Allurar Buprenorphine

Wadatacce

• Kafin karɓar allurar buprenorphine,
• Buprenorphine da aka tsawaita shi na iya haifar da illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
• Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗaya daga cikin waɗannan alamun sai ku kira likitanku nan da nan ko ku sami maganin gaggawa na gaggawa:
• Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

Buprenorphine mai tsawaitawa ana samun sa ne ta hanyar shiri na musamman wanda ake kira Sublocade REMS Dole ne likitanku da kantinku su shiga cikin wannan shirin kafin ku sami allurar buprenorphine. Tambayi likitan ku don ƙarin bayani game da wannan shirin da kuma yadda zaku karɓi magunguna.

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitanka na iya yin odar wasu gwaje-gwaje kafin da kuma lokacin shan magani don bincika martanin jikinka ga allurar buprenorphine mai tsawaitawa.

Likitan ku ko likitan magunguna zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) lokacin da kuka fara magani tare da allurar buprenorphine mai tsawaitawa kuma duk lokacin da kuka cika takardar sayan magani. Karanta bayanan a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi. Hakanan zaka iya ziyarci Gidan yanar gizon Abinci da Magunguna (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) don samun Jagoran Magungunan.

Ana amfani da allurar Buprenorphine mai tsawaita don magance dogaro ta opioid (jaraba ga magungunan opioid, gami da heroin da masu ba da maganin narcotic) a cikin mutanen da suka karɓi buccal ko sublingual buprenorphine na aƙalla kwanaki 7. Maganin Buprenorphine mai tsawaitawa yana cikin ajin magungunan da ake kira opiate par agonists.Yana aiki don hana bayyanar cututtuka lokacin da wani ya daina shan magungunan opioid ta hanyar samar da irin wannan tasirin ga waɗannan kwayoyi.

Maganin Buprenorphine mai tsawaitawa (aiki mai tsayi) ya zo azaman mafita (ruwa) wanda za a yi wa allura ta karkashin hanya (a karkashin fata) ta mai ba da kiwon lafiya zuwa yankin ciki. Yawanci ana bayar dashi sau ɗaya kowane wata tare da aƙalla kwanaki 26 a tsakanin allurai. Kowane allurar buprenorphine a hankali yana sakin maganin a cikin jikinku sama da wata.

Bayan ka karɓi kashi na buprenorphine mai tsawaitawa, za ka iya lura da dunkulewa a wurin allurar na tsawon makonni da yawa, amma ya kamata ya rage girma a kan lokaci. Kar a goge ko shafa wurin allura. Tabbatar cewa bel ɗinka ko bel ɗinka baya matsi akan wurin da aka yi maganin ba.

Kwararka na iya haɓaka ko rage naka kashi gwargwadon yadda maganin yake aiki a gare ku, da duk wata illa da kuka samu. Tabbatar da gayawa likitanka yadda kuke ji yayin maganin ku tare da allurar buprenorphine mai tsawaitawa.

Idan za a dakatar da buprenorphine-saki, likita zai iya rage yawan ku a hankali. Kuna iya fuskantar bayyanar cututtuka da suka haɗa da rashin nutsuwa, idanun hawaye, zufa, sanyi, faɗaɗa ɗalibai (baƙuwar baƙi a tsakiyar idanuwa), bacin rai, damuwa, ciwon baya, rauni, ciwon ciki, wahalar yin bacci ko yin bacci, tashin zuciya, rashin cin abinci, amai, gudawa, saurin numfashi, ko saurin bugun zuciya. Wadannan alamun cirewar na iya faruwa tsawon wata 1 ko fiye da haka bayan buprenorphine ta karshe da aka sake ta.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin karɓar allurar buprenorphine,

