Black box warning on Elidel and Protopic
Erielel naProtopic chii?
Elidel (pimecrolimus) uye Protopic (tacrolimus) mishonga yemitambo inoshandiswa pakurapa atopic dermatitis (eczema). Iyi mishonga, inonzi topical calcineurin inhibitors (TCIs) ndiyo yekutanga isiri-steroid mishonga yemapurisa yakagadzirirwa kutarisa eczema.
Kusiyana nemasikirini steroid, TCIs haisi kukonzera ganda kuponda, pigment inoshanduka, ropa mumudziyo unogadzirwa, striae maitiro, kana kurasikirwa kwemhinduro nekushandiswa kwenguva refu.
TCIs haisiwo yakabatanidzwa mumuviri kune chero ipi zvayo yakakosha, kusiyana nemasikirini steroid. Mukuwedzera, TCIs inogona kushandiswa pane chero ganda, kusanganisira chiso uye maziso.
Elidel uye Protopic ndezvemashoko ezvinyorwa zve calcineurin inhibitors, ayo ari mishonga inoshandiswa kudzivirira masimba ezvirwere mumuviri kune vanhu vanogamuchira nhengo dzomuviri pamwe chete nevanhu vane zvirwere zvemotokari . Iyi mishonga, yakadai se cyclosporine, inogona kuva nemigumisiro yakakomba, kusanganisira kuita mhando dzakasiyana dzekenza.
Kunyange zvazvo Eridel neProtopic vaibvumidzwa chete kuti vashandise vanhu vanhu makore maviri nekure, vanachiremba vakawanda vakashandisa mishonga iyi kumucheche uye vaduku vaduku. Iyi mishonga yakave yakakurumbira zvikuru nekuda kwekushayikwa kwemigumisiro yakaenzana nekuenzaniswa nemasikiriti steroid.
Dzidza zvinyorwa zveatopic dermatitis .
Ndezvipi Njodzi Dzinosanganiswa naEriel naProtopic?
Eridel uye Protopic vose vari vaviri vane "bhokisi rakasvibiswa" nyevero, iyo inonzi chirevo chekuchengetedza chakapiwa mishonga neKudya uye Drug Administration.
Iyi nyevero yakauya pamusoro pemigumisiro yevana nevakuru vakagadzira kenza (yakadai seganda rekenza uye lymphomas) pavanenge vachishandisa mishonga iyi.
Chisarudzo cheDAA kupa mishonga iyi "nyeusi bhenekeri" nyevero yakange yakakavhiringidza uye yakapesana nemazano kubva kune vezvenyanzvi vezverergist uye dermatologists.
Chikonzero cheizvi ndechekuti deta iripo haina kutsigira kuti maTCI akonzera chero kuwedzerwa mumungozi chero ipi zvayo yekenza. Mutengo wekukura kwekenza unoitika kuvanhu vanoshandisa Eridel uye Protopic zvaive pasi pemutengo unotarisirwa mukati mehuwandu hwevanhu , uye marudzi eukenza akaonekwa akanga asiri mhando dzinoonekwa kuvanhu vanoshandisa cyclosporine.
Mukuwedzera, kunyange apo maTCI anoshandiswa pamativi makuru emumuviri, mishonga haigone kuonekwa muropa. Panewo humwe uchapupu hwokuti TCIs inodzvinyirira zvirwere zvemuviri zvemuviri, izvo zvichida ndicho chikuru chikonzero nei muromo wemishonga yemishonga iyi inokonzera kenza.
Pasinei nedzimwe nheyo chaiyo yezvesayenzi ye "FDC" ye "FDB" yeverayiti ye "FDS", zvisinei, Eridel naProtopic vakanga vachishandiswa navanachiremba nokuda kwezvinangwa zvavasina kumbobvira vatarirwa. Iyi mishonga ingangodaro yakasarudzwa pamusoro peiyo chero ipi zvayo yakashata muvana nevakuru, izvo zvisina kukodzera. TCIs achiri kushandiswa mishonga inobatsira, uye ini ndinowanzopa mishonga iyi mumutambo wangu.
Ndeipi Inofanira Kuitwa Eriel uye Protopic?
Elidel uye Protopic zvinoratidzirwa semishonga yechipiri yekusarudza (topical steroids isarudzo yekutanga) yeatopic dermatitis kuvanhu vakuru nevana makore maviri kana kupfuura.
Iyi mishonga inofanira kungoshandiswa pfupi kwenguva pfupi ye eczema, uye haifaniri kushandura kushandiswa kwakasununguka kwemhepo inochengetedza kuchengetedza yakanaka yeganda hydration.
Ndinowanzoshandisa Eridel uye Protopic kakawanda paganda iro rinowanzova nemigumisiro yakabva kune- topical steroid , kunyanya ganda rakapfava pazviso uye maziso emafupa uye mumuviri sezvakaita armpits uye groin. Nokuti maTCI anonyanya kukosha (uye hapana maitiro akawandisa), ndinowanzoshandisa mashizha ekuderedza steroid kune dzimwe nzvimbo mumuviri ane ruvara rweganda, zvakadai sesimba, makumbo, maoko, tsoka, mutsi uye mutumbi.
Ndinokurukurawo nezvengozi dzakataurwa pamusoro apa nevarwere nevabereki vevana vandinorayira Eridel uye Protopic.
Izvo zvese, handina matambudziko makuru pamusoro pekuchengetedzwa kwemishonga iyi (ona pamusoro pekufunga kwangu), ndiyo kodzero yevarwere vangu kuziva zvandinoziva. Iniwo ndinoda varwere vangu kunzwa njodzi dzemishonga iyi kubva kwandiri, pane kubva paIndaneti, kwavanogona kuwana mashoko enhema.
Ona FDA tsamba dzinonyevera paEliel naProtopic .
Unoda kuramba uchidzidza? Tsvaga zvakawanda pamusoro pemishonga kune atopic dermatitis .
Sources:
> Aaronson DW. I "Black Box" Yambiro uye Kurwisa Kwezvinodhaka. J Allergy Clin Immunol. 2006; 117: 40-4.
> Nhoroondo yeTopical Calcineurin Inhibitor Task Force yeAACAAI neAAAAI. JACI. 2005: 115: 1249-53.