Kuphulika

Zamkati

• Musanatenge delavirdine,
• Delavirdine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa delavirdine ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

Delavirdine sikupezeka ku United States.

Delavirdine imagwiritsidwa ntchito limodzi ndi mankhwala ena kuchiza matenda a kachirombo ka HIV. Delavirdine ali mgulu la mankhwala otchedwa non-nucleoside reverse transcriptase inhibitors (NNRTIs). Zimagwira ntchito pochepetsa kuchuluka kwa kachilombo ka HIV m'magazi. Ngakhale delavirdine sichitha kachilombo ka HIV, imatha kuchepetsa mwayi wanu wopeza matenda a immunodeficiency (AIDS) ndi matenda okhudzana ndi HIV monga matenda akulu kapena khansa. Kumwa mankhwalawa pamodzi ndi kugonana mosatekeseka ndikusintha zina pamoyo wanu kumachepetsa chiopsezo chotenga (kufalitsa) kachirombo ka HIV kwa anthu ena.

Delavirdine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku kapena wopanda chakudya. Tengani delavirdine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani delavirdine chimodzimodzi monga momwe mwauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukuvutika kumeza mapiritsi a 100-mg, amatha kumwazikana m'madzi. Pofuna kukonzekera, onjezerani mapiritsi anayi osachepera ma ola atatu (90 milliliters) amadzi, lolani kuyimirira kwa mphindi zochepa, ndikusunthira mpaka mapiritsi onse atasungunuka. Imwani madzi osakaniza a delavirdine nthawi yomweyo. Muzimutsuka galasi ndi kumeza muzimutsuka kuti muwonetsetse kuti mwalandira mlingo wonse. Mapiritsi a 200-mg (omwe ndi ocheperako kuposa mapiritsi a 100-mg) amayenera kumeza nthawi zonse, chifukwa samatha msanga m'madzi.

Dokotala wanu angakuuzeni kuti mutenge mapiritsi a delavirdine ndi madzi a lalanje kapena kiranberi ngati muli ndi matenda ena monga achlorhydria (vuto lomwe m'mimba mulibe asidi pang'ono). Tsatirani malangizowa mosamala.

Delavirdine amatha kuchepetsa kachilombo ka HIV koma sangachiritse. Pitirizani kumwa delavirdine ngakhale mukumva bwino. Osasiya kumwa delavirdine kapena mankhwala ena aliwonse omwe mukumwa kuti muthane ndi HIV kapena Edzi osalankhula ndi adotolo. Delavirdine yanu ikayamba kuchepa, pezani zambiri kuchokera kwa dokotala kapena wamankhwala. Mukaphonya Mlingo kapena kusiya kumwa delavirdine, vuto lanu lingakhale lovuta kuchiza.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge delavirdine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la delavirdine, mankhwala ena aliwonse, kapena zina zilizonse zomwe zimaphatikizidwa m'mapiritsi a delavirdine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa alprazolam (Xanax); antihistamines ena monga astemizole (Hismanal) (sakupezeka ku U.S.) ndi terfenadine (Seldane) (sakupezekanso ku U.S.); mankhwala ena amtundu wa ergot monga dihydroergotamine (DHE 45, Migranal), ergonovine (Ergotrate), ergotamine tartrate (Ergomar, ku Cafergot, ku Migergot), ndi methylergonovine (Methergine); cisapride (Propulsid) (sichikupezeka ku U.S.); midazolam (Ndime); pimozide (Orap); ndi triazolam (Halcion). Dokotala wanu angakuuzeni kuti musamwe delavirdine ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: amphetamine monga amphetamine (Adderall) ndi dextroamphetamine (Dexadrine, Dextrostat); anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); calcium njira zotsekera monga amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), nisoldipine , ndi verapamil (Calan, Covera, Isoptin, Verelan); mankhwala ena ochiza cholesterol wambiri monga atorvastatin (Lipitor), cerivastatin (Baycol), fluvastatin (Lescol), lovastatin (Mevacor), ndi simvastatin (Zocor); mankhwala ena ochizira matenda monga carbamazepine (Tegretol, Carbatrol), phenobarbital, ndi phenytoin (Dilantin, Phenytek); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron); fluticasone (Flonase, Flovent, Veramyst); mankhwala a kugunda kwamtima mosasinthasintha monga amiodarone (Cordarone), bepridil (Bepadin) (sakupezekanso ku U.S.), lidocaine, quinidine, flecainide (Tambocor), ndi propafenone (Rythmol); mankhwala a kudzimbidwa, kutentha pa chifuwa, kapena zilonda monga cimetidine (Tagamet), famotidine (Pepcid), lansoprazole (Prevacid), nizatidine (Axid), omeprazole (Prilosec), ndi ranitidine (Zantac); methadone (Dolophine, Methadose); njira zakulera zam'kamwa (mapiritsi olera); Mankhwala ena ochizira HIV kuphatikiza didanosine (Videx), efavirenz (Sustiva, ku Atripla), etravirine (Intelence), indinavir (Crixivan), lopinavir (ku Kaletra), maraviroc (Selzentry), nelfinavir (Viracept), nevirapine (Viramune), rilpivirine (Edurant, ku Complera), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); sildenafil (Viagra); mankhwala (Rapamune); tacrolimus (Prograf); ndi trazodone (Desyrel). Mankhwala ena ambiri amatha kulumikizana ndi delavirdine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• uzani dokotala wanu komanso wazamankhwala zomwe mumamwa mankhwala azitsamba, makamaka wort ya St. Simuyenera kutenga wort ya St. John mukamamwa delavirdine.
• ngati mukumwa didanosine (Videx), imwani osachepera ola limodzi isanakwane kapena ola limodzi mutamwa delavirdine.
• ngati mukumwa maantacid, tengani mankhwalawa osachepera ola limodzi isanakwane kapena ola limodzi mutamwa delavirdine.
• uzani dokotala wanu ngati mwakhalapo ndi achlorhydria (momwe m'mimba mulibe asidi pang'ono) kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga delavirdine, itanani dokotala wanu. Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwitsa ngati muli ndi kachilombo ka HIV kapena ngati mukumwa delavirdine.
• muyenera kudziwa kuti mafuta amthupi lanu amatha kuchuluka kapena kusunthira mbali zosiyanasiyana za thupi lanu monga mabere, kumtunda ndi khosi, kapena kuzungulira pakati pa thupi lanu. Kutaya mafuta kuchokera kumiyendo, mikono, ndi nkhope kumatha kuchitika.
• muyenera kudziwa kuti pamene mukumwa mankhwala ochizira kachilombo ka HIV, chitetezo chanu cha mthupi chingakhale champhamvu ndikuyamba kulimbana ndi matenda ena omwe anali kale mthupi lanu. Izi zitha kukupangitsani kukhala ndi zizindikilo za matendawa. Ngati muli ndi zizindikiro zatsopano kapena zowonjezereka mutayamba kumwa mankhwala ndi delavirdine, onetsetsani kuti muwauze dokotala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya. Ngati mwaphonya Mlingo wambiri, itanani dokotala wanu kuti akufunseni momwe mungapitirire kumwa delavirdine.

Delavirdine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutopa kwambiri
• mutu
• nseru
• kutsegula m'mimba
• zidzolo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa delavirdine ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• kuthamanga pamodzi ndi zizindikiro zina monga kutentha thupi, kuphulika, zilonda mkamwa, maso ofiira kapena otupa, kapena kupweteka kwa minofu kapena kulumikizana
• ming'oma
• kuyabwa
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza

Delavirdine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone yankho lanu ku delavirdine.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Wolemba^®