Mpweya wabwino

Zamkati

• Musanatenge oxymorphone,
• Oxymorphone imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Oxymorphone imatha kukhala chizolowezi, makamaka ikamagwiritsa ntchito nthawi yayitali. Tengani oxymorphone monga momwe adauzira. Musatenge mlingo wokulirapo, uzitenga pafupipafupi, kapena uzitenga kwa nthawi yayitali, kapena mwanjira ina yosiyana ndi yomwe dokotala wanu wakupatsani. Mukamamwa oxymorphone, kambiranani ndi omwe amakuthandizani pa zaumoyo zolinga zanu zowawa, 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 oxymorphone 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.

Oxymorphone imatha kubweretsa mavuto opumira kapena owopsa, makamaka munthawi ya maola 72 oyamba a chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Uzani dokotala wanu ngati mwakhala mukupuma pang'ono, kapena mphumu. Dokotala wanu angakuuzeni kuti musatenge mapiritsi a oxymorphone. Uzaninso dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema), kuvulala pamutu, chotupa muubongo, vuto lililonse lomwe limakulitsa kuchuluka muubongo wanu, kapena kugona tulo (vuto lomwe kupuma kumayima kapena kumakhala kosaya pang'ono mukamagona). 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 okhala ndi oxymorphone kumatha kuonjezera chiopsezo kuti mungakhale ndi mavuto opumira, owuma, kapena okomoka. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam ( Ativan), oxazepam, temazepam (Restoril), ndi triazolam (Halcion); mankhwala a matenda amisala kapena nseru; mankhwala ena opweteka a mankhwalawa; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala aliwonse otsatirawa kapena mwasiya kumwa nawo m'masabata awiri apitawa: monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Eldepryl, Zelapar), ndi tranylcypromine (Parnate) .Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu ndikukuyang'anirani mosamala. Mukatenga oxymorphone ndi imodzi mwa mankhwalawa ndipo mukakhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala 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.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo munthawi ya chithandizo chanu ndi oxycodone kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa zomwe zingawopsyeze moyo wanu. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe muli ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Musalole kuti aliyense azimwa mankhwala anu. Oxymorphone itha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani oxymorphone pamalo otetezeka kuti wina aliyense asatenge mwangozi kapena mwadala. Samalani kwambiri kuti ma oxymorphone asawonekere kwa ana. Onetsetsani kuti ndi mapiritsi angati, kapena makapisozi omwe atsala kuti mudziwe ngati pali mankhwala omwe akusowa.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa oxymorphone pafupipafupi panthawi yomwe muli 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.

Lankhulani ndi dokotala wanu za kuopsa kotenga oxymorphone.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi oxymorphone 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.

Oxymorphone imagwiritsidwa ntchito kuthetsa ululu wopweteka kwambiri kwa anthu omwe kupweteka kwawo sikulamuliridwa ndi mankhwala ena. Oxymorphone ili mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe thupi limayankhira ndi zowawa.

Oxymorphone imabwera ngati piritsi komanso piritsi lokhazikika (lotenga nthawi yayitali) loti mutenge pakamwa pamimba yopanda kanthu, osachepera ola limodzi musanadye kapena maola awiri mutadya. Nthawi zambiri amatengedwa maola 4 kapena 6 aliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani oxymorphone monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu; musatafune kapena kuwaphwanya.

Dokotala wanu mwina angakuyambitseni ndi oxymorphone yochepa ndipo pang'onopang'ono muwonjezere mlingo wanu mpaka kupweteka kwanu kutha. Dokotala wanu amatha kusintha mlingo wanu nthawi iliyonse mukamachiza ngati kupweteka kwanu sikukuyendetsedwa. Ngati mukumva kuti kupweteka kwanu sikukuyendetsedwa, pitani kuchipatala. Musasinthe kuchuluka kwa mankhwala anu osalankhula ndi dokotala.

Osasiya kumwa oxymorphone osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kutenga oxymorphone, mutha kukumana ndi zizindikilo zakutha monga kusakhazikika; maso amadzi; mphuno; kuyasamula; thukuta; kuzizira; minofu, olowa, kapena kupweteka kwa msana; kukulitsa ophunzira (mabwalo akuda pakati pa maso); kukwiya; nkhawa; kufooka; kukokana m'mimba; zovuta kugona kapena kugona; nseru; kusanza; kutsegula m'mimba; kusowa chilakolako; kugunda kwamtima; ndi kupuma mwachangu.

