Mlembi: Louise Ward
Tsiku La Chilengedwe: 12 Febuluwale 2021
Sinthani Tsiku: 29 Okotobala 2024
Anonim
26 Mankhwala Omwe Amakonda Kugwiritsa Ntchito Opioid - Thanzi
26 Mankhwala Omwe Amakonda Kugwiritsa Ntchito Opioid - Thanzi

Zamkati

Chiyambi

Mankhwala oyamba opioid, morphine, adapangidwa mu 1803. Kuyambira pamenepo, ma opioid ambiri abwera pamsika. Zina zimaphatikizidwanso kuzinthu zopangidwira ntchito zina, monga kuchiza chifuwa.

Pakadali pano ku United States mankhwala ambiri opioid okha ndi opioid omwe amagwiritsidwa ntchito pochiza ululu wowawa komanso wopweteka pamene mankhwala ena, monga ibuprofen kapena acetaminophen, alibe mphamvu zokwanira. Mitundu ina imagwiritsidwanso ntchito pochiza zovuta zamagwiritsidwe ntchito opioid.

Mitundu ya ma opioid

Zida za opioid zimabwera m'njira zosiyanasiyana. Amasiyana pamomwe mumawatengera komanso momwe amatengera nthawi yayitali kuti ayambe kugwira ntchito komanso kuti amagwirabe ntchito nthawi yayitali bwanji. Ambiri mwa mafomuwa amatha kutengedwa popanda thandizo. Zina, mawonekedwe ojambulidwawa, amayenera kuperekedwa ndi akatswiri azaumoyo.

Zinthu zotulutsa nthawi yomweyo zimayamba kugwira ntchito mwachangu mutazitenga, koma zimakhala zothandiza kwakanthawi kochepa. Zotulutsidwa zowonjezera zimatulutsa mankhwalawa kwakanthawi. Zogulitsa nthawi zambiri zimawerengedwa kuti zimamasulidwa mwachangu pokhapokha ngati zilembedwe mwanjira ina.


Ma opioid omwe amatulutsidwa nthawi yomweyo amagwiritsidwa ntchito pochiza zowawa zazikulu komanso zopweteka. Ma opioid omasulidwa omwe amagwiritsidwa ntchito nthawi zambiri amangogwiritsidwa ntchito pochiza kupweteka kwakanthawi pomwe ma opioid omwe atulutsidwa mwachangu sakhalanso okwanira.

Ngati adokotala angakupatseni ma opioid omasulidwa kwa nthawi yayitali, amathanso kukupatsirani ma opioid omasulidwa msanga kuti muzitha kupweteka, makamaka kupweteka kwa khansa kapena kupweteka kumapeto kwa moyo.

Mndandanda wazinthu zokhazokha za opioid

Izi zili ndi ma opioid okha:

Buprenorphine

Mankhwalawa ndi opioid yanthawi yayitali. Generic buprenorphine imabwera piritsi laling'ono, transdermal patch, ndi yankho la jakisoni. Njira zopangira jekeseni ndi mayina amtunduwu zimangoperekedwa ndi othandizira azaumoyo.

Zitsanzo za dzina lodziwika bwino la buprenorphine ndi monga:

  • Belbuca, kanema wa buccal
  • Probuphine, kulowetsedwa kwa intradermal
  • Butrans, chigamba chopatsirana
  • Buprenex, njira yothetsera jekeseni

Mitundu ina imagwiritsidwa ntchito popweteka kosatha komwe kumafunikira chithandizo chamasana ndi nthawi. Mitundu ina ya buprenorphine ilipo yothandizira kudalira opioid.


Butorphanol

Butorphanol imangopezeka ngati mankhwala achibadwa. Zimabwera ndi mphuno. Ndi mankhwala omwe amatulutsidwa mwachangu ndipo amagwiritsidwa ntchito mopweteka kwambiri. Butorphanol imapezekanso mu yankho la jakisoni lomwe liyenera kuperekedwa ndi othandizira azaumoyo.

Codeine sulphate

Codeine sulphate imapezeka kokha ngati mankhwala achibadwa. Icho chimabwera mu piritsi yamlomo yotulutsidwa mwachangu. Codeine sulphate samagwiritsidwa ntchito kawirikawiri kupweteka. Ngati ndi choncho, imagwiritsidwa ntchito ngati ululu wopweteka pang'ono.

