Inaliti ye-Butorphanol

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-butorphanol,
• Inaliti ye-Butorphanol inokubangela 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 kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Inaliti ye-Butorphanol inokuba yindlela yokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa inaliti ye-butorphanol ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu, yisebenzise rhoqo, okanye uyisebenzise ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Ngelixa usebenzisa inaliti ye-butorphanol, xoxa kunye nomboneleli wakho wokhathalelo lwempilo iinjongo 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 uyokusebenzisa i-butorphanol kakhulu ukuba ukhe wanayo okanye ukhe wayifumana le miqathango. 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.

Inaliti ye-Butorphanol inokubangela iingxaki zokuphefumla ezinobuzaza okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho nangaliphi 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 ungasebenzisi inaliti ye-butorphanol. Xelela ugqirha wakho ukuba unesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya), ukwenzakala entloko ithumba ebuchotsheni, okanye nayiphi na imeko eyonyusa inani loxinzelelo 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 ngenaliti ye-butorphanol kunokunyusa umngcipheko weengxaki ezinzulu okanye ezisongela ubomi zokuphefumla. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: amayeza oxinzelelo, ukugula ngengqondo okanye isicaphucaphu; benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye ne triaz izihlunu ezonwabisayo; ezinye iyeza zentlungu; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha amayeza akho kwaye uza kukujonga ngononophelo.

Ukusela utywala, ukuthatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lonyango lwakho ngenaliti ye-butorphanol kukonyusa umngcipheko wokuba uza kuva ezi ziphumo zoyikekayo, nezisongela ubomi. Musa ukusela utywala okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba usebenzisa inaliti ye-butorphanol 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 ngenaliti ye-butorphanol 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.

Inaliti ye-Butorphanol isetyenziselwa ukunciphisa iintlungu ezibukhali. Inaliti ye-Butorphanol ikwasetyenziselwa ukunciphisa iintlungu ngexesha lomsebenzi kunye nokuthintela iintlungu kunye nokunciphisa ulwazi ngaphambi okanye ngexesha lotyando. I-Butorphanol ikudidi lwamayeza abizwa ngokuba yi-opioid agonist-antagonists. Isebenza ngokutshintsha indlela umzimba uziva ngayo iintlungu.

Inaliti ye-Butorphanol iza njengombane oza kungeniswa kwimisipha okanye emthanjeni. Xa inaliti ye-butorphanol isetyenziselwa ukunciphisa iintlungu, ihlala inikwa kube kanye kwiiyure ezi-3 ukuya kwezi-4 xa kufuneka njalo. Xa inaliti ye-butorphanol isetyenziselwa ukunciphisa iintlungu ngexesha lotyando, inokunikwa imizuzu engama-60 ukuya kuma-90 phambi kotyando kwaye emva koko njengoko kufuneka ngexesha lotyando. Xa inaliti ye-butorphanol isetyenziselwa ukunciphisa iintlungu ngexesha lomsebenzi, inokunikwa kube kanye emva kweeyure ezi-4 kodwa akufuneki inikwe ngaphantsi kweeyure ezi-4 ngaphambi kokuba kulindeleke ukuziswa.

Unokufumana inaliti yebutorphanol esibhedlele, okanye unganikwa amayeza oza kuwasebenzisa ekhaya. Ukuba uxelelwe ukuba uphathe inaliti yebutorphanol ekhaya, kubaluleke kakhulu ukuba usebenzise iyeza kanye njengoko kuyalelwe. Landela umkhombandlela owunikwe ngononophelo, kwaye ubuze ugqirha, usokhemesti okanye umongikazi ukuba unayo nayiphi na imibuzo okanye awuqondi umkhomba-ndlela.

Ukuba uxelelwe ukuba usebenzise inaliti yebutorphanol ekhaya, sukuyeka ukusebenzisa amayeza ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngequbuliso ukusebenzisa inaliti ye-butorphanol, unokufumana iimpawu zokurhoxa ezinje ngokuba novalo, ukuphazamiseka, ukungcangcazela, urhudo, ukugodola, ukubila, ubunzima bokulala okanye ukulala, ukudideka, ukuphulukana nolungelelwaniso, okanye ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi enza awukho). Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

