He lu natna damdawi bik hi i zir dawn teh ang? A rilru a hah lutuk chuan a rilru a buai em em a.

Chibai! A chang chuan i lu chhung lam atanga i lu chu an hrual ang maiin i nei em, a nih loh leh i lu vel chu belt an khih ang maiin i nei em? Hei hi tension headache kan ti a . A châng chuan tuar theih loh a ni thei. Chuvangin, natna tidamtu pangngaiin hahdamna a pek loh chuan doctor-te chuan heng lu na chi hrang hrangte tan hian damdawi bik an hmang thin. Vawiin hian chutiang damdawi pakhat kan sawi dawn a, chu chu thil pali: `(Butalbital)`, `(Acetaminophen)`, `(Caffeine)` leh `(Codeine)` te inzawmkhawma siam capsule a ni.

He damdawi hi eng nge ni? A awlsam zawngin...

He damdawi (Butalbital; Acetaminophen; Caffeine; Codeine) hi lu natna nasa tak, a bik takin tension headaches tihziaawmna atan hman a ni . Mahse, hei hi migraine venna damdawi a ni lo tih hre reng ang che. Painkiller dangin hna a thawh loh chuan pek chauh a ni.

He damdawi hian thil pawimawh pali a nei a, chungte chu:

• `(Butalbital)` (Butalbital): Hei hi damdawi chi hrang hrang `(Barbiturate)` class-ah a tel a ni. A awlsam zawngin i lu a tifai a, a ti hahdam bawk.
• `(Acetaminophen)` (Acetaminophen): Hei hi in hriat angin natna tidamtu leh khawsik tihziaawmna a ni.
• Caffeine: Caffeine hian acetaminophen natna tidamtu thiltihtheihna a tichak a. Butylbarbital leh codeine vangin mutthilh lohna a tiziaawm bawk.
• Codeine: Hei hi opioid class of painkillers-ah a tel a. Thluak lama natna signal awmte tihtlem hmangin hna a thawk a ni.

He damdawi hi brand hming ``Fioricet with Codeine'' tih hnuaiah a awm thei a, mahse i doctor-in a pek che damdawi hming hi a pawimawh hle. A chang chuan he damdawi hi thil dang atan hman theih a ni a, chuvangin i doctor emaw pharmacist emaw hnenah a chungchang zawt la.

Damdawi ei hmaa doctor hnena i hrilh tur te chu engte nge ni?

He damdawi hi i hman tan hmain a hnuaia mi hi i neih chuan i doctor hnenah i hrilh ngei ang :

• Brain tumor i neih chuan.
• Zu in fo thin i nih chuan.
• Lu hliam i neih chuan.
• Lung natna i neih chuan.
• Liver natna i neih chuan.
• Thâwk lama harsatna i neih chuan lung natna emaw, asthma emaw i neih chuan.
• Seizures i neih tawh chuan.
• Pum emaw, intestinal emaw lama harsatna i neih chuan.
• Substance hmansualna i neih chuan.
• Ni 14 kalta chhunga `(MAOI)` group (e.g. `(Marplan)`, `(Nardil)`, `(Parnate)`)-a damdawi i ei tawh chuan.
• Acetaminophen, butylbutyral, caffeine, codeine emaw damdawi dang emaw, ei tur emaw, dye emaw, preservative emaw allergy i neih chuan.
• Naupai emaw, nau pai tum emaw i nih chuan.
• Nu hnute pe lai i nih chuan.

Heng thilte hi thup lova doctor hnena hrilh hi a pawimawh hle a , a chhan chu chutih hunah chauh chuan him takin i enkawl thei dawn a ni.

He damdawi hi engtin nge ka hman ang?

• He damdawi hi tui glass khat nen ei tur a ni .
• I doctor-in damdawi a pek chu a ziah ang chiah chiah, a zat dik tak leh a hun dik takah ei rawh . I doctor-in a tih aia tam emaw, a tam emaw ei loh tur.
• He damdawi hi damdawi dawr atanga i dawn hunah chuan special instruction leaflet ``(MedGuide) .`` pek i ni ang.`` Damdawi i dawn apiangin uluk takin chhiar la, refill i hmuh hunah pawh uluk takin chhiar thin ang che. Thu pawimawh tak tak a keng tel a ni.
• Naupangte hnena he damdawi pek chungchang hi:
• He damdawi hi naupang kum 12 hnuai lam tan pek a tha lo .
• He damdawi hi naupang kum 18 hnuai lam, tonsils emaw adenoids emaw lakchhuahna tur operation nei tawh hnenah pe suh.
• A tlangpuiin i doctor nen uluk takin sawi la, naupangte hnena he damdawi hi pek dan tur chungchangah thurawn la rawh.
• Kum 65 chunglam: He damdawi hi i tan a hlawk zawk mai thei. Chuvangin dose hniam zawk hi i tan a remchang mai thei.
• Overdose: He damdawi hi i ei tam lutuk nia i hriat chuan poison control center emaw, emergency room hnai ber emaw call nghal rawh.

A pawimawh ber: He damdawi hi i tan chauh a ni. Midang hnenah pe ngai suh. A hlauhawm hle mai.

Damdawi ei tur appointment i neih loh chuan engtin nge i tih?

Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh.

Eng damdawi dang nge he damdawi nen hian inzawm thei?

Hei hi a pawimawh hle. He damdawi hi i ei dawnin a hnuaia damdawi te hi ei loh tur a ni :

• `(Elbasvir; grazoprevir)`
• `(Linezolid)` tih a ni
• `(MAOIs)` (entir nan `(Carbex)`, `(Eldepryl)`, `(Marplan)`, `(Nardil)`, `(Parnate)`) te hi a ni.
• `(Methylene blue)`
• `(Nifedipine)`
• `(Praziquantel)` tih a ni
• `(Ranolazine)`
• `(Sodium oxybate)` tih a ni
• `(Voriconazole)` tih a ni

Tin, he damdawi nena inzawm thei damdawi dang engemaw zat a awm bawk . Chu chu he damdawi hnathawh dan an nghawng thei emaw, a side effects an tipung thei emaw tihna a ni. Entirna tlemte chu hetiang hi a ni:

• Zu emaw, zu awmna eng pawh.
• ``Antihistamines'' chi thenkhat chu lu na, khuh, leh khawsik tan pek thin a ni.
• Antiviral damdawi `(HIV)` emaw `(AIDS) emaw tana pek thin.`
• Damdawi `(Atropine)` ang chi te.
• Antibiotics chi thenkhat, entirnan `(Erythromycin)`, `(Clarithromycin)`.
• Lungkhamna emaw, mut emaw damdawi.
• Bladder lama harsatna nei damdawi (e.g. oxybutynin, tolterodine).
• Depression damdawi (e.g. amitriptyline, fluoxetine, sertraline) te.
• Fungal natna damdawi (e.g., ketoconazole, itraconazole) te.
• Lung natna mumal lo enkawlna atana damdawi pek (e.g. amiodarone, quinidine).
• Migraine damdawi thenkhat (e.g., almotriptan, eletriptan, sumatriptan).
• Parkinson natna damdawi (e.g., benztropine, trihexyphenidyl) te.
• Convulsant damdawi (e.g. carbamazepine, phenobarbital, phenytoin) te pawh a awm thei.
• Pum natna damdawi (e.g. dicyclomine, hyoscyamine).
• Khualzinnaah motion sickness venna atana hman tur damdawi (e.g., `(scopolamine)`).
• `(Diuretics)` (taksa atanga tui paih chhuaktu damdawi).
• General anesthetics (e.g., halothane, propofol) hmanga tihdam theih a ni.
• Grapefruit tui tak a ni.
• `(Ipratropium)` tih a ni.
• Local anesthetics (e.g. lidocaine) hmanga tihdam theih a ni.
• Surgery atan muscle relaxants a awm bawk.
• Natna tidamtu dang emaw, khawsik tihziaawmna damdawi dang, acetaminophen awmna.
• Natna emaw khuh emaw damdawi dang `(Opioid)` type.
• `(Phenothiazines)` (e.g. `(chlorpromazine)`) tih a ni.
• `(Rifampin)` tih a ni.

He list hi a kim lo. Chuvangin i damdawi ei zawng zawng (prescription, over-the-counter, traditional medicine, vitamin, nutritional supplement - engkim) te chu i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw chuan i doctor hnenah hrilh bawk ang che. Thil thenkhat chu he damdawi nen hian a inzawm thei a ni.

Damdawi ei huna fimkhur tur thilte chu engte nge ni?

He damdawi i hman lai hian a bik takin a hnuaia mite hi i fimkhur tur a ni:

Natna a reh loh chuan...

