Abilify vs. Rexulti: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu
Mankhwala osokoneza bongo Vs. MnzanuKuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndikufanizira mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ
Abilify (aripiprazole) ndi Rexulti (brexpiprazole) onse ndi antipsychotic. Mankhwala onsewa amavomerezedwa ndi United States Food and Drug Administration (FDA). Abilify imapezekanso mu mtundu wake wa aripiprazole. Rexulti sikupezeka pakadali pano mu mawonekedwe achibadwa.
Mankhwala osokoneza bongo amadziwikanso kuti antipsychotic. Ma antipsychotic am'badwo woyamba, monga haloperidol, adapangidwa m'ma 1950. Mankhwalawa anali ndi zovuta zina zambiri, monga zizindikiro za extrapyramidal. Zizindikiro za Extrapyramidal zimayamba chifukwa chotseka kwa dopamine. Zizindikirozi zimaphatikizapo kusokonezeka kwa mayendedwe monga kusayenda mosasunthika komanso kusuntha kwaminyewa, kulephera kukhala chete, kunjenjemera, ndi kuphethira diso mosakonzekera.
Ma antipsychotic am'badwo wachiwiri, monga Abilify ndi Rexulti, ndi atsopano komanso amakhala ndi zovuta zochepa za extrapyramidal. Chifukwa amalekerera bwino, ndiwo mankhwala omwe amasankhidwa kuposa antipychotic m'badwo woyamba.
Kodi ma antipsychotic atypical, monga Abilify ndi Rexulti, amagwira ntchito bwanji? Njira yeniyeni yochitira sichidziwika. Amaganiziridwa kuti amagwira ntchito pa D2 dopamine receptors ndi serotonin-5-HT1A ndi 5-HT2A receptors muubongo, kuthandiza zizindikiro za schizophrenia kapena zovuta zina. Rexulti ndi mankhwala komanso ofanana ndi Abilify, zomwe zimawapangitsa kukhala ofanana, koma osafanana kwenikweni. Pitilizani kuwerenga kuti muphunzire zonse za Abilify ndi Rexulti.
Kodi pali kusiyana kotani pakati pa Abilify ndi Rexulti?
Abilify ndi Rexulti onse ndi mankhwala osokoneza bongo. Abilify (aripiprazole) imapezeka pamtundu ndi generic, ndipo Rexulti (brexpiprazole) pakadali pano imangopezeka mu dzina lokha. Mankhwala onsewa amapezeka pamapiritsi. Abilify imapezekanso mumitundu ina yamiyeso (onani tchati pansipa kuti mumve zambiri).
Kusiyana kwakukulu pakati pa Abilify ndi Rexulti | ||
---|---|---|
Limbikitsani | Rexulti | |
Gulu la mankhwala osokoneza bongo | Odwala matenda opatsirana pogonana | Odwala matenda opatsirana pogonana |
Chizindikiro cha Brand / generic | Brand ndi generic | Mtundu |
Kodi dzina lachibadwa ndi liti? | Aripiprazole | Chidwi |
Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi, mapiritsi ogawanika, yankho la m'kamwa, jakisoni, jakisoni wa nthawi yayitali (depot) | Piritsi |
Kodi mulingo woyenera ndi uti? | Zimasintha: odwala ambiri achikulire amatenga 5 mpaka 15 mg pakamwa tsiku lililonse | Zimasintha: odwala ambiri achikulire amatenga 1 mpaka 4 mg pakamwa tsiku lililonse |
Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Zimasintha: odwala ayenera kuyesedwa nthawi ndi nthawi | Zimasintha: odwala ayenera kuyesedwa nthawi ndi nthawi |
Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu ndi ana (zaka zomwe Abilise angagwiritsidwe ntchito zimadalira chikhalidwe) | Akuluakulu |
Mukufuna mtengo wabwino kwambiri pa Abilify?
Lowani kuti muchepetse zidziwitso zamitengo ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Zomwe amathandizidwa ndi Abilify ndi Rexulti
Abilify ndi Rexulti onse akuwonetsedwa ngati chithandizo cha schizophrenia. Amavomerezedwanso ngati mankhwala othandizira (kuphatikiza mankhwala opatsirana pogonana) kuti athetse vuto lalikulu lachisokonezo (MDD).
