Methadone

Zamkati

• Musanatenge methadone,
• Methadone imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Methadone ikhoza kukhala chizolowezi chopanga. Tengani methadone ndendende momwe mwalangizira. Musatenge mlingo wokulirapo, uzitenga pafupipafupi, kapena uutenge kwa nthawi yayitali kapena mwanjira ina yosiyana ndi yomwe dokotala wanu wakupatsani. Mukatenga methadone, 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 methadone 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.

Methadone imatha kubweretsa mavuto 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 musatenge methadone. 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 muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kukakamizidwa 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 mukamamwa mankhwala a methadone kumatha kuonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa monga kupuma, sedation, kapena kukomoka. Uzani dokotala ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: antipsychotic monga aripiprazole (Abilify), asenapine (Saphris), cariprazine (Vraylar), chlorpromazine, clozapine (Versacloz), fluphenazine, haloperidol (Haldol), iloperidone (Fanapt), loxapine, lurasidone (Latuda), molindone, olanzapine (Zyprexa), paliperidone (Invega), perphenazine, pimavanserin (Nuplazid), quetiapine (Seroquel), risperidone (Risperdal), thioridazine, thiothix ); benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam ndi triazolam (Halcion); opiate (mankhwala osokoneza bongo) mankhwala opweteka ndi chifuwa; mankhwala a nseru kapena matenda amisala; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu ndikukuyang'anirani mosamala. Ngati mutenga methadone ndi iliyonse mwa mankhwalawa ndipo mukukhala 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 methadone kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa zomwe zingawononge 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. Methadone itha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani methadone pamalo otetezeka kuti pasapezeke wina aliyense angatenge mwangozi kapena mwadala. Samalani kwambiri kuti methadone isafike kwa ana. Onetsetsani mapiritsi angati kapena kuchuluka kwa madzi omwe atsala kuti mudziwe ngati pali mankhwala omwe akusowa. Tayani mapiritsi aliwonse osafunika a methadone kapena yankho la pakamwa moyenera molingana ndi malangizo. (Onani KUSUNGA NDIPONSO KUTAYA.)

Methadone imatha kuyambitsa nthawi yayitali ya QT (vuto losowa la mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi). Uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda a QT; kapena ngati mwakhala mukugunda pang'onopang'ono kapena mosasinthasintha; magazi ochepa potaziyamu kapena magnesium, kapena matenda amtima. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: antidepressants monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor) , protriptyline (Vivactil), ndi trimipramine (Surmontil); ma antifungals ena monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, ndi voriconazole (Vfend); okodzetsa ('mapiritsi amadzi'); erythromycin (Eryc, Erythrocin, ena); fludrocortisone; mankhwala ofewetsa tuvi tolimba; mankhwala a kugunda kwamtima kosafunikira monga amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide, ibutilide (Corvert), procainamide, ndi quinidine (ku Nuedexta); nicardipine (Cardene); ndi risperidone (Risperdal); ndi sertraline (Zoloft). Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kugunda kwamtima, chizungulire, mutu wopepuka, kapena kukomoka.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa methadone nthawi zonse 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.

Lankhulani ndi dokotala wanu za kuopsa kotenga methadone pa matenda anu.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi methadone ndipo nthawi iliyonse mukadzaza mankhwala anu ngati Buku la Mankhwala likupezeka pamankhwala omwe mumatenga. 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.

Kugwiritsa ntchito methadone pochiza opiate:

Ngati mwakhala mukuledzera ndi opiate (mankhwala osokoneza bongo monga heroin), ndipo mukumwa methadone kuti ikuthandizeni kusiya kumwa kapena kupitiriza kumwa mankhwalawa, muyenera kulembetsa pulogalamu yothandizira. Ndondomeko yothandizirayi iyenera kuvomerezedwa ndi maboma aboma komanso maboma ndipo ikuyenera kuthandizira odwala malinga ndi malamulo aboma. Muyenera kumwa mankhwala anu kuchipatala moyang'aniridwa ndi ogwira ntchito pulogalamuyo. Funsani dokotala wanu kapena ogwira ntchito pulogalamu yachipatala ngati muli ndi mafunso okhudza kulembetsa nawo pulogalamuyi kapena kumwa kapena kulandira mankhwala anu.

