Lɛ wi lan bɔt dis spɛshal mɛrɛsin fɔ ed pen? (Butalbital; Asetaminofɛn; Kafin; Kɔdin)

Adu! Sɔntɛnde yu kin gɛt ed pen we kin tan lɛk se dɛn de swɛt yu ed frɔm insay, ɔ lɛk se dɛn tayt bɛlt rawnd yu ed? Wi kin kɔl dis tɛnsiɔn ed pen . Sɔntɛnde, i nɔ kin izi fɔ bia. So, we ɔdinari mɛrɛsin dɛn we de mek pɔsin fil pen nɔ de mek pɔsin fil fayn, dɔktɔ dɛn kin yuz spɛshal mɛrɛsin fɔ dɛn kayn ed we de at. Tide wi go tɔk bɔt wan pan dɛn kayn mɛrɛsin ya, dat na wan kapsul we dɛn mek bay we dɛn jɔyn 4 tin dɛn: `(Butalbital)`, `(Acetaminophen)`, `(Caffeine)` ɛn `(Codeine)`.

Wetin na dis mɛrɛsin? Fɔ tɔk am simpul wan...

Dɛn kin yuz dis mɛrɛsin (Butalbital; Acetaminophen; Caffeine; Codeine) fɔ pul bad bad ed pen, mɔ di tɛnsiɔn ed pen . Bɔt mɛmba se dis nɔto mɛrɛsin fɔ mek yu nɔ gɛt maygren. Dɛn kin gi am nɔmɔ if ɔda mɛrɛsin dɛn we de mek pɔsin fil pen nɔ dɔn wok.

Dis mɛrɛsin gɛt 4 men tin dɛn:

• `(Butalbital)` (Butalbital): Dis de pan di `(Barbiturate)` klas fɔ drɔgs. Fɔ tɔk am simpul wan, i kin ɛp fɔ klin yu ed ɛn mek yu rilaks.
• `(Acetaminophen)` (Acetaminophen): Dis na, as yu go dɔn no, wan tin we de mek pɔsin nɔ fil pen ɛn we de ridyus fiva.
• Kafin: Kafin de mek di tin dɛn we asɛtaminofɛn gɛt fɔ mek pɔsin nɔ fil pen. I kin ɛp bak fɔ ridyus di slip we butylbarbital ɛn codeine kin kam wit.
• Codeine: Dis de pan di opioid klas fɔ pen kil. I de wok bay we i de ridyus di pen signal to di bren.

Dis mɛrɛsin kin kam ɔnda brand nem dɛm lɛk ``Fioricet with Codeine'', bɔt di nem fɔ di mɛrɛsin we yu dɔktɔ gi yu impɔtant. Sɔntɛnde, dɛn kin yuz dis mɛrɛsin fɔ ɔda tin, so aks yu dɔktɔ ɔ fama bɔt am.

Wetin na de tin wae yu nid fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin?

Bifo yu bigin fɔ yuz dis mɛrɛsin, yu fɔ rili tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• If yu gɛt bren tumbu.
• If yu na pɔsin we de drink ɔltɛm.
• If yu gɛt injuri na yu ed.
• If yu gɛt at sik.
• If yu gɛt liva sik.
• If yu gɛt prɔblɛm wit yu brith lɛk lɔŋ sik ɔ asma.
• If yu dɔn gɛt sik dɛn we de mek yu sik bifo.
• If yu gɛt prɔblɛm wit yu bɛlɛ ɔ yu intestinal.
• If yu gɛt disɔda fɔ yuz sɔbstans.
• If yu dɔn tek mɛrɛsin na di `(MAOI)` grup (e.g. `(Marplan)`, `(Nardil)`, `(Parnate)`) insay di pas 14 dez.
• If yu gɛt alɛji to asetaminofɛn, butylbutyral, kafin, kɔdin, ɔ ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
• If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
• If yu na mama we de gi pikin in bɛlɛ.

