Methadone, Papa ʻ Orlelo waha

Anter

• Nā mea nui no ka methadone
• He aha ka methadone?
• Pehea e hana ai
• Nā hopena ʻaoʻao Methadone
• Nā hopena ʻaoʻao hou aʻe
• Nā hopena hopena koʻikoʻi
• Pehea e lawe ai i ka methadone
• Nā ʻano lāʻau a me nā ikaika
• Nā hana no ka wā pōkole kūpono i ka ʻeha nui
• Nā hana no ka detoxification o ka ʻōpili opioid
• Nā hana no ka mālama ʻana i ka ʻōpili opioid
• Kūkala koʻikoʻi
• I ka wā hea e kāhea ai i kāu kauka
• Lawe e like me ke kuhikuhi
• ʻ warlelo aʻoaʻo Methadone
• Nā ʻōlelo aʻoaʻo a FDA
• ʻLelo Hoʻākāka hiamoe
• ʻLelo aʻoaʻo ʻaʻai
• ʻLelo aʻoaʻo pili waiʻona
• Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino
• Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe
• Hiki i ka Methadone ke launa pū me nā lāʻau ʻē aʻe
• Nā lāʻau i pono ʻole ʻoe e hoʻohana me ka methadone
• Nā launa pū e hoʻonui i kou makaʻi i nā hopena ʻaoʻao
• Nā launa pū e hiki ai ke hōʻemi i kāu mau lāʻau
• Nā manaʻo nui no ka lawe ʻana i ka methadone
• Generala
• Waihona
• Hoʻopiha hou
• Huakaʻi
• Hoʻoponopono ponoʻī
• Nānā lapaʻau
• ʻĀpono mua
• Aia kekahi mau koho ʻē aʻe?

Nā mea nui no ka methadone

1. ʻO ka papa ʻōlelo waha ʻo Methadone kahi lāʻau maʻamau. Loaʻa ia ma ke ʻano he papa soluble waha ma lalo o ka inoa inoa Methadose.
2. Hele mai ka Methadone i ke ʻano o ka pākaukau, papa ʻeleʻele (papa e hiki ke hoʻoheheʻe ʻia i ka wai), hoʻonā i ka hopena, a me ka hopena. Lawe ʻoe i kēlā me kēia ʻano i ka waha. Hele pū mai ia me kahi injection i hāʻawi wale ʻia e ke kauka.
3. Hoʻohana ʻia ka papa oral oral Methadone e mālama i ka ʻeha. Hoʻohana ʻia ia no ka detoxification a i ʻole ka mālama mālama ʻana i ka lāʻau opioid drug.

He aha ka methadone?

ʻO Methadone kahi lāʻau lapaʻau. He opioid ia, a lilo ia i mea mālama ʻia. ʻO kēia ke kumu o ka hoʻohana pono ʻole ʻana o kēia lāʻau lapaʻau a hiki ke kumu i ka hilinaʻi.

Hele mai ʻo Methadone ma ke ʻano he papaha waha, ʻapu hoʻopuehu waha (papa i hiki ke hoʻoheheʻe ʻia i loko o ka wai), hopena haʻuki waha, a me ka hopena waha. Hele mai ʻo Methadone i kahi palapala intravenous (IV), hāʻawi wale ʻia e kahi mea mālama ola.

Loaʻa ʻo Methadone ma ke ʻano he lāʻau lapaʻau inoa Methadose, e hele mai nei i loko o ka papa soluble waha.

Hoʻohana ʻia ka papa ʻōlelo waha ʻo Methadone e hoʻokele i ke kaumaha a ʻeha nui. Hāʻawi wale ʻia ke hana ʻole nā ​​lāʻau ʻeha pōkole a i ʻole opioid ʻē aʻe no ʻoe a i ʻole inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui iā lākou.

Hoʻohana ʻia ʻo Methadone e hoʻokele i ka lāʻau make. Inā loaʻa ʻoe i kahi kolohe i kekahi opioid ʻē aʻe, hāʻawi paha kāu kauka iā ʻoe i ka methadone e pale aku ai iā ʻoe mai ka loaʻa ʻana o nā ʻōuli haʻalele.

Pehea e hana ai

ʻO Methadone kahi papa o nā lāʻau i kapa ʻia ʻo opioids (narcotics). ʻO kahi papa o nā lāʻau lapaʻau kahi hui o nā lāʻau i hana i kahi ala like. Hoʻohana pinepine ʻia kēia mau lāʻau e mālama i nā ʻano like.

Hana ʻo Methadone i nā mea loaʻa ʻeha ma kou kino. Hoʻoemi ia i ka ʻeha āu e ʻike ai.

Hiki i ka Methadone ke pani i kahi lāʻau opioid ʻē aʻe āu i loaʻa ai kahi kuhi. Mālama kēia iā ʻoe mai ka ʻike ʻana i nā ʻōuli haʻalele.

Hiki i kēia lāʻau lāʻau ke hiamoe loa iā ʻoe. ʻAʻole pono ʻoe e hoʻokele, hoʻohana i nā mīkini, a hana i nā hana ʻē aʻe e koi ana i ka makaʻala ma hope o kou lawe ʻana i kēia lāʻau.

Nā hopena ʻaoʻao Methadone

Hiki i ka Methadone ke hana i nā hopena ʻoluʻolu a koʻikoʻi paha. Loaʻa i ka papa inoa aʻe kekahi o nā hopena ʻaoʻao nui i hiki ke hana ʻia i ka wā e lawe ana i ka methadone. ʻAʻole pili kēia papa inoa i nā hopena ʻaoʻao āpau.

