Mpweya

Zamkati

• Asanatenge levorphanol,
• Levorphanol ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena CHENJEZO, pitani kuchipatala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi
• Zizindikiro za bongo zingaphatikizepo izi:

Levorphanol atha kukhala chizolowezi chopanga, makamaka akagwiritsa ntchito nthawi yayitali. Tengani levorphanol ndendende monga momwe akuuzira. Osamutenga wochulukirapo, uzimutenga pafupipafupi, kapena umutenge mosiyana ndi momwe dokotala akuuzira. Mukamamwa mankhwala a levorphanol, 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, amamwa kapena agwiritsapo ntchito mankhwala osokoneza bongo, amamwa mowa mopitirira muyeso, kapena amwa mankhwala osokoneza bongo, kapena ngati mwakhala mukuvutika maganizo kapena wina matenda amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito levorphanol 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.

Levorphanol imatha kubweretsa mavuto opumira kapena owopsa, makamaka munthawi ya 24 mpaka 72 yoyambira yamankhwala anu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Dokotala wanu adzasintha mlingo wanu mosamala kuti athetse ululu wanu ndikuchepetsa chiopsezo choti mudzakhala ndi vuto lalikulu lopuma. Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu angakuuzeni kuti musatenge levorphanol. Komanso muuzeni dokotala 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 chaubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupanikizika mu ubongo wanu. Chiwopsezo chokhala ndi vuto lakupuma chingakhale chachikulu ngati ndinu wamkulu kapena mukufooka kapena kusowa 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 mukamamwa mankhwala a levorphanol kungapangitse kuti mukhale ndi vuto lakupuma kapena mavuto ena owopsa, kupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam (Halcion); mankhwala ena opweteka a mankhwalawa; mankhwala a matenda amisala kapena nseru; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mutenga levorphanol ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma movutikira 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 mukamamwa mankhwala ndi levorphanol kumawonjezera chiopsezo choti mudzakumana ndi mavuto kupuma kapena zovuta zina zowopsa. Musamamwe mowa, kumwa mankhwala aliwonse omwe mumamwa kapena omwe simunalembedwe omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala ena a levorphanol.

Musalole kuti aliyense azimwa mankhwala anu. Levorphanol itha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani levorphanol pamalo otetezeka kuti pasapezeke wina angatenge mwangozi kapena mwadala. Samalani kwambiri kuti levorphanol isapezeke kwa ana. Onetsetsani kuti ndi mapiritsi angati omwe atsala kuti mudziwe ngati pali mankhwala omwe akusowa. Kutaya mapiritsi aliwonse a levorphanol osafunikira molingana ndi malangizo. (Onani KUSUNGA NDIPONSO KUTAYA.)

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa levorphanol 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 adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi levorphanol 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.

Levorphanol imagwiritsidwa ntchito kuti muchepetse kupweteka pang'ono. Levorphanol ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Levorphanol imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa maola 6 kapena 8 pakufunika. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani levorphanol ndendende monga momwe akuuzira.

Dokotala wanu akhoza kukuyambitsani pa levorphanol 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 levorphanol osalankhula ndi dokotala. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kumwa levorphanol, mutha kukumana ndi zisonyezo zakusiya monga kusakhazikika; maso misozi; mphuno; kuyasamula; kukwiya; nkhawa; thukuta; zovuta kugona kapena kugona; kuzizira; kupweteka kumbuyo, minofu, kapena molumikizana; nseru; kusanza; kusowa chilakolako; kutsegula m'mimba; kukokana m'mimba; kufooka; kugunda kwamtima; kapena kupuma mofulumira.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Asanatenge levorphanol,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la levorphanol, mankhwala aliwonse, kapena chilichonse chosagwira ntchito m'mapiritsi a levorphanol. Funsani wamankhwala kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazinthu zosagwira.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi izi: buprenorphine (Belbuca, Butrans, ku Suboxone, ena); kachilombo; mankhwala a chifuwa, kuzizira, kapena chifuwa; okodzetsa ('mapiritsi amadzi'); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; naloxone (Evzio, Narcan); pentazocine (Talwin); 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 desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet); trazodone (Oleptro); kapena tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ndi trimipramine. Muuzeni dokotala ngati mukumwa mankhwalawa a monoamine oxidase (MAO), kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi levophanol, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO, kutsekeka m'mimba mwanu kapena m'matumbo, kapena leus wodwala manjenje (momwe chakudya chodulidwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musatenge levorphanol.
• auzeni adotolo ngati mudakhalapo ndi kuthamanga kwa magazi, khunyu, mavuto amakodzo, mavuto a ndulu, kapena chiwindi, kapamba, impso, mapapo, chithokomiro, kapena matenda amtima.
• Uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa mankhwala a levorphanol, mwana wanu atha kulandira levorphanol mumkaka wa m'mawere.Yang'anirani mwana wanu mosamala pakusintha kulikonse kwamakhalidwe kapena kupuma, makamaka mukayamba kumwa levorphanol. Ngati mwana wanu ali ndi zizindikiro izi, itanani dokotala wa mwana wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kugona tulo kwachilendo, kuvutika kuyamwa, kupuma movutikira, kapena kulephera. Lankhulani ndi dokotala wa mwana wanu mukakonzeka kuyamwa mwana wanu. Muyenera kuyamwitsa mwana wanu pang'onopang'ono kuti mwana wanu asakhale ndi zizindikiritso zakusiya akasiya kulandira levorphanol mkaka wa m'mawere.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kotenga levorphanol.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa levorphanol.
• muyenera kudziwa kuti levorphanol imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti levorphanol 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 levorphanol imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha zakudya kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamamwa levorphanol.

Levorphanol nthawi zambiri amatengedwa ngati pakufunika kutero. Ngati dokotala wakuwuzani kuti mutenge levorphanol pafupipafupi, 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.

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

• kutentha pa chifuwa
• mutu
• kupweteka m'mimba
• pakamwa pouma
• thukuta
• mavuto owonera
• kuvuta kukodza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena CHENJEZO, pitani kuchipatala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi

• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• 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
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• ming'oma
• zidzolo
• kuyabwa
• kutupa kwa maso, nkhope, pakamwa, milomo kapena pakhosi
• ukali
• kuvuta kupuma kapena kumeza
• kusintha kwa kugunda kwa mtima

Levorphanol 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). Tsukani mapiritsi aliwonse a levorphanol omwe atha ntchito 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 levorphanol, 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:

• kupuma pang'onopang'ono, kosazama, kapena kosasintha
• kuvuta kupuma
• kugona
• osakhoza kuyankha kapena kudzuka
• Minofu yolumala
• kozizira, khungu lamadzi
• ana ang'onoang'ono
• kusawona bwino
• kugunda kochedwa mtima
• nthawi zina

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira levorphanol.

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

Mankhwalawa sangabwerenso. Ngati mukumwa levorphanol kuti muchepetse ululu wanu kwa nthawi yayitali, onetsetsani kuti mwasankha nthawi yoikidwiratu ndi dokotala kuti musataye mankhwala. Ngati mupitiliza kumva ululu mukamaliza mankhwala anu a levorphanol, itanani dokotala wanu.

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.

• Levo-Dromoran^®¶

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