Inaliti ye-Butorphanol

-Delile

• Ngaphambi kokusebenzisa umjovo we-butorphanol,
• Umjovo we-Butorphanol ungadala imiphumela emibi.Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEZIXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo we-Butorphanol kungaba ukwakheka komkhuba, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa umjovo we-butorphanol njengoba uqondisiwe. Ungayisebenzisi ngaphezulu, yisebenzise kaningi, noma uyisebenzise ngendlela ehlukile kunaleyo eqondiswa udokotela wakho. Ngenkathi usebenzisa umjovo we-butorphanol, 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-butorphanol uma ngabe 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

Umjovo we-Butorphanol ungadala 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 ungasebenzisi umjovo we-butorphanol. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingapheliyo se-pulmonary disease (i-COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), ukulimala ekhanda isimila sobuchopho, noma esinye isimo esandisa inani lengcindezi 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 ngomjovo we-butorphanol kungakhuphula ubungozi bezinkinga zokuphefumula ezinzima noma ezisongela ukuphila. Tshela udokotela kanye nosokhemisi wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: imithi yokukhathazeka, ukugula kwengqondo noma isicanucanu; 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 ukuphumula kwemisipha; eminye imithi yezinhlungu ze-narcotic; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela.

Ukuphuza utshwala, ukuthatha imishanguzo kadokotela noma engabhalisi equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngenkathi welashwa ngomjovo we-butorphanol futhi kwandisa ubungozi bokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Ungaphuzi utshwala noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma usebenzisa umjovo we-butorphanol 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.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngomjovo we-butorphanol 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.

Umjovo we-Butorphanol usetshenziselwa ukudambisa ubuhlungu obulinganiselayo kuya kabuhlungu. Umjovo we-Butorphanol nawo usetshenziselwa ukudambisa izinhlungu ngesikhathi sokubeletha nokuvikela izinhlungu nokunciphisa ukuqwashisa ngaphambi noma ngesikhathi sokuhlinzwa. I-Butorphanol isekilasini lemithi ebizwa nge-opioid agonist-antagonists. Isebenza ngokushintsha indlela umzimba ozwa ngayo ubuhlungu.

Umjovo we-Butorphanol uza njengoketshezi oluzofakwa emsipheni noma emthanjeni. Lapho umjovo we-butorphanol usetshenziselwa ukudambisa izinhlungu, uvame ukunikezwa kanye njalo emahoreni ama-3 kuye kwangu-4 njengoba kudingeka. Lapho umjovo we-butorphanol usetshenziselwa ukudambisa izinhlungu ngesikhathi sokuhlinzwa, unganikezwa imizuzu engama-60 kuye kwengama-90 ngaphambi kokuhlinzwa bese kudingeka njengoba kudingeka ngesikhathi sokuhlinzwa. Lapho umjovo we-butorphanol usetshenziselwa ukudambisa izinhlungu ngesikhathi sokubeletha, unganikezwa kanye njalo emahoreni ama-4 kepha akufanele unikezwe ngaphansi kwamahora amane ngaphambi kokuba kulindeleke ukulethwa.

Ungathola umjovo we-butorphanol esibhedlela, noma unganikezwa umuthi ozowusebenzisa ekhaya. Uma utshelwe ukuthi ujove umjovo we-butorphanol ekhaya, kubaluleke kakhulu ukuthi usebenzise umuthi ngendlela eqondiswe ngayo. Landela izinkomba ozinikezwa ngokucophelela, bese ubuza udokotela wakho, usokhemisi noma umhlengikazi uma unemibuzo noma ungaziqondi izinkomba.

Uma utshelwe ukuthi usebenzise umjovo we-butorphanol ekhaya, ungayeki ukusebenzisa umuthi ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukusebenzisa umjovo we-butorphanol, ungahle uhlangabezane nezimpawu zokuhoxa njengokushaywa uvalo, ukuthuthumela, ukuqhaqhazela, uhudo, ukugodola, ukujuluka, ubunzima bokulala noma ukulala, ukudideka, ukulahlekelwa ukuhlangana, noma ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi enza engekho). Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokusebenzisa umjovo we-butorphanol,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-butorphanol, noma imiphi eminye imithi, noma izithako zomjovo we-butorphanol. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo; ama-antihistamine; ama-barbiturates afana ne-butabarbital (Butisol), i-pentobarbital (i-Nembutal), i-phenobarbital, noma i-secobarbital (i-Seconal); i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-erythromycin (E.E.S., Eryc, Erythrocin, abanye); imithi yokuquleka; 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); 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); noma ama-tricylic antidepressants (’mood elevators’) njenge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipramine; theophylline (Theochron, Uniphyl, abanye); ne-trazodone (i-Oleptro). 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 imishanguzo eminingi ingaxhumana ne-butorphanol, 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 noma i- tryptophan.
• utshele udokotela wakho uma uke waba nezinkinga ukuchama; isifo senhliziyo; umfutho wegazi ophakeme; noma isifo senhliziyo, sezinso, noma sesibindi.
• tshela udokotela wakho uma uncelisa. Abanye besifazane abasebenzisa umjovo we-butorphanol kungenzeka babe nemithamo ekhuphukile yemithi obisini lwabo lwebele, olungadala imiphumela emibi noma esongela impilo ezinganeni zabo ezincelisayo. Kufanele futhi ushayele udokotela wengane yakho noma uthole usizo oluphuthumayo uma ingane yakho ilele kakhulu kunokujwayelekile, inenkinga yokuncelisa ibele noma yokuphefumula, noma iyaxhuga.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-butorphanol.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa umjovo we-butorphanol.
• kufanele wazi ukuthi umjovo we-butorphanol ungakwenza ukozele futhi ube nesiyezi. Ungashayeli imoto noma usebenzise imishini okungenani ihora elilodwa ngemuva kokuthola umthamo. Ngemuva kwehora elilodwa, ungashayeli uze uqiniseke ukuthi awunesiyezi, uyozela noma uqaphile kunokuvamile.

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

Umjovo we-Butorphanol uvame ukusetshenziswa lapho kudingeka. Uma udokotela wakho ekutshele ukuthi usebenzise umjovo we-butorphanol njalo, sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Umjovo we-Butorphanol ungadala imiphumela emibi.Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukukhathala ngokweqile
• ubunzima bokulala noma ukulala
• amaphupho angajwayelekile
• ikhanda
• ukuqunjelwa
• ubuhlungu besisu
• ngizwe kushisa
• ukuqhuma
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• ukuzamazama okungalawuleki kwengxenye yomzimba wakho
• uvalo
• inzondo
• injabulo enkulu
• umuzwa wokuntanta
• isimo esidabukisayo
• ukungaboni kahle
• kukhala ezindlebeni
• ubuhlungu bendlebe
• ukunambitheka okungathandeki
• umlomo owomile
• ubunzima bokuchama

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEZIXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• 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
• ukuphefumula kanzima
• izinguquko ekushayeni kwenhliziyo
• ukuquleka
• ukuqubuka
• isifuba

Umjovo we-Butorphanol ungadala 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).

Uma usebenzisa umjovo we-butorphanol ekhaya, gcina imithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile, nomswakama (hhayi endlini yangasese). Lahla noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki. Khuluma nosokhemisi wakho ngokulahlwa okufanele kwemithi yakho.

Gcina umjovo we-butorphanol endaweni ephephile ukuze kungabikho omunye umuntu ongayisebenzisa ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi kusale imishanguzo emingaki ukuze wazi ukuthi ikhona yini engekho.

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 umjovo we-butorphanol, 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
• ukuphefumula kanzima
• ubuthongo
• 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-butorphanol.

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

Ungavumeli noma ngubani asebenzise imithi yakho. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda umjovo we-butorphanol, 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.

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