Fentanyl

Zamkati

• Kuti mugwiritse ntchito fentanyl lozenges (Actiq), tsatirani izi:
• Kuti mugwiritse ntchito mapiritsi a fentanyl buccal (Fentora), tsatirani izi:
• Kuti mugwiritse ntchito mapiritsi a fentanyl (Abstral), tsatirani izi:
• Kuti mugwiritse ntchito makanema a fentanyl (Onsolis), tsatirani izi:
• Musanagwiritse ntchito fentanyl,
• Fentanyl ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Ngati mukumane ndi izi, siyani kugwiritsa ntchito fentanyl ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Fentanyl atha kukhala chizolowezi chopanga, makamaka pogwiritsa ntchito nthawi yayitali. Gwiritsani ntchito fentanyl ndendende momwe mwalangizira. Musagwiritse ntchito fentanyl wokulirapo, gwiritsani ntchito mankhwalawa pafupipafupi, kapena muwagwiritse ntchito kwa nthawi yayitali kuposa momwe adalangizira dokotala. Pogwiritsa ntchito fentanyl, kambiranani ndi omwe amakuthandizani paumoyo wanu 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 fentanyl 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.

Fentanyl imayenera kuuzidwa ndi madotolo omwe amadziwa bwino zowawa za khansa. Iyenera kugwiritsidwa ntchito kokha kuchiza kupweteka kwa khansa (zopweteketsa mwadzidzidzi zomwe zimachitika ngakhale atalandira chithandizo cham'maso ndi mankhwala opweteka) mwa odwala khansa osachepera zaka 18 (kapena osachepera zaka 16 ngati akugwiritsa ntchito mtundu wa Actiq lozenges ) omwe akumwa mankhwala omwe amamwa pafupipafupi (opiate), komanso omwe ali ololera (omwe amagwiritsidwa ntchito ndi zomwe amalandira) ndi mankhwala opweteka a narcotic. Mankhwalawa sayenera kugwiritsidwa ntchito pochiza ululu kupatula kupweteka kwa khansa, makamaka kupweteka kwakanthawi kochepa monga migraines kapena kupweteka kwa mutu, kupweteka kwa kuvulala, kapena kupweteka pambuyo potsatira njira zamankhwala kapena mano. Fentanyl imatha kubweretsa mavuto akulu kupuma kapena kufa ngati ingagwiritsidwe ntchito ndi anthu omwe sakuchiritsidwa ndi mankhwala ena osokoneza bongo kapena omwe sagwirizana ndi mankhwala osokoneza bongo.

Fentanyl atha kuvulaza kapena kufa ngati agwiritsidwa ntchito mwangozi ndi mwana kapena wamkulu yemwe sanapatsidwe mankhwalawo. Ngakhale fentanyl yogwiritsidwa ntchito pang'ono itha kukhala ndi mankhwala okwanira kuvulaza kapena kupha ana kapena achikulire ena. Sungani fentanyl patali ndi ana, ndipo ngati mukugwiritsa ntchito lozenges, funsani adotolo momwe angapezere zida kuchokera kwa wopanga omwe ali ndi maloko otetezera ana ndi zina zoteteza ana kuti asamwe mankhwala. Chotsani lozenges omwe agwiritsidwa ntchito pang'ono malingana ndi malangizo a wopanga nthawi yomweyo mutangochotsa pakamwa panu. Ngati fentanyl imagwiritsidwa ntchito ndi mwana kapena wamkulu yemwe sanapatsidwe mankhwalawo, yesani kuchotsa mankhwalawo mkamwa mwa munthuyo ndikupeza chithandizo chadzidzidzi.

Fentanyl iyenera kugwiritsidwa ntchito limodzi ndi mankhwala ena opweteka. Osasiya kumwa mankhwala ena opweteka mukayamba mankhwala anu ndi fentanyl. Mukasiya kumwa mankhwala ena opweteka muyenera kusiya kugwiritsa ntchito fentanyl.

