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Phunzirani mankhwala otchuka kwambiri m'mizinda 50 iyi ya US mu 2020

Phunzirani mankhwala otchuka kwambiri mKampani

Kodi mudayamba mwadzifunsapo zomwe Philadelphia ndi New Orleans amafanana? Onsewa ali ndi okonda akatswiri okonda mpira: Afiladelfia amakonda Mphungu zawo, ndipo mwina mungayikiridwe ngati mukukhala ku New Orleans ndipo osakondera Oyera Mtima. Mizinda yonseyi imakhala ndi ziwonetsero zoopsa kwambiri mdzikolo, ndipo zonsezi zili ndi zochitika zaku France zakujambula ndi zikhalidwe.

Atapezeka, ali ndi chinthu china chofanana: mankhwala omwe amadziwika kwambiri pakati pa ogwiritsa ntchito a SingleCare m'mizinda yonseyi ndi mankhwala ochepetsa magazi omwe amadziwika kuti amlodipine besylate. Ngati mukudabwa chifukwa chake, werengani kuti mudziwe zambiri za kutchuka kwa mankhwalawa m'mizinda imeneyi, komanso mankhwala ena omwe anthu ambiri amapereka m'mizinda ikuluikulu 50 ku United States.



Mankhwala ofala kwambiri mumzinda:

  1. Amoxicillin (Amoxil)
  2. Amlodipine besylate (Norvasc)
  3. Amphetamine / dextroamphetamine (Adderall)
  4. Cetirizine hydrochloride (Zyrtec)
  5. Ibuprofen (Motrin)
  6. Levothyroxine sodium (Synthroid)
  7. Lisinopril (Prinivil, Zestril)
  8. Vitamini D.

Pitani ku kuwonongeka kwa mzinda ndi mzinda



1. Amoxicillin (Amoxil)

Mankhwala ambiri operekedwa ku Dallas; San Diego; San Jose, Calif .; Arlington, Texas; Oakland, California.

Pezani coupon ya amoxicillin



Ngati mwalera ana, pafupifupi mwadzaza mankhwala kapena awiri (kapena kupitirirapo!) A amoxicillin. Ndi maantibayotiki ofala kwambiri omwe cholinga chake ndikutulutsa matenda a bakiteriya monga bronchitis kapena strep throat. Ili m'gulu lomweli la mankhwala monga penicillin ndipo imatha kumwa kapisozi, piritsi, kapena kuyimitsidwa.

Kawirikawiri amalembedwa kuti akhale ndi matenda aubwana-ndipo akatswiri ena amakhulupirira kuti ndiwopitirira malire, zomwe zimapangitsa Kukula kwa mabakiteriya osamva mankhwala , nkhani yomwe ikukula modetsa nkhawa m'bwaloli. Ndiwo mankhwala omwe amapatsidwa mankhwala ochuluka kwambiri mdziko muno, atero a Aaron Emmel, Pharm.D., Woyambitsa komanso pulogalamu ya Pharmacy Tech Scholar.

BUt sikovuta kulingalira chifukwa chomwe amalembedwera pafupipafupi, chifukwa othandizira ena amakakamizidwa ndi makolo kuti apereke kena kake kuti ana awo azimva bwino. Ngakhale maantibayotiki ali oyenera kutengera kachilombo ka bakiteriya, zizindikiro za matenda opatsirana zimatha kutengera zomwe zimayambitsa matenda a bakiteriya, ndipo mwina simungamvetse kusiyana kwake. Mukudziwa kuti inu, kapena mwana wanu, mumamva chisoni ndipo mungafunse mankhwala opha tizilombo.



Koma mutha kupanga kusiyana kutsogolo. Osakhazikitsa chiyembekezo ndi omwe amakupatsani omwe mukufuna kuchoka ndi mankhwala, Dr. Emmel akutero. Amulole kuti awunike ndikuwona ngati kuli kofunikira.

ZOKHUDZA: Kodi maantibayotiki amayang'anira chiyani?

2. Amlodipine besylate (Norvasc)

Mankhwala ambiri operekedwa ku Memphis, Tenn .; Milwaukee; New Orleans; Omaha, Neb.; Philadelphia; Raleigh, NC; Washington, D.C.



