Inaliti ye-Meperidine

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-meperidine
• Inaliti yeMeperidine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:
• Iimpawu libanda kungaquka oku kulandelayo:

Inaliti yeMeperidine inokuba yindlela yokwenza, ngakumbi ngokusetyenziswa ixesha elide. Sebenzisa inaliti ye-meperidine kanye njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu, yisebenzise rhoqo, okanye uyisebenzise ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Ngelixa usebenzisa inaliti ye-meperidine, xoxa nomboneleli wakho wezempilo ngeenjongo zonyango lwakho lweentlungu, ubude bonyango, kunye nezinye iindlela zokulawula iintlungu zakho. Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho usela utywala okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wasebenzisa kakhulu amayeza kagqirha, okanye wagqithisa, okanye wakha wanengxaki yoxinzelelo okanye esinye isifo sengqondo. Kukho umngcipheko omkhulu wokuba uya kuyisebenzisa kakhulu i-meperidine ukuba unayo okanye wakhe wanayo nayiphi na kwezi meko. Thetha nomboneleli wakho wezempilo ngokukhawuleza kwaye ucele isikhokelo ukuba ucinga ukuba une-opioid okanye ungatsalela umnxeba i-U.S. Iziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo (SAMHSA) kwiNombolo yoNcedo yeSizwe e-1-800-662-HELP.

Inaliti ye-Meperidine inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho kwaye nangaliphi na ixesha idosi yakho inyuswe. Ugqirha wakho uya kukujonga ngononophelo ngexesha lonyango lwakho. Tshela ugqirha wakho ukuba ukhe wakha wanciphisa ukuphefumla okanye isifuba. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi inaliti ye-meperidine. Xelela ugqirha wakho ukuba ukhe okanye unesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya), ukwenzakala entloko, ithumba lobuchopho, okanye nayiphi na imeko eyonyusa inani uxinzelelo kwingqondo yakho. Umngcipheko wokuba ube neengxaki zokuphefumla unokuba ngaphezulu ukuba umdala okanye ubuthathaka okanye ungondleki ngenxa yesifo. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango lonyango: ukuphefumla okucothayo, ikhefu elide phakathi kokuphefumla, okanye ukuphefumla kancinci.

Ukuthatha amayeza athile ngexesha lonyango lwakho ngenaliti ye-meperidine kunokunyusa umngcipheko wokuba uza kuba neengxaki zokuphefumla okanye ezinye izinto ezinobuzaza, ezisongela ubomi bokuphefumla, ukulala, okanye isiqaqa. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), kunye netriazolam (Halcion); amayeza oxinzelelo, isicaphucaphu, okanye iintlungu; izihlunu ezonwabisayo; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa inaliti ye-meperidine ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, intloko ebuthongweni, ukulala kakhulu, ukuphefumla kancinci okanye ukuphefumla okunzima, okanye ukungaphenduli. Qiniseka ukuba umnakekeli wakho okanye amalungu osapho ayazi ukuba zeziphi iimpawu ezinokubanzima ukuze babize ugqirha okanye ukhathalelo lonyango olungxamisekileyo ukuba awukwazi ukuzifunela unyango wedwa.

Ukusela utywala, ukuthatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lonyango nge-meperidine kwandisa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Musa ukusela utywala, thatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Sukuvumela nabani na ukuba asebenzise amayeza akho. Inaliti yeMeperidine inokwenzakalisa okanye ibangele ukufa kwabanye abantu abasebenzisa amayeza akho, ngakumbi abantwana.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba usebenzisa inaliti ye-meperidine rhoqo xa ukhulelwe, umntwana wakho unokuba neempawu ezisongela ubomi emva kokuzalwa. Xelela ugqirha wosana lwakho ngoko nangoko ukuba umntwana wakho unazo naziphi na kwezi mpawu zilandelayo: ukucaphuka, ukuxhalaba, ukulala ngendlela engaqhelekanga, ukukhala okuphezulu, ukungcangcazela okungalawulekiyo kwenxalenye yomzimba, ukugabha, urhudo, okanye ukusilela ukutyeba.

Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa inaliti ye-meperidine.

Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Inaliti yeMeperidine isetyenziselwa ukunciphisa iintlungu ezibukhali. Inokusetyenziswa kwakhona ngaphambi nangexesha lokuhlinzwa okanye ezinye iinkqubo zonyango. Inaliti yeMeperidine ikwiklasi yamayeza abizwa ngokuba yi-opiate (narcotic) analgesics. Isebenza ngokutshintsha indlela umzimba uziva ngayo iintlungu.

Inaliti yeMeperidine iza njengesisombululo (ulwelo) sokufaka ngenaliti (nje phantsi kolusu), intramuscularly (ibe sisihlunu), okanye ngaphakathi ngaphakathi (emthanjeni). Ihlala itofwe ngendlela engaphantsi okanye intramuscularly kube kanye kwiiyure ezi-3 ukuya kwezi-4 xa kufuneka njalo. Sebenzisa inaliti ye-meperidine kanye njengoko kuyalelwe.

Ugqirha wakho unokuhlengahlengisa idosi yakho yenaliti ye-meperidine ngexesha lonyango lwakho, kuxhomekeke kwindlela ezilawulwa ngayo iintlungu zakho nakwiziphumo ebezingalindelekanga ohlangabezana nazo. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho ngenaliti ye-meperidine.

Ukuba usebenzise inaliti ye-meperidine ixesha elide kuneentsuku ezimbalwa, musa ukuyeka ukuyisebenzisa ngequbuliso. Ukuba ngequbuliso uyeka ukusebenzisa inaliti ye-meperidine, unokufumana iimpawu zokurhoxa kubandakanya ukungazinzi; amehlo aneenyembezi; impumlo enemifinya; ukuzamla; ukubila; Ukugodola; iintlungu zemisipha, yomqolo okanye edibeneyo; ukwandiswa kwabafundi; ukucaphuka; ixhala; ubuthathaka; isisu esiswini; ubunzima bokulala okanye ukulala; isicaphucaphu; ukuphelelwa ngumdla wokutya; ukugabha; urhudo; ukuphefumla ngokukhawuleza; okanye ukubetha kwentliziyo okukhawulezayo. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa inaliti ye-meperidine

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-meperidine, nawaphi na amanye amayeza, okanye izithako kwi-injection ye-meperidine. Buza usokhemesti wakho uluhlu lwezithako.
• Sukusebenzisa inaliti ye-meperidine ukuba uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), okanye i-tranylcypromine (iParnate) okanye ukuba uyekile ukuthatha naliphi na kula mayeza kwiiveki ezi-2 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi inaliti ye-meperidine ukuba uthatha elinye okanye nangaphezulu la mayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: cyclobenzaprine (Amrix); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); lithium (iLithobid, eLibrax); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), kunye ne-zolmitriptan (iZomig); i-mirtazapine (iRemeron); 5HT₃ i-serotonin blockers ezinje ngealosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), okanye palonosetron (Aloxi); i-inhibitors ekhethiweyo ye-serotonin-reuptake inhibitors enjenge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), kunye sertraline (Zoloft); i-serotonin kunye ne-norepinephrine reuptake inhibitors enjenge-duloxetine (iCymbalta), i-desvenlafaxine (i-Khedezla, i-Pristiq), i-milnacipran (i-Savella), kunye ne-venlafaxine (i-Effexor); iTramadol (iConzip, i-Ultram); Itrazodone (Oleptro); okanye i-tricyclic antidepressants (’mood elevators’) ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), kunye neTrimipramine. Amanye amayeza amaninzi anokusebenzisana ne-meperidine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Xelela ugqirha wakho okanye usokhemesti ukuba uthatha amayeza e-narcotic kwiintlungu okanye ukuba usandula ukuwathatha la mayeza. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort kunye ne tryptophan.
• xelela ugqirha wakho ukuba ukhe wanengxaki ekuchameni; Isifo iAddison (imeko apho umzimba ungazivelisi iikhemikhali ezithile ezibalulekileyo); iprostatic hypertrophy (ukwandiswa kwendlala yendoda ebizwa ngokuba yi-Prostate); Ukuqiniswa kwe-urethral (ukunciphisa ukuvulwa apho umchamo ushiya umzimba); ukuxhuzula; okanye idlala lengqula, intliziyo, izintso, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa inaliti ye-meperidine, tsalela ugqirha wakho.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-meperidine.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa inaliti ye-meperidine.
• Kuya kufuneka uyazi ukuba i-meperidine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-meperidine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Inaliti yeMeperidine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko elula
• intloko ebuhlungu
• ukuphazamiseka
• ukuqhina
• ukushukuma okungalawulekiyo kwilungu lomzimba wakho
• ukungaboni kakuhle
• umlomo owomileyo
• intlungu okanye ubomvu kwindawo yenaliti

