Sɔntɛnde, yu kin fil wantɛm wantɛm se yu gɛt fit? Ɔ yu maynd kin go ɔp ɛn dɔŋ wantɛm wantɛm, ɛn sɔntɛnde i kin chenj di we aw yu nɔ kin ivin imajin? Ɔda pipul dɛn kin gɛt ed pen we dɛn nɔ kin ebul fɔ bia, we wi kin kɔl maygren, ɛn dɛn kin mek dɛn layf nɔ fayn. Tide wi go tɔk bɔt wan impɔtant mɛrɛsin we dɔktɔ dɛn kin yuz fɔ kɔntrol dɛn kayn tin ya. Dɛn kɔl dis valproik asid. Yu kin dɔn yɛri bɔt am bak as `Divalproex Sodium`.
Wetin na dis mɛrɛsin? Wetin dɛn kin yuz am fɔ?
Fɔ tɔk am simpul wan, Valproic Acid na wan mɛrɛsin we de ɛp fɔ kɔntrol sɔm sik dɛn bay we i de chenj di wok we sɔm kemikal dɛn we de na wi bren de du, we dɛn kɔl nyurotransmitta. Divalproex Sodium gɛt fɔ du wit dis bak ɛn dɛn mek am as drɔg we de kɔmɔt delay.
Naw lɛ wi si wetin dɛn kin yuz dis mɔ fɔ:
- Stɔp fit: Sɔm pipul kin gɛt fit bikɔs ɔf epilepsy. Dɛn kin yuz dis fɔ kɔntrol dɛn kayn fit dɛn de.
- Fɔ bipola muud mania: Pipul wae gɛt bipola muud disɔda kin gɛt sɔm tɛm wae dɛn kin gɛt mania, wae kin gɛt bɔrku gladi gladi, wae dɛn kin du tin pasmak, ɛn nɔr kin ebul fɔ du tin kwik kwik wan. Dɛn kin yuz dis mɛrɛsin bak fɔ kɔntrol mania.
- Fɔ mek yu nɔ gɛt maygren: Sɔm pipul dɛn kin gɛt maygren ed we kin at ɔltɛm ɛn we kin rili at. Dɛn kin yuz dis mɛrɛsin bak fɔ mek dɛn nɔ apin.
Na dɛn tin ya na di men tin dɛn. Bɔt sɔntɛnde dɔktɔ dɛn kin gi dis mɛrɛsin fɔ ɔda sik dɛn bak. Yu kin fɛn dis mɛrɛsin bak ɔnda wan brand nem lɛk `(Stavzor)`. So if yu nɔ shɔ wetin dis mɛrɛsin de fɔ, i go fayn fɔ aks yu dɔktɔ ɔ fama fɔ no mɔ.
Wetin na di impɔtant tin dɛn we a nid fɔ tɛl di dɔktɔ bifo a tek dis mɛrɛsin?
Okay, naw dis rili impɔtant . Bifo yu dɔktɔ gi yu dis mɛrɛsin, i nid fɔ no sɔm tin dɛn bɔt yu wɛlbɔdi. Bikɔs na da infɔmeshɔn de go sho if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn ɔmɔs fɔ gi yu. If ɛni wan pan dɛn tin ya apin to yu, yu fɔ rili tɛl yu dɔktɔ :
- If yu na pɔsin we de drink ɔltɛm .
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik (dis impɔtant mɔ).
- If yu gɛt smɔl pletlɛt kɔnt.
- If yu gɛt wan sik we dɛn kɔl mitochondrial disease .
- If yu fil fɔ du bad to yusɛf, yu de plan fɔ du dat, ɔ yu dɔn tray fɔ du am bifo, ɔ if sɔmbɔdi na yu famili dɔn tink, plan, ɔ tray fɔ kil insɛf. Dis na tin bak we rili impɔtant.
- If yu gɛt wan sik lɛk Yuria Saykl Disɔda (UCD) (dis na jɛnɛtik kɔndishɔn bak).
- If yu gɛt alɛji fɔ di mɛrɛsin dɛn `divalproex sodium`, `sodium valproate`, `valproic acid`, ɔ ɛni ɔda mɛrɛsin, it, it day, ɔ prɛzɛvɛtiv .
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, dis bak rili impɔtant, bikɔs dis mɛrɛsin kin afɛkt di pikin.
- If yu na mama we de gi pikin in bɛlɛ .
I rili impɔtant fɔ yu yon sef fɔ tɛl di dɔktɔ dɛn tin ya we yu nɔ ayd dɛn, yu ɔndastand?
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
We yu de tek mɛrɛsin, i rili impɔtant fɔ no aw fɔ yuz am kɔrɛkt wan. If yu tek am di rɔŋ we, dat kin mek i nɔ wok fayn ɛn i kin mek di sayd ɛfɛkt dɛn bɔku.
