Naltrexone ndi Bupropion

Zamkati

• Musanatenge kuphatikiza kwa naltrexone ndi bupropion,
• Kuphatikiza kwa naltrexone ndi bupropion kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa mgawo la CHENJEZO CHENJEZO ndi ZOCHITIKA, siyani kumwa naltrexone ndi bupropion ndikuyimbira dokotala nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Mankhwalawa ali ndi bupropion, mankhwala omwewo monga mankhwala ochepetsa kupanikizika (Wellbutrin, Aplenzin) ndi mankhwala omwe amagwiritsidwa ntchito kuthandiza anthu kusiya kusuta (Zyban). Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga bupropion panthawi yamaphunziro azachipatala adadzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero ). Ana, achinyamata, komanso achikulire omwe amamwa mankhwala opanikizika kuti athetse kuvutika maganizo kapena matenda ena amisala atha kukhala ofuna kudzipha kuposa ana, achinyamata, komanso achikulire omwe samamwa mankhwala opatsirana kuti athetse vutoli. Kuphatikiza kwa naltrexone ndi bupropion sikuvomerezeka kuti kugwiritsidwe ntchito kwa ana ochepera zaka 18.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukatenga kuphatikiza kwa naltrexone ndi bupropion ngakhale mutakhala wamkulu wazaka 24. Mutha kudzipha, makamaka kumayambiriro kwa chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kutsika. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: kukhumudwa kwatsopano kapena kukulira; kuganiza zodzipweteka kapena kudzipha, kapena kukonzekera kapena kuyesa kutero; kuda nkhawa kwambiri; kusakhazikika; nkhawa kapena mantha; zovuta kugona kapena kugona; aukali, aukali, kapena achiwawa; kukwiya; kuchita mosaganizira; kusakhazikika kwakukulu; malingaliro kapena zotengeka; kumva kuti anthu akukutsutsani; kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe); kumva kusokonezeka; chisangalalo chachilendo; kapena kusintha kulikonse mwadzidzidzi kapena kosazolowereka pamakhalidwe. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.

Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa naltrexone ndi bupropion, makamaka koyambirira kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.

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

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito naltrexone ndi bupropion.

Kuphatikiza kwa naltrexone ndi bupropion kumagwiritsidwa ntchito limodzi ndi kuchepa kwa zakudya zopatsa mphamvu komanso njira zolimbitsa thupi kuti zithandizire achikulire omwe onenepa kwambiri, kapena omwe ali onenepa kwambiri komanso ali ndi mavuto azachipatala, kuti achepetse thupi kenako kuti asabwezeretse kulemerako. Naltrexone ali mgulu la mankhwala otchedwa opiate antagonists. Bupropion ali mgulu la mankhwala otchedwa antidepressants. Mankhwalawa amagwirira ntchito limodzi m'magawo awiri aubongo, malo a njala ndi dongosolo la mphotho, kuti athetse njala ndikuthandizira kuthana ndi zikhumbo.

Kuphatikiza kwa naltrexone ndi bupropion kumabwera ngati piritsi lotulutsira (lotenga nthawi yayitali) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku. Musamamwe mankhwalawa ndi chakudya chambiri. Tengani naltrexone ndi bupropion mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani naltrexone ndi bupropion ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu mwina angakuyambitseni pamlingo wochepa kuphatikiza kwa naltrexone ndi bupropion ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi sabata iliyonse, kwa milungu inayi. Pambuyo pa chithandizo chamasabata a 16, dokotala wanu adzawunika kuti awone kulemera kwanu komwe mwataya. Ngati simunatayese pang'ono, dokotala wanu angakuuzeni kuti musiye kumwa naltrexone ndi bupropion chifukwa mwina simungapindule ndikupitiliza kulandira chithandizo.

