Trileptal Novartis mikstur
Innledning |
Bruksområder |
Forsiktighetsregler |
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Bivirkninger |
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Ytterligere informasjon |
Informasjon til pasienter |
Helsepersonell
Les nøye gjennom dette pakningsvedlegget før du begynner å bruke dette legemidlet. Det inneholder informasjon som er viktig for deg.
- Ta vare på dette pakningsvedlegget. Du kan få behov for å lese det igjen.
- Spør lege eller apotek hvis du har flere spørsmål eller trenger mer informasjon.
- Dette legemidlet er skrevet ut kun til deg eller barnet ditt. Ikke gi det videre til andre. Det kan skade dem, selv om de har symptomer på sykdom som ligner dine.
- Kontakt lege eller apotek dersom du opplever bivirkninger. Dette gjelder også bivirkninger som ikke er nevnt i pakningsvedlegget. Se avsnitt 4.
I dette pakningsvedlegget finner du informasjon om:
- Hva Trileptal er og hva det brukes mot
- Hva du må vite før du bruker Trileptal
- Hvordan du bruker Trileptal
- Mulige bivirkninger
- Hvordan du oppbevarer Trileptal
- Innholdet i pakningen og ytterligere informasjon
1. Hva Trileptal er og hva det brukes motHva Trileptal er
Trileptal inneholder virkestoffet okskarbazepin.
Trileptal tilhører en gruppe legemidler som kalles antikonvulsiva eller antiepileptika.
Hva Trileptal brukes motTrileptal tilhører en gruppe legemidler som kalles antikonvulsiva eller antiepileptika.
Legemidler som Trileptal er standardbehandling ved epilepsi. Epilepsi er en hjernesykdom som gir mennesker tilbakevendende anfall og kramper. Anfallet skyldes en midlertidig feilfunksjon i hjernens elektriske aktivitet. Normalt koordinerer hjernecellene kroppens bevegelser ved å sende signaler via nervene til musklene på en organisert og strukturert måte. Ved epilepsi sender hjernecellene for mange ustrukturerte signaler, som kan medføre ukoordinert muskelaktivitet, dvs. et epileptisk anfall.
Trileptal brukes til behandling av partielle anfall med eller uten sekundære generaliserte tonisk- kloniske anfall. Partielle anfall omfatter et begrenset område av hjernen, men kan spre seg til hele hjernen og forårsake generaliserte tonisk-kloniske anfall. Det er to typer partielle anfall: enkle og komplekse. Ved enkle partielle anfall bevarer pasienten bevisstheten, mens ved komplekse partielle anfall endres pasientens bevissthet.
Trileptal virker ved å holde hjernens ”overaktive” nerveceller under kontroll og undertrykker eller reduserer dermed frekvensen av slike anfall.
Trileptal kan brukes alene eller i kombinasjon med andre legemidler mot epilepsi.
Vanligvis vil legen din prøve å finne den medisinen som virker best for deg eller barnet ditt. Ved mer alvorlig epilepsi kan det imidlertid være nødvendig å kombinere to eller flere legemidler for å kontrollere anfallene. Trileptal kan brukes hos voksne og barn fra 6 år og oppover.
Hvis du har spørsmål angående hvordan Trileptal virker eller hvorfor du har fått forskrevet dette legemidlet, snakk med legen din.
2. Hva du må vite før du bruker Trileptal
Følg alle legens instrukser nøye, selv om de er forskjellige fra den generelle informasjonen i dette pakningsvedlegget.
Overvåkning under din behandling med TrileptalLegen din kan ta blodprøver før og under din behandling med Trileptal for å bestemme dosen din. Legen din vil fortelle deg når du må ta prøvene.
Bruk ikke Trileptal
- dersom du er allergisk overfor okskarbazepin eller noen av de andre innholdsstoffene i dette legemidlet (listet opp i avsnitt 6) eller hvis du er allergisk overfor eslikarbazepin.