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

Ngaphambi kokusebenzisa inaliti ye-butorphanol,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-butorphanol, nawaphi na amanye amayeza, okanye izithako kwiinaliti ye-butorphanol. Buza usokhemesti wakho 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: antihistamines; ii-barbiturates ezinje nge-butabarbital (Butisol), pentobarbital (Nembutal), phenobarbital, okanye secobarbital (Seconal); cyclobenzaprine (Amrix); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); erythromycin (EES, Eryc, Erythrocin, abanye); amayeza okuxhuzula; 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); 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 enjenge-duloxetine (iCymbalta), i-desvenlafaxine (i-Khedezla, i-Pristiq), i-milnacipran (i-Savella), kunye ne-venlafaxine (i-Effexor); okanye i-tricylic antidepressants (’mood elevators’) ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye neTrimontramine; theophylline (Theochron, Uniphyl, abanye); kunye ne-trazodone (Oleptro). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana i-monoamine oxidase (MAO) inhibitors okanye ukuba uyekile ukuzithatha kwezi veki zimbini zidlulileyo: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (iParnate). Uninzi lwamanye amayeza anokusebenzisana ne-butorphanol, 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 okanye i-tryptophan.
• xelela ugqirha wakho ukuba ukhe wanengxaki ekuchameni; isifo sentliziyo; igazi elonyukayo; okanye intliziyo, isifo, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba uncelisa. Abanye abantu basetyhini abasebenzisa inaliti ye-butorphanol banokuba namanani anyukayo amayeza kubisi lwabo lwebele, olunokubangela iziphumo ezibi okanye ezisongela ubomi kwiintsana zabo ezanyisayo. Kuya kufuneka ubize ugqirha wosana lwakho okanye ufumane uncedo olukhawulezileyo ukuba umntwana wakho ulele ngaphezu kwesiqhelo, unengxaki yokuncancisa okanye yokuphefumla, okanye uyaqhwalela.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga neengozi zokusebenzisa ibutorphanol.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa inaliti ye-butorphanol.
• Kuya kufuneka uyazi ukuba inaliti ye-butorphanol inokukwenza wozele kwaye ube nesiyezi. Sukuqhuba imoto okanye usebenzise oomatshini ubuncinci iyure enye emva kokuba ufumene idosi. Emva kokuba kudlule iyure enye, musa ukuqhuba de uqiniseke ukuba awuzungcangcazeli, wozele, okanye ube uphaphile kunesiqhelo.

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

Inaliti ye-Butorphanol ihlala isetyenziswa njengoko kufuneka. Ukuba ugqirha wakho ukuxelele ukuba usebenzise inaliti ye-butorphanol rhoqo, sebenzisa idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukusebenzisa idosi ephindwe kabini ukwenza eyilahlekileyo.

Inaliti ye-Butorphanol inokubangela iziphumo ebezingalindelekanga.Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukudinwa kakhulu
• ubunzima bokulala okanye ukulala
• amaphupha angaqhelekanga
• intloko ebuhlungu
• ukuqhina
• isisu esibuhlungu
• ndiziva ndishushu
• ukugungxula
• iintlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha ezandleni okanye ezinyaweni
• ukushukuma okungalawulekiyo kwilungu lomzimba wakho
• uvalo
• ubutshaba
• ulonwabo olukhulu
• imvakalelo yokudada
• imvakalelo ebuhlungu
• ukungaboni kakuhle
• kukhala ezindlebeni
• ubuhlungu bendlebe
• incasa engathandekiyo
• umlomo owomileyo
• ubunzima bokuchama

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

• 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
• ubunzima bokuphefumla
• utshintsho kwintliziyo
• isiqaqa
• irhashalala
• urhwebo

Inaliti ye-Butorphanol inokubangela 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).

Ukuba usebenzisa inaliti ye-butorphanol ekhaya, gcina amayeza kwisikhongozeli esangena, sivalekile kwaye singafikeleleki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obungaphaya, kunye nokufuma (hayi kwigumbi lokuhlambela). Lahla naliphi na iyeza eliphelelwe lixesha okanye elingasafunekiyo. Thetha kumachiza wakho malunga nokulahla ngokufanelekileyo amayeza akho.

Gcina inaliti ye-butorphanol kwindawo ekhuselekileyo ukuze kungabikho namnye umntu onokuyisebenzisa ngengozi okanye ngenjongo. Gcina umkhondo wokuba lingakanani iyeza elishiyekileyo ukuze wazi ukuba kukho elilahlekileyo.

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 inaliti ye-butorphanol, 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
• ukozela
• andikwazi kuphendula okanye ukuvuka

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zelebhu ukujonga impendulo yomzimba wakho kwi-butorphanol.

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

Musa ukuvumela nabani na ukuba asebenzise amayeza akho. Ukuba uqhubeka unentlungu emva kokuba ugqibe inaliti ye-butorphanol, tsalela ugqirha wakho.

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.

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