Tus Sau: Eugene Taylor
Hnub Kev Tsim: 10 Lub Yim Hli Ntuj 2021
Hloov Hnub: 14 Lub Kaum Ib Hli Ntuj 2024
Anonim
Ilumya® (tildrakizumab-asmn) Mechanism of Action in Plaque Psoriasis
Daim Duab: Ilumya® (tildrakizumab-asmn) Mechanism of Action in Plaque Psoriasis

Zoo Siab

Ilumya yog dab tsi?

Ilumya (tildrakizumab-asmn) yog ib hom tshuaj muaj npe muab kev kho mob uas tau siv los kho qhov mob pliav qis rau qhov hnyav. Qhov no tau sau tseg rau cov neeg laus uas tsim nyog rau kev kho mob lub cev (cov tshuaj muab los ntawm kev txhaj tshuaj los yog noj ntawm qhov ncauj) lossis kev kho duab ci (kev kho lub teeb).

Ilumya yog ib hom tshuaj hu ua monoclonal antibody. Ib lub tshuaj monoclonal tiv thaiv kab mob yog tshwj xeeb muaj zog tiv thaiv kab mob protein tsim hauv ib chav sim. Cov roj ntsha no yog tsom rau qee feem ntawm koj lub cev tiv thaiv kab mob. Nws yog hom kev kho mob xyoob ntoo (tshuaj tsim los ntawm kev muaj sia nyob tsis txhob siv tshuaj).

Ilumya los ua ib lub koob txhaj tshuaj uas tau muab txhaj. Tus kws kho mob hauv koj tus kws kho mob lub chaw haujlwm tswj hwm nws los ntawm txhaj nws hauv qab koj cov tawv nqaij (txhaj tshuaj subcutaneous).

Tom qab thawj zaug ob zaug tshuaj, uas tau muab plaub lub lis piam sib nrug, Ilumya raug muab txhua 12 asthiv.

Hauv cov kev tshawb fawb soj ntsuam, nruab nrab ntawm 55 feem pua ​​thiab 58 feem pua ​​ntawm cov neeg uas tau txais Ilumya muaj tsawg heev los yog tshem tawm cov tsos mob psoriasis tom qab 12 lub lis piam. Ntau tshaj li ob-feem peb ntawm cov neeg uas muaj cov txiaj ntsig no tswj lawv dhau 64 lub lis piam.


FDA pom zoo

Ilumya tau pom zoo los ntawm Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) hauv lub Peb Hlis 2018.

Ilumya feem ntau

Ilumya tsuas muaj hom tshuaj uas muaj npe nkaus xwb. Tamsis no nws tsis muaj cov ntawv ua tsis raug.

Ilumya muaj cov tshuaj tildrakizumab, uas tseem hu ua tildrakizumab-asmn.

Tus nqi Ilumya

Ib yam li txhua yam tshuaj, tus nqi ntawm Ilumya tuaj yeem sib txawv.

Koj tus nqi tiag tiag yuav nce nyob ntawm koj qhov kev tuav pov hwm.

Kev pab nyiaj thiab kev tuav pov hwm

Yog tias koj xav tau kev txhawb nqa nyiaj txiag los them rau Ilumya, kev pabcuam yeej muaj.

Sun Pharma Global FZE, cov chaw tsim khoom ntawm Ilumya, yuav muab ib qho kev pab hu ua Ilumya Txhawb Kev Teeb Tsa Txoj Kev. Xav paub ntau ntxiv, hu 855-4ILUMYA (855-445-8692) lossis mus saib hauv Ilumya lub vev xaib.

Ilumya siv

Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) tau pom zoo rau cov tshuaj xws li Ilumya los kho qee yam mob. Ilumya kuj tseem siv tau daim ntawv lo rau lwm yam mob.

Ilumya rau cov quav hniav psoriasis

Ilumya pom zoo los ntawm FDA pom zoo los kho mob sib khuav rau cov quav hniav liab rau cov neeg laus uas tsim nyog rau kev kho mob lossis tshuaj pleev ib ce. Kev kho ib puag ncig yog tshuaj uas noj ntawm qhov ncauj los yog txhaj tshuaj thiab ua haujlwm thoob plaws lub cev. Phototherapy (kev kho lub teeb) yog ib txoj kev kho mob uas cuam tshuam rau cov tawv nqaij cuam tshuam rau lub teeb ci ntuj los yog duab ci.


Cov neeg uas tsim nyog rau kev kho mob ib leeg lossis duab hluav taws xob feem ntau yog cov uas:

  • muaj nqaj mob mus rau mob heev plaque psoriasis, lossis
  • tau sim tshuaj kho tab sis pom tau tias cov kev kho no tsis tuaj yeem tswj lawv tus mob psoriasis

Raws li National Psoriasis Foundation, plaque psoriasis pom tias muaj mob loj tsawv yog mob plaques npog ntau dua 3 feem pua ​​ntawm koj lub cev. Rau kev sib piv, koj tag nrho tes ua txog li 1 feem pua ​​ntawm koj lub cev.

Yog tias koj muaj cov quav hniav nyob rau thaj chaw uas muaj kev cuam tshuam, xws li koj txhais tes, ko taw, ntsej muag, lossis ntawm lub chaw mos, koj qhov kev vwm tshwm sim kuj suav tias yog mob nyhav rau mob.

Cov kev siv uas tsis pom zoo

Ilumya tej zaum yuav siv cov ntawv qhia rau lwm yam mob. Kev siv tshuaj tua (label-label) yog thaum siv tshuaj uas raug pom zoo los kho ib yam mob yog tsim los kho ib yam mob.

Psoriatic mob caj dab

Ilumya tsis tau pom zoo kom kho tus mob psoriatic mob caj dab, tab sis nws kuj yuav raug tshem tawm cov ntawv sau rau qhov mob no. Psoriatic mob caj dab koom nrog psoriasis cov tsos mob ntawm daim tawv nqaij nrog rau mob, o pob qij txha.


Hauv ib txoj kev tshawb nrhiav me me, Ilumya tsis txhim kho cov kev mob caj dab los yog mob thaum siv 16 lub lis piam, piv rau cov placebo (tsis muaj tshuaj kho).

Txawm li cas los xij, cov kev tshawb fawb ntxiv tau ua los ntsuas seb Ilumya puas muaj txiaj ntsig zoo hauv kev kho tus mob psoriatic mob caj dab. Lwm qhov kev tshawb fawb tshuaj ntsuam xyuas ncua ntev yog tam sim no.

Ankylosing spondylitis

Ilumya tsis pom zoo rau kev kho tus mob ankylosing spondylitis (mob caj dab uas cuam tshuam koj lub nraub qaum). Txawm li cas los xij, tseem muaj kev tshawb nrhiav tshuaj txuas mus ntxiv kom ntsuas seb nws puas ua haujlwm rau tus mob no.

Ilumya ntau npaum

Cov ntaub ntawv hauv qab no qhia txog kev siv ntau npaum li cas rau Ilumya. Txawm li cas los xij, nco ntsoov siv qhov ntau npaum koj tus kws kho mob sau rau koj. Koj tus kws kho mob yuav txiav txim siab muab qhov zoo tshaj plaws kom haum koj cov kev xav tau.

Cov ntaub ntawv tshuaj thiab qhov ua tau zoo

Ilumya los ua ib lub koob txhaj tshuaj uas tau muab txhaj. Txhua tus koob txhaj tshuaj muaj 100 mg ntawm tildrakizumab hauv 1 mL ntawm cov tshuaj.

Ilumya raug muab raws li kev txhaj tshuaj hauv qab koj cov tawv nqaij (subcutaneous).

Dosage rau cov quav hniav psoriasis

Cov koob tshuaj pom zoo ntawm Ilumya rau cov quav hniav psoriasis yog ib 100-mg subcutaneous txhaj tshuaj.

Koj yuav tau txhaj thawj koob thib ob thiab plaub lis piam sib nrug. Tom qab txhaj koob thib ob, koj yuav tau txais tag nrho cov koob tshuaj ntxiv txhua 12 asthiv. Tus kws kho mob hauv koj tus kws kho mob lub chaw haujlwm yuav txhaj ib koob.

Yog tias kuv plam koob tshuaj?

Yog tias koj tsis nco qab mus rau koj tus kws kho mob lub chaw txhaj tshuaj, hu teem sijhawm teem sijhawm sai li sai tau uas koj nco qab. Tom qab ntawv, rov ua dua li ib txwm tau teem tseg.

Piv txwv li, yog tias koj twb tau txhaj thawj ob koob lawm, koj yuav teem sijhawm rau 12 lis piam tom qab koj pleev qhov pleev.

Kuv puas yuav tau siv cov tshuaj no ntev?

