Amincewa don Amfani da Mutane tare da Gwangwani na yau da kullum 3 Harkokin ciwon jiji
Daklinza (daclatasvir) an yi amfani da miyagun ƙwayoyi don haɗarin hepatitis C (HCV) ga manya 18 da haihuwa ko tsufa. Daklinza yayi aiki ta hanyar hana wani sinadaran da aka kira NS5B (tsarin gina jiki 5B) wanda HCV yayi amfani da shi don yin amfani da RNA, ta yadda zai katse wani mataki a cikin kwayar cutar.
An amince da Daklinza a ranar 24 ga watan Yuli, 2015, ta Cibiyar Abinci da Drugura ta Amirka don marasa lafiya da ciwon gine-ginen kamuwa da cutar HCV guda uku , ciki har da wadanda ke da cirrhosis.
Daklinza za a iya amfani dasu a cikin marasa lafiya (marasa lafiya-marasa lafiya) da marasa lafiya, da marasa lafiya da suka kamu da su a baya (wadanda suka kamu da maganin).
Bincike na asibitoci ya nuna cewa magani don maganin marasa lafiya-marasa lafiya a farfado da Daklinza shine 98%, yayin da lafiyar marasa lafiyar marasa lafiya da cirrhosis su ne 58%.
Amfanin da aka yarda
Ɗaya daga cikin kwamfutar hannu 60 na yau da kullum tare da ko ba tare da abinci a hade tare da Sovaldi (sofosbuvir) ba . Tsawon lokaci na farfadowa yana da makonni 12.
Za'a iya buƙatar yin gyare-gyaren don marasa lafiya da ke ɗauke da mai hana CYP3A ko mai shiga CYP3A ( duba jerin da ke ƙasa ). Rashin yin haka zai iya rage sakamako na likita na Daklinza, har ma ya kara yawan tsayayyen magani. A irin waɗannan lokuta, an bada shawarar cewa a rage yawan kwayar cutar zuwa 30 MG kowace rana tare da mai karfi mai hana CYP3A kuma ya karu zuwa 90 MG sau ɗaya kowace rana tare da mai karfi CYP3A.
Daklinza an umurce shi don amfani a hade tare da Sovaldi kuma dole ne ba za a yi amfani dashi kamar yadda yake ba.
Formulations
Daklinza yana samuwa a cikin nau'in kwamfutar hannu na 30 MG da kuma 60.
La'idodin maganin maganin na 30 sune kore haske da kuma pentagon in siffar, tare da "BMS" wanda aka sanya a gefe ɗaya da "213" a daya. La'idodin maganin maganin maganin maganin maganin 60 sun kasance mai haske da kuma pentagon a siffar, tare da "BMS" wanda aka sanya a gefe daya kuma "215" a daya.
Hanyoyin Kasuwanci
Hanyoyin da ke haɗuwa da su na amfani da dakicin Daklinza / Sovaldi (yana faruwa a fiye da kashi 5% na marasa lafiya) sune:
- Wulo
- Ciwon kai
- Jiɗa
- Diarrhea
Drug Interactions
Dole a rage yawan kwayin Daklinza zuwa 30 MG lokacin shan bin CYP3A masu hanawa:
- Antibiotics: clarithromycin, telithromycin
- Magungunan anti-fungal: itraconazole, ketoconazole, posaconazole, voriconazole, telithromycin
- HIV antiretrovirals: Crixivan (indinavir), Invirase (saquinavir), Viracept (nelfinavir), Norvir -wada Reyataz (atazanavir)
Daklinza sashi ya kamata a ƙara zuwa 90 MG lokacin shan bin CYP3A inducers:
- Hypertensive magani: Tracleer
- Corticosteroid magani: dexamethasone
- HIV antiretrovirals: Sustiva (efavirenz), Haɗin kai (etravirine)
- Narcolepsy / sleep apnea maganin: Provigil
- Magunguna na Penicillin: nafcillin
- Magunguna masu tarin fuka-fuka: Priftin
Kada a yi amfani da wadannan kwayoyi tare da Daklinza:
- Abubuwanda aka yi amfani da shi: Tegretol, Carbatrol, Equetro, Epitol, Dilantin, Phenytek, Dilantin-125
- Magunguna masu tarin fuka-fuka: Rifadin
- St. John's Wort
A koyaushe likita likita game da duk wani miyagun ƙwayoyi da zaka iya ɗauka, ciki har da magungunan ƙwayoyin magunguna ko wadanda wajan likita suka tsara.
Ƙarin Ƙididdiga
Daklinza na iya haifar da mummunar jinkirin zuciya ( bradycardia ).
Akwai lokuta wadanda marasa lafiya sun karbi masu karfin zuciya bayan shan magani, anyira , da Sovaldi tare da haɗin HCV na gaba, ciki har da Daklinza. Ba a bada shawarar yin hadin gwiwa tare da Daklinza da Sovaldi ba. Idan babu wani madadin da yake samuwa, kulawa da ƙwayar zuciya yana ƙarfafawa sosai.
Duk da yake nazarin dabba ba su nuna shaidar cin zarafin fetal ba yayin da aka nunawa Daklinza a lokacin daukar ciki, ana amfani da amfani da Sovaldi don amfani. Daklinza / Sovaldi hadewa dole ba za a yi amfani dashi a yayin daukar ciki ba. Mata masu haifuwa da juna da kuma mazajensu maza su ma sunyi amfani da nau'i biyu na maganin hana haihuwa lokacin da suke shan Daklinza / Sovaldi.
Tsaro na Daklinza ne marasa lafiya tare da hanta transplants ya duk da haka ba a kafa.
Source:
Cibiyar Abinci da Drug. "FDA ta amince da sabon magani ga cutar hepatitis genotype 3." Silver Spring, Maryland; sanarwa da aka bayar ranar 24 ga Yuli, 2015.