Mankhwala ochizira chizolowezi cha mankhwala osokoneza bongo: Tiyeni tiphunzire za mapiritsi a Methadone Dispersible

Kuledzera ndi mankhwala osokoneza bongo ndi vuto lalikulu lomwe anthu ambiri amakumana nalo. Zizindikiro za kusiya kugwiritsa ntchito mankhwala osokoneza bongo komanso chilakolako chomwe chimabwera chifukwa choyesa kusiya zingakhale zovuta kwambiri kuthana nazo, sichoncho? Nthawi zina zimamveka ngati simungathe kudutsa ulendowu nokha. Koma musadandaule, pali mankhwala omwe angathandize.

Kodi mankhwala awa ndi amtundu wanji?

Methadone ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a opioid (Opioid Use Disorder). Mwachidule, imagwira ntchito pochepetsa zizindikiro zosasangalatsa zakuthupi (zizindikiro zosiya kugwiritsa ntchito mankhwala) ndi zilakolako zomwe zimachitika mukasiya kugwiritsa ntchito mankhwalawa. Ndi othandiza kwambiri akagwiritsidwa ntchito limodzi ndi uphungu ndi chithandizo cha khalidwe . Ndi mtundu wina wa mankhwala otchedwa opioid. Nthawi zina mankhwalawa angagwiritsidwenso ntchito pazinthu zina. Funsani dokotala wanu kapena wamankhwala za izi.

Dzina lomwe limagwiritsidwa ntchito kwambiri pamsika ndi Methadose.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Ngati muli ndi vuto lililonse mwa izi, muyenera kuuza dokotala wanu za izi:

• Chotupa cha muubongo
• Kugwiritsa ntchito mankhwala osokoneza bongo kapena kuledzera
• Kuvulala mutu
• Matenda a mtima
• Ngati mumamwa mowa nthawi zonse
• Matenda a impso
• Matenda a chiwindi
• Kuchepa kwa ntchito ya gland ya adrenal
• Kuthamanga kwa magazi kotsika
• Mavuto a m'mapapo, mphumu, kapena kupuma
• Matenda amisala
• Kugwidwa ndi khunyu
• Mavuto a m'mimba kapena m'matumbo
• Ngati mwatenga mankhwala ochokera ku gulu la MAOI (monga Marplan, Nardil, Parnate) m'masiku 14 apitawa
• Matenda a chithokomiro
• Ngati mwakhala ndi vuto lachilendo kapena la ziwengo chifukwa cha methadone, mankhwala ena ochepetsa ululu a opioid, mankhwala ena, zakudya, utoto kapena zotetezera.
• Ngati mukuyembekezera kapena mukuganiza kuti muli ndi pakati
• Ngati mukuyamwitsa

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa ayenera kumwedwa pakamwa. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani. Yang'anani kuchuluka kwa mapiritsi omwe mukufunikira pa mlingo wanu.

Mapiritsi awa ayenera kusungunuka mu kapu ya madzi, madzi a lalanje, citrus Tang, kapena kukoma kwa citrus kwa Kool-Aid.Sakanizani bwino kwa mphindi imodzi. Mutha kuwona kuti piritsi lina latsala mu galasi. Piritsi silisungunuka kwathunthu. Koma muyenera kumwa madzi onse mu galasi. Musamatafune piritsi kapena kulimeza lonse. Piritsilo liyenera kusungunuka ndi kumwedwa.

Mutha kumwa mankhwalawa muli ndi chakudya kapena ayi. Ngati muli ndi vuto la m'mimba, imwani pamodzi ndi chakudya. Imwani mankhwala anu panthawi yoyenera. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa. Musasiye kumwa mankhwala popanda upangiri wa dokotala.

Mudzalandira malangizo apadera a mankhwala (MedGuide) pamodzi ndi mankhwala aliwonse omwe mumalandira kuchokera ku pharmacy komanso mukadzalandira mankhwala owonjezera. Nthawi zonse kumbukirani kuwawerenga mosamala.

Lankhulani ndi gulu lanu lachipatala za kupereka mankhwalawa kwa ana, chifukwa angafunike chisamaliro chapadera.

Kuchuluka kwa mankhwala

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Chofunika: Mankhwalawa ndi a inu nokha. Musagawane mankhwalawa ndi wina aliyense.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, imwani panthawiyo. Musamwe mlingo wowirikiza kawiri kapena wowonjezera.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Musamwe Methadone pamodzi ndi mankhwala aliwonse awa:

• Mankhwala ena a matenda a bowa, monga itraconazole, ketoconazole, posaconazole, voriconazole
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika, mwachitsanzo bepridil, bretylium, dronedarone, quinidine
• Cisapride
• Halofantrine
• Mesoridazine
• Pimozide
• Rasagiline
• Selegiline
• Thioridazine

Mankhwalawa angagwirizane ndi mankhwala otsatirawa. Chifukwa chake, muyenera kuuza dokotala wanu ngati mukumwa chilichonse mwa izi:

