Tapentadol (inowanikwa nemuromo)
Mhando dzinowanikwa
Nucynta, Nucynta ER
Nezve mushonga uyu
Tapentadol, iyo iri muchimiro chemvura inonwiwa nemapiritsi, inoshandiswa kurapa marwadzo akasimba zvokusvika pakuda mushonga unodzora marwadzo, uye kana mishonga yemarwadzo yakajairwa isina kushanda zvakanaka kana kuti haikwanisi kushikwa. Piritsi rinoburitsa mushonga zvishoma nezvishoma rinoshandiswa kurapa marwadzo akasimba, kusanganisira marwadzo anokonzerwa nekuvadza kwetwoma kubva kuchirwere cheshuga. Harifaniri kushandiswa kurapa marwadzo anouya kamwe kamwe chete kana kuti "sezvinodiwa". Tapentadol iri mumhuri yemishonga inonzi narcotic analgesics (mishonga inodzora marwadzo) inoshanda pabrain nemuviri (CNS) kudzikisa marwadzo. Kana tapentadol ikashandiswa kwenguva yakareba, inogona kuva nehanya (kukonzera kuora mwoyo kana kuti kuora muviri). Zvisinei, vanhu vane marwadzo anoramba aripo havafaniri kusiya kushandisa mishonga inodzora marwadzo nekuda kwekutya kuva nehanya. Kuora mwoyo (kuora muviri) hakuna mukana wekuitika kana mishonga inodzora marwadzo ikashandiswa nechinangwa ichi. Kuora muviri kunogona kukonzera zviratidzo zvekushaya mushonga kana kurapwa kukamwa kamwe kamwe. Zvisinei, zviratidzo zvakasimba zvekushaya mushonga zvinogona kudzivirirwa nekuderedza zvishoma nezvishoma huwandu hwemushonga usati wabvisa kurapwa zvachose. Uyu mushonga unowanikwa chete pasi pechirongwa chekugovera chinonzi Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program. Chigadzirwa ichi chinowanikwa mumhando dzemushonga dzinotevera:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga unofanira kuyerwa neakanaka aunoita. Iyi sarudzo iwe nechikamu chako muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana iwe wakambonzwa chero mhinduro isingawanzoitika kana yakaipa kune mushonga uyu kana mishonga ipi zvayo. Udzawo nyanzvi yako yehutano kana iwe uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro yemapiritsi e-tapentadol extended-release, mapiritsi e-immediate-release, uye mvura yemukanwa muvana nemapiritsi muvana vane makore asina kusvika 6 uye vane uremu hushoma kupfuura makirogiramu makumi mana (kg). Kuvimbika uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo e-geriatric aizoita kuti kushandiswa kwetapentadol kuvanhu vakwegura kuve kwakaoma. Nekudaro, varwere vakwegura vane mukana wakakura wekuva nekuvimbiswa uye matambudziko ekura emapapu, chiropa, kana itsvo, izvo zvinoda kungwarira uye kugadziriswa kwemushonga wevarwere vanowana tapentadol. 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. Kunyangwe mishonga yakati wandei isingafaniri kushandiswa pamwe chete, mune mamwe mamiriro mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyangwe kuwirirana kungangoitika. Mune izvi, chiremba wako angada kuchinja mushonga, 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 nekuwanda kwavo 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 mushonga kana kuti ungashandisa imwe kana ese mishonga. Mishonga yakati wandei haifaniri kushandiswa panguva yekudya kana pedyo nekurima kana kudya marudzi akati wandei ezvokudya sezvo kuwirirana kungangoitika. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero chinotevera kazhinji hakusi kukurudzirwa, asi kungasava nyore kudzivirira mune zvimwe zviitiko. Kana zvakashandiswa pamwe chete, chiremba wako angachinja mushonga kana kuti ungashandisa mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa zvokudya, 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
Tora mushonga uyu chete sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura zvakarayirwa nachiremba wako. Izvi zvinokosha zvikuru kune varwere vakwegura, vanogona kuva vanonzwa zvakanyanya zviito zve mishonga yekurwadziwa. Kana mushonga uyu wakawanda wakatorwa kwenguva yakareba, unogona kuva tsika-kuumbwa (kukonzera kuvimba kwepfungwa kana kwemuviri) kana kukonzera overdose. Zvakakosha kwazvo kuti unzwisise mitemo yeOpioid Analgesic REMS purogiramu kudzivirira kuora mwoyo, kusvibisa, uye kushandiswa zvisina kunaka kwentapentadol. Mushonga uyu unofanira kuuyawo neGwara reMishonga. Verenga utevedzere mirairo iyi zvakanyatsonaka. Verenga zvakare nguva dzose paunodzorera mushonga wako kana paine ruzivo rutsva. Bvunza chiremba wako kana uine mibvunzo. Unogona kutora mushonga uyu nechikafu kana usina. Dya tafura yakareba-kuburitsa tafura yose, tafura imwe panguva, nemvura yakakwana. Usapwanyisa, kuputsa, kusunungura, kana kucheka. Chiyera mvura yemukanwa nemushonga wakarongedzwa we dosing unouya nepakeji. Dose yako inofanira kuyera uye kupa zvakanyatsonaka kudzivirira overdose. Dose yemushonga uyu ichave yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parineni. Ruzivo runotevera rinosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akuudza kuti uite izvozvo. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga inotsamira pane dambudziko rekuchengetedza rauri kushandisa mushonga. Kana ukasapotsa dose yemushonga uyu, siya dose yakarasika uye dzoka kune yako dosing schedule. Usapindise doses. Chengetedza kure nevana. Usachengetese mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yako yekuchengetedza utano maitiro aunofanira kubvisa chero mushonga wausashandisi. Chengetedza mushonga muhari yakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kubva pakugwamba. Chengetedza bhodhoro remvura yemukanwa rakamira mushure mekuvhura. Tapentadol inogona kukonzera zviito zvisina kunaka kana overdose yakauraya kana yakatorwa nevana, zvipfuwo, kana vakuru vasiri kushandiswa mishonga ine simba yekurwadziwa. Ita shuwa kuti unochengeta mushonga munzvimbo yakachengeteka uye yakachengeteka kudzivirira vamwe kuti vasawana. Isa chero mushonga usingashandiswe we narcotic panzvimbo yekutora mushonga nekukurumidza. Kana usina nzvimbo yekutora mushonga iri pedyo newe, dururira chero mushonga usingashandiswe we narcotic mudhoti. Tarisa chitoro chezvinodhaka chemunharaunda yako uye makiriniki enzvimbo dzekutora. Unogonawo kutarisa webhusaiti yeDEA kune nzvimbo. Heino hukama kuwebhusaiti yeFDA yakachengeteka yekubvisa mishonga: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm