Inaliti ye-Naltrexone

-Delile

• Ngaphambi kokuthola umjovo we-naltrexone,
• Umjovo weNaltrexone ungadala 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:

Umjovo weNaltrexone ungadala ukulimala kwesibindi lapho unikezwa ngemithamo emikhulu. Akunakwenzeka ukuthi umjovo we-naltrexone uzodala ukulimala kwesibindi lapho unikezwa ngemithamo enconyiwe. Tshela udokotela wakho uma uke waba nesifo sokusha kwesibindi noma esinye isifo sesibindi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukukhathala ngokweqile, ukopha okungavamile noma ukulimaza, ubuhlungu engxenyeni engaphezulu yesisu sakho ehlala izinsuku ezingaphezu kwezinsuku ezimbalwa, ukunyakaza kwamathumbu anombala okhanyayo, umchamo omnyama, noma ukuphuzi yesikhumba noma yamehlo. Udokotela wakho ngeke akunikeze umjovo we-naltrexone uma unesifo sesibindi noma uma uba nezimpawu zesifo sesibindi ngesikhathi sokwelashwa kwakho.

Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-naltrexone.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngomjovo we-naltrexone futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. 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 ethi http://www.vivitrol.com ukuthola Umhlahlandlela Wezokwelapha .

Umjovo weNaltrexone usetshenziswa kanye nokwelulekwa nokusekelwa komphakathi ukusiza abantu abayeke ukuphuza utshwala obuningi ukuze bagweme ukuphuza futhi. Umjovo weNaltrexone nawo uyasetshenziswa kanye nokwelulekwa nokusekelwa komphakathi ukusiza abantu abayeke ukusebenzisa kabi imishanguzo noma izidakamizwa zasemgwaqeni ukuze bagweme ukusebenzisa kabi imishanguzo noma izidakamizwa zasemgwaqeni futhi. Umjovo weNaltrexone akufanele usetshenziselwe ukwelapha abantu abasaphuza utshwala, abantu abasasebenzisa ama-opiates noma izidakamizwa zasemgwaqweni, noma abantu abake basebenzisa ama-opiates ezinsukwini eziyishumi ezedlule. INaltrexone isekilasini lemithi ebizwa ngama-opiate antagonists. Isebenza ngokuvimba umsebenzi ohlelweni lwe-limbic, ingxenye yobuchopho ebandakanyeka otshwaleni nasekuthembekeni kwe-opiate.

Umjovo weNaltrexone uza njengesisombululo (uketshezi) okufanele unikezwe ngomjovo emisipheni yezinqa ngumhlinzeki wezokunakekelwa kwempilo kanye njalo emavikini amane.

Umjovo weNaltrexone ngeke uvimbele izimpawu zokuhoxa ezingase zivele lapho uyeka ukuphuza utshwala ngemuva kokuphuza kakhulu isikhathi eside noma lapho uyeka ukusebenzisa imishanguzo noma izidakamizwa zasemgwaqweni.

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

Ngaphambi kokuthola umjovo we-naltrexone,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergies ku-naltrexone, noma imiphi eminye imishanguzo, i-carboxymethylcellulose (isithako sezinyembezi zokuzenzela neminye imithi), noma i-polylactide-co-glycolide (i-PLG; isithako seminye imithi ejojowe). Buza udokotela noma usokhemisi wakho uma ungazi ukuthi umuthi owugulayo une-carboxymethylcellulose noma i-PLG.
• utshele udokotela wakho uma ngabe uphuze noma yimiphi imithi ye-opiate kubandakanya nemithi ethile yohudo, ukukhwehlela, noma ubuhlungu; i-methadone (i-Dolophine); noma i-buprenorphine (i-Buprenex, i-Subutex, ku-Suboxone) phakathi kwezinsuku ezingu-7 kuya kwezingu-10 ezedlule. Buza udokotela wakho uma ungenaso isiqiniseko sokuthi umuthi owuphuzile uyi-opiate Futhi utshele udokotela wakho uma ngabe uke wasebenzisa noma imuphi umuthi we-opiate wasemgwaqweni onjenge-heroin ezinsukwini ezingu-7 kuya kwezingu-10 ezedlule. Udokotela wakho angalawula izivivinyo ezithile ukubona ukuthi usanda kuyithatha yini imishanguzo noma usebenzise izidakamizwa zasemgwaqweni. Udokotela wakho ngeke akunikeze umjovo we-naltrexone uma usanda kuthatha umuthi opiate noma usebenzise umuthi wasemgwaqweni.
• ungathathi noma yimiphi imithi ye-opiate noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa ngomjovo we-naltrexone. Umjovo weNaltrexone uvimba imiphumela yemithi ye-opiate nezidakamizwa zasemgwaqweni. Ungahle ungazizwa imiphumela yalezi zinto uma uzithatha noma uzisebenzisa ngamanani aphansi noma ajwayelekile ezikhathini eziningi ngesikhathi sokwelashwa kwakho. Kodwa-ke, ungahle uzwele kakhulu emiphumeleni yalezi zinto lapho sekuyisikhathi sokuthi uthole isilinganiso somjovo we-naltrexone noma uma uphuthelwa umthamo womjovo we-naltrexone. Ungase ube nokudlula ngokweqile uma uthatha imithamo ejwayelekile yemithi ye-opiate ngalezi zikhathi, noma uma uthatha imithamo ephezulu yemithi ye-opiate noma usebenzisa izidakamizwa zasemgwaqeni nganoma yisiphi isikhathi ngenkathi welashwa nge-naltrexone. Ukweqisa ngokweqile kwe-opiate kungadala ukulimala okukhulu, ikhoma (isimo esihlala isikhathi eside sokungazi lutho), noma ukufa. Uma uthatha noma usebenzisa imishanguzo ye-opiate noma izidakamizwa zasemgwaqeni ngesikhathi sokwelashwa kwakho futhi uba nezimpawu ezilandelayo, fonela udokotela wakho noma ufune usizo oluphuthumayo ngokushesha: ukuphefumula kanzima, ukuphuza kancane, ukuphefumula okungajulile, ukuphelelwa amandla, isiyezi, noma ukudideka. Qiniseka ukuthi umndeni wakho uyazi ukuthi yiziphi izimpawu ezingase zibe zimbi kakhulu ukuze bakwazi ukushayela udokotela noma ukunakekelwa kwezimo eziphuthumayo uma ungakwazi ukufuna ukwelashwa ngokwakho.
• kufanele wazi ukuthi ungazwela kakhulu emiphumeleni yemithi ye-opiate noma yezidakamizwa zasemgwaqeni ngemuva kokuqeda ukwelashwa kwakho ngomjovo we-naltrexone. Ngemuva kokuqeda ukwelashwa kwakho, tshela noma yimuphi udokotela ongakunika imishanguzo yokuthi wake welashwa ngomjovo we-naltrexone.
• utshele udokotela wakho ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uyekile ukuthatha ama-opiates noma ukusebenzisa izidakamizwa zasemgwaqeni futhi uhlangabezana nezimpawu zokuhoxa njengokukhathazeka, ukungalali, ukuzamula, umkhuhlane, ukujuluka, amehlo okhalayo, ikhala eligijimayo, ukuqhuma kwamahansi, ukuthuthumela, ukushisa okushisayo noma okubandayo, ubuhlungu bemisipha, imisipha ukudikiza, ukungahlaliseki, isicanucanu nokuhlanza, isifo sohudo, noma amajaqamba esiswini, futhi uma uke waba nezinkinga zokopha noma ezinjenge-hemophilia (isifo sokopha lapho igazi lingahlanganisi ngokujwayelekile), inani eliphansi lama-platelet egazini lakho, ukudana, noma isifo sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthola umjovo we-naltrexone, shayela udokotela wakho.
• uma udinga ukwelashwa noma ukuhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola umjovo we-naltrexone. Gqoka noma uphathe umazisi wezokwelapha ukuze abahlinzeki bezempilo abakwelapha ezimeni eziphuthumayo bazi ukuthi uthola umjovo we-naltrexone.
• kufanele wazi ukuthi umjovo we-naltrexone ungakwenza uzizwe unesiyezi noma uzele. Ungashayeli imoto noma usebenzise imishini noma wenze ezinye izinto eziyingozi uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi abantu abaphuza utshwala obuningi noma abasebenzisa izidakamizwa zasemgwaqweni bavame ukucindezeleka futhi kwesinye isikhathi bazama ukuzilimaza noma ukuzibulala. Ukuthola umjovo we-naltrexone akwehlisi ubungozi bokuthi uzozama ukuzilimaza. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezifana nemizwa yokudabuka, ukukhathazeka, ukungabi nalutho, noma ukungabi namandla, noma ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela ngokushesha uma ungakwazi ukufuna ukwelashwa wedwa.
• kufanele wazi ukuthi umjovo we-naltrexone usiza kuphela uma usetshenziswa njengengxenye yohlelo lokwelashwa komlutha. Kubalulekile ukuthi ube khona kuzo zonke izikhathi zokwelulekwa, imihlangano yamaqembu okusekela, izinhlelo zezemfundo noma ezinye izindlela zokwelashwa ezinconywe ngudokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zomjovo we-naltrexone ngaphambi kokuthola umthamo wakho wokuqala. INaltrexone izohlala emzimbeni wakho cishe inyanga e-1 ngemuva kokuthola umjovo futhi ayikwazi ukukhishwa ngaphambi kwalesi sikhathi.

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

Uma uphuthelwa isikhathi sokuthola umjovo we-naltrexone, hlela enye i-aphoyintimenti ngokushesha okukhulu.

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

• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu besisu
• ukuncipha kokudla
• umlomo owomile
• ikhanda
• ubunzima bokulala noma ukulala
• isiyezi
• ukukhathala
• ukukhathazeka
• ubuhlungu obuhlangene noma ukuqina
• amajaqamba
• ubuthakathaka
• ubumnene, ububomvu, ukulimaza, noma ukulunywa endaweni yokujova

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

• ubuhlungu, ukuqina, ukuvuvukala, izigaxa, amabhamuza, amanxeba avulekile, noma utwayi olumnyama endaweni okujojelwa kuyo
• ukukhwehlela
• isifuba
• ukuphelelwa umoya
• isifuba
• ukuqubuka
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe, ulimi, noma umphimbo
• ukushaqeka
• ubunzima bokugwinya
• ubuhlungu besifuba

Umjovo weNaltrexone ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola 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).

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:

• isicanucanu
• ubuhlungu besisu
• ukozela
• isiyezi

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthola umjovo we-naltrexone.

Buza udokotela wakho noma usokhemisi noma imiphi imibuzo onayo mayelana nomjovo we-naltrexone.

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.

• Vivitrol^®