Butorphanol Nasal Mwaya

Zvemukati

• Kuti ushandise butorphanol nasal spray, tevera aya maratidziro:
• Usati washandisa butorphanol nasal spray,
• Butorphanol nasal spray inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Butorphanol nasal spray inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva refu. Shandisa butorphanol nasal spray sezvakarairwa. Usashandise yakawanda yacho, ishandise kakawanda, kana kuishandisa neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchishandisa butorphanol nasal spray, kurukura nemupi wako wekuchengetedza 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 iwe uchanyanyisa kushandisa butorphanol 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.

Butorphanol nasal spray inogona kukonzera zvakakomba kana kutyisidzira hupenyu matambudziko ekufema, kunyanya panguva yekutanga makumi maviri nemana kusvika maawa makumi maviri nemaviri ekurapwa kwako uye chero nguva dosi rako riwedzerwe. Chiremba wako achakutarisa zvakanyatsonaka panguva yekurapa kwako. Udza chiremba wako kana iwe wakambove kana wakambononoka kufema kana asima. Chiremba wako angangokuudza kuti usashandise butorphanol nasal spray. 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 hwekumanikidza 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 imwe mimwe mishonga ne butorphanol nasal spray kunogona kuwedzera njodzi yezvinetso zvakakomba kana kutyisidzira hupenyu kufema. Udza chiremba wako uye wemishonga kana iwe uri kutora kana kuronga kutora chero einotevera mishonga: mimwe mishonga inodzivirira fungal inosanganisira itraconazole (Onmel, Sporanox), ketoconazole, uye voriconazole (Vfend); carbamazepine (Carbatrol, Epitol, Tegretol, Teril); mishonga yekushushikana, kurwara nepfungwa kana kusvotwa; benzodiazepines senge alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), uye triazol clarithromycin (Biaxin, muPrevPac) misuru inozorodza; erythromycin (Erytab, Erythrocin); mimwe mishonga yehutachiona hwehutachiona hwehutachiona (HIV) inosanganisira indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra); mamwe marwadzo ekurwadziwa narcotic; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, muRifamate); kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kushandura dosi yemushonga wako uye anozokutarisa nemazvo.

Kunwa doro, kutora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako nebutorphanol nasal spray zvinowedzerawo njodzi yekuti uchaona izvi zvakakomba, zvinotyisidzira hupenyu. Usanwa doro kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukashandisa butorphanol nasal pfapfaidzo nguva dzose 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.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa nebutorphanol nasal spray uye pese paunozadza tsamba yako. 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.

Butorphanol nasal spray inoshandiswa kusunungura zvine mwero kusvika pakurwadziwa kukuru. Butorphanol iri mukirasi yemishonga inonzi opioid agonist-vanopikisa. Inoshanda nekushandura nzira iyo muviri unonzwa kurwadziwa.

Butorphanol nasal spray inouya semhinduro (mvura) yekupfira mumhino. Inowanzo shandiswa sezvinodiwa pakurwadziwa asi kwete kazhinji kanopfuura kamwe chete maawa matatu kusvika mana. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

Butorphanol nasal spray inofanira kubvisa marwadzo ako mushure mekuishandisa. Kana iwe uri kushandisa yakaderera yekutanga dosi ye butorphanol nasal spray, chiremba wako anogona kukuudza iwe kuti iwe unogona kushandisa yechipiri dosi kana iwe uchine marwadzo 60 kusvika 90 maminetsi mushure medosi yako yekutanga. Usashandise iyi yechipiri dose kunze kwekunge chiremba wako akuudza kuti iwe unogona. Dana chiremba wako kana iwe uchiri kurwadziwa mushure mekushandisa butorphanol nasal spray sezvakataurwa. Danaidzawo chiremba wako kana wakamboshandisa butorphanol nasal spray kwenguva yakati wanei kuti haichashandi sezvayakamboita pakutanga kwekurapwa kwako.

Usarega kushandisa butorphanol nasal spray usingataure nachiremba wako. Kana ukangoerekana warega kushandisa butorphanol nasal spray, unogona kusangana nezviratidzo zvekuregera senge kutya, kushushikana, kuzununguka, manyoka, kutonhora, ziya, kunetseka kurara kana kuramba wakarara, kurasikirwa kwekubatana, kuvhiringidzika, kana kuona zvisipo (kuona zvinhu kana kunzwa manzwi haapo). Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

Usati washandisa butorphanol nasal spray kwenguva yekutanga, verenga zvakanyorwa zvinopihwa nemugadziri. Kumbira chiremba wako kana wemishonga kana uine mibvunzo pamusoro pekushandisa butorphanol nasal spray.

Kuti ushandise butorphanol nasal spray, tevera aya maratidziro:

1. Geza maoko.
2. Zvinyoronyoro kuridza mhino dzako.
3. Bvisa chivharo chakajeka uye chekudzivirira clip kubva mubhodhoro.
4. Kana iwe uri kushandisa pombi nyowani kana pombi iyo isina kushandiswa mumaawa makumi mana nemasere kana kupfuura, unofanira kutanga wapomba pombi usati washandiswa. Bata bhodhoro kuitira kuti kamwene iri pakati peminwe yako yekutanga neyechipiri uye chigunwe chako chiri pasi. Iva nechokwadi chekuti bhodhoro rakanangidzirwa kure newe, vamwe vanhu, nemhuka. Pomba bhodhoro racho zvakasimba uye nekukurumidza (kusvika pamasere masere) kudzamara pakapfapfaidza.
5. Pinza muromo wechipfapfaidzo anenge 1/4 inch (0.6 cm) kupinda mumhino imwe, uchinongedzera tip yacho kuseri kwemhino dzako.
6. Vhara imwe mhuno nemunwe wako uye tenderedza musoro wako zvishoma kumberi.
7. Pomba pfapfaidzo zvakasimba uye nekukasira imwe nguva uye pfekedza zvinyoro nyoro muromo wako wakavharwa.
8. Bvisa sprayer kubva mumhino dzako. Dzosera musoro wako kumashure uye pfavirira zvinyoronyoro kwemasekondi mashoma.
9. Tsiva chikamu chekudzivirira uye chivhara pane bhodhoro repiritsi. Dzorera bhodhoro mumudziyo unochengetedzwa nemwana.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa nebutorphanol nasal spray uye pese paunozadza mushonga wako. 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/cder) kuti utore mushonga weMishonga.

