Imethadone

Umxholo

• Ngaphambi kokuba uthathe i-methadone,
• I-Methadone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane uncedo lonyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Methadone inokuba ngumkhwa wokwenza. Thatha i-methadone ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha idosi enkulu, yithathe rhoqo, okanye uyithathe ixesha elide okanye ngendlela eyahlukileyo kunaleyo umiselwe ngugqirha wakho. Ngelixa uthatha i-methadone, 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 uya kuyisebenzisa kakhulu i-methadone 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.

I-Methadone inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho kwaye naliphi na ixesha elonyukayo. 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-methadone. Xelela ugqirha wakho ukuba unayo okanye wakhe waba nesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (i-COPD; iqela lezifo zemiphunga ezibandakanya i-bronchitis engapheliyo kunye ne-emphysema), 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 amanye amayeza ngexesha lonyango lwakho kunye ne-methadone kunokunyusa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi ezinje ngeengxaki zokuphefumla, i-sedation, okanye ikhoma. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: (Fanapt), loxapine, lurasidone (Latuda), molindone, olanzapine (Zyprexa), paliperidone (Invega), perphenazine, pimavanserin (Nuplazid), quetiapine (Seroquel), risperidone (Risperdal), thioridazine, thiothi ); benzodiazepines ezifana nealprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam kunye netriazolam (Halcion); i-opiate (narcotic) amayeza entlungu kunye nokukhohlela; amayeza isicaphucaphu okanye ukugula ngengqondo; izihlunu ezonwabisayo; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha amayeza akho kwaye uza kukujonga ngononophelo. Ukuba uthatha i-methadone ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, intloko 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 nge-methadone kwandisa umngcipheko wokuba uza kuba neziphumo ebezingalindelekanga. 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-Methadone inokulimaza okanye ibangele ukufa kwabanye abantu abathatha amayeza akho, ngakumbi abantwana. Gcina imethadone kwindawo ekhuselekileyo ukuze kungabikho namnye onokuyithatha ngengozi okanye ngenjongo. Lumka ngakumbi ukugcina i-methadone kude nabantwana. Gcina umkhondo wokuba zingaphi iipilisi okanye ukuba ungakanani ulwelo oseleyo ukuze wazi ukuba akukho naliphi na iyeza elilahlekileyo. Lahla naziphi na iipilisi zemethadone ezingafunekiyo okanye isisombululo somlomo ngokufanelekileyo ngokwemiyalelo. (Jonga UKUGCINWA NOKULAHLWA.)

I-Methadone inokubangela ixesha elide le-QT (ingxaki yentliziyo enqabileyo enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukuphelelwa ngamandla, okanye ukufa ngesiquphe). Xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho une-QT syndrome ende okanye ukhe wanayo; okanye ukuba ukhe wabetha okanye akwabikho ukubetha kwentliziyo; amanqanaba egazi asezantsi e-potassium okanye i-magnesium, okanye isifo sentliziyo. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: amayeza okunyanga uxinzelelo njenge-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor) , protriptyline (Vivactil), kunye netrimipramine (iSurmontil); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, kunye ne-voriconazole (Vfend); umchamo ('iipilisi zamanzi'); erythromycin (Eryc, Erythrocin, nabanye); ifludrocortisone; laxatives ezithile; amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide, ibutilide (Corvert), procainamide, kunye nequinidine (kwiNuedexta); iNicardipine (Cardene); kunye ne risperidone (Risperdal); kunye ne-sertraline (iZoloft). Ukuba uhlangabezana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba ugqirha kwangoko: ukubetha kwentliziyo, isiyezi, ukuba krwada, okanye ukuphelelwa ngamandla.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uthatha i-methadone rhoqo ngexesha lokukhulelwa kwakho, 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.

Thetha nogqirha wakho malunga nomngcipheko wokuthatha imethadone kwimeko yakho.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seMithi) xa uqala unyango nge-methadone kwaye ngalo lonke ixesha ugcwalisa amayeza akho ukuba ngaba isiKhokelo seMithi siyafumaneka kwimveliso yemethadone oyithathayo. 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.

