I-Fentanyl, iTransdermal Patch

-Delile

• Amaphuzu avelele e-Fentanyl
• Yini i-fentanyl?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Fentanyl
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Ungayithatha kanjani i-fentanyl
• Amafomu namandla
• Isikali sobuhlungu obungapheli obukhulu
• Ukucatshangelwa okukhethekile komthamo
• Thatha njengoba kuqondisiwe
• Izexwayiso zikaFentanyl
• Izexwayiso ze-FDA
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• UFentanyl angaxhumana neminye imithi
• Izidakamizwa okungafanele uzithathe nge-fentanyl
• Ukusebenzisana okwandisa ubungozi bemiphumela emibi
• Ukusebenzisana okungenza izidakamizwa zingasebenzi kahle
• Ukucatshangelwa okubalulekile kokuthatha i-fentanyl
• Isitoreji
• Ukulahlwa
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuzilawula
• Ukuqapha komtholampilo
• Ukucatshangelwa kokudla
• Ukutholakala
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele e-Fentanyl

1. I-Fentanyl transdermal patch iyatholakala njengesidakamizwa esijwayelekile futhi njengesidakamizwa esinegama lomkhiqizo. Igama lomkhiqizo: Duragesic.
2. I-Fentanyl ibuye futhi njengethebhulethi ye-buccal ne-sublingual, i-lozenge yomlomo, isifutho sezindimi, isifutho samakhala, kanye nomjovo.
3. I-Fentanyl transdermal patch isetshenziselwa ukwelapha ubuhlungu obungapheli kubantu ababekezelela i-opioid.

Yini i-fentanyl?

UFentanyl umuthi kadokotela. Iza ngezindlela ezilandelayo:

• Isiqephu seTransdermal: isichibi osibeka esikhunjeni sakho
• Ithebhulethi ye-Buccal: ithebhulethi oyincibilikisa phakathi kwesihlathi nezinsini
• Ithebhulethi yolimi oluncane: ithebhulethi oyincibilikisa ngaphansi kolimi lwakho
• Isifutho sezilimi ezimbili: Isixazululo osifafaza ngaphansi kolimi lwakho
• I-lozenge yomlomo: i-lozenge oyincelayo lize lincibilike
• Isifutho se-Nasal: Isixazululo osifafaza emakhaleni akho
• Umjovo: Isixazululo somjovo esinikezwa kuphela ngumhlinzeki wezokunakekelwa kwempilo

I-Fentanyl transdermal patch iyatholakala njengesidakamizwa esinegama lomkhiqizo I-Duragesic. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, umuthi wegama lomkhiqizo nohlobo olujwayelekile lungatholakala ngezindlela nangamandla ahlukahlukene.

I-Fentanyl transdermal patch ingasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyisebenzisa neminye imithi.

Kungani kusetshenziswa

I-Fentanyl transdermal patch isetshenziselwa ukwelapha ubuhlungu obungapheli kubantu ababekezelela i-opioid. Laba ngabantu abathathe esinye isidakamizwa sobuhlungu se-opioid esingasasebenzi futhi.

Isebenza kanjani

UFentanyl ungowesigaba sezidakamizwa esibizwa ngama-opioid agonists. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

UFentanyl usebenza ebuchosheni bakho ukushintsha ukuthi umzimba wakho uzizwa kanjani futhi uphendula kanjani ebuhlungwini.

Imiphumela emibi ye-Fentanyl

I-Fentanyl ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engase ivele ngenkathi uthatha i-fentanyl. Lolu hlu alubandakanyi yonke imiphumela emibi engaba khona.

Ngeminye imininingwane ngemiphumela engemihle ye-fentanyl, noma amathiphu wokuthi ungabhekana kanjani nemiphumela emibi ekhathazayo, khuluma nodokotela wakho noma usokhemisi.

I-Fentanyl nayo ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-fentanyl ifaka:

• ububomvu nokucasuka kwesikhumba sakho lapho ufaka khona isichibi
• isicanucanu
• ukuhlanza
• ukukhathala
• isiyezi
• inkathazo yokulala
• ukuqunjelwa
• ukujuluka okwandayo
• ngizwe kubanda
• ikhanda
• isifo sohudo
• ukulahlekelwa isifiso sokudla

Le miphumela ingahle ihambe kungakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 noma uye egumbini lakho lezimo eziphuthumayo uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Izinkinga zokuphefumula ezinzima. Izimpawu zingafaka:
  • ukuphefumula okungajulile (ukunyakaza kwesifuba esincane ngokuphefumula)
  • ukuquleka, isiyezi, noma ukudideka
• Umfutho wegazi ophansi kakhulu. Izimpawu zingafaka:
  • isiyezi noma ikhanda elincanyana, ikakhulukazi uma usukuma ngokushesha okukhulu
• Ukulutha ngokomzimba, ukuncika, nokuhoxa lapho umisa umuthi. Izimpawu zingafaka:
  • ukungahlaliseki
  • ukucasuka noma ukukhathazeka
  • inkathazo yokulala
  • ukwandisa umfutho wegazi lakho
  • izinga lokuphefumula okusheshayo
  • ukushaya kwenhliziyo okusheshayo
  • abafundi abahlanzekile (izikhungo ezimnyama zamehlo akho)
  • isicanucanu, ukuhlanza nokulahlekelwa isifiso sokudla
  • isifo sohudo nezimpawu zesisu
  • ukujuluka
  • Ukugodola, noma izinwele ezingalweni zakho “sukuma”
  • ubuhlungu bemisipha nobuhlungu beqolo
• Ukungasebenzi kahle kwe-adrenal. Izimpawu zingafaka:
  • ukukhathala okuhlala isikhathi eside
  • ubuthakathaka bemisipha
  • ubuhlungu esiswini sakho
• Ukushoda kwe-Androgen. Izimpawu zingafaka:
  • ukukhathala
  • inkathazo yokulala
  • amandla anciphile

Ukuqunjelwa (ukunyakaza kwamathumbu okuvamile noma okunzima) kungumphumela ojwayelekile kakhulu we-fentanyl neminye imithi ye-opioid. Akunakwenzeka ukuthi uhambe ngaphandle kokwelashwa.

Ukusiza ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-fentanyl, khuluma nodokotela wakho mayelana nezinguquko zokudla, ama-laxatives (izidakamizwa ezelapha ukuqunjelwa), kanye nezithambisi zesitulo. Udokotela anganikeza ama-laxatives ngama-opioid ukusiza ukuvimbela ukuqunjelwa.

Ngemuva komthamo wakho wokuqala futhi lapho udokotela wakho enyusa imithamo yakho ye-fentanyl, ungahle wehle ekucindezelekeni kwegazi. Udokotela wakho kungenzeka ukuthi uhlole umfutho wegazi wakho ngalezi zikhathi.

Ungayithatha kanjani i-fentanyl

Isilinganiso se-fentanyl esinqunywe udokotela wakho sizoxhomeka ezicini eziningana. Lokhu kufaka phakathi:

• uhlobo nobukhali besimo osisebenzisa ukwelapha i-fentanyl
• iminyaka yakho
• uhlobo lwefentanyl oyithathayo
• ezinye izimo zezokwelapha ongahle ube nazo
• ukuthi uke wasebenzisa ama-opioid phambilini
• amazinga akho okubekezelelana

Imvamisa, udokotela wakho uzokuqala ngomthamo ophansi futhi awulungise ngokuhamba kwesikhathi ukufinyelela umthamo okulungele wena. Ekugcineni bazonquma isilinganiso esincane kunazo zonke esihlinzeka ngomphumela oyifunayo.

