Tapeza mankhwala otchuka kwambiri m'maiko onse mu 2020

Kampani

Koyamba, Alaska ndi New Mexico zingawoneke kuti sizofanana. Komabe, amagawana mankhwala omwewo. Chifukwa chiyani? Ngakhale zinthu zambiri zasintha mu 2020, chinthu chimodzi chomwe sichinachitike ndikufunika kwa anthu mankhwala azamankhwala.

Chaka chonse, SingleCare idapitilizabe kupereka kuchotsera pamankhwala omwe anthu amafunikira, ngakhale atakhala kuti ali ndi ziwengo zanyengo m'malo opatsirana kapena mankhwala amtima osakhalitsa. Ofufuza a SingleCare adasanthula zomwe tidalemba mu 2020 ndipo adapeza mankhwala odzazidwa kwambiri m'maiko onse.

Ndiye ndi mankhwala ati omwe amapezeka kwambiri komwe mumakhala? Ndipo chifukwa chiyani? Werengani kuti mupeze.

Mankhwala omwe amapezeka kwambiri ndi boma:

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

Pitani ku kuwonongeka kwa boma ndi boma

1. Lisinopril (Prinivil)

Mankhwala olembedwa kwambiri ku Alaska, Arkansas, Delaware, Iowa, Idaho, Illinois, Massachusetts, Minnesota, Missouri, Montana, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Texas, Virginia, Vermont, Washington Wyoming

Pezani coupon ya lisinopril

Lisinopril ndi mankhwala omwe amachiza kuthamanga kwa magazi (matenda oopsa) - zomwe zimafala ku U.S. Pafupifupi theka la achikulire amakhala nawo, malinga ndi U.S. Centers for Disease Control and Prevention (CDC). Ndipo pali umboni wosatsutsika kuti mliri wa COVID-19 (komanso kupsinjika komwe umabweretsa) zikuyendetsa manambala kwambiri. Ndiwo anthu ambiri omwe angafunike mankhwala a lisinopril, omwe atha kufotokoza chifukwa chake ndichifukwa chakemankhwala odziwika kwambiri pakati pa ogwiritsa ntchito a SingleCare pafupifupi theka la mayiko 50.

Mankhwala monga lisinopril (ACE inhibitor) amatsitsimutsa mitsempha yamagazi ndikupewa kuchepa, zomwe zimapangitsa kuti mtima ukhale wampweya wamagazi kudzera m'mitsempha yanu. Chifukwa lisinopril ndi yachilendo, yotsika mtengo, komanso yothandiza, yakhala ikuperekedwa kwa zaka zopitilira 20.

Kuphatikiza apo, lisinopril ili ndi maubwino ambiri pakuchepetsa kukula kwa matenda a impso, makamaka odwala matenda ashuga, akutero Barry Gorlitsky ,MD, PAnephrologist ndiwolemba blog KidneyAide. Amachepetsanso kupsinjika pamtima, amachepetsa kufa kwa omwe ali ndi matenda amtima, komanso amathandizira kugwira ntchito kwamtima. Ndi mzere woyamba wotsutsana ndi matenda oopsa omwe akulimbikitsidwa kwa odwala achinyamata ndi achikulire, omwe akulimbikitsidwa ndi mabungwe azachipatala angapo , kuphatikizaBungwe la American Heart Association.

Pazifukwa zonsezi, lisinopril ndi mfumu, a Dr. Gorlitsky akutero.

ZOKHUDZA: Mankhwala a magazi ndi mankhwala

awiri. Vitamini D.

Mankhwala ambiri omwe amapatsidwa mu Alabama, Kentucky, New York, West Virginia

Pezani coupon ya vitamini D

Mumamwa vitamini D mwachilengedwe mukamakhala padzuwa, komanso mulinso zakudya zambiri zomwe mumadya . Koma m'malo ena opanda dzuwa kapena opeza zipatso zatsopano, milingo ya vitamini D imatha kutsika msanga. Kutanthauza, itha kukhala yochuluka mu kabati yanu yazachipatala.

Kulephera kwa Vitamini D kumakhala kofala, ndipo kwakhala yolumikizidwa ku kukhumudwa, matenda otopa, kunenepa kwambiri, matenda ashuga, matenda oopsa, fibromyalgia, ndi kufooka kwa mafupa, mwazinthu zina. Kwa ena, zowonjezera pamakina ndizokwanira. Kuti mukhale ndi mlingo wapamwamba, mungafunike mankhwala.

