Emtricitabine, Rilpivirine, iyo Tenofovir

Qanacsan

• Kahor qaadashada emtricitabine, rilpivirine, iyo tenofovir,
• Emtricitabine, rilpivirine, iyo tenofovir waxay sababi karaan 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 astaamahan ama kuwa ku taxan DIGNIIN MUHIIM AH ama taxaddarro gaar ah, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
• Haddii aad isku aragto finan daran oo leh astaamaha soo socda midkood, jooji qaadashada emtricitabine, rilpivirine, iyo tenofovir una wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

Emtricitabine, rilpivirine, iyo tenofovir waa in aan loo isticmaalin in lagu daaweeyo infekshinka fayraska cagaarshowga B (HBV, infekshinka beerka ee socda). U sheeg dhakhtarkaaga haddii aad qabtid ama aad u malaynaysid inaad leedahay cudurka HBV. Dhakhtarkaaga ayaa laga yaabaa inuu ku tijaabiyo inuu arko haddii aad qabto HBV ka hor intaadan bilaabin daaweyntaada emtricitabine, rilpivirine, iyo tenofovir. Haddii aad HBV leedahay oo aad qaadatid emtricitabine, rilpivirine, iyo tenofovir, xaaladaadu si lama filaan ah ayey uga sii dari kartaa markii aad joojiso qaadashada emtricitabine, rilpivirine, iyo tenofovir. Dhakhtarkaaga ayaa ku baari doona kuna amri doona baaritaanada shaybaarka si joogto ah dhowr bilood ka dib markaad joojiso qaadashada emtricitabine, rilpivirine, iyo tenofovir si loo arko haddii HBV-kaaga uu ka sii daray.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa baaritaano gaar ah kahor iyo inta daaweyntaadu socoto si loo hubiyo jawaabta jirkaaga ee emtricitabine, rilpivirine, iyo tenofovir.

Kala hadal dhakhtarkaaga khataraha qaadashada emtricitabine, rilpivirine, iyo tenofovir.

Isku darka emtricitabine, rilpivirine, iyo tenofovir waxaa loo isticmaalaa in lagu daaweeyo HIV dadka waaweyn iyo carruurta miisaankoodu ugu yaraan yahay 77 rodol (35 kiilo garaam). Emtricitabine, rilpivirine, iyo tenofovir waxay ku jiraan nooc daawooyin ah oo loo yaqaan 'nucleoside' iyo 'nucleotide reverse transcriptase inhibitors' (NRTIs). Waxay ku shaqeeyaan iyagoo yareeya faafitaanka HIV ee jirka. In kasta oo emtricitabine, rilpivirine, iyo tenofovir aysan daaweyn doonin HIV, daawooyinkaan waxay yareyn karaan fursaddaada inaad kuhesho cudurada difaaca jirka (AIDS) iyo cudurada la xiriira HIV sida infekshanada halista ah ama kansarka. Qaadashada daawooyinkan oo ay weheliso ku-dhaqan galmo badbaado leh iyo isbeddello kale oo hab-nololeed ah ayaa yareyn kara halista qaadista ama u gudbinta fayraska HIV dadka kale.

Isku darka emtricitabine, rilpivirine, iyo tenofovir waxay u yimaadaan sidii kiniin afka lagu qaato. Waxaa badanaa lagu qaataa cunto (ma aha oo keliya cabitaanka borotiinka) hal mar maalintii. Qaado emtricitabine, rilpivirine, iyo tenofovir isla waqti isku mid ah maalin kasta. 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 emtricitabine, rilpivirine, iyo tenofovir sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Dhakhtarkaagu wuxuu kuu qori karaa ama kugula talin karaa kaalshiyam iyo fitamiin D dheeri ah inaad qaadato inta lagu jiro daaweyntaada. Waa inaad u qaadataa kaabisyadan maalin kasta sida uu takhtarku ku faro.

