Telaprevir

Wadatacce

• Kafin shan telaprevir,
• Telaprevir 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 alamun ko ɗayan waɗanda aka lissafa a cikin Sashin GARGADI MAI MUHIMMAN, kira likitan ku nan da nan ko ku sami kulawar likita na gaggawa:
• Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

Ba a sake samun Telaprevir a Amurka bayan 16 ga Oktoba, 2014. Idan a yanzu kuna shan telaprevir, ya kamata ku kira likitanku don tattauna batun sauyawa zuwa wani magani.

Telaprevir na iya haifar da halayen fata mai haɗari ko barazanar rai. Kira likitanku nan da nan ko ku nemi likita na gaggawa idan kun fuskanci ɗayan waɗannan alamun bayyanar: kurji, kumburi, ko ciwon fata; ƙaiƙayi; zazzaɓi; kumburin fuska; sores a cikin bakin; ko ja, kumbura, kaikayi, ko idanun hawaye. Likitanku na iya gaya muku ku daina shan telaprevir (kuma wataƙila wasu magunguna) idan kuna da canjin fata; kar ka daina shan shan magungunan ka sai dai idan likitanka ya gaya maka hakan. Idan likitanku ya gaya muku ku daina shan telaprevir saboda canjin fata, bai kamata ku sake shan shi ba.

Ana amfani da Telaprevir tare da wasu magunguna guda biyu (ribavirin [Copegus, Rebetol] da peginterferon alfa [Pegasys]) don magance cutar hepatitis C mai ci gaba (ci gaba da kwayar cutar da ke lalata hanta) a cikin mutanen da ba a ba su magani ba game da wannan yanayin ko kuma wanda Ba za a iya magance yanayin cikin nasara tare da ribavirin da peginterferon alfa shi kaɗai ba. Telaprevir yana cikin ajin magunguna wanda ake kira masu hana yaduwar cutar. Yana aiki ta rage adadin kwayar hepatitis C (HCV) a cikin jiki. Telaprevir bazai hana yaduwar cutar hepatitis C zuwa wasu mutane ba.

Telaprevir ya zo ne azaman kwamfutar hannu don ɗauka da baki. Ana shan shi sau biyu a rana (kowane awanni 10 zuwa 14). Dole ne ku ci abinci ko abun ciye-ciye wanda ya ƙunshi kusan gram 20 na mai a cikin mintina 30 kafin ku sha telaprevir. Misalan abinci (nau'ikan yau da kullun, ba mai mai mai ko kayan ƙanshi ba) waɗanda za a iya ɗauka tare da telaprevir sun haɗa da: bagel tare da cuku mai tsami, ƙwaya 1/2, man gyada cokali 3, ice cream kofi 1, oza biyu na Amurka ko cheddar cuku, 2 ogan dankalin turawa, ko 1/2 kofin sawu. Tambayi likitanku don wasu misalai na abinci waɗanda ke ɗauke da gram 20 na kitse waɗanda za ku iya ci idan kun sha telaprevir. Kada ku sha telaprevir ba tare da abinci ba. Teauki telaprevir kusan sau ɗaya a 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. Teauki telaprevir 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.

Hada hadiyar allunan duka; kada ku rarraba, murkushe su, ko kuma tauna su. Idan ba za ku iya haɗiye allunan gaba ɗaya ba, ku gaya wa likitanku.

Ci gaba da shan telaprevir ko da kun ji daɗi. Dole ne a ɗauki Telaprevir a haɗe tare da peginterferon alfa da ribavirin, yawanci tsawon makonni 12. Peginterferon alfa da ribavirin yawanci ana ci gaba bayan an gama jiyya tare da telaprevir. Kada ka daina shan telaprevir, peginterferon alfa, ko ribavirin, sai dai idan likitanka ya ba da izinin yin hakan.

