Phenytoin

Zoo Siab

• Ua ntej noj phenytoin,
• Phenytoin tuaj yeem ua rau nce ntxiv hauv koj cov piam thaj hauv ntshav. Tham nrog koj tus kws kho mob txog cov tsos mob ntawm ntshav qab zib thiab yuav ua li cas yog tias koj pom cov tsos mob no.
• Phenytoin 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:
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv TSHWJ XEEB PRECAUTIONS, hu rau koj tus kws kho mob tam sim ntawd:.
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob nram qab no, tsum tsis txhob noj phenytoin thiab hu rau koj tus kws kho mob:
• Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

Phenytoin raug siv los tswj hwm qee yam mob chua leeg, thiab kho thiab tiv thaiv mob chua leeg uas yuav pib thaum lossis tom qab phais mus rau lub hlwb lossis lub paj hlwb. Phenytoin nyob 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.

Phenytoin los ua kev ncua ntev-tso tawm (ntev ntev los ua haujlwm) tshuaj ntsiav, noj tshuaj ntxhw, thiab ncua kev kawm (kua) los noj ntawm qhov ncauj. Cov ntsiav tshuaj zom thiab ncua kev kawm yog feem ntau noj ob lossis peb zaug ib hnub. Cov tsiav tshuaj txuas ntxiv no feem ntau yog noj ib mus rau plaub zaug hauv ib hnub. Noj phenytoin nyob ib ncig ntawm tib lub sijhawm (s) 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 phenytoin 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 yuav pib koj noj tsawg kawg ntawm phenytoin thiab maj mam nce koj cov koob tshuaj, tsis yog ntau tshaj ib zaug txhua 7 mus rau 10 hnub.

Cov khoom siv phenytoin sib txawv tau yoog los ntawm lub cev ntawm txoj kev sib txawv thiab tsis tuaj yeem hloov lwm tus rau ib leeg. Yog tias koj xav hloov los ntawm ib qho khoom phenytoin mus rau lwm tus, koj tus kws kho mob yuav xav kho koj qhov tshuaj. Txhua zaus koj tau txais koj cov tshuaj, mus xyuas kom paub tseeb tias koj tau txais cov khoom lag luam phenytoin uas tau sau tseg rau koj. Nug koj tus kws muag tshuaj yog tias koj tsis paub meej tias koj tau txais tshuaj zoo.

Co cov kua kom zoo ua ntej txhua qhov siv los sib tov cov tshuaj. Siv cov cuab yeej ntsuas ntsuas kom paub tseeb tias koj tau txais qhov tseeb ntawm kev noj tshuaj. Nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug dab tsi txog kev ntsuas koj cov tshuaj.

Nqos lub raj tshuaj ncua ntev tso tawm tag nrho; tsis txhob sib faib, zom, lossis tsoo lawv. Tsis txhob noj tsiav uas pom.

Koj tuaj yeem zom cov ntsiav tshuaj zom kom huv si ua ntej yuav nqos, lossis koj yuav nqos tag nrho yam tsis ntxo.

Yog tias koj tau txais mis los yog tshuaj ntxiv los ntawm txoj yas pub mis, tham nrog koj tus kws kho mob txog thaum koj yuav tsum noj phenytoin. Koj yuav tsum tau tso cai qee lub sijhawm ntawm kev txais koj cov kev pub noj mov thiab noj phenytoin.

Phenytoin tuaj yeem pab tswj hwm koj tus mob tab sis yuav tsis kho nws. Txuas ntxiv noj phenytoin txawm hais tias koj tus kheej zoo. Tsis txhob tsum tsis txhob noj phenytoin yam tsis tau tham nrog koj tus kws kho mob, txawm tias koj tau ntsib kev mob tshwm sim xws li kev hloov pauv txawv ntawm tus cwj pwm lossis lub siab. Yog tias koj cia li tsum kiag tsis noj phenytoin, koj qhov qaug dab peg yuav phem dua. Koj tus kws kho mob yuav txo qis qhov tshuaj koj maj mam.

Phenytoin tseem tseem siv los tswj lub plawv dhia tsis xwm yeem. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev siv cov tshuaj no rau koj tus 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 phenytoin,

• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau phenytoin, lwm yam tshuaj hydantoin xws li ethotoin (Peganone) lossis fosphenytoin (Cerebyx), muaj lwm yam tshuaj noj, lossis ib yam ntawm cov tshuaj hauv phenytoin. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
• qhia rau koj tus kws kho mob yog tias koj noj delavirdine (Rescriptor). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj phenytoin yog tias koj noj cov tshuaj no.
• 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 ib yam ntawm cov hauv qab no: albendazole (Albenza); amiodarone (Nexterone, Pacerone); anticoagulants ('ntshav thinners') xws li warfarin (Coumadin, Jantoven); cov tshuaj tua kab mob xws li fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Onmel, Sporanox, Tolsura), miconazole (Oravig), posaconazole (Noxafil), thiab voriconazole (Vfend); muaj qee yam antivirals xws li efavirenz (Sustiva, hauv Atripla), indinavir (Crixivan), lopinavir (hauv Kaletra), nelfinavir (Viracept), ritonavir (Norvir, hauv Kaletra), thiab saquinavir (Invirase); bleomycin; capecitabine (Xeloda); carboplatin; chloramphenicol; chlordiazepoxide (Librium, hauv Librax); cov tshuaj tua kab mob hauv siab xws li atorvastatin (Lipitor, hauv Caduet), fluvastatin (Lescol), thiab simvastatin (Zocor, hauv Vytorin); cisplatin; clozapine (Fazaclo, Versacloz); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); diazoxide (Proglycem); digoxin (Lanoxin); disopyramide (Norpace); disulfiram (Antabuse); doxorubicin (Doxil); doxycycline (Acticlate, Doryx, Monodox, Oracea, Vibramycin); fluorouracil; fluoxetine (Prozac, Sarafem, hauv Symbyax, lwm tus); fluvoxamine (Luvox); folic acid; fosamprenavir (Lexiva); furosemide (Lasix); H₂ antagonists xws li cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), thiab ranitidine (Zantac); tshuaj tiv thaiv cev xeeb tub (tshuaj noj txwv, plooj, nplhaib, lossis tshuaj); kev hloov kho cov tshuaj hormones (HRT); irinotecan (Camptosar); isoniazid (Laniazid, hauv Rifamate, hauv Rifater); tshuaj rau kev mob hlwb thiab xeev siab; lwm cov tshuaj rau qaug dab peg xws li carbamazepine (Carbatrol, Equetro, Tegretol, lwm tus), ethosuximide (Zarontin), felbamate (Felbatol), lamotrigine (Lamictal), methsuximide (Celontin), oxcarbazepine (Trilepta, Oxtellar X,) ), thiab cov kua txiv valproic acid (Depakene); tshuaj txiav yeeb (Dolophine, Methadose); methotrexate (Otrexup, Rasuvo, Trexall, Xatmep); methylphenidate (Daytrana, Concerta, Metadate, Ritalin); mexiletine; nifedipine (Adalat, Procardia), nimodipine (Nymalize), nisoldipine (Sular); omeprazole (Prilosec); qhov ncauj steroids xws li dexamethasone, methylprednisolone (Medrol), prednisolone, thiab prednisone (Rayos); paclitaxel (Abraxane, Taxol); paroxetine (Paxil, Pexeva); praziquantel (Biltricide); quetiapine (Seroquel); quinidine (hauv Nuedexta); reserpine; phom phom (Rifadin, Rimactane, hauv Rifamate, hauv Rifater); salicylate mob mob xws li cov tshuaj aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, lwm tus), thiab salsalate; sertraline (Zoloft); ua tau zoo (Carafate); cov tshuaj tua kab sulfa; teniposide; theophylline (Elixophyllin, Theo-24, Theochron); ticlopidine; tolbutamide; trazodone; verapamil (Calan, Verelan, hauv Tarka); vigabatrin (Sabril); thiab vitamin D. Tej zaum koj tus kws kho mob yuav tau hloov cov tshuaj ntawm koj cov tshuaj los yog saib xyuas koj kom zoo dua rau cov kev phiv.
• qhia rau koj tus kws kho mob yog tias koj noj tshuaj antacids uas muaj calcium, magnesium, lossis aluminium (Maalox, Mylanta, Tums, lwm tus). Koj tus kws kho mob yuav qhia koj kom cia qee lub sijhawm los ntawm kev noj tshuaj antacid thiab noj phenytoin.
• qhia koj tus kws kho mob tias yam tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John wort.
• qhia rau koj tus kws kho mob yog tias koj tau mob siab rau daim siab thaum noj phenytoin. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj phenytoin ntxiv.
• qhia rau koj tus kws kho mob yog tias koj haus dej lossis haus cawv ntau dhau. Qhia rau koj tus kws kho mob yog tias koj tau kuaj ntshav kuaj pom tias koj muaj keeb kwm muaj feem ua rau muaj kev phom sij ua rau koj muaj feem ua kom tawv nqaij hnyav rau phenytoin. Thiab, qhia rau koj tus kws kho mob yog tias koj tau lossis muaj mob ntshav qab zib; porphyria (mob uas qee yam khoom tsim hauv lub cev thiab ua rau mob plab, hloov ntawm kev xav lossis tus cwj pwm, lossis lwm yam tsos mob); osteopenia, osteomalacia, los yog osteoporosis (mob uas cov pob txha mos los yog thim thiab yuav tawg yooj yim); cov ntshav uas muaj qis kawg hauv koj cov ntshav; lossis mob plawv, raum lossis kab mob siab.
• qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Koj yuav tsum tsis txhob cev xeeb tub thaum koj noj phenytoin. Tham nrog koj tus kws kho mob txog txoj kev tswj tsis pub muaj menyuam kom koj tuaj yeem siv thaum kho koj. Yog tias koj cev xeeb tub thaum noj phenytoin, hu rau koj tus kws kho mob. Phenytoin tuaj yeem tsim kev puas tsuaj rau tus menyuam hauv plab.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj phenytoin.
• koj yuav tsum paub tias cov tshuaj no yuav ua rau kiv taub hau, tsaug zog, thiab teeb meem nrog kev ua kom sib haum. 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.
• tham nrog koj tus kws kho mob txog kev haus cawv zoo thaum koj tseem noj cov tshuaj no.
• koj yuav tsum paub tias koj lub paj hlwb yuav pauv txoj hauv kev uas tsis tau npaj siab thiab koj yuav dhau los tua tus kheej (xav txog kev ua phem lossis tua tus kheej lossis npaj lossis sim ua) thaum koj noj phenytoin. Tsawg tsawg tus neeg laus thiab menyuam yaus hnub nyoog 5 xyoos thiab laus dua (thaj tsam li 1 ntawm 500 tus neeg) uas tau siv tshuaj anticonvulsants xws li phenytoin los kho ntau yam mob thaum cov kev tshawb fawb soj ntsuam tau dhau los tua tus kheej thaum lawv kho. Qee tus neeg no tsim kev xav tua tus kheej thiab tus cwj pwm thaum ntxov li ib lub lim tiam 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 phenytoin, tab sis kuj tseem muaj kev pheej hmoo uas koj yuav muaj kev hloov pauv hauv koj lub siab lub ntsws 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 kom mob koj tus kheej lossis kom 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.
• tham nrog koj tus kws kho mob txog txoj kev zoo tshaj los saib xyuas koj cov hniav, pos hniav, thiab qhov ncauj thaum kho koj nrog phenytoin. Nws yog qhov tseem ceeb heev uas koj yuav tsum tu koj lub qhov ncauj kom zoo kom txo cov kev puas tsuaj ntawm cov pos hniav los ntawm phenytoin.

