Zvinodhaka zvinodzivirira hutachiwana kubva pakuvhara Maseja eGentic Machinery
Kurongwa
Vitekta (elvitegravir) chirwere chinorwisa antiretroviral chinotsanangurwa se integrase inhibitor iyo inoshandiswa mukurapwa kweHIV . Integrase inhibitors inoshanda nekuvhara utachiona hweHIV hunoti integrase, iyo inoshandisa hutachiona hweHIV kuti ibatanidze maitiro ayo ekunyora mazita muDNA yakagadzirirwa. Nokudzivirira integrase, hutachiona hahukwanisi kupedzisa hupenyu hwehupenyu uye humwe hutachiwana hweHIV huripo.
Vitekta yakagamuchirwa neU.S. Food and Drug Administration (FDA) munaSeptember 2014 kuti ishandiswe kune vanhu vakuru kare vairatidzirwa nehutano hweHIV.
Elvitegravir chikamu chechimiro chakasanganiswa chechirwere mishonga Stribild (inozivikanwawo se "Quad Pill") uye yechipiri chizvarwa cheStanri chinonzi Genvoya .
Kugadzirwa Kwezvinodhaka
Vitekta inowanikwa muhwendefa maviri yefomu:
- An 85 mg pentagon-yakaita sepeplate yakavharidzirwa nefirimu, yakasvibirira ne "GSI" yakagadzirwa kune rumwe rutivi uye "85" pane imwe.
- A 150 mg-katatu-akaumbwa, ipirati yakafukidzwa nefirimu, ruvara rune ruvara ne "GSI" yakaiswa kune rumwe rutivi uye "150" pane imwe.
Dosage
Vitekta inofanira kushandiswa nguva dzose mukusanganiswa kwehutano pamwe nehutachiwana hweprotase inhibitor (PI) uye Norvir (ritonavir) , iyo inokurudzira " iyo " iyo inowedzera kukanganisa kwemishonga inotevera iri muropa. Vitekta inofanira kutorwa nechingwa.
Iko inorayirwa kuyerwa inopesana nekusarudza zvinodhaka sezvinotevera:
| Vitekta dosage | Protease Inhibitor dosage | Norvir (ritonavir) muyero |
| 85mg kamwe kamwe | Reyataz (atazanavir) 300mg kamwe zuva nezuva | 100mg kamwe kamwe |
| 85mg kamwe kamwe | Kaletra (400mg lopinavir + 100 mg ritonavir) kaviri zuva nezuva | Hazvidiwi kuti ritonavir inenge iripo muCalatra |
| 150mg kamwe chete zuva nezuva | Prezista (darunavir) 600mg kaviri zuva nezuva | 100mg kaviri zuva nezuva |
| 150mg kamwe chete zuva nezuva | Lexiva (fosamprenavir) 700mg kaviri zuva nezuva | 100mg kaviri zuva nezuva |
| 150mg kamwe chete zuva nezuva | Aptivus (tipranavir) 500mg kaviri zuva nezuva | 200mg kaviri zuva nezuva |
Nharaunda Dzakabatana
MuChikamu III zvidzidzo zvekliniki zvevanhu, huwandu hunogona kuve nemigumisiro yemishonga yakawanikwa muvarwere vanotora Vitekta. Zviitiko zvakajairika, zvinorondedzerwa mune zvinenge 2% zvevatori vechiedzo zvinosanganisira:
- Diarrhea
- Nausea
- Headache
Zvisingabatsiri zvinowanzoitika zvinosanganisira marwadzo emimba, indigestion, kupera, kuneta uye kusuruvara. Zvimwe zvinowanzoitika kwenguva refu, uye varwere vashomanana vanoramba vachiguma nekuda kwekusagadzikana kwehutano.
Zvinopesana nezvinodhaka
Vitekta haafaniri kutorwa nemishonga inotevera kana mishonga inowedzera:
- Hepatitis C mishonga: Invicek, Victrelis
- Rifampin-based anti-tuberculosis mishonga: Rifater, Rifamate, Rimactane, Rifadin, Priftin (anotsiva Mycobutin)
- St. John's Wort
Nguva dzose udza chiremba wako chero mishonga chero ipi zvayo kana kuwedzera, yakatemwa kana isiri yakatemwa, kuti iwe unogona kutora usati watanga chero chirwere chetachiona chetachiona.
Antiretroviral Drug Interactions
Kushandiswa kweVitekta nekutevera ma antiretroviral mishonga kunogona kukonzera kana mukurasikirwa kwekurapa kwechirwere ichi pamwe chete kana kuwedzerwa kwemigumisiro:
- Sustiva (efavirenz) haafaniri kutungamirirwa ne Vitetkta.
- Viramune (nevirapine) haifaniri kutungamirirwa neVitekta.
- Videx (didanosine) inofanira kutorwa awa rimwe chete kana maawa maviri mushure meVitekta dose.
- Tybost (cobicistat), nyanzvi yekusimudzira yakafanana naNorvir, haifaniri kutorwa neVitekta apo inotungamirirwa neprotease inhibitor.
Zvimwe Zvokufungisisa
Antacids inogona kudzivirira Vitekta kubva pakugadzirisa zvakanaka. Kana iwe uri kushandisa ye-anti-antacid (eg Rolaids, Tums, Milk yeMagnesia), inoratidzirwa kuti inotorwa maawa maviri asati apfuura kana mushure mutezo weEvotaz.
Vakadzi vanofanira kurayira chiremba wavo kana vari kutora kana kuronga kutora mapiritsi ekuberekwa. Vitekta, kana yakashandiswa naNorvir, inogona kuderedza zvakanyanya majekesa e plasma ye ethinyl estradiol / norgestimate hormonal contraceptive.
Nzira dzakasiyana dzekusagadzirisa mishonga yemakemikari inokurudzirwa. Usambokwanisa kuwedzera hutachiona hwekudzivirira hutachiona. Inorayirwa kuti amai vanoyamwisa vasati vamuyamwa kana vane HIV sezvo inogona kutumira utachiona kumucheche.
Vitekta ine lactose saka iva nechokwadi chekupa chiremba chiremba kana iwe uri ractose isingatauriki.
Sources:
US Food and Drug Administration (FDA). " VITEKTA - FULL PRESCRIBING INFORMATION." Sirivha Srpring, Maryland; yakasvika musi waFebruary 3, 2015.
FDA. "FDA inobvumira piritsi itsva yekubatanidza kurapa HIV kune vamwe varwere." Silver Spring, Maryland; gwaro rehurukuro rakabudiswa musi waAugust 27, 2012.
Girasi Sciences. " Genvoya - Pfungwa Dzokunyora Mashoko." Foster City, California; yakasvika musi waDecember 14, 2015.