Emtricitabine kanye neTenofovir
-Delile
- Ngaphambi kokuthatha i-emtricitabine ne-tenofovir,
- I-Emtricitabine ne-tenofovir kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
I-Emtricitabine ne-tenofovir akumele isetshenziselwe ukwelapha ukutheleleka ngegciwane le-hepatitis B (HBV; ukutheleleka kwesibindi okuqhubekayo).Tshela udokotela wakho uma unayo noma ucabanga ukuthi ungaba ne-HBV. Udokotela wakho angakuhlola ukuthi unayo yini i-HBV ngaphambi kokuba uqale ukwelashwa kwakho nge-emtricitabine ne-tenofovir. Uma une-HBV futhi uthatha i-emtricitabine ne-tenofovir, isimo sakho singase sibe sibi ngokuzumayo lapho uyeka ukuthatha i-emtricitabine ne-tenofovir. Udokotela wakho uzokuhlola futhi a-oda izivivinyo zebhu njalo ezinyangeni ezimbalwa ngemuva kokuyeka ukuthatha i-emtricitabine ne-tenofovir ukubona ukuthi i-HBV yakho isiba kubi kakhulu.
Uma uthatha i-emtricitabine ne-tenofovir ukusiza ukukuvimbela ekutholeni i-HIV, udokotela wakho uzokuhlolela ukuthi unayo yini i-HIV ngaphambi kokuba uqale ukwelashwa kwakho. Tshela udokotela wakho uma uke waba nalezi zimpawu ezilandelayo ngenyanga edlule noma uma unezinye zalezi zimpawu ezilandelayo ngenkathi uthatha i-emtricitabine ne-tenofovir ukusiza ukukuvimbela ekutholeni i-HIV: umkhuhlane, ukukhathala, ubuhlungu bamalunga noma imisipha, ukuqubuka, ubusuku ukujuluka, ukuhlanza, isifo sohudo, ikhanda elibuhlungu, umphimbo obuhlungu, ukuvuvukala kwentamo noma indawo yokububula. Tshela udokotela wakho uma ucabanga ukuthi kungenzeka ukuthi uchayekile kwi-HIV. I-Emtricitabine ne-tenofovir ayivimbeli i-HIV ngaso sonke isikhathi. Udokotela wakho uzo-oda ukuhlolwa kwe-HIV okungenani njalo ezinyangeni ezi-3 ngenkathi uthatha i-emtricitabine ne-tenofovir ukubona ukuthi usuthelelekile yini nge-HIV. I-Emtricitabine ne-tenofovir kufanele isetshenziswe kuphela ngokuhlangana neminye imithi yokwelapha i-HIV. Uma i-emtricitabine ne-tenofovir zisetshenziswa zodwa ukwelapha i-HIV, isimo sakho singaba nzima ukwelashwa.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile ngaphambi nangesikhathi sokwelashwa kwakho ukuze ahlole impendulo yomzimba wakho ku-emtricitabine naku-tenofovir.
Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-emtricitabine ne-tenofovir futhi isikhathi ngasinye lapho ugcwalisa khona incwadi kadokotela. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.
Khuluma nodokotela wakho ngezingozi zokuthatha i-emtricitabine ne-tenofovir.
Inhlanganisela ye-emtricitabine ne-tenofovir (Descovy, Truvada) isetshenziswa kanye neminye imithi yokwelapha i-HIV kubantu abadala nasezinganeni ezinesisindo okungenani esingamakhilogremu angu-17. I-Emtricitabine ne-tenofovir (Truvada) iyasetshenziswa kanye nokwenza ucansi oluphephile (isb., Ukusetshenziswa kwekhondomu) ukunciphisa ubungozi bokutheleleka nge-HIV) kubantu abadala nasentsheni abasengozini enesisindo okungenani esingamakhilogremu angama-35. I-Emtricitabine ne-tenofovir basesigabeni semithi ebizwa nge-nucleoside ne-nucleotide reverse transcriptase inhibitors (NRTIs). Zisebenza ngokunciphisa ukusabalala kwe-HIV emzimbeni. Yize i-emtricitabine ne-tenofovir kungeke kuyelaphe i-HIV, le mithi inganciphisa amathuba okuba ne-immunodeficiency syndrome (i-AIDS) kanye nezifo ezihlobene ne-HIV ezifana nezifo ezinqala noma umdlavuza. Ukuthatha le mithi kanye nokwenza ucansi oluphephile nokwenza ezinye izinguquko kwimpilo yakho kunganciphisa ubungozi bokuthola noma ukudlulisela igciwane le-HIV kwabanye abantu.
Inhlanganisela ye-emtricitabine ne-tenofovir iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa, noma ngaphandle kokudla, kanye ngosuku. Thatha i-emtricitabine ne-tenofovir ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-emtricitabine ne-tenofovir njengoba nje kuyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Uma uthatha i-emtricitabine ne-tenofovir (Truvada), udokotela wakho angakunika noma ancome ukwengezwa kwe-calcium nevithamini D okufanele ukwenze ngenkathi welashwa. Kufanele uthathe lezi zithasiselo njengoba uqondiswe ngudokotela wakho.
Uma ingane yakho ithatha i-emtricitabine ne-tenofovir (Truvada), gwinya yonke ithebhulethi. Tshela udokotela wakho uma ingane yakho ingakwazi ukugwinya amaphilisi.
