Codein

Qanacsan

• Kahor qaadashada codeine,
• Codein 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 ama kuwa ku taxan qaybta DIGNIINTA MUHIIMKA ah, jooji qaadashada koodhinka isla markaana wac dhakhtarkaaga isla markiiba ama u hesho daryeel caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Codein wuxuu noqon karaa caado sameynta. Qaado koodhin si sax ah sida 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 codeine, kala hadal daryeel caafimaad bixiyahaaga yoolalkaaga daaweynta xanuunka, dhererka daaweynta, iyo siyaabo kale oo loo maareeyo 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 in aad si xad dhaaf ah u isticmaasho koodhinka haddii aad qabto 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 cudurka opioid ama wac Ujeeddada Maandooriyaha Maandooriyaha iyo Maamulka Adeegyada Caafimaadka Maskaxda (SAMHSA) Khadka Caawinta Qaranka ee 1-800-662-HELP.

Codein wuxuu sababi karaa dhibaatooyin neefsasho oo halis ah ama naf-gooya ah, gaar ahaan 24-ka ilaa 72-da saac ee ugu horreysa 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. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan koodhin. 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 kordhisa xaddiga 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.

Markii loo adeegsaday koodhinka carruurta, dhibaatooyinka neefsashada ee halista ah iyo kuwa nolosha halista ku ah sida gaabis ama dhibaato neefsashada iyo dhimashada ayaa la soo sheegay. Koodhin-ka waa in aan loo isticmaalin in lagu daaweeyo xanuunka ama qufaca carruurta ka yar 18 sano jir. Haddii ilmahaaga hadda loo qoro qufac iyo daawo qabow leh koodin, kala hadal dhakhtarka ilmahaaga wax ku saabsan daaweynta kale.

Qaadashada daawooyinka qaarkood inta lagu guda jiro daaweyntaada codeine waxay kordhin kartaa halista ah inaad la kulanto dhibaatooyin neefsasho ama dhibaatooyin kale oo daran, neefsasho nafta halis gelisa, suuxdin, ama miyir beel. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: antibiyootikada qaarkood sida erythromycin (Erytab, Erythrocin); dawooyinka fangaska qaarkood oo ay ku jiraan ketoconazole; benzodiazepines sida alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), iyo triazolam (Halcion); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); dawooyinka qaarkood ee fayraska difaaca jirka ee dadka (HIV) oo ay kujiraan indinavir (Crixivan), nelfinavir (Viracept), iyo ritonavir (Norvir, ee Kaletra); daawooyinka cudurada maskaxda ama lallabbo; daawooyinka kale ee xanuunka; 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 beddelo qiyaasta daawooyinkaaga oo si taxadar leh ayuu kuu kormeeri doonaa. Haddii aad qaadatid koodhin ka mid ah dawooyinkan 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, neefsasho gaabis ah ama dhib ah, 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 guda jiro daaweyntaada codeine sidoo kale waxay kordhisaa halista ah inaad la kulanto waxyeelooyinkan halista ah ee nolosha halista ku ah. 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.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u qaadatid maadadda loo yaqaan 'codeine' inta aad uurka leedahay, ilmahaagu waxa laga yaabaa inuu la kulmo astaamaha ka-noqoshada nolosha ee khatarta ku ah dhalashada kadib. 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.

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

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) marka aad bilowdo daaweynta daawada codeine 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.

Codeine waxaa loo isticmaalaa in lagu yareeyo xanuunka fudud ama dhexdhexaad. Waxaa sidoo kale loo isticmaalaa, badanaa lagu daro daawooyinka kale, si loo yareeyo qufaca. Codeine wuxuu kaa caawin doonaa yareynta astaamaha laakiin daaweyn maayo sababta astaamaha ama soo kabashada dhaqso. Codeine wuxuu ka tirsan yahay nooc ka mid ah daawooyinka loo yaqaan 'opiate (narcotic) analgesics' iyo 'class' daawooyin loo yaqaan antitussives.Marka loo isticmaalo koodhinka lagu daaweeyo xanuunka, waxay ku shaqeysaa iyadoo la beddelayo habka maskaxda iyo nidaamka neerfaha uga jawaabaan xanuunka. Marka loo isticmaalo koodhinka si loo yareeyo qufaca, waxay ku shaqeysaa iyadoo la yareeyo waxqabadka qaybta maskaxda ee qufaca keena.

