Methadone

Anter

• Ma mua o ka lawe ʻana i ka methadone,
• Hiki i ka Methadone ke hana 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 ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ke kōkua olakino pilikia.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

He hana maʻamau paha ka Methadone. Lawe i ka methadone e like me ke kuhikuhi. Mai lawe i kahi lāʻau nui, lawe pinepine iā ia, a i ʻole lawe iā ia no kahi lōʻihi o ka manawa a i ʻole ʻano ʻokoʻa ma mua o ka mea i kauoha ʻia e kāu kauka. ʻOiai e lawe ana i ka methadone, e kūkākūkā me kāu kauka lawelawe 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 ʻoe i ka methadone inā loaʻa a i ʻole loaʻa i kekahi o kēia mau ʻano. E kamaʻilio koke me kāu kauka olakino a noi aku i ke alakaʻi inā ʻoe e manaʻo he maʻi opioid kāu a kāhea paha i ka US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ma 1-800-662-HELP.

Hiki i ka Methadone 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 haʻi i kāu kauka inā he lohi kou hanu a i ʻole hānō. E haʻi paha kāu kauka iā ʻoe mai lawe i ka methadone. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi o ka maʻi 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, kahi tumo lolo, a me nā 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 methadone e hoʻonui paha i ka makaʻu e ʻike ʻoe i nā hopena ʻino e hoʻoweliweli i ke ola e like me nā pilikia hanu, hoʻomaha, a me ka coma. E haʻi i kāu kauka inā lawe a hoʻolālā paha ʻoe e lawe i kekahi o nā lāʻau aʻe: antipsychotics e like me aripiprazole (Abilify), asenapine (Saphris), cariprazine (Vraylar), chlorpromazine, clozapine (Versacloz), fluphenazine, haloperidol (Haldol), iloperidone (Fanapt), loxapine, lurasidone (Latuda), molindone, olanzapine (Zyprexa), paliperidone (Invega), perphenazine, pimavanserin (Nuplazid), quetiapine (Seroquel), risperidone (Risperdal), thioridazine, thiothixone, trifluidid, ); nā benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativanor, temazep) and triazolam (Halcion); lāʻau lapaʻau opiate (narcotic) no ka ʻeha a me ke kahe; nā lāʻau no ka nausea a i ʻole nā ​​maʻi noʻonoʻo; nā mea hoʻomaha nāʻiʻo; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono iā ʻoe. Inā lawe ʻoe i ka methadone 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 i ka lāʻau 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 ʻana i ka waiʻona, lawe i nā lāʻau lapaʻau a lāʻau ʻole i hōʻike ʻole ʻia i loaʻa ka ʻalekohola, a i ʻole ka hoʻohana ʻana i nā lāʻau i ke alanui i kou wā e mālama ai me ka methadone e hoʻonui ai i ka makaʻu e ʻike ʻoe i nā 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 lawe i kāu lāʻau. Hana ʻino paha ʻo Methadone i ka make i kekahi poʻe ʻē aʻe e lawe i kāu lāʻau, ʻo ia hoʻi nā keiki. E mālama i ka methadone ma kahi palekana i hiki ʻole i kekahi mea ʻē aʻe ke lawe wale iā ia ma kahi o ka hewa. E mālama pono i ka mālama ʻana i ka methadone mai kahi hiki ʻole o nā keiki. E mālama i ka nui o nā papa a i ka nui o ka wai i koe i ʻike ʻoe inā e nalowale kekahi lāʻau. E hoʻolei i nā papa methadone i makemake ʻole ʻia a i ʻole ka pane waha e like me nā ʻōlelo aʻo. (E nānā Kahu a me ka hoʻolilo.)

