Fentanyl (inowanikwa mumuromo, inowanikwa mumukanwa, kana pasi pemutamwa)
Mhando dzinowanikwa
Abstral, Actiq, Fentora, Onsolis, Subsys
Nezve mushonga uyu
Fentanyl inoshandiswa kurapa marwadzo akaomarara muvarwere vane cancer. Inoshandiswa kurapa marwadzo anopfuura anowanzoitika, ari marwadzo anouya zvakasimba mushure mekushandisa mushonga wemarwadzo wenguva dzose. Fentanyl iri mumhuri yemishonga inonzi opioid analgesics. Inoshandiswa chete kune varwere vari kutotora opioid analgesics. Fentanyl inoshanda mune central nervous system (CNS) kuderedza marwadzo. Mimwe yemhedzisiro yayo inokonzerwawo nemabasa ari muCNS. Kana opioid ikashandiswa kwenguva yakareba, inogona kuva tsika kana kukonzera kuvimba kwepfungwa kana kwemuviri. Zvisinei, pasi pekutarisirwa kwakanyanya kwemupi wehutano, vanhu vane marwadzo anoramba vachirwara havafaniri kubvumira kutya kwekuvimba kuvadzivisa kushandisa opioids kuderedza marwadzo. Kuvimba kwepfungwa (kuora mwoyo) kunonyanya kuitika kana opioids ikashandiswa nechinangwa ichi. Kuvimba kwemuviri kunogona kukonzera zviratidzo zvekupera kana kurapwa kukamira kamwe kamwe. Zviratidzo zvekupera zvinogona kudzivirirwa nekuderedza zvishoma nezvishoma huwandu hwezvinodhaka kwenguva yakati usati wasiya mushonga zvachose. Taura nachiremba wako nezvemabhenefiti emushonga uyu uye maitiro ekudzivirira zviratidzo zvekupera. Mushonga uyu unowanikwa chete pasi pechirongwa chekugovera chinonzi TIRF (Transmucosal Immediate Release Fentanyl) REMS (Risk Evaluation and Mitigation Strategy) chirongwa. Chigadzirwa ichi chinowanikwa mumaitiro anotevera ekurapa:
Usati washandisa mushonga uyu
Mukusarudza kushandisa mushonga, ngozi dzokutora mushonga unofanira kuyeranidzwa nezvakanaka zvaunoita. Iyi sarudzo iwe nechikamu chako muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana iwe wakambonzwa chero mhinduro isinganzwisisiki kana yakaipa kune mushonga uyu kana mishonga ipi zvayo. Uyewo udza nyanzvi yako yehutano kana iwe uine mamwe marudzi eallergies, akadai sechikafu, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisina kuraira, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanyatsonaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye fentanyl muvana vane makore asingasviki 18 ekuberekwa kweAbstral®, Fentora®, Onsolis®, uye Subsys® brands, uye muvana vane makore asingasviki 16 ekuberekwa kweActiq® brand. Kuvimbika uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo e-geriatric aizoita kuti kushandiswa kwe fentanyl muvakuru vakwegura kuve kwakaderera. Zvisinei, varwere vakwegura vanogona kuva vanonzwa zvakanyanya kune migumisiro ye opioid analgesics kupfuura vakuru vaduku uye vane mukana wakakura wekuva nematambudziko emuviri kana itsvo ane hukama nezera, izvo zvinoda kungwarira uye kugadziriswa kwehuwandu hwevarwere vanogamuchira fentanyl kuti vidadzise zvinokonzeresa zvakakomba. Hapana ongororo dzakakwana muvakadzi dzekuona njodzi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nenjodzi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mishonga yakati haifanirwi kushandiswa pamwe chete, mune mamwe mamiriro mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Munyaya idzi, chiremba wako angada kuchinja huwandu, kana mamwe matanho angave achidiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nechinangwa chavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusi kukurudzirwa. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kudiwa mune zvimwe zviitiko. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa imwe kana ese mishonga. Mishonga yakati haifanirwi kushandiswa panguva yekudya kana pedyo nekurima kana kudya marudzi akati echikafu sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana. Kuwirirana kunotevera kwakasarudzwa zvichienderana nechinangwa chavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero zvinotevera kazhinji hakusi kukurudzirwa, asi kungasava nyore kudzivisa mune zvimwe zviitiko. Kana zvakashandiswa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa chikafu, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana iwe uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Shandisai mushonga uyu chete sezvakarayirwa nachiremba wako. Usashandise zvakawanda, usashandise kazhinji, uye usashandise kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Zvakakosha kwazvo kuti unzwisise mitemo yeTIRF REMS purogiramu kudzivirira kuora muviri, kusvibisa, uye kushandiswa zvisina kunaka kweoxycodone. Mushonga uyu unofanira kuuyawo neGwara reMishonga. Verenga utevedzere mirairo iyi zvakanyatsonaka. Verenga zvakare nguva dzose paunenge uchizadzisa mushonga wako kana paine ruzivo rutsva. Bvunza chiremba wako kana uine mibvunzo. Shandisa chete rudzi rwemushonga uyu wakarayirwa nachiremba wako. Marudzi akasiyana angasashande nenzira imwechete. Chengetedza mushonga mubhokisi rayo rekutanga. Vhura bhokisi usati washandisa. Mapiritsi eAbstral®: Actiq® lozenges: Mapiritsi eFentora® ekuisa mumuromo: Onsolis® firimu rekuisa mumuromo: Subsys® sublingual spray: Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera rinosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakukosha kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Chengetedza mushonga mubhodhoro rakavharwa pakuwanda kwemukati, kure nekupisa, hunyoro, uye chiedza chakananga. Chenjera kuti urege kuomarara. Chenjera kuti usasvikirwe nevana. Usachengetere mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yako yehutano maitiro aunofanira kubvisa mishonga ipi zvayo yausingashandise. Mapiritsi eAbstral®: Kana uine mibvunzo nezve nzira yakanakisa yekubvisa mapiritsi aunongoshandisa, bvunza chiremba wemishonga wako kana fonera 1-888-227-8725. Actiq® lozenges: Kana uine mibvunzo nezve nzira yakanakisa yekubvisa lozenges aunongoshandisa, bvunza chiremba wemishonga wako kana fonera 1-800-896-5855. Mapiritsi eFentora®: Kana uine mibvunzo nezve nzira yakanakisa yekubvisa mapiritsi aunongoshandisa, bvunza chiremba wemishonga wako kana fonera 1-800-896-5855. Onsolis® firimu: Kana uine mibvunzo nezve nzira yakanakisa yekubvisa mafirimu aunongoshandisa, bvunza chiremba wemishonga wako kana fonera 1-800-526-3840. Subsys® spray: Isa yuniti yespray yakashandiswa mubhegi rekurasa. Vhara bhegi rekurasa uye riise muhari yemarara isingasvikirwi nevana. Kune ma yuniti espray asina kuvhurwa, shandisa bhodhoro rekurasa kubvisa mvura kubva kune imwe neimwe yuniti. Isa bhodhoro rekurasa mubhegi uye rivhara. Isa bhegi muhari yemarara isingasvikirwi nevana. Kana uine mibvunzo, fonera 1-877-978-2797.