Qeybinta:
Tybost (cobicistat) waa daroogo oo loo yaqaan 'CYP3A inhibitor loo isticmaalo daaweynta HIV . Tybost wuxuu u shaqeeyaa "kor u qaadista daawooyinka" daawooyinka antiretroviral, Vitekta (elvitegravir), Reyataz (atazanavir) iyo Prezista (darunavir) , marka loo isticmaalo daaweynta antiretroviral therapy (CART) .
Tybost waa qayb ka mid ah sadexda daawo ee loo kala qaado daawada, Stribild (elvitegravir + cobicistat + tenofovir + emtricitabine ) , Evotaz (atanazavir + cobicistat) iyo Prezcobix (darunavir + cobicistat) ,
Tybost waxaa ogolaaday Maamulka Cunnada iyo Mukhaadaraadka ee Maraykanka (FDA) bishii Sebtembar 2014 si loogu ogaado bukaanno qaangaar ah oo cusub oo la ogaado oo qaba cudurka HIV-1.
Foomka:
150mg oo kiniini ah oo kiniiniga ah, muraayad midab leh oo midab leh oo ku dheggan xarfaha "GSI" hal dhinac.
Qiyaasta:
Hal kiniini 150mg ayaa maalin waliba la qaataa raashin isku mid ah sida Reyataz ama Prezista. Daaweyntu waa inay ku jirtaa hal ama in ka badan, daroogada (daawooyinka) antiretroviral.
Tusaalooyinka:
Ka hor intaan la bilaabin, bukaanka waa in la baaraa si loo qiimeeyo nashqadaynta qiyaasta abuurista sida Tybost ay u saameyn karto hawlaha kelyaha (kelyaha), inta badan dadka bukaanka qaba cilladda kelyaha ee la yaqaan ama aan la ogaan karin. Marka lagu daro Viread (tenofovir) -a daroogada ayaa sidoo kale loo yaqaan in ay keento xayawaanka kelyaha qaarkood-waxaa lagu talinayaa in bukaanku la baadho qiyaasta wax lagu naqshadeeyo, glucose kaadida iyo borotiinka kaadida.
Waxyeellooyinka caadiga ah:
Marxaladda Phase III ee cilmi-baarista bani-aadamka, dhowr saameyn oo saameyn daroogo ah ayaa la aqoonsaday markii la isticmaalayo Tybost.
Dhacdooyinka ugu caansan, ee lagu soo sheegay 2% ama ka yar bukaanada, waxay ahaayeen:
- Jaundice (maqaarka haragga iyo indhaha)
- Maaskaro (maqaarka indhaha)
- Lalabbo
- Shuban
Dhibaatooyinka caanka ah ee aan caadiga ahayn waxaa ka mid ah daal, madax-xanuun, hurdo, matag iyo xanuunka caloosha oo sareeya. Dhismayaasha kelyaha ayaa sidoo kale lagu xusay bukaanjiifka markii Tybost loo sii daayay Reyataz iyo Viread, inkastoo kiisaska loo qaddariyay khafiifin aynaan keenin joojinta daaweynta.
Astaameynta Daroogada:
Tybost waa in aan lagu qaadin daawooyinka soo socda ama daawooyinka dabiiciga ah:
- Daawooyinka isdaba joogga ah: Multaq
- Dawooyinka anti-cholesterol: Mevacor, Zocor
- Daawooyinka lagaga hortago anti-gout: Uroxatral
- Dawooyinka anti-hypertension: Revatio
- Dawooyinka anti-psychotic: Orap
- Daawooyinka Kansarka: Camptosar, Campto (marka la baaro Reyataz)
- Ergot-ka kooban walxaha dhirta 'migren': DHE 45, Ergotrate, Hydergine, Migrana
- Dawooyinka anti-tuberculosis ku salaysan Rifampin: Mycobutin, Rifater, Rifamate, Rimactane, Rifadin, Priftin
- Sedatives: Dormicum, Halcion, Hypam, Hyponvel, Trilam, Aasaasay
- St. John Wort
Isdhexgalkooda daawada Anturetroviral:
Isticmaalka Tybost iyadoo la raacayo daroogooyinka daawooyinka antiretrovoviral ayaa laga yaabaa in ay keenaan lumitaanka saameynta daaweynta ee daroogada raacsan ama korodhka saameynta daawooyinka:
- Crixivan (indinavir) waa inaan lagu soo celin Tybost iyo Reyataz.
- Intel-ka (etravirine) waa in aan lagu xirin Tybost.
- Sustiva (efavirenz) looma ogolaanayo in lagu soo celiyo Tybost iyo Prezista.
- Viramune (nevirapine) looma ogolaanayo inay la shaqeeyaan Tybost iyo Prezista.
- Qaadashada Selzentry (maraviroc) waa in la isku hagaajiyaa ilaa 150mg maalintii laba jeer maalintii haddii loo la socdo Tybost.
Isdhex galka kale ama Tixgelinnada kale:
- La socodsii dhakhtarkaaga wixii xaalad ah ee kalyaha ama shaki laga qabo ee aad horey u lahaan karto bilaabidda Tybost.
- Antibiotika leh aluminium ama magnesium hydroxide waxay ka hortagi kartaa Tybost / Reyataz in si fiican loo nuugo. Haddii aad isticmaashid daawada ka hortagga miisaanka dheeraadka ah (sida Rolaids, Tums, Caano Magnesia), waxaa la soo jeedinayaa in la qaato laba saacadood ka hor ama ka dib qiyaasta Tybost / Reyataz.
- H 2- Argaggixisada ayaa loo isticmaalaa in lagu xakameeyo astaamaha caloosha (tusaale ahaan, Tagamet, Pepcid, Axid, Zantac) ayaa sidoo kale xannibi kara nuugista Tybost / Reyataz. Waxaa la soo jeediyey in la qaato Tybost / Reyataz ama, si kale, 10 saac ka hor ama ka dib qiyaasta Tybost / Reyataz.
- Kontoroolayaasha Bustayaasha (Tusaale ahaan, Losec, Prilosec, Prevacid, Nexium, Pariet) waxay sidoo kale ka hortagi karaan nuugista Tybost / Reyataz. Waxaa la soo jeediyey in la qaato 12 saacadood ka hor ama ka dib qiyaasta Tybost / Reyataz.
- Daawada maqaarka aan lakab lahayn (Viagra, Levitra, Cialis) waa in loo isticmaalaa taxadar leh sida Tybost uu kor u qaadi karo heerarka saameynta liddiga ah, oo ay ku jiraan waxyeelo muuqda, isku-buuqsanaanta, iyo horjoogsiga (xagal xanuun, joogsi joogsi ah). Waxaa lagu talinayaa in qiyaasta Viagra loo yareeyo in ka badan 25mg 48 saacadood; Qiyaasta Levitra waa la yaraynayaa in ka badan 2.5mg 72 saacadood; iyo qiyaasta Cialis waa la yaraynayaa in ka badan 10mg 72 saacadood.
Ilaha:
Gilead Sciences. "Tybost (cobicistat) - MACLUUMAAD KU SAABSAN MACLUUMAAD". Foster City, California; heley Febraayo 3, 2015.