Pentazocine

Qanacsan

• Kahor qaadashada pentazocine,
• Pentazocine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Pentazocine wuxuu caado u noqon karaa sameysashada, gaar ahaan isticmaalka muddada dheer. Qaado pentazocine sida saxda ee lagu faray. Ha ka qaadin wax badan, ha u qaadin marar badan, ama ha u qaadin qaab ka duwan sida uu takhtarku ku faray. Intaad qaadaneysid pentazocine, kala hadal daryeel caafimaad bixiyahaaga yoolalkaaga daaweynta xanuunka, dhererka daaweynta, iyo siyaabo kale oo aad u maareyn karto xanuunkaaga. U sheeg dhakhtarkaaga haddii adiga ama qof ka mid ah qoyskaaga aad cabto ama aad waligaa cabto qamri aad u tiro badan, isticmaasho ama aad waligaa isticmaasho daroogada waddooyinka, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray, ama aad u badatay, ama haddii aad leedahay ama aad waligaa isku buuqday ama cudur maskaxeed kale. Khatar weyn ayaa ka jirta inaad si xad dhaaf ah u isticmaasho pentazocine haddii aad leedahay ama aad waligaa isku aragtay mid ka mid ah xaaladahaas. Si dhakhso leh ula hadal daryeel caafimaad bixiyahaaga oo weydii hagitaan haddii aad u malaynayso inaad qabatimay qabatinka opioid ama wac Ujeeddada Maandooriyaha Maandooriyaha iyo Maamulka Adeegyada Caafimaadka Maskaxda (SAMHSA) Khadka Caawinta Qaranka ee 1-800-662-HELP.

Pentazocine wuxuu sababi karaa dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, gaar ahaan inta udhaxeysa 24 ilaa 72 saac ee ugu horeysa ee daaweyntaada iyo waqti kasta oo qiyaastaada la kordhiyo. Dhakhtarkaaga ayaa si taxadar leh kuu kormeeri doona inta lagu jiro daaweyntaada. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa neefta gaabisay ama neefta qabatay. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan pentazocine. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudur sambabaha ah sida cudur sambabaha oo xaniba oo joogto ah (COPD; koox cuduro ah oo saameeya sambabada iyo hawo mareenka), dhaawac madaxa ah, buro maskaxda ah, ama xaalad kasta oo kordhinaysa cadaadiska maskaxdaada. Khatarta aad ku yeelan karto dhibaatooyinka neefsashada way ka sii badnaan kartaa haddii aad tahay qof weyn oo da 'weyn ama aad tabar daran tahay ama aad u liidato nafaqo darro cudur awgeed. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn caafimaad oo deg deg ah: neefta oo gaabisa, hakad badan oo istaaga inta u dhexeysa neefsashada, ama neefta oo ku qabata.

Qaadashada daawooyinka qaarkood dawooyinka kale ee leh pentazocine waxay kordhin kartaa halista ah inaad kudhacdo dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, suuxdin, ama miyir beelid. U sheeg dhakhtarkaaga iyo farmashiistaha haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: daawooyinka qaarkood ee antifungal oo ay ku jiraan itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), iyo voriconazole (Vfend); benzodiazepines sida alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), iyo triionalam; carbamazepine (Carbatrol, Epitol, Tegretol, Teril); clarithromycin (Biaxin, gudaha PrevPac); erythromycin, daawooyinka cudurada maskaxda, lallabbo, ama xanuun; nasashada murqaha; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, oo ku yaal Rifamate); dajiya; kaniiniyada hurdada; ama dejiyeyaasha. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu bedelo qiyaasta daawadaada si taxaddar leh ayuu kuu ilaalin doonaa. Haddii aad qaadato pentazocine mid ka mid ah daawooyinkan oo aad yeelato mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama raadso daryeel caafimaad oo degdeg ah: dawakhaad aan caadi ahayn, madax-wareer, hurdo-xumo aad u daran, neefsasho gaabis ah ama dhib badan, ama jawaab celin la'aan. Hubso in daryeel bixiyahaaga ama xubnaha qoyskaaga ay ogyihiin calaamadaha halista ah si ay ugu wici karaan dhakhtarka ama daryeelka caafimaadka degdegga ah haddii aadan awoodin inaad iskaa u doonato daaweyn.

