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Oxcarbazepine - Mechanism, side effects, precautions & uses
Daim Duab: Oxcarbazepine - Mechanism, side effects, precautions & uses

Zoo Siab

Oxcarbazepine (Trileptal) tsuas yog siv ib leeg los yog ua ke nrog lwm cov tshuaj los tswj qee hom qaug dab peg hauv cov neeg laus thiab cov menyuam yaus. Cov tshuaj Oxcarbazepine txuas ntxiv cov ntsiav tshuaj (Oxtellar XR) yog siv nrog lwm cov tshuaj los tswj qee yam mob qaug dab peg hauv cov neeg laus thiab cov menyuam hnub nyoog 6 xyoo thiab laus dua. Oxcarbazepine yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua anticonvulsants. Nws ua haujlwm los ntawm kev txo qis hluav taws xob tsis ua haujlwm hauv lub hlwb.

Oxcarbazepine los ua ib ntsiav tshuaj, lub ntsiav tshuaj ncua kev tso tawm, thiab ncua kev kawm (kua) los noj ntawm qhov ncauj. Cov ntsiav tshuaj thiab ncua kev kawm yog feem ntau noj txhua 12 teev (ob zaug hauv ib hnub) nrog lossis tsis noj mov. Cov ntsiav tshuaj ncua-tso tawm feem ntau yog noj ib zaug ib hnub nyob rau ntawm lub plab khoob, 1 teev ua ntej lossis 2 teev tom qab noj mov. Siv oxcarbazepine nyob ib ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj oxcarbazepine raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Muab co tshem tawm kom raug cai ua ntej txhua zaug siv sib tov cov tshuaj kom ncaj. Siv lub koob txhaj tshuaj noj ntawm qhov ncauj uas tuaj nrog cov tshuaj kom thim txoj kev raug ncua ntawm lub raj mis. Koj tuaj yeem nqos qhov ncua kev kawm ncaj qha los ntawm cov koob txhaj tshuaj lossis koj tuaj yeem sib tov nrog ib khob dej me me thiab nqos qhov sib tov. Ntxuav cov koob txhaj tshuaj nrog dej sov thiab cia nws qhuav kom huv si tom qab siv.

Nqos cov tshuaj txuas ntxiv tso nrog dej lossis lwm yam kua; tsis txhob sib faib, zom, lossis tsoo lawv.

Koj tus kws kho mob tej zaum yuav pib koj siv tshuaj oxcarbazepine tsawg kawg thiab maj mam nce koj cov koob tshuaj, tsis yog ntau tshaj ib zaug txhua 3 hnub. Yog tias koj tau noj lwm yam tshuaj los kho koj qhov qaug dab peg thiab hloov mus rau oxcarbazepine, koj tus kws kho mob yuav maj mam txo koj cov tshuaj ntawm lwm cov tshuaj thaum nce koj cov koob tshuaj oxcarbazepine. Ua raws li cov lus qhia no kom zoo thiab nug koj tus kws kho mob yog tias koj tsis paub meej tias koj yuav tsum tau noj ntau npaum li cas.

Oxcarbazepine tuaj yeem pab tswj koj qaug dab peg tab sis yuav tsis kho koj tus mob. Txuas ntxiv noj oxcarbazepine txawm hais tias koj tus kheej zoo. Tsis txhob tsum noj oxcarbazepine yam tsis tau tham nrog koj tus kws kho mob, txawm tias koj ntsib kev mob tshwm sim xws li kev hloov pauv txawv hauv tus cwj pwm lossis lub siab xav. Yog tias koj cia li tsum tsis noj tam sim ntawd oxcarbazepine, koj qaug dab peg yuav mob heev ntxiv. Koj tus kws kho mob yuav txo qis qhov tshuaj koj maj mam.


Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Phau Ntawv Qhia Tshuaj Kho Mob) thaum koj pib kho nrog oxcarbazepine thiab txhua zaus koj rov ntim tshuaj rau koj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib tau Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs) lossis lub chaw tsim tshuaj paus lub vev xaib kom tau txais Kev Qhia Tshuaj.

Oxcarbazepine kuj tseem siv qee zaum los kho kev puas siab puas ntsws bipolar (manic-depressive disorder; ib qho mob uas ua rau muaj kev nyuaj siab, ntu tshwm sim ntawm lub siab tsis meej, thiab lwm yam kev xav txawv txav). Tham nrog koj tus kws kho mob txog cov kev pheej hmoo uas yuav siv cov tshuaj no rau koj tus mob.

