He lāʻau lapaʻau no ka hoʻohui lāʻau: E aʻo kākou e pili ana i nā Papa Methadone Dispersible

He pilikia koʻikoʻi ka hoʻohana ʻana i nā lāʻau lapaʻau e kū nei i nā poʻe he nui. Hiki ke paʻakikī loa ke hoʻoponopono i nā hōʻailona haʻalele a me nā makemake e hele mai me ka hoʻāʻo ʻana e haʻalele, ʻeā? I kekahi manawa manaʻo ʻia ʻaʻole hiki iā ʻoe ke hele wale ma kēia huakaʻi. Akā, mai hopohopo, aia nā lāʻau lapaʻau e hiki ke kōkua.

He aha ke ʻano lāʻau lapaʻau kēia?

ʻO ka Methadone kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi hoʻohana opioid (Opioid Use Disorder). I ka ʻōlelo maʻalahi, hana ia ma ka hōʻemi ʻana i nā hōʻailona kino maikaʻi ʻole (nā hōʻailona haʻalele) a me nā makemake e kū mai ana ke hoʻōki ʻoe i ka hoʻohana ʻana i ka lāʻau. ʻOi aku ka maikaʻi ke hoʻohana ʻia me ka ʻōlelo aʻoaʻo a me ka hoʻoponopono ʻano . He ʻano lāʻau lapaʻau nō hoʻi i kapa ʻia he opioid. I kekahi manawa hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kumu ʻē aʻe. E nīnau i kāu kauka a kauka lāʻau paha e pili ana i kēia.

ʻO Methadose ka inoa i hoʻohana nui ʻia ma ka mākeke.

He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?

Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou:

• ʻŌpū lolo
• Ka hoʻohana ʻino ʻana i nā lāʻau lapaʻau a i ʻole ka ʻona
• ʻEha poʻo
• Maʻi puʻuwai
• Inā he mea inu mau ʻoe
• Maʻi puʻupaʻa
• Maʻi akepaʻa
• Hana haʻahaʻa o ke kelepa adrenal
• Ke koko haʻahaʻa
• Nā pilikia o ka māmā, ka hānō, a i ʻole ka hanu ʻana
• Maʻi olakino noʻonoʻo
• Nā hopu ʻana
• Nā pilikia o ka ʻōpū a i ʻole ka naʻau
• Inā ua lawe ʻoe i kahi lāʻau lapaʻau mai ka hui MAOI (e.g. Marplan, Nardil, Parnate) i loko o nā lā 14 i hala
• Maʻi thyroid
• Inā ua loaʻa iā ʻoe kahi hopena ʻē aʻe a i ʻole ka maʻi ʻaleka i ka methadone, nā lāʻau ʻeha opioid ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā ​​​​mea mālama
• Inā ʻoe e hāpai ana a manaʻo paha ua hāpai ʻoe
• Inā ʻoe e hānai waiū ana

Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha. E hahai i nā kuhikuhi ma ka lepili kauoha i hāʻawi ʻia e kāu kauka. E nānā i ka helu pololei o nā pila e pono ai no kāu mahele.

Pono e hoʻoheheʻe ʻia kēia mau papa i loko o ke aniani wai, wai ʻalani, wai citrus Tang, a i ʻole nā ​​​​mea ʻono citrus o Kool-Aid.E hoʻowali maikaʻi no hoʻokahi minute. E ʻike paha ʻoe i kekahi o ka papa i koe i loko o ke aniani. ʻAʻole e hoʻoheheʻe loa ʻia ka papa. Akā, pono ʻoe e inu i ka wai a pau i loko o ke aniani. Mai nau i ka papa a ale paha iā ia a pau. Pono e hoʻoheheʻe ʻia ka papa a inu.

Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau me ka meaʻai a me ka ʻole. Inā he ʻōpū ʻeha kou, e lawe pū me ka meaʻai. E lawe i kāu lāʻau lapaʻau i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ke kauoha. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.

E loaʻa iā ʻoe kahi alakaʻi lāʻau lapaʻau kūikawā (MedGuide) me kēlā me kēia kauoha āu e loaʻa ai mai ka hale kūʻai lāʻau lapaʻau a ke loaʻa iā ʻoe kahi hoʻopihapiha. E hoʻomanaʻo mau e heluhelu pono.

