Mea Kākau: Joan Hall
Lā O Ka Hana: 1 Pepeluali 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
Levorphanol vs Methadone in the Treatment of Chronic Pain
Wikiō: Levorphanol vs Methadone in the Treatment of Chronic Pain

Anter

He hana maʻamau paha ʻo Levorphanol, keu hoʻi me ka hoʻohana lōʻihi. E lawe pololei i ka levorphanol. Mai lawe i nā mea hou aʻe, lawe pinepine iā ia, a i ʻole lawe i kahi ʻano ʻokoʻa ma mua o ke kuhikuhi a kāu kauka. ʻOiai e lawe ana i ka levorphanol, e kūkākūkā me kāu mea mālama ola i kāu pahuhopu mālama 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 i kou ʻohana a inu paha i ka nui o ka wai ʻona, hoʻohana a hoʻohana mua paha i nā lāʻau lapaʻau o ke alanui, ua loaʻa ka lāʻau nui, a ua hoʻohana nui paha i nā lāʻau lapaʻau, a inā ua loaʻa paha iā ʻoe ke kaumaha a i ʻole kekahi. ka maʻi noʻonoʻo. Aia kekahi pilikia nui aʻe e hoʻohana nui ʻoe i ka levorphanol 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.

Hiki paha iā Levorphanol 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 i 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 hoʻoponopono pono kāu kauka i kāu lāʻau lapaʻau e kāohi i kou ʻeha a hoʻemi i ka makaʻu e ʻike ʻoe i nā pilikia hanu koʻikoʻi. E haʻi i kāu kauka inā he lohi kou hanu a i ʻole hānō. E haʻi paha kāu kauka iā ʻoe mai lawe i ka levorphanol. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi o ka lolo e like me ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi pūpū e komo pū ana me ka bronchitis mau a me ka emphysema), kahi poʻo poʻo, ka lolo lolo, a i ʻole kekahi ʻano e hoʻonui i ka nui o kaomi i kou lolo. ʻOi aku ka kiʻekiʻe o ka pilikia e hoʻomohala ai ʻoe i nā pilikia hanu inā ʻoe he ʻelemakule a i ʻole nāwaliwali a ʻai ʻole ʻia paha ma muli o ka maʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau pōpilikia: ka hanu lohi, hoʻomaha iki ma waena o nā hanu, a me ka liʻiliʻi o ka hanu.


ʻO ka lawe ʻana i kekahi mau lāʻau ʻē aʻe i kāu mālama ʻana me ka levorphanol hiki ke hoʻonui i ka makaʻu e ʻike ʻoe i nā pilikia hanu a i ʻole nā ​​pilikia hanu ʻino e hoʻoweliweli ana i ke ola, hoʻomaha, a i ʻole koma E haʻi i kāu kauka inā lawe a hoʻolālā paha ʻoe e lawe i kekahi o nā lāʻau aʻe: benzodiazepines e like me alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), a me triazolam (Halcion); nā lāʻau ʻeha narcotic ʻē aʻe; nā lāʻau no ka maʻi noʻonoʻo a i ʻole ka nausea; nā mea hoʻomaha nāʻiʻo; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā lāʻau o kāu mau lāʻau a e nānā pono iā ʻoe. Inā ʻoe e ʻai i ka levorphanol me kekahi o kēia mau lāʻau a hoʻomohala ʻoe i kekahi o nā ʻōuli aʻe, e kāhea koke i kāu kauka a i ʻole e ʻimi koke i ka lāʻau lapaʻau 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 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 ai me ka levorphanol e hoʻonui ai i ka makaʻu e ʻike ʻoe i nā pilikia hanu a i ʻole nā ​​hopena ʻē aʻe weliweli a weliweli hoʻi i ke ola. Mai inu i ka ʻalekohola, lawe i nā lāʻau i kuhikuhi a i ʻole kuhikuhi ʻole ʻia i loaʻa ka ʻalekohola, a i ʻole hoʻohana i nā lāʻau i ke alanui i kou wā e mālama ai me nā huahana levorphanol ʻē aʻe.