Qhubeka uthathe i-emtricitabine ne-tenofovir noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-emtricitabine ne-tenofovir ngaphandle kokukhuluma nodokotela wakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-emtricitabine ne-tenofovir,
- Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-emtricitabine ne-tenofovir, noma imuphi omunye umuthi, noma iziphi izithako ezikwi-emtricitabine kanye namaphilisi e-tenofovir Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: imishanguzo yokulwa namagciwane njenge-acyclovir (Sitavig, Zovirax), adefovir (Hepsera), cidofovir, ganciclovir (Cytovene), valacyclovir (Valtrex), ne-valganciclovir (Valcyte); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-gentamicin; eminye imishanguzo ye-HIV noma i-AIDS kubandakanya i-atazanavir (Reyataz, e-Evotaz), darunavir (Prezista, e-Prezcobix), didanosine (Videx), emtricitabine (Emtriva, e-Atripla, eComplera, eGenvoya, e-Odefsey, eStribild, eTruvada, abanye), lamivudine (Epivir, in Combivir, in Epzicom, in Trizivir, others), lopinavir and ritonavir (Kaletra), tenofovir (Viread, in Atripla, in Stribild, in Truvada, others); kanye neminye imithi ye-HIV equkethe i-emtricitabine ne-tenofovir (Atripla, Complera, Emtriva, Genvoya, Odefsey, Stribild, Vemlidy, Viread). Uma uthatha i-emtricitabine ne-tenofovir (Descovy) phinda utshele udokotela wakho uma uthatha i-carbamazepine (Carbatrol, Equetro, Tegretol, abanye), oxcarbazepine (Oxtellar XR, Trileptal), phenobarbital, phenytoin (Dilantin, Phenytutek), rifabutin) , rifampin (Rifadin, Rimactane, eRifamate, eRifater), rifapentine (Priftin), ritonavir (Norvir), kanye netipranavir (Aptivus). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort. Akufanele uthathe i-wort yaseSt.John ngenkathi uthatha i-emtricitabine ne-tenofovir (Descovy).
- Tshela udokotela wakho uma ngabe uke waba nezimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO, izinkinga zamathambo kufaka phakathi i-osteoporosis (isimo lapho amathambo eba mncane futhi abuthakathaka futhi aphuke kalula) noma ukuphuka kwamathambo, noma yiluphi uhlobo lwesifo olungahambi kude noma okuzayo nokudlulayo njengesifo sofuba (i-TB; uhlobo lokutheleleka kwamaphaphu) noma i-cytomegalovirus (i-CMV; ukutheleleka ngegciwane okungadala izimpawu kubantu abanamasosha omzimba abuthakathaka), noma isifo sesibindi noma sezinso.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-emtricitabine ne-tenofovir, shayela udokotela wakho. Akufanele uncelise ibele uma utheleleke nge-HIV noma uma uthatha i-emtricitabine ne-tenofovir.
- kufanele wazi ukuthi ngenkathi uthatha imishanguzo yokwelapha ukutheleleka nge-HIV, amasosha omzimba wakho angaqina futhi aqale ukulwa nezinye izifo ezazivele zisemzimbeni wakho. Lokhu kungadala ukuthi ube nezimpawu zalezo zifo. Uma unezimpawu ezintsha noma eziya ziba zimbi phakathi nokwelashwa kwakho nge-emtricitabine ne-tenofovir, qiniseka ukuthi utshela udokotela wakho.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ophuthelwe ngokushesha uma uwukhumbula ngalolo suku. Ungathathi umthamo ongaphezu kowodwa ngosuku. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Emtricitabine ne-tenofovir kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukudana
- ukukhathazeka
- ubunzima bokulala noma ukulala
- amaphupho angajwayelekile
- ubuhlungu, ukushisa noma ukuncinza ezandleni noma ezinyaweni
- isilungulela
- ukuncipha komzimba
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
- ukushaqeka
- ubunzima bokugwinya noma ukuphefumula
- ukuncipha kokuchama
- ukuchama okunzima, okubuhlungu, noma okuvamile
- ubuhlungu bamathambo
- ubuhlungu engxenyeni engenhla kwesokudla yesisu
- ukulahlekelwa isifiso sokudla
- izimpawu ezinjengomkhuhlane
- ukopha okungajwayelekile noma ukulinyazwa
- ubuthakathaka
- umchamo omnyama ophuzi noma onsundu
- ukunyakaza kwamathumbu okukhanyayo
- ukuphuzi kwesikhumba noma kwamehlo
- ukuzwa ukubanda, ikakhulukazi ezandleni noma emilenzeni
- ubuhlungu bemisipha
- ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
- isiyezi
- ubumhlophe
- ubuhlungu besisu nesicanucanu nokuhlanza
- isicanucanu
- ukuhlanza
I-Emtricitabine ne-tenofovir kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Gcina i-emtricitabine ne-tenofovir ezandleni zakho. Ungalindi uze uphelelwe yimithi yokugcwalisa imishanguzo yakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
- I-Descovy® (equkethe i-Emtricitabine, i-Tenofovir)
- Truvada® (equkethe i-Emtricitabine, i-Tenofovir)