ILamotrigine

Umxholo

• Ngaphambi kokuba uthathe i-lamotrigine,
• I-Lamotrigine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zichazwe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

[Ngeposi 03/31/2021]

UMXHOLO: Izifundo zibonisa ukwanda komngcipheko weengxaki zesingqisho sentliziyo ngokuhlutha kunye neyeza lezempilo lamotrigine (Lamictal) kwizigulana ezinesifo sentliziyo

Abaphulaphuli: Isigulana, iNgcali yezeMpilo, ikhemesti

KHUPHAUkuhlolwa kweziphumo zophando e-U.S. Kuhlolo lweziphumo zophando kubonise umngcipheko onokubakho weengxaki zesingqisho sentliziyo, ezibizwa ngokuba zii-arrhythmias, kwizigulana ezinesifo sentliziyo ezithatha ukubanjwa kunye neyeza lezempilo lamotrigine (Lamictal). Sifuna ukuvavanya ukuba amanye amayeza akwiklasi efanayo yamachiza aneziphumo ezifanayo entliziyweni kwaye afuna izifundo zokhuselo nakwezinye. Siza kuluhlaziya uluntu xa ulwazi olongezelelekileyo kwezi zifundo lukhona. I-FDA ifuna ezi zifundo, zibizwa ngokuba zii-in vitro studies, ukuqhubekeka nokuphanda iziphumo zikaLamictal entliziyweni emva kokuba sifumene iingxelo zokufumanisa okungaqhelekanga kwe-electrocardiographic (ECG) kunye nezinye iingxaki ezinzulu. Ngamanye amaxesha, iingxaki kubandakanya iintlungu esifubeni, ukulahleka kwengqondo, kunye nokubanjwa kwentliziyo kwenzeka. Izifundo ze-in vitro zifundo ezenziwa kwiityhubhu zovavanyo okanye izitya zepetri hayi ebantwini okanye ezilwanyaneni. Siqale songeza ulwazi malunga nalo mngcipheko kwi-lamotrigine echaza ulwazi kunye nezikhokelo zoNyango ngo-Okthobha u-2020, esiyihlaziyileyo.

Imvelaphi: I-Lamotrigine isetyenziswa yodwa okanye namanye amayeza ukunyanga ukuxhuzula kwizigulana ezineminyaka emi-2 nangaphezulu. Ingasetyenziswa njengonyango lwesondlo kwizigulana ezinengxaki yempilo yengqondo yokuphazamiseka kwengqondo okuncedayo ukulibazisa ukwenzeka kweziqendu zemood ezifana nokudakumba, i-mania, okanye i-hypomania. I-Lamotrigine yamkelwe kwaye ithengiswa ngaphezulu kweminyaka engama-25 kwaye iyafumaneka phantsi kwegama elinguLamictal nanjengemichiza yokuvelisa.

UKUQONDA:

Iingcali Zononophelo Lwempilo

• Vavanya ukuba izibonelelo ezinokubakho ze-lamotrigine zigqithile kumngcipheko we-arrhythmias kwisigulana ngasinye.
• Uvavanyo lweelebhu olwenziwe kugxilwe kunyango lubonakalisile ukuba i-lamotrigine inokunyusa umngcipheko we-arrhythmias enzulu, enokusongela ubomi kwizigulana ezinesifo sentliziyo esibalulekileyo okanye esisebenzayo. Ukuphazamiseka kwentliziyo kunye nolwalamano olusebenzayo kubandakanya ukusilela kwentliziyo, isifo sentliziyo, isifo sentliziyo, isifo sokuqhuba, iicrithmias ze-ventricular, i-cardiopathies zentliziyo ezinje nge-Brugada syndrome, isifo sentliziyo esibalulekileyo eklinikhi, okanye umngcipheko kwizinto zesifo semithambo.
• Umngcipheko we-arrhythmias unokunyuka ngakumbi xa usetyenziswa ngokudibanisa namanye amayeza athintela amajelo esodiyam entliziyweni. Ezinye iibhlokhi zesiteshi se-sodium ezivunyiweyo zesifo sokuwa, isifo se-bipolar, kunye nezinye izikhombisi akufuneki zithathwa njengeendlela ezikhuselekileyo kwi-lamotrigine xa kungekho lwazi longezelelekileyo.