I natna a reh loh chuan, a na zual a nih chuan, emaw, natna chi thar i neih chuan i doctor hnenah hrilh rawh . A chang chuan i taksa hian he damdawi (`(Tolerance)`) hi a hmang thiam thei a ni. Hei hian a awmzia chu natna tihdamna ang chiah i hmuh theih nan a hmaa i ei thin aia tam zawk i mamawh mai thei tihna a ni. He damdawi hi rei tak i ei chuan hei hi thil pangngai a ni.

Painkiller chi hrang hrang a ruala ka ei chuan engtin nge ni ang?

Natna damdawi chi hrang hrang a awm a. Heng chi hrang hrang hi a ruala i ei chuan a side effects a sang thei hle. Chuvangin i damdawi ei zawng zawng chu i doctor hnenah hrilh rawh. I doctor chuan engzat nge i ei tur tih a hrilh ang che. I doctor-in a hrilh che aia tam damdawi ei ngai suh. Thâwk harsa i neih chuan emergency services call nghal rawh.

Damdawi ei kha bansan nghal suh!

He damdawi hi i ei thut loh tur a ni. Chutianga tih chuan withdrawal reaction na tak a thlen thei. Hei hi i taksain damdawi a lo thiam tawh vang a ni. Hei hian addict i ni tihna a ni lo. Addiction chu damdawi lam ni lo thila damdawi hman hi a ni. Natna i neih chuan chu chu damdawi lam chhan a ni a, natna tidamtu i ei tur a ni. I doctor chuan damdawi engzat nge i ei tur tih leh engtikah nge i chawlh tur tih a hrilh tur a ni. I doctor-in damdawi ei kha bansan turin a duh che a nih chuan, zawi zawiin a dose chu a tihhniam ang. Hei hian side effect a tihziaawm dawn a ni.

`Naloxone` hi i fimkhur ang u

Naloxone hi opioid (codeine pawh opioid a ni bawk) overdose a nih chuan emergency treatment a ni. Overdose hi opioid tam tak ei emaw, damdawi dang, zu ang chi nena ei emaw a nih chuan a thleng thei a ni. Overdose symptoms chu thawk harsatna, chau lutuk emaw mut theih lohna emaw, tawngkam tha lo emaw, harh theih lohna emaw a ni. Naloxone i keng a nih chuan i chhungte leh i hmangaih te hnenah a awmna hmun te, a hman dan te, a hman dan te hrilh la. Naloxone a pek hnuah a petu chuan emergency services a call tur a ni. Naloxone hi hun eng emaw chen atana enkawl a ni. Pêk leh a ngai mai thei.

He damdawi hi naupang hnena i pek dawnin i fimkhur hle a ngai a ni.

Naupangte hi he damdawi avanga side effects an neih theihna chance a sang zawk. I fa chu a thawk zawi a, a thawk laiin thawm a siam a, a buai hmel hle a, a muhil danglam hle a nih chuan he damdawi hi pek hi bansan nghal la, emergency services te call rawh.

Damdawi dang `(Acetaminophen)` awmna nen ei loh tur!

He damdawi hian `(Acetaminophen)` a pai a. Chuvangin he damdawi nen hian `(Acetaminophen)` (e.g. Paracetamol) awmna damdawi dang ei loh tur a ni. Damdawi dawrah damdawi tam takah `(Acetaminophen) a awm thei. Chuvangin, a label hi ngun takin chhiar fo ang che. Zawhna i neih chuan i doctor emaw pharmacist emaw zawt la.

`(Acetaminophen)` ei tam lutuk hi a hlauhawm hle. Liver tichhe thei a ni. I ei tam lutuk nia i inhriat chuan, symptoms nei lo mah la, damdawi lam thurawn zawng nghal rawh.

Driving leh machinery hman dan tur

He damdawi hian i coordination, reaction time, emaw judgment emaw a ti tlem thei a ni. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh. Thutthleng leh ding chhuak zauh zauh la, luak chhuak leh lu hah lutuk tihziaawmna tur a ni. He damdawi hi zu nena ei hian heng side effects te hi a tipung thei a ni.

A nghawng dang: chaw ei kham, hmui a vawt

• He damdawi hian constipation a thlen thei . Ni 3 hnuah i ril a tam lo a nih chuan doctor hnenah hrilh rawh .
• I hmui a vawt.Awle. Sugar tel lo gum chewing te, sugar-free candy suck te, tui tam tak in te hian a pui thei a ni. He harsatna hi a awm reng emaw, a nasat emaw chuan i doctor hnenah hrilh rawh .

