I-Tramadol

-Delile

• Ngaphambi kokuthatha i-tramadol,
• I-Tramadol 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 ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Tramadol ingaba yindlela yokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Thatha i-tramadol njengoba nje iqondisiwe. Ungayithathi ngaphezulu, yithathe kaningi, noma uyithathe ngendlela ehlukile kunaleyo eqondiswe ngudokotela wakho. Ngenkathi uthatha i-tramadol, 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 noma uke waphuza utshwala obuningi, usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqeni, noma usebenzise ngokweqile imithi kadokotela, noma uke weqisa ngokweqile noma uma uke waba nokudangala noma omunye ukugula ngengqondo. Kukhona ingozi enkulu yokuthi uzoyisebenzisa ngokweqile i-tramadol 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-HELP

I-Tramadol 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 ungayithathi i-tramadol. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingamahlalakhona sokuphefumula kwamaphaphu (i-COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), ukulimala ekhanda, isimila ebuchosheni, 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.

Lapho i-tramadol isetshenziswa ezinganeni, kwabikwa izinkinga zokuphefumula ezinzima nezisongela impilo ezifana nokuphefumula kancane noma ubunzima bokuphefumula nokufa. I-Tramadol akufanele isetshenziselwe ukwelapha ubuhlungu ezinganeni ezineminyaka engaphansi kwengu-12 ubudala noma ukudambisa izinhlungu ngemuva kokuhlinzwa ukuze kususwe amalaka kanye / noma ama-adenoids ezinganeni ezingaphansi kweminyaka engu-18 ubudala. I-Tramadol akufanele isetshenziswe ekusetshenzisweni kwezingane ezineminyaka engu-12 kuya kwengu-18 ezikhuluphele noma ezinesifo se-neuromuscular (isifo esithinta izinzwa ezilawula imisipha yokuzithandela), isifo samaphaphu, noma ukuvimbela ukuphefumula kokulala (isimo lapho I-airway iyavinjwa noma iminyene futhi ukuphefumula kuyama isikhathi esifushane ngesikhathi sokulala) njengoba lezi zimo zingakhuphula ubungozi bezinkinga zokuphefumula.

Ukuthatha eminye imishanguzo ngesikhathi sokwelashwa kwakho nge-tramadol 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: amiodarone (Nexterone, Pacerone); imishanguzo ethize yokubulala izinhlungu kubandakanya i-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole (i-Nizoral), ne-voriconazole (i-Vfend); ama-benzodiazepines afana ne-alprazolam (Xanax), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), ne-triazolam (i-Halcion); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); i-erythromycin (i-Erytab, i-Erythrocin); imishanguzo ethile yegciwane lengculazi (i-HIV) okubandakanya i-indinavir (Crixivan), i-nelfinavir (i-Viracept), ne-ritonavir (i-Norvir, e-Kaletra); imithi yokugula kwengqondo, isicanucanu, noma ubuhlungu; ukuphumula kwemisipha; i-phenytoin (iDilantin, Phenytek); i-quinidine (ku-Nuedexta); i-rifampin (iRifadin, iRimactane, eRifamate); isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-tramadol 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 engabhalisiwe equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngesikhathi ukwelashwa kwakho nge-tramadol kwandisa ubungozi bokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-tramadol 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.

Uma uthatha ithebhulethi ekhishwa isikhathi eside noma i-capsule, yigwinye iphelele; ungawahlafune, uwaphule, ungawahlukanisi, uwaphule noma uwaqede. Gwinya ithebhulethi ngayinye ngemuva nje kokukufaka emlonyeni wakho. Uma ugwinya amalungiselelo aphukile, ahlafunwayo, achotshoziwe noma ancibilikisiwe, ungathola i-tramadol eningi ngasikhathi sinye futhi lokhu kungadala izinkinga ezinkulu, kufaka phakathi ukweqisa ngokweqile nokufa.

Ungavumeli noma ngubani omunye umuntu ukuthi athathe imithi yakho. I-Tramadol ingalimaza noma ibangele ukufa kwabanye abantu abathatha imishanguzo yakho, ikakhulukazi izingane.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-tramadol futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. 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-Tramadol isetshenziselwa ukudambisa ubuhlungu obuphakathi nendawo kuya kokulingene. Amathebulethi nama-capsule akhishwa isikhathi eside e-Tramadol asetshenziswa kuphela ngabantu okulindeleke ukuthi badinge imishanguzo yokudambisa izinhlungu ubusuku nemini. I-Tramadol isekilasini lemithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Tramadol iza njengethebhulethi, isisombululo (uketshezi), ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), kanye ne-capsule ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ejwayelekile nesisombululo kuthathwa imvamisa ngokudla noma ngaphandle kokudla njalo emahoreni ama-4 kuye kwayisithupha njengoba kudingeka. Ithebhulethi ekhishwa ngokunwetshiwe kanye ne-capsule ekhishwe isikhathi eside kufanele ithathwe kanye ngosuku. Thatha ithebhulethi ekhishwa isikhathi eside ne-capsule ekhishwe isikhathi eside cishe ngesikhathi esifanayo sosuku nsuku zonke. Uma uthatha i-capsule ekhishwe isikhathi eside, ungayithatha nokudla noma ngaphandle kokudla. Uma uthatha ithebhulethi ekhishwa isikhathi eside, kufanele uyithathe ngokudla noma uhlale uyithatha ngaphandle kokudla. Thatha i-tramadol njengoba nje iqondisiwe. Ungathathi imishanguzo eminingi njengomthamo owodwa noma uthathe amanani amaningi ngosuku kunokuyalelwa ngudokotela wakho. Ukuthatha i-tramadol eningi kunokuyalelwa ngudokotela wakho noma ngendlela enganconyiwe kungadala imiphumela emibi noma ukufa.

Udokotela wakho angakuqala ngomthamo ophansi we-tramadol futhi kancane kancane akhuphule inani lemithi oyiphuzayo, hhayi kaningi ukwedlula zonke izinsuku ezi-3 uma uthatha isisombululo, amaphilisi ajwayelekile noma amaphilisi ahlukanisayo ngomlomo noma njalo ezinsukwini ezinhlanu uma uthatha amaphilisi akhululiwe noma amaphilisi akhululiwe.

Uma uthatha isisombululo, sebenzisa isipontsho somlomo noma isipuni sokulinganisa noma inkomishi ukukala inani elifanele liketshezi elidingekayo kumthamo ngamunye. Ungasebenzisi isipuni sasendlini esijwayelekile ukukala umthamo wakho. Buza udokotela noma usokhemisi wakho uma udinga usizo ukuthola noma ukusebenzisa ithuluzi lokulinganisa,

Ungayeki ukuthatha i-tramadol ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-tramadol, ungahle uhlangabezane nezimpawu zokuhoxa njengokwesaba; uvalo; ukujuluka; ubunzima bokulala noma ukulala; ikhala eligobayo, ukuthimula, noma ukukhwehlela; ubuhlungu; izinwele zimile; Ukugodola; isicanucanu; ukuzamazama okungalawuleki kwengxenye yomzimba wakho; isifo sohudo; noma kuyaqabukela, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amaphimbo ezingekho).

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

Ngaphambi kokuthatha i-tramadol,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tramadol, eminye imishanguzo yezinhlungu ze-opiate, noma imuphi omunye umuthi, noma iziphi izithako emikhiqizweni ye-tramadol. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela noma usokhemisi wakho uma uthatha noma uthola ama-inhibitors alandelayo we-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). Udokotela wakho mhlawumbe uzokutshela ukuthi ungayithathi i-tramadol uma uphuza eyodwa noma ngaphezulu yale mithi, noma uyiphuzile emasontweni amabili edlule.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-bupropion (Aplenzin, Wellbutrin, Zyban); i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); imithi ethile 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 (i-Zomig); i-mirtazapine (i-Remeron); i-promethazine; 5-HT₃ abaphikisi be-receptor njenge-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (i-Kytril), i-ondansetron (i-Zofran, i-Zuplenz), noma i-palonosetron (i-Aloxi); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexeva), ne-sertraline (i-Zoloft); i-serotonin norepinephrine reuptake inhibitors (SNRIs) efana ne-desvenlafaxine (Pristiq, Khedezla), duloxetine (Cymbalta), milnacipran (Savella), ne-venlafaxine (Effexor); i-trazodone (i-Oleptro); kanye ne-tricyclic antidepressants efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipiline (i-Vimactil), ne-trimipiline). Eminye imishanguzo eminingi ingaxhumana ne-tramadol, 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 unanoma yimiphi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO, ukuvimba noma ukunciphisa isisu noma amathumbu akho, noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungathathi i-tramadol uma unalezi zimo.
• utshele udokotela wakho uma uke wahlaselwa yisifo sokuwa noma wake waquleka; ukutheleleka ebuchosheni bakho noma emgogodleni; ubunzima bokuchama; imicabango ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo; noma isifo sezinso noma sesibindi.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ibele ngenkathi uthatha i-tramadol. I-Tramadol ingadala ukuphefumula okungajulile, ubunzima noma ukuphefumula okunomsindo, ukudideka, ukulala okungaphezu kokujwayelekile, inkinga yokuncelisa ibele, noma ukuxega ezinganeni ezincelisayo.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-tramadol.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-tramadol.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele futhi ungathinta ukusebenzisana kwakho. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-tramadol ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka endaweni elele. Ukugwema lokhu, phuma embhedeni kancane, uphumule izinyawo phansi imizuzu embalwa ngaphambi kokuma.
• uma une-phenylketonuria (PKU; isimo esizuzwe njengefa lapho kufanele kudliwe ukudla okhethekile ukuvimbela ukubola kwengqondo, kufanele wazi ukuthi amaphilisi ahlukaniswa ngomlomo aqukethe i-aspartame, umthombo we-phenylalanine.
• Kufanele wazi ukuthi i-tramadol ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo nokusebenzisa eminye imithi ukwelapha noma ukuvimbela ukuqunjelwa.

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

Uma udokotela wakho ekutshele ukuthi uthathe i-tramadol njalo, thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ubuthongo
• ubunzima bokulala noma ukulala
• ikhanda
• uvalo
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuqina kwemisipha
• ukushintsha kwemizwa
• isilungulela noma isisu
• umlomo owomile

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• isithuthwane
• isifuba
• ukuqubuka
• amabhamuza
• ubunzima bokugwinya noma ukuphefumula
• ukuvuvukala kwamehlo, ubuso, umphimbo, ulimi, izindebe, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• 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
• izinguquko ekushayeni kwenhliziyo
• ukulahlekelwa ukwazi

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).

I-Tramadol ingadala eminye imiphumela emibi. Tshela 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).

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.

Ngenkathi uthatha i-tramadol, kufanele ukhulume nodokotela wakho mayelana 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:

• usayizi owehlisiwe womfundi (umbuthano omnyama maphakathi neso)
• ukuphefumula kanzima
• ukuphefumula okuhamba kancane noma okungajulile
• ukozela ngokweqile noma ukulala
• ayikwazi ukuphendula noma ukuvuka
• ukushaya kwenhliziyo okwehlisiwe
• ubuthakathaka bemisipha
• kubanda, isikhumba se-clammy

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-tramadol.

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

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. I-Tramadol yinto elawulwayo. Okubhalwe phansi kungagcwaliswa izikhathi ezimbalwa kuphela; buza usokhemisi wakho uma unemibuzo.

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.

• Xhuma^®
• Qdolo^®
• I-Rybix^® ODT^¶
• I-Ryzolt^®¶
• Ultram^®¶
• Ultram^® ER^¶

• I-Ultracet^® (equkethe i-Acetaminophen, iTramadol)

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