Yu kin de tink se, "O, aw yu go yuz antikonvulsant mɛrɛsin fɔ wan mental sik?" Dat na kwɛstyɔn we rili mek sɛns. Bɔku pipul dɛn kin wɔnda bɔt dis. Bɔt fɔ tru, we dɛn de trit wan maynd sik we dɛn kɔl bipolar disorder, dis kayn mɛrɛsin we dɛn kɔl ‘Anticonvulsant’ kin ple wan impɔtant pat. Dɛn kin kɔl dɛn tin ya bak ‘mood stabilizers’, we min se dɛn kin mek di mud stebul . So lɛ wi lan mɔ bɔt dis tide. Lɛ wi tɔk simpul wan bɔt wetin mek dɛn de gi dɛn mɛrɛsin ya, wetin na di kayn mɛrɛsin dɛn we dɛn kin yuz mɔ, ɛn wetin yu nid fɔ no we yu de yuz dɛn.
Wetin mek dɛn kin gi dɛn mɛrɛsin ya fɔ mek pɔsin gɛt bipola muud disɔda?
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di bren we de wok pasmak kol. Tink bɔt wi bren lɛk trafik na rod we bɔku pipul dɛn kin pas. Na pɔrsin wae gɛt dis maynia sik, sɔmtɛm dis kin bi tu fast, lɛk se di motoka dɛn de kam fɔ rɔsh. Wi de kɔl dis stet ‘mania’. Ɔda tɛm dɛn, dis wok kin paralayz wantɛm wantɛm ɛn stɔp. Wi kin kɔl dis ‘dipreshɔn’.
Di mɛrɛsin dɛn we de mek pɔsin in kɔnvuls de wok lɛk trafik layt. Dɛn kin kɔntrol di bɔku bɔku ilɛktrik wok we di nɛv sɛl dɛn na di bren kin du, ɛn dɛn kin balans di bad bad tin dɛn we kin apin kwik kwik wan ɛn we kin stɔp wantɛm wantɛm. Dis na di rizin we mek dɛn kin yuz dɛn mɛrɛsin ya bak fɔ mɛn ɛpilepshi, maygren, ɛn ɔda tin dɛn we gɛt fɔ du wit di we aw pɔsin kin du tin pasmak na di bren.
Trade, dɛn bin de gi dɛn mɛrɛsin ya to pipul dɛn nɔmɔ we nɔ de ansa to lithium, we na di men mɛrɛsin fɔ bipola disɔda. Bɔt tide, dɛn kin yuz dɛn bɔku bɔku wan dɛn wan, wit litiɔm, ɔ dɛn kin yuz dɛn wit ɔda mɛrɛsin dɛn. Dɛn kin woke pasmak pan pipul dɛm wae kin chenj bitwin mania ɛn pwɛl hat pas 4 tɛm insay di ia (wi kin kɔl dis ‘ rapid cycling ’ ).
Antikonvulsant we dɛn kin gi ɛn difrɛn we dɛn
Bɔrku kayn antikonvulsant de wae dɛn kin yuse fɔ bipola disɔda. Ɛni wan pan dɛn de wok difrɛn we smɔl. So yu dɔktɔ go disayd di bɛst mɛrɛsin fɔ yu sik dɛn. Lɛ wi tek wan luk pan di men kayn mɛrɛsin dɛn we dɛn kin yuz.
| Di Nem fɔ Drug | Men yus kes | Impɔtant not dɛn |
|---|---|---|
| Valproik asid / Divalproɛks sɔdiɔm (Dɛpakɔt, Dipakɛn) | Fɔ kɔntrol di mania | Mɔr ɛfifishin fɔ manic symptoms pas depressive symptoms. Yuz mɔ fɔ di manejmɛnt fɔ wan akyu episɔd. |
| Kabamazɛpin we dɛn kɔl (Tɛgretol) . | Fɔ kɔntrol di mania | Valproic acid de wok bak mɔ pan manik ɛpisod dɛm. Dɛn kin yuse am fɔ kɔntrol di sik we yu gɛt naw. |
| Lamotrijin we dɛn kɔl Lamotrigine (Lamiktal) we dɛn kɔl | Fɔ kɔntrol pwɛl hat ɛn fɔ mek i nɔ gɛt di sik bak | Mɔr ɛfifishin na dipreshɔn stet pas manik stet. Bɔrku tɛm dɛn kin yuse am as mɛrɛsin fɔ mek yu nɔr gɛt sik tumara bambay. |
Apat frɔm dɛn men mɛrɛsin ya, sɔmtɛm dɔktɔ dɛn kin yuz ɔda antikɔnvulsant (e.g., Lyrica, Neurontin, Topamax) ‘ɔf-lɛbul’ fɔ ɔda prɔblɛm dɛn we gɛt fɔ du wit bipola disɔda, lɛk prɔblɛm wit slip, wɔri, pen, ɔ fɔ lɛf fɔ it bɔku bɔku it. ‘Off-label’ min se dɛn de yuz di drɔg fɔ ɔda tin pas di men rizin we mek dɛn gri fɔ am.
