Ihluke Kanjani iMethadone neSuboxone?

-Delile

• Isingeniso
• Izici zezidakamizwa
• Izindleko nomshuwalense
• Ukutholakala kwemithi
• Ukwelashwa nge-methadone
• Ukwelashwa nge-Suboxone
• Okuqhamuka uma udla imishanguzo
• Imiphumela yokuhoxa
• Ukusebenzisana kwezidakamizwa
• Sebenzisa nezinye izimo zezokwelapha
• Khuluma nodokotela wakho
• I-Q & A.
• Q:
• A:

Isingeniso

Ubuhlungu obungapheli ubuhlungu obuhlala isikhathi eside. Ama-opioid yimithi eqinile enikezwe ukusiza ukukhulula ubuhlungu obungapheli. Yize zisebenza kahle, le mithi ingabuye ibe umkhuba futhi iholele ekuluthweni nasekuthembekeni. Ngakho-ke kufanele zisetshenziswe ngokucophelela.

IMethadone neSuboxone womabili ama-opioid. Ngenkathi i-methadone isetshenziselwa ukwelapha ubuhlungu obungapheli nokulutha kwe-opioid, iSuboxone yamukelwa kuphela ukwelapha ukuthembela kwe-opioid. Funda ukuze ufunde kabanzi mayelana nokuthi lezi zidakamizwa ezimbili ziqhathaniswa kanjani.

Izici zezidakamizwa

IMethadone isidakamizwa esijwayelekile. I-Suboxone igama lomkhiqizo lomuthi i-buprenorphine / naloxone. Thola okuningi ngabo ngezansi.

Umlutha wehlukile ekuthembekeni.

Umlutha wenzeka lapho unenkanuko engalawuleki edala ukuthi uqhubeke usebenzise umuthi. Awukwazi ukuyeka ukusebenzisa lesi sidakamizwa yize siholela emiphumeleni eyingozi.

Ukuncika kwenzeka lapho umzimba wakho uzivumelanisa nomuthi futhi ubekezele kuwo. Lokhu kukuholela ekutheni udinge okuningi kwesidakamizwa ukudala umphumela ofanayo.

IMethadone iza ngalezi zinhlobo:

• ithebhulethi yomlomo
• Isixazululo somlomo
• ukugxila komlomo
• Isixazululo somjovo
• ithebhulethi esabalaliswa ngomlomo, okumele inyibilikiswe kuketshezi ngaphambi kokuyiphuza

Igama leBrand Suboxone liza njengefilimu yomlomo, engaqedwa ngaphansi kolimi lwakho (izilimi ezingezansi) noma ibekwe phakathi kwesihlathi sakho nezinsini ukuze ichithe (buccal).

Izinhlobo ezijwayelekile ze-buprenorphine / naloxone (izithako eziseSuboxone) ziyatholakala njengefilimu yomlomo kanye nethebulethi elingaphansi.

Izindleko nomshuwalense

Njengamanje, kunomehluko omkhulu wamanani phakathi kwe-methadone kanye negama elijwayelekile nelomkhiqizo i-Suboxone. Sekukonke, womabili igama lomkhiqizo i-Suboxone ne-generic buprenorphine / naloxone abiza kakhulu kune-methadone. Ngeminye imininingwane ngamanani entengo yemithi, bheka i-GoodRx.com.

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwe-methadone noma i-Suboxone. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani ikhokhele incwadi kadokotela.

Ukutholakala kwemithi

Kunemikhawulo yokuthi ungayithola kanjani le mithi. Le mikhawulo incike ohlotsheni lomuthi nokuthi kungani usetshenziswa.

I-methadone kuphela evunyelwe ukwelapha ubuhlungu obungapheli. IMethadone yokuqeda izinhlungu iyatholakala kwamanye amakhemisi, kodwa hhayi wonke. Khuluma nodokotela wakho mayelana nokuthi yimaphi amakhemisi angagcwalisa umuthi we-methadone ukwelapha ubuhlungu obungapheli.

Kokubili i-methadone ne-Suboxone ingasetshenziswa ukukusiza ukuthi udlule kwinqubo yokuxoshwa kwama-opioid.

Ukukhipha ubuthi emzimbeni kwenzeka lapho umzimba wakho uzama ukuqeda umuthi. Ngesikhathi sokukhipha ubuthi emzimbeni, unezimpawu zokuhoxa. Izimpawu eziningi zokuhoxa azisongeli impilo, kepha azikhululekile neze.

Yilapho i-methadone ne-Suboxone zingena khona. Zinganciphisa izimpawu zakho zokuhoxa kanye nezifiso zakho zezidakamizwa.

IMethadone neSuboxone zombili ziyasiza ukuphatha ukukhishwa kobuthi emzimbeni, kepha inqubo yokusetshenziswa kwazo yehlukile.

Ukwelashwa nge-methadone

Uma usebenzisa i-methadone ekwelashweni ngomlutha, ungayithola kuphela ezinhlelweni zokwelashwa kwe-opioid eziqinisekisiwe. Lokhu kubandakanya imitholampilo yokugcinwa kwemethadone.

Lapho uqala ukwelashwa, kufanele uye komunye wale mitholampilo. Udokotela ubona ukuthi uthola umthamo ngamunye.

Lapho nje udokotela wasemtholampilo ethatha isinqumo sokuthi uzinzile ngokwelashwa kwe-methadone, angakuvumela ukuthi uphuze umuthi ekhaya phakathi kokuvakashela emtholampilo. Uma uphuza imishanguzo ekhaya, usadinga ukuyithola kusuka ohlelweni lokwelashwa kwe-opioid oluqinisekisiwe.

Ukwelashwa nge-Suboxone

Ku-Suboxone, awudingi ukuya emtholampilo ukuthola ukwelashwa. Udokotela wakho uzokunikeza incwadi kadokotela.

Kodwa-ke, cishe bazobheka ukuqala kokwelashwa kwakho eduze. Bangadinga ukuthi uze ehhovisi labo ukuthola imishanguzo. Bangakubona futhi uphuza lesi sidakamizwa.

Uma uvunyelwe ukuthatha lesi sidakamizwa ekhaya, udokotela wakho kungenzeka angakuniki okungaphezu kwamanani ambalwa ngasikhathi. Ngokuhamba kwesikhathi, noma kunjalo, udokotela wakho uzokuvumela ukuthi uphathe eyakho imishanguzo.

Okuqhamuka uma udla imishanguzo

Amashadi angezansi abala izibonelo zemiphumela emibi ye-methadone ne-Suboxone.

Uma uthatha i-methadone eningi noma i-Suboxone kunalokho okushiwo udokotela noma umtholampilo wakho, kungadala ukweqisa ngokweqile. Lokhu kungaholela nasekufeni. Kubalulekile ukuthi uthathe umuthi wakho njengoba uqondisiwe.

Imiphumela yokuhoxa

Ngoba zombili i-methadone ne-Suboxone zingama-opioid, zingadala ukulutha nezimpawu zokuhoxa. Njengomuthi weSheduli II, i-methadone inengozi enkulu yokusebenzisa kabi kune-Suboxone.

Izimpawu zokuhoxa kunoma imuphi umuthi zingahluka kakhulu ngobunzima kusuka komunye umuntu kuye komunye. Imvamisa, ukuhoxa ku-methadone kungahlala, kanti izimpawu zokuhoxa ku-Suboxone zingahlala inyanga eyodwa ziye ezinyangeni ezimbalwa.

Izimpawu zokuhoxa kwe-opioid zingafaka:

• eqhaqhazela
• ukujuluka
• ukuzwa kushisa noma kubanda
• ikhala eligijimayo
• amehlo anamanzi
• uhlevane
• isifo sohudo
• isicanucanu noma ukuhlanza
• ubuhlungu bemisipha noma amajaqamba
• ukukhathazeka ukulala (ukulala)

Ungayeki ukuthatha noma imuphi umuthi ngokwakho. Uma wenza kanjalo, izimpawu zakho zokuhoxa zizoba zimbi kakhulu.

Uma udinga ukuyeka ukuthatha umuthi wakho, udokotela wakho uzokwehlisa kancane umthamo wakho ngokuhamba kwesikhathi ukusiza ukuvimbela izimpawu zokuhoxa. Ngemininingwane engaphezulu, funda ngokubhekana nokuhoxa kwe-opiate noma ngokuhoxiswa kwe-methadone.

Izibonelo zemiphumela yokuhoxa kusuka ku-methadone ne-Suboxone zimi kanje:

I-Suboxone ne-methadone nakho kungadala ukuhoxiswa kwesifo enganeni esanda kuzalwa uma uthatha noma yisiphi isidakamizwa ngesikhathi ukhulelwe. Ungaqaphela:

• ekhala kakhulu kunokujwayelekile
• ukucasuka
• ukuziphatha ngokweqile
• inkathazo yokulala
• ukukhala okuphezulu
• ukuthuthumela
• ukuhlanza
• isifo sohudo
• ukungakwazi ukukhuluphala

Ukusebenzisana kwezidakamizwa

Kokubili i-methadone ne-Suboxone ingaxhumana neminye imithi. Eqinisweni, i-methadone ne-Suboxone babelana ngokusebenzisana kwezidakamizwa okufanayo.