Damdawi hian eng side effect nge a neih theih?

Damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu hlauhawm tak an ni a, ṭhenkhat chu mi pangngai an ni.

Side effects i doctor hnena i hrilh nghal tur:

Heng symptoms te hi i neih chuan doctor hnenah i hrilh nghal tur a ni :

• Allergic reactions: Vun a hring, a hring, a hring, a hmai, hmui, lei emaw, a emaw a hring.
• Central nervous system depression (CNS depression): Thâwk zawi emaw, a thuk lo emaw, thawk harsa, muhil, luak chhuak, buai, muhil harsa.
• Liver injury: Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen emaw, vun emaw mit sen emaw, chak lohna emaw hahna danglam tak.
• Adrenal gland hnathawh hniam: Luak chhuak, luak chhuak, chaw ei chak lohna, chak lohna emaw hahna danglam tak, luak chhuak.
• Thisen sang hniam: Luak chhuak, muthilh, mit hmuh fiah lo.
• Ka chhungah hian vun sen, vun hring, leh vun hring (peeling) te pawh a awm thei bawk.

Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur:

Hengte hi a tlangpuiin damdawi lam pan ngai lo side effects an ni. Mahse, an nghet tlat emaw, an tibuai che emaw a nih chuan i doctor hnenah :

• Ek khal
• Luak chhuak thei
• Mutthilh theih lohna
• Kawng a vawt
• Luhai
• Pum natna
• Luak chhuak

He list-ah hian side effect zawng zawng a tel lo mai thei. Side effects chungchang hi doctor zawt la. Side effects te pawh FDA hnenah i report thei bawk (Sri Lanka ramah chuan i doctor kaltlangin Ministry of Health hnenah i report thei bawk).

Engtin nge i damdawi i dahkhawm ang?

• Naupangte hmuh theih lohna hmunah dah tur a ni. He damdawi hi hman sual (buseed) theih a ni. Chuvangin rukruk laka inven nan hmun him takah dah thin ang che.
• He damdawi hi midang hnenah pe ngai suh. He damdawi hi mi dang hnena hralh emaw pek emaw hi a hlauhawm hle a, dan kalh a ni.
• He damdawi hi puitling dang, naupang dang emaw, ran vulh dangin a ei chuan accident-a overdose a thlen thei a, thihna pawh a thlen thei bawk. Damdawi hman loh i neih chuan cat litter emaw coffee ground emaw nen chawhpawlh la, bag khar nghet tak emaw, coffee can emaw khuhna neiah dah la, paih mai rawh.
• Damdawi expired hman loh tur.
• Room temperature (15 leh 30 degree Celsius / 59 leh 86 degree Fahrenheit inkar) ah dah tur a ni.

A tawp berah chuan hriat reng tur pawimawh ber ber (Take-Home Message) .

Okay, chuvangin, kan sawi tawh atanga i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• He damdawi hi doctor-in a tih ang chiah chiah, a pek zat leh hun bituk chhung atan ei rawh .
• Natna dang i neih leh damdawi dang i ei zawng zawng (over-the-counter, traditional, vitamin, engkim) te chu doctor hnenah hrilh rawh.
• He damdawi i ei hian side effects te fimkhur hle ang che . Side effect na tak i neih chuan doctor hnenah hrilh nghal rawh.
• Hei hi damdawi dang `(Acetaminophen)` awmna nen ei loh tur. Overdose hian liver a tichhia thei a ni.
• He damdawi hi naupangte hmuh theih lohna hmunah him takin dah tur a ni.
• I damdawi hi midang hnenah share ngai suh.
• He damdawi hi zu nen ei loh tur a ni.
• Damdawi ei kha titawp thut suh, i doctor thupek angin a dose hi tihhniam zauh zauh rawh.

He leaflet hi a tawi zawng chauh a ni. Thu hriat zawng zawng a keng tel lo mai thei. He damdawi chungchanga zawhna dang i neih chuan i doctor, pharmacist emaw healthcare provider emaw zawt la. Hriselna tha tak kan duhsak che u a ni!

` Butalbital, Acetaminophen, Caffeine, Codeine, natna tidamtu, lu na, tension lu na, damdawi, side effect, damdawi, codeine