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• ukuphefumla okucothayo
• Ukuphazamiseka, ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angekhoyo), umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, ukuqina kwemisipha okanye ukujijeka, ukulahleka kokulungelelaniswa, isicaphucaphu, ukugabha okanye urhudo
• isicaphucaphu, ukugabha, ukungabi namdla wokutya, ukuba buthathaka okanye isiyezi
• ukungakwazi ukufumana okanye ukugcina ulwakhiwo
• ukunciphisa umnqweno wesondo
• ukuya exesheni ngokungaqhelekanga
• ulonwabo olukhulu
• imvakalelo ebuhlungu
• irhashalala
• ukurhawuzelela
• ukugungxula
• urhwebo
• ukuxhuzula
• nemibono

Inaliti yeMeperidine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Ngelixa usebenzisa inaliti ye-meperidine, kuya kufuneka uthethe nogqirha wakho malunga neyeza lokuhlangula elibizwa ngokuba yi-naloxone ngokulula (umzekelo, ikhaya, iofisi). I-Naloxone isetyenziselwa ukuguqula iziphumo ezisongela ubomi kwi-overdose. Isebenza ngokuthintela iziphumo ze-opiates ukunciphisa iimpawu ezinobungozi ezibangelwa ngamanqanaba aphezulu ee-opiates egazini. Ugqirha wakho unokukuyalela i-naloxone ukuba uhlala kwikhaya apho kukho abantwana abancinci okanye umntu osebenzise gwenxa isitalato okanye amayeza amiselweyo. Kuya kufuneka uqiniseke ukuba wena kunye namalungu osapho lwakho, abakhathaleli, okanye abantu abachitha ixesha kunye nawe bayayazi indlela yokwazi ukuba libanda, indlela yokusebenzisa naloxone, kunye nento onokuyenza de kufike uncedo lwezonyango olungxamisekileyo. Ugqirha wakho okanye usokhemesti uza kukubonisa kunye namalungu osapho lwakho ukuba ulisebenzisa njani eliyeza. Buza usokhemesti wakho ngemiyalelo okanye undwendwele iwebhusayithi yomenzi ukuze ufumane imiyalelo. Ukuba iimpawu zokudlula ngaphezulu zenzeka, umhlobo okanye ilungu losapho kufuneka linike idosi yokuqala ye-naloxone, fowunela i-911 kwangoko, kwaye uhlale nawe kwaye ujonge kufutshane kude kufike uncedo lwezonyango olungxamisekileyo. Iimpawu zakho zinokubuya emva kwemizuzu embalwa emva kokuba ufumane i-naloxone. Ukuba iimpawu zakho zibuya, umntu lowo kufuneka akunike enye idosi ye-naloxone. Amanqanaba ongezelelweyo anokunikwa yonke imizuzu emi-2 ukuya kwemi-3, ukuba iimpawu ziyabuya ngaphambi kokuba uncedo lonyango lufike.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• ukuphefumla kancinci okanye kancinci
• ubunzima bokuphefumla
• ukulala kakhulu
• andikwazi kuphendula okanye ukuvuka
• zikhululekile, izihlunu zefloppy
• Kuyabanda, ulusu olunombala
• ukubetha kwentliziyo kancinci
• isiqaqa

Gcina lonke ixesha lokudibana nogqirha wakho. Ugqirha wakho angayalela iimvavanyo ezithile zelebhu ukujonga impendulo yomzimba wakho kwi-meperidine.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya i-methylene blue), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa i-meperidine.

Lo myalelo awugcwaliseki. Ukuba uqhubeka unentlungu emva kokuba ugqibile i-meperidine, tsalela umnxeba kugqirha wakho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Idemerol^®