Mea Kākau: William Ramirez
Lā O Ka Hana: 18 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 11 Mei 2024
Anonim
Dolutegravir + Rilpivirine Combination Therapy for HIV
Wikiō: Dolutegravir + Rilpivirine Combination Therapy for HIV

Anter

Hoʻohana ʻia ʻo Rilpivirine me nā lāʻau ʻē aʻe e mālama ai i ka maʻi maʻi maʻi maʻi type 1 (HIV-1) i kekahi mau mākua a me nā keiki he 12 mau makahiki a ʻoi paha ke kaupaona ma kahi o 77 lb (35 kg) a ʻaʻole i loaʻa iā lākou ka lāʻau antiretroviral i ka wā i hala. Hoʻohana pū ʻia ia me cabotegravir (Vocabria) ma ke ʻano he hana pōkole o ka maʻi HIV-1 i kekahi mau mākua. Aia ʻo Rilpivirine i loko o ka papa o nā lāʻau i kapa ʻia nā non-nucleoside reverse transcriptase inhibitors (NNRTI). Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi HIV i loko o ke koko. ʻOiai ʻaʻole hiki i ka rilpivirine ke hoʻōla 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 nui 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 nā ʻano nohona ʻē aʻe e hōʻemi paha i ka lawe ʻana (hoʻolaha) i ka maʻi HIV i kekahi poʻe ʻē aʻe.

Hele mai ʻo Rilpivirine ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia me kahi pāʻina (ʻaʻole wale kahi inu protein i hoʻokahi manawa i ka lā. Ke lawe ʻia ʻo rilpivirine me cabotegravir, lawe mau ʻia i hoʻokahi manawa i kēlā me kēia lā me kahi pāʻina. Lawe hoʻokahi iā rilpivirine a i ʻole me cabotegravir ma kahi o ka manawa like i kēlā me kēia lā. Lawe pū ʻia ʻo Rilpivirine me cabotegravir ma kahi o hoʻokahi mahina (no ka liʻiliʻi he 28 mau lā) ma mua o ka hoʻomaka ʻana o ka mālama ʻana me nā ʻano hana hoʻoheheʻe lōʻihi o kēia mau lāʻau a i ʻole 2 mau mahina inā e nalo ana ka papa hana hoʻoweliweli ma mua o 7 mau 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. E lawe pololei i ka rilpivirine. 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.


Mālama ʻo Rilpivirine i ka maʻi HIV akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe rilpivirine ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka rilpivirine me ke kamaʻilio ʻole ʻana me kāu kauka. Ke hoʻomaka haʻahaʻa kāu lako o rilpivirine, e kiʻi i nā mea hou aʻe mai kāu kauka a kauka paha. Inā ʻoe e nalo i nā lāʻau a oki paha i ka lawe ʻana i ka rilpivirine, e lilo paha 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.

