Fentanyl

Umxholo

• Sebenzisa i-fentanyl lozenges (Actiq), landela la manyathelo:
• Sebenzisa iipilisi ze-fentanyl buccal (Fentora), landela la manyathelo:
• Sebenzisa iitafile zangaphantsi ze-fentanyl (Abstral), landela la manyathelo:
• Sebenzisa iifilimu ze-fentanyl (Onsolis), landela la manyathelo:
• Ngaphambi kokusebenzisa ifentanyl,
• I-Fentanyl 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:
• Ukuba ufumana nayiphi na le mpawu, yeka ukusebenzisa i-fentanyl kwaye ubize ugqirha wakho ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

IFentanyl inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa i-fentanyl ngokuchanekileyo njengoko kuyalelwe. Sukusebenzisa idosi enkulu ye-fentanyl, sebenzisa amayeza rhoqo, okanye uwasebenzise ixesha elide kunokuba umiselwe ngugqirha. Ngelixa usebenzisa i-fentanyl, xoxa kunye 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 uza kuyisebenzisa gwenxa i-fentanyl ukuba unayo okanye wakhe wanayo na le miqathango. 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.

I-Fentanyl kufuneka imiselwe kuphela ngoogqirha abanamava ekunyangeni iintlungu kwizigulana ezinomhlaza. Kufuneka isetyenziselwe kuphela ukunyanga iintlungu zomhlaza (iziqendu zequbuliso zentlungu ezenzeka ngaphandle kwonyango lwexesha kunye nonyango lwentlungu) kwizigulana ezinomhlaza ubuneminyaka eli-18 ubudala (okanye ubuncinci ubuneminyaka eli-16 ubudala ukuba usebenzisa i-Actiq brand lozenges ) abathatha iidosi ezicwangcisiweyo rhoqo zelinye i-narcotic (opiate) yeyeza leentlungu, kwaye ngubani onyamezelayo (osetyenziselwa iziphumo zonyango) kwiyeza zentlungu. Eli yeza akufuneki lisetyenziselwe ukunyanga iintlungu ngaphandle kweentlungu ezingapheliyo zomhlaza, ngakumbi iintlungu zexeshana ezinje ngemigraines okanye ezinye iintloko, iintlungu zomonzakalo, okanye iintlungu emva kwenkqubo yonyango okanye yamazinyo. I-Fentanyl inokubangela iingxaki zokuphefumla okanye ukufa ukuba isetyenziswa ngabantu abanganyangwa ngamanye amayeza e-narcotic okanye abanganyamezelaniyo namayeza e-narcotic.

I-Fentanyl inokubangela ingozi enkulu okanye ukufa ukuba isetyenziswe ngengozi ngumntwana okanye ngumntu omdala ongamiselwanga iyeza. Nokuba i-fentanyl esetyenzisiweyo inezinto ezaneleyo ezinokubangela ingozi enkulu okanye ukufa kubantwana okanye kwabanye abantu abadala. Gcina i-fentanyl kude nabantwana, kwaye ukuba usebenzisa i-lozenges, buza ugqirha wakho ukuba ungayifumana njani ikiti evela kumenzi wayo enezitshixo zokhuselo lwabantwana kunye nezinye izinto zokuthintela abantwana ekufumaneni amayeza. Lahla ii-lozenges ezisetyenzisiweyo ngokwendlela yomvelisi kwangoko emva kokuba uzisusile emlonyeni wakho. Ukuba i-fentanyl isetyenziswa ngumntwana okanye umntu omdala ongamiselwanga iyeza, zama ukususa amayeza emlonyeni womntu kwaye ufumane uncedo lonyango olungxamisekileyo.

I-Fentanyl kufuneka isetyenziswe kunye namanye amayeza eentlungu. Sukuyeka ukuthatha amanye amayeza eentlungu xa uqala unyango lwakho ngefentanyl. Ukuba uyeka ukuthatha amanye amayeza eentlungu kuya kufuneka uyeke ukusebenzisa i-fentanyl.