I rili impɔtant fɔ tɛl yu dɔktɔ bɔt dɛn tin ya ɛn nɔ ayd dɛn, bikɔs na da tɛm de nɔmɔ dɛn go ebul fɔ trit yu fayn fayn wan.

Aw a fɔ yuz dis mɛrɛsin?

• Dɛn fɔ tek dis mɛrɛsin bay mɔt wit wan glas wata.
• Tek di mɛrɛsin we yu dɔktɔ gi yu jɔs lɛk aw i rayt na di lɛbl we yu gi yu, di rayt we ɛn di rayt tɛm . Nɔ tek am mɔ ɔ mɔ pas aw yu dɔktɔ tɛl yu fɔ tek am.
• We yu gɛt dis mɛrɛsin frɔm di famasi, dɛn go gi yu wan spɛshal instrɔkshɔn liflet ``(MedGuide) .`` Rid am fayn fayn wan ɛvri tɛm we yu gɛt di mɛrɛsin, ɛn we yu gɛt rifil. I gɛt impɔtant tin dɛn.
• Bɔt aw fɔ gi pikin dɛn dis mɛrɛsin:
• I nɔ fayn fɔ gi dis mɛrɛsin to pikin dɛn we nɔ rich 12 ia yet.
• Nɔ gi dis mɛrɛsin to pikin we nɔ rich 18 ia yet we dɛn dɔn ɔpreshɔn fɔ pul di tonsil ɔ adenoid.
• Jɛnɛral wan, tɔk to yu dɔktɔ fayn fayn wan ɛn gɛt advays bɔt aw fɔ gi pikin dɛn dis mɛrɛsin.
• Pipul dɛn we dɔn pas 65 ia: Dis mɛrɛsin kin wok fayn fɔ yu. So i go fayn fɔ yu fɔ gi yu di doz we smɔl.
• Ɔvados: If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ di imejensi rum we de nia yu wantɛm wantɛm.

Di tin we impɔtant pas ɔl: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva gi am to ɛni ɔda pɔsin. I denja.

Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?

If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.

Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?

Dis rili impɔtant. We yu de tek dis mɛrɛsin, nɔ tek dɛn mɛrɛsin ya atɔl :

• `(Elbasvir; grazoprevir)`
• `(Linezolid)`
• `(MAOIs)` (ɛgz. `(Kabɛks)`, `(Ɛldepril)`, `(Maplan)`, `(Nardil)`, `(Parnate)`)
• `(Mɛtilin blu)`
• `(Nifedipin)`
• `(Praziquantel)`
• `(Ranolazin)`
• `(Sɔdiɔm ɔksibɛt)`
• `(Vɔrikonazɔl)`

Dɔn bak, bɔku ɔda mɛrɛsin dɛn de we kin wok wit dis mɛrɛsin . Dat min se, dɛn kin afɛkt di we aw dis mɛrɛsin de wok ɔ mek in sayd ɛfɛkt dɛn bɔku. Na sɔm ɛgzampul dɛn ya:

