Mea Kākau: Virginia Floyd
Lā O Ka Hana: 8 Aukake 2021
HōʻAno Hou I Ka Lā: 8 Pepeluali 2025
Anonim
Transdermal buprenorphine and fentanyl patches in cancer pain-140320
Wikiō: Transdermal buprenorphine and fentanyl patches in cancer pain-140320

Anter

Hiki i nā pale Buprenorphine ke hana maʻa, keu hoʻi me ka hoʻohana lōʻihi. E hoʻohana pono i nā loʻi buprenorphine e like me ke kuhikuhi. Mai hoʻopili i nā pākuʻi hou aku, hoʻopili i nā pākuʻi pinepine, a hoʻohana i nā pākuʻi i kahi ala ʻokoʻa ma mua o ka mea i kauoha ʻia e kāu kauka. ʻOiai e hoʻohana ana i nā pā buprenorphine, 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 buprenorphine inā loaʻa 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.


Hiki i nā pālua Buprenorphine ke hana i nā pilikia hanu koʻikoʻi a hoʻoweliweli paha, keu hoʻi i ka 24 a 72 mau hola mua o kāu mālama ʻana a me kēlā me kēia manawa e hoʻonui ʻia ai kāu mahele lāʻau. E nānā pono kāu kauka iā ʻoe i kāu wā e lapaʻau ai. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa nā pilikia hanu, asthma, maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi e pili ana i nā akemāmā a me nā alaloa), a i ʻole nā ​​maʻi māmā. E haʻi paha kāu kauka iā ʻoe mai hoʻohana i nā lāʻau buprenorphine.

ʻO ka lawe ʻana i kekahi mau lāʻau lapaʻau me nā palu buprenorphine e hoʻonui ai i ka pilikia o nā pilikia hanu koʻikoʻi a hoʻoweliweli paha, hoʻomaha, a me ke koma. E haʻi i kāu kauka a me ka kauka inā ʻoe e lawe ana i atazanavir (Reyataz); nā benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), tria nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; nā lāʻau lapaʻau ʻē aʻe no ka ʻeha; nā mea hoʻomaha nāʻiʻo; nā mea hoʻonanea; paina moe; a me nā tranquilizers. 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 transupmal buprenorphine me kekahi o kēia mau lāʻau a hoʻomohala ʻoe i kekahi o nā ʻōuli e hiki mai ana, e kāhea koke i kāu kauka a i ʻole e ʻimi i ka mālama olakino pōpilikia. 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.


ʻO ka inu wai ʻona a hoʻohana ʻana paha i nā lāʻau i ke alanui i kou wā e mālama ai me ka buprenorphine transdermal e hoʻonui pū ai i ka makaʻala e ʻike ʻoe i kēia mau hopena ʻino a weliweli hoʻi i ke ola. Mai inu i ka ʻalekohola, lawe i ka lāʻau i kuhikuhi ʻia a i ʻole nā ​​lāʻau i hōʻike ʻole ʻia i loaʻa ka ʻalekohola, a i ʻole hoʻohana i nā lāʻau i ke alanui i kāu wā e lapaʻau ai.

Mai ʻae i kekahi mea ʻē aʻe e hoʻohana i kāu lāʻau. ʻO ka loaʻa ʻana o kahi pōʻino, ʻoi aku i nā keiki, hopena paha i ka pōʻino nui a i ʻole ka make. E mālama i nā pā buprenorphine i kahi wahi palekana i hiki ʻole i kekahi mea ʻē aʻe ke hoʻohana me ke kuhihewa a i ʻole ke kumu. E mālama pono i ka mālama ʻana i nā pā buprenorphine mai kahi hiki aku o nā keiki. E mālama i ka nui o nā loʻi i koe a ʻike ʻoe inā e nalowale kekahi.

E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai.Inā ʻoe e hoʻohana pinepine i nā pālua buprenorphine i kou wā hāpai, ʻike paha kāu pēpē i nā hōʻailona haʻalele i ka hoʻoweliweli ola ma hope o ka hānau ʻana. E haʻi koke i ke kauka o kāu pēpē inā ʻike kāu pēpē i kekahi o nā ʻōuli i lalo: ka huhū, hyperactivity, hiamoe maʻamau, uē kiʻekiʻe, hoʻoluliluli ʻole ʻia o kahi ʻāpana o ke kino, ka luaʻi, ka maʻi pākī, a i ʻole ka loaʻa ʻole o ke kaumaha.