Ngati mukumva kuwawa mutagwiritsa ntchito lozenge kapena piritsi limodzi, dokotala wanu angakuuzeni kuti mugwiritse ntchito lozenge kapena piritsi yachiwiri. Mutha kugwiritsa ntchito lozenge wachiwiri (Actiq) mphindi 15 mutatsiriza lozenge yoyamba, kapena gwiritsani ntchito piritsi lachiwiri (Abstral, Fentora) mphindi 30 mutayamba kugwiritsa ntchito piritsi loyamba. Musagwiritse ntchito lozenge yachiwiri kapena piritsi kuti muchiritse gawo lomwelo la ululu pokhapokha dokotala atakuwuzani kuti muyenera kutero. Ngati mukugwiritsa ntchito fentanyl film (Onsolis), simuyenera kugwiritsa ntchito mlingo wachiwiri kuti muzitha kupweteka komweko. Mukamachita zowawa pogwiritsa ntchito 1 kapena 2 Mlingo wa fentanyl monga momwe mwalangizira, muyenera kudikirira osachepera maola awiri mutagwiritsa ntchito fentanyl (Abstral kapena Onsolis) kapena maola 4 mutagwiritsa ntchito fentanyl (Actiq kapena Fentora) musanagwire gawo lina la khansa yophulika kupweteka.

Kumwa mankhwala ena ndi fentanyl kungapangitse kuti mukhale ndi vuto lakupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa mankhwala aliwonse awa: amiodarone (Nexterone, Pacerone); maantibayotiki ena monga clarithromycin (Biaxin, mu PrevPac), erythromycin (Erythocin), telithromycin (Ketek), ndi troleandomycin (TAO) (omwe sapezeka ku US); ma antifungal ena monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ndi ketoconazole (Nizoral); Aprepitant (Emend); benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazol cimetidine (Tagamet); diltiazem (Cardizem, Taztia, Tiazac, ena); mankhwala ena a kachilombo ka HIV (monga kachilombo ka HIV) monga amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); mankhwala a matenda amisala ndi nseru; zotsegula minofu; nefazodone; mankhwala ogonetsa; mapiritsi ogona; zotetezera; kapena verapamil (Calan, Covera, Verelan). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mumagwiritsa ntchito fentanyl ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Fentanyl imabwera ndi zinthu zinayi zosiyanasiyana zopatsirana komanso mitundu ina yazinthu. Mankhwalawa amatengera mosiyanasiyana thupi, motero chinthu chimodzi sichingalowe m'malo mwa chinthu china chilichonse cha fentanyl. Ngati mukusintha kuchokera kuzinthu zina kupita kwina, dokotala wanu adzakupatsani mlingo woyenera kwa inu.