E kamaʻilio me kāu hui mālama ola e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no ka mea, pono paha ka mālama kūikawā.

Ka nui o ka lāʻau

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.

Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e lawe iā ia i kēlā manawa. Mai lawe i kahi lāʻau pālua a i ʻole nā ​​lāʻau keu.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?

Mai lawe pū me ka Methadone me kekahi o nā lāʻau lapaʻau ma lalo nei:

• ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, no ka laʻana itraconazole, ketoconazole, posaconazole, voriconazole
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā puʻuwai puʻuwai kūpono ʻole, no ka laʻana ʻo bepridil, bretylium, dronedarone, quinidine
• ʻO Cisapride
• Halofantrine
• ʻO Mesoridazine
• Pimozide
• Rasagiline
• ʻO Selegiline
• ʻO Thioridazine

Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau aʻe. No laila, pono ʻoe e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau mea:

• ʻAila
• Nā antihistamines no nā maʻi ʻaleka, nā ʻū, a me ke anu
• Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS
• ʻArsenic trioxide
• ʻAtropine
• ʻO kekahi mau lāʻau antibiotic, e like me clarithromycin, erythromycin, rifampin
• ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
• ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi, e like me ka oxybutynin a me ka tolterodine
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa, e like me dasatinib, lapatinib
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, e like me ka amitriptyline, fluoxetine, sertraline
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā puʻuwai puʻuwai kūpono ʻole, e like me amiodarone a me sotalol
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka malaria, e like me chloroquine, mefloquine
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka migraines, e like me sumatriptan
• ʻO kekahi mau lāʻau lapaʻau no ka nausea a i ʻole ka luaʻi ʻana, e like me ka ondansetron
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana, e like me ka carbamazepine, phenobarbital, a me phenytoin
• ʻO kekahi mau lāʻau lapaʻau no ka ʻeha o ka ʻōpū, e like me dicyclomine
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi huakaʻi, e like me ka scopolamine
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi o Parkinson
• ʻO Fluconazole
• Nā lāʻau hoʻomaha maʻamau (e.g. halothane, propofol)
• Haloperidol
• ʻIpratropium
• Linezolid
• Nā lāʻau anesthetics kūloko, e.g. lidocaine
• MAOIs (MAOIs) hui o na laau lapaau e.g. Marplan, Nardil, Parnate
• Nā mea hoʻomaha ʻiʻo no ke ʻoki kino
• Polū Methylene
• ʻOktreotide
• ʻO nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i nā ʻano puʻuwai maʻamau (e hoʻolōʻihi i ka wā QT), e like me dofetilide, ziprasidone
• Nā lāʻau lapaʻau ʻē aʻe no ka ʻeha a i ʻole ke kuni
• ʻO ka Peginterferon alfa-2b
• ʻO nā Phenothiazines, e.g. chlorpromazine
• Ranolazine
• ʻO Takrolimus
• ʻO Vardenafil

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena āpau e hiki mai ana. E hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau, nā mea kanu, nā lāʻau lapaʻau ma luna o ke kauka, a i ʻole nā ​​​​mea hoʻohui meaʻai āu e lawe nei. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.

He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?

E ʻike pinepine i kāu hui mālama ola. Inā ʻoe e lawe ana i kēia lāʻau lapaʻau no ka ʻeha, inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino o kou ʻeha, a inā he ʻano ʻeha hou kou, e haʻi i kāu kauka. Inā ʻoe e lawe ana i kēia lāʻau lapaʻau no ka maʻi hoʻohana opioid (Opioid Use Disorder), e hele i ka ʻōlelo aʻo a i ʻole nā ​​​​hui kākoʻo i ʻōlelo ʻia e kāu kauka. Mai ho'āʻo e pale aku i nā hopena o kēia lāʻau lapaʻau ma ka lawe ʻana i nā narcotics hou aku. Hiki i kēia ke hana i nā pilikia koʻikoʻi, me ka make. Eia kekahi, ma hope o kou hoʻōki ʻana i ka lawe ʻana i kēia lāʻau lapaʻau, hiki i kou kino ke lilo i mea ʻoi aku ka maʻalahi i nā liʻiliʻi o nā narcotics.

Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi. E maʻa kou kino i ka lāʻau lapaʻau. E haʻi aku kāu hui mālama ola iā ʻoe i ka nui o ka lāʻau lapaʻau āu e pono ai e lawe. Inā manaʻo lākou he pono ʻoe e hoʻōki i ka lawe ʻana, e hoʻemi mālie lākou i ka nui e hōʻemi i nā hopena ʻaoʻao.

Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai iā ʻoe (e like me nā lāʻau hoʻomaha ʻeha narcotic ʻē aʻe, benzodiazepines, a i ʻole nā ​​lāʻau hiamoe ʻē aʻe), hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao hou aʻe. E hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei. E haʻi lākou iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka mea i kuhikuhi ʻia. Inā pilikia ʻoe i ka hanu ʻana a i ʻole manaʻo ʻoe he luhi a hiamoe paha, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia.

E kamaʻilio me kāu hui mālama ola e pili ana i ka naloxone a pehea e loaʻa ai. ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia i hāʻawi ʻia e mālama i ka overdose o nā opioids. Inā lawe ʻoe i ka nui o ka opioid a inā lawe ʻoe me nā mea ʻē aʻe e like me ka waiʻona, loaʻa paha iā ʻoe kahi overdose. He mea nui e ʻike i nā hōʻailona o ka overdose. No ka laʻana, ka pilikia o ka hanu ʻana, ka luhi a i ʻole ka hiamoe ʻole, a i ʻole ka hiki ʻole ke pane a ala aʻe. E hoʻomaopopo i kou ʻohana a me nā mea aloha i kahi o ka lāʻau naloxone. Pono lākou e ʻike pehea e hoʻohana ai. Ma hope o ka hāʻawi ʻia ʻana iā ʻoe i ka naloxone, pono ʻoe e loaʻa koke i ka lāʻau lapaʻau ulia pōpilikia. He lāʻau lapaʻau manawa pōkole ʻo Naloxone. Pono paha ʻoe e lawe i nā lāʻau hou aku.

Hiki paha iā ʻoe ke hiamoe a poniuniu paha. Mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. E hōʻemi kēia i ka manawa o ka poniuniu a i ʻole ka māʻule ʻana. Hiki i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana a kēia lāʻau lapaʻau. No laila e pale i ka inu ʻana i ka waiʻona.

E komo i kahi kūpeʻe lima a kaulahao paha me ka hōʻailona lapaʻau, a lawe i kahi kāleka me nā kikoʻī e pili ana i kou maʻi, nā lāʻau lapaʻau, a me nā lāʻau i hoʻohana ʻia.

Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻana o ka ʻōpū . Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu hui mālama ola.

Maloʻo paha kou waha. Hiki i ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono paʻakikī me ke kō ʻole, a me ka inu ʻana i ka wai he nui ke kōkua. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka.

Pono nā wāhine e haʻi i kā lākou hui mālama ola inā e hoʻolālā ana lākou e hāpai a manaʻo paha e hāpai ana lākou. Hiki iā ia ke hana i nā hopena koʻikoʻi i kahi pēpē i hānau ʻole ʻia. E kamaʻilio me kāu hui mālama ola e pili ana i nā pono a me nā pilikia o ka hānai waiū ʻana i ka wā e lawe ana i kēia lāʻau. Hiki i kēia lāʻau ke komo i loko o ka waiū umauma. E kamaʻilio me kāu hui mālama ola inā ʻoe e hoʻolālā ana e hoʻomaka a hoʻōki paha i ka lawe ʻana i kēia lāʻau i kou wā e hānai waiū ana, a inā ʻoe e hoʻolālā ana e hoʻōki i ka hānai waiū.

He aha nā hopena ʻaoʻao e hiki iaʻu ke loaʻa mai kēia lāʻau lapaʻau?

