Pehea ka Methadone a me Suboxone ʻokoʻa?

Anter

• Hoʻolauna
• Nā hiʻohiʻona lāʻau
• Kālā a me ka ʻinikua
• Loaʻa ka lāʻau
• Hoʻomaʻo me ka methadone
• Hoʻomaʻo me Suboxone
• Nā hopena ʻaoʻao
• Nā hopena haʻalele
• Nā launa lāʻau
• Hoʻohana me nā kūlana olakino ʻē aʻe
• E kamaʻilio me kāu kauka
• Q&A
• Q:
• A:

Hoʻolauna

ʻO kaʻeha mau loa kaʻeha e mau ana no ka manawa lōʻihi. ʻO nā opioids he mau lāʻau lapaʻau ikaika i kau ʻia e kōkua ai e hōʻoluʻolu i ka ʻeha mau. ʻOiai maikaʻi lākou, hiki i kēia mau lāʻau ke hana maʻa mau a alakaʻi i ka hoʻōla a me ka hilinaʻi. No laila pono lākou e hoʻohana pono.

ʻO Methadone a me Suboxone he mau opioids lāua ʻelua. ʻOiai hoʻohana ʻia ʻo methadone e mālama i ka ʻeha mau loa a me ka hōʻāpau opioid, ʻae wale ʻia ʻo Suboxone e mālama i ka hilinaʻi opioid. E heluhelu e aʻo hou e pili ana i ka hoʻohālikelike ʻana o kēia mau lāʻau ʻelua.

Nā hiʻohiʻona lāʻau

ʻO Methadone kahi lāʻau laulaha. ʻO Suboxone ka inoa inoa o ka lāʻau buprenorphine / naloxone. E ʻike hou aʻe e pili ana iā lākou ma lalo.

ʻOkoʻa ka hoʻāo ʻana mai ka hilinaʻi.

Hana ʻia ka mea hōʻalo ke loaʻa ʻoe i nā kuko ʻole hiki ʻole ke mālama iā ʻoe e hoʻohana mau i kahi lāʻau. ʻAʻole hiki iā ʻoe ke kāpae i ka hoʻohana ʻana i ka lāʻau inā alakaʻi ia i nā hopena ʻino.

Kū ka hilinaʻi ke hoʻololi a kou kino i ka lāʻau a lilo i mea ʻae iā ia. Alakaʻi kēia iā ʻoe e pono i nā lāʻau hou aʻe e hana i ka hopena like.

Hele mai ʻo Methadone i kēia mau ʻano:

• papa waha
• hopena waha
• noʻonoʻo waha
• hoʻonā hoʻonāukiuki
• papa hoʻopuehu waha, kahi pono e hoʻoheheʻe ʻia i kahi wai ma mua o kou lawe ʻana

Hele mai ka inoa-inoa Suboxone ma ke ʻano he kiʻi ʻoniʻoni waha, hiki ke hoʻoheheʻe ʻia ma lalo o kou alelo (sublingual) a i ʻole kau ʻia ma waena o kou papalina a me nā gums e hoʻoheheʻe ai (buccal).

Loaʻa nā mana Generic o buprenorphine / naloxone (nā mea hana ma Suboxone) ma ke ʻano he kiʻi ʻoniʻoni a me ka papa sublingual.

Kālā a me ka ʻinikua

I kēia manawa, nui nā ʻokoʻa kumukūʻai ma waena o methadone a me nā generic a me ka inoa Suboxone. Ma ke ʻano holoʻokoʻa, ʻoi aku ka pipiʻi o ka inoa Suboxone a me ka buprenorphine / naloxone generic ma mua o ka methadone. No ka ʻike hou aku e pili ana i nā kumukūʻai lāʻau, e nānā GoodRx.com.

Pono nā ʻoihana ʻinikua he ʻae i mua no methadone a i ʻole Suboxone. ʻO kēia ka mea e pono ai i kāu kauka ke ʻae mai kāu ʻoihana inikua ma mua o ka uku ʻana o ka ʻoihana no ke kuhikuhi.

