I-Topamax (i-topiramate) iyi-anti-seizure imithi elamukelwe yi-FDA ukuze kuvikelwe imigraines. Uma kunqunywe, i-Topamax inikezwa ngendlela ephathekayo, okusho ukuthi inani liye landa kancane kuze kube yilapho umuntu esesimweni sokwelapha.
Masifunde kabanzi mayelana nokuthi kungani i-Topamax inikezwa ngendlela ephathekayo, futhi nokuthi yini okufanele uyibuke lapho uyithatha.
I-Topamax i-Dosed kanjani?
I-Topamax itholakala ku-25mg, 50mg, 100mg, namaphilisi angu-200mg. Itholakala futhi kuma-capsules angu-15mg nama-25mg. I-Topamax ivame ukuthungwa ngokuphepha ngokulinganisa i-dose kuze kube yilapha yokwelapha, eyi-100mg noma i-200mg nsuku zonke. Isibonelo, i-neurologist ingase iqale isiguli ku-25mg kanye ngosuku ngeviki bese yandisa umthamo ngama-25mg njalo ngesonto, kuze kube yilapho umuntu ethatha 100mg noma 200mg nsuku zonke. Lokhu kunciphisa imiphumela emibi ngenkathi kukhuliswa inzuzo yemithi.
Ngokufanayo, uma umuntu emisa i-Topamax, ukuphinda umthamo wehla kunconywa futhi.
Yiziphi Imiphumela Ezingenayo Ze-Topamax?
Umphumela omubi kakhulu we-Topamax yi-syndrome ye-acute myopia ehambisana ne- glaucoma yesibili yokuvala i-angle. Izimpawu zihlanganisa ukuqala okungazelelwe kombono kanye / noma ubuhlungu be-eyeball. Lezi zimpawu, uma zenzeka, ngokuvamile ziqala ngenyanga eyodwa ukuqala i-Topamax, futhi zingenzeka ezinganeni, nakubantu abadala.
Ukwelashwa kwalesi sifo se-eye kuyimisa ngokushesha i-Topamax, ngesahlulelo nokuqapha kukadokotela owawunqume.
Omunye umphumela ojulile wenyuka ukuphakama komzimba womuntu ngenxa yokunciphisa ukujuluka. Lokhu kuvame kakhulu ezinganeni ezithatha i-Topamax.
I-Topamax ingabangela nesimo esibizwa ngokuthi i-metabolic acidosis, esivame ukuvela ekuqaleni kwendlela yokwelapha.
Kubangelwa ukungalingani kwe-bicarbonate emzimbeni. Lokhu kungabangela amatshe e-kidney, ngakho-ke iziguli zivame ukululeka odokotela bazo ukuba baphuze inani elanele lamanzi ngenkathi ku-Topamax. Futhi, njengezinye izidakamizwa zokulwa nokuthunjwa , i-Topamax ingandisa ingozi yomuntu yokuzicabangela nokuzibulala. Kubalulekile ukuthi umuntu afune usizo lwezokwelapha ngokushesha uma ebona ushintsho emoyeni noma ekuziphatheni kwawo, bese ubiza 911 esimweni esiphuthumayo.
Imiphumela emibi ye-Topamax e-Dose-ixhomeke
Kubantu abadala, i-Topamax ixhunywe ekubangela ukuphazanyiswa okunengqondo njengokufana nokuthola amagama kanye nobunzima ngememori nokunakwa. Kungase kubangele nokukhathala, ubuthongo, noma izinkinga zemizwelo, njengokucindezeleka.
Lezi zimpawu zivame ukuqala ngesikhathi se-titration - uma imithi ikhula kancane futhi ixhomeke emzimbeni, okusho ukuthi amathuba abo aphakeme kakhulu ngezinga eliphezulu le-Topamax. Eminye imithelela emibi ingase ihlanganise isizungu , isicanucanu , ukunganqamuki nokukhwehlela , ukulahlekelwa ukudla, ukulala , ukulahlekelwa isisindo, nokuhuda .
Lokho Kusho Ngami?
Uma umisiwe i-Topamax, kubalulekile ukuyeka ukuyithatha noma ukushintsha umthamo ngaphandle kokubonisana nodokotela wakho kuqala.
Ngokuyinhloko, i-Topamax akumele ime ngokushesha, ngaphandle uma kunesidingo esiphuthumayo, ngaphansi kokuqondiswa kukadokotela wakho.
Kubantu abaningi, i-Topamax iyimithi yokwelashwa ephumelelayo - kodwa sicela uyithathe kahle, ngokuphepha, futhi ngaphansi kokunakekelwa udokotela wakho. Uma uhlangabezana nanoma yimiphi imiphumela emibi, ikakhulukazi ubuhlungu obubonakalayo noma ubuhlungu be-eyeball, kubika lokhu kudokotela wakho ngokushesha.
Imithombo:
I-FDA. Umhlahlandlela wemithi: Topamax .
Silberstein SD, Neto W, Schmitt J, Jacobs D & MIGR-001 Study Group. I-Topiramate ekuvimbeleni kwe-migraine: imiphumela yesilingo esikhulu esilawulwayo. Arch Neurol . 2004 Apr; 61 (4): 490-5.