Likitan ku ko likitan magunguna zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) lokacin da kuka fara magani tare da telaprevir kuma duk lokacin da kuka sake cika takardar sayan magani. Karanta bayanan a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi. Hakanan zaka iya ziyarci gidan yanar gizon Abinci da Magunguna (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ko kuma gidan yanar gizon masana'anta don samun Jagoran Magunguna.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan telaprevir,

• gaya wa likitan ka da likitan ka idan kana rashin lafiyan telaprevir, ribavirin (Copegus, Rebetol), peginterferon alfa (Pegasys), duk wasu magunguna, ko kuma wani sinadarai a cikin allunan telaprevir. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
• gaya wa likitanka idan kana shan wasu magunguna masu zuwa ko kayayyakin ganye: alfuzosin (Uroxatral); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); Cisapride (Propulsid) (babu yanzu a cikin Amurka); ergot magunguna kamar dihydroergotamine (D.H.E. 45, Migranal), ergotamine (Ergomar, a Cafergot, a Migergot), ergonovine, da methylergonovine (Methergine); lovastatin (Altoprev, Mevacor, a cikin Advicor); midazolam da aka sha ta baki; phenobarbital, phenytoin (Dilantin, Phenytek); pimozide (Orap); rifampin (Rifadin, Rimactane, a cikin Rifamate, a cikin Rifater); sildenafil (kawai alamar Revatio da ake amfani da ita don cutar huhu); simvastatin (Zocor, a cikin Simcor, a cikin Vytorin); St. John’s wort; triazolam (Halcion); da tadalafil (alamar Adcirca kawai ake amfani da ita don cutar huhu). Kila likitanku zai gaya muku kar ku ɗauki telaprevir idan kuna shan ɗaya ko fiye daga waɗannan magunguna.
• gaya wa likitanka da likitan kantin ku wasu irin takaddun magani da magunguna marasa magani, bitamin, da kayan abinci mai gina jiki da kuke sha ko shirin sha. Tabbatar da ambaci kowane ɗayan masu zuwa: alprazolam (Niravam, Xanax); maganin hana yaduwar jini (‘masu kara jini)’ kamar warfarin (Coumadin, Jantoven); magungunan antifungal kamar su itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), ko voriconazole (Vfend); bosentan (Tracleer); budesonide (Pulmicort, Rhinocort, a cikin Symbicort); masu toshe tashar calcium kamar su amlodipine (Norvasc, a Amturnide, a Tekamlo), diltiazem (Cardizem, Cartia XT, Dilacor, Diltzac, Dilt-CD, Tiazac, Taztia XT, wasu), felodipine (Plendil), nicardipine (Cardene), nifedipine (Afeditab CR, Adalat, Procardia), nisoldipine (Sular), da verapamil (Calan, Covera, Verelan, a Tarka); wasu magungunan rage cholesterol kamar atorvastatin (Lipitor, a Caduet, a Liptruzet), fluvastatin (Lescol), pitavastatin (Livalo), pravastatin (Pravachol), da rosuvastatin (Crestor); clarithromycin (Biaxin, a cikin Prevpac); colchicine (cryira, a cikin Col-probenecid); digoxin (Lanoxin); efavirenz (Sustiva, a cikin Atripla); erythromycin (E.E.S., E-Mycin, wasu); escitalopram (Lexapro); fentanyl (Abstral, Actiq, Duragesic, Fentora, Lazanda, Subsys); fluticasone (a cikin Advair, Flonase, Flovent); maganin maye gurbin hormone (HRT); masu rigakafin rigakafi kamar cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), ko tacrolimus (Prograf); magunguna don rashin ƙarfi (ED) kamar sildenafil (Viagra), tadalafil (Cialis), ko vardenafil (Levitra, Staxyn); magunguna don bugun zuciya mara tsari kamar amiodarone (Cordarone, Pacerone), flecainide, lidocaine (Lidoderm, Lidopen, Xylocaine), propafenone (Rhythmol), ko quinidine; methadone (Dolophine, Methadose); allurar midazolam; magungunan hana daukar ciki (‘kwayoyin hana haihuwa); maganin baka kamar dexamethasone, methylprednisolone (Depo-Medrol, Medrol, Solu-Medrol), da kuma prednisone (Rayos); sake fasalin (Prandin, a cikin Prandimet); rifabutin (Mycobutin); ritonavir (Norvir, a cikin Kaletra) da aka yi amfani da shi tare da wasu masu hana ƙwayar cuta na HIV kamar atazanavir (Reyataz), darunavir (Prezista), fosamprenavir (Lexiva), da lopinavir (a Kaletra); salmeterol (Serevent, a cikin Advair); telithromycin (Ketek); tenofovir (Viread, a cikin Atripla, a Stribild, a Truvada); trazodone (Oleptro); da zolpidem (Ambien, Edluar, Intermezzo, Zolpmist). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa. Sauran magunguna da yawa na iya yin ma'amala da telaprevir, don haka tabbatar da gaya wa likitanku duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba.
• gaya ma likitanka idan anyi maka dashen wata gabar. Kuma ka gaya wa likitanka idan kana da ko ka taɓa yin karancin jini (bai isa ba jajayen ƙwayoyin jini a cikin jini ɗauke da iskar oxygen zuwa sauran jikin), gout (hare-haren ciwon haɗin gwiwa wanda yawan ƙwayoyin uric acid a cikin jini ya haifar) kwayar cutar kanjamau (HIV), matsaloli tare da garkuwar jikinka, hepatitis B (HBV) ko cutar hanta banda hepatitis C ..
• idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likitanku ko likitan hakori cewa kuna shan telaprevir.
• gaya wa likitan ku idan kuna da juna biyu, ku yi shirin yin ciki, ko kuma wataƙila ku yi ciki. Idan kai namiji ne, ka gaya wa likitanka idan abokiyar zamanka tana da ciki, yana shirin yin ciki, ko kuma zai iya ɗaukar ciki. Dole ne a sha Telaprevir tare da ribavirin, wanda zai iya cutar da ɗan tayi. Dole ne ku yi amfani da hanyoyi biyu na hana haihuwa don hana ɗaukar ciki a cikinku ko abokin tarayyarku yayin da kuke jiyya tare da waɗannan magunguna da kuma tsawon watanni 6 bayan maganinku. Yi magana da likitanka game da waɗanne hanyoyi ya kamata ka yi amfani da su; maganin hana daukar ciki na hormonal (magungunan hana haihuwa, faci, implants, zobe, ko allura) bazai yi aiki sosai a cikin matan da ke shan waɗannan magunguna ba har zuwa makonni 2 bayan jiyya. Dole ne a gwada ku ko abokin aikin ku don daukar ciki kowane wata yayin jinyar ku da kuma tsawon watanni 6 bayan jinyar ku. Idan kai ko abokin tarayyar ku sun sami juna biyu yayin shan wadannan magunguna, kira likitan ku kai tsaye.
• gaya wa likitanka idan kana shayarwa.

