Kev siv tshuaj sib xyaw tshuaj muaj txiaj ntsig los ntawm kev siv tshuaj txiav yeeb (Methadone therapy)
Kev tiv thaiv kev quav yeeb tshuaj yog ib qho teeb meem loj hauv Teb Chaws Asmeskas raws li kev tshwm sim los ntawm 2015 kis tus kab mob HIV nyob rau hauv Indiana uas yog vim raug kev tsim txom ntawm cov tshuaj Oxycontin . Hauv lub ntsej muag ntawm cov kab mob kis loj, ib qho tshuaj hu ua Suboxone (buprenorphine + naloxone) tab tom siv los kho tshuaj tiv thaiv opioid.
To taub kev xaiv
Opiates yog ib tsev neeg ntawm cov tshuaj narcotic derived los yog tsim tawm los ntawm cov noob nroj ntawm cov nroj ntsiag to opium ( Papaver somniferum ).
Lawv ua haujlwm xws li sedatives rau kev nyuab siab hauv lub hauv nruab nrab hauv lub paj hlwb, li no txo qhov mob thiab inducing pw tsaug zog.
Kev siv lub sij hawm ntev opiate tuaj yeem ua rau muaj kev kam rau siab dua rau cov tshuaj. Thaum qhov no tshwm sim, tus neeg siv yuav xav tau kom ntxiv cov koob ntxiv mus ua kom zoo li qub. Qhov no tuaj yeem ua rau kev vam khom ntau ntxiv uas peb tau paub los ua qhov kev tiv thaiv . Qee zaum, qhov no tuaj yeem ua rau dhau ntawm overdose thiab tuag taus.
Qee qhov feem ntau cov kev ua phem tsim txom muaj xws li:
- tus nees ej
- fentanyl
- morphine
- Vicodin (hydrocodone)
- oxycontin
- oxycodone
- codeine
- tshuaj txiav yeeb (Methadone)
Kho tus mob Opioid nrog Suboxone
Suboxone yog ib qho tshuaj kws kho mob uas tau txais kev pom zoo los ntawm US Food and Drug Administration hauv xyoo 2002 los kho cov tshuaj tiv thaiv opioid. Sau raws li ib qho ntsiav tshuaj los sis ib zaj yeeb yaj kiab, nws muaj ob hom tshuaj yeeb dej caw:
- buprenorphine , ib qho kev tiv thaiv opioid antagonist, uas muab kev tawm tsam los ntawm kev xav thiab tshem tawm cov tsos mob los ntawm kev thaiv cov hlab hlwb tawm tsam hlwb
- naloxone , tus opiate antagonist, uas thaiv cov teebmeem ntawm tshuaj yeeb tshuaj rau nws tus kheej
Kev siv ua ke siv ntau dhau ntawm cov kev tsis haum ntawm tus neeg siv tshuaj. Buprenorphine, piv txwv li, muaj peev xwm ua kom muaj yees, tiam sis tsawg dua li ntawm naloxone tawm tsam cov teebmeem kev mob.
Naloxone, los ntawm kev sib piv, ua haujlwm hauv keeb kwm raws li qhov kev tawm tsam, tsuas yog thaum pib siv thaum cov opiates raug txhaj rau hauv lub cev.
Thaum qhov no tshwm sim, naloxone tuaj yeem tswm sim cov tsos mob xws li xeev siab, mob taub hau, tawm hws, ua tsis taus, ntuav, thiab trembling.
Kev Ua Tau ntawm Suboxone Kho Mob
Suboxone tau pom tias yuav siv tau zoo rau qhov nws txo cov kev xav nrog kev siv lub sij hawm ntev opiate thaum muab kev txhawj xeeb txog kev siv tam sim no. Muab piv rau cov tshuaj txiav yeeb (Methadone) , Suboxone yog ib hom tshuaj tsawg dua thiab ua tau sai dua (noj ib ncig ntawm ib lub lim tiam rau cov tshuaj tua kab mob sib kis mus rau lub lis piam los sis xiam moom hli nrog tshuaj txiav yeeb.
Suboxone kuj zoo li ua haujlwm zoo dua thaum siv sijhawm ntev zog. Ib txoj kev tshawb no pom tias cov tub ntxhais hluas uas yog tub ntxhais hluas uas siv Suboxone siv 12 lub lis piam feem ntau yuav nyob twj ywm abstinent piv rau cov khub ntsej muag uas tau tsuas yog kho ob lub lim tiam.