Qhov ntawd yuav yog nyob ntawm seb koj thiab koj tus kws kho mob txiav txim siab tias Ilumya puas muaj kev nyab xeeb thiab siv tau los kho koj tus mob psoriasis. Yog tias koj ua, koj tuaj yeem siv cov tshuaj ntev lub sijhawm los tswj hwm koj cov tsos mob psoriasis.

Ilumya phiv

Ilumya tuaj yeem ua rau mob hnyav los sis mob loj. Cov npe hauv qab no muaj qee cov kev mob tshwm sim thaum yuav noj Ilumya. Daim ntawv no tsis suav nrog tag nrho cov kev mob tshwm sim.

Yog xav paub ntxiv txog cov kev pheej hmoo ntawm Ilumya los yog cov lus qhia txog kev yuav ua li cas nrog cov kev mob tshwm sim, tham nrog koj tus kws kho mob lossis kws muag tshuaj.

Ntau cov kev mob tshwm sim

Cov kev phiv ntau ntawm Ilumya tuaj yeem suav nrog:

  • sab saud mob ntsws
  • qhov chaw txhaj tshuaj tiv thaiv
  • zawv plab

Feem ntau ntawm cov kev mob tshwm sim no yuav ploj mus li ntawm ob peb hnub lossis ob peb lub lis piam. Yog tias lawv mob hnyav dua lossis tsis ploj mus, nrog koj tus kws kho mob lossis kws muag tshuaj tham.

Cov kev mob tshwm sim hnyav heev

Cov kev mob tshwm sim hnyav los ntawm Ilumya tsis tshwm sim, tab sis lawv tuaj yeem tshwm sim. Hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj kev phiv loj heev. Hu 911 yog koj tus mob hnov ​​lub neej tsis zoo lossis yog koj xav tias koj muaj mob xwm txheej kub ntxhov ceev.

Cov kev phiv loj tuaj yeem suav nrog kev tsis haum tshuaj ntawm Ilumya. Cov tsos mob muaj xws li:

  • daim tawv nqaij ua pob
  • khaus
  • o koj lub qa, qhov ncauj lossis tus nplaig, uas tuaj yeem ua rau ua pa nyuaj
  • Mob hlwb (o rau hauv koj daim tawv nqaij, feem ntau hauv koj daim tawv muag, daim di ncauj, tes, lossis ko taw)

Kev txhaj tshuaj ntawm qhov chaw

Hauv cov kev tshawb fawb soj ntsuam, qhov chaw txhaj tshuaj tshwm sim hauv 3 feem pua ​​ntawm cov neeg uas tau txais Ilumya. Cov tsos mob ntawm qhov chaw txhaj tshuaj tuaj yeem suav nrog:

  • liab
  • khaus tawv
  • mob ntawm chaw txhaj tshuaj
  • doog ntshav
  • o tuaj
  • o
  • los ntshav

Kev txhaj tshuaj ntawm qhov chaw feem ntau tsis loj thiab yuav tsum ploj mus li ntawm ob peb hnub. Yog tias lawv mob hnyav lossis tsis mus deb, nrog koj tus kws kho mob tham.

Zawv plab

Zawv plab tshwm sim hauv 2 feem pua ​​ntawm cov neeg uas tau txais Ilumya hauv kev tshawb fawb soj ntsuam. Qhov tshwm sim no yuav ploj mus nrog kev siv tshuaj txuas ntxiv. Yog tias koj qhov raws plab yuav mob heev lossis kav ntev dua ob peb hnub, nrog koj tus kws kho mob tham.

Nce kev pheej hmoo ntawm tus kab mob

Hauv kev tshawb fawb soj ntsuam, 23 feem pua ​​ntawm cov neeg uas tau txais Ilumya kis mob. Nws yog ib qho tseem ceeb kom nco ntsoov, txawm li cas los xij, muaj qee tus mob sib kis tau tshwm sim hauv cov neeg uas tau txais cov placebo (tsis kho).

Feem ntau cov mob kis rau cov neeg uas noj Ilumya yog cov mob hnyav ua pa, xws li tus mob khaub thuas. Mus txog 14 feem pua ​​ntawm cov neeg nyob hauv txoj kev tshawb no muaj tus kab mob ua pa. Txawm li cas los xij, yuav luag txhua qhov kev sib kis tau mob me me lossis tsis loj. Tsawg dua li 0.3 feem pua ​​ntawm cov mob tau pom tias mob hnyav.

Ilumya nce koj qhov kev pheej hmoo ntawm tus mob vim nws txo qis kev ua si ntawm qee qhov ntawm koj lub cev tsis muaj zog. Koj lub cev tiv thaiv kab mob yog koj lub cev tiv thaiv kev kis kab mob.

Ua ntej koj pib kho nrog Ilumya, koj tus kws kho mob yuav tshuaj xyuas koj rau kev kis tus kab mob, nrog rau kev mob ntsws (TB). Yog tias koj muaj keeb kwm ntawm TB los yog muaj tus mob TB, koj yuav tsum tau txais kev kho mob rau tus mob ua ntej koj pib noj Ilumya.

Thoob plaws hauv koj txoj kev kho mob Ilumya, nws yog ib qho tseem ceeb uas yuav tau hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj tsos mob TB. Cov no suav nrog ua npaws, mob nqaij, poob ceeb thawj, hnoos, lossis ntshav hauv koj cov hnoos qeev.

Kev siv tshuaj tiv thaiv rau Ilumya

Hauv cov kev tshawb fawb soj ntsuam, tsawg dua 7 feem pua ​​ntawm cov neeg noj Ilumya muaj qhov tshuaj tiv thaiv uas lawv lub cev tiv thaiv kab mob tau tsim cov tshuaj tiv thaiv mus rau Ilumya.

Cov tshuaj tua kab mob yog cov protein tua cov tshuaj txawv teb chaws hauv koj lub cev ua ntxeem tau. Lub cev tuaj yeem ua rau cov tshuaj tiv thaiv rau ib qho tshuaj txawv teb chaws, suav nrog cov tshuaj tua kabmob monoclonal xws li Ilumya.

Yog tias koj lub cev tsim cov tshuaj tiv thaiv rau Ilumya, nws yog qhov ua tau tias cov tshuaj yuav siv tsis tau los kho koj tus mob psoriasis. Nws yog ib qho tseem ceeb kom nco ntsoov, txawm li cas los xij, Ilumya tau ua tsis tau zoo tsuas yog hauv kwv yees li 3 feem pua ​​ntawm cov neeg uas tau txais nws.

Lwm Txoj Cai rau Ilumya

Lwm cov tshuaj muaj nyob uas tuaj yeem kho mob sib khuav rau cov quav hniav sib txawv heev. Qee tus kuj yuav zoo dua rau koj dua li lwm tus. Yog koj xav paub txog lwm txoj kev xaiv rau Ilumya, nrog koj tus kws kho mob tham kom paub ntau ntxiv txog lwm yam tshuaj uas tuaj yeem ua haujlwm zoo rau koj.

Piv txwv ntawm lwm yam tshuaj uas tej zaum yuav siv los kho mob sib khuav xws li mob quav hniav xws li:

  • methotrexate (Otrexup, Rasuvo, Trexall)
  • adalimumab (Humira)
  • etanercept (Enbrel)
  • secukinumab (Cosentyx)
  • ustekinumab (Stelara)
  • guselkumab (Tremfya)

Ilumya thiab Tremfya

Tej zaum koj yuav xav paub li cas Ilumya piv rau lwm cov tshuaj uas tau sau tseg rau kev siv zoo sib xws. Ntawm no peb saib yuav ua li cas Ilumya thiab Tremfya zoo ib yam thiab txawv.

Txog

Ilumya muaj cov tshuaj tildrakizumab, uas yog hom tshuaj hu ua monoclonal antibody. Tildrakizumab inhibits (block) cov haujlwm ntawm cov protein hu ua interleukin-23 (IL-23) lwg me me. Hauv cov quav hniav psoriasis, hom molecule no koom tes nrog cov tawv nqaij ntawm tes ua uas ua rau cov quav hniav.

Tremfya kuj tseem yog monoclonal antibody uas thaiv qhov kev ua si ntawm IL-23. Nws muaj cov tshuaj guselkumab.

Ilumya thiab Tremfya yog ob qho tib si siv tshuaj biologic uas txo qhov mob thiab pab tiv thaiv cov quav hniav hauv cov neeg muaj mob psoriasis. Kev siv roj ntsha yog cov tshuaj uas tsim los ntawm kev muaj sia muaj sia ntau dua li siv tshuaj.

Kev Siv

Ilumya thiab Tremfya yog ob qho tib si FDA-tau pom zoo los kho mob plaque psoriasis mob taub hau mus rau mob hnyav rau cov neeg laus uas tsim nyog rau kev kho mob lossis tshuaj pleev ib ce.