Ukuba usenentlungu emva kokusebenzisa i-lozenge okanye ithebhulethi, ugqirha wakho unokukuxelela ukuba usebenzise i-lozenge yesibini okanye ithebhulethi. Unokusebenzisa ilosenge yesibini (Actiq) imizuzu eli-15 emva kokuba ugqibile ukwenza lozenge wokuqala, okanye usebenzise icwecwe lesibini (Abstral, Fentora) kwimizuzu engama-30 emva kokuba uqale ukusebenzisa icwecwe lokuqala. Ungayisebenzisi i-lozenge yesibini okanye ithebhulethi ukunyanga imeko efanayo yentlungu ngaphandle kokuba ugqirha wakho ukuxelele ukuba kufanele. Ukuba usebenzisa ifentanyl ifilimu (Onsolis), akufuneki usebenzise idosi yesibini ukunyanga isiqendu esifanayo sentlungu. Emva kokunyanga isiqendu seentlungu usebenzisa i-1 okanye i-2 doses ye-fentanyl njengoko kuyalelwe, kufuneka ulinde ubuncinci iiyure ezi-2 emva kokusebenzisa i-fentanyl (Abstral okanye i-Onsolis) okanye iiyure ezi-4 emva kokusebenzisa i-fentanyl (i-Actiq okanye i-Fentora) ngaphambi kokunyanga esinye isiqendu somhlaza intlungu.

Ukuthatha amayeza athile nge-fentanyl kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla ezinobuzaza okanye ezisongela ubomi, i-sedation, okanye ikhoma. Tshela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: amiodarone (Nexterone, Pacerone); ii-antibiotics ezithile ezifana ne-clarithromycin (i-Biaxin, kwi-PrevPac), i-erythromycin (i-Erythocin), i-telithromycin (Ketek), kunye ne-troleandomycin (TAO) (ayifumaneki e-US); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox), kunye ne ketoconazole (Nizoral); Aprepitant (Hlomela); benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye ne triaz cimetidine (iTagamet); diltiazem (Cardizem, Taztia, Tiazac, nabanye); amayeza athile kwintsholongwane (HIV) efana ne-amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, e Kaletra), kunye ne-saquinavir (Invirase); amayeza okugula ngengqondo kunye nesicaphucaphu; izihlunu ezonwabisayo; nefazodone; ukuthomalalisa; iipilisi zokulala; izinto zokuthomalalisa; okanye i-verapamil (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 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.

IFentanyl iza njengeemveliso ezine ezahlukeneyo zokuhambisa kunye nezinye iintlobo zeemveliso. Iyeza kwimveliso nganye lifunxwa ngokwahlukileyo ngumzimba, ke enye imveliso ayinakubekwa endaweni yayo nayiphi na enye imveliso ye-fentanyl. Ukuba utshintshela kwenye imveliso uye kwenye, ugqirha wakho uya kukuyalela idosi ekulungeleyo.

Inkqubo imiselwe imveliso nganye ye-fentanyl ukunciphisa umngcipheko wokusebenzisa amayeza. Ugqirha wakho kuya kufuneka abhalise kule nkqubo ukuze anike i-fentanyl kwaye kuya kufuneka ukuba ugcwalise amayeza akho kwikhemesti ebhaliswe kule nkqubo. Njengengxenye yenkqubo, ugqirha wakho uya kuthetha nawe malunga neengozi kunye neenzuzo zokusebenzisa i-fentanyl kunye nendlela yokusebenzisa ngokukhuselekileyo, ukugcina nokulahla iyeza. Emva kokuba uthethe nogqirha wakho, uya kutyikitya ifom evuma ukuba uyayiqonda ingozi yokusebenzisa i-fentanyl kwaye uyakulandela imiyalelo kagqirha wakho yokusebenzisa amayeza ngokukhuselekileyo. Ugqirha wakho uya kukunika ulwazi oluthe kratya malunga nenkqubo kunye nendlela yokufumana amayeza akho kwaye uya kuphendula nayiphi na imibuzo onayo malunga nenkqubo kunye nonyango lwakho ngefentanyl.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango ngefentanyl kwaye ngalo lonke ixesha ufumana amayeza amaninzi. 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.

I-Fentanyl isetyenziselwa ukunyanga ukuqaqanjelwa yintlungu (iziqendu zequbuliso zentlungu ezenzeka ngaphandle kokujikeleza unyango lwewotshi ngamayeza entlungu) kwizigulana ezinomhlaza ubuncinci ubuneminyaka eyi-18 (okanye ubuncinci beneminyaka eli-16 ubudala ukuba usebenzisa i-Actiq brand lozenges) abathatha rhoqo Amayeza acwangcisiweyo elinye iyeza leentlungu (kunye ne-opiate), kwaye ngubani onyamezelayo (osetyenziselwa iziphumo zonyango) kwiyeza zentlungu. UFentanyl ukwiklasi yamayeza abizwa ngokuba yi-narcotic (opiate) analgesics. Isebenza ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu.

