I-Fentanyl Nasal Spray

-Delile

• Ukuze usebenzise i-fentanyl nasal spray, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-fentanyl nasal spray,
• I-Fentanyl nasal spray ingadala imiphumela emibi.Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalesi sibonakaliso, shayela udokotela wakho ngokushesha:
• Uma uhlangabezana nenye yalezi zimpawu, yeka ukusebenzisa i-fentanyl nasal spray bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Fentanyl nasal spray ingaba umkhuba wokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa i-fentanyl nasal spray ngqo njengoba kuqondisiwe. Ungasebenzisi umthamo omkhulu we-fentanyl nasal spray, sebenzisa umuthi kaningi, noma uwusebenzise isikhathi eside kunokuyalelwa ngudokotela wakho. Ngenkathi usebenzisa i-fentanyl nasal spray, 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 nasal spray uma uke noma uke waba nanoma iyiphi yalezi 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-Fentanyl nasal spray ingadala izinkinga ezinkulu zokuphefumula noma ukufa, ikakhulukazi uma isetshenziswa abantu abangazange belashwe ngeminye imishanguzo ye-narcotic noma abangabekezeleli (okusetshenziselwa imiphumela yomuthi) emithini yokwelashwa. Isifutho se-Fentanyl acinene kufanele sinqunywe kuphela odokotela abanolwazi ekwelapheni ubuhlungu ezigulini ezinomdlavuza. Kufanele isetshenziselwe kuphela ukuphatha ubuhlungu bomdlavuza wokuqhamuka (iziqephu ezingazelelwe zobuhlungu ezenzeka ngaphandle kokwelashwa ubusuku nemini ngemithi yezinhlungu) ezigulini zomdlavuza okungenani ezineminyaka engu-18 ubudala ezithatha imithamo ehleliwe yobunye ubuhlungu be-narcotic (opiate) imithi, futhi obani ababekezelelayo (abasetshenziselwa imiphumela yomuthi) emithini yokwelapha yobuhlungu be-narcotic. 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.

Isifutho sempumulo iFentanyl singadala ingozi enkulu noma ukufa uma sisetshenziswe ngephutha yingane noma ngumuntu omdala onganikwanga umuthi. Amabhodlela e-fentanyl acinene asetshenziswa kancane aqukethe imishanguzo eyanele yokulimaza kakhulu noma yokufa ezinganeni noma kwabanye abantu abadala. Njalo gcina i-fentanyl acinene spray esitsheni sayo esingamelana nengane futhi lapho izingane zingafinyeleli khona. Uma i-fentanyl nasal spray isetshenziswa yingane noma umuntu omdala ongazange anikezwe umuthi, thola usizo oluphuthumayo lwezokwelapha.

I-Fentanyl nasal spray kufanele isetshenziswe kanye neminye imithi yakho yezinhlungu. Uma uyeka ukuthatha eminye imithi yakho yezinhlungu kuzodingeka uyeke ukusebenzisa i-fentanyl nasal spray.

Kufanele ulinde okungenani amahora ama-2 ngemuva kokusebenzisa i-fentanyl nasal spray ngaphambi kokusebenzisa omunye umthamo, noma ngabe usenobuhlungu. Tshela udokotela wakho uma usenobuhlungu imizuzu engama-30 ngemuva kokusebenzisa i-fentanyl nasal spray.

Ukuthatha imishanguzo ethile ngesikhathi sokwelashwa kwakho nge-fentanyl nasal spray kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezinzima, noma zokuphefumula, noma ikhoma. Tshela udokotela wakho uma uthatha noma iyiphi yale mithi elandelayo: amiodarone (Nexterone, Pacerone); imishanguzo ethile efana ne-clarithromycin (Biaxin, ku-PrevPac), 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-Restoril), ne-triazolam (i-Halcion); i-erythromycin (i-Erythocin, i-Eryc, i-Erythrocin, abanye), ne-telithromycin (Ketek); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-itraconazole (i-Onmel, i-Sporanox), ne-ketoconazole (i-Nizoral); i-aprepitant (Hlela); i-cimetidine (Tagamet); i-diltiazem (Cardizem, Taztia, Tiazac, nabanye); imishanguzo ethile yegciwane lesandulela ngculazi (i-HIV) njenge-amprenavir (ayisatholakali e-US; i-Agenerase), i-fosamprenavir (Lexiva), indinavir (Crixivan), i-nelfinavir (i-Viracept), i-ritonavir (i-Norvir, e-Kaletra), ne-saquinavir (i-Invirase ); imithi yokugula ngengqondo kanye nesicanucanu; ukuphumula kwemisipha; nefazodone; isidambisi; amaphilisi okulala; okokunciphisa umzimba; noma i-verapamil (Calan, Covera, Verelan, eTarka). 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.

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.

IFentanyl iza njengemikhiqizo ehlukahlukene. 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 lokunciphisa ubungozi bokusebenzisa i-fentanyl nasal spray. Udokotela wakho uzodinga ukubhalisa ohlelweni ukuze anikeze i-fentanyl nasal spray bese uzodinga ukuthi udokotela wakho agcwaliswe ekhemisi elibhaliswe kulolu hlelo. Njengengxenye yalolu hlelo, udokotela wakho uzokhuluma nawe ngezingozi nezinzuzo zokusebenzisa i-fentanyl nasal spray kanye nokuthi ungayisebenzisa kanjani ngokuphepha, uyigcine futhi uyilahle le mithi. Ngemuva kokukhuluma nodokotela wakho, uzosayina ifomu lokuvuma ukuthi uyaziqonda izingozi zokusebenzisa i-fentanyl nasal spray nokuthi uzolandela imiyalelo kadokotela wakho yokusebenzisa umuthi ngokuphepha. Udokotela wakho uzokunikeza imininingwane ethe xaxa ngalolu hlelo nokuthi ungayithola kanjani imishanguzo yakho futhi uzokuphendula noma imiphi imibuzo onayo ngalolu hlelo kanye nokwelashwa kwakho nge-fentanyl nasal spray.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-fentanyl nasal spray kanti isikhathi ngasinye 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 nasal spray isetshenziselwa ukwelapha ubuhlungu bokuqhamuka (iziqephu ezingazelelwe zobuhlungu ezenzeka naphezu kokuzungeza ukwelashwa kwewashi ngemithi yezinhlungu) ezigulini zomdlavuza ezineminyaka engu-18 noma ngaphezulu ezithatha imithamo ehleliwe yomunye umuthi wezinhlungu we-narcotic (opiate), futhi ababekezelayo (abasetshenziselwa imiphumela yomuthi) emithini yokwelapha yobuhlungu. UFentanyl usesigabeni semithi ebizwa nge-narcotic (opiate) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Fentanyl nasal spray ifika njengesisombululo (uketshezi) ukufafaza emakhaleni. Isetshenziswa njengoba kudingeka ukwelapha ubuhlungu bokuqhamuka kepha hhayi kaningi ngaphezu kwezikhathi ezine ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Udokotela wakho uzokuqala ngomthamo ophansi we-fentanyl nasal spray bese ukhuphula kancane umthamo wakho uze uthole umthamo ozokhulula ubuhlungu bakho bokuqhuma. 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. Uma usenobuhlungu imizuzu engama-30 ngemuva kokusebenzisa i-fentanyl nasal spray, udokotela wakho angakutshela ukuthi usebenzise omunye umuthi wezinhlungu ukudambisa lobo buhlungu, futhi ungakhuphula umthamo wakho we-fentanyl nasal spray ukuze ulaphe isiqephu sakho sobuhlungu esilandelayo. Musa ukwandisa umthamo wakho we-fentanyl nasal spray ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele.

Ungasebenzisi i-fentanyl nasal spray ngaphezulu 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.

Ungayeki ukusebenzisa i-fentanyl nasal spray ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukusebenzisa i-fentanyl nasal spray, ungahlangabezana nezimpawu ezingathandeki zokuhoxa.

Ukuze usebenzise i-fentanyl nasal spray, landela lezi zinyathelo:

1. Shaya ikhala lakho, uma unekhala eligijimayo.
2. Susa ikepisi esitsheni esimelana nengane uthathe ibhodlela le-fentanyl nasal spray. Susa ikepisi lokuvikela ethiphu yebhodlela. Bamba ibhodlela ukuze umbhobho ube phakathi kweminwe yakho yokuqala neyesibili futhi isithupha sakho sibe ngezansi.
3. Uma usebenzisa ibhodlela elisha, kufanele uqale ufake ibhodlela ngaphambi kokulisebenzisa. Faka ibhodlela phambili ngokufafaza izifutho ezi-4 esikhwameni ulandela imiyalo yomkhiqizi kuMhlahlandlela Wezokwelapha.
4. Hlala ume mpo bese ufaka ichopho lebhodlela cishe isentimitha elilodwa (1 cm) ekhaleni elilodwa, ukhombe ithiphu ebhulohweni lekhala lakho. Vala elinye ikhala lakho ngomunwe.
5. Cindezela phansi ngokuqinile ekubambeni komunwe uze uzwe umsindo '' chofoza ''. Ungase ungezwa ukuthi isifutho singena emakhaleni akho, kepha inqobo nje uma inombolo efasiteleni lokubala inyuka ngo-1, isifutho sinikiwe.
6. Donsa umoya kamnandi ngamakhala akho uphinde uphume ngomlomo wakho kanye emva kokufafaza. Musa ukuhogela ngemuva kokufafaza umuthi emakhaleni akho.
7. Uma udokotela wakho efuna ukuthi usebenzise izifutho ezimbili, phinda izinyathelo 4 kuya ku-6, usebenzisa elinye ikhala lakho.
8. Lapho inombolo esewindini lokubala ingu-'8 '', ungazami ukusebenzisa ezinye izifutho ezivela ebhodleleni. Kusazoba noketshezi oluthile ebhodleleni oluzodinga ukufuthwa esikhwameni ngokulandela imiyalelo yomkhiqizi kuMhlahlandlela Wezokwelapha.
9. Hlala uhlale phansi okungenani umzuzu owodwa ngemuva kokusebenzisa i-fentanyl nasal spray.
10. Ungashayi ikhala lakho okungenani imizuzu engama-30 ngemuva kokusebenzisa i-fentanyl nasal spray.
11. Shintsha ikepisi lokuvikela ebhodleleni bese ufaka ibhodlela esitsheni esimelana nengane, lapho izingane zingafinyeleleki khona.

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

Ngaphambi kokusebenzisa i-fentanyl nasal spray,

• 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 ku-fentanyl nasal spray. 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; carbamazepine (Carbatrol, Epitol, Tegretol, Teril); i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-efavirenz (e-Atripla, eSustiva); 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); i-modafinil (i-Provigil); nalbuphine; naloxone (Evzio, Narcan); ama-decongestants emakhaleni afana ne-oxymetazoline (Afrin, Neo-Synephrine, Vicks Sinex, abanye); i-nevirapine (i-Viramune); oxcarbazepine (Trileptal); i-pentazocine (iTalwin); i-phenytoin (iDilantin, Phenytek); i-pioglitazone (Actos, e-Actoplus Met, eDuetact, ezinye); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); 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 (Effexor); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); i-trazodone (i-Oleptro); nama-tricyclic antidepressants (’mood elevators’) afana ne-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 noma iyiphi yale mithi elandelayo noma uma uyekile ukuyiphuza emasontweni amabili edlule: i-monoamine oxidase (MAO) inhibitors kufaka phakathi i-isocarboxazid (Marplan), i-linezolid (i-Zyvox), i-methylene eluhlaza okwesibhakabhaka, i-phenelzine (i-Nardil), i-selegiline (i-Eldepryl, i-Emsam, i-Zelapar), noma i-tranylcypromine (i-Parnate). 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 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 unekhala eligijimayo noma uke walimala 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; ubunzima bokuchama; 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 nasal spray, shayela udokotela wakho.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-fentanyl nasal spray.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-fentanyl nasal spray.
• kufanele wazi ukuthi i-fentanyl nasal spray ingakwenza ukozele noma ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-fentanyl nasal spray 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-fentanyl nasal spray 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 nasal spray ingadala imiphumela emibi.Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukozela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalesi sibonakaliso, shayela udokotela wakho ngokushesha:

• ukushaya kwenhliziyo okuhamba kancane
• 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
• isifuba
• ukuqubuka
• ukulunywa

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

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

I-Fentanyl nasal spray 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 isifutho sempumulo se-fentanyl esitsheni sayo esingazweli ezinganeni, esivaliwe, futhi lapho izingane zingafinyeleleki khona. Gcina isitsha esingamelana nengane nesikhwama ebhokisini lamakhadibhodi elingene ngesikhathi lingasetshenziswa. Gcina i-fentanyl nasal spray endaweni ephephile ukuze kungabikho omunye umuntu ongayisebenzisa ngephutha noma ngenhloso. Gcina umkhondo wokuthi zingaki izifutho ebhodleleni ngalinye ezisele ukuze wazi ukuthi kukhona yini ezingekho. Ukugcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile nomswakama (hhayi endlini yangasese). Ungafrizi fentanyl isifutho samakhala.

Lahla i-fentanyl nasal spray ngokushesha lapho isiphelelwa yisikhathi noma ingasadingeki. Lahla noma yiliphi ibhodlela le-fentanyl nasal spray uma izinsuku ezi-5 zidlulile selokhu wagcina ukulisebenzisa noma uma sezidlulile izinsuku eziyi-14 selokhu walilungiselela ibhodlela ukusetshenziswa kwalo okokuqala. Ungalahla ngokuphepha i-fentanyl nasal spray ngokufafaza uketshezi olusele esikhwameni esinikezwe umuthi, njengoba kuchaziwe kuMhlahlandlela Wezokwelapha. Isikhwama esivaliwe nebhodlela elingenalutho kufanele libekwe esitsheni esingamelana nengane ngaphambi kokukufaka kudoti. Geza izandla zakho ngensipho namanzi ngokushesha ngemuva kokuphatha isikhwama. Shayela usokhemisi noma umenzi wakho uma unemibuzo, udinga usizo lokulahla imithi engadingeki, noma ungenaso isikhwama esitholakalayo.

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 usebenzisa i-fentanyl nasal spray, kufanele ukhulume nodokotela wakho ngokuba nemithi yokutakula ebizwa nge-naloxone etholakala kalula (isb., Ikhaya, ihhovisi). I-Naloxone isetshenziselwa ukuguqula imiphumela esongela impilo yokweqisa izidakamizwa 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:

• ukozela
• ubuthongo
• isiyezi
• ukudideka
• ukuphefumula kanzima noma ukuphefumula okuhamba kancane noma okungajulile
• ayikwazi ukuphendula noma ukuvuka
• abafundi abancane (imibuthano emnyama phakathi kwamehlo)

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.

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.

• Lazanda^®