Ukutshiza kweFentanyl Sublingual Spray

Umxholo

• Ngaphambi kokuba uthathe i-fentanyl,
• I-Fentanyl inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye EZIQHELEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Fentanyl sublingual spray inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa i-fentanyl sublingual spray ngokuthe ngqo njengoko kuyalelwe. Sukusebenzisa idosi enkulu ye-fentanyl, sebenzisa amayeza rhoqo, okanye uwasebenzise ixesha elide kunokuba umiselwe ngugqirha. Ngelixa usebenzisa i-fentanyl sublingual spray, 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 kusebenzisa kakhulu i-fentanyl sublingual spray 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.

I-Fentanyl ukutshiza okuncinci kunokubangela iingxaki zokuphefumla okanye ukufa, ngakumbi ukuba isetyenziswa ngabantu abangakhange banyangwe ngamanye amayeza e-narcotic okanye abanganyamezelaniyo (asetyenziswa kwiziphumo zonyango) kumayeza e-narcotic. I-Fentanyl isitshizi esincinci kufuneka ichazwe 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.

Ukutshiza i-Fentanyl iilwimi ezincinci kunokubangela ingozi enkulu okanye ukufa ukuba kusetyenziswe ngengozi ngumntwana okanye ngumntu omdala ongamiselwanga iyeza. Kwanaxa kusetyenziswe izikhongozeli zokutshiza ezisebenzisa i-fentanyl zinokuba namayeza aneleyo okwenza ingozi embi okanye ukufa kubantwana okanye kwabanye abantu abadala. Gcina i-fentanyl sublingual spray ngaphandle kokufikelela kwabantwana. Buza ugqirha wakho ukuba ungayifumana njani ikiti evela kumenzi wayo enezitshixo zokhuselo lwabantwana kunye nezinye izinto ukuthintela abantwana ekufumaneni amayeza. Lahla iidosi ezingasetyenziswanga zefentanyl ngokwemiyalelo yomenzi. Ukuba i-fentanyl sublingual spray isetyenziswa ngumntwana okanye umntu omdala ongakhange amiselwe amayeza, fumana uncedo lonyango olungxamisekileyo.

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

Ukuthatha amayeza athile nge-fentanyl sublingual spray kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla ezinobuzaza okanye ezisongela ubomi, u-sedation, okanye isiqaqa. Xelela ugqirha wakho ukuba ngaba uthatha nawaphi na amayeza alandelayo: ii-antibiotics ezithile ezifana ne-clarithromycin (i-Biaxin, kwi-PrevPac), i-erythromycin (i-Erythocin, i-Eryc, i-Erythrocin, abanye), i-telithromycin (Ketek), kunye ne-troleandomycin (TAO) (ayifumaneki kwi iunited States); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox) kunye ne ketoconazole; Aprepitant (Hlomela); benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye ne triaz 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, 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 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 ibekiwe ukunciphisa umngcipheko wokusebenzisa eli yeza. 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 sublingual spray isetyenziselwa ukunyanga iintlungu zokuqhekeka (iintlungu ngesiquphe zentlungu ezenzekayo ngaphandle kokujikeleza ixesha lonyango ngamayeza entlungu) kwizigulana ezinomhlaza ezineminyaka eli-18 ubudala nangaphezulu ezithatha iidosi ezicwangcisiweyo rhoqo zenye 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.

IFentanyl iza njengesisombululo (ulwelo) sokutshiza ngokungaphantsi (phantsi kolwimi). Isetyenziswa xa kufuneka ukunyanga intlungu yokuqhekeka kodwa hayi rhoqo kunakuyalelwa ngugqirha. 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 sublingual spray kwaye ngokuthe ngcembe wandise idosi yakho de ufumane idosi eya kuthi ikuncede. Sebenzisa idosi enye ye-fentanyl sublingual spray yokuqaqamba kwentlungu. Ukuba usesentlungwini emva kwedosi yakho yokuqala, sebenzisa idosi yesibini emva kwemizuzu eyi-30 emva kwethamo lakho lokuqala. Sukusebenzisa iidosi ezingaphezulu kwesibini kwintlungu nganye. Emva kokunyanga isiqendu seentlungu usebenzisa idosi enye okanye ezimbini zefentanyl sublingual spray, linda ubuncinci iiyure ezi-4 emva kokusebenzisa isitshizi se-fentanyl ngaphambi kokunyanga isiqendu esitsha sentlungu. Ukuba unezigigaba ezingaphezu kwesine zentlungu yomhlaza ngosuku, tsalela ugqirha wakho.

