Wan padi we de fɛt maygren: Lɛ wi lan bɔt Ergotamine Sublingual Tablets.

We yu gɛt maygren ed we yu nɔ go ebul fɔ bia, i kin rili pen ɔl di de, nɔto so? Sɔntɛnde yu ed kin at bad bad wan dat yu nɔ kin ivin ebul fɔ luk di layt, yu kin fil lɛk yu nɔs, ɛn sɔm pipul dɛn kin ivin vɔmit. Sɔntɛnde, yu nɔ kin ebul fɔ du ɛnitin ɛn jɔs de na bed ɔl di de. Tide, wi go tɔk bɔt wan spɛshal mɛrɛsin we go gi yu rilif we yu gɛt dis kayn bad bad maygren pen.

Us kayn mɛrɛsin dis?

Dɛn kɔl dis mɛrɛsin ergotamine . I kin kam lɛk tablɛt we de ɔnda yu langwej we yu kin put ɔnda yu tɔŋ ɛn sɔlv. Dɛn mek am spɛshal fɔ ɛp yu fɔ kɔntrol di bad bad ed pen we kin kam wit maygren.

Fɔ tɔk am simpul wan, dis mɛrɛsin we dɛn kɔl Ergotamine, de du tu tin dɛn na yu bren. Wan na fɔ blok di pen signal dɛm wae de mek yu gɛt maygren. Di ɔda wan na fɔ mek sɔm pan di blɔd vesel dɛn na di bren swel, ɛn dis kin mek dɛn blɔd vesel dɛn de kɔnstrikt. I de pan wan klas ɔf drɔgs we dɛn kɔl ergot alkaloids .

Bɔt i rili impɔtant fɔ mɛmba dis: Dis mɛrɛsin nɔto mɛrɛsin fɔ mek yu nɔ gɛt maygren bifo i kam. Dis min se yu fɔ tek am afta yu bigin fɔ gɛt ed pen, dat na afta yu gɛt sayn dɛn fɔ maygren. I nɔ fayn fɔ tek am we yu de wet fɔ se i go apin.

Sɔntɛnde, yu dɔktɔ kin gi yu dis mɛrɛsin fɔ ɔda tin. So if yu gɛt ɛni kwɛstyɔn ɔ yu nɔ shɔ bɔt dis mɛrɛsin, i go fayn fɔ aks yu dɔktɔ ɔ fama. Yu go ɔltɛm fɛn dis mɛrɛsin ɔnda di brand nem ‘Ergomar’ .

Wetin na de tin wae yu nid fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin?

Okay, naw dis na wan rili impɔtant pɔynt. Bifo yu bigin fɔ yuz dis Ergotamine mɛrɛsin, if yu gɛt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya, yu fɔ rili tɛl yu dɔktɔ we yu nɔ ayd ɛnitin. Bikɔs na da tɛm de nɔmɔ di dɔktɔ go disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ fayn fɔ yu, ɔ aw fɔ gi am.

Naw, si if dɛn tin ya apin to yusɛf:

• Yu kin gɛt pen na yu chɛst ɔ yu nɔ kin ebul fɔ blo?
• Yu gɛt at sik ɔ ɛni blɔd vesel sik?
• Yu gɛt ay blɔd prɛshɔn?
• Yu gɛt ɛni kayn infekshɔn, lɛk bɔyl, na yu bɔdi?
• Yu gɛt sik na yu kidni?
• eni prכblεm de wit di liva, i.e. liva sik?
• Yu nɔ gɛt bɛtɛ blɔd blɔd? Dis min tin lɛk fɔ mek blɔd nɔ de flɔ fayn to yu pat dɛn, fɔ mek yu nɔ fil fayn, ɛn ɔda tin dɛn.
• Yu na pɔsin we de smok? Smok na tin we kin mek pɔsin gɛt at sik.
• Yu dɔn ɛva gɛt alɛji ɔ ɛni ɔda tin we nɔ kɔmɔn fɔ dis ergotamine mɛrɛsin, ɛni ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl?
• Yu gɛt bɛlɛ naw? Ɔ yu de tray fɔ gɛt bɛlɛ?
• Yu na mama we de gi pikin in bɛlɛ?