Kuphatikiza apo, Abilify amatha kuchiza matenda ochititsa munthu kusinthasintha zochitika (kuchiza mwamphamvu manic komanso magawo osakanikirana kapena chithandizo chamankhwala), matenda a Tourette, komanso kukwiya chifukwa cha matenda a autistic. Fomu ya jakisoni ya Abilify imagwiritsidwa ntchito pochiza pachimake kusokonezeka komwe kumayambitsidwa ndi schizophrenia kapena matenda ochititsa munthu kusinthasintha zochitika.
Mkhalidwe | Limbikitsani | Rexulti |
Chithandizo cha schizophrenia | Inde | Inde |
Bipolar I disorder (chithandizo chowawa komanso chosamalira) | Inde | Ayi |
Mankhwala othandizira oponderezana ndi kukhumudwa | Inde | Inde |
Kukwiya komwe kumayenderana ndi vuto la autistic | Inde | Ayi |
Chithandizo cha matenda a Tourette | Inde | Ayi |
Chithandizo chazovuta chamanjenje chifukwa cha schizophrenia kapena bipolar disorder | Inde (jekeseni mawonekedwe) | Ayi |
Kodi Abilify kapena Rexulti ndiyothandiza kwambiri?
Pali zochepa kwambiri zomwe zikufanizira Abilify ndi Rexulti mwachindunji.
An nkhani mu Therapeutic Advances in Psychopharmacology adayang'ana zidziwitso ndikuwunikanso maphunziro (kusanthula meta). Ofufuzawo adazindikira kuti Rexulti imayambitsa zovuta zochepa za akathisia (matenda osunthika), kusowa tulo, kupumula, nseru, kunenepa, komanso kutetemera chifukwa chazomwe amachita pama receptor ena.
Zotsatira zokhudzana ndi mayendedwe a Abilify, komabe, zimawoneka kuti ndizofatsa ndipo zimayendetsedwa pochepetsa woperekayo. Kukwera mtengo kwa dzina la Rexulti kumathanso kukhala chinthu chofunikira kwa odwala ambiri, poyerekeza ndi mtengo wotsika wa generic Abilify.
Zing'onozing'ono kuphunzira poyerekeza Abilify ndi Rexulti mwa odwala omwe ali ndi schizophrenia (kuchipatala) ndipo adapeza kuti mankhwala onsewa ndi ofanana. Odwala omwe amatenga Rexulti sanadziwe zambiri alirezatalischi zotsatira zoyipa. Ndikofunikira kudziwa kuchepa kwa kuti kafukufukuyu anali kafukufuku wodziwika bwino (pomwe ofufuza ndi odwala amadziwa mankhwala omwe wodwalayo amamwa). Kafukufuku wotseguka sakhala wapamwamba kwambiri ngati kafukufuku wakhungu pomwe palibe kukondera.
Chimodzi kuphunzira anayang'ana zotsatira zoyipa zakulemera kuchokera ku Abilify ndi Rexulti. Kafukufukuyu adatsimikiza kuti mankhwala onsewa amathandizanso kulemera kwa thupi (kuwonjezeka kwa ma 5-10 lbs) patatha chaka chimodzi.
Mankhwala othandiza kwambiri ndi omwe amakugwirirani ntchito ndipo amakhala ndi zovuta zochepa (kapena zolekerera). Wothandizira zaumoyo wanu akhoza kukuthandizani kusankha ngati Abilify kapena Rexulti ili bwino kwa inu, poganizira zaumoyo wanu komanso mbiri yanu komanso mankhwala ena omwe mumamwa omwe atha kuthana ndi Abilify kapena Rexulti.
Mukufuna mtengo wabwino kwambiri pa Rexulti?