Hiki i ka Methadone ke hana i kahi wā QT hoʻolōʻihi (kahi pilikia puʻuwai laha ʻole e hiki ai ke hōʻeha i ka puʻuwai ʻole, maule a make paha. E haʻi i kāu kauka inā ʻo ʻoe a i ʻole kekahi o kou ʻohana ua loaʻa a loaʻa paha iā QT maʻi lōʻihi; aiʻole inā ʻoe i loaʻa a i ʻole loaʻa i kahi puʻuwai lohi a i ʻole kaulike ʻole; nā pae haʻahaʻa o ka potassium a me ka magnesium, a me nā maʻi puʻuwai. E haʻi i kāu kauka a me ka mea kauka lāʻau inā ʻoe e lawe a hoʻolālā paha e lawe i kekahi o nā lāʻau: , protriptyline (Vivactil), a me trimipramine (Surmontil); kekahi mau antifungals e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, a me voriconazole (Vfend); diuretics ('pills wai'); erythromycin (Eryc, Erythrocin, nā mea ʻē aʻe); fludrocortisone; kekahi mau laxatives; nā lāʻau no ke kuʻi puʻuwai ʻole e like me amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide, ibutilide (Corvert), procainamide, a me quinidine (i Nuedexta); nicardipine (Cardene); a risperidone (Risperdal); a me sertraline (Zoloft). Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: e kuʻi ana i ke kuʻi puʻuwai, ka poni, ka ʻimoʻimo, a me ka maʻule.

E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā lawe pinepine ʻoe i ka methadone i kou hāpai ʻana, 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 kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka methadone no kāu maʻi.

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 ka methadone a i kēlā me kēia manawa e hoʻopihapiha ʻoe i kāu kuhikuhi inā loaʻa kahi Alakaʻi Laʻau no ka huahana methadone āu e lawe nei. 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 o ka methadone e mālama i ka lāʻau opiate:

Inā ua lilo ʻoe i lāʻau opiate (lāʻau narcotic e like me heroin), a ke lawe nei ʻoe i ka methadone e kōkua iā ʻoe e hōʻoki i ka lawe ʻana a hoʻomau ʻole hoʻi i ka lawe ʻana i ka lāʻau, pono ʻoe e kākau inoa i kahi papahana mālama. Pono e ʻae ʻia ka papahana lapaʻau e nā mokuʻāina a me nā aupuni pekelala a pono e mālama i nā mea maʻi e like me nā kānāwai pekelala kikoʻī. Hiki paha iā ʻoe ke lawe i kāu lāʻau i ka papahana papahana lapaʻau ma lalo o ka nānā ʻana a nā limahana o ka papahana. E noi i kāu kauka a i ʻole ka limahana o ka papahana hoʻomaʻamaʻa inā he nīnau kāu e pili ana i ke kākau inoa ʻana i ka papahana a i ʻole ka lawe ʻana a loaʻa paha i kāu lāʻau.

Hoʻohana ʻia ʻo Methadone e hōʻoluʻolu i ka ʻehaʻeha i ka poʻe i 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. Hoʻohana ʻia ia e pale i ka haʻalele ʻana i nā ʻōuli i nā mea maʻi i hoʻopili ʻia i nā lāʻau opiate a ua kākau inoa ʻia i nā papahana hoʻomaʻamaʻa i mea e hōʻoki ai i ka lawe ʻana a hoʻomau paha i ka lawe ʻana i nā lāʻau. Aia ʻo Methadone i kahi papa o nā lāʻau i kapa ʻia he analgesics opiate (narcotic). Hana ʻo Methadone e mālama i ka ʻeha ma ka hoʻololi ʻana i ke ʻano o ka lolo a me ka ʻōnaehana e pane ai i ka ʻeha. Hana ia e mālama i ka poʻe i hoʻopili ʻia i nā lāʻau opiate ma o ka hana ʻana i nā hopena like a me ka pale ʻana i nā hōʻailona haʻalele i ka poʻe i kū i ka hoʻohana ʻana i kēia mau lāʻau.

Hele mai ʻo Methadone ma ke ʻano he papa, he dispersible (hiki ke hoʻoheheʻe ʻia i ka wai) papa, kahi hopena (wai), a me kahi hopena paʻa e lawe ʻia e ka waha. Ke hoʻohana ʻia ka methadone e hoʻomaha i ka ʻeha, lawe ʻia i kēlā me kēia 8 a 12 mau hola. Inā ʻoe e lawe i ka methadone ma ke ʻano he mahele o kahi papahana hoʻomaʻamaʻa, e kauoha ana kāu kauka i ka papa kuhikuhi dose ʻoi aku ka maikaʻi iā ʻoe. 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. Lawe i ka methadone e like me ke kuhikuhi.

