Jekeseni wa Butorphanol

Zamkati

• Musanagwiritse ntchito jakisoni wa butorphanol,
• Kubayira kwa Butorphanol kumatha kuyambitsa zovuta.Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa m'ndime YOFUNIKA KUCHENJEZA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Jekeseni wa Butorphanol imatha kukhala chizolowezi, makamaka mukamagwiritsa ntchito nthawi yayitali. Gwiritsani ntchito jakisoni wa butorphanol ndendende monga momwe akuuzira Osamagwiritsa ntchito zochulukirapo, gwiritsani ntchito pafupipafupi, kapena muzigwiritsa ntchito mosiyana ndi momwe dokotala akuwuzirani. Mukamagwiritsa ntchito jakisoni wa butorphanol, 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, 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 butorphanol 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.

Jekeseni wa Butorphanol imatha kubweretsa mavuto opumira kapena owopsa, makamaka munthawi ya 24 mpaka 72 maola omwe mumalandira 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 musagwiritse ntchito jakisoni wa butorphanol. Komanso muuzeni dokotala ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza mapapo ndi mayendedwe amlengalenga), kuvulala pamutu chotupa chaubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupsyinjika 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.

Kutenga mankhwala ena ndi jakisoni wa butorphanol kumatha kuonjezera ngozi yamavuto akulu kapena owopsa kupuma. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: mankhwala a nkhawa, matenda amisala kapena nseru; benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazol zotsegula minofu; mankhwala ena opweteka a mankhwalawa; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamalandira jakisoni wa butorphanol kumawonjezeranso chiopsezo choti mudzakumana ndi zovuta zoyipa izi. Musamwe mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumagwiritsa ntchito jakisoni wa butorphanol 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 jakisoni wa butorphanol 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.

Jekeseni wa Butorphanol imagwiritsidwa ntchito kuti muchepetse kupweteka pang'ono. Jekeseni wa Butorphanol imagwiritsidwanso ntchito kuthana ndi zowawa panthawi yolera komanso kupewa zopweteka ndikuchepetsa kuzindikira musanachite opaleshoni. Butorphanol ali mgulu la mankhwala otchedwa opioid agonist-antagonists. Zimagwira ntchito posintha momwe thupi limamvera kupweteka.

Jakisoni wa Butorphanol amabwera ngati madzi olowetsedwa mu mnofu kapena mumtsempha. Pamene jakisoni wa butorphanol amagwiritsidwa ntchito kuthetsa ululu, nthawi zambiri amaperekedwa kamodzi pa maola 3 kapena 4 pakufunika. Pamene jakisoni wa butorphanol amagwiritsidwa ntchito kuthetsa ululu panthawi yochita opareshoni, amatha kupatsidwa mphindi 60 mpaka 90 asanachite opareshoni kenako ndikufunika pakachitika opaleshoni. Pamene jakisoni wa butorphanol amagwiritsidwa ntchito kuti athetse ululu pantchito, amatha kuperekedwa kamodzi pa maola 4 koma sayenera kuperekedwa pasanathe maola 4 asanayembekezere kubereka.

Mutha kulandira jakisoni wa butorphanol kuchipatala, kapena mutha kupatsidwa mankhwala oti mugwiritse ntchito kunyumba. Ngati mwauzidwa kuti mubayire jakisoni wa butorphanol kunyumba, ndikofunikira kuti mugwiritse ntchito mankhwalawa monga momwe adalangizira. Tsatirani malangizo omwe mwapatsidwa mosamala, ndipo funsani dokotala wanu, wamankhwala kapena namwino ngati muli ndi mafunso kapena simukumvetsa malangizowo.