Fentanyl

Generic fentanyl imabwera mu lozenges am'kamwa, zotulutsa zotulutsa zochulukirapo, ndi yankho la jakisoni lomwe limangoperekedwa ndi othandizira azaumoyo. Zolemba za fentanyl zopangidwa ndi dzina ndizo:

  • Fentora, piritsi lokhala ndi buccal
  • Actiq, lozenge wamlomo
  • Lazanda, utsi wamphuno
  • Abstral, piritsi laling'ono
  • Subsys, kutsitsi kochepa
  • Duragesic, chigamba chotulutsa transdermal

Chigawo cha transdermal chimagwiritsidwa ntchito ngati ululu wopweteka kwa anthu omwe amafunikira chithandizo cha nthawi yayitali komanso omwe amagwiritsa ntchito mankhwala opweteka a opioid.


Zogulitsazo zimagwiritsidwa ntchito popweteka pakati pa anthu omwe amalandira kale ma opioid nthawi yayitali chifukwa cha kupweteka kwa khansa.

Hydrocodone bitartrate

Hydrocodone bitartrate, ngati chinthu chimodzi, imapezeka ngati zinthu zotsatirazi:

  • Zohydro ER, kapisozi wamlomo wotulutsidwa
  • Hysingla ER, piritsi lotulutsa pakamwa lotalikitsidwa
  • Vantrela ER, piritsi lotulutsidwa kwakanthawi

Amagwiritsidwa ntchito popweteketsa anthu omwe amafunikira chithandizo chamasana ndi nthawi. Komabe, sagwiritsidwa ntchito kawirikawiri.

Mpweya wabwino

Generic hydromorphone imabwera mu yankho lam'kamwa, piritsi yamlomo, piritsi lotulutsa pakamwa lotulutsidwa, ndi rectal suppository. Ikupezekanso mu yankho la jakisoni lomwe limaperekedwa ndi othandizira azaumoyo.

Mankhwala a hydromorphone omwe ali ndi dzina ndi awa:

  • Dilaudid, yankho lapakamwa kapena piritsi yamlomo
  • Exalgo, piritsi lokamwa lomwe limatulutsidwa

Zinthu zotulutsidwazo zimagwiritsidwa ntchito popweteka kwanthawi yayitali mwa anthu omwe amafunikira chithandizo chamasana ndi nthawi. Zomwe zimatulutsidwa nthawi yomweyo zimagwiritsidwa ntchito ngati zowawa komanso zopweteka.

Matenda a Levorphanol

Levorphanol imangopezeka ngati mankhwala achibadwa. Icho chimabwera mu piritsi lamlomo. Amagwiritsidwa ntchito mopweteka kwambiri.

Meperidine hydrochloride

Mankhwalawa amagwiritsidwa ntchito mopweteka kwambiri. Ipezeka ngati mankhwala achibadwa komanso ngati dzina la mankhwala osokoneza bongo Demerol. Mitundu ya generic imapezeka mumayankho am'kamwa kapena piritsi lamlomo. Zonsezi zimapezekanso mu yankho la jakisoni lomwe limaperekedwa ndi othandizira azaumoyo.

Methadone hydrochloride

Methadone hydrochloride imapezeka ngati mankhwala abwinobwino komanso dzina la mankhwala a Dolophine. Amagwiritsidwa ntchito popweteketsa anthu omwe amafunikira chithandizo chamasana ndi nthawi.

Mtundu wa generic umapezeka piritsi lokamwa, poyankha pakamwa, ndikuyimitsa pakamwa. Ikupezekanso mu yankho la jakisoni lomwe limaperekedwa ndi othandizira azaumoyo. Dolophine imapezeka piritsi lokamwa.

Morphine sulphate

Generic morphine sulphate imapezeka mu kapisozi wamlomo wotulutsidwa, yankho la m'kamwa, piritsi yamlomo, piritsi lakamwa lotulutsidwa, rectal suppository, ndi yankho la jakisoni.

Imabweranso mu, yomwe imakhala youma opium poppy latex yomwe imakhala ndi morphine ndi codeine yomwe imasakanizidwa ndi mowa. Fomuyi imagwiritsidwa ntchito pochepetsa kuchuluka kwa matumbo ndipo imatha kutsekula m'mimba nthawi zina.