Loaʻa ka lāʻau

Aia nā kapu ma pehea e hiki ai iā ʻoe ke komo i kēia mau lāʻau. Pili kēia mau kapu i ke ʻano o ka lāʻau a no ke aha e hoʻohana ʻia ai.

ʻAe wale ʻia ka methadone e mālama i ka ʻeha mau. Loaʻa ka Methadone no ka hōʻoluʻolu ʻeha ma kekahi mau hale kūʻai lāʻau, akā ʻaʻole naʻe. E kamaʻilio me kāu kauka e pili ana i nā mea i hiki i nā hale kūʻai lāʻau ke hoʻopiha i kahi lāʻau methadone e mālama ai i ka ʻeha mau.

Hiki ke hoʻohana ʻia nā methadone a me Suboxone ʻelua e kōkua iā ʻoe e hele i ke kaʻina hana detoxification no nā opioids.

Hana ʻia ka hoʻopau ʻana ke hoʻāʻo kou kino e hoʻopau i kahi lāʻau. I ka wā detoxification, loaʻa iā ʻoe nā hōʻailona haʻalele. ʻAʻole hoʻoweliweli ka hapanui o nā hōʻailona haʻalele, akā hōʻoluʻolu loa lākou.

ʻO kēia kahi i hele mai ai ka methadone a me Suboxone. Hiki iā lākou ke hōʻemi i kāu hōʻailona haʻalele a me kāu kuko lāʻau.

Kōkua ka Methadone a me Suboxone i ka mālama ʻana i ka detoxification, akā ʻokoʻa ke kaʻina hana no kā lākou hoʻohana.

Hoʻomaʻo me ka methadone

Ke hoʻohana ʻoe i ka methadone no ka mālama ʻana i ka hoʻōla, hiki iā ʻoe ke kiʻi mai ia mai nā polokalamu lapaʻau opioid i hōʻoia ʻia. Hoʻopili kēia i nā hale mālama mālama methadone.

Ke hoʻomaka ʻana i ka lāʻau, pono ʻoe e hele i kekahi o kēia mau keʻena maʻi. Nānā kahi kauka iā ʻoe e loaʻa ana i kēlā me kēia kau.

Ke hoʻoholo ke kauka lāʻau lapaʻau ua kūpaʻa ʻoe me ka lapaʻau methadone, ʻae lākou iā ʻoe e lawe i ka lāʻau i ka home ma waena o nā kipa ʻana i ke keʻena. Inā ʻoe e lawe i ka lāʻau i ka home, pono ʻoe e lawe mai ia mai kahi papahana hoʻomaʻamaʻa opioid i hōʻoia ʻia.

Hoʻomaʻo me Suboxone

No Suboxone, ʻaʻole pono ʻoe e hele i kahi keʻena lapaʻau e loaʻa ai ka lāʻau. E hāʻawi aku kāu kauka iā ʻoe i kahi palapala.

Eia nō naʻe, e nānā pono paha lākou i ka hoʻomaka ʻana o kāu lāʻau. Koi paha lākou iā ʻoe e hele mai i kā lākou keʻena e kiʻi i ka lāʻau. E nānā paha lākou iā ʻoe i ka lawe ʻana i ka lāʻau.

Inā ʻae ʻia ʻoe e lawe i ka lāʻau i ka home, ʻaʻole hiki i kāu kauka ke hāʻawi iā ʻoe ma mua o kekahi mau lāʻau i ka manawa. Akā, i ka hala ʻana o ka manawa, ʻae paha kāu kauka iā ʻoe e hoʻokele i kāu mālama ponoʻī.

Nā hopena ʻaoʻao

ʻO nā pakuhi ma lalo e hōʻike nei i nā laʻana o nā hopena ʻē aʻe o methadone a me Suboxone.

