Buprenorphine Transdermal Patch

Qanacsan

• Si aad u dalbato balastarka, raac talaabooyinkan:
• Kahor intaadan isticmaalin balastarka buprenorphine,
• Buprenorphine patch 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 qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Buprenorphine patch waxay caado u noqon kartaa sameysashada, gaar ahaan isticmaalka muddada dheer. U adeegso balastarrada 'buprenorphine' sida saxda ee lagu faray. Ha ku dhejin dhejisyo dheeri ah, ku dheji balastarrada badanaa, ama ha u isticmaalin balastarro qaab ka duwan sida uu dhakhtarku kuu qoray. Intaad isticmaaleyso balastariyada 'buprenorphine', kala hadal daryeel caafimaad bixiyahaaga hadafyadaada 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 buprenorphine haddii aad leedahay ama aad waligaa isku aragto 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.

Buprenorphine patch waxay sababi karaan dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, gaar ahaan inta u dhexeysa 24 ilaa 72 saac ee ugu horreysa 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 isku aragto ama aad waligaa isku aragtay dhibaatooyin neefsashada, neefta, cudur sambabaha oo xannuunsan (COPD; koox cuduro ah oo saameeya sambabaha iyo marinnada hawada), ama cudur kale oo sambabo ah. Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin balastarrada 'buprenorphine'.

Qaadashada daawooyinka qaarkood ee leh buprenorphine patches waxay kordhin kartaa halista dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, suuxdin, ama miyir beel. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanayso atazanavir (Reyataz); benzodiazepines sida sida alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril) (triorlam); daawooyinka cudurada maskaxda iyo lallabbada; daawooyinka kale ee xanuunka; nasashada murqaha; dajiya; kaniiniyada hurdada; iyo kuwa xasiliya. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo si taxadar leh ayuu kuu kormeeri doonaa. Haddii aad isticmaasho buprenorphine transdermal 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 ama isticmaalka daroogada dariiqa inta lagu gudajiro daaweyntaada buprenorphine transdermal sidoo kale waxay kordhisaa halista inaad lakulmidoonto waxyeelooyinkaan halista ah ee nafta halis galinaya. 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 isticmaalo daawadaada. Soo-gaadhista shilalka, gaar ahaan carruurta, waxay sababi kartaa dhaawac culus ama dhimasho. Ku kaydi balastarrada 'buprenorphine' meel aamin ah si aan cid kale ugu isticmaali karin si kama 'ah ama ula kac ah. Si gaar ah uga taxaddar inaad ka ilaaliso balastarka buprenorphine meel aysan carruurtu gaarin. La soco inta sharood ee hadhay si aad u ogaato haddii wax ka maqan yihiin.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato.Haddii aad si joogto ah u isticmaasho balastarrada 'buprenorphine' inta aad uurka leedahay, ilmahaaga waxaa laga yaabaa inuu la kulmo astaamaha ka-noqoshada nolosha ee khatarta 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 bilawdo daaweynta buprenorphine patches iyo markasta oo aad dib u buuxiso dawadaada. 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.

Kala hadal dhakhtarkaaga khataraha isticmaalka daawadan.

Buprenorphine patch waxaa loo isticmaalaa in lagu yareeyo xanuunka daran ee dadka la filayo inay u baahan yihiin daawada xanuunka saacad kasta oo dheer oo aan lagu daaweyn karin daawooyinka kale. Waa qeyb ka mid ah daawooyinka loo yaqaan 'opiate (narcotic) analgesics'. Waxay ku shaqeysaa iyadoo la beddelayo habka maskaxda iyo nidaamka neerfaha uga jawaabaan xanuunka.

Transdermal buprenorphine waxay u timaadaa sidii balastar loo mariyo maqaarka. Balastarka waxaa badanaa la mariyaa maqaarka hal mar 7dii maalmoodba. Beddel balastarkaaga isla waqtigaas maalin kasta markasta oo aad beddesho. 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 adeegso balastarrada 'buprenorphine' sida saxda ee lagu faray.

Dhakhtarkaagu wuxuu kugu bilaabi karaa qadar yar oo ah buprenorphine patch wuxuuna si tartiib tartiib ah u kordhinayaa qiyaastaada, ugu badnaan badiyaa hal jeer 3dii maalmoodba. Haddii kororkaan uu ku lug leeyahay adeegsiga labo balastar, ka saar balastarkaaga hadda jira isla markaasna, dhig labada balastar ee cusub midba midka kale dhinacyadiisa meel cusub. Haddii dhakhtarkaagu kuu sheego inaad isticmaasho laba balastar, waa inaad had iyo jeer beddesho oo aad isku mar wada codsataa. Dhakhtarkaaga ayaa laga yaabaa inuu yareeyo qiyaastaada haddii aad isku aragto waxyeelo. La xiriir dhakhtarkaaga haddii qiyaasta aad qaadanayso aysan xakamaynayn xanuunkaaga. Kala hadal dhakhtarkaaga sida aad dareemeyso inta lagu jiro daweyntaada daweynta buprenorphine.