Ukusetyenziswa kwemethadone ukunyanga iziyobisi kwi-opiate:

Ukuba ulikhoboka le-opiate (ichiza le-narcotic njenge-heroin), kwaye uthatha i-methadone ukukunceda uyeke ukuthatha okanye ungaqhubeki nokuthatha ichiza, kuya kufuneka ubhalise kwinkqubo yonyango. Inkqubo yonyango kufuneka yamkelwe ngurhulumente kunye noorhulumente kwaye kufuneka anyange abaguli ngokwemithetho ethile yomanyano. Kuya kufuneka ukuba uthathe amayeza akho kwiziko lonyango phantsi kweliso labasebenzi benkqubo. Buza ugqirha wakho okanye inkqubo yonyango ukuba unayo nayiphi na imibuzo malunga nokubhalisa kwinkqubo okanye ukuthatha okanye ukufumana amayeza akho.

I-Methadone isetyenziselwa ukunciphisa iintlungu kubantu ekulindeleke ukuba bafune amayeza eentlungu ubusuku nemini ixesha elide kwaye abangenakuphathwa ngamanye amayeza. Ikwasetyenziselwa ukukhusela iimpawu zokurhoxa kwizigulana ezazilikhoboka leziyobisi kwaye zibhalise kwiinkqubo zonyango ukuze ziyeke ukuthatha okanye ukuqhubeka nokungasebenzisi iziyobisi. IMethadone ikudidi lwamayeza abizwa ngokuba yi-opiate (narcotic) analgesics. IMethadone isebenza ukunyanga iintlungu ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu. Isebenza ukunyanga abantu ababelikhoboka lokusebenzisa iziyobisi ngokuvelisa iziphumo ezifanayo kunye nokuthintela iimpawu zokurhoxa kubantu abaye bayeke ukusebenzisa la machiza.

IMethadone iza njengethebhulethi, iyasasazeka (inokunyibilika kulwelo) ithebhulethi, isisombululo (ulwelo), kunye nesisombululo esigxile ekuthatheni ngomlomo. Xa i-methadone isetyenziselwa ukunciphisa iintlungu, inokuthathwa rhoqo kwiiyure eziyi-8 ukuya kwezi-12. Ukuba uthatha i-methadone njengenxalenye yenkqubo yonyango, ugqirha wakho uya kukuyalela ishedyuli yedosi ekulungeleyo. Landela umkhombandlela kwileyibhile yakho yonyango ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-methadone ngokuchanekileyo njengoko kuyalelwe.

Ukuba usebenzisa iipilisi ezisasazekayo, musa ukuhlafuna okanye ukugwinya ngaphambi kokuxuba ithebhulethi kulwelo. Ukuba ugqirha wakho ukuxelele ukuba uthathe kuphela indawo yecwecwe, phula ithebhulethi ngononophelo kwimigca engene kuyo. Beka ithebhulethi okanye isiqwenga sethebhulethi ubuncinci i-120 mL (ii-ounces ezi-4) zamanzi, ijusi yeorenji, iTang^®, incasa yesitrasi yoNcedo lweKool^®, okanye isiselo se-citrus sisela ukunyibilika. Sela wonke lo mxube ngoko nangoko. Ukuba intsalela yethebhulethi ihlala ikwindebe emva kokuba usele lo mxube, yongeza intwana yolwelo kwindebe uyisele yonke.

Ugqirha wakho unokutshintsha idosi yakho ye-methadone ngexesha lonyango lwakho. Ugqirha wakho unokunciphisa idosi yakho okanye akuxelele ukuba uthathe i-methadone rhoqo rhoqo njengoko unyango lwakho luqhubeka. Ukuba uva iintlungu ngexesha lonyango lwakho, ugqirha wakho unokunyusa idosi yakho okanye anokuyalela amayeza awongezelelweyo ukulawula iintlungu zakho. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho kunye ne-methadone. Sukuthatha amathamo ongezelelweyo emethadone okanye uthathe amathamo emethadone ngaphambili kunokuba kucwangcisiwe nokuba uva iintlungu.