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

Musanatenge kuphatikiza kwa naltrexone ndi bupropion,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la naltrexone, bupropion, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a naltrexone ndi bupropion. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo ngati mukumwa monoamine oxidase (MAO) inhibitor monga isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), ndi tranylcypromine (Parnate ) kapena ngati mwasiya kumwa MAO inhibitor m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti musatenge kuphatikiza kwa naltrexone ndi bupropion. Mukasiya kumwa naltrexone ndi bupropion, dokotala wanu angakuuzeni kuti muyenera kudikirira masiku 14 musanayambe kumwa MAO inhibitor.
• uzani adotolo ngati mukumwa mankhwala aliwonse a opioid kapena mankhwala am'misewu kuphatikiza heroin, mankhwala opweteka, tramadol (Ultram, Ultracet), chithandizo chodalira opioid monga buprenorphine (Buprenex, Butrans, Sublocade) kapena methadone (Dolophine, Methadose), ndi zina mankhwala otsekula m'mimba, chifuwa, kapena kuzizira. Muuzeni dokotala ngati mwamwa mankhwala aliwonse osachepera masiku 7 mpaka 10 apitawa. Funsani dokotala ngati simukudziwa ngati mankhwala omwe mwamwa ndi opioid. Dokotala wanu angakuuzeni kuti musatenge kuphatikiza kwa naltrexone ndi bupropion ngati mwamwa kapena kugwiritsa ntchito opioids m'masiku 7 kapena 10 apitawa.
• musamwe mankhwala aliwonse opioid kapena kugwiritsa ntchito mankhwala osokoneza bongo opioid mukamamwa mankhwalawa ndikuphatikiza naltrexone ndi bupropion. Naltrexone imatseka zotsatira za mankhwala opioid ndi mankhwala opioid mumsewu. Simungamve zovuta za zinthuzi ngati mutamwa kapena kuzigwiritsa ntchito pamlingo wochepa kapena wabwinobwino. Ngati mumamwa kapena kugwiritsa ntchito mankhwala opioid opitilira muyeso kapena mankhwala mukamachiza ndi naltrexone ndi bupropion, zitha kuvulaza kwambiri, kukomoka, kapena kufa.
• muyenera kudziwa kuti ngati munamwa mankhwala a opioid musanamwe mankhwala ophatikizana ndi naltrexone ndi bupropion, mutha kukhala okhudzidwa kwambiri ndi zotsatira za mankhwala opioid pamene mulingo wanu wotsatira wa naltrexone ndi bupropion wachitika, ngati mwaphonya mlingo kuphatikiza kwa naltrexone ndi bupropion, mukamaliza mankhwala anu, kapena mukalandira detoxification. Ngati mumagwiritsa ntchito ma opioid momwe mudagwiritsira ntchito musanapatsidwe chithandizo chophatikizira naltrexone ndi bupropion, zimatha kubweretsa kuledzera ndi kufa. Mukamaliza chithandizo chanu, uzani dokotala aliyense yemwe angakulembereni mankhwala omwe mudapatsidwa mankhwala a naltrexone ndi bupropion. Ndikofunika kuti muwuze achibale anu kapena omwe amakusamalirani zakuchulukirachulukira kwa ma opioid komanso kuopsa kogwiritsa ntchito mankhwala osokoneza bongo. Inu kapena amene amakusamalirani muyenera kupeza chithandizo chadzidzidzi nthawi yomweyo ngati mungakhale ndi izi: kupuma movutikira, kupuma pang'ono pang'ono, kugona, kumva kukomoka, chizungulire, kapena kusokonezeka.
• osatenga zopitilira chimodzi zomwe zimakhala ndi bupropion nthawi imodzi, kuphatikiza ma anti-depressants kapena zinthu zosiya kusuta. Mutha kulandira bupropion wochulukirapo ndikukumana ndi zovuta zoyipa.
• 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 mwatchulapo izi: amantadine (Osmolex ER), amitriptyline, amoxapine, carbamazepine (Carbatrol, Tegretol), citalopram (Celexa), clopidogrel (Plavix), desipramine (Norpramin), dexamethasone, digoxin (Lanoxin), Silenor), efavirenz (Sustiva, ku Atripla), escitalopram (Lexapro), flecainide (Tambocor), fluoxetine (Prozac), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), insulin kapena mankhwala amkamwa a shuga, levodopa ku Sinemet, ku Stalevo), lopinavir (ku Kaletra), methylprednisolone (Medrol), metoprolol (Lopressor, Toprol XL), nortriptyline (Pamelor), paroxetine (Paxil), phenobarbital, phenytoin (Dilantin), prednisone, propafenone , protriptyline (Vivactil), risperidone (Risperdal), ritonavir (Norvir, ku Kaletra), sertraline (Zoloft), theophylline (Theo-24, Theochron), thioridazine, ticlopidine, trimipramine (Surmontil), venlafaxine (Effexil) mankhwala otayika. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi naltrexone ndi bupropion, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala ngati mwadwalapo kapena munagwapo, anorexia nervosa (matenda ovutika kudya), kapena bulimia (matenda ovutika kudya), ndipo ngati muli ndi kuthamanga kwa magazi komwe sikungathe kupewedwa. Komanso muuzeni dokotala ngati mumamwa mowa wambiri koma mukuyembekeza kusiya kumwa mosayembekezereka, mumamwa mankhwala osokoneza bongo, hypnotics, benzodiazepines, kapena mankhwala oletsa kulanda koma mukuyembekeza kusiya mwadzidzidzi kumwa, kapena ngati mukuchotsa opioid. Dokotala wanu angakuuzeni kuti musatenge kuphatikiza kwa naltrexone ndi bupropion.
• auzeni adotolo ngati inu kapena aliyense m'banja mwanu mwalingalira kapena mwayesera kudzipha kapena mwakhalapo kapena mwakhalapo ndi vuto losinthasintha zochitika (kusinthasintha komwe kumachokera pakukhumudwa ndikukhala osangalala kwambiri), mania (kukwiya, kusangalala modabwitsa), kukhumudwa, schizophrenia ( kudwala komwe kumayambitsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi m'moyo, komanso kulimba mtima kapena zosayenera), kapena matenda ena amisala; ngati ndinu wamkulu kuposa zaka 65; ngati mumasuta kapena mukuyembekezera kusiya kusuta; ndipo ngati mwadwalapo mutu, mtima, sitiroko, chotupa kapena matenda aubongo kapena msana, matenda ashuga, shuga wotsika magazi, kuchuluka kwa sodium m'magazi, kapena mtima, impso, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga naltrexone ndi bupropion, itanani dokotala wanu mwachangu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa naltrexone ndi bupropion.
• Funsani adotolo za zakumwa zoledzeretsa pamene mukumwa naltrexone ndi bupropion. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku naltrexone ndi bupropion kukulira.
• muyenera kudziwa kuti kuphatikiza kwa naltrexone ndi bupropion kumatha kuyambitsa kuthamanga kwa magazi komanso kuthamanga kwa mtima. Dokotala wanu amatha kuwona kuthamanga kwa magazi ndi kugunda kwa mtima musanayambe kumwa mankhwala komanso nthawi zonse mukamamwa mankhwalawa.
• muyenera kudziwa kuti kuphatikiza kwa naltrexone ndi bupropion kumatha kuyambitsa khungu lotseka la glaucoma (momwe madzi amadzimangirira mwadzidzidzi ndikulephera kutuluka m'maso ndikupangitsa kuwonjezeka kwachangu, koopsa kwa kuthamanga kwa diso komwe kumatha kubweretsa kutayika kwa masomphenya) . Lankhulani ndi dokotala wanu za kuyezetsa maso musanayambe kumwa mankhwalawa kuti muwone ngati muli pachiopsezo chotere. Ngati muli ndi ululu wamaso, masomphenya, kapena kutupa kapena kufiira mkati kapena mozungulira, itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi nthawi yomweyo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Kuphatikiza kwa naltrexone ndi bupropion kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• pakamwa pouma
• amasintha momwe mumamvera kukoma
• mutu
• chizungulire
• kutopa
• kuchapa
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• thukuta kwambiri
• kulira m'makutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa mgawo la CHENJEZO CHENJEZO ndi ZOCHITIKA, siyani kumwa naltrexone ndi bupropion ndikuyimbira dokotala nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi:

• kugwidwa
• zidzolo kapena matuza
• kuyabwa
• ming'oma
• zotupa zotupa
• zilonda zopweteka mkamwa mwako kapena mozungulira maso ako
• kupuma movutikira
• kutupa kwa milomo kapena lilime
• kupweteka pachifuwa
• malungo
• kupweteka m'mimba
• mkodzo wakuda
• chikasu cha khungu kapena maso
• kupweteka kwa minofu kapena molumikizana

Kuphatikiza kwa naltrexone ndi bupropion kumatha kuyambitsa 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. Sungani pa firiji komanso kutali ndi kutentha ndi chinyezi (osati kubafa)

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

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

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.

Zizindikiro za bongo zingaphatikizepo izi:

• kulanda
• kuwona zinthu kapena kumva mawu omwe kulibe
• kutaya chidziwitso
• kuthamanga kapena kugunda kwamtima

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa naltrexone ndi bupropion.

Musalole kuti aliyense azimwa 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.

• Lumikizanani^®