Ake sifunde ngamaphilisi e-Oxymorphone Extended-Release obuhlungu obukhulu nobuhlala isikhathi eside!

Ingabe ubhekene nobuhlungu obungapheli, obungabekezeleleki obufika budlule? Mhlawumbe uke waba nesimo lapho eminye imithi yokwelapha izinhlungu ingasebenzi, noma ungakwazi ukuyisebenzisa. Yilapho odokotela becabanga khona ngalo muthi okhethekile wokubulala izinhlungu obizwa ngokuthi i-Oxymorphone. Ake sixoxe ngalokhu ngemininingwane ethe xaxa, akunjalo?

Uhlobo luni lomuthi i-Oxymorphone?

Kalula nje, i-Oxymorphone umuthi kadokotela osetshenziselwa ukwelapha ubuhlungu obukhulu nobuqhubekayo. Ngokuvamile unikezwa uma ezinye izinhlungu zobuhlungu zingakasizi ubuhlungu bakho, noma uma ungakwazi ukuzibekezelela. Isebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bakho. Ingowesigaba semithi ebizwa ngokuthi ama-opioid . Okubaluleke kakhulu, umuthi osebenza isikhathi eside . Ngakho-ke, awusetshenziselwa ubuhlungu obungazelelwe.

Amanye amagama ajwayelekile alo muthi yi-Opana kanye ne-Opana ER.

Lomuthi ungasetshenziswa nangezinye izinjongo; uma unemibuzo, buza udokotela wakho noma usokhemisi .

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-Oxymorphone, kunezinto ezithile okudingeka uzitshele ithimba lakho lokunakekela. Lezi zibalulekile ngoba zizonquma ukuthi lo muthi ukufanele yini nokuthi kufanele unikezwe kanjani. Bheka ukuthi lezi zinto ziyasebenza yini kuwe:

• Ingabe unesimila sobuchopho ?
• Ingabe unomlando wokusebenzisa kabi izidakamizwa noma umlutha wazo ?
• Uke waba nokulimala ekhanda ?
• Unesifo senhliziyo ?
• Ingabe uphuza utshwala njalo ?
• Unesifo sezinso ?
• Unesifo sesibindi ?
• Ingabe unezinkinga ezifana nesifo samaphaphu, i-asthma, noma izinkinga zokuphefumula ?
• Ingabe unenkinga yokuchama?
• Ingabe unesifo esifana nokuquleka ?
• Ingabe unezinkinga zesisu noma zamathumbu ?
• Uke wasebenzisa umuthi we-MAOI (Monoamine Oxidase Inhibitor) (isib. iMarplan, iNardil, iParnate) ezinsukwini eziyi-14 ezedlule ?
• Wake waba nokusabela okungavamile noma kokungezwani komzimba ne-Oxymorphone, eminye imithi, ukudla, udayi, noma izithasiselo?
• Ingabe ukhulelwe noma uzama ukukhulelwa ? Noma ingabe ukhulelwe njengamanje ?
• Ingabe ungumama oncelisayo ?

Ngiyisebenzisa kanjani ngempela le mithi?

Lena yingxenye ebaluleke kakhulu, ngoba ukulandela le miyalelo kubalulekile ukuze uthole izinzuzo ezigcwele zomuthi futhi ugweme izinkinga ezingadingekile.

• Leli philisi kufanele liphuzwe nengilazi yamanzi.
• Landela imiyalelo eselebula likadokotela elinikezwe udokotela wakho.
• Gwinya iphilisi elilodwa ngesikhathi.
• Ungamanzisi iphilisi, ulicwilise emanzini, noma ulikhotha ngolimi lwakho ngaphambi kokulithatha.
• Lomuthi akufanele uphulwe, uchotshozwe, noma uhlafunwe. Iphilisi kufanele ligwinywe lonke.
• Lomuthi kufanele uthathwe esiswini esingenalutho . Okusho ukuthi, okungenani ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla. Ungawusebenzisi kanye nokudla.
• Thatha imithi yakho ngezikhathi ezithile nangesikhathi . Ungaphuzi imithi kaningi noma kaningi kunalokho udokotela wakho akutshele khona.
• Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.

Okubalulekile: Uma uthola lo muthi ekhemisi, uzonikezwa incwajana ekhethekile ye-MedGuide . Uzoyithola kanye nodokotela ngamunye kanye nesikhathi ngasinye lapho uthola umuthi wokugcwalisa. Qiniseka ukuthi ufunda ulwazi olukuleli pheshana ngokucophelela isikhathi ngasinye.

Khuluma nethimba lakho lezempilo mayelana nokunikeza izingane lo muthi. Kungadingeka ukunakekelwa okukhethekile.

