I-Buprenorphine Transdermal Patch

-Delile

• Ukufaka isichibi, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-buprenorphine patch,
• Izimagqabhagqabha zeBuprenorphine zingadala 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 SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ama-patches we-Buprenorphine angakha umkhuba, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa ama-buprenorphine patches njengoba nje kuqondisiwe. Ungafaki ama-patches amaningi, sebenzisa ama-patches kaningi, noma usebenzise ama-patches ngendlela ehlukile kunaleyo ebekiwe ngudokotela wakho. Ngenkathi usebenzisa ama-buprenorphine patches, xoxa nomhlinzeki wakho wokunakekelwa 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-buprenorphine uma ngabe 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-HELP

Izindwangu zeBuprenorphine zingadala 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 uzokuqapha ngokucophelela ngesikhathi sokwelashwa kwakho. Tshela udokotela wakho uma uke waba nobunzima bokuphefumula, i-asthma, isifo esingapheliyo se-pulmonary disease (COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), noma esinye isifo samaphaphu. Udokotela wakho angakutshela ukuthi ungasebenzisi ama-buprenorphine patches.

Ukuthatha imishanguzo ethile ngama-buprenorphine patches kungakhuphula ubungozi bezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukuthoba, noma ikhoma. Tshela udokotela kanye nosokhemisi wakho uma uthatha i-atazanavir (Reyataz); 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), i-triazol imithi yokugula ngengqondo kanye nesicanucanu; eminye imithi yezinhlungu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa i-buprenorphine transdermal nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha: isiyezi esingavamile, 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 noma ukusebenzisa izidakamizwa zasemgwaqeni ngenkathi welashwa nge-buprenorphine transdermal nakho kwandisa ubungozi bokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Ungavumeli noma ngubani omunye umuntu ukuthi asebenzise imithi yakho. Ukuvezwa ngengozi, ikakhulukazi ezinganeni, kungaholela ekulimaleni kanzima noma ekufeni. Gcina amabheshu e-buprenorphine endaweni ephephile ukuze kungabikho omunye umuntu ongawasebenzisa ngengozi noma ngenhloso. Qaphela ikakhulukazi ukugcina amabala e-buprenorphine engafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi zingaki iziqinti ezisele ukuze wazi ukuthi kukhona yini ezingekho.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa.Uma usebenzisa ama-buprenorphine patches 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.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngamachashazi e-buprenorphine 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 ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

Ama-patches we-Buprenorphine asetshenziselwa ukudambisa ubuhlungu obukhulu kubantu okulindeleke ukuthi badinge imishanguzo yezinhlungu ubusuku nemini isikhathi eside futhi abangakwazi ukwelashwa ngeminye imithi. Kusesigabeni semithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Transdermal buprenorphine iza njengesiqeshana esizosebenza esikhumbeni. Isiqephu sivame ukufakwa esikhumbeni kanye njalo ezinsukwini eziyi-7. Shintsha isichibi sakho cishe ngesikhathi esifanayo sosuku ngaso sonke isikhathi lapho usishintsha. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Faka amabala e-buprenorphine njengoba nje kuqondisiwe.

Udokotela wakho angakuqala ngethamo eliphansi le-buprenorphine patch futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa ezinsukwini ezintathu. Uma lokhu kwanda kubandakanya ukusetshenziswa kwezimagqabhagqabha ezimbili, susa isichibi sakho samanje futhi ngasikhathi sinye, beka lezi zigcawu ezimbili ezintsha eduze komunye nomunye kusayithi elisha. Uma udokotela wakho ekutshela ukuthi usebenzise amabala amabili, kufanele uwashintshe futhi uwasebenzise ngasikhathi sinye. Udokotela wakho anganciphisa umthamo wakho uma uba nemiphumela emibi. Xhumana nodokotela wakho uma umthamo owuthathayo ungalawuli ubuhlungu bakho. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi welashwa ngama-buprenorphine patches.

Amachashazi esikhumba eBuprenorphine asetshenziselwa isikhumba kuphela. Ungafaki amachashazi emlonyeni wakho noma uhlafune noma ugwinye amachashazi.