Di impɔtant tin na dat bikɔs ɛni wan pan dɛn mɛrɛsin ya de wok difrɛn, yu ɛkspiriɛns kin difrɛn difrɛn wan bay di mɛrɛsin we yu de tek. Nɔ ɛkspɛkt fɔ gɛt rizɔlt wantɛm wantɛm we yu tek dɛn mɛrɛsin ya. Infakt, i kin tek sɔm wiks fɔ mek dɛn mɛrɛsin ya bigin fɔ wok we dɛn de wok tranga wan .
Wetin na di sayd ɛfɛkt dɛm we yu fɔ no bɔt?
Lɛk ɛni mɛrɛsin, di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad kin gɛt bad bad tin dɛn. Na dat mek i impɔtant fɔ yuz dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu, ɛn ɔnda in sɔpɔtishɔn .
We yu de tek dis mɛrɛsin, yu dɔktɔ kin aks yu fɔ du blɔd tɛst wan wan tɛm. Dis na bikɔs sɔm antikɔnvulsant kin afɛkt di liva ɛn kidni. Dɛn kin mek bak di nɔmba fɔ di pletlɛt dɛn nɔ bɔku, we kin ɛp fɔ mek blɔd klɔt. Dɛn kin du dɛn blɔd tɛst ya fɔ mek shɔ se ɔltin na yu bɔdi gɛt wɛlbɔdi.
Dis na sɔm pan di sayd ɛfɛkt dɛm we kin apin :
- Diziz we pɔsin kin gɛt
- Di we aw pɔsin kin slip
- Taya
- Vɔmit
- Tremor
- Skin rash we de kɔmɔt na di skin
- We yu de gɛt mɔ wet
Di bɛst pat na dat bɔku pan dɛn sayd ɛfɛkt ya go stɔp as tɛm de go as yu bɔdi de ajɔst to di mɛrɛsin. Bɔt if yu gɛt ɛni big tin we de mɔna yu bɔt dɛn, nɔ ɛva disayd fɔ yusɛf ɛn tɔk to yu dɔktɔ ɔltɛm .
Tin dɛn we yu fɔ pe atɛnshɔn mɔ to
Bɔku tin dɛn de we yu ɛn yu dɔktɔ fɔ pe atɛnshɔn to we yu de yuz dɛn mɛrɛsin ya.
- Bɛlɛ: If yu gɛt bɛlɛ, ɔ yu de plan fɔ gɛt bɛlɛ, i impɔtant fɔ tɛl yu dɔktɔ. Sɔm antikonvulsant kin afɛkt di pikin we nɔ gɛt bɛlɛ ɛn i kin mek i gɛt prɔblɛm wit di pikin we i bɔn . So, nɔ tek dɛn we yu nɔ gɛt dɔktɔ advays.
- Liva wɛl bɔdi: Sɔm mɛrɛsin kin afɛkt di liva we yu yuz am fɔ lɔng tɛm. Dis na di rizin we mek yu dɔktɔ go wach aw yu liva de wok bay we i de du blɔd tɛst wan wan tɛm.
- Prɔblɛm wit ɔda mɛrɛsin dɛn: Dis na pɔynt we rili impɔtant. Antikonvulsant kin intarakt wit ɔda mɛrɛsin dɛm wae yu de tek ɛn mek yu gɛt siriɔs prɔblɛm. Dis kin inklud di kɔmɔn pen riliva aspirin. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn, ɛbul sɔpɔtmɛnt, ɛn mɛrɛsin dɛn we yu nɔ de bay . Nɔ bigin ɛni nyu tin we yu nɔ aks yu dɔktɔ.
- Fɔ stɔp fɔ tek mɛrɛsin:
- Antikonvulsant mεdikeshכn fכ bipolar dizכrd de kכntrכl di haypa aktiviti na di bren εn stεbyul di mכd.
- Difrɛn mɛrɛsin dɛn kin wok fayn mɔ fɔ mɛn mania ɔ pwɛl hat ɛn fɔ mek i nɔ gɛt di sik bak. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu.
- I impɔtant fɔ peshɛnt bikɔs i kin tek sɔm wiks fɔ fil di ful ɛfɛkt fɔ dɛn mɛrɛsin ya.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Nɔ wɔri bɔt di bad tin dɛn we kin apin to yu, bɔt if yu de wɔri bɔt dɛn ɔ if yu gɛt nyu sayn dɛn, tɔk to yu dɔktɔ wantɛm wantɛm.
- Nɔ ɛva stɔp fɔ tek dɛn mɛrɛsin ya wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays.
Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu fɔ ɛni rizin. If yu stɔp fɔ tek am wantɛm wantɛm, yu go de pan denja fɔ gɛt sik, ilɛksɛf yu nɔ ɛva gɛt am. If yu stɔp, yu fɔ du am smɔl smɔl, ridyus di doz ɛn ɔnda yu dɔktɔ in sɔpɔtishɔn.
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