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Amafomu namandla

• Okujwayelekile: fentanyl
  • Ifomu: isichibi se-transdermal
  • Amandla: 12.5 micrograms (mcg) / hour, 25 mcg / hour, 37.5 mcg / hour, 50 mcg / hour, 62.5 mcg / hour, 75 mcg / hour, 87.5 mcg / hour, kanye ne-100 mcg / hour
    
• Umkhiqizo: I-Duragesic
  • Ifomu: isichibi se-transdermal
  • Amandla: 12.5 mcg / ihora, 25 mcg / ihora, 37.5 mcg / ihora, 50 mcg / ihora, 75 mcg / ihora, kanye ne-100 mcg / ihora

Isikali sobuhlungu obungapheli obukhulu

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Udokotela wakho uzosekela isilinganiso sakho sokuqala ngohlobo lwesidakamizwa nomthamo owuthathayo manje ukulawula izinhlungu. Udokotela wakho uzonquma inani elincane le-fentanyl ukulawula ubuhlungu bakho, nemiphumela emibi kakhulu.
• Udokotela wakho angakhuphula isilinganiso sakho ngokuya ngezinga lakho lobuhlungu. Umthamo wakho ngeke unyuswe ngokushesha kunezinsuku ezi-3 ngemuva kokuthatha umthamo wakho wokuqala. Ngemuva kwalokho, udokotela wakho angakhuphula isilinganiso sakho njalo ezinsukwini eziyisithupha njengoba kudingeka.
• Udokotela wakho uzohlola njalo ukubona ukuthi usadinga ukuqhubeka nokusebenzisa lo muthi.
• Kufanele ushintshe isichibi sakho njalo emahoreni angama-72.

Isilinganiso sengane (iminyaka eyi-2-17 iminyaka)

• Udokotela wakho uzobeka isilinganiso sokuqala sengane yakho ohlotsheni lomuthi nomthamo ingane yakho eyithathayo njengamanje ukulawula ubuhlungu. Udokotela wakho uzonquma inani elincane kakhulu le-fentanyl ukulawula ubuhlungu bengane yakho, nemiphumela emibi kakhulu.
• Udokotela wakho angakhuphula isilinganiso somntwana wakho ngokuya ngezinga lobuhlungu lengane yakho. Umthamo ngeke unyuswe ngokushesha kunezinsuku ezi-3 ngemuva kokuthi ingane yakho ithathe umthamo wokuqala. Ngemuva kwalokho, udokotela wakho angakhuphula umthamo njalo ezinsukwini eziyisithupha njengoba kudingeka.
• Udokotela wakho uzohlola njalo ukubona ukuthi ingane yakho isadinga ukuqhubeka nokusebenzisa lo muthi.
• Kufanele ushintshe ipeshi yengane yakho njalo emahoreni angama-72.

Isilinganiso sengane (iminyaka yobudala engu-0-1)

I-Fentanyl transdermal patch ayisungulwanga iphephile noma isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka engu-2.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Izinso zabantu abadala zingase zingasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kwandisa ingozi yemiphumela emibi.

Udokotela wakho angakuqala kumthamo owehlisiwe noma uhlelo oluhlukile lokulinganisa. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho.

Ukucatshangelwa okukhethekile komthamo

• Kubantu abanesifo sesibindi: Udokotela wakho angaqala ngesigamu somthamo ojwayelekile noma agweme ukusetshenziswa, kuya ngesifo sakho ukuthi sinzima kangakanani.
• Kubantu abanesifo sezinso: Udokotela wakho kufanele aqale ngesigamu somthamo ojwayelekile noma agweme ukusetshenziswa, kuya ngesifo sakho ukuthi sinzima kangakanani.

Thatha njengoba kuqondisiwe

I-Fentanyl transdermal patch ngokuvamile isetshenziselwa ukwelashwa isikhathi eside kobuhlungu obungapheli obunzima. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha lo muthi noma ungawuthathi nhlobo: Uma ungayithathi nhlobo, uzoqhubeka nokuzwa ubuhlungu. Uma uyeka ukuthatha umuthi ngokungazelelwe, ungahle ube nezimpawu zokuhoxa, ezingafaka phakathi:

• ukungahlaliseki
• ukucasuka noma ukukhathazeka
• inkathazo yokulala
• ukwandisa umfutho wegazi lakho
• izinga lokuphefumula okusheshayo
• ukushaya kwenhliziyo okusheshayo
• abafundi abahlanzekile bamehlo akho
• isicanucanu, ukuhlanza nokulahlekelwa isifiso sokudla
• isifo sohudo nezimpawu zesisu
• ukujuluka
• Ukugodola noma izinwele ezingalweni zakho “sukuma”
• ubuhlungu bemisipha nobuhlungu beqolo

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• ukuphefumula okuphuzile noma ushintsho kuphethini ejwayelekile yokuphefumula
• kunzima ukukhuluma
• ukudideka
• ukucasuka
• ukukhathala ngokweqile nokozela
• isikhumba esibandayo nesimbumbulu
• umbala wesikhumba uphenduka uluhlaza okwesibhakabhaka
• ubuthakathaka bemisipha
• khomba abafundi
• ukushaya kwenhliziyo okuhamba kancane
• izinkinga zenhliziyo eziyingozi
• umfutho wegazi ophansi
• ikhoma

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Faka isichibi sakho esisha ngokushesha okukhulu lapho ukhumbula khona. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Kufanele uzwe ubuhlungu obuncane.

Izexwayiso zikaFentanyl

Lesi sidakamizwa siza nezixwayiso ezahlukahlukene.

Izexwayiso ze-FDA

• Lo muthi unezixwayiso zesibhakela. Lezi izexwayiso ezibucayi kakhulu ezivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Isixwayiso sokulutha nokusetshenziswa kabi. Lesi sidakamizwa singaholela ekubeni umlutha nokusetshenziswa kabi, okungaholela ekudleni ngokweqile nasekufeni. Udokotela wakho uzohlola ubungozi bakho bokulutha nokusetshenziswa kabi ngaphambi nangesikhathi sokwelashwa nge-fentanyl transdermal patch.
• Kwehlisiwe isexwayiso sesilinganiso sokuphefumula. I-Fentanyl ingakwenza uphefumule kancane. Lokhu kungaholela ekuphefumuleni ukwehluleka futhi mhlawumbe nasekufeni. Ingozi yakho iphakeme uma usumdala, unesifo samaphaphu, noma unikezwa imithamo emikhulu yokuqala. Kubuye kuphakeme uma usebenzisa i-fentanyl neminye imithi engathinta iphethini yakho yokuphefumula.
• Isixwayiso sokuchayeka kokushisa. Uma ususebenzise isichibi se-fentanyl esikhumbeni sakho, gwema ukukubeka ekushiseni. Lokhu kungadala ukuthi umzimba wakho uthathe i-fentanyl engaphezulu kunalokho okufanele ukwenze. Lokhu kungaholela ekweqeni izidakamizwa noma nasekufeni.
• Ukuhoxa kwe-opioid ezixwayisweni zezinsana ezisanda kuzalwa. Uma owesifazane ethatha lesi sidakamizwa isikhathi eside ngesikhathi sokukhulelwa, kungaholela ekuhoxisweni kwe-opioid syndrome enganeni esanda kuzalwa. Lokhu kungabeka impilo yengane engcupheni. Izimpawu zokuhoxa zingabandakanya ukucasuka, ukungasebenzi kahle kanye nephethini yokulala engajwayelekile, nokukhala okuphezulu. Zingabandakanya nokuzamazama, ukuhlanza, isifo sohudo, nokwehluleka ukukhuluphala.

Isexwayiso somzimba

I-Fentanyl ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• ukuqubuka
• ukuvuvukala kobuso bakho
• ukuqina komphimbo
• inkinga yokuphefumula

Uma uthola ukusabela okweqile, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi ngokushesha. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kotshwala

Ukusetshenziswa kweziphuzo eziqukethe utshwala kungakhuphula ubungozi bakho bemiphumela emibi evela ku-fentanyl. Kungaze kuholele nasekuqulekeni noma ekufeni. Akufanele uphuze utshwala ngenkathi uthatha i-fentanyl.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanezinkinga zokuphefumula: I-Fentanyl inganciphisa izinga lakho lokuphefumula. Sebenzisa le mithi ngokuqapha okukhulu uma utholakale unenkinga yokuphefumula, njengesifo esingelapheki se-pulmonary disease (COPD). Ungasebenzisi i-fentanyl uma une-asthma.