Lowani zidziwitso zamitengo ya Rexulti ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Kuphunzira ndi kuyerekezera mtengo wa Abilify vs. Rexulti
Abilify nthawi zambiri amakhala ndi mapulani a inshuwaransi, Medicare Part D, ndi mapulani a Medicare Advantage. Mtengo wotuluka m'thumba wamapiritsi a generic 5 mg mwezi umodzi ungakhale pafupifupi $ 700. Khadi la SingleCare limatha kubweretsa mtengo mpaka pafupifupi $ 98.
Rexulti imaphimbidwa ndi ambiri, koma osati onse, mapulani a inshuwaransi, Medicare Part D, ndi mapulani a Medicare Advantage. Ngati mulipira mthumba, mapiritsi a 2 mg a mwezi umodzi angawononge $ 240. Kugwiritsa ntchito coupon ya SingleCare kumabweretsa mtengo pafupifupi $ 198.
Limbikitsani | Rexulti | |
Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde (kawirikawiri) |
Nthawi zambiri amakhala ndi Medicare Part D? | Inde | Inde |
Mlingo woyenera | 30, 5 mg mapiritsi | 30, 2 mg mapiritsi |
Wopanga Medicare wamba | $ 1- $ 7 | $ 10- $ 41 |
Mtengo wosakwatiwa | $ 98 + | $ 198 + |
Zotsatira zoyipa za Abilify vs. Rexulti
Zotsatira zoyipa kwambiri za Abilify mwa akulu ndi nseru, kusanza, kudzimbidwa, kupweteka mutu, chizungulire, nkhawa, kusowa tulo, akathisia (vuto loyenda chifukwa cha mankhwala opatsirana ndi ma psychotic), komanso kusakhazikika. Zotsatira zina zimaphatikizira kudzimbidwa, mkamwa wouma, kupweteka kwa mano, kusapeza m'mimba, kutopa, kuuma, sedation, kunjenjemera, ndi chifuwa.
Zotsatira zoyipa kwambiri za Rexulti zomwe zalembedwa pamankhwalawa ndi mutu, chizungulire, nkhawa, akathisia, kunenepa, kutopa, komanso kusakhazikika.
Mndandandawu si mndandanda wathunthu wazotsatira zoyipa zina - zoyipa zina zimatha kuchitika. Funsani akatswiri azachipatala anu kuti mupeze mndandanda wathunthu wazovuta za Abilify and Rexulti.
Limbikitsani | Rexulti | |||
Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
Nseru | Inde | khumi ndi zisanu% | Inde | %1% |
Kusanza | Inde | khumi ndi chimodzi% | Ayi | - |
Kudzimbidwa | Inde | khumi ndi chimodzi% | Inde | awiri% |
Mutu | Inde | 27% | Inde | 7% |
Chizungulire | Inde | 10% | Inde | 3% |
Kuda nkhawa | Inde | 17% | Inde | 3% |
Kusowa tulo | Inde | 18% | Inde | %1% |
Akathisia | Inde | 13% | Inde | 9% |
Kusokonezeka / kupumula | Inde | 19% | Inde | 3% |
Kutopa | Inde | 6% | Inde | 3% |
Kulemera | Inde | awiri% | Inde | 7% |
Gwero: DailyMed ( Limbikitsani ), Tsiku Lililonse ( Rexulti )
Kuyanjana kwa mankhwala a Abilify vs. Rexulti
Musamamwe Abilify ndi Rexulti ndi mowa kapena mankhwala omwe amayambitsa kupsinjika kwamitsempha yapakati (CNS). Zowonjezera zimatha kuchitika, monga chizungulire, kuwodzera, komanso kufooka kwa psychomotor, zomwe zimabweretsa ngozi zakupha. Kuyanjana kwina kwa mankhwala kungaphatikizepo kupuma magazi (komwe kumatha kuopseza moyo), kuchepa kwa kuthamanga kwa magazi, kapena kuwonjezeka kwa zizindikilo za extrapyramidal (kusokonezeka kwa mayendedwe osokoneza bongo, kuyambitsa kunjenjemera, kuuma, komanso kuyenda pang'onopang'ono).
