Bayani mai mahimman bayani game da kwayoyi
Sugar (wanda aka fi sani da shi kamar kwayar cutar Quad) ita ce kwamfutar hannu guda ɗaya, hada-hadar maganin maganin maganin maganin kwayar cutar da aka hada da nau'o'in maganin rigakafi guda hudu da ke amfani da su wajen maganin cutar HIV:
- tenofovir , wani maɓallin kwalliya na tsakiya na tsakiya
- emtricitabine, na biyu mai hana magunguna na tsakiya na tsakiya
- elvitegravir , mai hadewa mai shiga
- magunguna , wani mai karar cutar HIV
An amince da Cibiyar Abinci da Harkokin Kiwon Lafiyar Amurka (FDA) a cikin watan Agusta 2012 don amfani da manya 18 da kuma wadanda suka fara maganin antiretrovirals a karo na farko, ko kuma wadanda ke fama da kwayar cutar HIV wadanda suka kware nauyin nauyin nau'i na kwayoyin cuta (undetectable).
An kaddamar da aminci da inganci na Stribild a cikin mutane 1,408 marasa lafiya marasa lafiya a baya a gwaje-gwajen gwaji guda biyu, wanda ya tabbatar cewa Stribild ya kasance mai tasiri sosai kuma ya yarda da ita kamar Atripla , wata magungunan jigilar magunguna da aka hada da tenofovir, emtricitabine, da efavirenz .
A shekara ta 2016, FDA ta sami sabon lasisin miyagun ƙwayoyi da ake kira Genvoya , ya maye gurbin tenofovir tare da sabon sababbin miyagun kwayoyi da ake kira tenofovir alafenamide (TAF), wanda aka sani cewa yana da tasiri mai yawa da magungunan miyagun ƙwayoyi.
Halitta
Stribild ne mai kore, oblong, mai launi na fim, wanda ya kunshi 150mg na elvitegravir, 150mg na cobicistat, 200mg na emtricitabine da 300mg na tenofovir. An sanya shi da "GSI" a gefe daya kuma tare da "1" wanda ke ƙunshe a cikin ɗaki a ɗayan.
Yankewa
Ɗaya daga cikin kwamfutar hannu yau da kullum da aka ci tare da abinci. Kada a dauki yunkuri tare da wasu magungunan rigakafi da ke amfani da cutar HIV.
Hanyoyin Gaba
An lura da yawan maganganun maganin miyagun ƙwayoyi a cikin marasa lafiya da ke shan Stribild. Abubuwa mafi banbanci na kowa, wadanda aka ruwaito cikin 7% ko fiye marasa lafiya, sune:
- Jiɗa
- Diarrhea
- Ciwon kai
- Abubuwa masu ban sha'awa
Drug Interactions ko Incompatibility
Kada a dauki shinge tare da wasu kwayoyi ko kariyoyi:
- Magunguna masu magunguna: Cafergot, Migergot, Ergostat, Madina Ergotamine, Wigina, Wigrettes, Ergotrate, Methergine, DHE 45
- Anti-psychotic magani: Orap
- Cholesterol-lowering statin magunguna: Zocor, Simcor, Vytorin, Mevacor, Advicor, Altoprev, Mevacor
- Hepatitis B magani: Hepsera, Preveon
- Prokinetic jamiái: Propulsid, Propulsid Quicksolv
- Magungunan ƙasa: Uroxatral
- Magungunan hawan jini na jini: Revatio
- Magunguna masu maganin tarin fuka-fuka na Rifampin: Mycobutin, Rifater, Rifamate, Rimactane, Rifadin, Priftin
- Sedatives: Versed, Halcion
- St. John's Wort
Abubuwa
Dama zai iya zama matsala ga mutanen da ke da tarihin matsaloli na koda. Don Allah a ba da shawara ga likitan ku yana da irin wannan matsala kafin shan Stribild. Yin aikin koda ya kamata a gwada shi a cikin marasa lafiya a Stribild. Kashe hankali a marasa lafiya tare da kimanin kyancin haɓakar halitta a kasa 50mL / minti. Kada a yi amfani da kwayoyin Nephrotoxic tare da Stribild.
Biyu daga cikin abubuwa masu aiki a Stribild (tenofovir, emtricitabine) suna aiki ne akan kamuwa da ciwon hauka B (HBV) . Idan kana da HBV da kuma dakatar da shan Stribild, za ka buƙaci saka idanu akan hanta enzymes na watanni da dama kamar yadda dakatarwa na iya haifar da HBV sau da yawa.
Kamar yadda lamarin ya kasance tare da dukkanin ka'idojin maganin rigakafi na farko, da NRTIs a Stribild suna hade da karamin haɗari na lactic acidosis, da matsalolin hanta.
Idan kuna fuskantar gajeren numfashi; tashin zuciya da zubar da ciki; ciwo ko rashin ciki mara ciki; rashin jin tsoro da gajiya; rauni cikin makamai da ƙafafu; ko yellowing da fata da / ko idanu, kira likita a nan da nan. Lactic acidosis, musamman, yana iya zama mai fatalwa idan aka bar shi ba tare da gurguntawa ba.
Sources:
Cibiyar Abinci da Drug. "FDA ta amince da sababbin kwayar cutar HIV don maganin marasa lafiya." Silver Spring, Maryland; sanarwa da aka bayar a ranar 27 ga Agusta, 2012.
Wohl, D .; Cohen, C .; Gallant, J. et al. "Elvitegravir / cobicistat / emtricitabine / tenofovir DF (STB) yana da tasiri sosai kuma ya bambanta tsawon zaman lafiya da kuma jurewa a cikin mako 144 a cikin marasa lafiya HIV." Taro na 53 na Contrecience a kan Masanan Antimicrobial da Chemotherapy (ICAAC). Denver, Colorado, Satumba 11, 1013; m H-672a.
Shalit, P .; Gallant, J. Mills, A; et al. "Tsayawa na tsawon lokaci na elvitegravir / cobicistat / emtricitabine / tenofovir DF idan aka kwatanta da efavirenz / emtricitabine / tenofovir DF ko ritonavir-bunkasa atazanavir da emtricitabine / tenofovir DF a cikin maganin cutar HIV-1 dauke da cutar." Taro na 53 na Contrecience a kan Masanan Antimicrobial da Chemotherapy (ICAAC). Denver, Colorado; Satumba 11, 2013; m H-671.