管制藥品?那是什麼?可以吃嗎? phenobarbital controlled drugs-for_baby-chinese...

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作用或副作用,都是藥物產生的作用。 本文不得作為任何停藥或用藥之理由。個人用藥,請遵守合格醫師指示。 http://baliwalkers.blogspot.com -1- 管制藥品?那是什麼?可以吃嗎? 第 01 章 <1-1:管制藥品?那是什麼?可以吃嗎?> 是啊,「管制藥品」,不只精神科醫師,不少內科醫師也開給病人當作安眠藥吃。有在使用「管 制藥品」的人真的不少。 而且,「管制藥品」還能讓小兒科醫師拿來開給才出生沒多久的新生兒吃,除了吃的錠劑,還 有注射用的針劑。 如果不是我親身經歷,我大概也不會相信。 這的確是在台灣醫院,真實發生的事情。 我親身經歷,把它記錄下來。 這讓我想起曾經聽過的一種說法: 「你確定你下輩子一出生,還能擁有一個乾淨的身體嗎?」 ――我一直以為,那大概會是下個世紀才需要去煩惱的事情。 <1-2:助理,就是腳勤> 護士(護理師)很忙。護理站的病房護士,除了給藥、換藥、量脈搏量血壓測血糖,還要跟病 人溝通、跟醫師溝通、跟家屬溝通然後還要把溝通打成紀錄,沒空吃飯是 司空見慣。提早上 班是為了交班、下班時間到了還在加班仍是為了交班,有時還要處理緊急突發狀況。 護士(護理師)很忙,沒時間。 想像一下,一間醫院院區幅員遼闊,然後,護理站與病房分佈在每棟醫療大樓的每一層樓, 每棟醫療大樓有一個藥局,就是在一樓大廳的那個藥局。 護理站距離藥局都有一段距離,哪怕距離再短,從護理站去藥局等藥、領藥,一來一回都要 花掉不少時間。 另外,因為醫院大到會讓人迷路,所以像是帶住院病人去排隊做檢查這種事,等病人做完檢 查後,還要再去把他帶回病房來才行。 這些事情基本上都不需要醫療專業,但是共通點都是花時間! 所以,就有人想到,把需要醫療專業以外的這些相關工作集合起來,就形成了一種叫做「助 理」的工作。 你可以把「助理」理解成跑腿的。「健人就是腳勤」,可以說是「助理」的工作寫照。 <1-3:避免大麻 大麻 大麻 大麻煩,一顆都不能少> 我是醫院的「助理」,工作的內容之一是幫忙護理站的護士「領藥」。護士拿到藥以後,就會 根據醫生的「醫囑(指醫師在醫療活動中下達的醫學指令)」指示,對病人施藥,然後把執行 時間、劑量等紀錄在「給藥記錄單」裡。 領藥,原則上就是到護理站的「送出籃」,拿出裡面的「領藥單」送到醫院內的「藥局」。然 後藥師檢查,確實有醫師的合格「醫師章(就是醫字號章,方形的那種)」蓋章畫押,還有護 士的蓋章或簽名,就會把一包或一袋做好的藥給你,然後你也要在同一張「領藥單」上簽名 畫押,把「領藥單」交給藥師,然後就可以把「藥物」送回原護理站的「送入籃」,或是當面

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    http://goo.gl/D1lLnN

    A B :() A

    Intensive Care UnitICUUeonatal Untensive Care UnitNICU

    BABY

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    PHENOBARBITA 15mg() 30mg()

    PHENOBARBITAL

    PHENOBARBITAL 23

    PHENOBARBITAL 100mg()/ml()/amp() x05PC(5 )

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    24

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    02

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    PHENOBARBITALPHENOBARBITAL fee-no-bar-bi-tal RUMIL http://goo.gl/ZlImcX

    GOOGLE (FDA Food and Drug Administration USA) PHENOBARBITAL D(FDA) DD() Micromedex http://goo.gl/5LzRBA

    8. http://goo.gl/ZlImcX

    http://goo.gl/5LzRBA

    D

    http://goo.gl/UZOmre

    1. http://goo.gl/piwxDe 2. http://goo.gl/OrzS3n 3.Phenobarbital - : CO2 http://goo.gl/Evffic

