Meperidine Jekiseni

Zvemukati

• Usati washandisa jekiseni meperidine
• Meperidine jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Meperidine jekiseni inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva refu. Shandisa meperidine jekiseni chaizvo sekurairwa. Usashandise yakawanda yacho, ishandise kakawanda, kana kuishandisa neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchishandisa meperidine jekiseni, kurukura nemupi wako wekuchengeta hutano zvinangwa zvako zvekurwadziwa, kureba kwekurapwa, uye dzimwe nzira dzekugadzirisa marwadzo ako. Udza chiremba wako kana iwe kana chero mumwe munhu mumhuri yako achinwa kana akambonwa doro rakawanda, akashandisa kana akamboshandisa zvinodhaka mumugwagwa, kana kushandisa zvakanyanyisa mishonga yekunwa, kana kuve nekuwedzeredza, kana iwe kana wakamboora mwoyo kana chimwe chirwere chepfungwa. Iko kune njodzi huru yekuti unoshandisa zvakanyanya meperidine kana iwe uine kana wakambove nechero cheaya mamiriro. Taura nemubatsiri wako wezvehutano nekukurumidza uye kumbira hutungamiriri kana iwe uchifunga kuti une opioid kupindwa muropa kana kufonera iyo US Substance Abuse uye Mental Health Services Administration (SAMHSA) National Helpline pa1-800-662-HELP.

Meperidine jekiseni inogona kukonzera zvakakomba kana kutyisidzira hupenyu matambudziko ekufema, kunyanya panguva yekutanga 24 kusvika maawa 72 ekurapwa kwako uye chero nguva dosi yako yaunowedzerwa. Chiremba wako achakutarisa zvakanyatsonaka panguva yekurapa kwako. Udza chiremba wako kana iwe wakambove kana wakambononoka kufema kana asima. Chiremba wako anogona kukuudza kuti usashandise jekiseni meperidine. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemapapu senge chisingaperi obstructive pulmonary disease (COPD; boka rezvirwere zvinokanganisa mapapu nemumhepo), kukuvara kwemusoro, bundu repfungwa, kana chero mamiriro ezvinhu anowedzera huwandu hwe kumanikidzwa muuropi hwako. Njodzi yekuti iwe unozokudziridza matambudziko ekufema inogona kuve yakakwira kana iwe uri mukuru zera kana kushaya simba kana kushaya zvinovaka muviri nekuda kwechirwere. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira: kunonoka kufema, kumbomira kumberi pakati pekufema, kana kufema kwekufema.

Kutora mimwe mishonga panguva yekurapwa kwako neine meperidine jekiseni kunogona kuwedzera njodzi yekuti uchaona matambudziko ekufema kana zvimwe zvakakomba, hupenyu hunotyisidzira matambudziko ekufema, kunyorova, kana kufenda. Udza chiremba wako kana uri kutora kana kuronga kutora chero anotevera emishonga: benzodiazepines senge alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), uye triazolam (Halcion); mishonga yekushushikana, kuda kurutsa, kana kurwadziwa; tsandanyama relaxants; kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukashandisa meperidine jekiseni nechero ipi yemishonga iyi uye ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukasira kana kutsvaga kurapwa kwekukurumidzira: dzungu risina kujairika, hura husina musoro, kurara zvakanyanya, kunonoka kana kuoma kufema, kana kusavimbika. Ive neshuwa kuti uyo anokuchengeta kana nhengo dzemhuri vanoziva zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana kurapwa kwekukurumidzira kana iwe usingakwanise kutsvaga kurapwa wega.

Kunwa doro, kutora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako ne meperidine kunowedzera njodzi yekuti iwe uchave nemhedzisiro, inokanganisa hupenyu. Usanwa doro, tora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako.

Usatendere mumwe munhu kushandisa mushonga wako. Meperidine jekiseni inogona kukuvadza kana kukonzera rufu kune vamwe vanhu vanoshandisa yako mushonga, kunyanya vana.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukashandisa meperidine jekiseni nguva dzese panguva yako yepamuviri, mwana wako anogona kusangana nehupenyu hunotyisidzira kubvisa zviratidzo mushure mekuzvarwa. Udza chiremba wemwana wako ipapo ipapo kana mwana wako akasangana nechimwe chezviratidzo zvinotevera: kugumbuka, kusagadzikana, kurara zvisina kujairika, kuchema kwakakwira, kuzunza kusingadzoreki kwechikamu chemuviri, kurutsa, manyoka, kana kutadza kurema.