Kev kho kom qis yog muaj cov tshuaj uas noj ntawm qhov ncauj lossis qhov hno uas ua haujlwm thoob plaws lub cev. Txoj kev kho kom zoo yuav cuam tshuam nrog cov tawv nqaij ua rau lub teeb ci rau ultraviolet.

Cov tshuaj no feem ntau siv los kho qhov quav hniav mob ntshav qab zib lossis rau cov neeg uas tsis teb rau cov kev kho mob uas yog tshuaj pleev (siv rau ntawm daim tawv nqaij).

Cov ntaub ntawv tshuaj thiab kev tswj hwm

Ilumya los txog hauv ib koob txhaj cov tshuaj muaj xaj uas muaj 100 mg ntawm tildrakizumab. Ilumya raug txhaj raws li kev txhaj tshuaj hauv qab ntawm daim tawv nqaij (subcutaneous) ntawm kws kho mob lub chaw haujlwm. Thawj ob koob txhaj ob koob muab sib law. Tom qab cov kev txhaj tshuaj no, cov koob tshuaj tau muab txhua 12 asthiv.

Ib yam li Ilumya, Tremfya los txog hauv cov tshuaj uas muaj ib zaug muab koob txhaj, tab sis nws muaj 100 mg ntawm guselkumab. Nws kuj tseem raug muab tso raws li kev txhaj tshuaj subcutaneous. Thiab ib yam li nrog Ilumya, thawj ob lub hno koob tau muab plaub lub lis piam sib nrug. Txawm li cas los xij, tag nrho cov koob tshuaj tom qab uas muab txhua yim lub lis piam.

Muab tau tus mob Tremfya rau koj tus kws kho mob qhov chaw ua haujlwm, lossis txhaj tshuaj rau hauv tsev tom qab koj tau txais kev cob qhia los ntawm koj tus kws kho mob.

Phiv thiab txaus ntshai

Ilumya thiab Tremfya muaj qee cov kev mob tshwm sim zoo ib yam thiab qee qhov sib txawv. Cov piv txwv tau teev hauv qab no.

Ilumya thiab TremfyaIlumyaTremfya
Ntau cov kev mob tshwm sim
  • sab saud mob ntsws
  • qhov chaw txhaj tshuaj tiv thaiv
  • zawv plab
(ob peb yam mob tshwm sim)
  • mob taub hau, suav nrog migraine
  • khaus tawv
  • mob tej pob txha
  • poov xab kis tau mob
  • mob voos, suav nrog neeg ncaws pob taw lossis txhab txiag
  • herpes simplex phaum
Cov kev mob tshwm sim hnyav heev
  • kev fab tshuaj hnyav heev
  • muaj peev xwm ua rau mob hnyav
(ob peb yam kev phiv loj heev)
  • mob ncauj plab (mob ua npaws)

Txij nkawm

Ilumya thiab Tremfya tsis tau muab piv rau hauv cov kev tshawb fawb hauv chav kho mob, tab sis ob qho tib si tau txais txiaj ntsig zoo los kho mob pliav qis rau qhov mob plaque hnyav.

Kev sib piv ntawm cov quav hniav psoriasis pom hais tias Tremfya tej zaum yuav zoo dua ntawm kev txhim kho cov tsos mob dua li Ilumya. Hauv qhov kev tshawb nrhiav no, cov neeg uas coj Tremfya yog 12.4 npaug feem ntau yuav muaj kev txhim kho 75 feem pua ​​hauv cov tsos mob, piv rau cov neeg uas tau noj cov placebo (tsis kho).

Hauv tib txoj kev tshawb nrhiav, cov neeg uas tau noj Ilumya yog 11 npaug feem ntau yuav muaj cov txiaj ntsig zoo sib xws piv rau cov placebo.

Cov nqi

Ilumya thiab Tremfya yog cov tshuaj lag luam uas nrov npe. Tam sim no tsis muaj cov ntaub ntawv tsis tseem ceeb ntawm ib yam yeeb tshuaj. Cov tshuaj muaj npe lag luam feem ntau raug nqi ntau dua li cov generics.

Ilumya thiab Tremfya feem ntau raug nqi ib yam nkaus. Tus nqi koj yuav them rau ib qho tshuaj twg yog nyob ntawm koj txoj kev fajseeb khomob.

Ilumya thiab lwm yam tshuaj

Ntxiv nrog rau Tremfya, muaj ntau lwm yam tshuaj siv los kho cov quav hniav mob psoriasis. Hauv qab no yog cov sib piv ntawm Ilumya thiab qee cov tshuaj no.

Ilumya thiab Cosentyx

Ilumya muaj cov tshuaj tildrakizumab, uas yog hom tshuaj hu ua monoclonal antibody. Tildrakizumab inhibits (block) cov haujlwm ntawm cov protein hu ua interleukin-23 (IL-23) lwg me me. Hauv cov quav hniav psoriasis, hom molecule no koom tes nrog cov tawv nqaij ntawm tes ua uas ua rau cov quav hniav.

Cosentyx kuj tseem yog cov monoclonal antibody. Nws muaj cov tshuaj secukinumab thiab cov tshuaj interleukin-17A (IL-17A). Ib yam li IL-23, IL-17A muaj kev koom tes hauv cov tawv nqaij ntawm tes ua uas ua rau cov quav hniav.

Txawm hais tias Ilumya thiab Cosentyx yog ob qho kev siv tshuaj lom, lawv ua haujlwm sib txawv me ntsis.

Kev siv roj ntsha yog cov tshuaj uas tsim los ntawm kev muaj sia muaj sia ntau dua li siv tshuaj.

Kev Siv

Ilumya thiab Cosentyx yog ob qho tib si FDA-tau pom zoo los kho mob plaque psoriasis muaj mob tsawg mus rau cov neeg laus uas tau sib tw ua haujlwm rau kev kho mob lossis tshuaj pleev. Kev kho kom qis yog kev siv tshuaj uas noj ntawm qhov ncauj los yog los ntawm kev txhaj tshuaj thiab ua haujlwm thoob plaws lub cev. Kev pab yees duab cuam tshuam nrog cov tawv nqaij cuam tshuam rau lub teeb ci ultraviolet.

Cosentyx tseem yog FDA pom zoo kom kho tus mob psoriatic mob caj dab (psoriasis nrog mob caj dab) thiab ankylosing spondylitis (mob caj dab hauv cov nqaj qaum).

Cov ntaub ntawv tshuaj thiab kev tswj hwm

Ilumya thiab Cosentyx ob leeg muab raws li kev txhaj tshuaj hauv qab daim tawv nqaij (subcutaneous).

Ilumya raug tso rau hauv kws kho mob chaw ua haujlwm los ntawm tus kws kho mob. Thawj ob koob txhaj ob koob muab sib law. Tom qab txhaj ob koob no lawm, cov koob tshuaj tau muab nyob rau txhua 12 asthiv. Ib koob tshuaj yog 100 mg.

Thawj cov tshuaj ntawm Cosentyx feem ntau muab rau hauv kws kho mob lub chaw haujlwm. Tom qab ntawd, cov tshuaj yuav raug txhaj tshuaj nws tus kheej tom tsev tom qab kev cob qhia zoo nrog tus kws kho mob.

Rau Cosentyx, ob qhov hno tshuaj ntawm 150 mg (rau tag nrho ntawm 300 mg rau ib koob) tau muab txhua lub lim piam rau tsib lub lis piam. Tom qab ntawd, txhaj ib koob nyob rau txhua lub hli. Txhua ntawm cov koob tshuaj no feem ntau yog 300 mg, txawm hais tias qee tus neeg tsuas xav tau 150 mg rau ib koob.

Phiv thiab txaus ntshai

Ilumya thiab Cosentyx muaj qee cov kev phiv zoo ib yam thiab qee qhov sib txawv. Piv txwv ntawm cov kev mob tshwm sim rau ob qho tshuaj muaj npe hauv qab no.

Ilumya thiab CosentyxIlumyaCosentyx
Ntau cov kev mob tshwm sim
  • sab saud mob ntsws
  • zawv plab
  • qhov chaw txhaj tshuaj tiv thaiv
  • qhov ncauj herpes (yog raug rau tus kab mob herpes)
  • khaus tawv
Cov kev mob tshwm sim hnyav heev
  • kev fab tshuaj hnyav heev
  • muaj peev xwm ua rau mob hnyav
(ob peb yam kev phiv loj heev)
  • inflammatory plob tsis so tswj kab mob

Txij nkawm

Ilumya thiab Cosentyx tsis tau muab piv rau hauv cov kev tshawb fawb hauv chav kho mob, tab sis ob qho tib si tau txais txiaj ntsig zoo los kho mob pluaque psoriasis muaj mob me mus rau mob hnyav.