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

Usati washandisa butorphanol nasal spray,

• udza chiremba wako uye wemishonga kana uri weergoria kune butorphanol, chero mimwe mishonga, kana benzethonium chloride (chinodzivirira chinowanikwa mune mimwe mishonga uye zvigadzirwa zvekuchengetedza zvevanhu). Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• 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 eanotevera: antidepressants; antihistamines; barbiturates senge butabarbital (Butisol), pentobarbital (Nembutal), phenobarbital, kana secobarbital (Seconal); cyclobenzaprine (Amrix); dextromethorphan (inowanikwa mumishonga yakawanda yekukosora; muNuedexta); lithium (Lithobid); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); mhino dzemumhino dzakadai se oxymetazoline (Afrin, Dristan, vamwe); 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), uye milnacipran (Savella), venlafaxine (Effexor); theophylline (Theochron, Uniphyl, nevamwe); trazodone (Oleptro); uye tricyclic antidepressants ('mood elevators') senge amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), uye trimipramine. Uyezve udza chiremba wako kana wemishonga kana uri kutora kana kugamuchira zvinotevera monoamine oxidase (MAO) inhibitors kana kana warega kuzvitora mukati memavhiki maviri apfuura: isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kana tranylcypromine (Parnate). Mimwe mishonga yakawanda inogona zvakare kubatana ne butorphanol, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. 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 nechero mamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZO kana kuvhara mudumbu kana mumatumbo senge rakafa mitezo. Chiremba wako anogona kukuudza kuti usashandise butorphanol nasal spray.
• udza chiremba wako kana iwe wakambove kana nedambudziko rekuita weti; chirwere chemwoyo; pfari; kukwirira kweropa; kana rwatata, nduru, dundira, moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uchiyamwisa.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa butorphanol.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa butorphanol nasal spray.
• iwe unofanirwa kuziva kuti butorphanol nasal spray inogona kukotsira, kuita dzungu, kana kupera simba, kunyanya panguva yeawa rekutanga mushure mekushandisa mushonga. Ive neshuwa kuti iwe unayo nzvimbo yakanaka inowanika kuitira kana iwe uchizoda kurara pasi mushure mekushandisa mushonga. Usafambisa mota kana kushandisa michina kweinenge 1 awa mushure mekushandisa butorphanol nasal spray. Mushure mekunge 1 awa rapfuura, usatyaire kutyaira kusvikira wave nechokwadi chekuti hauna dzungu, kurara, kana kungwarira zvishoma pane zvakajairwa.
• iwe unofanirwa kuziva kuti butorphanol nasal spray inogona kukonzera kupatira. Taura nachiremba wako nezvekushandura chikafu chako kana kushandisa mimwe mishonga kudzivirira kana kurapa kupatirwa paunenge uchishandisa butorphanol nasal spray.

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

Butorphanol nasal spray inowanzo shandiswa pazvinodiwa. Kana chiremba wako akakuudza kuti ushandise butorphanol nasal spray nguva dzose, shandisa dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Butorphanol nasal spray inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsimwaira
• kuneta zvakanyanya
• kunetseka kurara kana kuramba wakarara
• kujairika kurota
• kuvimbiswa
• kurwadziwa nemudumbu
• kunzwa kupisa
• kufashaira
• kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka
• kuzunza kusingadzoreki nhengo yemuviri
• huta
• ruvengo
• mufaro wakanyanya
• kunzwa kwekuyangarara
• kunzwa kwekusuwa, kusagadzikana, kana kusagadzikana
• kusaona zvakanaka
• kurira munzeve
• nzeve kurwadziwa
• kuravira kusingafadzi
• muromo wakaoma
• kunetseka kuita weti
• mumhino
• mhino kana kutsamwa
• huro inorwadza

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

• 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
• kumwedzi kuenda kumwedzi
• yakaderera chishuwo chepabonde
• kunetseka kufema
• kufenda
• zvisina kujairika kana kurova kurova kwemoyo
• musoro
• musoro wakareruka
• mapundu
• mikoko

Butorphanol nasal spray inogona kukonzera mamwe mhedzisiro. Dana chiremba wako kana iwe uine chero matambudziko asina kujairika iwe paunenge 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).

Chengetera butorphanol nasal spray mumudziyo wayo unodzivirira vana, wakanyatsovharwa uye usingawane vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Rasa butorphanol nasal spray nekukasira kana ichinge yaitwa yechinyakare kana kuti isingachadiwe nekusunungura chivharo, kuchenesa bhodhoro, nekuisa zvikamu zvacho mumudziyo wemarara.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

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.

Paunenge uchishandisa butorphanol nasal spray, 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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kunonoka kana kudzika kufema
• kunetseka kufema
• hope
• kutadza kupindura kana kumuka

Chengetedza zvese zvakagadzwa nachiremba wako uye rabhoritari Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kubutorphanol.

Usati waita chero bvunzo ye laboratori (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi veirabhoritari vauri kushandisa butorphanol.

Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

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.

• Stadol^® NS^¶

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.