Tus Sau: Janice Evans
Hnub Kev Tsim: 26 Lub Xya Hli Ntuj 2021
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Critical evaluation of Safinamide – Video abstract [ID 77749]
Daim Duab: Critical evaluation of Safinamide – Video abstract [ID 77749]

Zoo Siab

Safinamide siv nrog rau kev sib xyaw ntawm levodopa thiab carbidopa (Duopa, Rytary, Sinemet, lwm tus) los kho '' tawm '' ntu (lub sijhawm nyuaj ua rau taug kev, taug kev, thiab hais lus uas tej zaum yuav tshwm sim los ntawm kev noj tshuaj txo lossis thaum sib nrug) hauv cov neeg muaj tus kab mob Parkinson (PD; muaj kev cuam tshuam ntawm cov hlab ntsha tsis zoo uas ua rau muaj teeb meem rau kev txav mus los, tswj leeg, thiab sib npaug). Safinamide nyob rau hauv ib pawg tshuaj uas muaj npe hu ua monoamine oxidase hom B (MAO-B) inhibitors. Nws ua haujlwm los ntawm kev nce qib ntawm dopamine (ib yam khoom uas ntuj xav tau los tswj kev txav) hauv lub hlwb.

Safinamide los ua ib ntsiav tshuaj los noj ntawm qhov ncauj. Feem ntau nws noj nrog lossis tsis noj ib zaug ib hnub. Siv tshuaj safinamide nyob rau 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. Siv tshuaj safinamide raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Koj tus kws kho mob tej zaum yuav pib rau koj ntawm kev pheej hmoo ntawm muaj tshuaj safinamide thiab tej zaum yuav nce koj cov tshuaj ntau dua tom qab tsawg kawg 2 lub lis piam ntawm kev kho mob.

Tsis txhob tsum noj safinamide tsis tas tham nrog koj tus kws kho mob. Koj tus kws kho mob yuav txo qis koj cov tshuaj ua ntej yuav tsum. Yog tias koj cia li tsum kiag tsis txhob haus tshuaj safinamide, koj yuav pom muaj tsos mob thim rov qab xws li kub taub hau; leeg khov kho; tsis meej pem; los yog hloov pauv ntawm kev nco qab. Qhia rau koj tus kws kho mob yog tias koj muaj cov tsos mob no thaum koj cov tshuaj safinamide tsawg dua.

