Ta yaya Methadone da akwatin akwatin suka bambanta?

Wadatacce

• Gabatarwa
• Hanyoyin magani
• Kudin da inshora
• Samun magani
• Jiyya tare da methadone
• Jiyya tare da Suboxone
• Sakamakon sakamako
• Ragewar sakamako
• Hadin magunguna
• Yi amfani da wasu yanayin kiwon lafiya
• Yi magana da likitanka
• Tambaya da Amsa
• Tambaya:
• A:

Gabatarwa

Jin zafi na yau da kullun shine ciwo wanda ke ɗaukar dogon lokaci. Opioids sune magunguna masu ƙarfi waɗanda aka tsara don taimakawa sauƙin ciwo mai tsanani. Duk da yake suna da tasiri, waɗannan kwayoyi kuma na iya zama masu al'ada da haifar da jaraba da dogaro. Don haka dole ne a yi amfani da su a hankali.

Methadone da Suboxone duka opioids ne. Duk da yake ana amfani da methadone don magance ciwo mai ɗorewa da jarabar opioid, an yarda da Suboxone kawai don magance dogaro da opioid. Karanta don ƙarin koyo game da yadda waɗannan kwayoyi biyu suke kwatanta.

Hanyoyin magani

Methadone magani ne na asali. Suboxone shine sunan sunan buprenorphine / naloxone. Nemi ƙarin game da su a ƙasa.

	Methadone	Suboxone
Menene sunan gama-gari?	methadone	buprenorphine-naloxone
Menene iri-iri iri?	Dolophine, Methadone HCl Intensol, Methadose	Suboxone, Bunavail, Zubsolv
Me yake magance shi?	ciwo na kullum, jarabar opioid	dogaro da opioid
Shin wannan abun sarrafawa ne? *	eh, yana da Jadawalin II mai sarrafa abu	eh, yana da Jadawalin III kayan sarrafawa
Shin akwai haɗarin janyewa tare da wannan magani?	Ee †	Ee †
Shin wannan maganin yana da damar yin amfani da shi?	ee ¥	ee ¥

Addiction ya bambanta da dogaro.

Addiction yana faruwa yayin da kake da sha'awar da ba za a iya sarrafawa ba wanda zai sa ka ci gaba da amfani da magani. Ba za ku iya dakatar da amfani da miyagun ƙwayoyi ba duk da cewa yana haifar da sakamako mai cutarwa.

Dogaro yana faruwa yayin da jikinka ya dace da magani kuma ya zama mai haƙuri da shi. Wannan yana haifar da ku don buƙatar ƙarin ƙwayoyi don ƙirƙirar wannan sakamako.

Methadone ya zo cikin waɗannan siffofin:

• bakin kwamfutar hannu
• maganin baka
• mai da hankali
• injectable bayani
• kwamfutar hannu da za ta tarwatse, wanda dole ne a narkar da shi a cikin ruwa kafin ka sha

Alamar suna Suboxone tazo a matsayin fim na baka, wanda za'a narkar da shi a karkashin harshenka (sublingual) ko sanya shi tsakanin kuncin ku da kumatun ku don narke (buccal).

Ana samun nau'ikan buprenorphine / naloxone (abubuwan da ke cikin Suboxone) azaman fim na baka da ƙaramin kwamfutar hannu.

Kudin da inshora

A halin yanzu, akwai manyan bambance-bambancen farashi tsakanin methadone da duka jigo da sunan suna Suboxone. Gabaɗaya, duka suna-Suboxone da janar buprenorphine / naloxone sunfi methadone tsada. Don ƙarin bayani game da farashin magunguna, duba GoodRx.com.

Yawancin kamfanonin inshora suna buƙatar izini kafin methadone ko Suboxone. Wannan yana nufin likitanku na buƙatar samun izini daga kamfanin inshorar ku kafin kamfanin zai biya kuɗin maganin.

Samun magani

Akwai ƙuntatawa kan yadda zaka iya samun damar waɗannan magunguna. Waɗannan ƙuntatawa sun dogara da nau'in magani da kuma dalilin da ya sa ake amfani da shi.

Methadone kawai aka yarda don magance ciwo mai tsanani. Ana samun Methadone don sauƙin ciwo a wasu shagunan magani, amma ba duka ba. Yi magana da likitanka game da abin da kantin magani zai iya cika takardar maganin methadone don magance ciwo mai tsanani.

Duk methadone da Suboxone ana iya amfani dasu don taimaka muku ta hanyar aiwatar da tsaftacewa don opioids.

Rashin lalata jiki yana faruwa yayin da jikinka yayi ƙoƙarin kawar da magani. Yayin detoxification, kuna da alamun ficewa. Yawancin alamun bayyanar janyewar ba barazanar rai bane, amma suna da matukar damuwa.

