Buprenorphine Sublingual uye Buccal (opioid kutsamira)

Zvemukati

• Usati watora buprenorphine kana buprenorphine uye naloxone,
• Buprenorphine kana buprenorphine uye naloxone 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 kana izvo zvakanyorwa mune ZVINOKOSHA ZVENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Buprenorphine uye musanganiswa we buprenorphine uye naloxone zvinoshandiswa kurapa kuvimba kweopioid (kupindwa muropa neopioid zvinodhaka, kusanganisira heroin uye narcotic painkillers). Buprenorphine iri mukirasi yemishonga inonzi opioid chikamu agonist-vanopikisa uye naloxone iri mukirasi yemishonga inonzi opioid vanopikisa. Buprenorphine yoga uye kusanganiswa kwebuprenorphine uye naloxone zvinoshanda kudzivirira zviratidzo zvekuregera kana munhu amira kutora maopioid zvinodhaka nekugadzira zvakafanana mhedzisiro iyi kumishonga.

Buprenorphine inouya sehwendefa repasi. Iko kusanganiswa kwe buprenorphine uye naloxone kunouya sehwendefa runyoro (Zubsolv) uye sefirimu remitauro (Suboxone) kutora pasi perurimi uye sebuccal firimu (Bunavail) yekuisa pakati pegum nedama. Mushure mekunge chiremba wako aona dosi yakakodzera, izvi zvigadzirwa zvinowanzo kutorwa kamwe pazuva. Kuti ikubatsire kuyeuka kutora kana kuisa buprenorphine kana buprenorphine uye naloxone, tora kana kuishandisa nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora kana kuisa buprenorphine kana buprenorphine uye naloxone chaizvo sekurairwa. Usatore kana kuisa yakawanda kana shoma yazvo kana kuitora kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Chiremba wako anogona kusarudza kutanga kurapwa kwako ne buprenorphine, iyo yaunotora muhofisi yechiremba. Iwe unozotanga pane yakaderera dosi ye buprenorphine uye chiremba wako achawedzera dosi rako kwemazuva 1 kana maviri mazuva asati akuchinjira iwe ku buprenorphine uye naloxone. Zvichienderana nerudzi rweopioid iyo iwe yawaitora, imwe sarudzo ingasarudzwa nachiremba wako ndeyekutanga iwe pakurapwa ne buprenorphine uye naloxone ipapo ipapo. Chiremba wako anogona kuwedzera kana kudzikisa buprenorphine yako uye naloxone dose zvichienderana nemhinduro yako.

Kana iwe uri kutora iwo mahwendefa emitauro midiki, isa mahwendefa pasi perurimi rwako kusvikira anyungudika zvachose. Kana iwe uri kutora anopfuura maviri mapiritsi, ugozviisa zvese pasi perurimi rwako panguva imwe chete kana kuzviisa pasi perurimi rwako kusvika maviri panguva. Usatsvage mahwendefa kana kumedza iwo akazara. Usadye, kunwa, kana kutaura kusvikira hwendefa ranyungudika zvachose.

Kana iwe uri kushandisa iyo buccal firimu, shandisa rurimi rwako kunyorovesa mukati medama rako kana sukurudza muromo wako nemvura usati waisa iyo firimu. Nyorera iyo firimu nemunwe wakaoma uchipesana nechomukati padama. Wobva wabvisa chigunwe chako uye iyo firimu inonamira mukati medama rako. Kana iwe uchizoshandisa mafirimu maviri, isa imwe firimu mukati merimwe dama rako panguva imwe chete. Usaise mafirimu pamusoro peumwe neumwe uye usashandise anopfuura maviri mafirimu mukati memuromo kamwechete. Siya iyo firimu (s) mumuromo kusvikira yaparara. Usacheke, kubvarura, kutsenga, kumedza, kubata kana kufambisa firimu painenge ichinyungudika. Usadye kana kunwa chero chinhu kusvikira iyo firimu yanyungudika zvizere.

Kana iwe uri kushandisa iyo sublingual firimu, sukurudza muromo wako nemvura usati waisa iyo firimu. Isa firimu nemunwe wakaoma pasi perurimi rwako kurudyi kana kuruboshwe kwepakati uye ubatisise firimu iri panzvimbo kwemasekonzi mashanu. Kana iwe uri kushandisa maviri mafirimu, isa imwe yacho kune yakatarisana divi pasi perurimi. Usaise mafirimu pamusoro kana padhuze nepadhuze. Usashandise anopfuura maviri mafirimu panguva imwe. Usacheke, kubvarura, kutsenga, kumedza, kubata kana kufambisa firimu painenge ichinyungudika. Usadye kana kunwa chero chinhu kusvikira iyo firimu yanyungudika zvizere.

Kana iwe uchida kuchinja kubva kune imwe buprenorphine kana buprenorphine uye naloxone chigadzirwa kune imwe, chiremba wako angangoda kugadzirisa yako dosi. Nguva imwe neimwe yaunogamuchira mishonga yako, tarisa kuti uve nechokwadi chekuti wagamuchira iyo buprenorphine chigadzirwa chawakatemerwa iwe. Bvunza wako wemishonga kana iwe usina chokwadi kuti wakagamuchira chaiyo mishonga.

Usarega kutora buprenorphine kana buprenorphine uye naloxone usina kutaura nachiremba wako. Kumisa buprenorphine kana buprenorphine uye naloxone nekukurumidza kunogona kukonzera kubvisa zviratidzo. Chiremba wako anokuudza iwe nguva uye sei yekumira kutora buprenorphine kana buprenorphine uye naloxone. Kana iwe ukangoerekana warega kutora buprenorphine kana buprenorphine uye naloxone, unogona kusangana nezviratidzo zvekudzora senge kupisa kana kutonhora kupisa, kusagadzikana, kuchema maziso, kumhanyisa mhino, kudikitira, kutonhora, kurwadziwa kwemhasuru, kurutsa, kana manyoka.

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

Usati watora buprenorphine kana buprenorphine uye naloxone,

• udza chiremba wako uye wemishonga kana uri weergoria kune buprenorphine, naloxone, chero mimwe mishonga, kana chero chimwe chezvinhu zvinoshandiswa mu buprenorphine kana buprenorphine uye naloxone mapiritsi madiki kana firimu. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero eanotevera: antihistamines (inowanikwa mune inotonhora uye yekurwisa mishonga mishonga); antipsychotic senge aripiprazole (Abilify), asenapine (Saphris), cariprazine (Vraylar), chlorpromazine, clozapine (Versacloz), fluphenazine, haloperidol (Haldol), iloperidone (Fanapt), loxapine, lurasidone (Latuda )xa, molindone , paliperidone (Invega), perphenazine, pimavanserin (Nuplazid), quetiapine (Seroquel), risperidone (Risperdal), thioridazine, thiothixene, trifluoperazine, uye ziprasidone (Geodon); benzodiazepines senge alprazolam (Xanax), chlordiazepoxide (Librium), clobazam (Onfi), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam quazepam (Doral), temazepam (Restoril), uye triazolam (Halcion); diuretics ('mapiritsi emvura'); erythromycin (EES, Eryc, Erythrocin, vamwe); mimwe mishonga yeHIV yakadai seatazanavir (Reyataz, muEvotaz), delavirdine (Rescriptor), efavirenz (Sustiva, muAtripla), etravirine (Intelence), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), uye ritonavir ( , muKaletra, muTevivie); hypnotics; ipratropium (Atrovent); mishonga yezvirwere zvinokanganisa ura, kufamba kwechirwere, chirwere cheParkinson, maronda, kana matambudziko eweti; ketoconazole; mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); tsandanyama dzinozorodza senge cyclobenzaprine (Amrix), dantrolene (Dantrium), uye metaxalone (Skelaxin); opiate (narcotic) mishonga yekurwadziwa uye kukosora; rifampin (Rifadin, Rimactane, muRifater, muRifamate); mishonga yekubatwa kwakadai se carbamazepine (Epitol, Tegretol, Teril, vamwe), phenobarbital, uye phenytoin (Dilantin, Phenytek); kunyaradza; 5HT₃ serotonin blockers senge alosetron (Lotronex), granisetron (Sancuso, Sustol), 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); mapiritsi ekurara; tramadol (Conzip); trazodone; kana 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 buprenorphine kana buprenorphine uye naloxone, 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 uchinwa kana wakambonwa doro rakawanda uye kana iwe kana wakambove nematambudziko eadrenal senge chirwere cheAdisonison (mamiriro ayo adrenal gland inogadzira mahormone mashoma pane zvakajairwa); benign prostatic hypertrophy (BPH, kuwedzera kweprostate gland); kunetseka kuita weti; kukuvara mumusoro; kuona zvisipo (kuona zvinhu kana kunzwa manzwi zvisipo); rakakombama musana rinoita kuti kutadza kufema zvakanaka; nduru chirwere; chisingaperi obstructive pulmonary chirwere (COPD; boka rezvirwere zvinokanganisa mapapu nemumhepo); kana utachiona, itsvo, chiropa, kana chirwere chemapapu.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukava nepamuviri uchitora buprenorphine kana buprenorphine uye naloxone, fonera chiremba wako. Kana iwe ukatora buprenorphine kana buprenorphine uye naloxone mapiritsi kana firimu 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, kugwinha, kuzunza kusingadzoreki kwechikamu chemuviri, kurutsa, manyoka, kana kutadza kurema.
• udza chiremba wako kana iwe uchiyamwisa. Udza chiremba wemwana wako ipapo ipapo kana mwana wako akarara kupfuura nguva dzose kana achinetseka kufema paunenge uchitora mushonga uyu.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora buprenorphine kana buprenorphine uye naloxone.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora buprenorphine kana buprenorphine uye naloxone.
• iwe unofanirwa kuziva kuti buprenorphine kana buprenorphine uye naloxone inogona kukuita iwe kutsumwaira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• haufanire kunwa doro kana kutora mishonga yekunwa kana isiri yekunyora ine doro uchinwa mushonga uyu.
• iwe unofanirwa kuziva kuti buprenorphine kana buprenorphine uye naloxone inogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Izvi zvinowanzoitika kana iwe ukatanga kutora buprenorphine kana buprenorphine uye naloxone. 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.

