I-Fentanyl Transdermal Patch

-Delile

• Ukufaka isichibi, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa ama-fentanyl patches,
• Amachashazi eFentanyl angadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ama-patent e-Fentanyl angaba umkhuba wokwenza, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa i-fentanyl patch njengoba nje kuqondisiwe. Ungafaki ama-patches amaningi, sebenzisa ama-patches kaningi, noma usebenzise ama-patches ngendlela ehlukile kunaleyo ebekiwe ngudokotela wakho. Ngenkathi usebenzisa ama-fentanyl patches, 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 ubungozi obukhulu bokuthi uzosebenzisa ngokweqile ama-fentanyl patches uma uke waba nayo noma ngabe uke waba nale mibandela. 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

Amachashazi eFentanyl angadala izinkinga zokuphefumula ezinkulu 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. Ngenxa yale ngozi ebucayi, ama-fentanyl patches kufanele asetshenziselwe kuphela ukwelapha abantu ababekezelayo (abasetshenziselwa imiphumela yomuthi) emithini ye-opioid ngoba bathathe lolu hlobo lwemithi okungenani isonto elilodwa futhi akufanele isetshenziselwe ukwelapha ubuhlungu obumaphakathi noma obulinganiselayo, ubuhlungu besikhashana, ubuhlungu ngemuva kokuhlinzwa noma inqubo yezokwelapha noma yamazinyo, noma ubuhlungu obungalawulwa yimithi ethathwa njengoba kudingeka. Tshela udokotela wakho uma ngabe uke wehlisa ukuphefumula noma i-asthma. Udokotela wakho uzokutshela ukuthi ungasebenzisi ama-fentanyl patches. 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 nge-fentanyl kungakhuphula ubungozi bezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukudamba, noma ikhoma. Tshela udokotela kanye nosokhemisi wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: amiodarone (Nexterone, Pacerone); i-aprepitant (Hlela); i-benzodiazepines efana ne-alprazolam (i-Xanax), i-chlordiazepoxide (i-Librium), i-clonazepam (i-Klonopin), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), i-oxazepam, i-temazepam (i-Restoril) ne-triazolam) , I-Epitol, i-Equetro, iTegretol, iTeril); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-itraconazole (i-Onmel, i-Sporanox), ne-ketoconazole (i-Nizoral); i-clarithromycin (i-Biaxin, ku-Prevpac); i-diltiazem (iCardizem, iCartia, iDiltzac, iTaztia); i-erythromycin (i-E-Mycin, i-Erythrocin); i-fosamprenavir (Lexiva); imithi yokugula ngengqondo kanye nesicanucanu; eminye imithi yezinhlungu; ukuphumula kwemisipha; nefazodone; i-nelfinavir (i-Viracept); i-phenytoin (iDilantin, Phenytek); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); i-ritonavir (iNorvir, eKaletra); isidambisi; amaphilisi okulala; okokunciphisa umzimba; i-troleandomycin (TAO) (ayitholakali e-United States); kanye ne-verapamil (Calan, Covera, Verelan). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa i-fentanyl nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha ngokushesha: isiyezi esingavamile, ikhanda elikhanyayo, 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. Uma usebenzisa i-fentanyl 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 engabhalisi equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngesikhathi ukwelashwa kwakho nge-fentanyl kwandisa ingozi yokuthi uzohlangabezana nale miphumela 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. Amachashazi eFentanyl angalimaza noma abangele ukufa kwabanye abantu abadala nezingane abazisebenzisayo. Gcina iziqeshana ze-fentanyl endaweni ephephile ukuze kungabikho omunye umuntu ongazisebenzisa ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina amabala e-fentanyl engafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi zingaki iziqinti ezisele ukuze wazi ukuthi kukhona yini ezingekho.

Abantu abangalashwa ngezimagqabhagqabha ze-fentanyl bangalimala kanzima noma bafe uma uhlangothi olunamathelayo lwesichibi luthinta isikhumba sabo. Qaphela ukuthi ungavumeli uhlangothi olunamathelayo lwesichibi ukuthi luthinte isikhumba somunye umuntu. Uma ubambe noma unakekela izingane, qiniseka ukuthi azithinti isichibi sakho. Uma isichibi ngephutha siphuma emzimbeni wakho bese sinamathela esikhunjeni somunye umuntu, susa ngokushesha isichibi, ugeze leyo ndawo ngamanzi acwebile, bese uthola usizo oluphuthumayo.