I-Fentanyl iza njenge-lozenge kwisiphatho (i-Actiq), ulwimi oluncinci (phantsi kolwimi) ithebhulethi (Abstral), ifilimu (i-Onsolis), kunye ne-buccal (phakathi kwentsini nesidlele) ithebhulethi (i-Fentora) yokunyibilika emlonyeni. I-Fentanyl isetyenziswa njengoko kufuneka ukunyanga ukuqaqamba kwentlungu kodwa hayi rhoqo amaxesha amane ngosuku. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-fentanyl kwaye ngokuthe ngcembe wandise idosi yakho de ufumane idosi eya kuthi ikuncede. Ukuba usenentlungu 30 imizuzu emva kokusebenzisa iifilimu ze-fentanyl (i-Onsolis), ugqirha wakho angakuxelela ukuba usebenzise elinye iyeza leentlungu ukukhupha ezo ntlungu, kwaye unokunyusa umthamo wakho weefilimu ze-fentanyl (i-Onsolis) ukunyanga isiqendu sakho sentlungu. Thetha nogqirha wakho malunga nokuba lisebenza kakuhle kangakanani iyeza kwaye nokuba ufumana naziphi na iziphumo ebezingalindelekanga ukuze ugqirha wakho athathe isigqibo sokuba ngaba idosi yakho kufuneka ilungisiwe na.

Sukusebenzisa i-fentanyl ngaphezulu kwamaxesha amane ngemini. Fowunela ugqirha wakho ukuba unamava angaphezulu kwesine seziqhekeza zentlungu ngosuku. Ugqirha wakho unokufuna ukuba uhlengahlengise idosi yamanye amayeza eentlungu ukulawula iintlungu zakho.

Gwinya ipilisi ye-buccal epheleleyo; ungahlukanisi, ungahlahli, okanye utyumze. Kwakhona musa ukuhlafuna okanye ukuluma i-lozenge kwisibambo; munca kuphela kula mayeza njengoko kuyalelwe.

Sukuyeka ukusebenzisa i-fentanyl ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho unokunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukusebenzisa i-fentanyl, unokufumana iimpawu ezingathandekiyo zokurhoxa.

Sebenzisa i-fentanyl lozenges (Actiq), landela la manyathelo:

1. Jonga iphakheji yeblister kunye nomqheba welozenji ukuze uqiniseke ukuba i-lozenge iqulethe idosi yamayeza omiselweyo.
2. Sebenzisa isikere ukusika uvule iphakheji ye-blister kwaye ususe i-lozenge. Sukuyivula i-blister package de ube ukulungele ukusebenzisa iyeza.
3. Beka lozenge emlonyeni wakho, phakathi kwesidlele sakho nentshungama. Ngenisa ngokufanelekileyo i-lozenge, kodwa ungayihlafunanga, uyityumze, okanye uyilume. Hambisa i-lozenge emlonyeni wakho, ukusuka kwelinye icala ukuya kwelinye, usebenzisa isibambo. Jikelezisa isibambo rhoqo.
4. Musa ukutya okanye usele nantoni na ngeli xesha usele usemlonyeni wakho.
5. Ukugqiba i-lozenge malunga nemizuzu engama-15.
6. Ukuba uqala ukuziva unesiyezi, ulele kakhulu, okanye ukhathazwa ngaphambi kokuba ugqibezele i-lozenge, yisuse emlonyeni wakho. Yilahle kwangoko njengoko kuchaziwe ngezantsi okanye uyibeke kwibhotile yokugcina yethutyana ukuze ilahlwe kamva.
7. Ukuba ugqibezela yonke lozenji, lahla isiphatho kude kumgqomo wenkunkuma ongenakufikelelwa ngabantwana. Ukuba awuyigqibanga yonke i-lozenge, bamba isiphatho phantsi kwamanzi ashushu ukuba unyibilikise onke amayeza, emva koko ulahle isiphatho emgqomeni wenkunkuma ongenakufikelelwa ngabantwana nakwizilwanyana zasekhaya.