Pulogalamu yakhazikitsidwa pachinthu chilichonse cha fentanyl kuti muchepetse mwayi wogwiritsa ntchito mankhwalawa. Dokotala wanu adzafunika kulembetsa nawo pulogalamuyi kuti alembetse fentanyl ndipo muyenera kudzaza mankhwala anu ku pharmacy yomwe yalembetsedwa pulogalamuyi. Monga gawo la pulogalamuyi, dokotala wanu amalankhula nanu za kuopsa ndi maubwino ogwiritsa ntchito fentanyl komanso momwe mungagwiritsire ntchito mosamala, kusunga, ndi kutaya mankhwalawo. Mutatha kukambirana ndi dokotala wanu, mudzasaina chikalata chovomereza kuti mukumvetsetsa kuopsa kogwiritsa ntchito fentanyl ndikuti mutsatira malangizo a dokotala kuti mugwiritse ntchito mankhwala mosamala. Dokotala wanu akupatsirani zambiri za pulogalamuyi komanso momwe mungapezere mankhwala anu ndipo adzayankha mafunso aliwonse omwe mungakhale nawo pulogalamuyi ndi chithandizo chanu ndi fentanyl.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi fentanyl ndipo nthawi iliyonse mukalandira mankhwala ambiri. 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.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Fentanyl amagwiritsidwa ntchito pochiza kupweteka kwakanthawi (zopweteketsa mwadzidzidzi zomwe zimachitika ngakhale atadwala nthawi ndi mankhwala opweteka) mwa odwala khansa osachepera zaka 18 (kapena osachepera zaka 16 ngati akugwiritsa ntchito Actiq brand lozenges) omwe amamwa pafupipafupi Mlingo wokhazikika wa mankhwala ena opweteka a narcotic (opiate), ndipo ndi ndani omwe ali ololera (omwe amagwiritsidwa ntchito ndi zotsatira za mankhwalawo) ndi mankhwala opweteka a narcotic. Fentanyl ali mgulu la mankhwala otchedwa narcotic (opiate) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Fentanyl amabwera ngati lozenge pamtanda (Actiq), cholembera (pansi pa lilime) piritsi (Abstral), kanema (Onsolis), ndi buccal (pakati pa chingamu ndi tsaya) piritsi (Fentora) kuti lisungunuke mkamwa. Fentanyl imagwiritsidwa ntchito pakufunira kupweteka koma osapitilira kanayi patsiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Dokotala wanu angakuyambitseni pa fentanyl yochepa ndipo pang'onopang'ono muwonjezere mlingo wanu mpaka mutapeza mankhwala omwe angathetsere kupweteka kwanu. Ngati mukuvutikabe mphindi 30 mutagwiritsa ntchito mafilimu a fentanyl (Onsolis), adokotala angakuuzeni kuti mugwiritse ntchito mankhwala ena opweteka kuti muchepetse ululuwo, komanso kuti muwonjezere kuchuluka kwamafilimu a fentanyl (Onsolis) kuti muchiritse gawo lanu lotsatira la ululu. Lankhulani ndi dokotala wanu za momwe mankhwalawa akugwirira ntchito komanso ngati mukukumana ndi zovuta zina kuti dokotala athe kusankha ngati mulingo wanu ungasinthidwe.

Musagwiritse ntchito fentanyl kangapo patsiku. Itanani dokotala wanu ngati mukumva zopitilira zinayi zopweteka patsiku. Dokotala wanu angafunikire kusintha mlingo wa mankhwala anu opweteka kuti athetsere ululu wanu.

Kumeza piritsi lonse la buccal; osagawanika, kutafuna, kapena kuphwanya. Komanso musatafune kapena kuluma lozenge pa chogwirira; ingoyamwa mankhwalawa monga mwalamulo.

Osasiya kugwiritsa ntchito fentanyl osalankhula ndi dokotala. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono. Mukasiya kugwiritsa ntchito fentanyl mwadzidzidzi, mutha kukhala ndi zizindikilo zosasangalatsa zakusiya.

Kuti mugwiritse ntchito fentanyl lozenges (Actiq), tsatirani izi:

1. Onetsetsani phukusi la blister ndi chogwirira cha lozenge kuti muwonetsetse kuti lozenge ili ndi mlingo wa mankhwala omwe mwapatsidwa.
2. Gwiritsani ntchito lumo kuti mudule phukusi la chithuza ndikuchotsa lozenge. Osatsegula phukusi la chithuza mpaka mutakonzeka kugwiritsa ntchito mankhwalawo.
3. Ikani lozenge pakamwa panu, pakati pa tsaya lanu ndi chingamu. Gwiritsani ntchito lozenge, koma musatafune, kuphwanya, kapena kuluma. Sungani lozenge mkamwa mwanu, kuchokera mbali imodzi kupita mbali inayo, pogwiritsa ntchito chogwirira. Gwedezani chogwirira nthawi zambiri.
4. Osadya kapena kumwa chilichonse muli lozenge mkamwa mwanu.
5. Malizitsani lozenge mu mphindi 15.
6. Mukayamba kukhala ndi chizungulire, kugona tulo kwambiri, kapena kusungulumwa musanamalize lozenge, chotsani pakamwa panu. Itayireni nthawi yomweyo monga tafotokozera m'munsimu kapena ikani mu botolo losungira kwakanthawi kuti mudzataye mtsogolo.
7. Mukamaliza lozenge lonse, ponyani chogwirira mumtsuko wazinyalala pomwe ana sangakwanitse. Ngati simunamalize lozenge lonse, gwirani chogwirira pansi pamadzi otentha kuti musungunule mankhwala onse, kenako ndikuponyera chogwirira mumtsuko wazinyalala womwe ana ndi ziweto sangakwanitse.