- Dis mɛrɛsin (we kin kam bɔku tɛm insay kapsul) na fɔ tek am wit mɔt . Swɛla am wit wan ful glas wata.
- Fɔ fala di instrɔkshɔn dɛn we de na di prɛskrishɔn lɛbl we yu dɔktɔ gi yu.
- Nɔ brok, krɔs, ɔ chew dɛn kapsul ya. Swɛla dɛn ɔl.
- Dɛn kin tek dis wit it ɔ atɔl it . Bɔt if yu fil se yu bɛlɛ de pwɛl, i go fayn fɔ mek yu tek am wit yu it.
- Yu fɔ tek yu mɛrɛsin di rayt tɛm, di rayt tɛm . Nɔ tek mɔ ɔ smɔl pas aw yu dɔktɔ tɛl yu fɔ tek.
- I rili impɔtant fɔ mek yu nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek yu sik wɔs.
- Di famasi go gi yu wan spɛshal buk we dɛn kɔl `MedGuide` wit dis mɛrɛsin. Rid am gud gud wan ɛvri tɛm we yu gɛt nyu mɛrɛsin, ivin we yu gɛt nyu wan. I gɛt bɔku impɔtant tin dɛn bɔt dis mɛrɛsin.
Tin dɛn we yu fɔ mɛmba we yu de gi pikin dɛn dis mɛrɛsin
If yu dɔktɔ dɔn disayd fɔ gi yu pikin dis mɛrɛsin, yu fɔ tɔk bɔt am wit yu dɔktɔ we de mɛn pikin dɛn . Fɔ sɔm kɔndishɔn dɛn we dɛn dɔn pik, dɛn kin gi am to pikin dɛn we ol lɛk 10 ia. Bɔt, tin dɛn de we wi fɔ tek tɛm wit, we min se tin dɛn de we wi fɔ tek tɛm wit. So tek tɛm lisin to wetin yu dɔktɔ se.
Wetin yu kin du if yu tek bɔku mɛrɛsin bay mistek?
Wi ɔl kin mek mistek. So if yu tink se yu go tek dis mɛrɛsin bay mistek ɔ yu tek am pasmak, kɔl pɔyzin kɔntrol sɛnta ɔ ɔspitul imejensi rum we de nia yu wantɛm wantɛm, ɔ go na di imejensi rum.
Mɛmba se dis mɛrɛsin na fɔ yu nɔmɔ. Ilɛksɛf yu padi ɔ yu fambul gɛt di sem sik we yu gɛt, nɔ gi dɛn yu mɛrɛsin. I kin denja.
Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
Sɔntɛnde, yu kin mis yu mɛrɛsin. If dat apin, nɔ wɔri.
- Mek di tɛm we yu mis jɔs lɛk aw yu mɛmba .
- Bɔt if i rili nia yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn jɔs tek di nɛks doz di tɛm we yu dɔn sɛtul .
- Nɔ ɛva tek dɛbul doz ɔ tek ɛkstra mɛrɛsin. If yu du dat, dat kin mek yu tek di mɛrɛsin pasmak.
Ɔda mɛrɛsin dɛm wae nɔr de kɔmpit wit dis mɛrɛsin (Interactions) .
Naw dis sɛf rili impɔtant. We yu tek dis valproic acid, sɔm ɔda mɛrɛsin dɛn de we nɔ kin go fayn wit dis wan. Dat min se we una tek dɛn mɛrɛsin dɛn de togɛda, dɛn kin afɛkt dɛnsɛf, ɔ di sayd ɛfɛkt dɛn kin bɔku. So lɛ wi tɔk bɔt dis smɔl.
- Wan mɛrɛsin we dɛn nɔ fɔ ɛva tek wit dis mɛrɛsin na `sodium phenylbutyrate`.
Apat frɔm dat, dɛn mɛrɛsin ya kin wok wit valproic acid:
- Aspirin we dɛn kin yuz
- Sɔm antibayɔtiks (e.g. ɛrtapenem, imipenem, mɛropenem) .
- Sɔm mɛrɛsin fɔ pwɛl hat, wɔri, ɔr ɔda kayn pwɛl hat sik
- Sɔm ɔda mɛrɛsin dɛn fɔ sik we de mek pɔsin sik (e.g. kabamazɛpin, lamotrijin, fenobarbital, fɛnitɔyn, topiramɛt) .
- Sɔm mɛrɛsin dɛn we de mek blɔd nɔ klɔt (e.g. warfarin) .
- `cholestyramine` (na mεdisin we dεn kin yus fכ lכs kכlestכl)
- uman hכmon dεm (e.g., mεdikeshכn dεm we gεt εstrojen, bכn kכntrכl pils, pat dεm, ring dεm) .