Izigulana, aBazali, kunye nabaKhathaleli

• Sukuyeka ukuthatha amayeza akho ungakhange uthethe nommiseli wakho ngenxa yokuba ukumisa i-lamotrigine kungakhokelela ekuthinjweni okungalawulekiyo, okanye iingxaki zempilo yengqondo ezintsha okanye eziya zisiba mbi.
• Nxibelelana noochwephesha ngoko nangoko okanye uye kwigumbi likaxakeka ukuba ufumana ukubetha kwentliziyo okungaqhelekanga okanye isingqisho esingaqhelekanga, okanye iimpawu ezinje ngokubetha kwentliziyo, ukutsiba okanye ukubetha kwentliziyo, ukuphefumla kancinci, isiyezi, okanye ukuphelelwa ngamandla.

Ngolwazi oluthe kratya ndwendwela iwebhusayithi ye-FDA apha: http://www.fda.gov/Safety/MedWatch/SafetyInformation kunye ne-http: //www.fda.gov/Drugs/DrugSafety.

I-Lamotrigine inokubangela irhashalala, kubandakanya irhashalala enokuthi inyanzeleke ukuba inyangwe esibhedlele okanye ibangele ukukhubazeka ngokusisigxina okanye ukufa. Tshela ugqirha wakho ukuba uthatha i-valproic acid (i-Depakene) okanye i-divalproex (i-Depakote) kuba ukuthatha la mayeza nge-lamotrigine kunokunyusa umngcipheko wokuba ne-rash enkulu. Xelela ugqirha wakho ukuba ukhe wakhula irhashalala emva kokuthatha i-lamotrigine okanye nawaphi na amanye amayeza okuxhuzula okanye ukuba uxabana nalo naliphi na iyeza lokuwa.

Ugqirha wakho uyakukuqala ngedosi esezantsi ye-lamotrigine kwaye ngokuthe ngcembe wandise idosi yakho, hayi ngaphezulu kwesinye kwiiveki ezi-1 ukuya kwezi-2. Unokuba nakho ukukhula ngokukhawuleza okukhulu ukuba uthatha idosi ephezulu yokuqalisa okanye wandise idosi yakho ngokukhawuleza kunokuba ugqirha ekuxelele ukuba kufanele. Iidosi zakho zokuqala zamayeza zinokupakishwa kwikhithi yokuqala eya kuthi ikubonise ngokucacileyo inani elifanelekileyo lamayeza oza kuwathatha suku ngalunye kwiiveki zokuqala ezintlanu zonyango lwakho. Oku kuya kukunceda ulandele imiyalelo kagqirha njengoko idosi yakho inyuka kancinci. Qiniseka ukuba uthatha i-lamotrigine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Izirhashalala ezinzulu zihlala zikhula ngexesha le-2 ukuya kwi-8 yeeveki zonyango lwe-lamotrigine, kodwa inokukhula nangaliphi na ixesha kunyango. Ukuba uhlakulela nayiphi na impawu zilandelayo ngelixa uthatha i-lamotrigine, biza ugqirha wakho ngokukhawuleza: ukukhawuleza; ukudumba okanye ukuxobuka kolusu; imihlathi ukurhawuzelela; izilonda ezibuhlungu emlonyeni wakho okanye ngapha nangapha kwamehlo akho.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-lamotrigine okanye ukunika i-lamotrigine kumntwana wakho. Abantwana abaneminyaka emi-2-17 ubudala abathatha i-lamotrigine kunokwenzeka ukuba bakhule irhashalala elinzima kunabantu abadala abathatha amayeza.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-lamotrigine kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Iipilisi zeLamotrigine ezandisiweyo (ezisebenza ixesha elide) zisetyenziswa namanye amayeza ukunyanga iintlobo ezithile zokubanjwa kwizigulana ezinesathuthwane. Zonke iintlobo zamacwecwe e-lamotrigine (amacwecwe, iipilisi ezitshabalalisa ngomlomo, kunye neetafile ezihlafunwayo) ngaphandle kweepilisi ezikhutshiweyo zisetyenziswa zodwa okanye namanye amayeza ukunyanga ukuxhuzula kubantu abanesathuthwane okanye i-Lennox-Gastaut syndrome (ingxaki ebangela ukuxhuzula kunye ihlala ibangela ukulibaziseka kophuhliso). Zonke iintlobo zamacwecwe e-lamotrigine ngaphandle kweepilisi ezandisiweyo zisetyenziselwa ukonyusa ixesha phakathi kweziqendu zoxinzelelo, imania (ukuphazamiseka emzimbeni okanye ukonwaba ngendlela engaqhelekanga), kunye nezinye iimeko ezingaqhelekanga kwizigulana ezine-bipolar I disorder (isifo sokudakumba; isifo esibangela iziqendu zoxinzelelo, iziqendu zemania, kunye nezinye izinto ezingaqhelekanga). I-Lamotrigine ayiboniswanga ukuba iyasebenza xa abantu befumana ezona ziqendu zoxinzelelo okanye imania, ke amanye amayeza kufuneka asetyenziselwe ukunceda abantu bachache kwezi ziqendu. I-Lamotrigine ikwiklasi yamayeza abizwa ngokuba zii-anticonvulsants. Isebenza ngokunciphisa izinto ezingaqhelekanga zombane kwingqondo.