No ka ʻike hou aku e pili ana i nā hopena ʻē aʻe o ka methadone, a i ʻole nā ​​ʻōlelo aʻoaʻo e pili ana i ka hana ʻana me ka hopena pilikia, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena ʻaoʻao hou aʻe

Hiki i nā hopena ʻē aʻe maʻamau o methadone ke hoʻopili:

• kōpaʻa
• nausea
• hiamoe
• ka luaʻi
• luhi
• ʻeha poʻo
• ʻūpā
• ʻeha ka ʻōpū

Inā akahai kēia mau hopena ʻaoʻao, hele paha lākou i loko o kekahi mau lā a i ʻole ʻelua mau pule. Inā ʻoi aku ke koʻikoʻi a i ʻole hele aku, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena hopena koʻikoʻi

Kāhea koke i kāu kauka inā loaʻa nā hopena koʻikoʻi. Kāhea iā 911 inā manaʻo kou mau ʻōuli i ka hoʻoweliweli o ke ola a i ʻole inā manaʻo ʻoe e loaʻa ana kahi pilikia olakino. Hiki i nā hopena ʻē aʻe a me kā lākou mau hōʻailona ke hoʻohui i kēia:

• Pā ʻole ke hanu (ʻaʻole hiki ke hanu). Hiki i nā ʻōuli ke hoʻohui pū:
  • pokole o ka hanu
  • ʻeha ka umauma
  • ʻālohilohi
  • e maule ana
  • hanu lohi
  • hanu loa loa (ka neʻe ʻana o ka umauma me ka hanu ʻana)
  • ʻūpā
  • huikau
• ʻO ke kuhiakau Orthostatic (ke kaomi haʻahaʻa i ke kū ʻana ma hope o ka noho ʻana a moe paha i lalo). Hiki i nā ʻōuli ke hoʻohui pū:
  • haʻahaʻa haʻahaʻa haʻahaʻa
  • dizziness a i ʻole ʻālohilohi
  • maule ana
• Kaukaʻi a me ka haʻalele ʻana i ka wā e kū ana ka lāʻau. Hiki i nā ʻōuli ke hoʻohui pū:
  • hoʻomaha ʻole
  • huhū a hopohopo paha
  • pilikia hiamoe
  • hoʻonui i ke kahe o ke koko
  • helu hanu wikiwiki
  • wikiwiki o ka puʻuwai
  • dilated pupils (hoʻonui i ka pouli waena o nā maka)
  • waimaka waimaka
  • ihu ihope
  • auwē
  • nausea, luaʻi, a me ka make o ka makemake
  • ʻōpū a me ka ʻōpū o ka ʻōpū
  • ka houʻu ʻana
  • haʻalulu
  • ʻeha nā mākala a me ka ʻehaʻeha
• Hoʻohana hewa a kolohe paha. Hiki i nā ʻōuli ke hoʻohui pū:
  • ka lawe ʻana i nā lāʻau hou aʻe ma mua o ka mea i kauoha ʻia
  • ka lawe pinepine ʻana i ka lāʻau inā ʻaʻole ʻoe e pono
  • ke hoʻomau nei e hoʻohana i ka lāʻau i loko o nā hopena maikaʻi ʻole me nā hoaaloha, ʻohana, kāu hana, a i ʻole ke kānāwai
  • nānā ʻana i nā hana maʻamau
  • lawe malu ʻana i ka lāʻau a wahaheʻe paha e pili ana i ka nui āu e lawe nei
• Hinaʻi.

Pehea e lawe ai i ka methadone

ʻO ka methadone kauka a kāu kauka e kuhikuhi ai e hilinaʻi ʻia i nā kumu he nui. Pākuʻi ʻia kēia mau mea:

• ke ʻano a me ke koʻikoʻi o ke ʻano āu e hoʻohana nei i ka methadone e mālama ai
• kou mau makahiki
• ke ʻano o ka methadone āu e lawe ai
• nā kūlana olakino ʻē aʻe āu

ʻO ka maʻamau, e hoʻomaka kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa a hoʻomaʻamaʻa iā ia i ka manawa e hiki i ke ana pono kūpono iā ʻoe. Na lākou e kuhikuhi i ka mea liʻiliʻi loa e hāʻawi i ka hopena i makemake ʻia.

Hōʻike ka ʻikepili aʻe i nā lāʻau i hoʻohana pinepine ʻia a koi ʻia paha. Eia nō naʻe, e mālama pono i nā lāʻau a ke kauka i kuhikuhi ai nāu. E hoʻoholo kāu kauka i ke ana ʻoi loa e kūpono i kāu mau pono.

Nā ʻano lāʻau a me nā ikaika

Generic: methadone

• Palapala: papa waha
• Nā ikaika: 5 mau milligrams (mg), 10 mg
• Palapala: papa hoʻolele waha
• Nā ikaika: 40 mg

Brand: Methadose

• Palapala: papa hoʻolele waha
• Nā ikaika: 40 mg

Nā hana no ka wā pōkole kūpono i ka ʻeha nui

Nā mea hana makua (mau makahiki 18-64)

• ʻO nā lā hoʻomaka hoʻomaka maʻamau: Lawe ʻia ʻo 2.5 mg i kēlā me kēia 8 a 12 mau hola.
• Hoʻonui i ka hana: E hoʻonui mālie kāu kauka i kāu lāʻau i kēlā me kēia 3 a 5 mau lā a ʻoi.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i hoʻokumu ʻia ka palekana a me ka pono o kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nānā kiʻekiʻe (makahiki 65 a ʻoi paha)

ʻAʻole holo paha kāu mau puʻupaʻa e like me ka wā ma mua. Hiki i kēia ke hana i kou kino e hana lohi i ka lāʻau. ʻO ka hopena, noho ka nui o nā lāʻau i kou kino no ka manawa lōʻihi. Hāpai kēia i kou makaʻi i nā hopena ʻaoʻao.