Advarsler og forsiktighetsregler
Snakk med lege eller apotek før du bruker Trileptal:
- hvis du noen gang har vist uvanlig overfølsomhet (utslett eller andre tegn på allergi) overfor karbamazepin eller noen andre legemidler. Hvis du er allergisk overfor karbamazepin er risikoen ca. 1 til 4 (25 %) for at du også får en allergisk reaksjon overfor okskarbazepin (Trileptal)
- hvis du har nyresykdom
- hvis du har alvorlig leversykdom
- hvis du bruker vanndrivende legemidler (legemidler som hjelper nyrene å kvitte seg med salt og vann ved å øke produksjonen av urin)
- hvis du har hjertesykdom, kortpustethet og/eller hvis føtter eller ben hovner opp på grunn av væske i kroppen
- hvis det er vist ved blodprøver at natriuminnholdet i blodet ditt er for lavt (se avsnitt 4)
- hvis du er kvinne og bruker hormonell prevensjon (f.eks. p-piller) kan Trileptal forårsake at disse prevensjonsmidlene ikke virker. Du bør derfor bruke et annet eller et supplerende ikke- hormonelt prevensjonsmiddel mens du bruker Trileptal. Dette bidrar til å forhindre uønsket graviditet. Informer legen din umiddelbart hvis du får uregelmessig vaginal blødning eller sporblødning (sparsom underlivsblødning utenom menstruasjonstidene). Hvis du har spørsmål om dette, spør legen eller helsepersonell.
Risikoen for alvorlige hudreaksjoner ved bruk av karbamazepin eller medisiner med liknende kjemisk struktur (f.eks. okskarbazepin som er det aktive stoffet i Trileptal) kan hos personer med han-kinesisk og thailandsk opphav forutsees ved å ta en blodprøve. Legen din vil vurdere om det er nødvendig at du tar en blodprøve før du starter behandling med Trileptal.
Hvis du får noen av symptomene nevnt under etter å ha startet med Trileptal, kontakt legen din umiddelbart eller oppsøk nærmeste legevakt:- hvis du opplever en allergisk reaksjon etter at du har startet med Trileptal. Symptomer kan være hovne lepper, øyelokk, ansikt, hals eller munn eller plutselige pustevansker, feber med hovne kjertler, utslett eller blemmedannelse
- hvis du merker symptomer på leverbetennelse, f.eks. gulsott (gulfarging av hud og det hvite i øynene)
- hvis du opplever en økning i hyppigheten av anfall. Dette er spesielt viktig for barn, men kan også forekomme hos voksne
- hvis du opplever mulige symptomer på blodsykdommer, som tretthet, kortpustethet ved anstrengelser, ser blek ut, hodepine, frysninger, svimmelhet, hyppige infeksjoner som gir feber, sår hals, munnsår, får blødninger eller blåmerker lettere enn normalt, neseblødning, rødlige eller lilla-aktige lepper, eller uforklarlige flekker på huden
- et lite antall mennesker som blir behandlet med legemidler mot epilepsi slik som okskarbazepin, har hatt tanker om å skade seg selv eller begå selvmord. Dersom du på noe tidspunkt har slike tanker, må du kontakte legen din øyeblikkelig.
- hvis du har raske eller uvanlig langsomme hjerteslag
Andre legemidler og Trileptal
Snakk med lege eller apotek dersom du bruker, nylig har brukt eller planlegger å bruke andre legemidler.
Dette gjelder spesielt:
Dette gjelder spesielt:
- hormonelle prevensjonsmidler som f.eks. p-piller (se avsnitt 2, Advarsler og forsiktighetsregler)
- andre antiepileptika og enzyminduserende legemidler f.eks. karbamazepin, fenobarbital, fenytoin eller lamotrigin og rifampicin
- legemidler som reduserer natriumnivået i blodet, f.eks. diuretika (hjelper nyrene å kvitte seg med salt og vann ved å øke produksjonen av urin), desmopressin og ikke-steroide betennelsesdempende legemidler f.eks. indometacin
- litium og monaminoksidasehemmere (legemidler som brukes ved behandling av svingninger i sinnsstemning og enkelte typer depresjoner)
- legemidler som styrer kroppens immunforsvar som f.eks. ciklosporin og takrolimus
Inntak av Trileptal sammen med mat og drikke
Trileptal kan tas med eller uten mat.
Alkohol kan øke den sløvende virkningen av Trileptal. Unngå alkohol så mye som mulig og rådfør deg med legen.
