Unyango lokungakwazi ukusebenzisa iziyobisi: Masifunde ngeepilisi zeMethadone Dispersible

Ukuxhomekeka kwiziyobisi yingxaki enkulu abantu abaninzi abajongene nayo. Iimpawu zokurhoxa kunye neminqweno ehambisana nokuzama ukuyeka kunokuba nzima kakhulu ukujongana nayo, akunjalo? Ngamanye amaxesha kuvakala ngathi awunakukwazi ukuhamba wedwa kolu hambo. Kodwa ungakhathazeki, kukho unyango olunokunceda.

Luhlobo luni lonyango olu?

I-Methadone liyeza elisetyenziselwa ukunyanga ingxaki yokusebenzisa i-opioid (i-Opioid Use Disorder). Ngamafutshane, isebenza ngokunciphisa iimpawu zomzimba ezingathandekiyo (iimpawu zokurhoxa) kunye neminqweno ebakho xa uyeka ukusebenzisa eli yeza. Lisebenza kakhulu xa lisetyenziswa kunye neengcebiso kunye nonyango lokuziphatha . Likwaluhlobo lonyango olubizwa ngokuba yi-opioid. Ngamanye amaxesha eli yeza lingasetyenziswa nakwezinye iinjongo. Buza ugqirha wakho okanye ikhemisti ngale nto.

Igama elisetyenziswa kakhulu kwimarike yiMethadose.

Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndisebenzise eli yeza?

Ukuba unayo nayiphi na kwezi meko zilandelayo, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngazo:

• Ithumba lobuchopho
• Ukusetyenziswa gwenxa kweziyobisi okanye umlutha
• Ukulimala entloko
• Isifo sentliziyo
• Ukuba usela rhoqo
• Isifo sezintso
• Isifo sesibindi
• Umsebenzi ophantsi we-adrenal gland
• Uxinzelelo lwegazi oluphantsi
• Iingxaki zemiphunga, zesifuba, okanye zokuphefumla
• Isifo sempilo yengqondo
• Ukuxhuzula
• Iingxaki zesisu okanye zamathumbu
• Ukuba ukhe wathatha iyeza kwiqela le-MAOI (umz. uMarplan, uNardil, uParnate) kwiintsuku ezili-14 ezidlulileyo
• Isifo se-thyroid
• Ukuba ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwi-methadone, ezinye iintlungu ze-opioid, amanye amayeza, ukutya, iidayi okanye izithinteli
• Ukuba ukhulelwe okanye ucinga ukuba ukhulelwe
• Ukuba uncancisa

Ndingayisebenzisa njani le yeza?

Eli yeza lifanele lithathwe ngomlomo. Landela imiyalelo ekwileyibhile kagqirha wakho. Jonga inani elichanekileyo leepilisi ezifunekayo kwidosi yakho.

Ezi pilisi kufuneka zinyibilikiswe kwiglasi yamanzi, ijusi yeorenji, i-citrus Tang, okanye incasa ye-citrus yeKool-Aid.Xuba kakuhle malunga nomzuzu. Ungabona ukuba ithebhulethi isele kwiglasi. Ithebhulethi ayizukunyibilika ngokupheleleyo. Kodwa kufuneka usele lonke ulwelo olukwiglasi. Musa ukuyihlafuna okanye ukuyiginya yonke. Ithebhulethi kufuneka ichithwe kwaye isele.

Ungalithatha eli yeza nokuba utya okanye ungenalo. Ukuba unesisu esibuhlungu, lithathe xa usitya. Lithathe ngexesha elifanelekileyo. Musa ukulithatha ngaphezu kwemiyalelo kagqirha. Musa ukuyeka ukulithatha ngaphandle kwengcebiso kagqirha wakho.

Uza kufumana isikhokelo samayeza esikhethekileyo (iMedGuide) kunye nomyalelo ngamnye owufumana kwikhemesti naxa ufumana uhlaziyo. Hlala ukhumbula ukusifunda ngononophelo.

Thetha neqela lakho lezempilo malunga nokunika abantwana eli yeza, kuba linokufuna ukhathalelo olukhethekileyo.