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

Musanatenge oxymorphone,

• uzani adotolo ndi wazamankhwala ngati simukugwirizana ndi oxymorphone, oxycodone (OxyContin, ku Percocet, ku Roxicet, ena), codeine (m'mankhwala ambiri opewetsa ululu ndi mankhwala a chifuwa), hydrocodone (Zohydro, ku Anexsia, Norco, ku Reprexain, Rezira, ku Vicoprofen, ku Vituz, ena), dihydrocodeine (ku Synalgos-DC), hydromorphone (Dilaudid, Exalgo), mankhwala ena aliwonse, kapena chilichonse chosakaniza m'mapiritsi a oxymorphone. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi izi: buprenorphine (Buprenex, Butrans, Zubsolv, mu Suboxone); butorphanol (Stadol); cimetidine (Tagamet), diuretics ('mapiritsi amadzi'), ipratropium (Atrovent, in Combivent); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, kapena mavuto amikodzo; nalbuphine; ndi pentazocine (Talwin). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani adotolo ngati muli ndi zina mwazomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, matenda a chiwindi, kutsekeka m'mimba mwanu kapena m'matumbo, kapena ileus yofa ziwalo (zomwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musatenge oxymorphone.
• uzani dokotala wanu ngati mwakhalapo kapena munagwapo; mavuto okodza, kapena impso, kapamba, chithokomiro, kapena matenda a ndulu.
• Uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa oxymorphone, yang'anani mwana wanu kwambiri tulo tachilendo, kupuma pang'ono, kapena kulumala.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kotenga oxymorphone.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa oxymorphone.
• Muyenera kudziwa kuti oxymorphone imatha kukupangitsani kugona, chizungulire, kapena mutu wopepuka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti oxymorphone imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti oxymorphone imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamagwiritsa ntchito oxymorphone.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Oxymorphone imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• pakamwa pouma
• kupweteka m'mimba kapena kutupa
• nseru
• kusanza
• mpweya
• thukuta kwambiri
• kuchapa
• kugunda kwamtima mwachangu
• maso ofiira
• mutu
• kumva kuda nkhawa kapena kusokonezeka
• kuyabwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu:

• 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
• kusintha kwa kugunda kwa mtima
• kugwidwa
• zidzolo, ming'oma, kuyabwa, nseru, kusanza, kuuma, kupuma movutikira kapena kumeza, kupweteka pachifuwa. kapena kutupa kwa manja, maso, nkhope, milomo, pakamwa, lilime kapena pakhosi
• Kusinza kwambiri
• kukomoka

Oxymorphone imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Muyenera kutaya nthawi yomweyo mankhwala aliwonse omwe ndi achikale kapena osafunikanso kudzera pulogalamu yobwezeretsanso mankhwala. Ngati mulibe pulogalamu yobwezera pafupi kapena yomwe mungathe kupeza mwachangu, tsitsani mankhwala aliwonse omwe ndi achikale kapena osafunikanso kuchimbudzi kuti ena asamwe. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

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.

Mukamamwa oxymorphone, muyenera kukambirana ndi adotolo za mankhwala opulumutsa otchedwa 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:

• kuvuta kupuma kapena kupuma pang'ono kapena kupuma pang'ono
• khungu lamiyala yabuluu, milomo, kapena zikhadabo
• kozizira, khungu lamadzi
• onjezani kapena muchepetse kukula kwa mwana (bwalo lakuda m'diso)
• Minofu yofooka kapena yofooka
• kugona kwambiri
• nthawi zina
• kuchepa kwa mtima
• osakhoza kuyankha kapena kudzuka

Sungani maimidwe onse ndi dokotala wanu.

Mankhwalawa sangabwerenso. Ngati mukumwa oxymorphone kuti muchepetse ululu wanu kwa nthawi yayitali, onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala nthawi zonse kuti musamalize mankhwala. Ngati mukumwa oxymorphone kwakanthawi kochepa, itanani dokotala wanu ngati mukupitiliza kumva zowawa mukamaliza 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.

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