Graviditet, amming og fertilitet Graviditet
Snakk med lege eller apotek før du tar dette legemidlet dersom du er gravid, tror at du kan være gravid eller planlegger å bli gravid.
Det er viktig å holde epilepsianfallene under kontroll under graviditeten. Bruk av antiepileptika under graviditeten kan føre til en risiko for barnet.
Medfødte misdannelser
Studier har ikke vist en økt risiko for medfødte misdannelser knyttet til bruk av okskarbazepin under graviditeten. Imidlertid kan ikke en risiko for medfødte misdannelser for det ufødte barnet fullstendig utelukkes.
Utviklingsforstyrrelser
Noen studier har vist at eksponering for okskarbazepin i livmoren påvirker utviklingen av barns hjernefunksjon (nevroutvikling) negativt. Andre studier har ikke vist denne effekten. Muligheten for at nevroutviklingen påvirkes, kan ikke utelukkes.
Legen din kan fortelle deg mer om fordeler og mulig risiko og hjelpe deg med å avgjøre om Trileptal er riktig for deg. Stopp ikke behandlingen med Trileptal under graviditet uten først å ha snakket med legen din om dette.
Det er viktig å holde epilepsianfallene under kontroll under graviditeten. Bruk av antiepileptika under graviditeten kan føre til en risiko for barnet.
Medfødte misdannelser
Studier har ikke vist en økt risiko for medfødte misdannelser knyttet til bruk av okskarbazepin under graviditeten. Imidlertid kan ikke en risiko for medfødte misdannelser for det ufødte barnet fullstendig utelukkes.
Utviklingsforstyrrelser
Noen studier har vist at eksponering for okskarbazepin i livmoren påvirker utviklingen av barns hjernefunksjon (nevroutvikling) negativt. Andre studier har ikke vist denne effekten. Muligheten for at nevroutviklingen påvirkes, kan ikke utelukkes.
Legen din kan fortelle deg mer om fordeler og mulig risiko og hjelpe deg med å avgjøre om Trileptal er riktig for deg. Stopp ikke behandlingen med Trileptal under graviditet uten først å ha snakket med legen din om dette.
Amming
Spør legen om råd før du starter å amme hvis du tar dette legemidlet. Virkestoffet i Trileptal går over i morsmelk. Selv om tilgjengelige data tyder på at mengden med Trileptal som går over til det diende barnet er lite, kan en risiko for bivirkninger hos barnet ikke utelukkes. Legen vil diskutere fordeler og mulige risikoer av å amme mens du bruker Trileptal med deg. Informer lege umiddelbart dersom du ammer mens du bruker Trileptal og du tror at barnet har bivirkninger som overdreven søvnighet eller dårlig vektøkning.
Kjøring og bruk av maskiner
Trileptal kan gjøre at du føler deg trett eller svimmel eller kan gi tåkesyn, dobbeltsyn, manglende muskelkoordinasjon eller nedsatt bevissthet, spesielt i starten av behandlingen eller ved doseøkning. Det er viktig at du snakker med legen din om hvorvidt du kan kjøre eller bruke maskiner mens du tar dette legemidlet.
Trileptal inneholder sorbitol (E420), propylenglykol (E1520), parahydroksybenzoater, natrium og etanol
Trileptal mikstur inneholder:
- Sorbitol (E420): Dette legemidlet inneholder 175 mg sorbitol i hver milliliter mikstur. Sorbitol er en kilde til fruktose. Hvis legen din har fortalt deg at du (eller barnet ditt) har en intoleranse overfor noen sukkertyper, eller du har fått diagnosen medfødt fruktoseintoleranse, en sjelden, arvelig sykdom, som gjør at du ikke kan bryte ned fruktose, må du snakke med legen din før du (eller barnet ditt) tar eller mottar dette legemidlet. Sorbitol kan forårsake ubehag i magetarmkanalen og kan virke lett avførende (lakserende).
- Propylenglykol (E1520): Dette legemidlet inneholder 25 mg propylenglykol i hver milliliter mikstur.
- Parahydroksybenzoater: Propylparahydroksybenzoat (E216) og metylparahydroksybenzoat (E218) kan fremkalle allergiske reaksjoner (muligens først etter en stund).
