Atazanavir
Wadatacce
- Kafin shan atazanavir,
- Atazanavir na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
- Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun bayyanar, kira likitan ku nan da nan ko ku sami magani na gaggawa:
- Idan kun sami mummunan rash tare da ɗayan waɗannan alamun bayyanar, dakatar da shan atazanavir kuma kira likitanku nan da nan ko samun magani na gaggawa:
- Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:
Ana amfani da Atazanavir tare da wasu magunguna, kamar su ritonavir (Norvir), don magance kamuwa da ƙwayar ƙwayar ɗan adam (HIV) a cikin manya da yara waɗanda aƙalla watanni 3 ne da nauyin su aƙalla 22 lb (kilogiram 10). Atazanavir yana cikin aji na magungunan da ake kira masu hana haɓakar protease. Yana aiki ne ta rage adadin kwayar HIV a cikin jini. Kodayake atazanavir baya warkar da kwayar cutar HIV, amma yana iya rage damarka na haɓaka cututtukan rashin ƙarancin cuta (AIDS) da cututtukan da ke da alaƙa da HIV kamar cututtuka masu tsanani ko kansar. Shan waɗannan magunguna tare da yin amintaccen jima'i da yin wasu canje-canje na rayuwa na iya rage haɗarin watsa kwayar cutar HIV zuwa wasu mutane.
Atazanavir ya zo a matsayin kwantena kuma kamar hoda don ɗauka da baki. Ana amfani da capsule da hoda sau ɗaya a rana tare da abinci ko abun ciye-ciye. Ataauki atazanavir a kusan lokaci ɗaya kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Ataauki atazanavir daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.
Zaku sha wasu magunguna don cutar kanjamau yayin shan atazanavir. Likitanku zai gaya muku ko yakamata a sha waɗannan magunguna a lokaci ɗaya kamar atazanavir, ko awanni da yawa kafin ko bayan an sha atazanavir. Bi wannan jadawalin a hankali, kuma ku tambayi likitanku ko likitan magunguna idan kuna da tambayoyi game da lokutan da ya kamata ku sha magunguna.
Dole ne a ɗauki foda Atazanavir tare da ritonavir (Norvir). Kar ku ɗauki atazanavir foda ba tare da ritonavir (Norvir) ba.
Hadiɗa capsules duka; kada ku rarraba, ku tauna, ko buɗe su. Idan ba za ku iya haɗiye kawun ɗin ba, gaya wa likitanku ko likitan magunguna.
Za a iya ƙara garin Atazanavir da abinci kamar su applesauce ko yogurt, ko ruwa irin su ruwa, madara, ko madarar jarirai. Hadawa da kyau, kuma ɗauki dukkan cakulan nan da nan don ɗaukar cikakken kashi. Idan an gauraya da ruwa, ku ci abun ciye-ciye ko cin abinci nan da nan bayan shan garin hadin. Ga jarirai (sun fi watanni 3 da haihuwa) ba sa iya sha daga ƙoƙo, ana iya haɗuwa da hoda da abin da ake shayar da jarirai kuma a ba shi da sirinji na allura na baka; Kar a ba wa jaririn gawar a cikin kwalbar jariri. Idan ba a ɗauki cakuda kai tsaye ba dole ne a adana shi a cikin zafin jiki a cikin sa'a 1. Hankali karanta umarnin masana'antun da ke bayyana yadda ake haɗuwa da shan kashi na atazanavir. Tabbatar da tambayar likitan ku ko likita idan kuna da wasu tambayoyi game da yadda ake haɗawa ko shan wannan magani.
Yi magana da likita game da abin da za ka yi idan jaririnka yayi amai, tofa, ko kuma kawai ya ɗauki wani ɓangare na maganin atazanavir.
Atazanavir na taimakawa wajen magance kamuwa da kwayar HIV, amma ba ya warkar da shi. Ci gaba da shan atazanavir ko da kun ji daɗi. Kada ka daina shan atazanavir ba tare da yin magana da likitanka ba. Lokacin da wadatar atazanavir ta fara yin rauni, sami kari daga likitanka ko likitan magunguna. Idan ka daina shan atazanavir ko tsallake allurai, yanayinka na iya zama da wahalar magani.
