I-Buprenorphine Buccal (ubuhlungu obungapheli)

-Delile

• Ukufaka ifilimu ye-buccal, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-buprenorphine (Belbuca),
• IBuprenorphine (Belbuca) ingadala 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:

I-Buprenorphine (iBelbuca) ingaba umkhuba wokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa i-buprenorphine njengoba nje kuqondisiwe. Musa ukufaka amafilimu amaningi e-buprenorphine buccal, sebenzisa amafilimu e-buccal kaningi, noma usebenzise amafilimu e-buccal ngendlela ehlukile kunaleyo ebekwe ngudokotela wakho. Ngenkathi usebenzisa i-buprenorphine, 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-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

I-Buprenorphine (i-Belbuca) ingadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi kwamahora okuqala angama-24 kuye kwangama-72 nanoma yisiphi isikhathi lapho umthamo wakho wanda. Udokotela wakho uzokuqapha ngokucophelela ngesikhathi sokwelashwa kwakho. Udokotela wakho uzolungisa umthamo wakho ngokucophelela ukuze alawule ubuhlungu bakho futhi anciphise nengozi yokuthi uzoba nezinkinga ezinkulu zokuphefumula. Tshela udokotela wakho uma unezinkinga zokuphefumula nokuthi ngabe uke waba nesifo somoya noma wake waba naso yini. Udokotela wakho angakutshela ukuthi ungasebenzisi i-buprenorphine (Belbuca.) Phinda utshele udokotela wakho uma uke waba nesifo esingapheliyo sokuphazamiseka kwamaphaphu (COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), ezinye izifo zamaphaphu, ukulimala ekhanda , isimila ebuchosheni, noma yisiphi isimo esandisa inani lengcindezi ebuchosheni bakho. Ingcuphe yokuthi uzoba nezinkinga zokuphefumula ingahle futhi ibe phezulu uma usumdala noma ubuthakathaka noma ungondlekile ngenxa yezifo. Uma unezinye zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukuphefumula kanzima, ukuphefumula okuncane, ukozela ngokweqile, ukuquleka, noma ukulahlekelwa ukwazi.

Ukuthatha imishanguzo ethile nge-buprenorphine (Belbuca) kungakhuphula ubungozi bezinkinga 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 (Ativan), i-oxazepam, i-temazepam (i-Restoril), ne-triazolam (i-Halcion); imithi yokugula ngengqondo kanye nesicanucanu; eminye imithi yezinhlungu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa i-buprenorphine nganoma iyiphi yale mithi futhi uthuthukisa noma yiziphi zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha: isiyezi esingavamile, ikhanda elikhanyayo, 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 engeyona imishanguzo equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngesikhathi ukwelashwa kwakho nge-buprenorphine kwandisa ingozi yokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Ungaphuzi utshwala noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

IBuprenorphine (Belbuca) ingadala ingozi enkulu noma ife uma isetshenziswe ngengozi ngumntwana noma ngumuntu omdala onganikwanga umuthi. Ungavumeli noma ngubani omunye umuntu ukuthi asebenzise imithi yakho. Gcina i-buprenorphine (Belbuca) endaweni ephephile ukuze kungabikho omunye umuntu ongayisebenzisa ngengozi noma ngenhloso. Gcina umkhondo wokuthi mangaki amafilimu e-buccal asele ukuze wazi ukuthi akhona yini alahlekile.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma usebenzisa i-buprenorphine njalo ngenkathi 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.

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

I-Buprenorphine (Belbuca) isetshenziselwa ukudambisa izinhlungu ezinzima kubantu okulindeleke ukuthi badinge imishanguzo yezinhlungu ubusuku nemini isikhathi eside futhi abangakwazi ukwelashwa ngeminye imithi. I-Buprenorphine (i-Belbuca) akufanele isetshenziselwe ukwelapha ubuhlungu obungalawulwa yimithi ethathwa njengoba kudingeka. I-Buprenorphine (iBelbuca) ekilasini lemithi ebizwa ngama-opiate agonists ayingxenye. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