Sukuyeka ukuthatha imethadone ungakhange uthethe nogqirha wakho. Ugqirha wakho uya kufuna ukunciphisa umthamo wakho ngokuthe ngcembe. Ukuba uyeka ngequbuliso ukuthatha imethadone, unokufumana iimpawu zokurhoxa ezinje ngokungazinzi, amehlo aneenyembezi, ukuphuma empumlweni, ukuzamla, ukubila, ingqele, iintlungu zemisipha, abafundi abanzi (izangqa ezimnyama embindini wamehlo), ukuba nochuku, ixhala, umqolo obuhlungu, iintlungu ezidibeneyo, ubuthathaka, isisu, ubunzima bokulala okanye ukulala, isicaphucaphu, ukunciphisa ukutya, ukugabha, okanye ukuhambisa.

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

Ngaphambi kokuba uthathe i-methadone,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-methadone, nawaphi na amanye amayeza, okanye nasiphi na isithako kwimveliso yemethadone oceba ukuyithatha. Buza ugqirha wakho okanye usokhemesti okanye ujonge isiKhokelo seMithi ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nezinye izinto ezilandelayo: buprenorphine (Suboxone, kwiZubsolv); ifomoranol; carbamazepine (Cabatrol, Equetro, Tegretol, nabanye); cyclobenzaprine (Amrix); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); amayeza e-glaucoma, isifo sesisu esibuhlungu, isifo sika-Parkinson, izilonda, kunye neengxaki zomchamo; amayeza athile e-HIV kubandakanya abacavir (Ziagen, eTrizivir), darunavir (Prezista), didanosine (Videx), efavirenz (Sustiva, eAtripla), lopinavir (e Kaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir , eKaletra), saquinavir (Invirase), stavudine (Zerit), tipranavir (Aptivus), kunye ne-zidovudine (Retrovir, eCombivir); 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); nalbuphine; naloxone (Evzio, Narcan, kwiZubsolv); i-naltrexone (ReVia, Vivitrol, kwi-Embeda); ipentazocine (Talwin); phenobarbital; phenytoin (iDilantin, iPhenytek); irifampin (Rifadin, Rimactane, eRifamate, eRifater); 5HT₃ i-serotonin blockers ezinje ngealosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), okanye palonosetron (Aloxi); i-serotonin-reuptake inhibitors ekhethiweyo njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, kwi-Symbyax), i-fluvoxamine (i-Luvox) kunye ne-paroxetine (i-Brisdelle, i-Prozac, i-Pexeva); i-serotonin kunye ne-norepinephrine reuptake inhibitors enje nge-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella); kunye ne-venlafaxine (i-Effexor); tramadol (Conzip, Ultram, kwi-Ultracet); kunye ne-trazodone (Oleptro). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana amayeza alandelayo okanye uyekile ukuwathatha kwiintsuku ezili-14 ezidlulileyo: i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelpar), kunye ne-tranylcypromine (iParnate). Uninzi lwamanye amayeza anokusebenzisana ne-methadone, 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 unayo nayiphi na imiqathango ekhankanyiweyo kwicandelo LESILUMKISO ESIBALULEKILEYO okanye ukhe wanqabile emathunjini akho okanye ileus ekhubazekileyo (imeko apho ukutya okwetyisiweyo kungahambeli emathunjini). Ugqirha wakho unokukuxelela ukuba akufuneki uthathe i-methadone.
• xelela ugqirha wakho ukuba ukhe wanengxaki yokuchama; i-prostate eyandisiweyo (idlala lokuzala); Isifo i-Addison (imeko apho i-adrenal gland ingenzi ngokwaneleyo izinto ezithile zendalo); ukuxhuzula; okanye idlala lengqula, ipancreas, gallbladder, isibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba uncelisa. Ukuba uncelisa ngexesha lonyango lwakho kunye ne-methadone, umntwana wakho unokufumana i-methadone kwi-breastmilk. Jonga umntwana wakho ngokusondeleyo kulo naluphi na utshintsho ekuziphatheni nasekuphefumleni, ngakumbi xa uqala ukuthatha imethadone. Ukuba umntwana wakho uvelisa naziphi na kwezi mpawu, biza ugqirha wosana lwakho kwangoko okanye ufumane uncedo lonyango olungxamisekileyo: ukulala okungaqhelekanga, ubunzima bokuncancisa, ukuphefumla nzima, okanye ukuqhwalela. Thetha nogqirha womntwana wakho xa sele ukulungele ukulumla umntwana wakho. Kuya kufuneka ulumle usana lwakho ngokuthe ngcembe ukuze umntwana wakho angabinazo iimpawu zokurhoxa xa eyeka ukufumana imethadone kubisi lwebele.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-methadone.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha imethadone.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-methadone inokubangela ukuba ube nesiyezi xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukuthatha imethadone. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
• Kuya kufuneka uyazi ukuba imethadone inokubangela ukuqhina. Thetha nogqirha wakho malunga nokutshintsha indlela otya ngayo okanye ukusebenzisa amanye amayeza ukuthintela okanye ukunyanga ukuqhina ngelixa uthatha imethadone.

