Butorphanol Nasal Utsi

Zamkati

• Kuti mugwiritse ntchito utsi wa butorphanol nasal, tsatirani izi:
• Musanagwiritse ntchito utsi wa butorphanol nasal,
• Butorphanol nasal spray ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Butorphanol nasal spray akhoza kukhala chizolowezi, makamaka pogwiritsa ntchito nthawi yayitali. Gwiritsani ntchito utsi wa mphuno wa butorphanol monga momwe walangizira. Osamagwiritsa ntchito zochulukirapo, gwiritsani ntchito pafupipafupi, kapena muzigwiritsa ntchito mosiyana ndi momwe dokotala akuwuzirani. Mukamagwiritsa ntchito butorphanol nasal spray, kambiranani ndi omwe amakuthandizani pa zaumoyo zolinga zanu zakuchiritsira, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukudwala kapena matenda ena amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito butorphanol ngati mwakhalapo kapena mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Butorphanol nasal spray imatha kubweretsa mavuto owopsa kapena owopsa kupuma, makamaka mkati mwa maola 24 mpaka 72 oyamba a chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu angakuuzeni kuti musagwiritse ntchito utsi wa butorphanol nasal. Uzaninso dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza mapapo ndi mayendedwe amlengalenga), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupanikizika muubongo wanu. Chiwopsezo choti mutha kukhala ndi vuto lakupuma chimatha kukhala chachikulu ngati ndinu okalamba kapena ofooka kapena osowa zakudya m'thupi chifukwa cha matenda. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kupuma pang'ono, kupuma pang'ono pakati pa kupuma, kapena kupuma pang'ono.

Kumwa mankhwala ena amtundu wa butorphanol nasal spray kungakulitse chiopsezo cha kupuma koopsa kapena koopsa. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: mankhwala ena ophera fungal kuphatikiza itraconazole (Onmel, Sporanox), ketoconazole, ndi voriconazole (Vfend); carbamazepine (Carbatrol, Epitol, Tegretol, Teril); mankhwala a nkhawa, matenda amisala kapena nseru; benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazol clarithromycin (Biaxin, mu PrevPac) zotsekemera zaminyewa; erythromycin (Erytab, Erythrocin); mankhwala ena opatsirana pogonana (HIV) kuphatikiza indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); mankhwala ena opweteka a mankhwalawa; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate); mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa mankhwala a butorphanol nasal spray kumawonjezeranso chiopsezo choti mudzakumana ndi zovuta zoyipa izi. Musamwe mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumagwiritsa ntchito mafuta amphongo a butorphanol pafupipafupi mukakhala ndi pakati, mwana wanu amatha kukhala ndi ziwopsezo zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi butorphanol nasal spray ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Butorphanol nasal spray amagwiritsidwa ntchito kuti athetse ululu wopweteka kwambiri. Butorphanol ali mgulu la mankhwala otchedwa opioid agonist-antagonists. Zimagwira ntchito posintha momwe thupi limamvera kupweteka.

Butorphanol nasal spray imabwera ngati yankho (madzi) opopera mphuno. Nthawi zambiri amagwiritsidwa ntchito pakufunika kupweteka koma osati kangapo kamodzi pa maola 3 kapena 4 aliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Butorphanol nasal spray ayenera kuchepetsa ululu wanu mukangogwiritsa ntchito. Ngati mukugwiritsa ntchito mankhwala otsika a butorphanol nasal spray, dokotala wanu angakuuzeni kuti mutha kugwiritsa ntchito mlingo wachiwiri ngati mukumva kuwawa mphindi 60 mpaka 90 mutangomaliza kumwa mankhwala. Musagwiritse ntchito mlingo wachiwiriwu pokhapokha dokotala atakuwuzani kuti mutha kutero. Itanani dokotala wanu ngati mukumva kuwawa mutagwiritsa ntchito utsi wa butorphanol nasal spray. Komanso itanani dokotala wanu ngati mwagwiritsa ntchito mankhwala amphongo a butorphanol kwakanthawi ndipo muwone kuti sakugwiranso ntchito monga momwe amathandizira koyambirira kwa chithandizo chanu.

Osasiya kugwiritsa ntchito mankhwala amphongo a butorphanol osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kugwiritsira ntchito butorphanol nasal spray, mutha kukhala ndi zizindikilo zobwerera m'mbuyo monga mantha, kusakhazikika, kugwedezeka, kutsekula m'mimba, kuzizira, thukuta, kulephera kugona kapena kugona, kusowa kolumikizana, kusokonezeka, kapena kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu kulibe). Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Musanagwiritse ntchito utsi wa butorphanol nasal kwa nthawi yoyamba, werengani malangizo olembedwa ndi wopanga. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza momwe mungagwiritsire ntchito butoranan nasal spray.