If ɛni wan pan dɛn tin ya apin to yu, duya tɛl yu dɔktɔ.

Aw a fɔ yuz dis mɛrɛsin?

Di we aw dɛn de yuz dis mɛrɛsin bak rili spɛshal. I rili impɔtant fɔ no ɛn du am kɔrɛkt wan.

• Aw fɔ tek am: Dɛn fɔ tek dis mɛrɛsin bay mɔt. Tek di tablɛt, put am ɔnda yu tɔng , ɛn wet te i sɔlv ɔl.
• Di tin we impɔtant pas ɔl: Nɔ chew ɔ swɛla di tablɛt. Mek i sɔlv ɔnda yu tɔng. Dis go mek shɔ se di mɛrɛsin go ful-ɔp insay yu bɔdi.
• Fɔ fala di instrɔkshɔn dɛn: Fɔ fala di instrɔkshɔn dɛn we de na di prɛskrishɔn lɛbl we yu dɔktɔ gi yu ɛksaktɔli.
• Di bɛst tɛm: Fɔ mek yu gɛt di bɛst rizɔlt, tek dis mɛrɛsin jɔs lɛk aw yu fil se yu gɛt maygren ed pen, ɔ jɔs lɛk aw yu bigin fɔ fil di sayn dɛn we kin apin bifo yu gɛt maygren (lɛk aura). Nɔ delay. Na da tɛm de i go gi di bɛst rilif.
• Nɔ tek dis mɛrɛsin ɔltɛm: Nɔto fɔ tek dis mɛrɛsin ɛvride. Dɔn bak, nɔ tek pas di doz we yu dɔktɔ tɛl yu fɔ tek, ɛn yu nɔ fɔ tek am pas di nɔmba fɔ di tɛm we yu dɔktɔ tɛl yu fɔ tek am insay di de.
• If yu de gi pikin dɛn: Mek shɔ se yu tɔk to yu wɛlbɔdi tim bɔt aw fɔ gi dis mɛrɛsin to yɔŋ pikin dɛn. I kin nid spɛshal kia. Nɔ gi dis mɛrɛsin to yɔŋ pikin dɛn we yu nɔ gi dɔktɔ advays.
• Ovados: If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl di pɔyzin kɔntrol sɛnta ɔ imejensi rum we de nia yu wantɛm wantɛm. Ɔ go de wantɛm wantɛm.
• Nɔ sheb: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ gi am to yu padi ɔ yu fambul, ilɛksɛf dɛn gɛt fiva. Nɔto ɔl mɛrɛsin de wok fɔ ɔlman.

Wetin fɔ du if yu mis wan doz?

Dis kwɛstyɔn nɔ rili impɔtant to dis mɛrɛsin. Bikɔs, lɛk aw wi bin dɔn tɔk, dis nɔto mɛrɛsin we dɛn kin tek di sem tɛm ɛvride, ɔltɛm. Dɛn kin tek am nɔmɔ we ed at kam Sɔnde.

Us ɔda tin dɛn kin miks wit dis mɛrɛsin? (Intarakshɔn dɛn)

Dis na sɔntin bak we wi fɔ rili tek tɛm wit. Sɔm mɛrɛsin dɛn de we kin mek yu gɛt denja sayd ɛfɛkt we yu tek am wit Ergotamine. Dɔn bak, sɔm ɔda mɛrɛsin ɛn it dɛn de we kin afɛkt di we aw Ergotamine de wok.

