Hydrocodone ne-acetaminophen (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Anexsia, Ceta Plus, Co-Gesic, Dolorex Forte, Hycet, Lorcet, Lortab, Maxidone, Norco, Stagesic, Vicodin HP, Zydone
Mayelana naleli khambi
Ukusetshenziswa kokuhlanganiswa kweHydrocodone ne-acetaminophen kuwukunciphisa ubuhlungu obukhulu kangangokuba kudinga ukwelashwa kwe-opioid, futhi uma amanye amayeza okuhlungu angasebenzi kahle ngokwanele noma angakhuthaleki. I-Acetaminophen isebenza ekuqedeni ubuhlungu nokunciphisa ubushushu kubantu abagulayo. Ayikhi umlutha uma isetshenziswa isikhathi eside. Kodwa-ke, i-acetaminophen ingabangela ezinye izingozi uma ithathwa ngamandla amakhulu, okuhlanganisa ukulimala kwesibindi. Nakuba kunqabile, ukusetshenziswa kwe-acetaminophen kubikwe ukuthi kuholele ekufakweni kwesibindi nokufeni, ngokuvamile ngamandla amakhulu futhi uma kuye kwasetshenziswa imikhiqizo eminingi ehlanganisa i-acetaminophen. I-Hydrocodone iyingxenye yeqembu lamayeza abizwa ngokuthi yi-opioid analgesics (amayeza okuhlungu). Isebenza ohlelweni oluphakathi lwezinzwa (CNS) ukuqeda ubuhlungu, futhi imisa noma ivimbele ukukhokha. Uma i-hydrocodone isetshenziswa isikhathi eside, ingaba umlutha, ibangele ukuxhomeka kwengqondo noma emzimbeni. Noma kunjalo, abantu abanobuhlungu obuqhubekayo akufanele bavumele ukwesaba ukuxhomeka kubavimbe ekusebenziseni i-opioids ukuqeda ubuhlungu babo. Ukuxhomeka kwengqondo (ukuzithoba) kuncane kakhulu uma i-opioids isetshenziswa ngenhloso. Ukuxhomeka emzimbeni kungabangela izimpawu zokuhoxa uma ukwelashwa kuphelile ngokuzumayo. Noma kunjalo, izimpawu ezinzima zokuhoxa ngokuvamile zingavimbeka ngokupholisa kancane umthamo phakathi nesikhathi ngaphambi kokuba ukwelashwa kuphele ngokuphelele. Loluye lwethu lutholakala kuphela ngaphansi kohlelo lokusabalalisa oluqediwe oluthi yi-Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekucatshangeni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqulu ozowenza wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kulo muthi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenalo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-hydrocodone ne-acetaminophen combinationcapsulesandtablets kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantwana ezingalinda ukusetshenziswa kwe-hydrocodone ne-acetaminophen combinationoral liquid ezinganeni ezineminyaka emibili ubudala nangaphezulu. Noma kunjalo, ukuphepha nokuphumelela akukaqiniswa ezinganeni ezineminyaka engaphansi kwemibili ubudala. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-hydrocodone ne-acetaminophen combination kubantu abadala. Noma kunjalo, iziguli ezikhulile zinezinkinga zokudideka nokuqwasha, nezinkinga ze-lung, isibindi, ikidini, noma inhliziyo ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa kwamanani kwabantu abamukela i-hydrocodone ne-acetaminophen combination. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba imithi ethile ingafanele isetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlanganisiwe ngezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye zezinto ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Imithi ethile akufanele isetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba ukuhlangana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngemithi ethile kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kungakhuthazwa kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe kodwa kungase kungakhuthazwa kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemithi kuphela njengoba kunqunyiwe udokotela wakho. Ungathathi okuningi kwalokhu, ungathathi kaningi, futhi ungathathi isikhathi eside kunalokho udokotela wakho akuqondile. Lokhu kubaluleke kakhulu kubantu abadala, abangase babe nomuzwa kakhulu ngemiphumela yemithi yokunciphisa ubuhlungu. Uma kuthathwa okuningi kwale mithi isikhathi eside, kungase kube yinto yokujwayela (okubangela ukuncika ngokwengqondo noma ngokomzimba) noma kubangele ukudlula umthamo. Inani elikhulu le-acetaminophen lingalimaza isibindi. Kubalulekile kakhulu ukuthi uqonde imithetho yohlelo lwe-Opioid Analgesic REMS ukuvimbela ukulutha, ukusebenzisa kabi, nokusebenzisa kabi ukuxuba kwe-hydrocodone ne-acetaminophen. Le mithi kufanele ifike ne-Medication Guide nephepha lemininingwane yomguli. Funda futhi ulandele lezi zinkomba ngokucophelela. Funda futhi njalo lapho ugcwalisa iresiphi yakho uma kunemininingwane emisha. Buza udokotela wakho uma unemibuzo. Linganisa i-oral liquid ngesipuni sokuqapha esiphawuliwe, isirinji yomlomo, i-dropper, noma indebe yemithi. Isipuni sasekhaya esijwayelekile singase singagcini inani elifanele le-liquid. Hlola ngokucophelela imibhalo yazo zonke ezinye izidakamizwa ozisebenzisayo, ngoba zingase zibe ne-acetaminophen. Akuphephile ukusebenzisa ngaphezu kwamagremu angu-4 (amamilligrams angu-4,000) we-acetaminophen ngosuku olulodwa (amahora angu-24), ngoba lokhu kungase kukhulise ingozi yezinkinga ezinkulu zesibindi. Kubantu abanesimo sesibindi, umkhawulo omkhulu wansuku zonke wokusebenzisa i-acetaminophen ungase ube ngaphansi kwamagremu angu-4. Khuluma nodokotela wakho uma unemibuzo ngalokhu. Umthamo walemithi uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemibhalweni. Ulwazi olulandelayo luhlanganisa kuphela imithamo yale mithi. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondile ukwenza kanjalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo walemithi, thatha ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, suka umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola umthamo ojwayelekile. Ungawandisi imithamo. Uma uphuthelwa umthamo we-hydrocodone ne-acetaminophen oral solution noma i-Norco®, suka umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola umthamo ojwayelekile. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayikhiphi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi eliphelile noma imithi engasasetshenziswa. I-Hydrocodone ingabangela imiphumela engathandeki noma ukudlula umthamo okubulalayo uma ithathwa ngabantwana, izilwane ezifuywayo, noma abantu abadala abangajwayelene nemithi ebuhlungu ye-opioid eqinile. Qiniseka ukuthi ugcina imithi endaweni ephephile nevikelekile ukuvimbela abanye ukuyithola. Yisuse noma iyiphi imithi ye-opioid engasetshenziswanga endaweni yokuthatha imithi ngokushesha. Uma ungenayo indawo yokuthatha imithi eduze kwakho, phonsa noma iyiphi imithi ye-opioid engasetshenziswanga e-toilet. Hlola esitolo sakho semithi sasekhaya nama-clinic ukuthola izindawo zokuthatha imithi. Ungahlola futhi iwebhusayithi ye-DEA ukuthola izindawo. Nanka isixhumanisi sewebhusayithi ye-FDA yokulahla imithi ngokuphepha: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.