Pezani kuponi kwa amlodipine

Amlodipine ndi njira yoletsa calcium. Amagwiritsidwa ntchito pochiza kuthamanga kwa magazi, mitundu ina ya angina (kupweteka pachifuwa), ndi matenda amitsempha yamagazi. Nthawi zina amapatsidwa okha, koma amatha ndipo amagwiritsidwanso ntchito limodzi ndi ma meds ena. Mutha kukhala odziwa mtundu wa dzina, Norvasc, ngakhale imapezeka ngati generic, chomwe chingakhale chifukwa chimodzi chodziwika. Amlodipine ndiotetezeka kwambiri, atero Dr. Emmel. Komanso ndi wotsika mtengo kwambiri.



Amlodipine siotchuka ku Philadelphia, New Orleans, ndi mizindayi. Matenda oopsa kwambiri ndi matenda wamba ku US, akutero Jagdish Khubchandani , Ph.D., pulofesa wa zaumoyo ku New Mexico State University. Kukula kwa mavutowa kukukulira.

Lipoti la 2020 mu nyuzipepalayi JAMA adazindikira kuti amlodipine ndi amodzi mwamankhwala 10 omwe amaperekedwa ku United States . M'malo mwake, mu 2018 mokha, kupitilira mankhwala 76 miliyoni pakuti amlodipine adadzazidwa ku U.S.



Izi mwina sizosadabwitsa, mukaganizira izi 45% ya akulu okhala ku US ali ndi matenda oopsa kapena akumwa mankhwala, malinga ndi Centers for Disease Control and Prevention (CDC).

Kuthamanga kwa magazi ndi chiopsezo chomwe chimalumikizidwa ndi matenda amtima, atero a Joanna Lewis, Pharm.D., Omwe adayambitsa Buku la The Pharmacist's Guide . Ndipo mukawona madera adziko lapansi omwe amafa kwambiri chifukwa cha matenda amtima, mumakonda kupeza mizinda ngati Memphis ndi New Orleans.



ZOKHUDZA: Kodi magazi amayenda bwanji?

3. Amphetamine / dextroamphetamine (Adderall)

Mankhwala ambiri operekedwa ku Atlanta; Austin, Texas; Boston; Charlotte, NC; Zitsime za Colorado, Col .; Chicago; Denver; Indianapolis; Kansas City, Mo.; Louisville, Ky .; Minneapolis; Nashville, Tenn .; Portland, Ore .; San Francisco; Seattle; Tampa, Fla.; Tulsa, Okla .; Virginia Beach, Va.

Pezani coupon ya amphetamine / dextroamphetamine

Mukudabwitsidwa ndi kuchuluka kwamizinda yomwe ili pamndandanda wa amphetamine / dextroamphetamine? Mutha kuzidziwa bwino ndi dzina loti Adderall. Mankhwalawa amagwiritsidwa ntchito pafupipafupi kuthana ndi vuto la kuchepa kwa matenda (ADHD).

[Amagwiritsidwa ntchito] ku ADHD, kunenepa kwambiri, kumwa mankhwala osokoneza bongo, komanso kukhumudwa, kungotchulapo ochepa, atero a Khubchandani. Kukula kwa mavutowa kukukulira.

Ndipo monga momwe mungazindikire kuchokera pamndandanda wamizinda yokhala ndi ogwiritsa ntchito a SingleCare, kugwiritsa ntchito kwake kuli ponseponse.Malinga ndi CDC, pafupifupi ana atatu mwa anayi aliwonse omwe ali ndi ADHD amamwa mankhwala kuwathandiza kuthana ndi vuto lawo. Pamenepo, oposa 25 miliyoni mankhwala zamtundu uwu wa med adadzazidwa mu 2018 ku U.S.

Madera okhala ndi ana ochulukirapo akhoza kukhala chinthu china, atero a Khubchandani. Koma kungakhale koyeneranso kulingalira kuti mizinda ikuluikulu idzakhala ndi operekera ana ambiri omwe angapeze ADHD ndipo adzakupatsani mankhwala monga amphetamine / dextroamphetamine. Kuphatikiza apo, makolo ena ambiri ochokera kufupi ndi kwawo, akumidzi osasamalidwa, kapena mayiko ena atha kuyendera akatswiriwa kapena malo azachipatala kuti athandize ana, Khubchandani akuwonjezera.

ZOKHUDZA: Ziwerengero za ADHD

4. Cetirizine hydrochloride (Zyrtec)

Mankhwala ambiri operekedwa ku San Antonio

Pezani coupon ya cetirizine hydrochloride

San Antonio, Texas, ndi kwawo kwa Alamo ndi malo ena ambiri otchuka. Koma mzindawu ndiwotchuka chifukwa cha zomwe umachita ndi odwala matendawa. Malinga ndi Asthma and Allergy Foundation of America, San Antonio ndi wachisanu ndi chiwiri mndandanda wa malo 10 ovuta kwambiri kukhala ndi anthu omwe ali ndi ziwengo zanyengo .

