Ihluke njani iMethadone kunye neSuboxone?

Umxholo

• Intshayelelo
• Iimpawu zeziyobisi
• Iindleko kunye ne-inshurensi
• Ukufikelela kumayeza
• Unyango nge-methadone
• Unyango nge-Suboxone
• Imiphumela
• Iziphumo zokurhoxa
• Ukusebenzisana kweziyobisi
• Sebenzisa nezinye iimeko zonyango
• Thetha nogqirha wakho
• Imibuzo neempendulo
• Q:
• A:

Intshayelelo

Iintlungu ezingapheliyo ziintlungu ezihlala ixesha elide. Iiopioids ngamayeza anamandla amiselweyo ukunceda ukunciphisa iintlungu ezingapheliyo. Ngelixa zisebenza kakuhle, la machiza anokuba nakho ukwenza imikhwa kwaye akhokele ekubeni likhoboka nasekuxhomekekeni. Ke kufuneka zisetyenziswe ngononophelo.

I-Methadone kunye ne-Suboxone zombini zii-opioids. Ngelixa i-methadone isetyenziselwa ukunyanga iintlungu ezingapheliyo kunye neziyobisi ze-opioid, i-Suboxone yamkelwe kuphela ukunyanga ukuxhomekeka kwe-opioid. Funda ukuze ufunde ngakumbi malunga nokuba la machiza mabini athelekiswa njani.

Iimpawu zeziyobisi

IMethadone sisiyobisi esingaqhelekanga. I-Suboxone ligama lophawu lweyeza buprenorphine / naloxone. Fumana ngakumbi malunga nazo apha ngezantsi.

	Imethadone	ISuboxone
Ngubani igama eliqhelekileyo?	imethadone	ibuprenorphine-naloxone
Zithini iinguqulelo zegama lophawu lomkhiqizo?	IDolophine, iMethadone HCl Intensol, iMethadose	ISuboxone, iBunavail, iZubsolv
Inyanga ntoni?	Ubuhlungu obungapheliyo, umlutha we-opioid	ukuxhomekeka opioid
Ngaba le yinto elawulwayo?	ewe, yinto elawulwa yiShedyuli II	ewe, yinto elawulwayo yeShedyuli III
Ngaba ukhona umngcipheko wokurhoxa kweli chiza?	Ewe†	Ewe†
Ngaba eli chiza linakho ukusetyenziswa gwenxa?	ewe ¥	ewe ¥

Umlutha wahlukile kukuxhomekeka.

Iziyobisi zenzeka xa uneminqweno engalawulekiyo ebangela ukuba uqhubeke nokusebenzisa iziyobisi. Awungekhe uyeke ukusebenzisa iyeza nangona likhokelela kwiziphumo eziyingozi.

Ukuxhomekeka kuyenzeka xa umzimba wakho uziqhelanisa neziyobisi kwaye unyamezeleke kuwo. Oku kukhokelela ekubeni ufune ngaphezulu iziyobisi ukwenza umphumo ofanayo.

IMethadone iza ngezi ndlela:

• ithebhulethi yomlomo
• isisombululo somlomo
• ukugxila komlomo
• isisombululo esitofwayo
• ithebhulethi esasazekayo yomlomo, ekufuneka inyibilike kulwelo ngaphambi kokuba uluthathe

Igama leBrand Suboxone liza njengefilimu yomlomo, enokuthi inyibilike phantsi kolwimi lwakho (ulwimi oluncinci) okanye ibekwe phakathi kwesidlele sakho kunye neentsini zokunyibilikisa (buccal).

Iinguqulelo eziqhelekileyo ze-buprenorphine / naloxone (izithako eziseSuboxone) ziyafumaneka njengefilimu yomlomo kunye nethebhulethi engezantsi.

Iindleko kunye ne-inshurensi

Okwangoku, kukho umahluko omkhulu kumaxabiso phakathi kwe-methadone kunye ne-generic kunye negama lophawu lwe-Suboxone. Ngokubanzi, zombini igama lophawu lwe-Suboxone kunye ne-generic buprenorphine / naloxone zibiza kakhulu kune-methadone. Ngolwazi oluthe kratya kumaxabiso amayeza, bona iGoodRx.com.