Codeine sidoo kale waxaa lagu heli karaa iyada oo lagu darayo acetaminophen (Capital iyo Codeine, Tylenol oo leh Codeine), aspirin, carisoprodol, iyo promethazine waana qayb ka mid ah dawooyinka qufaca badan iyo kuwa qabow. Qoraalkan keliya waxaa ku jira macluumaadka ku saabsan isticmaalka koodhin. Haddii aad qaadanayso sheyga la isku daro ee koodhin, hubi inaad akhrido macluumaadka ku saabsan dhammaan waxyaabaha ku jira alaabta aad qaadanayso oo weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Koodhin (kaligeed ama lagu daro dawooyin kale) waxay u timaadaa sida kiniin, kaabsol, iyo xalka (dareeraha) afka lagu qaato. Badanaa waxaa la qaataa 4tii ilaa 6dii saacadoodba mar haddii loo 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 koodhin si sax ah sida lagu faray.

Haddii aad qaadatay koodin dhowr toddobaad ama ka badan, ha joojin qaadashada daawada adiga oo aan la hadlin dhakhtarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aad si lama filaan ah u joojiso qaadashada koodhinka, waxaad la kulmi kartaa astaamaha ka-noqoshada sida degganaansho la'aanta, ardayda oo la ballaadhiyey (wareegyada madow ee indhaha), indhaha oohinta, xanaaqa, welwelka, sanka oo dareera, dhibaato hurdo la'aan ama hurdo la'aan, hamaansasho, dhidid, neefsasho dhakhso ah, garaaca wadnaha oo dhaqso ah, dhaxan, timaha gacmahaaga oo istaaga dhamaadka, lallabbo, cunto xumo, matag, shuban, calool xanuun, murqo xanuun, ama dhabar xanuun.

Xulka si fiican u rux ka hor isticmaal kasta si aad ugu qaso daawada si siman. Ha u isticmaalin qaadada guriga si aad u cabirto qiyaastaada. Isticmaal koobka wax lagu cabbiro ama qaadada la socota daawada ama isticmaal qaaddo loo sameeyay gaar ahaan qiyaasta daawada.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada codeine,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay koodhin, daawooyin kale, ama mid ka mid ah waxyaabaha ku jira maaddada loo yaqaan 'codeine' ee aad qorsheyneyso inaad qaadato. Weydii dhakhtarkaaga ama farmashiistaha liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanaysid ama aad qaadanaysid daawadayaasha kahortaga monoamine oxidase (MAO) ama haddii aad joojisay qaadashadooda 2dii toddobaad ee la soo dhaafay: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ama tranylcypromine (Parnate). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan koodhin haddii aad qaadanayso mid ama in ka badan oo ka mid ah daawooyinkan, ama aad qaadatay labadii toddobaad ee la soo dhaafay.
• 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: bupropion (Aplenzin, Wellbutrin, Zyban); cyclobenzaprine (Amrix); durayaasha ('kaniiniyada biyaha'); lithium (Lithobid); daawooyinka qufaca, qabowga, ama xasaasiyadda; daawooyinka walwalka ama suuxdinta; dawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); 5HT₃xannibaadaha 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); tramadol (Conzip); trazodone (Oleptro); iyo tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara codeine, 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 qabtid mid ka mid ah xaaladaha lagu xusay qaybta DIGNIINTA MUHIIMKA ah, xannibaadda ama cidhiidhiga calooshaada iyo mindhicirada, ama curyaannimo ileus (xaalad ah in cuntada la shiidey aysan ku dhex marin mindhicirada). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan koodhin.
• u sheeg dhakhtarkaaga haddii aad cabto ama aad dhowaan qalliin ku sameysay caloosha ama kaadi mareenka. Sidoo kale u sheeg dhakhtarkaaga haddii aad suuxdo ama weligaa kugu dhacdo; cudurka maskaxda; qanjirka 'prostatic hypertrophy' (weynaanta qanjirka taranka ee ragga); dhibaatooyinka kaadi mareenka; cadaadiska dhiigga oo hooseeya; Cudurka Addison (xaalad jidhku aanu kaafin karin walxaha dabiiciga ah qaarkood); ama tayroodh, ganaca, xiidmaha, xameetida, beerka, ama cudurka kalyaha.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Takhtarkaaga kala hadal halista qaadashada maaddada loo yaqaan 'codeine'.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Waa inaadan naas nuujin inta aad qaadanaysid maadada codeine. Codein wuxuu sababi karaa neefsasho muruq ah, dhibaato ama neefsasho buuq leh, jahwareer, in ka badan hurdo caadi ah, naasnuujinta oo dhib ku ah, ama dhicis ku timaadda dhallaanka la nuujiyo.
• haddii qalliin lagugu sameynayo, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadatid koodhin.
• 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.
• waa inaad ogaataa in koodhiyuhu sababi karo dawakhaad, madax-wareer, iyo miyir-beel markii aad dhaqso uga kacdid jiifkaaga. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo qaadashada koodhin Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• waa inaad ogaataa in koodhiyuhu sababi karo calool istaag. Kala hadal dhakhtarkaaga wixii ku saabsan beddelaadda cuntadaada iyo isticmaalka daawooyin kale si loo daaweeyo ama looga hortago calool istaagga.