Mankhwala otchedwa morphine sulphate ndi awa:

  • Kadian, kapisozi wamlomo womasulidwa kwa nthawi yayitali
  • Arymo ER, piritsi lotulutsidwa kwakanthawi
  • MorphaBond, piritsi lokamwa lomwe limatulutsidwa
  • MS Contin, piritsi lotulutsidwa kwakanthawi
  • Astramorph PF, yankho la jakisoni
  • Duramorph, yankho la jakisoni
  • DepoDur, kuyimitsidwa kwa jakisoni

Zinthu zotulutsidwazo zimagwiritsidwa ntchito popweteka kwanthawi yayitali mwa anthu omwe amafunikira chithandizo chamasana ndi nthawi. Zotulutsa zam'mbuyo zomwe zimagwiritsidwa ntchito popweteka kwambiri. Zida zamajakisoni zimangoperekedwa ndi othandizira azaumoyo.

Oxycodone

Mitundu ina ya oxycodone imapezeka ngati mankhwala achibadwa. Zina zimapezeka ngati mankhwala osokoneza bongo. Generic oxycodone imabwera mu kapisozi wam'kamwa, yankho la m'kamwa, piritsi yamlomo, ndi piritsi lakamwa lotulutsidwa.

Mitundu yamaina azizindikiro ikuphatikiza:

  • Oxaydo, piritsi lokamwa
  • Roxicodone, piritsi lokamwa
  • Oxycontin, piritsi lotulutsidwa kwakanthawi
  • Xtampza, kapisozi wamlomo wotulutsidwa
  • Roxybond, piritsi lapakamwa

Zinthu zotulutsidwazo zimagwiritsidwa ntchito popweteka kwanthawi yayitali mwa anthu omwe amafunikira chithandizo chamasana ndi nthawi. Zomwe zimatulutsidwa nthawi yomweyo zimagwiritsidwa ntchito popweteka kwambiri.

Mpweya wabwino

Generic oxymorphone imapezeka piritsi lokhala ndi pakamwa komanso piritsi lamlomo lotulutsidwa. Oxymorphone yotchedwa Brand ikupezeka ngati:

  • Opana, piritsi lokamwa
  • Opana ER, piritsi lotulutsa pakamwa lomwe limatulutsa nthawi yayitali kapena piritsi lakamwa losatulutsa mawu

Mapiritsi omwe amatulutsidwayo amagwiritsidwa ntchito popweteka kwa anthu omwe amafunikira chithandizo chamasana ndi nthawi.

Komabe, mu Juni 2017, adapempha kuti opanga zinthu zotulutsa zowonjezera za oxymorphone asiye mankhwalawa. Izi zidachitika chifukwa adapeza kuti phindu lakumwa mankhwalawa silikuposanso chiwopsezo.

Mapiritsi otulutsira pomwe pano amagwiritsidwabe ntchito ngati ululu wopweteka kwambiri.

Oxymorphone imapezekanso mu fomu yomwe idalowetsedwa m'thupi lanu ngati Opana. Zimangoperekedwa ndi wothandizira zaumoyo.

Zamgululi

Tapentadol imangopezeka pamitundu yotchedwa Nucynta ndi Nucynta ER. Nucynta ndi piritsi la pakamwa kapena yankho lamlomo lomwe limagwiritsidwa ntchito popweteka kwambiri. Nucynta ER ndi piritsi lotseguka lomwe limagwiritsidwa ntchito popweteka kapena kupweteka kwambiri komwe kumayambitsidwa ndi matenda ashuga (kuwonongeka kwa mitsempha) mwa anthu omwe amafunikira chithandizo chamasana.

Zamgululi

Generic tramadol imabwera mu kapisozi wamlomo wotulutsidwa, piritsi yamlomo, komanso piritsi lakamwa lotulutsidwa. Tramadol yotchedwa Brand imabwera monga:

  • Conzip, kapisozi wamlomo wotulutsidwa
  • EnovaRx, kirimu wakunja

Piritsi lamlomo limagwiritsidwa ntchito mopweteka kwambiri. Zotulutsidwa zowonjezera zimagwiritsidwa ntchito popweteka kwanthawi yayitali mwa anthu omwe amafunikira chithandizo chamasana ndi nthawi. Kirimu wakunja ntchito kwa minofu ndi mafupa ululu.