- `propofol` (na drɔg we dɛn kin yuz fɔ anestezi) .
- `rifampin` (wan antibayɔtik we dɛn kin yuz fɔ mɛn TB)
- `ritonavir` (na mɛrɛsin fɔ HIV infɛkshɔn) .
- `tolbutamide` (na mɛrɛsin fɔ dayabitis) .
- `zidovudine` (ɔda mɛrɛsin fɔ HIV infɛkshɔn)
Sɔntɛm dis list nɔ go kɔmplit. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn yu bɔdi, di mɛrɛsin dɛn we yu nɔ kin gi yu, ɛn di tin dɛn we yu kin yuz fɔ it. I impɔtant bak fɔ tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt. Sɔm tin kin miks wit yu mɛrɛsin dɛm.
Ɔda tin dɛn we yu fɔ no we yu de tek dis mɛrɛsin
Sɔm tin dɛn de we yu fɔ tek tɛm wit smɔl fɔ yu sef we yu de yuz dis mɛrɛsin.
- Na yu yonIf yu sik nɔr de bɛtɛ, ɔr if dɛn de wɔs, tɛl yu dɔktɔ.
- Siriɔs tin dɛn we kin apin to di skin: Dis rili impɔtant. Sɔntɛnde, dis mɛrɛsin kin mek pɔsin gɛt siriɔs riakshɔn na di skin. Dɛn tin ya kin apin sɔm wik ɔr mɔnt afta yu bigin fɔ tek di mɛrɛsin. If yu gɛt rash wit fiva ɔ yu fil se yu gɛt fiva, go to yu dɔktɔ wantɛm wantɛm. Dis rash kin tɔn rɛd ɔ pepul, dɔn blista ɛn pul. Ɔ yu kin gɛt rɛd rash wit swɛlin limf no dɛm na yu fes, lip, nɛk, ɔ armpit. If yu si sɔntin lɛk dis, nɔ delay.
- Mɛdikal ID: If i pɔsibul, wɛr mɛdikal ID breslɛt ɔ chen we de rayt yu mɛdikal kɔndishɔn, mɛrɛsin, doz, ɛn tɛm, ɔ kip kad wit yu ɔltɛm. Dis kin rili ɛp we ɛnitin apin we nɔ izi fɔ du.
- Drowsiness ɛn diziz: Dis mɛrɛsin kin mek yu slip, diziz, ɛn yu nɔ kin si fayn. So, te yu no aw dis mɛrɛsin de afɛkt yu, nɔ drayv, yuz ebi ebi mashin, ɔ du ɛnitin we nid fɔ pe atɛnshɔn. Fɔ mek yu nɔ diziz ɛn nɔ gɛt bɛtɛ ed, nɔ tinap we yu sidɔm ɔ sidɔm wantɛm wantɛm, mɔ if yu dɔn ol. If yu drink rɔm, dat kin mek yu slip ɛn diziz mɔ ɛn mɔ. So, i bɛtɛ lɛ wi nɔ drink rɔm.
- San sɛnsitiviti: Dis mɛrɛsin kin mek yu skin sɛnsitiv smɔl to di san. So nɔ de na say we di san de shayn dairekt wan as yu ebul. If yu fɔ go na do na di san, wɛr hat, klos we gɛt lɔng sliv, ɛn gud tin fɔ protɛkt yusɛf frɔm di san. Nɔ yuz san lamp ɔ tanning bed/booth.
- Di we aw yu de fil ɛn di we aw yu de tink bɔt fɔ kil yusɛf: Dis na sɔntin bak we yu fɔ wach fɔ. De sik pipul ɛn dɛn famili fɔ de wach fɔ nyu pwɛl hat sik ɛn tink bɔt fɔ du bad to dɛnsɛf. Dɔn bak, wach fɔ si if yu fil chenj wantɛm wantɛm. Fɔ ɛgzampul, fɔ fil wɔri, fɔ vɛks, fɔ panik, fɔ vɛks, fɔ et, fɔ fɛt, fɔ du tin kwik kwik wan, fɔ nɔ rɛst bad bad wan, fɔ gladi pasmak ɛn fɔ du tin pasmak, ɔ fɔ gɛt prɔblɛm fɔ slip. If dis kin apin, mɔ we yu bigin fɔ tek di mɛrɛsin ɔ afta yu dɔn chenj di mɛrɛsin, tɔk to yu dɔktɔ wantɛm wantɛm.
- We uman gɛt bɛlɛ:Wi don tok dis bifo, bot wi go tok am bak. Uman dɛm we de tray fɔ gɛt bɛlɛ, ɔ we tink se dɛn kin gɛt bɛlɛ, fɔ rili tɛl dɛn dɔktɔ bɔt dis. Dis mɛrɛsin kin gɛt siriɔs sayd ɛfɛkt pan di pikin we nɔ bɔn yet. Aks yu dɔktɔ ɔ fama fɔ no mɔ.
