I-Naltrexone
-Delile
- Ngaphambi kokuthatha i-naltrexone,
- INaltrexone 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 SESEXWAYISO, shayela udokotela wakho ngokushesha:
INaltrexone ingadala ukulimala kwesibindi lapho ithathwa ngemithamo emikhulu. Akunakwenzeka ukuthi i-naltrexone izodala ukulimala kwesibindi lapho ithathwa ngemithamo enconyiwe. Tshela udokotela wakho uma uke waba nesifo sokusha kwesibindi noma sesibindi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-naltrexone bese ufonela udokotela wakho ngokushesha: ukukhathala ngokweqile, ukopha okungavamile noma ukulimaza, ukulahlekelwa isifiso sokudla, izinhlungu engxenyeni engakwesokudla esiswini sakho ehlala isikhathi esingaphezu kwezinsuku ezimbalwa, ezinombala okhanyayo ukunyakaza kwamathumbu, umchamo omnyama, noma ukuphuzi kwesikhumba noma kwamehlo.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zaselabhorethri ukuze ahlole impendulo yomzimba wakho ku-naltrexone.
Khuluma nodokotela wakho ngezingozi zokuthatha i-naltrexone.
INaltrexone isetshenziswa kanye nokwelulekwa nokwesekwa emphakathini ukusiza abantu abayeke ukuphuza utshwala nokusebenzisa izidakamizwa zasemgwaqweni baqhubeke nokugwema ukuphuza noma ukusebenzisa izidakamizwa. INaltrexone akufanele isetshenziselwe ukwelapha abantu abasasebenzisa izidakamizwa zasemgwaqweni noma abaphuza kakhulu utshwala. INaltrexone isekilasini lemithi ebizwa ngama-opiate antagonists. Isebenza ngokunciphisa ukufisa utshwala nokuvimba imiphumela yemithi ye-opiate kanye nezidakamizwa zasemgwaqweni ze-opioid.
INaltrexone iza njengethebhulethi yokuphuza ngomlomo ekhaya noma ngaphansi kokuqondiswa emtholampilo noma esikhungweni sokwelashwa. Lapho i-naltrexone ithathwa ekhaya, ivame ukuthathwa kanye ngosuku noma ngaphandle kokudla. Lapho i-naltrexone ithathwa emtholampilo noma esikhungweni sokwelashwa, ingathathwa kanye ngosuku, kanye njalo ngosuku, kanye ngosuku lwesithathu, noma kanye ngosuku ngaphandle kweSonto. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-naltrexone njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
INaltrexone iyasiza kuphela uma isetshenziswa njengengxenye yohlelo lokwelashwa kwezidakamizwa. Kubalulekile ukuthi ube khona kuzo zonke izikhathi zokwelulekwa, imihlangano yamaqembu okusekela, izinhlelo zezemfundo, noma ezinye izindlela zokwelashwa ezinconywe udokotela wakho.
INaltrexone izokusiza ukuthi ugweme ukusebenzisa izidakamizwa notshwala, kepha ngeke ivimbele noma ikhulule izimpawu zokuhoxa ezingaba khona lapho uyeka ukusebenzisa lezi zinto. Esikhundleni salokho, i-naltrexone ingadala noma ibe nzima izimpawu zokuhoxa. Akufanele uthathe i-naltrexone uma usanda kuyeka ukusebenzisa imishanguzo ye-opioid noma izidakamizwa ze-opioid emgwaqweni futhi manje uhlangabezana nezimpawu zokuhoxa.
INaltrexone izokusiza ukuthi ugweme izidakamizwa notshwala kuphela uma nje ubuthatha. Qhubeka uthathe i-naltrexone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-naltrexone ngaphandle kokukhuluma nodokotela wakho.
Lo muthi kwesinye isikhathi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-naltrexone,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-naltrexone naloxone, eminye imithi ye-opioid, noma eminye imithi.