Cabitaanka aalkolada, qaadashada daawada dhakhtar qoro ama daawooyinka aan dhakhtar qorin ee ay ku jiraan aalkolada, ama isticmaalka daroogada dariiqa inta lagu guda jiro daaweyntaada pentazocine waxay kordhisaa halista ah inaad la kulanto waxyeelooyinkaan halista ah ee nolosha halis gelinaya. Ha cabin aalkolo, ha u qorin daawooyinka dhakhtar qoro ama kuwa aan dhakhtar qorin ee ay ku jiraan aalkolada, ama ha u isticmaalin daroogada waddada inta lagu jiro daweyntaada.

Ha u oggolaan qof kale inuu qaato daawadaada. Pentazocine wuxuu waxyeellayn karaa ama u geeri karaa dadka kale ee qaata daawadaada, gaar ahaan carruurta.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u qaadato pentazocine inta aad uurka leedahay, ilmahaagu waxaa laga yaabaa inuu la kulmo astaamaha ka-noqoshada nolosha ee halista ku ah dhalashada ka dib. Isla markiiba u sheeg dhakhtarka ilmahaaga haddii ilmahaagu la kulmo astaamaha soo socda midkood: xanaaq, kacsanaan, hurdo aan caadi ahayn, oohin qaylo-dhaan ah, gariir aan la xakamayn karin oo ka mid ah jirka, matag, shuban, ama miisaanka oo kordha.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo-saaraha (Hagaha Daawada) markaad bilowdo daaweyntaada pentazocine iyo waqti kasta oo aad dib u buuxiso daawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Takhtarkaaga kala hadal halista qaadashada pentazocine.

Pentazocine waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran. Pentazocine wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'opiate (narcotic) analgesics'. Waxay ku shaqeysaa iyadoo la beddelayo habka maskaxda iyo nidaamka neerfaha uga jawaabaan xanuunka.

Pentazocine wuxuu u yimaadaa kiniin ahaan afka laga qaato. Badanaa waxaa la qaataa 3 ilaa 4 saacadood kasta sida loogu baahdo. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado pentazocine sida saxda ee lagu faray.

Kiniiniyada Pentazocine waa in afka lagu qaataa. Ha isku dayin inaad milixdid oo aad kiniinnada isku durto. Duriinka pentazocine wuxuu sababi karaa dhibaatooyin caafimaad oo halis ah ama dhimasho. Naloxoon waxaa lagu daraa kaniiniyada si dadka u duraya kiniiniyada kala daadsan aysan u la kulmin saameynta la doonayo ee pentazocine.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada pentazocine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay pentazocine, naloxone, daawooyin kale, ama wax kasta oo ka mid ah maaddooyinka ku jira kiniinnada pentazocine. Weydii dhakhtarkaaga ama farmashiistaha liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, in Treximet), iyo zolmitriptan (Zomig); daawooyinka qufaca, qabowga, ama xasaasiyadda; 5HT3 serotonin blockers sida alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), ama palonosetron (Aloxi); xakameeyayaasha serotonin-reuptake inhibitors sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), iyo sertraline (Zoloft); serotonin iyo norepinephrine reuptake inhibitors sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), iyo venlafaxine (Effexor); tramadol; trazodone (Oleptro); iyo tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine. Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanayso ama aad qaadanayso mid ka mid ah daawooyinka soo socda ama aad joojisay qaadashadooda labadii toddobaad ee la soo dhaafay: ka hortagayaasha monoamine oxidase (MAO) sida isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Eldepryl, Zelapar), iyo tranylcypromine (Parnate). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara pentazocine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad weligaa dhibaato kaa haysato kaadida; qalalaasaha suuxdinta; sambabada, beerka, kilyaha, tayroodhka, kaadi haysta, ama wadne xanuun.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Takhtarkaaga kala hadal halista qaadashada pentazocine.
• kala hadal dhakhtarkaaga wixii ku saabsan isticmaalka nabdoon ee daawadan haddii aad tahay 65 sano jir ama ka weyn. Dadka waayeelka ah ee da'da weyn waa inaysan badiyaa qaadan pentazocine maxaa yeelay ammaan uma ahan sida daawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaaladdii.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso pentazocine.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Daawadan badanaa waxaa loo qaataa sidii loogu baahdo. Haddii dhakhtarkaagu kuu sheegay inaad si joogto ah u qaadato pentazocine, qaado qiyaasta la seegay isla marka aad xusuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Pentazocine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• daal badan
• madax wareer
• lulmid
• isbedelka niyadda
• madax xanuun
• calool xanuun
• calool istaag
• calool xanuun
• finan
• kaadida oo ku adkaata