• Alkol ɔ ɛnitin we gɛt rɔm.
• Sɔm kayn ``Antihistamines'' dɛn kin gi fɔ ed pen, kɔf, ɛn kol.
• Antivayral drɔgs we dɛn kin gi fɔ `(HIV)` ɔ `(AIDS).`
• Mɛrɛsin dɛn lɛk `(Atropine)`.
• Sɔm kayn antibayɔtik, fɔ ɛgzampul `(Erythromycin)`, `(Clarithromycin)`.
• Mɛrɛsin fɔ wɔri ɔ fɔ slip.
• Mεdisin dεm fכ blad prכblεm (e.g. oxybutynin, tolterodine).
• Mεdikeshכn dεm fכ diprεshכn (e.g. amitriptyline, fluoxetine, sertraline).
• Mεdisin dεm fכ fכn infεkshכn (e.g., kεtokonazכl, itrakonazכl).
• di mεdisin dεm we dεn gi fכ trit di at bit we nכ de bit (e.g. amiodarone, quinidine).
• Sɔm mɛrɛsin fɔ maygren (e.g., almotriptan, eletriptan, sumatriptan).
• Mεdikeshכn dεm fכ di sik we dεn kכl Pakinson (e.g., benztropine, trihexyphenidyl).
• Antikonvulsant mεdikeshכn dεm (e.g. kabamazεpin, fεnobarbital, fεnitoin).
• Mεdisin dεm fכ bεlε we de at (e.g. dicyclomine, hyoscyamine).
• Mεdisin dεm we dεn kin yus fכ mek yu nכ muv sik we yu de travul (e.g., `(scopolamine)`).
• `(Diuretics)` (mεdisin dεm we de pul wata na di bכdi).
• Jɛnɛral anestetik (e.g., halothane, propofol).
• Grepfruit jus we dɛn kin mek.
• `(Ipratropium)`.
• Lokal anestetik (e.g. lidocaine).
• Mɔsul rilaksant fɔ ɔpreshɔn.
• Ɔda tin dɛn we de mek pɔsin nɔ fil pen ɔ we de ridyus fiva we gɛt asetaminofɛn.
• Ɔda `(Opioid)` tayp mɛrɛsin fɔ pen ɔ kɔf.
• `(Fɛnotiazin dɛn)` (e.g. `(klɔrpromazin)`).
• `(Rifampin)`.

Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (prɛskrishɔn, ɔva-di-kɔnta, tradishɔnal mɛrɛsin, vaytamɛn, nyutrishɔn sɔpɔtmɛnt - ɔltin). Dɔn bak, tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Sɔm tin kin miks wit dis mɛrɛsin.

Wetin na di tin dɛm we yu fɔ tek tɛm wit we yu de tek mɛrɛsin?

Yu fɔ tek tɛm mɔ bɔt dɛn tin ya we yu de yuz dis mɛrɛsin:

If di pen nɔ stɔp...

If yu pen nɔ go dɔn, if i de wɔs, ɔ if yu gɛt nyu kayn pen, tɛl yu dɔktɔ . Sɔmtɛm yu bɔdi kin yus to dis mɛrɛsin (`(Tolerance)`). Dis min se yu kin nid fɔ gɛt mɔ doz pas aw yu bin de tek bifo fɔ gɛt di sem pen rilif. Dis na nɔmal tin if yu tek dis mɛrɛsin fɔ lɔng tɛm.

Wetin a go du if a tek sɔm kayn mɛrɛsin dɛn we de mek a nɔ fil pen di sem tɛm?

Bɔku difrɛn kayn mɛrɛsin dɛn de fɔ mek pɔsin fil pen. If yu tek sɔm pan dɛn kayn tin ya di sem tɛm, di sayd ɛfɛkt kin bɔku. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Yu dɔktɔ go tɛl yu ɔmɔs fɔ tek. Nɔ ɛva tek mɔ mɛrɛsin pas aw yu dɔktɔ tɛl yu. If yu gɛt prɔblɛm fɔ blo, kɔl di imejensi savis dɛn wantɛm wantɛm.

Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm!

Yu nɔ fɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm. If yu du dat, i kin mek yu gɛt siriɔs riakshɔn fɔ lɛf fɔ smok. Dis na bikɔs yu bɔdi dɔn yus to di mɛrɛsin. Dis nɔ min se yu dɔn adikshɔn to am. Adikshɔn na fɔ yuz mɛrɛsin fɔ rizin we nɔto mɛrɛsin. If yu de fil pen, dat na mɛrɛsin rizin fɔ tek wan mɛrɛsin we de mek yu fil pen. Yu dɔktɔ fɔ tɛl yu ɔmɔs mɛrɛsin fɔ tek ɛn ustɛm fɔ stɔp. If yu dɔktɔ want mek yu stɔp fɔ tek di mɛrɛsin, i go ridyus di doz smɔl smɔl. Dis go mek di bad tin dɛn we kin apin to am nɔ bɔku.

