Ritonavir

Wadatacce

• Kafin shan ritonavir,
• Ritonavir 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:
• Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

Shan ritonavir tare da wasu magunguna na iya haifar da mummunar illa ko barazanar rai. Faɗa wa likitanka idan kana shan ɗayan magunguna masu zuwa: magunguna masu ɓata kamar dihydroergotamine (D.H.E 45, Migranal), ergotamine (Ergomar, a Cafergot, a Migergot), ergonovine, da methylergonovine (Methergine); magunguna don bugun zuciya mara kyau kamar amiodarone (Cordarone, Nexterone, Pacerone), flecainide, propafenone (Rhythmol), da quinidine (a Nuedexta); da abubuwan kwantar da hankali ko magungunan bacci kamar midazolam (Versed) da triazolam (Halcion). Kila likitanku zai gaya muku kar ku ɗauki ritonavir idan kuna shan ɗayan waɗannan magunguna.

Ana amfani da Ritonavir tare da sauran magunguna don magance kamuwa da kwayar cutar kanjamau. Ritonavir yana cikin aji na magungunan da ake kira masu hana haɓakar protease. Yana aiki ne ta rage adadin kwayar HIV a cikin jini. Kodayake ritonavir baya warkar da kwayar cutar kanjamau, amma yana iya rage damarka ta bunkasa cututtukan rashin ƙarfi (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.

Ritonavir ya zo a matsayin kwantena, kwamfutar hannu, da mafita (ruwa) don ɗauka ta baki. Ana shan shi sau biyu a rana tare da abinci. 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. Ritauki ritonavir 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.

Kila likitanku zai fara muku da ƙaramin kwazo na ritonavir kuma a hankali ku ƙara yawan ku, ba sau da yawa fiye da sau ɗaya kowane kwana 2 zuwa 3. Bi waɗannan kwatance a hankali.

Swallow ritonavir Allunan duka. Kada ku rarraba, ku tauna, ko murƙushe su.

Idan kuna shan maganin na baki, yi amfani da cokali, sirinji, ko ƙoƙo don auna adadin ruwan da ake buƙata na kowane sashi. Kar ayi amfani da cokalin gida na yau da kullun. Kuna iya ɗaukar maganin da kansa, ko kuna iya inganta ɗanɗano ta hanyar haɗa shi da oza 8 na madarar cakulan ko Tabbatar ko Advera na kayan abinci na abinci. Idan kun gauraya magungunan tare da ɗayan waɗannan abubuwan sha, dole ne ku sha ruwan da ba zai wuce awa 1 ba bayan kun haɗa shi.

Idan likitanku ya gaya muku ku daina shan capsules na ritonavir kuma ku fara shan allunan a maimakon haka, kuna iya fuskantar ƙarin sakamako masu illa irin su tashin zuciya, amai, ciwon ciki, da gudawa jim kaɗan bayan kun sauya. Wadannan cututtukan na iya inganta yayin da jikinka yake daidaita da allunan.

Ci gaba da shan ritonavir koda kuna jin lafiya. Kada ka daina shan ritonavir ba tare da yin magana da likitanka ba. Idan ka rasa allurai, ɗauki ƙasa da yadda aka tsara, ko ka daina shan ritonavir, yanayinka na iya zama da wahalar magani.

Wannan magani za a iya wajabta shi don sauran amfani. Tambayi likitan ku ko likitan magunguna don ƙarin bayani.