Okunye futhi: Lo muthi ungowakho wedwa. Ungawubelani nanoma ubani nganoma yisiphi isizathu.

Kwenzekani uma uthatha kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo eliseduze ngokushesha. Ungachithi isikhathi.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo njengoba kuhleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma umthamo owengeziwe.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Uma uthatha i-Oxymorphone, ingasebenzisana nezinye izinto ozithathayo. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela kanye nemithi ethengiswa ngaphandle kwemithi kadokotela), amakhambi, kanye nezithako zokudla ozithathayo, kanye nokuthi ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingase zihlangane nalo muthi.

I-Oxymorphone ingasebenzisana nalokhu okulandelayo:

• Utshwala
• Izinhlobo zama -antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane
• I-Atropine
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine)
• Eminye imithi yokucindezeleka (isib. i-amitriptyline, i-fluoxetine, i-sertraline)
• Eminye imithi yesifo sikaParkinson (isb., i-benztropine, i-trihexyphenidyl)
• Eminye imithi yokwelapha ukuxhuzula (isib. i-phenobarbital, i-primidone)
• Eminye imithi yezinkinga zesisu (isib. i-dicyclomine, i-hyoscyamine)
• Eminye imithi esetshenziselwa ukwelapha isicanucanu sokuhamba (isb., i-scopolamine)
• Izibulala-zinhlungu ezijwayelekile (isib. i-halothane, i-isoflurane, i-propofol)
• I-Ipratropium
• Izidambisi-zinhlungu zasendaweni (isib. i-lidocaine, i-pramoxine, i-tetracaine)
• Imithi enikezwa ukukhulula imisipha ngesikhathi sokuhlinzwa
• Eminye imithi yokudambisa izinhlungu noma yokukhwehlela
• Ama-phenothiazine (isib. i-chlorpromazine, i-thioridazine)

Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho konke okuthathayo.

Yini okufanele uyiqaphele uma usebenzisa lo muthi?

Kunezinto eziningana okudingeka uzinake ngenkathi usebenzisa lo muthi.

• Uma ubuhlungu bungapheli:Uma ubuhlungu bakho bungapheli, noma uma bubonakala buba bubi kakhulu, noma uma uba nohlobo olusha lobuhlungu, tshela ithimba lakho lezempilo ngokushesha.
• Ukubekezelelana: Ngemva kokuthatha lo muthi isikhashana, ungase ungasadingi umthamo ofanayo ukuze unciphise ubuhlungu bakho. Lokhu kusho ukuthi umzimba wakho usujwayele umuthi (ukubekezelelana) . Lokhu kuvamile, ikakhulukazi uma usuthathe lo muthi isikhathi eside.
• Ukuthatha izinhlobo eziningi zemithi efanayo: Kunezinhlobo eziningana ze-opioid ezisetshenziselwa ukwelapha ubuhlungu. Uma uthatha izinhlobo eziningi ze-opioid ngesikhathi esisodwa, ungase ube nemiphumela emibi eminingi. Tshela udokotela wakho ngayo yonke imithi oyithathayo. Bazokutshela ukuthi kufanele uyithathe engakanani. Ungalokothi uthathe okungaphezu kwalokho udokotela wakho akutshele ukuthi uphuze.
• Ubunzima bokuphefumula: Uma unenkinga yokuphefumula , funa ukwelashwa okuphuthumayo ngokushesha.
• Ukuyeka umuthi ngokuzumayo: Ungayeki ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu . Lokhu kungenxa yokuthi umzimba wakho usujwayele umuthi. Lokhu akusho ukuthi umlutha womuthi. Umlutha ukuziphatha kokuthola nokusebenzisa umuthi ngesizathu esingesona esezokwelapha. Uma usezinhlungwini, leso yisizathu sezokwelapha sokuthatha umuthi wokuqeda izinhlungu. Ithimba lakho lezokwelapha lizokutshela ukuthi kufanele uthathe umuthi ongakanani. Uma befuna ukuthi uyeke ukuthatha umuthi, bazokwenza lokho ngokunciphisa kancane kancane umthamo ngokuhamba kwesikhathi ukuze banciphise imiphumela emibi.
• Yazi nge-Naloxone: Khuluma nethimba lakho lezempilo mayelana ne-Naloxone nokuthi ungayithola kanjani. I-Naloxone umuthi ophuthumayo onikezwa uma kwenzeka uphuze i-opioid ngokweqile. Ukweqisa kungenzeka uma uphuza i-opioid eningi kakhulu, noma uma uyiphuza nezinye izinto ezifana notshwala. Qaphela izimpawu zokweqisa (njengokungakwazi ukuphefumula kahle, ukukhathala okukhulu noma ukozela, ukungasabeli ekukhulumeni, noma ukungakwazi ukuvuka). Tshela abanakekeli bakho nabangane abaseduze ukuthi lo muthi ukuphi . Futhi, bafundise ukuthi bawusebenzise kanjani . Ngemva kokunikeza i-Naloxone, kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha. I-Naloxone iyindlela yokwelapha yesikhashana. Kungadingeka ukunikeza imithamo ephindaphindwayo.
• Ukozela noma isiyezi: Ungase uzizwe ulele noma unesiyezi. Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena.Ungami noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa ingozi yokuba nesiyezi kanye nokuquleka.
• Utshwala: Utshwala bungaphazamisa ukusebenza kahle kwalomuthi. Gwema ukuphuza utshwala.
• Ukuqunjelwa: Lo muthi ungabangela ukuqunjelwa. Uma ungenawo umgudu wokukhipha isisu izinsuku ezintathu, shayela ithimba lakho lezempilo.
• Umlomo owomile: Umlomo wakho ungase wome. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka noma iba nzima, tshela udokotela wakho .