Mai ʻae i kekahi mea ʻē aʻe e lawe i kāu lāʻau. Hiki iā Levorphanol ke hōʻeha a hōʻeha paha i ka make i kekahi poʻe ʻē aʻe e lawe i kāu lāʻau, ʻo ia hoʻi nā keiki. E mālama i ka levorphanol i kahi palekana i hiki ʻole i kekahi mea ʻē aʻe ke lawe wale iā ia ma kahi o ka manaʻo. E mālama pono i ka mālama ʻana i ka levorphanol mai ka hiki ʻole o nā keiki. E mālama i ka nui o nā papa i koe i ʻike ʻoe inā e nalowale kekahi lāʻau. E hoʻolei kūpono i nā papa levorphanol e pono ʻole ai e like me nā ʻōlelo aʻo. (E nānā Kahu a me ka hoʻolilo.)

E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā ʻoe e lawe pinepine i ka levorphanol i kou wā hāpai, ʻike paha kāu pēpē i nā hōʻailona haʻalele i ka hoʻoweliweli 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 kauka paha iā ʻoe i ka ʻikepili ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me levorphanol a i kēlā me kēia manawa e hoʻopiha 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.

Hoʻohana ʻia ʻo Levorphanol e hōʻoluʻolu i ke kaumaha i ka ʻeha nui. Aia ʻo Levorphanol 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 Levorphanol ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i kēlā me kēia 6 a 8 mau hola e pono ai. 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 lawe pololei i ka levorphanol.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka levorphanol a hoʻonui iki i kāu lāʻau a hiki i ka kaohi ʻia ʻana o kou ʻeha. Hiki i kāu kauka ke hoʻoponopono i kāu lāʻau i kēlā me kēia manawa i ka wā o kāu mālama ʻana inā ʻaʻole kaohi ʻia kou ʻeha. Inā manaʻo ʻoe ʻaʻole kaohi ʻia kou ʻeha, e kāhea i kāu kauka. Mai hoʻololi i ka lāʻau o kāu lāʻau me ke kamaʻilio ʻole ʻana me kāu kauka.

Mai hōʻoki i ka lawe ʻana i ka levorphanol me ke kamaʻilio ʻole ʻana me kāu kauka. Hiki i kāu kauka ke hōʻemi i kāu lāʻau. Inā kū koke ʻoe i ka lawe ʻana i ka levorphanol, ʻike paha ʻoe i ka haʻalele ʻana i nā hōʻailona e like me ka hoʻomaha ʻole; waimaka waimaka; ihu ihu; e uwo ana; ukiuki; hopohopo; kāhili; paʻakikī e hiamoe a hiamoe paha; haʻalulu; kua, ʻami, a ʻeha pū paha; nausea; ka luaʻi; lilo o ka makemake ʻole; pāhoehoe; ʻōpū ka ʻōpū; nāwaliwali; puʻuwai wikiwiki; a hanu wikiwiki paha.

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

Ma mua o ka lawe ʻana i ka levorphanol,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka levorphanol, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana ʻole i ka papa levorphanol. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hana ʻole.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E kuhikuhi pono i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: antihistamines; buprenorphine (Belbuca, Butrans, ma Suboxone, nā mea ʻē aʻe); butorphanol; nā lāʻau no ke kohā, anuanu, a i ʻole nā ​​maʻi āpau; diuretics ('pills wai'); 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); nalbuphine; naloxone (Evzio, Narcan); pentazocine (Talwin); 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 me nā norepinephrine reuptake inhibitors e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), a me venlafaxine (Effexor); tramadol (Conzip, Ultram, ma Ultracet); trazodone (Oleptro); 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 inā lawe ʻoe i kekahi o nā mea hoʻopaneʻe monoamine oxidase (MAO), a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o 2 mau pule i hala iho nei: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate). Hiki paha i nā lāʻau ʻē aʻe ke launa pū me ka levophanol, 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 inā loaʻa iā ʻoe a i ʻole kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, kahi poloka i loko o kou ʻōpū a i ʻole nā ​​ʻōpū, a i ʻole parustic ileus (ke ʻano e neʻe ʻole ai nā meaʻai digest i loko o nā ʻōpū). E haʻi paha kāu kauka iā ʻoe mai lawe i ka levorphanol.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha i kahi kahena haʻahaʻa, ka hopu ʻana, nā pilikia urinary, nā pilikia pākī, a me ke ake, pancreas, kidney, lung, thyroid, a i ʻole nā ​​maʻi puʻuwai.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. Inā hānai ʻoe i ka wā o kāu mālama ʻana me levorphanol, e loaʻa paha i kāu pēpē kekahi levorphanol i ka waiū umauma.E nānā pono i kāu pēpē no nā loli i ke ʻano a me ka hanu ʻana, keu hoʻi ke hoʻomaka ʻoe e lawe i ka levorphanol. Inā hoʻomohala kāu pēpē i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka kauka a i ʻole e loaʻa i ke kōkua olakino pōpilikia: ka hiamoe maʻamau, ka paʻakikī hānai ʻana i ka waiū, ka hanu ʻana i ka hanu, a me ka palaka. E kamaʻilio me ke kauka o kāu pēpē ke mākaukau ʻoe e ukuhi i kāu pēpē. Pono ʻoe e ukuhi i kāu pēpē i hiki ʻole ke hoʻomohala i kāu pēpē i ka haʻalele ʻana ke haʻalele ʻo ia i ka loaʻa ʻana o ka levorphanol i ka umauma.
  • 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 lawe ʻana i ka levorphanol.
  • 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 lawe ana ʻoe i ka levorphanol.
  • pono ʻoe e ʻike ʻo ka levorphanol paha ʻoe e hiamoe ai. 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 levorphanol ke kumu o ka puʻupuʻu, ka uila, a me ka nāwaliwali 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 ʻo ka levorphanol ke kumu o 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 paʻa ʻana ke lawe ʻoe i ka levorphanol.