Umthamo ogqithisileyo

Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.

Kubalulekile: Eli yeza lelakho kuphela. Musa ukwabelana ngeli yeza nabanye abantu.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Kodwa ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yithathe ngelo xesha. Musa ukuthatha idosi ephindwe kabini okanye iidosi ezongezelelweyo.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Musa ukuthatha iMethadone kunye namayeza alandelayo:

• Amanye amayeza osulelo lwefungus, umzekelo itraconazole, iketoconazole, iposaconazole, ivoriconazole
• Amanye amayeza asetyenziswa ukunyanga ukubetha kwentliziyo okungaqhelekanga, umzekelo i-bepridil, i-bretylium, i-dronedarone, i-quinidine
• I-Cisapride
• I-Halofantrine
• I-Mesoridazine
• I-Pimozide
• I-Rasagiline
• ISelegiline
• I-Thioridazine

Eli yeza lisenokusebenzisana namayeza alandelayo. Ngoko ke, kufuneka uxelele ugqirha wakho ukuba uthatha naliphi na kula:

• Utywala
• Ii-antihistamines ze-allergies, ukukhwehlela, kunye nokubanda
• Amayeza okulwa nentsholongwane kaGawulayo okanye i-AIDS
• I-Arsenic trioxide
• I-Atropine
• Amanye amayeza okubulala iintsholongwane, umz. i-clarithromycin, i-erythromycin, i-rifampin
• Amanye amayeza okunyanga ixhala okanye ukulala
• Amanye amayeza eengxaki zesinyi, njenge-oxybutynin kunye ne-tolterodine
• Amanye amayeza omhlaza, umz. i-dasatinib, i-lapatinib
• Amanye amayeza okudakumba, anjenge-amitriptyline, i-fluoxetine, ne-sertraline
• Amanye amayeza asetyenziswa ukunyanga ukubetha kwentliziyo okungahambelaniyo, njenge-amiodarone kunye ne-sotalol
• Amanye amayeza asetyenziselwa imalariya, umz. i-chloroquine, i-mefloquine
• Amanye amayeza asetyenziselwa i-migraines, njenge-sumatriptan
• Amanye amayeza okunyanga isicaphucaphu okanye ukuhlanza, njenge-ondansetron
• Amanye amayeza asetyenziselwa ukuxhuzula, afana ne-carbamazepine, i-phenobarbital, kunye ne-phenytoin
• Amanye amayeza okunyanga isisu esibuhlungu, njenge-dicyclomine
• Amanye amayeza asetyenziswa ukunyanga isigulo sohambo, njenge-scopolamine
• Amanye amayeza esifo sikaParkinson
• I-Fluconazole
• Ii-anesthetics eziqhelekileyo (umz. i-halothane, i-propofol)
• I-Haloperidol
• I-Ipratropium
• I-Linezolid
• Ii-anesthetics zasekuhlaleni, umz. i-lidocaine
• MAOIs (MAOIs) iqela lamayeza, umz. UMarplan, uNardil, uParnate
• Iziphumzi zemisipha zotyando
• I-Methylene eluhlaza okwesibhakabhaka
• I-Octreotide
• Amanye amayeza abangela ukungaqhelekanga kwentliziyo (andisa ixesha le-QT), afana ne-dofetilide, i-ziprasidone
• Ezinye iziyobisi ezithintela iintlungu okanye ukukhwehlela
• I-Peginterferon alfa-2b
• IiPhenothiazines, umz. i-chlorpromazine
• I-Ranolazine
• I-Tacrolimus
• I-Vardenafil

Olu luhlu alubandakanyi zonke iimpendulo ezinokubakho. Nika ugqirha wakho uluhlu lwamayeza onke, iziqholo, amayeza athengiswa ngaphandle kwemvume kagqirha, okanye izongezo zokutya ozithathayo. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Bona iqela lakho lezonyango rhoqo. Ukuba usela eli yeza ngenxa yentlungu, ukuba intlungu yakho ayipheli, ukuba intlungu yakho iba mandundu, okanye ukuba unentlungu entsha, xelela ugqirha wakho. Ukuba usela eli yeza ngenxa yesifo sokusetyenziswa kwe-opioid (i-Opioid Use Disorder), yiya kumaqela eengcebiso okanye enkxaso acetyiswa ngugqirha wakho. Musa ukuzama ukulwa nemiphumo yale yeza ngokuthatha ezinye ii-narcotics. Oku kunokubangela iingxaki ezinkulu, kuquka ukufa. Kwakhona, emva kokuba uyekile ukusebenzisa eli yeza, umzimba wakho unokuba novelwano ngakumbi kwinani elincinci lee-narcotics.