• gaya wa likitan ka da likitan ka idan kana rashin lafiyan buprenorphine, ko wasu magunguna, ko kuma wani sinadaran da ke cikin allurar buprenorphine. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
• gaya wa likitanka da likitan kantin ku wasu irin magunguna da magunguna marasa magani, bitamin, kayan abinci mai gina jiki, da kayan ganyen da kuke sha ko shirin dauka. Tabbatar da ambaci kowane ɗayan masu zuwa: antihistamines; benzodiazepines kamar su alprazolam (Xanax), chlordiazepoxide (Librium, a Librax), clonazepam (Klonopin), diazepam (Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril) (triorlam); carbamazepine (Carbatrol, Tegretol, Teril, wasu); diuretics ('kwayayen ruwa'); erythromycin (E.E.S., Eryc, PCE, wasu); Magungunan HIV kamar atazanavir (Reyataz, a cikin Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, a Atripla), etravirine (Intelence), indinavir (Crixivan), nevirapine (Viramune), ritonavir (Norvir, a Kaqura) (Invirase); wasu magunguna don bugun zuciya mara tsari wanda ya haɗa da amiodarone (Nexterone, Pacerone), disspyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (a Nuedexta), da sotalol (Betapace, Betapace AF, Sorine); magunguna don glaucoma, cututtukan hankali, cututtukan motsi, cutar Parkinson, ulce, ko matsalolin fitsari; ketoconazole, wasu magunguna don ciwo; magunguna don ciwon kai na ƙaura kamar almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, a Treximet), da zolmitriptan (Zomig); shakatawa na tsoka; sashin jiki; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane); masu kwantar da hankali; kwayoyin bacci; 5HT3 serotonin blockers kamar alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), ko palonosetron (Aloxi); masu zaɓin maganin serotonin-reuptake kamar citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, a Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), da sertraline (Zoloft); serotonin da norepinephrine reuptake inhibitors kamar duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), da venlafaxine (Effexor); tramadol; abubuwan kwantar da hankali; trazodone; ko tricyclic antidepressants ('mood elevators') kamar amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), da trimipramine. Har ila yau ka gaya wa likitanka ko likitan magunguna idan kuna shan ko karɓar masu hanawa na monoamine oxidase (MAO) ko kuma idan kun daina shan su a cikin makonni biyu da suka gabata: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), ko tranylcypromine (Parnate). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa. Sauran magunguna da yawa na iya yin ma'amala da buprenorphine, don haka tabbatar da gaya wa likitanka game da duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba.
• gaya wa likitanka idan kai ko dan dangin ku sun sha ko sun taba shan giya mai yawa ko kun taba ko sun taba yin doguwar cutar QT (yanayin da ke ƙara haɗarin ɓarkewar bugun zuciya wanda bai dace ba wanda zai iya haifar da rashin sani ko mutuwa kwatsam). Har ila yau, gaya wa likitanka idan kana da ko ka taɓa samun ƙananan matakan potassium ko magnesium a cikin jini; gazawar zuciya; bugun zuciya a hankali ko mara kyau; cututtukan huhu na huɗu masu nakasa (COPD; gungun cututtukan da suka shafi huhu da hanyoyin iska); sauran cututtukan huhu; rauni a kai; ƙwaƙwalwar ƙwaƙwalwa; duk wani yanayi da zai kara karfin matsi a kwakwalwar ka; matsalolin adrenal kamar cutar Addison (yanayin da adrenal gland ke samar da karancin hormone sama da yadda yake); rashin ciwon hawan jini (BPH, fadada glandon prostate); wahalar yin fitsari; hallucinations (ganin abubuwa ko jin muryoyin da babu su); lankwasawa a cikin kashin baya wanda ke ba wa numfashi wahala; ko thyroid, gallbladder, ko cutar hanta.
• gaya wa likitanka idan kana da ciki ko ka shirya yin ciki. Idan ka karɓi allurar buprenorphine mai tsawaitawa a koda yaushe yayin cikinka, jaririnka zai iya fuskantar alamun cire rai mai barazanar rayuwa bayan haihuwa. Faɗa wa likitan jaririn ku nan da nan idan jaririnku ya sami ɗayan waɗannan alamun: masu jin daɗi, motsa jiki, barcin da ba shi ba, yin kuka mai ƙarfi, girgiza wani ɓangare na jiki wanda ba a iya shawo kansa, amai, gudawa, ko kuma rashin yin kiba.
• gaya wa likitanka idan kana shayarwa. Faɗa wa likitanku nan da nan idan jaririnku ya fi bacci fiye da yadda yake ko kuma yana da matsalar numfashi yayin da kuke karɓar wannan magani.
• ya kamata ku sani cewa wannan magani na iya rage haihuwa ga maza da mata. Yi magana da likitanka game da haɗarin amfani da allurar buprenorphine.
• idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa kuna karɓar allurar buprenorphine mai tsawaitawa.
• ya kamata ku sani cewa allurar buprenorphine da aka tsawaita tana iya sa ku bacci. Kada ku tuƙa mota ko kuyi aiki da injina har sai kun san yadda wannan magani yake shafar ku.
• bai kamata ku sha barasa ko amfani da kwayoyi a titi yayin jiyya ba. Shan barasa, shan magani ko magunguna marasa magani wadanda suka hada da barasa, ko amfani da kwayoyi a titi yayin jinyar ka tare da allurar buprenorphine na kara kasadar da zaka fuskanta da kuma matsalar numfashi mai barazanar rai.
• ya kamata ka sani cewa buprenorphine na iya haifar da jiri, saukin kai, da suma yayin da ka tashi da sauri daga inda kake kwance. Don kaucewa wannan matsalar, tashi daga kan gadon a hankali, huta ƙafafunka a ƙasa na aan mintoci kaɗan kafin ka miƙe tsaye.
• ya kamata ku sani cewa buprenorphine na iya haifar da maƙarƙashiya. Yi magana da likitanka game da canza abincinka ko amfani da wasu magunguna don hana ko magance maƙarƙashiya yayin da kake amfani da allurar buprenorphine.

