Trileptal (npe lub npe: oxcarbazepine) yog siv tshuaj tua kab mob siv tshuaj tua kab mob, tab sis Trileptal tseem tau sau npe tawm los kho tus mob Bipolar.
Trileptal tev tau kev tso cai los ntawm US Food and Drug Administration los kho cov qaug dab peg hauv cov laus thiab menyuam yaus. Nws muaj feem xyuam nrog carbamazepine, uas muaj ntau hom npe, nrog rau Tegretol.
Carbamazepine yog siv los ua kom muaj kev puas siab ntsws hauv kev puas siab puas ntsws bipolar.
Txawm hais tias qee cov kws kho mob pom tias Trileptal los kho cov kev puas siab puas ntsws bipolar, kev tshawb fawb tsis tau pom tseeb tias nws zoo.
Kev ntsuam xyuas ntawm cov ntaub ntawv kho mob tau ua hauv 2011 tau xaus tias cov tshuaj tsis ua haujlwm zoo los kho tus mob Bipolar hauv cov menyuam yaus thiab tus tub ntxhais hluas, thiab ua haujlwm nrog rau lwm cov kev puas siab puas ntsws bipolar rau cov laus. Cov kws sau ntawv tau hais tias kev tshawb fawb zoo dua los txiav txim siab seb Trileptal yog qhov tseeb hauv kev puas siab puas ntsws bipolar.
Trileptal Cov Lus Ceeb Toom thiab Phom Tiv Thaiv
Trileptal tuaj yeem txo cov tshuaj tiv thaiv hormonal yug noj tshuaj. Ntxiv nrog, ceev faj nrog cawv thiab sedating tshuaj, vim Trileptal yuav muaj cov nyhuv tshuaj. Tsis txhob tsav tsheb lossis lag luam ua haujlwm kom txog thaum koj tau qhia koj cov lus teb rau cov tshuaj no.
Feem ntau cov kev mob tshwm sim muaj xws li:
- kiv taub hau
- nkees
- ob lub zeem muag (diplopia)
- nkees
- xeev siab thiab ntuav
- unsteadiness rau koj ob txhais taw (ataxia)
- tsis pom kev zoo
- mob plab
- tremor
- acid reflux (dyspepsia)
- kev hloov tsis txav
Ib qho tsis tshua muaj tshwm sim yog hyponatremia (tsis muaj ntshav sodium). Cov tsos mob ntawm tus mob no tsis muaj ntau zis, mob taub hau, tsis meej pem, nkees thiab, yog tias mob hnyav heev, qaug dab peg thiab coma, yog li hu rau koj tus kws kho mob yog tias koj xav tias qhov no yuav pib.
Kwv yees li ntawm 25% mus rau 30% ntawm cov neeg mob uas paub tias muaj carbamazepine tuaj yeem mob siab rau Trileptal. Cov neeg mob no yuav tsum tau txiav kiag tam siv Trileptal. Trileptal tej zaum yuav nkag tau nrog qee yam tshuaj xws li felodipine (Plendil) thiab verapamil (Covera, Calan, Isoptil, Verelan). Yog xav tiv thaiv cov kev sib txuam no, nco ntsoov xyuas kom koj tus kws kho mob paub txog txhua yam tshuaj koj noj.
Qhov hnyav nce nrog Trileptal tsis muaj - nws tsuas yog paub txog li ntawm 1% mus rau 2% ntawm cov neeg mob.
Trileptal thiab Kev Tua Yus Tus Kheej
Txoj kev kho mob Oxcarbazepine yog txoj kev pheej hmoo ntawm suicidal ideation, uas yog xav txog kev tua tus kheej, thiab muaj zog ntxiv rau kev tua tus kheej.
Txog li ntawm ib leeg ntawm txhua tus neeg - cov menyuam yaus thiab cov laus - uas tau txais kev kho mob nrog Trileptal rau ntau yam mob, nrog rau qaug dab peg thiab mob hlwb, thaum lub sij hawm soj ntsuam ntau yam kev soj ntsuam ntawm kev siv yeeb tshuaj los ua kev sib tua thaum kho. Qee cov tib neeg tsim kev xav thiab kev coj cwj pwm sai sai thaum kho - hauv ib lub lis piam pib noj tshuaj.
Nws yog ib qho tseem ceeb uas koj thiab koj tsev neeg paub txog qhov kev pheej hmoo ntawm kev kho mob nrog Trileptal ua ntej pib kho, thiab saib xyuas tej yam tshwm sim ntawm nws thaum kho koj.
Hu rau koj tus kws kho mob tam sim ntawd (thiab nug koj tsev neeg kom hu rau koj tus kws kho mob tam sim ntawd) yog tias koj tau hnov ib yam ntawm cov tsos mob no:
- ceeb ntshai
- ntxhov siab los yog ua tsis muaj zog
- kev ntxhov siab, kev ntxhov siab, lossis kev nyuaj siab
- ua yeeb yam tawm kev ua phem
- insomnia
- kev chim, npau taws lossis kev ua phem
- mania
- xav txog lossis tham txog kev tsim txom koj tus kheej los yog tua koj tus kheej
- rho tawm ntawm cov phooj ywg thiab tsev neeg
- ua ntej nrog kev tuag thiab kev tuag
- muab cov khoom ntiag tug tshem
- lwm yam txawv txav hauv tus cwj pwm los sis xav li cas
Qhov chaw:
Ghaemi, SN, li al. Oxcarbazepine kev kho mob ntawm kev puas siab puas ntsws bipolar. Phau Ntawv Mob ntawm Kev Ntseeg Muaj Mob Hlwb 64 (8) Lub Yim Hli 2003 934-5.
Wagner, KD, li al. Tus ob-dig muag, randomized, tshuaj placebo kuaj ntawm oxcarbazepine nyob rau hauv kev kho mob ntawm kev puas siab puas ntsws bipolar hauv cov menyuam yaus thiab cov tub ntxhais hluas. American Journal of Psychiatry 163 (7) Lub Xya Hli Ntuj 2006 1179-86.
Teb Chaws Asmeskas Lub Tsev Qiv Ntawv ntawm Tshuaj. Oxcarbazepine qhov tseeb ntawv.
RxList. Trilepthal Side Effects and Drug Interactions. 2006.
Vasudev Ib tug li al. Oxcarbazepine rau cov kab mob kheesxaws hauv kev puas siab puas ntsws bipolar. Cochrane Database ntawm Kev Ntsuam Xyuas Qhov Ntsuas. 2011 Dec 7; (12): CD004857.