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

Codein badanaa waxaa loo qaataa sidii loogu baahdo. Haddii dhakhtarkaagu kuu sheegay inaad si joogto ah u qaadatid maadadda 'codeine', 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.

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

• madax xanuun
• calool xanuun
• kaadida oo ku adkaata

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa ku taxan qaybta DIGNIINTA MUHIIMKA ah, jooji qaadashada koodhinka isla markaana wac dhakhtarkaaga isla markiiba ama u hesho daryeel caafimaad oo degdeg ah:

• 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 buuq ama gacmeed
• neefsashada ama wax liqidda oo ku adkaata
• isbedelada garaaca wadnaha
• finan
• cuncun
• finan
• isbedelka aragga
• qalal

Codein 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

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

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 koodhin, waa inaad kala hadashaa dhakhtarkaaga sidii aad u heli lahayd 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:

• neefsashada oo adkaata
• neefsasho gaabis ah
• lulmo xad-dhaaf ah ama hurdo la'aan
• aan awoodin in aan ka jawaabo ama ka soo kaco
• luminta muruqyada
• maqaarka qabow iyo ciriiriga leh
• miyir beelid
• dawakhaad
• garaaca wadnaha oo gaabis ah

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

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

Iibinta ama bixinta daawadan waxay sababi kartaa dhimasho ama waxyeelo dadka kale waana sharci daro. Waxaa laga yaabaa in rijeetadaada aan la buuxin karin. 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.

• Tuzistra XR^® (oo ah shey isku dhafan oo ka kooban Chlorpheniramine, Codeine)