Kuti mugwiritse ntchito mapiritsi a fentanyl buccal (Fentora), tsatirani izi:

1. Patulani blister imodzi kuchokera pa chithuza mwa kung'ambika paziphuphuzo. Peel kumbuyo zojambulazo kuti mutsegule chithuza. Musayese kukankhira piritsi kudzera pa zojambulazo. Musatsegule chithuza mpaka mutakonzeka kugwiritsa ntchito piritsi.
2. Ikani phaleli pakamwa panu pamwamba pa mano anu akumanzere pakati pa tsaya lanu ndi chingamu chanu.
3. Siyani piritsilo mpaka litasungunuka kwathunthu. Mutha kuwona kumverera kofatsa pakati pa tsaya lanu ndi chingamu pomwe piritsi limasungunuka. Zitha kutenga mphindi 14 mpaka 25 kuti piritsi lisungunuke. Osagawanika, kutafuna, kuluma, kapena kuyamwa piritsi.
4. Ngati piritsi lirilonse latsala mkamwa mwanu pakatha mphindi 30, lilime ndi madzi akumwa.
5. Mukayamba kukhala ndi chizungulire, kugona tulo kwambiri, kapena kunyansidwa piritsi lisanasungunuke, tsukani pakamwa panu ndi madzi ndikuthira zidutswa zotsalazo patebulo kapena mchimbudzi. Sambani chimbudzi kapena tsukani sinki kuti mutsuke zidutswazo.

Kuti mugwiritse ntchito mapiritsi a fentanyl (Abstral), tsatirani izi:

1. Imwani madzi kuti musunthire pakamwa panu ngati yauma. Tsanulirani kapena kumeza madziwo. Onetsetsani kuti manja anu auma musanagwiritse piritsi.
2. Patulani blister imodzi kuchokera pa chithuza mwa kung'ambika paziphuphuzo. Peel kumbuyo zojambulazo kuti mutsegule chithuza.Musayese kukankhira piritsi kudzera pa zojambulazo. Musatsegule chithuza mpaka mutakonzeka kugwiritsa ntchito piritsi.
3. Ikani piritsi pansi pa lilime lanu kutali momwe mungathere. Ngati piritsi limodzi likufunika pakamwa panu, afalikireni pakamwa panu pakamwa panu.
4. Siyani piritsilo mpaka litasungunuka kwathunthu. Osayamwa, kutafuna, kapena kumeza phale.
5. Osadya kapena kumwa chilichonse mpaka piritsi litasungunuka ndipo simumvanso pakamwa panu.

Kuti mugwiritse ntchito makanema a fentanyl (Onsolis), tsatirani izi:

1. Gwiritsani ntchito lumo kudula mivi ya phukusi la zojambulazo kuti mutsegule. Patulani zigawo za zojambulazo ndikuchotsa kanemayo. Osatsegula phukusi la zojambulazo mpaka mutakonzeka kugwiritsa ntchito mankhwalawa. Osadula kapena kung'amba kanemayo.
2. Gwiritsani ntchito lilime lanu kunyowetsa mkatikati mwa tsaya lanu, kapena ngati pakufunika, tsukani mkamwa mwanu ndi madzi kuti munyowetse malo omwe mudzawonere kanemayo.
3. Gwirani kanemayo pachala choyera, chouma, mbali yak pinki ikayang'ana mmwamba. Ikani kanemayo pakamwa panu, ndi mbali yapinki mkati mwanu mwa tsaya lanu lonyowa. Ndi chala chanu, kanikizani kanemayo patsaya lanu kwa masekondi asanu. Kenako chotsani chala chanu ndipo kanemayo amakanirira mkati mwa tsaya lanu. Ngati pakufunika kanema wopitilira muyeso umodzi, osayika makanema pamwamba pa wina ndi mnzake. Mutha kuyika makanema mbali zonse za pakamwa panu.
4. Siyani kanemayo m'malo mwake mpaka itasungunuka kwathunthu. Kanemayo amatulutsa zonunkhira ngati zimasungunuka. Zitha kutenga mphindi 15 mpaka 30 kuti kanemayo asungunuke. Osatafuna kapena kumeza kanemayo. Musakhudze kapena kusuntha kanemayo pomwe imasungunuka.
5. Mutha kumwa zakumwa pambuyo pa mphindi 5, koma osadya chilichonse mpaka filimuyo itasungunuka kwathunthu.

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

Musanagwiritse ntchito fentanyl,

• auzeni dokotala ndi wazamankhwala ngati simukugwirizana ndi zigamba za fentanyl, jakisoni, mankhwala amphuno, mapiritsi, lozenges, kapena makanema; mankhwala ena aliwonse; kapena chilichonse chophatikizira m'mapiritsi a fentanyl, lozenges, kapena makanema. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO LA CHENJEZO ndi mankhwala aliwonse awa: antihistamines; barbiturates monga phenobarbital; buprenorphine (Buprenex, Subutex, mu Suboxone); butorphanol (Stadol); carbamazepine (Carbatrol, Epitol, Tegretol); efavirenz (Sustiva, ku Atripla); modafinil (Provigil); nalbuphine (Nubain); naloxone (Evzio, Narcan); nevirapine (Viramune); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); oxcarbazepine (Trileptal); pentazocine (Talwin); phenytoin (Dilantin, Phenytek); pioglitazone (Actos, mu Actoplus Met, mu Duetact); rifabutin (Mycobutin); ndi rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala aliwonse otsatirawa kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam , Zelapar), ndi tranylcypromine (Parnate). 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.
• uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri kapena amamwa mankhwala osokoneza bongo kapena kumwa mankhwala osokoneza bongo. Komanso muuzeni dokotala ngati mwadwalapo mutu kapena munadwalapo mutu, chotupa muubongo, sitiroko, kapena vuto lina lililonse lomwe linayambitsa kupanikizika mkati mwa chigaza chanu; kugwidwa; kuchepa kwa mtima kapena mavuto ena amtima; kuthamanga kwa magazi; mavuto amisala monga kukhumudwa, schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzika kapena zosayenera), kapena kuyerekezera zinthu (kuwona zinthu kapena kumva mawu omwe kulibe); mavuto opuma monga mphumu ndi matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema); kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito fentanyl, itanani dokotala wanu.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito fentanyl.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito fentanyl.
• muyenera kudziwa kuti fentanyl imatha kukupangitsani kugona kapena chizungulire. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti fentanyl imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito fentanyl. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• ngati muli ndi matenda ashuga, muyenera kudziwa kuti fentanyl lozenge (Actiq) ili ndi pafupifupi magalamu awiri a shuga.
• ngati mukugwiritsa ntchito lozenges (Actiq), lankhulani ndi dokotala wanu wamano za njira yabwino yosamalirira mano mukamalandira chithandizo. Ma lozenges ali ndi shuga ndipo amatha kuyambitsa mano komanso mavuto ena amano.
• muyenera kudziwa kuti fentanyl imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu ndikugwiritsa ntchito mankhwala ena kuchiza kapena kupewa kudzimbidwa.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukamamwa mankhwalawa.

Mankhwalawa amagwiritsidwa ntchito ngati pakufunika kutengera malangizo.