Anan ne methadone da Suboxone suka shigo. Suna iya rage alamun cirewar ku da sha'awar shaye-shayen ku.

Methadone da Suboxone duk suna taimakawa sarrafa detoxification, amma tsarin don amfanin su daban.

Jiyya tare da methadone

Lokacin da kake amfani da methadone don maganin jaraba, zaka iya samun sa kawai daga ingantaccen shirye-shiryen maganin opioid. Wadannan sun hada da kananan dakunan shan magani na methadone.

Lokacin fara magani, dole ne ka je ɗayan waɗannan asibitocin. Wani likita ya lura cewa kuna karɓar kowane nau'i.

Da zarar likitan asibitin ya yanke shawarar kun kasance cikin kwanciyar hankali tare da maganin methadone, za su iya ba ku damar shan magani a cikin gida tsakanin ziyarar asibitin. Idan kun sha magani a gida, har yanzu kuna buƙatar samo shi daga ingantaccen shirin maganin opioid.

Jiyya tare da Suboxone

Don Suboxone, ba kwa buƙatar zuwa asibiti don karɓar magani. Likitan ku zai ba ku takardar sayan magani.

Koyaya, wataƙila za su iya lura da farawar maganinku sosai. Suna iya buƙatar ka zo ofishinsu don karɓar magani. Hakanan zasu iya lura da ku shan shan magani.

Idan an ba ka izinin shan magani a gida, likitanka na iya ba ka fiye da fewan allurai a lokaci guda. Bayan lokaci, duk da haka, likitanka na iya ba ka damar gudanar da maganin ka.

Sakamakon sakamako

Charts da ke ƙasa suna lissafin misalai na illolin methadone da Suboxone.

Illolin gama gari	Methadone	Suboxone
rashin haske	✓	✓
jiri	✓	✓
suma		✓
bacci	✓	✓
tashin zuciya da amai	✓	✓
zufa	✓	✓
maƙarƙashiya	✓	✓
ciwon ciki	✓
suma a bakinka		✓
kumbura ko harshe mai zafi		✓
jan ciki a cikin bakinka		✓
matsala kulawa		✓
sauri ko hankali zuciya bugun		✓
hangen nesa		✓

M sakamako mai tsanani	Methadone	Suboxone
buri	✓	✓
matsaloli masu tsanani na numfashi	✓	✓
matsalolin bugun zuciya	✓
matsaloli tare da daidaito		✓
tsananin ciwon ciki	✓
kamuwa	✓
rashin lafiyan dauki	✓	✓
cire opioid		✓
saukar karfin jini		✓
matsalolin hanta		✓

Idan kun ɗauki methadone ko Suboxone fiye da yadda likitanku ko likitanku suka tsara, zai iya haifar da yawan zub da jini. Wannan ma yana iya kaiwa ga mutuwa. Yana da mahimmanci ku ɗauki magungunan ku daidai yadda aka umurce ku.

Ragewar sakamako

Saboda methadone da Suboxone duka opioids ne, suna iya haifar da jarabar kamu da bayyanar cututtuka. A matsayin magani na Jadawalin II, methadone yana da haɗarin rashin amfani fiye da Suboxone.

Kwayar cututtukan cututtuka na janyewa daga kowane magani na iya bambanta cikin tsananin daga mutum ɗaya zuwa wani. Yawanci, janyewa daga methadone na iya wucewa, yayin da alamun janyewa daga Suboxone na iya wucewa daga ɗaya zuwa watanni da yawa.

Kwayar cututtukan cututtukan opioid na iya haɗawa da:

• girgiza
• zufa
• jin zafi ko sanyi
• hanci mai zafin gaske
• idanu masu ruwa
• kumburin kuda
• gudawa
• tashin zuciya ko amai
• ciwon tsoka ko ciwon tsoka
• matsalar bacci (rashin bacci)

Kada ka daina shan ko wane magani a kanka. Idan kayi haka, bayyanar cututtukan ka zasuyi muni.

Idan kana buƙatar dakatar da shan magungunan ka, likitanka a hankali zai rage sashin ka a hankali akan lokaci don taimakawa hana bayyanar cututtuka. Don ƙarin bayani, karanta game da jurewa da ficewar opiate ko wucewa ta hanyar cire methadone.