Abilify kapena Rexulti, kuphatikiza ndi mankhwala a magazi, atha kuchepa kuthamanga kwa magazi. Funsani wolembera ngati muli ndi matenda othamanga magazi kapena mumamwa mankhwala a kuthamanga kwa magazi.
Abilify ndi Rexulti onse amalumikizana ndi mankhwala omwe amapukusidwa ndi michere yapadera. Mankhwala omwe amaletsa ma enzyme amatha kuwonjezera milingo ya Abilify kapena Rexulti. Mankhwala omwe amachititsa ma enzyme amatha kutsitsa Abilify kapena Rexulti. Ngati kuphatikiza kwa mankhwala osakanikirana sikungapeweke, woperekayo amayenera kusintha dosing.
Kuyanjana kwina kwa mankhwala kumatha kuchitika. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagulu azitsamba musanatenge Abilify kapena Rexulti.
Mankhwala osokoneza bongo | Gulu la Mankhwala | Zolumikizana ndi Abilify? | Amagwirizana ndi Rexulti? |
Mowa | Mowa | Inde | Inde |
Mankhwala a magazi | Zotsutsana | Inde | Inde |
Carbamazepine Divalproex ndi sodium Gabapentin Lamotrigine Levetiracetam Phenobarbital Phenytoin Pregabalin Topiramate | Ma anticonvulsants | Inde | Inde |
Olanzapine Quetiapine Risperidone Ziprasidone | Mankhwala oletsa antipsychotic | Inde | Inde |
Amitriptyline Citalopram Chotsani Duloxetine Kuyanjana Fluoxetine Fluvoxamine Mzere wa Nortriptyline Paroxetine Phenelzine Rasagiline Sertraline Zamgululi Katemera | Mankhwala opatsirana | Inde | Inde |
Codeine Fentanyl Hydrocodone Meperidine Methadone Morphine Oxycodone Zamgululi | Kupweteka kwa opioid kumachepetsa | Inde | Inde |
Alprazolam Clonazepam Diazepam MulembeFM Temazepam | Benzodiazepines | Inde | Inde |
Baclofen Chithandizo Cyclobenzaprine Metaxalone | Opumitsa minofu | Inde | Inde |
Clarithromycin Chinthaka Ketoconazole | Zoletsa za enzyme CYP3A4 | Inde | Inde |
Fluoxetine Paroxetine Quinidine | Zoletsa za enzyme CYP2D6 | Inde | Inde |
Carbamazepine Rifampin Wort wa St. | Amathandizira ma enzyme CYP3A4 | Inde | Inde |
Machenjezo a Abilify ndi Rexulti
Chifukwa Abilify ndi Rexulti ndi ofanana, ali ndi machenjezo omwewo:
- Pali chenjezo lakuda lakuda, ndilo chenjezo lamphamvu kwambiri lomwe a FDA amafunikira.
- Abilify ndi Rexulti saloledwa kuchiza odwala okalamba omwe ali ndi matenda amisala. Odwalawa ali pachiwopsezo chachikulu chofa. Mankhwala olepheretsa kupanikizika amachulukitsa chiopsezo chamalingaliro odzipha mwa odwala azaka 24 kapena kupitilira apo. Yang'anirani bwino odwala azaka zonse omwe amamwa mankhwala oponderezana chifukwa cha kukhumudwa, kusintha kwa machitidwe, ndi malingaliro ofuna kudzipha.
Machenjezo ena a Abilify ndi Rexulti ndi awa:
- Pali zochitika zowonjezeka zam'magazi, monga sitiroko kapena kuperewera kwa ischemic, mwa okalamba omwe ali ndi matenda amisala.
- Ngati wodwalayo akukula matenda oopsa a neuroleptic (zomwe zitha kupha), siyani pomwepo Abilify kapena Rexulti ndikuwunika wodwalayo. Zizindikiro za neuroleptic malignant syndrome zimaphatikizapo kutentha thupi, kusintha kwa malingaliro, kuuma, kugunda kwa mtima kapena kusintha kwa kuthamanga kwa magazi.