Kau ʻia kēia lāʻau 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 rilpivirine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka rilpivirine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa rilpivirine. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka inā lawe ʻoe i ka dexamethasone (Decadron); nā lāʻau no ka hopu ʻana me ka carbamazepine (Carbatrol, Epitol, Euetro, Tegretol, Teril), oxcarbazepine (Trileptal), phenobarbital (Luminal), a i ʻole phenytoin (Dilantin, Phenytek); nā mea kūpale proton pump me dexlansoprazole (Dexilant), esomeprazole (Nexium, Vimovo), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), a i ʻole rabeprazole (Aciphex); rifampin (Rifater, Rifamate, Rimactane, Rifadin); rifapentine (Priftin); a me kā John John wort. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka rilpivirine inā ʻoe e lawe i hoʻokahi aʻoi aku paha o kēia mau lāʻau.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i kekahi o nā mea aʻe: nā lāʻau antifungal, me fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), a me voriconazole (Vfend); amiodarone (Nexterone, Pacerone); anagrelide (Agrylin); chloroquine; chlorpromazine; cilostazol; ciprofloxacin (Cipro); citalopram (Celexa); clarithromycin (Biaxin); disopyramide (Norpace); dofetilide (Tikosyn); donepezil (Aricept); erythromycin (E-Mycin, Eryc, Ery-Tab, PCE, Pediazole); flecainide (Tambocor); haloperidol (Haldol); ibutilide (Corvert); levofloxacin; methadone (Dolophine); moxifloxacin (Velox); nelfinavir (Viracept); ondansetron (Zuplenz, Zofran); nā lāʻau NNRTI ʻē aʻe e mālama iā HIV / AIDS; pentamidine (NebuPent, Pentam); pimozide (Orap); procainamide; quinidine (i Nuedexta); rifabutin (Mycobutin); sotalol (Betapace, Sorine, Sotylize); telithromycin (Ketek); a me thioridazine. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me rilpivirine, 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.
  • inā ʻoe e lawe i nā antacids i loko o ka puna, magnesium, a i ʻole ke alumini (Maalox, Mylanta, Tums, a me nā mea ʻē aʻe), lawe iā lākou ma kahi o 2 mau hola ma mua a i ʻole 4 mau hola ma hope o rilpivirine.
  • inā ʻoe e lawe i kahi lāʻau no ka palaka ʻana, ka puʻuwai, a i ʻole nā ​​maʻi ulcer e like me cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), a i ʻole ranitidine (Zantac), lawe ma kahi o 12 mau hola ma mua a ma kahi o 4 mau hola ma hope o rilpivirine .
  • inā ʻoe e lawe ana i ka didanosine (Videx), lawe ma ka liʻiliʻi he 2 mau hola ma mua a ma ka liʻiliʻi he 4 mau hola ma hope o rilpivirine.
  • e haʻi i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa paha iā ʻoe ke kaumaha a i ʻole nā ​​maʻi noʻonoʻo ʻē aʻe, nā maʻi ate, e like me ka hepatitis B a i ʻole C, a i ʻole nā ​​maʻi puʻupaʻa.
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i rilpivirine, e kāhea i kāu kauka. E haʻi i kāu kauka inā ʻoe e hānai waiū ana. ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a inā ʻoe e lawe nei i ka rilpivirine.
  • 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 i ka rilpivirine e loli ai i kou mau manaʻo, hana, a i ʻole ke olakino noʻonoʻo. Kāhea koke i kāu kauka inā hoʻomohala ʻoe i kekahi o nā ʻōuli ma hope ke lawe nei ʻoe i ka rilpivirine: kahi kaumaha hou a i ʻole ke kaumaha paha; kaumaha, hopohopo, hopohopo, a hoʻomaha ʻole paha; a i ʻole ke noʻonoʻo nei e pili ana i ka pepehi ʻana iā ʻoe iho a i ʻole ke hoʻolālā ʻana a hoʻāʻo ʻana paha e hana pēlā. E ʻike pono i kou ʻohana i nā hōʻailona e koʻikoʻi paha i hiki iā lākou ke kāhea i kāu kauka inā ʻaʻole hiki iā ʻoe ke ʻimi i ka lāʻau iā ʻoe iho.
  • pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kāu ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i hala i kou kino a i ʻole e hana i nā hanana ʻē aʻe. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi a i ʻole nā ​​kūlana. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha ma hope o ka hoʻomaka ʻana o ka mālama ʻana me rilpivirine, 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, me kahi pāʻina. Eia nō naʻe, inā ʻoi aku ma mua o 12 mau hola mai kou hopena hope loa, 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.

Hoʻokumu paha ʻo Rilpivirine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • paʻakikī e hiamoe a hiamoe paha
  • ʻeha poʻo
  • nausea
  • ka luaʻi
  • ʻūpā
  • abdominal eha
  • hiamoe

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i helu ʻia i ka ʻĀLU MAKAHIKI kūikawā, e kāhea koke i kāu kauka:

  • hūwī
  • melemele o ka ʻili a i ʻole nā ​​maka, ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū, nausea, ka luaʻi, nā noho ʻōniʻoniʻo, ka mimi ʻeleʻele

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e hōʻoki i ka lawe ʻana i rilpivirine a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • hūwī me fiva, pehu o ka maka, lehelehe, waha, elelo, a puʻu paha, palapū, pilikia ka hanu ʻana a me ka ale ʻana paha, ʻeha ka waha, ʻulaʻula a ʻōhū paha o nā maka (conjunctivitis), ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū (ʻōpū) wahi, a i ʻole mimi kala ʻeleʻele

Hoʻokumu paha ʻo Rilpivirine 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 mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o ka lua.

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

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.

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 kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka rilpivirine.

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.

E mālama i kahi lako o rilpivirine ma ka lima. Mai kali a hiki i ka pau ʻana o kāu lāʻau e hoʻopiha hou 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.

  • Edurant®
  • ʻO Juluca® (ma ke ʻano he huahana hoʻohui ʻia me dolutegravir, rilpivirine)
Nānā Hou - 03/15/2021

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