Naltrexone kunye neBupropion

Umxholo

• Ngaphambi kokuthatha indibaniselwano ye-naltrexone kunye ne-bupropion,
• Ukudityaniswa kwe-naltrexone kunye ne-bupropion kunokubangela 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 kumacandelo ESILUMKISO ESIBALULEKILEYO kunye NOKULUMKA OKUQHELEKILEYO, yeka ukuthatha indibaniselwano ye-naltrexone kunye ne-bupropion kwaye ufowunele ugqirha wakho kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Eli yeza liqulathe i-bupropion, into enye esebenzayo njengamayeza athomalalisa uxinzelelo (Wellbutrin, Aplenzin) kunye neyeza elisetyenziselwa ukunceda abantu bayeke ukutshaya (iZyban). Inani elincinci labantwana, ulutsha, kunye nabantu abadala abancinci (ukuya kuthi ga kwi-24 yeminyaka ubudala) abathathe i-anti-depressants ('mood elevators') ezinje nge-bupropion ngexesha lezifundo zeklinikhi baba ukuzibulala (ukucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo ). Abantwana, ulutsha, kunye nabantu abadala abancinci abathatha i-anti-depressant ukunyanga uxinzelelo okanye ezinye izifo zengqondo banokuba semngciphekweni wokuzibulala kunabantwana, ulutsha, kunye nabantu abadala abancinci abangazithathiyo ukunyanga ezi meko. Indibaniselwano ye-naltrexone kunye ne-bupropion ayivunyelwanga ukuba isetyenziswe kubantwana abangaphantsi kweminyaka eli-18 ubudala.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha indibaniselwano ye-naltrexone kunye ne-bupropion nokuba sele umdala ngaphezulu kweminyaka eyi-24. Ungazibulala, ngakumbi ekuqaleni konyango lwakho nangalo naliphi na ixesha apho idosi yakho inyuswe okanye yehlisiwe. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: ukudakumba okutsha okanye okuya kusiba mandundu; ukucinga ngokuzenzakalisa okanye ukuzibulala, okanye ukucwangcisa okanye ukuzama ukwenza njalo; ukukhathazeka kakhulu; ukuphazamiseka; uxinzelelo okanye uloyiko; ubunzima bokulala okanye ukulala; ndlongondlongo, umsindo okanye ubundlobongela; ukucaphuka; ukwenza ngaphandle kokucinga; ukungazinzi okukhulu; iingcinga ezingaqhelekanga okanye iimvakalelo; uziva ngathi abantu bayakuchasa; ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho); ukuziva udidekile; ukonwaba okungaqhelekanga; okanye naluphi na olunye utshintsho ngesiquphe okanye ngokungaqhelekanga kwindlela yokuziphatha. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Umboneleli wakho wezempilo uya kufuna ukukubona rhoqo ngelixa uthatha indibaniselwano ye-naltrexone kunye ne-bupropion, ngakumbi ekuqaleni konyango lwakho. Qiniseka ukuba ugcina lonke ixesha lokundwendwela eofisini nogqirha wakho.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango ngokudityaniswa kwe-naltrexone kunye ne-bupropion kwaye ngalo lonke ixesha uzalisa 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 nemingcipheko yokuthatha indibaniselwano ye-naltrexone kunye ne-bupropion.

Indibaniselwano ye-naltrexone kunye ne-bupropion isetyenziswa kunye nokunciphisa ukutya kweekhalori kunye nesicwangciso sokuzilolonga ukunceda abantu abadala abatyebe kakhulu, okanye abatyebe kakhulu kwaye baneengxaki ezinxulumene nobunzima, ukunciphisa umzimba emva koko ukugcina ukubuyela kubunzima. INaltrexone ikudidi lwamayeza abizwa ngokuba zii-opiate antagonists. I-Bupropion ikudidi lwamayeza abizwa ngokuba yi-antidepressants. La mayeza asebenza kunye kwiindawo ezimbini zobuchopho, indawo yokulamba kunye nenkqubo yomvuzo, ukunciphisa ukutya kunye nokunceda ukulawula iminqweno.