- Ngati wodwalayo akupanga tardive dyskinesia (zosankha mwadzidzidzi, kuyenda mobwerezabwereza ngati kupindika kapena kuphethira diso), siyani Abilify kapena Rexulti ngati kuli kotheka.
- Ma antipsychotic atypical amatha kuyambitsa kusintha kwa kagayidwe kachakudya, kuphatikiza kuchuluka kwa shuga / shuga, kuchuluka kwa mafuta m'thupi, komanso kunenepa. Onetsetsani odwala kuti asinthe.
- Abilify kapena Rexulti atha kubweretsa kutchova juga kwazomwe zimachitika komanso zizolowezi zina (limbikitsani kugula, kudya kwambiri, ndikugonana). Makhalidwe amenewa angafunike kumwa pang'ono kapena kusiya kwa mankhwalawo.
- Onetsetsani kugunda kwa mtima ndi kuthamanga kwa magazi. Orthostatic hypotension (kuthamanga kwa magazi mukayimirira) kapena kukomoka kumatha kuchitika.
- Kugwa komwe kumabweretsa kuvulala ndi ma fracture kumatha kuchitika. Wopereka chithandizo chamankhwala ayenera kumaliza kuwerengera za chiopsezo akayamba kumwa mankhwala mobwerezabwereza.
- Mavuto oterewa amatha kukhala. Gwiritsani ntchito mosamala kwa odwala omwe ali pachiwopsezo cha kulakalaka.
- Kusintha kwa kuchuluka kwa maselo oyera a magazi kumatha kuchitika. Kuwerengera kwathunthu kwa magazi kuyenera kuyang'aniridwa pafupipafupi m'miyezi ingapo yoyambirira kwa odwala omwe ali ndi mbiri yocheperako yama cell oyera.
- Gwiritsani ntchito Abilify kapena Rexulti mosamala mwa odwala omwe ali ndi mbiri yakugwa.
- Samalani mukamayendetsa kapena kugwiritsa ntchito makina mpaka mutadziwa momwe Abilify kapena Rexulti amakukhudzirani.
- Pali chiopsezo chowonjezeka chodzipha mwa odwala omwe ali ndi schizophrenia ndi matenda ochititsa munthu kusinthasintha zochitika. Yang'anirani kwambiri odwalawa.
- Chifukwa cha kuthekera kogwiritsa ntchito mankhwala osokoneza bongo, dziwitsani amene akukulemberani zamankhwala ena onse omwe mungamwe, mankhwala omwe mumalandira komanso osagulitsanso.
- Pewani kutenthedwa ndi kutaya madzi m'thupi.
- Adziwitseni omwe amakupatsani zaumoyo mukakhala ndi pakati mukatenga Abilify kapena Rexulti. Mankhwalawa amatha kuyambitsa zizindikiro za extrapyramidal kapena kutaya nthawi yayitali.
Mafunso omwe amafunsidwa pafupipafupi okhudzana ndi Abilify vs. Rexulti
Kodi Limbikitsani?
Abilify (aripiprazole) ndi antypychotic antipsychotic, yomwe imapezeka pamtundu komanso generic. Abilify amagwiritsidwa ntchito pochiza schizophrenia, kukhumudwa (kuphatikiza mankhwala opatsirana pogonana), kupuma kwamaphunziro a bipolar I, Matenda a Tourette, kukwiya chifukwa cha matenda a autistic, komanso kusakhazikika chifukwa cha schizophrenia kapena bipolar disorder.
Rexulti ndi chiyani?
Rexulti (brexpiprazole) ndi mankhwala osokoneza bongo, omwe amapezeka mu dzina. Amagwiritsidwa ntchito pochiza kukhumudwa (kuphatikiza mankhwala opatsirana pogonana) ndi schizophrenia.
Kodi Abilify ndi Rexulti ali ofanana?
Mankhwala onsewa ndi ofanana ndi mankhwala ndipo ndi m'badwo wachiwiri, antipsychotic atypical. Ali ndi kufanana ndi kusiyana kwina, kotchulidwa pazomwe zili pamwambapa.
Kodi Abilify kapena Rexulti ndibwino?
