Opiate Analgesic Inathandiza Kuthetsa Matenda a Matenda Ovutika Kwambiri
Mwachidule
Hydrocodone / acetaminophen (yowonjezera kwa Vicodin, Lortab, Norco) ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito popweteka. Mankhwalawa adatsitsidwanso pambuyo poti Darvon ndi Darvocet achotsedwa pamsika pa November 19, 2010. Monga mankhwala opweteka amachotsedwa pamsika, zosankha zochepa zimakhalabe zothandizira kupweteka kosatha .
Vicodin anali njira yodziwika kwambiri kwa aphunzitsi ena a Darvocet.
Vicodin, yomwe inalipo mu fomu yamapiritsi, kuti imveke (pakamwa) ili ndi 5 mg hydrocodone bitartrate ndi 500 mg acetaminophen . Panaliponso Vicodin-ES (7.5 mg hydrocodone bitartrate / 750 mg acetaminophen) ndi Vicodin-HP (10 mg hydrocodone bitartrate / 660 mg acetaminophen).
Kugwira ntchito mu 2014, US FDA yakhazikitsa malamulo oletsa mankhwala okhudzana ndi hydrocodone. Chifukwa: kuchitapo kanthu motsutsana ndi kugwiritsa ntchito mankhwala osokoneza bongo komanso kupangitsa mankhwalawa kukhala otetezeka. The FDA imachepetsa kuchuluka kwa acetaminophen kwa 325 mg. piritsi pamagulu a hydrocodone ndi mankhwala ena osakaniza mankhwala omwe ali ndi acetaminophen. A FDA adasinthiranso mankhwala a hydrocodone kuyambira ndondomeko III mpaka II yomwe imakhudza momwe mankhwalawa angapangidwire ndikupezeka.
- FDA imalengeza 325 mg. Malire pa Acetaminophen mu Mankhwala Osakaniza Mankhwala mu 2011
- Mndandanda wa Mankhwala Osokoneza Bongo Kuti Ulepheretsedwe kapena Kusinthidwa ndi January 14, 2014
Zisonyezo
Mankhwala otchedwa Hydrocodone / acetaminophen akulamulidwa kuti athetse kupweteka kwambiri. Ochita kafukufuku amakhulupirira kuti chophatikizapo hydrocodone chimachepetsa kupweteka mwa kusintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndi zowawa zopweteka.
Mlingo
Mlingo wa hydrocodone / acetaminophen uyenera kusinthidwa malingana ndi kupweteka kwako, osapitirira mlingo wokwanira wovomerezeka tsiku ndi tsiku.
Pogwiritsa ntchito ntchito, kulekerera kwa hydrocodone kungapangidwe, ndipo pakuwonjezeka mlingo, pangakhale zotsatira zoyipa .
Amene Saliyenera Kuzitenga
Anthu omwe kale ankawonetsa hypersensitivity kwa hydrocodone kapena acetaminophen sayenera kumwa mankhwala ndi izi zogwiritsidwa ntchito .
Zotsatira Zogwirizana
Zina mwa zotsatira zoyamba zomwe zingakhale zogwirizana ndi hydrocodone / acetaminophen zikuphatikizapo:
- Lightheadedness
- Chizungulire
- Kusintha
- Nausea
- Kuthamanga
Palinso zochitika zovuta zokhudzana ndi dongosolo lalikulu la mitsempha, m'mimba, mavitamini, mavitamini, mavitamini, mavitamini, mavitamini, mavitamini, masewera,
- Ndondomeko ya mitsempha ya pakati - kugona, kuuma mtima, kuganiza kwa mitambo, kuwonongeka kwa ubongo ndi thupi, nkhawa, mantha, dysphoria, kusintha kwa maganizo, ndi kudalira mtima
- Matumbo - kudzimbidwa ndi ntchito yaitali
- Gulu lakumidzi - kutaya kwapadera, chikhodzodzo, kupuma kwa mkodzo
- Kupewa kupuma - kupuma kwa maganizo kumene kumakhudzana ndi mlingo
- Maganizo apadera - kumva kutayika kapena kumva kutayika kwanthawi yaitali
- Matenda - Kuthamanga khungu , pruritis
Chenjezo ndi Kusamala
Mankhwala a Hydrocodone / acetaminophen ayenera kugwiritsidwa ntchito mosamala pakati pa okalamba komanso odwala omwe ali ndi vutoli, odwala matenda aakulu a chiwindi kapena a impso, hypothyroidism, matenda a Addison, prostatic hypertrophy, kapena chigoba.
Tiyenera kukumbukira nthawi zonse kuti pali kuthekera kwa kupuma kwa maganizo komanso kuti mankhwala amachiza chifuwa.
Odwala ayenera kusamala pamene akuyendetsa galimoto ndikugwiritsa ntchito makina poyesa hydrocodone / acetaminophen. Mankhwalawa akhoza kukhala chizoloŵezi, kotero kudziŵa mlingo wanu kukuthandizani bwino. Ngati mukufuna zina ndi zina kuti muthandizidwe, kambiranani ndi dokotala wanu.
Malangizo apadera kwa Amayi oyembekezera
Mankhwala otchedwa Hydrocodone / acetaminophen ayenera kugwiritsidwa ntchito mosamala ndi amayi apakati. Kugwiritsiridwa ntchito kwake pa nthawi ya mimba kungachititse kuti munthu azidalira thupi kapena kupuma kwa mwana wakhanda.
Amayi omwe akuyamwitsa sayenera kugwiritsa ntchito hydrocodone / acetaminophen chifukwa amachotsedwa mkaka wa m'mawere.
Kuyanjana kwa Mankhwala
Pakhoza kukhala kugwirizanitsa mankhwala ndi mankhwala ozunguza bongo ndi antihistamines, antipsychotics, mankhwala oletsa nkhawa, kapena ena omwe amachititsa kuti munthu asokonezeke maganizo , kuphatikizapo mowa komanso mankhwala osokoneza bongo. Dokotala wanu angafunikire kusintha mlingo wa hydrocodone / acetaminophen ngati mutenga mankhwala awa.
Zizindikiro za kuwonjezereka
Zizindikilo za kupitirira muyezo zimaphatikizapo kupuma, kupweteka kwakukulu komwe kumafikira ku coma, matenda osokoneza ubongo (limpness), khungu lozizira kapena lakuda, bradycardia (kupuma mtima), ndi hypotension ( kutsika kwa magazi ). Powonjezereka kwambiri, pakhoza kukhala apnea, kugwa kwapakati, kumangidwa kwa mtima , ndi imfa. Gawo la acetaminophen likhoza kupha hepatic necrosis, nthenda yotchedwa renal tubular necrosis, hypoglycemic coma, ndi thrombocytopenia (mapiritsi otsika).
Zotsatira:
Vicodin. Abbott. Inapezeka 3/30/11. http://www.rxabbott.com/pdf/vicodin.pdf
Hydrocodone. MedlinePlus. 09/01/2010. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a601006.html