ʻO Fentanyl

Anter

• E hoʻohana ai i nā fentanyl lozenges (Actiq), e hāhai i kēia mau kaʻina hana:
• E hoʻohana ai i nā papa buccal fentanyl (Fentora), e hāhai i kēia mau kaʻina hana:
• E hoʻohana ai i nā papa sublingual fentanyl (Abstral), e hāhai i kēia mau kaʻina hana:
• E hoʻohana ai i nā kiʻi ʻoniʻoni fentanyl (Onsolis), e hāhai i kēia mau kaʻina hana:
• Ma mua o ka hoʻohana ʻana i fentanyl,
• Hoʻokumu ʻo Fentanyl i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
• Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka hoʻohana ʻana i ka fentanyl a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

ʻO Fentanyl paha kahi maʻa e hana ai, keu hoʻi me ka hoʻohana lōʻihi. E hoʻohana pono i ka fentanyl e like me ke kuhikuhi. Mai hoʻohana i kahi lāʻau nui o fentanyl, e hoʻohana pinepine i ka lāʻau, a i ʻole hoʻohana iā ia no kahi manawa lōʻihi ma mua o ka mea i kauoha ʻia e kāu kauka. ʻOiai e hoʻohana ana i ka fentanyl, e kūkākūkā me kāu mea mālama ola i kāu mau pahuhopu hōʻeha ʻeha, ka lōʻihi o ka lapaʻau ʻana, a me nā ala ʻē aʻe e mālama ai i kou ʻeha. E haʻi i kāu kauka inā inu ʻoe a i ʻole kekahi mea i kou ʻohana a inu paha i ka nui o ka wai ʻona, hoʻohana a hoʻohana paha i nā lāʻau lapaʻau o ke alanui, a i ʻole hoʻohana nui ʻole i nā lāʻau i kuhikuhi ʻia, a i ʻole loaʻa paha iā ʻoe i ke kaumaha a i ʻole. kekahi maʻi noʻonoʻo. Aia kekahi pilikia nui aʻe e hoʻohana nui ʻoe i ka fentanyl inā loaʻa iā ʻoe a i ʻole loaʻa i kekahi o kēia mau ʻano. E kamaʻilio koke me kāu mea mālama ola a noi aku i ke alakaʻi inā ʻoe e manaʻo he ʻaʻa opioid ʻoe a kāhea paha i ka US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ma 1-800-662-HELP.

Pono e kuhikuhi ʻia ʻo Fentanyl e nā kauka ʻike i ka mālama ʻana i ka ʻeha i nā mea maʻi maʻi maʻi. Hoʻohana wale ʻia ia e mālama i ka ʻeha o ka maʻi kanesa (nā ʻāwīwī o ka ʻeha e hana ʻia me ka hoʻomaʻamaʻa ʻana i ka uaki me nā lāʻau ʻeha) i nā mea maʻi maʻi maʻi ma kahi o 18 mau makahiki (a i ʻole 16 mau makahiki ke hoʻohana ʻia nā lozenges Actiq. ) ka mea e lawe pinepine nei i nā kaona o kekahi lāʻau ʻeha narcotic (opiate), a ʻo wai ka mea hoʻomanawanui (hoʻohana ʻia i nā hopena o ka lāʻau) i nā lāʻau narcotic pain. ʻAʻole pono e hoʻohana ʻia kēia lāʻau e mālama ai i ka ʻeha ʻē aʻe ma mua o ka ʻeha ʻaʻa maʻi mau loa, ʻo ia hoʻi ka ʻeha pōkole e like me ka migraines a i ʻole nā ​​ʻeha ʻeha ʻeha, ʻeha mai kahi ʻeha, a ʻeha hoʻi ma hope o ke kauka a me ka hana niho. Hoʻokumu paha ʻo Fentanyl i nā pilikia hanu koʻikoʻi a i ʻole ka make ke hoʻohana ʻia ia e ka poʻe i mālama ʻole ʻia me nā lāʻau narcotic ʻē aʻe a i ʻole hoʻomanawanui i nā lāʻau narcotic.