E hāʻawi aku kāu kauka a mea kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me nā pā buprenorphine a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. 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 ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o 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 nā paʻi Buprenorphine e hōʻoluʻolu i ka ʻehaʻeha loa i ka poʻe e manaʻo ʻia e pono i nā lāʻau ʻeha a puni ka uaki no ka manawa lōʻihi a ʻaʻole hiki ke mālama ʻia me nā lāʻau ʻē aʻe. Aia ia i loko o ka papa o nā lāʻau i kapa ʻia he analgesics opiate (narcotic). 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 Transdermal buprenorphine ma ke ʻano he patch e hoʻopili i ka ʻili. Hoʻohana mau ʻia ka pāʻā i ka ʻili i hoʻokahi manawa i kēlā me kēia 7 lā. Hoʻololi i kāu pāʻā ma ka manawa like o ka lā i kēlā me kēia manawa ke hoʻololi ʻoe iā ia. 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. Pili i nā loʻi buprenorphine e like me ke kuhikuhi.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa buprenorphine patch a hoʻonui iki i kāu lāʻau, ʻaʻole pinepine ma mua o hoʻokahi manawa i kēlā me kēia 3 mau lā. Inā pili kēia hoʻonui i ka hoʻohana o nā pālua, e hemo i kāu pāʻina o kēia manawa a ma ka manawa like, e kau i nā pākuʻi hou ʻelua ma ka ʻaoʻao hou i kahi pūnaewele hou. Inā haʻi aku kāu kauka iā ʻoe e hoʻohana i ʻelua mau pā, pono ʻoe e loli a hoʻopili iā lākou i ka manawa like. Hiki i kāu kauka ke hōʻemi i kāu lāʻau inā ʻike ʻoe i nā hopena ʻaoʻao. Kāhea aku i kāu kauka inā ʻaʻole kaohi ka lāʻau āu e lawe nei i kou ʻeha. E kamaʻilio me kāu kauka e pili ana i kou ʻano i kou mālama ʻana me nā patch buprenorphine.

Hoʻohana wale ʻia nā ʻili Buprenorphine i ka ʻili. Mai hoʻokau i nā loʻi i kou waha a me ka nau a i ʻole ke ale i nā palaki.

Mai hooki i ka hoʻohana ʻana i nā lāʻau buprenorphine me ke kamaʻilio ʻole ʻana me kāu kauka. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau. Inā kū koke ʻoe i ka hoʻohana ʻana i nā patch buprenorphine loaʻa paha iā ʻoe nā ʻōuli o ka haʻalele. Kāhea i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli o ka haʻalele ʻana: hoʻomaha ʻole, maka luha, ihu ihu, ʻā ʻana, ʻāʻā, hoʻomaʻū, ʻūlū, lauoho e kū ana i luna, ʻeha nā mākala, nā haumāna nui (ʻeleʻele i waena o nā maka), huhū, diarrhea, nausea, luaʻi, hopohopo, ʻeha ma nā hono, nāwaliwali, puʻuwai wikiwiki, a me ka hanu wikiwiki ʻana.

Mai hoʻohana i kahi patch buprenorphine i ʻoki ʻia, ʻino, a i ʻole hoʻololi ʻia i kekahi ʻano. Inā ʻoe e hoʻohana i nā ʻoki ʻoki a hōʻino paha, loaʻa paha iā ʻoe ka hapa nui a i ʻole nā ​​lāʻau āpau i ka manawa hoʻokahi, ma kahi o ka lohi o 7 mau lā. Hiki i kēia ke kumu i nā pilikia koʻikoʻi, me ka overdose a me ka make.

Inā hōʻike ʻia kāu patch buprenorphine i ka wela nui, hoʻokuʻu paha ia i nā lāʻau i loko o kou kino i ka manawa hoʻokahi. Hiki i kēia ke kumu i nā hōʻailona koʻikoʻi a hoʻoweliweli paha i ke ola. Mai hōʻike i kāu āpau a i ʻole ka ʻili a puni e kuhikuhi i ka wela e like me nā pale pumehana, nā pale uila, nā ipukukui, nā sauna, nā wai wela, a me nā moena wai wela. Mai lawe i nā ʻauʻau wela lōʻihi a i ʻole sunbathe iā ʻoe e ʻaʻa nei i ka pā.