Kubantu abanokuvaleka kwamathumbu nokuqunjelwa: UFentanyl angenza lezi zimo zibe zimbi kakhulu. Ungasebenzisi i-fentanyl uma unale mibandela.

Kubantu abanokulimala kwekhanda noma ukuquleka: I-Fentanyl ingadala ingcindezi eyengeziwe ebuchosheni bakho futhi ibangele izinkinga zokuphefumula.

Kubantu abanesifo sesibindi: Umzimba wakho ungacubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kwandisa ingozi yemiphumela emibi. Udokotela wakho angakuqala ngomthamo ophansi. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho.

Kubantu abanesifo sezinso: Uma unesifo sezinso noma umlando wesifo sezinso, ungahle ungakwazi ukusula lesi sidakamizwa emzimbeni wakho kahle. Lokhu kungakhuphula amazinga e-fentanyl emzimbeni wakho futhi kubangele imiphumela emibi eminingi.

Kubantu abane-adrenal insufficiency: Ukuthatha lo muthi kunganciphisa inani lamahomoni akhululwa yizindlala zakho ze-adrenal. Uma une-adrenal insufficiency, ukuthatha lesi sidakamizwa kungakwenza kubi kakhulu.

Kubantu abanezinkinga zepancreas nezinyongo: Ukuthatha lo muthi kungadala ama-spasms angenza izimpawu zezimo ezinjenge-biliary tract disease kanye ne-pancreatitis zibe zimbi kakhulu.

Kubantu abanezinkinga zokuchama: Ukuthatha lesi sidakamizwa kungadala ukuthi umzimba wakho ugcine umchamo. Uma usuvele unenkinga yokuchama, udokotela wakho angakunikeza isilinganiso esincane.

Okwabantu abanenhliziyo eshaya kancane: Ukuthatha lo muthi kunganciphisa izinga lokushaya kwenhliziyo yakho. Uma usuvele unesilinganiso senhliziyo esihamba kancane (i-bradycardia), lo muthi ungawenza ube mubi kakhulu. Sebenzisa i-fentanyl ngokuqapha. Udokotela wakho angakunikeza isilinganiso esincane futhi akuqaphe kakhulu ngemiphumela emibi.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Akuzange kube nezifundo ezanele ezenziwe kubantu ukukhombisa ukuthi ngabe i-fentanyl ibeka ingozi enganeni yomuntu. Ukucwaninga ngezilwane kukhombise imiphumela eyingozi kumbungu lapho umama edla umuthi. Kodwa-ke, izifundo zezilwane azihlali zibikezela indlela abantu abazophendula ngayo.

Uma owesifazane ethatha lesi sidakamizwa isikhathi eside ngesikhathi sokukhulelwa, kungaholela ekuhoxisweni kwe-opioid syndrome enganeni esanda kuzalwa. Lokhu kungabeka impilo yengane engcupheni. Izimpawu zokuhoxa zingabandakanya ukucasuka, ukungasebenzi kahle kanye nephethini yokulala engajwayelekile, nokukhala okuphezulu. Zingabandakanya nokuzamazama, ukuhlanza, isifo sohudo, nokwehluleka ukukhuluphala.

Kwabesifazane abancelisayo: UFentanyl udlulela obisini lwebele futhi kungadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha lo muthi.

Okwabadala: Izinso zabantu abadala zingase zingasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kwandisa ingozi yemiphumela emibi.

Okwezingane: I-Fentanyl transdermal patch ayisungulwanga iphephile noma isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka engu-2.

UFentanyl angaxhumana neminye imithi

UFentanyl angaxhumana neminye imithi eminingana. Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ezinye zingaphazamisa ukuthi usebenza kanjani umuthi, kanti ezinye zingadala imiphumela emibi eyengeziwe.

Ngezansi kunohlu lwemithi engasebenzisana ne-fentanyl. Lolu hlu aluqukethe yonke imishanguzo engasebenzisana ne-fentanyl.

Ngaphambi kokuthatha i-fentanyl, qiniseka ukuthi utshela udokotela kanye nosokhemisi mayelana nayo yonke imishanguzo kadokotela, i-counter-counter, nezinye izidakamizwa ozithathayo. Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

Izidakamizwa okungafanele uzithathe nge-fentanyl

Ungathathi le mithi nge-fentanyl. Ukuthatha i-fentanyl ngalezi zidakamizwa kungadala imiphumela eyingozi emzimbeni wakho. Izibonelo zale mithi zifaka:

• I-Buprenorphine.
  • Ukuthatha lesi sidakamizwa nge-fentanyl kungehlisa umphumela we-fentanyl, kubangele izimpawu zokuhoxa, noma zombili.
• Izidakamizwa zokucindezeleka ezifana ne-monoamine oxidase inhibitors (MAOIs).
  • Ukuthatha le mithi nge-fentanyl kungadala ukukhathazeka, ukudideka, ukuphefumula okuphuzile, noma ikhoma. Ungathathi i-fentanyl uma uthatha ama-MAOIs noma uthathe ama-MAOI ezinsukwini eziyi-14 ezedlule.

Ukusebenzisana okwandisa ubungozi bemiphumela emibi

Ukuthatha i-fentanyl ngemithi ethile kungaholela ekwandeni kwemiphumela emibi. Izibonelo zale mithi zifaka:

• Ukuphumula kwemisipha, njenge-baclofen, i-cyclobenzaprine, ne-methocarbamol.
  • Ungase ube nezinkinga ezengeziwe zokuphefumula.
• I-Hypnotics, efana ne-zolpidem, i-temazepam, ne-estazolam.
  • Ungaba nezinkinga zokuphefumula ezandayo, umfutho ophansi wegazi, ukozela ngokweqile, noma ukuquleka. Udokotela wakho angakunika isilinganiso esincane.
• Izidakamizwa ze-anticholinergic, njenge-atropine, scopolamine, ne-benztropine.
  • Ungase ube nezinkinga ezengeziwe zokuchama noma ukuqunjelwa okukhulu, okungaholela ezinkingeni ezinkulu zamathumbu.
• I-Voriconazole ne-ketoconazole.
  • Le mithi ingakhuphula amazinga e-fentanyl emzimbeni wakho, okungakhuphula ubungozi bemiphumela emibi. Udokotela wakho angakuqapha kaningi futhi alungise isilinganiso sakho njengoba kudingeka.
• I-Erythromycin.
  • Le mithi ingakhuphula amazinga e-fentanyl emzimbeni wakho, okungakhuphula ubungozi bemiphumela emibi. Udokotela wakho angakuqapha kaningi futhi alungise isilinganiso sakho njengoba kudingeka.
• URitonavir.
  • Le mithi ingakhuphula amazinga e-fentanyl emzimbeni wakho, okungakhuphula ubungozi bemiphumela emibi. Udokotela wakho angakuqapha kaningi futhi alungise isilinganiso sakho njengoba kudingeka.

Ukusebenzisana okungenza izidakamizwa zingasebenzi kahle

Lapho i-fentanyl isetshenziswa nezidakamizwa ezithile, ingahle ingasebenzi ukwelapha isimo sakho. Izibonelo zale mithi zifaka:

• I-Rifampin.
  • Lesi sidakamizwa singanciphisa amazinga e-fentanyl emzimbeni wakho, okwenza i-fentanyl ingasebenzi kahle ekuqedeni ubuhlungu bakho. Udokotela wakho angakuqapha kaningi futhi alungise isilinganiso sakho njengoba kudingeka.
• ICarbamazepine, i-phenobarbital, ne-phenytoin.
  • Le mithi inganciphisa amazinga e-fentanyl emzimbeni wakho, okwenza i-fentanyl ingasebenzi kangako ekuqedeni ubuhlungu bakho. Udokotela wakho angakuqapha kaningi futhi alungise isilinganiso sakho njengoba kudingeka.