Hiki iā Fentanyl ke hana i kahi ʻeha a make paha ke hoʻohana hewa ʻia ʻia e kahi keiki a i ʻole kahi mākua i hōʻike ʻole ʻia i ka lāʻau. ʻOiai ʻo ka fentanyl i hoʻohana hapa ʻia ka loaʻa ʻana o ka lāʻau e lawa ai ka pōʻino nui a make paha i nā keiki a i ʻole nā ​​mākua ʻē aʻe. E mālama i ka fentanyl mai kahi hiki aku o nā keiki, a inā ʻoe e hoʻohana ana i nā lozenges, e nīnau i kāu kauka pehea e loaʻa ai kahi pahu mai ka mea hana i loaʻa nā pale palekana keiki a me nā lako ʻē aʻe e pale ai i nā keiki i ka loaʻa ʻana o ka lāʻau. E hoʻolei i nā lozenges i hoʻohana hapa ʻia e like me nā kuhikuhi a ka mea hana ma hope koke o kou lawe ʻana iā lākou mai kou waha. Inā hoʻohana ʻia ʻo fentanyl e kahi keiki a makua paha i hōʻike ʻole ʻia i ka lāʻau, e hoʻāʻo e hemo i ka lāʻau mai ka waha o ke kanaka a loaʻa i ke kōkua olakino pilikia.

Pono e hoʻohana pū ʻia ʻo Fentanyl me kāu (mau) ʻeha ʻeha ʻē aʻe. Mai hōʻoki i ka lawe ʻana i kāu lāʻau ʻeha ʻē aʻe (s) ke hoʻomaka ʻoe i kāu mālama ʻana me fentanyl. Inā kū ʻoe i ka lawe ʻana i kāu lāʻau ʻeha ʻē aʻe pono ʻoe e haʻalele i ka hoʻohana ʻana i ka fentanyl.

Inā loaʻa iā ʻoe ka ʻeha ma hope o ka hoʻohana ʻana i hoʻokahi lozenge a i ʻole papa, e haʻi paha kāu kauka iā ʻoe e hoʻohana i kahi lozenge ʻelua a i ʻole papa. Hiki iā ʻoe ke hoʻohana i ka lozenge lua (Actiq) 15 mau minuke ma hope o kou hoʻopau ʻana i ka lozenge mua, a i ʻole hoʻohana i ka papa ʻelua (Abstral, Fentora) 30 mau minuke ma hope o kou hoʻomaka ʻana e hoʻohana i ka papa mua. Mai hoʻohana i kahi lozenge ʻelua a i ʻole papa e mālama i ka ʻāpana like o ka ʻeha ke ʻole ke kauka e haʻi iā ʻoe e pono. Inā ʻoe e hoʻohana nei i ke kiʻi ʻoniʻoni fentanyl (Onsolis), ʻaʻole pono ʻoe e hoʻohana i ka mahele lāʻau ʻelua e mālama i ka mahele like o ka ʻeha. Ma hope o kou mālama ʻana i kahi ʻeha o ka ʻeha me ka hoʻohana ʻana i 1 a i ʻole 2 mahele o ka fentanyl e like me ke kuhikuhi, pono ʻoe e kali ma ka liʻiliʻi he 2 mau hola ma hope o ka hoʻohana ʻana i ka fentanyl (Abstral a i ʻole Onsolis) a i ʻole 4 mau hola ma hope o ka hoʻohana ʻana i ka fentanyl (Actiq a i ʻole Fentora) ma mua o ka mālama ʻana i kahi ʻāpana o ka maʻi ʻaʻai breakthrough ʻeha.

ʻO ka lawe ʻana i kekahi mau lāʻau me fentanyl hiki ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā pilikia hanu koʻikoʻi a hoʻoweliweli paha i ke ola, hoʻomaha, a me ke koma. E haʻi i kāu kauka inā lawe ʻoe i kekahi o nā lāʻau aʻe: amiodarone (Nexterone, Pacerone); kekahi mau antibiotic e like me clarithromycin (Biaxin, in PrevPac), erythromycin (Erythocin), telithromycin (Ketek), a me troleandomycin (TAO) (ʻaʻole i loaʻa i ka US); kekahi mau antifungals e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox), a me ketoconazole (Nizoral); aprepitant (Emend); nā benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), and triaz; cimetidine (Tagamet); diltiazem (Cardizem, Taztia, Tiazac, nā mea ʻē aʻe); kekahi mau lāʻau no ka maʻi pale maʻi (HIV) e like me amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra), a me saquinavir (Invirase); nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; nā mea hoʻomaha nāʻiʻo; nefazodone; nā mea hoʻonanea; paina moe; mea hoʻomaluhia; aiʻole verapamil (Calan, Covera, Verelan). Pono paha kāu kauka e hoʻololi i nā lāʻau o kāu mau lāʻau a e nānā pono iā ʻoe. Inā ʻoe e hoʻohana i ka fentanyl me kekahi o kēia mau lāʻau a hoʻomohala ʻoe i kekahi o nā ʻōuli aʻe, e kāhea koke aku i kāu kauka a i ʻole e ʻimi i ka lāʻau olakino pōpilikia: ka lualua maʻamau, ka mālamalama, ka hiamoe nui, ka hanu ʻana a paʻakikī paha, a me ka pane ʻole ʻana. E ʻike pono i kāu mea mālama a ʻohana paha o ka ʻohana i nā hōʻailona e koʻikoʻi paha i hiki iā lākou ke kāhea i ke kauka a i ʻole ka mālama olakino pilikia inā ʻaʻole hiki iā ʻoe ke ʻimi i ka lāʻau iā ʻoe iho.

