IFentanyl Transdermal Patch

Umxholo

• Ukufaka isicatshulwa, landela la manyathelo:
• Ngaphambi kokusebenzisa ii-fentanyl patches,
• Iimpawu zeFentanyl zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

Iimpawu zeFentanyl zinokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa i-fentanyl patch ngokuchanekileyo njengoko kuyalelwe. Sukufaka amabala amaninzi, sebenzisa iziqwengana rhoqo, okanye usebenzise ii-patches ngendlela eyahlukileyo kunokuba umiselwe ngugqirha. Ngelixa usebenzisa i-fentanyl patches, xoxa kunye nomboneleli wakho wokhathalelo lwempilo iinjongo zakho zonyango, 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 kusebenzisa kakubi i-fentanyl patches ukuba unayo okanye wakha 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.

Iimpawu ze-Fentanyl zinokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi ngexesha leyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho kwaye nangaliphi na ixesha idosi yakho inyukile. Ugqirha wakho uya kukujonga ngononophelo ngexesha lonyango lwakho. Ngenxa yomngcipheko omkhulu, ii-fentanyl patches kufuneka zisetyenziselwe ukunyanga abantu abanganyamezelaniyo (kusetyenziswa iziphumo zonyango) kumayeza eopioid kuba bathathe olu hlobo lwamayeza ubuncinci iveki enye kwaye akufuneki isetyenziselwe ukunyanga iintlungu eziphakathi okanye eziphakathi, iintlungu zexesha elifutshane, iintlungu emva kotyando okanye inkqubo yezonyango okanye yamazinyo, okanye iintlungu ezinokulawulwa ngamayeza athatyathwa xa kufuneka. Tshela ugqirha wakho ukuba ukhe wakha wanciphisa ukuphefumla okanye isifuba. Ugqirha wakho uya kuthi ungasebenzisi i-fentanyl patches. 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 nge-fentanyl kunokunyusa umngcipheko weengxaki ezinzulu okanye ezisongela ubomi zokuphefumla, i-sedation, okanye i-coma. Tshela ugqirha wakho kunye nosokhemesti ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: amiodarone (Nexterone, Pacerone); Aprepitant (Hlomela); i-benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril) kunye ne-carazine , Epitol, Equetro, Tegretol, Teril); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox), kunye ne ketoconazole (Nizoral); i-clarithromycin (i-Biaxin, kwi-Prevpac); idiltiazem (Cardizem, Cartia, Diltzac, Taztia); erythromycin (E-Mycin, Erythrocin); fosamprenavir (iLexiva); amayeza okugula ngengqondo kunye nesicaphucaphu; amanye amayeza eentlungu; izihlunu ezonwabisayo; nefazodone; i-nelfinavir (iViracept); phenytoin (iDilantin, iPhenytek); irifampin (Rifadin, Rimactane, eRifamate, eRifater); i-ritonavir (iNorvir, eKaletra); ukuthomalalisa; iipilisi zokulala; izinto zokuthomalalisa; i-troleandomycin (TAO) (ayifumaneki e-United States); kunye neverapamil (Calan, Covera, Verelan). Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa i-fentanyl ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olukhawulezileyo kwangoko: isiyezi esingaqhelekanga, ubukhaphukhaphu, ukulala kakhulu, ukucothisa okanye ukuphefumla nzima, 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. Ukuba usebenzisa i-fentanyl ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, ubukhaphukhaphu, ukulala kakhulu, ukucothisa okanye ukuphefumla nzima, 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-fentanyl 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. Iimpawu zeFentanyl zinokwenzakalisa okanye zibangele ukufa kwabanye abantu abadala kunye nabantwana abazisebenzisayo. Gcina iifentanyl patches kwindawo ekhuselekileyo ukuze kungabikho mntu uzisebenzisa ngengozi okanye ngenjongo. Lumka ngakumbi ukugcina ii-fentanyl patches zingafikeleleki ebantwaneni. Gcina umkhondo wokuba zingaphi iipatches ezishiyekileyo ukuze wazi ukuba zikhona na ezingekhoyo.

