Yu dɔktɔ dɔn gi yu mɛrɛsin we dɛn kɔl Carbamazepine fɔ epilepsy ɔ sɔm nerve pen? If na so, i rili impɔtant fɔ mek yu no gud gud wan bɔt dis mɛrɛsin. Bikɔs, lɛk ɛni mɛrɛsin, fɔ mek yu gɛt di bɛst pan am, yu nid fɔ yuz am kɔrɛkt wan. Lɛ wi tɔk bɔt dis simpul wan ɛn ɔnɛs wan tide.
Fɔ tɔk am simpul wan, wetin na Carbamazepine?
Dis na mɔ mɛrɛsin we de mek di nerv dɛn na wi bɔdi kol. Imajin, ilɛktrik signal dɛn de travul tru di nɛv dɛn na wi bren ɛn bɔdi. insay wan kכndishכn lεk we yu de sik, dεn signal dεm ya kin bi we dεn nכ kin kכntro εn dεn kin wok pasmak. Carbamazepine de mek dɛn nerves dɛn de we de wok pasmak kol ɛn i de kɔntrol di abnɔmal ilɛktrik aktiviti. Dis kin kɔntrol aw di sik kin kam. Dis mɛrɛsin de ɛp bak fɔ kɔntrol di bad bad pen (nerve pain) we sɔm nerve dɛn kin kam wit. Yu kin gɛt dis mɛrɛsin na Sri Lanka ɔnda brand nem lɛk `Tegretol-XR`.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Dis rili impɔtant. Bifo yu dɔktɔ gi yu dis mɛrɛsin, i fɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Situeshɔn we yu nid fɔ ripɔt | Tɔk bɔt |
|---|---|
| Di mɛdikal kɔndishɔn dɛn we bin dɔn de bifo | Kɔndishɔn lɛk bon mɛro sik, glaukoma, at sik ɔ at bit we nɔ de bit ɔltɛm, kidni sik, liva sik, ɛn pɔfyuria. |
| Blɔd prɔblɛm dɛn | Di tin dɛn lɛk we di wayt blɔd sɛl dɛn, di pletlɛt dɛn, ɔ di rɛd blɔd sɛl dɛn we de na di blɔd nɔ go bɔku. |
| Mental wɛlbɔdi biznɛs | Saykotik disɔda ɔr de tink, plan, ɔr tray fɔ kil yusɛf (insay yusɛf ɔr yu fambul) . |
| Na Eshian ɔrijin | If yu kɔmɔt na Eshia, i impɔtant fɔ tɛl yu dɔktɔ bɔt am, bikɔs yu de pan denja fɔ gɛt sɔm bad bad alɛji dɛn na yu skin. |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji fɔ ɔda mɛrɛsin lɛk carbamazepine, tricyclic antidepressants, phenytoin, phenobarbital, ɔr to it ɔr prɛzɛvɛtiv. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɔk am. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
If na so i bi, di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
- Swɛla dis pil ɔl wit wan glas wata.
- Nɔ brok, krɔs, ɔ chew di tablɛt. Bikɔs dɛn tin ya na tablɛt dɛn we dɛn kin pul fɔ lɔng tɛm, if yu du dat, i kin mek di mɛrɛsin go insay di bɔdi kwik kwik wan ɛn i kin mek i gɛt bad bad tin dɛn.
- Inspek di tablɛt dɛn. Nɔ yuz am if ɛni tablɛt de we dɔn brok ɔ we dɔn chip.
- Bɔku tɛm i kin bɛtɛ fɔ tek dis mɛrɛsin wit it . Dis kin ɛp fɔ ridyus di sayd ɛfɛkt dɛm lɛk we yu bɛlɛ de pwɛl.
- Tek di doz we dɛn tɛl yu fɔ tek lɛk aw yu dɔktɔ tɛl yu. Nɔ inkrisayz ɔ ridyus di doz as yu fil lɛk am, ɔ tek am mɔ pas aw dɛn tɛl yu.
- Di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek yu gɛt mɔ sik.
Sɔntɛnde yu kin si di tablɛt kɔtin kɔmɔt wit yu stɔl. Nɔ wɔri bɔt am. Dis na nɔmal tin. Di aktif tin we de insay di mɛrɛsin dɔn absɔb insay yu bɔdi.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu dɔn fɔgɛt.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, go to Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Nɔ tek dis tin we nɔ impɔtant.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Carbamazepine kin intarakt wit ɔda mɛrɛsin, it, ɛn drink, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin).
Nɔ tek dɛn tin ya wit kabamazɛpin:
- Sɔm mɛrɛsin fɔ HIV ɔ AIDS (di wan dɛn we dɛn kin gi wit cobicistat) .
- Delavirdine we dɛn kɔl
- MAOI antidipreshan (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) we de mek pɔsin fil bad.