Hele mai ʻo Fentanyl ma ke ʻano he ʻehā mau huahana transmucosal ʻokoʻa a me nā ʻano huahana ʻē aʻe. Hoʻokomo ʻokoʻa ʻia ka lāʻau i kēlā me kēia huahana e ke kino, no laila ʻaʻole hiki ke pani ʻia kahi huahana no kekahi huahana fentanyl ʻē aʻe. Inā ʻoe e hoʻololi nei mai kekahi huahana i kahi huahana ʻē aʻe, na kāu kauka e kuhikuhi i kahi lāʻau e pono ai nāu.

Ua hoʻonohonoho ʻia kahi papahana no kēlā me kēia huahana fentanyl e hoʻēmi i ka makaʻu o ka hoʻohana ʻana i ka lāʻau. Pono kāu kauka e kākau inoa i ka papahana i mea e kuhikuhi ai i ka fentanyl a pono ʻoe e hoʻopihapiha i kāu kauka i kahi kauka lāʻau i kākau inoa ʻia i ka papahana. Ma ke ʻano he ʻāpana o ka papahana, e kamaʻilio pū kāu kauka me ʻoe e pili ana i nā pilikia a me nā pono o ka hoʻohana ʻana i ka fentanyl a me pehea e hoʻohana pono ai, mālama, a hoʻolilo i ka lāʻau. Ma hope o kāu kamaʻilio ʻana me kāu kauka, e kau inoa ʻoe i kahi palapala e hōʻoia ana ua maopopo iā ʻoe ka makaʻu o ka hoʻohana ʻana i ka fentanyl a e hāhai ʻoe i nā ʻōkuhi a kāu kauka e hoʻohana pono ai i ka lāʻau. E hāʻawi aku kāu kauka iā ʻoe i ka ʻike hou aʻe e pili ana i ka papahana a pehea e loaʻa ai kāu lāʻau a pane i kāu mau nīnau e pili ana i ka papahana a me kāu mālama ʻana me fentanyl.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me fentanyl a i kēlā me kēia manawa ke loaʻa ʻoe i nā lāʻau hou aʻe. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele Food and Drug Administration (FDA) (http://www.fda.gov/drugs/drugsafety/ucm085729.htm) a i ʻole ka pūnaewele a ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau.

Hoʻohana ʻia ʻo Fentanyl e mālama i ka ʻeha breakthrough (nā ʻāwīwī o ka ʻeha e hana ʻia me ka mālama ʻana i ka uaki me nā lāʻau ʻeha) i nā mea maʻi maʻi maʻi ma kahi o 18 mau makahiki (a i ʻole 16 mau makahiki o ka makahiki inā hoʻohana i nā lozenges Actiq) e lawe mau nei. ʻo nā lāʻau i hoʻonohonoho ʻia o kekahi lāʻau ʻeha narcotic (opiate) ʻē aʻe, a ʻo wai ka mea hoʻomanawanui (i hoʻohana ʻia i nā hopena o ka lāʻau) i nā lāʻau narcotic pain. Aia ʻo Fentanyl i ka papa o nā lāʻau i kapa ʻia ʻo narcotic (opiate) analgesics. Hana ia e ka hoʻololi ʻana i ke ala o ka lolo a me ka ʻōnaehana e pane ai i ka ʻeha.

