Nhazi:
Ọkpụkpụ (cobicistat) bụ ọgwụ a haziri dị ka onye na-emechi CYP3A eji agwọ ọrịa HIV . Tybost na-arụ ọrụ site na "ịkwalite" ọgwụ plasma nke ọgwụ nje antiretroviral, Vitekta (elvitegravir), Reyataz (atazanavir) na Prezista (darunavir) , mgbe a na-eji ọgwụgwọ antiretroviral (cART) .
Ụbụrụ bụ mpaghara nke ọgwụ atọ ejikọta ọnụ, Stribild (elvitegravir + cobicistat + tenofovir + emtricitabine) , Evotaz (atanazavir + cobicistat) na Prezcobix (darunavir + cobicistat) ,
Nke US Food and Drug Administration (FDA) kwadoro na September 2014 n'ihi na ndị ọrịa ahụ nwere ọrịa HIV na-arịa ọrịa ọhụrụ na ahụmahụ ọhụrụ.
Ụdị:
150mg na-ekpuchi gburugburu mbadamba nkume, acha odo odo na agba ma jupụta na akwụkwọ ozi "GSI" n'otu akụkụ.
Ọgwụgwọ:
Otu mbadamba 150mg kwa ụbọchị na nri n'otu oge ma ọ bụ Reyataz ma ọ bụ Prezista. Nchịkọta aghaghị ịgụnye otu ma ọ bụ karịa ndị ọzọ, na-eso ọgwụ (anti) ọgwụ nje.
Ntuziaka:
Tupu ịmalite, a ghaghị ịnwale ndị ọrịa iji nyochaa njedebe nke creatinine ha dị ka Tybost nwere ike ịkwụsị ọrụ akụrụ (akụrụ), ọtụtụ mgbe na ndị ọrịa nwere nkwarụ akụrụngwa ma ọ bụ na-amaghị. Mgbe a na-ejikọta ya na Viread (tenofovir) - ọgwụ a makwaara na ọ ga-eme ka ọ ghara ịdaba na ụfọdụ-a na-atụ aro na a ga-anwale ndị ọrịa maka atụmatụ mmepụta creatinine, protein urine glucose na protein urine.
Mmetụta ndị a na-emekarị:
Na nghoputa nke ọmụmụ nke ụmụ mmadụ nke atọ, a matawo ọtụtụ mmetụta ọgwụ ọjọọ nwere ike iji mee ihe mgbe ị na-eji Tybost.
Ihe ọjọọ kachasị njọ, ndị a kọrọ na 2% ma ọ bụ na-erughị ndị ọrịa, bụ:
- Jaundice (na-acha odo odo na anya)
- Ocular icterus (yellowing nke anya)
- Nausea
- Mgbawa
Mmetụta mmetụta nkịtị na-agụnye ike ọgwụgwụ, isi ọwụwa, ehighi ura, vomiting na ihe mgbu abdominal. A na-ahụkwa ụfọdụ mkpụrụ ọrịa na ụfọdụ ndị ọrịa mgbe a na-ejikọta Tybost na Reyataz na Viread, ọ bụ ezie na a na-ewere ikpe ndị a dị nro ma ọ dịghị eme ka njedebe ọgwụgwọ.
Ngwakọta ọgwụ ọjọọ:
E kwesịghị iji ọgwụ ndị na-esonụ ma ọ bụ ihe mgbakwunye ọgwụ ndị a na-emechi:
- Mgbochi anti-arrhythmic: Multaq
- Usoro ọgwụ cholesterol: Mevacor, Zocor
- Mmiri ọgwụ nje: Uroxatral
- Mgbochi ọbara ọbara: Revatio
- Mgbochi ọgwụ na-edozi ahụ: Orap
- Ọgwụ cancer: Camptosar, Campto (mgbe coadministered na Reyataz)
- Ihe nje Ergot nke nwere mgbochi migraine: 45, Ergotrate, Hydergine, Migrana
- Mcobutin, Rifater, Rifamate, Rimactane, Rifadin, Priftin na Rifampin ọgwụ.
- Nzube: Dormicum, Halcion, Hypam, Hyponvel, Trilam, Versed
- John Wort
Mmekọrịta ọgwụ ọjọọ na-akpata nje virus:
Iji Tybost na-eso ọgwụ ọgwụ nje eme ihe nwere ike ibute ma ọ bụrụ na ịṅụ ọgwụgwọ nke ọgwụ ọjọọ na-eso ma ọ bụ mmụba nke mmetụta ndị ọzọ:
- Crixivan (indinavir) ekwesịghị ka ejikọta ya na Tybost na Reyataz.
- Ekwesighi ịdị na-eme ihe dị mma (etravirine) na Tybost.
- Sustiva (efavirenz) ekwesịghị ka ejikọta ya na Tybost na Prezista.
- Viramune (nevirapine) ekwesịghị ka ejikọta ya na Tybost na Prezista.
- Selzentry (maraviroc) usoro ọgwụgwọ kwesịrị ịgbanwe ya na 150mg ugboro abụọ ọ bụla ma ọ bụrụ na a na-ejikọ ya na Tybost.
Mmekọrịta ma ọ bụ echiche ndị ọzọ:
- Gwa dọkịta gị ihe ọ bụla a maara ma ọ bụ echere na akụrụ ị nwere ike ịnwe tupu ịmalite Ụdị.
- Antacids na aluminom ma ọ bụ magnesium hydroxide nwere ike igbochi Tybost / Reyataz ka a ghara itinye ya na ya. Ọ bụrụ na ị na-eji onye antacid n'elu-counter (eg Rolaids, Tums, Milk of Magnesia), a na-atụ aro na a ga - ewere ya ma ọ bụ awa abụọ tupu ma ọ bụ mgbe a gbasịrị Tybost / Reyataz.
- H 2 - ndị na-achọpụta ihe na-emechi egbochi afo (dịka, Tagamet, Pepcid, Axid, Zantac) nwekwara ike igbochi absorption nke Tybost / Reyataz. A na-atụ aro na a ga - ejide ha na Tybost / Reyataz ma ọ bụ, ọzọ, 10 awa tupu ma ọ bụ mgbe a gbasiri Tybost / Reyataz.
- Ndị na-emepụta mgbapụta proton (eg, Losec, Prilosec, Prevacid, Nexium, Pariet) nwere ike igbochi ntanye nke Tybost / Reyataz. A na-atụ aro na a ga-ewe ha 12 awa tupu oge ma ọ bụ mgbe a gbasịrị Tybost / Reyataz.
- A ghaghị iji nlezianya mee ihe na-emepụta ọgwụ na-adịghị mma (Viagra, Levitra, Cialis) dịka Tybost nwere ike iwuli elu nke mmetụta mmetụta ọjọọ, gụnyere mgbakasị visual, hypotension, na priapism (ihe mgbu, na-akwadogide ere). A na-atụ aro na a ga-ebelata Viage usoro ọgwụgwọ karịa 25mg na awa 48; A na-ebelata usoro ọgwụgwọ Levitra karịa 2.5mg n'ime awa 72; na Cialis dosage ga-ebelata karịa karịa 10mg na 72 awa.
Isi mmalite:
Ahụhụ Gilead. "Ụdị (cobicistat) - NKWUKWU NDỊ BAỊBỤTA." Mee obodo, California; banye February 3, 2015.