- Natrium: Dette legemidlet inneholder mindre enn 1 mmol natrium (23 mg) i hver milliliter, og er så godt som “natriumfritt”.
- Etanol: Dette legemidlet inneholder 0,8 mg alkohol (etanol) i hver milliliter mikstur. Mengden per 1 ml av dette legemidlet tilsvarer mindre enn 0,02 ml øl eller 0,01 ml vin. Mengden alkohol i dette legemidlet er lav og vil ikke gi merkbare effekter.
3. Hvordan du bruker Trileptal
Bruk alltid dette legemidlet nøyaktig slik legen har fortalt deg, selv om det er forskjellig fra informasjonen i dette pakningsvedlegget. Kontakt lege eller apotek hvis du er usikker.
Dosen din gis i milliliter (ml)Legen må forskrive dosen din i milliliter (ml) og ikke i milligram (mg). Dette er viktig siden doseringssprøyten er inndelt i ml. Hvis legen har forskrevet dosen din i mg, kontakt apoteket eller legen for råd.
Hvor mye du skal ta Dosering til voksne- Anbefalt startdose Trileptal til voksne (inkludert eldre pasienter) er 10 ml mikstur (600 mg okskarbazepin) daglig.
- Ta 5 ml mikstur (300 mg okskarbazepin) to ganger daglig.
- Legen kan øke denne dosen gradvis for å finne dosen som er best for deg. Dette oppnås normalt med mellom 10 ml mikstur (600 mg okskarbazepin) og 40 ml mikstur (2400 mg okskarbazepin) daglig.
- Selv om du bruker andre legemidler mot epilepsi er dosen den samme.
- Hvis du har en nyresykdom (med nedsatt nyrefunksjon) er startdosen halvparten av den normale startdosen.
- Hvis du har alvorlig leversykdom kan legen justere dosen.
Trileptal kan brukes av barn fra 6 år og oppover.
Dosen til barn beregnes av legen og avhenger av barnets vekt.
Hvordan du tar TrileptalDosen til barn beregnes av legen og avhenger av barnets vekt.
- Vanlig startdose er 8 til 10 mg/kg kroppsvekt pr. dag fordelt på to doser. F.eks. vil et barn på 30 kg starte behandlingen med én 150 mg dose (2,5 ml mikstur) to ganger daglig.
- Legen kan øke denne dosen gradvis for å finne dosen som er best for barnet ditt. Normalt oppnås ønsket effekt hos barn ved doser på 30 mg/kg kroppsvekt daglig. Maksimal dose til barn er 46 mg/kg kroppsvekt daglig.
For instruksjoner om hvordan Trileptal skal tas, se “Bruksanvisning” bakerst i dette pakningsvedlegget.
Når og hvor lenge du skal ta TrileptalTrileptal bør tas to ganger daglig, hver dag, på omtrent samme tidspunkt hver dag, hvis ikke legen har sagt noe annet. Dette vil ha best effekt for å kontrollere epilepsien. Det vil også gjøre det lettere å huske når miksturen skal tas.
Legen din forteller deg hvor lenge du eller barnet ditt skal behandles med Trileptal. Behandlingens varighet er avhengig av din eller ditt barns type anfall. Det kan være nødvendig med behandling over mange år for å kontrollere anfallene. Du må ikke endre dosen eller avslutte behandlingen uten å ha snakket med legen din.
Dersom du tar for mye av Trileptal
Kontakt lege eller sykehus umiddelbart dersom du har tatt mer mikstur enn legen har forskrevet.
Symptomer på overdosering med Trileptal kan være: Søvnighet, svimmelhet, kvalme, oppkast, ukontrollerte bevegelser, døsighet, forvirring, muskelrykninger eller betydelig forverring av kramper, koordineringsforstyrrelser og/eller ufrivillige øyebevegelser, dobbeltsyn, forsnevring av pupillen, tåkesyn, tretthet, kort og overfladisk pusting (hemming av respirasjonen), uregelmessige hjerteslag (forlenget QTc intervall), skjelving, hodepine, koma, nedsatt bevissthet, ufrivillige bevegelser av munn, tunge og lemmer, aggresjon, uro/rastløshet, lavt blodtrykk og kortpustethet.