Hiki paha iā ʻoe ke ʻauʻau a ʻauʻau paha ke kau nei ʻoe i ka pā buprenorphine. Inā hāʻule ka pā i kēia mau hana, e hoʻolei kūpono iā ia. A laila maloʻo loa i kou ʻili a kau i kahi pāʻina hou. E waiho i ka pale hou ma kahi no nā lā 7 ma hope o kāu noi ʻana iā ia.

Hiki iā ʻoe ke hoʻopili i kahi patch buprenorphine i kou mau lima i waho, luna o ka umauma, luna o luna, a i ʻole ka ʻaoʻao o kou umauma. Koho i kahi ʻili e pālahalaha a lauoho ʻole. Mai hoʻopili i ka pā i nā ʻāpana o ke kino i hoʻonāukiuki, haki, ʻoki, ʻino, a i ʻole hoʻololi ʻia i kekahi ʻano. Inā he lauoho ma ka ʻili, e hoʻohana i nā ʻokiʻoki e ʻokiʻoki i ka lauoho i kokoke i ka ʻili i hiki. Mai kahi i kahi. E kali ma ka liʻiliʻi he 3 mau pule ma mua o ka hoʻopili ʻana i kahi patch hou i ka pūnaewele like.

E hoʻopili i ka pākuʻi, e hāhai i kēia mau kaʻina hana:

  1. E hoʻomaʻemaʻe i kahi āu e hoʻolālā ai e hoʻopili i ka pākuʻi me ka wai maʻemaʻe a hoʻomaloʻo maloʻo loa. Mai hoʻohana i nā kopa, nā lotion, nā wai ʻona, a me nā aila.
  2. E hoʻohana i nā ʻokiʻoki e ʻoki a wehe i ka ʻeke i loaʻa ka patch buprenorphine ma ka laina kiko. Wehe i ka pale mai ka ʻeke a ʻiliʻili i ka laina pale mai ka hope o ka pale. E hoʻāʻo e ʻaʻole e hoʻopā i ka ʻaoʻao pipiki o ka patch.
  3. E kaomi koke i ka ʻaoʻao palu o ka patch ma kahi i koho ʻia o ka ʻili me ka poho o kou lima.
  4. E kaomi paʻa i ka pale ma kahi o 15 kekona. E hoʻopaʻa pono i ka pale i kou ʻili, ʻoi aku ma nā lihi. Mai hamo i ka pā.
  5. Inā ʻaʻole paʻa pono ka pāʻā a hele a hoʻokuʻu paha ma hope o ka hoʻopili ʻana, e hoʻopili wale i nā lihi i kou ʻili me ka lipine kōkua mua. Inā ʻaʻole paʻa pono ka pāʻū, hiki iā ʻoe ke uhi iā ia me nā kāʻei ʻike Bioclusive a i ʻole Tegaderm. Mai uhi i ka pale me kekahi ʻano o nā bandages a i ʻole ka lipine. E kamaʻilio me kāu kauka a kauka paha inā hoʻomau ka pilikia o kāu patch i kou ʻili.
  6. Inā hāʻule kahi pāpale ma mua o ka hiki ʻana mai o ka manawa e hemo ai ia mea, hoʻolei kūpono i ka palaki a hoʻopili i kahi āpau hou ma kahi ʻokoʻa o ka ʻili. E waiho i ka pale hou ma kahi no 7 mau lā.
  7. Ke pau ʻoe i ka hoʻopili ʻana i ka pā, holoi i kou mau lima me ka wai maopopo wale nō.
  8. Kākau i ka lā a me ka manawa i kau ʻia ai ka pāʻina.
  9. Ke hiki i ka manawa e hoʻololi i kāu pāʻā, e wehe i ka pale kahiko a kau i kahi pāʻina hou i kahi ʻili ʻokoʻa.
  10. Ma hope o kou hemo ʻana i kāu pāʻā, e hoʻohana i ka Patch Disposal Unit i hāʻawi ʻia iā ʻoe e ka mea hana e hoʻolei palekana i ka patch i hoʻohana ʻia i ka ʻōpala. Pani i ka Patch Disposal Unit ma ka pelu ʻana i nā ʻaoʻao palaha, a laila kaomi ikaika a mālie hoʻi ma luna o ka Unit holoʻokoʻa i hoʻopaʻa ʻia ka pā i loko. Mai hoʻokau i nā loʻi i hoʻohana ʻia i ka ʻōpala me ka hoʻopaʻa mua ʻole ʻana iā lākou i ka Patch Disposal Unit. ʻOkoʻa, hiki iā ʻoe ke pelu i nā ʻaoʻao pili o kahi pale i hoʻohana ʻia a holoi i lalo i ka lua. Loaʻa paha nā pākuʻi i hoʻohana ʻia i kekahi mau lāʻau a weliweli paha i nā keiki, nā holoholona, ​​a i ʻole nā ​​mākua i hōʻike ʻole ʻia i nā pā buprenorphine.

