Livalo (pitavastatin) wani magani ne na rage yawan zazzabi na cholesterol wanda yake cikin jerin kwayoyin kwayoyi. An yi amfani da shi a matsayin matattarar lipid a cikin filayen litattafan farko ko kuma dyslipidemia a cikin lokuta inda abinci, canje-canjen rayuwa, ko wasu magunguna ba su rage matakan lipid. Livalo yana daya daga cikin manyan batutuwa a kasuwa.
Bisa ga binciken, masana'antun Livalo, 2 MG na Livalo yana da kyau wajen rage lipids kamar 10 MG na Lipitor (atorvastatin).
Bugu da ƙari, 2 MG na Livalo yana rage cholesterol har zuwa kamar 20 MG na Zocor (simvastatin). Kamar sauran statins, Livalo yana shafar dukkan fannoni na bayanin ku na cholesterol: Yana rage LDL da triglycerides kuma ya tashe HDL . Bincike na musamman akan nazarin sakamakon Livalo a kan matakan lipid ya nuna cewa:
- LlL cholesterol an saukar da shi har zuwa 44%
- Yawan nauyin cholesterol an saukar da su kimanin 32%.
- Ana saukar da magungunan ƙwayoyi ta kashi 19%.
- Hakanan ƙananan cholesterol sun karu da kashi 5%.
- An saukar da apolipoprotein B da kimanin 35%.
An amince da Livalo don amfani da Hukumar Abincin da Drug ta Amurka a watan Agustan shekara ta 2009. Kafin a amince da shi a Amurka, an sami pitavastatin don amfani a wasu ƙasashe fiye da shekaru biyar da suka gabata.
Yaya Yada Ayyukan Livalo?
Livalo ta rufe wani enzyme da ake kira 3-hydroxy-3methylglutaryl coenzyme A (HMG CoA) reductase, wanda shine muhimmin gina jiki wanda ake bukata a samar da cholesterol a jikin.
Wannan aikin ya rage adadin cholesterol, LDL, da VLDL cholesterol cikin jiki.
Ta Yaya Ya kamata a Sami Livalo?
Livalo yana samuwa a cikin nau'i na kwamfutar hannu kuma ana iya ɗauka tare da ko ba tare da abinci sau ɗaya a rana, kamar yadda mai ba da sabis na kiwon lafiya ya umarta. Doses of Livalo kada ya wuce 4 MG a rana. Ya kamata a dauki Livalo tare da rage cin abinci don rage yawan cholesterol da triglycerides.
Ana yin amfani da Livalo lokacin da canje-canje na rayuwa ko wasu magunguna ba su da kyau rage lalatawar ka.
Ya kamata ku tabbatar da cewa kun halarci alƙawarin likitanku a kai a kai tun lokacin da shi ko zai buƙaci saka idanuwan ku, da sauran sigogi, yayin da kuke shan wannan magani.
Wanene Bazai Dauki Livalo ba?
Idan kana da ɗaya daga cikin yanayin kiwon lafiya da aka jera a kasa, kada ka dauki Livalo. A cikin waɗannan lokuta, mai bada sabis na kiwon lafiya zai iya sanya ka a kan wani magani daban don rage ka lipids:
- Allergy to Livalo . Idan ka kasance da rashin lafiyar da ta gabata zuwa Livalo ko duk wani sinadaransa, kada ka dauki wannan magani.
- Ciwon hanta mai aiki . Idan kana da ciwo mai hanta ko halayen enzyme hanta mahaukaci, kada a dauki Livalo.
- Hawan ciki. Livalo an rarraba shi a matsayin Ciki X. An nuna Livalo don tsallake iyakar ƙananan ƙwayar cuta a cikin berayen kuma akwai rahotanni game da bala'i da nakasa na rashin tayi a nazarin dabba. Bugu da ƙari, an kuma bayar da rahoto a cikin mata masu ciki suna shan magunguna. Idan kuna shirin yin ciki ko kuma ya riga ya yi ciki kuma suna daukar Livalo, mai ba da sabis na kiwon lafiya zai yi la'akari da amfani da shan magani akan lafiyar ku da kuma hadarin da zai iya zama ga ɗanku.
- Nursing. An nuna Livalo ya ratsa cikin ƙuƙwarar nono. Ba'a san ko wane irin tasiri wannan zai iya faruwa a kan yaro ba.
- T akin Cyclosporine. Wannan magani zai iya ƙara yawan matakan Livalo cikin jiki, wanda zai iya haifar da cututtuka a jiki. Masu sana'a sun bada shawarar cewa idan kana daukar Livalo, kada ka dauki cyclosporine.
Wadanne Ne'idodi Ana Bukatar Kulawa Lokacin Yayi Takamaiman Livalo?
Idan kana daukar Livalo, mai bada sabis na kiwon lafiya na iya buƙatar saka idanu da kai a hankali idan kana da wasu yanayin kiwon lafiya wanda za a iya kara matsawa ta hanyar shan magani. Idan kana da wasu daga cikin sharuɗɗan da ke ƙasa, mai bada sabis na kiwon lafiya zai iya yanke shawarar fara maka a Livalo a ƙananan kashi, kuma zai buƙaci saka idanu akan ka don sanin ko Livalo zai yi haɗari a gare ka.
