Fentanyl

-Delile

• Ukuze usebenzise i-fentanyl lozenges (Actiq), landela lezi zinyathelo:
• Ukuze usebenzise amaphilisi e-fentanyl buccal (Fentora), landela lezi zinyathelo:
• Ukuze usebenzise amaphilisi we-fentanyl sublingual (Abstral), landela lezi zinyathelo:
• Ukuze usebenzise amafilimu e-fentanyl (i-Onsolis), landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-fentanyl,
• I-Fentanyl ingadala 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:
• Uma uhlangabezana nenye yalezi zimpawu, yeka ukusebenzisa i-fentanyl bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Fentanyl ingaba umkhuba wokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa i-fentanyl njengoba nje kuqondisiwe. Ungasebenzisi umthamo omkhulu we-fentanyl, sebenzisa umuthi kaningi, noma uwusebenzise isikhathi eside kunokuyalelwa ngudokotela wakho. Ngenkathi usebenzisa i-fentanyl, xoxa nomhlinzeki wakho wezokunakekelwa kwezempilo imigomo yakho yokwelashwa 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-fentanyl uma 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

I-Fentanyl kufanele inikezwe kuphela odokotela abanolwazi ekwelapheni ubuhlungu ezigulini ezinomdlavuza. Kufanele isetshenziselwe kuphela ukuphatha ubuhlungu bomdlavuza wokuqhekeka (iziqephu ezingazelelwe zobuhlungu ezenzeka naphezu kokwelashwa ubusuku nemini ngemithi yezinhlungu) ezigulini zomdlavuza okungenani ezineminyaka engu-18 (noma okungenani iminyaka engu-16 uma usebenzisa i-Actiq brand lozenges ) abathatha imithamo ejwayelekile ehleliwe yomunye umuthi wezinhlungu we-narcotic (opiate), futhi obekezelayo (osetshenziselwa imiphumela yomuthi) emithini yokwelapha yezinhlungu. Lo muthi akufanele usetshenziselwe ukwelapha ubuhlungu ngaphandle kobuhlungu bomdlavuza obungapheli, ikakhulukazi ubuhlungu besikhashana obufana ne-migraines noma ezinye izinhlungu zekhanda, ubuhlungu bokulimala, noma ubuhlungu ngemuva kwenqubo yezokwelapha noma yamazinyo. I-Fentanyl ingadala izinkinga ezinkulu zokuphefumula noma ukufa uma isetshenziswa ngabantu abangalashwa ngeminye imishanguzo ye-narcotic noma abangayibekezeleli imishanguzo ye-narcotic.

I-Fentanyl ingadala ingozi enkulu noma ukufa uma isetshenziswe ngengozi ngumntwana noma ngumuntu omdala onganikwanga umuthi. Ngisho ne-fentanyl esetshenziswe kancane ingaqukatha imithi eyanele yokulimaza kakhulu noma ukufa ezinganeni noma kwabanye abantu abadala. Gcina i-fentanyl ingafinyeleleki ezinganeni, futhi uma usebenzisa ama-lozenges, buza udokotela wakho ukuthi ungayithola kanjani ikithi kumenzi oqukethe izingidi zokuphepha kwezingane nezinye izinto ukuvimbela izingane ekutholeni umuthi. Lahla ama-lozenges asetshenziswe kancane ngokuya ngemikhombandlela yomkhiqizi ngokushesha ngemuva kokuwasusa emlonyeni wakho. Uma i-fentanyl isetshenziswa yingane noma umuntu omdala ongazange anikezwe umuthi, zama ukukhipha umuthi emlonyeni womuntu bese uthola usizo oluphuthumayo lwezokwelapha.

I-Fentanyl kufanele isetshenziswe kanye neminye imithi yakho yezinhlungu. Ungayeki ukuthatha eminye imithi yakho yezinhlungu lapho uqala ukwelashwa kwakho nge-fentanyl. Uma uyeka ukuthatha eminye imithi yakho yezinhlungu kuzodingeka uyeke ukusebenzisa i-fentanyl.

Uma usenobuhlungu ngemuva kokusebenzisa i-lozenge noma ithebhulethi eyodwa, udokotela wakho angakutshela ukuthi usebenzise i-lozenge yesibili noma ithebhulethi. Ungasebenzisa i-lozenge yesibili (i-Actiq) imizuzu eyi-15 ngemuva kokuqeda i-lozenge yokuqala, noma usebenzise ithebhulethi yesibili (Abstral, Fentora) imizuzu engama-30 ngemuva kokuqala ukusebenzisa ithebhulethi yokuqala. Ungasebenzisi i-lozenge yesibili noma ithebhulethi ukuphatha isiqephu esifanayo sobuhlungu ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele ukwenze. Uma usebenzisa ifilimu ye-fentanyl (i-Onsolis), akufanele usebenzise umthamo wesibili ukwelapha isiqephu esifanayo sobuhlungu. Ngemuva kokuphatha isiqephu sobuhlungu usebenzisa imithamo engu-1 noma emibili ye-fentanyl njengoba uyalelwe, kufanele ulinde okungenani amahora amabili ngemuva kokusebenzisa i-fentanyl (Abstral noma i-Onsolis) noma amahora amane ngemuva kokusebenzisa i-fentanyl (i-Actiq noma i-Fentora) ngaphambi kokwelapha esinye isiqephu somdlavuza wokuqhuma ubuhlungu.

Ukuthatha imishanguzo ethile nge-fentanyl kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezingathi sína noma ezisongela ukuphila, ukudamba, noma ikhoma. Tshela udokotela wakho uma uthatha noma iyiphi yale mithi elandelayo: amiodarone (Nexterone, Pacerone); ama-antibiotic athile afana ne-clarithromycin (i-Biaxin, ku-PrevPac), i-erythromycin (i-Erythocin), i-telithromycin (i-Ketek), ne-troleandomycin (i-TAO) (ayitholakali e-US); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-itraconazole (i-Onmel, i-Sporanox), ne-ketoconazole (i-Nizoral); 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-triazol i-cimetidine (Tagamet); i-diltiazem (Cardizem, Taztia, Tiazac, nabanye); imishanguzo ethile yegciwane lesandulela ngculazi (i-HIV) njenge-amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, eKaletra), ne-saquinavir (Invirase); imithi yokugula ngengqondo kanye nesicanucanu; ukuphumula kwemisipha; nefazodone; isidambisi; amaphilisi okulala; okokunciphisa umzimba; noma i-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: 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.

I-Fentanyl iza njengemikhiqizo emine ehlukahlukene yokuhambisa kanye nezinye izinhlobo zemikhiqizo. Imithi emikhiqizweni ngayinye imuncwa ngokuhlukile ngumzimba, ngakho-ke umkhiqizo owodwa awukwazi ukufakwa esikhundleni sanoma yimuphi omunye umkhiqizo we-fentanyl. Uma ushintsha usuka komunye umkhiqizo uye komunye, udokotela wakho uzokunikeza umthamo olungele wena.

Sekuhlelwe uhlelo lomkhiqizo ngamunye we-fentanyl ukunciphisa ubungozi bokusebenzisa umuthi. Udokotela wakho uzodinga ukubhalisa ohlelweni ukuze anikeze i-fentanyl futhi uzodinga ukuthi incwadi kadokotela yakho igcwaliswe ekhemisi ebhaliswe kulolu hlelo. Njengengxenye yalolu hlelo, udokotela wakho uzokhuluma nawe ngezingozi nezinzuzo zokusebenzisa i-fentanyl nokuthi ungayisebenzisa kanjani ngokuphepha, uyigcine futhi uyilahle kanjani leyo mithi. Ngemuva kokukhuluma nodokotela wakho, uzosayina ifomu lokuvuma ukuthi uyaziqonda izingozi zokusebenzisa i-fentanyl nokuthi uzolandela imiyalo kadokotela wakho yokusebenzisa umuthi ngokuphepha. Udokotela wakho uzokunikeza imininingwane ethe xaxa ngalolu hlelo nokuthi ungayithola kanjani imishanguzo yakho futhi uzokuphendula noma imiphi imibuzo onayo mayelana nohlelo kanye nokwelashwa kwakho nge-fentanyl.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-fentanyl futhi isikhathi ngasinye lapho uthola imishanguzo eminingi. 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.

I-Fentanyl isetshenziselwa ukwelapha ubuhlungu bokuqhamuka (iziqephu ezingazelelwe zobuhlungu ezenzeka naphezu kokuzungeza ukwelashwa kwewashi ngemithi yobuhlungu) ezigulini zomdlavuza okungenani ezineminyaka engu-18 (noma okungenani iminyaka engu-16 uma zisebenzisa i-Actiq brand lozenges) ezithatha njalo imithamo ehleliwe yomunye umuthi wezinhlungu we-narcotic (opiate), futhi ngubani obekezelayo (osetshenziselwa imiphumela yomuthi) emithini yokwelapha yezinhlungu. UFentanyl usesigabeni semithi ebizwa nge-narcotic (opiate) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Fentanyl iza njenge-lozenge esibambo (i-Actiq), ithebhulethi engezansi (ngaphansi kolimi) ithebhulethi (i-Abstral), ifilimu (i-Onsolis), ne-buccal (phakathi kwensini nesihlathi) ithebhulethi (i-Fentora) ezoncibilika emlonyeni. I-Fentanyl isetshenziswa njengoba kudingeka ukwelapha ubuhlungu bokuqhamuka kodwa hhayi kaningi izikhathi ezine ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-fentanyl futhi kancane kancane akhuphule umthamo wakho uze uthole umthamo ozokhulula ubuhlungu bakho bokuqhuma. Uma usenobuhlungu imizuzu engama-30 ngemuva kokusebenzisa amafilimu e-fentanyl (i-Onsolis), udokotela wakho angakutshela ukuthi usebenzise omunye umuthi wezinhlungu ukudambisa lobo buhlungu, futhi ungakhuphula umthamo wakho wamafilimu e-fentanyl (Onsolis) ukwelapha isiqephu sakho sobuhlungu esilandelayo. Khuluma nodokotela wakho mayelana nokuthi umuthi usebenza kahle kangakanani nokuthi ngabe uhlangabezana nanoma yimiphi imiphumela emibi ukuze udokotela wakho anqume ukuthi ngabe umthamo wakho kufanele ulungiswe yini.

Ungasebenzisi i-fentanyl ngaphezu kwezikhathi ezine ngosuku. Shayela udokotela wakho uma uhlangabezana neziqephu ezingaphezu kwezine zobuhlungu bokuqhuma ngosuku. Udokotela wakho angadinga ukulungisa umthamo weminye imithi yakho yezinhlungu ukuze ulawule kangcono ubuhlungu bakho.

Gwinya yonke ithebhulethi ye-buccal; ungahlukanisi, uhlafune, noma uchoboze. Futhi musa ukuhlafuna noma ukuluma i-lozenge esibambo; ncela lo muthi njengoba uqondisiwe.

Ungayeki ukusebenzisa i-fentanyl ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho anganciphisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukusebenzisa i-fentanyl, ungahle ube nezimpawu ezingathandeki zokuhoxa.

Ukuze usebenzise i-fentanyl lozenges (Actiq), landela lezi zinyathelo:

1. Hlola iphakethe le-blister kanye nesibambo se-lozenge ukuze uqiniseke ukuthi i-lozenge iqukethe umthamo wemithi oyinikezwe.
2. Sebenzisa isikele ukusika uvule iphakethe le-blister bese ususa ilogwe. Ungavuli iphakethe le-blister uze ulungele ukusebenzisa umuthi.
3. Faka i-lozenge emlonyeni wakho, phakathi kwesihlathi sakho nensini. Ncela i-lozenge ngokuphelele, kodwa ungayihlafunanga, uyichoboze noma uyilume. Hambisa i-lozenge emlonyeni wakho, usuke kolunye uhlangothi uye kolunye, usebenzisa isibambo. Zulazula isibambo kaningi.
4. Ungadli noma uphuze noma yini ngenkathi i-lozenge isemlonyeni wakho.
5. Qedela i-lozenge cishe imizuzu eyi-15.
6. Uma uqala ukuzizwa unesiyezi, ulele kakhulu, noma ucanuzelelwa inhliziyo ngaphambi kokuba uqede iloselo, lisuse emlonyeni wakho. Yilahle ngokushesha njengoba kuchaziwe ngezansi noma uyibeke ebhodleleni lesikhashana lokugcina ukuze ulilahle kamuva.
7. Uma uqeda yonke lozenge, jikijela isibambo emgqonyeni kadoti ongafinyeleleki ezinganeni. Uma ungawuqedanga wonke lozenge, bamba isibambo ngaphansi kwamanzi ashisayo agobhozayo ukuze uqede yonke imithi, bese uphonsa isibambo emgqonyeni kadoti ongafinyeleli ezinganeni nasezilwaneni ezifuywayo.

Ukuze usebenzise amaphilisi e-fentanyl buccal (Fentora), landela lezi zinyathelo:

1. Hlukanisa i-blister unit eyodwa ekhadini le-blister ngokudwengula ama-perforations. Khipha emuva ucwecwe ukuvula i-blister unit. Ungazami ukusunduza ithebhulethi ngokusebenzisa ucwecwe. Ungavuli i-blister unit uze ulungele ukusebenzisa ithebhulethi.
2. Beka ithebhulethi emlonyeni wakho ngaphezu kwelinye lamazinyo akho angemuva phakathi kwesihlathi sakho nensini yakho.
3. Shiya ithebhulethi isendaweni ize inyibilike ngokuphelele. Ungaqaphela umuzwa omnene wokubhuza phakathi kwesihlathi sakho nensini njengoba ithebhulethi incibilika. Kungathatha imizuzu eyi-14 kuye kwengama-25 ukuthi ithebhulethi incibilike. Ungahlukanisi, uhlafune, ungalumi, noma umunce ithebhulethi.
4. Uma noma iyiphi ithebhulethi isele emlonyeni wakho ngemuva kwemizuzu engama-30, igwinye ngophuzo lwamanzi.
5. Uma uqala ukuzizwa unesiyezi, ulele kakhulu, noma ucanuzelelwa inhliziyo ngaphambi kokuba ithebhulethi incibilike, hlambulula umlomo wakho ngamanzi bese ukhafula izingcezu zethebulethi ezisele kusinki noma endlini yangasese. Gxuma indlu yangasese noma ugeze usinki ukugeza izingcezu zethebhulethi.

Ukuze usebenzise amaphilisi we-fentanyl sublingual (Abstral), landela lezi zinyathelo:

1. Thatha isiphuzo samanzi ukuswakalisa umlomo wakho uma womile. Phalaza noma ugwinye amanzi. Qiniseka ukuthi izandla zakho zomile ngaphambi kokuphatha ithebhulethi.
2. Hlukanisa i-blister unit eyodwa ekhadini le-blister ngokudwengula ama-perforations. Khipha emuva ucwecwe ukuvula i-blister unit.Ungazami ukusunduza ithebhulethi ngokusebenzisa ucwecwe. Ungavuli i-blister unit uze ulungele ukusebenzisa ithebhulethi.
3. Beka ithebhulethi ngaphansi kolimi lwakho emuva ngangokunokwenzeka. Uma kudingeka ithebhulethi engaphezulu kwe-1 yedosi yakho, basakaze nxazonke phansi komlomo wakho ngaphansi kolimi lwakho.
4. Shiya ithebhulethi isendaweni ize inyibilike ngokuphelele. Musa ukuncela, ukuhlafuna noma ukugwinya ithebhulethi.
5. Ungadli noma uphuze lutho kuze kube yilapho ithebhulethi ichithwa ngokuphelele futhi ungabe usakuzwa emlonyeni wakho.

Ukuze usebenzise amafilimu e-fentanyl (i-Onsolis), landela lezi zinyathelo:

1. Sebenzisa isikele ukusika eceleni kwemicibisholo yephakheji le-foil ukuyivula. Hlukanisa izingqimba zephakheji le-foil bese ususa ifilimu. Ungavuli iphakethe le-foil uze ulungele ukusebenzisa umuthi. Musa ukusika noma ukudabula ifilimu.
2. Sebenzisa ulimi lwakho ukumanzisa ingaphakathi lesihlathi sakho, noma uma kudingeka, hlambulula umlomo wakho ngamanzi ukumanzisa indawo oyobeka kuyo ifilimu.
3. Bamba ifilimu ngomunwe ohlanzekile, owomile, uhlangothi olubomvana lubheke phezulu. Faka ifilimu emlonyeni wakho, nohlangothi olupinki lubheke ngaphakathi esihlathini sakho esimanzi. Ngomunwe wakho, cindezela ifilimu uqonde isihlathi sakho imizuzwana emi-5. Bese ususa umunwe wakho bese ifilimu izonamathela ngaphakathi esihlathini sakho. Uma kudingeka ifilimu engaphezu kweyodwa kumthamo wakho, musa ukubeka amafilimu ngaphezulu komunye nomunye. Ungawabeka amafilimu ngapha nangapha komlomo wakho.
4. Shiya ifilimu isendaweni ize inyibilike ngokuphelele. Ifilimu izokhipha i-minty flavour njengoba incibilika. Kungathatha imizuzu eyi-15 kuye kwengama-30 ukuthi ifilimu incibilike. Ungayihlafune noma uyigwinye ifilimu. Ungayithinti noma uyihambise ifilimu ngenkathi inyibilika.
5. Ungaphuza uketshezi ngemuva kwemizuzu engu-5, kodwa ungadli lutho kuze kube yilapho ifilimu incibilika ngokuphelele.

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

Ngaphambi kokusebenzisa i-fentanyl,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe yizifo ezikhungethe i-fentanyl, umjovo, isifutho samakhala, amaphilisi, ama-lozenges, noma amafilimu; noma imiphi eminye imithi; noma yiziphi izithako ezikumaphilisi e-fentanyl, ama-lozenges, noma amafilimu. Buza usokhemisi wakho 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 esigabeni ESIBALULEKILE SESEXWAYISO kanye nanoma imiphi yale mithi elandelayo: ama-antihistamines; ama-barbiturates afana ne-phenobarbital; i-buprenorphine (i-Buprenex, i-Subutex, ku-Suboxone); i-butorphanol (iStadol); carbamazepine (Carbatrol, Epitol, Tegretol); i-efavirenz (iSustiva, e-Atripla); i-modafinil (i-Provigil); nalbuphine (Nubain); naloxone (Evzio, Narcan); i-nevirapine (i-Viramune); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); oxcarbazepine (Trileptal); i-pentazocine (iTalwin); i-phenytoin (iDilantin, Phenytek); i-pioglitazone (Actos, ku-Actoplus Met, eDuetact); i-rifabutin (i-Mycobutin); kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Phinda utshele udokotela noma usokhemisi wakho uma uthatha noma iyiphi yale mithi elandelayo noma uma uyekile ukuyiphuza emasontweni amabili edlule: i-monoamine oxidase (MAO) inhibitors efaka i-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam , IZelapar), ne-tranylcypromine (iParnate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho uphuza noma wake waphuza utshwala obuningi noma wasebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni noma imithamo eyeqile yemithi kadokotela. Phinda utshele udokotela wakho uma uke walimala ekhanda noma waba nokulimala ekhanda, isimila ebuchosheni, isifo sohlangothi, noma esinye isimo esidale umfutho ophakeme ngaphakathi kogebhezi lwakho; ukuquleka; ukushaya kwenhliziyo okuphuzile noma ezinye izinkinga zenhliziyo; umfutho wegazi ophansi; izinkinga zengqondo ezinjengokudangala, i-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisekile noma okungajwayelekile, ukuphelelwa yintshisekelo empilweni, nemizwelo enamandla noma engafanele), noma ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho); izinkinga zokuphefumula ezifana ne-asthma kanye ne-chronic obstructive pulmonary disease (i-COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema) noma isifo sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-fentanyl, shayela udokotela wakho.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-fentanyl.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-fentanyl.
• kufanele wazi ukuthi i-fentanyl ingakwenza ukozele noma ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-fentanyl ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka masinyane usuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukusebenzisa i-fentanyl. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• uma unesifo sikashukela, kufanele wazi ukuthi i-fentanyl lozenge (Actiq) ngayinye iqukethe cishe amagremu ama-2 kashukela.
• uma uzosebenzisa ama-lozenges (Actiq), khuluma nodokotela wamazinyo wakho ngendlela engcono yokunakekela amazinyo akho ngesikhathi sokwelashwa kwakho. Ama-lozenges aqukethe ushukela futhi angadala ukubola kwamazinyo nezinye izinkinga zamazinyo.
• kufanele wazi ukuthi i-fentanyl ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo nokusebenzisa eminye imithi ukwelapha noma ukuvimbela ukuqunjelwa.

Ungadli isithelo samagilebhisi noma uphuze ijusi lamagilebhisi ngenkathi usebenzisa lo muthi.

Lo muthi uvame ukusetshenziswa njengoba kudingeka ngokuya ngemikhombandlela.

I-Fentanyl ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukozela
• ubuhlungu besisu
• igesi
• isilungulela
• ukuncipha komzimba
• ubunzima bokuchama
• izinguquko embonweni
• ukukhathazeka
• ukudana
• ukucabanga okungajwayelekile
• amaphupho angajwayelekile
• ubunzima bokulala noma ukulala
• umlomo owomile
• ukubomvu ngokungazelelwe kobuso, intamo, noma isifuba esingenhla
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuhlungu obusemhlane
• ubuhlungu besifuba
• ubuhlungu, izilonda, noma ukucasuka emlonyeni endaweni lapho ubeke khona umuthi
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, 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
• isithuthwane
• isifuba
• ukuqubuka
• ukulunywa

Uma uhlangabezana nenye yalezi zimpawu, yeka ukusebenzisa i-fentanyl bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuphefumula kancane, okungajulile
• ukuncipha kwesifiso sokuphefumula
• ukuphefumula kanzima noma ukugwinya
• ukozela ngokweqile
• isiyezi
• ukudideka
• ukuquleka

I-Fentanyl ingadala 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).

Gcina lo muthi emaphaketheni owangena ngawo, uvalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina i-fentanyl endaweni ephephile ukuze kungabikho omunye umuntu ongayisebenzisa ngephutha noma ngenhloso. Sebenzisa izingidi ezingazweli ezinganeni nezinye izinto ezihlinzekwa ngumenzi ukugcina izingane zikude namaloli. Gcina umbhalo walokho okushiywe i-fentanyl ukuze wazi ukuthi kukhona yini okushodayo. Gcina i-fentanyl ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungafrizi fentanyl.

Kumele ulahle ngokushesha noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki ngohlelo lokubuyisela emuva umuthi .. Uma ungenalo uhlelo lokubuyisela emuva eduze noma ongakwazi ukuluthola ngokushesha, khona-ke faka i-fentanyl ezansi ethoyilethi ukuthi abanye ngeke bayithathe. Lahla amaloli angadingeki ngokususa ilosisi ngayinye ephaketheni le-blister, ubambe lozenge ngaphezulu kwethoyilethi, futhi usike umuthi uphele ngezinsimbi zocingo ukuze iwele ethoyilethi. Phonsa izibambo ezisele endaweni engafinyeleleki ezinganeni nasezilwaneni ezifuywayo, bese uphonsa indlu yangasese kabili uma iqukethe amaloli angaba mahlanu. Lahla amaphilisi noma amafilimu angadingeki ngokuwasusa ephaketheni bese uwafafaza endlini yangasese. Phonsa ukupakisha okusalile kwe-fentanyl noma amabhokisi esitsheni sedoti; ungafaki lezi zinto phansi ethoyilethi. Shayela usokhemisi noma umenzi wakho uma unemibuzo noma udinga usizo lokulahla imithi engadingeki.

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 emlonyeni wesisulu bese ushayela abezimo eziphuthumayo zendawo ku-911.

Ngenkathi usebenzisa i-fentanyl, 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 bangatshela kanjani ukweqisa izidakamizwa, ukuthi ungayisebenzisa kanjani i-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:

• ukozela noma ukozela
• isiyezi
• ukudideka
• ukuphefumula kancane, ukujula noma ukumisa ukuphefumula
• ukuphefumula kanzima
• abafundi abancane (imibuthano emnyama phakathi kwamehlo)
• ayikwazi ukuphendula noma ukuvuka

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli noma ngubani omunye umuntu asebenzise umuthi wakho, noma ngabe enezimpawu ezifanayo nezakho. Ukuthengisa noma ukunikeza lo muthi kungadala ukulimala kanzima noma ukufa kwabanye futhi kuphambene nomthetho.

Lo muthi awugcwaliseki kabusha. Qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho njalo ukuze ungaphelelwa yimithi.

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.

• Abstral^®
• I-Actiq^®
• UFentora^®
• Onsolis^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.