Methadone imagwiritsidwa ntchito kuthetsa ululu waukulu mwa anthu omwe akuyembekezeredwa kufunafuna mankhwala opweteka usiku ndi nthawi kwa nthawi yayitali komanso omwe sangalandire mankhwala ena. Amagwiritsidwanso ntchito popewa zizindikiritso za odwala omwe amamwa mankhwala osokoneza bongo ndipo adalembetsa nawo mankhwala kuti asiye kumwa kapena kupitiriza kumwa mankhwalawo. Methadone ili mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Methadone imagwira ntchito yothana ndi ululu posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa. Zimagwira ntchito pochiza anthu omwe anali osokoneza bongo pogwiritsa ntchito mankhwalawa popanga zovuta zofananira ndikupewa zizindikiritso za anthu omwe asiya kugwiritsa ntchito mankhwalawa.

Methadone imabwera ngati piritsi, pobisalira (itha kusungunuka ndi madzi) piritsi, yankho (madzi), komanso njira yothetsera pakamwa. Methadone ikagwiritsidwa ntchito kuthetsa ululu, imatha kumwa maola 8 kapena 12 aliwonse. Ngati mutenga methadone ngati gawo la pulogalamu yamankhwala, adokotala amakupatsani dongosolo lomwe lingakuthandizeni. Tsatirani malangizo omwe mwalandira mosamala ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani methadone ndendende momwe mwalangizira.

Ngati mukugwiritsa ntchito mapiritsi omwe angathe kufalikira, musatafune kapena kumeza musanasakanize piritsi m'madzi. Ngati dokotala wakuwuzani kuti mutenge gawo limodzi lokha la piritsi, dulani pulogalamuyo mosamala pamizere yomwe mwalowetsamo. Ikani piritsi kapena chidutswa cha piritsili osachepera 120 mL (ma ouniki 4) amadzi, madzi a lalanje, Tang^®, Kukoma kwa zipatso za Kool-Aid^®, kapena zipatso za citrus zimamwa kuti zisungunuke. Imwani chisakanizo chonse nthawi yomweyo. Ngati zotsalira zamapiritsi zimatsalabe mu chikho mutamwa chisakanizo, onjezerani pang'ono madzi mumkapu ndikumwa zonse.

Dokotala wanu akhoza kusintha mlingo wanu wa methadone mukamamwa mankhwala. Dokotala wanu akhoza kuchepetsa mlingo wanu kapena angakuuzeni kuti mutenge methadone kawirikawiri pamene chithandizo chanu chikupitirira. Ngati mukumva kuwawa mukamalandira chithandizo, dokotala akhoza kukulitsa mlingo kapena akhoza kukupatsirani mankhwala owonjezera kuti muchepetse ululu wanu. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira mankhwala a methadone. Musamamwe mankhwala owonjezera a methadone kapena kumwa methadone koyambirira kuposa momwe amakonzera ngakhale mukumva kuwawa.

Osasiya kumwa methadone osalankhula ndi dokotala. Dokotala wanu angafune kuchepetsa mlingo wanu pang'onopang'ono. Mukasiya kumwa methadone mwadzidzidzi, mutha kukhala ndi zizindikilo monga kusakhazikika, maso akung'ambika, mphuno yothamanga, kuyasamula, kutuluka thukuta, kuzizira, kupweteka kwa minofu, kukulitsa ana (mabwalo akuda pakati pa maso), kukwiya, nkhawa, kupweteka kwa msana, kupweteka kwa mafupa, kufooka, kukokana m'mimba, kuvutika kugona kapena kugona, kusanza, kuchepa kwa njala, kusanza, kapena kutsegula m'mimba.

