Waukulu >> Mankhwala Osokoneza Bongo Vs. Mnzanu >> Celexa vs. Lexapro: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu

Celexa vs. Lexapro: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu

Mankhwala osokoneza bongo Vs. Mnzanu

Matenda akulu okhumudwitsa, omwe amangotchedwa kuti kukhumudwa kapena MDD, akuti amakhudza pafupifupi Anthu 216 miliyoni , kapena 3% ya anthu padziko lapansi. Amakhala ndi nkhawa kwakanthawi kwa milungu iwiri kudzera munthawi zambiri. Odwala amatha kuwonetsa kuti alibe chidwi ndi zinthu zomwe amakonda kapena mphamvu zochepa. Amathanso kumva kuwawa popanda chifukwa chodziwika.

Matenda okhumudwa amatha kuthandizidwa m'njira zosiyanasiyana. Uphungu ndi kuchita masewera olimbitsa thupi zitha kukhala zothandiza paokha m'milandu yambiri. Odwala ena angafunike mankhwala. Pali mitundu ingapo ya mankhwala opanikizika, ndipo imodzi mwazofala kwambiri ndi serotonin reuptake inhibitors (SSRIs). Pali mankhwala angapo mkalasiyi kuphatikiza Prozac (fluoxetine), Zoloft (sertraline), ndi Paxil (paroxetine). Apa tikambirana za Celexa (citalopram) ndi Lexapro (escitalopram).

Kodi pali kusiyana kotani pakati pa Celexa ndi Lexapro?

Celexa ndi mankhwala akuchipatala omwe amawonetsedwa pochiza vuto lalikulu lachisoni. Imapezeka ngati citalopram ndipo ndi gulu la mankhwala opatsirana otchedwa SSRIs. Celexa imatseka kubwezeretsanso kwa serotonin pamitsempha ya neuronal. Mwa kulepheretsa kubwezeretsanso kwa serotonin ndi pampu wonyamula, mankhwalawa amasiya serotonin yaulere mu synapse ya neuron. Magulu apamwamba a serotonin amalumikizidwa ndi kusintha kwamphamvu komanso mphamvu zamagetsi. Chogwiritsira ntchito, citalopram, chili ndi ma isomers awiri: R-citalopram ndi S-citalopram. S-isomer makamaka imayambitsa serotonin blockade yomwe imapangitsa kuti citalopram igwire bwino ntchito.

Celexa (Kodi Celexa ndi chiyani?) Imapezeka pakapangidwe ka piritsi pakamwa mu mphamvu za 10 mg, 20 mg, ndi 40 mg. Imapezekanso mumayendedwe amadzimadzi amkamwa mwa 10 mg / 5 ml ndi 20 mg / 5 ml.

Lexapro ndi mankhwala ena akuchipatala omwe amawonetsedwa pochiza kukhumudwa. Ma generic a Lexapro ndi escitalopram, ndipo ali ndi S-citalopram yotsogola kwambiri. Lexapro imagwira ntchito mofanana ndi Celexa potseka serotonin reuptake.

Lexapro (Lexapro ndi chiyani?) Imapezeka ngati piritsi pakamwa pa mphamvu ya 5 mg, 10 mg, ndi 20 mg. Ikupezekanso ngati yankho la pakamwa mu ndende ya 5 mg / 5 ml.

Kusiyana kwakukulu pakati pa Celexa ndi Lexapro
	Celexa	Lexapro
Gulu la mankhwala osokoneza bongo	Kusankha serotonin reuptake inhibitor	Kusankha serotonin reuptake inhibitor
Chizindikiro cha Brand / generic	Zolemba ndi generic zilipo	Zolemba ndi generic zilipo
Kodi dzina lachibadwa ndi liti?	Citalopram	Kuyanjana
Kodi mankhwalawa amabwera mwa mawonekedwe ati?	Piritsi lapakamwa ndi yankho la m'kamwa	Piritsi lapakamwa ndi yankho la m'kamwa
Kodi mulingo woyenera ndi uti?	20 mg kamodzi patsiku	10 mg kamodzi patsiku
Kodi mankhwalawa amatenga nthawi yayitali bwanji?	Kutalika (miyezi mpaka zaka)	Kutalika (miyezi mpaka zaka)
Ndani amagwiritsa ntchito mankhwalawa?	Achinyamata ndi achikulire	Achinyamata ndi achikulire

Mukufuna mtengo wabwino pa Celexa?