  • 1 88 12 8 88 44501 2 90 3 23 90 016828 3 90 7 3 90 039083 4 91 2 8 0910005385 5 92 6 19 0920033059 6 93 3 8 0930010412 7 93 5 10 0930020509 8 94 1 31 0940002265 9 94 8 4 0940032867 10 95 8 8 0950035450 11 96 2 16 0960004264 12 98 4 9 0980014883 13 99 4 2 0990015872 14 99 7 29 0990040996 15 100 1 14 1000090729 16 100 10 20 1000053934 17 101 4 6 1010015893 18 101 9 27 1010058085 19 102 4 18 1020020634 Isomers Esters Ethers Salts

    (6)

    1 2 (10)

    1 Acetorphine 1

    2 Cocaine 1 3

    3 Desomorphine 1 4 Dihydroetorphine 1 5 Etorphine 1

    6 Heroin 1 3

  • 7 Ketobemidone 1 8 Opium 1

    9 Morphine 1 3

    1 -- Acetyl-alpha-methylfentanyl 1 6

    2 Acetyldihydrocodeine 1 3 Acetylmethadol 1

    4 - Alpha-Methylfentanyl 1 6

    5 Alphamethadol 1 6

    6 - Alpha-Methylthiofentanyl 1 6

    7 Alphaprodine 1 6

    8 Alfentanyl 1 9 Allylprodine 1

    10 Alphacetylmethadol 1 6

    11 Alphameprodine 1 6

    12 Amphetamine 3 13 Anileridine 1 14 Benzethidine 1 15 Benzylmorphine 1

    16 Betacetylmethadol 1 6

    17 - Beta-Hydroxyfentanyl 1 6

    18 --3- Beta-Hydroxy-3-methylfentanyl 1 6

    19 Betameprodine 1

  • 6

    20 Betamethadol 1 6

    21 Betaprodine 1 6

    22 Bezitramide 1

    23 4--2,5- Brolamfetamine 4-Bromo-2,5-dimethoxyamphetamineDOB

    6

    24

    CannabisMarijuanaMarihuanaDoes not include the mature stems of entire cannabis plants and their products (except resins) and products of the seeds of entire cannabis plans that are not capable of germination.

    1 6

    25 Cannabis resin 1 26 Cannabis extracts 1 27 Cannabis tinctures 1 28 Carfentanyl 1 29 Cathinone 3 30 Clonitazene 1 31 Coca 1 32 Coca leaves 1

    33 100 100 5.0

    Codeine and its preparations with a content more than 5.0 grams of codeine per 100 milliliters (or 100 grams)

    1 3 6

    34 Codeine methylbromide 1 6

    35 N- Codeine-N-oxide 1 36 Codoxime 1

    37 Poppy straw concentrate 1 6

    38 Cyprenorphine 1 39 Dexamphetamine 3 40 Dextromoramide 1

  • 41 Dextropropoxyphene 1 3

    42 Diampromide 1 43 Diethylthiambutene 1 44 DiethyltryptamineDET 6 45 Difenoxin 1

    46 100 100 5.0

    Dihydrocodeine and its preparation with a content more than 5.0 grams of dihydrocodeine per 100 milliliters (or 100 grams)

    1 3 5 6

    47 Dihydromorphine 1 48 Dimenoxadol 1 49 Dimepheptanol 1 50 Dimethylthiambutene 1 51 DimethyltryptamineDMT 6 52 Dioxaphetyl butyrate 1 53 Diphenoxylate 1 54 Dipipanone 1

    55 2,5- 2,5-DimethoxyamphetamineDMA

    6

    56 3-(1,2- )-1--7,8,9,10--6,6,9-

    3-(1,2-dimethylheptyl)-7,8,9,10-tetrahydro-6,6,9-trimethyl-6H-dibenzo[b,d]pyran-1-olDMHP

