Yu dɔktɔ kin dɔn gi yu dis mɛrɛsin fɔ lɔng tɛm, bad bad pen we ɔda pen kil nɔ dɔn pul am. Dis nɔ tan lɛk mɛrɛsin we dɛn kin yuz fɔ mɛn pen ɔltɛm. Na dat mek i rili impɔtant fɔ no gud gud wan aw fɔ yuz dis pat, wetin i kin du, ɛn wetin yu nid fɔ tek tɛm wit. Lɛ wi tɔk bɔt dat tide.
Wetin na dis mɛrɛsin we dɛn kɔl Buprenorphine?
Fɔ tɔk am simpul wan, Buprenorphine na mɛrɛsin we dɛn kin yuz fɔ kɔntrol di pen we rili bad, we nɔ de dɔn. Dɛn nɔ kin yuz am fɔ pen wantɛm wantɛm. Na mɛrɛsin we de wok fɔ lɔng tɛm. I de wok bay we i de blok di signal dɛm we wi bren de gɛt frɔm pen. Dis mεdikeshכn de pan wan grup כf pawaful pen kil dεm we dεn kכl ‘Opioids’ . Na Sri Lanka, i de ɔnda di brand nem `Butrans`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu yuz dis pat
Bifo yu gi yu dis pat, yu dɔktɔ fɔ no bɔt yu kɔmplit wɛlbɔdi histri. Mek shɔ se yu tɛl dɛn bɔt ɛni wan pan dɛn tin ya, mɔ:
| Status/habit we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit ed ɛn bren | Kɔndishɔn lɛk bren tumor, ed injury, ɛn siz. |
| Di tin dɛn we pɔsin kin adikshɔn | If yu dɔn tek drɔgs ɔ yu dɔn gɛt adikshɔn ɔ drink rɔm bɔku tɛm. |
| Sik dɛn we de na di ɔgan dɛn we de insay di bɔdi | Liva sik, gal blad sik, pankrias sik, low adrenal gland fכnshכn. |
| At ɛn di we aw yu de blo | At sik, at we nɔ de bit ɔltɛm, lɔng sik, asma ɔ ɔda prɔblɛm wit yu brith. |
| Yuz ɔda mɛrɛsin dɛn | If yu dɔn tek mɛrɛsin frɔm di `MAOI` grup (e.g. Marplan, Nardil) insay di las 14 dez. |
| Ɔda pɔynt dɛn | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. If yu dɔn gɛt alɛji fɔ buprenorphine ɔ ɛni ɔda mɛrɛsin, it, ɔ day. |
Aw ɛksaktɔli a go yuz dis pat?
Dis na pat we dɛn kin put na do na di skin. I rili impɔtant fɔ fala di instrɔkshɔn dɛn fɔ yuz am di rayt we.
1. Fɔ pik ples: Pik say we klin, dray, we nɔ brok na di skin fɔ put di pat. di bεst ples fכ put di pat na di כp כta an we de oba di sכlda, di כp chεst, di כp bak, כ di sayd כf di chεst. Fɔ pɔsin we nɔ gɛt bɛtɛ maynd, i go fayn fɔ put di pat pan in ɔp bak, bikɔs dis kin mek i nɔ izi fɔ mek dɛn pul am dɛnsɛf.
2. Fɔ klin di skin: Wash di say we yu dɔn pik wit wata nɔmɔ ɛn dray am fayn fayn wan. Nɔ ɛva yuz sop, rɔm, ɔ loshan. If yu du dat, i kin mek mɔ pan di mɛrɛsin go insay di bɔdi ɛn i kin denja. If ia de na di say, trim am wit siza, bɔt nɔ yuz reza.
3. Fɔ put di pat: Put di pat pan di tin we i pak ɛn pul di tep we de protɛkt am na di say we stika. Nɔ kɔt ɔ pwɛl di pat. If yu du dat, yu go tek di mɛrɛsin pasmak , ɛn dis kin mek yu layf de pan denja. Nɔ tɔch di say we stika wit yu finga dɛn. Pres di insay pat pan yu an ɛn ol am tranga wan pan yu skin fɔ lɛk 15 sɛkɔn. Dɔn was yu an dɛn fayn fayn wan wit sop ɛn wata.
4. Chenj di pat: Na di nyu pat nɔmɔ yu fɔ put afta yu pul di ol wan. Put am na difrɛn say ɛvri tɛm. Nɔ put am na di sem ples bɔku bɔku tɛm.
5. If di pat kɔmɔt: If di ed dɛn na di pat bigin fɔ kɔmɔt, put wan strip pan fɔs ɛd tep along di ed dɛn. if prכblεm de we de kכntinyu fכ pil, kכba di pat wit si-through adhesive dresin nכmכ (e.g. Bioclusive, Tegaderm). Nɔ kɔba di pat wit ɛni ɔda bandej ɔ tep.
Kip away frɔm pikin ɛn animal dɛn we yu de mɛn!
Ivin pat we dɛn dɔn yuz kin stil gɛt mɛrɛsin. I kin kil am if pikin ɔ animal we dɛn lɛk put am na dɛn mɔt ɔ put am na dɛn bɔdi. Nɔ put di pat usay pikin dɛn go si am. Dɔn bak, nɔ kɔl am "stika" ɔ "tatu." Dis kin ɛnkɔrej pikin dɛn fɔ falamakata am.
Wetin a go du if a mis wan doz?
If yu fɔgɛt fɔ chenj yu pat, put nyu wan jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, na da tɛm de nɔmɔ yu fɔ put am. Nɔ ɛva yuz tu dos di sem tɛm.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
We yu de yuz dis pat, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek, mɔ if yu de drink rɔm.
Sɔm mɛrɛsin kin intarakt wit dis pat ɛn mek siriɔs sayd ɛfɛkt. Fɔ ɛgzampul:
- Sɔm mɛrɛsin fɔ pwɛl hat, wɔri, ɔr slip
- Sɔm mɛrɛsin fɔ alɛji, kɔf, ɛn kol (Antihistamines) .
- Sɔm antifɔngal dɛn (ɛgz., ketoconazole) ɛn antibayɔtiks (ɛgz., ɛrythromycin) .
- Sɔm mɛrɛsin fɔ ɛpilepshi (ɛgz., carbamazepine) .
- Di tin dɛn we de mek di mɔsul dɛn rilaks
- Rum
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de yuz di pat
- Bɔt pen: Tɛl yu dɔktɔ if yu pen nɔr de go, i de wɔs, ɔr if yu gɛt nyu kayn pen. As tɛm de go, di doz we yu bin de tek trade nɔ go du fɔ kɔntrol yu pen igen. Dɛn kɔl dis `Tɔlɛreshɔn`. Dis na nɔmal tin.
- Fɔ stɔp di mɛrɛsin: Nɔ stɔp fɔ yuz di pat wantɛm wantɛm. Yu bɔdi de dipen pan dis mɛrɛsin, so if yu stɔp am wantɛm wantɛm, i kin mek yu gɛt siriɔs sayn fɔ lɛf fɔ tek am. Dis nɔto adikshɔn. If nid de, yu dɔktɔ go ridyus di doz smɔl smɔl.
- Drɔw ɛn diziz: Dis mɛrɛsin kin mek yu fil fɔ slip ɛn diziz. So, te yu no aw dis kin afɛkt yu , nɔ drayv ɔ yuz mashin. Nɔ grap frɔm we yu sidɔm ɔ tinap wantɛm wantɛm.
- Kɔnstipɛshɔn: Dis na kɔmɔn sayd ɛfɛkt fɔ dis mɛrɛsin. If yu nɔ gɛt bɔdi fɔ 3 dez, tɔk to yu dɔktɔ.
- Di tɛmpracha na di bɔdi: Dis rili impɔtant. If yu bɔdi wam, mɔ mɛrɛsin kin kɔmɔt na di pat, we kin mek yu tek am pasmak. So, if yu gɛt fiva, go to yu dɔktɔ.Se. Nɔ was ɔt, de na di san, yuz sawna, ɔ ɔt pad. Nɔ du ɛksɛsayz we de mek yu bɔdi wam.
- If yu tek dis mɛrɛsin pasmak: If yu tink se yu dɔn tek bɔku pan dis mɛrɛsin, go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Di sayn dɛm we de sho se pɔsin tek di mɛrɛsin pasmak na we i de blo sloslo , i kin slip bad bad wan, ɛn i nɔ kin ebul fɔ wek. Tɔk to yu dɔktɔ bɔt di mɛrɛsin we de sev yu layf `Naloxone`, we dɛn kin gi pan dɛn kayn tin ya.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Sɛntral nervɔs sistɛm diprɛshɔn (CNS dipreshɔn) . | Fɔ blo sloslo ɔ shalɔ, slip pasmak, nɔ no natin, i nɔ kin izi fɔ wek. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ i nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fil pen na yu chɛst. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Pen na di ɔp rayt bɛlɛ, yu nɔ kin want fɔ it, yu skin ɔ yu yay kin yɔlɔ, yu urine kin dak. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
Kɔnstipɛshɔn, diziz, slip, dray mɔt, ed pen, nɔs, vɔmit, it ɔ rɛd usay dɛn put di pat. | |
Mɛsej we dɛn kin kɛr go na os
- Di buprenorphine pat na pawaful mɛrɛsin fɔ siriɔs pen we nɔ de dɔn. Yuz am nɔmɔ if yu dɔktɔ tɛl yu.
- We yu de put di pat, pik say we klin, dray, ɛn we nɔ brok, was am wit wata nɔmɔ, ɛn put am fayn fayn wan. Ɔltɛm yu fɔ put am ɛn kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Dis mɛrɛsin kin mek yu slip ɛn diziz. So, nɔ fɔ drayv. Nɔ drink rɔm ɔltogɛda.
- If yu wam pasmak (fiva, wam wata we yu de was) kin mek di pat absɔb tumɔs mɛrɛsin, we kin denja. Tek tɛm bad bad wan wit dis.
- If yu gɛt ɛni bad bad sayd ɛfɛkt lɛk fɔ blo, fɔ slip pasmak, ɔ fɔ nɔ no natin, go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
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