Trileptal (zita rinowanzoitwa: oxcarbazepine) inonzi anticonvulsant mishonga inoshandiswa kurapa kamufa, asi Trileptal inorayirwawo kure-label kuti irape bipolar disorder.
Trileptal inobata US Food and Drug Administration kugamuchirwa kutora kukanganisa kwakashata kune vanhu vakuru nevana. Iyo yakabatana zvikuru ne carbamazepine, iyo ine mazita akasiyana-siyana emazita, kusanganisira Tegretol.
Carbamazepine inoshandiswa sechimiro chetsika mu bipolar disorder.
Kunyange zvazvo vamwe vezvechirwere chepfungwa vachitaura kuti Trileptal kurapa chirwere cheBipolar, kutsvakurudza hakuna kuratidza zvakajeka kuti inoshanda.
Kuongororwa kwebhuku rezvechiremba rakaitwa muna 2011 rakagumisa kuti mushonga uyu hauna kushanda zvakanaka kurapa chirwere cheBipolar muvana nevechiri kuyaruka, uye wakashanda pamwe chete nedzimwe mishonga yeBipolar disorder muvanhu vakuru. Vanyori vakati zvidzidzo zviri nani zvinodiwa kuti vaone kana Trileptal iri kunyatsobudirira mu bipolar disorder.
Kurwiswa Kunyeverwa uye Migumisiro Yechebvu
Kuchengetedza kunogona kuderedza kubudirira kwehutachiona kuberekwa nekurapa mishonga. Mukuwedzera, chenjerera nedoro uye mishonga yekugara, sezvo Trileptal inogona kunge yakagadzirisa. Usafambisa kana kushandisa mishonga ine simba kusvikira wapedza mhinduro yako kune ichi chirwere.
Zvimwe zvinowanzovhiringidza zvinosanganisira:
- chizoro
- kugona
- zviratidzo zviviri (diplopia)
- kuneta
- kushungurudza uye kurutsa
- unsteadiness patsoka dzako (ataxia)
- zviratidzo zvisingaiti
- marwadzo emudumbu
- tremble
- asidi reflux (dyspepsia)
- kusagadzikana gait
Izvo zvisingashamisi yechipfuva chaiva hyponatremia (yakaderera ropa yerodium). Zviratidzo zvechiitiko ichi zvinosanganisira kusafambisa urinha, kushaya musoro, kuvhiringidzika, kuneta uye, kana zvakanyanya kuoma, kugunun'una uye kukwikwidza, saka taura nachiremba kana iwe uchifungidzira kuti izvi zvingave zvatanga.
Inenge 25% kusvika 30% yevarwere vane ruzivo rwakananga ku carbamazepine vanogona kuwana hypersensitivity kune Trileptal. Ava varwere vanofanira kubva vobva varega kushandisa Trileptal. Kurwiswa kunogona kuwirirana nemimwe mishonga yakadai felodipine (Plendil) uye verapamil (Covera, Calan, Isoptil, Verelan). Kuti uchengetedze pamarudzi aya ekubatana, nguva dzose ita nechokwadi kuti chiremba wako anoziva mishonga yose yauri kutora.
Kuwedzera kwehuwandu neTrleptal hazvijairika - zvinongowanikwa ne1% kusvika 2% yevarwere.
Kurwiswa uye Kuzviuraya Njodzi
Oxcarbazepine kurapwa inokonzera njodzi yekuzviuraya, iyo inowedzera pfungwa dzekuzviuraya, uye kuwedzera kuedza kuzviuraya.
Panenge imwechete pavanhu vese 500 - vose vana nevakuru - avo vakabatwa neTralepal nokuda kwemamiriro akasiyana-siyana, kusanganisira kuora mwoyo uye kukanganisika kwepfungwa, panguva dzedzidzo dzakasiyana-siyana dzechirwere dzakazozviuraya panguva yekurapa. Vamwe vanhu vakazvipira kufunga uye kuzvibata zvakakurumidza zvikuru panguva yekurapa - mukati pevhiki imwe chete kutanga mishonga.
Zvakakosha kuti iwe nemhuri yako muone kuti njodzi yekurapa neTraleta musati watanga kurapwa, uye tarisa chero zviratidzo zvayo panguva yekurapa kwako.
Bvunza chiremba wako pakarepo (uye bvunza mhuri yako kuti inoshevedza chiremba wako pakarepo) kana iwe uchinge uine chero chezviratidzo izvi:
- panic attack
- kushungurudzika kana kusagadzikana
- kutsva kana kuwedzera kukuvadza, kuzvidya mwoyo, kana kuora mwoyo
- kuita zvido zvinokuvadza
- kusuruvara
- utsinye, kutsamwa kana utsinye
- mania
- kufunga pamusoro kana kutaura pamusoro pekuzvikuvadza kana kuzviuraya iwe pachako
- kurega kubva kune shamwari neshamwari
- kufunganya nerufu uye kufa
- kupa zvinhu zvinokosha
- chero humwe humwe husina kujairika kuchinja mukuzvibata kana mafungiro
Sources:
Ghaemi, SN, et al. Oxcarbazepine kurapa bipolar disorder. Nyaya yeCliniki Psychiatry 64 (8) August 2003 934-5.
Wagner, KD, et al. A double-blind, randomized, placebo-controlled control trial of oxcarbazepine mukurapa bipolar disorder muvana nevechiri kuyaruka. American Journal of Psychiatry 163 (7) July 2006 1179-86.
US National Library of Medicine. Oxcarbazepine fact sheet.
RxList. Trileptal Side Effects uye Drug Interactions. 2006.
Vasudev A et al. Oxcarbazepine nokuda kwezvakawanda zvechirwere zvinokonzera bipolar disorder. Nhamba yeChrane yeChrane yeUkuongorora kwakarongeka. 2011 Dec 7; (12): CD004857.