Vitamini D amadziwika kwambiri ndi anthu omwe ali ndi vuto losowa komanso / kapena ngati gawo la njira yothandizira kupewa kapena kuchepetsa kukula kwa kufooka kwa mafupa, Dr. Emmel akufotokoza. Nthawi zambiri amapatsidwa kwa okalamba, omwe ndi omwe amafotokozera chifukwa chomwe amapitilira mndandanda ku West Virginia, womwe uli ndi 3 mwa anthu okalamba kwambiri m'dziko.

Popeza kusowa kwa Vitamini D nthawi zambiri kumalumikizidwa ndi kusakwanira kwa dzuwa, Dr. Emmel akuti sizosadabwitsa kuti ili pamndandanda wodziwika kwambiri ku New York, malinga ndi nyengo. Adadabwitsidwa pang'ono ndi mayiko ena pamndandandawu, koma poganizira za vitamini D ndiye mankhwala omwe anali pamwamba pamndandanda m'maiko ambiri chaka chatha, pakhala kuchepa kowonekera mu kutchuka kwake mu 2020. Mwina izi zikutanthauza kuti anthu ambiri anali otanganidwa kunja kwa chaka chino chifukwa njira zotsekera zimawasunga kumadera ena.

ZOKHUDZA: Kodi ndiyenera kumwa vitamini D wochuluka motani?

3. Levothyroxine sodium (Synthroid)

Mankhwala ambiri omwe amapatsidwa mu Arizona, Colorado

Pezani levothyroxine kuponi ya sodium

Levothyroxine imathandizira kubweretsa mahomoni a chithokomiro kubwerera mwakale kwa anthu omwe ali ndi chithokomiro chosagwira ntchito (chotchedwanso hypothyroidism). Ndi vuto lathanzi ku U.S. 5 mwa anthu 100 aliwonse kudutsa dzikoli.

Zizindikiro zake zimaphatikizapo kutopa, kunenepa, kudzimbidwa, kuchuluka kwa kuzizira, kupatulira tsitsi, komanso kukhumudwa. Vutoli limatha kubwera mwachilengedwe (nthawi zina chifukwa cha ukalamba). Zitha kuyambidwanso chifukwa chovulala (monga ma virus kapena radiation) ku, kapena kuchotsa, chithokomiro. Hypothyroidism imapezeka pomwe ntchito yamagazi imawulukira poyerekeza ndi ma chithokomiro wamba.

Chifukwa chiyani levothyroxine ndi yotchuka kwambiri ku Arizona ndi Colorado? Vutoli ndilofala kwambiri mwa azimayi komanso anthu azaka zopitilira 60, ndiye mwina kuchuluka kwa anthu m'maiko amenewo akufotokoza izi, a Dr. Emmel akutero. (Arizona alidi, ali ndi gawo lokwera la akazi kuposa amuna , komanso amakhala okwera kwambiri okalamba -Koma Colorado amadziwika kuti palibe.) Ndizofala kwambiri motero sizosadabwitsa kuwona mankhwalawa pafupi ndi mankhwala omwe agwiritsidwa ntchito kwambiri.

Levothyroxine imagwiritsidwanso ntchito kuthana ndi zovuta zina za chithokomiro, monga khansa ya chithokomiro.

ZOKHUDZA: Kuyanjana kwa mankhwala a chithokomiro 5

4. Amoxicillin (Amoxil)

Mankhwala ambiri omwe amapatsidwa mu California

Pezani coupon ya amoxicillin

Mwinamwake mwamvapo za amoxicillin kale-ndi amodzi mwa maantibayotiki odziwika kwambiri omwe amaperekedwa m'kalasi la penicillin. Amagwiritsidwa ntchito pochiza matenda a bakiteriya, a Dr. Emmel akuti. Mukagwiritsidwa ntchito moyenera, ikhoza kukhala chida champhamvu chothana ndi matenda monga strep throat, matenda am'makutu a bakiteriya, chibayo cha bakiteriya, ndi matenda opumira.

Tsoka ilo, [imagwiritsidwanso ntchito] kuchiritsa matenda omwe mwina amayambitsidwa ndi ma virus, 'akutero Dr. Emmel. Ndipo chifukwa amoxicillin samachiza matenda opatsirana, zikutanthauza kuti wapatsidwa malire.

Limodzi mwa malamulo atatu aliwonse a maantibayotiki ndi osafunikira, malinga ndi CDC . Kugwiritsa ntchito mankhwalawa mopitirira muyeso kumatha kubweretsa kukana maantibayotiki , zomwe zimachitika mabakiteriya ndi ma virus atasowa mankhwala, zomwe zimapangitsa kuti matendawa akhale ovuta kuwachiza komanso owopsa.

Koma, kuzindikira kwake kukukulira m'zaka zaposachedwa. Zowona kuti amoxicillin anali Rx wodziwika kwambiri m'maiko asanu ndi awiri mu 2019, koma chaka chimodzi chokha chaka chino chikhoza kukhala chisonyezo chakuti asing'anga akumapereka izi momasuka kuposa kale.

