta, likitanka na iya rage sashi na lamotrigine.
• Ga mutanen da ke da cutar koda: Idan kana da matsalolin koda, likitanka na iya rage sashi na lamotrigine. Idan matsalolin koda suna da tsanani, yi magana da likitanka game da ko ya kamata ku yi amfani da wannan magani.

Gargadin Yanayi

Sashin farawa na lamotrigine bai kamata ya zama sama da samfurin farawa na shawarar ba. Hakanan, kwayar ku bazai karu da sauri ba.Idan sashin ku yayi yawa ko ya karu da sauri, kuna cikin haɗarin haɗari mai tsanani ko barazanar rai na fata.

Idan kana shan wannan magani don magance cututtuka kuma ya kamata ka daina shan shi, likitanka a hankali zai rage sashinka aƙalla makonni biyu. Idan sashin ku ba a saukake a hankali ba kuma aka cire shi, zaku kasance cikin haɗarin samun ƙarin kamuwa.

Bayanin sanarwa: Manufarmu ita ce samar muku da mafi dacewa da bayanin yanzu. Koyaya, saboda ƙwayoyi suna shafar kowane mutum daban, ba zamu iya ba da tabbacin cewa wannan jerin ya haɗa da dukkan abubuwanda ake buƙata ba. Wannan bayanin baya maye gurbin shawarar likita. Koyaushe yi magana da likitanka ko likitan magunguna game da abubuwan da suka dace da kai.

Asauki kamar yadda aka umurta

Ana amfani da allurar baka ta Lamotrigine don magani na dogon lokaci. Ya zo tare da haɗari idan ba ku ɗauka kamar yadda aka tsara ba.

Idan ka daina shan magani ba zato ba tsammani ko kar a sha shi kwata-kwata: Idan kun sha wannan magani don magance kamuwa, dakatar da maganin ba zato ba tsammani ko rashin shan shi kwata-kwata na iya haifar da matsala mai tsanani. Waɗannan sun haɗa da ƙarin haɗarin kamuwa. Hakanan sun haɗa da haɗarin yanayin da ake kira status epilepticus (SE). Tare da SE, gajere ko tsinkayewa na faruwa na mintina 30 ko fiye. SE na gaggawa ne na likita.

Idan kun sha wannan magani don magance cututtukan bipolar, dakatar da maganin ba zato ba tsammani ko ƙin shan shi kwata-kwata na iya haifar da matsala mai tsanani. Yanayinku ko halayenku na iya zama da muni. Kuna iya buƙatar shigar da ku a asibiti.

Idan ka rasa allurai ko kar a sha maganin a kan kari: Magungunan ku bazaiyi aiki sosai ba ko kuma zai iya daina aiki kwata-kwata. Domin wannan magani yayi aiki da kyau, wani adadi yana buƙatar kasancewa cikin jikinku koyaushe.

Idan ka sha da yawa: Kuna iya samun matakan haɗari na miyagun ƙwayoyi a jikinku. Idan kuna tsammanin kun sha da yawa daga wannan magani, kira likitan ku ko ku nemi jagora daga Americanungiyar ofungiyar ofungiyar ofungiyar Poasa ta Amurka a 1-800-222-1222 ko ta hanyar kayan aikin su na kan layi. Amma idan alamun ka masu tsanani ne, kira 911 ko ka je dakin gaggawa mafi kusa kai tsaye.

Abin da za a yi idan ka rasa kashi: Itauke shi da zaran ka tuna. Idan ka tuna 'yan awanni kaɗan kafin lokacin aikin da zaka yi na gaba, sai ka sha kashi ɗaya. Kada a taɓa ƙoƙarin kamawa ta hanyar shan allunan biyu lokaci guda. Wannan na iya haifar da illa mai illa.

Yadda za a gaya idan magani yana aiki: Idan ka sha wannan maganin don magance kamuwa da cuta, ya kamata ka sami karancin kamuwa da cuta, ko kaɗan mai kama. Yi la'akari da cewa baza ku iya jin cikakken tasirin wannan magani ba har tsawon makonni.

Idan kun sha wannan magani don magance cututtukan bipolar, ya kamata ku sami karancin lokacin yanayi. Yi la'akari da cewa baza ku iya jin cikakken tasirin wannan magani ba har tsawon makonni.

Muhimman ra'ayoyi don shan lamotrigine

Ka sanya waɗannan abubuwan la'akari idan likitanka ya tsara maka lamotrigine.

Janar

• Duk nau'ikan wannan magani za a iya ɗauka tare da ko ba tare da abinci ba.
• Thisauki wannan magani a lokacin (s) da likitanku ya ba da shawarar.
• Zaka iya yanke ko murkushe kayan kwalliya da na roba na yau da kullun. Kada ku murkushe ko yanke abin da aka faɗaɗa don sakewa ko lalata allunan cikin baki.

Ma'aji

• Adana allunan na baka, da na ɗanɗano, da waɗanda aka saki a zazzabin ɗaki a 77 ° F (25 ° C).
• Adana allunan da ke tarwatsewa da baki a zazzabi tsakanin 68 ° F da 77 ° F (20 ° C da 25 ° C).
• Kiyaye waɗannan magungunan daga haske.
• Kada a adana waɗannan ƙwayoyin a wurare masu danshi ko laima, kamar su ɗakunan wanka.