Taura nachiremba wako nezve njodzi dzekushandisa jekiseni meperidine.

Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Meperidine jekiseni inoshandiswa kugadzirisa zvine mwero kusvika pakurwadziwa kwakanyanya. Inogona zvakare kushandiswa kare uye panguva yekuvhiyiwa kana imwe nzira yekurapa. Meperidine jekiseni iri mukirasi yemishonga inonzi opiate (narcotic) analgesics. Inoshanda nekushandura nzira iyo muviri unonzwa kurwadziwa.

Meperidine jekiseni inouya semhinduro (mvura) kupinza subcutaneously (pasi peganda chete), intramuscularly (kupinda mumhasuru), kana kupinda mukati (mutsinga). Inowanzojowa subcutaneously kana intramuscularly kamwe chete pa3 kusvika kumaawa mana pazvinenge zvichidikanwa. Shandisa meperidine jekiseni chaizvo sekurairwa.

Chiremba wako anogona kugadzirisa dhizaini yako meperidine jekiseni panguva yekurapa kwako, zvichienderana nekuti marwadzo ako anodzorwa sei uye pamhedzisiro iwe yaunowana. Taura nachiremba wako nezvekuti iwe urikunzwa sei panguva yekurapwa kwako nemeperidine jekiseni.

Kana iwe wakashandisa meperidine jekiseni kwenguva yakareba kupfuura mazuva mashoma, usamire kuishandisa kamwe kamwe. Kana iwe ukangoerekana warega kushandisa jekiseni meperidine, unogona kusangana nezviratidzo zvekuregera zvinosanganisira kusagadzikana; maziso ane misodzi; dzihwa; yawning; vangadikitira; chills; mhasuru, musana kana kurwadza kwemajoini; kuwedzera kwevadzidzi; kutsamwa; kushushikana; kushaya simba; kurwadziwa nemudumbu; kunetseka kurara kana kuramba wakarara; kusvotwa; kurasikirwa nenzara; kurutsa; manyoka; kukurumidza kufema; kana kukurumidza kurova kwemoyo. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa jekiseni meperidine

• udza chiremba wako uye wemishonga kana uri weergoria kune meperidine, chero mimwe mishonga, kana zvinongedzo mujekiseni meperidine. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• usashandise jekiseni meperidine kana uri kutora monoamine oxidase (MAO) inhibitor senge isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), kana tranylcypromine (Parnate) kana kana iwe warega kutora chero emimwe mishonga iyi mukati memavhiki maviri apfuura. Chiremba wako angangokuudza kuti usashandise jekiseni meperidine kana uri kutora imwe kana yakawanda yemishonga iyi.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero einotevera: cyclobenzaprine (Amrix); dextromethorphan (inowanikwa mumishonga yakawanda yekukosora; muNuedexta); lithium (Lithobid, muLibrax); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); 5HT₃ serotonin blockers senge alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kana palonosetron (Aloxi); serotonin-reuptake inhibitors senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, muSymbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), uye sertraline (Zoloft); serotonin uye norepinephrine reuptake inhibitors senge duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), uye venlafaxine (Effexor); tramadol (Conzip, Ultram); trazodone (Oleptro); kana tricyclic antidepressants ('mood elevators') senge amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), uye trimipramine. Mimwe mishonga yakawanda inogona zvakare kusangana nemameididine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Uyezve udza chiremba wako kana wemishonga kana iwe uri kutora narcotic mishonga yekurwadziwa kana kana iwe uchangobva kutora iyi mishonga. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort uye tryptophan.
• udza chiremba wako kana iwe wakambove kana nedambudziko rekuita weti; Chirwere cheAddison (mamiriro umo muviri usingabudise mamwe makemikari akakosha); prostatic hypertrophy (kuwedzera kwechirwere chechirume chinonzi prostate); urethral kuomesa (kudzikira kwemukova unobva weti mumuviri); pfari; kana utachiona, moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa meperidine jekiseni, fonera chiremba wako
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa meperidine.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa jekiseni remeperidine.
• iwe unofanirwa kuziva kuti meperidine inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti meperidine inogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Kuti udzivise dambudziko iri, simuka pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Meperidine jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• musoro wakareruka
• musoro
• kusagadzikana
• kuvimbiswa
• kusadzora kusadzora kwechikamu chemuviri wako
• kusaona zvakanaka
• muromo wakaoma
• kurwadziwa kana kutsvuka panzvimbo yejekiseni

