Na Nirogi Lanka, wi ɔndastand se fɔ liv wit dis sik kin kam wit spɛshal prɔblɛm dɛn ɛvride. Fɔ navigate layf wae yu de manej sɔm kayn sik lɛk fɔ shek ɔr fɔ waka shuffling nɔr izi. Fɔ ɛp fɔ kɔntrol dɛn sik ya, yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn. Tide, wi want fɔ tɔk bɔt wan patikyula mɛrɛsin we dɛn kɔl Tolcapone. Dɛn nɔ kin gi am ɔltɛm as tritmɛnt fɔ insɛf; bifo dat, dɛn kin yuz am togɛda wit levodopa-carbidopa , we na wan men mɛrɛsin fɔ di sik we dɛn kɔl Pakinsin . Tink bɔt Tolcapone as wan dediket “ɛstɛt” we de ɛp yu praymar mɛrɛsin fɔ wok fayn fayn wan.
Wetin na Tolcapone rili?
Lɛ wi kip dis simpul wan. Pakinsin sik kin apin we di bren nɔ de mek smɔl tin we dɛn kɔl dopamine . di levodopa-carbidopa we yu tek de kכnvכlt to dopamine na yu bren. Bɔt as tɛm de go, sɔntɛnde, di we aw dis mɛrɛsin kin wok kin stɔp.
Na de Tolcapone de gi sɔpɔt. Tolcapone de pan wan klas ɔf mɛrɛsin dɛn we dɛn kɔl COMT inhibitors. di men wok we i de du na fכ stכp di bכdi we di lεvodopa de brok na yu bכdi bifo i rich yu bren. In esεns, i de mek shɔ se mכr pan yu praymar mεdikeshכn de rich di bren, i de mek i wok bכku, εn εp i de las fכ lכng. Di brand nem fɔ dis mɛrɛsin na Tasmar.
Impɔtant infɔmeshɔn fɔ yu dɔktɔ bifo yu bigin
I rili impɔtant fɔ tɔk bɔt yu kɔmplit mɛdikal istri wit yu dɔktɔ bifo yu bigin fɔ tek Tolcapone, bikɔs sɔm wɛlbɔdi prɔblɛm dɛn kin miks wit dis mɛrɛsin. Duya tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Kɔndishɔn/Fakt | Wetin mek yu dɔktɔ nid fɔ no |
|---|---|
| Liva sik | Tolcapone kin ambɔg di liva wok, so i impɔtant fɔ asɛs di liva wɛlbɔdi bifo tɛm. |
| Kidni sik | Yu kidni dεm de εp fכ klin di mεdikeshכn kכmכt na yu bכdi; fכnshכn asesmεnt nid fכ du. |
| Di tin dɛn we kin apin to pɔsin in maynd | Dis mɛrɛsin kin afɛkt aw yu de fil ɔr yu maynd wɛl bɔdi, so fɔ tɔk bɔt am kwik kwik wan na di men tin. |
| Slip apnea ɔ Narkɔlepsi | Bikɔs dis mɛrɛsin kin mek yu slip wantɛm wantɛm, yu dɔktɔ fɔ no bɔt di prɔblɛm dɛn we yu bin dɔn gɛt bifo yu slip. |
| Bεlε, plan fכ bεlε, כ fכ gi pikin bεlε | Dɛn nid spɛshal kia we dɛn de du dɛn stej ya; duya tɛl yu wɛlbɔdi biznɛs pɔsin wantɛm wantɛm. |
| Alɛji fɔ mɛrɛsin, it, ɔ day | Ɔltɛm tɛl yu dɔktɔ bɔt ɛni alɛji we yu no. |
Aw fɔ tek dis mɛrɛsin kɔrɛkt wan
Fɔ yuz dis mɛrɛsin na tin we nɔ izi fɔ du:
- Tek di tablɛt wit wan ful glas wata.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bɔt di tɛm ɛn di doz. Jɛnɛral wan dɛn kin tek am wit it ɔ atɔl it.
- Nɔ ɛva tek pas di mɔni we dɛn tɛl yu fɔ tek.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm we yu nɔ go to yu dɔktɔ, bikɔs i kin mek yu gɛt siriɔs riakshɔn.
- If dis mɛrɛsin na fɔ pikin, duya tɔk bɔt di ditel wit wan spɛshal dɔktɔ we de mɛn pikin dɛn.
Wetin a go du if a mis wan doz?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if yu nɛks doz we yu dɔn sɛtul de kam nia, skip di doz we yu mis ɛn bigin bak fɔ yu rɛgyula schedule. Nɔ ɛva tek tu dos di sem tɛm fɔ mek yu gɛt wan we yu mis.
Wetin kin apin if pɔsin tek di mɛrɛsin pasmak?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw dɛn tɛl yu fɔ tek, kɔl yu lokal pɔyzin kɔntrol sɛnta wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ED) we de nia yu. Trit dis lɛk se na mɛdikal imejensi.
Mɛmba se dɛn mek dis prɛskrishɔn fɔ yu. Nɔ sheb am wit ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.