Amachashazi e-Fentanyl abekade egqokwa izinsuku ezi-3 asenemithi eyanele yokulimaza kabi noma ukufa kubantu abadala noma ezinganeni ezingalashwa ngalo muthi. Ungalokothi uphonsa amabala asetshenzisiwe noma angasetshenziswanga kudoti noma uwashiye endaweni lapho angatholwa khona abanye, ikakhulukazi izingane. Lahla izindawo ezingasetshenziswanga nezingadingeki kahle ngokuya ngemiyalelo. (Bheka UKUGCINWA NOKULAHLWA.)

Uma i-fentanyl patch yakho ivezwe ukushisa okukhulu, ingahle ikhiphe imithi eminingi kakhulu emzimbeni wakho ngasikhathi sinye. Lokhu kungadala izimpawu ezimbi noma ezisongela impilo. Musa ukudalula isichibi sakho noma isikhumba esizungezile ukushintsha ukushisa okufana namaphakethe wokushisa, izingubo zokulala zikagesi, amalambu okushisa, ama-sauna, izitsha zokushisela nemibhede yamanzi eshisayo. Ungathathi amabhati amade ashisayo noma wokugeza ilanga ngenkathi ugqoke isichibi. Isiqephu sakho singakhipha nemithi eminingi kakhulu uma unemfiva noma uma ushisa kakhulu ngemuva kokuzivocavoca umzimba. Gwema ukuzivocavoca umzimba okungadala ukuthi ushise kakhulu. Shayela udokotela wakho ngokushesha uma unomkhuhlane. Udokotela wakho angadinga ukulungisa umthamo wakho.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma usebenzisa ama-fentanyl patches 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.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngamachashazi e-fentanyl futhi isikhathi ngasinye lapho ugcwalisa incwadi kadokotela. 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.

Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

Amachashazi e-Fentanyl asetshenziselwa ukudambisa ubuhlungu obukhulu kubantu okulindeleke ukuthi badinge imishanguzo yezinhlungu ubusuku nemini isikhathi eside futhi abangakwazi ukwelashwa ngeminye imithi. UFentanyl usesigabeni semithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Transdermal fentanyl iza njengesichibi ukufaka esikhunjeni. Isiqephu sivame ukufakwa esikhumbeni kanye njalo emahoreni angama-72. Shintsha isichibi sakho cishe ngesikhathi esifanayo sosuku ngaso sonke isikhathi lapho usishintsha. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Faka ama-patches we-fentanyl njengoba kuqondisiwe.

Udokotela wakho angakuqala ngomthamo ophansi we-fentanyl patch futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa njalo ezinsukwini ezi-3 ekuqaleni, bese kungabi kaningi kaningi ezinsukwini eziyisithupha. Udokotela wakho anganciphisa umthamo wakho uma uba nemiphumela emibi. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngesikhathi sokwelashwa kwakho ngama-fentanyl patches.

Amachashazi eFentanyl asetshenziselwa isikhumba kuphela. Ungafaki amachashazi emlonyeni wakho noma uhlafune noma ugwinye amachashazi.

Ungayeki ukusebenzisa ama-fentanyl patches ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukusebenzisa ama-fentanyl patches ungaba nezimpawu zokuhoxa. Shayela udokotela wakho uma uhlangabezana nenye yalezi zimpawu zokuhoxa: ukungazinzi, amehlo acwebayo, ikhala eligijimayo, ukuzamula, ukujuluka, ukubanda, ubuhlungu bemisipha, abafundi abakhulu (imibuthano emnyama enkabeni yamehlo), ukucasuka, ukukhathazeka, iqolo, ubuhlungu emajoyintini, ubuthakathaka, ukuqunjelwa yisisu, ubunzima bokulala noma ukulala, isicanucanu, ukungathandi ukudla, ukuhlanza, isifo sohudo, ukushaya kwenhliziyo okusheshayo, noma ukuphefumula okusheshayo.

Ungasebenzisi i-fentanyl patch esikiwe, elimele, noma eguqulwe nganoma iyiphi indlela.Uma usebenzisa iziqeshana ezisikiwe noma ezilimele, ungathola iningi noma yonke imithi ngasikhathi sinye, esikhundleni sokuhamba kancane ngaphezu kwezinsuku ezintathu. Lokhu kungadala izinkinga ezinkulu, kufaka phakathi ukweqisa ngokweqile nokufa.

Ungageza, ubhukude noma ugeze ngenkathi ugqoke i-fentanyl patch. Uma i-patch iwa phakathi nale misebenzi, ilahle kahle. Bese usomisa isikhumba sakho ngokuphelele bese ufaka isichibi esisha. Shiya isichibi esisha endaweni yamahora angama-72 ngemuva kokuyisebenzisa.

Ungafaka i-fentanyl patch esifubeni sakho, emuva, ezingalweni ezingaphezulu, noma ezinhlangothini zesinqe sakho. Uma ufaka isichibi enganeni noma kumuntu ongakwazi ukucabanga kahle, khetha indawo engxenyeni engenhla ukwenza kube nzima kakhulu ukuthi umuntu asuse isichibi asibeke emlonyeni wakhe. Khetha indawo yesikhumba elele futhi engenaboya. Ungasifaki isichibi ezingxenyeni zomzimba ezihamba kakhulu noma esikhumbeni esivezwe yimisebe noma esibucayi, esinamafutha kakhulu, esiqhekekile, esicasukile, esaphukile, esisikiwe noma esonakele. Uma kunezinwele esikhunjeni, sebenzisa isikele ukusika izinwele eduze kwesikhumba ngangokunokwenzeka. Ungagundi indawo.

Ukufaka isichibi, landela lezi zinyathelo:

1. Hlanza indawo ohlela ukufaka kuyo isichibi ngamanzi acwebile bese ushaya umile ngokuphelele. Ungasebenzisi noma yiziphi insipho, ama-lotion, ama-alcohol noma uwoyela.
2. Dabula uvule isikhwama esiqukethe i-fentanyl patch eceleni komugqa onamachashazi, uqale esinqeni. Susa isichibi esikhwameni bese ususa zombili izingxenye zomugqa ovikelayo ngemuva kwesiqephu. Zama ukungathinti uhlangothi olunamathelayo lwesichibi.
3. Ngokushesha cindezela uhlangothi olunamathelayo lwesichibi ungene endaweni ekhethiwe yesikhumba ngentende yesandla sakho.
4. Cindezela i-patch ngokuqinile okungenani imizuzwana engama-30. Qiniseka ukuthi isichibi sinamathela kahle esikhumbeni sakho, ikakhulukazi emaphethelweni.
5. Uma isichibi singenamathele kahle noma siphume ngemuva kokuba sisetshenzisiwe, thinta imiphetho esikhunjeni sakho ngetheyiphu yosizo lokuqala. Uma i-patch inganamatheli kahle, ungayimboza nge-Bioclusive noma i-Tegaderm brand see-through dressings. Ungambozi isichibi nganoma yiluphi olunye uhlobo lwebhandeshi noma itheyiphu.
6. Uma isichibi siwa ngaphambi kwesikhathi sokususa, lahla kahle isichibi bese usebenzisa isichibi esisha. Shiya isichibi esisha endaweni yamahora angama-72.
7. Lapho usuqedile ukufaka isichibi, geza izandla ngamanzi ngokushesha.
8. Uma sekuyisikhathi sokushintsha isichibi sakho, khipha isichibi esidala bese ufaka isichibi esisha endaweni ehlukile yesikhumba.
9. Ngemuva kokukhipha isichibi sakho, sisonge phakathi nesigcawu esinamathelayo bese usiphonsa ethoyilethi.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa ama-fentanyl patches,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-fentanyl, noma imiphi eminye imithi, noma yiziphi izithako ezikumaqebelengwane e-fentanyl. Buza udokotela wakho noma usokhemisi noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu ISEXWAYISO ESIBALULEKILE kanye nanoma imiphi yale mithi elandelayo: imishanguzo; ama-antihistamine (atholakala ngemithi yokukhwehlela, yamakhaza neyokungezwani komzimba); i-buprenorphine (i-Buprenex, i-Subutex, ku-Suboxone); i-butorphanol; i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-lithium (i-Lithobid); imishanguzo 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-Alsuma, i-Imitrex, i-Treximet), ne-zolmitriptan (iZomig); i-mirtazapine (i-Remeron); nalbuphine; i-pentazocine (iTalwin); isidambisi; 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-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ne-venlafaxine (i-Effexor); 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. Phinda utshele udokotela noma usokhemisi wakho uma uphuza noma uthola le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: i-monoamine oxidase (MAO) inhibitors efaka i-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (i-Eldepryl, i-Emsam, iZelapar), ne-tranylcypromine (iParnate). Eminye imithi eminingi ingase futhi ihlanganyele ne-fentanyl, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. 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.
• Tshela udokotela wakho uma uke waba ne-ileus ekhubazekile noma owake wakwazi (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungasebenzisi ama-fentanyl patches.
• utshele udokotela wakho uma uke wahlaselwa yisifo sokuwa noma wake waquleka; ukushaya kwenhliziyo okunciphisiwe; ubunzima bokuchama; umfutho wegazi ophansi; noma i-thyroid, inhliziyo, isibindi, amanyikwe, i-gallbladder, noma isifo sezinso.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-fentanyl transdermal patch.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa ama-fentanyl patches.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto, sebenzisa imishini, noma wenze ezinye izinto ezingaba yingozi uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi ama-fentanyl patches angadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukusebenzisa ama-fentanyl patches. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi ama-fentanyl patches angadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imishanguzo ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi usebenzisa ama-fentanyl patches.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi usebenzisa lo muthi.

Uma ukhohlwa ukufaka noma ukushintsha i-fentanyl patch, faka isichibi ngokushesha nje lapho usikhumbula. Qiniseka ukuthi ususa isichibi sakho osisebenzisile ngaphambi kokufaka isichibi esisha. Gqoka isichibi esisha isikhathi esinqunyelwe udokotela wakho (imvamisa izinsuku ezintathu) bese usishintsha. Ungafaki amabala amabili ngasikhathi sinye ngaphandle uma udokotela wakho ekutshele ukuthi kufanele.

Amachashazi eFentanyl angadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukuguquka kwemizwelo
• ngizwe kubanda
• ukozela
• ukudana
• ubunzima bokulala noma ukulala
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ubuhlungu, ukushisa, ukugedlezela, noma ukuba ndikindiki ezandleni noma ezinyaweni
• umlomo owomile
• ubuhlungu besisu
• ukugaya ukudla
• ukuhlungu obusemhlane
• ubunzima bokuchama
• ukulunywa
• ukucasuka kwesikhumba, ukubomvu, ukulunywa, noma ukuvuvukala endaweni lapho ubugqoke khona isichibi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• izinguquko ekushayeni kwenhliziyo
• 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
• ukuya esikhathini okungajwayelekile
• kwehle isifiso sobulili
• ubuhlungu besifuba
• ukudlikiza
• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, umlomo, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya

Amachashazi eFentanyl angadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa ama-fentanyl patches.

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).

Gcina iziqeshana ze-fentanyl ekamelweni lokushisa futhi kude nokushisa nomswakama ongaphezulu (hhayi endlini yangasese).

Kufanele ulahle ngokushesha noma yimaphi amabala asetshenzisiwe noma angasetshenziswanga aphelelwe yisikhathi noma angasadingeki ngohlelo lokubuyisa umuthi. Uma ungenalo uhlelo lokubuyisela emuva eduze noma ongaluthola ngokushesha, bese ulahla noma yimaphi ama-patches ngokususa ngokucophelela ukusekelwa kokunamathisela, ugoqe izinhlangothi ezinamathelayo zesiqeshana ngasinye ukuze uzinamathele, bese ususa amabala agobekile ezansi ethoyilethi. Lahla izikhwama nezindawo zokuvikela kudoti. Geza izandla zakho kahle ngamanzi ngemuva kokulahla amabala we-fentanyl. Ungabeki iziqeshana ze-fentanyl ezingadingeki noma ezisetshenzisiwe emgqonyeni kadoti.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, susa i-fentanyl patch esikhunjeni sesisulu bese ushayela abezimo eziphuthumayo zendawo ku-911.

Ngenkathi usebenzisa ama-fentanyl patches, 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukuphefumula kanzima
• ukuphefumula kancane noma okungajulile
• ukulala ngokweqile noma ukukhathala
• ubunzima bokucabanga, ukukhuluma, noma ukuhamba ngokujwayelekile
• amancane, akhombe abafundi (imibuthano emnyama maphakathi neso)
• ukuquleka
• isiyezi
• ukudideka
• ayikwazi ukuphendula noma ukuvuka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-fentanyl.

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

Lo muthi awugcwaliseki kabusha. Qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho njalo ukuze ungaphelelwa yimithi uma udokotela wakho efuna ukuthi uqhubeke nokusebenzisa ama-fentanyl patches.

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-Duragesic^®