Imeperidine

Umxholo

• Ngaphambi kokuba uthathe i-meperidine,
• I-Meperidine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Meperidine inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Thatha i-meperidine ngokuchanekileyo njengoko kuyalelwe. Sukuyithatha ngaphezulu, yithathe rhoqo, okanye uthathe ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Ngelixa uthatha i-meperidine, xoxa nomboneleli wakho wezempilo ngeenjongo zonyango lwakho lweentlungu, ubude bonyango, kunye nezinye iindlela zokulawula iintlungu zakho. Tshela ugqirha wakho ukuba wena okanye omnye umntu kusapho lwakho uyasela okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wagqithisa, okanye wasebenzisa kakhulu amayeza kagqirha, okanye ukuba ukhe wanxunguphalo okanye esinye isifo sengqondo. Kukho umngcipheko omkhulu wokuba uya kuyisebenzisa kakhulu i-meperidine ukuba unayo okanye wakhe 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.

I-Meperidine inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho kwaye nangaliphi na ixesha idosi yakho inyuswe. Ugqirha wakho uya kukujonga ngononophelo ngexesha lonyango lwakho. Tshela ugqirha wakho ukuba ukhe wakha wanciphisa ukuphefumla okanye isifuba. Ugqirha wakho uya kukuxelela ukuba ungathathi i-meperidine. Xelela ugqirha wakho ukuba ukhe okanye unesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya), ukwenzakala entloko, ithumba lobuchopho, okanye nayiphi na imeko eyonyusa inani uxinzelelo kwingqondo yakho. Umngcipheko wokuba ube neengxaki zokuphefumla unokuba ngaphezulu ukuba umdala okanye ubuthathaka okanye ungondleki ngenxa yesifo. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango lonyango: ukuphefumla okucothayo, ikhefu elide phakathi kokuphefumla, okanye ukuphefumla kancinci.

Ukuthatha amayeza athile ngexesha lonyango lwakho kunye ne-meperidine kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla okanye zokubeka ubomi esichengeni, okanye ucoce. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: amayeza athile okubulala kubandakanya i-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole, kunye ne-voriconazole (Vfend); i-benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye ne triazolam (Halcion) carbamazepine (Carbatrol, Epitol, Tegretol, Teril); erythromycin (Erytab, Erythrocin); amayeza athile kwintsholongwane ye-immunodeficiency virus (HIV) kubandakanya indinavir (Crixivan), nelfinavir (Viracept), kunye ritonavir (Norvir, eKaletra); amayeza okugula ngengqondo, isicaphucaphu, okanye iintlungu; izihlunu ezonwabisayo; phenytoin (iDilantin, iPhenytek); irifampin (Rifadin, Rimactane, eRifamate); ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha amayeza akho kwaye uza kukujonga ngononophelo. Ukuba uthatha i-meperidine ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, ukuba nentloko ebuthongweni, 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 lwakho kunye ne-meperidine yonyusa 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.

Musa ukuvumela nabani na ongomnye ukuba athathe amayeza akho. I-Meperidine inokulimaza okanye ibangele ukufa kwabanye abantu abathatha amayeza akho, ngakumbi abantwana.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uthatha i-meperidine rhoqo xa ukhulelwe, umntwana wakho unokuba neempawu ezisongela ubomi emva kokuzalwa. Xelela ugqirha wosana lwakho ngoko nangoko ukuba umntwana wakho unazo naziphi na kwezi mpawu zilandelayo: ukucaphuka, ukuxhalaba, ukulala ngendlela engaqhelekanga, ukukhala okuphezulu, ukungcangcazela okungalawulekiyo kwenxalenye yomzimba, ukugabha, urhudo, okanye ukusilela ukutyeba.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-meperidine kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-meperidine.

I-Meperidine isetyenziselwa ukunciphisa iintlungu ezibukhali. I-Meperidine ikwiklasi yamayeza e-opiate (narcotic) analgesics. Isebenza ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu.