Tora kana kuisa iro rakarasika dosi nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore kana kunyorera dhivhosi mbiri kuti uwane imwe yakarasika.

Buprenorphine kana buprenorphine uye naloxone inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• musoro
• kurwadziwa nemudumbu
• kuvimbiswa
• kunetseka kurara kana kuramba wakarara
• kushaya muromo kana kutsvuka
• kurwadziwa kwerurimi
• kusaona zvakanaka
• kurwadziwa shure

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune ZVINOKOSHA ZVENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukasira:

• mikoko
• mapundu
• kuvava
• kunetseka kufema kana kumedza
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• 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
• kunonoka kufema
• kugumbuka mudumbu
• kuneta zvakanyanya
• kuvhiringidzika
• kusaona zvakanaka
• kutaura kwakashata
• kubuda ropa zvisina kujairika kana kupwanya
• kushaya simba
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• yero yeganda kana maziso
• weti yakasviba
• zvituru-zvine zvituru

Buprenorphine kana buprenorphine uye naloxone inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora 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).

Chengetedza mushonga uyu mupakeji yakapinda mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Buprenorphine kana buprenorphine uye naloxone inogona kuve tarisiro kune vanhu vanoshungurudza mishonga yekurapa kana zvinodhaka zvemumugwagwa. Zvichengete munzvimbo yakachengeteka kuitira kuti pasave neumwe munhu anogona kuzvishandisa netsaona kana nemaune. Chengetedza buprenorphine kana buprenorphine uye naloxone patembiricha yekunze uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usaisa chando buprenorphine kana buprenorphine uye naloxone.

Iwe unofanirwa kurasa nekukurumidza chero mushonga wapfuura yechinyakare kana usingachadiwe kuburikidza nemushonga wekudzosa mushonga. Kana iwe usina chirongwa chekudzosa padyo kana icho chaunokwanisa kuwana nekukasira, bvisa mahwendefa asina kufanira kana mafirimu nekuabvisa kubva mupakeji nekuakanda muchimbuzi. Fonera wemishonga wako kana mugadziri kana iwe uine mibvunzo kana uchida rubatsiro kurasa mishonga isingadiwe.

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 runowanikwawo pamhepo pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Paunenge uchitora buprenorphine kana buprenorphine uye naloxone, 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:

• pinina vadzidzi
• kurara kana kukotsira zvakanyanya
• dzungu
• kusaona zvakanaka
• kunonoka kana kudzika kufema
• kunetseka kufema
• kutadza kupindura kana kumuka

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kubuprenorphine uye naloxone.

Usati waita chero bvunzo yerabhoritari (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako uye vashandi veirabhoritari kuti uri kutora buprenorphine kana buprenorphine uye naloxone.

Kana zvikaitika zvechimbichimbi, iwe kana nhengo yemhuri munofanira kuudza chiremba anorapa kana vekuchimbichimbi vashandi kuti uri kutora buprenorphine kana buprenorphine uye naloxone.

Usabaya buprenorphine kana buprenorphine uye naloxone sublingual firimu kana mapiritsi. Kuita kwakakomba kunogona kuitika, kusanganisira kubvisa zviratidzo.

Usarega mumwe munhu achitora 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.

• Subutex^®¶

• Bunavail^® (iine Buprenorphine, Naloxone)
• Suboxone^® (iine Buprenorphine, Naloxone)^¶
• Zubsolv^® (iine Buprenorphine, Naloxone)

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