Waɗannan yanayin kiwon lafiya sun haɗa da:
- Babban hanta enzymes. A cikin nazarin, Livalo ya karu da hanta enzymes aspartate aminotransferase (AST) da alanine aminotransferase (ALT). Kodayake a yawancin lokuta wannan karuwa ne na wucin gadi, mai bada sabis na kiwon lafiya zai duba wadannan matakan don tabbatar da cewa hawan enzymes hanta ba za a daukaka su ba.
- Koda cututtuka. Idan kana da wata cuta mai cututtuka mai tsanani ko mai tsanani, mai bada sabis na lafiyarka zai iya fara maka a cikin mafi ƙasƙanci na Livalo da kuma kula da lafiyarka yayin da kake shan magani.
- Girman glucose mai zurfin jini. Nazarin ya nuna cewa Livalo na iya kara yawan hawan Halin Halin A1C da matakan glucose mai azumi. Idan kana da ciwon sukari, mai bada sabis na kiwon lafiya zai iya lura da waɗannan ɓangarorin cikin jinin ku kuma gyara tsarin ku na Livalo.
Wadanne Nau'in Hanyoyin Hanya Will Livalo Cause?
Abubuwa mafi rinjaye sun hada da ciwo, matsalolin gastrointestinal (irin su ƙarfin zuciya ko zawo), ciwon tsoka, da kuma ciwo a cikin iyakar. Sauran cututtukan da basu ji daɗi sun hada da ciwon kai da haɗin gwiwa ba. Idan kana fuskantar duk wani tasiri na daga ɗaukar Livalo wanda ya zama tsawon lokaci ko damuwa, ya kamata ka sanar da lafiyar ka.
Kamar yadda yake tare da wasu batutuwa, wani sakamako mai mahimmanci - rhabdomyolysis - yana iya faruwa a cikin mutane da ke shan Livalo. Hanyoyin cututtuka na rhabdomyolysis sun hada da ciwon tsoka da rauni, da sine mai launin soda. Rashin haɗarin fuskantar wannan tasiri na iya faruwa idan kana shan wasu magunguna, karuwa da shekaru, da sauran yanayin kiwon lafiya. Idan ka fuskanci duk wani bayyanar cututtuka na rhabdomyolysis, nan da nan ya kamata ka sanar da ma'aikacin lafiyarka.
Shin Akwai Magunguna da Za Su iya Tattaunawa da Livalo?
Wadannan kwayoyi zasu iya hulɗa tare da Livalo, yana kara yiwuwar samun wahalar sakamako (musamman myopathy). Baya ga magungunan ƙwayoyin cholesterol wanda aka lakafta ƙasa, waɗannan kwayoyi zasu iya kara yawan matakan Livalo a jikinka.
- Cholesterol-ragewan kwayoyi ( nicotinic acid , fibrates)
- Rifampin
- Erythromycin
- Colchicine
Wannan ba jerin cikakken ba ne. Ya kamata ka sanar da sanannun magunguna na duk likita - ciki har da magunguna da magungunan ƙwayoyi - wanda kake ɗauka yayin shan Livalo. Wannan zai taimaka maka mai bada labarun kulawa don saka idanu da kai don yin hulɗa da miyagun kwayoyi yayin shan magani. Idan ana buƙatar ka ɗauki ɗaya daga cikin kwayoyi da aka jera a sama, mai bada sabis na kiwon lafiya na iya buƙatar daidaita ƙwayarka, saka idanu akanka don kare illa, ko dakatar da daya daga cikin kwayoyi.
Layin Ƙasa
Livalo ita ce mafi yawan maganin maganin maganin lipid wanda aka amince da mu a Amurka. A wasu nazarin, yana bayyana kamar yadda yake da tasiri a rage yawan tsirrai a cikin simvastatin da atorvastatin. Livalo ya bayyana ta hanyar wata hanya a cikin hanta don samun daidaito a kwatanta da sauran statins, wanda ya rage adadin hulɗar miyagun ƙwayoyi da aka lura da mutanen da ke shan wannan magani. Duk da haka, Livalo ba a yi nazari sosai a kan rigakafin mutuwa ko rashin lafiya saboda cutar cututtukan zuciya ba.
Sources
Duggan ST. Petervastatin: wani bita na amfani da shi wajen gudanar da hypercholesterolemia ko kuma dyslipidemia. Drugs 2012; 72: 565-584.
Ose L, Budinski D, Hounslow N, et al. Daidaita pitavastatin tare da simvastatin a hypercholesteroemia na farko ko hada dyslipidaemia. Curr Med Res & Opin 2009; 25: 2755-64 15.
Budinski D, Arneson V, Hounslow N, et al. Petervastatin idan aka kwatanta da atorvastatin a hypercholesterolemia na farko ko hade dyslipidemia. Clin Lipidol 2009; 4: 291-302
LIVALO [abun kunshin]. Cincinnati, OH: Kowa Pharmaceuticals Amurka, 10/2013
Micromedex 2.0. Ƙididdiga na Lafiya ta Gaskiya, Inc. Greenwood Village, CO. Akwai a: http://www.micromedexsolutions.com. Samun shiga Fabrairu 10, 2016