Inā ʻoe e lawe hou i ka methadone a i ʻole Suboxone ma mua o ke kauka a kāu kauka paha e kuhikuhi ai, hiki ke kumu i kahi overdose. Hiki i kēia ke alakaʻi i ka make. He mea koʻikoʻi ia e lawe i kāu lāʻau e like me ke kuhikuhi.

Nā hopena haʻalele

Ma muli o ka methadone a me Suboxone he opioids, hiki iā lākou ke kumu i ka hōʻalo a me ka haʻalele ʻana i nā ʻōuli. Ma ke ʻano he lāʻau II, ʻoi aku ka nui o ka makaʻu o ka methadone ma mua o Suboxone.

Hiki ke loli ākea nā ʻōuli o ka haʻalele ʻana mai nā lāʻau ʻelua i ka paʻakikī mai kekahi kanaka a i kekahi. ʻO ka maʻamau, hiki ke haʻalele i ka methadone, ʻoiai ʻo nā ʻōuli o ka haʻalele ʻana mai Suboxone hiki ke hala mai hoʻokahi a i kekahi mau mahina.

Hiki i nā ʻōuli o ka haʻalele ʻana o opioid ke hoʻopili ʻia:

• luliluli ʻana
• ka houʻu ʻana
• wela a anuanu paha
• ihu ihope
• maka maka wai
• kuʻi kuʻi
• pāhoehoe
• nausea a luaʻi paha
• ʻeha nā mākala a i ʻole nā ​​puʻupuʻu puʻupuʻu
• pilikia hiamoe (hiamoe)

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i kāu iho. Inā ʻoe e hana, e ʻoi aku ka ʻino o kāu haʻalele ʻana.

Inā pono ʻoe e hōʻoki i ka lawe ʻana i kāu lāʻau, e hoʻohaʻahaʻa mālie kāu kauka i kāu lāʻau i ka manawa e kōkua ai i ka pale ʻana i nā hōʻailona haʻalele. No ka ʻike hou aku, e heluhelu e pili ana i ke kāpae ʻana me ka haʻalele ʻana i ka opiate a i ʻole ke hele ʻana i ka haʻalele ʻana o methadone.

ʻO nā laʻana o nā hopena haʻalele ʻana mai methadone a me Suboxone penei:

Hiki i ka Suboxone a me ka methadone ke kumu i ka withdrawal Syndrome i loko o kahi keiki hānau inā lawe ʻoe i kekahi lāʻau i ka wā hāpai. E ʻike paha ʻoe:

• ke uē nei ma mua o ka maʻamau
• ukiuki
• nā hana overactive
• pilikia hiamoe
• uē kiʻekiʻe
• haʻalulu
• ka luaʻi
• pāhoehoe
• hiki ʻole ke loaʻa kaupaona

Nā launa lāʻau

Hiki i nā methadone a me Suboxone ke launa pū me nā lāʻau ʻē aʻe. I ka ʻoiaʻiʻo, kaʻana like ka methadone a me Suboxone i ka nui o nā launa lāʻau like.

Hiki ke launa pū me nā laʻana o nā lāʻau i methadone a me Suboxone.

• nā benzodiazepines, e like me alprazolam (Xanax), lorazepam (Ativan), a me clonazepam (Klonopin)
• mea kōkua moe, e like me zolpidem (Ambien), eszopiclone (Lunesta), a me temazepam (Restoril)
• lāʻau lapaʻau anesthesia
• nā opioid ʻē aʻe, e like me buprenorphine (Butrans) a me butorphanol (Stadol)
• nā lāʻau antifungal, e like me ketoconazole, fluconazole (Diflucan), a me voriconazole (Vfend)
• antibiotics, e like me erythromycin (Erythrocin) a me clarithromycin (Biaxin)
• nā lāʻau antiseizure, e like me phenytoin (Dilantin), phenobarbital (Solfoton), a me ka carbamazepine (Tegretol)
• Nā lāʻau HIV, e like me efavirenz (Sustiva) a me ritonavir (Norvir)