Nzosadabwitsa, kuti antihistamine ili pamwamba pamndandanda wamankhwala omwe amafotokozedwera mumzinda wa Texas. Cetirizine hydrochloride amachepetsa kuchuluka kwa histamine yomwe thupi lanu limatulutsa mukakwiya ndi mtundu wina. Ali m'gulu la mankhwala omwe amadziwika kuti H1 receptor antagonists.

Cetirizine ndi dzina la mawonekedwe achibadwa, koma mwina mumadziwa mayina odziwika ngati Zyrtec. Ilipo pa kauntala, nayenso. Koma mukakhala ndi mankhwala mutha Gwiritsani ntchito ndalama za SingleCare . Ena othandizira angakuuzeni chifukwa, mosiyana ndi antihistamine monga Benadryl, cetirizine sayenera kukupangitsani kugona, chifukwa imakhala ndi tulo totsika.

Chifukwa nyengo imakhala yofatsa m'malo ena mdziko muno (mwachitsanzo, Texas), mitengo ndi zomera zimafalikira pachimake komanso motalika, Dr. Lewis akutero. Ndipo chifukwa cha izi, ma allergen ngati mungu ndi ragweed amakhudza omwe ali ndi vuto lodana ndi rhinitis kwakanthawi.

ZOKHUDZA: Osakhazikika Benadryl: Kodi mungasankhe chiyani?

5. Ibuprofen (Motrin)

Mankhwala ambiri operekedwa ku Detroit; Fresno, Calif .; Houston; Jacksonville, Fla.; Mtsinje wa Long, Calif .; Los Angeles

Pezani coupon ya ibuprofen

Ibuprofen ali mgulu la mankhwala omwe amadziwika kuti non-steroidal anti-inflammatory drugs, kapena NSAIDs. Anthu amatenga matendawa mosiyanasiyana, kuphatikizapo kusamba, kupweteka kwa nyamakazi, kupweteka mutu, malungo, kupweteka kwa mano, ndi msana.

Mutha kudabwa chifukwa chomwe ibuprofen, yomwe imapezeka pa kauntala, itha kukhala mankhwala odziwika bwino m'mizinda ingapo. Kungakhale kosavuta kugwiritsira ntchito: kutenga ibuprofen yamphamvu imodzi kapena ziwiri kungakhale kosavuta kwa anthu ena kuposa kungomwetsa mapiritsi angapo amtundu wa OTC. Kapenanso mwina chifukwa ma inshuwaransi awo amawaphimba. Dr. Emmel ananenanso kuti ndizotheka kuti anthu amakhala otanganidwa kwambiri m'mizinda okhala ndi nyengo yomwe Los Angeles ndi Long Beach amakhala nayo, ndipo nthawi zina ndi zolimbitsa thupi zimavulaza ndikugwiritsa ntchito mopitirira muyeso.

Koma chifukwa chakuti imapezekanso pa kauntala sizitanthauza kuti simuyenera kukumbukira kutenga chilichonse. Anthu amaganiza kuti chifukwa ili pa kauntala, kuti ndizabwino kwathunthu komanso zowopsa, Dr. Emmel akutero, koma ndi mankhwala owopsa kwambiri. Dr. Emmel akuti ma NSAID atha kukulitsa chiopsezo chokhala ndi vuto lamtima ngati matenda amtima kapena sitiroko. Ma NSAID amakhalanso ndi chiopsezo chotenga magazi m'mimba, m'mimba), zilonda zam'mimba, kapena m'mimba kapena m'matumbo. Ibuprofen amathanso kulumikizana ndi mankhwala ena omwe mwina mumamwa, monga opopera magazi kapena mankhwala ena othamanga magazi.

Nthawi zonse mumafuna kuzitenga kwakanthawi kochepa, atero a DiGregorio. Mumapezeka kuti mukugwiritsa ntchito nthawi yayitali kuposa, ndinganene, masiku asanu mpaka asanu ndi awiri, ndiye kuti mungafune kuyimbira dokotala wanu kuti muwone ngati china chake chikuchitika.

ZOKHUDZA: Kodi ndizotheka kutenga ibuprofen ndi Tylenol limodzi?