    6

    57 2,5--4- 2,5-Dimethoxy-4-ethylamphetamineDOET 6

    58 4--2,5- 4-Methyl-2,5-dimethoxyamphetamineDOMSTP 6

    59 Drotebanol 1

    60 Ecgonine 1 3

    61 Ecgonine Derivatives 1 3

    62 Ethylmethylthiambutene 1 6

    63 Ethylmorphine 1 3

  • 64 EticyclidineN-Ethyl-1-phenylcyclohexylaminePCE

    6

    65 Etonitazene 1 66 Etoxeridine 1

    67 Fentanyl 1 3

    68 Fenetylline 69 Furethidine 1 70 Hydromorphinol 1

    71 Hydrocodone 1 3

    72 Hydromorphone 1 3

    73 Hydroxypethidine 1 74 Ibogaine 3 75 Isomethadone 1 76 Levamphetamine 3 77 Levomethorphan 1 78 Levomoramide 1

    79 Levorphanol 1 3

    80 Levophenacylmorphan 1 6

    81 LSDLysergideLysergic acid diethylamide

    3 6

    82 3,4- 3,4-MethylenedioxyamphetamineMDA 3 6

    83 3,4-

    N--dimethyl-3,4(methylenedioxy)phenethylamine3,4-MethylenedioxymethamphetamineMDMA

    3 6

    84 Mecloqualone 85 Mescaline 3 86 Metazocine 1 87 Methadone 1

  • 3 88 Methadone-intermediate 1

    89 Methamphetamine (+)-(S)-N,alpha-dimethylphenethylamine

    3 6

    90 Methamphetamine racemate N,alpha-dimethylphenethylamine

    3 6

    91 Methaqualone 3

    92 4- 4-Methylaminorex ()-cis-2-amino-4-methyl-5-phenyl-2-oxazoline

    6

    93 Methyldesorphine 1 94 Methyldihydromorphine 1

    95 3- 3-Methylfentanyl 1 3

    96 3- 3-Methylthiofentanyl 1 6

    97 Metopon 6-methyldihydromorphinone

    1 6

    98 5--3,4- 5-Methoxy-3,4-methylenedioxyamphetamineMMDA 6

    99 Moramide intermediate 1 6

    100 Morphine methylbromide 1 6

    101 Morphine methylsulfonate 1

    102 N- Morphine-N-oxide 1 6

    103 1--4--4- 1-Methyl-4-phenyl-4-propionoxypiperidineMPPP

    1 6

    104 Myrophine 1 105 Nabilone

    106 N- N-Ethylamphetamine Etilamfetamine

    3 6 7

    107 3,4--N- N-ethyl-MDA3,4-Methylenedioxy-N-ethylamph

    6

  • etamineMDEMDEA 108 N--3- N-Ethyl-3-piperidyl benzilate 6

    109 N--3,4- N-Hydroxy-3,4-methylenedioxyamphetamineN-hydroxy-MDA 6

    110 N--3- N-Methyl-3-piperidyl benzilate 6

    111 Nicodicodeine 1 6

    112 Nicocodeine 1 6

    113 Nicomorphine 1 6

    114 N-N- N,N-Dimethylamphetamine 6

    115 Noracymethadol 1 6

    116 Norcodeine 1 3

    117 Norlevorphanol 1 118 Normethadone 1

    119 Normorphine 1 3

    120 Norpipanone 1

    121 Opium poppy 1 6

    122 Oxycodone 1 3 6

    123 Oxymorphone 1 3

    124 - Para-Fluorofentanyl 1 6

    125 Parahexyl

    126 PhencyclidinePCP 3 6

    127 Pentazocine 3

    128 1-(2-)-4--4- 1-(2-Phenylethyl)-4-phenyl-4-acetoxypiperidinePEPAP

    1 6

    129 PethidineMeperidineDemerol 1

  • 3 6

    130 -A

    Pethidine intermediate-AMeperidine intermediate-A4-cyano-1-methyl-4-phenylpiperidine

    1 6

    131 -B

    Pethidine intermediate-BMeperidine intermediate-B 4-phenylpiperidine-4-carboxylic acid ethyl ester

    1 6

    132 -C

    Pethidine intermediate-CMeperidine intermediate-C1-methyl-4-phenylpiperidine-4-carboxylic acid