Sebenzisa iipilisi ze-fentanyl buccal (Fentora), landela la manyathelo:

1. Yahlula iyunithi enye yeblister kwikhadi le-blister ngokukrazula ecaleni kwemingxunya. Cima umngxunya wefoyile ukuvula i-blister. Ungazami ukutyhala ithebhulethi ngefoyile. Sukuyivula i-blister unit de ube ukulungele ukusebenzisa icwecwe.
2. Beka ithebhulethi emlonyeni wakho ngaphezu kwelinye lamazinyo akho angasemva phakathi kwesidlele sakho nentsini yakho.
3. Shiya ithebhulethi endaweni yayo de ichithe ngokupheleleyo. Unokwazi ukubona imvakalelo ethambileyo phakathi kwesidlele sakho kunye nentsini njengoko ithebhulethi inyibilika. Ingathatha imizuzu eli-14 ukuya kwengama-25 kwithebhulethi ukuba inyibilike. Musa ukwahlula, ukuhlafuna, ukuluma, okanye ukufunxa ithebhulethi.
4. Ukuba nayiphi na ithebhulethi isele emlonyeni wakho emva kwemizuzu engama-30, yiginye ngamanzi okusela.
5. Ukuba uqala ukuziva unesiyezi, ulele kakhulu, okanye ucaphukisiwe ngaphambi kokuba ithebhulethi inyibilike, hlamba umlomo ngamanzi uze uchithe iziqwenga zethebhulethi kwisinki okanye kwindlu yangasese. Gungxula indlu yangasese okanye uhlambe isinki ukuze uhlambe iziqwenga zethebhulethi.

Sebenzisa iitafile zangaphantsi ze-fentanyl (Abstral), landela la manyathelo:

1. Thatha ithamo lamanzi ukuthambisa umlomo wakho ukuba womile. Khafula okanye uginye amanzi. Qinisekisa ukuba izandla zakho zomile ngaphambi kokuphatha ithebhulethi.
2. Yahlula iyunithi enye yeblister kwikhadi le-blister ngokukrazula ecaleni kwemingxunya. Cima i-foil ukuvula i-blister unit.Ungazami ukutyhala ithebhulethi ngefoyile. Sukuyivula i-blister unit de ube ukulungele ukusebenzisa icwecwe.
3. Beka ithebhulethi phantsi kolwimi lwakho kude kangangoko unako. Ukuba kufuneka ngaphezulu kwe-1 ithebhulethi yedosi yakho, zisasaze kumgangatho womlomo wakho phantsi kolwimi lwakho.
4. Shiya ithebhulethi endaweni yayo de ichithe ngokupheleleyo. Musa ukufunxa, ukuhlafuna, okanye ukuginya ipilisi.
5. Musa ukutya okanye usele nantoni na de ipilisi inyibilike kwaye awusayiva emlonyeni.

Sebenzisa iifilimu ze-fentanyl (Onsolis), landela la manyathelo:

1. Sebenzisa isikere ukusika ecaleni kweentolo zephepha le-foil ukuyivula. Yahlulahlula umaleko wephepha lefoyile kwaye ususe ifilimu. Sukuyivula ipakethe ye-foil de ube ukulungele ukusebenzisa iyeza. Musa ukusika okanye ukukrazula ifilimu.
2. Sebenzisa ulwimi lwakho ukumanzisa ngaphakathi esidleleni sakho, okanye ukuba kukho imfuneko, hlamba umlomo wakho ngamanzi ukumanzisa indawo oza kuyibeka kuyo le filimu.
3. Bamba ifilimu kumnwe ococekileyo owomileyo, icala elibomvana lijonge phezulu. Beka ifilimu emlonyeni wakho, kunye necala elipinki ngokubhekiselele ngaphakathi kwidama lakho elimanzi. Ngomnwe wakho, cinezela ifilimu ngokuchasene nesidlele sakho imizuzwana emi-5. Emva koko susa umnwe wakho kwaye ifilimu iya kunamathela ngaphakathi esidleleni sakho. Ukuba ngaphezulu kwefilimu enye iyafuneka kwidosi yakho, musa ukubeka iifilimu ngaphezulu komnye nomnye. Unokubeka iifilimu ngapha nangapha komlomo wakho.
4. Shiya ifilimu endaweni ide inyibilike ngokupheleleyo. Ifilimu iya kukhupha incasa emnandi njengoko inyibilika. Kungathabatha imizuzu eli-15 ukuya kwengama-30 ukuze ifilimu inyibilike. Musa ukuhlafuna okanye uginye ifilimu. Ungayichukumisi okanye uyihambise ifilimu ngelixa inyibilika.
5. Ungasela ulwelo emva kwemizuzu emi-5, kodwa ungatyi nantoni na de ibe inyibilike ngokupheleleyo.

