Levorphanol

Zvemukati

• Usati watora levorphanol,
• Levorphanol inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa mune ZVINOKOSHA YENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Levorphanol inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva yakareba. Tora levorphanol chaizvo sezvakarairwa. Usatore zvimwe zvacho, tora kakawanda, kana kuzvitora neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchitora levorphanol, 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, akanyanya kuwanda, kana akamboshandisa mishonga yekunwa, kana iwe kana wakamboora mwoyo kana mumwe chirwere chepfungwa. Iko kune njodzi huru yekuti iwe unoshandisa zvakanyanya levorphanol 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.

Levorphanol inogona kukonzeresa kana kutyisidzira hupenyu matambudziko ekufema, kunyanya panguva yekutanga makumi maviri nemana kusvika maawa makumi maviri nemaviri ekurapwa kwako uye chero nguva dosi yako yaunowedzerwa. Chiremba wako achakutarisa zvakanyatsonaka panguva yekurapa kwako. Chiremba wako achagadzirisa dosi yako zvakanyatso kudzora marwadzo ako uye nekudzora njodzi yekuti uchave nematambudziko akakomba ekufema. Udza chiremba wako kana iwe wakambove kana wakambononoka kufema kana asima. Chiremba wako anogona kukuudza kuti usatore levorphanol. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemapapu senge chisingaperi obstructive pulmonary disease (COPD; boka rezvirwere zvemapapu izvo zvinosanganisira chisingaperi bronchitis uye emphysema), kukuvara kwemusoro, bundu repfungwa, kana chero mamiriro ezvinhu anowedzera huwandu hwe kumanikidzwa muuropi hwako. Njodzi yekuti unozokura matambudziko ekufema inogona kunge yakakwira kana iwe uri mukuru kana wakaneta kana kushaya chikafu 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 nelevorphanol kunogona kuwedzera njodzi yekuti uchasangana nematambudziko ekufema kana zvimwe zvakakomba, zvinotyisidzira hupenyu mweya wekufema, sedation, kana coma. 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); mamwe marwadzo ekurwadziwa narcotic; mishonga yekurwara kwepfungwa kana kuda kurutsa; tsandanyama relaxants; kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukatora levorphanol nechero ipi yemishonga iyi uye ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukasira kana tsvaga kurapwa kwekukurumidzira nekukurumidza: dzungu risina kujairika, hura husina musoro, kurara zvakanyanya, kunonoka kana kunetseka kufema, kana kusapindura. 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 zvemumigwagwa panguva yekurapwa kwako nelevorphanol kunowedzera njodzi yekuti uchasangana nematambudziko ekufema kana zvimwe zvakakomba, zvinotyisa hupenyu Usanwa doro, tora chero mushonga kana isiri yekunyorera mishonga ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako nezvimwe zvigadzirwa zvelevorphanol.

Usatendere mumwe munhu kutora mushonga wako. Levorphanol inogona kukuvadza kana kukonzera rufu kune vamwe vanhu vanotora mishonga yako, kunyanya vana. Chengeta levorphanol munzvimbo yakachengeteka kuitira kuti pasave neanogona kuitora netsaona kana nechinangwa. Ive nekuchenjerera kuchengetedza levorphanol pasingasvike vana. Chengetedza manhamba emapiritsi asara kuitira kuti iwe uzive kana paine mishonga isipo. Rasa chero mahwendefa elevorphanol asina kufanira nenzira kwayo. (Ona Chengetera nekurasa.)

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukatora levorphanol 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 nelevorphanol 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.

Levorphanol inoshandiswa kudzikisira marwadzo epakati nepakati. Levorphanol iri mukirasi yemishonga inonzi opiate (narcotic) analgesics. Izvo zvinoshanda nekushandura nzira iyo huropi uye huta hurongwa hunopindura pakurwadziwa.

Levorphanol inouya sehwendefa kutora nemuromo. Inowanzo kutorwa ese matanhatu kusvika maawa masere pazvinenge zvichidikanwa. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora levorphanol chaizvo sezvakarairwa.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi ye levorphanol uye zvishoma nezvishoma wedzera yako dosi kusvikira kurwadziwa kwako kwadzorwa. Chiremba wako anogona kugadzirisa dhizaini yako chero nguva panguva yekurapa kwako kana kurwadziwa kwako kusingadzorwe. Kana iwe uchinzwa kuti kurwadziwa kwako hakuna kudzorwa, dana chiremba wako. Usachinje muyero wemishonga yako usingataure nachiremba wako.

Usarega kutora levorphanol usina kutaura nachiremba wako. Chiremba wako anogona kudzora dosi rako zvishoma nezvishoma. Kana iwe ukangoerekana warega kutora levorphanol, unogona kusangana nezviratidzo zvekuregera sekusagadzikana; maziso ane misodzi; dzihwa; yawning; kutsamwa; kushushikana; vangadikitira; kunetseka kurara kana kuramba wakarara; chills; musana, mhasuru, kana kurwadziwa kwemajoini; kusvotwa; kurutsa; kurasikirwa nenzara; manyoka; kurwadziwa nemudumbu; kushaya simba; kukurumidza kurova kwemoyo; kana kufema nekukurumidza.

Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora levorphanol,

• udza chiremba wako uye wemishonga kana uri weergoria kune levorphanol, chero mimwe mishonga, kana chero chinhu chisingashande zvinoshandiswa mumapiritsi elevorphanol. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvinhu zvisina basa.
• 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 mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero eanotevera: antihistamines; buprenorphine (Belbuca, Butrans, muSuboxone, vamwe); butorphanol; mishonga yekukosora, kutonhora, kana kusagadzikana; diuretics ('mapiritsi emvura'); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; naloxone (Evzio, Narcan); pentazocine (Talwin); 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 desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), uye venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet); trazodone (Oleptro); 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 iwe uri kutora chero anotevera monoamine oxidase (MAO) inhibitors, kana kana warega kuatora mukati memavhiki maviri apfuura: isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate). Mimwe mishonga yakawanda inogona zvakare kubatana nelevophanol, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isingaonekwe pane ino runyorwa Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakambove kana nechero mamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZO, kuvhara mudumbu kana matumbo, kana ileus yakafa mitezo (mamiriro umo chikafu chakagayiwa hachifambe nepakati pematumbo). Chiremba wako anogona kukuudza kuti usatora levorphanol.
• udza chiremba wako kana iwe wakambove uine yakaderera BP, kufenda, matambudziko eweti, matambudziko enduru, kana chiropa, rwatata, itsvo, mapapu, utachiona, kana chirwere chemwoyo.
• udza chiremba wako kana iwe uchiyamwisa. Kana iwe ukayamwisa panguva yekurapa kwako nelevorphanol, mwana wako anogona kugamuchira imwe levorphanol mumukaka wemvere.Tarisa mwana wako padhuze nechero shanduko mumaitiro kana kufema, kunyanya paunotanga kutora levorphanol. Kana mwana wako akatanga chero cheizvi zviratidzo, danaidza chiremba wemwana wako nekukasira kana kuwana rubatsiro rwekukurumidzira rwekurapa: kurara zvisina kujairika, kunetseka kuyamwa, kunetseka kufema, kana kukamhina. Taura nachiremba wemwana wako kana wagadzirira kurumura mwana wako. Iwe unozofanirwa kurumura mwana wako zvishoma nezvishoma kuitira kuti mwana wako arege kukura zviratidzo zvekusiya kana iye amira kugamuchira levorphanol muchipfuva.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora levorphanol.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora levorphanol.
• iwe unofanirwa kuziva kuti levorphanol inogona kukuwisira iwe. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti levorphanol 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.
• iwe unofanirwa kuziva kuti levorphanol inogona kukonzera kupatira. Taura nachiremba wako nezvekushandura chikafu chako kana kushandisa mimwe mishonga kudzivirira kana kurapa kupatirwa paunenge uchitora levorphanol.

Levorphanol kazhinji inotorwa sekudikanwa. Kana chiremba wako akakuudza kuti utore levorphanol nguva dzose, tora dhosi rakarasika kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• chirungurira
• musoro
• kurwadziwa nemudumbu
• muromo wakaoma
• vangadikitira
• matambudziko ekuona
• kunetseka kuita weti

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa mune ZVINOKOSHA YENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira

• kusvotwa, kurutsa, kurasikirwa nechido, kushaya simba, kana dzungu
• 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.
• kutadza kuwana kana kuchengeta erection
• kumwedzi kuenda kumwedzi
• yakaderera chishuwo chepabonde
• mikoko
• mapundu
• kuvava
• kuzvimba kwemaziso, kumeso, muromo, miromo kana huro
• hoarseness
• kunetseka kufema kana kumedza
• shanduko mukurova kwemoyo

Levorphanol inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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). Flush chero mapiritsi elevorphanol echinyakare kana kuti asingachadiwe muchimbuzi kuitira kuti vamwe vasazotora. Taura nachiremba wako nezve kuraswa kwakanaka kwemishonga yako.

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 uchitora levorphanol, 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, kudzika, kana kusagadzikana kufema
• kunetseka kufema
• hope
• kutadza kupindura kana kumuka
• mhasuru dzakaremara
• kutonhora, clammy ganda
• vadzidzi vadiki
• kusaona zvakanaka
• kunonoka kurova kwemoyo
• kujaira zvisina kujairika

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira kumwe kuongorora kwebazi kuti atarise mhinduro yemuviri wako kune levorphanol.

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

Iyi mishonga haina kuzadzikiswa. Kana iwe uri kutora levorphanol kudzora marwadzo ako kwenguva yakareba, ita shuwa yekuronga nguva dzekugadzwa nachiremba wako kuti usazopera mushonga. Kana iwe uchiramba uchirwadziwa mushure mekupedza yako levorphanol mushonga, dana 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.

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