Yuav Ua Li Cas Rau Suboxone
Suboxone tau sau tseg raws li ib feem ntawm cov kev pabcuam kev siv tshuaj yeeb dej caw thiab kev kho tu thaum tsim nyog. Nws yog muaj raws li cov generic (nyob rau hauv cov npe hu Bunavail thiab Zubsolve) thiab muaj nyob rau hauv ntau yam formulations los xyuas kom meej rau cov kev sib xyaw cov nyom ntawm kev siv:
- 12 mg buprenorphine nrog 3 mg naloxone
- 8 mg buprenorphine nrog 2 mg naloxone
- 4 mg buprenorphine nrog 1 mg naloxone
- 2 mg buprenorphine nrog 0.5 mg naloxone
Cov Kev Pab Kho Mob Suboxone
Thaum lub sij hawm yuav tuaj yeem sib txawv nyob ntawm cov chaw kho mob, muaj li ntawm plaub theem rau txhua qhov kev npaj kho mob Suboxone:
- ua ke nrog rau kev ntsuam xyuas kev mob nkeeg thiab kev mob hlwb, tshuaj ntsuam kev tso zis, thiab kev kuaj ntshav kom paub tseeb tias koj noj tau cov tshuaj tsis raug mob
- qhov yuav pib hloov koj los ntawm cov opiates uas koj muaj tam sim no rau Suboxone nrog lub hom phiaj ntawm kev nrhiav "cov qaib cov txwv txias" tshem tawm cov tsos mob
- stabilization qhov chaw Suboxone raug kho rau qhov qis tshaj plaws los txhawb cov kev mob tshwm sim tawm mus rau qhov kev siv tshuaj tua kab tawm thiab txiav kev kho
- kev saib xyuas rau cov neeg uas muaj kev tiv thaiv uas loj heev uas yuav tsum tau mus kho, kev kho mob kho mob thiab kev pabcuam (nrog rau kev tuaj koom rau hauv Narcotics Anonymous lossis cov pabcuam tsis yog kauj ruam )
Kev xav ntawm Suboxone Siv
Suboxone yuav tsum tsis txhob siv rau cov neeg uas muaj kev mob plab los sis mob hnyav ua rau lub siab ua rau lub cev tsis zoo. Cov kev mob tshwm sim muaj xws li mob taub hau, xeev siab, ntuav, ntau tshaj tawm hws, quav tawv nqaij, cov tsos mob tawm, ntsws, mob, thiab cov kua txig ntawm cov ceg (peripheral edema).
Suboxone muaj peev xwm ua txhaum cai yog tias txhaj tshuaj. Nyob rau hauv cov ntaub ntawv zoo li no, tus kab mob naloxone kuj tsis tuaj yeem txo qhov "siab" kom tiav los ntawm cov tshuaj tua kab mob hauv buprenorphine. Yog li ntawd, Suboxone tsuas yog tus kws kho mob tsuas yog tus kws kho mob los yog kev pab tu xyuas nkaus xwb.
Vim tias kev tiv thaiv opioid yog ob qho tib si lub cev thiab kev mob hlwb, kev kho mob yuav tsum tau pab pawg neeg sib koom tes muaj peev xwm hais txog ob qhov kev xav tau ntawd. Yog tias koj xav tias koj yuav tau txais txiaj ntsig los ntawm Suboxone, tiv tauj cov tsev kho mob lossis cov chaw pabcuam teebmeem kev xav hauv koj cheeb tsam rau kev xa mus rau cov chaw kho mob uas nyob ze.
> Cov chaw
- > Reuters. "Indiana kis kab mob HIV tshaj 100 zaus: tus neeg saib xyuas kev noj qab haus huv hauv xeev." Tawm lub Plaub Hlis 11, xyoo 2015.
- > US Food and Drug Administration. "Highlights Cov Ntaub Ntawv Txog Cov Tshuaj : SUBOXONE (buprenorphine thiab naloxone) zaj dab neeg luv luv , sublingual los yog buccal siv CIII." Silver Spring, Maryland; Lub Kaum Hlis 8, 2002; tshiab Lub Ob Hlis Ntuj 2017.
- > Woody, G .; Pas dej, S .; Subramaniam, G .; li al. "Ncua cov sij hawm luv luv Buprenorphine-Naloxone rau Kev Kho Mob ntawm Kev Nyuaj Siab Rau Cov Neeg Hluav Taws Xob: Ib Qhov Kev Xeem Sij Hawm." JAMA. 2008; 300: 2003-2011.