Sai dai idan likitanku ya gaya muku in ba haka ba, ci gaba da abincinku na yau da kullun.

Idan kun rasa buprenorphine wanda aka tsara don yadawa, yakamata ku kira likitanku don karɓar maganin da wuri-wuri. Yakamata a ba ka kashi na gaba aƙalla kwanaki 26 daga baya.

Buprenorphine da aka tsawaita shi na iya haifar da illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

• tashin zuciya
• amai
• ciwon kai
• gajiya
• zafi, ƙaiƙayi, kumburi, rashin jin daɗi, ja, rauni, ko kumburi a wurin allurar

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗaya daga cikin waɗannan alamun sai ku kira likitanku nan da nan ko ku sami maganin gaggawa na gaggawa:

• wahalar numfashi
• tashin hankali, hangen nesa (ganin abubuwa ko jin muryoyin da babu su), zazzaɓi, zufa, rikicewa, bugun zuciya da sauri, rawar jiki, magana mai laushi, tsananin jijiyoyin jiki ko karkatarwar jiki, rashin daidaituwa, tashin zuciya, amai, ko gudawa
• tashin zuciya, amai, rashin cin abinci, rauni, ko jiri
• rashin iya samun ko kiyaye gini
• jinin al'ada
• rage sha'awar jima'i
• kurji
• amya
• ƙaiƙayi
• slurred magana
• hangen nesa
• canje-canje a cikin bugun zuciya
• zafi a cikin ɓangaren dama na ciki
• rawaya fata ko idanu
• fitsari mai duhu
• kujerun launuka masu haske

Maganin Buprenorphine mai tsawaitawa na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin karɓar wannan magani.

Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Kira layin taimakon taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

• taƙaitawa ko faɗaɗa ɗaliban (baƙin da'ira a tsakiyar ido)
• ragu ko wahalar numfashi
• matsanancin bacci ko bacci
• suma (asarar hankali na wani lokaci)
• jinkirin bugun zuciya

Kafin yin gwajin gwaji (musamman waɗanda suka shafi shuɗin methylene), gaya wa likitanka da ma'aikatan dakin gwaje-gwaje cewa kuna amfani da allurar buprenorphine.

Game da gaggawa, dan dangi ko mai kulawa ya kamata ya gayawa ma'aikatan lafiya na gaggawa cewa kun dogara da opioid kuma kuna karɓar magani tare da allurar buprenorphine da aka faɗaɗa.

Maganin Buprenorphine mai tsawaitawa abu ne mai sarrafawa. Tabbatar da tsara alƙawurra tare da likitanku akai-akai don karɓar allurarku. Tambayi likitan ku idan kuna da wasu tambayoyi.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

• Sublocade^®