Mndandanda wazophatikiza zama opioid

Zotsatirazi zikuphatikiza opioid ndi mankhwala ena. Zofanana ndi zopangira ma opioid okha, mankhwalawa amabwera mosiyanasiyana ndipo amagwiritsidwa ntchito mosiyanasiyana:

Acetaminophen-caffeine-dihydrocodeine

Mankhwalawa amangogwiritsidwa ntchito mopweteka pang'ono. Generic acetaminophen-caffeine-dihydrocodeine imabwera piritsi lapakamwa ndi kapisozi wamlomo. Trezix yomwe imadziwika ndi dzina lake imabwera pakapisozi pakamwa.

Acetaminophen-codeine

Mankhwalawa amangogwiritsidwa ntchito pakumva kupweteka pang'ono. Generic acetaminophen-codeine amabwera piritsi lamlomo ndi yankho lamlomo. Dzina la acetaminophen-codeine limabwera monga:

  • Capital ndi Codeine, kuyimitsidwa pakamwa
  • Tylenol wokhala ndi Codeine No. 3, piritsi lokamwa
  • Tylenol wokhala ndi Codeine Na. 4, piritsi lokamwa

Aspirin-caffeine-dihydrocodeine

Aspirin-caffeine-dihydrocodeine amapezeka ngati generic komanso dzina lodziwika bwino la mankhwala a Synalgos-DC. Icho chimabwera mu kapisozi wamlomo. Amagwiritsidwa ntchito pokhapokha ngati ululu wopweteka kwambiri.

Hydrocodone-acetaminophen

Mankhwalawa amagwiritsidwa ntchito mopweteka kwambiri. Generic hydrocodone-acetaminophen imabwera piritsi ndi pakamwa. Mitundu yamaina azizindikiro ikuphatikiza:

  • Anexsia, piritsi lapakamwa
  • Norco, piritsi lamlomo
  • Zyfrel, yankho la pakamwa

Hydrocodone-ibuprofen

Hydrocodone-ibuprofen imapezeka ngati piritsi lokamwa. Zimabwera ngati generic komanso dzina loti mankhwala a Reprexain ndi Vicoprofen. Amagwiritsidwa ntchito popweteka kwambiri.

Morphine-naltrexone

Morphine-naltrexone imapezeka pokhapokha ngati dzina loti mankhwala Embeda. Icho chimabwera mu kapisozi wamlomo wotulutsidwa. Mankhwalawa amagwiritsidwa ntchito ngati kupweteka kwa anthu omwe amafunikira chithandizo chamasana ndi nthawi.

Oxycodone-acetaminophen

Mankhwalawa amagwiritsidwa ntchito popweteka komanso kosalekeza. Generic oxycodone-acetaminophen imapezeka ngati yankho m'kamwa komanso piritsi lamlomo. Mitundu yamaina azizindikiro ikuphatikiza:

  • Oxycet, piritsi lokamwa
  • Percocet, piritsi lokamwa
  • Roxicet, yankho lokamwa
  • Xartemis XR, piritsi lokamwa lomwe limatulutsidwa

Okosijeni-aspirin

Oxycodone-aspirin imapezeka ngati generic komanso dzina lodziwika kuti Percodan. Zimabwera ngati piritsi lokamwa. Amagwiritsidwa ntchito mopweteka kwambiri.

Oxycodone-ibuprofen

Oxycodone-ibuprofen imangopezeka ngati mankhwala achibadwa. Icho chimabwera mu piritsi lamlomo. Amagwiritsidwa ntchito kwa masiku osapitirira asanu ndi awiri kuti azitha kupweteka kwakanthawi kwakanthawi.

Oxycodone-naltrexone

Oxycodone-naltrexone imapezeka pokhapokha ngati dzina la mankhwala osokoneza bongo Troxyca ER. Icho chimabwera mu kapisozi wamlomo wotulutsidwa. Amagwiritsidwa ntchito popweteka kosalekeza kwa anthu omwe amafunikira chithandizo chamasana ndi nthawi.

Pentazocine-naloxone

Izi zimangopezeka ngati mankhwala achibadwa. Icho chimabwera mu piritsi lamlomo. Amagwiritsidwa ntchito popweteka komanso kosalekeza.

Tramadol-acetaminophen

Tramadol-acetaminophen imapezeka ngati mankhwala wamba komanso dzina loti Ultracet. Icho chimabwera mu piritsi lamlomo. Fomuyi imagwiritsidwa ntchito kwa masiku osapitirira asanu kuti azitha kupweteka kwakanthawi kwakanthawi.

Opioids muzogwiritsidwa ntchito zina kupatula kupweteka

Ma opioid ena amatha kugwiritsidwa ntchito payokha kapena pophatikizira mankhwala kuti athetse mavuto ena osapweteka kwambiri. Mankhwalawa ndi awa:

  • codeine
  • hydrocodone
  • bupupulu
  • methadone

Mwachitsanzo, codeine ndi hydrocodone zimaphatikizidwa ndi mankhwala ena omwe amapangira chifuwa.

Buprenorphine (yokha kapena yophatikizidwa ndi naloxone) ndi methadone amagwiritsidwa ntchito popanga zovuta zamagwiritsidwe ntchito a opioid.

Malingaliro pakugwiritsa ntchito opioid

Pali mitundu yambiri yama opioid ndi opioid yophatikiza. Onsewa amagwiritsa ntchito mankhwala mosiyanasiyana. Ndikofunika kugwiritsa ntchito opioid yoyenera ndikuigwiritsa ntchito moyenera.

Inu ndi dokotala muyenera kulingalira zinthu zambiri musanasankhe mankhwala abwino opioid kapena zochizira zanu. Izi ndi monga:

  • kuopsa kwa ululu wanu
  • mbiri yanu yothandizira ululu
  • zina zomwe muli nazo
  • mankhwala ena omwe mumamwa
  • zaka zanu
  • kaya muli ndi mbiri yazovuta zakugwiritsa ntchito mankhwala osokoneza bongo
  • inshuwaransi yazaumoyo wanu

Kulimbitsa ululu

Dokotala wanu adzawona momwe ululu wanu umakhalira wolimbikitsa mukalandira chithandizo cha opioid. Mankhwala ena opioid ndi amphamvu kuposa ena.

Zinthu zina zophatikizika, monga codeine-acetaminophen, zimangogwiritsidwa ntchito ngati zowawa zochepa. Zina, monga hydrocodone-acetaminophen, ndizolimba ndipo zimagwiritsidwa ntchito mopweteka kwambiri.

Zogulitsa zokha za opioid zokhazokha zimagwiritsidwa ntchito mopweteka kwambiri. Zida zotulutsidwa zowonjezera zimangogwiritsidwa ntchito kuti ziziwapweteka kwambiri zomwe zimafunikira chithandizo chamasana ndi nthawi mankhwala ena asanagwire ntchito.

Mbiri yothandizira kupweteka

Dokotala wanu adzawona ngati mwalandira kale mankhwala azopweteka mukamapereka chithandizo chamankhwala. Mankhwala ena opioid, monga fentanyl ndi methadone, ndi oyenera kwa anthu omwe amamwa kale ma opioid ndipo amafunikira chithandizo chanthawi yayitali.

Zochitika zina

Impso zanu zimachotsa mankhwala opioid mthupi lanu. Ngati muli ndi vuto la impso, mutha kukhala ndi chiopsezo chachikulu chazotsatira zamankhwalawa. Ma opioid awa ndi awa:

  • codeine
  • morphine
  • hydromorphone
  • hydrocodone
  • alireza
  • kutchfun

Kuyanjana kwa mankhwala

Mankhwala ena ayenera kupewa kapena kugwiritsidwa ntchito mosamala kuti asayanjane ndi ma opioid ena. Ndikofunika kuti dokotala adziwe zamankhwala onse omwe mumamwa kuti dokotala wanu asankhe opioid yotetezeka kwambiri. Izi zimaphatikizapo zinthu zilizonse zotsatsa, zowonjezera, ndi zitsamba.

Zaka

Sizinthu zonse za opioid zomwe zili zoyenera kwa mibadwo yonse.

Ana ochepera zaka 12 sayenera kugwiritsa ntchito mankhwala okhala ndi tramadol ndi codeine.

Kuphatikiza apo, mankhwalawa sayenera kugwiritsidwa ntchito kwa anthu azaka zapakati pa 12 ndi 18 ngati ali onenepa kwambiri, ali ndi vuto lobanika la kugona, kapena ali ndi matenda am'mapapo akulu.

Mbiri yogwiritsa ntchito mankhwala osokoneza bongo

Ndikofunika kuti dokotala adziwe ngati mwakhala mukugwiritsa ntchito mankhwala osokoneza bongo. Zida zina za opioid zimapangidwa kuti zichepetse kugwiritsa ntchito molakwika. Izi ndi monga:

  • Zamgululi
  • Embeda
  • Hysingla ER
  • MorphaBond
  • Xtampza ER
  • Troxyca ER
  • Arymo ER
  • Vantrela ER
  • RoxyBond

Kuphunzira za inshuwaransi

Mapulani a inshuwaransi ya munthu payekha samakhudza zinthu zonse za opioid, koma mapulani ambiri amakhala ndi zinthu zomwe zimatulutsidwa nthawi yomweyo komanso zotulutsa zowonjezera. Zowonjezera nthawi zambiri zimakhala zotsika mtengo. Lankhulani ndi dokotala kapena wamankhwala kuti akuthandizeni kudziwa zomwe inshuwalansi yanu ingapereke.

Makampani ambiri a inshuwaransi amachepetsa kuchuluka kwa mankhwala opioid omwe mungapeze mwezi uliwonse. Kampani yanu ya inshuwaransi ingafunenso kuti dokotala akuvomerezeni musanakuvomerezeni.

Njira zogwiritsa ntchito ma opioid mosamala

Kugwiritsa ntchito ma opioid, ngakhale kwakanthawi kochepa, kumatha kubweretsa chizolowezi chomwa bongo. Pali zinthu zingapo zomwe mungachite kuti mugwiritse ntchito ma opioid bwinobwino:

  • Uzani dokotala wanu za mbiri yakale yogwiritsa ntchito mankhwala osokoneza bongo kuti athe kukuyang'anirani mosamala mukamamwa ma opioid.
  • Tsatirani malangizo omwe mwalandira. Kumwa mopitirira muyeso kapena kumwa molakwika (monga kuphwanya mapiritsi musanawamwe) kumatha kubweretsa zovuta zina, kuphatikizapo kupuma movutikira komanso bongo.
  • Lankhulani ndi dokotala wanu za zinthu zomwe muyenera kupewa mukamamwa opioid. Kusakaniza ma opioid ndi mowa, antihistamines (monga diphenhydramine), benzodiazepines (monga Xanax kapena Valium), zopumulira minofu (monga Soma kapena Flexeril), kapena zothandizira kugona (monga Ambien kapena Lunesta) zitha kuonjezera chiopsezo chanu chakupuma pang'ono.
  • Sungani mankhwala anu mosatekeseka komanso kosafikirika ndi ana. Ngati muli ndi mapiritsi osagwiritsidwa ntchito, tengani nawo pulogalamu yobwezeretsanso mankhwala osokoneza bongo.

Kulekerera ndi kusiya

Thupi lanu lidzalekerera zovuta za ma opioid mukawatenga nthawi yayitali. Izi zikutanthauza kuti ngati mungawatenge nthawi yayitali, mungafunike kuchuluka kwakukulu kuti mupeze ululu womwewo. Ndikofunika kuti dokotala adziwe ngati izi zikukuchitikirani.

Opioids amathanso kuyambitsa kuchotsedwa ngati muwaletsa mwadzidzidzi. Ndikofunika kukambirana ndi dokotala momwe mungaletse kumwa ma opioid bwinobwino. Anthu ena angafunike kuyimitsa pang'onopang'ono kusiya kugwiritsa ntchito.

Tengera kwina

Pali ma opioid ambiri omwe amapezeka kuti athe kuchiza zowawa komanso zopweteka komanso zinthu zina. Zina mwazinthu zingakhale zoyenera kwa inu, choncho lankhulani ndi adokotala kuti atsimikizire kuti akudziwa zomwe zingakhudze chithandizo chomwe angakupatseni.

Mukayamba mankhwala opioid, onetsetsani kuti mumakumana ndi dokotala pafupipafupi ndikulankhula za zovuta zilizonse zomwe muli nazo. Chifukwa kudalira kumatha kukula pakapita nthawi, kambiranani ndi dokotala wanu zoyenera kuchita ngati mukumva kuti zikuchitikirani.

Ngati mukufuna kuyimitsa mankhwala anu opioid, dokotala wanu atha kugwira nanu ntchito kuti musayamwe.

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Amlodipine

Amlodipine

Amlodipine amagwirit idwa ntchito payekha kapena kuphatikiza mankhwala ena kuti athet e kuthamanga kwa magazi kwa achikulire ndi ana azaka 6 kapena kupitilira apo. Amagwirit idwan o ntchito pochiza mi...