I-Meperidine iza njengecwecwe kunye nesiraphu (ulwelo) ukuyithatha ngomlomo. Ihlala ithathwa kunye okanye ngaphandle kokutya rhoqo kwiiyure ezi-3 ukuya kwezi-4 njengoko kufuneka iintlungu. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Ukuba uthatha iipilisi ze-meperidine, ziginye ziphelele; sukuzihlafuna, uziqhekeze, okanye uzityumze. Gwinya ipilisi nganye emva kokuba uyibeke emlonyeni wakho.

Ukuba uthatha isiraphu ye-meperidine, sebenzisa icephe yokulinganisa idosi okanye ikomityi ukulinganisa inani elichanekileyo lolwelo kwidosi nganye, hayi icephe eliqhelekileyo lasekhaya. Hlanganisa idosi yakho nesiqingatha seglasi yamanzi kwaye uginye lo mxube. Ukuginya isiraphu ye-meperidine engaxutywanga kunokubangela umlomo ube ndindisholo.

Ugqirha wakho uya kuthi ahlengahlengise idosi yakho ye-meperidine ngexesha lonyango lwakho. Qiniseka ukuba uxelela ugqirha wakho malunga nayiphi na intlungu kunye neziphumo ebezingalindelekanga ohlangabezana nazo ngelixa uthatha eli yeza. Oku kuya kunceda ugqirha wakho afumane idosi ekulungeleyo.

Ukuba uthathe i-meperidine ixesha elide kuneeveki ezimbalwa, sukuyeka ukuthatha amayeza ungakhange uthethe nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukuthatha i-meperidine, unokufumana iimpawu zokurhoxa. Iimpawu zokurhoxa zinokubandakanya ukungazinzi, amehlo anamehlo, impumlo exineneyo, ukuzamla, ukubila, ukugodola, iintlungu zemisipha, ukuba nochuku, uvalo, iintlungu zesisu, isisu esibuhlungu, ukugabha, ukuphelelwa ngumdla, urhudo, ukuphefumla ngokukhawuleza, ukubetha kwentliziyo okukhawulezayo, kunye nentlungu yomqolo.

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

Ngaphambi kokuba uthathe i-meperidine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-meperidine, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-meperidine okanye isiraphu. Buza ugqirha wakho okanye usokhemesti uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: acyclovir (Zovirax); ifomoranol; cimetidine (iTagamet); amayeza okugabha nokuhlutha; amayeza athile entloko njenge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), kunye zolmitriptan (Zomig); i-mirtazapine (iRemeron); I-5-HT₃ I-receptor antagonists ezinje ngealosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), okanye palonosetron (Aloxi); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexeva) kunye ne-sertraline (i-Zoloft); i-serotonin norepinephrine reuptake inhibitors (SNRIs) enje nge-desvenlafaxine (Pristiq, Khedezla), duloxetine (Cymbalta), milnacipran (Savella), kunye ne-venlafaxine (Effexor); kunye ne-tricyclic antidepressants efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye neTrimipiline). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha la mayeza alandelayo okanye uyekile ukuwathatha kwiiveki ezi-2 ezidlulileyo: i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil), selegiline (Eldepryl), kunye ne-tranylcypromine (iParnate). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanayo nayiphi na imiqathango ekhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye ileus ekhubazekileyo (imeko apho ukutya okwetyisiweyo kungahambeli emathunjini). Ugqirha wakho unokukuxelela ukuba ungathathi i-meperidine.
• xelela ugqirha wakho ukuba unayo okanye wakha wanayo i-pheochromocytoma (uhlobo lwethumba); ubunzima bokuchama; ukubetha kwentliziyo ngokungaqhelekanga; ukuxhuzula; iingxaki zesisu; okanye idlala lengqula, ipancreas, gallbladder, isibindi, izintso, okanye isifo semiphunga
• xelela ugqirha wakho ukuba uncelisa.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-meperidine.
• thetha nogqirha wakho malunga neengozi kunye neenzuzo zokuthatha i-meperidine ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-meperidine kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
• ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-meperidine.
• Kuya kufuneka uyazi ukuba i-meperidine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-meperidine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-meperidine. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.

