Naltrexone uye Bupropion

Zvemukati

• Usati watora musanganiswa wenaltrexone uye bupropion,
• Iko kusanganiswa kwe naltrexone uye bupropion kunogona 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 uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinzwa.
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Mushonga uyu une bupropion, chinhu chimwe chete chinoshanda seimwe mishonga yekudzvinyirira (Wellbutrin, Aplenzin) uye mushonga unoshandiswa kubatsira vanhu kurega kuputa (Zyban). Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge bupropion panguva yekiriniki yekudzidzira vakave kuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza kuzviita. ). Vana, vachiri kuyaruka, uye vechidiki vakuru vanotora mishonga yekudzvinyirira kurapa kushushikana kana zvimwe zvirwere zvepfungwa vangangoita mukana wekuzviuraya pane vana, vechidiki, uye vechidiki vasingatore mishonga yekudzvinyirira kurapa aya mamiriro. Iko kusanganiswa kwe naltrexone uye bupropion hakubvumidzwe kuti ishandiswe muvana vari pasi pemakore gumi nemasere ekuberekwa.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora musanganiswa weNaltrexone uye bupropion kunyangwe iwe uri mukuru anopfuura makore makumi maviri nemana ekuberekwa. Unogona kuzviuraya, kunyanya pakutanga kwekurapwa kwako uye chero nguva iyo dhizaini yako ichiwedzera kana kuderera. Iwe, mhuri yako, kana muchengeti wako unofanira kufonera chiremba wako ipapo ipapo kana iwe ukawana chero yeapi anotevera zviratidzo: kutsva kana kuwedzera kuora mwoyo; kufunga nezvekukuvadza kana kuzviuraya iwe, kana kuronga kana kuyedza kuzviita; kunetseka zvakanyanya; kusagadzikana; kushushikana kana kutya kwekutyisa; kunetseka kurara kana kuramba wakarara; hasha, hasha, kana kuita zvechisimba; kutsamwa; kuita pasina kufunga; kusagadzikana kwakanyanya; kujairika kufunga kana kunzwa; kunzwa kuti vanhu vari kupokana newe; kuona zvisipo (kuona zvinhu kana kunzwa manzwi zvisipo); kunzwa kunetseka; frenzied kusagadzikana kusingafadzi; kana chero imwe shanduko kamwe kamwe kana isina kujairika mumaitiro. Iva nechokwadi chekuti mhuri yako kana muchengeti anoziva kuti ndezvipi zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa iwe wega.

Mubatsiri wako wezvehutano anoda kuzokuona kazhinji paunenge uchitora musanganiswa wenaltrexone uye bupropion, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa nekubatanidzwa kwe naltrexone uye bupropion uye nguva yega yega 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.

Taura nachiremba wako nezve njodzi dzekutora musanganiswa wenaltrexone uye bupropion.

Iko kusanganiswa kwe naltrexone uye bupropion kunoshandiswa pamwe neakadzikiswa koriori chikafu uye chirongwa chekurovedza muviri kubatsira vanhu vakuru vakafutisa, kana vakafutisa uye vane matambudziko ekurapa ane chekuita nehuremu, kudzikisa huremu uyezve kuti vadzivise kubva pakudzosera huremu hwacho. Naltrexone iri mukirasi yemishonga inonzi opiate vanopikisa. Bupropion iri mukirasi yemishonga inonzi antidepressants. Iyi mishonga inoshanda pamwechete munzvimbo mbiri dzehuropi, iyo nzara nzvimbo uye mubairo system, kudzikisira chishuwo uye kubatsira kudzora zvishuwo.

Iko kusanganiswa kwe naltrexone uye bupropion kunouya sekuwedzera-kuburitsa (kureba-kuita) piritsi yekutora nemuromo. Inowanzotorwa kaviri pazuva. Usatore mushonga uyu nechikafu chakakora-mafuta. Tora naltrexone uye bupropion panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora naltrexone uye bupropion chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mahwendefa akasunungurwa-akazara; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako angangotanga iwe padosi yakaderera yekubatanidzwa kwe naltrexone uye bupropion uye zvishoma nezvishoma wedzera dosi rako, kwete kanopfuura kamwe pasvondo, kwemavhiki mana. Mushure memasvondo gumi nematanhatu ekurapwa, chiremba wako anozotarisa kuti aone uremu hwakawanda hwawakarasa. Kana usina kurasikirwa nehuremu hwakati wandei, chiremba wako anogona kukuudza kuti usiye kutora mubatanidzwa wenaltrexone uye bupropion sezvo zvisingaite kuti ubatsirwe nekuenderera mberi nekurapwa.