Mek wi no bɔt `Naloxone`

Naloxone na imejensi tritmɛnt fɔ ɔvados fɔ wan opioid (codeine na opioid bak). Ɔvados kin apin we dɛn tek wan opioid bɔku bɔku wan ɔ we dɛn tek am wit ɔda drɔgs, lɛk rɔm. Di sayn dɛm wae de sho se yu tek am pasmak na wae yu nɔr kin ebul fɔ blo fayn, yu kin taya pasmak ɔr yu kin slip, ɔr yu nɔr kin ebul fɔ tɔk ɔr yu nɔr kin ebul fɔ wek. If yu de kɛr Naloxone, tɛl yu famili ɛn di wan dɛn we yu lɛk usay i de, aw fɔ yuz am, ɛn aw fɔ yuz am. Afta dɛn dɔn gi am Naloxone, di pɔsin we gi am fɔ kɔl di imejensi savis. Naloxone na tritmɛnt fɔ sɔm tɛm. Sɔntɛm dɛn go nid fɔ gi am bak.

Yu nid fɔ rili tek tɛm we yu de gi pikin dɛn dis mɛrɛsin.

Pikin dɛn kin gɛt bɔku sayd ɛfɛkt frɔm dis mɛrɛsin. If yu pikin de blo sloslo, de mek nɔys we i de blo, i tan lɛk se i kɔnfyus, ɔ i de slip we nɔ kɔmɔn, stɔp fɔ gi dis mɛrɛsin wantɛm wantɛm ɛn kɔl di imejensi savis dɛm.

Nɔ tek wit ɔda mɛrɛsin dɛn we gɛt `(Acetaminophen)`!

Dis mɛrɛsin gɛt `(Acetaminophen)`. So, nɔ tek ɛni ɔda mɛrɛsin we gɛt `(Acetaminophen)` (e.g. Paracetamol) wit dis mɛrɛsin. Bɔku mɛrɛsin dɛn we de na di famasi kin gɛt `(Acetaminophen). So, tek tɛm rid di lɛbl ɔltɛm. If yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ ɔ fama.

Fɔ tek tumɔs `(Acetaminophen)` na tin we rili denja. I kin mek di liva pwɛl. If yu tink se yu dɔn tek tumɔs, ivin if yu nɔ gɛt ɛni sayn, go to dɔktɔ wantɛm wantɛm.

Drayv ɛn ɔpreshɔn mashin dɛn

Dis mɛrɛsin kin ridyus yu kɔdineshɔn, riakshɔn tɛm, ɔr jɔjmɛnt. So, nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Sidɔm ɛn tinap sloslo fɔ mek yu nɔ diziz ɛn nɔ gɛt bɛtɛ ed. If yu tek dis mɛrɛsin wit rɔm, dat kin mek dɛn sayd ɛfɛkt ya bɔku.

Ɔda tin dɛn we kin apin: kɔnstipɛshɔn, yu mɔt kin dray

• Dis mɛrɛsin kin mek pɔsin gɛt kɔnstipɛshɔn . If yu nɔ gɛt bɔdi afta 3 dez, tɛl yu dɔktɔ .
• Yu mɔt dɔn dray.Yɛs. If yu it gɔm we nɔ gɛt shuga, we yu sok kandy we nɔ gɛt shuga, ɛn drink bɔku wata, dat kin ɛp yu. If dis prɔblɛm kɔntinyu ɔ i de kam tranga, tɛl yu dɔktɔ .

Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?

Lɛk ɔl di mɛrɛsin dɛn, dis wan kin gɛt sayd ɛfɛkt. Sɔm dɛn denja, sɔm nɔmal.