6. Levothyroxine sodium (Synthroid)

Mankhwala ambiri operekedwa ku Albuquerque, NM; Mesa, Arizona

Pezani levothyroxine kuponi ya sodium

Anthu omwe amalandira mankhwala a levothyroxine sodium mwina ali nawo hypothyroidism , vuto lomwe limachitika pamene chithokomiro sichimatulutsa mahomoni okwanira triiodothyronine ndi thyroxine omwe amachititsa kuti kagayidwe kanu kamangoyungunuka. Zimakonda kukhudza akazi kuposa amuna, ndipo ndizo zowonjezereka kukula pambuyo pa kusamba . Levothyroxine sodium imaperekedwanso kuti ichiritse chithokomiro chokulitsa (goiter) chifukwa cha hypothyroidism, ndi mitundu ina ya khansa ya chithokomiro.

Levothyroxine sodium ndi mankhwala otsika mtengo ndipo amapezeka ngati generic. Mayina odziwika bwino a mankhwalawa ndi Synthroid, Levothroid, Levoxyl, ndi Unithroid.

Mankhwalawa nthawi zambiri amakhala m'gulu la mankhwala omwe amalembedwa mdziko muno, atero Dr. Lewis. Ngati [mizindayi] ili ndi azimayi ochulukirapo kuposa 50, icho chingakhale chifukwa, naponso, akutero.

Dr. Khubchandani ananenanso kuti mitundu ina ikuwoneka kuti ili pachiwopsezo chachikulu cha matenda a hypothyroidism, kuphatikiza aku Mexico aku America, anthu aku Spain, komanso anthu omwe ali ndi makolo achimereka aku America. New Mexico ndi Arizona ali ndi magulu ochulukirapo poyerekeza ndi madera ena mdzikolo, akutero, ndikuwonjezera kuti Mesa ndi Albuquerque ndi ena mwa mizinda ikuluikulu ndipo ali ndi zipatala zodziwika bwino komanso operekera komwe anthu amatha kupeza chisamaliro chapadera cha matenda a chithokomiro, pakati pa ena .

ZOKHUDZA: Kodi Synthroid ndi chiyani?

7. Lisinopril (Prinivil)

Mankhwala ambiri operekedwa ku Columbus, Ohio; Fort Worth, Texas; Las Vegas; Mzinda wa Oklahoma; Phoenix; Sacramento, Calif .; Tucson, Ariz.

Pezani coupon ya lisinopril

Kumbukirani kuti ziwerengero za 45% za achikulire aku US omwe ali ndi kuthamanga kwa magazi kapena kumwa mankhwala oopsa, pa CDC? Amlodipine sindiye yekha amene amalembedwa kuti aziteteza magazi. Lisinopril ndi ina.

Chifukwa chake, mwayi ulipo, mwina mukudziwa wina amene akumwa lisinopril kapena mankhwala ngati awa. Lisinopril ndi m'gulu la mankhwala omwe amadziwika kuti angiotensin-converting enzyme (ACE) inhibitors, omwe nthawi zambiri amapatsidwa kuti athe kuchepetsa kuthamanga kwa magazi kwa munthu. Monga amlodipine, ndi imodzi mwamankhwala 10 omwe amaperekedwa ku United States , malinga ndi lipoti la Juni 2020 m'nyuzipepalayi JAMA .

Dr. Emmel akuchotsa mndandanda wazifukwa zomwe lisinopril amafotokozedwera m'mizinda iyi (ndi ena): Ndiotsika mtengo kwambiri. Zakhala zikuchitika nthawi yayitali. Ndizotetezeka kwambiri.

Sizingakhale zodabwitsa kuwona Columbus pamndandanda, popeza kuti Ohio ndi malo owopsa a matenda a mtima, pa CDC, Dr. Lewis akuwonjezera.

ZOKHUDZA: Mankhwala a magazi ndi mankhwala

8. Vitamini D

Mankhwala ambiri operekedwa ku Baltimore; El Paso, Texas; Miami; New York

Pezani coupon ya vitamini D

Kodi El Paso ndi New York City amafanana bwanji? Ngati mwakhumudwa ndi funsoli, ganizirani izi: Vitamini D ndiye mankhwala omwe amaperekedwa kwambiri m'mizinda yonseyi.

Mutha kupeza vitamini D. kudzera muzakudya zomwe mumadya komanso kuchokera padzuwa. Koma ngati simukupeza zakudya zokwanira zokhala ndi vitamini D, ndipo ngati mumakonda kubisa ndikukhala kunja kwa dzuwa, mwina simukukhala okwanira. Zomalizazi zitha kugwiritsidwa ntchito kwa okhala ku El Paso, omwe amalandira kuwala kwa dzuwa masiku 302 chaka chilichonse pafupifupi.

