גילניה - הבית לחולי טרשת נפוצה (ע''ר)

הבית לחולי טרשת נפוצה

גילניה

גילניה GILENYA FINGOLIMOD

התווית משרד הבריאות:

טרשת נפוצה (ט.נ) התקפית- הפוגתית. מחלה סוערת, אירוע קליני בודד(CIS). ט.נ – שניונית מתקדמת פעילה

צורת מתן ומינון

כמוסה של 0.5 MG פעם ביום.

מנגנון פעולה

התרופה נקשרת לקולטן מסוג P1S ומביאה לכך שחלק מהלימפוציטים יוצאים ממחזור הדם ונאגרים בבלוטות הלימפה, ועם אגירתם בבלוטות הלימפה דועכת פעילות המחלה.

תופעות לוואי

כאבי ראש, תופעות דמויות שפעת, שלשולים, כאבי גב, שינוי בתפקודי כבד, סינוסיטיס, כאבי בטן, כאבי גפיים, שיעול, ירידה בקצב הלב לזמן קצר לאחר נטילת הכדור. בצקת מקולרית עינית – נדיר. יש לנתר את רמת הלימפוציטים ולפעמים להפסיק טיפול לזמן מה. הריון רק לאחר התייעצות עם הרופא המטפל.

שימו לב! טרם תחילת כל טיפול יש להתייעץ עם הרופא המטפל לבצע את כל הבדיקות הנדרשות בטרם תחילת הטיפול , ולבצע בדיקות מעקב כפי שנדרש בכל טיפול ועל בסיס המלצות הרופא המטפל.

ההתוויות המופיעות הינן אלו המומלצות ע"י סוכנות המזון והתרופות האמריקאית-FDA . התוויות אלו מקובלות ברוב מדינות העולם. משרד הבריאות הישראלי באמצעות סל הבריאות/סל השירותים משנה מיתווה זה ע"י הכנסת הנחיות נוספות בצורת דרוג התרופות על בסיס פעילות מחלה: קו ראשון, קו שני, קו ראשון- שני, קו שלישי. ההנחיות מכלילות ברובן המכריע את התסמונת הקלינית הבודדה(CIS), בסל אין המלצות לצורת המחלה – שניונית- מתקדמת פעילה(ACTIVE SECONDARY PROGRESSIVE).

שתפו:

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