Butorphanol jekiseni

Zvemukati

• Usati washandisa jekiseni rebutorphanol,
• Butorphanol jekiseni inogona kukonzeresa mhedzisiro.Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana icho chakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukurumidza kana kuti uwane kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Butorphanol jekiseni inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva yakareba. Shandisa butorphanol jekiseni chaizvo sekurairwa. Usashandise yakawanda yacho, ishandise kakawanda, kana kuishandisa neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchishandisa jekiseni rebutorphanol, kurukura nemupi wako wekuchengeta 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, kana kushandisa zvakanyanyisa mishonga yekunwa, kana kuve nekuwedzeredza, kana iwe kana wakamboora mwoyo kana chimwe chirwere chepfungwa. Iko kune njodzi huru yekuti iwe uchanyanyisa kushandisa butorphanol 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.

Butorphanol jekiseni 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 usashandise jekiseni yebutorphanol. 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 hwekumanikidza 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 uine jekiseni rebutorphanol kunogona kuwedzera njodzi yezvinetso zvekufema zvakakomba kana hupenyu. Udza chiremba wako uye wemishonga kana iwe uri kutora kana kuronga kutora chero eanotevera mishonga: mishonga yekushushikana, chirwere chepfungwa kana kusvotwa; benzodiazepines senge alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), uye triazol tsandanyama relaxants; mamwe marwadzo ekurwadziwa narcotic; kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kushandura dosi yemushonga wako uye anozokutarisa nemazvo.

Kunwa doro, kutora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako nebutorfenol jekiseni zvinowedzerawo njodzi yekuti iwe uchaona izvi zvakakomba, zvinotyisidzira hupenyu mhedzisiro. Usanwa doro kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukashandisa butorphanol jekiseni 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 nejekiseni yebutorphanol 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.

Butorphanol jekiseni rinoshandiswa kubvisa zvine mwero kusvika pakurwadziwa kwakanyanya. Butorphanol jekiseni inoshandiswa zvakare kugadzirisa marwadzo panguva yebasa uye kudzivirira marwadzo uye kudzikisa kuziva pamberi kana panguva yekuvhiyiwa. Butorphanol iri mukirasi yemishonga inonzi opioid agonist-vanopikisa. Inoshanda nekushandura nzira iyo muviri unonzwa kurwadziwa.

Butorphanol jekiseni inouya semvura inozojowa mumhasuru kana mutsinga. Kana jekiseni re butorphanol richishandiswa kubvisa marwadzo, rinowanzo kupihwa kamwe chete kumaawa matatu kusvika mana pazvinenge zvichidikanwa. Kana jekiseni rebutorphanol richishandiswa kubvisa marwadzo panguva yekuvhiyiwa, inogona kupihwa maminetsi makumi matanhatu kusvika makumi mapfumbamwe usati wavhiyiwa uyezve pazvinodiwa panguva yekuvhiyiwa. Kana jekiseni rebutorphanol richishandiswa kubvisa marwadzo panguva yebasa, inogona kupihwa kamwe chete kwemaawa mana asi haifanire kupihwa asingasviki maawa mana kuburitsa kunotarisirwa.

Unogona kugashira butorphanol jekiseni muchipatara, kana unogona kupihwa mishonga yekushandisa pamba. Kana iwe wakaudzwa kuti ubaye jekiseni rebutorphanol kumba, zvakakosha kuti ushandise iwo mushonga chaizvo sekurairwa. Tevedza mafambiro aunopihwa zvakanyatsonaka, uye bvunza chiremba wako, wemishonga kana mukoti kana iwe uine chero mibvunzo kana usinganzwisise mafambiro.