    1 6

    133 Peyote 134 Phenadoxone 1 135 Phenampromide 1 136 Phenazocine 1 137 Phenomorphan 1 138 Phenoperidine 1 139 Pholcodine 1 140 Piritramide 1 141 4- 4-MethoxyamphetaminePMA 6 142 Poppy straw 1 143 Proheptazine 1 144 Properidine 1 145 Propiram 1 146 Psilocine 147 Psilocybine

    148 Racemethorphan 1 6

    149 Racemoramide 1 6

    150 Racemorphan 1 6

    151 1-(1-) Rolicyclidine1-(1-Phenylcyclohexyl)pyrrolidine

    6

  • PCPYPHP

    152 Sufentanil 1 6

    153 Tenocyclidine1-[1-(2-Thienyl)cyclohexyl]piperidineTCP

    6

    154 1-[1-(2-)] 1-[1-(2-Thienyl)cyclohexyl]pyrrolidineTCPy 6

    155

    ,10ug/g(10ppm)

    TetrahydrocannabinolsTHCsTetrahydrocannabinol including isomers and stereoisomers, products made from mature cannabis stems and seeds may not contain THCs more than 10 microgram/gram (10ppm)

    3 6

    156 Thebacon 1

    157 Thebaine 1 3

    158 Thiofentanyl 1 6

    159 Tilidine 1

    160 3,4,5- 3,4,5-Trimethoxyamphetamine TMA

    6

    161 Trimeperidine 1 162 Morpheridine 1 163 Piminodine 1 164 Etryptamine 165 Levomethamphetamine 3 166 Methcathinone 3

    167 Gamma Hydroxybutyric AcidGammahydroxybutyrateGHB

    2 6

    168 Amineptine 8

    169 - Para-methoxymethamphetaminePMMA 10

    170 Remifentanil 17 18

  • 171 4-

    4-Fluoromethamphetamine 4-FMA 18

    172 3,4-3,4-

    3,4-methylenedioxypyrovaleroneMDPV 18

    173 Tapentadol 19

    1 Amobarbital 3

    2 13

    [Brotizolam 72 ]

    3 Buprenorphine 1 3

    4 Butalbital 3 5 Cathine(+)-Norpseudoephedrine 6 6 Cyclobarbital 7 Glutethimide 3 8 Methylphenidate 3

    9 11

    [Nalbuphine ]

    10 Nalorphine 1 3

    11 Pentobarbital 3 12 Phenmetrazine 13 Secobarbital 3

    14 11

    [Tramadol 70 ]

    15 Triazolam 3

    16 100 1001.0 5.0

    Codeine preparation with a content more than 1.0 gram and less than 5.0 grams of codeine per 100

    2 6

  • milliliters (or 100 grams)

    17 Flunitrazepam 3 18 Zipeprol 19 Ketamine 4

    20 100 100 1.0 5.0

    Dihydrocodeine preparation with a content more than 1.0 gram and less than 5.0 grams of dihydrocodeine per 100 milliliters (or 100 grams)

    5 6

    21 4--2,5- 2C-B4-Bromo-2,5- dimethoxyphenethylamine

    9

    22 Nimetazepam

    3 10

    [44 ]

    23 - Para-methoxyethylamphetamine 4-Methoxy-N-ethylamphetaminePMEA

    12

    24 4- Mephedrone4-methylmethcathinone

    14

    25 1--3-1- JWH-018Naphthalen-1-yl-1-pentylindol-3-ylmethanone 16

    26 1--3-1- JWH-073Naphthalen-1-yl-1-butylindol-3-ylmethanone 16

    27 2-2--1-1---3-

    JWH-2502-2-methoxyphenyl-1-1-pentylindol-3-ylethanone 16

    28 1,1--11--HU-2101,1-Dimethylheptyl-11-hydroxy-tetrahydrocannabinol

    16

    29 2-[1R,3S-3-]-5-2--2-

    CP47,4972-[1R,3S-3-hydroxycyclohexyl]-5-(2-methyloctan-2-ylphenol

    16

    30 - Para-ChloroamphetaminePCA4CA

    16

    31 3,4- 3,4-methylenedioxymethcathinone 17

  • Methylonebk-MDMA

    32 1-3-trifluoromethylphenylpiperazineTFMPP 18

    33 1--3-(4--1-) (4-methyl-1-naphthyl)-(1-pentylindol-3-yl)methanoneJWH-122 19

    34 1-(5-)-3-(1-) 1-[(5-fluoropentyl)-1H-indol-3-yl]-(naphthalen-1-yl)- methanoneAM-2201