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• kunonoka kufema
• kushungurudzika, kuona zvisizvo (kuona zvinhu kana kunzwa manzwi zvisipo), fivha, kudikitira, kuvhiringidzika, kurova kwehana nekukurumidza, kudedera, kuomarara kwemhasuru kana kupunzika, kurasikirwa nekubatana, kuda kurutsa, kurutsa, kana manyoka.
• kusvotwa, kurutsa, kurasikirwa nechido, kushaya simba, kana dzungu
• kutadza kuwana kana kuchengeta erection
• yakaderera chishuwo chepabonde
• kumwedzi kuenda kumwedzi
• mufaro wakanyanya
• kusuruvara mamiriro
• mapundu
• kuvava
• kufashaira
• mikoko
• pfari
• kuona zvisipo

Meperidine jekiseni inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Paunenge uchishandisa meperidine jekiseni, iwe unofanirwa kutaura nachiremba wako nezvekuva nemishonga yekununura inonzi naloxone inowanikwa zvirinyore (semuenzaniso, kumba, hofisi). Naloxone inoshandiswa kudzosera zvinokonzeresa hupenyu mukuwandisa. Inoshanda nekudzivirira mhedzisiro yemaopi kubvisa zviratidzo zvine njodzi zvinokonzerwa neakakwira maopiates muropa. Chiremba wako anogona zvakare kukuraira naloxone kana uchigara mumba mune vana vadiki kana mumwe munhu akamboshandisa zvisina kunaka mumugwagwa kana mishonga yemishonga. Iwe unofanirwa kuve nechokwadi chekuti iwe nenhengo dzemhuri yako, vanokuchengeta, kana vanhu vanopedza nguva newe vanoziva maitiro ekuziva kuwandisa, mashandisiro aizoita naloxone, uye zvekuita kusvikira rubatsiro rwechipatara rwechimbichimbi rwasvika. Chiremba wako kana wemishonga anokuratidza iwe uye nhengo dzemhuri yako mashandisiro emishonga. Kumbira mushonga wako wemishonga kuti uwane rairo kana kushanyira webhusaiti yemugadziri kuti utore rairo. Kana zviratidzo zvekuwedzeredza zvikaitika, shamwari kana nhengo yemhuri inofanirwa kupa dosi rekutanga reiyoxone, kufonera 911 nekukasira, uye gara newe uye kukutarisa padyo kusvikira rubatsiro rwechipatara rwechimbichimbi rwasvika. Zviratidzo zvako zvinogona kudzoka mukati memaminetsi mashoma mushure mekugamuchira naloxone. Kana zviratidzo zvako zvikadzoka, munhu wacho anofanira kukupa imwe muyero weiyoxone. Mimwe mibairo inogona kupihwa yega 2 kusvika 3 maminetsi, kana zviratidzo zvichidzoka rubatsiro rwekurapa rusati rasvika.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kunonoka kana kudzika kufema
• kunetseka kufema
• kurara zvakanyanya
• kutadza kupindura kana kumuka
• dzakasununguka, tsandanyama
• kutonhora, clammy ganda
• kunonoka kurova kwemoyo
• kufenda

Chengetedza zvese zvakagadzwa nachiremba wako. Chiremba wako anogona kuraira kumwe kuongorora kwebazi kuti atarise mhinduro yemuviri wako meperidine.

Usati waita chero bvunzo yerabhoritari (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi veirabhoritari kuti uri kushandisa meperidine

Iyi mishonga haina kuzadzikiswa. Ukaramba uchirwadziwa mushure mekupedza meperidine, fonera chiremba wako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Demerol^®