Dersom du har glemt å ta Trileptal
Dersom du har glemt å ta medisinen, skal du ta den så snart du kommer på det. Hvis det imidlertid er tid for neste dose, skal du ikke ta den glemte dosen. Gå tilbake til din vanlige doseringsplan. Du skal ikke ta en dobbelt dose som erstatning for en glemt dose.
Kontakt lege hvis du er i tvil eller har glemt flere doser.
Dersom du avbryter behandling med Trileptal
Du må ikke avslutte behandlingen uten å ha snakket med legen din. For å forhindre akutt forverring av anfallene må du aldri avslutte behandlingen brått. Dersom behandlingen skal avsluttes må det gjøres gradvis etter instrukser fra legen din.
Spør lege eller apotek dersom du har noen spørsmål om bruken av dette legemidlet.
4. Mulige bivirkninger
Som alle legemidler kan dette legemidlet forårsake bivirkninger, men ikke alle får det.
Kontakt legen din umiddelbart eller oppsøk legevakt dersom du opplever noen av de følgende bivirkningene:Symptomene nevnt under er mindre vanlige (kan forekomme hos opptil 1 av 100 pasienter), sjeldne (kan forekomme hos opptil 1 av 1000 pasienter) eller svært sjeldne (kan forekomme hos opptil 1 av 10 000 pasienter), men potensielt alvorlige bivirkninger som kan kreve rask medisinsk behandling. Legen vil også avgjøre om Trileptal må stoppes umiddelbart og hvordan videre medisinsk behandling bør utføres.
Mindre vanlige (kan forekomme hos opptil 1 av 100 pasienter):
Mindre vanlige (kan forekomme hos opptil 1 av 100 pasienter):
- Vektøkning, tretthet, hårtap, muskelsvakhet, kuldefølelse (tegn på underaktiv skjoldbruskkjertel).
- Hovne lepper, øyelokk, ansikt, hals eller munn, sammen med vanskeligheter med å puste, snakke eller svelge (tegn på en anafylaktisk reaksjon og angioødem), eller andre tegn på overfølsomhetsreaksjon som utslett, feber, muskel- og leddsmerter.
- Tretthet, kortpustethet ved anstrengelse, ser blek ut, hodepine, frysninger, svimmelhet, hyppige infeksjoner som gir feber, sår hals, munnsår, får blødninger eller blåmerker lettere enn normalt, neseblødning, rødlige eller lilla-aktige lepper, eller uforklarlige flekker på huden (tegn på for lavt antall blodplater eller nedsatt antall blodceller).
- Alvorlig blemmedannelse i huden og/eller slimhinner på leppene, øynene, munn, neseganger eller kjønnsorganer (tegn på alvorlig allergisk reaksjon inkludert Lyells syndrom, Stevens- Johnsons syndrom og erythema multiforme).
- Røde flekker med utslett, hovedsakelig i ansiktet, sammen med tretthet, feber, kvalme eller appetittløshet (tegn på systemisk lupus erythematosus (kronisk bindevevssykdom)).
- Døsighet, forvirring, muskelrykninger eller betydelig forverring av kramper (symptomer på lavt natriumnivå i blodet) (se avsnitt 2, Advarsler og forsiktighetsregler).
- Influensalignende symptomer med gulsott (gulfarging av hud og det hvite i øynene) (tegn på hepatitt).
- Alvorlige smerter i øvre del av magen, oppkast, appetittløshet (tegn på betennelse i bukspyttkjertelen).
Fortell legen din så raskt som mulig hvis du får noen av de følgende bivirkningene. Medisinsk behandling kan være nødvendig.
Vanlige (kan forekomme hos opptil 1 av 10 pasienter):
Andre bivirkninger som kan oppstå:Vanlige (kan forekomme hos opptil 1 av 10 pasienter):
- Skjelving, koordinasjonsvansker, ufrivillige øyebevegelser, angst og nervøsitet, depresjon, humørsvingninger, utslett.
- Uregelmessig hjerterytme eller svært rask eller sen hjerterytme.