- Vitamin Deficiency: Dis mεdikeshכn kin mek di fכlik asid εn vaytam in D lεvεl dεm na di bכdi dכn. So, yu fɔ mek shɔ se yu de gɛt inof vaytamɛn dɛn we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt di it dɛn we yu de it ɛn di vaytamɛn dɛn we yu de tek.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, valproic acid kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt dɛn tin ya nɔ kin apin to ɔlman, nɔto so? Na to sɔm pipul dɛn nɔmɔ. Bɔt i impɔtant fɔ no bɔt dɛn. Lɛ wi sheb dɛn sayd ɛfɛkt ya to tu kategori.
Sɔm bad tin dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ tɛl yu dɔktɔ ɛn nɔ de te.
- Alɛji: Skin de rɔsh, it, ayv, swel na yu fes, lip, ɛn tɔng.
- Chenj dεm na di vishכn: blכr vishכn, dכbl vishכn, εn כda tin dεm.
- Rash, fiva, ɛn swɛlin limf no dɛm: Dis kin bi sayn fɔ wan mɔr siriɔs sik lɛk DRESS syndrome.
- Sivεr skin riakshɔn: rεd, blista, sεl ɔ lכs na di skin, inklud insay di mכt.
- Sayn ɛn simptom dɛm fɔ liva injury: Dis na di sayn dɛm wae yu fɔ tek tɛm bad bad wan. Dak yɔlɔ ɔ brawn urine; Fɔ fil lɛk se yu taya ɔ yu gɛt fiva; Pale stɔl dɛn; I nɔ kin want fɔ it igen; Vɔmit; Pen na di ɔp rayt bɛlɛ; Fɔ fil lɛk se yu taya ɔ yu taya pasmak; Di yay ɔ di skin we de yɔlɔ. If yu notis ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm.
- Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf ɔ ɔda tin dɛn we kin chenj di we aw pɔsin de fil .
- Blɔd ɔ brus we nɔ kɔmɔn ( e.g. blɔd we de kɔmɔt na di nos, blɔd we de kɔmɔt na di gɔm, we de tɔn blu frɔm smɔl brus).
Sayd ɛfɛkt dɛn we nɔ kin nid fɔ go to dɔktɔ, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de ɔ we de mɔna yu:
Bɔku tɛm, dɛn tin ya kin stɔp insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu bɔku, tɛl yu dɔktɔ.
- Banbɛlɛ
- Rɔnbɛlɛ
- Diziz we pɔsin kin gɛt
- Hair loss (dis kin mek sɔm pipul dɛn at pwɛl smɔl) .
- Ed de at
- I nɔ kin want fɔ it igen
- We yu de gɛt bɔku bɔku bɔdi (dis na prɔblɛm bak fɔ sɔm pipul dɛn) .
Nɔto ɔl di sayd ɛfɛkt dɛn we de na dis list kin apin. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt dat bak.
Aw a fɔ kip dis mɛrɛsin?
If yu kip mɛrɛsin fayn fayn wan, dat kin ɛp bak fɔ mek dɛn kɔntinyu fɔ gɛt kwaliti.
- Kip am na say we pikin dɛn nɔ go ebul fɔ rich.
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs, ɔ 59 ɛn 86 digri Fahrenheit). Nɔ kip am na say dɛn we rili wam ɔ wet, lɛk batrum.
- Kip di mɛrɛsin bɔtul ɔ paket in mɔt tayt tayt wan .
- Nɔ yuz mɛrɛsin we dɔn pas di de we dɛn fɔ dɔn, trowe am.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
Okay, wi don tok plenti boht dis drohg we dem kol valproic acid. If yu fɔ yuz dis mɛrɛsin, mɛmba dɛn tin ya:
- Dis na pawaful mɛrɛsin we dɛn fɔ yuz ɔnda dɔktɔ in advays. So, tek am jɔs lɛk aw di dɔktɔ se, insay di mɔnt we i se, ɛn di tɛm we i se.
- Nɔ ɛva stɔp fɔ tek dis wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Yu fɔ no bɔt di bad tin dɛn we kin apin to yu , mɔ di bad bad tin dɛn we kin apin to yu skin, di bad tin dɛn we kin apin to yu liva, ɛn di we aw yu de fil. If yu notis ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda sik we yu gɛt.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
- If yu gɛt ɛni ɔda kwɛstyɔn ɔ wɔri bɔt dis mɛrɛsin, duya nɔ shem fɔ aks yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
Wi de wish yu gud wɛlbɔdi!
` Valproic acid, divalproex sodium, fit, epilepsy, bipola, maygren, sayd ifekt
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