- Tshela udokotela wakho uma uthatha noma yimiphi imishanguzo ye-opioid (narcotic) noma izidakamizwa zasemgwaqweni kufaka phakathi i-levomethadyl acetate (LAAM, ORLAAM) (ayitholakali e-US), noma i-methadone (i-Dolophine, i-Methadose); nemithi ethile yohudo, ukukhwehlela, noma ubuhlungu. Tshela nodokotela wakho uma ngabe uphuze noma iyiphi yale mithi ezinsukwini eziyi-7 kuya kwezingu-10 ezedlule. Buza udokotela wakho ukuthi awuqiniseki ukuthi umuthi owuthathile uyi-opioid. Udokotela wakho angalawula izivivinyo ezithile ukubona ukuthi ngabe uphuze noma imiphi imishanguzo ye-opioid noma usebenzise noma imuphi umuthi we-opioid emgwaqeni phakathi nezinsuku eziyi-7 kuya kwezingu-10 ezedlule. Udokotela wakho uzokutshela ukuthi ungathathi i-naltrexone uma uthathe noma usebenzise ama-opioid ezinsukwini eziyi-7 kuya kwezingu-10 ezedlule.
- ungathathi noma imiphi imishanguzo ye-opioid noma usebenzise izidakamizwa zomgwaqo opioid ngenkathi welashwa nge-naltrexone. INaltrexone ivimba imiphumela yemithi yama-opioid nezidakamizwa zasemgwaqweni ze-opioid. Ungahle ungazizwa imiphumela yalezi zinto uma uzithatha noma uzisebenzisa ngamanani aphansi noma ajwayelekile. Uma uthatha noma usebenzisa imithamo ephezulu yemithi ye-opioid noma izidakamizwa ngenkathi welashwa nge-naltrexone, kungadala ukulimala okukhulu, ikhoma (isimo esihlala isikhathi eside sokungazi lutho), noma ukufa.
- kufanele wazi ukuthi uma uthathe imishanguzo ye-opioid ngaphambi kokwelapha i-naltrexone, ungahle uzwele kakhulu emiphumeleni yale mithi ngemuva kokuqeda ukwelashwa kwakho. Ngemuva kokuqeda ukwelashwa kwakho, tshela noma yimuphi udokotela ongakunika imishanguzo owake welashwa ngayo ngaphambili nge-naltrexone.
- utshele udokotela wakho ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho i-disulfiram (Antabuse) ne-thioridazine. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma uke waba nokudangala noma isifo sezinso.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-naltrexone, shayela udokotela wakho.
- uma udinga ukwelashwa noma ukuhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-naltrexone. Gqoka noma uphathe umazisi wezokwelapha ukuze abahlinzeki bezempilo abakwelapha esimweni esiphuthumayo bazi ukuthi uthatha i-naltrexone.
- kufanele wazi ukuthi abantu abasebenzisa kabi izidakamizwa noma utshwala bavame ukucindezeleka futhi kwesinye isikhathi bazama ukuzilimaza noma ukuzibulala. Ukuthola i-naltrexone akubunciphisi ubungozi bokuthi uzozama ukuzilimaza. Wena noma umndeni wakho kufanele nibize udokotela ngokushesha uma uhlangabezana nezimpawu zokudangala ezinjengokuzizwa unosizi, ukukhathazeka, ukungabi nathemba, ukuzizwa unecala, ukuzenyeza, noma ukungabi nalusizo, noma ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo. Qiniseka ukuthi umndeni wakho uyazi ukuthi iziphi izimpawu ezingase zibe zimbi kakhulu ukuze bakwazi ukushayela udokotela ngokushesha uma ungakwazi ukufuna ukwelashwa wedwa.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
INaltrexone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isicanucanu
- ukuhlanza
- ubuhlungu besisu noma ukuqunjelwa
- isifo sohudo
- ukuqunjelwa
- ukulahlekelwa isifiso sokudla
- ikhanda
- isiyezi
- ukukhathazeka
- uvalo
- ukucasuka
- ukukhala
- ubunzima bokuwa noma ukulala
- amandla akhuphukile noma anciphile
- ukozela
- ubuhlungu bemisipha noma bamalunga
- ukuqubuka
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- ukudideka
- ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
- ukungaboni kahle
- ukuhlanza okukhulu kanye / noma isifo sohudo
INaltrexone 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).
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
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
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.
Ngaphambi kokuthola izivivinyo zaselabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-naltrexone.
Buza udokotela wakho noma usokhemisi noma imiphi imibuzo onayo mayelana ne-naltrexone.
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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