Dette er vanligvis milde til moderate bivirkninger av Trileptal. De fleste er forbigående og avtar over tid.
Svært vanlige (kan forekomme hos flere enn 1 av 10 pasienter):
Svært vanlige (kan forekomme hos flere enn 1 av 10 pasienter):
- Tretthet, hodepine, svimmelhet, søvnighet, kvalme, oppkast, dobbeltsyn.
- Kraftløshet, hukommelsesforstyrrelser, nedsatt konsentrasjonsevne, likegyldighet, rastløshet, forvirring, tåkesyn, synsforstyrrelser, forstoppelse, diaré, magesmerter, kviser (akne), hårtap, balanseproblemer, vektøkning, talevansker.
- Høyt blodtrykk, elveblest.
- Du kan også få økte nivåer av leverenzymer med Trileptal.
- Det er rapportert tilfeller av sykdom i benvevet inkludert osteopeni og osteoporose (benskjørhet) og frakturer. Snakk med legen eller apoteket dersom du har brukt epilepsimedisin over lang tid, har osteoporose i sykehistorien eller bruker steroider.
Melding av bivirkninger
Kontakt lege, apotek eller sykepleier dersom du opplever bivirkninger. Dette gjelder også bivirkninger som ikke er nevnt
i pakningsvedlegget. Du kan også melde fra om bivirkninger direkte via meldeskjema som finnes på nettsiden til Direktoratet for medisinske produkter:
www.dmp.no/pasientmelding. Ved å melde fra om bivirkninger
bidrar du med informasjon om sikkerheten ved bruk av dette legemidlet.
5. Hvordan du oppbevarer Trileptal
- Oppbevares utilgjengelig for barn.
- Bruk ikke dette legemidlet etter utløpsdatoen som er angitt på esken etter ”EXP” og på flasken etter ”EXP”. Utløpsdatoen er den siste dagen i den angitte måneden.
- Trileptal må brukes innen 7 uker etter at flasken er åpnet første gang.
- Etter 7 uker bør ubenyttet mikstur returneres til apoteket for sikker håndtering.
- Bruk ikke dette legemidlet hvis du oppdager at pakningen er ødelagt eller viser synlige tegn på forringelse.
- Legemidler skal ikke kastes i avløpsvann eller sammen med husholdningsavfall. Spør på apoteket hvordan du skal kaste legemidler som du ikke lenger bruker. Disse tiltakene bidrar til å beskytte miljøet.
6. Innholdet i pakningen og ytterligere informasjon
Sammensetning av Trileptal
- Virkestoff er okskarbazepin. Hver ml mikstur inneholder 60 mg okskarbazepin.
- Andre innholdsstoffer er renset vann, sorbitol, flytende, ikke-krystalliserende (E 420), propylenglykol (E 1520), cellulose, mikrokrystallinsk, karmellosenatrium, askorbinsyre (E 300), sitron/gul plommesmak (inneholder etanol), metylparahydroksybenzoat (E 218), makrogolstearat, sorbinsyre (E 200), sakkarinnatrium, propylparahydroksybenzoat (E 216).
Hvordan Trileptal ser ut og innholdet i pakningen:
Trileptal mikstur er en gråhvit til svak rødbrun suspensjon. Misfarging av miksturen til svak rødbrun suspensjon er normalt og påvirker ikke produktets kvalitet.
Trileptal mikstur kommer i brun glassflaske som inneholder 250 ml suspensjon. Flasken har barnesikret skrukork og er pakket i en eske sammen med en 10 ml doseringssprøyte, samt en plastpropp som skal presses ned i flasken. Hver eske inneholder en flaske.
Trileptal mikstur kommer i brun glassflaske som inneholder 250 ml suspensjon. Flasken har barnesikret skrukork og er pakket i en eske sammen med en 10 ml doseringssprøyte, samt en plastpropp som skal presses ned i flasken. Hver eske inneholder en flaske.
Innehaver av markedsføringstillatelsen
Novartis Norge AS
Postboks 4284 Nydalen
0401 Oslo
TilvirkerPostboks 4284 Nydalen
0401 Oslo
Novartis Farmacéutica, S.A.