Yu nɔ fɔ ɛva tek ɛrgotamin wit dɛn mɛrɛsin ya:

• Bromokriptin we dɛn kɔl
• Sɛritinib we dɛn kɔl Ceritinib
• Sɔm antibayɔtiks, lɛk klarithromycin ɛn ɛrythromycin
• Sɔm antivayrɔs dɛn we dɛn kin gi fɔ HIV ɔ ɛpatitis
• Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn, at sik, ɛn at bit we nɔ de bit ɔltɛm
• Sɔm mɛrɛsin fɔ fungal infɛkshɔn, lɛk itraconazole, ketoconazole, posaconazole, ɛn voriconazole
• Sɔm ɔda mɛrɛsin dɛm wae dɛn kin gi fɔ maygren ed pen na: almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, ɛn zolmitriptan. Dɛn kin kɔl dɛn tin ya bak ‘triptans’.
• Kɔkɛyn
• Idelalisib we yu go yuz
• Imatinib we gɛt di sik
• Levoketoconazole we gɛt di sik
• Lonafarnib we dɛn kɔl
• Mifepriston we dɛn kɔl
• Pseudoephedrine (dεn kin de na sɔm kol mεdikal dεm) .
• Ribosiklib we dɛn kɔl
• Tukatinib we dɛn kɔl

Dɔn bak, dis mɛrɛsin kin miks wit dɛn tin ya. Dis min se ifekt kin apin:

• Sɔm mɛrɛsin fɔ pwɛl hat, wɔri, ɔr saykotik disɔda
• Klɔtrimazɔl (wan tin we de mek pɔsin nɔ gɛt bɛlɛ) .
• Fluconazole (wan tin we de mek pɔsin nɔ gɛt bɛlɛ) .
• Grepfruit jus – Tek tɛm mɔ wit dis wan. If yu drink grep jus we yu de tek ergotamine, dat kin mek yu gɛt mɔ sayd ɛfɛkt.
• Metronidazole (na mɛrɛsin we dɛn kin yuz fɔ sɔm infɛkshɔn dɛn) .
• Nikotin – Dis min se tin dɛn we gɛt fɔ du wit tabak, lɛk sigrɛt.
• Propranolol (na mɛrɛsin we dɛn kin yuz fɔ mɛn at sik ɛn ay blɔd prɛshɔn) .
• Zileuton (na mɛrɛsin fɔ asma) .

Dis list nɔr de inklud ɔl di poshubul drɔg intarakshɔn dɛm. So, gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn we yu de tek (inklud di wan dɛn fɔ ɔda sik dɛn, vaytamɛn, ɔyl, mɛrɛsin dɛn we nɔ gɛt prɛskrishɔn, ɛn tin dɛn we yu kin it).Dɔn bak, mek shɔ se yu tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yu de yuz drɔgs we nɔ rayt, bikɔs sɔm tin dɛn kin miks wit yu mɛrɛsin ɛn mek yu gɛt prɔblɛm.

Wetin na di tin dɛm we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin?

Sɔm ɔda tin dɛn de we yu fɔ pe atɛnshɔn to we yu de yuz ɛrgotamin.

• If no rilif nɔ de: If dis mɛrɛsin nɔ de gi yu bɔku rilif frɔm yu maygren ed pen, ɔ if yu ed de kam pan difrɛn we pas aw i kin bi, tɔk to yu wɛlbɔdi tim. Yu kin nid fɔ chenj to ɔda mɛrɛsin ɔr tray ɔda tritmɛnt fɔ trit yu ed we de at.
• Drɔw/Diziz: Dis mɛrɛsin kin mek yu fil fɔ slip ɔr yu ed de tɔn. So, nɔ drayv, yuz ebi ebi mashin, ɔ du ɛni ɔda tin we nid fɔ mek yu maynd wach te yu no aw dis mɛrɛsin de afɛkt yu. Fɔ mek yu nɔ gɛt diziz ɔ fɔ mek yu nɔ fil fayn, nɔ grap frɔm we yu sidɔm ɔ tinap wantɛm wantɛm. Du dɛn tin ya smɔl smɔl. Dis impɔtant mɔ if yu dɔn ol. If yu drink rɔm, dat kin mek dis slip, diziz, ɛn flush wɔs. So, nɔ drink rɔm ɔltogɛda we yu de tek dis mɛrɛsin.
• Blɔd sakulayshɔn: Dis mɛrɛsin kin ridyus di blɔd we de go na yu skin, finga ɛn fut finga dɛn smɔl. Dis kin mek yu fil mɔ bɔt di kol. Yu an ɛn fut kin fil kol ɛn yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk. Pipul dɛn we dɔn ol kin fil dis kayn tin. So , drɛs fayn ɛn kip wam we di ples kol. Nɔ de na kol ples fɔ lɔng tɛm.
• Yuz mɛrɛsin pasmak Ɛd-aks: Dis na tin bak we rili impɔtant. If yu yuz maygren mɛrɛsin (nɔto jɔs ergotamine, bɔt ɔda tin dɛn we de mek yu fil pen) fɔ 10 ɔ mɔ dez insay di mɔnt, yu maygren kin wɔs instead fɔ bɛtɛ. Dɛn kɔl dis ‘mɛdikeshɔn ɔva yuz ed pen’. So, i rili fayn fɔ kip yu ed-aks dayari, rayt di de dɛn we yu gɛt ed pen, us mɛrɛsin yu de tek, ɛn ɔmɔs. If yu maygren atak de kam bɔku, ɔ if yu ed de at chenj, mek shɔ se yu kɔntakt yu wɛlbɔdi tim ɛn mek dɛn no.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, ergotamine kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm sayd ɛfɛkt kin siriɔs ɛn yu fɔ go to dɔktɔ wantɛm wantɛm if dɛn apin. Sɔm nɔ kin siriɔs ɛn dɛn kin go afta sɔm dez.

