Tsarin:
Magungunan (cobicistat) wani magani ne wanda aka kirkiro a matsayin mai hana CYP3A da ake amfani dashi a maganin HIV . Tybost yana aiki ne da "inganta" plasma concentration na kwayoyi antiretroviral, Vitekta (elvitegravir), Reyataz (atazanavir) da Prezista (darunavir) , lokacin amfani da hade antiretroviral far (cART) .
Tybost wani ɓangare ne na kwayoyi guda uku masu haɗawa, Stribild (elvitegravir + cobicistat + tenofovir + emtricitabine) , Evotaz (atanazavir + cobicistat) da Prezcobix (darunavir + cobicistat) ,
Cibiyar Abinci da Drug ta Amurka (FDA) ta amince da ita a watan Satumba na watan Satumbar 2014 don kamuwa da cutar HIV-1 tare da kamuwa da cutar marasa lafiya.
Form:
150mg fim mai zagaye na zagaye na fim, haske orange a launi kuma an sanya shi tare da wasikun "GSI" a gefe daya.
Yankewa:
Ɗaya daga cikin kwamfutar hannu 150mg kowace rana tare da abinci a lokaci guda kamar yadda Reyataz ko Prezista. Dole ne ya haɗa da ɗaya ko fiye da wasu, tare da haɗin magungunan ƙwayar cuta (s).
Umurni:
Kafin farawa, ya kamata a gwada marasa lafiya don tantance ƙaddamar da ƙaddarar halittar Halitta kamar yadda Tybost zai iya haifar da aiki na koda (koda), mafi yawanci a cikin marasa lafiya tare da dysfunction ta tsakiya. A lokacin da aka yi nazari tare da Viread (tenofovir) -a magungunan magunguna kuma sun san cewa lalacewa ne a cikin wasu-an bada shawarar cewa an gwada marasa lafiya don kiyasta ƙwayar halittar mahaifa, furotin glucose da furotin furotin.
Abubuwan da ke cikin layi:
A cikin nazarin asibitoci na III na III, an gano wasu alamun magani masu amfani da kwayoyi yayin amfani da Tybost.
Abubuwa mafi banbanci na kowa, wadanda aka ruwaito cikin 2% ko žananan marasa lafiya, sune:
- Jaundice (yellowing fata da idanu)
- Ocular icterus (yellowing of eyes)
- Jiɗa
- Diarrhea
Abubuwa masu rinjaye na yau da kullum sun hada da gajiya, ciwon kai, rashin barci, vomiting da zafi na ciki. An kuma lura da duwatsu masu koda a cikin wasu marasa lafiya lokacin da aka yi amfani da Tybost tare da Reyataz da Viread, ko da yake an yi la'akari da ƙananan hali kuma bai haifar da katsewa ba.
Drug Contraindications:
Ba za a dauka matsakaici tare da kwayoyi masu zuwa ba ko kari na kayan lambu:
- Anti-arrhythmic magunguna: Multaq
- Magungunan anti-cholesterol: Mevacor, Zocor
- Warar rigakafi: Uroxatral
- Anti-hauhawar jini magunguna: Revatio
- Anti-psychotic magunguna: Orap
- Magungunan magunguna: Camptosar, Campto (lokacin da aka gudanar tare da Reyata)
- Ergot mai dauke da maganin ƙaura: DHE 45, Ergotrate, Hydergine, Migrana
- 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
Harkokin Harkokin Drug Intrayerar Makiyuka:
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 kamata a rika sarrafa shi tare da Tybost da Reyataz ba.
- Dole ne a yi amfani da adadi (etravirine) tare da Tybost.
- Sustiva (efavirenz) bai kamata a rika sarrafa shi tare da Tybost da Prezista ba.
- Viramune (nevirapine) ba za a yi amfani da shi tare da Tybost da Prezista ba.
- Selzentry (maraviroc) ya kamata a gyara shi zuwa 150mg sau biyu a kowace rana idan an haɗa shi tare da Tybost.
Sauran Tattaunawa ko Ra'ayoyin:
- Sanar da likitanku game da duk wani sanannun ƙwayar koda da za ka iya samun kafin ka fara Tybost.
- Tsayawa da aluminum ko magnesium hydroxide zai iya hana Tybost / Reyataz daga yin hankali sosai. Idan kana yin amfani da antacid na counter-counter (misali Rolaids, Tums, Milk of Magnesia), an nuna cewa za'a dauki shi ko dai a cikin sa'o'i biyu kafin ko bayan wani kashi na Tybost / Reyataz.
- H 2 -masu tsauraran ra'ayoyin da suke amfani da su don hana ƙwayar ciki (misali, Tagamet, Pepcid, Axid, Zantac) kuma zasu iya toshe magungunan Tybost / Reyataz. An nuna cewa za'a dauki su tare da Tybost / Reyataz ko, a madadin, sa'a 10 kafin ko bayan wani kashi na Tybost / Reyataz.
- Masu kwantar da hanzari (misali, Losec, Prilosec, Prevacid, Nexium, Piet) na iya yin haka ma toshe magungunan Tybost / Reyataz. An nuna cewa za'a dauki su a cikin sa'o'i 12 kafin ko bayan kashi na Tybost / Reyataz.
- Ana amfani da maganin dysfunction Erectile (Viagra, Levitra, Cialis) tare da taka tsantsan kamar yadda Tybost zai iya bunkasa matsanancin sakamako masu illa, ciki har da damuwa na gani, jigon jini, da kuma priapism (raunuka da ciwo). 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.
Sources:
Kimiyya ta Gilead. "Tsinkaya (cobicistat) - BABI NA BAYANAI." Foster City, California; isa ga Fabrairu 3, 2015.