Iinkampani ezininzi zeinshurensi zifuna ugunyaziso lwangaphambili lwe-methadone okanye iSuboxone. Oku kuthetha ukuba ugqirha wakho uyakufuna ukufumana imvume kwinkampani yeinshurensi phambi kokuba inkampani ihlawule amayeza.

Ukufikelela kumayeza

Kukho izithintelo kwindlela onokufikelela ngayo kula mayeza. Ezi zithintelo zixhomekeke kudidi lweziyobisi kwaye kutheni zisetyenziswa.

Kuphela yimethadone evunyiweyo ukunyanga iintlungu ezingapheliyo. I-Methadone yokunciphisa iintlungu iyafumaneka kwezinye iikhemesti, kodwa ayizizo zonke. Thetha nogqirha wakho malunga nokuba zeziphi iikhemesti ezinokugcwalisa amayeza e-methadone ukunyanga iintlungu ezingapheliyo.

Zombini i-methadone kunye ne-Suboxone zinokusetyenziselwa ukukunceda ufumane inkqubo yokuchithwa kwe-opioids.

Ukutsalwa komzimba emzimbeni kwenzeka xa umzimba wakho uzama ukususa ichiza. Ngexesha lokukhutshwa emzimbeni, uneempawu zokurhoxa. Uninzi lweempawu zokurhoxa azisongeli ubomi, kodwa azonwabanga.

Kulapho imethadone kunye neSuboxone zingena khona. Banokunciphisa iimpawu zokurhoxa kunye neminqweno yakho yeziyobisi.

I-Methadone kunye ne-Suboxone zombini zinceda ukulawula i-detoxification, kodwa inkqubo yokusebenzisa kwabo yahlukile.

Unyango nge-methadone

Xa usebenzisa i-methadone kunyango lweziyobisi, ungayifumana kuphela kwiinkqubo zonyango eziqinisekisiweyo zonyango lwe-opioid. Oku kubandakanya iiklinikhi zokugcina i-methadone.

Xa uqala unyango, kufuneka uye kwenye yeekliniki. Ugqirha ubona ukuba ufumana idosi nganye.

Nje ukuba ugqirha waseklinikhi athathe isigqibo sokuba uzinzile kunyango lwe-methadone, banokukuvumela ukuba uthathe ichiza ekhaya phakathi kotyelelo kwiklinikhi. Ukuba uthatha iyeza ekhaya, kusafuneka ulifumane kwinkqubo yonyango eqinisekisiweyo yonyango lwe-opioid.

Unyango nge-Suboxone

Kwi-Suboxone, awudingi ukuba uye ekliniki ukuze ufumane unyango. Ugqirha wakho uya kukunika iyeza.

Nangona kunjalo, baya kuthi bakubeke esweni ukuqala konyango lwakho ngokusondeleyo. Basenokufuna ukuba uze eofisini yabo ukuze ufumane amayeza. Banokukujonga kwakhona ukuba uthatha iyeza.

Ukuba uvumelekile ukuthatha iyeza ekhaya, ugqirha wakho akanakho ukukunika ngaphezulu kweedosi ezimbalwa ngexesha. Ngexesha elide, nangona kunjalo, ugqirha wakho uya kukuvumela ukuba uphathe unyango lwakho.

Imiphumela

Iitshathi ezingezantsi zoluhlu lwemizekelo yeziphumo ebezingalindelekanga zemethadone kunye neSuboxone.

Iziphumo eziqhelekileyo	Imethadone	ISuboxone
intloko elula	✓	✓
isiyezi	✓	✓
isiqaqa		✓
ukozela	✓	✓
isicaphucaphu nokugabha	✓	✓
ukubila	✓	✓
ukuqhina	✓	✓
isisu esibuhlungu	✓
Ukuba ndindisholo emlonyeni wakho		✓
ukudumba okanye ulwimi olubuhlungu		✓
ububomvu ngaphakathi komlomo wakho		✓
ingxaki ukunikela ingqalelo		✓
ngokukhawuleza okanye ngokukhawuleza kwentliziyo		✓
ukungaboni kakuhle		✓