Kafin shan ritonavir,

• gaya wa likitan ku da likitan ku idan kun kasance masu rashin lafiyan ritonavir, duk wasu magunguna, ko duk wani sinadarai a cikin allunan ritonavir, capsules, ko kuma mafita. Tambayi likitan ku kan jerin kayan hadin.
• gaya wa likitanka idan kana shan duk wasu magunguna a Sashin GARGADI MAI MUHIMMANCI ko wani daga cikin masu zuwa: alfuzosin (Uroxatral), apalutamide (Erleada), cisapride (Propulsid) (ba a Amurka), colchicine (Colcrys, Mitigare) a mutanen da ke da cutar koda ko hanta, dronedarone (Multaq), lomitapide (Juxtapid), lovastatin (Altoprev), lurasidone (Latuda), pimozide (Orap), ranolazine (Ranexa), sildenafil (alamar Revatio kawai da ake amfani da ita don cutar huhu), simvastatin Zocor, a cikin Vytorin), St. John's wort, ko voriconazole (Vfend). Kila likitanku zai gaya muku kar ku ɗauki ritonavir idan kuna shan ɗaya ko fiye daga waɗannan magunguna.
• Har ila yau, gaya wa likitan ka da likitan magunguna waɗanne irin magunguna da magunguna marasa magani, bitamin, da kayan abinci mai gina jiki da kake ɗauka ko shirin ɗauka. Tabbatar da ambaci wani daga cikin masu zuwa: masu hana yaduwar jini (‘masu kara jini)’ kamar warfarin (Coumadin, Jantoven) da rivaroxaban (Xarelto); antidepressants kamar amitriptyline, bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban, wasu), desipramine (Norpramin), fluoxetine (Prozac), nefazodone, nortriptyline, paroxetine (Paxil), da trazodone; atovaquone (Mepron,a Malarone); bedaquiline (Sirturo); beta-blockers kamar metoprolol (Lopressor, Toprol XL, a Dutoprol, a Lopressor HCT) da timolol; bosentan (Tracleer); buspirone; masu toshe hanyoyin tashar calcium kamar diltiazem (Cardizem, Cartia, Tiazac, wasu), nifedipine (Adalat, Afeditab CR, Procardia), da verapamil (Calan, Covera, Verelan, a Tarka); magungunan rage yawan cholesterol kamar atorvastatin (Lipitor, in Caduet) da rosuvastatin (Crestor); clarithromycin (Biaxin, a cikin PrevPac); clorazepate (Gen-Xene, Tranxene); colchicine (cryira, Mitigare); wasu magunguna don cutar kansa kamar abemaciclib (Verzenio), dasatinib (Sprycel), karfafarafenib (Braftovi), ibrutinib (Imbruvica), ivosidenib (Tibsovo), neratinib (Nerlynx), nilotinib (Tasigna), venetoclax (Venclexine), ; dexamethasone; diazepam (Diastat, Valium); digoxin (Lanoxin); dronabinol (Marinol); elagolix (Orilissa); estazolam; fentanyl (Duragesic, Subsys), fostamatinib (Tavalisse), wasu magunguna don cutar hepatitis C virus (HCV) kamar su boceprevir (yanzu babu su a Amurka; Victrelis), glecaprevir da pibrentasvir (Mavyret), da simeprevir (babu su a Amurka yanzu) ; Olysio); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); lidocaine (Lidoderm; a cikin Xylocaine tare da Epinephrine); sauran magunguna ga kwayar HIV kamar atazanavir (Reyataz, a Evotaz), darunavir (Prezista, a Prezcobix), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), maraviroc (Selzentry), saquinavir (Invirase) Aptivus); magunguna don rashin ƙarfi ta jiki kamar avanafil (Stendra), sildenafil (Viagra), tadalafil (Adcirca, Cialis), da vardenafil (Levitra); magunguna da ke murƙushe garkuwar jiki kamar cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune) da tacrolimus (Astagraf XL, Prograf); wasu magunguna don kamuwa kamar carbamazepine (Epitol, Equetro, Tegretol, wasu), clonazepam (Klonopin), divalproex (Depakote), ethosuximide (Zarontin), lamotrigine (Lamictal), da phenytoin (Dilantin, Phenytek); meperidine (Demerol); methadone (Dolophine, Methadose); methamphetamine (Desoxyn); mexiletine; labaran rana; quetiapine (Seroquel); quinine (Qualaquin); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, a cikin Rifamate, a cikin Rifater); risperidone; salmeterol (Serevent, a cikin Advair); maganin baki ko inha kamar su betamethasone, budesonide (Pulmicort), ciclesonide (Alvesco, Omnaris), dexamethasone, fluticasone (Flonase, Flovent, in Advair), methylprednisolone (Medrol). mometasone (a cikin Dulera) prednisone, da triamcinolone; theophylline (Theo 24, Uniphyl, wasu); sabarini; da zolpidem (Ambien, Edluar, Intermezzo, wasu). Sauran magunguna da yawa na iya ma'amala tare da ritonavir, don haka tabbatar da gaya wa likitanku duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba. Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa.
• idan kuna shan dakatarwa ta al'ada, to ku gaya wa likitanku idan kuna shan disulfiram (Antabuse) ko metronidazole (Flagyl, Nuvessa, Vandazole).
• gaya wa likitanka idan kana da ko ka taba yin tazarar tazarar ta QT (wata matsala ta zuciya wacce ka iya haifar da bugun zuciya, suma, ko mutuwa kwatsam), ciwon suga, hemophilia, high cholesterol ko triglycerides (mai) a cikin jini, ko zuciya ko cutar hanta, gami da cutar hanta B ko C.
• gaya wa likitanka idan kana da juna biyu, ka shirya yin ciki, ko kuma kana shayarwa. Idan kun yi ciki yayin shan ritonavir, kira likitanku nan da nan. Bai kamata ku shayar da nono ba idan kun kamu da kwayar HIV ko kuma kuna shan ritonavir.
• Ya kamata ku sani cewa ritonavir na iya rage tasirin maganin hana daukar ciki na homon (kwayoyin hana haihuwa, faci, zobe, ko allura). Yi magana da likitanka game da amfani da wani nau'i na hana haihuwa.
• ya kamata ku sani cewa kitsen jikinku na iya karuwa ko motsawa zuwa wurare daban-daban na jikinku, kamar su na baya, wuyan ku ('' buffalo hump ''), nono, da kewaye da cikin ku. Kuna iya lura da asarar kitsen jiki daga fuskarka, ƙafafunku, da hannayenku.
• 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 kai tsaye idan kana da ɗayan waɗannan alamun yayin da kake shan ritonavir: ƙishirwa mai tsanani, 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, rashin numfashi, numfashi mai wari 'ya'yan itace, da rage hankali.
• 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 kuna da sababbin alamu ko ɓarna bayan fara magani tare da ritonavir, tabbas kuna gaya wa likitanku.