Hele mai ʻo Fentanyl ma ke ʻano he lozenge ma kahi ʻau (Actiq), papa sublingual (ma lalo o ke alelo) (Abstral), kahi kiʻi ʻoniʻoni (Onsolis), a me kahi buccal (ma waena o ka gum a me ka pāpālina) papa (Fentora) e hemo i ka waha. Hoʻohana ʻia ʻo Fentanyl e pono ai e mālama i ka ʻeha breakthrough akā ʻaʻole ʻoi aku ka nui ma mua o ʻehā mau manawa i ka lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o fentanyl a hoʻonui iki i kāu lāʻau a hiki i kou ʻike ʻana i ka lāʻau e hōʻoluʻolu i kou ʻeha breakthrough. Inā loaʻa iā ʻoe ka ʻeha he 30 mau minuke ma hope o ka hoʻohana ʻana i nā kiʻi ʻoniʻoni fentanyl (Onsolis), hiki i kāu kauka ke ʻōlelo iā ʻoe e hoʻohana i kekahi lāʻau ʻeha ʻē aʻe e hōʻoluʻolu ai i kēlā ʻeha, a hoʻonui paha i kāu mahele o nā kiʻi ʻoniʻoni fentanyl (Onsolis) e mālama i kāu ʻaoʻao aʻe o ka ʻeha. E kamaʻilio me kāu kauka e pili ana i ka maikaʻi o ka hana ʻana o ka lāʻau a inā ʻoe e ʻike i nā hopena ʻē aʻe i hiki i kāu kauka ke hoʻoholo inā e hoʻoponopono ʻia kāu mahele lāʻau.

Mai hoʻohana i ka fentanyl ma mua o ʻehā mau manawa i ka lā. Kāhea i kāu kauka inā ʻike ʻoe ma mua o ʻehā mau ʻāpana o ka ʻāpana breakthrough i kēlā me kēia lā. Pono paha kāu kauka e hoʻoponopono i ka mahele lāʻau o kāu mau lāʻau ʻeha ʻē aʻe e kāohi pono ai i kou ʻeha.

E ale i ka papa buccal holoʻokoʻa; mai hoʻokaʻawale, a nau, a i ʻole haki. Mai pūleu hoʻi a nahu i ka lozenge ma kahi ʻau; omo wale i kēia lāʻau e like me ke kuhikuhi.

Mai hōʻoki i ka hoʻohana ʻana i ka fentanyl me ke kamaʻilio ʻole ʻana me kāu kauka. Hiki i kāu kauka ke hōʻemi i kāu lāʻau. Inā kū koke ʻoe i ka hoʻohana ʻana i fentanyl, ʻike paha ʻoe i nā ʻōuli o ka haʻalele ʻana.

E hoʻohana ai i nā fentanyl lozenges (Actiq), e hāhai i kēia mau kaʻina hana:

1. E hōʻoia i ka pūʻolo palolo a me ka lima o ka lozenge e ʻike pono i ka lozenge i ka lāʻau o ka lāʻau i kuhikuhi ʻia iā ʻoe.
2. E hoʻohana i nā ʻokiʻoki e ʻoki a wehe i ka pūʻolo blister a hemo i ka lozenge. Mai wehe i ka pūʻolo palapalā a mākaukau ʻoe e hoʻohana i ka lāʻau.
3. E kau i ka lozenge i loko o kou waha, ma waena o kou papalina a me ka gum. Hoʻoikaika i ka hulu i ka lozenge, akā ʻaʻole e nau, kui, a nahu paha. E hoʻoneʻe i ka lozenge a puni i kou waha, mai kekahi ʻaoʻao a i kekahi ʻaoʻao, e hoʻohana ana i ka ʻau. E wili pinepine i ka lima.
4. Mai ʻai a inu i kekahi mea ʻoiai ka lozenge i loko o kou waha.
5. E hoʻopau i ka lozenge ma kahi o 15 mau minuke.
6. Inā hoʻomaka ʻoe e luhi, hiamoe loa, a nausea paha ma mua o ka pau ʻana o ka lozenge, e hemo iā ia mai kou waha. E hoʻolei koke iā ia e like me ka mea i wehewehe ʻia ma lalo a i ʻole hoʻokomo iā ia i loko o ka hue waiho manawa no ka hoʻolei hope.
7. Inā hoʻopau ʻoe i ka lozenge holoʻokoʻa, hoʻolei i ka lima i kahi ʻōpala i hiki ʻole i nā keiki. Inā ʻaʻole ʻoe i hoʻopau i ka lozenge holoʻokoʻa, e paʻa i ka ʻau ma lalo o ka wai e holo ana e hoʻopau i nā lāʻau āpau, a laila hoʻolei i ka ʻau i kahi ʻōpala i hiki ʻole i nā keiki a me nā holoholona.