Inā ʻoe e hoʻohana nei i nā papa i hoʻolahalaha ʻia, mai nau a ʻai ʻole ma mua o ka hoʻowili ʻia ʻana o ka papa i kahi wai. Inā ua haʻi aku kāu kauka iā ʻoe e lawe i kahi ʻāpana o ka papa, e haki pono i ka papa ma nā laina i helu ʻia i loko. E kau i ka papa a i ʻole ʻāpana o ka papa i 120 mL (4 auneke) o ka wai, wai ʻalani, Tang^®, nā ʻono citrus o Kool-Aid^®, a i ʻole kahi inu hua citrus e hoʻoheheʻe. E inu koke i ka hui holoʻokoʻa. Inā mau kekahi koena papa i loko o ke kīʻaha ma hope o kou inu ʻana i ka hui, e hoʻohui i kahi wai liʻiliʻi i ke kīʻaha a inu i nā mea āpau.

Hiki i kāu kauka ke hoʻololi i kāu lāʻau o methadone i kāu mālama ʻana. Hiki i kāu kauka ke hōʻemi i kāu lāʻau a i ʻole e haʻi iā ʻoe e lawe i ka methadone i ka manawa pinepine e hoʻomau ai kāu lāʻau. Inā ʻike ʻoe i ka ʻeha i kou wā e mālama ai, hiki i kāu kauka ke hoʻonui i kāu lāʻau a i ʻole kauoha paha i kahi lāʻau hou e kaohi i kou ʻeha. E kamaʻilio me kāu kauka e pili ana i kou ʻano i kou mālama ʻana me methadone. Mai lawe i nā kaona keu o ka methadone a i ʻole lawe i nā kaha o ka methadone ma mua o ka hoʻonohonoho ʻia ʻana inā ʻike ʻoe i ka ʻeha.

Mai hōʻoki i ka lawe ʻana i ka methadone me ke kamaʻilio ʻole ʻana me kāu kauka. E makemake paha kāu kauka e hōʻemi i kāu lāʻau. Inā kū koke ʻoe i ka methadone, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli e like me ka maha ʻole, nā maka luha, ka ihu ihu, ka ʻū ʻana, ka hou ʻana, ka ʻū ʻana, ka ʻehaʻeha, nā ʻeha mākala, nā haumāna ākea (nā ʻōuli ʻeleʻele i ka waena o nā maka), huhū, hopohopo, ʻehaʻeha, ʻeha puʻupuʻu, nāwaliwali, ʻōpū o ka ʻōpū, paʻakikī i ka hiamoe a i ʻole ka hiamoe ʻana, ka paupau, hoʻoliʻiliʻi ka makemake, ka luaʻi, a i ʻole ka diarrhea.