Indibaniselwano ye-naltrexone kunye ne-bupropion iza njengesikhululo esandisiweyo (esisebenza ixesha elide) ukuthatha ngomlomo. Ihlala ithathwa kabini ngemini. Musa ukuthatha la mayeza ngesidlo esinamafutha aphezulu. Thatha i-naltrexone kunye ne-bupropion kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-naltrexone kunye ne-bupropion ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya iipilisi zokukhululwa ezandisiweyo; ungahluleli, ungahlaleli, okanye uzityumze.

Ugqirha wakho uya kukuqala ngethamo eliphantsi lokudityaniswa kwe-naltrexone kunye ne-bupropion kwaye ngokuthe ngcembe yonyuse idosi yakho, hayi ngaphezulu kwesinye kanye ngeveki, kwiiveki ezi-4. Emva kweeveki ezili-16 zonyango, ugqirha wakho uya kujonga ukuze ubone ukuba ulahle ubunzima obungakanani. Ukuba awulahlekanga isixa esithile sobunzima, ugqirha wakho angakuxelela ukuba uyeke ukuthatha indibaniselwano ye-naltrexone kunye ne-bupropion njengoko kungenakulindeleka ukuba uzuze ngokuqhubeka nonyango lwakho.

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

Ngaphambi kokuthatha indibaniselwano ye-naltrexone kunye ne-bupropion,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-naltrexone, i-bupropion, nawaphi na amanye amayeza, okanye nasiphi na isithako esikwipilisi ye-naltrexone kunye ne-bupropion. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), kunye ne-tranylcypromine (iParnate okanye uyekile ukuthatha i-MAO inhibitor kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungathathi nhlanganisela ye-naltrexone kunye ne-bupropion. Ukuba uyeka ukuthatha indibaniselwano ye-naltrexone kunye ne-bupropion, ugqirha wakho uya kukuxelela ukuba kufuneka ulinde ubuncinci iintsuku ezili-14 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho ukuba uthatha nawaphi amayeza e-opioid okanye iziyobisi ezitalatweni kubandakanya i-heroin, amayeza eentlungu, i-tramadol (i-Ultram, i-Ultracet), unyango lokuxhomekeka kwi-opioid njenge-buprenorphine (Buprenex, Butrans, Sublocade) okanye i-methadone (iDolophine, iMethadose), kunye nezinye amayeza kurhudo, ukukhohlela, okanye ukubanda. Xelela ugqirha wakho ukuba uthathe la mayeza ubuncinci kwiintsuku ezi-7 ukuya kwezi-10 ezidlulileyo. Buza ugqirha wakho ukuba awuqinisekanga ukuba iyeza olithathileyo yi-opioid. Ugqirha wakho uza kukuxelela ukuba ungayithathi indibaniselwano ye-naltrexone kunye ne-bupropion ukuba uthathe okanye usebenzise i-opioids okungenani kwiintsuku ezisi-7 ukuya kwezi-10 ezidlulileyo.
• musa ukuthatha naliphi na iyeza le-opioid okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho ngokudityaniswa kwe-naltrexone kunye ne-bupropion. I-Naltrexone ibhloka ifuthe lamayeza e-opioid kunye neziyobisi zasesitalatweni i-opioid. Awunakuziva iziphumo zezi zinto ukuba uzithatha okanye uzisebenzisa ngeedosi eziphantsi okanye eziqhelekileyo. Ukuba uthatha okanye usebenzisa idosi ephezulu yamayeza opioid okanye iziyobisi ngexesha lonyango lwakho ngokudityaniswa kwe-naltrexone kunye ne-bupropion, inokubangela ukonzakala okukhulu, ikhoma okanye ukufa.
• Kuya kufuneka uyazi ukuba ukuba uthathe amayeza e-opioid ngaphambi konyango lwakho ngokudityaniswa kwe-naltrexone kunye ne-bupropion, unokuba novakalelo ngakumbi kwiziphumo zonyango lwe-opioid xa idosi yakho elandelayo yokudityaniswa kwe-naltrexone kunye ne-bupropion kufanelekile, ukuba ulahlekile idosi Yindibaniselwano ye-naltrexone kunye ne-bupropion, emva kokuba ulugqibile unyango lwakho, okanye ukuba ufumana i-detoxification. Ukuba usebenzisa ii-opioids kwimali oyisebenzisileyo ngaphambi konyango lwakho ngokudityaniswa kwe-naltrexone kunye ne-bupropion, inokukhokelela kukudlula kunye nokufa. Emva kokuba ulugqibile unyango lwakho, xelela nawuphi na ugqirha onokukunikezela amayeza ukuba ubunyangwa ngaphambili ngokudityaniswa kwe-naltrexone kunye ne-bupropion. Kubalulekile ukuba uxelele usapho lwakho okanye umkhathaleli malunga noku kwanda kobuntununtunu kwiiopioids kunye nomngcipheko wokudlula. Wena okanye umntu omkhathalelayo kufuneka ufumane uncedo lonyango olukhawulezileyo kwangoko ukuba uvelisa naziphi na kwezi mpawu: ingxaki yokuphefumla, ukuphefumla kancinci, ukozela, ukuziva utyhafile, isiyezi, okanye ukudideka.