Kev sib piv ntawm cov quav hniav psoriasis pom tias Cosentyx tej zaum yuav pab tau zoo tshaj li Ilumya ntawm kev txhim kho cov tsos mob. Hauv txoj kev tshawb nrhiav no, cov neeg uas tau noj 300 MG ntawm Cosentyx yog 17.5 npaug feem ntau yuav muaj kev txhim kho 75 feem pua ​​hauv cov tsos mob piv rau cov neeg uas tau noj cov placebo (tsis kho).

Hauv tib txoj kev tshawb nrhiav, cov neeg uas tau noj Ilumya yog 11 npaug feem ntau yuav muaj cov txiaj ntsig zoo sib xws, piv rau cov placebo.

Cov nqi

Ilumya thiab Cosentyx yog ob qho tshuaj uas nrov npe. Tam sim no tsis muaj cov ntawv sau rau ib qho ntawm cov tshuaj. Cov tshuaj muaj npe lag luam feem ntau raug nqi ntau dua li cov generics.

Ilumya thiab Cosentyx feem ntau raug nqi ib yam nkaus. Tus nqi koj yuav them rau ib qho tshuaj twg yog nyob ntawm koj txoj kev fajseeb khomob.

Ilumya thiab Humira

Ilumya muaj cov tshuaj tildrakizumab, uas yog hom tshuaj hu ua monoclonal antibody. Tildrakizumab inhibits (block) cov haujlwm ntawm cov protein hu ua interleukin-23 (IL-23) lwg me me. Hauv cov quav hniav psoriasis, hom molecule no koom tes nrog cov tawv nqaij ntawm tes ua uas ua rau cov quav hniav.

Humira muaj cov tshuaj adalimumab. Nws tseem yog monoclonal antibody thiab thaiv cov kev ua ntawm protein uas hu ua qog necrosis factor-alpha (TNF-alpha). TNF-alpha yog lub cev tshuaj lom neeg uas ua rau kev loj hlob ntawm daim tawv nqaij ceev hauv plaque psoriasis.

Txawm hais tias Ilumya thiab Humira yog ob qho kev siv tshuaj lom neeg uas thaiv cov kabmob tiv thaiv kabmob, lawv ua haujlwm sib txawv. Kev siv roj ntsha yog cov tshuaj uas tsim los ntawm kev muaj sia muaj sia ntau dua li siv tshuaj.

Kev Siv

Ilumya thiab Humira yog ob qho tib si FDA-pom zoo los kho mob plaque psoriasis mob taub hau mus rau mob hnyav rau cov neeg laus uas raug xaiv los kho kev kho mob lossis kho duab. Kev kho kom qis yog kev siv tshuaj uas noj ntawm qhov ncauj lossis los ntawm kev txhaj tshuaj thiab ua haujlwm rau tag nrho lub cev. Txoj kev kho kom zoo yuav koom nrog kho cov tawv nqaij uas muaj ultraviolet lub teeb.

Humira muaj ntau lwm qhov FDA pom zoo siv, qee qhov suav nrog:

  • rheumatoid mob caj dab
  • psoriatic mob caj dab
  • Crohn tus kab mob
  • ankylosing spondylitis
  • ulcerative mob plab

Cov ntaub ntawv tshuaj thiab kev tswj hwm

Ilumya thiab Humira tau muab ob qho tib si rau kev txhaj tshuaj hauv qab daim tawv nqaij (subcutaneous).

Ilumya raug tso rau hauv kws kho mob chaw ua haujlwm los ntawm tus kws kho mob. Thawj ob koob txhaj ob koob muab sib law. Tom qab txhaj ob koob no, cov koob tshuaj uas txhaj tshuaj nyob rau txhua 12 asthiv. Ib koob tshuaj yog 100 mg.

Humira tseem tseem muab rau hauv kws kho mob lub chaw haujlwm, lossis ua kev txhaj tshuaj rau tus kheej tom tsev tom qab kev cob qhia zoo los ntawm tus kws kho mob. Thawj koob tshuaj yog 80 mg, tom qab ntawv noj 40-mg ib lub lis piam tom qab. Tom qab ntawd, 40-mg koob tshuaj tau muab rau txhua ob lub lis piam.

Phiv thiab txaus ntshai

Ilumya thiab Humira ua haujlwm sib txawv tab sis muaj qee qhov kev cuam tshuam zoo tib yam. Piv txwv ntawm cov tshwm sim thiab cov tshwm sim loj heev rau txhua cov tshuaj muaj npe hauv qab no.

Ilumya thiab HumiraIlumyaHumira
Ntau cov kev mob tshwm sim
  • sab saud mob ntsws
  • qhov chaw txhaj tshuaj tiv thaiv
  • zawv plab
  • mob tej pob txha
  • rov qab mob
  • xeev siab
  • mob plab
  • mob taub hau
  • ua pob
  • mob txeeb zig
  • cov tsos mob khaub thuas zoo li
Cov kev mob tshwm sim hnyav heev
  • kev fab tshuaj hnyav heev
  • mob hnyav kis * *
(ob peb yam kev phiv loj heev)
  • ua rau muaj mob qog nqaij hlav ntau *
  • raug mob los ntawm kev raug mob
  • txhawb siab ntshav siab
  • kom roj

* Humira tau xa ntawv ceeb toom los ntawm FDA. Lub thawv ceeb toom yog qhov kev ceeb toom zoo tshaj plaws ntawm FDA tau hais. Cov lus ceeb toom hais tias Humira tsub kom muaj kev pheej hmoo kis mob hnyav thiab mob qog nqaij hlav cancer.

Txij nkawm

Ilumya thiab Humira tsis tau muab piv rau hauv cov kev tshawb fawb, tab sis ob qho tib si muaj txiaj ntsig zoo rau kev kho mob qog mob me txog mob hnyav quav hlav quav.

Ib qho piv txwv tsis ncaj pom pom tias Ilumya ua haujlwm txog qhov zoo ib yam li Humira ua cov quav hniav quav yeeb tshuaj. Hauv txoj kev tshawb fawb no, cov neeg uas siv ib qho yeeb tshuaj yog kwv yees li 15 zaug feem ntau yuav muaj kev txhim kho cov tsos mob dua li cov neeg uas siv cov placebo (tsis muaj tshuaj kho).

Txawm li cas los xij, raws li nws cov kev txheeb xyuas ntawm lwm cov tshuaj, txoj kev tshawb fawb tau qhia tias cov tshuaj uas tsom IL-23, xws li Ilumya, zoo li muaj txiaj ntsig zoo ntawm kev kho cov quav hniav psoriasis dua li TNF-blockers, xws li Humira. Tseem muaj cov kev kawm ntxiv.

Cov nqi

Ilumya thiab Humira yog ob qho tshuaj uas nrov npe. Tam sim no tsis muaj cov ntaub ntawv tsis tseem ceeb ntawm ib yam yeeb tshuaj. Cov tshuaj muaj npe lag luam feem ntau raug nqi ntau dua li cov generics.

Txawm li cas los xij, muaj ob peb daim biosimilar ntawm adalimumab (cov tshuaj hauv Humira) uas tau pom zoo los kho tus mob psoriasis. Cov no suav nrog Hyrimoz, Cyltezo, thiab Amjevita. Cov tshuaj biosimilar zoo ib yam li cov tshuaj lom biologic uas lawv tau ua raws, tab sis lawv tsis tshua ua kom luam. Cov tshuaj biosimilar tuaj yeem kwv yees li 30 feem pua ​​tsawg dua li cov tshuaj qub.

Ilumya thiab Humira feem ntau raug nqi ib yam nkaus. Tus nqi koj yuav them rau ib qho tshuaj twg yog nyob ntawm koj txoj kev fajseeb khomob.

Ilumya thiab Enbrel

Ilumya muaj cov tshuaj tildrakizumab, uas yog hom tshuaj hu ua monoclonal antibody. Tildrakizumab inhibits (block) cov haujlwm ntawm cov protein hu ua interleukin-23 (IL-23) lwg me me. Hauv cov quav hniav psoriasis, hom molecule no koom tes nrog cov tawv nqaij ntawm tes ua uas ua rau cov quav hniav.

Enbrel kuj tseem yog cov tshuaj monoclonal antibody. Nws muaj cov tshuaj etanercept, uas thaiv cov kev ua ntawm cov protein hu ua qog necrosis factor-alpha (TNF-alpha). TNF-alpha yog lub cev tshuaj lom neeg uas ua rau kev loj hlob ntawm daim tawv nqaij ceev hauv plaque psoriasis.

Ob lub Ilumya thiab Enbrel yog cov tshuaj biologic uas txo cov quav hniav, tab sis lawv ua ntau txoj hauv kev. Cov roj ntsha yog cov tshuaj uas tsim los ntawm kev muaj sia muaj sia ntau dua li siv tshuaj.

