I-Levorphanol

-Delile

• Ngaphambi kokuthatha i-levorphanol,
• I-Levorphanol 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 ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Levorphanol ingaba yindlela yokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Thatha i-levorphanol njengoba iqondisiwe. Ungayithathi ngaphezulu, yithathe kaningi, noma uyithathe ngendlela ehlukile kunaleyo eqondiswe ngudokotela wakho. Ngenkathi uthatha i-levorphanol, 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 zasemgwaqeni, uphuze ngokweqile, noma usebenzise ngokweqile imithi kadokotela, noma uma uke waba nokudangala noma omunye ukugula ngengqondo. Kukhona ingozi enkulu yokuthi uzosebenzisa ngokweqile i-levorphanol uma uke waba noma uke waba nalezi 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-Levorphanol ingadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi namahora okuqala angama-24 kuye kwangama-72 okwelashwa kwakho 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 ngabe uke wehlisa ukuphefumula noma i-asthma. Udokotela wakho angakutshela ukuthi ungathathi i-levorphanol. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingapheliyo se-pulmonary disease (COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli kanye ne-emphysema), ukulimala ekhanda, isimila ebuchosheni, noma esinye isimo esandisa inani ingcindezi ebuchosheni bakho. Ingcuphe yokuthi uzoba nezinkinga zokuphefumula ingahle ibe phezulu uma usumdala noma ubuthakathaka noma ungondlekile ngenxa yezifo. Uma uhlangabezana nenye yalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo: ukuphefumula okuphuzile, ukuma isikhashana phakathi kokuphefumula, noma ukuphefumula okuncane.

Ukuthatha eminye imishanguzo ngesikhathi sokwelashwa kwakho nge-levorphanol kungakhuphula ubungozi bokuthi uzohlangabezana nezinkinga zokuphefumula noma ezinye izinkinga ezinkulu zokuphefumula ezisongela impilo, ukudamba, noma ikhoma. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), ne-triazolam (i-Halcion); eminye imithi yezinhlungu ze-narcotic; imithi yokugula kwengqondo noma isicanucanu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-levorphanol nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo ngokushesha: 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 ngenkathi welashwa nge-levorphanol kwandisa ingozi yokuthi uzohlangabezana nezinkinga zokuphefumula noma eminye imiphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha noma imuphi umuthi kadokotela noma ongabhalisi oqukethe utshwala, noma usebenzise izidakamizwa zasemgwaqweni ngenkathi welashwa neminye imikhiqizo ye-levorphanol.

Ungavumeli noma ngubani omunye umuntu ukuthi athathe imithi yakho. ILevorphanol ingalimaza noma ibangele ukufa kwabanye abantu abathatha imishanguzo yakho, ikakhulukazi izingane. Gcina i-levorphanol endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina i-levorphanol ingafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi kushiywe amaphilisi amangaki ukuze wazi ukuthi kukhona yini umuthi ongekho. Lahla noma imaphi amaphilisi e-levorphanol angadingeki ngokuya ngemiyalelo. (Bheka UKUGCINWA NOKULAHLWA.)

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-levorphanol njalo ngesikhathi 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 nge-levorphanol futhi isikhathi ngasinye lapho ugcwalisa incwadi kadokotela. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

I-Levorphanol isetshenziselwa ukukhulula ubuhlungu obulinganiselwe kuya kabuhlungu. ILevorphanol isekilasini lemithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

ILevorphanol iza njengethebhulethi ezothathwa ngomlomo. Imvamisa ithathwa njalo emahoreni ayisithupha kuye kwayi-8 njengoba kudingeka. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-levorphanol njengoba iqondisiwe.

Udokotela wakho angakuqala ngomthamo ophansi we-levorphanol futhi andise kancane kancane umthamo wakho kuze kube yilapho ubuhlungu bakho bulawulwa. Udokotela wakho angalungisa umthamo wakho nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho uma ubuhlungu bakho bungalawulwa. Uma uzwa ukuthi ubuhlungu bakho abulawulwa, shayela udokotela wakho. Ungaguquli umthamo wemithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungayeki ukuthatha i-levorphanol ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho anganciphisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-levorphanol, ungahlangabezana nezimpawu zokuhoxa njengokungahlaliseki; amehlo anezinyembezi; ikhala eligobayo; ukuzamula; ukucasuka; ukukhathazeka; ukujuluka; ubunzima bokulala noma ukulala; Ukugodola; ubuhlungu emuva, imisipha, noma amalunga; isicanucanu; ukuhlanza; ukulahlekelwa ukudla; isifo sohudo; isisu; ubuthakathaka; ukushaya kwenhliziyo okusheshayo; noma ukuphefumula okusheshayo.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-levorphanol,

