Ɗaukar Hoto na Kayan Kayan Kwace-lokaci guda-daya
Rasuvo (methotrexate), wani nau'in autoinjector guda daya wanda ke dauke da maganin likitanci, ya amince da ita ta Cibiyar Abinci da Druggun Amurka (FDA) a ranar 11 ga Yuli, 2014. Rasuvo, wanda kamfanin Medac, Pharma, Inc. ya gina, yana da sauki- Yi amfani da madaidaiciya zuwa hanya mai mahimmanci ko siffar vial-da-sirinji injectable form.
Indiya ga Rasuvo
An yarda da Rasuvo domin gudanar da marasa lafiya da cututtuka mai tsanani da cututtuka da ƙwayar cututtuka na ƙwayar cuta na ƙananan yara wanda ke da rashin dacewar amsawa ga farfadowa na farko ko kuma maras tabbas.
Haka kuma Rasuvo ya nuna cewa yana kula da bayyanar cututtukan da ke haɗuwa da mai tsanani, maida hankali, da kawar da psoriasis a cikin manya waɗanda basu kasa cimma amsa mai dacewa tare da sauran zaɓuɓɓukan magani ba. ( Lura: Kada a yi amfani da Rasuvo don magance cututtuka masu ƙwayoyin cuta.)
Gudanarwa na Rasuvo
Rasuvo ana gudanarwa sau ɗaya a mako a matsayin magungunan subcutaneous kawai. Rasuvo yana samuwa a cikin karfi 10 daga 7.5 MG zuwa 30 MG (a 2.5 mg increments). An motsa autoinjector da hannu kuma ya kamata a allura shi a cikin ciki ko cinya. Dole ne a yi amfani da wasu nau'o'in hanyoyin da za a yi amfani da su idan sashi a kasa da 7.5 MG ko fiye da 30 MG an wajabta-ko kuma idan an daidaita matakan da ke ƙasa 2.5 MG.
Hanyar da za a fara sashi na methotrexate ga rheumatoid arthritis shine 7.5 MG sau ɗaya a mako domin maganin maganin baki ko subcutaneous. Ga psoriasis, farawa na farko shine 10-25 MG sau ɗaya a mako ta hanyar jima'i, intramuscular, subcutaneous, ko kuma intravenous administration.
Don ƙwayar maganin ƙwayar cutar ƙananan yara na polyassicular, kashi na farko shine 10mg / m2 sau ɗaya a kowanne mako (mita 2 na mita na jiki).
Wanda bai kamata ya yi amfani da shi ba?
Magungunan marasa lafiya na mahaifa wadanda ke da ciki bazai yi amfani da Rasuvo ba. Ya kamata a kauce masa da iyaye mata masu ciki, da kuma marasa lafiya da suke magance: cututtukan shan giya ko cutar hanta, rashin ciwo na rashin daidaituwa, ko jini na dyscrasias.
Magunguna da sanannun sanannun da aka sani a kan hanya su kamata su guje wa Rasuvo.
Hanyoyin Kasuwanci na Musamman
Akwai halayen halayen da ke haɗuwa da Rasuvo ciki har da, tashin zuciya, zafi na ciki, dyspepsia, ciki ko bakin bakin, nasopharyngitis, zawo, ƙwaƙwalwar ƙwayar hanta, vomiting, ciwon kai, mashako, thrombocytopenia (lowletslets), alopecia, leukopenia (ƙananan jini jini ƙidaya), pancytopenia (ƙananan ƙididdiga ga dukan nau'in jini), damuwa, da kuma lura da haske na ultraviolet. Idan kana da wani mummunan aiki, zaka iya bayar da rahoton zuwa ga magungunan ƙwayoyi a 1-855-336-3322, zuwa FDA a 1-800-FDA-1088, ko Medwatch a http://www.fda.gov/medwatch .
Drug Interactions
Dole likita ya kamata a lissafa duk magunguna da kariyar da kake ɗauka a halin yanzu. Ka sani cewa ta hanyar shan aspirin, NSAID , ko magani na corticosteroid tare da Rasuvo, za a iya tsawanta matakan da za a iya amfani da su a cikin tsararrakin (watau, yana iya zama a cikin jinin ku na tsawon lokaci) kuma yana iya ƙara haɗarin cutar.
Samun prohibit pump inhibitors (misali, Nexium ko omeprazole) tare da Rasuvo kuma zai iya tsawanta serum methotrexate matakan kuma ƙara haɗarin rashin guba.
Gargaɗi da Tsaro
Rasuvo ya haɗa da Gargadi Garkuwa (mafi yawan gargaɗin gargadi).
Ƙididdigar paraphrased na Warning Warning sune:
- Rasuvo ne kawai ya kamata ya yi amfani da shi da likitoci da ilmi da kwarewar maganin antimetabolite. Rasuvo wata maƙasudin maƙalcin maganin analog ne.
- Saboda yiwuwar mummunar haɗari mai haɗari, mai yiwuwa m, Rasuvo ya kamata a umarce shi kawai ga waɗanda ke dauke da maganin wariyar launin fata, psoriasis, ko kuma maganin arthritis na yara polyarticular wanda ba su amsa wa sauran maganin ba.
- Methotrexate ya haifar da sanadin mutuwar tayi ko kuma rashin haɗari.
- An kawar da ƙarancin gyare-gyare a cikin waɗanda ke da aikin koda, rashin haɓaka, ko kuma ƙazantar da ƙwayoyi.
- Raunin karar da aka yi, da anemia na aplastic, da kuma cututtuka gastrointestinal na iya faruwa ba zato ba tsammani kuma zai zama muni idan an dauki matakai tare da NSAIDs.
- Tsarin amfani da hanyoyi na iya haifar da hepatotoxicity, fibrosis, da cirrhosis. Za a iya nuna gwaje-gwaje na zamani na hanta na biopsy.
- Magungunan cutar huhu na Methotrexate (misali, babba mai tsanani da kuma kwakwalwa ta tsakiya) zai iya faruwa, ko da a ƙananan allurai.
- Diarrhea da stomatitis ulcerative na buƙatar yin magani tare da methotrexate don hana tsutsawa na intestinal ko hemorrhagic enteritis.
- M lymphoma m zai iya ci gaba ko da tare da low dose methotrexate. Dole ne a dakatar da miyagun ƙwayoyi don ganin idan lymphoma ya kasance.
- Methotrexate na iya haifar da "ciwon ƙwayar cutar ciwon huhu" a cikin marasa lafiya da suka ci gaba da girma ciwon sukari.
- Mai tsanani, wani lokacin m, halayen fata zai iya faruwa tare da yin amfani da hanya.
- Hanyoyin cututtuka na yiwuwar fatalwa na iya faruwa tare da amfani da hanya.
- Idan an ba da hanya tare da radiotherapy, za'a iya samun haɗarin ƙwayar lac mai cike da ƙwayoyin cuta da kuma osteonecrosis .
Layin Ƙasa
Rasuvo wata hanya ce mai dacewa ta hanya. Rasuvo yana dauke da duk wani mummunan tasiri da gargadi da aka hade da wasu nau'o'in hanyoyin.
Sources
Rasuvo. Cikakken Bayanan Bayani . Revised 7/2014.
Tarihin Amincewa da Rasuvo. kwayoyi.com.