Hydrocodone (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Hysingla ER, Vantrela ER, Zohydro ER, Hycodan, pdp-HYDROcodone, Robidone
Mayelana naleli khambi
I-Hydrocodone isetyenziselwa ukunciphisa ubuhlungu kubantu abakhuthazelele ama-opioid, obuhlungu obukhulu kangangokuba kudinga ukunciphisa ubuhlungu ubusuku nemini isikhathi eside. Akufanele isetshenziswe uma udinga imithi yokuhlunguza isikhathi esifushane, njengoba ukhulula ekuhlinzweni. Ungayisebenzisi le mithi ukuze unciphise ubuhlungu obukhulu. Le mithi akufanele isetshenziswe ekwelapheni ubuhlungu obukhona kuphela ngezikhathi ezithile noma "njengoba kudingeka". Isetshenziswa futhi ekwelapheni ubuhlungu obukhulu nobuhlala njalo obudinga ukwelashwa kwama-opioid okwexeshana, futhi lapho eminye imithi yokuhlunguza ingasebenzi kahle noma ingakhuthaleki. I-Hydrocodone iyingxenye yeqembu lemithi ebizwa ngokuthi yi-opioid analgesics (imithi yokuhlunguza). Isebenza ohlelweni lwezinzwa oluphakathi (CNS) ukuze inciphisa ubuhlungu. Uma i-hydrocodone isetshenziswa isikhathi eside, ingaba nomlutha, ibangele ukuxhomeka kwengqondo noma emzimbeni. Noma kunjalo, abantu abanobuhlungu obuqhubekayo akufanele bavumele ukwesaba ukuxhomeka kubavimbe ekusebenziseni ama-opioid ukuze banciphise ubuhlungu babo. Ukuxhomeka kwengqondo (ukuxhomeka) kuncane kakhulu uma ama-opioid esetshenziswa ngale njongo. Ukuxhomeka komzimba kungabangela izimpawu zokuhoxa uma ukwelashwa kuphelile ngokuzumayo. Noma kunjalo, izimpawu zokuhoxa ezinzima ngokuvamile zingathintelwa ngokunciphisa kancane umthamo isikhathi esithile ngaphambi kokuba ukwelashwa kuphele ngokuphelele. Le mithi itholakala kuphela ngomyalelo wezokwelapha. I-Hysingla® ne-Zohydro® zitholakala kuphela ngaphansi kohlelo lokusabalalisa oluqediwe oluthi yi-Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program. Lo mkhiqizo utholakala ngezindlela zokwelapha ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engavamile noma ebangelwa uketshezi kulo muthi noma kunoma iyiphi eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenamibhalo, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-hydrocodone kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-hydrocodone kubantu abadala. Noma kunjalo, abantu abadala banesikhathi esiningi sokudideka nokulala okukhulu kanye nezinkinga ze-liver, ikidney, inhliziyo, noma imiphunga ehambisana nobudala, okungadinga ukuqapha nokulungiswa kwamanani kubantu abamukela i-hydrocodone. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa lo muthi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha lo muthi ngesikhathi sokuncelisa. Nakuba imithi ethile ingafanele isetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha lo muthi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lo muthi nanoma iyiphi imithi elandelayo akunconywa. Udokotela wakho anganquma ukungakwelaphi ngalo muthi noma ukushintsha eminye imithi oyithathayo. Ukusebenzisa lo muthi nanoma iyiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma zombili imithi. Imithi ethile akufanele isetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukuhlangana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngemithi ethile kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lo muthi nanoma yini elandelayo ngokuvamile akunconywa, kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani lo muthi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwalo muthi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemi nje kuphela njengoba uqondiswe udokotela wakho. Ungathathi okuningi kwalokho, ungalithathi kaningi, futhi ungalithathi isikhathi eside kunalokho udokotela wakho akuqondisile. Lokhu kubaluleke kakhulu kubantu abadala, abangase babe nomuzwa kakhulu wemiphumela yemithi yokwelapha ubuhlungu. Uma kuthathwa okuningi kuleli lemi isikhathi eside, kungase kube nomlutha (kubangele ukuncika kwengqondo noma komzimba) noma kubangele ukudlula umthamo. Kubalulekile kakhulu ukuthi uqonde imithetho yohlelo lwe-Opioid Analgesic REMS ukuvimbela ukulutha, ukusebenzisa kabi, nokusebenzisa kabi i-hydrocodone. Leli lemi kufanele libe ne-Medication Guide. Funda futhi ulandele le miyalo ngokucophelela. Uyifunde futhi njalo lapho ugcwalisa iresiphi yakho uma kunemininingwane emisha. Buza udokotela wakho uma unemibuzo. Uma usebenzisa ama-capsule extended-release noma ama-tablet extended-release: Thatha leli lemi ngesikhathi esifanayo nsuku zonke. Umthamo waleli lemi uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela imithamo yaleli lemi. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondise ukwenza kanjalo. Inani leli lemi olithathayo lixhomeke emandleni elemi. Futhi, inani lemithamo olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi olithatha leli lemi kuya ngenkinga yezokwelapha oyisebenzisela leli lemi. Uma uphuthelwa umthamo waleli lemi, uthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, susa umthamo ophuthelwe bese ubuyela esimisweni sakho sokudla okuvamile. Ungawandisi imithamo. Uma uphuthelwa umthamo we-Hysingla® ER, susa umthamo ophuthelwe bese ubuyela esimisweni sakho sokudla okuvamile. Gcina leli lemi esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungawagandisi. Gcina kungafinyeleleki izingane. Ungagcini leli lemi eliphelile noma leli lemi elingasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi lemi ongase ulusebenzisi. I-Hydrocodone ingabangela imiphumela engathandeki noma ukudlula umthamo okubulalayo uma ithathwa izingane, izilwane ezifuywayo, noma abantu abadala abangajwayelene nemithi enamandla yokwelapha ubuhlungu be-opioid. Qiniseka ukuthi ugcina leli lemi endaweni ephephile nevikelekile ukuvimbela abanye ukuthi balithole. Shiya noma yiliphi lemi le-opioid elingasetshenziswanga endaweni yokuthatha kabusha imithi ngokushesha. Uma ungenayo indawo yokuthatha kabusha imithi eduze kwakho, sula noma yiliphi lemi le-opioid elingasetshenziswanga esithunzini. Hlola esitolo sakho semithi sasekhaya nakwezinye izikhungo ukuze uthole izindawo zokuthatha kabusha. Ungahlola futhi iwebhusayithi ye-DEA ukuze uthole 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.