- Nefazodon we dɛn kɔl Nefazodone
- Ɔkskabazepin we dɛn kɔl
Dɛn tin ya kin du bak:
Dis list rili lɔng, so tɔk to yu dɔktɔ bɔt ɛni nyu mɛrɛsin we yu de tek.
- Asetaminofɛn we dɛn kɔl
- Sɔm antibayɔtiks (lɛk klarithromycin, erythromycin) .
- Pils fɔ kɔntrol bɔn pikin (Dis mɛrɛsin kin mek di pils fɔ kɔntrol bɔn nɔ wok fayn. So, tɔk to yu dɔktɔ bɔt ɔda we fɔ kɔntrol bɔn pikin.)
- Grepfruit jus we dɛn kin mek
- Mɛrɛsin fɔ mental sik lɛk Lithium
- Blɔd prɛshɔn mɛrɛsin
- Antifכngal dεm (lεk flukonazכl, kεtokonazכl) .
- Di kayn stɛroyd dɛn we dɛn kin yuz
- Blɔd tin dɛn lɛk Warfarin
Dis nɔto wan kɔmplit list. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, if yu de smok, ɔ if yu de drink rɔm .
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek mɛrɛsin
- Siriɔs riakshɔn dɛn na di skin: Dis rili impɔtant. Sɔm pipul kin gɛt siriɔs skin riakshɔn sɔm wik ɔr mɔnt afta dɛn dɔn bigin dis mɛrɛsin. If yu gɛt rɛd rash wit sayn dɛn lɛk fiva ɔ kol, if di rash tɔn pepul, blista, ɔ bigin fɔ pul, ɔ if yu notis se yu fes, yu lip, ɔ yu gɛt wan bɔtul na yu nɛk ɔ yu an , go to dɔktɔ wantɛm wantɛm.
- Drowsiness ɛn diziz: Dis mɛrɛsin kin mek yu fil slip, diziz, ɔr yu nɔr de si fayn fayn wan. So , nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Tek tɛm we yu de grap we yu sidɔm ɔ sidɔm wantɛm wantɛm, mɔ if yu na ol pɔsin. If yu drink rɔm, dat kin mek dis slip wɔs.
- Pe atɛnshɔn to di we aw yu de tink:Pan ɔl we dis mɛrɛsin nɔ kin bɔku, i kin mek pɔsin tink ɔ du sɔntin fɔ kil insɛf mɔ ɛn mɔ. If yu nɔ gɛt gladi at, yu maynd de wɔs, ɔ yu fil lɛk se yu go day, tɛl yu dɔktɔ ɔ yu fambul wantɛm wantɛm. Nɔ kip am sikrit.
- San sɛnsitiviti: Yu skin kin fil mɔ to di san we yu de tek dis mɛrɛsin. So if yu go de na di san, wɛr klos we de kɔba yu skin ɛn yuz tin fɔ protɛkt yusɛf frɔm di san.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
| Klasifikɛshɔn fɔ di sayd ɛfɛkt dɛn | |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Sivɛri alɛji | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Aplastik anemia we dɛn kin gɛt | Taya we nɔ kɔmɔn, wik, diziz, at fɔ blo, blɔd izi ɔ brus. |
| Liva we dɔn pwɛl | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, ɛn yu skin ɔ yu yay de yɔlɔ. |
| Sɔdiɔm lɛvɛl we smɔl | Mɔsul dɛn wik, taya, diziz, ed pen, mɛmori lɔs. |
| Ɔda siriɔs sayn dɛn | di we aw yu de si kin chenj, di at kin bit fast ɔ i nɔ kin bit ɔltɛm, fiva, kol, trot kin at, rɛd, blista, ɔ skin kin pul, ivin insay di mɔt. |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Smɔl smɔl sayd ɛfɛkt dɛn | Diziz, slip, lɔs balans, nɔs, vɔmit. |
Mɛsej we dɛn kin kɛr go na os
- Nɔ brok, krɔs, ɔ chew di kabamazɛpin tablɛt. Swɛla am ɔl.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. Dis kin mek yu gɛt mɔ sik fɔ mek yu gɛt sik.
- If yu fiva gɛt rɛd, blista skin rash, dat kin bi sayn fɔ se yu gɛt siriɔs sik. Tɛl dɔktɔ wantɛm wantɛm.
- If yu fil se yu nɔ gɛt op, yu at pwɛl, ɔ yu de tink bɔt fɔ kil yusɛf, mek shɔ se yu tɛl yu dɔktɔ ɔ pɔsin we yu biliv.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn dɛn. Nɔ drink grep jus.
- Dis mɛrɛsin kin mek yu slip, so tek tɛm bad bad wan we yu de du tin dɛn we yu nid fɔ pe atɛnshɔn to, lɛk fɔ drayv.
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