If yu gɛt ɛni wan pan dɛn siriɔs sayd ɛfɛkt ya, yu fɔ tɛl yu wɛlbɔdi tim kwik kwik wan. Ɔ go na di ɔspitul we de nia yu:

• Alɛji: Skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot. If di trot swel, i kin mek i nɔ izi bak fɔ blo.
• Chenj na di limb dɛm: Bɔn, pen, tingling, ɔr di kɔlɔ chenj (lɛk fɔ tɔn pale, blu) na di leg ɔ limb dɛm.
• Di sayn dɛm fɔ at atak: Pen ɔ tayt na yu chɛst, pen we de spre to yu sholda, an, nɛk, ɔ jaw, nɔs, nɔ de blo fayn, yu skin kol ɔ klam, yu de fɔdɔm, ɔ yu de fil lɛk yu ed layt wantɛm wantɛm .
• di hat ritm de chenj: Na di rit we di at de bit (hat bit fast fast), fil lɛk se i de bit i nɔ de bit ɔltɛm (at nɔ de bit ɔltɛm), diziz, fɔdɔm, chɛst de pen, i nɔ izi fɔ blo.
• Di blɔd prɛshɔn we de go ɔp wantɛm wantɛm.
• Di tin we Raynaud kin du: Di finga ɔ fut finga dɛn kin fil kol, dɛn kin swɛla, ɛn dɛn kin fil pen. Di finga dɛn kɔlɔ kin chenj frɔm pale to blu, dɔn rɛd.
• Epilepsy symptoms (Seizures): Dis min se dɛn kin kam lɛk seizure.
• Di sayn dɛm wae de sho se yu gɛt strok: yu fes, yu an, ɔ yu leg kin swɛt ɔ wik (bɔku tɛm na wan say na di bɔdi), yu kin gɛt prɔblɛm fɔ tɔk, yu nɔ kin tɔk fayn, yu kin kɔnfyus, yu nɔ kin ebul fɔ waka, yu nɔ kin balans ɔ yu nɔ ebul fɔ du tin togɛda, yu kin gɛt diziz, yu ed kin at bad bad wan we kin kam fɔ no rizin, ɛn yu kin chenj yu yay wantɛm wantɛm.
• Bɛlɛ pen bad bad wan: Bɛlɛ kin pen wantɛm wantɛm, dayarɛa we gɛt blɔd, fiva, nɔs, ɛn vɔmit.
• Yu nɔ de si fayn: I nɔ de si tin wantɛm wantɛm, ɔ yu nɔ de si am igen.

Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ, bɔt yu fɔ tɛl yu wɛl bɔdi biznɛs tim if dɛn kɔntinyu ɔr de mɔna yu:

• Diziz we pɔsin kin gɛt
• Jɛnɛral diskɔmfɔt ɔ taya
• Vɔmit
• Fɔ vɔmit

Dis list gɛt sɔm pan di bad tin dɛn we kin apin to pɔsin. Nɔto ɔl di sayd ɛfɛkt dɛn we dɛn rayt ya. If yu notis ɛnitin we nɔ kɔmɔn, go to dɔktɔ. Yu kin ripɔt di sayd ɛfɛkt to di FDA (Food and Drug Administration) na Amɛrika na 1-800-FDA-1088. Na Sri Lanka, i bɛtɛ fɔ ripɔt dɛn to yu dɔktɔ ɔ ɔspitul.

Aw a fɔ kip mi mɛrɛsin?

I rili impɔtant bak fɔ kip yu mɛrɛsin fayn fayn wan.

• Kip am fa frɔm pikin dɛn: Kip am na say we smɔl pikin dɛn nɔ go ebul fɔ rich am, lɛk ɔp.
• Tɛmpratura: Stɔr am na rum tɛmpracha, we de bitwin 15 ɛn 30 digri sɛlshiɔs (59 ɛn 86 digri F.
• Pakɛj: Kip insay di fɔyl paket we i kam insay te i rɛdi fɔ yuz. Nɔ pul di tablɛt dɛn.
• Sefty: Protɛkt frɔm layt ɛn mɔstɔ. Nɔ kip am na say dɛn we wet lɛk di bafa.
• Di tɛm we di mɛrɛsin go dɔn: Chɛk di de we di mɛrɛsin go dɔn. Nɔ yuz ɛni mɛrɛsin we dɔn pas da de de ɛn trowe am.

Dis infɔmeshɔn na sɔmari nɔmɔ. Sɔntɛm i nɔ go gɛt ɔltin. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis mɛrɛsin, duya tɔk to yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so mek wi rikap di most impotant point dem abaut Ergotamine we wi tok abaut tide, shall we?

• Ergotamine na mɛrɛsin we dɛn kin gi fɔ kɔntrol di pen we maygren ed pen kin gɛt wans i dɔn bigin. Dɛn nɔ kin yuz am fɔ mek yu nɔ gɛt maygren.
• Dɛn fɔ put dis tablɛt ɔnda di tɔŋ ɛn alaw am fɔ sɔlv ɔl. Nɔ chew ɔ swɛla.
• Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt (espɛshali at sik, ay blɔd prɛshɔn, prɔblɛm wit yu blɔd prɛshɔn), ɛni ɔda mɛrɛsin we yu de tek naw, ɛn ɛni alɛji we yu gɛt.
• Dis mɛrɛsin kin miks wit bɔku ɔda mɛrɛsin dɛn. So tɔk to yu dɔktɔ bɔt dat bak. Yu fɔ tek tɛm mɔ wit grep jus.
• If yu tek di mɛrɛsin , i kin mek yu slip ɛn yu ed kin tɔn. So, tek tɛm we yu de drayv ɔ du wok we yu nid fɔ pe atɛnshɔn pan.
• If yu yuz dis mɛrɛsin pasmak, dat kin mek yu maygren ed pen wɔs. So na jɔs lɛk aw yu dɔktɔ tɛl yu fɔ yuz am.
• If yu gɛt ɛni sayn we de sho se yu gɛt siriɔs sayd ɛfɛkt (lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, yu gɛt alɛji, ɔ yu gɛt strok) , go to dɔktɔ wantɛm wantɛm.
• Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ gi am to ɛni ɔda pɔsin.

So, maygren na wan sik wae bɔrku pipul kin sɔfa wit. Bɔt if yu no di sik ɛn trit yu fayn fayn wan, yu go ebul fɔ kɔntrol di pen ɛn liv nɔmal layf. If yu de sɔfa bak wit maygren, i bɛtɛ fɔ go to dɔktɔ ɛn gɛt advays.

` ergotamine, maygren, ed pen, mɛrɛsin, sayd ɛfɛkt, sablingwal