IBuprenorphine (Belbuca) iza njengefilimu ye-buccal ezofaka ngaphakathi kwesihlathi. Imvamisa ifakwa kabili ngosuku. Faka isicelo se-buprenorphine (Belbuca) ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-buprenorphine (Belbuca) njengoba nje kuqondisiwe.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-buprenorphine (Belbuca), kungaba kanye nsuku zonke noma njalo ngamahora ayi-12, futhi kancane kancane andise umthamo wakho, hhayi ngaphezu kwesisodwa ezinsukwini ezine. Udokotela wakho anganciphisa umthamo wakho uma uba nemiphumela emibi. Tshela udokotela wakho uma uzwa ukuthi ubuhlungu bakho abulawulwa noma uma uhlangabezana nemiphumela emibi ngesikhathi sokwelashwa kwakho nge-buprenorphine (Belbuca). Ungaguquli umthamo wemithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungayeki ukusebenzisa i-buprenorphine (Belbuca) ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukusebenzisa i-buprenorphine (Belbuca), ungahle ube nezimpawu zokuhoxa. Shayela udokotela wakho uma uhlangabezana nenye yalezi zimpawu zokuhoxa: ukungazinzi, amehlo acwebayo, ikhala eligijimayo, ukuzamula, ukujuluka, ukubanda, imisipha kanye nezinhlungu zangemuva, abafundi abakhulu (imibuthano emnyama enkabeni yamehlo), ukucasuka, ukukhathazeka, ubunzima ukulala noma ukulala, isifo sohudo, isicanucanu, ukuhlanza, ukuncipha kwesifiso sokudla, amajaqamba esisu, ubuhlungu bamalunga, ubuthakathaka, ukushaya kwenhliziyo okusheshayo, noma ukuphefumula okusheshayo.

I-Buprenorphine (i-Belbuca) ivaliwe kuphakheji we-foil. Ungavuli iphakheji uze ulungele ukuyisebenzisa. Ungasebenzisi i-buprenorphine (Belbuca) uma uphawu lwephakheji luphukile noma ifilimu ye-buccal isikiwe, yalimala, noma yashintshwa nganoma iyiphi indlela.

Ukufaka ifilimu ye-buccal, landela lezi zinyathelo:

1. Songa umugqa onamachashazi phezulu kwephakeji le-foil. Gcina ugoqiwe futhi udilize noma usike ngesikele esinqeni esiqonde esikalini kulayini onamachashazi. Dabula uze ufike ezansi. Qaphela ukugwema ukusika nokulimaza ifilimu ye-buccal lapho usebenzisa isikelo.
2. Sebenzisa ulimi lwakho ukumanzisa ingaphakathi lesihlathi sakho noma ugeze umlomo wakho ngamanzi ukumanzisa indawo esemlonyeni wakho lapho uzofaka khona ifilimu ye-buccal. Gwema ukubeka ifilimu ye-buccal ezindaweni ezinezilonda ezivulekile.
3. Susa ifilimu ye-buccal ephaketheni bese uyibamba ngeminwe ehlanzekile, eyomile nohlangothi oluphuzi lubheke phezulu.
4. Ngokushesha beka uhlangothi oluphuzi lwefilimu ye-buccal ubhekane nengaphakathi lesihlathi sakho esimanzi. Cindezela bese ubamba ifilimu ye-buccal endaweni yayo imizuzwana emi-5 bese ususa umunwe wakho.
5. Ifilimu ye-buccal kufanele inamathele esihlathini sakho. Shiya ifilimu ye-buccal isendaweni ize iqede ngokuphelele, imvamisa kungakapheli imizuzu engama-30 uyisebenzisile. Gwema ukuthinta noma ukuhambisa ifilimu ye-buccal ngolimi lwakho noma ngeminwe ngemuva kokuyisebenzisa. Ungadli noma uphuze lutho kuze kube yilapho ifilimu ye-buccal ichithwe ngokuphelele. Musa ukuhlafuna noma ukugwinya ifilimu ye-buccal.

