Jekeseni wa Nalbuphine

Zamkati

• Asanalandire nalbuphine,
• Jakisoni wa Nalbuphine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Jakisoni wa Nalbuphine atha kukhala chizolowezi. Osamagwiritsa ntchito zochulukirapo, gwiritsani ntchito pafupipafupi, kapena muzigwiritsa ntchito mosiyana ndi momwe dokotala akuwuzirani. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amamwa mankhwala osokoneza bongo, amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukuvutika maganizo kapena wina matenda amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito jakisoni wa nalbuphine ngati mwakhalapo kapena mwakhalapo ndi izi.

Jakisoni wa Nalbuphine angayambitse kupuma koopsa kapena koopsa, makamaka munthawi ya 24 mpaka 72 maola omwe mumalandira chithandizo 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 nalbuphine. Uzaninso dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza mapapo ndi njira zapaulendo), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupanikizika mu ubongo 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.

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

Jakisoni wa Nalbuphine akhoza kuonjezera chiopsezo cha mavuto opumira kapena owopsa, kupuma, kapena kukomoka ngati agwiritsidwa ntchito limodzi ndi mankhwala ena. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam (Halcion); mankhwala a matenda amisala kapena nseru, mankhwala ena opweteka; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mugwiritsa ntchito jakisoni wa nalbuphine ndi iliyonse ya mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena funani chithandizo chamankhwala 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 kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala a nalbuphine kumapangitsanso chiopsezo kuti mudzakumana ndi zovuta zoyipa izi. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalembedwa omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa nalbuphine.

Jakisoni wa Nalbuphine amagwiritsidwa ntchito kuti athetse ululu wopweteka kwambiri. Amagwiritsidwanso ntchito ndi mankhwala ena ndi mankhwala oletsa ululu asanayambe, mkati, ndi pambuyo pochita opaleshoni ndi njira zina zamankhwala. Jakisoni wa Nalbuphine ali mgulu la mankhwala otchedwa opioid agonist-antagonists. Zimagwira ntchito posintha momwe thupi limamvera kupweteka.

Jakisoni wa Nalbuphine amabwera ngati yankho (madzi) kuti alowetse subcutaneous (pansi pa khungu), kudzera m'mitsempha (mumtsempha), kapena kudzera mu mnofu (mu mnofu). Jakisoni wa Nalbuphine amaperekedwa ndi dokotala kapena namwino. Nthawi zambiri amabayidwa kamodzi pa maola 3 kapena 6 pakufunika.

Dokotala wanu amatha kusintha mlingo wanu wa jakisoni wa nalbuphine mukamalandira chithandizo, kutengera momwe kupweteka kwanu kumayendetsedwera komanso zovuta zomwe mumakumana nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamamwa mankhwala a nalbuphine.

Mutha kulandira jakisoni wa nalbuphine kuchipatala, kapena mutha kugwiritsa ntchito mankhwalawa kunyumba. Ngati mukugwiritsa ntchito jakisoni wa nalbuphine kunyumba, muzigwiritsa ntchito nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndipo funsani dokotala wanu kapena wothandizira zaumoyo kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito jakisoni wa nalbuphine ndendende monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Ngati mwagwiritsa ntchito jakisoni wa nalbuphine kwa nthawi yayitali kuposa masiku angapo, osasiya kuigwiritsa ntchito mwadzidzidzi. Ngati mwasiya mwadzidzidzi kugwiritsa ntchito jakisoni wa nalbuphine, mutha kukumana ndi zizindikiritso zakudzipatula kuphatikiza kupumula; maso misozi; mphuno; kuyasamula; thukuta; kuzizira; kupweteka kwa minofu, msana kapena molumikizana; kukulitsa ophunzira; kukwiya; nkhawa; kufooka; kukokana m'mimba; zovuta kugona kapena kugona; nseru; kusowa chilakolako; kusanza; kutsegula m'mimba; kupuma mofulumira; kapena kugunda kwamtima. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Asanalandire nalbuphine,

• uzani adotolo ndi wamankhwala anu ngati muli ndi vuto la nalbuphine, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wa nalbuphine. Funsani wamankhwala wanu kuti awonetse 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 atchulidwa mgawo la CHENJEZO CHENJEZO ndi izi: mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig, Zomig-ZMT); mirtazapine (Remeron); 5HT3 serotonin blockers monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi, ku Akynzeo); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), ndi milnacipran (Savella), venlafaxine (Effexor); tramadol; trazodone; ndi tricyclic antidepressants ('mood lifters') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), . 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 nalbuphine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala osokoneza bongo chifukwa cha ululu kapena ngati mwangomwa kumene mankhwalawa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwadwalapo mtima, kapena chiwindi, kapena matenda a impso.
• Uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano kapena opareshoni ya thirakiti, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito nalbuphine.
• Muyenera kudziwa kuti nalbuphine imatha kukupangitsani kuti mukhale tulo. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito nalbuphine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jakisoni wa Nalbuphine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• pakamwa pouma
• mutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kutopa kwambiri
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• kusintha kwa kugunda kwa mtima
• 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

Jakisoni wa Nalbuphine angayambitse mavuto ena. 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).

Mukamagwiritsa ntchito jakisoni wa nalbuphine, 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.

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:

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

Sungani maimidwe onse ndi dokotala wanu.

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

Mankhwalawa sangabwerenso. Ngati mukugwiritsa ntchito nalbuphine kuti muchepetse ululu wanu kwa nthawi yayitali, onetsetsani kuti mwasankha nthawi yoikidwiratu ndi dokotala kuti musataye mankhwala. Ngati mukugwiritsa ntchito nalbuphine kwakanthawi kochepa, itanani dokotala wanu ngati mupitiliza kumva ululu 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.

• Nubain^®¶

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