Kev Siv

Ilumya thiab Enbrel yog ob qho tib si FDA-tau pom zoo los kho mob plaque psoriasis mob taub hau mus rau mob hnyav rau cov neeg laus uas raug xaiv los kho kev mob hlwb lossis kho duab. Kev kho kom qis yog kev siv tshuaj uas noj ntawm qhov ncauj lossis los ntawm kev txhaj tshuaj thiab ua haujlwm rau tag nrho lub cev. Txoj kev kho kom zoo yuav koom nrog kho cov tawv nqaij uas muaj ultraviolet lub teeb.

Enbrel tseem tau txais kev tso cai los kho tus mob plaque psoriasis muaj mob hnyav rau cov menyuam yaus hnub nyoog 4 xyoos thiab laus dua, ntxiv rau:

  • rheumatoid mob caj dab
  • kev mob caj dab polyarticular hluas idiopathic mob caj dab
  • psoriatic mob caj dab
  • ankylosing spondylitis

Cov ntaub ntawv tshuaj thiab kev tswj hwm

Ilumya thiab Enbrel yog ob qho tib si muab txhaj tshuaj hauv qab daim tawv nqaij (subcutaneous).

Ilumya los ua ib lub koob txhaj tshuaj uas tau muab txhaj. Nws muab rau hauv kws kho mob lub chaw haujlwm los ntawm koj tus kws kho mob. Thawj ob koob txhaj ob koob muab sib law. Tom qab txhaj ob koob no, cov koob tshuaj uas txhaj tshuaj nyob rau txhua 12 asthiv. Txhua koob tshuaj yog 100 mg.

Enbrel tseem tseem muab rau hauv kws kho mob lub chaw haujlwm lossis los ntawm kev txhaj tshuaj rau nws tus kheej tom tsev tom qab kev cob qhia zoo los ntawm tus kws kho mob. Rau thawj peb lub hlis, Enbrel raug txhaj ob zaug ib asthiv. Tom qab ntawd, cov koob tshuaj saib xyuas yog muab ib zaug ib asthiv. Ib koob tshuaj yog 50 mg.

Enbrel muaj ntau hom, suav nrog ib koob tshuaj txhaj xwb ua ntej thiab tus kws kho tsheb.

Phiv thiab txaus ntshai

Ilumya thiab Enbrel ua haujlwm sib txawv tab sis muaj qee yam kev mob tshwm sim zoo ib yam. Piv txwv ntawm cov tshwm sim uas nquag tshwm sim thiab hnyav rau txhua cov tshuaj muaj npe hauv qab no.

Ilumya thiab EnbrelIlumyaEnbrel
Ntau cov kev mob tshwm sim
  • sab saud mob ntsws
  • qhov chaw txhaj tshuaj tiv thaiv
  • zawv plab
(ob peb yam kev phiv loj heev)
  • khaus tawv
Cov kev mob tshwm sim hnyav heev
  • kev fab tshuaj hnyav heev
  • muaj peev xwm ua rau mob hnyav kis * *
(ob peb yam kev phiv loj heev)
  • ua rau muaj mob qog nqaij hlav ntau *
  • cov leeg ntshaus siab, suav nrog qaug dab peg
  • ntshav tsis ua hauj lwm, suav nrog kuaj ntshav liab
  • tshuaj tiv thaiv kab mob siab B
  • worsening congestive lub plawv tsis ua hauj lwm

* Enbrel tau txais ntawv ceeb toom los ntawm FDA. Lub thawv ceeb toom yog qhov kev ceeb toom zoo tshaj plaws ntawm FDA tau hais. Cov lus ceeb toom hais tias Enbrel nce qhov kev pheej hmoo kis mob hnyav thiab qee yam mob qog nqaij hlav.

Txij nkawm

Ilumya thiab Enbrel ob leeg ua tau zoo ntawm kev kho cov quav tshuaj psoriasis, tab sis Ilumya yuav ua tau zoo dua ntawm kev txo cov quav hniav tshwm sim.

Hauv kev soj ntsuam ib, 61 feem pua ​​ntawm cov neeg uas tau txais Ilumya muaj cov tsos mob txhim kho ntawm tsawg kawg 75 feem pua. Ntawm qhov tod tes, 48 ​​feem pua ​​ntawm cov neeg uas tau txais Enbrel muaj kev txhim kho zoo sib xws.

Cov nqi

Ilumya thiab Enbrel yog ob qho tshuaj lag luam uas nrov npe. Tam sim no tsis muaj cov ntaub ntawv tsis tseem ceeb ntawm ib yam yeeb tshuaj. Cov tshuaj muaj npe lag luam feem ntau raug nqi ntau dua li cov generics.

Enbrel yog tus nqi kim dua Ilumya. Tus nqi koj yuav them rau ib qho tshuaj twg yog nyob ntawm koj txoj kev fajseeb khomob.

Ilumya thiab methotrexate

Ilumya muaj cov tshuaj tildrakizumab, uas yog hom tshuaj hu ua monoclonal antibody. Tildrakizumab inhibits (block) cov haujlwm ntawm cov protein hu ua interleukin-23 (IL-23) lwg me me. Cov molecule no koom tes nrog cov kab mob ntawm daim tawv nqaij ua kom tsim cov quav hniav.

Methotrexate (Otrexup, Trexall, Rasuvo) yog ib hom tshuaj hu ua antimetabolite, lossis folic acid antagonist (blocker). Methotrexate ua haujlwm los ntawm kev thaiv cov haujlwm ntawm cov enzyme uas koom nrog hauv kev loj hlob ntawm daim tawv nqaij thiab cov quav hniav.

Ilumya yog cov tshuaj siv tshuaj lom, thaum methotrexate yog cov kev kho mob hauv kev siv tshuab.Kev kho mob hauv lub cev yog hais txog cov tshuaj uas noj los ntawm qhov ncauj lossis los ntawm kev txhaj tshuaj thiab ua haujlwm thoob plaws lub cev. Cov roj ntsha yog cov tshuaj uas tsim los ntawm kev muaj sia muaj sia ntau dua li siv tshuaj.

Ob qho tshuaj no pab txhim kho cov tsos mob psoriasis los ntawm kev txo cov quav hniav.

Kev Siv

Ilumya thiab methotrexate yog ob qho tib si FDA-tau pom zoo los kho tus mob plaque hnyav heev. Ilumya tseem raug pom zoo los kho tus mob plaque psoriasis muaj mob. Methotrexate txhais tau tias tsuas yog siv thaum tus neeg mob psoriasis mob hnyav lossis thim rov qab thiab tsis teb rau lwm cov tshuaj.

Methotrexate kuj tseem pom zoo kho qee yam mob qog nqaij hlav thiab mob caj dab.

Cov ntaub ntawv tshuaj thiab kev tswj hwm

Ilumya raug txhaj raws li kev txhaj tshuaj hauv qab daim tawv nqaij (subcutaneous) ntawm tus kws kho mob lub chaw haujlwm los ntawm tus kws kho mob. Thawj ob koob txhaj ob koob muab sib law. Tom qab cov kev txhaj tshuaj no, cov koob tshuaj tau muab txhua 12 asthiv. Txhua koob tshuaj yog 100 mg.

Methotrexate los ua cov ntsiav tshuaj ntawm qhov ncauj, kua ua kua, lossis ua ib qho kev txhaj tshuaj. Txog kev kho mob quav hniav psoriasis, feem ntau yog noj ntawm qhov ncauj. Nws tuaj yeem siv ib zaug ib zaug hauv ib lub lis piam, lossis li peb koob muab 12 teev sib nrug ib zaug ib asthiv.

Phiv thiab txaus ntshai

Ilumya thiab methotrexate ua rau muaj kev phiv ntau thiab mob heev. Cov kev mob tshwm sim feem ntau thiab mob tshwm sim pom ntawm cov neeg muaj mob psoriasis tau teev hauv qab no. Daim ntawv no tsis suav nrog tag nrho cov kev phiv uas tej zaum yog cov tshuaj.