• musa ukuthatha ngaphezulu kwemveliso enye equkethe i-bupropion ngexesha, kubandakanya i-anti-depressants okanye iimveliso zokuyeka ukutshaya. Unokufumana i-bupropion eninzi kakhulu kwaye ube neziphumo ebezingalindelekanga ezibi.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya oku kulandelayo: Silenor), efavirenz (Sustiva, e-Atripla), escitalopram (Lexapro), flecainide (Tambocor), fluoxetine (Prozac), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), insulin okanye iyeza lomlomo leswekile, levodopa eSinemet, eStalevo), lopinavir (eKaletra), methylprednisolone (Medrol), metoprolol (Lopressor, Toprol XL), nortriptyline (Pamelor), paroxetine (Paxil), phenobarbital, phenytoin (Dilantin), prednisone, propafen , protriptyline (Vivactil), risperidone (Risperdal), ritonavir (Norvir, e Kaletra), sertraline (Zoloft), theophylline (Theo-24, Theochron), thioridazine, ticlopidine, trimipramine (Surmontil), venlafaxine (Effexor) ilahleko amayeza. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-naltrexone kunye ne-bupropion, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba ukhe waxhuzula okanye wakha waxhuzula, anorexia amanosa (ingxaki yokutya), okanye i-bulimia (ingxaki yokutya), kwaye ukuba unoxinzelelo lwegazi olungalawulekiyo. Xelela ugqirha wakho ukuba usela utywala obuninzi kodwa ulindele ukuyeka ukusela ngequbuliso, uthatha amayeza okuthambisa, i-hypnotics, i-benzodiazepines, okanye amayeza okulwa nokuthimba kodwa ulindele ukuyeka ngesiquphe ukuwathatha, okanye ukuba urhoxile kwi-opioid. Ugqirha wakho uya kukuxelela ukuba ungathathi nhlanganisela ye-naltrexone kunye ne-bupropion.
• xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho ukhe wacinga okanye wazama ukuzibulala okanye wakha wanengxaki yokuphazamiseka engqondweni (imood etshintsha ukusuka ekudandathekeni iye ekubeni nemincili engaqhelekanga), i-mania (ukuphazamiseka, imo engaqhelekanga), uxinzelelo, isifo sengqondo ukugula okubangela ukuphazamiseka okanye ukucinga okungaqhelekanga, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingalunganga), okanye ezinye izifo zengqondo; ukuba ungaphezulu kweminyaka engama-65 ubudala; ukuba uyatshaya okanye ulindele ukuyeka ukutshaya; kwaye ukuba ukhe wanokwenzakala entloko, isifo sentliziyo, ukubetha, ithumba okanye usulelo lobuchopho okanye umqolo, isifo seswekile, iswekile esezantsi yegazi, amanqanaba asezantsi esodiyam egazini, okanye intliziyo, izintso, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha indibaniselwano ye-naltrexone kunye ne-bupropion, tsalela umnxeba kwangoko.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha indibaniselwano ye-naltrexone kunye ne-bupropion.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha indibaniselwano ye-naltrexone kunye ne-bupropion. Utywala bunokwenza iziphumo ebezingalindelekanga ezivela kwi-naltrexone kunye ne-bupropion mandundu.
• Kuya kufuneka uyazi ukuba indibaniselwano ye-naltrexone kunye ne-bupropion inokubangela uxinzelelo lwegazi kunye nokubetha kwentliziyo ngokukhawuleza. Ugqirha wakho unokujonga uxinzelelo lwegazi kunye nenqanaba lentliziyo ngaphambi kokuqala unyango kwaye rhoqo ngelixa usela la mayeza.
• Kuya kufuneka uyazi ukuba indibaniselwano ye-naltrexone kunye ne-bupropion inokubangela i-angle-closure glaucoma (imeko apho ulwelo luvaliwe ngequbuliso kwaye lungakwazi ukuphuma esweni kubangele ukonyuka okukhawulezileyo, okukhulu koxinzelelo lwamehlo olunokubangela ukulahleka kombono) . Thetha nogqirha wakho malunga nokuhlolwa kwamehlo ngaphambi kokuba uqale ukuthatha eli yeza ukuze ubone ukuba usemngciphekweni wale meko. Ukuba unentlungu yamehlo, utshintsho kumbono, okanye ukuvuvukala okanye ubomvu ngaphakathi okanye ngeenxa zonke iliso, biza ugqirha wakho okanye ufumane unyango lwezonyango ngokukhawuleza.

