Buprenorphine Jekiseni

Zvemukati

• Usati wagamuchira jekiseni reBuprenorphine,
• Buprenorphine yakawedzera-kuburitsa jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchida kurapwa,
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Buprenorphine yakawedzera-kuburitsa jekiseni inongowanikwa chete kuburikidza neakasarudzika chirongwa chekuparadzira chinonzi Sublocade REMS. Chiremba wako uye chemishonga yako anofanirwa kunyoreswa muchirongwa ichi usati wagamuchira buprenorphine jekiseni. Kumbira chiremba wako kuti uwane rumwe ruzivo nezvechirongwa ichi uye kuti unozogamuchira sei mushonga wako.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mimwe bvunzo usati uye panguva yekurapa kwako kuti utarise mhinduro yemuviri wako kubuprenorphine yakawedzera-kuburitsa jekiseni.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa neBuprenorphine jekiseni rekuburitsa uye nguva dzese 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) kuti utore Gwaro reMishonga.

Buprenorphine yakawedzera-kuburitsa jekiseni inoshandiswa kurapa opioid kutsamira (kupindwa muropa nemaopioid zvinodhaka, kusanganisira heroin uye narcotic painkillers) mune vanhu vakagamuchira buccal kana sublingual buprenorphine kwemazuva kana manomwe mazuva. Buprenorphine yakawedzera-kuburitsa jekiseni iri mukirasi yemishonga inonzi opiate pasarudzo agonists. Izvo zvinoshanda kudzivirira kubvisa zviratidzo kana mumwe munhu amira kutora maopioid zvinodhaka nekugadzira zvakafanana mhedzisiro kune aya madhiragi.

Buprenorphine yakawedzeredzwa-kuburitswa (yakareba-inoshanda) jekiseni inouya semhinduro (mvura) kujowa subcutaneously (pasi peganda chete) nemubatsiri wezvehutano munzvimbo yemudumbu. Inowanzo kupihwa kamwe pamwedzi uye nemazuva makumi maviri nematanhatu ari pakati pemadhosi. Yese buprenorphine jekiseni rinoburitsa mushonga mumuviri wako pamusoro pemwedzi.

Mushure mekugashira dhipoziti yebuprenorphine yakawedzera-kuburitsa jekiseni, unogona kucherechedza bundu panzvimbo yejekiseni kwevhiki dzinoverengeka, asi rinofanira kudzikira muhukuru nekufamba kwenguva. Usazora kana kukwiza jekiseni saiti. Ive neshuwa kuti bhanhire rako kana bhanhire rebhandi hazvisi kuisa kumanikidza panzvimbo iyo mushonga wakaiswa.

Chiremba wako anogona kuwedzera kana kudzikisa dhizaini yako zvichienderana nekuti mushonga unoshanda sei kwauri, uye chero mhedzisiro iwe yaunosangana nayo. Ive neshuwa yekuudza chiremba wako kuti uri kunzwa sei panguva yekurapwa kwako ne buprenorphine yakawedzera-kuburitsa jekiseni.

Kana buprenorphine yakawedzerwa-kuburitswa ichizoregedzwa, chiremba wako angangoderedza dosi rako zvishoma nezvishoma. Unogona kusangana nezviratidzo zvekuregera zvinosanganisira kusagadzikana, kubvarura maziso, kudikitira, kutonhora, kuwedzeredza kwevadzidzi (denderedzwa dema pakati pemeso), kutsamwa, kushushikana, kurwadziwa nemusana, kushaya simba, kurwadziwa mudumbu, kunetseka kurara kana kuramba wakarara, kuda kurutsa, kurasikirwa nechido, kurutsa, manyoka, kufema nekukurumidza, kana kukurumidza kurova kwemoyo. Izvi zviratidzo zvekudzoka zvinogona kuitika mwedzi mumwe kana kupfuura mushure mekupedzisira buprenorphine yakawedzera-kuburitsa jekiseni jekiseni.

