Inaliti ye-Meperidine

-Delile

• Ngaphambi kokusebenzisa umjovo we-meperidine
• Umjovo weMeperidine ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo weMeperidine kungaba ukwakheka komkhuba, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa umjovo we-meperidine njengoba uqondisiwe. Ungayisebenzisi ngaphezulu, yisebenzise kaningi, noma uyisebenzise ngendlela ehlukile kunaleyo eqondiswa udokotela wakho. Ngenkathi usebenzisa umjovo we-meperidine, xoxa nomhlinzeki wakho wezokunakekelwa kwezempilo ngezinhloso zakho zokwelashwa kobuhlungu, ubude bokwelashwa, nezinye izindlela zokuphatha ubuhlungu bakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho uphuza utshwala noma uke waphuza utshwala obuningi, usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imishanguzo kadokotela, noma uke weqisa ngokweqile, noma uma uke waba nengcindezi noma esinye isifo sengqondo. Kukhona ingozi enkulu yokuthi uzosebenzisa ngokweqile i-meperidine uma ngabe uke waba noma uke waba nalezi zimo. Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha bese ucela ukuqondiswa uma ucabanga ukuthi unesidakamizwa se-opioid noma ushayele Inombolo Yosizo Yezwe Yase-U.S. Kanye ne-Mental Health Services Administration (SAMHSA) ku-1-800-662-HELP

Umjovo weMeperidine ungadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi namahora okuqala angama-24 kuye kwangama-72 okwelashwa kwakho futhi noma nini lapho umthamo wakho wanda. Udokotela wakho uzokuqapha ngokucophelela ngesikhathi sokwelashwa kwakho. Tshela udokotela wakho uma ngabe uke wehlisa ukuphefumula noma i-asthma. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi umjovo we-meperidine. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingelapheki se-pulmonary disease (i-COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), ukulimala ekhanda, isimila ebuchosheni, noma yisiphi isimo esandisa inani ingcindezi ebuchosheni bakho. Ingcuphe yokuthi uzoba nezinkinga zokuphefumula ingahle ibe phezulu uma usumdala noma ubuthakathaka noma ungondlekile ngenxa yezifo. Uma uhlangabezana nenye yalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo: ukuphefumula okuphuzile, ukuma isikhashana phakathi kokuphefumula, noma ukuphefumula okuncane.

Ukuthatha imishanguzo ethile ngesikhathi sokwelashwa kwakho ngomjovo we-meperidine kungakhuphula ubungozi bokuthi uzohlangabezana nezinkinga zokuphefumula noma ezinye izinkinga ezinkulu zokuphefumula ezisongela impilo, ukuthokomala, noma ikhoma. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), ne-triazolam (i-Halcion); imithi yokukhathazeka, isicanucanu, noma ubuhlungu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa umjovo we-meperidine nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo: isiyezi, ikhanda elincane, ukulala ngokweqile, ukuphefumula okunzima noma okunzima, noma ukungaphenduli. Qiniseka ukuthi umnakekeli wakho noma amalungu omndeni wakho ayazi ukuthi yiziphi izimpawu ezingabucayi ukuze bakwazi ukubiza udokotela noma ukunakekelwa kwezimo eziphuthumayo uma ungakwazi ukufuna ukwelashwa uwedwa.

Ukuphuza utshwala, ukuthatha imishanguzo kadokotela noma engeyona imishanguzo equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngenkathi welashwa nge-meperidine kwandisa ingozi yokuthi uzoba nemiphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Ungavumeli noma ngubani omunye umuntu ukuthi asebenzise imithi yakho. Umjovo weMeperidine ungalimaza noma ubangele ukufa kwabanye abantu abasebenzisa imithi yakho, ikakhulukazi izingane.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma usebenzisa umjovo we-meperidine njalo ngenkathi ukhulelwe, ingane yakho ingase ibe nezimpawu zokuhoxa ezisongela impilo ngemuva kokuzalwa. Tshela udokotela wengane yakho khona manjalo uma ingane yakho ihlangabezana nalezi zimpawu ezilandelayo: ukucasuka, ukukhathazeka ngokweqile, ukulala okungavamile, ukukhala okuphakeme, ukuzamazama okungalawuleki kwengxenye yomzimba, ukuhlanza, isifo sohudo, noma ukwehluleka ukukhuluphala.