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

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ukudityaniswa kwe-naltrexone kunye ne-bupropion kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• urhudo
• ukuqhina
• umlomo owomileyo
• utshintsho kwindlela yakho yokunambitha
• intloko ebuhlungu
• isiyezi
• ukudinwa
• ukugungxula
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukubila okugqithisileyo
• kukhala ezindlebeni

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kumacandelo ESILUMKISO ESIBALULEKILEYO kunye NOKULUMKA OKUQHELEKILEYO, yeka ukuthatha indibaniselwano ye-naltrexone kunye ne-bupropion kwaye ufowunele ugqirha wakho kwangoko okanye ufumane unyango olungxamisekileyo:

• ukuxhuzula
• irhashalala okanye amadyungudyungu
• ukurhawuzelela
• urhwebo
• amadlala adumbileyo
• izilonda ezibuhlungu emlonyeni wakho okanye ngeenxa zonke kwamehlo akho
• ukuqhawukelwa ngumphefumlo
• ukudumba kwemilebe okanye ulwimi
• iintlungu zesifuba
• ifiva
• isisu esibuhlungu
• umchamo omnyama
• mthubi ulusu okanye amehlo
• intlungu yesihlunu okanye edibeneyo

Ukudityaniswa kwe-naltrexone kunye ne-bupropion kunokubangela 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 (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela)

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

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

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

Iimpawu libanda kungaquka oku kulandelayo:

• ukuxhuzula
• ukubona izinto okanye ukuva amazwi angekhoyo
• ukulahleka kwengqondo
• ngokukhawuleza okanye ukubetha kwentliziyo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha indibaniselwano ye-naltrexone kunye ne-bupropion.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

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.

• Kuchasana^®