Ukutshiza kweFentanyl ngeempumlo

Umxholo

• Sebenzisa fentanyl ukutshiza ngeempumlo, landela la manyathelo:
• Phambi kokusebenzisa ukutshiza ngeempumlo ze-fentanyl,
• Isitshizi sempumlo seFentanyl sinokubangela iziphumo ebezingalindelekanga.Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana olu phawu, tsalela umnxeba kwangoko:
• Ukuba unazo naziphi na kwezi mpawu, yeka ukusebenzisa i-fentanyl nasal spray uphinde ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Isitshizi sempumlo seFentanyl sinokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa fentanyl ngeempumlo zokutshiza ngqo njengoko kuyalelwe. Sukusebenzisa idosi enkulu yokutshiza ngeempumlo ze-fentanyl, sebenzisa amayeza rhoqo, okanye uwasebenzise ixesha elide kunokuba umiselwe ngugqirha. Ngelixa usebenzisa i-fentanyl nasal spray, xoxa nomboneleli wakho wezempilo ngeenjongo 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 kakhulu i-fentanyl nasal spray spray ukuba unayo okanye wakha wanayo nayiphi na kwezi meko. Thetha nomboneleli wakho wezempilo kwangoko kwaye ucele isikhokelo ukuba ucinga ukuba une-opioid okanye ungatsalela umnxeba i-US Substance Abuse and Mental Health Services Administration (SAMHSA) kwiNombolo yoNcedo yeSizwe e-1-800-662-HELP.

Ukutshiza ngeempumlo i-Fentanyl kunokubangela iingxaki zokuphefumla okanye ukufa, ngakumbi ukuba isetyenziswa ngabantu abangakhange banyangwe ngamanye amayeza e-narcotic okanye abanganyamezelaniyo (asetyenziswa kwiziphumo zonyango) kumayeza e-narcotic. Isitshizi sempumlo seFentanyl kufuneka simiselwe kuphela ngoogqirha abanamava ekunyangeni iintlungu kwizigulana ezinomhlaza. Kufuneka isetyenziselwe kuphela ukunyanga iintlungu zomhlaza (iziqendu zequbuliso zentlungu ezenzeka ngaphandle kwewotshi ngonyango lwentlungu) kwizigulana ezinomhlaza ubuncinci ubuneminyaka eli-18 ubudala ezithatha iidosi ezicwangcisiweyo rhoqo zenye iintlungu (i-opiate) amayeza, kwaye ngubani onokunyamezelana (asetyenziswa kwimiphumo yonyango) kwiintlungu 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.

Isitshizi sempumlo seFentanyl sinokubangela ingozi enkulu okanye ukufa ukuba sisetyenziswe ngengozi ngumntwana okanye ngumntu omdala ongamiselwanga iyeza. Iibhotile zokutshiza zeempumlo ze-fentanyl ezisetyenzisiweyo zineziyobisi ezoneleyo zokwenza ingozi embi okanye ukufa kubantwana okanye kwabanye abantu abadala. Ngalo lonke ixesha gcina i-fentanyl nasal spray spray kwisitya sayo esinganyangekiyo ebantwaneni naphandle kwabantwana. Ukuba i-fentanyl nasal spray isetyenziswa ngumntwana okanye umntu omdala ongakhange amiselwe amayeza, fumana uncedo lonyango olungxamisekileyo.

Isitshizi sempumlo seFentanyl kufuneka sisetyenziswe kunye namanye amayeza eentlungu. Ukuba uyeka ukuthatha amanye amayeza eentlungu kuya kufuneka uyeke ukusebenzisa i-fentanyl nasal spray spray.

Kuya kufuneka ulinde ubuncinci iiyure ezi-2 emva kokusebenzisa ukutshiza kwe-fentanyl ngeempumlo ngaphambi kokusebenzisa enye idosi, nokuba useneentlungu. Xelela ugqirha wakho ukuba useneentlungu kwimizuzu engama-30 emva kokusebenzisa isitshizi sempumlo se-fentanyl.

