Buprenorphine Sublingual iyo Buccal (ku tiirsanaanta opioid)

Qanacsan

• Kahor qaadashada buprenorphine ama buprenorphine iyo naloxone,
• Buprenorphine ama buprenorphine iyo naloxone waxay sababi karaan 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 astaamahan ama kuwa ku taxan Digniino MUHIIM AH ama taxaddarro gaar ah, wac dhakhtarkaaga isla markiiba:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Buprenorphine iyo isku darka buprenorphine iyo naloxone ayaa loo isticmaalaa in lagu daaweeyo ku tiirsanaanta opioid (qabatinka daroogada opioid, oo ay ku jiraan heroin iyo xanuun joojiyaha). Buprenorphine waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'opioid parition agonist-antagonists' naloxone waxay kujirtaa nooc daawooyin ah oo loo yaqaan 'opioid antagonists'. Buprenorphine oo keliya iyo isku darka buprenorphine iyo naloxone waxay ka shaqeeyaan sidii looga hortagi lahaa astaamaha ka-noqoshada marka qof joojiyo qaadashada daawooyinka opioid isagoo soo saaraya saameyn lamid ah daawooyinkan.

Buprenorphine waxay u timaadaa sidii kiniin sublingual ah. Isku darka buprenorphine iyo naloxone wuxuu u yimaadaa kiniin sublingual ah (Zubsolv) iyo filim sublingual (Suboxone) ah oo lagu qaado carrabka hoostiisa iyo filim buccal ah (Bunavail) si loo dhex mariyo ciridka iyo dhabanka. Kadib marka dhakhtarkaagu go'aamiyo qiyaasta ku habboon, alaabooyinkan waxaa badanaa la qaataa hal mar maalintii. Si lagaaga caawiyo inaad xasuusato inaad qaadato ama aad codsatid buprenorphine ama buprenorphine iyo naloxone, qaado ama codso isla waqti isku mid ah maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U qaado ama u dalbo buprenorphine ama buprenorphine iyo naloxoon sida saxda ee lagu faray. Ha qaadan ama ha codsan wax ka yar ama ka yar ama ha qaadan ama ha codsan inta badan inta dhakhtarku kuu qoray.

Dhakhtarkaaga ayaa laga yaabaa inuu go'aansado inuu ku bilaabo daaweyntaada buprenorphine, oo aad ku qaadan doonto xafiiska dhakhtarka. Waxaad ku bilaabi doontaa qadar yar oo ah 'buprenorphine' dhakhtarkaaguna wuxuu kordhin doonaa qiyaastaada 1 ama 2 maalmood kahor intaadan u wareegin buprenorphine iyo naloxone. Waxay kuxirantahay nooca opioid ee aad qaadaneysay, ikhtiyaar kale oo takhtarkaagu dooran karo ayaa ah inuu kugu bilaabo daaweynta isla markiiba buprenorphine iyo naloxone. Dhakhtarkaagu wuxuu kordhin karaa ama yareyn karaa daawadaada buprenorphine iyo naloxoon iyadoo kuxiran jawaabtaada.

Haddii aad qaadanaysid kaniiniyada laba-lugaha ah, kaniiniyadaada hoos dhig carrabkaaga illaa ay gebi ahaanba dhalaalayaan. Haddii aad qaadaneysid wax ka badan laba kiniin, ama dhammaantood dhig carrabkaaga hoostiisa isla waqtigaas ama dhig carrabkaaga hoostiisa illaa labo markiiba. Ha calalin kiniinka ama ha wada liqin. Ha cunin, ha cabbin, hana la hadlin ilaa kaniiniga gebi ahaanba uu milmayo.