Fentanyl ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kusinza
• kupweteka m'mimba
• mpweya
• kutentha pa chifuwa
• kuonda
• kuvuta kukodza
• kusintha kwa masomphenya
• nkhawa
• kukhumudwa
• kuganiza kwachilendo
• maloto achilendo
• kuvuta kugona kapena kugona
• pakamwa pouma
• kufiira mwadzidzidzi kwa nkhope, khosi, kapena chifuwa chapamwamba
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kupweteka kwa msana
• kupweteka pachifuwa
• ululu, zilonda, kapena kuyabwa mkamwa mdera lomwe mudayika mankhwalawo
• kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kusintha kwa kugunda kwa mtima
• 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
• kugwidwa
• ming'oma
• zidzolo
• kuyabwa

Ngati mukumane ndi izi, siyani kugwiritsa ntchito fentanyl ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• wodekha, kupuma pang'ono
• kuchepa kulakalaka kupuma
• kuvuta kupuma kapena kumeza
• Kusinza kwambiri
• chizungulire
• chisokonezo
• kukomoka

Fentanyl imatha kubweretsa 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 mankhwalawa m'matumba omwe adalowamo, otsekedwa mwamphamvu, ndipo ana sangathe kuwapeza. Sungani fentanyl pamalo abwino kuti pasapezeke wina wogwiritsa ntchito mwangozi kapena mwadala. Gwiritsani ntchito maloko osagwira ana ndi zinthu zina zopangidwa ndi wopanga kuti ana asakhale kutali ndi lozenges. Onetsetsani kuti fentanyl yatsala bwanji kuti mudziwe ngati palibe yomwe ikusowa. Sungani fentanyl kutentha ndikutentha ndi kutentha kwambiri (osati kubafa). Osazizira fentanyl.

Muyenera kutaya nthawi yomweyo mankhwala aliwonse omwe ndi achikale kapena osafunikanso kudzera pulogalamu yobwezeretsa mankhwala .. Ngati mulibe pulogalamu yobwezera pafupi kapena yomwe mungathe kupeza mwachangu, ndiye tsitsani fentanyl kuchimbudzi kotero kuti ena sangatenge. Chotsani lozenges osafunikira pochotsa lozenge iliyonse mu thumba la chithuza, gwirani lozenge pamwamba pa chimbudzi, ndikudula mankhwalawo pomaliza ndi ma waya kuti agwere muchimbudzi. Ponyani ma handle otsala pamalo omwe ana ndi ziweto sangathe kuwapeza, ndikutsuka chimbudzi kawiri mukakhala ndi lozenges zisanu. Chotsani mapiritsi kapena makanema osafunikira powachotsa m'mapaketi ndikuwaponya mchimbudzi. Ponyani ma fentanyl omwe atsala kapena makatoni muchidebe cha zinyalala; musataye zinthu izi mchimbudzi. Itanani foni yanu kapena wopanga ngati muli ndi mafunso kapena mukufuna thandizo kutaya mankhwala osafunikira.

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

Pakadwala mopitirira muyeso, chotsani fentanyl mkamwa mwa wozunzidwayo ndikuyimbira zadzidzidzi ku 911.

Mukamagwiritsa ntchito fentanyl, muyenera kukambirana 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 kuti mwayamba kumwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, komanso zomwe muyenera kuchita mpaka thandizo ladzidzidzi litafika. 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:

• Kusinza kapena kugona
• chizungulire
• chisokonezo
• wosakwiya, kupuma pang'ono kapena kupuma
• kuvuta kupuma
• ana ang'onoang'ono (mabwalo akuda pakati pa maso)
• osakhoza kuyankha kapena kudzuka

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu, ngakhale ali ndi zizindikiro zomwezo zomwe muli nazo. Kugulitsa kapena kupereka mankhwalawa kumatha kuvulaza kapena kupha ena ndipo ndikosemphana ndi lamulo.

Mankhwalawa sangabwerenso. Onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala wanu kuti musamalize mankhwala.

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.

• Kuteteza^®
• Masewera^®
• Fentora^®
• Onsolis, PA^®¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.