Ilumya thiab methotrexateIlumyaMethotrexate
Ntau cov kev mob tshwm sim
  • zawv plab
  • sab saud mob ntsws
  • qhov chaw txhaj tshuaj tiv thaiv
  • xeev siab
  • ntuav
  • khaus tawv
  • ua pob
  • kiv taub hau
  • plaub hau poob
  • tawv ntxig rau hnub ci
  • qhov hnov ​​ntawm lawv daim tawv nqaij tawv
Cov kev mob tshwm sim hnyav heev
  • kev fab tshuaj hnyav heev *
  • mob hnyav kis * *
(ob peb yam kev phiv loj heev)
  • daim siab puas *
  • mob plab *
  • ntshav muaj mob, suav nrog kev ua haujlwm ntshav thiab mob hlwb pob txha o *
  • interstitial pneumonitis (mob hauv lub ntsws) *
  • ua rau muaj mob qog nqaij hlav ntau *
  • Mob ntsws lysis mob rau cov neeg uas hlav hlav loj *
  • mob hnyav rau cov menyuam hauv plab thaum noj thaum cev xeeb tub *

* Methotrexate muaj ntau lub thawv ceeb toom los ntawm FDA piav qhia txog kev pheej hmoo ntawm txhua qhov kev phom sij loj uas tau hais los saud. Lub thawv ceeb toom yog qhov kev ceeb toom zoo tshaj plaws ntawm FDA tau hais. Nws ceeb toom cov kws kho mob thiab cov neeg mob txog tshuaj phiv uas tuaj yeem tsim kev puas tsuaj.

Txij nkawm

Ilumya thiab methotrexate tsis tau muab piv rau cov kev tshawb fawb hauv chav kho mob, tab sis ob qho tib si no zoo rau kev kho cov quav hniav mob psoriasis.

Ib qho piv txwv tsis ncaj pom tias Ilumya ua haujlwm txog li methotrexate rau kev txhim kho cov quav hniav mob cov tsos mob. Txawm li cas los xij, methotrexate yog qhov yuav ua rau muaj kev phiv loj heev piv rau Ilumya.

Cov nqi

Ilumya tsuas yog muaj khoom lag luam muaj npe zoo. Tam sim no tsis muaj cov ntawv sau dav dav ntawm Ilumya. Methotrexate muaj nyob rau cov tshuaj tsis raug cai ib yam li cov tshuaj lag luam muaj npe rau cov tshuaj Trexall, Otrexup, thiab Rasuvo. Cov tshuaj muaj npe lag luam feem ntau raug nqi ntau dua li cov generics.

Ilumya raug nqi ntau dua li cov qauv ntawm cov qauv thiab cov npe ntawm cov methotrexate. Tus nqi tiag tiag uas koj them rau ib qho yeeb tshuaj twg yog nyob ntawm koj qhov kev tuav pov hwm.

Ilumya siv nrog lwm yam tshuaj

Ilumya ua tau zoo ntawm kev txhim kho cov quav hniav psoriasis ntawm nws tus kheej, tab sis nws kuj tseem tuaj yeem siv nrog lwm cov tshuaj rau qhov txiaj ntsig ntxiv. Siv ntau dua ib txoj kev los kho tus mob psoriasis tuaj yeem pab tshem cov plaques sai dua thiab tshem cov plaques ntau dua.

Kev sib xyaw ua ke kuj tseem tuaj yeem txo cov tshuaj uas koj xav tau ntawm lwm cov tshuaj psoriasis, uas txo koj txoj kev phiv. Ntxiv rau, kev sib xyaw ua ke yuav txo koj txoj kev pheej hmoo ntawm kev tsim tshuaj tiv thaiv rau Ilumya (thaum cov tshuaj tsis ua haujlwm rau koj).

Piv txwv ntawm lwm txoj kev kho uas tuaj yeem siv nrog kev nyab xeeb nrog Ilumya suav nrog:

  • pleev cov tshuaj tiv thaiv corticosteroids, xws li betamethasone
  • pleev cov tshuaj pleev thiab tshuaj pleev (xws li Dovonex thiab Vectical)
  • methotrexate (Trexall, Otrexup, thiab Rasuvo)
  • Kev kho kab mob (kev kho lub teeb)

Ilumya thiab cawv

Lub sijhawm tam sim no tseem tsis tau paub txog kev haus dej haus cawv thiab Ilumya. Txawm li cas los xij, raws plab yog qhov kev mob tshwm sim ntawm Ilumya rau qee tus neeg. Haus cawv ntau kuj ua rau raws plab. Yog li, haus dej haus cawv thaum koj tau txais kev kho mob Ilumya tuaj yeem ua rau koj muaj kev pheej hmoo ntawm qhov tshwm sim no.

Cawv kuj tseem tuaj yeem ua rau koj qhov kev kho mob Ilumya tsis muaj txiaj ntsig. Qhov no yog vim dej cawv muaj feem cuam rau psoriasis nws tus kheej, thiab nws lub peev xwm yuav cuam tshuam li cas koj ua raws li koj txoj kev kho mob. Kev siv dej cawv muaj peev xwm:

  • nce o uas tuaj yeem ua rau cov tawv nqaij ua pob ntawm lub cev
  • Txo koj lub cev tiv thaiv kab mob muaj peev xwm tawm tsam kev kis mob thiab tawv nqaij
  • ua rau koj tsis nco qab noj koj cov tshuaj lossis tsum tsis ua raws li koj txoj kev npaj khomob

Yog tias koj noj Ilumya thiab muaj teeb meem kev haus cawv, tham nrog koj tus kws kho mob txog cov hau kev los tiv thaiv kev kis kab mob thiab txhim kho koj txoj kev kho mob kom zoo nrog Ilumya.

Ilumya kev sib cuam tshuam

Ilumya muaj ob peb tshuaj sib txuam. Qhov no vim tias Ilumya thiab lwm yam tshuaj tiv thaiv monoclonal yog cov tshuaj tiv thaiv, lossis tawg, los ntawm lub cev hauv txoj kev sib txawv dua li cov tshuaj feem ntau. (Cov tshuaj tiv thaiv kab mob monoclonal yog cov tshuaj tsim nyob hauv ib chav kuaj los ntawm cov kab mob hauv lub cev.)

Ntau yam tshuaj, tshuaj ntsuab, thiab tshuaj noj yog muab kho los ntawm cov enzymes hauv koj lub siab. Ilumya, ntawm qhov tod tes, yog metabolized nyob rau hauv txoj kev zoo ib yam li ntuj tsim lub cev tiv thaiv kab mob thiab cov protein nyob hauv lub cev. Hais luv luv, nws tau tawg sab hauv cov hlwb thoob plaws koj lub cev. Vim tias Ilumya tsis tau tawg nyob hauv koj lub siab nrog lwm cov tshuaj, feem ntau nws tsis cuam tshuam nrog lawv.

Ilumya thiab txhaj tshuaj muaj sia nyob

Ib qho tseem ceeb cuam tshuam rau Ilumya yog cov tshuaj tiv thaiv nyob. Cov tshuaj tiv thaiv kev tiv thaiv yuav tsum raug zam thaum lub sijhawm kho nrog Ilumya.

Cov tshuaj tiv thaiv cov kab muaj sia muaj tsawg ntawm cov kabmob kis uas tsis muaj zog. Vim tias Ilumya thaiv kev tiv thaiv kev tiv thaiv kab mob hauv lub cev, koj lub cev yuav tsis muaj peev xwm tawm tsam tus kab mob hauv cov tshuaj tiv thaiv thaum koj noj cov tshuaj.

Piv txwv ntawm kev txhaj tshuaj muaj sia nyob kom zam dhau lub sijhawm kho Ilumya suav nrog cov tshuaj tiv thaiv rau:

  • qhua pias qoob, mob qog, thiab rubella (MMR)
  • mob pob tsuas
  • ua npaws daj
  • qaib pox
  • rotavirus

Ua ntej koj pib kho nrog Ilumya, tham nrog koj tus kws kho mob txog seb koj puas yuav xav tau yam tshuaj tiv thaiv no. Koj thiab koj tus kws kho mob yuav txiav txim siab ncua kev kho nrog Ilumya kom txog thaum tom qab koj tau txhaj tshuaj tiv thaiv nrog cov tshuaj tiv thaiv uas muaj sia nyob uas koj xav tau.

Yuav ua li cas noj Ilumya

Ilumya raug txhaj raws li kev txhaj tshuaj hauv qab daim tawv nqaij (subcutaneous) los ntawm tus kws kho mob hauv tsev kho mob tus kws kho mob. Nws txhaj rau hauv koj lub plab, ncej puab, lossis caj npab sab saud. Kev hno nkag rau hauv koj lub plab yuav tsum yog tsawg kawg 2 nti ntawm koj lub plab.

Tsis tas yuav txhaj cov tshuaj Ilumya nyob rau thaj chaw ntawm qhov nqaij ntuag, ncab, lossis cov hlab ntshav. Nws kuj yuav tsum tsis txhob siv rau hauv cov quav hniav, doog ntshav, lossis thaj chaw liab lossis tawv.

Ua ntej pib kho Ilumya

Vim tias Ilumya ua kom koj lub cev tsis muaj zog txaus, koj tus kws kho mob yuav kuaj koj kom muaj kab mob ntsws (TB) ua ntej koj pib kho. Yog tias koj muaj tus kab mob TB, koj yuav tau txais kev kho mob TB ua ntej pib Ilumya. Thiab yog tias koj tau mob ntsws yav dhau los, tej zaum koj yuav tsum tau kho ua ntej pib Ilumya.