Khuluma nodokotela wakho ngezingozi zokusebenzisa umjovo we-meperidine.

Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Umjovo weMeperidine usetshenziselwa ukudambisa ubuhlungu obuphakathi nendawo nobunzima. Ingasetshenziswa futhi ngaphambi nangesikhathi sokuhlinzwa noma ezinye izinqubo zokwelashwa. Umjovo weMeperidine usesigabeni semithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela umzimba ozwa ngayo ubuhlungu.

Umjovo weMeperidine uza njengesisombululo (uketshezi) ukujova ngomgogodla (ngaphansi nje kwesikhumba), ngokufaka imisipha (emsipheni), noma ngemithambo (emthanjeni). Imvamisa ijovwa ngomgogodla noma nge-intramuscularly kanye njalo emahoreni ama-3 kuye kwangu-4 njengoba kudingeka. Sebenzisa umjovo we-meperidine njengoba uqondisiwe.

Udokotela wakho angalungisa umthamo wakho womjovo we-meperidine ngesikhathi sokwelashwa kwakho, kuya ngokuthi ubuhlungu bakho bulawulwa kahle kangakanani kanye nemiphumela oyitholayo. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi welashwa ngomjovo we-meperidine.

Uma usebenzise umjovo we-meperidine isikhathi eside kunezinsuku ezimbalwa, ungayeki ukuwusebenzisa ngokungazelelwe. Uma ngokungazelelwe uyeka ukusebenzisa umjovo we-meperidine, ungahle uhlangabezane nezimpawu zokuhoxa kufaka phakathi ukungazinzi; amehlo anezinyembezi; ikhala eligobayo; ukuzamula; ukujuluka; Ukugodola; ubuhlungu bemisipha, emuva noma obuhlangene; ukunwetshwa kwabafundi; ukucasuka; ukukhathazeka; ubuthakathaka; isisu; ubunzima bokulala noma ukulala; isicanucanu; ukulahlekelwa ukudla; ukuhlanza; isifo sohudo; ukuphefumula okusheshayo; noma ukushaya kwenhliziyo okusheshayo. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-meperidine

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-meperidine, noma imiphi eminye imithi, noma izithako zomjovo we-meperidine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• ungasebenzisi umjovo we-meperidine uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), noma i-tranylcypromine (i-Parnate) noma uma uyekile ukuthatha noma iyiphi yale mithi emasontweni amabili edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi umjovo we-meperidine uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-lithium (iLithobid, eLibrax); imithi yezinhlungu ze-migraine ezifana ne-almotriptan (Axert), i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Imitrex, i-Treximet), ne-zolmitriptan (iZomig); i-mirtazapine (i-Remeron); 5HT₃ ama-serotonin blocker afana ne-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (i-Kytril), i-ondansetron (iZofran, iZuplenz), noma i-palonosetron (i-Aloxi); i-serotonin-reuptake inhibitors ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Prozac, i-Pexeva) ne-sertraline (i-Zoloft); i-serotonin ne-norepinephrine reuptake inhibitors efana ne-duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), ne-venlafaxine (Effexor); i-tramadol (i-Conzip, i-Ultram); i-trazodone (i-Oleptro); noma i-tricyclic antidepressants (’mood elevators’) njenge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ne-trimipramine. Eminye imithi eminingi ingase futhi ihlanganyele ne-meperidine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. Phinda utshele udokotela noma usokhemisi wakho uma uthatha imishanguzo ye-narcotic yezinhlungu noma uma usanda kuyithatha le mithi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi iSt John's wort ne-tryptophan.
• utshele udokotela wakho uma uke waba nezinkinga ukuchama; Isifo i-Addison (isimo lapho umzimba ungakhiqizi amakhemikhali athile abalulekile); i-prostatic hypertrophy (ukukhuliswa kwendlala yokuzala yowesilisa ebizwa nge-prostate); ukuqina kwe-urethral (ukunciphisa ukuvuleka lapho umchamo ushiya khona umzimba); ukuquleka; noma isifo se-thyroid, senhliziyo, sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa umjovo we-meperidine, shayela udokotela wakho.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-meperidine.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa umjovo we-meperidine.
• kufanele wazi ukuthi i-meperidine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-meperidine ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Umjovo weMeperidine ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubumhlophe
• ikhanda
• ukuyaluza
• ukuqunjelwa
• ukuzamazama okungalawuleki kwengxenye yomzimba wakho
• ukungaboni kahle
• umlomo owomile
• ubuhlungu noma ububomvu endaweni yomjovo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ukuphefumula kancane
• ukuyaluza, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), umkhuhlane, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqhaqhazela, ukuqina kwemisipha okunzima noma ukudikiza, ukulahlekelwa ukuhlangana, isicanucanu, ukuhlanza noma uhudo
• isicanucanu, ukuhlanza, ukungathandi ukudla, ukuba buthakathaka, noma isiyezi
• ukungakwazi ukuthola noma ukugcina ukwakhiwa
• kwehle isifiso sobulili
• ukuya esikhathini okungajwayelekile
• injabulo enkulu
• isimo esidabukisayo
• ukuqubuka
• ukulunywa
• ukuqhuma
• isifuba
• isithuthwane
• ukusangana