Sii wad qaadashada emtricitabine, rilpivirine, iyo tenofovir xitaa haddii aad caafimaad qabtid. Ha u joojin qaadashada emtricitabine, rilpivirine, iyo tenofovir adigoon dhaqtarkaaga la hadlin.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada emtricitabine, rilpivirine, iyo tenofovir,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay emtricitabine, rilpivirine, iyo tenofovir, dawooyin kale oo kasta, ama wax ka mid ah maaddooyinka ku jira emtricitabine, rilpivirine, iyo kiniiniyada tenofovir. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanaysid carbamazepine (Carbatrol, Equetro, Tegretol, kuwa kale), dexamethasone, dexlansoprazole (Dexilant), esomeprazole (Nexium, Vimovo), lansoprazole (Prevacid, in Prevpac), omeprazole (Prilosec, Zeger) Oxtellar XR, Trileptal), pantoprazole (Protonix), phenobarbital, phenytoin (Dilantin, Phenytek), rabeprazole (AcipHex), rifampin (Rifadin, Rimactane, Rifamate, in Rifater), rifapentine (Priftin), or St.'s Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan emtricitabine, rilpivirine, iyo tenofovir haddii aad qaadanaysid mid ama kabadan dawooyinkan.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar 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: adefovir (Hepsera); amiodarone (Nexterone, Pacerone); antibiyootikada sida clarithromycin (Biaxin, in Prevpac), erythromycin (E.E.S, Ery-Tab, Erythrocin, kuwa kale), gentamicin, iyo telithromycin (Ketek); daawooyinka antifungal sida fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, posaconazole (Noxafil), iyo voriconazole (Vfend); dawada qaaxada (tiibayda) sida rifabutin (Mycobutin) iyo rilpivirine (Edurant); daawooyinka fayraska ka hortaga sida acyclovir (Sitavig, Zovirax), cidofovir, ganciclovir (Cytovene), valacyclovir (Valtrex), iyo valganciclovir (Valcyte); asbiriin iyo dawooyinka kale ee nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); cyclosporine (Gengraf, Neoral, Sandimmune); daawooyinka kale ee HIV ama AIDS sida lamivudine (Epivir, Epivir-HBV, ee Combivir, Epzicom, Triumeq, Trizivir); daawooyinka kale ee HIV ee kujira emtricitabine, rilpivirine, ama tenofovir (Atripla, Descovy, Edurant, Emtriva, Genvoya, Odefsey, Stribild, Truvada, Vemlidy, Viread); iyo methadone (Dolophine). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• haddii aad qaadanayso antacids ay ku jiraan kaalshiyam, magnesium, ama aluminium (Maalox, Mylanta, Tums, kuwa kale), qaado antacid 2 saacadood ka hor ama ugu yaraan 4 saacadood ka dib qaadashada emtricitabine, rilpivirine, iyo tenofovir.
• haddii aad daawo u qaadanaysid calool xanuun, laab xanuun, ama boogaha sida cimetidine (Tagamet), famotidine (Pepcid, in Duexis), nizatidine (Axid), ama ranitidine (Zantac), qaado ugu yaraan 12 saacadood kahor ama ugu yaraan 4 saacado kadib emtricitabine, rilpivirine, iyo tenofovir.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabtid xaaladaha lagu xusay qaybta DIGNIIN MUHIIM AH, niyad jab ama cudurro kale oo maskaxeed, dhibaatooyin lafaha ah oo ay ka mid yihiin lafo-beel (xaalad ah in lafuhu noqdaan kuwo khafiif ah oo daciif ah oo si fudud u jajaba) ama jabka lafaha, ama nooca infekshinka aan tagin ama yimaada ee taga sida qaaxada (TB, nooc ka mid ah infekshanka sambabaha) ama cytomegalovirus (CMV; infekshinka fayraska ee u sababi kara calaamadaha dadka nidaamka daciifnimada difaaca jirka), ama beerka ama cudurka kalyaha .
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid emtricitabine, rilpivirine, iyo tenofovir, wac dhakhtarkaaga. Waa inaadan naas nuujin haddaad qabto cudurka HIV ama haddii aad qaadanaysid emtricitabine, rilpivirine, iyo tenofovir.
• waa inaad ogaataa in emtricitabine, rilpivirine, iyo tenofovir ay sababi karaan isbadal fikirkaaga, dhaqankaaga, ama caafimaadka maskaxda. Isla markiiba wac dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamaha soo socda inta aad qaadanaysid emtricitabine, rilpivirine, iyo tenofovir: niyad jab cusub ama ka sii daraysa; dareemid murugo, rajo la'aan, walaac, ama nasasho la'aan; ama aad ka fikirto inaad is disho ama aad qorsheysato ama aad isku daydo inaad sidaas sameyso.
• Waa inaad ogaataa inta aad qaadanaysid dawooyinka lagu daaweynayo infekshinka HIV, nidaamkaaga difaaca ayaa laga yaabaa inuu sii xoogeysto oo uu bilaabo inuu la dagaallamo infekshannada kale ee horey ugu jiray jirkaaga. Tani waxay kugu sababi kartaa inaad yeelato calaamadaha infekshannadaas. Haddii aad leedahay calaamado cusub ama ka sii daraya wakhti kasta inta lagu jiro daaweyntaada emtricitabine, rilpivirine, iyo tenofovir, hubi inaad u sheegto dhakhtarkaaga.