Ukuthatha amayeza athile ngexesha lonyango ngefentanyl impumlo yempumlo kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla ezinobuzaza okanye ezisongela ubomi, ulalaliso, okanye isiqaqa. Tshela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: amiodarone (Nexterone, Pacerone); ezinye i-antibiotics ezifana ne-clarithromycin (i-Biaxin, kwi-PrevPac), i-benzodiazepines ezifana ne-alprazolam (i-Xanax), i-chlordiazepoxide (i-Librium), i-clonazepam (i-Klonopin), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan) Restoril), kunye netriazolam (Halcion); erythromycin (Erythocin, Eryc, Erythrocin, abanye), kunye ne-telithromycin (Ketek); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox), kunye ne ketoconazole (Nizoral); Aprepitant (Hlomela); cimetidine (iTagamet); diltiazem (Cardizem, Taztia, Tiazac, nabanye); amayeza athile kwintsholongwane (HIV) enjenge-amprenavir (engasafumaneki e-US; 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, eTarka). 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.

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.

IFentanyl iza neemveliso ezahlukeneyo. 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 ibekiwe ukunciphisa umngcipheko wokusebenzisa ukutshiza kwe-fentanyl ngeempumlo. Ugqirha wakho kuya kufuneka abhalise kwinkqubo ukuze amisele i-fentanyl nasal spray spray kwaye kuya kufuneka ukuba ugcwalise amayeza akho kwikhemesti ebhaliswe kule nkqubo. Njengenxalenye yenkqubo, ugqirha wakho uza kuthetha nawe malunga nemingcipheko kunye nezibonelelo zokusebenzisa isifutho sempumlo se-fentanyl kunye nendlela yokusebenzisa ngokukhuselekileyo, ukugcina nokulahla amayeza. Emva kokuba uthethe nogqirha wakho, uya kutyikitya ifom evuma ukuba uyayiqonda ingozi yokusebenzisa i-fentanyl nasal spray spray 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 nasal spray.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-fentanyl nasal spray spray 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 nasal spray isetyenziselwa ukunyanga iintlungu (iintlungu ezenzeka ngesiquphe ezenzeka ngaphandle kokujikeleza ixesha lonyango ngamayeza entlungu) kwizigulana ezinomhlaza ezineminyaka eli-18 ubudala okanye ngaphezulu ezithatha idosi ehleliweyo yelinye iyeza le-narcotic (opiate), kunye Ngubani onokunyamezelana (asetyenziswa kwiziphumo zonyango) kwiyeza zentlungu. UFentanyl ukwiklasi yamayeza abizwa ngokuba yi-narcotic (opiate) analgesics. Isebenza ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu.

Isitshizi sempumlo seFentanyl siza njengesisombululo (ulwelo) sokutshiza empumlweni. Isetyenziswa xa kufuneka ukunyanga intlungu yokuqhekeka 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 uza kukuqala ngedosi esezantsi ye-fentanyl yokutshiza ngeempumlo kwaye ngokuthe ngcembe wandise idosi yakho de ufumane idosi eya kuthi ikuncede. 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. Ukuba usenentlungu 30 imizuzu emva kokusebenzisa i-fentanyl nasal spray, ugqirha wakho unokukuxelela ukuba usebenzise elinye iyeza leentlungu ukukhupha ezo ntlungu, kwaye unokunyusa umthamo wakho we-fentanyl nasal spray ukuze unyange isiqendu sakho sentlungu. Musa ukunyusa umthamo wakho we-fentanyl nasal spray ngaphandle kokuba ugqirha wakho ukuxelele ukuba kufanele.

Sukusebenzisa isitshizi sempumlo se-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.

Sukuyeka ukusebenzisa i-fentanyl nasal spray ngaphandle kokuthetha nogqirha wakho. Ukuba ngequbuliso uyeka ukusebenzisa i-fentanyl nasal spray, unokufumana iimpawu ezingathandekiyo zokurhoxa.