ZOKHUDZA: Kodi chimachitika ndi chiyani ngati simumaliza maantibayotiki?

5. Amlodipine besylate (Norvasc)

Mankhwala ambiri omwe amapatsidwa mu Connecticut, Louisiana, Mississippi, New Jersey

Pezani kuponi kwa amlodipine besylate

Monga membala wa gulu la mankhwala omwe amadziwika kuti calcium channel blockers (CCB), amlodipine besylate amathandizira kuthamanga kwa magazi (kuthamanga kwa magazi) ndi angina (zopweteka kwambiri pachifuwa zomwe zimabwera chifukwa chochepetsedwa kwa magazi kumtima).

Ndi mankhwala otetezeka komanso otsika mtengo kwambiri, a Dr. Emmel akutero. Mofanana ndi lisinopril, kuphatikiza kugwiritsa ntchito zinthu wamba, komanso mtengo wake wotsika, zimapangitsa kuti mugwiritse ntchito kwambiri.

Kuthamanga kwa magazi kumalumikizidwa ndi chiopsezo chowonjezeka cha sitiroko, matenda amtima, ndi mavuto a impso, zomwe mankhwala onse m'kalasi la CCB amathandiza kupewa. Kuphatikiza apo, lisinopril anali munyuzi chaka chino ngati chiopsezo pazovuta mukadwala ndi COVID-19. Ngakhale kafukufukuyu anali wosadziwika, ndipo madokotala amalangiza odwala kupitiliza kumwa ma ACE inhibitors, nkhawa iyi mwina idapangitsa kuti pakhale kutchuka kwa mankhwala osinthasintha-monga amlodipine-m'maiko omwe ali ndi kachilombo koyambitsa matendawa, monga Louisiana ndi New Jersey.

Zifukwa zomwe mankhwala amodzi angaperekedwe kuposa ena zimasiyana. Lisinopril ndi njira yabwino yothanirana ndi matenda oopsa ngati wodwala ali ndi matenda ashuga, kulephera kwa mtima, kapena matenda amtima asanafike, malinga ndi Dr. Emmel. Pakadali pano, amlodipine imathandizanso kuchiza angina (omwe amayamba chifukwa cha matenda amitsempha), ndikupangitsa kuti mankhwala azikhala odalirika ngati wodwala akuvutika ndi izi. Ndizotheka kuti zigawo zomwe amlodipine ndiwotchuka kwambiri zimakhala ndi angina ambiri.

ZOKHUDZA: Kodi magazi amayenda bwanji?

6. Ibuprofen (Motrin)

Mankhwala ambiri omwe amapatsidwa mu Florida, Georgia, Hawaii, Maryland

Pezani coupon ya ibuprofen

Anthu ambiri afikira ibuprofen nthawi ina m'miyoyo yawo. Mankhwala osakanikirana ndi kutupa (NSAID) amathandiza kuchepetsa kupweteka ndi kutupa. Amathandiza kupweteka mutu, kupweteka kwa minofu, malungo, ndi kutupa molumikizana, komanso zinthu zina zosiyanasiyana. Zitha kugulidwa pa kauntala m'munsi.

Mlingo wolimba wa ibuprofen amatha kupatsidwa kwa odwala omwe ali ndi zowawa, monga nyamakazi ndi endometriosis.Ibuprofen 400 mg, 600 mg, ndi 800 mg ndi mphamvu zamankhwala. Madokotala atha kukhala Kufotokozera izi nthawi zambiri kuti zisawononge opioid, atero a Joanna Lewis, Pharm.D., woyambitsa wa Maupangiri Amankhwala .

Florida ndiye wachiwiri mwa nzika zachikulire, ndipo Hawaii ili pachisanu ndi chiwiri pamndandandawu - zomwe zingafotokozere zomwe zikuchitika m'maiko amenewa.

Monga odana ndi yotupa, Dr. Lewis akuti ibuprofen itha kukhala yothandiza pamatenda osiyanasiyana, powonanso kuti ndi mankhwala omwe anthu amapatsidwa akangobereka.

ZOKHUDZA: Mlingo wa Ibuprofen

7. Amphetamine / dextroamphetamine (Adderall)

Mankhwala ambiri omwe amapatsidwa mu Indiana, Kansas, Maine, Michigan, North Dakota, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Wisconsin

Pezani coupon ya amphetamine / dextroamphetamine

Amphetamine / dextroamphetamine ndi mankhwala olimbikitsira omwe amagwiritsidwa ntchito kuthana ndi vuto la kuchepa kwa matenda (ADHD). Amagwiritsidwa ntchito kwambiri kwa ana azaka zakubadwa komanso achikulire, chifukwa chake kuchuluka kwa anthu kumatha kufotokozera zosagwirizana zilizonse pakugwiritsa ntchito zigawo, Dr. Pamenepo, Indiana ndi South Carolina ndi ena mwa mayiko asanu apamwamba odziwika ndi matenda a ADHD. Ndipo onse kupatula South Dakota ndi Utah ali ndi ziwonetsero zazikulu kwambiri za ADHD, malinga ndi CDC .

