Buprenorphine Txhaj Tshuaj
Zoo Siab
- Ua ntej tau txais kev txhaj tshuaj buprenorphine,
- Buprenorphine ncua kev tso tawm txhaj tshuaj tuaj yeem ua rau phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no hu rau koj tus kws kho mob tam sis los sis kho mob kom sai:
- Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:
Buprenorphine ncua kev tso tawm txhaj tshuaj tsuas yog muaj dhau los ntawm kev sib kis tshwj xeeb hu ua Sublocade REMS. Koj tus kws kho mob thiab koj lub tsev muag tshuaj yuav tsum rau npe koom rau hauv txoj haujlwm no ua ntej koj tuaj yeem tau txais kev txhaj tshuaj buprenorphine. Nug koj tus kws kho mob rau cov lus qhia ntxiv txog txoj haujlwm no thiab seb koj yuav tau txais koj cov tshuaj noj li cas.
Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj yam kev kuaj ua ntej thiab thaum kho koj tus mob kom kuaj xyuas koj lub cev teb rau buprenorphine ncua kev txhaj tshuaj.
Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Siv Tshuaj Kho Mob) thaum koj pib kho nrog buprenorphine ncua kev txhaj tshuaj thiab txhua zaus koj rov ntim tshuaj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib zaub mov thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kom tau Phau Ntawv Qhia Tshuaj.
Buprenorphine ncua kev tso tawm txhaj tshuaj yog siv los kho opioid dependence (quav yeeb tshuaj opioid, suav nrog heroin thiab narcotic painkillers) hauv cov neeg uas tau txais bupalorphine tsawg kawg 7 hnub. Buprenorphine ncua kev tso tawm txhaj tshuaj yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua opiate ib nrab agonists. Nws ua haujlwm los tiv thaiv cov tsos mob tshem tawm thaum ib tug neeg tsum tsis noj cov tshuaj opioid los ntawm kev tsim cov teebmeem zoo sib xws rau cov tshuaj no.
Buprenorphine ncua ntev-tso tawm (ua haujlwm ntev) txhaj tshuaj los ua kua (kua) los txhaj tshuaj subcutaneously (nyob hauv qab daim tawv nqaij) los ntawm tus kws kho mob mus rau hauv thaj chaw mob plab. Nws ib txwm muab rau ib hlis ib zaug nrog tsawg kawg 26 hnub nyob rau hauv nruab nrab ntawm cov koob tshuaj. Txhua qhov txhaj tshuaj buprenorphine maj mam tso cov tshuaj rau hauv koj lub cev dhau ib hlis.
Tom qab koj tau txais koob tshuaj buprenorphine ncua kev tso tawm, koj tuaj yeem pom cov qog ntawm qhov chaw txhaj tshuaj rau ob peb lub lis piam, tab sis nws yuav tsum txo qhov loj me hauv lub sijhawm. Tsis txhob txhuam los yog zaws qhov chaw txhaj tshuaj. Nco ntsoov tias koj txoj siv sia lossis txoj phuam caj dab tsis tso siab rau qhov chaw uas tau txhaj tshuaj.
Koj tus kws kho mob yuav nce lossis txo koj cov tshuaj ntau npaum li cas los ntawm cov tshuaj ua haujlwm rau koj, thiab cov kev mob tshwm sim uas koj tau ntsib dua. Nco ntsoov qhia koj tus kws kho mob seb koj xav li cas thaum kho nrog buprenorphine ncua kev txhaj tshuaj.
Yog hais tias buprenorphine ncua-tso tawm yuav tsum raug txiav, koj tus kws kho mob yuav txo qis koj cov tshuaj ntaug zuj zus. Koj yuav pom cov tsos mob tshem tawm suav nrog nyob tsis tswm, qhov muag pom kev, tawm hws, ua daus no, nthuav dav ntawm cov tub ntxhais kawm (cov voj voog dub nyob hauv nruab nrab ntawm lub qhov muag), kev npau taws, ntxhov siab, mob nraub qaum, tsis muaj zog, mob plab, nyuaj rau poob lossis pw tsaug zog, xeev siab tsis qab los noj mov, ntuav, raws plab, ua pa ceev, lossis plawv dhia ceev. Cov tsos mob tshem tawm no yuav tshwm sim 1 lub hlis lossis ntev dua tom qab koj txhaj koob tshuaj buprenorphine ncua kev tso tawm zaum kawg.
Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.
Ua ntej tau txais kev txhaj tshuaj buprenorphine,
- qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau buprenorphine, lwm yam tshuaj, lossis ib qho twg hauv cov tshuaj txhaj rau buprenorphine. Nug koj tus kws muag tshuaj lossis tshawb xyuas Phau Ntawv Qhia Tshuaj Kho Mob rau cov npe ntawm cov khoom siv.
- qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: antihistamines; benzodiazepines xws li alprazolam (Xanax), chlordiazepoxide (Librium, hauv Librax), clonazepam (Klonopin), diazepam (Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril); carbamazepine (Carbatrol, Tegretol, Teril, lwm tus); diuretics ('dej tshuaj'); erythromycin (E.E.S., Eryc, PCE, lwm tus); Cov tshuaj tua kab mob HIV xws li atazanavir (Reyataz, hauv Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, hauv Atripla), etravirine (Intelence), indinavir (Crixivan), nevirapine (Viramune), ritonavir (Norvir, hauv Kaletra), thiab saquin (Invirase); qee yam tshuaj rau lub plawv dhia tsis xwm yeem xws li amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (hauv Nuedexta), thiab sotalol (Betapace, Betapace AF, Sorine); tshuaj kho kab mob ntsej muag, mob hlwb, mob hlwb, mob Parkinson's mob, mob txhab, lossis mob tso zis; ketoconazole, lwm yam tshuaj rau qhov mob; tshuaj noj rau mob taub hau xws li almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, hauv Treximet), thiab zolmitriptan (Zomig); leeg ua kom mob; phenobarbital; phenytoin (Dilantin, Phenytek); phom phom (Rifadin, Rimactane); cov tshuaj ua kom nqus; pw tsaug zog tshuaj; 5HT3 serotonin blockers xws li alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), lossis palonosetron (Aloxi); xaiv serotonin-reuptake inhibitors xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, hauv Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), thiab sertraline (Zoloft); serotonin thiab norepinephrine reuptake inhibitors xws li duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), thiab venlafaxine (Effexor); tramadol; tranquilizers; trazodone; lossis tricyclic antidepressants ('lub siab sawv') xws li amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), thiab trimipramine. Kuj qhia koj tus kws kho mob lossis kws muag tshuaj yog tias koj noj lossis tau txais cov tshuaj monoamine oxidase (MAO) hauv qab no lossis yog koj tau tso tseg tsis pub dhau ob lub lis piam: isocarboxazid (Marplan), linezolid (Zyvox), methylene xiav, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), lossis tranylcypromine (Parnate). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog buprenorphine, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no.
- qhia rau koj tus kws kho mob yog tias koj lossis ib tus neeg hauv tsev neeg haus dej lossis tau haus cawv ntau dhau lossis tau lossis muaj tus mob QT ntev ntev (qhov mob uas yuav ua rau lub plawv dhia tsis zoo uas yuav ua rau tsis nco qab lossis tuag kiag tam sim). Tsis tas li, qhia koj tus kws kho mob yog tias koj tau lossis muaj tsawg kawg ntawm cov poov tshuaj lossis magnesium nyob hauv cov ntshav; lub plawv dhia; lub plawv dhia qeeb lossis tsis txaus ntseeg; kab mob ntsws uas tsis paub mob (COPD; ib pawg kab mob uas cuam tshuam rau lub ntsws thiab cov hlab pa); lwm yam kab mob ntsws; raug mob taub hau; mob hlwb; ib qho xwm txheej twg uas ua rau nce siab hauv koj lub hlwb; cov teeb meem adrenal xws li Addison's disease (mob uas cov qog adrenal ua tsawg dua qhov qub); benign prostatic hypertrophy (BPH, nthuav dav ntawm prostate caj pas); teeb meem tso zis; tso lus (pom cov khoom lossis hnov cov suab lus tsis muaj nyob); ib qho nkhaus hauv nqaj qaum uas ua rau nws ua pa nyuaj; lossis lub qog, mob plab, lossis mob rau daim siab.
- qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Yog tias koj tau txhaj koob tshuaj buprenorphine ncua-tso tawm tsis tu ncua lub sijhawm koj cev xeeb tub, koj tus menyuam yuav muaj kev phom sij txog kev phom sij txog lub neej tom qab yug los. Qhia rau koj tus menyuam tus kws kho mob sai li sai tau yog tias koj tus menyuam tau muaj cov tsos mob li no: kev npau taws, ua tsis taus pa, pw tsis tsaug zog, quaj suab nrov, tswj tsis taus lub cev, ntuav, raws plab, lossis tsis ua kom yuag.
- qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Qhia rau koj tus menyuam tus kws kho mob tam sim ntawd yog tias koj tus menyuam tsaug zog ntau dua li niaj zaus lossis muaj teebmeem ua tsis taus pa thaum koj tau txais cov tshuaj no.
- koj yuav tsum paub tias cov tshuaj no tuaj yeem txo qis kev muaj menyuam hauv txivneej thiab pojniam. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev siv buprenorphine ncua kev txhaj tshuaj.
- yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj tau txais buprenorphine ncua kev txhaj tshuaj.