Sake cikawa

Takaddun magani don wannan magani yana iya cikawa. Bai kamata a buƙaci sabon takardar sayan magani don sake cika wannan magani ba. Likitan ku zai rubuta adadin abubuwanda aka sake bada izinin su a takardar sayan magani.

Tafiya

Lokacin tafiya tare da maganin ku:

• Koyaushe ku ɗauki magungunan ku tare da ku. Lokacin tashi, kar a sanya shi cikin jaka da aka bincika. Ajiye shi a cikin jaka na ɗauka.
• Kada ku damu da injunan X-ray na filin jirgin sama. Ba za su iya cutar da magungunan ku ba.
• Wataƙila kuna buƙatar nunawa ma'aikatan filin jirgin sama lambar shagon magani don maganin ku. Koyaushe ɗauke da asalin akwatin da aka yiwa lakabi da asali.
• Kada ka sanya wannan magani a cikin safar safar motarka ko ka barshi a cikin motar. Tabbatar kauce wa yin wannan lokacin da yanayin zafi ko sanyi sosai.
• Swallow allunan yau da kullun da aka faɗaɗa gaba ɗaya. Idan kana da matsalar haɗiye, yi magana da likitanka. Wataƙila akwai wani nau'i na wannan magani da zaku iya sha.
• Idan kana shan kwamfutar da ke wargaza baki, sanya shi karkashin harshenka ka motsa shi a bakinka. Allunan zai narke da sauri. Ana iya haɗiye shi da ruwa ko babu.
• Za a iya haɗiye allunan da ake taunawa gaba ɗaya ko su tauna. Idan kun tauna allunan, ku sha ruwa kaɗan, ko ruwan 'ya'yan itace da aka haɗe da ruwa, don taimakawa haɗiyewa. Hakanan za'a iya hada allunan a cikin ruwa, ko kuma ruwan 'ya'yan itace da aka gauraye da ruwa. Theara Allunan a cikin ƙaramin cokali 1 na ruwa (ko isa ya rufe allunan) a cikin gilashi ko cokali. Jira aƙalla minti ɗaya ko har sai allunan sun narke gaba ɗaya. Sannan a hada maganin a sha duka adadin.

Gudanar da kai

Kulawa da asibiti

Likitanku zai kula da ku. Yayin da kuke jiyya tare da wannan magani, kuna iya samun gwaje-gwaje don bincika:

• Matsalar hanta: Gwajin jini zai taimaka wa likitanka yanke shawara idan yana da lafiya a gare ku don fara shan magani, kuma idan kuna buƙatar ƙananan sashi.
• Matsalolin koda: Gwajin jini zai taimaka wa likitanka yanke shawara idan yana da lafiya a gare ku don fara shan magani, kuma idan kuna buƙatar ƙananan sashi.
• Matsalar fata mai tsanani: Likitanku zai kula da ku don alamun rashin lafiyar jiki. Wadannan halayen fata na iya zama barazanar rai.
• Tunani da halaye na kisan kai: Likitanku zai kula da ku don tunanin cutar da kanku ko halaye masu alaƙa da ku. Kira likitan ku idan kun lura da canje-canje kwatsam a cikin yanayin ku, halaye, tunani, ko jin daɗin ku.

Bugu da kari, idan kun sha wannan magani don magance kamuwa da cuta, ku da likitanku kuna buƙatar saka idanu kan yadda yawan lokuta kuke samun rauni. Wannan zai taimaka muku tabbatar cewa wannan maganin yana muku aiki.

Kuma idan kun sha wannan magani don magance cututtukan bipolar, ku da likitanku za ku buƙaci saka idanu kan yadda yawan lokuta ke faruwa a cikin yanayi. Wannan zai taimaka muku tabbatar cewa wannan maganin yana muku aiki.

Samuwar

Ba kowane kantin magani yake ba da wannan maganin ba. Lokacin cika takardar sayan ku, tabbatar da kiran gaba don tabbatar da cewa kantin ku na dauke da shi.

Kafin izini

Yawancin kamfanonin inshora suna buƙatar izini na gaba don wasu nau'ikan wannan magani. Wannan yana nufin likitanku zai buƙaci samun izini daga kamfanin inshorar ku kafin kamfanin inshorar ku zai biya kuɗin maganin.

Shin akwai wasu hanyoyi?

Akwai wasu kwayoyi da ke akwai don magance yanayinku. Wasu na iya zama sun fi dacewa da kai fiye da wasu. Yi magana da likitanka game da wasu zaɓuɓɓukan magani waɗanda zasu iya muku aiki.

Bayanin sanarwa: Kamfanin kiwon lafiya ya yi iya kokarinsa don tabbatar da cewa dukkan bayanai gaskiya ne, cikakke, kuma na zamani. Koyaya, wannan labarin bai kamata ayi amfani dashi azaman madadin ilimi da ƙwarewar ƙwararren likita mai lasisi ba. Ya kamata koyaushe ku tuntuɓi likitanku ko wasu masu sana'a na kiwon lafiya kafin shan kowane magani. Bayanin magani da ke cikin wannan batun na iya canzawa kuma ba ana nufin ya rufe duk amfanin da zai yiwu ba, kwatance, kiyayewa, gargaɗi, hulɗar miyagun ƙwayoyi, halayen rashin lafiyan, ko cutarwa. Rashin gargadin ko wasu bayanai don maganin da aka bayar baya nuna cewa magani ko haɗin magungunan yana da aminci, tasiri, ko dacewa ga duk marasa lafiya ko duk takamaiman amfani.