Nā hana no ka detoxification o ka ʻōpili opioid

Nā mea hana makua (mau makahiki 18-64)

• ʻO nā lā hoʻomaka hoʻomaka maʻamau: 20-30 mg.
• Hoʻonui i ka hana: Ma hope o ke kali ʻana i 2 a i 4 mau hola, hāʻawi paha kāu kauka iā ʻoe i kahi 5-10 mg keu.
• Nā mea maʻamau: No ka detoxification wā pōkole, ʻo ka maʻa maʻamau ka 20 mg i lawe ʻia i ʻelua mau manawa i kēlā me kēia lā no 2 a 3 mau lā. E hoʻemi mālie kāu kauka i kāu mea hana a nānā pono iā ʻoe.
• Nā kiʻekiʻena palena nui: I ka lā mua, ʻaʻole pono ʻoe e lawe ma mua o 40 mg ka huina.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i hoʻokumu ʻia ka palekana a me ka pono o kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nānā kiʻekiʻe (makahiki 65 a ʻoi paha)

ʻAʻole holo paha kāu mau puʻupaʻa e like me ka wā ma mua. Hiki i kēia ke hana i kou kino e hana lohi i ka lāʻau. ʻO ka hopena, noho ka nui o nā lāʻau i kou kino no ka manawa lōʻihi. Hāpai kēia i kou makaʻi i nā hopena ʻaoʻao.

Nā hana no ka mālama ʻana i ka ʻōpili opioid

Nā mea hana makua (mau makahiki 18-64)

ʻO nā pae maʻamau ma waena o 80-120 mg i kēlā me kēia lā. E hoʻoholo kāu kauka i kahi hana kūpono e pono ai nāu.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i hoʻokumu ʻia ka palekana a me ka pono o kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nānā kiʻekiʻe (makahiki 65 a ʻoi paha)

ʻAʻole holo paha kāu mau puʻupaʻa e like me ka wā ma mua. Hiki i kēia ke hana i kou kino e hana lohi i ka lāʻau. ʻO ka hopena, noho ka nui o nā lāʻau i kou kino no ka manawa lōʻihi. Hāpai kēia i kou makaʻi i nā hopena ʻaoʻao.

Kūkala koʻikoʻi

Mai haki, hoʻonā, hoʻokuʻu, a hoʻopili ʻole i nā papa waha methadone no ka mea he kumu kēia e hoʻonui ai iā ʻoe Hiki i kēia ke make.

I ka wā hea e kāhea ai i kāu kauka

1. Kāhea i kāu kauka inā ʻaʻole ka lāʻau methadone āu e lawe nei e kaohi i kou ʻeha.

Lawe e like me ke kuhikuhi

Hoʻohana ʻia ka papa ʻōlelo waha ʻo Methadone no ka lapaʻau pōkole. Hele mai ia me nā pilikia koʻikoʻi inā ʻaʻole ʻoe e lawe e like me ke kauoha.

Inā kū ʻoe i ka lawe ʻana i ka lāʻau i kēia manawa a mai lawe iki paha: ʻAʻole hiki ke kaohi ʻia kou ʻeha a hele ʻoe ma o ka haʻalele ʻana o opioid. Nā ʻōuli o ka huki pū ʻana me:

• haehae o kou mau maka
• ihu ihope
• ʻūlū
• auwē
• sweating kaumaha
• kuʻi kuʻi
• fiva
• ʻo Chills alternating me ka flushing (ʻulaʻula a hoʻomehana ʻana i kou alo a i ʻole kino)
• hoʻomaha ʻole
• ukiuki
• hopohopo
• kaumaha
• haʻalulu
• ʻūlū
• ʻeha ke kino
• ʻūlū wiwo ʻole a me ke keʻehi ʻana
• nausea
• ka luaʻi
• pāhoehoe
• Kaumaha emi

Inā ʻoe e nalo i nā lāʻau a mai lawe ʻole i ka lāʻau i ka papa kuhikuhi. ʻAʻole holo pono paha kāu lāʻau a oki paha i ka hana holoʻokoʻa. Hiki iā ʻoe ke ʻike i nā hōʻailona haʻalele.

Inā lawe nui ʻoe: Hiki iā ʻoe ke loaʻa nā pae weliweli o ka lāʻau i kou kino. Hiki i nā ʻōuli o ka overdose o kēia lāʻau ke komo pū:

• nalo o ke kani nāʻiʻo
• anu, ʻili paʻalili
• constrict (liʻiliʻi) haumāna
• pulse mālie
• ke koko haʻahaʻa, i kumu e hoʻolilo ai i ka puʻupuʻu a maule paha
• hanu lohi
• hoʻohiamoe loa e alakaʻi ana i ke koma (ke ʻike ʻole no ka manawa lōʻihi)

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau, e kāhea aku i kāu kauka a i ʻole kikowaena kikowaena lāʻau ʻona kūloko. Inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi lumi pilikia kokoke.