Di sayd ɛfɛkt dɛm we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm:

If yu gɛt ɛni wan pan dɛn sik ya , yu fɔ tɛl yu dɔktɔ wantɛm wantɛm :

• Alɛji: Skin de rɔsh, it, swel, swel na yu fes, lip, tɔŋ, ɔ trot.
• Sεntri nεv sεstem dεpreshכn (CNS dεpreshכn): I de blo sloslo כ shalo, i kin at fכ brith, fεnt, diziz, kכnfyushכn, i kin at fכ de wek.
• Liva injuri: Pen na di ɔp rayt say na di bɛlɛ, i nɔ kin want fɔ it, i kin nɔs, i kin gɛt layt kɔlɔ stɔl, i kin gɛt dak yɔlɔ ɔ brawn urine, yu skin ɔ yu yay kin yɔlɔ, yu kin wik ɔ taya we nɔ kɔmɔn.
• Lɔw adrenal gland fɔ wok: Nɔs, vɔmit, nɔ want fɔ it, wik ɔ taya we nɔ kɔmɔn, diziz.
• Lɔw blɔd prɛshɔn: Diziz, fɔdɔm, nɔ de si fayn.
• di skin kin rεd, blista, εn kכl dεm bak insay di mכt.

Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de:

Dis na sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ. Bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ :

• Banbɛlɛ
• Diziz we pɔsin kin gɛt
• Di we aw pɔsin kin slip
• Dray mɔt
• Vɔmit
• Bɛlɛ de pen
• Fɔ vɔmit

Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. Aks yu dɔktɔ fɔ no mɔ bɔt di sayd ɛfɛkt dɛn. Yu kin ripɔt bak di sayd ɛfɛkt to di FDA (na Sri Lanka, yu kin ripɔt am to di Ministri fɔ Wɛlbɔdi biznɛs tru yu dɔktɔ).

Aw yu fɔ kip yu mɛrɛsin?

• Kip am usay pikin dɛn nɔ go ebul fɔ rich. Dɛn kin yuz dis mɛrɛsin di rɔŋ we (abuse). So, kip am na say we sef fɔ protɛkt am frɔm tif.
• Nɔ ɛva gi dis mɛrɛsin to ɛni ɔda pɔsin. Fɔ sɛl ɔ gi dis mɛrɛsin to ɛni ɔda pɔsin rili denja ɛn i nɔ gri wit di lɔ.
• Dis mɛrɛsin kin mek pɔsin tek am pasmak ɛn ivin day if ɔda big pɔsin, pikin, ɔ animal we dɛn kin mɛn na os tek am. If yu gɛt ɛni mɛrɛsin we yu nɔ yuz, miks am wit pusi dɔti ɔ kɔfi grɔn, put am insay bag ɔ kɔfi kan we dɛn dɔn sidɔm tayt wan we gɛt lid, ɛn trowe am.
• Nɔ yuz mɛrɛsin we dɔn pas.
• Stɔr na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs / 59 ɛn 86 digri Fahrenheit).

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so, na di men tin dɛm we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Tek dis mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am, di we aw yu fɔ tek am, ɛn fɔ di tɛm we yu tɛl yu fɔ tek am .
• Tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek (ɔva-di-kɔnta, tradishɔnal, vaytamɛn, ɔltin).
• Yu fɔ no bɔt di bad tin dɛn we kin apin we yu de tek dis mɛrɛsin. If yu gɛt ɛni siriɔs sayd ɛfɛkt, tɛl yu dɔktɔ wantɛm wantɛm.
• Nɔ tek dis wit ɔda mɛrɛsin dɛn we gɛt `(Acetaminophen)`. If yu tek am pasmak, dat kin mek yu liva pwɛl.
• Kip dis mɛrɛsin sef wan usay pikin dɛn nɔ go ebul fɔ rich.
• Nɔ ɛva sheb yu mɛrɛsin wit ɔda pɔsin.
• Nɔ tek dis mɛrɛsin wit rɔm.
• Nɔ stɔp di mɛrɛsin wantɛm wantɛm, ridyus di doz smɔl smɔl akɔdin to yu dɔktɔ in instrɔkshɔn.

Dis liflet na sɔmari nɔmɔ. Sɔntɛm i nɔ go gɛt ɔl di infɔmeshɔn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, duya aks yu dɔktɔ, fama ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs. Wi de wish yu gud wɛlbɔdi!

` Butalbital, Acetaminophen, Caffeine, Codeine, pen kil, ed pen, tɛnsiɔn ed pen, drɔgs, sayd ɛfɛkt, mɛrɛsin, kɔdin