I-Lamotrigine iza njengecwecwe, ithebhulethi ekhululayo, ithebhulethi yokuqhekeka ngomlomo (inyibilika emlonyeni kwaye ingaginywa ngaphandle kwamanzi), kunye nokusasazeka okusasazekayo (kunokuhlafunwa okanye kunyibilike kulwelo) ithebhulethi oza kuyithatha ngomlomo okanye ngaphandle kwayo. ukutya. Amacwecwe akhululwayo athathwa kanye ngemini. Amacwecwe, iipilisi ezahlayo ngomlomo, kunye neetafile ezilahlwayo ezihlafunwayo zihlala zithathwa kube kanye okanye kabini ngemini, kodwa zinokuthathwa kanye yonke imihla ekuqaleni konyango. Landela umkhombandlela kwileyibhile yakho yonyango ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Kukho amanye amayeza anamagama afanayo negama lophawu lwe-lamotrigine. Kuya kufuneka uqiniseke ukuba ufumana i-lamotrigine kwaye ayisiyiyo enye yamayeza afanayo ngalo lonke ixesha ugcwalisa amayeza akho. Qiniseka ukuba iphepha likagqirha elikunika lona licacile kwaye lifundeka lula. Thetha kumachiza wakho ukuze uqiniseke ukuba unikwa i-lamotrigine. Emva kokuba ufumene amayeza akho, thelekisa iitafile kunye nemifanekiso ekwiphepha lolwazi lomguli. Ukuba ucinga ukuba unikwe iyeza elingalunganga, thetha nosokhemesti wakho. Sukuthatha naliphi na iyeza ngaphandle kokuba uqinisekile ukuba lonyango oluyalelwe ngugqirha wakho.

Ginya iipilisi kunye neepilisi ezandisiweyo zokukhululwa; ungahluleli, ungahlaleli, okanye uzityumze.

Ukuba uthatha amacwecwe ahlaziyayo asasazekayo, unokuwaginya wonke, uwahlafune okanye uwanyibilikise ngolwelo. Ukuba uhlafuna iipilisi, sela inani elincinci lamanzi okanye incindi yeziqhamo exutywe emva koko ukuhlamba iyeza. Ukunyibilikisa iipilisi kulwelo, beka itispuni e-1 (5 ml) yamanzi okanye incindi yeziqhamo exutywe neglasi. Beka ithebhulethi kulwelo ulinde umzuzu omnye ukuyivumela inyibilike. Emva koko jikelezisa ulwelo ulusele kwangoko. Ungazami ukwahlula ipilisi enye ukuba isetyenziselwe idosi engaphezulu kwesinye.

Ukuthabatha ithebhulethi yokuqhekeza ngomlomo, yibeke ngolwimi lwakho kwaye uyihambise emlonyeni wakho. Linda ixesha elincinci ukuba inyibilike ithebhulethi, emva koko uyiginye kunye okanye ngaphandle kwamanzi.