Tambayi likitan ko likitan ku don kwafin bayanan masu sana'anta ga mai haƙuri. Karanta wannan bayanin a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi.
Hakanan ana amfani da Atazanavir a wasu lokuta don hana kamuwa da cuta a cikin ma'aikatan kiwon lafiya ko wasu mutanen da suka kamu da cutar HIV ba da gangan ba. Yi magana da likitanka game da haɗarin amfani da wannan magani don yanayin ku.
Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.
Kafin shan atazanavir,
- gaya wa likitan ku da likitan ku idan kuna rashin lafiyan atazanavir, duk wasu magunguna, ko kowane irin abubuwan da ke cikin atazanavir capsules ko foda. Likitanku na iya gaya muku kar ku ɗauki atazanavir. Tambayi likitan ku kan jerin kayan hadin.
- gaya wa likitanka idan kana shan wasu magunguna masu zuwa ko kayayyakin ganye: alfuzosin (Uroxatral); Cisapride (Propulsid; babu shi a Amurka); elbasvir da grazoprevir (Zepatier); ergot alkaloids kamar dihydroergotamine (D.H.E. 45, Migranal), ergonovine, ergotamine (Ergomar, a Cafergot, a Migergot), ko methylergonovine (Methergine); glecaprevir da pibrentasvir (Mavyret); indinavir (Crixivan); irinotecan (Camptosar); lovastatin (Altoprev); lurasidone (Latuda); midazolam ta baki; nevirapine (Viramune), pimozide (Orap); rifampin (Rimactane, Rifadin, a cikin Rifater, a cikin Rifamate); sildenafil (kawai alamar Revatio da ake amfani da ita don cutar huhu); simvastatin (Zocor, a cikin Vytorin); St. John’s wort; da triazolam (Halcion). Kila likitanku zai gaya muku kar ku ɗauki atazanavir idan kuna shan ɗaya ko fiye daga waɗannan magunguna.
- gaya wa likitanka da likitan kantin ku wasu irin magunguna da magunguna marasa magani, bitamin, kayayyakin ganye, da kayan abinci mai gina jiki da kuke sha ko shirin sha.Tabbatar da ambaci wani daga cikin masu zuwa: masu hana yaduwar jini (‘masu kara jini)’ kamar warfarin (Coumadin, Jantoven); antidepressants ('masu ɗaukan yanayi') kamar su amitriptyline, desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil, Surmontil), protriptyline (Vivactil), trazodone, da trimipramine (Surmontil); wasu maganin rigakafi irin su itraconazole (Onmel, Sporanox), ketoconazole (Extina, Nizoral, Xolegel), da voriconazole (Vfend); bepridil (Vascor) (babu shi a cikin Amurka); masu hana beta kamar su labetalol (Trandate), nadolol (Corgard, a cikin Corzide), da propranolol (Hemangeol, Inderal, Innopran XL, a Inderide); boceprevir (ba a samun shi a cikin Amurka; Victrelis); bosentan (Tracleer); buprenorphine (Buprenex, Butrans, a cikin Bunavail, a Suboxone, a Zubsolv); masu toshe tashar calcium kamar diltiazem (Cardizem, Cartia, Tiazac, wasu), felodipine, nicardipine (Cardene), nifedipine (Adalat, Afeditab, Procardia), da verapamil (Calan, Verelan, a Tarka, wasu); wasu magungunan rage cholesterol (statins) kamar atorvastatin (Lipitor, in Caduet), da rosuvastatin (Crestor); clarithromycin (Biaxin, a cikin Prevpac); colchicine (cryira, Mitigare); digoxin (Lanoxin); fluticasone (Flonase, Flovent, a cikin Advair); magunguna don bugun zuciya mara kyau kamar amiodarone (Cordarone, Nexterone, Pacerone), lidocaine (Octocaine, Xylocaine), da quinidine (a Nuedexta); magunguna da ke murƙushe garkuwar jiki kamar cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), da tacrolimus (Astagraf, Prograf); wasu magunguna don HIV ko AIDS ciki har da efavirenz (Sustiva, a Atripla), ritonavir (Norvir, a Kaletra, a Viekira Pak), saquinavir (Invirase), da tenofovir (Viread, a Atripla, a Stribild, a Truvada, wasu); midazolam ta allura; paclitaxel (Abraxane, Taxol); wasu magunguna masu amfani da phosphodiesterase (masu hana PDE-5) da aka yi amfani da su wajan lalata kamar su sildenafil (Viagra), tadalafil (Cialis), da vardenafil (Levitra, Staxyn); sake fasalin (Prandin, a cikin Prandimet); quetiapine (Seroquel); rifabutin (Mycobutin); salmeterol (Serevent, a cikin Advair); sofosbuvir, velpatasvir, da voxilaprevir (Sovaldi, Epclusa, Vosevi); da tadalafil (Adcirca, Cialis). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa. Sauran magunguna da yawa na iya ma'amala da atazanavir, don haka tabbatar da gaya wa likitanka game da duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba.