Mankhwalawa amaganiziridwa kuti amachepetsa kusakhazikika ndikuwongolera chidwi. Zimakhala zopambana kwambiri zikagwiritsidwa ntchito ngati gawo limodzi lamankhwala amitundu yonse.

Mongamitsempha yapakatikati,amphetamine / dextroamphetamine amathanso kuchiza matenda opatsirana pogonana-vuto la kugona lomwe limadziwika ndikutopa kwamasana komanso kugona mwadzidzidzi, kosalamulirika).

ZOKHUDZA: Mankhwala a ADHD ndi mankhwala

8. Alprazolam (Xanax)

Mankhwala ambiri omwe amapatsidwa mu Tennessee, PA

Pezani coupon alprazolam

Mu Epulo, malipoti adayamba kufalikira kuti mankhwala olimbana ndi nkhawa, monga alprazolam, anali akuchulukirachulukira— mpaka 34% . Mwina sizodabwitsa pamenepo, kuti mankhwalawa adafika pamwamba pamndandanda boma lina chaka chino. Makamaka ku Tennessee, komwe kudakhala ngati boma lokhala ndi kukhumudwa kwakukulu koyambirira kwa chaka chino.

Yemwe ali m'kalasi la mankhwala otchedwa benzodiazepines, alprazolam imagwira ntchito poyambitsa mankhwala achilengedwe omwe ali kale mthupi kuti athetse vuto lamkati mwamanjenje.
Mofanana ndi mankhwala ambiri othana ndi nkhawa, zovuta za alprazolam zimamveka kwambiri mukamayamba mankhwalawo komanso mukamachoka. Zizindikiro zobwerera mmbuyo zimatha kuchitika mukasiya alprazolam ozizira ozizira. Pachifukwa ichi, odwala ayenera kugwira ntchito ndi madotolo kuti achepetse mlingo wawo pang'onopang'ono akaganiza zosiya kumwa mankhwalawa.

ZOKHUDZA: 62% aku America amakhala ndi nkhawa, malinga ndi kafukufuku watsopano

Mankhwala ambiri operekedwa m'maiko onse

1. Alaska: Lisinopril
2. Alabama: Vitamini D.
3. Arkansas: Lisinopril
4. Arizona: Levothyroxine sodium
5. California: Amoxicillin
6. Colorado: Levothyroxine sodium
7. Connecticut: Amlodipine besylate
8. Zolemba: Lisinopril
9. Florida: Zamgululi
10. Georgia: Zamgululi
11. Hawaii: Zamgululi
12. Iowa: Lisinopril
13. Idaho: Lisinopril
14. Illinois: Lisinopril
15. Indiana: Amphetamine / dextroamphetamine
16. Kansas: Amphetamine / dextroamphetamine
17. Kentucky: Vitamini D.
18. Louisiana: Amlodipine besylate
19. Massachusetts: Lisinopril
20. Maryland: Zamgululi
21. Maine: Amphetamine / dextroamphetamine
22. Michigan: Amphetamine / dextroamphetamine
23. Minnesota: Lisinopril
24. Missouri: Lisinopril
25. Mississippi: Amlodipine besylate
26. Montana: Lisinopril
27. North Carolina: Lisinopril
28. North Dakota: Amphetamine / dextroamphetamine
29. Nebraska: Lisinopril
30. New Hampshire: Lisinopril
31. New Jersey: Amlodipine besylate
32. New Mexico: Lisinopril
33. Nevada: Lisinopril
34. New York: Vitamini D.
35. Ohio: Lisinopril
36. Oklahoma: Lisinopril
37. Oregon: Lisinopril
38. Pennsylvania: Amphetamine / dextroamphetamine
39. Rhode Island: Amphetamine / dextroamphetamine
40. South Carolina: Amphetamine / dextroamphetamine
41. South Dakota: Amphetamine / dextroamphetamine
42. Tennessee: Alprazolam
43. Texas: Lisinopril
44. Utah: Amphetamine / dextroamphetamine
45. Virginia: Lisinopril
46. Vermont: Lisinopril
47. Washington: Lisinopril
48. Wisconsin: Amphetamine / dextroamphetamine
49. West Virginia: Vitamini D.
50. Kulowera: Lisinopril

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.