He aha e hana ai inā e ʻike ʻoe i kahi mahele lāʻau:

Inā lawe ʻoe i kēia lāʻau e mālama i ka ʻeha. Mai lawe i nā mea i ʻoi aku ma mua o kāu kauā i kauoha ʻia i 24 mau hola. Inā lawe ʻoe i kēia lāʻau no ka ʻeha a haʻo i kahi mahele lāʻau, e lawe ia i ka wā hiki. A laila e lawe i kāu kau ma hope 8-12 mau hola ma hope e like me ke kuhikuhi a kāu kauka.

Inā kokoke i ka manawa no kāu kaukona aʻe, lele i ka lāʻau i hala a hoʻi i kāu papa hana maʻamau.

Inā ʻoe e lawe i kēia lāʻau no ka hoʻomaʻemaʻe a me ka mālama ʻana i nā mea hōʻalo: E lawe i kāu mahele lāʻau aʻe i ka lā aʻe e like me ka mea i hoʻonohonoho ʻia. Mai lawe i nā koina keu. ʻO ka lawe ʻana ma mua o ka mahele lāʻau i kuhikuhi ʻia e hoʻonāukiuki iā ʻoe no ka mea kūkulu kēia lāʻau i loko o kou kino i ka hala ʻana o ka manawa.

Pehea e haʻi ai inā e holo nei ka lāʻau: Ua hōʻemi ʻoe i ka ʻeha, a i ʻole e haʻalele i kāu hōʻailona hōʻailona.

ʻ warlelo aʻoaʻo Methadone

Hele mai kēia lāʻau me nā ʻōlelo aʻoaʻo like ʻole.

Nā ʻōlelo aʻoaʻo a FDA

• Hoʻomaʻamaʻa hōʻino a hoʻohana pono ʻole: Hele mai ʻo Methadone me kahi pilikia o ka hōʻino ʻoiai ke hoʻohana ʻia ia i ke ala kūpono. Hiki i kēia ke alakaʻi i ka hoʻohana pono ʻole i ka lāʻau. ʻO ka loaʻa ʻana o kahi mea hōʻalo a me ka hoʻohana hewa ʻole ʻana i kēia lāʻau hiki ke hoʻonui i kou makaʻi o ka overdose a me ka make.
• ʻO ka hoʻolālā loiloi a me ka hoʻoweliweli ʻana i ka hopena (REMS): Ma muli o ka hopena o ka hoʻohana pono ʻole a me ka hōʻāhewa ʻana o kēia lāʻau, koi ka FDA i kahi mea hana lāʻau e hāʻawi i kahi papahana REMS. Ma lalo o nā koi o kēia papahana REMS, pono i ka mea hana lāʻau e hoʻomohala i nā papahana aʻo e pili ana i ka hoʻohana maikaʻi ʻana o nā opioids no kāu kauka.
• Pākuʻi ʻana i nā pilikia hanu: ʻO ka lawe ʻana i nā opioid hana lōʻihi, e like me methadone, ua hoʻokau i kekahi mau kānaka i ka hanu ʻana. Hiki ke make kēia (kumu make). Hiki i kēia ke hana i kēlā me kēia manawa i ka wā o ka mālama ʻana, ʻoiai inā ʻoe e hoʻohana i kēia lāʻau i ke ala kūpono. Eia nō naʻe, kiʻekiʻe loa ka makaʻu ke hoʻomaka mua ʻoe e lawe i ka lāʻau a ma hope o ka hoʻonui ʻia ʻana o ka lāʻau. Hiki ke piʻi aʻe kou makaʻu inā ʻelemakule ʻoe a i ʻole loaʻa i nā pilikia hanu a me nā mumū.
• Hoʻowahāwahā i nā keiki e ao ana: ʻO nā keiki i lawe ʻole i kēia lāʻau i ka make nui no ka make ʻana. ʻAʻole pono nā keiki e lawe i kēia lāʻau.
• Pākuʻi pilikia pilikia puʻuwai puʻuwai: Hiki i kēia lāʻau ke hoʻonā i nā pilikia o ka puʻuwai koʻikoʻi, keu hoʻi inā lawe ʻoe i nā kaha ma mua o 200 mg i kēlā me kēia lā. Eia nō naʻe, hiki i kēia ke hana i nā hopena. Hiki ke hana inā ʻaʻohe ou pilikia puʻuwai.
• ʻO ka hāpaiʻana a me ka neonatal opioid withdrawal syndrome e hōʻike nei: ʻO nā keiki i hānau ʻia e nā makuahine nāna i hoʻohana i kēia lāʻau no ka manawa lōʻihi i ka wā o ka hāpai ʻana e makaʻu paha i ka neonatal withdrawal syndrome. Hiki i kēia ke hoʻoweliweli i ke ola i ke keiki.
• Ka ʻōlelo aʻo a Benzodiazepine e laʻa nei: Lawe pū i ka methadone me nā lāʻau e hoʻopili i ka ʻōnaehana, a i ʻole nā ​​lāʻau i kapa ʻia benzodiazepines, hiki ke hoʻoulu i ka hiamoe nui, nā pilikia hanu, koma, a make paha. ʻO nā laʻana o benzodiazepines me lorazepam, clonazepam, a me alprazolam. E hoʻohana wale ʻia kēia mau lāʻau me ka methadone ke hana maikaʻi ʻole nā ​​lāʻau ʻē aʻe.