Lowani zidziwitso zamitengo ya Celexa kuti mudziwe kuti mitengo isintha liti!

Pezani zidziwitso zamitengo

Zomwe amathandizidwa ndi Celexa ndi Lexapro

Celexa ndi Lexapro onse akuwonetsedwa pothana ndi vuto lalikulu lachisokonezo. MDD imadziwika ndikutenga nthawi yayitali (milungu iwiri kapena kupitilira apo) ndikuchepetsa mphamvu. Odwala sangapeze chisangalalo pazinthu zomwe anali nazo kale. Lexapro imawonetsedwanso pochiza matenda amisala (GAD). GAD imadziwika ndikudandaula kwanthawi yayitali komanso kutengeka ndi mitu yambiri. Celexa yakhala ikugwiritsidwanso ntchito ku GAD, ngakhale ntchitoyi imawerengedwa ngati yosalemba chifukwa a FDA sanavomereze Celexa kuti agwiritse ntchito.

Celexa ndi Lexapro onsewa sagwiritsidwa ntchito polemba zovuta zosiyanasiyana zomwe zimakhudzana kwambiri ndi kukhumudwa komanso nkhawa. Izi zimaphatikizapo kupsinjika kwakanthawi, mantha amantha, komanso kupsinjika kwakanthawi koopsa.

Otsatirawa sikuti akhale mndandanda wathunthu wazomwe angagwiritse ntchito a Celexa ndi Lexapro. Ndi omwe amakupatsani chithandizo chamankhwala okha omwe angapeze matenda anu ndikusankha njira yabwino yothandizira.

Mkhalidwe	Celexa	Lexapro
Kusokonezeka kwakukulu	Inde	Inde
Matenda aukali (dementia)	Kutumiza	Ayi
Kuledzera	Kutumiza	Kutumiza
Matenda amisala wamba	Kutumiza	Inde
Matenda osokoneza bongo	Kutumiza	Kutumiza
Kusokonezeka kwamantha	Kutumiza	Kutumiza
Matenda a Posttraumatic	Kutumiza	Kutumiza
Kuthamangira msanga	Kutumiza	Kutumiza
Matenda a premenstrual dysphoric	Kutumiza	Kutumiza
Matenda amisala	Kutumiza	Ayi
Matenda a dysmorphic disorder	Ayi	Kutumiza
Bulimia mantha	Ayi	Kutumiza

Kodi Celexa kapena Lexapro ndi yothandiza kwambiri?

Wosasinthika, wakhungu kawiri kuphunzira zidachitika kufananiza Celexa ndi Lexapro kuchipatala cha MDD. Mlingo wa 40 mg wa Celexa tsiku lililonse udafanizidwa ndi mlingo wa 20 mg wa Lexapro. Mulingo waku Montgomery-Asberg Depression Rating Scale (MADRS) anali muyeso wa muyeso, ndipo gawo loyambira la omwe anali nawo linali lalikulu kuposa kapena lofanana ndi 30. Malipiro apamwamba a MADRS atha kukhala akuwonetsa kukhumudwa kwakukulu. Mapu a MADRS adachepa kwambiri m'manja mwa Lexapro kuposa mkono wa Celexa, ndipo kusiyana kumeneku kunali kofunikira kwambiri. Lexapro analinso ndi anthu ambiri omwe amayankha kuchipatala chonse. Kupilira kwa mankhwalawa kunali kofanana pakati pa magulu awiriwa.