Ungayeki ukusebenzisa ama-buprenorphine patches ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukusebenzisa ama-buprenorphine patches ungaba nezimpawu zokuhoxa. Shayela udokotela wakho uma uhlangabezana nenye yalezi zimpawu zokuhoxa: ukungazinzi, amehlo acwebayo, ikhala eligijimayo, ukuzamula, ukujuluka, ukubanda, izinwele ezimile ekugcineni, izinhlungu zemisipha, abafundi abakhulu (imibuthano emnyama enkabeni yamehlo), ukucasuka, uhudo, isicanucanu, ukuhlanza, ukukhathazeka, ubuhlungu emajoyintini, ubuthakathaka, ukushaya kwenhliziyo okusheshayo, noma ukuphefumula okusheshayo.

Ungasebenzisi i-buprenorphine patch esikiwe, elimele, noma eguqulwe nganoma iyiphi indlela. Uma usebenzisa iziqeshana ezisikiwe noma ezilimele, ungathola iningi noma yonke imithi ngasikhathi sinye, esikhundleni sokuhamba kancane ngaphezu kwezinsuku eziyi-7. Lokhu kungadala izinkinga ezinkulu, kufaka phakathi ukweqisa ngokweqile nokufa.

Uma i-buprenorphine patch yakho ivezwe ukushisa okukhulu, ingakhipha umuthi omningi kakhulu emzimbeni wakho ngasikhathi sinye. Lokhu kungadala izimpawu ezimbi noma ezisongela impilo.Ungavumeli i-patch yakho noma isikhumba esizungezile ukuqondisa ukushisa okufana namaphakethe wokushisa, izingubo zokugesi, amalambu okushisa, ama-sauna, ama-tubs ashisayo, nemibhede yamanzi evuthayo. Ungathathi amabhati amade ashisayo noma wokugeza ilanga ngenkathi ugqoke isichibi.

Ungageza noma ugeze ngenkathi ugqoke i-buprenorphine patch. Uma i-patch iwa phakathi nale misebenzi, ilahle kahle. Bese usomisa isikhumba sakho ngokuphelele bese ufaka isichibi esisha. Shiya isichibi esisha endaweni yezinsuku eziyi-7 ngemuva kokuyisebenzisa.

Ungafaka isichibi se-buprenorphine ezingalweni zakho zangaphandle ezingaphezulu, esifubeni esingaphezulu, emuva emuva, noma ohlangothini lwesifuba sakho. Khetha indawo yesikhumba elele futhi engenaboya. Ungasifaki isichibi ezingxenyeni zomzimba ezicasule, zaphuka, zasikwa, zalimala noma zashintsha nganoma iyiphi indlela. Uma kunezinwele esikhunjeni, sebenzisa isikele ukusika izinwele eduze kwesikhumba ngangokunokwenzeka. Ungagundi indawo. Linda okungenani amasonto ama-3 ngaphambi kokufaka isichibi esisha kusayithi elifanayo.

Ukufaka isichibi, landela lezi zinyathelo:

1. Hlanza indawo ohlela ukufaka kuyo isichibi ngamanzi acwebile bese ushaya umile ngokuphelele. Ungasebenzisi noma yiziphi insipho, ama-lotion, ama-alcohol noma uwoyela.
2. Sebenzisa isikele ukusika uvule isikhwama esiqukethe isichibi se-buprenorphine eceleni komugqa onamachashazi. Susa isichibi esikhwameni bese ususa i-liner evikelayo ngemuva kwesiqephu. Zama ukungathinti uhlangothi olunamathelayo lwesichibi.
3. Ngokushesha cindezela uhlangothi olunamathelayo lwesichibi ungene endaweni ekhethiwe yesikhumba ngentende yesandla sakho.
4. Cindezela i-patch ngokuqinile okungenani imizuzwana engu-15. Qiniseka ukuthi isichibi sinamathela kahle esikhumbeni sakho, ikakhulukazi emaphethelweni. Ungasigcini isichibi.
5. Uma isichibi singenamathele kahle noma siphume ngemuva kokuba sisetshenzisiwe, thinta kuphela imiphetho esikhunjeni sakho ngetheyiphu yosizo lokuqala. Uma i-patch inganamatheli kahle, ungayimboza nge-Bioclusive noma i-Tegaderm brand see-through dressings. Ungambozi isichibi nganoma yiluphi olunye uhlobo lwamabhandeshi noma itheyiphu. Khuluma nodokotela wakho noma usokhemisi uma i-patch yakho iqhubeka nokuba nezinkinga zokunamathela esikhunjeni sakho.
6. Uma isichibi siwa ngaphambi kwesikhathi sokususa, lahla kahle isichibi bese ufaka isichibi esisha endaweni ehlukile yesikhumba. Shiya isichibi esisha endaweni yezinsuku eziyi-7.
7. Lapho usuqedile ukufaka isichibi, geza izandla zakho ngamanzi acwebile khona lapho.
8. Bhala phansi usuku nesikhathi okusetshenziswe kuso isichibi.
9. Uma sekuyisikhathi sokushintsha isichibi sakho, khipha isichibi esidala bese ufaka isichibi esisha endaweni ehlukile yesikhumba.
10. Ngemuva kokuthi ususe isichibi sakho, sebenzisa i-Patch Disposal Unit oyinikezwe ngumenzi ukuze ulahle ngokuphepha isichibi esisetshenzisiwe kudoti. Vala i-Patch Disposal Unit ngokusonga izinhlangothi ezinamathelayo ndawonye, ​​bese ucindezela ngokuqinile nangokushelela phezu kwayo yonke i-Unit ukuze isichibi sivalwe ngaphakathi. Ungafaki ama-patches asetshenzisiwe kudoti ngaphandle kokuqala ukuwafaka uphawu ku-Patch Disposal Unit. Ngenye indlela, ungahle futhi usonge izinhlangothi ezinamathelayo zesikebhe esetshenzisiwe ndawonye bese usifaka phansi endlini yangasese. Ama-patches asetshenzisiwe asengaba nemithi ethile futhi angaba yingozi ezinganeni, ezifuywayo, noma kubantu abadala abangazange banikezwe ama-buprenorphine patches.

I-Buprenorphine akufanele isetshenziselwe ukwelapha ubuhlungu obumnene noma obulinganiselwe, ubuhlungu besikhashana, noma ubuhlungu obungalawulwa yimithi ethathwa njengoba kudingeka.

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

Ngaphambi kokusebenzisa i-buprenorphine patch,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-buprenorphine, noma imuphi omunye umuthi, noma iziphi izithako ezikulesi sichibi se-buprenorphine. Buza udokotela wakho noma usokhemisi 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 ukuyisebenzisa noma oyisebenzisayo. Qiniseka ukuthi uyayisho imithi efakwe kuhlu ISEXWAYISO ESIBALULEKILE kanye nanoma imiphi yale mithi elandelayo: i-anticholinergics (i-atropine, i-belladonna, i-benztropine, i-dicyclomine, i-diphenhydramine, i-isopropamide, i-procyclidine, ne-scopolamine); i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); isisu (‘amaphilisi amanzi’); imishanguzo ethile yokushaya kwenhliziyo okungajwayelekile kufaka phakathi i-amiodarone (Cordarone, Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (eNuedexta), ne-sotalol (Betapace, Betapace AF, Sorine, Sotylize, ; i-lithium (i-Lithobid); imithi 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-Imitrex, i-Treximet), ne-zolmitriptan (iZomig); i-mirtazapine (i-Remeron); imithi ethile yokuquleka efana ne-carbamazepine (Tegretol, Teril, abanye), phenobarbital, phenytoin (Dilantin, Phenytek); 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-duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), ne-venlafaxine (Effexor); i-trazodone; noma i-tricyclic antidepressants (’mood elevators’) njenge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ne-trimipramine. Phinda utshele udokotela noma usokhemisi wakho uma uthatha noma uthola ama-inhibitors alandelayo e-monoamine oxidase (MAO) noma uma uyekile ukuwaphuza emasontweni amabili edlule: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (i-Eldepryl, i-Emsam, iZelapar), noma i-tranylcypromine (iParnate). Eminye imithi eminingi ingaxhumana ne-buprenorphine, 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 ngabe uke waba nezimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungasebenzisi ama-buprenorphine patches.
• Tshela udokotela wakho uma wena noma ilunga lomndeni eliseduze nibe ne-QT syndrome isikhathi eside (isimo esandisa ingozi yokuhlaselwa ukushaya kwenhliziyo okungajwayelekile okungadala ukulahlekelwa ukwazi, noma ukufa ngokuzumayo); noma uma uke waba ne-atrial fibrillation; ukwehluleka kwenhliziyo; ukuquleka; ukulimala ekhanda, isimila ebuchosheni, isifo sohlangothi noma esinye isimo esidale umfutho ophakeme ngaphakathi kogebhezi lwakho; isifo sepheshana le-biliary; ukushaya kwenhliziyo okunciphisiwe; umfutho wegazi ophansi; amazinga aphansi egazi e-potassium; izinkinga zokuchama; noma amanyikwe, igilo, inhliziyo, izinso, noma isifo sesibindi.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa ama-buprenorphine patches.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa isichibi se-buprenorphine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto, sebenzisa imishini, noma wenze ezinye izinto ezingaba yingozi uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi ama-buprenorphine patches angadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukusebenzisa i-buprenorphine patch. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi ama-buprenorphine patches angadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imishanguzo ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi usebenzisa ama-buprenorphine patches.
• kufanele wazi ukuthi uma unemfiva noma uma ushisa kakhulu ngemuva kokuzivocavoca umzimba, inani le-buprenorphine olithola esiqeshini lingakhuphuka futhi mhlawumbe lidale ukweqisa kwemithi. Gwema ukuzivocavoca umzimba okungadala ukuthi ushise kakhulu. Shayela udokotela wakho ngokushesha uma unomkhuhlane. Udokotela wakho angadinga ukulungisa umthamo wakho.

