Meperidine

Zvemukati

• Usati watora meperidine,
• Meperidine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvishamise, asi kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita muchikamu CHINOKOSHA CHENYENZO, dana chiremba wako nekukasika:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Meperidine inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva yakareba. Tora meperidine chaizvo sekurairwa. Usatore zvimwe zvacho, tora kakawanda, kana kuzvitora neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchitora meperidine, kurukura nemupi wako wekuchengetedza hutano zvinangwa zvako zvekurwadziwa, kureba kwekurapwa, uye dzimwe nzira dzekugadzirisa marwadzo ako. Udza chiremba wako kana iwe kana mumwe munhu mumhuri yako achinwa kana kuti akambonwa doro rakawanda, akashandisa kana akamboshandisa zvinodhaka mumugwagwa, kana kuti akawandisa, kana kuti akashandisa zvakanyanya mishonga yekunwa, kana iwe kana wakamboora mwoyo kana chimwe chirwere chepfungwa. Iko kune njodzi huru yekuti unoshandisa zvakanyanya meperidine 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 Doro Kushungurudzwa uye Mental Health Services Administration (SAMHSA) National Helpline pa1-800-662-HELP.

Meperidine inogona kukonzeresa kana kutyisidzira hupenyu matambudziko ekufema, kunyanya panguva yekutanga 24 kusvika maawa 72 ekurapwa kwako uye chero nguva dosi yako yaunowedzerwa. Chiremba wako achakutarisa zvakanyatsonaka panguva yekurapa kwako. Udza chiremba wako kana iwe wakambove kana wakambononoka kufema kana asima. Chiremba wako angangokuudza kuti usatora meperidine. 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 hwe kumanikidzwa 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 mimwe mishonga panguva yekurapa kwako ne meperidine kunogona kuwedzera njodzi yekuti uchave nematambudziko akakomba kana kutyisidzira hupenyu kufema, sedation, kana pakoma. Udza chiremba wako kana iwe uri kutora kana kuronga kutora chero eanotevera emishonga: mamwe antifungal mishonga inosanganisira itraconazole (Onmel, Sporanox), ketoconazole, uye voriconazole (Vfend); benzodiazepines senge alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), uye triazolam (Halcion) carbamazepine (Carbatrol, Epitol, Tegretol, Teril); erythromycin (Erytab, Erythrocin); mimwe mishonga yehutachiona hwehutachiona hwehutachiona (HIV) inosanganisira indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra); mishonga yekurwara kwepfungwa, kuda kurutsa, kana kurwadziwa; tsandanyama relaxants; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, muRifamate); kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kushandura kuyerwa kwemishonga yako uye anokuongorora zvakanyatsonaka. Kana iwe ukatora meperidine nechero ipi yemishonga iyi uye ukava nechimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasira kana kutsvaga kurapwa kwekukurumidzira: dzungu risina kujairika, hura husina musoro, kurara zvakanyanya, kunonoka kana kuoma kufema, kana kusavimbika. 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 zvemumugwagwa panguva yekurapwa kwako ne meperidine kunowedzera njodzi yekuti iwe uchaona izvi zvakakomba, zvinotyisidzira hupenyu mhedzisiro. Usanwa doro, tora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako.

Usatendere mumwe munhu kutora mushonga wako. Meperidine inogona kukuvadza kana kukonzera rufu kune vamwe vanhu vanotora mishonga yako, kunyanya vana.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukatora meperidine nguva dzose panguva yekuzvitakura kwako, 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 achakupa gwaro reruzivo rwevarwere remugadziri (Gwaro RezveMishonga) paunotanga kurapwa nemepididine 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 meperidine.

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

Meperidine inouya sehwendefa uye manyuchi (mvura) kutora nemuromo. Inowanzo kutorwa pamwe kana pasina chikafu maawa ese matatu kusvika mana sekudikanwa kwekurwadziwa. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

Kana iwe uri kutora meperidine mahwendefa, omedza iwo ese akazara; usazvitsenga, kana kuzvityora, kana kuzvipwanya. Medza piritsi roga roga mushure mekuisa mumuromo mako.

Kana iwe uri kutora meperidine manyuchi, shandisa chipimo-kuyera chipunu kana mukombe kuyera huwandu hwakaringana hwemvura padosi yega yega, kwete yenguva dzose chipunu chemhuri. Sanganisa yako dose nehafu yegirazi remvura uye kumedza iwo musanganiswa. Kumedza undiluted meperidine manyuchi anogona kudzimbikana muromo.

Chiremba wako anogona kugadzirisa dhizaini yako meperidine panguva yekurapa kwako. Ive neshuwa yekuudza chiremba wako nezve chero marwadzo uye mhedzisiro iwe yaunosangana nawo iwe uchinwa mushonga uyu. Izvi zvinobatsira chiremba wako kuti awane iyo yakanakira iwe.

