I-Oxymorphone

-Delile

• Ngaphambi kokuthatha i-oxymorphone,
• I-Oxymorphone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Oxymorphone ingaba yindlela yokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Thatha i-oxymorphone njengoba nje kuyalelwe. Ungathathi umthamo omkhulu, uthathe kaningi, noma uwuthathe isikhathi eside, noma ngendlela ehlukile kunaleyo obekiwe ngudokotela wakho. Ngenkathi uthatha i-oxymorphone, 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-oxymorphone uma ngabe uke waba nanoma yimiphi yale 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-USIZO.

I-Oxymorphone ingadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi namahora angama-72 wokuqala wokwelashwa 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 ungathathi amaphilisi e-oxymorphone. Tshela nodokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingapheliyo se-pulmonary disease (COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli kanye ne-emphysema), ukulimala ekhanda, isimila ebuchosheni, noma yisiphi isimo esandisa inani lengcindezi ebuchosheni bakho, noma i-apnea yokulala (isimo lapho ukuphefumula kuyeka khona noma kungashoni lapho ulele). 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 ngemithi ethile ene-oxymorphone kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukuthamba noma ikhoma. Tshela udokotela wakho kanye nosokhemisi uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: i-benzodiazepines efana ne-alprazolam (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-Halcion); imishanguzo yokugula ngengqondo noma isicanucanu; eminye imithi yezinhlungu ze-narcotic; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; kanye nezithambisi. Phinda utshele udokotela noma usokhemisi wakho uma uthatha noma iyiphi yale mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Eldepryl, Zelapar), ne-tranylcypromine (i-Parnate) Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi azokuqapha ngokucophelela. Uma uthatha i-oxymorphone nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo: isiyezi, ikhanda elincane, 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 engabhalisi equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngesikhathi ukwelashwa kwakho nge-oxycodone kwandisa ubungozi bokuthi 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 athathe imithi yakho. I-Oxymorphone ingalimaza noma idale ukufa kwabanye abantu abathatha imishanguzo yakho, ikakhulukazi izingane. Gcina i-oxymorphone endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina i-oxymorphone ingafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi mangaki amaphilisi, noma ama-capsules asele ukuze wazi ukuthi kukhona yini umuthi ongekho.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-oxymorphone njalo ngenkathi ukhulelwe, ingane yakho ingahle 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-oxymorphone.

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

I-Oxymorphone isetshenziselwa ukukhulula ubuhlungu obulinganiselayo kuya kabuhlungu kubantu abanobuhlungu obungalawulwa neminye imithi. I-Oxymorphone isekilasini lemithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela umzimba ophendula ngayo ezinhlungwini.

I-Oxymorphone iza njengethebhulethi futhi njengethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo esiswini esingenalutho, okungenani ihora eli-1 ngaphambi noma amahora amabili ngemuva kokudla. Imvamisa ithathwa njalo emahoreni amane kuya kwayisithupha. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-oxymorphone njengoba nje kuyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhululiwe; ungawahlafune noma uwachoboze.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-oxymorphone futhi kancane kancane akhuphule umthamo wakho kuze kube yilapho ubuhlungu bakho bulawulwa. 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.

Ungayeki ukuthatha i-oxymorphone ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-oxymorphone, ungahlangabezana nezimpawu zokuhoxa njengokungahlaliseki; amehlo anamanzi; ikhala eligobayo; ukuzamula; ukujuluka; Ukugodola; ubuhlungu bemisipha, obuhlangene, noma beqolo; abafundi abakhulisiwe (imibuthano emnyama ezindaweni zamehlo); ukucasuka; ukukhathazeka; ubuthakathaka; isisu; ubunzima bokulala noma ukulala; isicanucanu; ukuhlanza; isifo sohudo; ukulahlekelwa ukudla; ukushaya kwenhliziyo okusheshayo; nokuphefumula okusheshayo.

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

Ngaphambi kokuthatha i-oxymorphone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-oxymorphone, i-oxycodone (i-OxyContin, ePercocet, eRoxicet, abanye), i-codeine (ekuqedeni izinhlungu nemithi yokukhwehlela), i-hydrocodone (iZohydro, e-Anexsia, eNorco, eReprexain, e Rezira, eVicoprofen, eVituz, kwabanye), i-dihydrocodeine (e-Synalgos-DC), i-hydromorphone (i-Dilaudid, i-Exalgo), noma imuphi omunye umuthi, noma iziphi izithako ezikumathebulethi we-oxymorphone. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: ama-antihistamine; i-buprenorphine (iBuprenex, iButrans, iZubsolv, eSuboxone); i-butorphanol (iStadol); i-cimetidine (Tagamet), isisu (‘amaphilisi amanzi’), ipratropium (Atrovent, e-Combivent); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakaza, isifo sikaParkinson, noma izinkinga zomchamo; nalbuphine; kanye ne-pentazocine (Talwin). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unanoma yiziphi zezimo ezishiwo esigabeni ESIBALULEKILE SEXWAYISO, isifo sesibindi, ukuvimba esiswini noma emathunjini akho, noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungathathi i-oxymorphone.
• tshela udokotela wakho uma uke waquleka noma wake waquleka; izinkinga zokuchama, noma izinso, amanyikwe, igilo, noma isifo senyongo.
• tshela udokotela wakho uma uncelisa. Uma uncelisa ngenkathi uthatha i-oxymorphone, bhekisisa ingane yakho ubheke noma ikuphi ukulala okungavamile, ukuphefumula kancane noma ukuxhuga.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-oxymorphone.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-oxymorphone.
• kufanele wazi ukuthi i-oxymorphone ingakwenza ukozele, ube nesiyezi, noma ube nekhanda elikhanyayo. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-oxymorphone 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.
• kufanele wazi ukuthi i-oxymorphone ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi usebenzisa i-oxymorphone.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• umlomo owomile
• ubuhlungu besisu noma ukuvuvukala
• isicanucanu
• ukuhlanza
• igesi
• ukujuluka okweqile
• ukuqhuma
• ukushaya kwenhliziyo okusheshayo
• amehlo abomvu
• ikhanda
• ukuzizwa ukhathazekile noma udidekile
• ukulunywa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• 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
• izinguquko ekushayeni kwenhliziyo
• isithuthwane
• ukuqubuka, isifuba, ukulunywa, isicanucanu, ukuhlanza, ukudinwa, ukuphefumula kanzima noma ukugwinya, ubuhlungu besifuba. noma ukuvuvukala kwezandla, amehlo, ubuso, izindebe, umlomo, ulimi noma umphimbo
• ukozela ngokweqile
• ukuquleka

I-Oxymorphone 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 osuphelelwe yisikhathi noma ongasadingeki ethoyilethi ukuze abanye bangawuthathi. 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-oxymorphone, kufanele ukhulume nodokotela wakho mayelana 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 noma ukuphefumula okuhamba kancane noma okungajulile
• isikhumba, imilebe, noma izinzipho ezinamabala aluhlaza okwesibhakabhaka
• kubanda, isikhumba se-clammy
• khulisa noma wehlise usayizi womfundi (isiyingi esimnyama esweni)
• izicubu ezixegayo noma ezibuthakathaka
• ukulala ngokweqile
• ukuhona okungajwayelekile
• ukushaya kwenhliziyo okwehlisiwe
• ayikwazi ukuphendula noma ukuvuka

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Lo muthi awugcwaliseki kabusha. Uma uthatha i-oxymorphone ukulawula ubuhlungu bakho isikhathi eside, qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho njalo ukuze ungaphelelwa yimithi. Uma uthatha i-oxymorphone isikhathi esifushane, shayela udokotela wakho uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda umuthi.

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.

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