Mea Kākau: Clyde Lopez
Lā O Ka Hana: 19 Iulai 2021
HōʻAno Hou I Ka Lā: 23 Iune 2024
Anonim
Connect & Learn: Long Acting Injectable Buprenorphine in the treatment of Opioid Use Disorder
Wikiō: Connect & Learn: Long Acting Injectable Buprenorphine in the treatment of Opioid Use Disorder

Anter

Loaʻa wale ʻo Buprenorphine injection injection ma o kahi papahana hoʻolaha kūikawā i kapa ʻia Sublocade REMS. Pono e kau inoa kāu kauka a me kāu kauka lāʻau i kēia polokalamu ma mua o ka loaʻa ʻana o ka injection buprenorphine. E noi i kāu kauka no ka ʻike hou aku e pili ana i kēia papahana a pehea ʻoe e loaʻa ai i kāu lāʻau.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Hiki paha i kāu kauka ke kauoha i kekahi mau hoʻokolohua ma mua a i kou wā e mālama ai e nānā i ka pane o kou kino i ka buprenorphine hoʻolōʻihi-hoʻokuʻu injection.

E hāʻawi aku kāu kauka a mea kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me ka injection hoʻopuka hoʻonui ʻia ʻo 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) e kiʻi i ke alakaʻi Medication.


Hoʻohana ʻia ʻo Buprenorphine injection injection no ka mālama ʻana i ka hilinaʻi opioid (ka hoʻowalewale ʻana i nā lāʻau opioid, me ka heroin a me nā painkillers narcotic) i ka poʻe i loaʻa he buprenorphine buccal a i ʻole sublingual no 7 mau lā. ʻO ka Buprenorphine kīʻaha hoʻokuʻu ʻia i loko o kahi papa o nā lāʻau i kapa ʻia he oponate agonists hapa. Hana ia e pale i nā hōʻailona haʻalele i ka wā e kū ai kekahi i ka lawe ʻana i nā lāʻau opioid ma o ka hana ʻana i nā hopena like i kēia mau lāʻau.

ʻO Buprenorphine hoʻolōʻihi-hoʻolōʻihi (hana lōʻihi) hele mai kahi hopena (wai) e injected subcutaneously (ma lalo pono o ka ʻili) e kahi mea mālama ola i loko o ka ʻōpū. Hāʻawi pinepine ʻia kēlā me kēia mahina me ka liʻiliʻi he 26 mau lā ma waena o nā kau. Hoʻouna lohi kēlā me kēia buprenorphine i ka lāʻau i loko o kou kino ma kahi o hoʻokahi mahina.

Ma hope o kou loaʻa ʻana i ka mahele o ka buprenorphine hoʻolōʻihi-hoʻokuʻu ʻia, ʻike paha ʻoe i kahi puʻupuʻu ma ka pūnaewele injection no nā pule he nui, akā e hoʻēmi ia i ka nui ma mua o ka manawa. Mai hamo a lomilomi i ka pūnaewele hoʻokomo. E nānā pono i kāu kāʻei a i ʻole kāʻei ʻaʻole hoʻokau i kaomi ma kahi o ka lāʻau i injected.


Hiki i kāu kauka ke hoʻonui a hōʻemi paha i kāu lāʻau ma muli o ka maikaʻi o ka lāʻau ʻana iā ʻoe, a me nā hopena ʻē aʻe āu e ʻike ai. E hoʻomaopopo pono e haʻi aku i kāu kauka i kou ʻano i kou wā e mālama ai me ka injection hoʻonui ʻia ʻo buprenorphine.