- idan kuna shan antacids, didanosine jinkirin-saki capsules (Videx EC), ko wani buffered magani kamar buffered aspirin (Bufferin), dauki atazanavir 2 hours kafin ko 1 hour bayan kun sha magani. Tambayi likitan ku ko likitan magunguna idan ba ku da tabbacin ko wani magungunan da kuke sha yana da ƙari.
- gaya wa likitanka idan kana shan magani don rashin narkewar abinci, ciwon zuciya, ko gyambon ciki kamar cimetidine, esomeprazole (Nexium, a Vimovo), famotidine (Pepcid, in Duexis), lansoprazole (Prevacid, a Prevpac), nizatidine (Axid), omeprazole (Prilosec, a cikin Zegerid), pantoprazole (Protonix), rabeprazole (AcipHex), ko ranitidine (Zantac). Likitanku na iya gaya muku kar ku ɗauki shan magani ko kuma ku sha ƙananan maganin. Idan za ku ci gaba da shan magani, likitanku zai gaya muku tsawon lokacin da ya kamata ku ba da tsakanin shan shan magani da shan atazanavir.
- gaya wa likitanka idan kana da ko ka taba samun bugun zuciya mara kyau, ciwon suga ko hawan jini, hemophilia (yanayin da jini baya yin daskarewa kullum) ko kuma duk wata cuta ta zubar jini, hepatitis (kwayar cutar hanta) ko wani sauran cututtukan hanta, koda ko cututtukan zuciya.
- gaya wa likitanka idan kana da ciki ko ka shirya yin ciki. Idan kun yi ciki yayin shan atazanavir, kira likitan ku. Bai kamata ku shayar da nono ba idan kun kamu da kwayar HIV kuma kuna shan atazanavir.
- ya kamata ku sani cewa atazanavir na iya rage tasirin maganin hana daukar ciki na hormonal (kwayoyin hana haihuwa, faci, zobe, implants, da allurai). Yi magana da likitanka game da hanyoyin hana haihuwa waɗanda zasu yi aiki a gare ku yayin shan atazanavir.
- idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa kuna shan atazanavir.
- ya kamata ku sani cewa kuna iya fuskantar hyperglycemia (ƙaruwa a cikin jinin ku) yayin shan wannan magani, koda kuwa baku da ciwon suga. Faɗa wa likitanka nan da nan idan kana da ɗayan waɗannan alamun yayin da kake shan atazanavir: ƙishirwa mai yawa, yawan fitsari, yunwa mai tsanani, hangen nesa, ko rauni. Yana da matukar muhimmanci ka kira likitanka da zaran ka samu irin wadannan alamun, saboda yawan hawan jini da ba a kula da shi na iya haifar da mummunan yanayi da ake kira ketoacidosis. Ketoacidosis na iya zama barazanar rai idan ba a bi da shi a farkon matakin ba. Kwayar cutar ketoacidosis sun hada da: bushewar baki, tashin zuciya da amai, yawan numfashi, numfashin da ke warin 'ya'yan itace, da rage hankali.