    19

    1 Allobarbital

    2 Alprazolam 3 6

    3 Amfepramone 4 Aminorex 3 5 Barbital 3 6 Benzphetamine 6 7 Bromazepam 3 8 Butobarbital 3 9 Camazepam

    10 Chlordiazepoxide

    2 3 5 Chlordiazepoxide Chlordiazepoxide 5 anticholinergic agentatropinebelladonna alkaloid extractbutylscopolamineclidiniumdicyclominehomatropinehyoscyaminemepenzolatepipenzolatepropanthelinescopolamine

  • 6 11 Clobazam 3

    12 Clonazepam 3 6

    13 Clorazepate 3

    14 Clotiazepam 15 Cloxazolam

    16 100 1.0

    Physician prescribes codeine oral liquid (including syrup) with codeine content less than 1.0 gram per 100 milliliters

    6

    17 Delorazepam

    18 Dextropropoxyphene Mixture Preparation

    19 Diazepam 3 20 Estazolam 3 21 Ethchlorvynol 22 Ethinamate

    23 Ethyl loflazepate 6

    24 7 [ Etilamfetamine ]

    25 Fencamfamin

    26 Fenproporex 6

    27 Fludiazepam 28 Flurazepam 3 29 Halazepam 30 Haloxazolam 31 Ketazolam

    32 Lefetamine1-dimethylamino-1,2-diphenylethaneSPA

    6

    33 Loprazolam 34 Lorazepam 3

  • 35 Lormetazepam 3

    36 Mazindol 37 Medazepam 38 Mefenorex 39 Meprobamate 3 40 Mesocarb

    41 Methylphenobarbital Mephobarbital

    6

    42 Methyprylon

    43 Midazolam 3

    44 10 [Nimetazepam 22 ]

    45 Nitrazepam 3

    46 Nordiazepam 3 6

    47 100 (100 ) 0.5

    Opium mixed preparations containing opium more than 0.5 gram per 100 milliliters (or 100 grams)

    6

    48 Oxazepam 3 6

    49 Oxazolam 50 Pemoline

    51 Phendimetrazine

    52 Phenobarbital

    2 3 5 Phenobarbital Phenobarbital60 anticholinergic agentatropinebelladonna alkaloid extractbutylscopolamineclidiniumdicyclominehomatropinehyoscyaminemepenzolatepipenzolate

  • propanthelinescopolamine\ phenytoinergotaminedyphyllineaminophyllinetheophyllinepropoxyphylline

    53 Phentermine 3

    54 Pinazepam 55 Pipradrol 56 Prazepam 3 57 () Propylhexedrine 6

    58 Pyrovalerone

    59 SecbutabarbitalButabarbital

    6

    60 () Temazepam 6

    61 Tetrazepam

    62 Vinylbital

    63 Zopiclone 64 Mifepristone 2 65 Zolpidem 4

    66 100 1.0

    Physician prescribes dihydrocodeine oral liquid (including syrup)with dihydrocodeine content less than 1.0 gram per 100 milliliters

    5 6

    67 Modafinil 6 68 Butorphanol 7 69 Clobenzorex 10

    70 Tramadol 11 [ 14 ]71 Zaleplon 12

    72 Brotizolam 13 [ 2 ]

    73 5--N,N- 5-MeO-DIPT5-methoxy-N,N-diisopropy

    15

  • ltryptamine

    74 Thiamylal5-allyl-5-(1-methylbutyl)-2-thiobarbiturate

    15

    Isomers Esters Ethers Salts

    (6)

    1 Ephedrine 2 ErgometrineErgonovine 3 Ergotamine 4 Lysergic acid 5 Methylephedrine

    6 Phenylpropanolamine Norephedrine

    7 Pseudoephedrine ()(6)