Potεnshal Drug Intarakshכn wit Tolcapone
I rili impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek naw. Sɔm tin dɛn kin intarakt bad bad wan wit Tolcapone.
| Di tin dɛn we pɔsin kin du wit ɔda pipul dɛn | Tin dɛn |
|---|---|
| NƆ jɔyn wit dɛn tin ya | |
| MAOIs (Monoamin Ɔksidayz Inhibitɔ dɛn) . | Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad lɛk Marplan, Nardil, ɔ Parnate. |
| Kɔnsul yu dɔktɔ bifo yu yuz am wit dɛn tin ya | |
| Rum | Rɔm kin chenj di we aw di mɛrɛsin de wok ɛn i kin mek pɔsin slip bad bad wan. |
| Slip ɛp ɔr mɛrɛsin fɔ mek yu nɔr wɔri | Dɛn tin ya kin mek yu slip mɔ ɛn mɔ ɛn mek yu nɔ ebul fɔ pe atɛnshɔn. |
| Adrenjik drɔgs (Apomorphine, dobutamine, ɛn ɔda tin dɛn) . | Dɛn kin yuz am fɔ di at prɔblɛm ɔ fɔ mɛn di blɔd prɛshɔn. |
| Warfarin we dɛn kɔl Warfarin | Wan mɛrɛsin we dɛn kin yuz fɔ mek blɔd nɔ klɔt. |
| Ɔda wan dɛn | Desipramine, linezolid, methyldopa, ɛn nakotik tin dɛn we de mek pɔsin fil pen. |
Tin dɛn we yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin
I impɔtant fɔ wach aw yu bɔdi de ansa dis tritmɛnt.
- Diziz ɛn balans : Yu kin gɛt diziz ɔ layt ed. Te yu ɔndastand aw dis mɛrɛsin de afɛkt yu, nɔ drayv ɔ yuz ebi ebi mashin. If yu na big pɔsin, tek tɛm mɔ we yu de grap frɔm we yu sidɔm ɔ ledɔm.
- Slip bigin wantɛm wantɛm: Sɔm sik pipul dɛn kin slip wantɛm wantɛm we dɛn nɔ wɔn dɛn, ivin we dɛn de tɔk, it, ɔ drayv. Kɔntakt yu dɔktɔ wantɛm wantɛmif yu de ɛkspiriɛns dis.
- Impulse Control Disorders: Sɔm pipul dɛn kin gɛt tin dɛn we nɔ kɔmɔn, we dɛn nɔ kin ebul fɔ kɔntrol (lɛk fɔ ple gem, fɔ du mami ɛn dadi biznɛs pasmak, fɔ go bay tin fɔ it, ɔ fɔ it pasmak). Dis nɔto fɔlt pan pɔsin in abit, bɔt na sayd ɛfɛkt we pɔsin kin gɛt. Tɔk bɔt dis wit yu dɔktɔ wantɛm wantɛm if i apin.
- Skin Monitoring: Pe atɛnshɔn to ɛni chenj na yu skin, lɛk nyu ɔ chenj mol. Notis yu dɔktɔ if yu notis ɛnitin we nɔ kɔmɔn.
- Dray Mɔt : Fɔ mek yu ebul fɔ kɔntrol yu mɔt we nɔ gɛt shuga, tray fɔ it gɔm we nɔ gɛt shuga, sok had kandy we nɔ gɛt shuga, ɔ fɔ gɛt wata fayn fayn wan.
Di Sayd Ifɛkt dɛn we kin apin
Lɛk ɔl di mɛrɛsin dɛn, Tolcapone kin mek yu gɛt sayd ɛfɛkt. Dɛn tin ya kin kɔmɔt frɔm we nɔ at to we siriɔs. Ɔltɛm, go to dɔktɔ wantɛm wantɛm bay we yu kɔl 911 ɔ go na di imejensi dipatmɛnt we de nia yu if yu gɛt siriɔs riakshɔn.
| Sayn dɛn we de sho se di liva dɔn pwɛl | di urine we gɛt dak kɔlɔ, di skin ɔ di yay we de yɔlɔ (jaundice), pen na di ɔp rayt bɛlɛ, nɔs, ɛn i nɔ de want fɔ it. |
| Sayn dɛn we de sho se di mɔsul dɛn dɔn pwɛl | urine dak, i nɔ kin izi fɔ pis, di mɔsul dɛn kin wik we dɛn nɔ kin ɛksplen, ɛn di mɔsul dɛn kin pen. |
| Alɛji we pɔsin kin gɛt | Skin de rɔsh, it, ɔ swel na di fes, lip, ɔ tong. |
| Ɔda siriɔs sayn dɛn | Sivɛri dayarɛa, hallucinations, slip atak wantɛm wantɛm, faint, ɔr yu an, leg, fes, ɔ nɛk de jɔk we yu nɔ ebul fɔ kɔntrol. |
| Rɔnbɛlɛ | Diziz we pɔsin kin gɛt |
| Ed de at | I nɔ kin want fɔ it igen |
| Vɔmit | Trobul fɔ slip |
Aw fɔ kip yu mɛrɛsin
- Kip am usay pikin dɛn nɔ go ebul fɔ rich.
- Stɔr na rum tɛmpracha (20-25°C).
- Kip di kɔntena tayt tayt wan.
- Trowe ɛni mɛrɛsin we lɛf afta di de we di mɛrɛsin dɔn.
Ki tek-away (Nirogi Lanka) .
- Tolcapone na adjunctive therapy wae dɛn mek fɔ ɛp yu praymar Pakinsin mɛrɛsin fɔ woke fayn fayn wan.
- Bifo yu bigin, duya gi yu dɔktɔ ful histri bɔt yu wɛlbɔdi prɔblɛm dɛn we yu dɔn gɛt ɛn di mɛrɛsin dɛn we yu de tek naw.
- Nɔ ɛva stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu nɔ go to yu dɔktɔ.
- Monitor yusɛf fɔ si if yu slip wantɛm wantɛm, yu nɔ go ebul fɔ kɔntrol yu, ɔ yu gɛt sayn dɛn we de sho se yu liva de sɔfa. Ripɔt dɛn tin ya wantɛm wantɛm.
- If yu tink se yu dɔn tek di mɛrɛsin pasmak, kɔl di imejensi savis (911) ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm.
- Fil fri fɔ tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