ʻLelo Hoʻākāka hiamoe

Hiki i kēia lāʻau lāʻau ke hiamoe loa iā ʻoe. ʻAʻole pono ʻoe e hoʻokele, hoʻohana i nā mīkini, a hana i nā hana ʻē aʻe e koi ana i ka makaʻala ma hope o kou lawe ʻana i kēia lāʻau.

ʻLelo aʻoaʻo ʻaʻai

Hiki i ka Methadone ke hana i kahi hopena maʻi ʻaʻai koʻikoʻi. Hiki i nā ʻōuli ke hoʻohui pū:

• pilikia hanu
• pehu o kou puʻu a me kou alelo

Inā hoʻomohala ʻoe i kēia mau ʻōuli, e kāhea iā 911 a i ʻole e hele i kahi lumi pilikia kokoke loa.

Mai lawe hou i kēia lāʻau inā loaʻa iā ʻoe kahi hopena maʻi iā ia. Lawe hou ia he mea make (kumu make).

ʻLelo aʻoaʻo pili waiʻona

Hiki i ka hoʻohana ʻana i nā mea inu i loko o ka waiʻona ke hoʻonui i kou makaʻu i ka sedation, ka hanu ʻana o ka hanu ʻana, ke koma (no ka lōʻihi ʻole o ka noʻonoʻo), a me ka make ʻana o ka methadone

Inā inu ʻoe i ka waiʻona, e kamaʻilio me kāu kauka. Pono ʻoe e kiaʻi ʻia no ke kahe o ke koko haʻahaʻa, nā pilikia hanu, a me ka hoʻomaha.

Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino

No ka poʻe me nā pilikia puʻupaʻa: Inā loaʻa iā ʻoe nā pilikia ʻōpū a i ʻole ka mōʻaukala o nā maʻi puʻupaʻa, ʻaʻole paha ʻoe e hoʻomaʻemaʻe maikaʻi i kēia lāʻau mai kou kino. Hiki i kēia ke hoʻonui i nā pae o ka methadone i kou kino a hoʻonui i nā hopena ʻē aʻe. E nānā pono kāu kauka iā ʻoe inā ʻoe e lawe i kēia lāʻau.

No ka poʻe me nā pilikia o ke ake. Inā loaʻa iā ʻoe nā pilikia o ke ake a i ʻole ka moʻaukala o ka maʻi ate, ʻaʻole hiki iā ʻoe ke hana maikaʻi i kēia lāʻau. Hiki i kēia ke hoʻonui i nā pae o ka methadone i kou kino a hoʻonui i nā hopena ʻē aʻe. E nānā pono kāu kauka iā ʻoe inā ʻoe e lawe i kēia lāʻau.

No ka poʻe me nā pilikia hanu: Hiki i kēia lāʻau ke hana i nā pilikia hanu. Hiki iā ia ke hoʻonāukiuki i nā pilikia hanu āu i loaʻa. Hiki ke make kēia (kumu make). Inā loaʻa iā ʻoe nā pilikia hanu, ka hānō nui, a i ʻole ka hōʻeha hānō, pono ʻoe e kamaʻilio me kāu kauka e pili ana inā palekana kēia lāʻau iā ʻoe.

No ka poʻe me ka ʻōpū gastrointestinal (GI): Hiki i kēia lāʻau ke hoʻonāukiuki i ka constipation a hoʻonui i kou makaʻi i kahi ālai GI. Inā loaʻa iā ʻoe kahi mōʻaukala o nā ālai ʻo GI a i ʻole iā ʻoe i kēia manawa, pono ʻoe e kamaʻilio me kāu kauka e pili ana inā palekana kēia lāʻau iā ʻoe. Inā loaʻa iā ʻoe kahi ileus paralytic (nele o ke kani o kaʻiʻo i loko o nā ʻōpū i hiki ke kumu i nā ālai ʻo GI), ʻaʻole pono ʻoe e lawe i kēia lāʻau.

No ka poʻe me ka hopu ʻana: Hiki i kēia lāʻau ke hoʻoulu hou i ka poʻe me ka maʻi epilepsy. Inā hele a hewa kou ka hopu ʻana i ka lawe ʻana i kēia lāʻau, e kāhea i kāu kauka.

No ka poʻe me ka ʻeha poʻo: Hiki i kēia lāʻau ke hoʻonui i ke kaomi i kou lolo. Hiki i kēia ke hāpai i kāu makaʻu o nā pilikia a i ʻole ke kumu o ka make. Inā loaʻa iā ʻoe kahi ʻeha poʻo hou, hoʻonui ia i kou makaʻu i nā pilikia hanu mai ka methadone. E kamaʻilio me kāu kauka e pili ana inā palekana kēia lāʻau iā ʻoe.

Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe

• No nā wahine hāpai: ʻAʻohe noiʻi o nā hopena o ka methadone i nā wahine hāpai. E kamaʻilio me kāu kauka inā hāpai ʻoe a i ʻole ke hoʻolālā ʻana e hāpai. E hoʻohana wale ʻia kēia lāʻau inā loaʻa ka pono kūpono i ka hopena kūpono. Inā hāpai ʻoe i ka lawe ʻana i kēia lāʻau, e kāhea koke aku i kāu kauka. ʻO nā keiki i hānau ʻia e nā makuahine nāna i hoʻohana i kēia lāʻau no ka manawa lōʻihi i ka wā o ka hāpai ʻana e makaʻu paha i ka neonatal withdrawal syndrome. Hiki i kēia ke hoʻoweliweli i ke ola i ke keiki.
• No nā wahine e hānai ana i nā waiū: Hiki i ka Methadone ke hele i loko o ka waiū o ka waiū a hiki i nā hopena hopena i kahi keiki i hānai ʻia. Hoʻopili kēia mau hopena i ka hanu lohi a me ka sedation. E kamaʻilio me kāu kauka inā hānai ʻoe i kāu keiki. Pono paha ʻoe e hoʻoholo inā e hoʻōki i ka hānai ʻana a i ʻole hoʻōki ʻana i ka lawe ʻana i kēia lāʻau.
• No ka poʻe ʻelemākule: ʻAʻole holo pono nā puʻupaʻa o nā mākua makua e like me ka wā ma mua. Hiki i kēia ke hana i kou kino e hana lohi i ka lāʻau. ʻO ka hopena, noho ka nui o nā lāʻau i kou kino no ka manawa lōʻihi. Hāpai kēia i kou makaʻi i nā hopena ʻaoʻao.
• No nā keiki: ʻAʻole i hoʻokumu ʻia ka palekana a me ka pono o kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki. ʻO nā keiki i lawe ʻole i kēia lāʻau i ka make nui no ka make ʻana.

Hiki i ka Methadone ke launa pū me nā lāʻau ʻē aʻe

Hiki i ka Methadone ke launa pū me nā lāʻau ʻē aʻe. Hiki i nā launa like ʻole ke kumu i nā hopena like ʻole. ʻO kahi laʻana, hiki i kekahi ke hoʻopilikia i ka maikaʻi o ka hana ʻana o ka lāʻau, ʻoiai ʻo kekahi e hoʻonui i nā hopena ʻē aʻe.

Ma lalo ka papa inoa o nā lāʻau e hiki ke launa me ka methadone. ʻAʻohe i loko o kēia papa inoa nā lāʻau āpau i hiki ke launa pū me ka lāʻau X.

Ma mua o ka lawe ʻana i ka methadone, e hoʻomaopopo pono e haʻi aku i kāu kauka a me ka kauka lāʻau e pili ana i nā palapala āpau, over-the-counter, a me nā lāʻau ʻē aʻe āu e lawe ai. E haʻi pū iā lākou e pili ana i nā wikamina, nā mea kanu, a me nā mea hoʻopiha āu e hoʻohana ai. Hiki ke kōkua i ka hāʻawi ʻana i kēia ʻike iā ʻoe e hōʻalo i nā launa ʻole.

Inā he mau nīnau kāu e pili ana i nā launa lāʻau e hoʻopili iā ʻoe, e nīnau i kāu kauka a kauka paha.

Nā lāʻau i pono ʻole ʻoe e hoʻohana me ka methadone

Mai lawe i nā lāʻau aʻe me ka methadone. ʻO ka hana ʻana pēlā ke kumu i nā hopena weliweli i kou kino.

• Pentazocine, nalbuphine, butorphanol, a me buprenorphine. Hiki i kēia mau lāʻau ke hōʻemi i nā hopena hōʻeha ʻeha o methadone. Hiki i kēia ke kumu i ka haʻalele ʻana i nā ʻōuli.