Ukuba amayeza akho eza ngeblisterpack, jonga iblisterpack ngaphambi kokuba uthathe idosi yakho yokuqala. Sukusebenzisa naliphi na iyeza elipakishwe ukuba kukho amablister aqhekekileyo, aphukile, okanye awanazo iipilisi.

Ukuba ubuthatha elinye iyeza ukunyanga ukuxhuzula kwaye utshintshela kwi-lamotrigine, ugqirha wakho uya kuncipha kancinci ithamo lakho lelinye iyeza kwaye ngokuthe ngcembe unyuse idosi ye-lamotrigine. Landela le miyalelo ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba unemibuzo malunga nokuba ungakanani iyeza ngalinye ekufuneka ulithathile.

ILamotrigine inokulawula imeko yakho, kodwa ayizukuyinyanga. Kungathatha iiveki ezininzi ukuba uve isibonelelo esipheleleyo se-lamotrigine. Qhubeka nokuthatha i-lamotrigine nokuba uziva uphilile. Ungayeki ukuthatha i-lamotrigine ungakhange uthethe nogqirha wakho, nokuba ngaba uneziphumo ebezingalindelekanga ezinje ngotshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwiimood. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukuthatha i-lamotrigine, unokufumana ukuxhuzula. Ukuba uyeka ukuthatha i-lamotrigine nangasiphi na isizathu, ungaqali ukuyithatha kwakhona ungakhange uthethe nogqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-lamotrigine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-lamotrigine, nawaphi na amanye amayeza. okanye nasiphi na isithako sohlobo lweepilisi ze-lamotrigine oza kuzithatha. Buza ugqirha wakho okanye usokhemesti okanye ujonge isiKhokelo seMithi ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha.Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye neatazanavir kunye ne-ritonavir (Reyataz neNorvir); lopinavir kunye ne-ritonavir (Kaletra); imethotrexate (Rasuvo, Trexall, Trexup); amanye amayeza okubanjwa njenge-carbamazepine (Epitol, Tegretol, abanye), oxcarbazepine (Oxtellar XR, Trileptal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Phenytek), kunye ne-primidone (Mysoline); pyrimethamine (iDaraprim); irifampin (Rifadin, Rimactane, eRifamate, Rifater); kunye netrimethoprim (Primsol, eBactrim, Septra). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba usebenzisa amayeza abantu ababhinqileyo anje ngezixhobo zokucwangcisa zehomoni (iipilisi zolawulo lokuzalwa, iipatches, iiringi, inaliti, izixhobo zokufaka ngaphakathi, okanye izixhobo zangaphakathi), okanye unyango lwehomoni (HRT). Thetha nogqirha wakho ngaphambi kokuba uqale okanye uyeke ukuthatha nawaphi na amayeza ngelixa uthatha i-lamotrigine. Ukuba uthatha iyeza labasetyhini elinehomoni, xelela ugqirha wakho ukuba ukopha phakathi kwexesha elilindelekileyo lokuya exesheni.
• xelela ugqirha wakho ukuba ukhe unesifo sokuzimela komzimba (imeko apho umzimba uhlasela amalungu awo, ubangela ukudumba kunye nokuphulukana nomsebenzi) njenge-lupus (imeko apho umzimba uhlasela amalungu amaninzi ahlukeneyo abangela iimpawu ezahlukeneyo) , ukuphazamiseka kwegazi, ezinye iimeko zempilo yengqondo, okanye isifo sezintso okanye sesibindi, okanye i-ascites (ukudumba kwesisu okubangelwa sisifo sesibindi).
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba ukhulelwa ngelixa uthatha i-lamotrigine, tsalela ugqirha wakho.
• xelela ugqirha wakho ukuba uncelisa. Ukuba uncancisa xa unyanga nge-lamotrigine, umntwana wakho unokufumana i-lamotrigine kubisi lwebele. Jonga umntwana wakho ngokusondeleyo ukulala okungaqhelekanga, ukuphazanyiswa kokuphefumla, okanye ukuncanca okungalunganga.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele okanye ube nesiyezi. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga kwaye ungazibulala (ucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo) ngelixa uthatha i-lamotrigine kunyango lwesifo sokuwa, ukugula ngengqondo, okanye ezinye iimeko. Inani elincinci labantu abadala kunye nabantwana abaneminyaka emi-5 ubudala nangaphezulu (malunga ne-1 kubantu abangama-500) abathathe i-anticonvulsants ezifana ne-lamotrigine ukunyanga iimeko ezahlukeneyo ngexesha lezifundo zeklinikhi bazibulala ngexesha lonyango lwabo. Abanye baba bantu bakhulise iingcinga zokuzibulala kunye nokuziphatha kwiveki nje enye emva kokuba beqalisile ukuthatha amayeza. Kukho umngcipheko wokuba unokufumana utshintsho kwimpilo yakho yengqondo ukuba uthatha iyeza le-anticonvulsant elifana ne-lamotrigine, kodwa kusenokubakho umngcipheko wokuba uya kufumana utshintsho kwimpilo yakho yengqondo ukuba imeko yakho ayinyangwa. Wena kunye nogqirha wakho niya kuthatha isigqibo sokuba ngaba ingozi yokuthatha iyeza le-anticonvulsant inkulu kuneengozi zokungawasebenzisi amayeza. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: uloyiko; ukuphazamiseka okanye ukungazinzi; okutsha okanye ukuhla kokucaphuka, uxinzelelo, okanye uxinzelelo; ukwenza izinto eziyingozi; ubunzima bokuwa okanye ukulala; ndlongondlongo, umsindo okanye ubundlobongela; i-mania (i-frenzied, i-mood engaqhelekanga) ukuthetha okanye ukucinga ngokufuna ukuzenzakalisa okanye ukuzibulala; Ukurhoxa kubahlobo nakusapho; ukuxakeka kukufa nokufa; ukuphisa ngezinto ezixabisekileyo; okanye naluphi na olunye utshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwimood. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Lamotrigine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukulahleka kwemali eseleyo okanye yokulungelelanisa
• umbono kabini
• ukungaboni kakuhle
• iintshukumo ezingalawulekiyo zamehlo
• ubunzima bokucinga okanye ukugxila
• kunzima ukuthetha
• intloko ebuhlungu
• ukozela
• isiyezi
• urhudo
• ukuqhina
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda
• isilungulela
• isicaphucaphu
• ukugabha
• umlomo owomileyo
• isisu, umqolo, okanye iintlungu ezidibeneyo
• ukuphoswa okanye ukuba sexesheni
• ukudumba, ukurhawuzelela, okanye ukucaphuka kwilungu lobufazi
• ukushukuma okungalawulekiyo kwilungu lomzimba