Haddii aad isticmaaleyso filimka caloosha ku jira, carrabkaaga u isticmaal inaad ku qoyso gudaha dhabankaaga ama ku luqluq biyo afkaaga kahor intaadan filimka marin. Filimka ku mari farta qalalan dusha dhabanka gudihiisa. Kadib farta ka saar filimkuna wuxuu ku dhegi doonaa gudaha dhabankaaga. Haddii aad isticmaali doontid laba filim, ku dheji filim kale gudaha dhabankaaga kale isla waqtigaas. Ha is dul marin filimada midba midka kale hana ku dabaqin wax ka badan labo filim afkiisa hal mar. Filimka (yada) afka uga daa ilaa ay ka milmayaan. Ha jarin, jeexin, calalin, ha liqin, ha taaban ama dhaqaajin filimka inta uu kala baxayo. Waxna ha cunin ama ha cabbin ilaa filimku gebi ahaanba kala baxo.

Haddii aad isticmaaleyso filimka laba-luuqadlaha ah, ku luqluq afkaaga biyo kahor intaadan dhigin filimka. U dhig filimka farta qalalan carrabkaaga hoostiisa midigta ama bidixda ee bartamaha kuna hayso filimka 5 ilbidhiqsi. Haddii aad isticmaaleyso labo filim, kan kale dhinaca kale ee carrabka hoostiisa. Ha dul dhigin filimada midba midka kale dushiisa ama ha u dhaweyd. Ha u isticmaalin wax ka badan laba filim hal mar. Ha jarin, jeexin, calalin, ha liqin, ha taaban ama dhaqaajin filimka inta uu kala baxayo. Waxna ha cunin ama ha cabbin ilaa filimku gebi ahaanba kala baxo.

Haddii aad u baahan tahay inaad ka beddesho hal buprenorphine ama buprenorphine iyo wax soo saarka naloxoon una beddelo mid kale, dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu saxo qiyaastaada. Markasta oo aad hesho daawadaada, hubi inaad heshay buprenorphine badeecada laguu qoray. Weydii farmasiilahaaga haddii aadan hubin inaad heshay daawada saxda ah.

Ha u joojin qaadashada buprenorphine ama buprenorphine iyo naloxone adigoon la hadlin dhakhtarkaaga. Joojinta buprenorphine ama buprenorphine iyo naloxoon si dhakhso leh ayey u keeni kartaa astaamaha ka-noqoshada. Dhakhtarkaaga ayaa kuu sheegi doona goorta iyo sida loo joojiyo qaadashada buprenorphine ama buprenorphine iyo naloxone. Haddii aad si lama filaan ah u joojiso qaadashada buprenorphine ama buprenorphine iyo naloxone, waxaad la kulmi kartaa astaamaha ka-noqoshada sida kuleylka kulul ama qabowga, degganaansho la'aanta, indhaha ilmada, sanka oo dareera, dhidid, dhaxan, murqo xanuun, matag, ama shuban.