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

Ngaphambi kokusebenzisa ifentanyl,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-fentanyl patches, inaliti, ukutshiza ngeempumlo, iipilisi, i-lozenges, okanye iifilimu; nawaphi na amanye amayeza; okanye nasiphi na isithako esenziwe kwiipilisi zefentanyl, i-lozenges, okanye iifilimu. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza 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 kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nawaphi na amayeza alandelayo: antihistamines; i-barbiturates efana ne-phenobarbital; ibuprenorphine (iBuprenex, iSubutex, kwiSuboxone); ifomorphanol (iStadol); carbamazepine (Carbatrol, Epitol, Tegretol); efavirenz (Sustiva, eAtripla); imodafinil (Provigil); nalbuphine (Nubain); naloxone (Evzio, Narcan); nevirapine (Viramune); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); oxcarbazepine (iTrileptal); ipentazocine (Talwin); phenytoin (iDilantin, iPhenytek); ipioglitazone (Actos, kwiActoplus Met, kwiDuetact); irifabutin (Mycobutin); kunye nerifampin (Rifadin, Rimactane, eRifamate, eRifater). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha nawaphi na amayeza alandelayo okanye uyekile ukuwathatha kwezi veki zimbini zidlulileyo: i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam , IZelapar), kunye ne-tranylcypromine (iParnate). 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.
• xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho uyasela okanye wakha wasela izixa ezikhulu zotywala okanye wasebenzisa okanye wakha wasebenzisa iziyobisi zasesitalatweni okanye izixa ezigqithileyo zamayeza amiselweyo. Xelela ugqirha wakho ukuba ukhe wanokwenzakala entloko, ithumba ebuchotsheni, ukubetha, okanye nayiphi na imeko ebangele uxinzelelo oluphezulu ngaphakathi kokakayi lwakho; ukuxhuzula; ukubetha kwentliziyo okanye ezinye iingxaki zentliziyo; uxinzelelo lwegazi oluphantsi; iingxaki zengqondo ezinje ngoxinzelelo, ischizophrenia (isifo sengqondo esibangela ukuphazamiseka okanye ukucinga okungaqhelekanga, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingalunganga), okanye ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angekhoyo); iingxaki zokuphefumla ezifana nesifuba kunye nesifo esingapheliyo sesifo se-pulmonary (COPD; iqela lezifo zemiphunga ezibandakanya i-bronchitis engapheliyo kunye ne-emphysema); okanye isifo sezintso okanye sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-fentanyl, biza ugqirha wakho.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga neengozi zokusebenzisa i-fentanyl.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-fentanyl.
• Kuya kufuneka uyazi ukuba i-fentanyl inokukwenza wozele okanye ube nesiyezi. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-fentanyl inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukusebenzisa i-fentanyl. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
• ukuba unesifo seswekile, kuya kufuneka wazi ukuba i-fentanyl lozenge (Actiq) nganye iqulethe malunga ne-2 gram yeswekile.
• ukuba uza kusebenzisa i-lozenges (Actiq), thetha nogqirha wakho wamazinyo ngeyona ndlela yokunyamekela amazinyo ngexesha lonyango lwakho. Iilozenji ziqulathe iswekile kwaye zinokubangela ukubola kwamazinyo kunye nezinye iingxaki zamazinyo.
• Kuya kufuneka uyazi ukuba i-fentanyl inokubangela ukuqhina. Thetha nogqirha wakho malunga nokutshintsha indlela otya ngayo kunye nokusebenzisa amanye amayeza ukunyanga okanye ukuthintela ukuqhina.

Sukutya igrapefruit okanye usele ijusi yeziqhamo xa usebenzisa eli yeza.

Eli yeza lihlala lisetyenziswa njengoko kufuneka ngokwemiyalelo.