Cov tshuaj no tuaj yeem siv tshuaj rau lwm yam kev siv. Nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj oxcarbazepine:

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau oxcarbazepine, carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), lwm yam tshuaj noj, lossis ib qho twg hauv cov tshuaj tsis huv hauv oxcarbazepine ntsiav tshuaj, ncua kev tso tshuaj tawm, lossis raug ncua. Nug koj tus kws muag tshuaj rau ib daim ntawv teev cov khoom tsis ua haujlwm hauv oxcarbazepine ntsiav tshuaj lossis ncua kev kawm.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog qee yam ntawm cov hauv qab no: amiodarone (Cordarone); amitriptyline (Elavil); calcium channel blockers xws li amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Procardia), nimodipine (Nimotop), nisoldipine verapamil (Calan, Covera, Isoptin, Verelan); chlorpromazine (Thorazine); clomipramine (Anafranil); cyclophosphamide (Cytoxan, Neosar); desmopressin (DDAVP, Minirin, Stimate); diazepam (Valium); diuretics ('dej tshuaj'); indapamide (Natrilix); lwm cov tshuaj rau qaug dab peg xws li carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin), thiab valproic acid (Depakene, Depakote); proton-twj tso kua mis inhibitors xws li lansoprazole (Prevacid), omeprazole (Prilosec), thiab pantoprazole (Protonix); theophylline (Theo-Dur); thiab xaiv cov serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), thiab sertraline (Zoloft). Lwm cov tshuaj yuav cuam tshuam nrog oxcarbazepine, yog li nco ntsoov qhia koj tus kws kho mob thiab kws muag tshuaj txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no. Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis tau muaj mob raum lossis mob siab.
  • qhia rau koj tus kws kho mob yog tias koj yog haiv neeg Suav, Thaib, Malaysia, Kaus Lim, Khab, lossis Khab neeg Philippines Txoj kev pheej hmoo ntawm kev phom sij txog kev phom sij hu ua Stevens-Johnson syndrome (SJS) los yog muaj mob lom (epidermal necrolysis (TEN)) muaj ntau ntxiv rau cov neeg ntawm cov neeg Asian tus caj ces uas muaj kev muaj feem caj ces. Yog tias koj yog Neeg Esxias, koj tus kws kho mob yuav xaj kom kuaj seb koj puas muaj feem phom sij txaus ntshai ua ntej sau cov tshuaj oxcarbazepine.
  • qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj tab tom siv tshuaj tiv thaiv kom tsis txhob muaj menyuam, koj yuav tsum paub tias hom kev tswj tsis pub muaj menyuam no tsis tuaj yeem siv tau thaum siv nrog oxcarbazepine. Hormonal tshuaj tiv thaiv kom tsis txhob siv koj txoj kev tswj tsis pub muaj menyuam thaum koj tseem noj cov tshuaj no. Tham nrog koj tus kws kho mob txog kev tiv thaiv kev xeeb tub uas yuav ua haujlwm rau koj. Hu rau koj tus kws kho mob yog tias koj ncua sijhawm ib ntus lossis xav tias koj cev xeeb tub thaum koj noj oxcarbazepine.
  • koj yuav tsum paub tias cov tshuaj no yuav ua rau koj tsaug zog lossis kiv taub hau, cuam tshuam rau koj txoj kev tsiv, lossis yuav ua rau ob lub zeem muag lossis lwm lub zeem muag hloov. Tsis txhob tsav tsheb los sis siv lub tshuab ua haujlwm kom txog thaum koj paub tias cov tshuaj no cuam tshuam rau koj li cas.
  • Nco ntsoov tias dej cawv tuaj yeem ntxiv rau kev qaug zog uas tshwm sim los ntawm cov tshuaj no.
  • koj yuav tsum paub tias koj lub paj hlwb yuav pauv txoj hauv kev uas tsis tau xav txog thiab koj yuav dhau los tua tus kheej (xav txog kev ua phem lossis tua koj tus kheej lossis npaj lossis sim ua) thaum koj noj oxcarbazepine rau kev kho mob vwm, mob hlwb, lossis lwm yam mob. Tsawg tsawg tus neeg laus thiab menyuam yaus hnub nyoog 5 xyoos thiab laus dua (thaj tsam li 1 nyob rau 500 leej) uas tau siv tshuaj tiv thaiv anticonvulsants xws li oxcarbazepine los kho ntau yam mob thaum cov kev tshawb fawb los ua kev tua tus kheej thaum kho lawv tus kheej. Qee tus neeg no tsim kev xav tua tus kheej thiab tus cwj pwm thaum ntxov li 1 lub lis piam tom qab lawv pib noj tshuaj. Muaj kev pheej hmoo tias koj yuav muaj kev hloov pauv hauv koj lub siab lub ntsws yog tias koj noj tshuaj anticonvulsant xws li oxcarbazepine, tab sis nws kuj tseem yuav muaj kev pheej hmoo uas koj yuav muaj kev hloov pauv hauv koj lub hlwb yog tias koj tus mob tsis kho. Koj thiab koj tus kws kho mob yuav txiav txim siab seb qhov kev pheej hmoo ntawm kev noj tshuaj anticonvulsant puas ntau dua qhov txaus ntshai ntawm kev tsis noj tshuaj. Koj, koj tsev neeg, lossis koj cov neeg saib xyuas yuav tsum hu rau koj tus kws kho mob tam sim ntawd yog tias koj pom muaj cov tsos mob hauv qab no: ceeb ntshai; kev ntxhov siab lossis nyob tsis tswm; tshiab lossis cuam tshuam kev npau taws, ntxhov siab, lossis kev poob siab; kev ua ntawm kev lam ua txaus ntshai; nyuaj poob los yog pw tsaug zog; txhoj puab heev, npau taws, los sis kev coj cwj pwm phem; mania (frenzied, xav tsis thoob lub siab chim siab); tham lossis xav txog qhov xav ua phem rau koj tus kheej lossis xaus koj lub neej; rho tawm ntawm cov phooj ywg thiab tsev neeg; xav ntsoov txog txoj kev tuag thiab kev tuag; muab cov khoom muaj nqi; lossis lwm yam kev hloov pauv txawv ntawm tus cwj pwm lossis kev xav. Nco ntsoov tias koj tsev neeg lossis cov neeg zov menyuam paub tias cov tsos mob twg yuav yog tus mob hnyav yog li lawv tuaj yeem hu kws kho mob yog tias koj tsis tuaj yeem nrhiav kev kho koj tus kheej.

Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.


Ua ntej koj pib txoj kev kho mob, tham nrog koj tus kws kho mob txog yam koj yuav tsum ua yog tias koj tsis tuaj yeem noj tshuaj. Nco ntsoov nug koj tus kws kho mob tias koj yuav tsum tau tos ntev npaum li cas ntawm kev noj lub sijhawm uas koj tsis nco qab thiab noj koj qhov tshuaj ntxiv ntawm oxcarbazepine tom ntej. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Oxcarbazepine tuaj yeem ua phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • ceev, rov ua qhov muag taw uas koj tsis tuaj yeem tswj hwm
  • zawv plab
  • cem quav
  • Kev mob siab
  • mob plab
  • xeev siab
  • ntuav
  • tsis qab los noj mov
  • hloov pauv hauv cov khoom noj uas qab tau saj
  • qhov ncauj qhuav
  • kev nqhis dej
  • hnyav
  • mob taub hau
  • co ntawm ib feem ntawm lub cev uas koj tswj tsis tau; nyuaj ua kom sib haum txav; ntog poob
  • kev ua kom qeeb los yog kev xav; hnov qab, nyuaj siab thiab mloog cov teeb meem hais lus
  • qaum, caj npab, lossis mob ceg
  • leeg tsis muaj zog lossis ceev ceev ceev
  • nce hws
  • o, liab, khaus, kub, lossis khaus ntawm lub paum, dawb paug ntawm lub paum

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob nram qab no, hu rau koj tus kws kho mob tam sim ntawd:

  • ua pob; khaus; o ntawm lub ntsej muag, lub caj pas, tus nplaig, daim di ncauj, qhov muag, tes, taw, pob taws, lossis ceg qis: lossis nyuaj rau nqos lossis ua pa
  • xeev siab, mob taub hau, tsis muaj lub zog, tsis meej pem, lossis qaug dab peg uas kav ntev lossis tshwm sim ntau dua li yav dhau los
  • tev tawv, ua hlwv, lossis tawv
  • ua pob; khaus; qhov ncauj tawm hauv qhov ncauj lossis ib ncig ntawm lub qhov muag; ua npaws; nkees heev; mob hauv siab; leeg tsis muaj zog lossis mob; o ntawm lub ntsej muag, caj dab, puab tais, lossis thaj tsam tsis pom kev; daj tawv nqaij lossis qhov muag; los ntshav los sis doog ntshav; los ntshav, pos huab, ntau zog, txo qis, lossis tso zis mob heev
  • mob caj pas, hnoos, ua daus no, thiab lwm yam cim ntawm tus kab mob

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab tsis txhob ncav cuag thiab pom me nyuam yaus. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej). Khaws cov ntsiav tshuaj ncua-tso tawm kom deb ntawm lub teeb. Muab cov kev tshem tawm uas tsis siv lawm 7 lub lis piam tom qab lub raj mis qhib thawj.

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee qhov kuaj sim kuaj xyuas koj cov lus teb rau oxcarbazepine.

Ua ntej muaj qhov kev sim ntsuas, qhia rau koj tus kws kho mob thiab cov neeg ua haujlwm kuaj pom tias koj noj oxcarbazepine.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

  • Oxtellar XR®
  • Trileptal®
Kawg Kho - 04/15/2019

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