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

Kahor qaadashada buprenorphine ama buprenorphine iyo naloxone,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay buprenorphine, naloxone, daawooyin kale, ama mid ka mid ah maaddooyinka kale ee ku jira buprenorphine ama buprenorphine iyo naloxone sublingual tablets ama filim. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada 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 aad qaadanayso. Hubso inaad sheegto mid ka mid ah kuwan soo socda: antihistamines (oo laga helo dawooyinka qabow iyo xasaasiyadda); daawooyinka neerfaha sida aripiprazole (Abilify), asenapine (Saphris), cariprazine (Vraylar), chlorpromazine, clozapine (Versacloz), fluphenazine, haloperidol (Haldol), iloperidone (Fanapt), loxapine, lurasidone (Latuda), mol , paliperidone (Invega), perphenazine, pimavanserin (Nuplazid), quetiapine (Seroquel), risperidone (Risperdal), thioridazine, thiothixene, trifluoperazine, iyo ziprasidone (Geodon); benzodiazepines sida alprazolam (Xanax), chlordiazepoxide (Librium), clobazam (Onfi), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepamz) quazepam (Doral), temazepam (Restoril), iyo triazolam (Halcion); durayaasha ('kaniiniyada biyaha'); erythromycin (E.E.S., Eryc, Erythrocin, kuwa kale); dawooyinka HIV qaarkood sida atazanavir (Reyataz, in Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, in Atripla), etravirine (Intelence), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), iyo ritona , Kaletra, Technivie); hypnotics; ipratropium (Atrovent); daawooyinka cudurka mindhicirka xanaaqa, dhaqdhaqaaqa dhaqdhaqaaqa, cudurka Parkinson, boogaha, ama dhibaatooyinka kaadida; ketoconazole; daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); murqaha nasteexo sida cyclobenzaprine (Amrix), dantrolene (Dantrium), iyo metaxalone (Skelaxin); dawooyinka opiate (narkotikada) ee xakameynta xanuunka iyo qufaca; rifampin (Rifadin, Rimactane, gudaha Rifater, Rifamate); daawooyinka suuxdinta sida carbamazepine (Epitol, Tegretol, Teril, kuwa kale), phenobarbital, iyo phenytoin (Dilantin, Phenytek); dajiya; 5HT₃ xannibaadaha serotonin sida alosetron (Lotronex), granisetron (Sancuso, Sustol), 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 duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), iyo venlafaxine (Effexor); kaniiniyada hurdada; tramadol (Conzip); trazodone; ama 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 qaadanaysid ama aad qaadanaysid daawadayaasha monoamine oxidase (MAO) ama haddii aad joojisay qaadashadooda labadii toddobaad ee la soo dhaafay: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), ama tranylcypromine (Parnate). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara buprenorphine ama buprenorphine iyo naloxone, 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 St. John’s wort iyo tryptophan.
• u sheeg dhakhtarkaaga haddii aad cabto ama aad waligaa cabto qamri aad u tiro badan iyo haddii aad qabto ama aad waligaa la kulantay dhibaatooyin adrenal ah sida cudurka Addison (xaalad ah in qanjirka 'adrenal gland' uu soo saaro hormoon ka yar kan caadiga ah); qanjirka 'prostatic hypertrophy' (BPH, ballaarinta qanjirka 'prostate'); dhibaatada kaadida; dhaawac madaxa ah; dhalanteed (aragtida wax ama maqalka codad aan jirin); qallooca lafdhabarta oo adkeeya neefsashada; cudurka xameetida; Cudurka sambabaha ee joogtada ah (COPD, koox cuduro ah oo saameeya sambabada iyo hawo mareenka); ama qanjirka 'thyroid', kilyaha, beerka, ama cudurka sambabka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelato inta aad qaadanaysid buprenorphine ama buprenorphine iyo naloxone, wac dhakhtarkaaga. Haddii aad qaadatid buprenorphine ama buprenorphine iyo kaniiniyada naloxoon ama aad si joogto ah u duubtid filim inta aad uurka leedahay, ilmahaagu wuxuu la kulmi karaa astaamaha ka-noqoshada nolosha ee khatarta ku ah dhalashada ka dib. U sheeg dhakhtarka ilmahaaga isla markiiba haddii ilmahaagu la kulmo mid ka mid ah astaamaha soo socda: xanaaq, suuxdin, gariir aan la koontarooli karin oo ka mid ah jirka, matag, shuban, ama miisaanka oo kordho.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. U sheeg dhakhtarka ilmahaaga isla markiiba haddii ilmahaagu ka seexdo sidii caadiga ahayd ama ay dhibaato ka haysato neefsashada inta aad qaadanayso dawadan.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso buprenorphine ama buprenorphine iyo naloxone.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha qaadashada buprenorphine ama buprenorphine iyo naloxone.
• waa inaad ogaataa in buprenorphine ama buprenorphine iyo naloxone ay kaa dhigi karaan inaad lulmooto. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• waa inaadan cabin aalkolo ama aadan qaadan daawooyinka dhakhtar qoro ama kuwa aan dhakhtar qorin ee ay kujiraan aalkolo inta aad qaadaneyso daawadan.
• waa inaad ogaataa in buprenorphine ama buprenorphine iyo naloxoon ay sababi karaan dawakhaad, madax-wareer, iyo suuxdin markii aad dhaqso uga kacdid jiifka. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo qaadashada buprenorphine ama buprenorphine iyo naloxone. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.