Umjovo weMeperidine ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Ngenkathi usebenzisa umjovo we-meperidine, kufanele ukhulume nodokotela wakho ngokuba nemithi yokutakula ebizwa nge-naloxone etholakala kalula (isb., Ikhaya, ihhovisi). INaloxone isetshenziselwa ukuguqula imiphumela esongela impilo yokweqisa ngokweqile. Isebenza ngokuvimba imiphumela yama-opiate ukukhulula izimpawu eziyingozi ezibangelwa amazinga aphezulu ama-opiates egazini. Udokotela wakho futhi angakunika i-naloxone uma uhlala ekhaya lapho kunezingane ezincane noma othile ohlukumeze izidakamizwa zasemgwaqweni noma zemithi kadokotela. Kufanele uqiniseke ukuthi wena kanye namalungu omndeni wakho, abanakekeli, noma abantu abachitha isikhathi nawe bayazi ukuthi ungakubona kanjani ukweqisa izidakamizwa, ukuthi ungayisebenzisa kanjani naloxone, nokuthi yini okufanele uyenze kuze kufike usizo oluphuthumayo lwezokwelapha. Udokotela wakho noma usokhemisi uzokukhombisa wena namalungu omndeni wakho ukuthi ungayisebenzisa kanjani le mithi. Buza usokhemisi wakho ukuthola imiyalo noma vakashela iwebhusayithi yomkhiqizi ukuthola imiyalo. Uma kwenzeka izimpawu zokweqisa ngokweqile, umngani noma ilungu lomndeni kufanele linikeze umthamo wokuqala we-naloxone, shayela u-911 ngokushesha, futhi uhlale nawe futhi ukubuke eduze kuze kufike usizo oluphuthumayo lwezokwelapha. Izimpawu zakho zingabuya kungakapheli imizuzu embalwa ngemuva kokuthola i-naloxone. Uma izimpawu zakho zibuya, umuntu kufanele akunikeze omunye umthamo we-naloxone. Imithamo eyengeziwe inganikezwa njalo emaminithini amabili kuya kwemi-3, uma izimpawu zibuya ngaphambi kokuthi usizo lwezokwelapha lufike.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukuphefumula kancane noma okungajulile
• ukuphefumula kanzima
• ukulala ngokweqile
• ayikwazi ukuphendula noma ukuvuka
• okuxekethile, imisipha ye-floppy
• kubanda, isikhumba se-clammy
• ukushaya kwenhliziyo okuhamba kancane
• ukuquleka

Gcina wonke ama-aphoyintimenti nodokotela wakho. Udokotela wakho anga-oda izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-meperidine.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho nabasebenzi be-laboratory ukuthi usebenzisa i-meperidine.

Lo muthi awugcwaliseki kabusha. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda i-meperidine, shayela udokotela wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Demerol^®