Kodi Methadone ndi Suboxone Zimasiyana Bwanji?

Zamkati

• Chiyambi
• Mankhwala osokoneza bongo
• Mtengo ndi inshuwaransi
• Kupeza mankhwala
• Chithandizo ndi methadone
• Kuchiza ndi Suboxone
• Zotsatira zoyipa
• Zotsatira zakutha
• Kuyanjana kwa mankhwala
• Gwiritsani ntchito mankhwala ena
• Lankhulani ndi dokotala wanu
• Mafunso ndi mayankho
• Funso:
• Yankho:

Chiyambi

Kupweteka kosatha ndikumva kuwawa komwe kumatenga nthawi yayitali. Opioids ndi mankhwala amphamvu omwe amaperekedwa kuti athetse ululu wosatha. Ngakhale ndizothandiza, mankhwalawa amathanso kukhala chizolowezi ndikupangitsa kuti akhale osokoneza bongo komanso odalira. Chifukwa chake ayenera kugwiritsidwa ntchito mosamala.

Methadone ndi Suboxone onse ndi ma opioid. Ngakhale methadone imagwiritsidwa ntchito pochiza matenda opatsirana komanso opioid, Suboxone imangovomerezedwa kuthana ndi kudalira kwa opioid. Werengani kuti mudziwe zambiri za momwe mankhwala awiriwa amafananira.

Mankhwala osokoneza bongo

Methadone ndi mankhwala achibadwa. Suboxone ndi dzina la mankhwalawa buprenorphine / naloxone. Dziwani zambiri za iwo pansipa.

Kuledzera kumasiyana ndi kudalira.

Kuledzera kumachitika mukakhala ndi zilakolako zosalamulirika zomwe zimakupangitsani kugwiritsa ntchito mankhwala osokoneza bongo. Simungaleke kugwiritsa ntchito mankhwalawa ngakhale zimabweretsa zotsatira zoyipa.

Kudalira kumachitika thupi lanu litasinthira mankhwala ndikulilekerera. Izi zimakupangitsani kuti musowe zambiri mankhwala kuti apange zomwezo.

Methadone imabwera motere:

• piritsi yamlomo
• yankho pamlomo
• kuika pamlomo
• jakisoni yankho
• piritsi lomwe limatha kupezeka pakamwa, lomwe liyenera kusungunuka ndi madzi musanamwe

Suboxone yotchedwa Brand imabwera ngati kanema wapakamwa, yomwe imatha kusungunuka pansi pa lilime lanu (zing'onozing'ono) kapena kuyikidwa pakati pa tsaya lanu ndi m'kamwa kuti isungunuke (buccal).

Mitundu ya generic ya buprenorphine / naloxone (zosakaniza mu Suboxone) imapezeka ngati kanema wapakamwa komanso piritsi laling'ono.

Mtengo ndi inshuwaransi

Pakadali pano pali kusiyana kwakukulu pamitengo pakati pa methadone ndi dzina lachibadwa Suboxone. Ponseponse, ma Suboxone onse ndi generic buprenorphine / naloxone ndiokwera mtengo kuposa methadone. Kuti mumve zambiri zamitengo yamankhwala, onani GoodRx.com.

Makampani ambiri a inshuwaransi amafuna chilolezo cham'mbuyo cha methadone kapena Suboxone. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampaniyo isanalipire ndalama zomwe mungalandire.

Kupeza mankhwala

Pali zoletsa momwe mungapezere mankhwalawa. Malamulowa amadalira mtundu wa mankhwalawo komanso chifukwa chake akugwiritsidwa ntchito.

Methadone yokha ndiyo yomwe imavomerezedwa kuti ichiritse ululu wosatha. Methadone yothandizira kupweteka imapezeka kuma pharmacies ena, koma osati onse. Lankhulani ndi dokotala wanu za zomwe pharmacies ingadzaze mankhwala a methadone kuti athetse ululu wosatha.

Onse methadone ndi Suboxone atha kugwiritsidwa ntchito kukuthandizani kuti muchotse poizoni wa ma opioid.

Kuchotsa thupi kumachitika thupi lanu likayesa kuchotsa mankhwala. Mukachotsa dothi, mumakhala ndi zizindikiritso zakutha. Zizindikiro zambiri zobwerera m'mbuyo sizowopseza moyo, koma ndizovuta kwambiri.