Palibe zambiri poyerekeza mankhwala awiriwa. Kuti FDA ivomerezedwe, mankhwala onsewa adakumana ndi zoyeserera zamankhwala kuti zitheke komanso chitetezo. Wothandizira zaumoyo wanu akhoza kusankha ngati Abilify kapena Rexulti ali bwino kwa inu kutengera matenda anu, mbiri yanu, ndi mankhwala ena omwe mumamwa omwe atha kulumikizana ndi Abilify kapena Rexulti.
Kodi nditha kugwiritsa ntchito Abilify kapena Rexulti ndili ndi pakati?
Ma Neonates omwe amapezeka ndi ma antipsychotic at the trimester yachitatu ya mimba ali pachiwopsezo chowonjezeka cha zizindikilo za extrapyramidal (zina zimafunikira kulandilidwa kuchipatala) ndi zizindikiritso zakutha pambuyo pobereka.
Pali zoopsa zogwiritsira ntchito mankhwalawa mukakhala ndi pakati, ndipo pali zoopsa zosachitiranso matenda amisala. Funsani wothandizira zaumoyo wanu kuti akuthandizeni. Ngati mukumutenga kale Abilify kapena Rexulti ndikupeza kuti muli ndi pakati, funsani omwe akukuthandizani.
National Pregnancy Registry ya Mankhwala Amisala kuyang'anira zotsatira za kutenga pakati mwa odwala omwe amamwa mankhwala amisala ali ndi pakati.
Kodi ndingagwiritse ntchito Abilify kapena Rexulti ndi mowa?
Ayi. Simukuyenera kumwa mowa mukatenga Abilify kapena Rexulti. Kuphatikizaku kumatha kuonjezera chiopsezo cha kukhumudwa kwa CNS (kupititsa patsogolo sedation, kufooka kwa psychomotor, komwe kumatha kubweretsa ngozi) ndi kupuma kwa kupuma (kupuma kumachedwetsa kapena kuyimitsa) komanso kuthamanga kwa magazi.
Kodi Rexulti amachulukitsa dopamine?
Ma antipsychotic atypical monga Rexulti (ndi Abilify) ali ndi zochitika zina za agonist pa D2 dopamine receptors. Aagonist pang'ono amatanthauza kuti mankhwalawo amamangirira kwa wolandila ndikuyiyambitsa, koma imangothandiza pang'ono (poyerekeza ndi agonist wathunthu). Chifukwa chake, mankhwalawa amapatsa ma dopamine receptors, omwe amachulukitsa milingo ya dopamine. Mankhwalawa amagwiranso ntchito pama serotonin receptors.
Kodi Rexulti ndi antipsychotic?
Inde. Rexulti ndi m'badwo wachiwiri wa antipsychotic. Ma antipsychotic am'badwo wachiwiri ndi atsopanowa ndipo amayambitsa zovuta zochepa kuposa antipsychotic am'badwo woyamba. Kuphatikiza pa Abilify ndi Rexulti, ma antipsychotic am'badwo wachiwiri ndi awa:
- Geodon (ziprasidone)
- Risperdal (risperidone)
- Seroquel (quetiapine)
- Latuda (lurasidone)
- Vraylar (cariprazine)
- Zyprexa (olanzapine)
- Clozaril (clozapine) yaletsa kugawa ku US chifukwa cha zovuta zake zoyipa.
Kodi Rexulti amathandiza nkhawa?
Rexulti pakadali pano amavomerezedwa ku schizophrenia ndi kukhumudwa (kuphatikiza ndi antidepressant). Phunziro limodzi anayang'ana odwala omwe ali ndi vuto la kukhumudwa komanso nkhawa ndipo adapeza Rexulti kuti athandizire zizindikiro zachisoni (ndipo adalekerera) kwa odwala omwe ali ndi nkhawa. Odwala amatenga Rexulti kuphatikiza ndi antidepressant pomwe wopanikizika yekha samathandiza. Funsani omwe amakuthandizani ngati muli ndi nkhawa. Akhoza kukusankhirani chithandizo choyenera.