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

Ukuba ugqirha wakho ukuxelele ukuba uthathe i-methadone yentlungu, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule kwaye uqhubeke neshedyuli yakho yesiqhelo. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ukuba uthatha i-methadone ukunyanga umlutha we-opioid, tsiba idosi ephosiweyo kwaye uthathe idosi elandelayo ngosuku olulandelayo njengoko kucwangcisiwe. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• intloko ebuhlungu
• ukutyeba kwakho
• isisu esibuhlungu
• umlomo owomileyo
• Ulwimi olubuhlungu
• ukugungxula
• ubunzima bokuchama
• utshintsho lweemvakalelo
• iingxaki zombono
• ubunzima bokulala okanye ukulala

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane uncedo lonyango olungxamisekileyo:

• ukuxhuzula
• ukurhawuzelela
• urhwebo
• irhashalala
• ukudumba kwamehlo, ubuso, umlomo, ulwimi, okanye umqala
• ukudinwa
• ubunzima bokuphefumla okanye ukugwinya
• Ukozela kakhulu
• 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

I-Methadone inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Kuya kufuneka ulahle kwangoko nayiphi na imethadone ephelelwe lixesha okanye engasafunekiyo ngenkqubo yokubuyisa amayeza. Ukuba awunayo inkqubo yokubuyisela kufutshane okanye enye onokufikelela kuyo ngokukhawuleza, coca iipilisi ze-methadone okanye isisombululo esiphelelwe yisikhathi okanye esingasadingeki 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-methadone, 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:

• encinci, khomba abafundi (izangqa ezimnyama embindini wamehlo)
• ukuphefumla kancinci okanye kancinci
• ubunzima bokuphefumla
• ukozela
• ukozela
• epholileyo, eqaqambileyo, okanye ulusu oluhlaza
• andikwazi kuphendula okanye ukuvuka
• izihlunu eziqhwalelayo

Gcina lonke ixesha lokuya kugqirha nogqirha okanye eklinikhi. Ugqirha wakho unokuyalela iimvavanyo ezithile zelebhu ukujonga impendulo yakho kwimethadone.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha imethadone.

Lo myalelo awugcwaliseki. Ukuba uqhubeka uva iintlungu emva kokuba ugqibile ukuthatha imethadone, tsalela umnxeba ugqirha wakho. Ukuba uwathatha la mayeza rhoqo, qiniseka ukuba ucwangcise ixesha lokudibana nogqirha wakho 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.

• Iidiski^®¶
• IDolophine^®
• Imethadose^®
• Imethadose^® Ukugxininisa ngomlomo
• I-Westadone^®¶

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