Inā hoʻopau ʻia ka hoʻokuʻu ʻana o buprenorphine, e hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau. ʻIke paha ʻoe i ka haʻalele ʻana i nā ʻōuli e like me ka maha ʻole, nā maka luha, ka hou ʻana, ka haʻalulu, ka hoʻonui ʻia ʻana o nā haumāna (ʻeleʻele i ka waena o nā maka), hoʻonāukiuki, hopohopo, ʻehaʻeha, nāwaliwali, ʻōpū o ka ʻōpū, paʻakikī i ka hiamoe a hiamoe paha, nausea, ka nele o ka makemake, ka luaʻi, ka palahalaha, ka hanu wikiwiki ʻana, a i ʻole ke kuʻi puʻuwai wikiwiki. Hiki ke hana i kēia mau hōʻailona haʻalele i 1 mahina a ʻoi paha ma hope o kāu hope hope loa o ka buprenorphine.

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 loaʻa ʻana o ka injection buprenorphine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka buprenorphine, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka injection buprenorphine. 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, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hōʻoia e haʻi i kekahi o kēia: antihistamines; nā benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium, in Librax), clonazepam (Klonopin), diazepam (Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), tria carbamazepine (Carbatrol, Tegretol, Teril, nā mea ʻē aʻe); diuretics ('pills wai'); erythromycin (E.E.S., Eryc, PCE, nā mea ʻē aʻe); ʻO nā lāʻau HIV e like me atazanavir (Reyataz, ma Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, ma Atripla), etravirine (Intelence), indinavir (Crixivan), nevirapine (Viramune), ritonavir (Norvir, ma Kaletra), a me saquinav (Hoʻokele); kekahi mau lāʻau no ke kuʻi puʻuwai ʻole e like me amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (i Nuedexta), a me sotalol (Betapace, Betapace AF, Sorine); nā lāʻau no ka glaucoma, nā maʻi noʻonoʻo, nā maʻi neʻe, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; ketoconazole, nā lāʻau ʻē aʻe no ka ʻeha; 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); nā mea hoʻomaha nāʻiʻo; phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane); nā mea hoʻonanea; paina moe; 5HT3 serotonin blockers 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); tramadol; mea hoʻomaluhia; 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). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. 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.
  • e haʻi i kāu kauka inā inu ʻoe a ʻohana paha a ʻohana a inu paha i ka nui o ka wai ʻona a i ʻole ua hoʻolōʻihi ʻia ʻo QT syndrome (ke ʻano e hoʻonui ai i ka makaʻu o ka puʻuwai kūwaho ʻole e hiki ai ke lilo i ka ʻike a make koke paha). Eia kekahi, e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe nā haʻahaʻa o ka potassium a me ka magnesium i loko o ke koko; puʻuwai puʻuwai; kahi puʻuwai lohi a i ʻole kaulike ʻole; nā maʻi pulmonary ākea ākea (COPD; kahi hui o nā maʻi e hoʻopili i nā akemāmā a me nā alaloa); nā maʻi lolo ʻē aʻe; kahi poʻo poʻo; he tumo lolo; kekahi kūlana e hoʻonui i ka nui o ke kaomi i kou lolo; nā pilikia adrenal e like me ka maʻi o Addison (ke ʻano a ka adrenal gland e hana ai i ka liʻiliʻi o ka hormone ma mua o ka maʻamau); benign prostatic hypertrophy (BPH, hoʻonui o ka prostate gland); pilikia i ka urino; hallucination (ʻike ʻana i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole); he hāwele ma ka iwi ʻaoʻao e paʻakikī e hanu; aiʻole ka thyroid, gallbladder, a i ʻole nā ​​maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā loaʻa iā ʻoe ka buprenorphine hoʻolōʻihi-hoʻokuʻu i nā manawa āpau i kou wā hāpai, hiki i kāu pēpē ke ʻike 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 haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. E haʻi koke i kāu kauka kauka inā ʻoi aku ka hiamoe o kāu pēpē ma mua o ka maʻamau a i ʻole he pilikia i ka hanu ʻana ke loaʻa ʻoe i kēia lāʻau.
  • 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 makaʻu o ka hoʻohana ʻana i ka injection injection hoʻonui ʻia ʻo 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 loaʻa ana iā ʻoe ka buprenorphine hoʻolōʻihi ʻia ka hoʻokuʻu ʻana.
  • pono ʻoe e ʻike ʻo ka buprenorphine hoʻolōʻihi ʻia i kahi hoʻokuʻu hoʻokuʻu paha e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • ʻaʻole pono ʻoe e inu i ka ʻalekohola a hoʻohana i nā lāʻau āpau i kou wā e mālama ai. ʻO ka inu ʻana i ka waiʻona, lawe i nā lāʻau lapaʻau a lāʻau ʻole i hōʻike ʻole ʻia i loko o ka wai ʻona, a i ʻole ka hoʻohana ʻana i nā lāʻau i ke alanui i kou wā e mālama ʻia ai me ka hoʻopili ʻana o ka buprenorphine e hoʻonui ai i ka makaʻu e ʻike ʻoe i nā pilikia hanu koʻikoʻi a hoʻoweliweli hoʻi i ke ola.
  • pono ʻoe e ʻike ʻo ka buprenorphine ka mea e hoʻolilo ai i ka dizziness, lightheadedness, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. 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 buprenorphine ke kumu i ka paʻa paʻa. 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 paha i ka constipation ʻoiai ʻoe e hoʻohana ana i ka buprenorphine injection.