KU kusanthula meta idachitidwa kuti ifanane ndi mphamvu ya Celexa ndipo imagwiritsa ntchito kwambiri s-isomer, Lexapro. Maphunziro asanu ndi anayi omwe adagwiritsidwa ntchito pakuwunikirako adayankha kupsinjika pang'ono komanso kwakukulu. Pakati pa maphunziro, imodzi mwamitundu iwiri yoyesera idagwiritsidwa ntchito; MADRS kapena Hamilton Depression Rating Scale (HAMD). Atatha kuwerengera zakusiyana pakati pa maphunzirowa, Lexapro adawonetsedwa kuti ndiwamkulu kuposa Celexa pochiza kupsinjika kwapakati komanso kwakukulu. Kusiyanako kunali kofunikira pa ziwerengero komanso zamankhwala.

Pamapeto pake, ndi dokotala wanu yekha amene angasankhe mankhwala omwe angakuthandizeni. Nthawi zonse muzifunsira kwa dokotala musanasinthe mtundu uliwonse wamankhwala anu.

Mukufuna mtengo wabwino pa Lexapro?

Lowani zidziwitso zamitengo ya Lexapro kuti mupeze kuti mitengo ikasintha liti!

Pezani zidziwitso zamitengo

Kuphunzira komanso kuyerekezera mtengo wa Celexa vs. Lexapro

Celexa ndi mankhwala omwe amakupatsani ndi inshuwaransi yamalonda komanso yamankhwala. Mtengo wapakati wogulitsa masiku 30 a Celexa 20 mg ndi pafupifupi $ 65. Ndi coupon yochokera ku SingleCare, mutha kupeza generic pamtengo wosakwana $ 4.

Lexapro ndi mankhwala omwe amalembedwa ndi malonda ndi mankhwala a Medicare. Mtengo wapa thumba wamasiku 30 wa Lexapro 10 mg utha kukhala $ 180. SingleCare imapereka coupon ya Lexapro, yomwe imabweretsa mtengo wotsika $ 15 kuma pharmacies omwe akutenga nawo mbali.

Pezani khadi yotsitsa ya SingleCare

	Celexa	Lexapro
Nthawi zambiri amakhala ndi inshuwaransi?	Inde	Inde
Nthawi zambiri amadzazidwa ndi Medicare?	Inde	Inde
Mlingo woyenera	30, 20 mg mapiritsi	30, 10 mg mapiritsi
Wopanga Medicare wamba	Osakwana $ 10	Osakwana $ 10
Mtengo wosakwatiwa	$ 4- $ 20	$ 15- $ 70

Zotsatira zoyipa za Celexa vs. Lexapro

Celexa ndi Lexapro ndi ofanana ndi mankhwala koma amasiyana mosiyanasiyana pazotsatira zawo. Chisokonezo ndi zotsatira zoyipa pakati pa ma SSRIs onse. Lexapro akuti imayambitsa matenda azisoni mwa 6% ya odwala, pomwe kusungulumwa kunanenedwa mu 2% ya odwala pa Celexa .

Zotsatira za m'mimba ndizofala kwambiri ndi Lexapro. Odwala ku Lexapro adanenanso zakumwa kwa mseru, dyspepsia, ndi kutsekula m'mimba kuposa odwala a Celexa. Kutsika kwa kugonana kwatsika kunanenedwa ndi kugwiritsa ntchito SSRI koma kumawoneka kuti kukuipiraipira ku Lexapro kuposa Celexa.

Mndandanda wotsatirawu sikuti ukhale mndandanda wathunthu wazomwe zikuchitika. Chonde funsani wamankhwala, dokotala, kapena katswiri wina wazachipatala kuti mupeze mndandanda wazomwe zingachitike.