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:

• neefsashada oo adkaata
• isbedelada garaaca wadnaha
• kacsan, dhalanteed (aragtida wax ama maqalka codad aan jirin), qandho, dhidid, jahwareer, garaaca wadnaha oo dhaqso ah, gariir, muruq xanuun daran ama qallooc, isku xirnaan la'aan, lallabbo, matag, ama shuban
• lallabbo, matag, rabitaan la'aanta cuntada, daciifnimo, ama wareer
• awood u lahayn inuu kaco ama kacsanaado
• caadada oo aan caadi ahayn
• rabitaanka galmada oo yaraaday
• miyir beelid

Pentazocine wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Inta aad qaadanaysid pentazocine, waa inaad kala hadashaa dhakhtarkaaga sidii aad u heli lahayd daawo samatabbixin ah oo la yiraahdo naloxoon si fudud loo heli karo (tusaale ahaan, guriga, xafiiska). Naloxoon waxaa loo isticmaalaa in lagu beddelo saamaynta naf-gooyada ah ee xad dhaafka ah. Waxay ku shaqeysaa iyadoo la xakameynayo saameynta opiates si loo yareeyo astaamaha halista ah ee ay sababaan heerarka sare ee opiates ee dhiigga. Dhakhtarkaagu sidoo kale wuxuu kuu qori karaa naloxoon haddii aad ku nooshahay guri ay ku jiraan carruur yaryar ama qof ku xadgudbay dariiqyada ama daawooyinka laguu qoray. Waa inaad hubisaa inaad adiga iyo xubnaha qoyskaaga, daryeel bixiyeyaasha, ama dadka waqtiga kula qaadanaya ay ogaadaan sida loo aqoonsado xad dhaafka, sida loo isticmaalo naloxoon, iyo waxa la sameeyo ilaa gargaarka caafimaad ee degdegga ahi yimaado. Dhakhtarkaaga ama farmashiistahaaga ayaa ku tusi doona adiga iyo xubnaha qoyskaaga sida loo isticmaalo daawada. Weydii farmasiilahaaga tilmaamaha ama booqo websaydhka soo saaraha si aad u hesho tilmaamaha. Haddii calaamadaha xad-dhaafka ah ay dhacaan, saaxiib ama xubin qoyska ka mid ah waa inay bixiyaan qiyaasta ugu horreysa ee naloxoon, wac 911 isla markiiba, oo way kula joogaan oo si dhow ayey kuu ilaalinayaan ilaa gargaarka caafimaad ee deg-degga ahi yimaado. Calaamadahaaga ayaa soo laaban kara daqiiqado yar gudahood ka dib marka lagu siiyo naloxoon. Haddii calaamadahaagu soo noqdaan, qofku waa inuu ku siiyaa qiyaas kale oo ah naloxoon. Qiyaaso dheeri ah ayaa la siin karaa 2 ilaa 3 daqiiqadood kasta, haddii calaamaduhu soo noqdaan ka hor intaanay gargaarka caafimaad iman.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• neefsasho gaabis ah
• neefsashada oo adkaata
• hurdo xad dhaaf ah
• aan awoodin in aan ka jawaabo ama ka soo kaco

Dhammaan ballamaha la dhig takhtarkaaga iyo shaybaarkaaga. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood si loo hubiyo jawaabta jirkaaga ee pentazocine.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lug leh buluug methylene), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso pentazocine.

Ha u ogolaan qof kale inuu qaato daawadaada. Pentazocine waa walax la kontoroolo. Daawooyinka laguu qoro waxaa lagu buuxin karaa oo keliya tiro kooban oo jeer ah; weydii farmashiistahaaga haddii aad wax su'aalo ah qabtid.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Talwin^® NX^¶
• Talacen^® (sida shey isku jira oo ay ku jiraan Acetaminophen, Pentazocine)^¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.