Ukucatshangelwa okubalulekile kokuthatha i-fentanyl

Gcina lokhu kubheka engqondweni uma udokotela wakho ekuchazela i-fentanyl transdermal patch ngawe.

Isitoreji

• Gcina lesi sidakamizwa ekamelweni eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Gcina lesi sidakamizwa esikhwameni sokuqala esingavulwa.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.
• Vikela i-fentanyl ekwebeni. Yigcine kukhabethe noma ekhabetheni elikhiyiwe.

Ukulahlwa

Qaphela lapho ulahla ama-fentanyl patches. Uma uqeda nge-patch, yenza okulandelayo:

• Songa isichibi ukuze ingcina inamathele kuyo.
• Gcwalisa isichibi esigoqiwe phansi ethoyilethi.

Ukugcwalisa kabusha

Umuthi kadokotela walo muthi awugcwaliseki. Wena noma ikhemisi lakho kuzodingeka uxhumane nodokotela wakho ukuthola incwadi kadokotela entsha uma udinga lo muthi ogcwaliswe kabusha.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha ibhokisi elinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuzilawula

• Khuluma nodokotela wakho noma usokhemisi ngokuthi ungasisebenzisa kanjani kahle futhi usiphathe isichibi se-fentanyl. Imiphumela emibi ebucayi, kufaka phakathi ukufa, ingenzeka uma uvezwa kakhulu kulo muthi.
• Gwema imisebenzi ethile ezokwandisa izinga lokushisa komzimba wakho ngenkathi usebenzisa i-fentanyl patch. Lokhu kwanda kokushisa kungadala ukweqisa kwe-fentanyl okungaholela ekufeni. Izibonelo zemisebenzi okufanele uyigweme zibandakanya okulandelayo:
  • Ungathathi amanzi okugeza ashisayo.
  • Musa ukushiswa yilanga.
  • Ungasebenzisi ama-tubs ashisayo, ama-sauna, amapayipi okushisa, izingubo zokulala zikagesi, imibhede yamanzi evuthayo, noma amalambu okushuka.
  • Ungazibandakanyi nokuvivinya umzimba okwandisa izinga lokushisa komzimba wakho.

Ukuqapha komtholampilo

Udokotela kufanele akuqaphele ngenkathi uthatha lo muthi. Izinto udokotela wakho azozihlola zihlanganisa:

• Izinga lokuphefumula kwakho. Udokotela wakho uzoqapha noma yiluphi ushintsho kuphethini yakho yokuphefumula, ikakhulukazi lapho uqala ukuthatha lesi sidakamizwa futhi ngemuva kokukhuphuka kwanoma imuphi umthamo.
• Umfutho wegazi lakho. Udokotela wakho kufanele ahlole umfutho wegazi lakho njalo.
• Umsebenzi wakho wesibindi nowezinso. Udokotela wakho angahle ahlolwe igazi ukuze abone ukuthi izinso zakho nesibindi kusebenza kahle kangakanani. Uma izinso zakho nesibindi kungasebenzi kahle, udokotela wakho anganquma ukwehlisa umthamo wakho walesi sidakamizwa.
• Noma ngabe unezimpawu zokulutha. Udokotela wakho uzokuqapha ngezimpawu zokulutha ngenkathi uthatha lo muthi.

Ukucatshangelwa kokudla

Ungadli i-grapefruit noma uphuze ijusi lamagilebhisi ngenkathi uthatha i-fentanyl. Lokhu kungaholela emazingeni aphezulu we-fentanyl emzimbeni wakho.

Ukutholakala

Akuzona zonke izinhlobo zomthamo namandla alo muthi ezingatholakala. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela ikhemisi yakho ukuze uqiniseke ukuthi inefomu namandla ashiwo udokotela wakho.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.