Pono ʻoe e haʻi koke i kāu hui mālama ola kino inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao:

• Nā hopena maʻi āpau - ka ʻili ʻulaʻula, ka ʻeha, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu
• ʻO ke kaumaha o ka ʻōnaehana nerve waena (CNS depression) - ka hanu lohi a pāpaʻu paha, ka paʻakikī o ka hanu ʻana, ka nāwaliwali, ka poniuniu, ka huikau, ka paʻakikī e ala
• Nā loli o ka puʻuwai - ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, ka poniuniu, ka nāwaliwali, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana
• Hana haʻahaʻa o ke kelepa adrenal - nausea, luaʻi, nalowale o ka makemake, nāwaliwali a luhi paha, dizziness
• Ke koko haʻahaʻa - ka poniuniu, ka nāwaliwali, ka ʻike maka pohihihi

Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike ʻia i ka hui lapaʻau inā hoʻomau a hoʻopilikia paha):

• Ka paʻa ʻana o ka ʻōpū
• Pōʻino
• Hiamoe
• Waha maloʻo
• ʻEha poʻo
• Ka luaʻi
• Ka luaʻi ʻana

ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.

Ma hea kahi e mālama ai i kaʻu lāʻau lapaʻau?

E mālama ʻia mai ka hiki ʻana aku o nā keiki. Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau (hoʻomāinoino ʻia). No laila e mālama i kāu lāʻau lapaʻau ma kahi palekana e pale aku ai mai ka ʻaihue ʻia. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli ke kūʻai aku a hāʻawi aku paha i kēia lāʻau lapaʻau i nā poʻe ʻē aʻe a he kūʻē i ke kānāwai.

E mālama ma ka mahana o ka lumi, ma waena o 20 a me 25 kekelē Celsius (68 a me 77 kekelē Fahrenheit). E pani pono i ka ʻōmole lāʻau.

Hiki i kēia lāʻau lapaʻau ke lilo i mea ʻino a make paha inā lawe ʻia e nā pākeke ʻē aʻe, nā keiki, a i ʻole nā ​​holoholona. E hoʻihoʻi i ka lāʻau lapaʻau i hoʻohana ʻole ʻia i kahi hoʻolei kūhelu. No ka loaʻa ʻana o hoʻokahi, e kelepona i ka DEA ma 1-800-882-9539, a i ʻole e nīnau i kou ʻaha kūlanakauhale/mokuʻāina. Inā ʻaʻole hiki iā ʻoe ke hoʻihoʻi i ka lāʻau lapaʻau, e hoʻolei i lalo i ka lua. Mai hoʻohana i ka lāʻau lapaʻau i hala kona lā palena pau.

E ʻoluʻolu e hoʻomaopopo: He hōʻuluʻulu manaʻo wale nō kēia pepa. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

ʻOiai he lāʻau lapaʻau koʻikoʻi ka methadone e kōkua ai i ka hoʻohui lāʻau lapaʻau, pono e mālama pono i ka wā e hoʻohana ai. E hoʻomanaʻo:

• E hahai pono i nā ʻōlelo a kāu kauka. Mai hoʻoheheʻe i nā papa, mai nau iā lākou, a mai ale paha iā lākou.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki i kēia ke launa pū me kekahi mau lāʻau lapaʻau.
• Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau. E ho'ēmi i ka nui e like me ka ʻōlelo a kāu kauka.
• E makaʻala i nā mea e like me ka hiamoe a me ka poniuniu. E akahele i ka wā e hoʻokele ana.
• E makaʻala iā Naloxone. Hiki iā ia ke kōkua i ka hoʻopakele ʻana i ke ola inā loaʻa ka overdose.
• E mālama i nā lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki.

ʻAʻole pono ʻoe e hele wale ma kēia huakaʻi. Me ke kōkua o kāu hui lapaʻau, nā kākā'ōlelo, a me ka ʻohana, hiki iā ʻoe ke lanakila ma luna o kēia. E noho ikaika!

ʻO ka Methadone, ka hoʻohui lāʻau lapaʻau, nā opioids, nā hōʻailona haʻalele, nā makemake nui, nā pilina lāʻau lapaʻau, nā hopena ʻaoʻao