Izibonelo zezidakamizwa i-methadone ne-Suboxone ezingasebenzisana nazo zifaka:

• i-benzodiazepines, efana ne-alprazolam (Xanax), i-lorazepam (i-Ativan) ne-clonazepam (iKlonopin)
• izinsiza zokulala, njenge-zolpidem (Ambien), i-eszopiclone (i-Lunesta), ne-temazepam (i-Restoril)
• imithi yokubulala izinzwa
• amanye ama-opioid, afana ne-buprenorphine (Butrans) ne-butorphanol (Stadol)
• imishanguzo ye-antifungal, efana ne-ketoconazole, i-fluconazole (i-Diflucan), ne-voriconazole (i-Vfend)
• ama-antibiotic, njenge-erythromycin (i-Erythrocin) ne-clarithromycin (i-Biaxin)
• izidakamizwa zokulwa nezidakamizwa, njenge phenytoin (Dilantin), phenobarbital (Solfoton), ne-carbamazepine (Tegretol)
• Izidakamizwa ze-HIV, njenge-efavirenz (Sustiva) ne-ritonavir (Norvir)

Ngaphezu kwalolu hlu, i-methadone ibuye ihlanganyele neminye imithi. Lokhu kufaka phakathi:

• izidakamizwa zesigqi senhliziyo, njenge-amiodarone (Pacerone)
• imishanguzo, njenge-amitriptyline, i-citalopram (i-Celexa) ne-quetiapine (i-Seroquel)
• i-monoamine oxidase inhibitors (i-MAIOs), efana ne-selegiline (i-Emsam) ne-isocarboxazid (Marplan)
• imishanguzo ye-anticholinergic, efana ne-benztropine (Cogentin), i-atropine (Atropen), ne-oxybutynin (Ditropan XL)

Sebenzisa nezinye izimo zezokwelapha

IMethadone neSuboxone kungadala izinkinga uma uzithatha uma unezinkinga ezithile zezempilo. Uma unanoma yikuphi kwalokhu, kufanele uxoxe ngokuphepha kwakho nodokotela wakho ngaphambi kokuthatha i-methadone noma i-Suboxone:

• isifo sezinso
• isifo sesibindi
• izinkinga zokuphefumula
• ukusetshenziswa kabi kwezinye izidakamizwa
• umlutha wotshwala
• izinkinga zempilo yengqondo

Futhi khuluma nodokotela wakho ngaphambi kokuthatha i-methadone uma une:

• izinkinga zesigqi senhliziyo
• isithuthwane
• izinkinga zesisu njengokuvaleka kwamathumbu noma ukuncipha kwamathumbu akho

Khuluma nodokotela wakho ngaphambi kokuthatha i-Suboxone uma unayo:

• Izinkinga zezindlala ze-adrenal

Khuluma nodokotela wakho

IMethadone neSuboxone kunokufana okuningi nokunye umehluko omkhulu. Eminye yemibono ebaluleke kakhulu phakathi kwale mithi ingafaka:

• amafomu ezidakamizwa
• ingozi yokuba umlutha
• izindleko
• ukufinyeleleka
• okuqhamuka uma udla imishanguzo
• ukuxhumana kwezidakamizwa

Udokotela wakho angakutshela kabanzi ngalokhu kwehluka. Uma udinga ukwelashwa ngomlutha we-opioid, udokotela wakho uyindawo engcono yokuqala. Bangancoma umuthi omuhle kakhulu ukukusiza ukuthi ube nempilo.

I-Q & A.

Q:

Kungani ukuhoxiswa kwe-opioid kwenzeka njengomphumela oseceleni weSuboxone?

A:

Ukuthatha i-Suboxone kungaholela ezimpawu zokuhoxa kwe-opioid, ikakhulukazi uma umthamo uphezulu kakhulu. Lokhu kungenxa yokuthi iSuboxone iqukethe i-naloxone yezidakamizwa. Lo muthi wengezwa ku-Suboxone ukunqanda abantu ukuthi bangajovi noma bahoxe.

Uma ujova noma uhogela i-Suboxone, i-naloxone ingadala izimpawu zokuhoxa. Kepha uma uthatha i-Suboxone ngomlomo, umzimba wakho umunca okuncane kakhulu kwengxenye ye-naloxone, ngakho-ke ubungozi bezimpawu zokuhoxa buphansi.

Ukuthatha imithamo ephezulu yeSuboxone ngomlomo kusengadala izimpawu zokuhoxa, noma kunjalo.