I-Methadone

-Delile

• Ngaphambi kokuthatha i-methadone,
• I-Methadone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Methadone ingaba umkhuba wokwakha. Thatha i-methadone njengoba iqondisiwe. Ungathathi umthamo omkhulu, uthathe kaningi, noma uwuthathe isikhathi eside noma ngendlela ehlukile kunalokho obekiwe ngudokotela wakho. Ngenkathi uthatha i-methadone, 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-methadone 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-USIZO.

I-Methadone ingadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi namahora okuqala angama-24 kuye kwangama-72 okwelashwa kwakho futhi noma nini lapho umthamo wakho wanda. Udokotela wakho uzokuqapha ngokucophelela ngesikhathi sokwelashwa kwakho. Tshela udokotela wakho uma ngabe uke wehlisa ukuphefumula noma i-asthma. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-methadone. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona njengesifo esingapheliyo se-pulmonary disease (i-COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema), ukulimala ekhanda, isimila ebuchosheni, noma esinye isimo esandisa inani yengcindezi 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-methadone kungakhuphula ubungozi bokuthi uzoba nemiphumela emibi, esongela impilo efana nezinkinga zokuphefumula, ukuthokomala, noma ikhoma. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha noma imiphi yale mithi elandelayo: i-antipsychotic efana ne-aripiprazole (Abilify), asenapine (Saphris), cariprazine (Vraylar), chlorpromazine, clozapine (Versacloz), fluphenazine, haloperidol (Haldol), iloperidone (Fanapt), loxapine, lurasidone (Latuda), molindone, olanzapine (Zyprexa), paliperidone (Invega), perphenazine, pimavanserin (Nuplazid), quetiapine (Seroquel), risperidone (Risperdal), thioridazine, thiothixidine ); i-benzodiazepines efana ne-alprazolam (Xanax), i-chlordiazepoxide (i-Librium), i-clonazepam (iKlonopin), i-clorazepate (i-Gen-Xene, i-Tranxene), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), i-oxazepam ne-triazolam (iHalcion); i-opiate (narcotic) imithi yezinhlungu nokukhwehlela; imithi yokuhlanza noma yokugula kwengqondo; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-methadone nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha: isiyezi esingajwayelekile, ikhanda elikhanyayo, ukulala ngokweqile, ukuphuza kancane noma ukuphefumula 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 ngenkathi welashwa nge-methadone kwandisa ingozi yokuthi uzoba nemiphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Ungavumeli noma ngubani omunye umuntu ukuthi athathe imithi yakho. IMethadone ingalimaza noma ibangele ukufa kwabanye abantu abathatha imishanguzo yakho, ikakhulukazi izingane. Gcina i-methadone endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina i-methadone ingafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi mangaki amaphilisi asele noma kungakanani uketshezi olusele ukuze wazi ukuthi kukhona yini umuthi ongekho. Lahla noma imaphi amaphilisi we-methadone noma isixazululo ngomlomo ngokuya ngemiyalelo. (Bheka UKUGCINWA NOKULAHLWA.)

I-Methadone ingadala isikhawu se-QT eside (inkinga yenhliziyo engajwayelekile engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa ngokuzuma). Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo se-QT eside; noma uma uke waba nokushaya kwenhliziyo okuhamba kancane noma okungajwayelekile; amazinga aphansi egazi e-potassium noma i-magnesium, noma isifo senhliziyo. Tshela udokotela kanye nosokhemisi wakho uma uthatha noma uhlela ukusebenzisa noma imiphi yale mithi elandelayo: imishanguzo efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor) , i-protriptyline (Vivactil), ne-trimipramine (iSurmontil); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole, ne-voriconazole (i-Vfend); isisu (‘amaphilisi amanzi’); i-erythromycin (i-Eryc, i-Erythrocin, abanye); i-fludrocortisone; ama-laxatives athile; imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide, ibutilide (Corvert), procainamide, ne-quinidine (eNuedexta); i-nicardipine (Cardene); kanye ne-risperidone (Risperdal); kanye ne-sertraline (iZoloft). Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukushaya kwenhliziyo, isiyezi, ikhanda elikhanyayo, noma ukuquleka.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-methadone njalo ngesikhathi 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.

Khuluma nodokotela wakho ngezingozi zokuthatha i-methadone yesimo sakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-methadone futhi isikhathi ngasinye lapho ugcwalisa incwadi kadokotela wakho uma ngabe i-Medication Guide itholakala ngomkhiqizo we-methadone owuthathayo. 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.