	Celexa	Lexapro
Zotsatira zoyipa	Zoyenera?	Pafupipafupi	Zoyenera?	Pafupipafupi
Asthenia	Inde	1%	Ayi	n / A
Nseru	Inde	4%	Inde	5%
Pakamwa pouma	Inde	1%	Inde	5%
Kutuluka thukuta	Ayi	n / A	Inde	5%
Kusanza	Inde	1%	Ayi	n / A
Kutsekula m'mimba	Ayi	n / A	Inde	8%
Kudzimbidwa	Ayi	n / A	Inde	3%
Dyspepsia	Ayi	n / A	Inde	3%
Chizungulire	Inde	awiri%	Ayi	n / A
Kusinza	Inde	awiri%	Inde	6%
Kusokonezeka	Inde	1%	Ayi	n / A
Kuchepetsa chilakolako	Ayi	n / A	Inde	3%
Kuchepetsa libido	Ayi	n / A	Inde	awiri%

Gwero: Celexa ( Tsiku ndi Tsiku ) Mpumi ( Tsiku ndi Tsiku )

Kuyanjana kwa mankhwala a Celexa vs. Lexapro

Chifukwa cha kufanana kwawo kwa mankhwala, Celexa ndi Lexapro ali ndi mbiri yofananira yolumikizana ndi mankhwala. Mankhwala onsewa amapangika kudzera mu cytochrome P450 enzyme system. Celexa ndi gawo lalikulu la CYP2C19 ndi CYP3A4, gawo laling'ono la CYP2D6, komanso cholepheretsa CYP2D6. Lexapro ndi gawo lalikulu la CYP2C19 ndi CYP3A4 komanso choletsa CYP2D6.

Celexa ndi Lexapro zitha kukulitsa kuchuluka kwa ma serum a antipsychotic, monga aripiprazole, kudzera poletsa kwawo CYP2D6. Ngati kugwiritsa ntchito limodzi ndikofunikira, odwala ayenera kuyang'aniridwa pazotsatira za antipsychotic. Odwala ena, kuchepa kwa mankhwala opatsirana pogonana kungakhale kofunikira.

Amphamvu a CYP3A4 inducers, monga antiepileptic agent carbamazepine, amatha kuwonjezera kagayidwe ka Celexa ndi Lexapro. Zosintha zamankhwala zitha kukhala zofunikira popewa kuyanjana kotere.

Mndandanda wotsatirawu sikuti ukhale mndandanda wathunthu wamagwiritsidwe azamankhwala. Ndibwino kuti mufunsane ndi dokotala wanu kapena wamankhwala kuti mupeze mndandanda wathunthu.

Mankhwala osokoneza bongo	Gulu la Mankhwala	Celexa	Lexapro
Acalabrutinib Dabrafenib Erdafitinib Gilteritinib Anayankha	Antineoplastics	Inde	Inde
Almotriptan Eletriptan Oxitriptan	5HT Agonist / Triptans (othandizira ma antimigraine)	Inde	Inde
Dexmethylphenidate Methylphenidate	Amphetamine	Inde	Inde
Alosetron Ondansetron Ramosetron	Otsutsa a 5HT3 (odana ndi nseru)	Inde	Inde
Apixaban Edoxaban	Ma antiplatelet	Inde	Inde
Aripiprazole	Mankhwala oletsa antipsychotic	Inde	Inde
Asipilini Zamgululi Naproxen Diclofenac	Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)	Inde	Inde
Bemiparin Enoxaparin Heparin	Maantibayotiki	Inde	Inde
Bupropion	Dopamine / norepinephrine reuptake inhibitor	Inde	Inde
Buspirone	Kuda nkhawa	Inde	Inde
Carbamazepine	Wosakanikirana	Inde	Inde
Enzalutamide	Chemotherapy wothandizila	Inde	Inde
Esomeprazole Omeprazole	Proton pump inhibitor	Inde	Inde
Fluconazole	Zosakanikirana	Inde	Inde
Fluoxetine Duloxetine Paroxetine Sertraline	SSRIs	Inde	Inde
Hydroxychloroquine	Aminoquinolone / Antimalarial	Inde	Inde
Mzere	Maantibayotiki	Inde	Inde
Cyclobenzaprine Metaxalone	Opumitsa minofu	Inde	Inde
Pimozide	Mankhwala oletsa antipsychotic	Inde	Inde
Selegiline Phenelzine Rasagiline	Monoamine oxidase inhibitor (MAOI)	Inde	Inde
St. John's Wort	Mankhwala owonjezera azitsamba	Inde	Inde
Hydrochlorothiazide Chlorthalidone Metolazone	Odzetsa okodzetsa	Inde	Inde
Zamgululi	Opiate ochepetsa ululu	Inde	Inde
Amitriptyline Clomipramine Doxepin Mzere wamtundu	Tricyclic antidepressants	Inde	Inde
Katemera	Kusankha norepinephrine reuptake inhibitor (SNRI)	Inde	Inde

