Yu dɔktɔ dɔn gi yu mɛrɛsin fɔ kɔntrol yu HIV stetɔs? Di nem fɔ di mɛrɛsin kin bi wan kɔmbaynshɔn fɔ Dolutegravir ɛn Rilpivirine. I kin kam ɔnda di brand nem JULUCA. Nɔ kɔnfyus wit di nem dɛn, we kɔmplikt smɔl. Insay dis atikul, wi go tɔk bɔt dis mɛrɛsin, wetin i de du to yu bɔdi, ɛn di tin dɛn we yu fɔ tek tɛm wit we yu de yuz am, insay wan rili simpul we we yu go ɔndastand.
Wetin na dis mɛrɛsin we dɛn kɔl Dolutegravir; Rilpivirin we dɛn kɔl?
Fɔ tɔk am simpul wan, dis na kɔmbaynshɔn fɔ tu antiretroviral drɔgs we de wok agens di HIV vayrɔs. Di men tin fɔ dis na fɔ kɔntrol di wok we di HIV vayrɔs de du na yu bɔdi ɛn ridyus in trɛnk.
Tink bɔt am lɛk shild we de ridyus di pawa we di vayrɔs gɛt. dis de kכntro bכku pan di spεd εn fכ gro fכ di vayrus insay di bכdi.
Bɔt na ya yu nid fɔ mɛmba sɔntin we rili impɔtant . Dis mɛrɛsin nɔ de mɛn HIV ɔltogɛda. Dat min se, i nɔto mɛrɛsin, bɔt na tritmɛnt . Dɔn bak, ivin if yu tek dis mɛrɛsin, di risk fɔ transmit di HIV vayrɔs to ɔda pɔsin nɔ go dɔn kpatakpata. Da risk de jɔs ridyus bad bad wan. So, yu fɔ kɔntinyu fɔ fala di we dɛn we nɔ gɛt wan prɔblɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi histri bifo yu gi yu dis mɛrɛsin. So, if yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn ɛn nɔ ayd ɛnitin .
- Liva sik: If yu gɛt ɛni liva sik we bin dɔn de bifo, duya tɛl wi bɔt am.
- Mental wɛl bɔdi prɔblɛm: I impɔtant fɔ mek yu dɔktɔ no if yu dɔn de tink, plan, ɔr tray fɔ kil yusɛf trade, ɔr if pɔrsin na yu famili gɛt dis kayn histri.
- Alɛji: Tɛl yu dɔktɔ if yu gɛt ɛni alɛji to Dolutegravir, Rilpivirine, ɔ ɛni ɔda mɛrɛsin, it, ɔ day we de insay dis mɛrɛsin.
- Bɛlɛ: Dis rili impɔtant if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de plan fɔ gɛt bɛlɛ jisnɔ . Dis mɛrɛsin kin afɛkt di pikin we de na in bɛlɛ.
- Fɔ gi pikin in mama in bɛlɛ: If yu na mama we de gi pikin in bɛlɛ, yu fɔ tɛl yu dɔktɔ bak bɔt am.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i rili impɔtant fɔ no aw fɔ yuz am kɔrɛkt wan.
- Tek wit it: Dis mɛrɛsin fɔ tek wit wan glas wata ɛn it . Nɔ tek ɛmti bɛlɛ.
- Tek am di rayt tɛm: Tray fɔ tek yu mɛrɛsin lɛk di sem tɛm ɛvride, jɔs lɛk aw yu dɔktɔ tɛl yu. Mek dis bi yu abit.
- Nɔ mis di dos: Ilɛk aw yu fil fayn, nɔ skip di dos ɔ stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu. If yu skip di dos, dat kin mek di HIV vayrɔs nɔ ebul fɔ tek dis mɛrɛsin. If yu du dat, dis mɛrɛsin, ɛn ɔda HIV mɛrɛsin dɛn nɔ go wok fɔ yu tumara bambay.
- Wetin yu go du if yu tek bɔku mɛrɛsin?: If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
- Wetin a go du if a mis wan doz?: Tek di doz we a mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb yu mɛrɛsin wit ɔda pipul dɛn, ilɛksɛf dɛn gɛt di sem sayn lɛk yu.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
Dis na pat we rili impɔtant. Sɔm mɛrɛsin kin kam wit prɔblɛm we dɛn tek am wit dis mɛrɛsin. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn) .