Ukusetshenziswa kwe-methadone ukwelapha umlutha we-opiate:

Uma ungumlutha we-opiate (isidakamizwa se-narcotic njenge-heroin), futhi uthatha i-methadone ukukusiza uyeke ukuphuza noma uqhubeke ungawuphuzi umuthi, kufanele ubhalise ohlelweni lokwelashwa. Uhlelo lokwelashwa kumele luvunyiwe nguhulumeni nohulumeni futhi kumele belaphe iziguli ngokwemithetho ethile yenhlangano. Kungadingeka ukuthi uthathe imishanguzo yakho esikhungweni sohlelo lokwelashwa ngaphansi kweso labasebenzi bohlelo. Buza udokotela wakho noma abasebenzi bohlelo lokwelashwa uma unemibuzo mayelana nokubhalisela uhlelo noma ukuthatha noma ukuthola imithi yakho.

IMethadone isetshenziselwa ukudambisa ubuhlungu obukhulu kubantu okulindeleke ukuthi badinge imishanguzo yezinhlungu ubusuku nemini isikhathi eside futhi abangakwazi ukwelashwa ngeminye imithi. Iphinde isetshenziselwe ukuvimbela izimpawu zokuhoxa ezigulini ebeziyimilutha yokusebenzisa izidakamizwa futhi zibhalise ezinhlelweni zokwelashwa ukuze ziyeke ukuthatha noma ukuqhubeka nokungaziphuzi izidakamizwa. IMethadone isekilasini lemithi ebizwa nge-opiate (narcotic) analgesics. IMethadone isebenza ekwelapheni ubuhlungu ngokushintsha indlela ubuchopho nohlelo lwezinzwa oluphendula ngayo ebuhlungwini. Kusebenza ukwelapha abantu ababeyimilutha yokusebenzisa izidakamizwa ngokukhiqiza imiphumela efanayo nokuvimbela izimpawu zokuhoxa kubantu abayeke ukusebenzisa le mithi.

IMethadone iza njengethebhulethi, ithebhulethi esakazekayo (engahlakazeka ngoketshezi), isixazululo (uketshezi), nesisombululo esigxilile ongasithatha ngomlomo. Lapho i-methadone isetshenziselwa ukudambisa izinhlungu, ingathathwa njalo emahoreni ayi-8 kuye kwayi-12. Uma uthatha i-methadone njengengxenye yohlelo lokwelashwa, udokotela wakho uzokunikeza uhlelo lokulinganisa olulungele wena. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-methadone njengoba iqondisiwe.

Uma usebenzisa amaphilisi ahlakazekayo, ungahlafunisi noma ugwinye ngaphambi kokuxuba ithebhulethi kuketshezi. Uma udokotela wakho ekutshele ukuthi uthathe ingxenye kuphela yethebhulethi, phula ithebhulethi ngokucophelela emigqeni efakiwe kuyo. Beka ithebhulethi noma ucezu lwethebulethi okungenani ku-120 mL (ama-ounces ama-4) wamanzi, ijusi le-orange, iTang^®, ukunambitheka kwe-citrus kweKool-Aid^®, noma isiphuzo sezithelo ezisawolintshi ukuze siphele. Phuza yonke ingxube ngokushesha. Uma ezinye izinsalela zamathebulethi zihlala endebeni ngemuva kokuphuza ingxube, engeza inani elincane loketshezi enkomishini bese uliphuza lonke.

Udokotela wakho angashintsha umthamo wakho we-methadone ngesikhathi sokwelashwa kwakho. Udokotela wakho anganciphisa umthamo wakho noma akutshele ukuthi uthathe i-methadone kaningi njengoba ukwelashwa kwakho kuqhubeka. Uma uzwa ubuhlungu ngesikhathi sokwelashwa kwakho, udokotela wakho angakhuphula umthamo wakho noma angakunikeza umuthi owengeziwe wokulawula ubuhlungu bakho. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi welashwa nge-methadone. Ungathathi imithamo eyengeziwe ye-methadone noma uthathe imithamo ye-methadone ngaphambi kokuba ihlelelwe noma ngabe uzwa ubuhlungu.

Ungayeki ukuthatha i-methadone ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-methadone, ungahle uhlangabezane nezimpawu zokuhoxa njengokungahlaliseki, amehlo anezinyembezi, ikhala eligijimayo, ukuzamula, ukujuluka, ukubanda, ubuhlungu bemisipha, abafundi abanwetshiwe (imibuthano emnyama phakathi kwamehlo), ukucasuka, ukukhathazeka, iqolo, ubuhlungu obuhlangene, ubuthakathaka, isisu, ubunzima bokulala noma ukulala, isicanucanu, ukuncipha kwesifiso sokudla, ukuhlanza noma isifo sohudo.

