Maandooriyaha oo ka hortagaya HIV-ga in lagu afduubo aaladaha unugyada hidaha
Qeybinta
Vitekta (elvitegravir) waa daroogo antiretroviral ah oo loo yaqaan classed inhibitor taas oo loo isticmaalo daaweynta HIV . Kala-qabsashada 'Integrase' ayaa shaqeynaya iyada oo la xakameynayo HIV enzyme oo loo yaqaan 'integrase' oo loo yaqaan 'integrase', taas oo HIV-gu u adeegsaneyso in lagu daro codka hidaha ee DNA-ga unuga martida. Marka la joojiyo isdhexgalka, fayrasku ma awoodo inuu dhammaystiro wareeggiisa noloshiisa oo uu abuuro fayrasyo kale oo HIV ah.
Vitekta waxaa ansaxiyay Maamulka Maraykanka ee Cuntada iyo Maandooriyeyaasha (FDA) bishii Sebtembar 2014 si loogu isticmaalo dadka waaweyn ee horey u soo bandhigay daaweynta HIV.
Elvitegravir waa qayb ka mid ah daroogada isdaba-marinta daroogada ee Stribild (oo sidoo kale loo yaqaan "Quad Pill") iyo version labaad ee Stribild oo loo yaqaan Genvoya .
Nidaamka Daroogada
Vitekta waxaa laga helaa laba qaab oo kiniin ah:
- Qalab 85 mg ah oo kaniini ah, oo caleen ah, oo cagaaran oo leh "GSI" oo ka kooban hal dhinac iyo "85" oo kale.
- Kiniin 150 mitir oo saddex gees leh, oo kiniini ah, oo cadi ah, oo leh "GSI" oo ka kooban hal dhinac iyo "150" dhinaca kale.
Qiyaasta
Vitekta waa in had iyo jeer loo isticmaalaa daaweyn isku dhafan oo la adeegsanayo HIV-da xayawaan (PI) iyo Norvir (ritonavir) , oo ah "kor u qaadista" wakiil kaas oo kordhiya daroogada daawooyinka la socda ee dhiigga. Vitekta waa in lagu qaataa cunto.
Qiyaasta lagu taliyey waxay ku kala duwan tahay xulashada daroogada sida soo socota:
| Qiyaasta Vitekta | Qiyaasta Qaadashada Qaliinka Protease | Norvir (ritonavir) qiyaasta |
| 85mg maalinkiiba | Reyataz (atazanavir) 300mg maalin kasta | 100mg maalinkiiba |
| 85mg maalinkiiba | Kaletra (400mg lopinavir + 100 mg ritonavir) laba jeer maalintii | Looma baahna sida ritonavir horay ugu jirey habka Kaletra |
| 150mg maalinkiiba | Prezista (darunavir) 600mg maalinkiiba laba jeer | 100mg laba jeer maalintii |
| 150mg maalinkiiba | Lexiva (fosamprenavir) 700mg maalinkiiba laba jeer | 100mg laba jeer maalintii |
| 150mg maalinkiiba | Aptivus (tipranavir) 500mg laba jeer maalintii | 200mg laba jeer maalintii |
Saameynada Caadiga ah
Qaybta 3aad ee cilmi-baarista bani'aadamka ee bani'aadamnimada, tiro badan oo saameyn ku yeelan karta daroogooyinka ayaa lagu ogaadey bukaanka qaadaya Vitekta. Dhacdooyinka ugu caansan, ayaa lagu soo wariyay ugu yaraan 2% ka qaybgalayaasha tijaabada ah waxaa ka mid ah:
- Shuban
- Lalabbo
- Madax xanuun
Dhibaatooyinka ugu caansan waxaa ka mid ah xanuunka caloosha, caloosha, finanka, daal iyo matagid.
Astaamaynta Daroogada
Vitekta waa in aan lagu qaadin daawooyinka soo socda ama daawooyinka dabiiciga ah:
- Dawada cagaarshowga C: Invicek, Victrelis
- Dawooyinka anti-tuberculosis ku salaysan Rifampin: Rifater, Rifamate, Rimactane, Rifadin, Priftin (bedelka Mycobutin)
- St. John Wort
Had iyo jeer la socodsii dhakhtarkaaga daroogo kasta ama kudheer, ama laguu qoro, oo laga yaabo inaad qaadato ka hor intaadan bilaabin daaweyn antiretroviral ah.
Isdhex galka daawada Antiretroviral
Isticmaalka Vitekta iyadoo la raacayo daawooyinka antiretrovoviral ayaa keeni kara in lumo saameynta daaweynta ee daroogada raacsan ama korodhka saameynta daawada:
- Sustiva (efavirenz) looma baahna in lagu soo celiyo Vitetkta.
- Viramune (nevirapine) waa in aan lagu soo celinin Vitekta.
- Videox (didanosine) waa in la qaataa hal saac ka hor ama laba saacadood ka dib qiyaasta Vitekta.
- Tybost (cobicistat), wakiil xoojin ah oo la mid ah Norvir, waa in aan la qaadin Vitekta markii la raaciyo bakteeriyadeeris.
Tixgelinno Kale
Antibiotika waxay ka hortagi kartaa Vitekta in si habboon loo nuugo. Haddii aad isticmaasho antibiyooti-ka-dheer (sida Rolaids, Tums, Milk of Magnesia), waxaa la soo jeediyey in la qaato laba saacadood ka hor ama ka dib qiyaasta Evotaz.
Dumarku waa inay dhakhtarkooda kugula taliyaan haddii ay qaadanayaan ama qorsheynayaan inay qaataan kaniiniyada xakameynta dhalmada. Vitekta, marka loo isticmaalo Norvir, waxay si weyn u yarayn kartaa fayaqabka 'etinyl estradiol' / hormoon ka hortaga hormoonnada hormoonka ah.
Hababka kale ee ka hortagga uurka ee hormoon la'aanta ah ayaa lagula talinayaa. Weligaa kordhin qiyaasta hormoonka ka hortagga uurka. Waxaa lagula talinayaa in hooyada kalkaaliyaha naas nuujiso haddii ay qabaan HIV maxaa yeelay waxay u gudbin kartaa fayruuska ilmaha.
Vitekta waxaa ku jira lactose sidaa daraadeed hubi inaad dhakhtarkaaga kula taliso haddii aad tahay caano lakin.
Ilaha:
Maamulka Cuntada iyo Dawooyinka Maraykanka (FDA). " VITEKTA - WARBIXIN KU QORAN MACLUUMAAD." Silver Srpring, Maryland; heley Febraayo 3, 2015.
FDA. "FDA waxay ansixisay kiniin cusub oo kiniin ah oo loogu talagalay daaweynta HIV ee bukaannada qaarkood." Silver Spring, Maryland; saxaafadeed la soo saaray 27-kii Agoosto, 2012.
Gilead Sciences. " Genvoya - Macluumaad Dheeraad Ah." Foster City, California; la heley December 14, 2015.