Musa ukuyeka ukuthatha eli yeza ngequbuliso. Ukwenza njalo kunokubangela impendulo enzulu. Umzimba wakho uza kuqhelana neyeza. Iqela lakho lezempilo liza kukuxelela ukuba kufuneka ulithathe kangakanani iyeza. Ukuba bacinga ukuba kufuneka uyeke ukulithatha, baza kulinciphisa kancinci kancinci idosi ukuze banciphise iziphumo ebezingalindelekanga.

Ukuba usebenzisa amanye amayeza akwenza ulale (afana namanye amayeza okunciphisa iintlungu, ii-benzodiazepines, okanye amanye amayeza okulala), unokuba nemiphumo emibi engaphezulu. Nika ugqirha wakho uluhlu lwawo onke amayeza owasebenzisayo. Baza kukuxelela ukuba kufuneka uwathathe kangakanani. Musa ukuthatha ngaphezu kwemiyalelo emiselweyo. Ukuba unengxaki yokuphefumla okanye uzive udiniwe ngendlela engaqhelekanga okanye ulele, funa uncedo lwezonyango olungxamisekileyo ngoko nangoko.

Thetha neqela lakho lezempilo malunga ne-naloxone kunye nendlela yokuyifumana. I-Naloxone liyeza likaxakeka elinikwa ukunyanga i-opioids egqithisileyo. Ukuba uthatha i-opioid eninzi kakhulu okanye ukuba uyithatha nezinye izinto ezifana notywala, usenokuba ne-overdose. Kubalulekile ukwazi iimpawu ze-overdose. Umzekelo, ubunzima bokuphefumla, ukudinwa okungaqhelekanga okanye ukulala, okanye ukungakwazi ukuphendula okanye ukuvuka. Yazisa usapho lwakho kunye nabantu obathandayo ukuba liphi iyeza le-naloxone. Bafanele bazi nendlela yokulisebenzisa. Emva kokuba unikwe i-naloxone, kufuneka ufumane unyango olungxamisekileyo ngoko nangoko. I-Naloxone lunyango lwexeshana. Kusenokufuneka uthathe iidosi ezingaphezulu.

Ungaziva ulele okanye unesizungu. Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma okanye uhlale ngequbuliso, ingakumbi ukuba sele ukhulile. Oku kuya kunciphisa amathuba okuba nesiyezi okanye ukuphelelwa ngamandla. Utywala bunokuphazamisa indlela eli yeza elisebenza ngayo. Ngoko ke kuphephe ukusela utywala.

Nxiba isongo okanye itsheyini yesazisi sezonyango, kwaye uphathe ikhadi elineenkcukacha malunga nesifo sakho, amayeza kunye nemilinganiselo.

Eli yeza linokubangela ukuqhina . Ukuba awuphumi esiswini emva kweentsuku ezi-3, fowunela iqela lakho lezonyango.

Umlomo wakho usenokuba womile. Ukuhlafuna itshungama engenaswekile, ukufunxa iilekese ezinzima ezingenaswekile, kunye nokusela amanzi amaninzi kunokunceda. Ukuba le ngxaki iyaqhubeka okanye inzima, bona ugqirha wakho.

Abafazi kufuneka baxelele iqela labo lezempilo ukuba baceba ukukhulelwa okanye bacinga ukuba bakhulelwe. Oku kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu kusana olungekazalwa. Thetha neqela lakho lezempilo malunga neenzuzo kunye neengozi zokuncancisa ngelixa usela eli yeza. Eli yeza lingadlulela kubisi lwebele. Thetha neqela lakho lezempilo ukuba uceba ukuqala okanye ukuyeka ukulisebenzisa eli yeza ngelixa uncancisa, okanye ukuba uceba ukuyeka ukuncancisa.