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lokhu kungabangela imiphumela emibi. Eminye yayo idinga ukubikwa kudokotela ngokushesha, kanti eminye kufanele ibikwe kuphela uma iqhubeka.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela ithimba lakho lezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukucindezeleka kwesimiso sezinzwa esiphakathi (CNS depression): ukuphefumula kancane noma ngokungajulile, ukuphefumula kancane, ukuzizwa ubuthakathaka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme.
• Ukusebenza okuphansi kwe-adrenal gland: isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, isiyezi.
• Umfutho wegazi ophansi: isiyezi, ukuzizwa ubuthakathaka noma ubuthakathaka, umbono ofiphele.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ukuqunjelwa
• Isiyezi
• Ukozela
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Uma ubona noma yini engavamile, khuluma nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA ku-1-800-FDA-1088.

Lo muthi kufanele ugcinwe kanjani? Ake sifunde nangokuphepha!

Lolu udaba olubaluleke kakhulu, ngoba kunethuba elikhulu lokuthi lolu hlobo lomuthi lungasetshenziswa kabi.

• Gcina lo muthi kude nezingane nezilwane ezifuywayo.
• Lo muthi ungasetshenziswa kabi, ngakho gcina umuthi wakho endaweni ephephile ukuze uwuvikele ekwebiweni.
• Ungabelani ngalo muthi nanoma ubani. Ukuthengisa noma ukunikeza abanye lo muthi kuyingozi futhi kuphambene nomthetho.
• Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-15 no-30 (ama-degree Fahrenheit angu-59 no-86).
• Uma lo muthi uthathwa abanye abantu abadala, izingane, noma izilwane ezifuywayo, ungabalimaza noma ubangele nokufa.
• Thatha imithi engasetshenziswanga uye endaweni esemthethweni yokulahla imithi. Ukuze uyithole, shayela i-DEA (Drug Enforcement Administration) ku-1-800-882-9539, noma ubuze idolobha/umasipala wendawo.
• Uma ungenayo indlela yokubuyisela umuthi, yihlanze endlini yangasese.
• Ungasebenzisi umuthi ophelelwe yisikhathi.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke sesikhulume kakhulu nge-Oxymorphone, akunjalo? Nakuba lo muthi ungasiza ngobuhlungu bakho obukhulu nobungapheli, kubalulekile ukuwusebenzisa ngendlela efanele nangokuphephile.

• Landela imiyalelo kadokotela wakho ngqo ngaso sonke isikhathi. Thatha umuthi njengoba uyalelwe, ngesikhathi osinqunyiwe, nangenani elinqunyiwe.
• Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izifo onazo, noma yimiphi eminye imithi oyithathayo, kanye nemikhuba yakho (njengokuphuza utshwala nokubhema).
• Ungawuphuli, ungawuchobozi, noma uwuhlafune umuthi. Wugwinye wonke. Yiphuze esiswini esingenalutho.
• Qaphela imiphumela emibi. Uma ubona noma yini embi kakhulu, tshela udokotela wakho ngokushesha.
• Gcina umuthi uphephile. Ugcine kude nezingane futhi ungawuniki omunye umuntu.
• Ungayeki ukuthatha umuthi ngokuzumayo. Nciphisa umthamo njengoba uqondiswe udokotela wakho.
• Qaphela i-Naloxone futhi ufundise umndeni wakho ukuthi ungayisebenzisa kanjani uma kudingeka.

Sicela uqaphele ukuthi lesi sihloko senzelwe ulwazi olujwayelekile kuphela. Uma unemibuzo mayelana nalo muthi, kungcono ukukhuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Sikufisela ukululama okusheshayo!

I- Oxymorphone, imithi yokubulala izinhlungu, ama-opioid, ubuhlungu obungapheli, imiphumela emibi, imithi