Machenjezo a Celexa ndi Lexapro

Kusankha ma serotonin reuptake inhibitors, kuphatikiza Celexa ndi Lexapro, samayamba kuthetsa zizindikilo nthawi yomweyo. Nthawi zambiri, kusintha kwa zizindikilo kumatenga masabata osachepera awiri kuti muwone, pomwe odwala ambiri amafunikira milungu inayi kapena isanu ndi umodzi kuti awone ngati mankhwalawa akukhudza zizindikilo zawo.

Akuluakulu ndi ana omwe ali ndi MDD amatha kudwala chifukwa chofuna kudzipha. Izi zitha kuipiraipira ngati MDD sichithandizidwa mokwanira, kapena osalandira chithandizo chilichonse. Kafukufuku wina wasonyeza kuti mankhwala osokoneza bongo, kuphatikiza ma SSRIs, amatha kukulitsa malingaliro ofuna kudzipha mwa ana ndi achikulire. Odwala onse omwe amatenga ma SSRI ayenera kuyang'aniridwa mosamala, ndipo ma SSRI ayenera kugwiritsidwa ntchito mwa ana ndi achikulire pomwe phindu liposa chiopsezo.

Ma SSRI sayenera kuyimitsidwa mwadzidzidzi. Odwala amatha kukhala ndi zizindikilo zobwerera m'mbuyo monga nseru, kusanza, chizungulire, ndi mutu. Dokotala adzawona njira yabwino yothetsera Celexa ndi Lexapro ngati mankhwala ayenera kuthetsedwa.

Celexa amadziwika kuti amachititsa kuti QT iwonjezeke. Izi ndizachilendo mu electrocardiogram yodziwika ndi Torsade de Pointes (TdP) ndi ventricular tachycardia. Izi zitha kukhala zoyipa kwambiri ndipo zitha kubweretsa imfa mwadzidzidzi. Kuopsa kwa mavuto amtima kumakwera ndi mlingo, ndipo pachifukwa ichi, odwala sayenera kumwa zoposa 40 mg patsiku.

Matenda a Serotonin amadziwika ndi ma SSRIs onse. Izi ndizomwe zimakhudzana ndi kuchuluka kwa serotonin ndipo zimatha kupangitsa wodwalayo kukhala wamanjenje, wamisala, komanso kuwonjezeka kwa mtima. Izi zitha kubweretsedwa pogwiritsa ntchito mankhwala awiri a serotonergic limodzi. Ndikofunika kutanthauzira zomwe wopanga amachita pokhudzana ndi mankhwala akamapereka mankhwalawa.

Mafunso omwe amafunsidwa pafupipafupi za Celexa vs. Lexapro

Celexa ndi chiyani?

Celexa ndi mankhwala ochepetsa kupsinjika. Ili m'gulu la mankhwala omwe amadziwika kuti serotonin reuptake inhibitors. Amalangizidwa kuti athetse vuto lalikulu lachisokonezo, ndipo limagwira ntchito poonjezera serotonin yomwe ilipo mu synapse ya neuron. Celexa imapezeka mu 10 mg, 20 mg, ndi mphamvu za 40 mg.

Lexapro ndi chiyani?

