Tapering benzodiazepine ntau npaum
Yog tias cov tshuaj benzodiazepines tau sau ntau dhau lossis tau sau nrog cov tshuaj opioids, cov neeg mob yuav muaj kev phiv loj heev, suav nrog kev tuag. Nws yog ib qho tseem ceeb kom txwv tsis pub noj benzodiazepine ntau npaum li cas thiab lub sij hawm mus rau qhov tsawg kawg nkaus uas yuav tsum tau ua kom ua tiav cov txiaj ntsig tsim nyog.
Cov kws kho mob yuav tsum tsis tu ncua rov ntsuas qhov xav tau ntawm benzodiazepines rau cov neeg mob thiab sib tham txog cov tswv yim rau kev txiav tawm. Thov tshuaj xyuas koj cov neeg mob cov ntaub ntawv kho mob thiab yog tias tsim nyog, xav txog tapering/discontinuing benzodiazepines los txhim kho kev nyab xeeb ntawm lawv cov tshuaj noj.
Thov nco ntsoov:
- Tapering sij hawm yuav tsum yog tus kheej rau txhua tus neeg mob.
- Kev noj tshuaj yuav tsum tau kho raws li tus neeg mob cov lus teb.
Raws li tus neeg mob, qhov nrawm nrawm lossis qeeb taper yuav tsim nyog.
- Ceev taper tej zaum yuav raug txiav txim siab rau cov neeg mob uas tau noj benzodiazepines tsawg dua plaub lub lis piam. Hauv cov qauv no, kev txiav tawm ntawm benzodiazepine tshwm sim los ntawm qhov kev poob qis hauv koob tshuaj ntau dua thiab txo cov koob tshuaj ntau dua li qhov qeeb qeeb. Kev nrawm nrawm tuaj yeem suav nrog kev txo qis koob tshuaj 25-30% txhua lub lim tiam kom txog rau thaum 50% ntawm koob tshuaj tau mus txog, ua raws li kev txo koob tshuaj 5-10% txhua lub lim tiam.
- Slow taperyuav tsum tau txiav txim siab rau cov neeg mob uas tau noj benzodiazepines ntev dua 4 lub lis piam. Ib txoj hauv kev zoo tshaj plaws yog kev txo koob tshuaj thawj zaug ntawm 5-25%, ua raws li kev txo qis ntxiv ntawm 10-25% txhua ob lub lis piam.
Yog tias tshem tawm cov tsos mob tshwm sim thaum lub sij hawm taper, rov qab mus rau qhov koob tshuaj ua ntej qhov kev txo qis tshaj plaws thiab qeeb tus nqi ntawm taper.
Yog xav paub ntxiv, suav nrog cov piv txwv ntawm benzodiazepine tapers, xa mus rau DHCS Kev tshuaj xyuas: Cov lus pom zoo rau Tapering ntawm Benzodiazepines.
Naloxone rau cov neeg mob
Cov kws kho mob hauv California yuav tsum tau muab cov tshuaj naloxone lossis lwm cov tshuaj pom zoo los ntawm FDA rau qhov ua tiav lossis ib nrab thim rov qab ntawm opioid-induced respiratory depression raws li cov tshuaj cawm thaum muaj ib lossis ntau dua ntawm cov xwm txheej hauv qab no:
- Cov tshuaj noj rau tus neeg mob yog ≥ 90 mg morphine sib npaug txhua hnub koob tshuaj (MEDD).
- Ib qho tshuaj opioid tau muab ib txhij nrog benzodiazepine lossis lwm yam CNS (central nervous system) depressants.
- Tus neeg mob muaj kev pheej hmoo siab rau kev siv tshuaj ntau dhau, suav nrog keeb kwm ntawm kev siv tshuaj ntau dhau, keeb kwm ntawm kev siv tshuaj yeeb tsis zoo lossis muaj kev pheej hmoo rov qab mus rau ntau cov tshuaj opioid uas tus neeg mob tsis kam ua ntxiv lawm.
Thov tshuaj xyuas koj cov neeg mob cov ntaub ntawv kho mob thiab yog tias tsim nyog, xav txog kev sau tshuaj / kho naloxone txhawm rau txhim kho kev nyab xeeb ntawm koj cov neeg mob cov tshuaj noj.
Nco tseg: Cov kev cai tshuaj naloxone no tau pib siv rau AB 2760 thaum Lub Ib Hlis 1, 2019.
Yog xav paub ntxiv, koj tuaj yeem tshuaj xyuas cov Medical Board of California's AB 2760 FAQs.