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

Musanatenge methadone,

• auzeni adotolo ndi asayansi yanu ngati muli ndi vuto la methadone, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu mankhwala a methadone omwe mukufuna kumwa. Funsani dokotala wanu kapena wamankhwala kapena onani malangizo a Medication kuti muwone mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi izi: buprenorphine (Suboxone, mu Zubsolv); kachilombo; carbamazepine (Cabatrol, Equetro, Tegretol, ena); cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); mankhwala a glaucoma, matenda opweteka m'mimba, matenda a Parkinson, zilonda zam'mimba, ndi mavuto amikodzo; mankhwala ena a HIV kuphatikiza abacavir (Ziagen, ku Trizivir), darunavir (Prezista), didanosine (Videx), efavirenz (Sustiva, ku Atripla), lopinavir (ku Kaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir , ku Kaletra), saquinavir (Invirase), stavudine (Zerit), tipranavir (Aptivus), ndi zidovudine (Retrovir, ku Combivir); 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); nalbuphine; naloxone (Evzio, Narcan, ku Zubsolv); naltrexone (ReVia, Vivitrol, ku Embeda); pentazocine (Talwin); phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); ma serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), ndi paroxetine (Brisdelle, Prozac, Pexeva); serotonin ndi norepinephrine reuptake inhibitors monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella); ndi venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet); ndi trazodone (Oleptro). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa kapena mwasiya kumwa masiku 14 apitawa: monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelpar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi methadone, 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.
• uzani adotolo ngati muli ndi zina mwazomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA kapena mwakhalapo ndi chotchinga m'matumbo mwanu kapena leus wodwala (momwe chakudya chodulidwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti simuyenera kumwa methadone.
• uzani dokotala wanu ngati mwakhala mukuvutirapo kukodza; kukulitsa prostate (gland yobereka yobereka); Matenda a Addison (matenda omwe adrenal gland samapanga zinthu zina zachilengedwe zokwanira); kugwidwa; kapena chithokomiro, kapamba, ndulu, chiwindi, kapena matenda a impso.
• Uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa mankhwala a methadone, mwana wanu atha kulandira methadone mu mkaka wa m'mawere. Onetsetsani mwana wanu mwatcheru chifukwa cha kusintha kapena kupuma, makamaka mukayamba kumwa methadone. 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 methadone mukamayamwa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito methadone.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa methadone.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti methadone imatha kuyambitsa chizungulire mukadzuka msanga pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa methadone. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti methadone imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha zakudya kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamamwa methadone.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Ngati dokotala wakuwuzani kuti mutenge methadone ya ululu, tengani mlingo womwe mwaphonya mukangokumbukira ndikupitiliza dongosolo lanu lokhazikika. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ngati mukumwa methadone kuti muzitha kugwiritsa ntchito mankhwala osokoneza bongo a opioid, dumpha mlingo womwe umasowa ndipo mutenge mlingo wotsatira tsiku lotsatira monga momwe mwapangidwira. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Methadone imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kunenepa
• kupweteka m'mimba
• pakamwa pouma
• lilime lowawa
• kuchapa
• kuvuta kukodza
• zosintha
• mavuto owonera
• kuvuta kugona kapena kugona

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kugwidwa
• kuyabwa
• ming'oma
• zidzolo
• kutupa kwa maso, nkhope, pakamwa, lilime, kapena pakhosi
• ukali
• kuvuta kupuma kapena kumeza
• Kusinza kwambiri
• 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

Methadone imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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 methadone iliyonse yomwe ndi yachikale kapena yosafunikanso kudzera pulogalamu yobwezeretsa mankhwala. Ngati mulibe pulogalamu yobwezeretsedwera pafupi kapena yomwe mungathe kulowa nayo mwachangu, tsambulani mapiritsi aliwonse a methadone kapena yankho lomwe latha ntchito kapena lomwe silikufunikanso mchimbudzi. 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.

Mukatenga methadone, 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 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:

• ang'onoang'ono, onetsetsani ophunzira (mabwalo akuda pakati pa maso)
• kupuma pang'ono kapena pang'ono
• kuvuta kupuma
• kugona
• Kusinza
• kozizira, kansalu, kapena khungu labuluu
• osakhoza kuyankha kapena kudzuka
• Minofu yolumala

Sungani maimidwe onse ndi dokotala kapena chipatala. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone kuyankha kwanu ku methadone.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi ogwira nawo ntchito kuti mukumwa methadone.

Mankhwalawa sangabwerenso. Mukapitiliza kumva ululu mukamaliza kumwa methadone, itanani dokotala wanu. Ngati mumamwa mankhwalawa pafupipafupi, onetsetsani kuti mwasankha nthawi yoikidwiratu ndi dokotala kuti musataye 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.

• Ma Diski^®¶
• Dolophine^®
• Methadose^®
• Methadose^® Ganizirani Pakamwa
• Westadone^®¶

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