Abantu abangaphathwa nge-fentanyl patches banokulimala kakhulu okanye bafe ukuba icala elinamathelayo lepatch lichukumisa ulusu lwabo. Lumka ungalivumeli icala elincangathi lepatch ukuba lichukumise ulusu lomnye umntu. Ukuba ubambe okanye unakekela abantwana, qiniseka ukuba abayichukumisi indawo yakho. Ukuba isiziba ngempazamo siphuma emzimbeni wakho kwaye sinamathela kulusu lomnye umntu, susa kwangoko isiziba, uhlambe loo ndawo ngamanzi acacileyo, kwaye ufumane unyango olukhawulezileyo.

Iipatches zeFentanyl esele zinxitywe iintsuku ezi-3 zisaqulathe amayeza aneleyo ukwenza ingozi embi okanye ukufa kubantu abadala okanye kubantwana abanganyangwa ngamayeza. Ungaze ulahle ii-patches ezisetyenzisiweyo okanye ezingasetyenziswanga kumgqomo wenkunkuma okanye uzishiye kwindawo ezinokuthi zifunyanwe ngabanye, ngakumbi abantwana. Lahla iindawo ezisetyenzisiweyo nezingafunekiyo ngokufanelekileyo ngokwemiyalelo. (Jonga UKUGCINWA NOKULAHLWA.)

Ukuba i-fentanyl patch yakho ibonakaliswe kubushushu obugqithisileyo, inokukhupha amayeza amaninzi emzimbeni wakho ngaxeshanye. Oku kunokubangela iimpawu ezinzulu okanye ezisongela ubomi. Ungasivezi isikhewu sakho okanye ulusu olujikeleze ubushushu ngqo njengeephedi zokufudumeza, iingubo zombane, izibane zobushushu, iisuna, iibhafu ezishushu kunye neebhedi zamanzi ezifudumeleyo. Sukuthatha ibhafu ende, eshushu okanye yokugcakamela ilanga ngelixa unxibe isiziba. Isiqwenga sakho sinokukhupha amayeza amaninzi kakhulu ukuba unefiva okanye xa ushushu kakhulu emva komzimba. Kuphephe ukwenza umthambo okunokubangela ukuba ubashushu kakhulu. Biza ugqirha wakho ngoko nangoko ukuba unefiva. Ugqirha wakho unokufuna ukulungelelanisa idosi yakho.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba usebenzisa i-fentanyl patches rhoqo ngexesha lokukhulelwa, 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.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seMithi) xa uqala unyango ngamachaphaza e-fentanyl kwaye ngalo lonke ixesha ugcwalisa amayeza akho. 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.

Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

Amabala eFentanyl asetyenziselwa ukunciphisa iintlungu eziqatha kubantu ekulindeleke ukuba badinge amayeza eentlungu ubusuku nemini ixesha elide kwaye abangenakuphathwa ngamanye amayeza. UFentanyl ukwiklasi yamayeza abizwa ngokuba yi-opiate (narcotic) analgesics. Isebenza ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu.

I-fentanyl yeTransdermal iza njengepaki ukufaka ulusu. Isiziba sihlala sisetyenziswa eluswini kube kanye kwiiyure ezingama-72. Shintsha i-patch yakho malunga nexesha elifanayo lomhla rhoqo xa uyitshintsha. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Faka isicelo seepentanyl patches ngokuchanekileyo.

Ugqirha wakho unokukuqala ngethamo eliphantsi le-fentanyl patch kwaye ngokuthe ngcembe wandise idosi yakho, hayi rhoqo rhoqo kube kanye emva kweentsuku ezi-3 ekuqaleni, kwaye kungabi ngaphezulu rhoqo kube kanye kwiintsuku ezi-6. Ugqirha wakho unokunciphisa umthamo wakho ukuba unemiphumo emibi. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho kunye neepentanyl patches.