Nā launa pū e hoʻonui i kou makaʻi i nā hopena ʻaoʻao

• Hoʻonui i nā hopena ʻaoʻao mai nā lāʻau ʻē aʻe: ʻO ka lawe ʻana i ka methadone me kekahi mau lāʻau e hoʻāla ai i kou hopena o nā hopena ʻaoʻao mai kēlā mau lāʻau. Eia kekahi laʻana o kēia mau lāʻau:
  • ʻO Benzodiazepines, e like me diazepam, lorazepam, clonazepam, temazepam, a me alprazolam. Hiki i nā hopena i hoʻonui ʻia ke hoʻopili i ka hiamoe nui, lohi a kū hoʻi i ka hanu ʻana, koma a make paha. Inā pono ʻoe e lawe i kekahi o kēia mau lāʻau me ka methadone, e nānā pono kāu kauka iā ʻoe no nā hopena ʻaoʻao.
  • Zidovudine. Hiki i nā hopena ʻē aʻe ke komo i ka ʻeha poʻo, ka luhi, ka pau ʻole o ka makemake, ka palaho, a me ka luaʻi.
• Nā hopena ʻaoʻao mai ka methadone: ʻO ka lawe ʻana i ka methadone me kekahi mau lāʻau e hoʻāla i kou makaʻi i nā hopena ʻaoʻao mai ka methadone. ʻO kēia no ka mea ua hoʻonui ʻia ka nui o ka methadone i kou kino. Eia kekahi laʻana o kēia mau lāʻau:
  • Cimetidine. Lawe i kēia lāʻau me ka methadone i kumu e hoʻonui ai i ka hiamoe a hoʻolōʻihi i ka hanu. Hiki paha i kāu kauka ke hoʻoponopono i kāu mahele lāʻau o methadone, kaukaʻi ʻia i ka nui o kāu hopena ʻaoʻao.
  • Nā Antibiotics, e like me clarithromycin a me erythromycin. ʻO ka lawe ʻana i kēia mau lāʻau me ka methadone hiki ke hoʻonui i ka hiamoe a hoʻolōʻihi i ka hanu. Hiki paha i kāu kauka ke hoʻoponopono i kāu mahele lāʻau o methadone, kaukaʻi ʻia i ka nui o kāu hopena ʻaoʻao.
  • ʻO nā lāʻau anttifungal, e like me ketoconazole, posaconazole, a me voriconazole. ʻO ka lawe ʻana i kēia mau lāʻau me ka methadone hiki ke hoʻonui i ka hiamoe a hoʻolōʻihi i ka hanu. Hiki paha i kāu kauka ke hoʻoponopono i kāu mahele lāʻau o methadone, kaukaʻi ʻia i ka nui o kāu hopena ʻaoʻao.
  • Nā lāʻau HIV, e like me ritonavir a i ʻole indinavir. ʻO ka lawe ʻana i kēia mau lāʻau me ka methadone hiki ke hoʻonui i ka hiamoe a hoʻolōʻihi i ka hanu. Hiki paha i kāu kauka ke hoʻoponopono i kāu mahele lāʻau o methadone, kaukaʻi ʻia i ka nui o kāu hopena ʻaoʻao.
• Hoʻonui i nā hopena ʻaoʻao mai nā lāʻau ʻelua: ʻO ka lawe ʻana i ka methadone me kekahi mau lāʻau e hoʻāla i kou makaʻi i nā hopena ʻaoʻao. ʻO kēia no ka mea hiki i ka methadone a me kēia mau lāʻau ke hana i nā hopena ʻaoʻao like. ʻO ka hopena, hiki ke hoʻonui ʻia kēia mau hopena ʻaoʻao. Eia kekahi laʻana o kēia mau lāʻau:
  • Nā lāʻau āpau, e like me diphenhydramine a me hydroxyzine. Lawe i kēia mau lāʻau me ka methadone hiki ke mālama i ka mimi (ʻaʻole hiki ke ninini piha i kou ʻōpū), ka paʻa paʻa, a hoʻoneʻe i ka neʻe i kou ʻōpū a me kou ʻōpū. Hiki i kēia ke alakaʻi i kahi ākea koʻikoʻi o ka ʻōpū.
  • ʻO nā lāʻau lapaʻau urinary incontinence, e like me tolterodine a me oxybutynin. Lawe i kēia mau lāʻau me ka methadone hiki ke mālama i ka mimi (ʻaʻole hiki ke ninini piha i kou ʻōpū), ka paʻa paʻa, a hoʻoneʻe i ka neʻe i kou ʻōpū a me kou ʻōpū. Hiki i kēia ke alakaʻi i kahi ākea koʻikoʻi o ka ʻōpū.
  • ʻO Benztropine a me amitriptyline. Lawe i kēia mau lāʻau me ka methadone hiki ke mālama i ka mimi (ʻaʻole hiki ke ninini piha i kou ʻōpū), ka paʻa paʻa, a hoʻoneʻe i ka neʻe i kou ʻōpū a me kou ʻōpū. Hiki i kēia ke alakaʻi i kahi ākea koʻikoʻi o ka ʻōpū.
  • Nā Antipsychotics, e like me clozapine a me olanzapine. Lawe i kēia mau lāʻau me ka methadone hiki ke mālama i ka mimi (ʻaʻole hiki ke ninini piha i kou ʻōpū), ka paʻa paʻa, a hoʻoneʻe i ka neʻe i kou ʻōpū a me kou ʻōpū. Hiki i kēia ke alakaʻi i kahi ākea koʻikoʻi o ka ʻōpū.
  • ʻO nā lāʻau e pono ai ka puʻuwai, e like me quinidine, amiodarone, a me dofetilide. Lawe i kēia mau lāʻau me ka methadone e hoʻopilikia i nā pilikia o ka puʻuwai.
  • ʻO Amitriptyline. ʻO ka lawe ʻana i kēia lāʻau me ka methadone e hoʻonā i nā pilikia o ka puʻuwai.
  • ʻO nā diuretics, e like me furosemide a me hydrochlorothiazide. ʻO ka lawe pū ʻana i kēia mau lāʻau i hiki ke hoʻololi i kāu mau electrolyte pae. Hiki i kēia ke kumu i nā pilikia o ka puʻuwai puʻuwai.
  • Laxatives. ʻO ka lawe pū ʻana i kēia mau lāʻau i hiki ke hoʻololi i kāu mau electrolyte pae. Hiki i kēia ke kumu i nā pilikia o ka puʻuwai puʻuwai.

Nā launa pū e hiki ai ke hōʻemi i kāu mau lāʻau

Ke hoʻohana ʻia ka methadone me kekahi mau lāʻau, ʻaʻole paha e holo pono e mālama i kou ʻano. ʻO kēia no ka mea e hoʻoliʻiliʻi paha ka nui o ka methadone i kou kino. Eia kekahi laʻana o kēia mau lāʻau:

• ʻO nā anticonvulsants, e like me phenobarbital, phenytoin, a me ka carbamazepine. Hiki i kēia mau lāʻau ke hoʻopau i ka hana ʻana o ka methadone. ʻO kēia ke kumu o ka haʻalele ʻana i nā ʻōuli. Hiki i kāu kauka ke hoʻololi i kāu lāʻau o methadone inā ʻoe e lawe i kekahi o kēia mau lāʻau.
• ʻO nā lāʻau HIV e like me abacavir, darunavir, efavirenz, nelfinavir, nevirapine, ritonavir, a me telaprevir. E nānā pono kāu kauka iā ʻoe no nā ʻōuli o ka haʻalele ʻana. E hoʻoponopono lākou i kāu mea hana e like me ka mea e pono ai.
• Nā Antibiotics, e like me rifampin a me rifabutin. Hiki i kēia mau lāʻau ke hoʻopau i ka hana ʻana o ka methadone. Hiki i kēia ke hopena i nā hōʻailona haʻalele. Hiki i kāu kauka ke hoʻololi i kāu mea o methadone e pono ai.