Ma waho aʻe o kēia papa inoa, launa pū ʻo methadone me nā lāʻau ʻē aʻe. Pākuʻi ʻia kēia mau mea:

• nā lāʻau lapaʻau rhythm puʻuwai, e like me amiodarone (Pacerone)
• antidepressants, e like me amitriptyline, citalopram (Celexa), a me quetiapine (Seroquel)
• monoamine oxidase inhibitors (MAIOs), e like me selegiline (Emsam) a me isocarboxazid (Marplan)
• nā lāʻau anticholinergic, e like me benztropine (Cogentin), atropine (Atropen), a me oxybutynin (Ditropan XL)

Hoʻohana me nā kūlana olakino ʻē aʻe

Hiki i ka Methadone a me Suboxone ke kumu i nā pilikia inā lawe ʻoe iā lākou ke loaʻa iā ʻoe kekahi mau pilikia olakino. Inā loaʻa iā ʻoe kekahi o kēia mau mea, pono ʻoe e kūkākūkā i kou palekana me kāu kauka ma mua o ka lawe ʻana i ka methadone a i ʻole Suboxone.

• maʻi maʻi ʻōpū
• maʻi maʻi ate
• nā pilikia hanu
• hoʻohana pono ʻole ʻana i nā lāʻau ʻē aʻe
• ʻalo lama
• nā pilikia olakino noʻonoʻo

E kamaʻilio pū me kāu kauka ma mua o ka lawe ʻana i ka methadone inā loaʻa iā ʻoe:

• nā pilikia puʻuwai puʻuwai
• ka hopu ʻana
• nā pilikia o ka ʻōpū e like me ka hanu ʻana o ka ʻōpū a i ʻole ke kahaiki ʻana o kou ʻōpū

E kamaʻilio me kāu kauka ma mua o ka lawe ʻana iā Suboxone inā loaʻa iā ʻoe:

• pilikia pilikia adrenal

E kamaʻilio me kāu kauka

Methadone a me Suboxone he nui nā ʻano like a me kekahi mau ʻokoʻa nui. ʻO kekahi o nā ʻokoʻa nui aʻe i waena o kēia mau lāʻau e hoʻopili pū i kā lākou:

• nā ʻano lāʻau
• weliweli o ka hoʻāʻo
• kumu kūʻai
• hiki ke kiʻi ʻia
• nā hopena ʻaoʻao
• launa lāʻau

Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kēia ʻokoʻa. Inā makemake ʻoe i ka lāʻau no ka lāʻau opioid, ʻo kāu kauka kahi maikaʻi loa e hoʻomaka ai. Hiki iā lākou ke ʻōlelo i ka lāʻau maikaʻi e kōkua iā ʻoe e olakino.

Q&A

Q:

No ke aha e hiki ai i ka haʻalele opioid ke hana ma ke ʻano he hopena o Suboxone?

A:

Lawe iā Suboxone hiki ke alakaʻi i nā hōʻailona haʻalele opioid, keu hoʻi inā kiʻekiʻe loa ka mahele lāʻau. ʻO kēia no ka mea Suboxone i loko o ka lāʻau naloxone. Hoʻohui ʻia kēia lāʻau i Suboxone e hoʻonāwaliwali i ka poʻe mai ka hoʻopili ʻana a i ʻole ka ʻū ʻana iā ia.

Inā ʻoe e hoʻopili a hū paha iā Suboxone, hiki i ka naloxone ke kumu o ka haʻalele ʻana i nā ʻōuli. Akā inā ʻoe e lawe i Suboxone e ka waha, ʻemi iki kou kino i ka mea naloxone, no laila haʻahaʻa ka makaʻu o ka haʻalele ʻana i nā ʻōuli.

ʻO ka lawe ʻana i nā kaha kiʻekiʻe o Suboxone e ka waha paha ke kumu o ka haʻalele ʻana i nā ʻōuli, akā naʻe.