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

Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Phenytoin tuaj yeem ua rau nce ntxiv hauv koj cov piam thaj hauv ntshav. Tham nrog koj tus kws kho mob txog cov tsos mob ntawm ntshav qab zib thiab yuav ua li cas yog tias koj pom cov tsos mob no.

Phenytoin 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:

• teeb meem tsis tsaug zog los yog pw tsaug zog
• kev tswj qhov muag tsis pom kev
• lub cev txawv txav
• poob kev sib koom tes
• tsis meej pem
• hais lus phem
• mob taub hau
• hloov pauv koj qhov kev txiav txim siab saj
• cem quav
• pliaj plaub hau tsis loj tuaj
• coarsening ntawm lub ntsej muag nta
• kev loj ntawm daim di ncauj
• overgrowth ntawm cov pos hniav
• mob lossis khoov ntawm tus qau

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv TSHWJ XEEB PRECAUTIONS, hu rau koj tus kws kho mob tam sim ntawd:.

• o cov qog
• hlwv
• xeev siab
• ntuav
• daj ntawm daim tawv nqaij lossis qhov muag
• mob hauv sab saud hauv plab
• nkees dhau heev lawm
• doog ntshav los ntshav tsis txawv
• me me liab los yog ntshav me me rau ntawm daim tawv nqaij
• tsis qab los noj mov
• cov tsos mob khaub thuas zoo li
• kub taub hau, mob caj pas, tawm pob, mob lub qhov ncauj, lossis yooj yim ua pob, los yog ua ntsej muag o
• kiv taub hau, nkees nkees, lub plawv dhia tsis xwm yeem, lossis mob hauv siab
• txog siav
• khaus

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob nram qab no, tsum tsis txhob noj phenytoin thiab hu rau koj tus kws kho mob:

• o ntawm lub ntsej muag, qhov muag, caj pas, nplaig, lossis daim di ncauj
• teeb meem nqos lossis ua pa

Phenytoin tuaj yeem ua rau lwm cov kev mob tshwm sim. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum koj tseem 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).

Kev noj phenytoin tuaj yeem ua rau muaj kev pheej hmoo ntxiv tias koj yuav ua kom pob txha caj qaum, txha, lossis osteomalacia thiab teeb meem nrog koj cov qog ntshav nrog rau Hodgkin's mob (mob qog nqaij hlav uas pib hauv lub lymph system). Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev siv cov tshuaj no los kho koj tus mob.

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, kom deb ntawm lub teeb thiab tshaj cua sov thiab noo noo (tsis nyob hauv chav dej). Tsis txhob khov cov kua.

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

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.

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.

Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

• kev tswj qhov muag tsis pom kev
• poob kev sib koom tes
• hais lus qeeb lossis hais tsis tau
• qhov muag plooj
• nkees
• kev tswj tsis tau ib qho ntawm lub cev
• xeev siab
• ntuav
• tsis nco qab (tsis nco qab rau lub sijhawm ib ntus)
• kiv taub hau, nkees nkees, lub plawv dhia tsis xwm yeem, lossis mob hauv siab
• txog siav

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 kev kuaj sim kuaj xyuas koj cov lus teb rau phenytoin.

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

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.

• Dilantin^®
• Phenytek^®