Bipolar lub siab ceev xwmphem tsom ntawv
Topamax (generic topiramate) yog ib qho tshuaj anticonvulsant pom zoo los ntawm US Food and Drug Administration (FDA) rau kev siv rau hauv kev kho mob qaug dab peg thiab cov mob migraine. Txawm tias Topamax tau ua thiab tseem raug tshawb nrhiav kev siv rau kev kho mob ntawm kev puas siab puas ntsws bipolar , nws tsis yog FDA raug pom zoo siv. Txawm li cas los xij, ntau tus kws kho mob tau sau Topamax tawm ntawm daim ntawv qhia txog kev puas siab puas ntsws bipolar.
Ob txoj kev tshawb fawb soj ntsuam tsis ntev los no tau pom zoo nrog cov kev tshawb fawb loj, nrhiav tau tias Topamax tau siv rau kev puas siab puas ntsws bipolar thaum siv los ntxiv rau lwm cov cwj pwm tsis txaus siab tiam sis tsis siv tshwj xeeb thaum siv ib leeg.
Topamax feem ntau yog tsis zoo li Topomax.
Topamax los hauv cov ntsiav tshuaj thiab hauv cov tshuaj ntsiav uas tau qhib thiab nphoo rau cov khoom noj muag muag xws li paj npleg, yogurt, mis nyuj khov, thiab lwm yam khoom noj uas tsis tas yuav zom. Yog tias siv Topamax sprinkle capsules, koj yuav tsum noj tag nrho cov khoom noj tam sim ntawd; tsis txhob muab cia rau yav tom ntej.
Cov lus ceeb toom loj rau Topamax
- Metabolic Acidosis. Topamax siv yog txuam nrog rau tus mob no, uas cov ntshav ua dhau lawm acidic. Muaj kev pheej hmoo siab dua los ntawm kev tsim metabolic acidosis hauv cov neeg mob cov menyuam yaus 15 xyoo rov hauv. Cov tsos mob yog ua pa nyuaj (hyperventilation), qaug zog, tsis kam noj, thiab stupor. Qhov mob no tuaj yeem ua mob nyav heev yog tias tsis kho. Daim ntawv pom zoo rau Topamax pom zoo ntsuas cov kua qaub ncaug hauv ntshav thaum pib txoj kev kho mob thiab kev soj ntsuam ib ntus.
- Glaucoma. Ib qho mob uas tshwm sim los ntawm kev mob ntsig txog lub cev (myopia) nrog rau qhov muag tsis pom kev mob hu ua Second Opened glaucoma tau tshwm sim hauv cov neeg mob uas siv Topamax. Cov tsos mob feem ntau tshwm sim hauv ib lub hlis pib ntawm kev kho mob ntawm Topamax thiab muaj xws li qhov muag tsis pom kev, qhov muag qhov mob, thiab qee zaum xim liab lossis cov menyuam kawm ntawv loj. Yog tias koj pom muaj cov tsos mob no, tiv tauj koj tus kws kho mob kws kho mob sai. Yog tias kws kho mob tsis muaj, hu rau kws kho mob.
- Txo Tawm thiab Kub cev. Qhov no feem ntau tau tshaj tawm hauv cov menyuam yaus, thiab cov neeg mob yuav tsum raug saib xyuas rau cov tsos mob no, tshwj xeeb yog hauv cov huab cua kub. Vim tias ntau lwm cov tshuaj kws kho mob thiab cov khw yuav tom khw tuaj yeem ua rau ib tus neeg mob siab rau cua sov, xyuas kom koj tus kws kho mob thiab tus kws muag tshuaj paub txhua yam tshuaj uas tus neeg mob tau noj.
- Tsis txhob tsum noj Topamax dheev. Muaj qee qhov kev pheej hmoo ntawm qaug dab peg yog tias qhov no tiav.
- Raum pob zeb. Muaj kev pheej hmoo siab ntawm kev mob raum pob zeb thaum noj Topamax. Nco ntsoov haus dej kom ntau.
- Raum tsis zoo. Vim tias Topamax tau tawm ntawm lub cev los ntawm ob lub raum, ntau npaum li cas yuav tsum kho kom haum rau cov neeg mob uas muaj lub plab, xws li cov laus 65 xyoos thiab laus dua.
Topamax Tshuaj Kev Sib Thoob
- Lwm yam Anticonvulsants. Hauv kev soj ntsuam, kev sib koom tes Tegretol (carbamazepine) nrog Topamax tau ua rau muaj 40% txo qis ntawm Topamax muaj. Nrog Lamictal (lamotrigine), theem ntawm Topamax nce 15%, thiab nrog Depakote (valproic acid), ob qho tib si yeeb tshuaj 'concentrations tau qis 11-14%. Txawm li cas los xij, Topamax thiab Depakote tau ua ke tsim kev txaus ntshai rau ib qho mob hu ua hyperammonemic encephalopathy. Cov tsos mob yog hloov maj ceev nyob rau theem ntawm kev xav thiab / lossis kev paub lub luag haujlwm nrog qog lossis ntuav.