Gran Via de les Corts Catalanes, 764 08013
Spania
Gran Via de les Corts Catalanes, 764 08013
Spania
Novartis Pharma GmbH
Roonstrasse 25
90429 Nürnberg
Tyskland
Roonstrasse 25
90429 Nürnberg
Tyskland
Novartis Norge AS
Postboks 4284 Nydalen
0401 Oslo
Postboks 4284 Nydalen
0401 Oslo
Dette pakningsvedlegget ble sist oppdatert 15.09.2023
Detaljert informasjon om dette legemidlet er tilgjengelig på nettstedet til www.felleskatalogen.no
1. Plastproppen presses ned i flaskehalsen. Plastproppen skal bli sittende i flasken når den først er satt i.
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)
2. Flasken inneholder 250 ml Trileptal mikstur med en barnesikret skrukork. Skrukorken må skrus på hver gang etter bruk.
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)
3. En 10 ml doseringssprøyte. Denne passer inn i plastproppen for at du skal kunne trekke ut forskrevet mengde mikstur fra flasken.
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gg==
)
4. Ryst flasken med Trileptal i minst 10 sekunder.
4. Ryst flasken med Trileptal i minst 10 sekunder.
5. Skru av den barnesikrede korken ved å presse korken hardt ned og drei den mot uret (som vist på toppen av korken).
Merk: Ha skrukorken i nærheten slik at den kan settes på etter bruk.
6. Sett flasken på et bord. Press plastproppen så langt ned i flaskehalsen som mulig.
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Merk: Du greier muligens ikke å presse plastproppen helt ned, men den vil bli tvunget ned i flasken når korken skrus på.
Følg videre veiledning for ”Tilberedning av en legemiddeldose”.
TILBEREDNING AV EN LEGEMIDDELDOSETrileptal mikstur kan svelges rett fra doseringssprøyten eller blandes med et lite glass vann.
1. Ryst flasken godt før dosen trekkes opp.
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2.Press hardt ned og skru av den barnesikrede korken.
(Skru korken på igjen etter bruk).
2.Press hardt ned og skru av den barnesikrede korken.
(Skru korken på igjen etter bruk).
3.Kontroller at stempelet i doseringssprøyten står helt nede.
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4.Hold flasken rett og sett sprøyten godt ned i plastproppen.
5.Hold sprøyten på plass. Snu flasken og hold den loddrett med bunnen i været.
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)
6. Trekk stempelet i sprøyten langsomt ut slik at sprøyten fylles med mikstur. Press stempelet litt tilbake slik at eventuelle luftbobler fjernes.
4.Hold flasken rett og sett sprøyten godt ned i plastproppen.
5.Hold sprøyten på plass. Snu flasken og hold den loddrett med bunnen i været.
6. Trekk stempelet i sprøyten langsomt ut slik at sprøyten fylles med mikstur. Press stempelet litt tilbake slik at eventuelle luftbobler fjernes.
7. Uttak av den forskrevne dose mikstur: Trekk stempelet langsomt ned. Trekk til den øverste kanten på stempelet er nøyaktig på samme nivå som markeringen av forskrevet dose.
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Merk: Hvis forskrevet dose er mer enn 10 ml, trekk opp den forskrevne dosen i to trinn. Fyll først opp doseringssprøyten til 10 ml merket, og gi 10 ml. Fyll så opp doseringssprøyten igjen til riktig nivå for å få resten av dosen.
Spør på apoteket dersom du er usikker.
Spør på apoteket dersom du er usikker.
8. Snu flasken forsiktig tilbake og fjern doseringssprøyten ved å vri den av plastproppen.
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9.Dosen kan svelges rett fra sprøyten: Pasienten må sitte oppreist og stempelet må presses langsomt inn slik at pasienten rekker å svelge innholdet. Dosen kan også blandes med et lite glass vann rett før dosen svelges. Rør rundt og drikk hele blandingen med det samme.
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10. Skru på den barnesikrede korken etter bruk.
11. Rengjøring: Tørk utsiden av doseringssprøyten med en tørr, ren serviett etter bruk.
10. Skru på den barnesikrede korken etter bruk.
11. Rengjøring: Tørk utsiden av doseringssprøyten med en tørr, ren serviett etter bruk.