Sebenzisa fentanyl ukutshiza ngeempumlo, landela la manyathelo:

1. Vuthela impumlo yakho, ukuba unempumlo egudileyo.
2. Susa ikepusi kwisitya esinganyangekiyo somntwana kwaye uthathe ibhotile ye-fentanyl nasal spray spray ngaphandle. Susa isiciko sokukhusela kwincam yebhotile. Bamba ibhotile ukuze umlomo ube phakathi kweminwe yakho yokuqala neyesibini kwaye isithupha sakho sisezantsi.
3. Ukuba usebenzisa ibhotile entsha, kufuneka ubambe ibhotile ngaphambi kokuyisebenzisa. Inkulu ibhotile ngokutshiza izitshizi ezi-4 engxoweni ngokulandela imiyalelo yomenzi kwisikhokelo seyeza.
4. Hlala nkqo uze ufake incam yebhotile malunga ne-intshi enye (1 cm) kwimpumlo enye, ukhombe incam ebhulorho yempumlo. Vala elinye ikhala lakho ngomnwe wakho.
5. Cinezela ezantsi ngokuqinileyo kwiminwe yomnwe de uve isandi '' cofa ''. Awunakuva ukuba ukutshiza kungena empumlweni yakho, kodwa ukuba inani kwinani lewindows lokubala liyonyuka nge-1, isitshizi sinikiwe.
6. Phefumla ngenyameko ngeempumlo uze uphume ngomlomo kube kanye emva kokutshiza. Musa ukujoja emva kokutshiza iyeza empumlweni.
7. Ukuba ugqirha ufuna ukuba usebenzise izitshizi ezimbini, phinda amanyathelo 4 ukuya ku-6, usebenzisa elinye ikhala.
8. Xa inani elikwifestile yokubala liyi '' 8 '', ungazami ukusebenzisa ezinye izitshizi kwibhotile. Kusaza kubakho ulwelo kwibhotile oluya kufuna ukufafazwa engxoweni ngokulandela imiyalelo yomenzi kwiSikhokelo seyeza.
9. Hlala uhleli phantsi okungenani umzuzu omnye emva kokusebenzisa ukutshiza kwe-fentanyl ngeempumlo.
10. Sukuvuthela impumlo yakho okungenani imizuzu engama-30 emva kokusebenzisa ukutshiza kwe-fentanyl.
11. Buyisela ikepusi yokukhusela kwibhotile kwaye uyibuyisele kwisitya esimelana nomntwana, apho abantwana bangenakufikelela khona.

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

Phambi kokusebenzisa ukutshiza ngeempumlo ze-fentanyl,

• 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 se-fentanyl sokutshiza ngeempumlo. 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); ifomoranol; carbamazepine (Carbatrol, Epitol, Tegretol, Teril); cyclobenzaprine (Amrix); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); efavirenz (eAtripla, eSustiva); 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); imodafinil (Provigil); nalbuphine; naloxone (Evzio, Narcan); iimpumlo zempumlo ezinje nge-oxymetazoline (Afrin, Neo-Synephrine, Vicks Sinex, nabanye); nevirapine (Viramune); oxcarbazepine (iTrileptal); ipentazocine (Talwin); phenytoin (iDilantin, iPhenytek); i-pioglitazone (Actos, kwi-Actoplus Met, kwi-Duetact, nabanye); irifabutin (Mycobutin); irifampin (Rifadin, Rimactane, eRifamate, eRifater); 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); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); Itrazodone (Oleptro); kunye ne-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 naliphi na kula mayeza alandelayo okanye uyekile ukuwathatha kwezi veki zimbini zidlulileyo: i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), okanye 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 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 uneempumlo ezivuzayo okanye ukhe wanokwenzakala entloko, ithumba lobuchopho, ukubetha, okanye nayiphi na imeko ebangele uxinzelelo oluphezulu ngaphakathi kukakayi lwakho; ukuxhuzula; ukubetha kwentliziyo okanye ezinye iingxaki zentliziyo; uxinzelelo lwegazi oluphantsi; ubunzima bokuchama; 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 nasal spray, biza ugqirha wakho.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-fentanyl nasal spray spray.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-fentanyl nasal spray.
• Kuya kufuneka uyazi ukuba i-fentanyl nasal spray spray 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 impumlo yokutshiza 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.
• Kuya kufuneka uyazi ukuba i-fentanyl nasal spray isenokubangela 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.