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

Usati wagamuchira jekiseni reBuprenorphine,

• udza chiremba wako uye wemishonga kana uri weergoria kune buprenorphine, chero mimwe mishonga, kana chero chinhu chinosanganiswa mujojo ye buprenorphine. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: antihistamines; benzodiazepines senge alprazolam (Xanax), chlordiazepoxide (Librium, muLibrax), clonazepam (Klonopin), diazepam (Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), triazolion) carbamazepine (Carbatrol, Tegretol, Teril, nevamwe); diuretics ('mapiritsi emvura'); erythromycin (EES, Eryc, PCE, vamwe); Mishonga yeHIV yakadai seatazanavir (Reyataz, muEvotaz), delavirdine (Rescriptor), efavirenz (Sustiva, muAtripla), etravirine (Intelence), indinavir (Crixivan), nevirapine (Viramune), ritonavir (Norvir, muKaletra), uye saquina (Invirase); mimwe mishonga yekushaya moyo zvisina kujairika kusanganisira amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (muNuedexta), uye sotalol (Betapace, Betapace AF, Sorine); mishonga yeglaucoma, chirwere chepfungwa, chirwere chekufamba, chirwere chePasinson, maronda, kana matambudziko eweti; ketoconazole, mimwe mishonga yekurwadziwa; mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); tsandanyama relaxants; phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane); kunyaradza; mapiritsi ekurara; 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; tranquilizers; 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). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne buprenorphine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana iwe kana nhengo yemhuri uchinwa kana wakambonwa doro rakawanda kana kuti kana wakambove neyakareba QT syndrome (mamiriro anowedzera mukana wekukura kwemoyo zvisina kujairika izvo zvinogona kukonzera kurasikirwa kwekuziva kana kufa kamwe kamwe). Zvakare, udza chiremba wako kana iwe kana wakambove uine yakaderera masosi e potasium kana magnesium muropa; kutadza kwemoyo; inononoka kana isina kujairika kurova kwemoyo; chisingaperi obstructive pulmonary chirwere (COPD; boka rezvirwere zvinokanganisa mapapu nemumhepo); zvimwe zvirwere zvemapapu; kukuvara mumusoro; bundu repfungwa; chero mamiriro ezvinhu anowedzera huwandu hwekumanikidza muuropi hwako; adrenal matambudziko akadai seAdisonison chirwere (mamiriro mune iyo adrenal gland inogadzira mashoma mahormoni pane zvakajairwa); benign prostatic hypertrophy (BPH, kuwedzera kweprostate gland); kunetseka kuita weti; kuona zvisipo (kuona zvinhu kana kunzwa manzwi zvisipo); rakakombama musana rinoita kuti kutadza kufema zvakanaka; kana thyroid, nduru, kana chiropa chirwere.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukatambira buprenorphine yakawedzera-kuburitsa jekiseni nguva dzose panguva yako yepamuviri, mwana wako anogona kuona kutyisidzira kwehupenyu kubvisa zviratidzo mushure mekuberekwa. 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.
• udza chiremba wako kana iwe uchiyamwisa. Udza chiremba wemwana wako ipapo ipapo kana mwana wako akarara kupfuura nguva dzose kana achinetseka kufema paunenge uchigamuchira mushonga uyu.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa buprenorphine yakawedzera-kuburitsa jekiseni.
• kana iwe uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikugamuchira buprenorphine yakawedzerwa-kuburitsa jekiseni.
• iwe unofanirwa kuziva kuti buprenorphine yakawedzera-kuburitsa jekiseni inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• haufanire kunwa doro kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako. Kunwa doro, kutora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumigwagwa panguva yekurapwa kwako nebuprenorphine jekiseni kunowedzera njodzi yekuti uchave nematambudziko akakomba uye anotyisidzira ekufema.
• iwe unofanirwa kuziva kuti buprenorphine inogona kukonzeresa 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.
• iwe unofanirwa kuziva kuti buprenorphine inogona kukonzera kupatira. Taura nachiremba wako nezve kushandura chikafu chako kana kushandisa mimwe mishonga kudzivirira kana kurapa kupatirwa iwe uchishandisa buprenorphine jekiseni.

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

Kana iwe ukarasikirwa zvakarongwa buprenorphine yakawedzera-kuburitsa jekiseni jekiseni, iwe unofanirwa kufonera chiremba wako kuti agamuchire iyo dhivha nekukurumidza sezvazvinogona. Yako inotevera dosi inofanirwa kupihwa mushure memazuva makumi maviri nemasere.

Buprenorphine yakawedzera-kuburitsa jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• musoro
• kuneta
• kurwadziwa, kuchenesa, kuzvimba, kusagadzikana, kutsvuka, kupwanya, kana mapundu mujekiseni nzvimbo

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchida kurapwa,

• kunetseka kufema
• kushungurudzika, kuona zvisizvo (kuona zvinhu kana kunzwa manzwi zvisipo), fivha, kudikitira, kuvhiringidzika, kurova kwehana nekukurumidza, kudedera, kutaura kwakadzikama, kuomarara kwemhasuru kana kupunzika, kurasikirwa kwekubatana, kusvotwa, kurutsa, kana manyoka.
• kusvotwa, kurutsa, kurasikirwa nechido, kushaya simba, kana dzungu
• kutadza kuwana kana kuchengeta erection
• kumwedzi kuenda kumwedzi
• yakaderera chishuwo chepabonde
• mapundu
• mikoko
• kuvava
• kutaura kwakashata
• kusaona zvakanaka
• shanduko mukurova kwemoyo
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• yero yeganda kana maziso
• weti yakasviba
• zvituru-zvine zvituru

Buprenorphine yakawedzera-kuburitsa jekiseni inogona kukonzera mimwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge uchigamuchira 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).

Fonera runhare rwekutonga runhare 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:

• kudzikira kana kuwedzerwa kwevadzidzi (denderedzwa dema pakati peziso)
• kunonoka kana kunetseka kufema
• kurara zvakanyanya kana kukotsira
• coma (kurasikirwa kwekuziva kwenguva yakati)
• kunonoka kurova kwemoyo

Usati waita chero bvunzo yerabhoritari (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi veirabhoritari kuti urikushandisa jekiseni reBuprenorphine.

Panyaya yekukurumidzira, nhengo yemhuri kana muchengeti anofanirwa kuudza vashandi vekurapa vechimbichimbi kuti iwe unovimba nemuviri weopioid uye urikuwana kurapwa neBuprenorphine yakawedzerwa-kuburitsa jekiseni.

Buprenorphine yakawedzera-kuburitsa jekiseni chinhu chinodzorwa. Ive neshuwa yekuronga nguva dzekugadzwa nachiremba wako nguva nenguva kuti ugamuchire majekiseni ako. Bvunza wako wemishonga kana iwe uine chero mibvunzo.

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.

• Sublocade^®