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zichazwe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza:

• ukudumba kobuso, umqala, ulwimi, imilebe namehlo, ubunzima bokuginya okanye ukuphefumla, ukudakumba
• Ukubanjwa okwenzeka rhoqo, kuhlala ixesha elide, okanye kwahlukile kunokubanjwa ngaphambili
• intloko ebuhlungu, umkhuhlane, isicaphucaphu, ukugabha, intamo elukhuni, ubuntununtunu ekukhanyeni, ukugodola, ukudideka, iintlungu zemisipha, ukozela
• ukopha okungaqhelekanga okanye ukugruzuka
• umkhuhlane, irhashalala, ukudumba kwe-lymph nodes, ukutyheli kolusu okanye amehlo, iintlungu zesisu, ukuqaqanjelwa sisisu okanye ukuchitha igazi, iintlungu esifubeni, ubuthathaka bemisipha okanye iintlungu, ukopha okungaqhelekanga okanye ukugruzuka, ukuxhuzula, ukuhamba nzima, ubunzima bokubona okanye ezinye iingxaki zombono
• umqala obuhlungu, umkhuhlane, ukugodola, ukukhohlela, ukuphefumla nzima, iintlungu zendlebe, iliso elipinki, ukuchama rhoqo okanye okubuhlungu, okanye ezinye iimpawu zosulelo

I-Lamotrigine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi, kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• ukulahleka kwemali eseleyo okanye yokulungelelanisa
• iintshukumo ezingalawulekiyo zamehlo
• umbono kabini
• ukwanda kokuxhuzula
• ukubetha kwentliziyo ngendlela engaqhelekanga
• ukulahleka kwengqondo
• ikhoma

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yakho kwi-lamotrigine.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-lamotrigine.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

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