I-Tapentadol

-Delile

• Ngaphambi kokuthatha i-tapentadol,
• I-Tapentadol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezisohlwini lweZINYATHELO EZIKHETHEKILE noma IZEXWAYISO EZIBALULEKILE, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Tapentadol ingaba umkhuba wokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Thatha i-tapentadol njengoba iqondisiwe. Ungayithathi ngaphezulu, yithathe kaningi, noma uyithathe ngendlela ehlukile kunaleyo eqondiswe ngudokotela wakho. Ngenkathi uthatha i-tapentadol, 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-tapentadol 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-USIZO.

I-Tapentadol ingadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi kwamahora okuqala angama-24 kuye kwangama-72 okwelashwa kwakho nanoma yisiphi isikhathi lapho umthamo wakho wanda. Udokotela wakho uzolungisa umthamo wakho ukuze alawule ubuhlungu bakho futhi anciphise nengozi yokuthi uzoba nezinkinga ezinkulu zokuphefumula.Tshela udokotela wakho uma ngabe uke wehlisa ukuphefumula noma i-asthma. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-tapentadol. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona njengesifo esingapheliyo se-pulmonary disease (i-COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema), ukulimala ekhanda, isimila ebuchosheni, noma esinye isimo esandisa inani yengcindezi 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 eminye imishanguzo ngesikhathi sokwelashwa kwakho nge-tapentadol kungakhuphula ubungozi bokuthi uzohlangabezana nezinkinga zokuphefumula noma ezinye izinkinga ezinkulu zokuphefumula ezisongela impilo, ukudamba, 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); eminye imithi yezinhlungu ze-narcotic; imithi yokugula kwengqondo noma isicanucanu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-tapentadol nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha: isiyezi esingajwayelekile, ikhanda elikhanyayo, ukulala ngokweqile, ukuphefumula okunenkinga 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 engabhalisiwe equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngesikhathi ukwelashwa kwakho nge-tapentadol kwandisa ubungozi bokuthi uzoba nemiphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhalisiwe equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa nge-tapentadol.

Ungavumeli noma ngubani omunye umuntu ukuthi athathe imithi yakho. I-Tapentadol ingalimaza noma ibangele ukufa kwabanye abantu abathatha imithi yakho, ikakhulukazi izingane. Gcina i-tapentadol endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina i-tapentadol ingafinyeleleki ezinganeni. Gcina umkhondo wokuthi mangaki amaphilisi noma amaphilisi akhululiwe asele ukuze wazi ukuthi kukhona yini umuthi ongekho. Gudluza noma imaphi amaphilisi noma amaphilisi akhululwe esephelelwe yisikhathi noma angasadingeki ethoyilethi ukuze abanye bangawathathi.

Uma uthatha amaphilisi akhululiwe, uwagwinye wonke; ungawahlafune, uwaphule, ungawahlukanisi, uwaphule noma uwaqede. Uma ugwinya amathebulethi akhululiwe, ahlafunwayo, achotshoziwe noma ancibilikisiwe, ungathola i-tapentadol eningi ngasikhathi sinye esikhundleni sokuhamba kancane ngamahora ayi-12. Lokhu kungadala izinkinga ezinkulu, kufaka phakathi ukweqisa ngokweqile nokufa.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-tapentadol njalo ngesikhathi 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 zokuthatha i-tapentadol.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa kwakho nge-tapentadol 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.

Amathebulethi e-Tapentadol asetshenziselwa ukwelapha ubuhlungu obukhulu obulinganiselayo (ubuhlungu obuqala ngokuzumayo, bunembangela ethile, futhi kulindeleke ukuthi buphele lapho imbangela yobuhlungu iselaphekile). Amathebulethi wokukhishwa okwandisiwe kwe-Tapentadol asetshenziselwa ukwelapha ubuhlungu obukhulu be-neuropathic (ubuhlungu obubangelwa ukulimala kwemizwa) kubantu abanesifo sikashukela. Amathebulethi wokukhishwa okwandisiwe kwe-Tapentadol asetshenziselwa kuphela ukwelapha abantu okulindeleke ukuthi badinge imishanguzo ubusuku nemini ukuqeda izinhlungu ezingenakulawulwa ukusetshenziswa kweminye imithi yezinhlungu. UTapentadol usesigabeni semithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

ITapentadol iza njengethebhulethi kanye nethebhulethi ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Amaphilisi ngokuvamile athathwa nokudla noma ngaphandle kokudla njalo emahoreni amane kuya kwayisithupha njengoba kudingeka. Uma uthatha amaphilisi e-tapentadol, udokotela wakho angakutshela ukuthi ungathatha umthamo wesibili ngokushesha nje ngehora elingu-1 ngemuva komthamo wokuqala osukwini lwakho lokuqala lokwelashwa uma kudingeka ukwelapha ubuhlungu bakho. Ungathathi imithamo eyengeziwe nganoma yisiphi esinye isikhathi ngesikhathi sokwelashwa kwakho futhi ungalokothi uthathe imithamo eyengeziwe yamathebulethi akhululiwe. Amaphilisi akhululiwe athathwa kanye njalo emahoreni ayi-12. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-tapentadol njengoba iqondisiwe.

Uma uthatha amaphilisi akhululiwe, uwagwinye ngasikhathi sinye ngamanzi amaningi. Gwinya ithebhulethi ngayinye ngemuva nje kokukufaka emlonyeni wakho.

Udokotela wakho mhlawumbe uzoqala wena ngomthamo ophansi we-tapentadol futhi kancane kancane akhuphule umthamo wakho kuze kube yilapho ubuhlungu bakho bulawula. Udokotela wakho angalungisa umthamo wakho nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho uma ubuhlungu bakho bungalawulwa. Uma uzwa ukuthi ubuhlungu bakho abulawulwa, shayela udokotela wakho. Ungaguquli umthamo wemithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ngemuva kokuthatha i-tapentadol isikhathi esithile, umzimba wakho ungajwayela umuthi. Uma lokhu kwenzeka, udokotela wakho angadinga ukwandisa umthamo wakho wemithi ukulawula ubuhlungu bakho. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngesikhathi sokwelashwa kwakho nge-tapentadol.

Ungayeki ukuthatha i-tapentadol ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-tapentadol, ungahlangabezana nezimpawu zokuhoxa njengokungahlaliseki; ukukhathazeka; ukucasuka; amehlo anezinyembezi; ukuzamula; Ukugodola; ukujuluka; ubunzima bokulala noma ukulala; ukuqhaqhazela; ukuzamazama okungalawuleki kwengxenye yomzimba wakho; ubuhlungu bemisipha, emuva, noma obuhlangene; ubuthakathaka; isicanucanu; ukuhlanza; isifo sohudo; isisu; ukulahlekelwa ukudla; ikhala eligobayo, ukuthimula, noma ukukhwehlela; izinwele esikhunjeni sakho zimile ekugcineni; ukuphefumula okusheshayo; ukushaya kwenhliziyo okusheshayo; ukunwetshwa kwabafundi (imibuthano emnyama phakathi kwamehlo); noma ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho).

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

Ngaphambi kokuthatha i-tapentadol,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tapentadol, noma imiphi eminye imithi, noma iziphi izithako kumathebulethi we-tapentadol noma amaphilisi akhishwa isikhathi eside. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect ), selegiline (Emsam, Eldepryl, Zelapar), ne-tranylcypromine (iParnate). Phinda utshele udokotela wakho ukuthi ngabe unikezwa noma iyiphi yale mithi ngesikhathi sokwelashwa kwakho nge-tapentadol. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi i-tapentadol uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-antihistamine (ekukhwehleleni, emakhazeni, nasemithini yokungezwani komzimba); i-buprenorphine (iBuprenex, i-Butrans, eSuboxone, eZubsolv); i-butorphanol; i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; i-lithium (i-Lithobid); imithi ye-migraines efana 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); nalbuphine; i-pentazocine (iTalwin); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-seroftraline (i-Sertraline) ; i-serotonin / norepinephrine reuptake inhibitors ekhethiwe (SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ne-venlafaxine (Effexor); i-tramadol (i-Conzip, i-Ultram, ku-Ultracet); i-trazodone; noma i-tricyclic anti-depressants ('mood elevators') njenge-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Surmontil, Tofranil), nortriptyline (Pamelor), protripilipivr i-trimipramine (iSurmontil). Eminye imishanguzo eminingi ingaxhumana ne-tapentadol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali 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 ngabe uke waba nanoma yimiphi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungathathi i-tapentadol.
• utshele udokotela wakho uma ngabe uke waba nokuvinjelwa esiswini noma emathunjini akho, noma yisiphi isimo esidala ubunzima bokuchama; noma amanyikwe, inyongo, izinso, igilo noma isifo sesibindi.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-tapentadol.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-tapentadol.
• kufanele wazi ukuthi i-tapentadol ingakwenza ukozele. Ungashayeli imoto, sebenzisa imishini, noma uhlanganyele kunoma iyiphi enye into engaba yingozi uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-tapentadol ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-tapentadol ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-tapentadol.

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

Uma uthatha amaphilisi e-tapentadol, udokotela wakho uzokutshela ukuthi uthathe imithi njengoba kudingeka. Uma udokotela wakho ekutshele ukuthi uphuze amaphilisi njalo, thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Uma uthatha amaphilisi we-tapentadol enwetshiwe, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhanda
• isilungulela
• ubuhlungu besisu
• umlomo owomile
• ukukhathala ngokweqile
• ukukhathazeka
• ukozela
• ubunzima bokulala noma ukulala
• amaphupho angajwayelekile
• ukucasuka
• ukuzwa okungazelelwe kwemfudumalo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezisohlwini lweZINYATHELO EZIKHETHEKILE noma IZEXWAYISO EZIBALULEKILE, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• isithuthwane
• 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
• ukuqubuka
• ukulunywa
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, noma umphimbo
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ubuhlungu besifuba
• uzizwe ungenakhanda lapho ushintsha izikhundla
• ngizizwe ngiphela amandla
• ukulahlekelwa ukwazi
• ngizizwe ngifuthumele
• ukujuluka okusindayo

I-Tapentadol ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha 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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Kufanele ulahle ngokushesha noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki ngohlelo lokubuyisa umuthi. Uma ungenalo uhlelo lokubuyisela emuva eduze noma ongakwazi ukuluthola ngokushesha, gudluza noma imuphi umuthi ophelelwe yisikhathi noma ongasadingeki phansi endlini yangasese. Khuluma nosokhemisi wakho ngokulahlwa okufanele kwemithi yakho.

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, 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.

Ngenkathi uthatha i-tapentadol, 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:

• ukunciphisa noma ukunweba kwabafundi (imibuthano emnyama emehlweni)
• ubuthongo
• ayikwazi ukuphendula noma ukuvuka
• ubuthakathaka bemisipha
• kubanda, isikhumba se-clammy
• ukuphefumula kancane noma okungajulile
• ukuphefumula kanzima
• ukushaya kwenhliziyo okwehlisiwe

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-tapentadol.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho nabasebenzi be-laboratory ukuthi uthatha i-tapentadol.

Lo muthi awugcwaliseki kabusha. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda umuthi, 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-Nucynta^®
• I-Nucynta^® ER