• Mowa
• Mankhwala oletsa kuzizira, chifuwa, ndi chimfine
• Mankhwala oletsa mavairasi a HIV kapena Edzi
• Arsenic trioxide
• Atropine
• Maantibayotiki ena, monga clarithromycin, erythromycin, rifampin
• Mankhwala ena oletsa nkhawa kapena tulo
• Mankhwala ena a matenda a chikhodzodzo, monga oxybutynin ndi tolterodine
• Mankhwala ena a khansa, monga dasatinib, lapatinib
• Mankhwala ena ochizira kuvutika maganizo, monga amitriptyline, fluoxetine, ndi sertraline
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika, monga amiodarone ndi sotalol
• Mankhwala ena omwe amagwiritsidwa ntchito pa malungo, monga chloroquine, mefloquine
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala, monga sumatriptan
• Mankhwala ena ochizira nseru kapena kusanza, monga ondansetron
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza khunyu, monga carbamazepine, phenobarbital, ndi phenytoin
• Mankhwala ena ochizira matenda am'mimba, monga dicyclomine
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda oyenda, monga scopolamine
• Mankhwala ena a matenda a Parkinson
• Fluconazole
• Mankhwala oletsa ululu (monga halothane, propofol)
• Haloperidol
• Ipratropium
• Linezolid
• Mankhwala oletsa ululu am'deralo, monga lidocaine
• MAOIs (MAOIs) gulu la mankhwala, mwachitsanzo. Marplan, Nardil, Parnate
• Mankhwala opumulira minofu ochitidwa opaleshoni
• Buluu wa Methylene
• Octreotide
• Mankhwala ena omwe amayambitsa kugunda kwa mtima kosazolowereka (amatalikitsa nthawi ya QT), monga dofetilide, ziprasidone
• Mankhwala ena oletsa ululu kapena chifuwa
• Peginterferon alfa-2b
• Phenothiazines, mwachitsanzo chlorpromazine
• Ranolazine
• Tacrolimus
• Vardenafil

Mndandandawu sukuphatikizapo zonse zomwe zingachitike. Perekani dokotala wanu mndandanda wa mankhwala onse, zitsamba, mankhwala ogulitsidwa kunja kwa chipatala, kapena zowonjezera zakudya zomwe mukumwa. Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Pitani ku gulu lanu lachipatala nthawi zonse. Ngati mukumwa mankhwalawa chifukwa cha ululu, ngati ululu wanu sukupita, ngati ululu wanu ukukulirakulira, kapena ngati muli ndi mtundu wina wa ululu, uzani dokotala wanu. Ngati mukumwa mankhwalawa chifukwa cha vuto la kugwiritsa ntchito opioid (Opioid Use Disorder), pitani ku magulu othandizira omwe dokotala wanu akulangiza. Musayese kuthana ndi zotsatira za mankhwalawa mwa kumwa mankhwala ena oletsa ululu. Izi zingayambitse mavuto aakulu, kuphatikizapo imfa. Komanso, mutasiya kumwa mankhwalawa, thupi lanu likhoza kukhala lovuta kwambiri ndi mankhwala ochepetsa ululu ngakhale pang'ono.

Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse vuto lalikulu. Thupi lanu lidzazolowera mankhwalawo. Gulu lanu la zaumoyo lidzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Ngati akuganiza kuti muyenera kusiya kumwa, adzachepetsa pang'onopang'ono mlingo kuti achepetse zotsatirapo zake.

Ngati mukumwa mankhwala ena omwe amakupangitsani kugona (monga mankhwala ena ochepetsa ululu, benzodiazepines, kapena mankhwala ena ogona), mungakhale ndi zotsatirapo zina. Perekani dokotala wanu mndandanda wa mankhwala onse omwe mukumwa. Adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe mopitirira muyeso. Ngati mukuvutika kupuma kapena mukumva kutopa kwambiri kapena kugona, pitani kuchipatala mwamsanga.

Lankhulani ndi gulu lanu lazachipatala za naloxone ndi momwe mungazipezere. Naloxone ndi mankhwala odzidzimutsa omwe amaperekedwa pochiza opioid yochuluka kwambiri. Ngati mumwa opioid yochuluka kwambiri kapena ngati mumwa ndi zinthu zina monga mowa, mutha kukhala ndi overdose. Ndikofunikira kudziwa zizindikiro za overdose. Mwachitsanzo, kuvutika kupuma, kutopa kapena kugona tulo tosazolowereka, kapena kulephera kuyankha kapena kudzuka. Uzani banja lanu ndi okondedwa anu komwe mankhwala a naloxone ali. Ayeneranso kudziwa momwe angagwiritsire ntchito. Mukapatsidwa naloxone, muyenera kupeza chithandizo chadzidzidzi nthawi yomweyo. Naloxone ndi chithandizo chakanthawi. Mungafunike kumwa mankhwala ochulukirapo.

Mungamve tulo kapena chizungulire. Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zichepetsa mwayi wokhala ndi chizungulire kapena kukomoka. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho pewani kumwa mowa.