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

Usati watora musanganiswa wenaltrexone uye bupropion,

• udza chiremba wako uye wemishonga kana uri weergoria kune naltrexone, bupropion, chero mimwe mishonga, kana chero chinhu chinosanganiswa munaltrexone uye bupropion mapiritsi. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora monoamine oxidase (MAO) inhibitor senge isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), uye tranylcypromine (Parnate ) kana kana iwe warega kutora MAO inhibitor mukati memazuva gumi nemana apfuura. Chiremba wako angangokuudza kuti usatore musanganiswa wenaltrexone uye bupropion. Kana iwe ukarega kutora kusanganiswa kwe naltrexone uye bupropion, chiremba wako anokuudza kuti iwe unofanirwa kumirira kwemazuva gumi nemana usati watanga kutora MAO inhibitor.
• udza chiremba wako kana uri kutora chero mishonga yeopioid kana yemumigwagwa zvinodhaka zvinosanganisira heroin, mushonga wekurapwa, tramadol (Ultram, Ultracet), opioid ekuchengetedza kurapwa senge buprenorphine (Buprenex, Butrans, Sublocade) kana methadone (Dolophine, Methadose), uye zvimwe mishonga yechirwere, kukosora, kana kutonhora. Uyezve udza chiremba wako kana wakambotora chero yemishonga iyi mune angangoita mazuva manomwe kusvika gumi apfuura. Kumbira chiremba wako kana iwe usina chokwadi kana mushonga wawakatora uri opioid. Chiremba wako anokuudza kuti usatore musanganiswa wenaltrexone uye bupropion kana iwe wakatora kana kushandisa maopioid mune angangoita mazuva manomwe kusvika gumi.
• usatora chero mishonga yeopioid kana kushandisa opioid yemumugwagwa madhiragi panguva yekurapwa kwako pamwe nekubatanidzwa kwe naltrexone uye bupropion. Naltrexone inovhara mhedzisiro yemopioid mishonga uye opioid nzira zvinodhaka. Iwe unogona kusanzwa mhedzisiro yezvinhu izvi kana iwe ukazvitora kana kuzvishandisa pane yakaderera kana yakajairwa dosi. Kana iwe ukatora kana kushandisa yakakwira doses yemopioid mishonga kana madhiragi panguva yekurapa kwako pamwe nekubatanidzwa kweNaltrexone uye bupropion, zvinogona kukonzera kukuvara kwakakomba, coma, kana kufa.
• iwe unofanirwa kuziva kuti kana iwe wakatora mishonga yeopioid usati warapwa pamwe nekubatanidzwa kwe naltrexone uye bupropion, unogona kunge uine hanya nemhedzisiro yemishonga yeopioid kana yako inotevera dhigiji yemusanganiswa we naltrexone uye bupropion inokodzera, kana ukarasikirwa nedosi yemubatanidzwa weNaltrexone uye bupropion, mushure mekupedza kurapwa kwako, kana kana iwe ukaita detoxification. Kana iwe ukashandisa maopioid muhuwandu hwawakashandisa usati warapwa pamwe nekubatanidzwa kwe naltrexone uye bupropion, zvinogona kutungamira kukuwandisa uye kufa. Mushure mekupedza kurapwa kwako, udza chero chiremba anogona kukuraira mishonga iwe yawakamborapwa pamwe nekubatanidzwa kwe naltrexone uye bupropion. Izvo zvakakosha kuti iwe uudze mhuri yako kana muchengeti nezve izvi zvakawedzera kunzwisisika kune maopioid uye nengozi yekuwedzeredza. Iwe kana iye anokuchengeta iwe unofanirwa kuwana rubatsiro rwechimbichimbi rwekurapwa kana ukagadzira chero cheanotevera zviratidzo: kunetseka kufema, kunonoka kufema zvishoma, kukotsira, kunzwa kupera simba, dzungu, kana kuvhiringidzika.
• usatora zvinopfuura chimwe chigadzirwa chine bupropion panguva, kusanganisira mishonga yekudzvinyirira kana zvigadzirwa zvekurega kuputa. Iwe unogona kugamuchira yakawandisa bupropion uye nekuona kwakakomba mhedzisiro.
• 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: amantadine (Osmolex ER), amitriptyline, amoxapine, carbamazepine (Carbatrol, Tegretol), citalopram (Celexa), clopidogrel (Plavix), desipramine (Norpramin), dexamethasone, digoxin (Lanoxin), Silenor), efavirenz (Sustiva, muAtripla), escitalopram (Lexapro), flecainide (Tambocor), fluoxetine (Prozac), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), insulin kana mishonga yemumuromo yechirwere cheshuga, levodopa muSinemet, muStalevo), lopinavir (muKaletra), methylprednisolone (Medrol), metoprolol (Lopressor, Toprol XL), nortriptyline (Pamelor), paroxetine (Paxil), phenobarbital, phenytoin (Dilantin), prednisone, propafenone , protriptyline (Vivactil), risperidone (Risperdal), ritonavir (Norvir, muKaletra), sertraline (Zoloft), theophylline (Theo-24, Theochron), thioridazine, ticlopidine, trimipramine (Surmontil), venlafaxine (Effexor) kurasikirwa nemishonga. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana naltrexone uye bupropion, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana wakambobatwa nepfari, anorexia nervosa (chirwere chekudya), kana bulimia (chirwere chekudya), uye kana uine BP yakakwira isingagoni kudzorwa. Uyezve udza chiremba wako kana iwe ukanwa doro rakawanda asi uchitarisira kungoerekana warega kunwa, iwe unotora sedatives, hypnotics, benzodiazepines, kana anti-seizure mishonga asi tarisira kumira kamwe kamwe kuitora, kana kana iwe uri mune opioid kurega. Chiremba wako angangokuudza kuti usatore musanganiswa wenaltrexone uye bupropion.
• udza chiremba wako kana iwe kana chero munhu mumhuri mako wafunga nezvazvo kana kuyedza kuzviuraya kana kana kana wakambove nebipolar kusagadzikana (mafungire anoshanduka kubva pakuora mwoyo kuenda mukufara zvisina kujairika), mania chirwere chinokanganisa kufunga kana kujairika kufunga, kurasikirwa kwekufarira muhupenyu, uye kwakasimba kana kusakodzera manzwiro), kana zvimwe zvirwere zvepfungwa; kana iwe uri mukuru kune makore makumi matanhatu nemashanu ekuberekwa; kana iwe uchisvuta kana iwe uchitarisira kurega kuputa; uye kana iwe kana wakambove nekukuvara kwemusoro, chirwere chemwoyo, sitiroko, bundu kana hutachiona hwehuropi kana musana, chirwere cheshuga, shuga shoma yeropa, yakaderera mwero wesodium muropa, kana moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora musanganiswa weNaltrexone uye bupropion, fonera chiremba wako nekukasira.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora mubatanidzwa wenaltrexone uye bupropion.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa uchiri kutora mubatanidzwa weNaltrexone uye bupropion. Doro rinogona kuita kuti mhedzisiro kubva kunaltrexone uye bupropion iwedzere.
• iwe unofanirwa kuziva kuti kusanganiswa kwe naltrexone uye bupropion kunogona kukonzera kukwirisa kweropa uye nekukurumidza kurova kwemoyo. Chiremba wako anogona kutarisa kuwedzerwa kweropa rako uye nemoyo wako usati watanga kurapwa uye nguva dzose paunenge uchitora mushonga uyu.
• iwe unofanirwa kuziva kuti kusanganiswa kwe naltrexone uye bupropion kunogona kukonzera angle-kuvhara glaucoma (mamiriro apo iyo mvura inongoerekana yavharika uye isingakwanise kuyerera ichibuda muziso zvichikonzera kukurumidza, kwakanyanya kuwedzera mukumanikidza kwemaziso uko kunogona kukonzera kurasikirwa kwemaonero) . Taura nachiremba wako nezve kuongororwa maziso usati watanga kutora mushonga uyu kuti uone kana uri panjodzi yemamiriro aya. Kana iwe uine kurwadziwa kwemaziso, shanduko mune zvakaratidzwa, kana kuzvimba kana kutsvuka mukati kana kutenderedza ziso, fonera chiremba wako kana kuwana kurapwa kwekukurumidzira ipapo ipapo.

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

Darika iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Iko kusanganiswa kwe naltrexone uye bupropion kunogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• manyoka
• kuvimbiswa
• muromo wakaoma
• shanduko mupfungwa yako yekuravira
• musoro
• dzungu
• kuneta
• kufashaira
• kuzunza kusingadzoreki nhengo yemuviri
• vangadikitira zvakanyanya
• kurira munzeve

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 uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinzwa.

• pfari
• mapundu kana mhoni
• kuvava
• mikoko
• kuzvimba gland
• maronda anorwadza mumuromo mako kana akakomberedza maziso ako
• mweya wekufema
• kuzvimba kwemiromo kana rurimi
• kurwadziwa pachipfuva
• kupindwa nechando
• kurwadziwa nemudumbu
• weti yakasviba
• yero yeganda kana maziso
• mhasuru kana kurwadziwa kwemajoini

Iko kusanganiswa kwe naltrexone uye bupropion kunogona 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 iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi)

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

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

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:

• pfari
• kuona zvinhu kana kunzwa manzwi zvisipo
• kurasikirwa kwekuziva
• kukurumidza kana kurova kurova kwemoyo

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti urikutora musanganiswa weNaltrexone uye bupropion.

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.

• Contrave^®