ʻAʻole pono e hoʻohana ʻia ka Buprenorphine e mālama ai i ka ʻeha mehana a ʻeha paha, ʻeha pōkole, a i ʻole ʻeha e hiki ke kaohi ʻia e nā lāʻau i lawe ʻia e pono ai.

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

Ma mua o ka hoʻohana ʻana i ka patch buprenorphine,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka buprenorphine, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka patch buprenorphine. E noi i kāu kauka a kauka paha a e 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, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe a hoʻohana paha. E ʻōlelo pono i nā lāʻau i helu ʻia i ka WARNING IMPORTANT a me kekahi o nā lāʻau aʻe: anticholinergics (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, and scopolamine); cyclobenzaprine (Amrix); dextromethorphan (ʻike ʻia i loko o nā lāʻau lapaʻau he nui; ma Nuedexta); diuretics ('pills wai'); kekahi mau lāʻau no ke kuʻi puʻuwai ʻole e like me amiodarone (Cordarone, Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (i Nuedexta), a me sotalol (Betapace, Betapace AF, Sorine, Sotylize, a me nā mea ʻē aʻe) ; lithium (Lithobid); nā lāʻau no ka maʻi migraine e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), a me zolmitriptan (Zomig); mirtazapine (Remeron); kekahi mau lāʻau no ka hopu ʻana e like me ka carbamazepine (Tegretol, Teril, a me nā mea ʻē aʻe), phenobarbital, phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); 5HT3 nā poloka serotonin e like me alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), a i ʻole palonosetron (Aloxi); nā mea kālailai serotonin-reuptake e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), a me sertraline (Zoloft); serotonin a norepinephrine reuptake inhibitors e like me duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), a me venlafaxine (Effexor); trazodone; a i ʻole nā ​​tridclic antidepressants ('mood elevators') e like me amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine (Surmont). E haʻi pū aku i kāu kauka a kauka paha inā ʻoe e lawe a loaʻa ana paha i nā mea ʻoihana monoamine oxidase (MAO) a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o ʻelua mau pule i hala iho nei: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), a i ʻole tranylcypromine (Parnate). Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka buprenorphine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. 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 a me ka tryptophan o St.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe nā kūlana i ʻōlelo ʻia i loko o ka ʻARlelo AOAO IMPORTANT a i ʻole kahi ileus paralytic (ke ʻano e neʻe ʻole ai nā meaʻai digest i loko o nā ʻōpū). E haʻi paha kāu kauka iā ʻoe mai hoʻohana i nā lāʻau buprenorphine.
  • e haʻi i kāu kauka inā he ʻohana pili paha kāu a i ʻole lōʻihi paha i ka QT Syndrome (ke ʻano e hoʻonui i ka makaʻu o ka hoʻomohala ʻana i kahi puʻuwai kūpono ʻole e hiki ai ke lilo i ka ʻike ʻole, a make koke paha); aiʻole inā ua loaʻa iā ʻoe a i ʻole loaʻa mua i ka fibrillation atrial; puʻuwai puʻuwai; ka hopu ʻana; kahi poʻo poʻo, kahi tumo lolo, kahi hahau a i ʻole nā ​​ʻano ʻē aʻe i hana i ke kiʻekiʻe kiʻekiʻe i loko o kou iwi poʻo; maʻi maʻi biliary; lohi ka puʻuwai puʻuwai; haʻahaʻa ke koko; haʻahaʻa pae o ka potassium; nā pilikia urino; a i ʻole pancreas, thyroid, puʻuwai, hakuʻala, a i ʻole ka maʻi ate.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū.
  • 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 nā patch buprenorphine.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i kahi patch buprenorphine.
  • pono ʻoe e ʻike i kēia lāʻau ʻana e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa, hana i nā mīkini, a hana i nā hana weliweli ʻē aʻe a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • pono ʻoe e ʻike ʻo ka pā o ka buprenorphine ka mea e poni ai, ʻālohilohi, a maule ai ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e hoʻohana i ka patch buprenorphine. 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.
  • pono ʻoe e ʻike i ka pā ʻana o ka buprenorphine patch i ka constipation. E kamaʻilio me kāu kauka e pili ana i ka loli ʻana i kāu papaʻai a i ʻole ka hoʻohana ʻana i nā lāʻau ʻē aʻe e pale a mālama ai i ka constipation ʻoiai ʻoe e hoʻohana nei i nā patch buprenorphine.
  • pono ʻoe e ʻike inā he kuni kou a i ʻole inā wela loa ʻoe ma hope o ka hoʻoikaika kino, e hoʻonui ʻia ka nui o ka buprenorphine i loaʻa iā ʻoe mai ka pāʻā a hoʻōla paha i kahi lāʻau o ka lāʻau. Hōʻalo i ka hoʻoikaika kino ʻana i mea e wela ai ʻoe. Kāhea koke i kāu kauka inā he kuni kou. Pono paha kāu kauka e hoʻoponopono i kāu lāʻau.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

