Tapentadol (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Nucynta, Nucynta ER
Mayelana naleli khambi
Isisombululo neepiluli zeTapentadol zisetshenziswa ekwelapheni ubuhlungu obukhulu kangangokuba kudinga ukwelashwa nge-opioid, futhi lapho eminye imithi yokuhlunguza ingasebenzi kahle ngokwanele noma ingakhuthaleki. Iphiluli yokukhululwa okwandisiwe isetshenziswa ekwelapheni ubuhlungu obukhulu, kufaka phakathi ubuhlungu obubangelwa ukulimala kwama-nerve okuvela esifo sikashukela. Akufanele isetshenziswe ekwelapheni ubuhlungu obuba khona kuphela ngezikhathi ezithile noma "njengoba kudingeka". I-Tapentadol iyingxenye yeqembu lemithi ebizwa ngokuthi yi-narcotic analgesics (imithi yokuhlunguza) esebenza ohlelweni lwezinzwa oluphakathi (CNS) ukuze iphelise ubuhlungu. Uma i-tapentadol isebenziselwa isikhathi eside, ingaba yinto yokujwayela (ibangela ukuxhomeka kwengqondo noma emzimbeni). Noma kunjalo, abantu abanobuhlungu obuqhubekayo akufanele bavumele ukwesaba ukuxhomeka kubavimbe ekusebenziseni i-narcotics ukuze baphelise ubuhlungu babo. Ukuxhomeka kwengqondo (ukuzithoba) akunakwenzeka uma i-narcotics isebenziselwa lesi sizathu. Ukuxhomeka emzimbeni kungadala imiphumela emibi yokusilela uma ukwelashwa kuphelile ngokuzumayo. Noma kunjalo, imiphumela emibi emibi yokusilela ingavimbeka ngokuvamile ngokunciphisa kancane umthamo phakathi nesikhathi ngaphambi kokuba ukwelashwa kuphele ngokuphelele. Lolu lwemi iyatholakala kuphela ngaphansi kohlelo lokusabalalisa oluqediwe oluthi yi-Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekucatshangeni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizokwenza. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo olungavamile noma oluhambisana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bezempilo uma unezinye izinhlobo zokwaleka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenamithi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ye-tapentadol extended-release tablets, immediate-release tablets, kanye ne-oral liquid ezinganeni nasezinganeni ezineminyaka engaphansi kwengu-6 ubudala futhi ezisindayo ngaphansi kwamakhilogremu angu-40 (kg). Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-tapentadol kubantu abadala. Noma kunjalo, abantu abadala banesibopho esikhulu sokuhlushwa yi-constipation kanye nezinkinga ze-lung, isibindi, noma izingxenye zomzimba ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa kwamanani kubantu abamukela i-tapentadol. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bezempilo bakwazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi ulisebenzisa kangakanani olunye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungase futhi kubangele ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungase kungakugwenyeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi ulisebenzisa kangakanani le mithi, noma akupe 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 lemitho nje kuphela njengoba kunqunyiwe udokotela wakho. Ungayithathi ngaphezulu kwalokho, ungayithathi kaningi kakhulu, futhi ungayithathi isikhathi eside kunalokho udokotela wakho akuqondile. Lokhu kubaluleke kakhulu kubantu abadala, abangase babe nomuzwa kakhulu wemiphumela yemithi yokwelapha ubuhlungu. Uma kuthathwa okuningi kule mitho isikhathi eside, kungase kube nomlutha (kubangele ukuxhomeka kwengqondo noma komzimba) noma kubangele ukudlula umthamo. Kubalulekile kakhulu ukuqonda imithetho yohlelo lwe-Opioid Analgesic REMS ukuvimbela ukulutha, ukusebenzisa kabi, nokusebenzisa kabi i-tapentadol. Le mitho kufanele ifike ne-Medication Guide. Funda futhi ulandele lezi zinkomba ngokucophelela. Funda futhi njalo lapho ugcwalisa iresiphi yakho uma kungenzeka kukhona ulwazi olusha. Buza udokotela wakho uma unemibuzo. Ungayithatha le mitho ngokudla noma ngaphandle kokudla. Gwinya ithebulethi yokukhululwa okwandisiwe yonke, ithebulethi ngayinye ngesikhathi, ngamanzi anele. Ungayicwili, ungayaphula, ungayichithe, noma ungayigaye. Linganisa i-oral liquid nge-syringe yokulinganisa ephethwe ngephakheji. Umthamo wakho kufanele ulinganiswe futhi unikezwe ngokuqondile ukuze ugweme ukudlula umthamo. Umthamo wale mitho uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esitikhwini. Ulwazi olulandelayo luhlanganisa kuphela imithamo yale mitho. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondile ukwenza njalo. Inani lemitho 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 wale mitho, susa umthamo ophuthelwe bese ubuyela esimisweni sakho sokuthola umthamo ojwayelekile. Ungawandisi imithamo. Gcina kubantu abangabantwana. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahla kanjani imithi oyisebenzisayo. Gcina imithi esitsheni esivaliwe ekushiseni kweqembu, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayigandisi. Gcina ibhodlela le-oral liquid liqondile ngemuva kokuvula. I-Tapentadol ingabangela imiphumela emibi emibi noma ukudlula umthamo okubulalayo uma ithathwe ngabantwana, izilwane ezifuywayo, noma abantu abadala abangajwayelene nemithi enamandla yokwelapha ubuhlungu. Qiniseka ukuthi uyibeka imithi endaweni ephephile nevikelekile ukuvimbela abanye ukuyithola. Shiya imithi yanoma iyiphi imithi engasetshenziswanga endaweni yokuthatha imithi ngokushesha. Uma ungenayo indawo yokuthatha imithi eduze kwakho, sula noma iyiphi imithi engasetshenziswanga e-toilet. Hlola isitolo sakho semithi sasekhaya nama-clinic ukuze uthole izindawo zokuthatha imithi. Ungahlola futhi iwebhusayithi ye-DEA ukuze uthole izindawo. Nanka ikhonkco lewebhusayithi 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.