Apa ndipamene methadone ndi Suboxone zimalowa. Amatha kuchepetsa zizindikiritso zomwe mumakhala nazo komanso kusuta kwa mankhwala.

Methadone ndi Suboxone onse amathandizira kuthana ndi poizoni, koma momwe amagwiritsidwira ntchito ndi osiyana.

Chithandizo ndi methadone

Mukamagwiritsa ntchito methadone pakumwa mankhwala osokoneza bongo, mutha kungopeza kuchokera ku mapulogalamu ovomerezeka a opioid. Izi zikuphatikiza zipatala zokonza methadone.

Mukayamba mankhwala, muyenera kupita kuchipatala chimodzi. Dokotala amakuwonani inu mukulandira mlingo uliwonse.

Dokotala wachipatala atasankha kuti mukhale okhazikika ndi mankhwala a methadone, atha kukulolani kuti mumwe mankhwalawo kunyumba mukamapita kuchipatala. Ngati mumamwa mankhwalawa kunyumba, mufunikirabe kuti muwalandire pulogalamu yovomerezeka ya opioid.

Kuchiza ndi Suboxone

Kwa Suboxone, simuyenera kupita kuchipatala kuti mukalandire chithandizo. Dokotala wanu adzakupatsani mankhwala.

Komabe, atha kuwunika momwe mankhwala anu akuyambira. Angakufunseni kuti mubwere kuofesi yawo kuti mukalandire mankhwalawo. Akhozanso kukuwonani mukumwa mankhwalawa.

Ngati mukuloledwa kumwa mankhwalawa kunyumba, dokotala wanu sangakupatseni zochulukirapo kuposa kamodzi. Popita nthawi, komabe, dokotala wanu amakupatsani mwayi wodziyang'anira nokha.

Zotsatira zoyipa

Zithunzi zomwe zili m'munsizi zili ndi zitsanzo za zotsatirapo za methadone ndi Suboxone.

Ngati mutenga methadone yambiri kapena Suboxone kuposa momwe dokotala kapena chipatala amakuuzani, zimatha kuyambitsa bongo. Izi zitha kubweretsa imfa. Ndikofunikira kuti mutenge mankhwala anu monga momwe adauzira.

Zotsatira zakutha

Chifukwa methadone ndi Suboxone ndi ma opioid, zimatha kuyambitsa zizolowezi komanso zizindikiritso zakudzisiya. Monga mankhwala a Pulogalamu yachiwiri, methadone ili pachiwopsezo chachikulu chogwiritsa ntchito molakwika kuposa Suboxone.

Zizindikiro zakusiya kwa mankhwalawa zimatha kusiyanasiyana mosiyanasiyana kuchokera kwa munthu wina kupita kwina. Nthawi zambiri, kuchotsedwa kwa methadone kumatha, pomwe zizindikilo zakutha kwa Suboxone zimatha mwezi umodzi mpaka miyezi ingapo.

Zizindikiro zakutha kwa opioid zitha kuphatikiza:

• kugwedezeka
• thukuta
• Kumva kutentha kapena kuzizira
• mphuno
• maso amadzi
• ziphuphu
• kutsegula m'mimba
• nseru kapena kusanza
• kupweteka kwa minofu kapena kukokana kwa minofu
• kuvuta kugona (kusowa tulo)

Osasiya kumwa mankhwalawa nokha. Mukatero, matenda anu akuthawa adzafika poipa.

Ngati mukufuna kusiya kumwa mankhwala anu, dokotala wanu amachepetsa pang'onopang'ono mlingo wanu pakapita nthawi kuti ateteze zizindikiritso zakutha. Kuti mumve zambiri, werengani za kuthana ndi kuchotsedwa kwa opiate kapena kupyola mu methadone.

Zitsanzo zakutha kwa methadone ndi Suboxone ndi izi:

Suboxone ndi methadone amathanso kuyambitsa matenda obwera chifukwa chobereka mwana mukamamwa mankhwala aliwonse oyembekezera. Mutha kuzindikira:

• kulira kuposa masiku onse
• kupsa mtima
• machitidwe opitilira muyeso
• kuvuta kugona
• kulira kwakukulu
• kunjenjemera
• kusanza
• kutsegula m'mimba
• osakhoza kunenepa

Kuyanjana kwa mankhwala

Onse methadone ndi Suboxone amatha kulumikizana ndi mankhwala ena. M'malo mwake, methadone ndi Suboxone zimagawana zomwe zimachitika ndimankhwala ofanana.