I-Fentanyl inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukozela
• isisu esibuhlungu
• irhasi
• isilungulela
• ukuhla ukusinda
• ubunzima bokuchama
• utshintsho kumbono
• ixhala
• ukudakumba
• ukucinga okungaqhelekanga
• amaphupha angaqhelekanga
• ubunzima bokulala okanye ukulala
• umlomo owomileyo
• ukubomvu ngokukhawuleza ngequbuliso kobuso, intamo, okanye isifuba esingaphezulu
• ukushukuma okungalawulekiyo kwilungu lomzimba
• umqolo obuhlungu
• iintlungu zesifuba
• iintlungu, izilonda, okanye ukucaphuka emlonyeni kwindawo obeke kuyo amayeza
• ukudumba kwezandla, iingalo, iinyawo, amaqatha okanye imilenze esezantsi

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

• 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
• ukuxhuzula
• urhwebo
• irhashalala
• ukurhawuzelela

Ukuba ufumana nayiphi na le mpawu, yeka ukusebenzisa i-fentanyl kwaye ubize ugqirha wakho ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• ucothayo, uphefumla nzulu
• kunciphise umnqweno wokuphefumla
• ubunzima bokuphefumla okanye ukugwinya
• Ukozela kakhulu
• isiyezi
• ukudideka
• isiqaqa

I-Fentanyl 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).

Gcina eli yeza ekupakisheni kungene, livalwe ngokuqinileyo, kwaye lingenakufikelela ebantwaneni. Gcina i-fentanyl kwindawo ekhuselekileyo ukuze kungabikho namnye umntu onokuyisebenzisa ngengozi okanye ngenjongo. Sebenzisa izitshixo ezinganyangekiyo zabantwana kunye nezinye izinto ezibonelelwa ngumenzi ukugcina abantwana kude neelenji. Gcina umkhondo wokuba ishiyeke kangakanani i-fentanyl ukuze wazi ukuba akukho nto ilahlekileyo. Gcina i-fentanyl kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Sukuyifaka ngumkhenkce kwifentanyl.

Kufuneka ulahle ngoko nangoko nawaphi na amayeza aphelelwe lixesha okanye angasafunekiyo ngenkqubo yokubuyisa amayeza .. Ukuba awunayo inkqubo yokubuyisela umva kufutshane okanye enye onokufikelela kuyo kwangoko, ke gxotha i-fentanyl ezantsi kwindlu yangasese abanye abayi kuyithatha. Lahla ii-lozenji ezingafunekiyo ngokususa i-lozenge nganye kwi-blister package, ubambe i-lozenge ngaphezulu kwendlu yangasese, kwaye unqumle ukuphela kweyeza ngabasiki beengcingo ukuze iwele kwindlu yangasese. Lahla izibambo ezishiyekileyo kwindawo engafikelelekiyo ebantwaneni nakwizilwanyana ezifuywayo, kwaye ugungxule indlu yangasese kabini xa inezilo ezinhlanu. Lahla iitafile okanye iifilimu ezingafunekiyo ngokuzisusa ezingxoweni uze uziphose kwindlu yangasese. Phosa ukupakisha okuseleyo kwe-fentanyl okanye iibhokisi kwisitya senkunkuma; sukuzihlamba ezi zinto kwindlu yangasese. Tsalela ikhemesti yakho okanye umenzi wayo ukuba unemibuzo okanye ufuna uncedo ekulahlekiseni amayeza angafunekiyo.

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 emlonyeni wexhoba kwaye ubize iinkonzo zongxamiseko zengingqi kwi911.

Ngelixa usebenzisa i-fentanyl, 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 yokuxela ukuba babone ukugqithisa, indlela yokusebenzisa i-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:

• Ukozela okanye ukozela
• isiyezi
• ukudideka
• ucothayo, uphefumla nzulu okanye uyeke ukuphefumla
• ubunzima bokuphefumla
• abafundi abancinci (izangqa ezimnyama phakathi kwamehlo)
• andikwazi kuphendula okanye ukuvuka

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela omnye umntu asebenzise amayeza akho, nokuba unempawu ezifanayo nezakho. Ukuthengisa okanye ukunika la mayeza kunokubangela ukwenzakala okanye ukufa kwabanye kwaye kuchasene nomthetho.

Lo myalelo awugcwaliseki. Qiniseka ukuba ucwangcisa ixesha lokuqeshwa nogqirha wakho rhoqo ukuze ungaphelelwa ngamayeza.

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.

• Ukuthintela^®
• Umthetho^®
• Fentora^®
• Onsolis^®¶

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.