Yi hankali musamman don shan isasshen ruwa yayin maganinka tare da wannan magani.

Sai dai idan likitanku ya gaya muku in ba haka ba, ci gaba da abincinku na yau da kullun.

Idan ka tuna kashi da aka rasa a cikin awanni 6 na lokacin da aka tsara za ka sha, ɗauki nauyin da aka rasa tare da abun ciye-ciye ko ci (wanda ya ƙunshi kusan gram 20 na mai) nan da nan. Koyaya, idan ya wuce fiye da awanni 6 tunda zaku ɗauki maganin, ku tsallake kashi da aka rasa kuma ku ci gaba da tsarin jadawalin ku na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa.

Telaprevir 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
• gudawa
• canji a ikon dandano
• ƙaiƙayi
• basir
• rashin jin daɗi, ƙonewa, ko ƙaiƙayi kewaye da dubura

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun alamun ko ɗayan waɗanda aka lissafa a cikin Sashin GARGADI MAI MUHIMMAN, kira likitan ku nan da nan ko ku sami kulawar likita na gaggawa:

• kodadde fata
• jiri
• karancin numfashi
• gajiya
• rauni
• ƙishirwa ta ƙaru
• fitsari mai duhu
• bushe baki
• rage yawan fitsari ko adadinsa
• wahalar cin abinci ko tsananin amai ko gudawa.

Telaprevir na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin 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 akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Ajiye shi a zafin jiki na ɗaki kuma nesa da yawan zafin rana da danshi (ba cikin gidan wanka ba).

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

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.

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:

• tashin zuciya
• gudawa
• amai
• ciwon kai
• rasa ci
• canje-canje a dandano

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitanku zai ba da umarnin wasu gwaje-gwajen gwaje-gwaje don bincika amsar jikinku ga telaprevir.

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.

• Incivek^®