Iimpawu zeFentanyl zisetyenziselwa ulusu kuphela. Musa ukubeka amabala emlonyeni wakho okanye ukuhlafuna okanye ukuginya amabala.

Ungayeki ukusebenzisa ii-fentanyl patches ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukusebenzisa ii-fentanyl patches unokuba neempawu zokurhoxa. Tsalela umnxeba ugqirha wakho ukuba unazo naziphi na kwezi mpawu zokurhoxa: ukungazinzi, amehlo aneenyembezi, ukuphuma empumlweni, ukuzamla, ukubila, ingqele, iintlungu zemisipha, abafundi abakhulu (izangqa ezimnyama embindini wamehlo), ukuba nochuku, ixhala, umqolo obuhlungu, iintlungu. kumalungu, ubuthathaka, isisu esibuhlungu, ubunzima bokulala okanye ukulala, isicaphucaphu, ukuphelelwa ngumdla, ukugabha, urhudo, ukubetha kwentliziyo okukhawulezayo, okanye ukuphefumla ngokukhawuleza.

Sukusebenzisa isiciko sefentanyl esisikiweyo, esonakeleyo, okanye esitshintshiweyo nangayiphi na indlela.Ukuba usebenzisa ii-patches ezisikiweyo okanye ezonakeleyo, unokufumana uninzi okanye onke amayeza ngaxeshanye, endaweni yokucotha ngaphezulu kweentsuku ezi-3. Oku kunokubangela iingxaki ezinzulu, kubandakanya ukugqithisa kunye nokufa.

Unokuhlamba, uqubha, okanye uhlambe ngelixa unxibe i-fentanyl patch. Ukuba isiziba siyawa ngexesha lale misebenzi, yilahle ngokufanelekileyo. Emva koko yome ulusu lwakho ngokupheleleyo kwaye ufake isichibi esitsha. Shiya indawo entsha endaweni yayo kangangeeyure ezingama-72 emva kokuba uyisebenzisile.

Ungasifaka isikhewu se-fentanyl esifubeni sakho, ngasemva, kwiingalo ezingaphezulu, okanye kumacala esinqeni sakho. Ukuba usebenzisa isichibi emntwaneni okanye kumntu ongakwaziyo ukucinga kakuhle, khetha indawo kumqolo ongentla ukwenza ukuba kube nzima kumntu ukuba asuse isiziba asibeke emlonyeni wakhe. Khetha indawo yolusu ethe tyaba kwaye engenaboya. Sukuyifaka isikhewu kumalungu omzimba ahamba kakhulu okanye kulusu oluchanabeke kwimitha okanye enovakalelo, enamafutha kakhulu, eqhekekileyo, ecaphukisayo, eyaphukileyo, esikiweyo okanye eyonakeleyo. Ukuba kukho iinwele eluswini, sebenzisa isikere ukuseta iinwele kufutshane nolusu kangangoko. Sukuyicheba indawo.

Ukufaka isicatshulwa, landela la manyathelo:

1. Coca indawo oceba ukufaka kuyo isiciko ngamanzi acocekileyo kwaye ubambe mpume. Sukusebenzisa iisepha, into yokuthambisa, utywala, okanye ioyile.
2. Krazula vula isingxobo esinepentanyl patch ecaleni komgca wamachaphaza, ukuqala kwislit. Susa isiziba engxoweni uze ucofe kuzo zombini iinxalenye zesikhuseli esikhusela umva kwesiqwengana. Zama ukungachukumisi icala lokuncamathela kwesiqwengana.
3. Ngokukhawuleza cinezela icala lokuncamathela kwesiqwengana kwindawo ekhethiweyo yesikhumba ngentende yesandla sakho.
4. Cinezela iqhosha ngokuqinileyo kangangemizuzwana engama-30. Qiniseka ukuba isiziba sinamathele kakuhle kulusu lwakho, ngakumbi kwimiphetho.
5. Ukuba isiziba asinamatheli kakuhle okanye siphuma emva kokuba sisetyenzisiwe, thepha imiphetho kulusu lwakho ngetape yoncedo lokuqala. Ukuba isiziba asinamatheli kakuhle, ungasigubungela nge-Bioclusive okanye ngeTegaderm uphawu lokubona. Musa ukuyigubungela isiziba ngalo naluphi na uhlobo lwebhandeji okanye iteyiphu.
6. Ukuba isiziba siyawa phambi kokuba lisuswe ixesha, yilahle ngokufanelekileyo kwaye usebenzise isichibi esitsha. Shiya ipatch entsha endaweni yeeyure ezingama-72.
7. Xa ugqibile ukufaka isichibi, hlamba izandla zakho ngamanzi ngoko nangoko.
8. Xa ilixesha lokutshintsha isiziba sakho, cima isiziba esidala kwaye ufake isichibi esitsha kwindawo eyahlukileyo yolusu.
9. Emva kokuba ususile isiziba sakho, sisonge phakathi kunye namacala ancangathi kunye kwaye usiphose kwindlu yangasese.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa ii-fentanyl patches,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-fentanyl, okanye nawaphi na amanye amayeza, okanye naziphi na izithako kwiifentanyl patches. Buza ugqirha wakho okanye usokhemesti okanye ujonge isiKhokelo seMithi ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ngokukhankanya amayeza adweliswe KWISILUMKISO ESIBALULEKILEYO kunye nawaphi na amayeza alandelayo: i-antihistamines (efumaneka ngokukhohlela, ukubanda, kunye namayeza e-aleji); ibuprenorphine (iBuprenex, iSubutex, kwiSuboxone); ifomoranol; i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); lithium (Lithobid); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, eTreximet), kunye zolmitriptan (Zomig); i-mirtazapine (iRemeron); nalbuphine; ipentazocine (Talwin); ukuthomalalisa; 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 enje nge-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), kunye ne-venlafaxine (Effexor); trazodone (Oleptro); okanye i-tricyclic antidepressants (’mood elevators’) ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), kunye neTrimipramine. Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana amayeza alandelayo okanye uyekile ukuwathatha kwiiveki ezi-2 ezidlulileyo: i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate). Uninzi lwamanye amayeza anokusebenzisana ne-fentanyl, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. 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 wakha waba neileus engafezekanga (imeko apho ukutya okwetyisiweyo akuhambi emathunjini). Ugqirha wakho unokukuxelela ukuba ungasebenzisi ii-fentanyl patches.
• xelela ugqirha wakho ukuba ukhe waxhuzula okanye wakha waxhuzula; ukubetha kwentliziyo; ubunzima bokuchama; uxinzelelo lwegazi oluphantsi; okanye i-thyroid, intliziyo, isibindi, i-pancreas, i-gallbladder, okanye isifo sezintso.
• xelela ugqirha wakho ukuba uncelisa.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-fentanyl transdermal patch.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa iifentanyl patches.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Sukuqhuba imoto, sebenzisa oomatshini, okanye wenze ezinye izinto ezinobungozi de ube uyazi indlela ekuchaphazela ngayo la mayeza.
• Kuya kufuneka uyazi ukuba ii-patent ze-fentanyl zinokubangela ukuba ube nesiyezi, ukuba krwada, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo oxokileyo kuyo. Oku kuqheleke ngakumbi xa uqala ukusebenzisa ii-fentanyl patches. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
• Kuya kufuneka uyazi ukuba ii-patent ze-fentanyl zinokubangela ukuqhina. Thetha nogqirha wakho malunga nokutshintsha indlela otya ngayo okanye ukusebenzisa amanye amayeza ukuthintela okanye ukunyanga ukuqhina ngelixa usebenzisa iifentanyl patches.

Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yegrapefruit ngelixa usebenzisa eli yeza.

Ukuba ulibale ukufaka okanye ukutshintsha i-fentanyl patch, yisebenzise ngokukhawuleza xa uyikhumbula. Qiniseka ukuba ususa ipatch yakho esetyenzisiweyo ngaphambi kokufaka isicatshulwa esitsha. Nxiba isiziba esitsha sexesha elimiselweyo ngugqirha wakho (ngesiqhelo kwiintsuku ezi-3) emva koko ubeke endaweni yalo. Musa ukunxiba iipeshi ezimbini ngaxeshanye ngaphandle kokuba ugqirha ukuxelele ukuba kufanele.

Iimpawu zeFentanyl zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• utshintsho lweemvakalelo
• ndiziva ndibanda
• ukozela
• ukudakumba
• ubunzima bokulala okanye ukulala
• ukushukuma okungalawulekiyo kwilungu lomzimba
• iintlungu, ukutshisa, ukubetha, okanye ukuba ndindisholo ezandleni okanye ezinyaweni
• umlomo owomileyo
• isisu esibuhlungu
• ukuqunjelwa
• umqolo obuhlungu
• ubunzima bokuchama
• ukurhawuzelela
• ukucaphuka kolusu, ukuba bomvu, ukurhawuzelela, okanye ukudumba kwindawo onxibe kuyo isiziba

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:

• utshintsho kwintliziyo
• 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
• ukuya exesheni ngokungaqhelekanga
• ukunciphisa umnqweno wesondo
• iintlungu zesifuba
• ukuxhuzula
• irhashalala
• urhwebo
• ukudumba kwamehlo, ubuso, umlomo, ulwimi, umqala, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ubunzima bokuphefumla okanye ukugwinya

Iimpawu zeFentanyl zinokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa ii-fentanyl patches.

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).

Gcina iipatent ze-fentanyl kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kuya kufuneka ulahle kwangoko naziphi na iipatches ezisetyenzisiweyo okanye ezingasetyenziswanga eziphelelwe lixesha okanye ezingasafunekiyo ngenkqubo yokubuyisa amayeza. Ukuba awunayo inkqubo yokubuyisela kufutshane okanye enye onokufikelela kuyo ngokukhawuleza, uze ulahle nayiphi na iipatches ngokususa ngononophelo ukuxhasa inkxaso, usonge amacala ancamathelayo kwisiqwengana ngasinye ukuze uzinamathele, emva koko ugungxule iziqwengana ezisongiweyo ezantsi yangasese. Lahla iipakethi kunye neelay ekhuselayo enkunkumeni. Hlamba izandla zakho kakuhle ngamanzi emva kokulahla amabala e-fentanyl. Musa ukubeka ii-fentanyl ezingafunekiyo okanye ezingasetyenziswanga kwindawo enenkunkuma.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, susa i-fentanyl patch kulusu lwexhoba kwaye ubize iinkonzo zongxamiseko zengingqi kwi911.

Ngelixa usebenzisa i-fentanyl patches, 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.

Iimpawu libanda kungaquka oku kulandelayo:

• ubunzima bokuphefumla
• ukuphefumla kancinci okanye kancinci
• ukulala kakhulu okanye ukudinwa
• kunzima ukucinga, ukuthetha, okanye ukuhamba ngesiqhelo
• encinci, khomba abafundi (izangqa ezimnyama embindini wamehlo)
• ukudinwa
• isiyezi
• ukudideka
• andikwazi kuphendula okanye ukuvuka

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-fentanyl.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa i-fentanyl.

Lo myalelo awugcwaliseki. Qiniseka ukuba ucwangcisa ixesha lokuqeshwa nogqirha wakho rhoqo ukuze ungaphelelwa ngamayeza ukuba ugqirha wakho ufuna ukuba uqhubeke nokusebenzisa ii-fentanyl patches.

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.

• Ukuhlala ixesha elide^®