Lawe pinepine ʻia ʻo Levorphanol e pono ai. Inā ua haʻi aku kāu kauka iā ʻoe e lawe pinepine i ka levorphanol, e lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

  • puʻuwai puʻuwai
  • ʻeha poʻo
  • ʻeha ka ʻōpū
  • waha maloo
  • ka houʻu ʻana
  • pilikia pilikia ʻike
  • pilikia urino

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

  • nausea, luaʻi, nalo o ka makemake ʻole, nāwaliwali, a me ka luʻuluʻu
  • 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.
  • hiki ʻole ke kiʻi a mālama i kahi kūkulu
  • kūlohelohe menstruation
  • hoʻemi i ka moekolohe
  • hives
  • hūwī
  • ʻūlili
  • pehu o nā maka, maka, waha, lehelehe a ʻāʻī paha
  • hulahula
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • nā hoʻololi i ka puʻuwai puʻuwai

Hoʻokumu paha ʻo Levorphanol i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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 pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. 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 pīpī i nā papa levorphanol i hala i ka wā a pono ʻole i lalo i ka lua no ka lawe ʻole ʻana o nā poʻe ʻē aʻe iā lākou. 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 lawe ana i ka levorphanol, 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:

  • hanu, pāpaʻu, a i ʻole hanu maʻamau
  • paʻakikī i ka hanu ʻana
  • hiamoe
  • hiki ʻole ke pane a ala paha
  • nā mākala palupalu
  • anu, ʻili paʻalili
  • nā haumāna liʻiliʻi
  • ʻike hihi
  • ʻūlū puʻuwai
  • ʻū hū ʻole

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

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

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. Inā ʻoe e lawe i ka levorphanol e kaohi i kou ʻeha ma ke kumu lōʻihi, e hoʻomaopopo pono e hoʻonohonoho i nā manawa me kāu kauka i ʻole ʻoe e pau ka lāʻau. Inā hoʻomau ʻoe i ka ʻeha ma hope o kou hoʻopau ʻana i kāu kauka levorphanol, e kāhea i kāu kauka.

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.

  • Levo-Dromoran®

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

Nānā Hou - 01/15/2021

Nāka LiʻIliʻI

ʻO nā Kuki Kaikamahine Scout 3 Ola Loa

ʻO nā Kuki Kaikamahine Scout 3 Ola Loa

Crunchy Thin Mint , gooey amoaa , peanut-buttery Tagalong , a i ʻole ke kokoleka kokoleka maʻamau - ʻo ke ʻano o kāu kuki Girl cout punahele, ʻo ka mea ʻoi loa a maikaʻi ʻole o nā mea ʻono maikaʻi loa...
ʻO 5 mau kumu pāʻani Tennis ʻO Monica Puig ke kumu o kāu BFF (akā me kahi mekala gula)

ʻO 5 mau kumu pāʻani Tennis ʻO Monica Puig ke kumu o kāu BFF (akā me kahi mekala gula)

Ua lanakila ʻo Monica Puig i ke gula tenni ma Rio, ʻo ia ka nūhou nui ʻaʻole wale no ka mea ʻo ia ka mea mua o ka hui Puerto Rico i lanakila i ka mekala gula, akā no ka mea ʻo ia ka wahine mua mai Pue...