Kuti mugwiritse ntchito utsi wa butorphanol nasal, tsatirani izi:

1. Sambani manja anu.
2. Pepani mphuno yanu.
3. Chotsani chivundikiro chomveka bwino komanso chojambula choteteza m'botolo.
4. Ngati mukugwiritsa ntchito pampu yatsopano kapena pampu yomwe sinagwiritsidwepo ntchito kwa maola 48 kapena kupitilira apo, muyenera kuyika pampuyo musanaigwiritse ntchito. Gwirani botolo kuti mphuno ikhale pakati pa zala zanu zoyambirira ndi zachiwiri ndipo chala chanu chachikulu chili pansi. Onetsetsani kuti botolo likuyang'ana kutali ndi inu, anthu ena, ndi nyama. Pumpani botolo mwamphamvu komanso mwachangu (mpaka zikwapu zisanu ndi zitatu) mpaka utsi wabwino utawonekera.
5. Ikani nsonga ya sprayer pafupifupi 1/4 inchi (0.6 cm) mu mphuno imodzi, kuloza kunsonga kwake kumbuyo kwa mphuno.
6. Tsekani mphuno yanu ndi chala chanu ndikupendeketsa mutu wanu patsogolo pang'ono.
7. Pumpani utsi mwamphamvu komanso mwachangu nthawi imodzi ndikununkhiza bwino ndikatseka pakamwa panu.
8. Chotsani chopopera mankhwala m'mphuno mwanu. Bweretsani mutu wanu cham'mbuyo ndi kununkhiza mokoma kwa masekondi angapo.
9. Sinthanitsani chojambula choteteza ndikuphimba botolo la utsi. Ikani botolo mu chidebe chosungira ana.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala opopera ndi butorphanol nasal ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/cder) kuti mupeze Chithandizo cha Mankhwala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito utsi wa butorphanol nasal,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la butorphanol, mankhwala ena aliwonse, kapena benzethonium chloride (chosungira chomwe chimapezeka mumankhwala ena ndi zinthu zina zokomera anthu). Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala; barbiturates monga butabarbital (Butisol), pentobarbital (Nembutal), phenobarbital, kapena secobarbital (Seconal); cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); lifiyamu (Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); opopera m'mphuno monga oxymetazoline (Afrin, Dristan, ena); 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), ndi milnacipran (Savella), venlafaxine (Effexor); theophylline (Theochron, Uniphyl, ena); trazodone (Oleptro); ndi tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ndi trimipramine. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa a monoamine oxidase (MAO) kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi butorphanol, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• auzeni adotolo ngati mwakhala mukukhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO kapena kutsekeka m'mimba mwanu kapena m'matumbo monga leus wodwala (momwe chakudya chodulidwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musagwiritse ntchito utsi wa butorphanol nasal.
• uzani dokotala wanu ngati mwakhala mukukumana ndi mavuto pokodza; matenda a mtima; kugwidwa; kuthamanga kwa magazi; kapena kapamba, ndulu, chithokomiro, mtima, impso, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito butorphanol.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito mankhwala amphongo a butorphanol.
• Muyenera kudziwa kuti butorphanol nasal spray ingayambitse kugona, chizungulire, kapena kukomoka, makamaka nthawi yoyamba mutagwiritsa ntchito mankhwalawa. Onetsetsani kuti muli ndi malo abwino oti mungadzagone mukamamwa mankhwalawo. Osayendetsa galimoto kapena kugwiritsa ntchito makina osachepera ola limodzi mutagwiritsa ntchito utsi wa butorphanol nasal. Pambuyo pa ola limodzi, musayendetse galimoto mpaka mutsimikizire kuti simukuzunguzika, kugona, kapena kukhala tcheru kuposa nthawi zonse.
• muyenera kudziwa kuti butorphanol nasal spray ingayambitse kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamagwiritsa ntchito butorphanol nasal spray.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Butorphanol nasal spray nthawi zambiri amagwiritsidwa ntchito pakufunika. Ngati dokotala wakuwuzani kuti mugwiritse ntchito mankhwala amphongo a butorphanol pafupipafupi, gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Butorphanol nasal spray ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kusinza
• kutopa kwambiri
• kuvuta kugona kapena kugona
• maloto achilendo
• kudzimbidwa
• kupweteka m'mimba
• kumva kutentha
• kuchapa
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kupweteka m'manja kapena m'mapazi
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• manjenje
• udani
• chisangalalo chachikulu
• kumverera koyandama
• kumva chisoni, kusasangalala, kapena kusapeza bwino
• kusawona bwino
• kulira m'makutu
• khutu kupweteka
• zosasangalatsa kukoma
• pakamwa pouma
• kuvuta kukodza
• m'mphuno
• yamphuno yothinana kapena yokwiya
• chikhure

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kupuma pang'ono
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• kuvuta kupuma
• kukomoka
• kugunda kwamtima mosasinthasintha kapena kopanda tanthauzo
• mutu
• wamisala
• zidzolo
• ming'oma

Butorphanol nasal spray akhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani utsi wamphongo wa butorphanol mchidebe chake chosagwira ana, chatsekedwa mwamphamvu komanso chosafikirika ndi ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Chotsani utsi wamphongo wa butorphanol ukangotha ​​ntchito kapena osafunikanso potsegula kapu, kutsuka botolo, ndikuyika ziwalozo muchidebe chonyansacho.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Mukamagwiritsa ntchito butorphanol nasal spray, muyenera kulankhula ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• kupuma pang'ono kapena pang'ono
• kuvuta kupuma
• kugona
• osakhoza kuyankha kapena kudzuka

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku butorphanol.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukugwiritsa ntchito butorphanol.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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