Iziphumo ebezingalindelekanga ezimandundu	Imethadone	ISuboxone
likhoboka	✓	✓
iingxaki zokuphefumla ezinzima	✓	✓
iingxaki zesingqisho senhliziyo	✓
iingxaki ngokulungelelanisa		✓
iintlungu ezinzima zesisu	✓
ukuxhuzula	✓
negazi lakho	✓	✓
Ukurhoxiswa kweopioid		✓
uxinzelelo lwegazi oluphantsi		✓
iingxaki zesibindi		✓

Ukuba uthatha i-methadone engaphezulu okanye i-Suboxone kunokuba ugqirha ugqirha okanye ikliniki imyalela, kunokubangela ukuba ugqithise. Oku kungakhokelela nasekufeni. Kubalulekile ukuba uthathe iyeza lakho njengoko uyalelwe.

Iziphumo zokurhoxa

Kuba zombini i-methadone kunye ne-Suboxone zi-opioids, zinokubangela ukuba likhoboka kunye neempawu zokurhoxa. Njengesiyobisi seShedyuli II, imethadone inobungozi obuphezulu bokusetyenziswa gwenxa kuneSuboxone.

Iimpawu zokurhoxa kulo naliphi na iyeza zinokwahluka kakhulu kubukhali ukusuka komnye umntu ukuya komnye. Ngokwesiqhelo, ukurhoxa kwimethadone kunokuhlala, ngelixa iimpawu zokurhoxa kwi-Suboxone zinokuhlala ukusuka kwinyanga enye ukuya kwiinyanga ezininzi.

Iimpawu zokurhoxa kwe-opioid zinokubandakanya:

• ndingcangcazela
• ukubila
• uziva ushushu okanye uyabanda
• impumlo enemifinya
• Amehlo amanzi
• amaqhuma erhamba
• urhudo
• isicaphucaphu okanye ukugabha
• iintlungu zemisipha okanye izihlunu
• ingxaki yokulala (ukulala)

Musa ukuyeka ukuthatha naliphi na ichiza ngokwakho. Ukuba uyakwenza oko, iimpawu zakho zokurhoxa ziya zisiba mbi.

Ukuba ufuna ukuyeka ukuthatha iyeza lakho, ugqirha wakho uya kuthoba kancinci umthamo wakho ngokuhamba kwexesha ukunceda ukukhusela iimpawu zokurhoxa. Ngolwazi oluthe kratya, funda malunga nokujongana nokurhoxa kwe-opiate okanye ngokurhoxa kwimethadone.

Imizekelo yeziphumo zokurhoxa kwi-methadone kunye ne-Suboxone zezi zilandelayo:

Iziphumo zokurhoxa	Imethadone	ISuboxone
iminqweno	✓	✓
ingxaki yokulala	✓	✓
urhudo	✓	✓
isicaphucaphu nokugabha	✓	✓
ukudakumba noxinzelelo	✓	✓
iintlungu zemisipha	✓	✓
umkhuhlane, Ukugodola nokubila		✓
kushushu kubanda	✓
ukungcangcazela	✓
ukubona izinto ezingekhoyo (ukubona okanye ukuva izinto ezingekhoyo)	✓
intloko ebuhlungu		✓
ingxaki yokujonga		✓

I-Suboxone kunye ne-methadone zinokubangela ukurhoxiswa kwesifo kusana olusandul 'ukuzalwa ukuba uthatha naliphi na ichiza xa ukhulelwe. Ungaqaphela:

• ndilila ngaphezu kwesiqhelo
• ukucaphuka
• Ukuziphatha okugqithisileyo
• ingxaki yokulala
• isikhalo esiphakamileyo
• ukungcangcazela
• ukugabha
• urhudo
• ukungakwazi ukutyeba

Ukusebenzisana kweziyobisi

Zombini i-methadone kunye ne-Suboxone zinokunxibelelana namanye amayeza. Ngapha koko, i-methadone kunye ne-Suboxone zabelana ngokusebenzisana okufanayo kweziyobisi.

Imizekelo yeziyobisi ezinokuthi zinxibelelane ne-methadone kunye ne-Suboxone kubandakanya:

• i-benzodiazepines, efana ne-alprazolam (Xanax), i-lorazepam (Ativan) kunye ne-clonazepam (iKlonopin)
• izixhobo zokulala, ezinjengezolpidem (Ambien), eszopiclone (Lunesta), kunye temazepam (Restoril)
• iyeza lokubulala iintlungu
• ezinye ii-opioids, ezinje nge-buprenorphine (Butrans) kunye ne-butorphanol (Stadol)
• amayeza okubola, anje nge ketoconazole, fluconazole (Diflucan), kunye ne voriconazole (Vfend)
• i-antibiotics, njenge-erythromycin (i-Erythrocin) kunye ne-clarithromycin (i-Biaxin)
• iziyobisi, ezifana ne-phenytoin (Dilantin), phenobarbital (Solfoton), kunye ne-carbamazepine (Tegretol)
• Amachiza e-HIV, anje nge-efavirenz (Sustiva) kunye ne-ritonavir (Norvir)

Ukongeza kolu luhlu, imethadone ikwanxibelelana namanye amayeza. Oku kubandakanya:

• iziyobisi zentliziyo, ezinje nge-amiodarone (Pacerone)
• antidepressants, ezinje nge-amitriptyline, citalopram (Celexa), kunye nequetiapine (Seroquel)
• i-monoamine oxidase inhibitors (ii-MAIOs), ezinjenge-selegiline (Emsam) kunye ne-isocarboxazid (Marplan)
• amayeza anticholinergic, anje nge-benztropine (Cogentin), atropine (Atropen), kunye ne-oxybutynin (Ditropan XL)

Sebenzisa nezinye iimeko zonyango

IMethadone kunye neSuboxone zinokubangela iingxaki ukuba uzithatha xa unemicimbi ethile yempilo. Ukuba unayo nayiphi na kwezi, kuya kufuneka uxoxe ngokhuseleko lwakho nogqirha wakho ngaphambi kokuba uthathe i-methadone okanye iSuboxone:

• isifo sezintso
• isifo sesibindi
• iingxaki zokuphefumla
• ukusetyenziswa gwenxa kwezinye iziyobisi
• utywala
• iingxaki zempilo yengqondo

Thetha nogqirha wakho ngaphambi kokuba uthathe i-methadone ukuba unayo:

• iingxaki zesingqisho senhliziyo
• ukuxhuzula
• iingxaki zesisu njengokuvaleka kwamathumbu okanye ukuncipha kwamathumbu akho

Thetha nogqirha wakho ngaphambi kokuba uthathe i-Suboxone ukuba unayo:

• iingxaki ze-adrenal gland

Thetha nogqirha wakho

I-Methadone kunye ne-Suboxone zinokufana okuninzi kunye nezinye umahluko ophambili. Umahluko obaluleke ngakumbi phakathi kwala machiza unokubandakanya:

• iifom zamachiza
• umngcipheko wokuba likhoboka
• iindleko
• ukufikeleleka
• imiphumela
• Unxibelelwano lweziyobisi

Ugqirha wakho unokukuxelela ngakumbi malunga nala mahluko. Ukuba ufuna unyango lweziyobisi ze-opioid, ugqirha wakho yeyona ndawo ilungileyo onokuqala kuyo. Banokucebisa elona chiza lilungileyo lokukunceda ube sempilweni.

Imibuzo neempendulo

Q:

Kutheni le nto ukurhoxa kwe-opioid kunokwenzeka njengempembelelo yecala le-Suboxone?

Isigulana esingaziwayo

A:

Ukuthatha i-Suboxone kunokukhokelela kwiimpawu zokurhoxa kwe-opioid, ngakumbi ukuba idosi iphezulu kakhulu. Kungenxa yokuba iSuboxone iqulethe ichiza naloxone. Eli chiza longezwa kwi-Suboxone ukudimaza abantu ekuyitofeni okanye ekuyinqobeni.

Ukuba ujova okanye ugoba i-Suboxone, i-naloxone inokubangela iimpawu zokurhoxa. Kodwa ukuba uthatha i-Suboxone ngomlomo, umzimba wakho uthatha incinci kakhulu yecandelo le-naloxone, ke umngcipheko weempawu zokurhoxa usezantsi.

Ukuthatha iidosi eziphezulu ze-Suboxone ngomlomo kusenokubangela iimpawu zokurhoxa, nangona kunjalo.

Iqela lezonyango kwezempiloImpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.