- Qhov Ncauj Ntawm Qhov Ncauj Lawm. Muaj kev pheej hmoo ntawm kev tiv thaiv tsis pub muaj kev tiv thaiv thiab kev mob ntshav los ntawm kev noj qab haus huv los ntawm kev noj qab haus huv Topamax nrog cov tshuaj tiv thaiv uas muaj cov tshuaj estrogen.
Muaj ntau txoj kev sib tiv tauj lwm txoj hau kev. Nyeem cov ntawv xov xwm kom zoo dua thiab xyuas dua, xyuas kom koj tus kws kho mob thiab kws muag tshuaj paub txhua yam tshuaj kho mob, cov ntawv sau thiab cov ntawv tshaj tawm, uas koj noj.
Topamax thiab Cev xeeb tub / Mis-Pub mis
Cov kev tshawb fawb tsiaj pom tias muaj teeb meem loj rau tus me nyuam ntawm Topamax, thiab hauv tib neeg, nws muaj kev pheej hmoo loj heev ntawm kev yug me nyuam uas tsis paub zoo li lub qhov ncauj. Nws yog qhov tseem ceeb los nrog koj tus kws kho mob xa tshuaj yog tias koj cev xeeb tub los yog npaj siab tias koj xeeb tub.
Topamax yuav tsum tau siv thaum cev xeeb tub nkaus xwb yog tias qhov txiaj ntsig zoo tshaj qhov phem tshaj plaws rau tus me nyuam hauv plab. Txawm hais tias tsis muaj kev tshawb fawb tswj ntawm kev tso pa ntawm Topamax nyob rau hauv cov mis nyuj, cov pov thawj pom tias nws yog secreted ntau, thiab dua, luj cov kev pab thiab txaus ntshai zoo.
Feem ntau Cov Teebmeem ntawm Topamax thiab Topiramate
Feem ntau cov mob nyhav tshaj plaws ntawm Topamax yog qhov hnoos los yog tingling ntawm cov tawv nqaij. Cov kev mob tshwm sim uas feem ntau tshwm sim los ntawm cov neeg tawm ntawm kev soj ntsuam tau raug kev tsaug zog thiab qaug zog. Cov ntawv ceeb toom txog kev qaug zog nce siab ntawm ntau cov tshuaj. Txij li muaj ib qho peev xwm rau kiv taub hau, tsis meej pem, thiab nyuaj nyuaj, tsis txhob tsav tsheb lossis lag luam ua ntej koj paub tias koj ua li cas rau cov tshuaj no.
Lwm cov kev mob tshwm sim muaj xws li:
- Poob tsis qab los noj mov
- Luj poob
- Teeb meem nrog nco, concentration los yog xim
- Hauv cov menyuam yaus, mob ntsws mas mob ntsws
Topamax thiab Poob Phaus
Ntau tau ua los ntawm kev poob ntawm qhov hnyav saum Topamax. Hauv kev soj ntsuam, qhov hnyav qis qis heev li ntawm 21 feem pua ntawm cov kev kawm, feem ntau tsawg dua qhov ntawd, thiab yog qhov mob-ntim, nrog cov neeg coob tshaj qhov poob ntawm 400mg ib hnub. Vim tias qhov kev pheej hmoo ntawm cov kev mob tshwm sim tuaj nrog ntau dua, txhua tus neeg yuav tsum tau soj ntsuam nws cov lus teb rau cov tshuaj.
> Qhov chaw:
Kushner, SF, Khan, A., Lane, R., Olson, WH (2006). "Topiramate Monotherapy nyob rau hauv cov kev tswj ntawm mob Mania: Cov kev tshwm sim ntawm Plaub Rau Ob Qhov Kev Ntseeg Placebo-Tswj Cov Kev Xaiv." http://www.ncbi.nlm.nih.gov/entrez/...&list_uids=16411977.
McIntyre, RS, Riccardelli, R., Binder, C., Kusumakar, V. (2005). "Open-Label Adjunctive Topiramate nyob rau hauv kev kho mob ntawm Unstable Bipolar tsis meej." http: //www.ncbi.nlm.nih.gov/entrez/...& list_uids = 16086539 ....
Medline Plus Medical Encyclopedia. (2005). "Glaucoma." https://medlineplus.gov/ency/article/001620.htm.
Medline Plus Medical Encyclopedia. (2006). "Metabolic Acidosis." https://medlineplus.gov/ency/article/000335.htm.
US Food thiab Drug Administration. (2005). "FDA Pom Zoo Sau Ntawv Sau Ntawv Hnub 6/29/05 rau Topamax® (topiramate) Ntsiav tshuaj thiab Topamax® (Topiramate Capsules) Sprinkle Capsules."