Zitsanzo za mankhwala omwe methadone ndi Suboxone amatha kulumikizana nawo ndi awa:

• benzodiazepines, monga alprazolam (Xanax), lorazepam (Ativan), ndi clonazepam (Klonopin)
• zothandizira kugona, monga zolpidem (Ambien), eszopiclone (Lunesta), ndi temazepam (Restoril)
• mankhwala ochititsa dzanzi
• ma opioid ena, monga buprenorphine (Butrans) ndi butorphanol (Stadol)
• mankhwala ophera fungal, monga ketoconazole, fluconazole (Diflucan), ndi voriconazole (Vfend)
• maantibayotiki, monga erythromycin (Erythrocin) ndi clarithromycin (Biaxin)
• mankhwala osokoneza bongo, monga phenytoin (Dilantin), phenobarbital (Solfoton), ndi carbamazepine (Tegretol)
• Mankhwala a HIV, monga efavirenz (Sustiva) ndi ritonavir (Norvir)

Kuphatikiza pa mndandandawu, methadone imagwiranso ntchito ndi mankhwala ena. Izi zikuphatikiza:

• mankhwala osokoneza bongo, monga amiodarone (Pacerone)
• antidepressants, monga amitriptyline, citalopram (Celexa), ndi quetiapine (Seroquel)
• monoamine oxidase inhibitors (MAIOs), monga selegiline (Emsam) ndi isocarboxazid (Marplan)
• mankhwala a anticholinergic, monga benztropine (Cogentin), atropine (Atropen), ndi oxybutynin (Ditropan XL)

Gwiritsani ntchito mankhwala ena

Methadone ndi Suboxone zingayambitse mavuto mukazitenga mukakhala ndi zovuta zina zathanzi. Ngati muli ndi izi, muyenera kukambirana za chitetezo chanu ndi dokotala musanatenge methadone kapena Suboxone:

• matenda a impso
• matenda a chiwindi
• mavuto opuma
• kugwiritsa ntchito molakwika mankhwala ena
• uchidakwa
• mavuto amisala

Komanso lankhulani ndi dokotala musanatenge methadone ngati muli:

• mavuto mungoli wamtima
• kugwidwa
• mavuto am'mimba monga kutsekeka kwa matumbo kapena kuchepa kwa matumbo anu

Lankhulani ndi dokotala musanatenge Suboxone ngati muli:

• mavuto a adrenal gland

Lankhulani ndi dokotala wanu

Methadone ndi Suboxone zili ndi kufanana kofananira komanso kusiyanasiyana kwakukulu. Kusiyana kwakukulu pakati pa mankhwalawa ndi monga:

• mitundu ya mankhwala
• chiopsezo chomwa mankhwala osokoneza bongo
• mtengo
• kupezeka
• zotsatira zoyipa
• ankachita mankhwala

Dokotala wanu akhoza kukuwuzani zambiri zakusiyanaku. Ngati mukufuna chithandizo cha opioid, dokotala wanu ndiye malo abwino kwambiri kuyamba. Atha kulangiza mankhwala abwino kwambiri kuti akuthandizeni kukhala wathanzi.

Mafunso ndi mayankho

Funso:

Chifukwa chiyani kuchotsedwa kwa opioid kumatha kuchitika ngati zotsatira za Suboxone?

Yankho:

Kutenga Suboxone kumatha kubweretsa zizindikiritso za opioid, makamaka ngati mlingowu ndiwokwera kwambiri. Izi ndichifukwa choti Suboxone ili ndi naloxone ya mankhwala. Mankhwalawa amawonjezeredwa ku Suboxone kuti alepheretse anthu kubayitsa kapena kupopera.

Mukabaya kapena kupopera Suboxone, naloxone imatha kuyambitsa zizindikilo zobwerera. Koma ngati mutenga Suboxone pakamwa, thupi lanu limatenga gawo lochepa kwambiri la naloxone, chifukwa chake chiopsezo chodzipatulira chimakhala chochepa.

Kutenga mlingo waukulu wa Suboxone pakamwa kungayambitsenso zizindikiritso zakudzichotsa, komabe.