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

Qaado ama codso 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 ama ha codsan laba jeer si aad uhesho mid kaa maqnaa.

Buprenorphine ama buprenorphine iyo naloxone waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• madax xanuun
• calool xanuun
• calool istaag
• dhibaato xagga hurdada ama hurdada ah
• kabuubyo afka ama casaan ah
• carrab xanuun
• aragga oo xumaada
• dhabar xanuun

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan Digniino MUHIIM AH ama taxaddarro gaar ah, wac dhakhtarkaaga isla markiiba:

• finan
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• 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
• neefsasho gaabis ah
• calool xanuun
• daal xad dhaaf ah
• jahwareer
• aragga oo xumaada
• hadal xanaf leh
• dhiigbax ama nabar aan caadi ahayn
• tamar la’aan
• xanuun qeybta kore ee midig ee caloosha
• hurdi maqaarka ama indhaha
• kaadi midab madow
• saxaro midab khafiif ah leh

Buprenorphine ama buprenorphine iyo naloxoon waxay sababi karaan 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 hayso baakadka ay soo gashay, si adag u xir, oo ka fog carruurta. Buprenorphine ama buprenorphine iyo naloxone waxay bartilmaameed u noqon karaan dadka ku xadgudba daawooyinka laguu qoro ama daroogada wadada. Ku keydi meel aamin ah si aan qof kale ugu isticmaali karin shil ama ula kac. Ku keydi buprenorphine ama buprenorphine iyo naloxoon heerkulka qolka isla markaana ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha). Ha barafoobin buprenorphine ama buprenorphine iyo naloxone.

Waa inaad isla markiiba iska tuurtaa wixii daawo ah ee dhacay ama aan hadda looga baahnayn iyada oo loo marayo barnaamijka dib-u-celinta daawada. Haddii aadan haysan barnaamij dib-u-celin ah oo kuugu dhow ama mid aad si dhakhso leh u heli karto, ka dibna tuur kiniinno ama filim aan loo baahnayn adoo ka saaraaya baakadaha oo ku daadinaya suuliga. Wac farmashiistahaaga ama soo-saaraha haddii aad wax su'aalo ah qabtid ama aad u baahan tahay caawimaad ka-saarista daawooyinka aan loo baahnayn.

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 buprenorphine ama buprenorphine iyo naloxone, waa inaad kala hadashaa dhakhtarkaaga si aad u hesho dawo 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.

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

• ardayda farta ku fiiqa
• hurdo ama lulmo daran
• dawakhaad
• aragga oo xumaada
• neefsasho gaabis ah
• neefsashada oo adkaata
• aan awoodin in aan ka jawaabo ama ka soo kaco

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee buprenorphine iyo naloxone.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene buluug), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso buprenorphine ama buprenorphine iyo naloxone.

Xaaladda degdegga ah, adiga ama xubin qoyskaaga ka mid ah waa inaad u sheegtaan dhakhtarka daweynta ama shaqaalaha qolka gurmadka inaad qaadatid buprenorphine ama buprenorphine iyo naloxone.

Ha isku durin buprenorphine ama buprenorphine iyo naloxoon sublingual filimka ama kiniiniyada. Dareen-celin daran ayaa dhici karta, oo ay ku jiraan astaamaha ka-noqoshada.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

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.

• Subutex^®¶

• Bunavail^® (ka kooban Buprenorphine, Naloxone)
• Suboxone^® (ka kooban Buprenorphine, Naloxone)^¶
• Zubsolv^® (ka kooban Buprenorphine, Naloxone)

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