- koj yuav tsum paub tias buprenorphine ncua kev tso tawm txhaj tshuaj yuav ua rau koj tsaug zog. Tsis txhob tsav tsheb los sis siv lub tshuab ua haujlwm kom txog thaum koj paub tias cov tshuaj no cuam tshuam rau koj li cas.
- koj yuav tsum tsis txhob haus dej cawv lossis siv tshuaj nyob hauv kev thaum kho koj tus mob. Kev haus dej haus cawv, noj tshuaj los yog cov tshuaj uas tsis yog kws kho mob haus cawv, lossis siv tshuaj nyob hauv txoj kev thaum kho mob buprenorphine txhaj yuav ua rau koj muaj teeb meem ua pa hnyav thiab tuag taus.
- koj yuav tsum paub tias buprenorphine tuaj yeem ua rau kiv taub hau, lub teeb tob hau, thiab tsaus muag thaum koj tau sawv nrawm dhau ntawm txoj haujlwm dag. Txhawm rau zam qhov teeb meem no, sawv saum txaj maj mam so, tso koj ob txhais taw tso rau hauv pem teb li ob peb feeb ua ntej sawv ntsug.
- koj yuav tsum paub tias buprenorphine tuaj yeem ua rau cem quav. Tham nrog koj tus kws kho mob txog kev hloov koj txoj kev noj zaub mov noj lossis siv lwm yam tshuaj los tiv thaiv lossis kho quav tawv thaum koj siv tshuaj buprenorphine.
Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.
Yog tias koj plam lub sijhawm teem sijhawm tso quav tso tawm ntev dua, koj yuav tsum hu rau koj tus kws kho mob kom txais qhov tshuaj sai li sai tau. Koj koob tshuaj txuas ntxiv yuav tsum raug muab tsawg kawg 26 hnub tom qab.
Buprenorphine ncua kev tso tawm txhaj tshuaj tuaj yeem ua rau phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- xeev siab
- ntuav
- mob taub hau
- nkees
- mob, khaus, o, tsis xis nyob, liab, doog, lossis ua pob rau hauv qhov chaw txhaj tshuaj
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no hu rau koj tus kws kho mob tam sis los sis kho mob kom sai:
- ua pa nyuaj
- ntxhov siab, hnov dheev (pom tej yam lossis hnov cov suab uas tsis muaj), ua npaws, tawm hws, tsis meej pem, lub plawv dhia ceev, tshee tshee, hais lus tsis meej, mob nruj nqaij los yog qoj, tsis tau ua kom sib haum, xeev siab, ntuav, lossis zawv plab
- xeev siab, ntuav, tsis qab los, qaug zog, los yog kiv taub hau
- tsis muaj peev xwm tau txais lossis khaws ib qho erection
- poj niam tsis xwm yeem
- txo qis kev muaj siab rau kev sib deev
- ua pob
- khaus
- khaus
- hais lus phem
- qhov muag plooj
- hloov lub plawv dhia
- mob hauv sab saud hauv plab
- daj ntawm daim tawv nqaij lossis qhov muag
- cov zis tsaus nti
- lub teeb xim ua kom nruj
Buprenorphine ncua kev tso tawm kev txhaj tshuaj tuaj yeem ua lwm cov kev phiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum tau txais cov tshuaj no.
Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).
Hu rau tus xov tooj kev pab tswj tshuaj lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.
Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:
- nqaim lossis nthuav ntawm cov tub ntxhais kawm (lub voj dub nyob hauv nruab nrab ntawm lub qhov muag)
- ua pa qeeb los yog ua pa nyuaj
- heev tsaug zog lossis tsaug zog
- tsis nco qab (tsis nco qab rau lub sijhawm ib ntus)
- lub plawv dhia qeeb
Ua ntej muaj kev sim ntsuas (tshwj xeeb yog cov uas cuam tshuam nrog methylene xiav), qhia rau koj tus kws kho mob thiab cov neeg ua haujlwm kuaj pom tias koj siv cov koob tshuaj buprenorphine.
Thaum muaj xwm txheej ceev, cov neeg hauv tsev neeg lossis cov neeg zov menyuam yuav tsum qhia cov neeg ua haujlwm kho mob xwm txheej ceev tias koj lub cev tiv thaiv opioid thiab tau txais kev kho mob nrog buprenorphine ncua kev txhaj tshuaj.
Buprenorphine ncua kev tso tawm mus txhaj tshuaj yog ib qho tshuaj tswj tau tus mob. Nco ntsoov teem sijhawm nrog koj tus kws kho mob tsis tu ncua kom koj tau txais kev txhaj tshuaj. Nug koj tus kws muag tshuaj yog tias koj muaj lus nug.
Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.
- Txhawj Cuam®