- ya kamata ka sani cewa yayin shan atazanavir kitsen jikinka na iya karuwa ko motsawa zuwa wurare daban-daban na jikinka kamar bayan wuyanka da kafadu na sama ('buffalo hump'), ciki, da nono. Kuna iya rasa mai daga hannuwanku, ƙafafu, fuska, da gindi. Yi magana da likitanka idan ka lura da ɗayan waɗannan canje-canje a cikin kitsen jikinka.
- idan kuna da phenylketonuria (PKU, yanayin gado wanda dole ne a bi abinci na musamman don hana raunin hankali), ya kamata ku sani cewa atazanavir foda mai zaƙi tana da zaƙi tare da aspartame wanda ke samar da phenylalanine.
- Ya kamata ka sani cewa yayin da kake shan magunguna don magance cutar kanjamau, garkuwar jikinka zata ƙara ƙarfi ta fara yaƙi da wasu cututtukan da suke jikinka. Wannan na iya haifar da ci gaba da bayyanar cututtukan. Idan kana da sababbi ko munanan alamu a kowane lokaci yayin jiyya tare da atazanavir, ka tabbata ka gaya wa likitanka.
Yi magana da likitanka game da cin ɗanyen inabi ko shan ruwan anab yayin shan wannan magani.
Doseauki kashi da aka rasa da zarar kun tuna shi. Koyaya, idan ya kusan zuwa lokaci na gaba, tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa.
Atazanavir na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
- tashin zuciya
- amai
- ciwon ciki
- gudawa
- ciwon kai
- damuwa
- zazzaɓi
- wahalar bacci ko bacci
- ciwon tsoka
- m kurji
- suma, zafi, zafi, ko ƙwanƙwasa hannaye ko ƙafa
Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun bayyanar, kira likitan ku nan da nan ko ku sami magani na gaggawa:
- bugun zuciya mara tsari
- jiri
- jin suma ko saukin kai
- hangen nesa ya canza
- raunin fata ko idanu (musamman a jarirai sabbin haihuwa)
- ciwo a bayan ka ko gefen ka
- zafi ko ƙonawa tare da fitsari
- jini a cikin fitsari
- amai
- rasa ci
- kumburin hannu, ƙafa, ƙafa, ko ƙafa
- rage fitsari
- fitsari mai duhu
- hanjin ciki-launuka masu haske
- erection wanda ya fi tsowon awanni 4
Idan kun sami mummunan rash tare da ɗayan waɗannan alamun bayyanar, dakatar da shan atazanavir kuma kira likitanku nan da nan ko samun magani na gaggawa:
- rashin lafiyar gaba ɗaya ko alamun 'mura-kamar'
- zazzaɓi
- tsoka ko haɗin gwiwa
- jajaye ko kumbura idanu
- blisters ko peeling fata
- ciwon baki
- kumburin fuskarka ko wuyanka
- zafi, dumi, ko jan dunƙuƙi a ƙarƙashin fata
Atazanavir na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin da kuke shan wannan magani.
Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).
Ajiye wannan maganin a cikin akwati ko fakiti da ya shigo dashi, a rufe a rufe, kuma daga inda yara da dabbobin gida zasu isa. Ajiye shi a zafin jiki na ɗaki kuma nesa da yawan zafin rana da danshi (ba cikin gidan wanka ba).
Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.
Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org
Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.
Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:
- yellowing na fata ko idanu
Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitan ku zai ba da umarnin wasu gwaje-gwajen gwaje-gwaje a gabanin da yayin aikinku don bincika martanin jikinku ga atazanavir.
Adana kayan atazanavir a hannu. Kada ka yi jira har sai ka gama shan magani don sake cika takardar sayan magani.
Kar ka bari wani ya sha maganin ka. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.
Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.
- Reyataz®
- Evotaz® (dauke da Atazanavir, Cobicistat)
- ATZ