E hoʻohana ai i nā papa buccal fentanyl (Fentora), e hāhai i kēia mau kaʻina hana:

1. E hoʻokaʻawale i kahi ʻāpana blister mai ka kāleka blister ma ka haehae ʻana i nā perforations. Peel hoʻi i ka pepa e wehe ai i kahi anakahi. Mai hoʻāʻo e pahu i ka papa i loko o ka pepa kini. Mai wehe i ka anakahi a hiki i kou mākaukau e hoʻohana i ka papa.
2. E kau i ka papa i loko o kou waha ma luna o kekahi o kou mau kua i luna ma waena o kou pāpālina a me kou kāpili.
3. E waiho i ka papa i kahi a hiki i ka wā e pau ai. ʻIke paha ʻoe i kahi manaʻo huʻā ma waena o kou papalina a me ka gum i ka wā e hemo ai ka papa. Lawe ʻia he 14 a 25 mau minuke no ka hoʻopau ʻana o ka papa. Mai hoʻokaʻawale, nau, nahu, a omo i ka papa.
4. Inā waiho ʻia kekahi o ka papa i kou waha ma hope o 30 mau minuke, e ale iā ia me ka inu wai.
5. Inā hoʻomaka ʻoe e luʻuluʻu, hiamoe nui, a nausea paha ma mua o ka hemo ʻana o ka papa, holoi i kou waha me ka wai a kuha i nā ʻāpana koena o ka papa i loko o ka poho a me ka lua. E holoi i ka lua a holoi paha i ka poho e holoi i nā ʻāpana papa.

E hoʻohana ai i nā papa sublingual fentanyl (Abstral), e hāhai i kēia mau kaʻina hana:

1. E inu i kahi wai e hoʻopulu i kou waha inā maloʻo. Kuha aku a ale paha i ka wai. E nānā e maloʻo kou mau lima ma mua o ka lawelawe ʻana i ka papa.
2. E hoʻokaʻawale i kahi ʻāpana blister mai ka kāleka blister ma ka haehae ʻana i nā perforations. Peel hoʻi i ka pepa e wehe ai i ka anakahi blister.Mai hoʻāʻo e pahu i ka papa i loko o ka pepa kini. Mai wehe i ka anakahi a hiki i kou mākaukau e hoʻohana i ka papa.
3. E kau i ka papa ma lalo o kou alelo i kahi hiki loa iā ʻoe. Inā makemake ʻia ma mua o 1 papa no kāu lāʻau, e hohola ma kahi o ka papahele o kou waha ma lalo o kou alelo.
4. E waiho i ka papa i kahi a hiki i ka wā e pau ai. Mai omo, nau, a ale i ka papapā.
5. Mai ʻai a inu i kekahi mea a hiki i ka wā e pau loa ai ka papa ʻaʻohe ʻoe e ʻike hou i kou waha.

E hoʻohana ai i nā kiʻi ʻoniʻoni fentanyl (Onsolis), e hāhai i kēia mau kaʻina hana:

1. E hoʻohana i nā ʻokiʻoki e ʻokiʻoki i nā pua o ka pūʻolo pepa kini e wehe iā ia. E hoʻokaʻawale i nā papa o ka ʻāpana foil a hemo i ke kiʻi ʻoniʻoni. Mai wehe i ka pūʻolo pepa a makaukau ʻoe e hoʻohana i ka lāʻau. Mai ʻoki a haehae paha i ke kiʻi ʻoniʻoni.
2. E hoʻohana i kou alelo e pulu i ka loko o kou papalina, a i ʻole inā pono, holoi i kou waha me ka wai e pulu i kahi āu e waiho ai i ke kiʻi ʻoniʻoni.
3. E paʻa i ke kiʻi ʻoniʻoni ma kahi manamana lima maʻemaʻe a maloo, me ka ʻaoʻao ʻākala e kū pono ana i luna. E kau i ke kiʻi ʻoniʻoni i kou waha, me ka ʻaoʻao ʻākala e kūʻē ana i loko o kou pāpālina i hoʻomaʻū ʻia. Me kou manamana lima, kaomi i ke kiʻi ʻoniʻoni i kou papalina no 5 kekona. A laila e hemo i kou manamana lima a pili ke kiʻi ʻoniʻoni i loko o kou pāpālina. Inā makemake ʻia ma mua o hoʻokahi kiʻi ʻoniʻoni no kāu mahele lāʻau, mai hoʻokau i nā kiʻi ʻoniʻoni ma luna o kekahi. Hiki iā ʻoe ke kau i nā kiʻi ʻoniʻoni ma nā ʻaoʻao a ʻelua o kou waha.
4. E waiho i ke kiʻi ʻoniʻoni a hiki i ka wā e pau ai. E hoʻokuʻu ke kiʻi ʻoniʻoni i kahi ʻono minty i ka wā e hemo ai. 15 a 30 mau minuke paha ka lōʻihi e hemo ai ke kiʻi ʻoniʻoni. Mai nau wale a ale i ke kiʻi ʻoniʻoni. Mai hoʻopā a hoʻoneʻe i ke kiʻi ʻoniʻoni ke hoʻoheheʻe ʻia.
5. Hiki paha iā ʻoe ke inu i nā wai ma hope o 5 mau minuke, akā mai ʻai i kekahi mea a hiki i ka wā e pau ai ke kiʻi ʻoniʻoni.