Kutembenuka, anthu ambiri ku United States sakupeza mavitamini ofunikira awa , malinga ndi National Institutes of Health. Dokotala wanu akhoza perekani vitamini D ngati muli pachiwopsezo chodwala kufooka kwa mafupa, zomwe zimachitika mafupa anu atakhala ofooka, osaduka, komanso osalimba. Mafupa anu amafunikira vitamini D kuti atenge calcium, yomwe imakuthandizani kuti mukhale ndi mphamvu yolimba komanso yolimba.

Mwina si lingaliro labwino kuyamba kumwa vitamini D popanda kufunsa wothandizira zaumoyo wanu poyamba, komabe. Vitamini D supplementation siyabwino kwa aliyense, makamaka anthu omwe ali ndi matenda a impso omwe amakhala ndi calcium yambiri.

Ngati muli pachiwopsezo cha kufooka kwa mafupa, pali zisonyezo zowonjezerapo vitamini D mukamakula, Dr. Emmel akuti. Chifukwa chake zimadalira chiwopsezo chanu cha kufooka kwa mafupa.

ZOKHUDZA: Kodi ndiyenera kumwa vitamini D wochuluka motani?

Kuwonongeka kwa mzinda ndi mzinda kwa mankhwala omwe amapatsidwa

  1. Mzinda wa Albuquerque, NM: Levothyroxine sodium
  2. Arlington, Texas: Amoxicillin
  3. Atlanta: Amphetamine / dextroamphetamine
  4. Austin, Texas: Amphetamine / dextroamphetamine
  5. Baltimore: Vitamini D.
  6. Boston: Amphetamine / dextroamphetamine
  7. Charlotte, NC: Amphetamine / dextroamphetamine
  8. Chicago: Amphetamine / dextroamphetamine
  9. Zitsime za Colorado, Colo.: Amphetamine / dextroamphetamine
  10. Columbus, Ohio: Lisinopril
  11. Dallas: Amoxicillin
  12. Denver: Amphetamine / dextroamphetamine
  13. Detroit: Zamgululi
  14. El Paso, Texas: Vitamini D.
  15. Fort Worth, Texas: Lisinopril
  16. Fresno, California: Zamgululi
  17. Houston: Zamgululi
  18. Indianapolis: Amphetamine / dextroamphetamine
  19. Jacksonville, Fla.: Zamgululi
  20. Kansas City, Mo.: Amphetamine / dextroamphetamine
  21. Las Vegas: Lisinopril
  22. Long Beach, California: Zamgululi
  23. Angelo: Zamgululi
  24. Malo Odyera ku Louisville, Ky.: Amphetamine / dextroamphetamine
  25. Memphis, Tenn.: Amlodipine besylate
  26. Mesa, Ariz.: Levothyroxine sodium
  27. Miami: Vitamini D.
  28. Milwaukee: Amlodipine besylate
  29. Minneapolis: Amphetamine / dextroamphetamine
  30. Nashville, Tenn.: Amphetamine / dextroamphetamine
  31. New Orleans: Amlodipine besylate
  32. New York: Vitamini D.
  33. Oakland, California: Amoxicillin
  34. Mzinda wa Oklahoma: Lisinopril
  35. Omaha, Neb.: Amlodipine besylate
  36. Philadelphia: Amlodipine besylate
  37. Phoenix: Lisinopril
  38. Portland, Ore.: Amphetamine / dextroamphetamine
  39. Raleigh, NC: Amlodipine besylate
  40. Sacramento, Calif: Lisinopril
  41. San Antonio: Cetirizine hydrochloride
  42. San Diego: Amoxicillin
  43. San Francisco: Amphetamine / dextroamphetamine
  44. San Jose, California: Amoxicillin
  45. Seattle: Amphetamine / dextroamphetamine
  46. Tampa, Fla.: Amphetamine / dextroamphetamine
  47. Tucson, Ariz.: Lisinopril
  48. Tulsa, Okla: Amphetamine / dextroamphetamine
  49. Virginia Beach, Va.: Amphetamine / dextroamphetamine
  50. Washington, DC: Amlodipine besylate

Zambiri zamankhwala omwe amadziwika bwino amawonetsa zolemba zomwe zimadzazidwa kwambiri kudzera mu SingleCare kuyambira pa Jan. 1, 2020 mpaka Okutobala 31, 2020, kupatula ma opioid ndi mankhwala ochepetsa kunenepa. Mizinda ikuphatikizanso ndikuwonetsa mizinda 50 yodziwika bwino kwambiri ku US, malinga ndi US Census Bureau.