Di tebul we de dɔŋ ya de sho sɔm mɛrɛsin dɛn we kin mek yu gɛt prɔblɛm wit dis mɛrɛsin.
| Dɔlutegravir we dɛn kɔl; Pɔtɛnɛshɛl intarakshɔn wit Rilpivirine | |
|---|---|
| Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda | |
| Fɛniks/Sɔm mɛrɛsin fɔ ɛpilepshi | Kabamazɛpin, Ɔkskabazepin, Fɛnobarbital, Fɛnitɔyn |
| Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ gɛt gastritis (Proton Pump Inhibitors) . | Esomprazol, Pantoprazol, Omeprazol, Lansoprazol, Rabeprazol |
| Sɔm mɛrɛsin fɔ fungal infɛkshɔn | Flukonazɔl, Itrakonazɔl, Kɛtokonazɔl, Posakonazɔl, Vɔrikonazɔl |
| Sɔm mɛrɛsin fɔ TB | Rifampin, Rifapentin, ɛn ɔda pipul dɛn |
| Ɔda mɛrɛsin dɛn | Dɛksametazɔn, Dɔfɛtilayd, Sɛnt Jɔn wɔt, Sisaprid, Pimozayd, Tioridazin, Ziprasidɔn |
| Mɛrɛsin wae kin mek pɔrsin gɛt intarakshɔn ɛn fɔ tek am ɔnda dɔktɔ advays | |
| Sɔm antibayɔtik dɛn | Klaritromaysin, Ɛritromaysin, Rifabutin |
| Ɔda mɛrɛsin fɔ gastritis (Antacids) . | Aluminiɔm haydroksayd, Magnɛsiɔm haydroksayd, Kalsiɔm kabɔnɛt, Simɛtidin, Famotidin |
| Sɔplɛnt dɛn | Kalsiɔm suplimɛnt, Ayɛn suplimɛnt |
| Ɔda mɛrɛsin dɛn | Metformin, Methadone, Sucralfate, drɔgs we de afɛkt di at ritm (QT intaval prolɔng drɔgs) . |
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔltin wae yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek di mɛrɛsin
- Chek-ap ɔltɛm: Si yu dɔktɔ ɔltɛm. I kin du di blɔd wok we i nid fɔ si aw di mɛrɛsin de afɛkt yu bɔdi.
- Siriɔs riakshɔn dɛn na di skin: Dis rili impɔtant. If yu gɛt rɔsh na yu skin wit sɔm sayn dɛn lɛk fiva ɔ kol, sɔm wik ɔ mɔnt afta yu dɔn bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ wantɛm wantɛm . Dis rash kin tɔn rɛd ɔ pepul, dɔn blista ɛn pul. Ɔ i kin bi rɛd rɔsh we gɛt swɛlin limf no dɛm na yu fes, lip, ɔ nɛk/armpit. Dis kin bi sayn fɔ wan siriɔs sik we dɛn kɔl DRESS syndrome, we nid fɔ gɛt tritmɛnt kwik kwik wan.
- Di liva we dɔn pwɛl: Dak yɔlɔ/brawn urine, di yay ɔ di skin we de yɔlɔ, pen na di ɔp rayt say na di bɛlɛ, ɛn we yu taya pasmak kin bi sayn fɔ se yu gɛt prɔblɛm wit di liva. Tɛl yu dɔktɔ wantɛm wantɛm.
- Di chenj we yu de fil: If yu fil se yu de fil chenj, yu gɛt pwɛl hat, ɔ yu de tink bɔt fɔ kil yusɛf, tɛl yu dɔktɔ ɔ pɔsin we yu lɛk wantɛm wantɛm.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Tin dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm |
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| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, tɔk to yu dɔktɔ bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek dis mɛrɛsin wit it , di tɛm we dɛn tɛl yu fɔ du, lɛk aw yu dɔktɔ tɛl yu. Nɔ skip di doz dɛn.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Sɔm mɛrɛsin, mɔ di wan dɛn fɔ gastritis, nɔ fɔ tek wit dis wan.
- If yu gɛt siriɔs rɔsh na yu skin, yu de chenj yu maynd, ɔ yu gɛt sayn dɛn we de sho se yu liva dɔn pwɛl wit fiva, go to dɔktɔ wantɛm wantɛm.
- Mɛmba se dis na tritmɛnt, nɔto mɛrɛsin fɔ HIV. Kɔntinyu fɔ du mami ɛn dadi biznɛs we sef .
- Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin. If yu de plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ fɔs.
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