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

Ngaphambi kokusebenzisa i-buprenorphine (Belbuca),

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-buprenorphine, noma imiphi eminye imithi, noma yiziphi izithako kumafilimu e-buprenorphine buccal. 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 nanoma yikuphi okulandelayo: amiodarone (Nexterone, Pacerone); i-anticholinergics (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, ne-scopolamine); i-butorphanol; carbamazepine (Carbatrol, Tegretol, Teril, nabanye); i-clarithromycin (i-Biaxin, ku-Prevpac); i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-disopyramide (iNorpace); isisu (‘amaphilisi amanzi’); i-dofetilide (Tikosyn); enzalutamide (Xtandi); imishanguzo yegciwane lesandulela ngculazi (i-HIV) efana ne-atazanavir (Reyataz, e-Evotaz), i-delavirdine (i-Rescriptor), i-efavirenz (i-Sustiva, e-Atripla), i-etravirine (Intelence), i-indinavir (i-Crixivan), i-nelfinavir (i-Viracept), i-nevirapine (i-Viramune) i-ritonavir (iNorvir, eKaletra), ne-saquinavir (i-Invirase); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); 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); nalbuphine; nefazodone; i-pentazocine (iTalwin); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-pioglitazone (Actos); procainamide; i-quinidine (ku-Nuedexta); i-rifabutin (i-Mycobutin); i-rifampin (i-Rifadin, i-Rimactane); 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-tramadol (i-Conzip, i-Ultram, ku-Ultracet); i-trazodone; sotalol (Betapace, Sotylize, abanye); 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). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imithi eminingi ingaxhumana ne-buprenorphine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi iSt John's wort ne-tryptophan.
• Tshela udokotela wakho uma unemibandela ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO noma ileus ekhubazekile (isimo lapho ukudla kungahambi khona emathunjini) noma ukuvimba esiswini noma emathunjini. Udokotela wakho angakutshela ukuthi ungasebenzisi i-buprenorphine (Belbuca).
• Tshela udokotela wakho uma wena noma ilungu lomndeni eliseduze nibe ne-QT syndrome isikhathi eside (isimo esandisa ubungozi bokuhlaselwa ukushaya kwenhliziyo okungajwayelekile okungadala ukulahlekelwa ukwazi noma ukufa ngokuzuma); uma unamazinga aphansi we-potassium noma i-magnesium egazini; futhi uma uke waba nokushaya kwenhliziyo okuhamba kancane noma okungajwayelekile; ukwehluleka kwenhliziyo; umfutho wegazi ophansi; noma isiphi isimo esidala ubunzima bokuchama; ukuquleka; izilonda zomlomo; noma i-gallbladder, amanyikwe, izinso, i-thyroid, noma isifo sesibindi.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-buprenorphine.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-buprenorphine (Belbuca).
• kufanele wazi ukuthi i-buprenorphine (Belbuca) ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-buprenorphine (i-Belbuca) ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni olele kuyo. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-buprenorphine (Belbuca) ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi usebenzisa i-buprenorphine (Belbuca).

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

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

IBuprenorphine (Belbuca) ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isifo sohudo
• umlomo owomile
• ubuthongo
• ikhanda

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

• 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

I-Buprenorphine (Belbuca) 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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Lahla noma imuphi umuthi ngokushesha uma usuphelelwe yisikhathi noma ungasadingeki. Ngokushesha lahla noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki ngohlelo lokubuyisa umuthi. Uma ungenalo uhlelo lokubuyisela emuva oluseduze noma ongakwazi ukufinyelela kulo ngokushesha, bese ususa noma yimaphi amafilimu angasetshenziswanga kusuka kumaphakheji wabo we-foil bese uwafaka ethoyilethi. Phonsa ukufakwa kwe-foil kudoti. Ungafaki i-buprenorphine (Belbuca) phansi ethoyilethi emaphaketheni noma kumabhokisi.

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-buprenorphine (Belbuca), 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:

• ukuphefumula kancane noma okungajulile noma ukuphefumula kanzima
• ukulala ngokweqile noma ukozela
• ayikwazi ukuphendula noma ukuvuka
• ukushaya kwenhliziyo okuhamba kancane
• kubanda, isikhumba se-clammy
• ubuthakathaka bemisipha
• ukunciphisa noma ukunweba kwabafundi (imibuthano emnyama maphakathi neso)
• ukuhona okungajwayelekile

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-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 (i-Belbuca) 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.

• IBelbuca^®