Ngati mwauzidwa kuti mugwiritse jakisoni wa butorphanol kunyumba, osasiya kugwiritsa ntchito mankhwalawa osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kugwiritsa ntchito jakisoni wa butorphanol, mutha kukhala ndi zizindikilo zobwerera m'mbuyo monga mantha, kusakhazikika, kugwedezeka, kutsekula m'mimba, kuzizira, thukuta, kulephera kugona kapena kugona, kusokonezeka, kusagwirizana, kapena kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe amachita kulibe). Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Musanagwiritse ntchito jakisoni wa butorphanol,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi butorphanol, mankhwala ena aliwonse, kapena zosakaniza mu jakisoni wa butorphanol. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala; barbiturates monga butabarbital (Butisol), pentobarbital (Nembutal), phenobarbital, kapena secobarbital (Seconal); cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); erythromycin (EES, Eryc, Erythrocin, ena); mankhwala a khunyu; 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); 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 duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), ndi venlafaxine (Effexor); kapena tricylic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimontramine; theophylline (Theochron, Uniphyl, ena); ndi trazodone (Oleptro). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa a monoamine oxidase (MAO) kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi butorphanol, chifukwa chake 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 St. John's kapena tryptophan.
• uzani dokotala wanu ngati mwakhala mukukumana ndi mavuto pokodza; matenda a mtima; kuthamanga kwa magazi; kapena matenda a mtima, impso, kapena chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa. Amayi ena omwe amagwiritsa ntchito jakisoni wa butorphanol atha kukhala ndi mankhwala ochulukirapo mkaka wa m'mawere, omwe amatha kuyambitsa mavuto owopsa kapena owopsa pa ana awo oyamwitsa. Muyeneranso kuyimbira dokotala wa mwana wanu kapena kupeza thandizo ladzidzidzi ngati mwana wanu ali ndi tulo tofa nato kuposa masiku onse, ali ndi vuto loyamwitsa kapena kupuma, kapena amalumala.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito butorphanol.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito jakisoni wa butorphanol.
• muyenera kudziwa kuti jakisoni wa butorphanol atha kukupangitsani kuti muzisinza komanso muzizungulire. Osayendetsa galimoto kapena kugwiritsa ntchito makina kwa ola limodzi mutalandira mankhwala. Pakadutsa ola limodzi, osayendetsa galimoto mpaka mutsimikize kuti simunachite chizungulire, kusinza, kapena kukhala tcheru kuposa nthawi zonse.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni wa Butorphanol nthawi zambiri imagwiritsidwa ntchito pakufunika. Ngati dokotala wakuwuzani kuti mugwiritse ntchito jakisoni wa butorphanol pafupipafupi, gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Kubayira kwa Butorphanol kumatha kuyambitsa zovuta.Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutopa kwambiri
• kuvuta kugona kapena kugona
• maloto achilendo
• mutu
• kudzimbidwa
• kupweteka m'mimba
• kumva kutentha
• kuchapa
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kupweteka m'manja kapena m'mapazi
• kugwedezeka kosalamulirika kwa gawo lina la thupi lanu
• manjenje
• udani
• chisangalalo chachikulu
• kumverera koyandama
• zachisoni
• kusawona bwino
• kulira m'makutu
• khutu kupweteka
• zosasangalatsa kukoma
• pakamwa pouma
• kuvuta kukodza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa m'ndime YOFUNIKA KUCHENJEZA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• 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
• kuvuta kupuma
• kusintha kwa kugunda kwa mtima
• kukomoka
• zidzolo
• ming'oma

Jakisoni wa Butorphanol angayambitse 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).

Ngati mukugwiritsa ntchito jakisoni wa butorphanol kunyumba, sungani mankhwalawo mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso kuti ana asafikire. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri, ndi chinyezi (osati kubafa). Tayani mankhwala aliwonse omwe ndi achikale kapena osafunikanso. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

Sungani jakisoni wa butorphanol pamalo abwino kuti pasapezeke wina wogwiritsa ntchito mwangozi kapena mwadala. Onetsetsani kuchuluka kwa mankhwala omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

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.

Mukamagwiritsa ntchito jakisoni wa butorphanol, muyenera kuyankhula 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:

• kupuma pang'ono kapena pang'ono
• kuvuta kupuma
• kugona
• osakhoza kuyankha kapena kudzuka

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku butorphanol.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwayang'anira kuti mukulandila butorphanol.

Musalole kuti aliyense agwiritse ntchito mankhwala anu. Ngati mupitiliza kumva zowawa mukamaliza jakisoni wa butorphanol, 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.

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