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

Eli yeza lihlala lithathwa xa kufuneka njalo. Ukuba ugqirha ukuxelele ukuba uthathe i-meperidine rhoqo, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• intloko elula
• isiyezi
• ubuthathaka
• intloko ebuhlungu
• ukuzola okugqithisileyo
• utshintsho lweemvakalelo
• isicaphucaphu
• ukugabha
• isisu esibuhlungu okanye iicramps
• ukuqhina
• umlomo owomileyo
• ukugungxula
• ukubila
• utshintsho kumbono

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela umnxeba kwangoko:

• 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
• ukuphefumla kancinci okanye nzima
• ukuxhawula izandla ongenakuzilawula
• ukuxhuzula
• utshintsho kwintliziyo
• ubunzima bokuchama
• isiqaqa
• irhashalala
• urhwebo

I-Meperidine 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 (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). Kufuneka ulahle ngoko nangoko nawaphi na amayeza aphelelwe lixesha okanye angasafunekiyo ngenkqubo yokubuyisa amayeza. Ukuba awunayo inkqubo yokubuyisela kufutshane okanye enye onokufikelela kuyo ngokukhawuleza, coca iipilisi ze-meperidine okanye isisombululo esiphelelwe yisikhathi okanye esingasafuneki kwindlu yangasese. 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 uthatha i-meperidine, kuya kufuneka uthethe nogqirha wakho malunga neyeza lokuhlangula elibizwa ngokuba yi-naloxone ngokulula (umzekelo, ikhaya, iofisi). I-Naloxone isetyenziselwa ukuguqula iziphumo ezisongela ubomi kwi-overdose. Isebenza ngokuthintela iziphumo ze-opiates ukunciphisa iimpawu ezinobungozi ezibangelwa ngamanqanaba aphezulu ee-opiates egazini. Ugqirha wakho unokukuyalela i-naloxone ukuba uhlala kwikhaya apho kukho abantwana abancinci okanye umntu osebenzise gwenxa isitalato okanye amayeza amiselweyo. Kuya kufuneka uqiniseke ukuba wena kunye namalungu osapho lwakho, abakhathaleli, okanye abantu abachitha ixesha kunye nawe bayayazi indlela yokwazi ukuba libanda, indlela yokusebenzisa naloxone, kunye nento onokuyenza de kufike uncedo lwezonyango olungxamisekileyo. Ugqirha wakho okanye usokhemesti uza kukubonisa kunye namalungu osapho lwakho ukuba ulisebenzisa njani eliyeza. Buza usokhemesti wakho ngemiyalelo okanye undwendwele iwebhusayithi yomenzi ukuze ufumane imiyalelo. Ukuba iimpawu zokudlula ngaphezulu zenzeka, umhlobo okanye ilungu losapho kufuneka linike idosi yokuqala ye-naloxone, fowunela i-911 kwangoko, kwaye uhlale nawe kwaye ujonge kufutshane kude kufike uncedo lwezonyango olungxamisekileyo. Iimpawu zakho zinokubuya emva kwemizuzu embalwa emva kokuba ufumane i-naloxone. Ukuba iimpawu zakho zibuya, umntu lowo kufuneka akunike enye idosi ye-naloxone. Amanqanaba ongezelelweyo anokunikwa yonke imizuzu emi-2 ukuya kwemi-3, ukuba iimpawu ziyabuya ngaphambi kokuba uncedo lonyango lufike.

Iimpawu libanda kungaquka oku kulandelayo:

• ukuphefumla kancinci okanye kancinci
• ubunzima bokuphefumla
• ukulala kakhulu
• andikwazi kuphendula okanye ukuvuka
• zikhululekile, izihlunu zefloppy
• Kuyabanda, ulusu olunombala
• ukubetha kwentliziyo kancinci
• isicaphucaphu
• ukungaboni kakuhle
• isiyezi
• isiqaqa

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya i-methylene blue), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-meperidine.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Kuchasene nomthetho ukunika eli yeza komnye umntu. 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.

• Idemerol^®

• Isonipecaine
• I-Pethidine