Lexapro ndi mankhwala ochepetsa kupanikizika. Ili m'gulu la mankhwala omwe amadziwika kuti serotonin reuptake inhibitors. Amalangizidwa kuti athetse vuto lalikulu lachisokonezo, ndipo limagwira ntchito poonjezera serotonin yomwe ilipo mu synapse ya neuron. Lexapro imapezeka mu 5 mg, 10 mg, ndi 20 mg mphamvu.

Kodi Celexa ndi Lexapro ndi ofanana?

Celexa ndi Lexapro onse ndi antidepressants mkalasi lomwelo, komabe, si ofanana. Celexa ndi mtundu wosakanikirana wa R-enantiomer ndi S-enantiomer wa citalopram. Lexapro imangokhala ndi S-enantiomer, yomwe ndiyomwe imagwiritsa ntchito mphamvu ya serotonergic.

Kodi Celexa kapena Lexapro ndibwino?

Kusanthula meta kwamayeso asanu ndi anayi azachipatala kwa odwala omwe ali ndi vuto lalikulu la kukhumudwa adazindikira kuti Lexapro idachepetsa kwambiri kupsinjika kwakukulu kuposa komwe Celexa adachita. Kutsika kwakukulu kwamaphunziro kukuwonetsa kusintha kwakukulira kwa zizindikilo zakukhumudwa, ndipo ofufuza adazindikira kuti Lexapro ndiye mankhwala abwino kwambiri.

Kodi nditha kugwiritsa ntchito Celexa kapena Lexapro ndili ndi pakati?

Celexa ndi Lexapro ali ndi gawo la mimba C, kutanthauza kuti sipanakhale maphunziro okwanira aanthu kuti athe kudziwa momwe angathere. Kafukufuku wazinyama awonetsa zotsatira za teratogenic pa mwana wosabadwa, kuphatikiza zam'mimba, ndipo zatsimikizika kuti Celexa ndi Lexapro adutsa placenta yaumunthu. Pachifukwa ichi, kugwiritsa ntchito kwa Celexa kapena Lexapro panthawi yoyembekezera kuyenera kuyesedwa ndikuwopsa kwa mwana wosabadwayo. Madokotala amatha kusankha njira zina zochizira kukhumudwa panthawi yapakati.

Kodi ndingagwiritse ntchito Celexa kapena Lexapro ndi mowa?

Mowa umatha kukulitsa zovuta za ma SSRIs. Kumwa mowa mukamamwa Celexa kapena Lexapro kumatha kuyambitsa vuto lalikulu la psychomotor, chifukwa chake odwala amalangizidwa kuti azipewa mowa ngati atenga Celexa kapena Lexapro.

Kodi Celexa ndi wabwino pamavuto?

Celexa wakhala akugwiritsidwa ntchito polemba chizindikiro cha matenda amisala wamba. Izi zikutanthauza kuti sichinavomerezedwe ndi izi ndi Food and Drug Administration (FDA), koma chimagwiritsidwa ntchito nthawi zambiri. Komabe, Lexapro imavomerezedwa pogwiritsa ntchito matenda amisala wamba.

Kodi Celexa kapena Lexapro imapangitsa kunenepa kwambiri?

M'maphunziro oyendetsedwa, odwala a Celexa adapeza 0,5 kg kuposa odwala pa placebo. Kafukufuku woyendetsedwa ndi Lexapro sanawonetse kusiyana pakulimbitsa thupi poyerekeza ndi placebo. Kusintha kwakuthupi sikofunika kwenikweni ndi mankhwala aliwonse.

Kodi Celexa amathandiza ndi mkwiyo?

Celexa alibe chiwonetsero chovomerezeka chothana ndi mkwiyo kapena kupsa mtima. Komabe, idagwiritsidwa ntchito ngati chizindikiro pochotsa mkwiyo womwe umakhudzana ndi matenda amisala. Ndikofunika kukumbukira kuti odwala opitirira zaka 60 sayenera kumwa mopitilira 20 mg tsiku lililonse.

Celexa vs. Lexapro: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu