I-Fentanyl Sublingual Spray

-Delile

• Ngaphambi kokuthatha i-fentanyl,
• I-Fentanyl ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO noma SOKUQAPHA, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Fentanyl sublingual spray ingaba umkhuba wokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa i-fentanyl sublingual spray ngqo njengoba kuqondisiwe. Ungasebenzisi umthamo omkhulu we-fentanyl, sebenzisa umuthi kaningi, noma uwusebenzise isikhathi eside kunokuyalelwa ngudokotela wakho. Ngenkathi usebenzisa i-fentanyl sublingual spray, 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 ubungozi obukhulu bokuthi uzosebenzisa ngokweqile isifutho sezinhlamvu ezingamafentanyl 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-HELP

I-Fentanyl sublingual spray ingadala izinkinga ezinkulu zokuphefumula noma ukufa, ikakhulukazi uma isetshenziswa ngabantu abangazange belashwe ngeminye imishanguzo ye-narcotic noma abangakubekezeleli (okusetshenziselwa imiphumela yomuthi) emithini yokwelashwa. I-Fentanyl sublingual spray kufanele inikezwe 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.

I-Fentanyl sublingual spray ingadala ingozi enkulu noma ukufa uma isetshenziswe ngengozi ngumntwana noma ngumuntu omdala onganikwanga umuthi. Iziqukathi ze-fentanyl sublingual spray ezisetshenzisiwe zingaqukatha imithi eyanele yokulimaza kakhulu noma yokufa ezinganeni noma kwabanye abantu abadala. Gcina i-fentanyl sublingual spray lapho izingane zingafinyeleli khona. Buza udokotela wakho ukuthi ungayithola kanjani ikhithi kumenzi oqukethe izingidi zokuphepha kwezingane nezinye izinto ukuvikela izingane ekutholeni umuthi. Lahla imithamo engasetshenziswanga ye-fentanyl ngokuya ngemikhombandlela yomkhiqizi. Uma i-fentanyl sublingual spray isetshenziswa yingane noma umuntu omdala ongazange anikezwe umuthi, thola usizo oluphuthumayo lwezokwelapha.

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

Ukuthatha imishanguzo ethile nge-fentanyl sublingual spray kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukudamba, noma ikhoma. Tshela udokotela wakho uma ngabe uthatha noma imiphi yale mithi elandelayo: ama-antibiotic athile afana ne-clarithromycin (Biaxin, e-PrevPac), i-erythromycin (i-Erythocin, i-Eryc, i-Erythrocin, abanye), i-telithromycin (Ketek), ne-troleandomycin (TAO) (ayitholakali I-the united states); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole; 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-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, 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 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.

Sekusungulwe uhlelo lokunciphisa ubungozi bokusebenzisa lo muthi. 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 sublingual spray isetshenziselwa ukwelapha ubuhlungu bokuqhamuka (iziqephu ezingazelelwe zobuhlungu ezenzeka naphezu kokuzungeza ukwelashwa kwewashi ngemithi yobuhlungu) ezigulini zomdlavuza ezineminyaka engu-18 ubudala nangaphezulu ezithatha imithamo ehleliwe yomunye umuthi wezinhlungu we-narcotic (opiate), futhi ababekezelayo (abasetshenziselwa imiphumela yomuthi) emithini yokwelapha yobuhlungu be-narcotic. UFentanyl usesigabeni semithi ebizwa nge-narcotic (opiate) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Fentanyl iza njengesisombululo (uketshezi) sokufutha kancane (ngaphansi kolimi). Isetshenziswa njengoba kudingeka ukwelapha ubuhlungu bokuqhamuka kepha hhayi kaningi kunokuqondiswa ngudokotela wakho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-fentanyl sublingual spray bese ukhulisa kancane kancane umthamo wakho uze uthole umthamo ozokhulula ubuhlungu bakho bokuqhuma. Sebenzisa umthamo owodwa we-fentanyl sublingual spray for pain breakthrough. Uma usenobuhlungu ngemuva komthamo wakho wokuqala, sebenzisa umthamo wesibili emizuzwini engu-30 ngemuva kwesilinganiso sakho sokuqala. Ungasebenzisi imithamo engaphezu kwemibili ngesiqephu sobuhlungu bokuqhuma ngakunye. Ngemuva kokuphatha isiqephu sobuhlungu usebenzisa isilinganiso esisodwa noma ezimbili ze-fentanyl sublingual spray, linda okungenani amahora amane ngemuva kokusebenzisa i-fentanyl sublingual spray ngaphambi kokuphatha isiqephu esisha sobuhlungu bokuqhuma. Uma uneziqephu ezingaphezu kwezine zokuqaqamba komdlavuza wosuku ngosuku, shayela udokotela wakho.

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. Thatha i-fentanyl njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

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

Ukuze usebenzise isifutho somlomo, landela lezi zinkombandlela nalezo ezivela kulebula lephakeji:

1. Susa i-fentanyl sublingual spray unit kusuka kwiphakethe le-blister ngokusika kulayini odwetshiwe ngesikele.
2. Gwinya noma yimaphi amathe emlonyeni wakho.
3. Bamba i-fentanyl sublingual spray unit iqonde usebenzisa inkomba yakho kanye neminwe ephakathi nesithupha.
4. Khomba umlomo wombhobho emlonyeni wakho nangaphansi kolimi lwakho.
5. Cindezela iminwe yakho kanye nesithupha ndawonye ukufafaza umuthi ngaphansi kolimi lwakho.
6. Bamba umuthi ngaphansi kolimi lwakho imizuzwana engama-30 kuye kwangama-60. Ungakhiphi umuthi noma ugeze umlomo wakho. I-fentanyl sublingual spray iyunithi yokusebenzisa isikhathi esisodwa futhi izohlala ikhiyiwe ngemuva kokusetshenziswa.
7. Beka i-fentanyl sublingual spray unit esetshenzisiwe kwesinye sezikhwama zokulahla ezihlinzekiwe. Susa ukusekelwa emgqeni wokunamathela bese ugoqa i-flap ukuze uvale isikhwama.
8. Lahla isikhwama esivaliwe kudoti lapho izingane zingafinyeleli khona.

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

Ngaphambi kokuthatha 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 ku-fentanyl isichazamazwi esingaphansi kwesifutho. 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; 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); imishanguzo yokuquleka efana ne-carbamazepine (Tegretol, Teril), oxcarbazepine (Trileptal), ne-phenytoin (Dilantin, Phenytek); i-modafinil (i-Provigil); nalbuphine; naloxone (Evzio, Narcan); i-nevirapine (i-Viramune); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); i-pioglitazone (Actos); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); i-rifabutin (i-Mycobutin); 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-trazodone (i-Oleptro); i-tricyclic antidepressants (’mood elevators’) efana ne-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipramine; noma i-troglitazone (Rezulin). 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 blue, i-phenelzine (i-Nardil), i-selegiline (i-Eldepryl, i-Emsam, i-Zelapar), ne-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 uke waba nezilonda, izilonda, noma ukuvuvukala emlonyeni wakho, ukulimala ekhanda, isimila ebuchosheni, isifo sohlangothi, noma esinye isimo esidale umfutho ophakeme ngaphakathi kogebhezi lwakho; ukushaya kwenhliziyo okuphuzile noma ezinye izinkinga zenhliziyo; ubunzima bokuchama; 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 sublingual spray.
• 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.
• kufanele wazi ukuthi i-fentanyl sublingual spray ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo nokusebenzisa eminye imithi ukwelapha noma ukuvimbela ukuqunjelwa.

Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha 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:

• ukulunywa
• ukozela
• ubuhlungu ohlangothini lwesokunene sesisu sakho
• umlomo owomile
• ikhanda
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ubunzima bokulala noma ukulala
• ukukhathazeka
• ukuhlungu obusemhlane
• ukulunywa
• ukukhwehlela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO noma SOKUQAPHA, 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

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

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

I-Fentanyl ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uhlangabezana nemiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko ohlelweni lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online [ku-http: //www.fda.gov/Safety/MedWatch] noma ngocingo [1-800-332-1088].

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 ephaketheni le-blister elivaliwe, livaliwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina i-fentanyl endaweni ephephile ukuze kungabikho omunye umuntu ongayisebenzisa ngephutha noma ngenhloso. Sebenzisa izingidi ezingazweli ezinganeni nokunye okunikezwa ngumenzi ukugcina izingane zikude nemithi. Gcina umbhalo walokho okushiywe i-fentanyl ukuze wazi ukuthi kukhona yini okushodayo. Ukugcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile nomswakama (hhayi endlini yangasese).

Lahla isifutho sezinhlamvu ezingamafentanyl ngokushesha lapho sisetshenziswa noma singasadingeki. Faka i-spray unit esetshenzisiwe esikhwameni esilahlwayo. Vala isikhwama bese usilahla esitsheni sodoti lapho izingane zingafinyeleleki khona. Uma unamayunithi wokufafaza angasetshenziswanga, vula okufakiwe ngokweziqondiso. Futha okuqukethwe kwiyunithi ebhodleleni lokulahla elinikezwe kuphakeji. Phinda ngesitsha ngasinye esingasetshenzisiwe. Vala isitsha sokulahla bese ushukumisa. Faka isitsha sokulahla esikhwameni esilahlwayo bese usilahla esitsheni sedoti. 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 usebenzisa i-fentanyl sublingual 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:

• ukuhamba kancane, ukujula, noma ukumisa ukuphefumula
• ukuphefumula kanzima
• ubuthongo
• ayikwazi ukuphendula noma ukuvuka
• ukudideka
• 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 nabasebenzi be-laboratory ukuthi uthatha 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.

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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