Kana iwe wakanzi ushandise jekiseni rebutorphanol kumba, usamire kushandisa mushonga usina kutaura nachiremba wako. Kana iwe ukangoerekana warega kushandisa butorphanol jekiseni, unogona kusangana nezviratidzo zvekuregera senge kutya, kushungurudzika, kuzununguka, manyoka, kutonhora, kudikitira, kunetseka kurara kana kuramba wakarara, kuvhiringidzika, kurasikirwa nekubatana, kana kuona zvisizvo (kuona zvinhu kana kunzwa manzwi anoita. haapo). Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

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

Usati washandisa jekiseni rebutorphanol,

• udza chiremba wako uye wemishonga kana uri weergoria kune butorphanol, chero mimwe mishonga, kana zvinongedzo mujekiseni yebutorphanol. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• 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 eanotevera: antidepressants; antihistamines; barbiturates senge butabarbital (Butisol), pentobarbital (Nembutal), phenobarbital, kana secobarbital (Seconal); cyclobenzaprine (Amrix); dextromethorphan (inowanikwa mumishonga yakawanda yekukosora; muNuedexta); erythromycin (EES, Eryc, Erythrocin, vamwe); mishonga yekubatwa; lithium (Lithobid); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); 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); kana tricylic antidepressants ('mood elevators') senge amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), uye trimontramine; theophylline (Theochron, Uniphyl, nevamwe); uye trazodone (Oleptro). 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 butorphanol, 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 kana tryptophan.
• udza chiremba wako kana iwe wakambove kana nedambudziko rekuita weti; chirwere chemwoyo; kukwirira kweropa; kana moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uchiyamwisa. Vamwe vakadzi vanoshandisa jekiseni rebutorphanol vanogona kunge vaine huwandu hwakawanda hwemishonga mumukaka wavo wemukaka, uyo unogona kukonzera zvakakomba kana kutyisidzira hupenyu mhedzisiro muvacheche vavo. Iwe unofanirwa zvakare kufonera chiremba wemwana wako kana kuwana rubatsiro rwechimbichimbi kana mwana wako akarara kupfuura zvakajairwa, achinetseka kuyamwa kana kufema, kana kuve akaremara.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa butorphanol.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa jekiseni re butorphanol.
• iwe unofanirwa kuziva kuti jekiseni rebutorphanol rinogona kukuita kuti ubate hope uye uite dzungu. Usatyaire mota kana kushandisa michina kweinenge awa imwe mushure mekugamuchira dosi. Mushure mekunge awa rimwe rapfuura, usatyaire mota kusvika waona kuti hauna dzungu, wakotsira, kana kumbomira zvishoma pane zvakajairwa.

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

Butorphanol jekiseni inowanzo shandiswa sekudikanwa. Kana chiremba wako akakuudza kuti ushandise jekiseni rebutorphanol nguva dzose, shandisa dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Butorphanol jekiseni inogona kukonzeresa mhedzisiro.Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kuneta zvakanyanya
• kunetseka kurara kana kuramba wakarara
• kujairika kurota
• musoro
• kuvimbiswa
• kurwadziwa nemudumbu
• kunzwa kupisa
• kufashaira
• kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka
• kusadzora kusadzora kwechikamu chemuviri wako
• huta
• ruvengo
• mufaro wakanyanya
• kunzwa kwekuyangarara
• kusuruvara mamiriro
• kusaona zvakanaka
• kurira munzeve
• nzeve kurwadziwa
• kuravira kusingafadzi
• muromo wakaoma
• kunetseka kuita weti

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana icho chakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukurumidza kana kuti uwane kurapwa kwekukurumidzira:

• 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
• kunetseka kufema
• shanduko mukurova kwemoyo
• kufenda
• mapundu
• mikoko

Butorphanol jekiseni inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa 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).

Kana iwe uri kushandisa butorphanol jekiseni kumba, chengetedza mishonga iri mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nechiedza, kupisa kwakanyanya, uye hunyoro (kwete muchimbuzi). Kanda chero mishonga yapera nguva kana isingachadiwe. Taura nachiremba wako nezve kuraswa kwakanaka kwemishonga yako.

Chengetedza butorphanol jekiseni munzvimbo yakachengeteka kuitira kuti pasave neumwe munhu anogona kuishandisa netsaona kana nechinangwa. Chengetedza huwandu hwemishonga yasara kuitira kuti iwe uzive kana paine asipo.

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 uchishandisa jekiseni yebutorphanol, 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
• hope
• kutadza kupindura kana kumuka

Chengetedza zvese zvakagadzwa nachiremba wako uye rabhoritari Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kubutorphanol.

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

Usarega chero munhu achishandisa mushonga wako. Kana iwe uchiramba uchirwadziwa mushure mekupedza iyo butorphanol jekiseni, fonera 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.

• Stadol^®¶

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