ʻO Delavirdine
Anter
- Ma mua o ka lawe ʻana i ka delavirdine,
- Hiki iā Delavirdine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana iā delavirdine a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
ʻAʻole i loaʻa ʻo Delavirdine i ʻAmelika Hui Pū ʻIa.
Hoʻohana ʻia ʻo Delavirdine me nā lāʻau ʻē aʻe e mālama ai i ka maʻi maʻi maʻi (HIV) maʻi kanaka. Aia ʻo Delavirdine i kahi papa o nā lāʻau i kapa ʻia nā non-nucleoside hoʻohuli transcriptase (NNRTI). Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi HIV i loko o ke koko. ʻOiai ʻaʻole hoʻōla ʻo delavirdine iā HIV, hoʻoliʻiliʻi paha ia i kou manawa o ka hoʻomohala ʻia ʻana o ka maʻi maʻi maʻi (AIDS) a me nā maʻi e pili ana i ka maʻi HIV e like me nā maʻi ʻino a i ʻole ka maʻi ʻaʻai. ʻO ka lawe ʻana i kēia mau lāʻau a me ka hoʻomaʻamaʻa ʻana i ka moekolohe ʻoi aku ka maikaʻi a me ka hoʻololi ʻana i ke ʻano ola ʻē aʻe e hōʻemi paha i ka lawe ʻana (hoʻolaha) i ka maʻi HIV i nā poʻe ʻē aʻe.
Hele mai ʻo Delavirdine ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia ʻekolu mau manawa i ka lā me ka ʻai ʻole. Lawe iā delavirdine a puni nā manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pono i ka delavirdine e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Inā loaʻa iā ʻoe kahi pilikia e ale i nā papa 100-mg, e hoʻopuehu ʻia paha lākou i ka wai. E hoʻomākaukau ai, e hoʻohui i ʻehā papa ma ka liʻiliʻi he 3 auneke (90 milliliter) o ka wai, e ʻae e kū no kekahi mau minuke, a laila e hoʻoulu a hiki i ka pau ʻana o nā pā. E inu koke i ka hui wai delavirdine. E holoi i ke aniani a ale i ka holoi e hōʻoia i ka loaʻa ʻana o kāu lāʻau. ʻO nā papa 200-mg (ʻoi aku ka liʻiliʻi ma mua o nā papa 100-mg) pono e ale mau ʻia, no ka mea ʻaʻole lākou e hemo koke i ka wai.
E haʻi paha kāu kauka iā ʻoe e lawe i nā papa delavirdine me ka ʻalani a i ʻole ka wai cranberry inā loaʻa iā ʻoe kekahi ʻano olakino e like me achlorhydria (kahi ʻano i loaʻa ʻole ka waikawa a ka ʻōpū). E hāhai pono i kēia mau ʻōkuhi.
Mālama paha ʻo Delavirdine i ka maʻi HIV akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka delavirdine inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i ka delavirdine a i ʻole kekahi o nā lāʻau ʻē aʻe āu e lawe nei e mālama ai i ka maʻi HIV a i ʻole ke kōkua ʻole ʻia me kāu kauka. Ke hoʻomaka haʻahaʻa kāu lako o delavirdine, e kiʻi hou mai kāu kauka a kauka paha. Inā ʻoe e nalo i nā lāʻau a oki paha i ka lawe ʻana i ka delavirdine, e lilo paha kāu ʻano i mea paʻakikī e mālama.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.
Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i ka delavirdine,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka delavirdine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā papa delavirdine. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā lawe ʻoe i ka alprazolam (Xanax); kekahi mau antihistamines e like me astemizole (Hismanal) (ʻaʻole i loaʻa hou i ka US) a me terfenadine (Seldane) (ʻaʻole i loaʻa i ka US). kekahi mau lāʻau lapaʻau ergot-type e like me dihydroergotamine (D.H.E. 45, Migranal), ergonovine (Ergotrate), ergotamine tartrate (Ergomar, ma Cafergot, ma Migergot), a me methylergonovine (Methergine); cisapride (Propulsid) (ʻaʻole loaʻa hou ma ka U.S.); midazolam (Versed); pimozide (Orap); and triazolam (Halcion). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka delavirdine inā ʻoe e lawe i hoʻokahi aʻoi aku paha o kēia mau lāʻau.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E hōʻike pono i kekahi o kēia mau mea: amphetamines e like me amphetamine (Adderall) a me dextroamphetamine (Dexadrine, Dextrostat); anticoagulants ('blood thinners') e like me warfarin (Coumadin); calcium blockers blockers e like me amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), nisoldipine (Sular) , a me verapamil (Calan, Covera, Isoptin, Verelan); kekahi mau lāʻau e mālama ai i ke kiʻekiʻe o ke kolako e like me atorvastatin (Lipitor), cerivastatin (Baycol), fluvastatin (Lescol), lovastatin (Mevacor), a me simvastatin (Zocor); kekahi mau lāʻau e mālama ai i ka hopu ʻana e like me ka carbamazepine (Tegretol, Carbatrol), phenobarbital, a me phenytoin (Dilantin, Phenytek); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron); fluticasone (Flonase, Flovent, Veramyst); nā lāʻau no ke kuʻi puʻuwai kūlike ʻole e like me amiodarone (Cordarone), bepridil (Bepadin) (ʻaʻole loaʻa hou i ka US), tutupocaine, quinidine, flecainide (Tambocor), a me propafenone (Rythmol); nā lāʻau no ka hoʻoinu ʻole, ka puʻuwai, a i ʻole nā maʻi ulcer e like me cimetidine (Tagamet), famotidine (Pepcid), lansoprazole (Prevacid), nizatidine (Axid), omeprazole (Prilosec), a me ranitidine (Zantac); methadone (Dolophine, Methadose); nā pale pale waha (nā pā kaohi hānau); nā lāʻau ʻē aʻe e mālama iā HIV e like me didanosine (Videx), efavirenz (Sustiva, i Atripla), etravirine (Intelence), indinavir (Crixivan), lopinavir (i Kaletra), maraviroc (Selzentry), nelfinavir (Viracept), nevirapine (Viramune), rilpivirine (Edurant, ma Complera), ritonavir (Norvir, ma Kaletra), a me saquinavir (Invirase); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); sildenafil (Viagra); sirolimus (Rapamune); tacrolimus (Prograf); a me trazodone (Desyrel). Hiki ke launa pū nā lāʻau ʻē aʻe he nui me delavirdine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono paha iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka a me kāu kauka lāʻau he aha nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St. ʻAʻole pono ʻoe e lawe iā St. John's wort ʻoiai ʻoe e lawe nei i ka delavirdine.
- inā ʻoe e lawe ana i ka didanosine (Videx), lawe ma ka liʻiliʻi he 1 hola ma mua a i ʻole 1 hola ma hope o ka lawe ʻana i ka delavirdine.
- inā ʻoe e lawe i nā antacids, e lawe i ka antacid ma kahi o 1 mau hola ma mua a i ʻole 1 hola ma hope o ka lawe ʻana i ka delavirdine.
- e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka achlorhydria (kahi i loaʻa ai ka liʻiliʻi a ʻaʻohe acid i ka ʻōpū) a i ʻole ka maʻi ate a me nā puʻupaʻa.
- e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ka delavirdine, e kāhea i kāu kauka. E haʻi i kāu kauka inā ʻoe e hānai umauma ana. ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a inā ʻoe e lawe nei i ka delavirdine.
- pono ʻoe e ʻike e hoʻonui a neʻe paha kou momona o ke kino i nā wahi like ʻole o kou kino e like me kou umauma, ʻaoʻao i luna a ʻāʻī, a i ʻole ma waena o kou kino. ʻO ka nalowale o ka momona mai nā wāwae, nā lima, a me ka helehelena hiki ke hana pū kekahi.
- pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kou ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i loko o kou kino. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha ma hope o ka hoʻomaka ʻana o ka mālama ʻana me delavirdine, e ʻike pono i kāu kauka.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. Inā makemake ʻoe i kekahi mau kau, e kāhea i kāu kauka e nīnau pehea ʻoe e hoʻomau ai i ka lawe ʻana i ka delavirdine.
Hiki iā Delavirdine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- luhi nui loa
- ʻeha poʻo
- nausea
- pāhoehoe
- hūwī
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana iā delavirdine a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- hū me nā ʻōuli ʻē aʻe e like me ke kuni, ka ʻū ʻana, ka ʻeha ma ka waha, nā maka ʻulaʻula a pehu paha, a i ʻole nā ʻeha a ʻeha pū paha.
- hives
- ʻūlili
- ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- hulahula
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
Hiki iā Delavirdine ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane iā delavirdine.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
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