Iskutagga (ratelgravir) waa daaweyn isdhexgal ah - daroogada antiretroviral ee loo isticmaalo daaweynta cudurka HIV . Isentress wuxuu ahaa midkii ugu horreeyey ee isdhexgaliya ee loo ogolaaday inuu ogolaansho ka helo Maamulka Cuntada iyo Dawooyinka ee Maraykanka (FDA).
Bishii Oktoobar 2007, waxay ahayd ruqsad loo isticmaalo dadka waaweyn oo iska caabiyay daawooyinka kale ee dawooyinka antiretrovoviral . Laga soo bilaabo bishii Julaay 2009, kadibna Diseembar 2011, FDA waxay balaarisay calaamadeeda, taas oo u oggolaatay isticmaalka dhammaan dadka qaangaarka leh HIV iyo sidoo kale caruurta da'doodu tahay 2-18.
Isentress ayaa ka mid ah daawooyinka hadda lagu taliyey inay noqdaan doorashooyinka ugu horreeya ee daaweynta HIV ee Maraykanka
Nidaamyada
Isentress waxaa laga heli karaa afar nooc oo kala duwan:
- Dadka qaangaarka ah iyo carruurta waaweyn, Isentress ayaa loo heli karaa kiniin ahaan 400mg oo kiniinka ah, oo leh qaab qurux badan iyo casaan-casaan leh midabka. Tirada "207" waa mid ka kooban hal dhinac.
- Carruurta aan awoodin inay kiniiniga qaataan, Isentress ayaa la heli karaa sida 100mg oo la jilicsan karo (oval, beige, kabaabay dhinac dhinac ah "477"), ama 25mg oo la jeexjeexay (midab huruud ah, wareegsan, kabdhaafay hal dhinac "473 "). Labaduba waa macaan dhadhan.
- Caruurta yaryar ee aan awoodin in ay qaataan majaajilada, Isentress ayaa lagu heli karaa hal-baakad, 100mg oo afka laga jaro. Cillad afka ah waxaa lagu qasan yahay 5mL oo biyo ah waxaana lagu maamulaa siringaha afka. Marka isku qasan, diyaarinta afku waa in loo isticmaalo 30 daqiiqo gudahood, iyada oo hadhow isla markiiba la tuurayo. Xayiraadda waa muuska dhadhanka.
Weligaa ha ku badalin cuwaafyada Isentress ama joojin afka ah ee kiniinada kiniiniga ah ee Isantress-ka ah ee loo yaqaan 'Isentress kumbuyuutarka', maadama aysan ahayn habsami-u-helid la'aanta. Isticmaal kaliya sida lagu faray (fiiri Qeybaha hoose).
Isugeynta
400mg oo kiniin ah, kiniinada filimka lagu xiray waa in loo qoraa dadka waaweyn iyo carruurta waaweyn ee awoodda inay kalluunka kiciyaan , sida soo socota:
- Dadka qaangaarka ah: hal 400 kiilo oo kiniin ah, laba jeer ayaa la qaataa
- Carruurta ama qaangaarka 55 rodol (25kg) ama ka weyn: hal 400 mg oo kiniin ah, oo maalin walba la qaato
Kiniiniyada la kariyo ee kiniinka ah waa in loo qoraa carruurta oo culeyskiisu yahay 44 rodol (20kg) ama ka badan oo aan awoodin inay kalluunka kiciyaan , sida soo socota:
- 44 rodol (20kg) in ka yar 62 rodol (28kg): 150mg maalinkiiba laba jeer
- 62 rodol (28kg) in ka yar 88 rodol (40kg): 200mg laba jeer maalintii
- In ka badan 88 rodol (40kg): 300mg laba jeer maalintii
Kiniiniga afka laga saaro ama kiniiniyada la kariyo waa in loo qoraa carruurta oo miisaamaya ugu yaraan 6,5 rodol (3kg) ilaa in ka yar 55 rodol (25kg), sida soo socota:
- 6.5 rodol (3kg) in ka yar 8.8 rodol (4kg): 1mL (20mg) oo ganaax ah oo loo diyaariyay laba jeer maalintii