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. Thatha i-fentanyl ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

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

Sebenzisa ukutshiza ngomlomo, landela ezi zikhombisi kunye nezo zivela kwileyibhile yephakheji:

1. Susa i-fentanyl sublingual spray unit kwi-blister package ngokusika umgca odibeneyo ngesikere.
2. Ginya nayiphi na amathe emlonyeni wakho.
3. Bamba i-fentanyl sublingual spray unit ethe nkqo usebenzisa isalathiso sakho kunye neminwe ephakathi kunye nobhontsi.
4. Yalatha umlomo emlonyeni nangaphantsi kolwimi lwakho.
5. Cinezela iminwe yakho kunye nobhontsi ngokudibanisa amayeza phantsi kolwimi lwakho.
6. Bamba iyeza phantsi kolwimi lwakho imizuzwana engama-30 ukuya kwengama-60. Musa ukutshiza amayeza okanye uhlambe umlomo. Isitshizi se-fentanyl sublingual yiyunithi yokusebenzisa ixesha elinye kwaye iya kuhlala ivaliwe emva kokusetyenziswa.
7. Beka ifentanyl esetyenzisiweyo yeyunithi yesitshizi kwenye yeengxowa zokulahla ezikhoyo. Susa ukuxhaswa kumtya wokubambelela kwaye usonge i-flap ukutywina ibhegi.
8. Yilahle ingxowa etywiniweyo emgqomeni apho abantwana bangenakufikelela khona.

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

Ngaphambi kokuba uthathe i-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 esenziwe kwi-fentanyl sublingual spray. 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; 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); amayeza okubanjwa njenge carbamazepine (Tegretol, Teril), oxcarbazepine (Trileptal), kunye ne phenytoin (Dilantin, Phenytek); imodafinil (Provigil); nalbuphine; naloxone (Evzio, Narcan); nevirapine (Viramune); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); ipioglitazone (Actos); irifampin (Rifadin, Rimactane, eRifamate, eRifater); irifabutin (Mycobutin); 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); Itrazodone (Oleptro); tricyclic antidepressants ('mood elevators') ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye neTrimontramine; okanye troglitazone (Rezulin). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana naliphi na kula mayeza alandelayo okanye ukuba uyekile ukuwathatha kwezi veki zimbini zidlulileyo: 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 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 ngaba unezilonda, izilonda, okanye ukudumba emlonyeni, ukwenzakala entloko, ithumba ebuchotsheni, ukubetha, okanye nayiphi na imeko ebangele uxinzelelo oluphezulu ngaphakathi kukakayi lwakho; ukubetha kwentliziyo okanye ezinye iingxaki zentliziyo; ubunzima bokuchama; 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 nemingcipheko yokusebenzisa i-fentanyl sublingual spray.
• 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.
• Kuya kufuneka uyazi ukuba i-fentanyl sublingual spray inokubangela ukuqhina. Thetha nogqirha wakho malunga nokutshintsha indlela otya ngayo kunye nokusebenzisa amanye amayeza ukunyanga okanye ukuthintela ukuqhina.

Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yamagilebhisi ngelixa uthatha eli yeza.

Eli yeza lihlala lisetyenziswa njengoko kufuneka ngokwemiyalelo.

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

• ukurhawuzelela
• ukozela
• iintlungu kwicala lasekunene lesisu sakho
• umlomo owomileyo
• intloko ebuhlungu
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ubunzima bokulala okanye ukulala
• ixhala
• umqolo obuhlungu
• ukurhawuzelela
• ukukhohlela

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye EZIQHELEKILEYO, 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

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

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

I-Fentanyl inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha 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 [apha http://www.fda.gov/Safety/MedWatch] okanye ngomnxeba. [1-800-332-1088].

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 la mayeza kwiphakheji yeblister etywiniweyo, ivalwe ngokuqinileyo, kwaye ingafumaneki 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 neyeza. Gcina umkhondo wokuba ishiyeke kangakanani i-fentanyl ukuze wazi ukuba akukho nto ilahlekileyo. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Lahla isitshizi se-fentanyl sokukhuphela kwangoko nje ukuba sisetyenziswe okanye akusafuneki. Beka iyunithi yokutshiza esetyenzisiweyo engxoweni elahlwayo. Tywina ibhegi kwaye uyilahle kwisitya senkunkuma ngaphandle kokufikelela kwabantwana. Ukuba uneeyunithi zokutshiza ezingasetyenziswanga, vula iipakethe ngokwemikhombandlela. Tshiza umxholo weyunithi kwibhotile yokulahla ebonelelwe kupakisho. Phinda ngesikhongozeli ngasinye esingasetyenziswanga. Vala isikhongozeli sokulahla kwaye ugungqise. Beka isikhongozeli sokulahla kwingxowa enokulahlwa uze uyilahle kwisitya senkunkuma. Thetha kumachiza wakho malunga nokulahla ngokufanelekileyo amayeza akho.

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 sublingual 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:

• uyacotha, akukho nzulu, okanye uyekile ukuphefumla
• ubunzima bokuphefumla
• ukozela
• andikwazi kuphendula okanye ukuvuka
• ukudideka
• 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 uthatha 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.

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.

• Inkxaso^®