Inalbuphine Injection

-Delile

• Ngaphambi kokuthola i-nalbuphine,
• Umjovo weNalbuphine ungadala 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:

Umjovo weNalbuphine ungahle ube wumkhuba. Ungayisebenzisi ngaphezulu, yisebenzise kaningi, noma uyisebenzise ngendlela ehlukile kunaleyo eqondiswa udokotela wakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho uphuza utshwala noma uke waphuza utshwala obuningi, usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqeni, usebenzise ngokweqile imithi kadokotela, noma weqe ngokweqile, noma ngabe uke waba nokudangala noma omunye ukugula ngengqondo. Kunobungozi obukhulu bokuthi uzosebenzisa ngokweqile umjovo we-nalbuphine uma ngabe uke waba nanoma yiziphi zalezi zimo.

Umjovo weNalbuphine 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-nalbuphine. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingelapheki se-pulmonary disease (i-COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), ukulimala ekhanda, isimila ebuchosheni, noma yisiphi 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.

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

Umjovo we-Nalbuphine ungakhuphula ubungozi bezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukuthambisa, noma ikhoma uma zisetshenziswa kanye nemithi ethile. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha: i-benzodiazepines efana ne-alprazolam (Xanax), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), ne-triazolam (i-Halcion); imithi yokugula ngengqondo noma isicanucanu, eminye imithi yezinhlungu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa umjovo we-nalbuphine nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo: isiyezi, 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 noma ukusebenzisa izidakamizwa zasemgwaqweni ngenkathi welashwa nge-nalbuphine nakho kwandisa ingozi yokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha noma imiphi imishanguzo kadokotela noma engabhalisiwe equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngesikhathi sokwelashwa kwakho.

Khuluma nodokotela wakho ngengcuphe (s) yokusebenzisa umjovo we-nalbuphine.

Kusetshenziswa umjovo weNalbuphine kusetshenziselwa ukukhulula ubuhlungu obuphakathi nendawo nobunzima. Ibuye isetshenziswe neminye imithi kanye nama-anesthesic agents ngaphambi kokuhlinzwa, phakathi nangemva kokuhlinzwa nezinye izinqubo zokwelashwa. Umjovo weNalbuphine usesigabeni semithi ebizwa nge-opioid agonist-antagonists. Isebenza ngokushintsha indlela umzimba ozwa ngayo ubuhlungu.

Umjovo weNalbuphine uza njengesisombululo (uketshezi) ukujova ngomgogodla (ngaphansi kwesikhumba), ngemithambo (emthanjeni), noma nge-intramuscularly (emsipheni). Umjovo weNalbuphine ulawulwa ngudokotela noma unesi. Imvamisa ijovwa kanye njalo emahoreni amathathu kuya kwayisithupha njengoba kudingeka.

Udokotela wakho angalungisa umthamo wakho womjovo we-nalbuphine ngesikhathi sokwelashwa kwakho, kuya ngokuthi ubuhlungu bakho bulawulwa kahle kangakanani kanye nemiphumela emibi oyitholayo. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi welashwa ngomjovo we-nalbuphine.

Ungathola umjovo we-nalbuphine esibhedlela, noma umuthi ungawusebenzisa ekhaya. Uma uzosebenzisa umjovo we-nalbuphine ekhaya, uwusebenzise ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela ngokucophelela, bese ubuza udokotela wakho noma omunye umhlinzeki wezokunakekelwa kwempilo ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa umjovo we-nalbuphine njengoba nje uqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Uma usebenzise umjovo we-nalbuphine isikhathi eside kunezinsuku ezimbalwa, ungayeki ukuwusebenzisa ngokungazelelwe. Uma ngokungazelelwe uyeka ukusebenzisa umjovo we-nalbuphine, ungahle uhlangabezane nezimpawu zokuhoxa kubandakanya ukungazinzi; amehlo anezinyembezi; ikhala eligobayo; ukuzamula; ukujuluka; Ukugodola; ubuhlungu bemisipha, emuva noma obuhlangene; ukunwetshwa kwabafundi; ukucasuka; ukukhathazeka; ubuthakathaka; isisu; ubunzima bokulala noma ukulala; isicanucanu; ukulahlekelwa ukudla; ukuhlanza; isifo sohudo; ukuphefumula okusheshayo; noma ukushaya kwenhliziyo okusheshayo. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokuthola i-nalbuphine,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergies ku-nalbuphine, noma imiphi eminye imithi, noma yiziphi izithako zomjovo we-nalbuphine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: imithi yezinhlungu zekhanda ezifana ne-almotriptan (Axert), i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (Imitrex, eTreximet), nase-zolmitriptan (iZomig, Zomig-ZMT); i-mirtazapine (i-Remeron); 5HT3 i-serotonin blocker efana ne-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (i-Sancuso, i-Sustol), i-ondansetron (i-Zofran, i-Zuplenz), noma i-palonosetron (i-Aloxi, e-Akynzeo); i-serotonin-reuptake inhibitors ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexeva), ne-sertraline (i-Zoloft); i-serotonin ne-norepinephrine reuptake inhibitors efana ne-duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), ne-milnacipran (Savella), venlafaxine (Effexor); i-tramadol; i-trazodone; kanye ne-tricyclic antidepressants ('mood elevators') njenge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vimactil), . 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-nalbuphine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. Phinda utshele udokotela noma usokhemisi wakho uma uthatha imishanguzo ye-narcotic yezinhlungu noma uma usanda kuyithatha le mithi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke wahlaselwa yinhliziyo muva nje, noma isibindi noma isifo sezinso.
• tshela udokotela wakho uma uncelisa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo noma ukuhlinzwa nge-biliary tract, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-nalbuphine.
• kufanele wazi ukuthi i-nalbuphine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-nalbuphine.

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

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

• umlomo owomile
• 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:

• ukukhathala ngokweqile
• isicanucanu, ukuhlanza, ukungathandi ukudla, ukuba buthakathaka, noma isiyezi
• 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
• ukungakwazi ukuthola noma ukugcina ukwakhiwa
• ukuya esikhathini okungajwayelekile
• kwehle isifiso sobulili

Umjovo weNalbuphine 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).

Ngenkathi usebenzisa umjovo we-nalbuphine, 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.

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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukuphefumula kancane, okungajulile, noma okungahambi kahle
• ubuthongo
• ayikwazi ukuphendula noma ukuvuka
• kubanda, isikhumba se-clammy
• abafundi abancane
• ukushaya kwenhliziyo okuhamba kancane
• ukungaboni kahle
• abafundi abahlanzekile
• ukuhona okungajwayelekile

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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

Lo muthi awugcwaliseki kabusha. Uma usebenzisa i-nalbuphine ukulawula izinhlungu zakho isikhathi eside, qiniseka ukuhlela izikhathi zakho nodokotela wakho ukuze ungaphelelwa yimithi. Uma usebenzisa i-nalbuphine okwesikhashana, shayela udokotela wakho uma uqhubeka nokuzwa ubuhlungu ngemuva kokuqeda umuthi.

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-Nubain^®¶

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