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

Uma ukhohlwa ukufaka noma ukuguqula isichibi se-buprenorphine, faka isichibi ngokushesha nje lapho usikhumbula. Qiniseka ukuthi ususa isichibi sakho osisebenzisile ngaphambi kokufaka isichibi esisha. Gqoka isichibi esisha isikhathi esinqunyelwe udokotela wakho (imvamisa izinsuku eziyi-7) bese usishintsha. Ungafaki amabala amabili ngasikhathi sinye ngaphandle uma udokotela wakho ekutshele ukuthi kufanele.

Izimagqabhagqabha zeBuprenorphine zingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubunzima bokulala noma ukulala
• ikhanda
• umlomo owomile
• ubuhlungu besisu
• ukucasuka kwesikhumba, ukulunywa, ukuvuvukala, noma ubomvu endaweni lapho ubugqoke khona isichibi

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

• ukuphefumula kanzima noma ukugwinya
• ukuphelelwa umoya
• 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
• ubuhlungu besifuba
• ukuvuvukala kobuso bakho, ulimi noma umphimbo
• ukuqubuka
• isifuba
• ukulunywa

Izimagqabhagqabha zeBuprenorphine zingadala 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 lo muthi kude nezingane. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Lahla noma yimaphi ama-patches aphelelwe yisikhathi noma ngokushesha lapho engasadingeki. Sebenzisa i-Patch Disposal Unit oyinikezwe ngumkhiqizi ukulahla ngokuphepha izigaxa ezingadingeki noma eziphelelwe yisikhathi kudoti. Ungafaki ama-buprenorphine patches angadingeki noma aphelelwe yisikhathi emgqonyeni kadoti ngaphandle kokuwafaka kuqala ku-Patch Disposal Unit. Ngenye indlela, ungalahla iziqeshana ngokususa ngokucophelela ukusekelwa kokunamathisela, ugoqe izinhlangothi ezinamathelayo zesiqeshana ngasinye ukuze zinamathele kuso, bese uphonsa amabala phansi kwendlu 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 usebenzisa ama-buprenorphine patches, 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:

• amancane, akhombe abafundi (imibuthano emnyama maphakathi neso)
• ukulala ngokweqile noma ukozela
• ukuphuza kancane noma ubunzima bokuphefumula
• ayikwazi ukuphendula noma ukuvuka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-buprenorphine.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi usebenzisa i-buprenorphine.

Ungavumeli omunye umuntu asebenzise imithi yakho. I-Buprenorphine yinto elawulwayo. Okubhalwe phansi kungagcwaliswa izikhathi ezimbalwa kuphela; buza usokhemisi wakho uma unemibuzo.

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.

• Ama-Butrans^®