Yu dɔn ɛva laf wan tɛm we yu nɔ ebul fɔ kɔntrol fɔ no rizin, ɔ yu dɔn ɛva kray fɔ smɔl tɛm we yu nɔ ebul fɔ kɔntrol, pan ɔl we yu nɔ sɔri? Sɔntɛm sɔmbɔdi we yu sabi dɔn gɛt dis ɛkspiriɛns. Dis na rili wan kכndyushכn we kin apin wit sכm nyurolכjik kכndishכn dεm. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Pseudobulbar Affect (PBA) . So tide wi go tɔk bɔt wan spɛshal mɛrɛsin we go ɛp fɔ kɔntrol dis abnɔmal laf ɛn kray.
Wetin na dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis na tu mɛrɛsin dɛn we dɛn jɔyn togɛda. Dɛn na Dɛkstromɛtɔfan ɛn Kwinidin . Dɛn tu mɛrɛsin ya kin kam togɛda insay kapsul ɛn dɛn kin yuz dɛn fɔ trit wan sik we dɛn kɔl Pseudobulbar Affect (PBA). Yu go dɔn si dis mɛrɛsin ɔnda di brand nem Nuedexta . Dis mɛrɛsin de wok bay we i de kɔntrol sɔm sayn dɛn na di bren, ɛn i de ɛp fɔ kɔntrol dɛn laf ɛn kray we dɛn nɔ ebul fɔ kɔntrol.
Yu dɔktɔ kin gi yu dis mɛrɛsin bak fɔ ɔda sik dɛn, so if yu gɛt ɛni kwɛstyɔn, tɔk to yu dɔktɔ bɔt am.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, yu dɔktɔ fɔ no bɔt yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl dɛn bɔt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya.
- At sik: If yu gɛt at sik, lɛk we yu at nɔ de bit ɔltɛm (arrhythmia).
- Liva ɔ kidni sik: If ɛni prɔblɛm de wit aw di liva ɔ kidni de wok.
- Myasthenia Gravis: If yu gɛt nyuromɔskular sik lɛk Myasthenia Gravis.
- Pɔtashɔm ɔ magnɛsiɔm we nɔ bɔku na di blɔd: If blɔd tɛst dɔn si dis kayn tin.
- Dimɛnshɔn: If yu gɛt prɔblɛm wit yu mɛmori ɔr yu gɛt dis maynia sik.
- Drug ɔ rɔm adikshɔn: If yu bin dɔn adikshɔn to drɔgs ɔ rɔm bifo ɔ if yu gɛt da prɔblɛm de naw.
- Alɛji: If yu gɛt alɛji to dis mɛrɛsin (Dextromethorphan, Quinidine), ɔda mɛrɛsin, it, ɔ day.
- Bεlε כ we yu de gi bεlε: If yu bεlε, yu de tray fכ bεlε, כ yu de gi bεlε.
We yu tɛl yu dɔktɔ bɔt dɛn tin ya, i go ebul fɔ gi yu tritmɛnt we sef.
Aw yu kin yuz dis mɛrɛsin kɔrɛkt wan?
Yu fɔ no dɛn pɔynt ya we yu de yuz dis mɛrɛsin.
- Swɛla dis mɛrɛsin wit wan glas wata.
- Tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt tɛm.Nɔ ɛva tek pas di doz we dɛn tɛl yu fɔ tek.
- Yu kin tek dis bifo ɔ afta yu it, bɔt if yu bɛlɛ at, i bɛtɛ fɔ tek am wit it.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- If yu de gi pikin dɛn dis mɛrɛsin, tɔk to dɔktɔ we de mɛn pikin dɛn bɔt am ɛn fala dɛn advays.
Wonin: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb dis mɛrɛsin wit ɛni ɔda pɔsin fɔ ɛni rizin.
Wetin fɔ du if yu tek bɔku mɛrɛsin? (Ovadosage) .