- 8.8 rodol (4kg) in ka yar 13 rodol (6kg): 1.5mL (30mg) ganaax loo isticmaalo oo la qaato laba jeer maalintii
- 13 rodol (6kg) in ka yar 17 rodol (8kg): 2mL (40mg) ganaax loo isticmaalo oo la qaato laba jeer maalintii
- 17 rodol (8kg) ilaa in ka yar 24 rodol (11kg): 3mL (60mg) ganaax loo isticmaalo la qaato laba jeer maalintii
- 24 rodol (11kg) in ka yar 30 rodol (14kg): 4mL (80kg) ganaax afeed oo la qaato laba jeer maalintii AMA 75mg kiniiniyada la kariyo oo la qaato laba jeer maalintii
- 30 rodol (14kg) ilaa in ka yar 44 rodol (20kg): 5mL (100kg) ganaax afeed oo la qaato laba jeer maalintii AMA 100mg kiniiniyada la jebiyo oo la qaato laba jeer maalintii
Maamulka Daweynta
Isku-duubka waxaa laga yaabaa in la qaato ama aan lahayn cunto. Isnistress laguma qaadi karo lafteeda, waana in loo qoro qayb ka mid ah daaweynta antiretroviral (CART) .
Saameynada Caadiga ah
Dhibaatooyinka ugu badan ee la ogaaday (ee ku dhaca 2% ama ka yar kiisaska) waa:
- Insomnia
- Madax xanuun
- Dawakhaad
- Lalabbo
- Daal
Khilaafaadka
Midna
Isdhexgalka daroogooyinka
Fadlan kugula tali dhakhtarkaaga haddii aad qaadato mid ka mid ah daawooyinka soo socda maadaama aysan kugula talineynin isku-duwidda Isentress waxayna ku faragalin kartaa daroogada daroogada:
- Dawooyinka antibiyootiga ku salaysan ee Rifampin: Rifadan, Rifater, Rifamate, Rimactane
- Aluminium-ama antacids-ku salaysan (tus., Tums, Caanaha Magnesia, iwm)
Tixgelinno
Bukaan-jiifka la kulma fal-celin xasaasiyadeed ka dib marka la bilaabo Isentress waa in uu si dhakhso ah ula xiriiro dhaqtarkooda. Daawaynta waa in la joojiyaa oo daaweyn caafimaad la raadiyaa haddii finan ay la socoto qandho, murqo xanuun ama xanuun, nabaro ama nabaro, guduudasho ama barar indhaha, bararka wajiga ama afka, ama dhibaatooyinka neefsashada. Bukaanka kuwaas oo horay u soo arkay fal-celin aan fiicnayn ee Isentress waa in aan dib loogu celin daroogada kadib xalinta calaamadaha.
Daraasaadka xayawaanku ma muujin wax cillado uurjiif ah ama uurjiif ah inta lagu jiro xaamilada jiirarka ama bakayleedka ee kufilan Isentress. Si kastaba ha ahaatee, saameynta Isthressress ee ku saabsan ilamaha naas nuujinta weli lama dhicin, sidaas darteed, naasnuujinta laguma talinayo hooyooyinka qaadaya Isentress.
Ilaha:
Waaxda Caafimaadka iyo Adeegyada Dadka (DHHS). "Tilmaamaha Isticmaalka Aaladaha Antiretroviral ee dadka qaba HIV-1-Infekshan Dadka waaweyn iyo Dhalinyarada." Rockville, Maryland.
FDA. "FDA waxay ballaarisey isticmaalka isticmaalka daroogada HIV-da ee carruurta iyo dhallinyarada." Silver Spring, Maryland; Diseembar 21, 2011.
Reuters. "UPDATE 2-FDA OKs Wided Isticmaalka Isticmaalka Merck ee Iskuduwaha HIV-ga." Julaay 9, 2009.
Maamulka Cuntada iyo Dawooyinka Maraykanka (FDA). "Package Appragen Package - Magaca Daroogada: Iskutagga (ratelgravir) 400mg Tababarada." Silver Spring, Maryland; Oktoobar 12, 2007.