Kana iwe wakatora meperidine kwenguva yakareba kupfuura mavhiki mashoma, usamire kutora mushonga usina kutaura nachiremba wako. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma. Kana iwe ukangoerekana warega kutora meperidine, unogona kusangana nezviratidzo zvekurega. Kurega zviratidzo zvinogona kusanganisira kusagadzikana, maziso anodonha mvura, mhino dzakazara, kushama, kudikitira, kutonhora, kurwadziwa kwemhasuru, kugumbuka, kutya, kurwadziwa nemudumbu, kushungurudzika mudumbu, kurutsa, kurasikirwa nechido, manyoka, kufema nekukurumidza, kurova kwemoyo nekukurumidza, uye kurwadziwa musana.

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

Usati watora meperidine,

• udza chiremba wako uye wemishonga kana uri weergoria kune meperidine, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi e meperidine kana manyuchi. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
• 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 yeanotevera: acyclovir (Zovirax); butorphanol; cimetidine (Tagamet); mishonga yekurutsa nekubatwa; mimwe mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); 5-HT₃ vanopikisa vanogamuchira senge alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kana palonosetron (Aloxi); inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), uye sertraline (Zoloft); serotonin norepinephrine reuptake inhibitors (SNRIs) senge desvenlafaxine (Pristiq, Khedezla), duloxetine (Cymbalta), milnacipran (Savella), uye venlafaxine (Effexor); uye tricyclic antidepressants senge amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), uye trimipiline Uyezve udza chiremba wako kana wemishonga kana uri kutora mishonga inotevera kana kuti warega kuinwa mukati memavhiki maviri apfuura: monoamine oxidase (MAO) inhibitors inosanganisira isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil), selegiline (Eldepryl), uye tranylcypromine (Parnate). 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 kana ileus yakafa mitezo (mamiriro ayo chikafu chakagayiwa hachifambe nepakati pematumbo). Chiremba wako anogona kukuudza kuti usatora meperidine.
• udza chiremba wako kana iwe wakambove kana pheochromocytoma (rudzi rwebundu); kunetseka kuita weti; kurova kwemoyo zvisina kujairika; pfari; matambudziko emudumbu; kana thyroid, rwatata, nduru, chiropa, itsvo, kana chirwere chemapapu.
• udza chiremba wako kana iwe uchiyamwisa.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora meperidine.
• taura nachiremba wako nezvengozi uye zvakanakira kutora meperidine kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru havafanirwe kutora meperidine nekuti haina kuchengetedzeka kana kushanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti uri kutora meperidine.
• iwe unofanirwa kuziva kuti meperidine inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti meperidine inogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Izvi zvinowanzoitika kana iwe ukatanga kutora meperidine. 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.

Mushonga uyu unowanzo kutorwa sezvaunoda. Kana chiremba wako akakuudza kuti utore meperidine nguva dzose, tora dhosi rakarasika nekukurumidza 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.

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

• musoro wakareruka
• dzungu
• kushaya simba
• musoro
• kudzikama kwakanyanyisa
• manzwiro anochinja
• kusvotwa
• kurutsa
• kurwadziwa nemudumbu kana kurwadza
• kuvimbiswa
• muromo wakaoma
• kufashaira
• vangadikitira
• shanduko pane zvakaratidzwa

Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvishamise, asi kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita muchikamu CHINOKOSHA CHENYENZO, dana chiremba wako nekukasika:

• 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 kana kuoma kufema
• kukwazisana maoko ausingakwanise kudzora
• pfari
• shanduko mukurova kwemoyo
• kunetseka kuita weti
• kufenda
• mapundu
• mikoko

Meperidine 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 iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Iwe unofanirwa kurasa nekukurumidza chero mushonga wapfuura yechinyakare kana usingachadiwe kuburikidza nemushonga wekudzosa mushonga. Kana iwe usina chirongwa chekudzosera padyo kana icho chaunokwanisa kuwana nekukasira, pukuta chero meperidine mahwendefa kana mhinduro yapera kana isingachadi pasi pechimbuzi. Taura nachiremba wako nezve kuraswa kwakanaka kwemishonga yako.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika 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 wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. 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 meperidine, 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
• kurara zvakanyanya
• kutadza kupindura kana kumuka
• dzakasununguka, tsandanyama
• kutonhora, clammy ganda
• kunonoka kurova kwemoyo
• kusvotwa
• kusaona zvakanaka
• dzungu
• kufenda

Chengetedza zvese zvakagadzwa nachiremba wako.

Usati waita chero bvunzo yerabhoritari (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi vema laboratori kuti uri kutora meperidine.

Usarega mumwe munhu achitora mushonga wako. Zvinopesana nemutemo kupa mushonga uyu kune ani zvake. 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.

• Demerol^®

• Isonipecaine
• Pethidine