Tab sis txawm tias koj tsis muaj tsos mob TB, koj tuaj yeem muaj tus kab mob TB tsis tsaug zog, uas hu ua kev mob ntsws (latent TB). Yog tias koj mob ntsws (latent TB) thiab noj Ilumya, koj tus kab mob TB yuav huam vam. Yog tias kev kuaj pom pom tau tias koj mob ntsws (latent TB), koj yuav tsum tau txais kev kho mob TB ua ntej lossis sijhawm koj kho nrog Ilumya.

Sijhawm

Thawj zaug thiab zaum thib ob Ilumya txhaj tau muab plaub lub lis piam sib nrug. Tom qab ob zaug tau txhaj thawj zaug no, koj yuav tsum rov qab mus rau kws kho mob qhov chaw haujlwm txhua 12 asthiv kom tau txais kev muab tshuaj ntxiv. Yog tias koj tsis tau teem caij mus ntsib lossis txhaj tshuaj ntxiv, teem sijhawm ntxiv kom sai li sai tau.

Yuav ua li cas Ilumya ua haujlwm

Plaque psoriasis yog lub cev ua rau lub cev tsis xwm yeem, uas yog ib qho mob uas ua rau lub cev tiv thaiv kab mob rau kev npau taws dhau mus. Cov quav hniav psoriasis ua rau cov ntshav dawb, uas pab lub cev tua cov kab mob, kom raug tus neeg lub cev nqaij daim tawv tsis raug. Qhov no ua rau cov tawv nqaij ua haujlwm sai thiab faib loj tuaj.

Cov roj ntsha ntawm daim tawv nqaij tau tsim tawm sai heev vim tias cov hlwb qub tsis muaj sij hawm poob thiab ua rau lub hlwb tshiab. Qhov kev ua haujlwm ntau dhau los thiab tsim ntawm cov tawv nqaij ua rau lub ntsej muag ua paug, scaly, mob tawv nqaij hu ua plaques.

Ilumya yog ib qho tshuaj monoclonal antibody, uas yog ib hom tshuaj tsim los ntawm cov tshuaj tiv thaiv kab mob hauv lub chaw kuaj ntshav. Monoclonal antibodies tsom qhov tshwj xeeb ntawm qee yam ntawm lub cev tsis muaj zog.

Ilumya thaiv qhov kev ua ntawm lub cev tiv thaiv kab mob hu ua interleukin-23 (IL-23). Nrog cov quav hniav psoriasis, IL-23 ua rau cov tshuaj ua rau lub nruab zog tiv thaiv kab mob ntawm daim tawv nqaij. Los ntawm txhaws IL-23, Ilumya pab txo qis ntawm kev txhim kho ntawm daim tawv nqaij thiab cov quav hniav.

Vim tias Ilumya thaiv kev ua haujlwm ntawm IL-23, nws raug xa mus ua interleukin inhibitor.

Yuav siv sijhawm ntev npaum li cas ua haujlwm?

Ilumya yuav pib ua haujlwm kom sai li sai tau thaum koj pib noj nws. Txawm li cas los xij, nws siv sijhawm los tsim kho hauv koj qhov system thiab siv tag nrho, yog li nws yuav siv li ob peb lub lis piam ua ntej koj pom cov txiaj ntsig.

Hauv cov kev tshawb fawb soj ntsuam, tom qab ib lub lim tiam ntawm kev kho mob, tsawg dua 20 feem pua ​​ntawm cov neeg noj Ilumya pom kev txhim kho ntawm cov plaques. Txawm li cas los xij, tom qab 12 lub lis piam, ntau dua li ib nrab ntawm cov neeg uas tau txais Ilumya pom muaj kev txhim kho tseem ceeb hauv lawv cov tsos mob psoriasis. Tus naj npawb ntawm cov neeg uas muaj cov tsos mob tshwm sim txuas ntxiv nce mus txog 28 lub lis piam ntawm kev kho mob.

Ilumya thiab cev xeeb tub

Nws tsis paub yog tias Ilumya siv nyab xeeb thaum cev xeeb tub. Cov kev tshawb fawb tsiaj tau qhia qee qhov kev pheej hmoo rau tus me nyuam thaum Ilumya tau muab rau tus poj niam cev xeeb tub. Txawm li cas los xij, kev tshawb fawb tsiaj tsis tas twv seb yuav muaj dab tsi tshwm sim rau tib neeg.

Yog tias koj xeeb tub lossis npaj yuav muaj menyuam, nrog koj tus kws kho mob tham txog cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob Ilumya thaum cev xeeb tub.

Ilumya thiab pub niam mis

Nws tsis paub yog tias Ilumya kis mus rau tib neeg cov kua mis. Hauv kev tshawb fawb tsiaj, Ilumya dhau mus rau hauv niam cov kua mis, ua kom pom cov niam mis uas muaj menyuam yaus noj rau cov tshuaj. Txawm li cas los xij, kev tshawb nrhiav tsiaj tsis txhua lub sijhawm kwv yees tias yuav muaj dab tsi tshwm sim hauv tib neeg.

Yog tias koj tab tom txiav txim siab kho Ilumya thaum pub niam mis, tham nrog koj tus kws kho mob txog cov txiaj ntsig thiab kev pheej hmoo.

Cov lus nug uas nquag muaj txog Ilumya

Nov yog cov lus teb rau qee cov lus nug nquag txog Ilumya.

Puas yog Ilumya kho cov quav hniav psoriasis?

Tsis yog, Ilumya tsis kho cov quav hniav psoriasis. Tam sim no tsis muaj tshuaj los kho tus mob no. Txawm li cas los xij, kev kho mob nrog Ilumya tuaj yeem pab txhim kho koj cov tsos mob psoriasis.

Kuv ib txwm tau siv cream rau kuv plaque psoriasis. Vim li cas kuv thiaj yuav tsum pib txhaj tshuaj?

Koj tus kws kho mob yuav tau txiav txim siab tias txoj kev kho mob rau lub cev yuav ua tau ntau dua los daws koj cov tsos mob dua li koj cov cream. Cov tshuaj mauj raug muab los ntawm txhaj tshuaj lossis noj ntawm qhov ncauj thiab ua haujlwm thoob plaws lub cev.

Cov kev kho mob xws li Ilumya feem ntau muaj txiaj ntsig zoo ntawm kev txhim kho psoriasis cov tsos mob dua li kev kho mob sab saum toj (tshuaj siv rau ntawm daim tawv nqaij). Nov yog vim tias lawv ua haujlwm tawm sab hauv. Lawv lub hom phiaj tiv thaiv kab mob hauv lub cev, uas ua rau koj cov mob psoriasis plaques. Qhov no tuaj yeem pab ob leeg kom meej thiab tiv thaiv kab mob psoriasis plaques.

Cov kev kho mob yooj yim, ntawm qhov tod tes, feem ntau kho cov quav hniav tom qab lawv tau tsim.

Cov kev kho mob qis qis qee zaum siv nrog kev kho mob, lossis hloov, kev kho cov ntsiab lus. Lawv yuav siv yog tias:

  • cov tshuaj pleev tsis txhob txhim kho koj cov quav hniav psoriasis cov tsos mob kom txaus, lossis
  • cov plaques npog ntau qhov ntawm koj cov tawv nqaij (feem ntau 3 feem pua ​​lossis ntau dua), ua rau cov kev kho mob saum nruab ntug impractical. Qhov no suav tias yog mob nyhav psoriasis.

Yuav ntev npaum li cas kuv yuav tsum tau noj Ilumya?

Koj tuaj yeem coj Ilumya nyob rau ncua sij hawm ntev yog tias koj thiab koj tus kws kho mob txiav txim siab tias Ilumya muaj kev nyab xeeb thiab zoo rau koj.

Dab tsi yog tshuaj lom neeg?

Kev siv roj ntsha yog cov tshuaj uas tsim los ntawm tib neeg lossis tsiaj txhu tsiaj. Kev siv tshuaj lom neeg kho mob tau siv los kho cov kab mob autoimmune, xws li quav hniav mob psoriasis, ua haujlwm los ntawm kev sib cuam tshuam nrog lub cev tiv thaiv kab mob. Lawv ua qhov no nyob rau hauv txoj hauv kev uas yuav txo tau qhov mob thiab lwm cov tsos mob ntawm lub cev tsis muaj zog tshaj.

Vim tias lawv cuam tshuam nrog lub hlwb tsis muaj zog tiv thaiv lub cev thiab cov protein ntau, biologics tau xav tias muaj cov kev mob tshwm sim tsawg dua piv rau cov tshuaj uas cuam tshuam rau ntau qhov kev sib txuas ntawm lub cev, zoo li ntau yam tshuaj ua.

