Livalo (pitavastatin) ine cholesterol-kuderedza mishonga inowanikwa mukirasi yemadzita yemishonga. Iyo inoshandiswa kuwedzerwa mapiritsi emakwikidzi ekutanga hyperlipidemia kana kusanganiswa dyslipidemia mune zviitiko apo kudya, mararamiro ehupenyu, kana mamwe mishonga haisi kupera zvachose lipidhi yemapidhi. Livalo ndeimwe yemitemo yakanyanyisa pamusika.
Maererano nekutsvakurudza, vanogadzira Livalo, 2 mg yeLibalo inoshanda zvakakwana pakuderedza lipids se 10 mg ye Lipitor (atorvastatin).
Uyezve, 2 mg yeLibalo inoderedza cholesterol kusvika kune imwe yakafanana ne 20 mg yeZocor (simvastatin). Kufanana nedzimwe nhepfenyuro, Livalo inobata zvinhu zvose zvehutano hwako hweku cholesterol: Inoderedza LDL uye triglycerides uye inomutsa HDL . Zvidzidzo zvinokosha kuongorora zvinokonzerwa neLibalo pazvikwata zvinoratidza kuti:
- LDL cholesterol inoderedzwa kusvika kusvika 44%
- Kose cholesterol inoderedzwa ne 32%.
- Triglycerides inoderedzwa ne19%.
- HDL yeCholesterol mazinga inowanikwa nevhareji ye5%.
- Apolipoprotein B inoderedzwa ne 35%.
Livalo yakagamuchirwa kuti ishandiswe muUnited States neDain and Drug Administration (FDA) munaAugust 2009. Isati yatenderwa kuU.S., pitavastatin yaive yawanikwa kune dzimwe nyika makore mashanu apfuura.
Livalo Inoshanda Sei?
Livalo inodzivirira enzyme inonzi 3-hydroxy-3methylglutaryl coenzyme A (HMG CoA) reductase, iyo ipuroteni inokosha inodiwa pakugadzirwa kweklesterol inomuviri.
Izvi zvinoderedza cholesterol yakazara, LDL, uye VLDL cholesterol mumuviri.
Ko Livalo Inofanira Kudiwa Sei?
Livalo inowanikwa mupepeti uye inogona kutorwa kana kuti isina kudya kamwechete pazuva, sezvinorayirwa nemutengi wehutano. Desi ye Livalo haifaniri kudarika 4 mg pazuva. Livalo inofanira kutorwa pamwe chete nekudya kuti uderedze cholesterol yako uye triglycerides.
Livalo inowanzotarisirwa kana mararamiro ehupenyu achichinja kana mamwe mishonga haisi kunyatsogadzirisa lipids yako.
Iwe unofanirwa kuve nechokwadi chokuti iwe unopinda mukana wako wekugadzirisa utano hwehutano nguva dzose kubva iye kana iye achange achida kutarisa mapiritsi ako, pamwe chete nemimwe miganhu, iwe uri kutora mishonga iyi.
Ndiani Asingafaniri Kutora Livalo?
Kana uine imwe yehutano hwakanyorwa pasi apa, haufaniri kutora Livalo. MUMWE mazviitiko, mupi wako wehutano anogona kukuisa pane zvakasiyana-siyana kuti udzikise lipids yako:
- Allergy to Livalo . Kana iwe wakambove wakamboenda kuLivalo kana zvimwe zvezvimwe zvayo, haufaniri kutora mishonga iyi.
- Kurwisa chiropa chirwere . Kana iwe uine chirwere chakakomba chechiropa kana maitiro emusimbe asina kukwana, Livalo haifaniri kutorwa.
- Kuberekwa. Livalo inoratidzirwa seMubereki Chikwata X. Livalo yakaratidzwa kuti iyambuke chigadziro chinokonzera mumakumbo uye pane nheyo dzekusavhiringidzika uye kutadza kusina kuwanikwa mune zvidzidzo zvemhuka. Uyezve, izvi zvakare zvakataurwa mumadzimai ane pamuviri anotora mishonga yemishonga. Kana uri kuronga kuva nepamuviri kana kuti watova nepamuviri uye uri kutora Livalo, mupi wehutano wehutano achayera kubatsirwa kwekutora mishonga pane utano hwako uye zvinogona kuitika kumwana wako.
- Nursing. Livalo yakaratidzwa kuti inopinda muchipfuva. Hazvizivikanwe kuti chii chinogona kuitika kune mwana wako.
- T akingisa Cyclosporine. Iyi mishonga inogona kuwedzera mazinga eLibalo mumuviri, izvo zvinogona kukonzera zvinokonzera kuipa mumuviri. Muiti anokurudzira kuti kana uri kutora Livalo, haufaniri kutora cyclosporine.
Ndezvipi Zvingadiwa Kuti Zviongororwe Paunotora Livalo?
Kana uri kutora Livalo, mutapi wako wehutano angave achida kukucherechedza zvakanyanya kana iwe uine zvimwe zvirwere zvinogona kuwedzerwa nekutora mishonga. Kana uine chimwe chezviitiko zviri pasi apa, mutapi wako wehutano angasarudza kutanga pa Livalo pamutengo wakaderera, uye achada kukuongorora iwe kuti uone kana kusatora Livalo zvingakuvadza iwe.