Inā hoʻopoina ʻoe e noi a hoʻololi paha i kahi patch buprenorphine, hoʻopili i ka pāʻū ke hoʻomanaʻo koke ʻoe iā ia. E wehe pono i kāu patch i hoʻohana ʻia ma mua o ka hoʻopili ʻana i kahi patch hou. Lawe i ka pale hou no ka manawa o ka manawa i kau ʻia e kāu kauka (ʻo ka maʻamau 7 mau lā) a laila kūapo. Mai hoʻokomo i ʻelua pālua i ka manawa ke ʻole ua haʻi aku kāu kauka iā ʻoe e pono.

Hiki i nā pālua Buprenorphine ke hopena i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • paʻakikī e hiamoe a hiamoe paha
  • ʻeha poʻo
  • waha maloo
  • ʻeha ka ʻōpū
  • ka huhū o ka ʻili, ka huehue, ka pehu ʻana, a me ka ʻulaʻula i kahi āu e komo ai i ka pā

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • pokole o ka hanu
  • 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
  • ʻeha ka umauma
  • pehu o kou alo, alelo a puʻu paha
  • hūwī
  • hives
  • ʻūlili

Hiki i nā pālua Buprenorphine ke hana 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 hiki ʻole i nā keiki. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

E hoʻolei i nā loʻi i hala ʻole a i ʻole ke makemake hou ʻia. E hoʻohana i kahi Unit Patch Disposal Unit i hāʻawi ʻia iā ʻoe e ka mea hana e hoʻolilo palekana i nā patch i pono ʻole a i hala ʻole i ka ʻōpala. Mai hoʻokomo i nā loiloi buprenorphine i makemake ʻole ʻia a i ʻole i hala i loko o kahi pahu ʻōpala me ka ʻole o ka sila mua ʻana iā lākou i kahi Patch Disposal Unit. ʻOkoʻa, hiki iā ʻoe ke hoʻolei i nā pākuʻi me ka lawe pono ʻana i ke kākoʻo lūlū, e pelu pū ʻana i nā ʻaoʻao pili o kēlā me kēia pā i pili pono iā ia iho, a me ka holoi ʻana i nā pā i lalo o ka lua. E kamaʻilio me kāu kauka lāʻau e pili ana i ka hoʻolei kūpono ʻana o kāu lāʻau.

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

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

ʻOiai e hoʻohana ana i nā pā buprenorphine, 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 like 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 lapaʻau kūikawā. 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:

  • nā haumāna liʻiliʻi, kikoʻī (pōʻaiʻeleʻele i waenakonu o ka maka)
  • hiamoe nui a hiamoe paha
  • lohi a paʻakikī i ka hanu ʻana
  • hiki ʻole ke pane a ala paha

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka buprenorphine.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua (ʻo ia hoʻi nā mea e pili ana i ka polū methylene), e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e hoʻohana nei i ka buprenorphine.

Mai ʻae i kekahi e hoʻohana i kāu lāʻau. ʻO Buprenorphine kahi mea i kāohi ʻia. Hiki ke hoʻopiha hou ʻia nā kuhikuhi ma nā helu kau palena wale nō; e noi i kāu kauka lāʻau inā he nīnau kāu.

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.

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Nānā Hou - 12/15/2020

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