Buprenorphine sharooto maqaarka waxaa loogu talagalay kaliya isticmaalka maqaarka. Ha dhigin balastar afkaaga ama ha calalin ama ha liqin balastarrada.

Ha u joojin isticmaalka balastar buprenorphine adigoon la hadlin dhakhtarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aad si lama filaan ah u joojiso isticmaalka balastar buprenorphine waxaa laga yaabaa inaad leedahay astaamo ka bixitaan. Wac dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamahan soo noqoshada: degganaansho la'aan, indhaha oohin, sanka oo dareera, hamaansi, dhidid, dhaxan, timo taagan oo taagan, murqo xanuun, ardayda waaweyn (wareegyada madow ee indhaha), xanaaqa, shuban, lallabbo, matag, walaac, xanuun ku dhaca kala goysyada, daciifnimo, garaaca wadnaha oo dhakhso ah, ama neefsasho degdeg ah.

Ha isticmaalin balastar buprenorphine ah oo goynaya, dhaawacan, ama aan sinaba loo beddelin. Haddii aad isticmaasho balastar jajaban ama dhaawacan, waxaad heli kartaa inta badan ama dhammaanba daawooyinka hal mar, halkii aad tartiib tartiib uga bixi lahayd 7 maalmood. Tani waxay sababi kartaa dhibaatooyin daran, oo ay ku jiraan xad-dhaafka iyo dhimashada.

Haddii balastarkaaga 'buprenorphine' uu soo gaadho kuleyl daran, waxaa suuragal ah in daawooyin aad u badan jidhkaaga ku sii daayo isla markiiba. Tani waxay sababi kartaa astaamo halis ah ama nafta halis gelinaya.Ha u kashifin balastarkaaga ama maqaarka ku hareeraysan kuleylka tooska ah sida kuleylka kuleylka, bustayaasha korontada, laambadaha kuleylka, saunada, tubbada kulul, iyo sariiraha biyaha kulul. Ha qaadan waqti dheer, qubaysyo kulul ama qorax qorrax inta aad xiraneyso balastarka.

Waad maydhan kartaa ama qubeysan kartaa intaad xireyso balastarka buprenorphine. Haddii balastarku ka dhaco inta lagu jiro howlahaas, si habboon u tuur. Kadib maqaarkaaga gabi ahaanba qalaji oo mari balastar cusub. Balaashka cusub ku dhaji meesha 7 maalmood ka dib markaad isticmaasho.

Waxaad ku dalban kartaa balastar buprenorphine gacmahaaga kore ee kore, xabadka kore, dhabarka kore, ama dhinaca laabtaada. Xullo aag maqaar ah oo fidsan oo aan timo lahayn. Ha ku daboolin balastarka qaybo jirka ka mid ah oo xanaaq, jabay, gooyay, waxyeelleeyay, ama beddelay si uun. Haddii timo maqaarku ku yaallo, isticmaal maqas si aad ugu xoqdo timaha ugu dhow maqaarka sida ugu macquulsan. Ha xiirin aagga. Sug ugu yaraan 3 toddobaad ka hor intaadan balastar cusub ku dalban isla goobta.

Si aad u dalbato balastarka, raac talaabooyinkan:

1. Ku nadiifi aagga aad qorsheyneyso inaad ku dhejiso balastarka biyo nadiif ah oo gebi ahaanba qalaji. Ha isticmaalin saabuun, looshin, khamri, ama saliid.
2. Adeegso maqas si aad ugu furto boorsada ay ku jirto balastarka buprenorphine oo ay weheliso khadka dhibcaha. Ka soo saar balastarka kiishka oo ka fur khariidadda difaaca ee balastarka gadaashiisa. Isku day inaadan taaban dhinaca dhejiska ah ee balastarka.
3. Isla markiiba ku dhaji dhinaca dhejiska leh ee balastarka aagga aad dooratay ee ah calaacasha gacantaada.
4. Si adag u dhaji balastarka ugu yaraan 15 ilbidhiqsi. Hubso in balastarku si fiican ugu dhegsan yahay maqaarkaaga, gaar ahaan geesaha. Ha xoqin balastarka.
5. Haddii balastarku si fiican u dhegsanayn ama dabacsan yahay markii la mariyo ka dib, ku dheji kaliya cidhifyada maqaarkaaga cajaladda gargaarka degdegga ah. Haddii balastarku uusan wali si fiican u dhegganayn, waxaad ku dabooli kartaa dharka Bioclusive ama Tegaderm ee ka-eegista. Ha ku daboolin balastarka nooc kale oo faashad ama cajalad ah. La hadal takhtarkaaga ama farmashiistahaaga haddii balastarkaaga ay sii socoto dhibaatooyin ay ku tiirsanaato maqaarkaaga.
6. Haddii balastar ay dhacdo ka hor intaan la gaarin in la soo saaro, si habboon u tuur balastarka oo ku dheji balastar cusub meel ka duwan maqaarka. Balaashka cusub meesha ku dhaaf 7 maalmood.
7. Markaad dhameysato balastarka, ku dhaq gacmahaaga biyo nadiif ah isla markaaba.
8. Qor taariikhda iyo saacadda balastarka la mariyo.
9. Markay tahay waqtigii aad beddeli lahayd balastarkaaga, ka fur furka hore oo ku dheji balastar cusub meel maqaarka ka duwan.
10. Ka dib marka aad ka saarto balastarkaaga, isticmaal Qeybta Qashin-jabinta Patch ee ay ku siisay soo-saaraha si aad si ammaan ah ugu daadiso balastarka la isticmaalay ee qashinka. Xir Qeybta Qashin-qubka adiga oo isku laalaya dhinacyada dhejiska ah, ka dibna si adag oo habsami leh u cadaadi dhammaan Qaybta si balastarka loogu dhex xidho. Ha dhigin balastarro la isticmaalay qashinka adiga oo aan marka hore ku xirin Qaybta Qashin-qubka. Haddii kale, waxaad sidoo kale isku laaban kartaa dhinacyada dheggan ee balastar la isticmaalay oo ku maydh musqusha. Sharootada la isticmaalay weli waxay ku jiri karaan xoogaa daawo ah waxayna khatar ku noqon karaan carruurta, xayawaanka rabaayadda ah, ama dadka waaweyn ee aan loo qorin balastariyada 'buprenorphine'.

Buprenorphine looma isticmaali karo in lagu daweeyo xanuun khafiif ah ama dhexdhexaad ah, xanuun muddo gaaban ah, ama xanuun lagu xakamayn karo daawo loo qaato sida loogu baahdo.