Zeziphi iziphumo ebezingalindelekanga endinokuzifumana kweli yeza?

Ufanele uxelele iqela lakho lezempilo ngokukhawuleza ukuba ufumana naziphi na kwezi ziphumo zilandelayo:

• Iimpendulo ze-allergy — ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala
• Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) — ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphaphile
• Utshintsho lwesingqi sentliziyo — ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla
• Ukusebenza okuphantsi kwe-adrenal gland - isicaphucaphu, ukuhlanza, ukuphelelwa ngumdla wokutya, ubuthathaka okanye ukudinwa okungaqhelekanga, isiyezi
• Uxinzelelo lwegazi oluphantsi — isiyezi, ukuquleka, umbono ofipheleyo

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa kufuneka zixelwe kwiqela lezonyango ukuba ziyaqhubeka okanye ziyakhathaza):

• Ukuqhinwa
• Isiyezi
• Ukozela
• Umlomo owomileyo
• Intloko ebuhlungu
• Isicaphucaphu
• Ukuhlanza

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuze akunike iingcebiso malunga neziphumo ebezingalindelekanga.

Ndingawagcina phi amayeza am?

Gcina kude nokufikelela ebantwaneni. Eli yeza lingasetyenziswa gwenxa (lingasetyenziswa gwenxa). Ngoko ke gcina iyeza lakho kwindawo ekhuselekileyo ukuze ulikhusele ekubiweni. Musa ukwabelana ngeli yeza nabanye abantu. Ukuthengisa okanye ukunika abanye eli yeza kuyingozi kwaye kuchasene nomthetho.

Gcina kubushushu begumbi, phakathi kwama-20 ukuya kuma-25 degrees Celsius (ama-68 kunye nama-77 degrees Fahrenheit). Gcina ibhotile yamayeza ivaliwe kakuhle.

Eli yeza linokuba yingozi okanye libulale xa lisetyenziswa ngabanye abantu abadala, abantwana, okanye izilwanyana zasekhaya. Buyisela amayeza angasetyenziswanga kwindawo esemthethweni yokulahla. Ukuze ufumane elinye, tsalela umnxeba kwi-DEA ku-1-800-882-9539, okanye ubuze kwibhunga lesixeko/lephondo lakho. Ukuba awukwazi ukubuyisela iyeza, lihlambe endlwini yangasese. Musa ukusebenzisa amayeza aphelelwe lixesha.

Nceda uqaphele: Eli phetshana lisisishwankathelo kuphela. Lisenokungabi nalo lonke ulwazi. Ukuba unemibuzo malunga neli yeza, thetha nogqirha wakho, usokhemesti, okanye omnye umboneleli wezempilo.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Nangona i-methadone iliyeza elibalulekileyo elinceda ekuxhomekekeni kwiziyobisi, kufuneka kuqatshelwe kakhulu xa uyisebenzisa.

• Landela imiyalelo kagqirha wakho ngokuchanekileyo. Musa ukuzinyibilikisa iipilisi, ukuzihlafuna, okanye ukuziginya.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo. Oku kusenokudibana nezinye iziyobisi.
• Musa ukuyeka ukuthatha iyeza ngequbuliso. Nciphisa umthamo njengoko ugqirha wakho ekuxelela.
• Lumka xa uqhuba. Lumka xa uqhuba.
• Lumka ngeNaloxone. Inokunceda ukusindisa ubomi xa uthatha i-overdose.
• Gcina amayeza kwindawo ekhuselekileyo kude nabantwana.

Akunyanzelekanga ukuba uhambe wedwa kolu hambo. Ngoncedo lweqela lakho lezonyango, abacebisi, kunye nosapho, ungadlula kule meko. Hlala uqinile!

I- Methadone, umlutha weziyobisi, ii-opioids, iimpawu zokurhoxa, iminqweno, ukusebenzisana kweziyobisi, iziphumo ebezingalindelekanga