• Airacof^® (ay kujiraan Codeine, Diphenhydramine, Phenylephrine)^¶
• Ala-Hist AC^® (ay ku jiraan Codeine, Phenylephrine)^¶
• Allfen CD^® (ay kujirto Codeine, Guaifenesin)^¶
• Ambenyl^® (ay kujirto Bromodiphenhydramine, Codeine)^¶
• Ambofhen^® (ay ku jiraan Bromodiphenhydramine, Codeine)^¶
• Antituss AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Bitex^® (ay kujirto Codeine, Guaifenesin)^¶
• Bromanyl^® (ay ku jiraan Bromodiphenhydramine, Codeine)^¶
• Bromotuss^® leh Codein (ay ku jirto Bromodiphenhydramine, Codeine)^¶
• Brontex^® (ay kujirto Codeine, Guaifenesin)
• Bron-Tuss^® (ay kujirto Codeine, Guaifenesin)^¶
• Brovex CB^® (oo ay kujiraan Brompheniramine, Codeine)^¶
• Brovex PBC^® (oo ay kujiraan Brompheniramine, Codeine, Phenylephrine)^¶
• Calcidrine^® (oo ay kujirto Kalshiyaam Kaadihiyo iodide, Koodhin)^¶
• Cheracol^® leh Codein (ay ku jirto Codein, Guaifenesin)^¶
• Cheratussin^® (ay kujirto Codeine, Guaifenesin)^¶
• Codafen^® (ay kujirto Codeine, Guaifenesin)^¶
• Codimal PH^® (ay ku jiraan Codeine, Phenylephrine, Pyrilamine)^¶
• Cotab A^® (ay kujirto Chlorpheniramine, Codeine)^¶
• Demi-Koof^® (oo ka kooban Chlorpheniramine, Codeine, Phenylephrine, Potassium Iodide)^¶
• Dex-Tuss^® (ay kujirto Codeine, Guaifenesin)^¶
• Tussin Macaan C^® (ay kujirto Codeine, Guaifenesin)^¶
• Dicomal-PH^® (ay ku jiraan Codeine, Phenylephrine, Pyrilamine)^¶
• Duraganidin NR^® (ay kujirto Codeine, Guaifenesin)^¶
• EndaCof AC^® (ay ku jiraan Brompheniramine, Codeine)^¶
• CD-ga dhamaadka^® (ay kujiraan Codeine, Diphenhydramine, Phenylephrine)^¶
• ExeClear-C^® (ay kujirto Codeine, Guaifenesin)^¶
• Gani-Tuss NR^® (ay kujirto Codeine, Guaifenesin)^¶
• Giltuss Ped-C^® (ay ku jiraan Codeine, Guaifenesin, Phenylephrine)^¶
• Glydeine^® (ay kujirto Codeine, Guaifenesin)^¶
• Guaifen AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Guiatuss AC^® (ay kujirto Codeine, Guaifenesin)
• Guiatussin^® leh Codein (ay ku jirto Codein, Guaifenesin)^¶
• Halotussin AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Iophen^® (ay kujirto Codeine, Guaifenesin)^¶
• Mar-cof CG^® (ay kujirto Codeine, Guaifenesin)^¶
• Maxiphen CD^® (ay ku jiraan Codeine, Guaifenesin, Phenylephrine)^¶
• M-Cad WC^® (ay kujirto Codeine, Guaifenesin)^¶
• M-End PE^® (oo ay kujiraan Brompheniramine, Codeine, Phenylephrine)^¶
• Mytussin AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Nalex^® AC (oo ka kooban Brompheniramine, Codeine)
• Notuss AC^® (ay kujirto Chlorpheniramine, Codeine)^¶
• Xusuusin PE^® (ay ku jiraan Codeine, Phenylephrine)^¶
• Pediacof^® (ay ku jiraan Chlorpheniramine, Codeine, Phenylephrine, Potassium Iodide)^¶
• Pedituss^® (oo ka kooban Chlorpheniramine, Codeine, Phenylephrine, Potassium Iodide)^¶
• Pentazine VC^® (ay ku jiraan Codeine, Phenylephrine, Promethazine)^¶
• Pentazine^® leh Codein (ay ku jirto Codeine, Promethazine)^¶
• Phenergan^® VC leh Codein (oo ay ku jiraan Codeine, Phenylephrine, Promethazine)
• Phenergan^® leh Codein (ay ku jirto Codeine, Promethazine)^¶
• Poly-Tussin AC^® (oo ay kujiraan Brompheniramine, Codeine, Phenylephrine)^¶
• Balanqaadyo^® leh Codein (oo ay ku jiraan Codeine, Guaifenesin, Promethazine)^¶
• Robafen AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Robichem AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Robitussin^® AC (oo ka kooban Codein, Guaifenesin)
• Rolatuss^® (oo ay kujiraan ammonium chloride, Chlorpheniramine, Codeine, Phenylephrine)^¶
• Romilar AC^® (ay kujirto Codeine, Guaifenesin)^¶
• Tusnel C^® (oo ay kujiraan Brompheniramine, Codeine, Guaifenesin)^¶
• Tussi Organidin^® (ay kujirto Codeine, Guaifenesin)^¶
• Tussiden C^® (ay kujirto Codeine, Guaifenesin)^¶
• Tussirex^® (oo ay kujiraan kafiin, Codeine, Pheniramine, Phenylephrine, Salicylic Acid)^¶
• Tusso-C^® (ay kujirto Codeine, Guaifenesin)^¶
• Vanacof^® (oo ay kujiraan Codeine, Dexchlorpheniramine, Phenylephrine)
• Z Tuss AC^® (ay kujirto Chlorpheniramine, Codeine)^¶
• Zodryl AC^® (ay kujirto Chlorpheniramine, Codeine)^¶
• Zotex C^® (ay ku jiraan Codeine, Phenylephrine, Pyrilamine)^¶

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