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

Qaado qiyaasta la seegay isla marka aad ku xasuusato cuntada. Si kastaba ha noqotee, haddii ay in ka badan 12 saacadood ahayd markii ugu dambeysay ee aad qaadatay, ka bood qiyaasta la seegay oo sii wad jadwalkaaga qaadashada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Emtricitabine, rilpivirine, iyo tenofovir waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• dhibaato xagga hurdada ama hurdada ah
• riyooyin aan caadi ahayn
• isbedelka midabka maqaarka
• xanuun, gubasho ama ruxitaan gacmaha ama cagaha
• madax xanuun
• shuban
• finan yaryar

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan DIGNIIN MUHIIM AH ama taxaddarro gaar ah, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• lafo xanuun socda ama ka sii daraya
• murqo xanuun ama daciifnimo
• kaadida oo yaraatay
• xanuun qeybta kore ee midig ee caloosha
• lallabbo
• matagid
• cunto xumo
• astaamaha hargabka oo kale ah
• daal xad dhaaf ah
• dhiigbax ama nabar aan caadi ahayn
• daciifnimo
• dawakhaad
• madax wareer
• garaaca wadnaha oo dhakhso ah ama aan caadi ahayn
• neefsashada oo adkaata
• kaadi huruud ah ama bunni ah
• saxaro midab khafiif ah leh
• hurdi maqaarka ama indhaha
• dareemid qabow, gaar ahaan gacmaha ama lugaha

Haddii aad isku aragto finan daran oo leh astaamaha soo socda midkood, jooji qaadashada emtricitabine, rilpivirine, iyo tenofovir una wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• wajiga oo barara, bushimaha, afka, carrabka ama cunaha
• dhib liqidda ama neefsashada
• nabarro ama finan ka soo baxa jidhkaaga
• indhaha casaan iyo bararsan
• qandho
• kaadi madow
• xanuun dhinaca midig ee aagga caloosha
• hurdi maqaarka ama indhaha

Emtricitabine, rilpivirine, iyo tenofovir waxay sababi karaan 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.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Ku hay sahayda emtricitabine, rilpivirine, iyo tenofovir gacanta. Ha sugin illaa ay kaa dhammaato daawada si aad ugu buuxiso dawada 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.

• Dhameystiran^® (sida shey isku dhafan oo ka kooban Emtricitabine, Rilpivirine, Tenofovir)
• Odefsey^® (sida shey isku dhafan oo ka kooban Emtricitabine, Rilpivirine, Tenofovir)