Aya maitiro ehutano anosanganisira:
- Yakawedzerwa chiropa chechiropa. Mune zvidzidzo, Livalo yakawedzera chiropa chechiropa chinonzi aspartate aminotransferase (AST) uye alanine aminotransferase (ALT). Kunyangwe kakawanda zviitiko izvi ndezvenguva pfupi, mupi wehutano wehutano achacherechedza mazinga aya kuti ave nechokwadi chokuti chiropa chako chechiropa hachina kukwidziridzwa kuhuwandu hunotyisa.
- Chirwere chepoyo. Kana uine chirwere chepfungwa chinotarisa kana chakakomba, mupi wako wehutano anokwanisa kukutanga pamvura yakaderera yeLibalo uye kuongorora hutano hwako panguva yemishonga.
- Yakakura mazinga eropa glucose. Zvidzidzo zvakaratidza kuti Livalo inogona kuwedzera hemoglobin A1C nekutsanya mazinga eglucose. Kana iwe une chirwere cheshuga, mupi wehutano wako anogona kutarisa zvikamu izvi muropa rako uye agadzire muzana wako weLibalo.
Ndezvipi Zvimwe Zvikamu Zvingave Zvinyorwa Chikonzero?
Zvipembenene zvinowanzozivikanwa zvinosanganisira kurwadziwa shure, zvinetso zvepamuviri (zvakadai sekudzivirira kana chirwere), kurwadziwa kwepfungwa, uye kurwadziwa mumigumo. Zvimwewo zvishoma zvinowanzova nemigumisiro yemigumisiro zvinosanganisira misoro nemarwadzo. Kana uri kutarisana nemigumisiro chero ipi zvayo kubva pakutora Livalo iyo inowedzera kwenguva refu kana kunetseka, unofanira kubvumira mutapi wako wehutano kuti azive.
Sezvimwe nedzimwe nhepfenyuro, rutivi rwusingabviri rutivi - rhabdomyolysis - runogonawo kuitika kune vanhu vanotora Livalo. Zviratidzo zveRhabdomyolysis zvinosanganisira musuru urombo uye utera, uye soda-ruvara rwemuti. Ngozi yako yekutarisana nemigumisiro iyi inogona kuitika kana uri kutora mamwe mishonga, makore akawanda, nezvimwe zvirwere. Kana ukawana chero zviratidzo zverhabdomyolysis, iwe unofanira kuzivisa pakarepo utano wako wehutano.
Pane Mishonga Yega Inogona Kubatana naLivi?
Mishonga inotevera inogona kuwirirana neLibalo, ichiwedzera mikana yekuwana migumisiro (kunyanya myopathy). Kunze kwekushandiswa kweklesterolori-kuderedza zvinodhaka zvakanyorwa pasi apa, zvinodhaka izvi zvinogona kuwedzera huwandu hweLibalo mumuviri wako.
- Cholesterol-kuderedza zvinodhaka ( nicotinic acid , fibrates)
- Rifampin
- Erythromycin
- Colchicine
Iri haisi rondedzero yakakwana. Iwe unofanirwa kurega mupi wako wehutano wehutano achiziva nezvemishonga yose - kusanganisira mishonga yemishonga uye pamusoro-----mishonga yemishonga - iwe uri kutora uchiri kutora Livalo. Izvi zvichakubatsira iwe wehutano wehutano kuti akuongorore iwe nekuda kwekugadzirisa kushandiswa kwezvinodhaka paunotora mishonga. Kana iwe uchida kutora imwe yemishonga inorongwa pamusoro apa, mupi wehutano wehutano angada kuchinja mazamu ako, kukucherechedza zvakanyanya pamigumisiro, kana kusiya imwe yemishonga.
The Bottom Line
Livalo ndiyo inonyanya kunakidza-inoderedza mishonga inogamuchirwa kwatiri muUnited States. Mune zvimwe zvidzidzo, zvinoratidzika kunge zvinobudirira mukuderedza lipid muzvinyorwa zvakakwana zve simvastatin uye atorvastatin. Livalo inoratidzika kuti inofamba neimwe nzira mumuchiropa kuti iwane metabolized pakuenzanisa kune dzimwe statins, iyo inoderedza huwandu hwehutano hwezvinodhaka hunoonekwa mumunhu anotora mishonga iyi. Zvisinei, Livalo haisati yakanyatsodzidza mukudzivirira kwekufa kana kuremara nekuda kwehutano hwehutano.
Sources
Duggan ST. Pitavastatin: kudzokorora kushandiswa kwaro mune kutungamirirwa kwe hypercholesterolemia kana kudimbuka dyslipidemia. Zvinodhaka 2012; 72: 565-584.
Ose L, Budinski D, Hounslow N, et al. Kufananidza kwepitavastatin nemasvastatin mu primary primary hypercholesterolaemia kana kusanganiswa dyslipidaemia. Curr Med Res & Opin 2009; 25: 2755-64 15.
Budinski D, Arneson V, Hounslow N, et al. Pitavastatin inofananidzwa neatorvastatin muchirwere chepachiyero hypercholesterolemia kana kubatana nedyslipidemia. Clinic Lipidol 2009; 4: 291-302
LIVALO. Cincinnati, OH: Kowa Pharmaceuticals America, 10/2013
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. Iripo pa: http://www.micromedexsolutions.com. Yakasvika musi waFebruary 10, 2016