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


Inā ʻoe e nalo i kahi lāʻau hoʻopuka hoʻonui hoʻokuʻu hoʻokuʻu ʻia ʻo buprenorphine i hoʻolālā ʻia, pono ʻoe e kāhea i kāu kauka e loaʻa i ka lāʻau i ka hiki wawe. Pono e hāʻawi ʻia kāu kaukana aʻe ma ka liʻiliʻi he 26 mau lā ma hope.

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

  • nausea
  • ka luaʻi
  • ʻeha poʻo
  • luhi
  • ʻeha, ʻili, ʻōhū, hōʻoluʻolu, ʻulaʻula, palapū, a i ʻole nā ​​puʻupuʻu i ka pūnaewele injection

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau olakino.

  • paʻakikī i ka hanu ʻana
  • 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 ʻana, ka ʻōlelo lōlō, ka ʻoʻoleʻa o ka mākala a i ʻole ka mimiki ʻana, ka nalowale ʻana o ka hoʻohuihui, 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
  • hūwī
  • hives
  • ʻūlili
  • haʻi waha
  • ʻike hihi
  • nā hoʻololi i ka puʻuwai puʻuwai
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • melemele o ka ʻili a me nā maka
  • mimi ʻeleʻele
  • nā noho waihoʻoluʻu kukui

Hiki i ka Buprenorphine hoʻolōʻihi ke hoʻokuʻu ʻia ke kumu o nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o 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).

Kāhea i ka kōkua kōkua lāʻau ʻino 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.

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

  • ʻākoʻako a ākea paha o nā haumana (pōʻaiʻeleʻele i waenakonu o ka maka)
  • lohi a paʻakikī i ka hanu ʻana
  • hiamoe nui a hiamoe paha
  • koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
  • ʻūlū puʻuwai

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 injection buprenorphine.

I ka hihia o kahi ulia pōpilikia, pono i kahi lālā o ka ʻohana a mea mālama paha e haʻi aku i nā limahana olakino pōpilikia e pili maoli ʻoe i ka opioid a ke loaʻa nei ʻoe i ka lāʻau me ka injection hoʻopuka hoʻonui buprenorphine.

ʻO Buprenorphine kīnā hoʻonui hoʻonui ʻia kahi mea i kāohi ʻia. E hoʻomaopopo pono e hoʻonohonoho i nā manawa me kāu kauka i kēlā me kēia manawa e loaʻa i kāu mau inikō. 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.

  • Pākuʻi ʻia®
Nānā Hou - 01/15/2019

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