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

Ngaphambi kokuthatha i-methadone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-methadone, noma imiphi eminye imithi, noma iziphi izithako kumkhiqizo we-methadone ohlela ukuwuthatha. Buza udokotela wakho noma usokhemisi noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: ama-antihistamine; i-buprenorphine (i-Suboxone, eZubsolv); i-butorphanol; carbamazepine (Cabatrol, Equetro, Tegretol, abanye); i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); imishanguzo ye-glaucoma, isifo samathumbu esicasulayo, isifo sikaParkinson, izilonda, nezinkinga zomchamo; imishanguzo ethile ye-HIV okubandakanya i-abacavir (iZiagen, eTrizivir), darunavir (Prezista), didanosine (Videx), efavirenz (Sustiva, e-Atripla), lopinavir (eKaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir , eKaletra), saquinavir (Invirase), stavudine (Zerit), tipranavir (Aptivus), kanye ne-zidovudine (Retrovir, eCombivir); 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); nalbuphine; naloxone (Evzio, Narcan, eZubsolv); i-naltrexone (ReVia, Vivitrol, e-Embeda); i-pentazocine (iTalwin); i-phenobarbital; i-phenytoin (iDilantin, 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), escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine (i-Luvox), ne-paroxetine (i-Brisdelle, i-Prozac, i-Pexeva); i-serotonin ne-norepinephrine reuptake inhibitors efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella); kanye ne-venlafaxine (i-Effexor); i-tramadol (i-Conzip, i-Ultram, ku-Ultracet); ne-trazodone (i-Oleptro). Phinda utshele udokotela noma usokhemisi wakho uma uphuza noma uthola le mithi elandelayo noma uyekile ukuyiphuza ezinsukwini eziyi-14 ezedlule: i-monoamine oxidase (MAO) inhibitors kufaka phakathi i-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (i-Eldepryl, i-Emsam, iZelpar), ne-tranylcypromine (iParnate). Eminye imishanguzo eminingi ingaxhumana ne-methadone, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali 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 unemibandela ethile eshiwo esigabeni ESIBALULEKILE SESEXWAYISO noma uke wavinjelwa emathunjini akho noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi akufanele uthathe i-methadone.
• utshele udokotela wakho uma uke wakuthola kunzima noma ukuchama; i-prostate eyandisiwe (indlala yokuzala yowesilisa); Isifo i-Addison (isimo lapho i-adrenal gland ingenzi ngokwanele izinto ezithile zemvelo); ukuquleka; noma i-thyroid, amanyikwe, i-gallbladder, isibindi noma isifo sezinso.
• tshela udokotela wakho uma uncelisa. Uma uncelisa ngesikhathi sokwelashwa kwakho nge-methadone, ingane yakho ingathola i-methadone ebisi lwebele. Bhekisisa ingane yakho eduze kwanoma yiziphi izinguquko ekuziphatheni noma ekuphefumuleni, ikakhulukazi lapho uqala ukuthatha imethadone. 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-methadone obisini lwebele.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-methadone.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-methadone.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-methadone ingadala isiyezi lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-methadone. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-methadone ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-methadone.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

Uma udokotela wakho ekutshele ukuthi uthathe i-methadone yezinhlungu, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula bese uqhubeka nesimiso sakho sokulinganisa. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Uma uthatha i-methadone ukwelapha ukulutha kwe-opioid, weqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngosuku olulandelayo njengoba kuhleliwe. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhanda
• ukuzuza kwesisindo
• ubuhlungu besisu
• umlomo owomile
• ulimi olubuhlungu
• ukuqhuma
• ubunzima bokuchama
• ukuguquka kwemizwelo
• izinkinga zokubona
• ubunzima bokulala noma ukulala

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:

• isithuthwane
• ukulunywa
• isifuba
• ukuqubuka
• ukuvuvukala kwamehlo, ubuso, umlomo, ulimi, noma umphimbo
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ukozela ngokweqile
• 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

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

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Kufanele ulahle ngokushesha noma iyiphi i-methadone ephelelwe yisikhathi noma engasadingeki ngohlelo lokubuyisa umuthi. Uma ungenalo uhlelo lokubuyisela emuva oluseduze noma ongaluthola ngokushesha, cisha noma yimaphi amaphilisi e-methadone noma isisombululo esiphelelwe yisikhathi noma esingasadingeki ethoyilethi. 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-methadone, 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 kwamehlo)
• ukuphefumula kancane noma okungajulile
• ukuphefumula kanzima
• ubuthongo
• ukozela
• isikhumba esipholile, esimnyama noma esiluhlaza okwesibhakabhaka
• ayikwazi ukuphendula noma ukuvuka
• imisipha exhuga

Gcina wonke ama-aphoyintimenti kudokotela wakho noma emtholampilo. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yakho ku-methadone.

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

Lo muthi awugcwaliseki kabusha. Uma uqhubeka uzwa ubuhlungu ngemuva kokuqeda ukuthatha i-methadone, shayela udokotela wakho. Uma uthatha lo muthi njalo, qiniseka ukuhlela izikhathi zakho nodokotela wakho 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.

• Amadiski^®¶
• I-Dolophine^®
• IMethadose^®
• IMethadose^® Ukugxila ngomlomo
• I-Westadone^®¶

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