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) ɛn nɔ de te. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
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 dos di sem tɛm, ivin di wan we yu mis.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
Dis mɛrɛsin kin miks wit ɔda mɛrɛsin dɛn we yu de tek, so tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul prɔdak dɛm).
| Mɛrɛsin wae nɔr fɔ ɛva tek wit dis mɛrɛsin | |
|---|---|
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
| Antisaykotik (mɛrɛsin fɔ sɔm kayn maynd sik dɛn) . | klorpromazin, halopɛridɔl, pimozayd, rispɛridɔn, tiɔridazin |
| Mɛrɛsin fɔ mek yu at bit we nɔ de bit ɔltɛm | dofetilid, ɛnkaynayd, flekaynayd, mɛksilɛtin, prɔpafenɔn, kinidin |
| MAOI antidipreshɔn | Kabɛks, Ɛldepril, Maplan, Nardil, Parnate |
| Ɔda mɛrɛsin dɛn | cisapride, dolasetron, drɔnedarɔn, mɛflɔkin, kinin |
| Ɔda tin dɛm wae kin miks wit dis mɛrɛsin | |
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Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- If yu sik nɔr de bɛtɛ ɔr de wɔs, tɛl yu dɔktɔ. Go na di klinik dɛn di rayt tɛm ɛn mek dɛn chɛk yu kɔndishɔn.
- Yu kin fil lɛk se yu ed de tɔn. If yu gɛt ɛni diziz ɔ layt ed we yu de tek dis mɛrɛsin, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ drayv, yuz mashin, ɛn du ɛnitin we nid fɔ de wach te yu no aw dis mɛrɛsin de afɛkt yu.
- Nɔ tinap wantɛm wantɛm, mɔ if yu dɔn ol. Get grap sloslo. Dis kin mek yu nɔ gɛt diziz ɛn nɔ fɔdɔm.
- Nɔ drink rɔm. Rɔm kin mek yu gɛt mɔ diziz.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin.
| If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. | |
|---|---|
| Siriɔs alɛji dɛn | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Prɔblɛm dɛn we gɛt fɔ du wit at | Chɛst pen, diziz, at bit fast ɔr nɔr de bit ɔltɛm, fɔdɔm, nɔr de no natin. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Dak yɔlɔ ɔ brawn urine, yu yay ɔ skin de yɔlɔ, pen na di ɔp rayt pat na di bɛlɛ, nɔs, yu nɔ de want fɔ it. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Kɔnfyushɔn, swet pasmak, fiva, kol, mɔsul dɛn we stif, dayarɛa. |
| Ɔda siriɔs sayn dɛn | di chenj we yu de si, yu nɔ de yɛri fayn, yu de brus ɔ yu de blɔd we nɔ kɔmɔn, simptom dɛn we tan lɛk lupus (e.g., we yu de fil fɔ di san, yu jɔyn dɛn de pen). |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
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Aw yu kin kip mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich. Dis mɛrɛsin kin kil pɔsin if big pɔsin, pikin, ɔ animal we i lɛk fɔ it am bay mistek.
- Stɔr na rum tɛmpracha (bitwin 15-30 digri sɛlshiɔs).
- Nɔ yuz mɛrɛsin we dɔn pas.
- Miks ɛni mɛrɛsin we yu nɔ yuz wit sɔntin lɛk kɔfi grɔn ɔ pusi dɔti, put am insay kɔntena we dɛn sidɔm tayt, ɛn trowe am.
Mɛsej we dɛn kin kɛr go na os
- Dɛkstromɛtɔrfan we dɛn kɔl; Quinidine na spɛshal mɛrɛsin we dɛn kin gi fɔ trit wan sik we dɛn kɔl Pseudobulbar Affect (PBA), we kin mek pɔsin laf ɛn kray we pɔsin nɔ ebul fɔ kɔntrol.
- Bifo yu tek dis mɛrɛsin, tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Nɔ ɛva chenj di doz ɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm.
- Go to dɔktɔ kwik kwik wan if yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk we yu de tɔn, yu fɔdɔm, yu at de bit kwik kwik wan, ɔ yu gɛt siriɔs alɛji.
- If yu tek di mɛrɛsin pasmak, dat kin rili denja. Go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
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