Thaum siv los kho tus mob psoriasis, tshuaj biologic feem ntau yog siv rau cov neeg uas muaj mob sib khuav rau cov quav hniav mob psoriasis uas tsis teb rau lwm cov kev kho mob (xws li kho sab saum toj).

Puas yog Ilumya tau siv los kho tus mob psoriatic mob caj dab?

Ilumya tsis yog FDA pom zoo los kho tus mob psoriatic mob caj dab, tab sis nws yuav siv cov ntawv lo rau qhov laj thawj ntawd.

Hauv ib txoj kev tshawb nrhiav me me, Ilumya tsis txhim kho kev mob caj dab heev los yog mob, tab sis kev tshawb fawb ntxiv raug sim seb nws puas muaj txiaj ntsig rau tus mob no. Lwm qhov kev tshawb fawb tshuaj ntsuam xyuas ncua ntev yog tam sim no.

Vim li cas kuv thiaj xav kuaj tus kab mob TB ua ntej pib kho nrog Ilumya?

Koj tus kws kho mob yuav kuaj koj rau mob ntsws lossis mob ntsws (TB) ua ntej koj pib kho nrog Ilumya. Cov neeg mob ntsws (latent TB) yuav tsis paub tias lawv muaj tus mob no vim tias feem ntau tsis muaj tsos mob tshwm sim. Txoj kev kuaj ntshav yog tib txoj kev uas yuav paub seb ib tug neeg uas mob latent TB puas mob.

Kev kuaj ntshav rau TB ua ntej kho nrog Ilumya yog qhov tseem ceeb vim tias Ilumya lub zog tiv thaiv kab mob tsis muaj zog. Thaum lub nruab zog tiv thaiv kab mob tsis muaj zog, nws tsis tuaj yeem tiv thaiv kev sib kis kab mob, thiab kab mob ntsws (latent TB) tuaj yeem ua taus haujlwm. Cov tsos mob ntawm tus mob TB nquag muaj xws li ua npaws, nkees, poob ceeb thawj, hnoos tau ntshav, thiab mob hauv siab.

Yog tias koj sim tshuaj muaj tus kab mob TB, koj yuav tsum tau txais tshuaj kho TB ua ntej pib Ilumya.

Kuv tuaj yeem ua dab tsi los tiv thaiv tus kab mob thaum kuv noj Ilumya?

Kev kho kab mob Ilumya ua rau koj lub cev tsis muaj zog tiv thaiv kab mob thiab ua rau koj muaj kev pheej hmoo kis mob ntxiv. Cov piv txwv ntawm cov mob muaj xws li mob ntsws, mob pob, rau pob, kab mob fungal, thiab mob ntsws.

Txawm li cas los xij, muaj ob peb yam koj tuaj yeem ua los tiv thaiv kev kis mob:

  • Nyob kom paub txog kev txhaj tshuaj, nrog rau kev mob khaub thuas (mob khaub thuas).
  • Zam kev haus luam yeeb.
  • Ntxuav koj ob txhais tes nrog xab npum ntau zaus.
  • Ua raws li kev noj zaub mov zoo noj.
  • Pw kom txaus.
  • Zam nyob ze cov neeg muaj mob, yog tias muaj.

Ilumya cov lus ceeb toom

Ua ntej noj Ilumya, nrog koj tus kws kho mob tham txog koj li kev noj qab haus huv keeb kwm. Ilumya kuj yuav tsis zoo rau koj yog tias koj muaj qee yam mob. Cov no suav nrog:

  • Keeb kwm muaj kev tsis haum tshuaj loj rau Ilumya lossis ib qho twg ntawm cov khoom xyawCov. Yog tias koj muaj qhov tsis haum nrog Ilumya yav dhau los, koj yuav tsum tsis tau txais kev kho mob nrog cov tshuaj no. Cov kev tsis haum loj suav nrog o ntawm lub ntsej muag lossis tus nplaig thiab qhov ua tsis taus pa.
  • Kev kis mob nquag lossis keeb kwm ntawm kev kis rov qabCov. Tus neeg mob Ilumya tsis txhob pib kis los ntawm tus neeg muaj tus kabmob tamsis no lossis keeb kwm kev kis mob ntxiv. Yog tias koj kis tus kab mob thaum noj Ilumya, qhia koj tus kws kho mob tam sim ntawd. Lawv yuav soj ntsuam koj zoo thiab yuav txiav txim siab tsis kho koj txoj kev kho Ilumya kom txog rau thaum kho tau zoo.
  • Tub NtshawCov. Yog tias koj muaj mob ntsws (latent TB) lossis mob TB, koj yuav tsum kho TB ua ntej pib Ilumya. Koj tsis txhob pib Ilumya yog tias koj muaj TB. (Yog tias koj muaj mob ntsws (latent TB), koj tus kws kho mob tej zaum koj yuav tau noj Ilumya thaum koj mob TB.)

Cov ntaub ntawv tshaj lij rau Ilumya

Cov ntaub ntawv hauv qab no yog muab rau cov kws kho mob thiab lwm tus kws kho mob.

Mechanism ntawm kev ua

Ilumya muaj cov tshuaj tua kab mob tib neeg monoclonal antibody tildrakizumab. Nws khi rau p19 ntu ntawm interleukin-23 (IL-23) cytokine thiab tiv thaiv nws los ntawm kev khi rau IL-23 receptor. Kev thaiv cov haujlwm IL-23 tiv thaiv kev ua haujlwm ntawm proinflammatory T-pab cell 17 (Th17) txoj hauv kev.

Pharmacokinetics thiab cov metabolism

Kev nqus tau bioavailability yog nce txog 80 feem pua ​​tom qab txhaj tshuaj subcutaneous. Kev co ntsiab lus yog mus txog hauv rau hnub. Lub hauv paus tseem ceeb hauv xeev yog nce mus txog lub lim tiam 16.

Ilumya yog degraded rau peptides me me thiab amino acids ntawm catabolism. Tshem tawm hauv ib nrab-lub neej yog kwv yees li 23 hnub.

Cov Yuav Tsum Tau Ua

Ilumya yog contraindicated rau hauv cov neeg mob uas muaj keeb kwm ntawm kev tiv thaiv qhov mob siab tshaj plaws rau kev siv yeeb tshuaj lossis ib qho ntawm nws qhov kev tshem tawm.

Cov tshuaj tiv thaiv kab mob

Zam kev txhaj tshuaj nyob rau hauv cov neeg mob uas tau txais Ilumya.

Kev hais ua ntej

Txhua tus neeg mob yuav tsum raug tshuaj xyuas rau cov neeg mob ntsws qhuav lossis mob ntsws ua ntej kev kho mob nrog Ilumya. Tsis txhob noj Ilumya rau cov neeg mob uas muaj tus kab mob TB. Cov neeg mob uas mob ntsws latent yuav tsum pib kho TB ua ntej pib kho nrog Ilumya.

Cia

Ilumya yuav tsum khaws cia hauv tub yees ntawm 36⁰F txog 46⁰F (2⁰C txog 8⁰C). Khaws rau hauv lub thawv qub kom tiv thaiv los ntawm lub teeb. Ilumya tuaj yeem muab khaws cia ntawm chav sov - txog li 77⁰F (25⁰C) - txog 30 hnub. Thaum muab cia hauv chav sov, tsis txhob tso rov qab rau hauv tub yees. Tsis txhob ua kom khov lossis tshee. Cia Ilumya zaum ntawm chav sov li 30 feeb ua ntej tswj hwm.

Kev tsis lees paub: MedicalNewsToday tau ua txhua yam kom paub tseeb tias txhua yam ntaub ntawv yog qhov tseeb, raug, thiab dhau-hnub. Txawm li cas los xij, cov kab lus no yuav tsum tsis txhob siv los hloov chaw rau qhov kev paub thiab kev paub ntawm tus neeg muaj ntawv tso cai kho mob. Koj yuav tsum tau sab laj nrog koj tus kws kho mob lossis lwm tus kws saib xyuas kev noj qab haus huv ua ntej noj tshuaj. Cov ntaub ntawv tshuaj muaj nyob ntawm no yuav raug hloov thiab tsis yog npaj rau txhua txoj kev siv, cov lus qhia, kev ceev faj, ceeb toom, kev cuam tshuam nrog tshuaj, kev fab tshuaj, lossis muaj kev cuam tshuam tsis zoo. Qhov tsis muaj lus ceeb toom lossis lwm cov ntaub ntawv rau kev muab tshuaj tsis qhia tias kev sib txuam tshuaj lossis tshuaj muaj kev nyab xeeb, siv tau, lossis tsim nyog rau txhua tus neeg mob lossis txhua qhov siv tshwj xeeb.

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