Misalan tasirin janyewa daga methadone da Suboxone sune kamar haka:

Ragewar sakamako	Methadone	Suboxone
kwadayi	✓	✓
matsalar bacci	✓	✓
gudawa	✓	✓
tashin zuciya da amai	✓	✓
damuwa da damuwa	✓	✓
ciwon jiji	✓	✓
zazzabi, sanyi, da gumi		✓
zafi da sanyi walƙiya	✓
rawar jiki	✓
kallon mafarki (gani ko jin abubuwan da basa nan)	✓
ciwon kai		✓
matsalar tattara hankali		✓

Hakanan Suboxone da methadone na iya haifar da cututtukan cirewa daga cikin jariri idan kuka sha kowane irin kwaya a lokacin ɗaukar ciki. Kuna iya lura:

• kuka fiye da kullum
• bacin rai
• halayyar wuce gona da iri
• matsalar bacci
• babban kuka
• rawar jiki
• amai
• gudawa
• rashin samun damar yin kiba

Hadin magunguna

Duk methadone da Suboxone na iya hulɗa tare da sauran magunguna. A zahiri, methadone da Suboxone suna raba yawancin hulɗar magunguna iri ɗaya.

Misalan magungunan da methadone da Suboxone zasu iya hulɗa dasu sun haɗa da:

• benzodiazepines, kamar su alprazolam (Xanax), lorazepam (Ativan), da clonazepam (Klonopin)
• kayan bacci, kamar zolpidem (Ambien), eszopiclone (Lunesta), da temazepam (Restoril)
• maganin sa barci
• sauran opioids, kamar su buprenorphine (Butrans) da butorphanol (Stadol)
• magungunan antifungal, kamar ketoconazole, fluconazole (Diflucan), da voriconazole (Vfend)
• maganin rigakafi, irin su erythromycin (Erythrocin) da clarithromycin (Biaxin)
• antiseizure kwayoyi, kamar su phenytoin (Dilantin), phenobarbital (Solfoton), da carbamazepine (Tegretol)
• Magungunan HIV, kamar efavirenz (Sustiva) da ritonavir (Norvir)

Baya ga wannan jerin, methadone yana ma'amala da sauran magunguna. Wadannan sun hada da:

• ƙwayoyi masu motsa zuciya, kamar amiodarone (Pacerone)
• antidepressants, kamar amitriptyline, citalopram (Celexa), da quetiapine (Seroquel)
• monoamine oxidase inhibitors (MAIOs), kamar selegiline (Emsam) da isocarboxazid (Marplan)
• magungunan marasa magani, kamar su benztropine (Cogentin), atropine (Atropen), da oxybutynin (Ditropan XL)

Yi amfani da wasu yanayin kiwon lafiya

Methadone da Suboxone na iya haifar da matsala idan ka ɗauke su lokacin da kake da wasu lamuran kiwon lafiya. Idan kuna da ɗayan waɗannan, yakamata ku tattauna lafiyar ku tare da likitanku kafin ɗaukar methadone ko Suboxone:

• cutar koda
• cutar hanta
• matsalolin numfashi
• rashin amfani da wasu magungunan
• shan barasa
• matsalolin rashin tabin hankali

Hakanan yi magana da likitanka kafin shan methadone idan kana da:

• matsalolin bugun zuciya
• kamuwa
• matsalolin ciki kamar toshewar hanji ko rage hanjin cikinka

Yi magana da likitanka kafin shan Suboxone idan kana da:

• matsalolin adrenal gland

Yi magana da likitanka

Methadone da Suboxone suna da kamanceceniya da yawa da wasu manyan bambance-bambance. Wasu daga cikin mahimmancin bambance-bambance tsakanin waɗannan kwayoyi na iya haɗawa da:

• siffofin magani
• haɗarin jaraba
• kudin
• amfani
• sakamako masu illa
• hulɗar miyagun ƙwayoyi

Likitanku na iya gaya muku ƙarin bayani game da waɗannan bambancin. Idan kana buƙatar magani don jarabar opioid, likitanka shine wuri mafi kyau don farawa. Zasu iya bayar da shawarar mafi kyawun magani don taimaka maka samun lafiya.

Tambaya da Amsa

Tambaya:

Me yasa janyewar opioid zai iya faruwa azaman sakamako na gefen Suboxone?

Mara lafiya mara kyau

A:

Shan Suboxone na iya haifar da bayyanar cututtukan opioid, musamman ma idan maganin yayi yawa. Wannan saboda Suboxone ya ƙunshi maganin naloxone. An kara wannan maganin a cikin Suboxone don hana mutane yin allurar ko shakar shi.

Idan kayi allura ko huɗa Suboxone, naloxone na iya haifar da alamun janyewar. Amma idan ka sha Suboxone ta bakinka, jikinka yana shan kadan daga naloxone, don haka barazanar janyewar tayi kadan.

Shan babban allurai na Suboxone da baki na iya haifar da bayyanar cututtukan, kodayake.

Amsoshin lineungiyar Kiwon Lafiya na Lafiya suna Amincewa da ra'ayoyin ƙwararrun likitocin mu. Duk abubuwan da ke ciki cikakkun bayanai ne kuma bai kamata a ɗauki shawarar likita ba.