Valani chibangili kapena unyolo wa ID yachipatala, ndipo nyamulani khadi lokhala ndi tsatanetsatane wa matenda anu, mankhwala, ndi mlingo.

Mankhwalawa angayambitse kudzimbidwa . Ngati simunatuluke m'mimba patatha masiku atatu, imbani gulu lanu la zaumoyo.

Pakamwa panu pakhoza kukhala pouma. Kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndi kumwa madzi ambiri kungathandize. Ngati vutoli likupitirira kapena likukulirakulira, onani dokotala wanu.

Azimayi ayenera kuuza gulu lawo lazachipatala ngati akukonzekera kutenga pakati kapena akuganiza kuti ali ndi pakati. Zingayambitse mavuto aakulu kwa mwana wosabadwa. Lankhulani ndi gulu lanu lazachipatala za ubwino ndi zoopsa zoyamwitsa pamene mukumwa mankhwalawa. Mankhwalawa amatha kulowa mu mkaka wa m'mawere. Lankhulani ndi gulu lanu lazachipatala ngati mukukonzekera kuyamba kapena kusiya kumwa mankhwalawa pamene mukuyamwitsa, kapena ngati mukukonzekera kusiya kuyamwitsa.

Kodi ndi zotsatirapo zotani zomwe ndingapeze kuchokera ku mankhwalawa?

Muyenera kuuza gulu lanu lazaumoyo mwamsanga ngati mukukumana ndi zotsatirapo zotsatirazi:

• Matenda a ziwengo - ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi
• Kuvutika maganizo kwa mitsempha yapakati (CNS depression) — kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kukomoka, chizungulire, chisokonezo, kuvutika kukhala maso
• Kusintha kwa kayimbidwe ka mtima — kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma
• Kuchepa kwa ntchito ya adrenal gland - nseru, kusanza, kusowa chilakolako cha chakudya, kufooka kapena kutopa kosazolowereka, chizungulire
• Kuthamanga kwa magazi kotsika - chizungulire, kukomoka, kusawona bwino

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa gulu lachipatala ngati zikupitirira kapena zikuvutitsa):

• Kudzimbidwa
• Chizungulire
• Kugona tulo
• Pakamwa pouma
• Mutu
• Kusanza
• Kusanza

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.

Kodi ndiyenera kusunga kuti mankhwala anga?

Sungani pamalo omwe ana sangafikire. Mankhwalawa angagwiritsidwe ntchito molakwika (molakwika). Choncho sungani mankhwala anu pamalo otetezeka kuti muwateteze ku kuba. Musagawire mankhwalawa ndi wina aliyense. Kugulitsa kapena kupereka mankhwalawa kwa ena n'koopsa ndipo n'kosemphana ndi lamulo.

Sungani kutentha kwa chipinda, pakati pa madigiri 20 ndi 25 Celsius (madigiri 68 ndi 77 Fahrenheit). Tsekani botolo la mankhwala mwamphamvu.

Mankhwalawa akhoza kukhala oopsa kapena oopsa ngati atengedwa ndi akuluakulu ena, ana, kapena ziweto. Bwezerani mankhwala osagwiritsidwa ntchito kumalo ovomerezeka otayira. Kuti mupeze amodzi, imbani DEA pa 1-800-882-9539, kapena funsani bungwe la mzinda/boma lanu. Ngati simungathe kubweza mankhwalawo, muwatsuke m'chimbudzi. Musagwiritse ntchito mankhwala omwe atha ntchito.

Dziwani: Kabuku aka ndi chidule chokha. Sikayenera kukhala ndi mfundo zonse. Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Pomaliza, zinthu zingapo zoti muzikumbukira

Ngakhale kuti methadone ndi mankhwala ofunikira omwe amathandiza ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo, muyenera kusamala kwambiri mukamagwiritsa ntchito. Kumbukirani:

• Tsatirani malangizo a dokotala wanu molondola. Musasungunule mapiritsi, kuwatafuna, kapena kuwameza.
• Uzani dokotala wanu za mankhwala ena onse omwe mukumwa. Izi zingagwirizane ndi mankhwala ena.
• Musasiye kumwa mankhwala mwadzidzidzi. Chepetsani mlingo monga momwe dokotala wanu wanenera.
• Samalani ndi zinthu monga kugona tulo ndi chizungulire. Samalani mukamayendetsa galimoto.
• Dziwani Naloxone. Ingathandize kupulumutsa moyo ngati munthu wamwa mopitirira muyeso.
• Sungani mankhwala pamalo otetezeka omwe ana sangawafikire.

Simuyenera kudutsa ulendowu nokha. Mothandizidwa ndi gulu lanu lachipatala, alangizi, ndi banja lanu, mutha kupirira izi. Khalani olimba mtima!

Methadone , kuledzera ndi mankhwala osokoneza bongo, ma opioid, zizindikiro zosiya kugwiritsa ntchito mankhwala osokoneza bongo, chilakolako, kuyanjana ndi mankhwala osokoneza bongo, zotsatirapo zake