Nug koj tus kws muag tshuaj lossis tus kws kho mob txog cov ntawv luam ntawm cov ntaub ntawv tsim tawm rau tus neeg mob.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj cov tshuaj safinamide,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau safinamide (qhov ncauj lossis tus nplaig o, ua pa luv), lwm yam tshuaj noj, lossis lwm yam tshuaj hauv cov ntsiav tshuaj safinamide. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob yog tias koj noj ib qho twg hauv qab no: amphetamines (stimulants, 'uppers') xws li amphetamine (Adderall, Adzenys, Dyanavel XR, hauv Adderall), dextroamphetamine (Dexedrine, hauv Adderall), thiab methamphetamine (Desoxyn); qee yam tshuaj tua kab mob xws li amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), mirtazapine (Remeron) thiab trazodone; buspirone; cyclobenzaprine (Amrix); methylphenidate (Aptensio, Metadate, Ritalin, lwm tus); opioids xws li meperidine (Demerol), methadone (Dolophine, Methadose), propoxyphene (tsis muaj nyob hauv Asmeskas; Darvon), lossis tramadol (Conzip, Ultram, hauv Ultracet); xaiv serotonin thiab norepinephrine reuptake inhibitors (SSNRIs) xws li duloxetine (Cymbalta) thiab venlafaxine (Effexor); thiab St. John lub wort; Kuj qhia rau koj tus kws kho mob yog tias koj noj MAO inhibitor xws li isocarboxazid (Marplan), linezolid (Zyvox), methylene xiav, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), lossis tranylcypromine (Parnate). lawv li ntawm ob lub lis piam dhau los. Koj tus kws kho mob tej zaum yuav qhia koj tias koj yuav tsum tsis txhob siv tshuaj safinamide nrog rau ib qho ntawm cov tshuaj no. Yog tias koj tsum tsis noj tshuaj safinamide, koj yuav tsum tos 14 hnub ua ntej koj pib noj cov tshuaj no. Tsis tas li, tsis txhob noj tshuaj dextromethorphan (hauv Robitussin DM; pom muaj nyob hauv ntau daim ntawv sau npe hnoos thiab mob khaub thuas) nrog rau tshuaj safinamide.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais qee yam ntawm cov hauv qab no: tshuaj tiv thaiv kev tiv thaiv xws li clozapine (Clozaril, Fazaclo, Versacloz) thiab olanzapine (Zyprexa); benzodiazepines xws li alprazolam (Xanax), diazepam (Diastat, Valium), lorazepam (Ativan), temazepam (Restoril), thiab triazolam (Halcion); tshuaj rau mob khaub thuas thiab ua xua (tshuaj lom neeg lub cev) nrog rau cov tso rau hauv lub qhov muag lossis ntswg; imatinib (Gleevec); irinotecan (Camptosar, Onivyde); isoniazid (Laniazid, hauv Rifamate, hauv Rifater); lapatinib (Tykerb); methotrexate (Otrexup, Rasuvo); metoclopramide (Reglan); mitoxantrone; rosuvastatin (Crestor); xaiv serotonin reuptake inhibitors xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax, lwm tus), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), thiab sertraline (Zoloft); sulfasalazine (Azulfidine); thiab topotecan (Hycamtin). 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 koj tus kws kho mob yog tias koj muaj kab mob siab. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj tshuaj safinamide.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis muaj kev puas siab puas ntsws xws li mob hlwb (kev puas hlwb uas ua rau muaj kev ntxhov siab, tsis txaus siab rau lub neej, thiab muaj lub siab tawv lossis txawv txawv), kev puas siab puas ntsws bipolar (lub siab uas hloov los ntawm kev nyuaj siab mus rau lub cev tsis zoo siab) , lossis mob hlwb; lossis yog tias koj muaj ntshav siab lossis qis dua ntshav; dyskinesia (txawv txav); los yog pw teeb meem. Kuj qhia koj tus kws kho mob yog tias koj lossis ib tus neeg hauv tsev neeg muaj lossis muaj teeb meem nrog retina ntawm koj ob lub qhov muag lossis albinism (kev mob muaj keeb uas ua rau tsis muaj xim ntawm daim tawv nqaij, plaub hau thiab qhov muag).
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Yog tias koj cev xeeb tub thaum noj cov tshuaj safinamide, hu rau koj tus kws kho mob.
  • qhia rau koj tus kws kho mob yog tias koj pub mis los yog npaj rau kev pub niam mis.
  • koj yuav tsum paub hais tias safinamide tuaj yeem ua rau koj tsaug zog lossis yuav ua rau koj tsaug zog thaum koj ua si txhua hnub. Tej zaum koj yuav tsis xav tias tsaug tsaug zog lossis muaj lwm yam kev ceeb toom ua ntej koj yuav tsaug zog.Tsis txhob tsav tsheb, siv lub tshuab ua haujlwm, ua haujlwm ntawm qhov siab, lossis koom nrog cov haujlwm txaus ntshai thaum pib kho koj kom txog thaum koj paub tias cov tshuaj cuam tshuam rau koj li cas. Yog koj maj mam pw tsaug zog thaum koj ua tej yam xws li saib TV, tham, noj mov, lossis caij tsheb, lossis yog koj tsaug zog heev, tshwj xeeb thaum nruab hnub, hu rau koj tus kws kho mob. Tsis txhob tsav tsheb, ua haujlwm hauv qhov chaw siab, lossis siv tshuab ua haujlwm kom txog thaum koj tham nrog koj tus kws kho mob.
  • Nco ntsoov tias dej cawv tuaj yeem ntxiv rau kev qaug zog uas tshwm sim los ntawm cov tshuaj no. Tsis txhob haus cawv thaum koj noj tshuaj safinamide.
  • koj yuav tsum paub tias qee tus neeg uas tau noj tshuaj xws li safinamide tsim teeb meem kev twv txiaj los yog lwm yam kev kub ntxhov los yog tus cwj pwm uas yuam los sis tsis zoo rau lawv, xws li kev sib daj sib deev ntxiv lossis cov cwj pwm. Hu rau koj tus kws kho mob yog tias koj muaj lub siab xav twv txiaj uas nyuaj los tswj, koj tau mob siab, lossis koj tswj tsis tau koj tus cwj pwm. Qhia rau koj cov neeg hauv koj tsev neeg txog qhov kev pheej hmoo no kom lawv tuaj yeem hu kws kho mob txawm tias koj tsis paub tias koj kev twv txiaj lossis lwm yam kev xav tau lossis kev coj tsis zoo tau dhau los ua teeb meem.

Tej zaum koj yuav muaj qhov tsis haum yog tias koj noj zaub mov uas muaj cov tshuaj tyramine ntau dua thaum siv tshuaj safinamide. Tyramine muaj nyob hauv ntau cov zaub mov thiab dej haus, suav nrog nqaij, nqaij qaib, ntses, lossis cov cheese uas tau haus, hnub nyoog, khaws cia tsis raug, lossis khaws; tej txiv hmab txiv ntoo, zaub, thiab taum pauv; dej cawv; thiab cov poov xab khoom uas tau fermented lawm. Koj tus kws kho mob lossis tus kws qhia noj zaub mov yuav qhia koj seb koj yuav tsum zam cov zaub mov twg, thiab yam khoom noj twg koj xav noj tsawg. Yog tias koj noj zaub mov uas muaj tyramine ntau dua thaum noj safinamide, tiv tauj koj tus kws kho mob.


Hla lub tshuaj uas koj tsis nco qab noj thiab noj koj cov tshuaj ntxiv nyob rau lub sijhawm ib hnub tom ntej. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Safinamide yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • xeev siab
  • teeb meem tsis tsaug zog los yog pw tsaug zog

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev:

  • kev ua kom tsis zoo lossis lub cev ntaug uas koj tsis tuaj yeem tswj tau
  • kev pom kev hloov
  • hnov (pom tej yam lossis hnov ​​cov suab uas tsis muaj nyob)
  • delusional kev ntseeg (ntseeg tej yam uas tsis muaj tiag)
  • kev ntxhov siab, hnov ​​ntxhias, kub cev, tawm hws, tsis meej pem, lub plawv dhia ceev, tshee tshee, mob leeg nruj lossis duav, tsis ua hauj lwm ua ke, xeev siab, ntuav, lossis raws plab

Safinamide tuaj yeem ua rau muaj kev phiv ntxiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.


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 ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

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 ntsib nrog koj tus kws kho mob.

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.

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Kawg Kho - 06/15/2017

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