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 lawe ʻana i ka methadone,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻino ʻoe i ka methadone, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka huahana methadone āu e manaʻo ai e lawe. 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai 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 (Suboxone, i Zubsolv); butorphanol; carbamazepine (Cabatrol, Equetro, Tegretol, nā mea ʻē aʻe); cyclobenzaprine (Amrix); dextromethorphan (ʻike ʻia i loko o nā lāʻau lapaʻau he nui; ma Nuedexta); nā lāʻau no ka glaucoma, ka maʻi huhū o ka maʻi, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; kekahi mau lāʻau no ka maʻi HIV me abacavir (Ziagen, ma Trizivir), darunavir (Prezista), didanosine (Videx), efavirenz (Sustiva, i Atripla), lopinavir (i Kaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir , ma Kaletra), saquinavir (Invirase), stavudine (Zerit), tipranavir (Aptivus), a me zidovudine (Retrovir, ma Combivir); lithium (Lithobid); nā lāʻau no ka maʻi migraine e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, in Treximet), a me zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; naloxone (Evzio, Narcan, ma Zubsolv); naltrexone (ReVia, Vivitrol, i Embeda); pentazocine (Talwin); 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), a me paroxetine (Brisdelle, Prozac, Pexeva); serotonin a norepinephrine reuptake inhibitors e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella); a me ka venlafaxine (Effexor); tramadol (Conzip, Ultram, ma Ultracet); a me trazodone (Oleptro). E haʻi aku i kāu kauka a kauka paha inā ʻoe e lawe a loaʻa paha i nā lāʻau aʻe a i ʻole ua oki paha i ka lawe ʻana iā lākou i nā lā he 14 i hala aku nei: monoamine oxidase (MAO) mea kāohi me isocarboxazid (Marplan), linezolid (Zyvox), methylene polū, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelpar), a me tranylcypromine (Parnate). Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka methadone, 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 iā ʻoe kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT a i ʻole loaʻa i kahi poloka i loko o kou ʻōpū a i ʻole ilealy paralytic (ke ʻano e neʻe ʻole ai ka meaʻai i loko o nā ʻōpū) E haʻi paha kāu kauka iā ʻoe ʻaʻole ʻoe e lawe i ka methadone.
• e haʻi i kāu kauka inā ua loaʻa a pilikia paha ʻoe i ka mimi ʻana; he prostate hoʻonui ʻia (kahi kāne hānau kāne); Maʻi ʻo Addison (kahi ʻano a ʻaʻole lawa ka adrenal gland i kekahi mau mea kūlohelohe); ka hopu ʻana; aiʻole thyroid, pancreas, gallbladder, ate, a me nā maʻi puʻupaʻa paha.
• e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. Inā hānai ʻoe i ka wā o kāu mālama ʻana me ka methadone, e loaʻa paha i kāu pēpē kekahi methadone i ka 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 methadone. 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 ka hele a hiki ʻole i kāu pēpē ke hoʻomake i nā ʻōuli ke haʻalele iā ia i ka loaʻa ʻana o ka methadone 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 ka makaʻu o ka lawe ʻana i ka methadone.
• 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 methadone.
• pono ʻoe e ʻike i kēia lāʻau ʻana 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.
• pono ʻoe e ʻike ʻo ka methadone paha ka mea e hoʻoluhi ai ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e lawe i ka methadone. 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 methadone 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 paha i ka constipation ʻoiai ʻoe e lawe ana i ka methadone.

E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona i ka wā e lawe ana i kēia lāʻau.

Inā ua haʻi aku kāu kauka iā ʻoe e lawe i ka methadone no ka ʻeha, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia a laila e hoʻomau i kāu papa hana maʻamau. 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.

Inā ʻoe e lawe i ka methadone e mālama i ka lāʻau opioid, e lele i ka lāʻau i hala a lawe i ka lāʻau aʻe i ka lā aʻe e like me ka mea i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

• ʻeha poʻo
• loaʻa kaupaona
• ʻeha ka ʻōpū
• waha maloo
• alelo ʻeha
• ʻōhinu
• pilikia urino
• loli ke ʻano
• pilikia pilikia ʻike
• paʻakikī e hiamoe a hiamoe paha

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

• ka hopu ʻana
• ʻūlili
• hives
• hūwī
• pehu o nā maka, maka, waha, alelo, a puʻu paha
• hulahula
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• hiamoe nui loa
• 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

Hiki i ka Methadone ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe i kēia lāʻau.

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. Pono ʻoe e hoʻolei koke i kekahi methadone i hala i 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, e kīloi i nā papa methadone a i ʻole ka hopena i hala ʻole a i ʻole e pono hou ʻia i 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 lawe ana i ka methadone, 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, ke 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 (pōʻai ʻeleʻele i waenakonu o nā maka)
• hanu mālie a pāpaʻu paha
• paʻakikī i ka hanu ʻana
• hiamoe
• hiamoe
• ʻili, ʻūlū, a i ʻole ʻili polū
• hiki ʻole ke pane a ala paha
• nā mākala palupalu

Mālama i nā manawa a pau me kāu kauka a me kāu kauka. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane i ka methadone.

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 methadone.

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

• Nā Diskets^®¶
• Dolophine^®
• Methadose^®
• Methadose^® Kūkākūkā waha
• Westadone^®¶

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