Nā manaʻo nui no ka lawe ʻana i ka methadone

E hoʻomanaʻo i kēia mau noʻonoʻo inā kuhikuhi kāu kauka i ka methadone na ʻoe.

Generala

• Hiki iā ʻoe ke lawe i ka methadone me ka ʻai ʻole. Lawe iā ia me ka meaʻai i ke kōkua e hōʻemi i ka ʻōpū huhū.
• E lawe i kēia lāʻau i ka manawa i manaʻo ʻia e kāu kauka.
• Mai wāwahi, hoʻonā, huki, a hoʻopili i nā papa oral methadone. Hoʻokumu paha kēia iā ʻoe i ka overdose, a he mea make ia.

Waihona

• Papa waha: E mālama i ka mahana o ka lumi ma waena o 68 ° F a me 77 ° F (20 ° C a me 25 ° C).
• Papa hoʻohele waha: Hale kūʻai ma 77 ° F (25 ° C). Hiki iā ʻoe ke mālama pōkole ma waena o 59 ° F a me 86 ° F (15 ° C a me 30 ° C).
• E mālama i nā papa ʻelua mai ka mālamalama.
• Mai mālama i kēia mau papa i nā wahi momona a pulu hoʻi, e like me ka lua.

Hoʻopiha hou

ʻAʻole hiki ke hoʻopiha hou i kahi palapala kuhikuhi no kēia lāʻau. E kāhea ʻoe a i ʻole kāu kauka lāʻau i kāu kauka no kahi kuhikuhi hou inā pono ʻoe e hoʻopiha hou i kēia lāʻau.

Huakaʻi

Ke hele pū me kāu lāʻau:

• Lawe mau i kāu lāʻau. Ke lele nei, mai hoʻokomo i loko o kahi ʻeke i hōʻoia. E mālama iā ia i loko o kāu ʻeke lawe.
• Mai hopohopo e pili ana i nā mīkini X-ray kahua mokulele. ʻAʻole hiki iā lākou ke hōʻino i kāu lāʻau.
• Pono paha ʻoe e hōʻike i nā limahana mokulele i ka lepika lāʻau lapaʻau no kāu lāʻau. Lawe mau i ka ipu palapala inoa i kuhikuhi ʻia me ʻoe.
• Mai hoʻokomo i kēia lāʻau i loko o ka pahu lima o kāu kaʻa a waiho paha i loko o ke kaʻa. E hōʻalo pono i ka hana ʻana i kēia ke wela a anuanu loa ke aniau.

Hoʻoponopono ponoʻī

Mai ale i ka papa hoʻolahalaha ma mua o ka hoʻoheheʻe ʻia ʻana i kahi wai. Pono ʻoe e kāwili iā ia me 3 a 4 auneke (90 a 120 mau mililiter) o ka wai a i ʻole ka wai ʻalani citrus ma mua o kou lawe ʻana. Hoʻokahi paha minuke e hui.

Nānā lapaʻau

Pono ʻoe a me kāu kauka e nānā i kekahi mau pilikia olakino. Hiki i kēia ke kōkua e hōʻoia iā ʻoe e noho palekana ʻoiai ʻoe e lawe i kēia lāʻau. Aia kēia mau pilikia i:

• hana hakuʻala
• hana ate
• hanu (hanu) helu
• kaomi koko
• helu naʻau
• pae pae (inā ʻoe e lawe i kēia lāʻau no ka ʻeha)

ʻĀpono mua

Aia nā kapu i ka hāʻawi ʻana i ka methadone no ka detoxification a i ʻole nā ​​papahana mālama. ʻAʻole hiki i kēlā me kēia lāʻau lapaʻau ke hoʻolei i kēia lāʻau no ka detoxification a me ka mālama ʻana. E kamaʻilio me kāu kauka e pili ana i kahi e loaʻa ai iā ʻoe kēia lāʻau.

Aia kekahi mau koho ʻē aʻe?

Loaʻa nā lāʻau ʻē aʻe e mālama i kou ʻano. Kūpono paha kekahi iā ʻoe ma mua o nā poʻe ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā koho lāʻau ʻē aʻe e pono iā ʻoe.

Hoʻolaha: Ua hana ʻo Healthline i nā hana āpau e hōʻoia i ka pololei o ka ʻike āpau, ʻike ākea, a me kēia lā. Eia nō naʻe, ʻaʻole pono e hoʻohana i kēia ʻatikala i pani no ka ʻike a me ka mākaukau o kahi loea mālama ola laikini. E nīnau mau ʻoe i kāu kauka a i ʻole ʻoihana olakino ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau. Hiki ke loli i ka ʻike o ka lāʻau i loko a ʻaʻole i manaʻo ʻia e uhi i nā hoʻohana a pau, nā kuhikuhi, ka mālama ʻana, nā ʻōlelo aʻoaʻo, nā launa lāʻau, nā hopena maʻi ʻaʻai, a me nā hopena maikaʻi ʻole. ʻO ka loaʻa ʻole o nā ʻōlelo aʻoaʻo a i ʻole nā ​​ʻike ʻē aʻe no kahi lāʻau i hāʻawi ʻia ʻaʻole ia e hōʻike i ka palekana o ka lāʻau a lāʻau paha i kūpono no nā mea maʻi āpau a i ʻole nā ​​hoʻohana kikoʻī āpau.