ʻAʻole pono e kuhikuhi ʻia kēia lāʻau no ka hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka hoʻohana ʻana i fentanyl,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i nā fentanyl patch, injection, spray nasal, tablets, lozenges, a i ʻole nā ​​kiʻi ʻoniʻoni; nā lāʻau lapaʻau ʻē aʻe; a i ʻole kekahi o nā mea hoʻohui i nā papa fentanyl, nā lozenges, a i ʻole nā ​​kiʻi ʻoniʻoni. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o nā lāʻau aʻe: antihistamines; barbiturates e like me phenobarbital; buprenorphine (Buprenex, Subutex, i Suboxone); butorphanol (Stadol); carbamazepine (Carbatrol, Epitol, Tegretol); efavirenz (Sustiva, i Atripla); modafinil (Provigil); nalbuphine (Nubain); naloxone (Evzio, Narcan); nevirapine (Viramune); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); oxcarbazepine (Trileptal); pentazocine (Talwin); phenytoin (Dilantin, Phenytek); pioglitazone (Actos, i Actoplus Met, i Duetact); rifabutin (Mycobutin); a me rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater). E haʻi aku i kāu kauka a kauka paha inā ʻoe e lawe i kekahi o nā lāʻau aʻe a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o nā pule ʻelua i hala iho nei: monoamine oxidase (MAO) mea kāohi me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam , Zelapar), a me tranylcypromine (Parnate). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
• e haʻi i kāu kauka inā inu ʻoe a i ʻole kekahi mea i kou ʻohana a inu paha i ka nui o ka wai ʻona a hoʻohana paha a i hoʻohana paha i nā lāʻau ākea a i ʻole nā ​​nui loa o nā lāʻau lapaʻau. E haʻi aku i kāu kauka inā loaʻa ʻoe a i ʻole ʻeha ʻeha poʻo ʻoe, kahi tumo lolo, hahau, a i ʻole kekahi ʻano ʻano ʻē aʻe i hoʻokumu i ke kiʻekiʻe i loko o kou iwi poʻo; ka hopu ʻana; hoʻolōʻihi i ka puʻuwai a i ʻole nā ​​pilikia puʻuwai ʻē aʻe haʻahaʻa ke koko; nā pilikia noʻonoʻo e like me ke kaumaha, schizophrenia (kahi maʻi noʻonoʻo e hoʻopilikia ai a noʻonoʻo ʻole paha, nalowale o ka hoihoi i ke ola, a me nā manaʻo ikaika a kūpono ʻole paha), a i ʻole nā ​​moemoeā (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i loaʻa ʻole); nā pilikia hanu e like me ka hānō a me ka maʻi pulmonary obstructive mau loa (COPD; kahi hui o nā maʻi pūpū e komo pū me ka bronchitis mau loa a me ka emphysema); aiʻole ka maʻi puʻuwai a i ʻole ate.
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka fentanyl, e kāhea i kāu kauka.
• pono ʻoe e ʻike i kēia lāʻau i hoʻemi ai i ka momona i nā kāne a me nā wahine. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i ka fentanyl.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka fentanyl.
• pono ʻoe e ʻike i ka fentanyl e hiamoe ai ʻoluʻolu ai hoʻi ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
• pono ʻoe e ʻike ʻo ka fentanyl ka mea e hoʻolilo ai i ka puʻupuʻu, ka uila, a me ka nāwaliwali ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e hoʻohana i ka fentanyl. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
• inā he maʻi diabetes ʻoe, pono ʻoe e ʻike i kēlā me kēia fentanyl lozenge (Actiq) i loaʻa ma kahi o 2 mau kō o ke kō.
• inā ʻoe e hoʻohana ana i nā lozenges (Actiq), e kamaʻilio me kāu kauka niho e pili ana i ke ala ʻoi loa e mālama ai i kou mau niho i kou wā e lapaʻau ai. Loaʻa nā lozenges i ke kō a hana paha i ka pala o nā niho a me nā pilikia niho.
• pono ʻoe e ʻike ʻo fentanyl ke kumu o ka constipation. E kamaʻilio me kāu kauka e pili ana i ka loli ʻana i kāu papaʻai a me ka hoʻohana ʻana i nā lāʻau ʻē aʻe e mālama a pale aku ai i ka paʻa paʻa.

Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu i ka hoʻohana ʻana i kēia lāʻau.

Hoʻohana maʻamau kēia lāʻau i ka wā e pono ai e like me nā kuhikuhi.

Hoʻokumu ʻo Fentanyl i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• hiamoe
• ʻeha ka ʻōpū
• ʻenekini
• puʻuwai puʻuwai
• Kaumaha emi
• pilikia urino
• nā hoʻololi i ka hihiʻo
• hopohopo
• kaumaha
• manaʻo ʻano ʻē
• moeʻuhane ʻano ʻole
• paʻakikī e hiamoe a hiamoe paha
• waha maloo
• ʻulaʻula ʻulaʻula o ka maka, ʻāʻī, a i ʻole ka umauma luna
• luliluli ʻole ʻana i kahi ʻāpana o ke kino
• ʻeha kua
• ʻeha ka umauma
• ʻeha, ʻeha, a huhū paha i ka waha ma kahi āu i kau ai i ka lāʻau
• ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

• nā hoʻololi i ka puʻuwai puʻuwai
• ka hoʻonāukiuki, nā haʻalulu (ʻike ʻana i nā mea a i ʻole lohe i nā leo i ʻole), ke kuni, ka hou ʻana, ka huikau, ka puʻuwai puʻuwai wikiwiki, ka haʻalulu, ka ʻāʻī nui a i ʻole ka twitching, ka nalo ʻana o ka hoʻohui, nausea, ka luaʻi, a i ʻole ka palahī.
• nausea, luaʻi, nalo o ka makemake ʻole, nāwaliwali, a me ka luʻuluʻu
• hiki ʻole ke kiʻi a mālama i kahi kūkulu
• kūlohelohe menstruation
• hoʻemi i ka moekolohe
• ka hopu ʻana
• hives
• hūwī
• ʻūlili

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka hoʻohana ʻana i ka fentanyl a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• lohi, hanu pāpaʻu
• hoʻēmi i ka makemake e hanu
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• hiamoe nui loa
• ʻūpā
• huikau
• maule ana

Hoʻokumu ʻo Fentanyl i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pōpō i komo mai ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama i ka fentanyl ma kahi palekana i hiki ʻole i kekahi mea ʻē aʻe ke hoʻohana me ka ʻole a ma ke kumu paha. E hoʻohana i nā loka pale pale keiki a me nā lako ʻē aʻe i hāʻawi ʻia e ka mea hana e mālama i nā keiki mai nā lozenges. E mālama i ka nui o ka fentanyl e waiho ana i ʻike ʻoe inā e nalowale kekahi. E mālama i ka fentanyl ma ka mahana o ka lumi a mai ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua. Mai hoʻopaʻa i ka fentanyl.