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

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.

Ritonavir na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

• bacci
• gudawa
• gas
• ƙwannafi
• canji a ikon ɗanɗanar abinci
• ciwon kai
• dushewa, ƙonewa, ko ƙwanƙwasa hannaye, ƙafa, ko yanki a baki
• tsoka ko haɗin gwiwa
• ciwon ciki, jiri, da amai

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:

• blistering ko peeling na fata
• kurji
• amya
• kumburin idanu, fuska, harshe, leɓɓa, ko maƙogwaro
• matse makogwaro
• wahalar numfashi ko haɗiyewa
• tashin zuciya
• amai
• ciwon ciki
• yawan gajiya
• rashin kuzari
• rasa ci
• zafi a cikin ɓangaren dama na ciki
• rawaya fata ko idanu
• jiri
• rashin haske
• rasa sani
• bugun zuciya mara tsari

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).

Ritonavir 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.

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Adana allunan da maganin a zazzabin ɗakin. Kada a sanyaya maganin kuma kar ya yi zafi ko sanyi sosai. Zai fi kyau a sanyaya capsules na ritonavir, amma kuma zaka iya adana su a cikin zafin jiki na tsawon kwanaki 30.

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.

Yana da mahimmanci musamman don samun taimakon likita yanzunnan idan yaro ya sha fiye da yadda aka saba sha. Maganin ya ƙunshi adadi mai yawa wanda zai iya cutar da yaro sosai.

Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

• suma, ƙonewa, ko ƙwanƙwasa hannaye ko ƙafa

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitan ku zai ba da umarnin wasu gwaje-gwajen gwaje-gwaje don bincika amsar ku ga ritonavir.

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.

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