Isitshizi sempumlo seFentanyl sinokubangela iziphumo ebezingalindelekanga.Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• ukozela

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana olu phawu, tsalela umnxeba kwangoko:

• ukubetha kwentliziyo kancinci
• 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
• urhwebo
• irhashalala
• ukurhawuzelela

Ukuba unazo naziphi na kwezi mpawu, yeka ukusebenzisa i-fentanyl nasal spray uphinde ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:

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

Isitshizi sempumlo seFentanyl sinokubangela 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 i-fentanyl ngeempumlo zempumlo kwisikhongozeli sayo esinganyangekiyo somntwana, sivale ngokuqinileyo, kwaye singafikeleleki ebantwaneni. Gcina isikhongozeli esinganyangekiyo komntwana kunye nengxowa kwibhokisi yekhadibhodi engenayo xa ingasetyenziswa. Gcina i-fentanyl spray ngeempumlo kwindawo ekhuselekileyo ukuze kungabikho namnye umntu onokuyisebenzisa ngengozi okanye ngenjongo. Gcina umkhondo wokuba zingaphi izitshizi kwibhotile nganye eseleyo ukuze wazi ukuba zikho na ezingekhoyo. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Ungafrizi fentanyl isitshizi sempumlo.

Lahla isitshizi sempumlo se-fentanyl ngokukhawuleza xa siphelelwe lixesha okanye singasafuneki. Lahla nayiphi na ibhotile ye-fentanyl yokutshiza ngeempumlo ukuba iintsuku ezi-5 zidlulile okoko wayigqiba ukuyisebenzisa okanye ukuba iintsuku ezili-14 zidlulile okoko wayilungiselela ukusetyenziswa kwayo okokuqala. Ungalahla ngokukhuselekileyo ukutshiza kwe-fentanyl ngeempumlo ngokutshiza ulwelo olushiyekileyo kwisingxobo esinikezwe amayeza, njengoko kuchaziwe kwisikhokelo seMithi. Isingxobo esitywiniweyo kunye nebhotile engenanto kufuneka ibekwe kwisikhongozeli esinganyangekiyo phambi kokuyibeka enkunkumeni. Hlamba izandla zakho ngesepha namanzi kwangoko emva kokuphatha isingxobo. Fowunela usokhemesti okanye umenzi wemveliso ukuba unemibuzo, ufuna uncedo ekulahlekiseni amayeza angafunekiyo, okanye ungenayo ingxowa ekhoyo.

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, 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.

Ngelixa usebenzisa i-fentanyl nasal spray, kuya kufuneka uthethe nogqirha wakho malunga neyeza lokuhlangula elibizwa ngokuba yi-naloxone ngokulula (umzekelo, ikhaya, iofisi). I-Naloxone isetyenziselwa ukuguqula iziphumo ezisongela ubomi ze-overdose Isebenza ngokuthintela iziphumo ze-opiates ukukhulula iimpawu eziyingozi 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:

• ukozela
• ukozela
• isiyezi
• ukudideka
• ubunzima bokuphefumla okanye ukucothisa okanye ukuphefumla nzulu
• andikwazi kuphendula okanye ukuvuka
• abafundi abancinci (izangqa ezimnyama phakathi kwamehlo)

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.

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.

• ULazanda^®