Pono ʻoe e hoʻolei koke i nā lāʻau i hala ka lā a pono ʻole paha ma o ka papahana hoʻihoʻi lāʻau. Inā ʻaʻohe ou papahana hoʻihoʻi kokoke a i ʻole hiki iā ʻoe ke komo koke, a laila holoi i ka fentanyl i ka lua ʻaʻole lawe nā poʻe ʻē aʻe iā ia. E hoʻolei i nā lozenges i koi ʻole ʻia e ka lawe ʻana i kēlā me kēia lozenge mai ka pūʻolo blister, e paʻa ana i ka lozenge ma luna o ka lua, a ʻokiʻoki i ka hopena lāʻau me nā mea ʻokiʻoki a hāʻule i loko o ka lua. Kiola i nā koena i koe i kahi kahi i hiki ʻole i nā keiki a me nā holoholona, ​​a holoi i ka lua i ka wā ʻelua a ʻo nā lozenges. E hoʻolei i nā papa i makemake ʻole ʻia a i ʻole nā ​​kiʻiʻoniʻoni e ka lawe ʻana iā lākou mai ka pīpī a holoi iā lākou i lalo o ka lua. E hoʻolei i nā koina fentanyl i koe a i ʻole nā ​​pahu i loko o kahi ipu ʻōpala; mai holoi i kēia mau mea i ka lua. Kāhea i kāu kauka lāʻau a i ʻole ka mea hana inā he nīnau kāu a i ʻole pono e kōkua i ka hoʻolei ʻana i nā lāʻau i koi ʻole ʻia.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Inā loaʻa ka overdose, hemo i ka fentanyl mai ka waha o ka mea i hoʻomake ʻia a kāhea i nā lawelawe kūloko kūloko ma 911.

ʻOiai e hoʻohana ana i ka fentanyl, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi lāʻau hoʻopakele i kapa ʻia ʻo naloxone e loaʻa koke (e laʻa me ka home, keʻena). Hoʻohana ʻia ʻo Naloxone e hoʻohuli i nā hopena hoʻoweliweli i ke ola o kahi overdose. Hana ia ma ka pale ʻana i nā hopena o nā opiates e hōʻoluʻolu i nā hōʻailona weliweli i hoʻokumu ʻia e nā kiʻekiʻe o nā opiates i ke koko. Kau kauka paha iā ʻoe e kuhikuhi iā ʻoe i ka naloxone inā ʻoe e noho ana i kahi home kahi o nā keiki liʻiliʻi a i ʻole kekahi i hōʻino i ke alanui a i ʻole nā ​​lāʻau i kuhikuhi ʻia. Pono ʻoe e ʻike ʻo ʻoe a me nā lālā o kou ʻohana, nā mea mālama, a i ʻole ka poʻe e noho manawa ana me ʻoe e ʻike pehea e ʻike ai i kahi overdose, pehea e hoʻohana ai i ka naloxone, a me nā mea e hana ai a hiki i ke kōkua ʻana mai o nā kōkua olakino. E hōʻike kāu kauka a kauka paha iā ʻoe a me nā lālā o kou ʻohana pehea e hoʻohana ai i ka lāʻau. E noi i kāu kauka lāʻau no nā ʻōkuhi a kipa paha i ka pūnaewele o ka mea hana e kiʻi i nā kuhikuhi. Inā kū nā hōʻailona o kahi overdose, pono i kahi hoaaloha a ʻohana paha o ka ʻohana e hāʻawi i ka lāʻau mua o ka naloxone, e kāhea koke iā 911, a noho me ʻoe a nānā pono iā ʻoe a hiki i ke kōkua kōkua olakino pilikia E hoʻi paha kāu mau hōʻailona i loko o kekahi mau minuke ma hope o kou loaʻa ʻana i ka naloxone. Inā hoʻi kāu mau ʻōuli, pono i ke kanaka e hāʻawi iā ʻoe i kahi lāʻau ʻē aʻe o ka naloxone. Hāʻawi ʻia i nā kaha hou i kēlā me kēia 2 a 3 mau minuke, inā hoʻi nā ʻōuli ma mua o ka hōʻea ʻana o ke kōkua olakino.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

• hiamoe a hiamoe paha
• ʻūpā
• huikau
• lohi, hanu pāpaʻu a i ʻole oki ka hanu ʻana
• paʻakikī i ka hanu ʻana
• nā haumāna liʻiliʻi (pōʻai ʻeleʻele i ka waena o nā maka)
• hiki ʻole ke pane a ala paha

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kekahi mea ʻē aʻe e hoʻohana i kāu lāʻau, ʻoiai inā loaʻa iā ia nā hōʻailona like me kāu. ʻO ke kūʻai aku ʻana a hāʻawi ʻana paha i kēia lāʻau i kumu e hōʻeha ai ka make a make paha i kekahi poʻe ʻē aʻe a kūʻē i ke kānāwai.

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. E hoʻomaopopo pono e hoʻonohonoho i nā manawa me kāu kauka i kēlā me kēia manawa i mea e pau ʻole ai kāu lāʻau.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• Abstral^®
• ʻO Actiq^®
• Fentora^®
• Onsolis^®¶

^¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.