Ƙayyadewa
Evotaz (atazanavir + cobicistat) wani maganin maganin rigakafi ne wanda ke amfani da kwayar cutar antiretroviral . Ana amfani da kashi biyu daga cikin miyagun ƙwayoyi kamar yadda Reyataz (atazanavir) da Tybost (cobicistat) suke .
Halin kwayar halitta daya-kwaya tana ba da izinin sauƙaƙe, sau ɗaya a kowace rana, tare da ƙungiyar cobicistat yadda ya kamata "bunkasa" da kuma ci gaba da ciwon plasma na atazanavir a jiki.
Evotaz ya amince da shi ta Cibiyar Abinci da Harkokin Kiyaye ta Amurka (FDA) a watan Janairu na 2015 don sababbin marasa lafiya da suka kamu da cutar HIV-1.
Form
Kwamfuta mai tsummoki mai ɗaukar fim, wanda ya kunshi 300mg atazanavir da 150mg cobicistat, yana da launin ruwan hoda da launi tare da lambobi "3641" a gefe ɗaya.
Yankewa
Ɗaya daga cikin kwamfutar hannu da ake daukar kullum tare da abinci. Evotaz ba za a iya amfani da shi kadai ba amma dole ne a dauki shi tare da ɗaya ko fiye da miyagun kwayoyi.
Umurnai
Kafin farawa, ya kamata a gwada marasa lafiya don tantance ƙaddamar da ka'idar Halitta kamar yadda Evotaz zai iya haifar da aiki na koda (koda), mafi yawanci a cikin marasa lafiya da aka sani ko dysfunction wanda bai sani ba. A lokacin da aka yi aiki tare da Viread (tenofovir ) -a miyagun ƙwayoyi wanda zai iya haifar da lalacewa ta asali a wasu-an bada shawarar cewa an gwada marasa lafiya don kiyasta ƙaddarar halittar mahaifa, fitsari glucose, da furotin furotin.
An kuma bada shawara cewa marasa lafiyar marasa lafiyar, musamman waɗanda ke nunawa ga masu hana masu kare lafiyar kwayar cutar HIV , sun bada gwajin juriya ta kwayoyin kafin an tsara Evotaz.
Idan ba a samo gwajin kwayar cutar ba, Evotaz ya kamata a kauce masa ga duk wanda ya nuna wa masu hana masu kare lafiyar HIV.
Hanyoyin Kasuwanci
A cikin nazarin asibiti na mutum na III, an gano magungunan maganin miyagun ƙwayoyi da dama yayin amfani da Evotaz. Abubuwa mafi banbanci na kowa, wanda aka ruwaito a cikin 2% ko žasa sababbin marasa lafiya, sune:
- Jaundice (yellowing fata da idanu)
- Ocular icterus (yellowing of eyes)
- Rash
- Jiɗa
Abubuwa masu rinjaye na yau da kullum sun hada da gajiya, ciwon kai, rashin barci, vomiting da zafi na ciki. Haka kuma an lura da magungunan koda a cikin wasu marasa lafiya yayin da aka yi nazarin Evotaz tare da Viread (tenofovir), kodayake lokuta sunyi la'akari da rashin lafiya kuma basu haifar da katsewa ba.
Drug Contraindications
Evotaz ba za a dauka tare da wasu kwayoyi masu amfani da su ba ko kari na kayan lambu:
- Magungunan anti-anginal: Ranexa
- Anti-arrhythmic magunguna: Multaq
- Magungunan anti-cholesterol: Mevacor, Zocor
- Anti-gout magunguna: Uroxatral
- Anti-hauhawar jini magunguna: Revatio
- Magungunan Antipsychotic: Latuda, Orap
- Ciwon daji: Camptosar, Campto
- Ergot mai dauke da maganin ƙwayar ƙwayar ƙwayar ƙwayar cuta: DHE 45, Ƙarƙashin ƙwayar cuta, Hydergine, Migranal
- Magunguna masu maganin tarin fuka-fuka na Rifampin: Mycobutin, Rifater, Rifamate, Rimactane, Rifadin, Priftin
- Ma'anonin: Dormicum, Halcion, Hypam, Hyponvel, Trilam, Versed
- St. John's Wort
Hanyoyin Intanet na Harkokin Drug
Yin amfani da Tybost tare da bin magungunan antiretroviral na iya haifar da sakamakon rashin lafiya na likitanci ko haɗari masu tasiri:
- Crixivan (indinavir) ba za a yi amfani da shi tare da Evotaz ba.
- Dole ne a yi amfani da adadi (etravirine) tare da Evotaz.
- Sustiva (efavirenz) bai kamata a rike shi tare da Evotaz ba.
- Kada a yi amfani da Viramune (nevirapine) tare da Evotaz.
- Selzentry (maraviroc) sashi ya kamata a gyara zuwa 150mg sau biyu a kowace rana idan aka yi nazarin tare da Evotaz.
Sauran Tattaunawa ko Ƙididdiga
- Sanar da likitan ku na duk abin da aka sani ko wanda ake zargi da shi na asali (koda) wanda kuke da shi kafin fara Evotaz.
- Sanar da likitan ku game da yanayin da ke da kwakwalwa (hanta) da za ku iya yi kafin fara Evotaz, ciki har da hepatitis A, hepatitis B ko hepatitis C.
- Tsayawa da aluminum ko magnesium hydroxide zai iya hana Evotaz daga hankali. Idan kana amfani da antacid kan-da-counter (misali Rolaids, Tums, Milk of Magnesia), an nuna cewa za'a dauki shi a cikin sa'o'i biyu kafin ko bayan bayanan Evotaz.
- H 2 -masu cin zarafi masu amfani da shi don amfani da ƙwayar ciki (misali, Tagamet, Pepcid, Axid, Zantac) kuma zasu iya toshe Evotaz. An nuna cewa za a dauki su tare da Evotaz ko, a madadin, sa'o'i 10 kafin ko bayan bayanan Evotaz.
- Masu kwantar da hankalin kwantar da hankali (misali, Losec, Prilosec, Prevacid, Nexium, Piet) zasu iya yin haka kamar yadda Evotaz ya sha. An nuna cewa za'a dauki su a cikin sa'o'i 12 kafin ko bayan bayanan Evotaz.
- Ya kamata a yi amfani da maganin dysfunction Erectile (Viagra, Levitra, Cialis) tare da taka tsantsan kamar yadda Evotaz zai iya bunkasa matsanancin sakamako mai illa, ciki har da damuwa na gani, damuwa, da kuma priapism (raɗaɗi, ci gaba). Ana bada shawarar cewa an rage yawan kwayar Viagra zuwa fiye da 25mg a cikin awa 48; Za a rage sashi na Levitra zuwa fiye da 2.5mg a cikin sa'o'i 72; da kuma Cialis sashi za a rage zuwa fiye da 10mg cikin 72 hours.
- A lokacin yin ciki, ba za a ba da umurni ba a lokacin Evatez a karo na biyu ko na uku, idan mai ciki mai ciki yana ɗauke ko antagonist H 2 ko Viread (tenofovir) domin akwai yiwuwar kernicterus (yanayin da ya faru a jarirai da jaundice mai tsanani).
Sources:
Bristol-Myers Squibb. "Evotaz (Atazanvir + cobicistat) - BABI NA BAYANAI." New York, New York; isa ga Fabrairu 3, 2015.