• Tshela udokotela kanye nosokhemisi wakho uma une-alevorphanol, noma imiphi eminye imithi, noma iziphi izithako ezingasebenzi kumaphilisi e-levorphanol. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako ezingasebenzi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: ama-antihistamine; i-buprenorphine (iBelbuca, iButrans, eSuboxone, ezinye); i-butorphanol; imithi yokukhwehlela, ukubanda, noma ukungezwani komzimba; isisu (‘amaphilisi amanzi’); 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; naloxone (Evzio, Narcan); i-pentazocine (iTalwin); 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-tramadol (i-Conzip, i-Ultram, ku-Ultracet); i-trazodone (i-Oleptro); 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 wakho uma uthatha noma iyiphi yalezi zinambuzane ezilandelayo ze-monoamine oxidase (MAO), noma uma uyekile ukuwathatha emasontweni amabili edlule: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (i-Eldepryl, i-Emsam, iZelapar), ne-tranylcypromine (iParnate). Eminye imishanguzo eminingi ingaxhumana ne-levophanol, 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.
• Tshela udokotela wakho uma ngabe uke waba nanoma yimiphi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO, ukuvinjelwa esiswini noma emathunjini akho, noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungathathi i-levorphanol.
• Tshela udokotela wakho uma uke waba nomfutho wegazi ophansi, waquleka, waba nezinkinga zomchamo, izinkinga zenyongo, noma isibindi, amanyikwe, izinso, amaphaphu, indlala yegilo noma isifo senhliziyo.
• tshela udokotela wakho uma uncelisa. Uma uncelisa ngesikhathi sokwelashwa kwakho nge-levorphanol, ingane yakho ingathola i-levorphanol ethile ebisini lwebele.Bhekisisa ingane yakho eduze kwanoma yiziphi izinguquko ekuziphatheni noma ekuphefumuleni, ikakhulukazi lapho uqala ukuthatha i-levorphanol. Uma ingane yakho iba nanoma iyiphi yalezi zimpawu, shayela udokotela wengane yakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha: ukulala okungavamile, ubunzima bokuncelisa, ukuphefumula kanzima, noma ukuxhuga. Khuluma nodokotela wengane yakho lapho usukulungele ukukhipha ingane yakho. Uzodinga ukuncelisa ingane yakho kancane kancane ukuze ingane yakho ingahlakuli izimpawu zokuhoxa lapho iyeka ukuthola i-levorphanol ebeleni.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-levorphanol.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-levorphanol.
• kufanele wazi ukuthi i-levorphanol ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-levorphanol ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-levorphanol ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-levorphanol.

I-Levorphanol imvamisa ithathwa njengoba kudingeka. Uma udokotela wakho ekutshele ukuthi uthathe i-levorphanol njalo, thatha umthamo owulahlekile ngokushesha uma uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isilungulela
• ikhanda
• ubuhlungu besisu
• umlomo owomile
• ukujuluka
• izinkinga zokubona
• ubunzima bokuchama

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo

• isicanucanu, ukuhlanza, ukungathandi ukudla, ukuba buthakathaka, noma isiyezi
• 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
• ukungakwazi ukuthola noma ukugcina ukwakhiwa
• ukuya esikhathini okungajwayelekile
• kwehle isifiso sobulili
• isifuba
• ukuqubuka
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe noma umphimbo
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• izinguquko ekushayeni kwenhliziyo

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

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

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Gcwalisa noma imaphi amaphilisi e-levorphanol aphelelwe yisikhathi noma angasadingeki ethoyilethi ukuze abanye bangawathathi. Khuluma nosokhemisi wakho ngokulahlwa okufanele kwemithi yakho.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Ngenkathi uthatha i-levorphanol, 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, okungajulile, noma okungahambi kahle
• ukuphefumula kanzima
• ubuthongo
• ayikwazi ukuphendula noma ukuvuka
• imisipha exhuga
• kubanda, isikhumba se-clammy
• abafundi abancane
• ukungaboni kahle
• ukushaya kwenhliziyo okuhamba kancane
• ukuhona okungajwayelekile

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-levorphanol.

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

Lo muthi awugcwaliseki kabusha. Uma uthatha i-levorphanol ukulawula izinhlungu zakho isikhathi eside, qiniseka ukuhlela izikhathi ozobonana nazo nodokotela wakho ukuze ungaphelelwa yimithi. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda incwadi yakho ye-levorphanol, shayela udokotela wakho.

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.

• I-Levo-Dromoran^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.