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• Musanatenge daclatasvir,
• Daclatasvir ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumveranso amiodarone ndipo mukukumana ndi zina mwazizindikirozi kapena zomwe zili mu gawo LOFUNIKITSA CHENJEZO, itanani dokotala wanu mwachangu:

Daclastasvir sikupezeka ku United States.

Mutha kukhala ndi kachilombo ka hepatitis B (kachilombo kamene kamagwira chiwindi ndipo kakhoza kuwononga chiwindi kwambiri) koma osakhala ndi zisonyezo za matendawa. Poterepa, kumwa daclatasvir kumatha kuonjezera chiopsezo kuti matenda anu akhoza kukhala owopsa kapena owopseza moyo ndipo mudzakhala ndi zizindikilo. Uzani dokotala wanu ngati mwakhalapo ndi kachilombo ka hepatitis B. Dokotala wanu amalamula kuti ayesedwe magazi kuti awone ngati mwadwalapo matenda a hepatitis B. Dokotala wanu adzakuyang'anirani ngati muli ndi matenda a chiwindi cha B mkati ndi miyezi ingapo mutalandira chithandizo. Ngati ndi kotheka, dokotala wanu akhoza kukupatsani mankhwala ochizira matendawa musanachitike komanso mukamalandira chithandizo cha daclatasvir. Ngati mukumane ndi zizindikiro izi mukamalandira chithandizo kapena mutalandira chithandizo, itanani dokotala wanu mwachangu: kutopa kwambiri, khungu lachikaso kapena maso, kusowa chilakolako, kunyoza kapena kusanza, mipando yotuwa, kupweteka m'mimba, kapena mkodzo wakuda.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena asanadye, nthawi, komanso mutalandira chithandizo kuti muwone momwe thupi lanu likuyankhira daclatasvir.

Lankhulani ndi dokotala wanu za chiwopsezo chotenga daclatasvir.

Daclatasvir imagwiritsidwa ntchito limodzi ndi mankhwala ena (sofosbuvir [Solvadi]) kuti athetse mtundu wina wa matenda a chiwindi a hepatitis C (matenda opatsirana omwe amawononga chiwindi). Daclatasvir ali mgulu la mankhwala oletsa tizilombo toyambitsa matenda otchedwa hepatitis C virus (HCV) NS5A inhibitors. Zimagwira ntchito poletsa kachilombo kamene kamayambitsa matenda a chiwindi a C kufalikira m'thupi. Sizikudziwika ngati daclatasvir imalepheretsa kufalikira kwa matenda a chiwindi a C kwa anthu ena.

Daclatasvir imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Daclatasvir imayenera kutengedwa limodzi ndi sofosbuvir, nthawi zambiri kwa milungu 12. Tengani daclatasvir mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani daclatasvir ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Pitirizani kumwa daclatasvir ngakhale mukumva bwino. Osasiya kumwa daclatasvir kapena sofosbuvir osalankhula ndi dokotala.

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

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge daclatasvir,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la daclatasvir, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a daclatasvir. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukumwa carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), phenytoin (Dilantin, Phenytek), rifampin (Rifadin, Rimactane, ku Rifamate, Rifater), kapena wort ya St. Dokotala wanu angakuuzeni kuti musamwe daclatasvir ngati mukumwa mankhwala amodzi kapena angapo.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mumamwa kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Nexterone, Pacerone); maantibayotiki ena monga clarithromycin (Biaxin, mu Prevpac), nafcillin, rifapentine (Priftin), ndi telithromycin (Ketek); antifungals ena monga itraconazole (Onmel, Sporanox), ketoconazole, posaconazole (Noxafil), ndi voriconazole (Vfend); chifuwa (Tracleer); buprenorphine ndi naloxone (Suboxone, Zubsolv); mankhwala ochepetsa mafuta m'thupi (ma statins) monga atorvastatin (Lipitor, ku Caduet), fluvastatin (Lescol), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor), ndi simvastatin (Flolipid, Zocor, ku Vytorin); mankhwala okhala ndi cobicistat (Stribild); dabigatran (Pradaxa); dexamethasone; digoxin (Lanoxin); efavirenz (Sustiva, ku Atripla), etravirine (Kutengeka); ma virus ena a HIV protease monga atazanavir (Reyataz, ku Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, Technivie, Viekira Pak), ndi saquinavir (Invirase); modafinil (Provigil); nefazodone; nevirapine (Viramune); ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi daclatasvir, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• auzeni adotolo ngati mwaikidwa chiwindi, mtundu wina uliwonse wa matenda a chiwindi kupatula hepatitis C, kapena matenda amtima.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga daclatasvir, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukukumbukira mlingo womwe munaphonya patsiku lomwe mumayenera kumwa, tengani mlingo womwe mwaphonya mukangokumbukira tsiku lomwelo. Komabe, ngati simukumbukira mlingo womwe mwaphonya mpaka tsiku lotsatira, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mankhwala awiri tsiku limodzi.

Daclatasvir ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kutsegula m'mimba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumveranso amiodarone ndipo mukukumana ndi zina mwazizindikirozi kapena zomwe zili mu gawo LOFUNIKITSA CHENJEZO, itanani dokotala wanu mwachangu:

• pafupi kukomoka kapena kukomoka
• chizungulire kapena mutu wopepuka
• kufooka kapena kusamva bwino
• kupuma movutikira
• kupweteka pachifuwa
• mavuto okumbukira
• chisokonezo

Daclatasvir ikhoza kuyambitsa 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).

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

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.

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.

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.

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