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

Kahor intaadan isticmaalin balastarka buprenorphine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay buprenorphine, dawooyinka kale, ama wax ka mid ah waxyaabaha ku jira balastarka buprenorphine. Weydii dhakhtarkaaga ama farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato ama aad isticmaasho. Hubso inaad sheegto dawooyinka ku qoran DIGNIIN MUHIIM AH iyo mid ka mid ah daawooyinka soo socda: daawada lidka ku ah daawada lidka ku ah (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, iyo scopolamine); cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); durayaasha ('kaniiniyada biyaha'); dawooyinka qaarkood ee garaaca wadnaha aan caadiga ahayn oo ay ku jiraan amiodarone (Cordarone, Nexterone, Pacerone), sibibramram (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (in Nuedexta), iyo sotalol (Betapace, Betapace AF, Sorine, Sotylize, others) ; lithium (Lithobid); dawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); dawooyinka qaarkood ee suuxdinta sida carbamazepine (Tegretol, Teril, kuwa kale), phenobarbital, phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); 5HT₃ xannibaadaha serotonin 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 duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), iyo venlafaxine (Effexor); 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, 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 leedahay ama aad waligaa ku dhacday xaalado lagu xusay qaybta DIGNIIN MUHIIM ah ama illeyn curyaamis ah (xaalad cunnada la shiidey aysan ku sii dhex marin mindhicirada). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin balastarrada 'buprenorphine'.
• u sheeg dhakhtarkaaga haddii adiga ama xubin qoyskaaga ka mid ahi aad isku aragteen ama aad waligiinba qabateen cudurka 'QT syndrome' oo sii dheeraanaya (xaalad kordhinaysa halista ah inuu ku dhaco wadno garaac aan caadi ahayn oo u horseedi kara miyir beelid, ama dhimasho lama filaan ah); ama haddii aad qabtid ama waligaa kugu dhacay fibrillation atrial; wadnaha oo istaaga; suuxdinta; dhaawac madaxa ah, buro maskaxda ah, istaroog ama xaalad kasta oo kale oo ku keentay cadaadis sare madaxaaga dhexdiisa; cudurka marin-biyoodka; garaaca wadnaha oo gaabis ah; cadaadiska dhiigga oo hooseeya; heerarka dhiigga ee potassium; dhibaatooyinka kaadida; ama xammeetida, qanjirka 'thyroid', wadnaha, kilyaha, ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Takhtarkaaga kala hadal halista isticmaalka balastarrada 'buprenorphine'.
• haddii aad qalliin tahay, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso balastar buprenorphine.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh. Gaari ha wadin, ha ku shaqeynin mishiinno, ama ha sameyn waxqabadyo kale oo khatar ah illaa aad ka ogaato sida ay daawadani kuu saameyneyso.
• waa inaad ogaataa in buprenorphine sharootooyinku ay sababi karaan dawakhaad, madax-wareer, iyo suuxdin marka aad dhaqso uga kacdid jiifka. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo isticmaalka balastar buprenorphine. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• waa inaad ogaataa in buprenorphine sharootooyinku ay sababi karaan calool fadhiga. Kala hadal dhakhtarkaaga wixii ku saabsan beddelaadda cuntadaada ama isticmaalka daawooyin kale si looga hortago ama loo daaweeyo calool fadhiga inta aad isticmaaleyso balastarrada 'buprenorphine'.
• waa inaad ogaataa in haddii aad qandho leedahay ama haddii aad isku aragto kuleyl aad jimicsiga jirka ka dib, qiyaasta daawada 'buprenorphine' ee aad ka heshid balastarka ay sii kordhi karto ayna suurogal tahay in ay sababto daawo xad dhaaf ah. Ka fogow jimicsiga jirka ee kuu sababi kara inaad aad u kululaato. Isla markiiba wac dhakhtarkaaga haddii aad qandho leedahay. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu saxo qiyaastaada.

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

Haddii aad ilowdo inaad dalbato ama aad beddesho balastar buprenorphine, mari balastarka sida ugu dhakhsaha badan ee aad u xusuusato. Hubso inaad ka saarto balastarkaaga la isticmaalay ka hor intaadan marin balastar cusub. Xidho balastarka cusub muddada dhakhtarkaagu kuu qoray (badanaa 7 maalmood) ka dibna beddel. Ha xidhin laba balastar hal mar illaa dhakhtarkaagu kuu sheego mooyee.

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

• dhibaato xagga hurdada ama hurdada ah
• madax xanuun
• afka qalalan
• calool xanuun
• cuncunka maqaarka, cuncun, barar, ama guduudasho meeshii aad ku dhejisey balastarka

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• neefsashada ama wax liqidda oo ku adkaata
• neefta oo ku qabata
• 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
• xabad xanuun
• bararka wajigaaga, carrabkaaga ama cunaha
• finan
• finan
• cuncun

Buprenorphine patch waxay sababi karaan waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

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).

Ka ilaali daawadan meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Tuur sharooto kasta oo duugoobay ama isla marka aan loo baahnaynba. Adeegso Qeybta Qashin-qubka (Patch Disposal Unit) oo ay ku siisay soo-saaruhu si aad si ammaan ah ugu tuurtid qashin-qubka qashinka ee aan loo baahnayn ama duugoobay Ha dhigin buprenorphine balastarro aan loo baahnayn ama duugoobay qashin qubka adiga oo aan marka hore ku xirin Qaybta Qashin-qubka. Haddii kale, waad iska tuuri kartaa balastarrada adigoo si taxaddar leh uga qaadaya dhejiska dhejiska, adigoo isku laalaya dhinacyada dhejiska ah ee balastar kasta si ay iyadu keligeed isugu dhegto, oo aad suuliga suuliga ugu daadiso. Farmashiistahaaga kala hadal sida saxda ah ee daaweynta looga takhalusi karo.

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.

Intaad isticmaaleyso balastariyada 'buprenorphine', waa inaad kala hadashaa dhakhtarkaaga si aad u hesho daawada samatabbixinta ee 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 yaryar, ee tilmaanta (wareegyada madow ee isha bartamaha)
• hurdo saaid ah ama lulmo
• gaabis ah ama neefsashada oo ku adkaata
• aan awoodin in aan ka jawaabo ama ka soo kaco

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

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lug leh buluuga methylene), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleyso buprenorphine.

Ha u ogolaan qof kale inuu isticmaalo daawadaada. Buprenorphine 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.

• Butrans^®