Concerta vs.Adderall: 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
Concerta (methylphenidate) ndi Adderall (amphetamine / dextroamphetamine) ndi mankhwala awiri olimbikitsa omwe amatha kuchiza ADHD , kapena vuto la kuchepa kwa chidwi. Kwa anthu ambiri omwe ali ndi ADHD, chithandizo chamakhalidwe ndi mankhwala opatsa mphamvu ndi mankhwala othandiza. Ngakhale pali mankhwala angapo othandiza, nthawi zina zimakhala zovuta kupeza njira yabwino kwambiri.
Zoyeserera za CNS (chapakati zamanjenje) zimagwiranso ntchito chimodzimodzi poletsa kubwezeretsanso kwa dopamine ndi norepinephrine muubongo. Mwa kulepheretsa kubwezeretsanso kwawo, Concerta ndi Adderall zitha kulimbikitsa zotsatira za ma neurotransmitters awa kuti athandizire kukonza chidwi ndi chidwi. Ngakhale mankhwala a ADHD amagwira ntchito mofananamo, si ofanana.
Concerta ndi Adderall ali ndi kusiyana kwakanthawi kofulumira momwe amagwirira ntchito, zotsatira zake zimakhala zazitali bwanji, komanso momwe amapangidwira. Phunzirani zambiri zakusiyana kwawo kuti mukhale ndi mphamvu zogwira ntchito ndi dokotala wanu kuti mupeze chithandizo chabwino kwa inu kapena mwana wanu.
Kodi pali kusiyana kotani pakati pa Concerta ndi Adderall?
Kusiyanitsa kwakukulu pakati pa Concerta ndi Adderall ndikuti Concerta imakhala ndi methylphenidate ndipo Adderall imakhala ndi amphetamine salt. Makamaka, Adderall imakhala ndi amphetamine ndi dextroamphetamine.
Poyerekeza ndi Adderall, zotsatira za Concerta zimatenga nthawi yayitali ndikumamasulidwa pang'onopang'ono pakapita nthawi. Concerta amatengedwa kamodzi tsiku lililonse pomwe Adderall imafunika kutengedwa kangapo tsiku lonse.
Ndi zake zapamwamba chotsatira kapangidwe, Concerta imayamba kugwira ntchito pasanathe ola limodzi pulogalamu yoyamba kusungunuka. Kenako, mankhwalawo amatulutsidwa pang'onopang'ono pakapita nthawi ndi milingo yayitali yomwe imafika maola opitilira 6 mpaka 10.
Mosiyana ndi Concerta, nsonga za Adderall zimafikiridwa pasanathe maola atatu mutazitenga. Pachifukwa ichi, Adderall amatulutsidwa nthawi zambiri amatengedwa maola atatu kapena anayi aliwonse.
YAM'MBUYO YOTSATIRA: Zambiri za Concerta | Zambiri za Adderall | Zambiri za Methylphenidate
| Kusiyanitsa kwakukulu pakati pa Concerta ndi Adderall | ||
|---|---|---|
| Konsati | Adderall | |
| Gulu la mankhwala osokoneza bongo | Zolimbikitsa za CNS | Zolimbikitsa za CNS |
| Chizindikiro cha Brand / generic | Mitundu yama brand ndi generic ikupezeka | Mitundu yama brand ndi generic ikupezeka |
| Kodi dzina lachibadwa ndi liti? | Methylphenidate | Dextroamphetamine / amchere amphetamine |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi lapakamwa, kutulutsa kwina | Piritsi lapakamwa Kapisozi wamlomo, kutulutsa kwina |
| Kodi mulingo woyenera ndi uti? | 18 kapena 36 mg kamodzi tsiku lililonse m'mawa. Mlingo ungakulitsidwe ndi 18 mg pakadutsa sabata kuti usadutse 54 mg patsiku mwa ana ndi 72 mg patsiku mwa achinyamata ndi akulu. | 5 mpaka 40 mg kamodzi m'mawa kenako maola anayi kapena asanu ndi limodzi malinga ndi malangizo a dokotala. Mlingo ungakulitsidwe ndi 5 mg pakadutsa sabata kuti usadutse 40 mg patsiku. |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Kutalika kwa chithandizo kumadalira malingaliro azachipatala a dokotala wanu. Chithandizo chimakhala nthawi yayitali. | Kutalika kwa chithandizo kumadalira malingaliro azachipatala a dokotala wanu. Chithandizo chimakhala nthawi yayitali. |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu ndi ana azaka zisanu ndi chimodzi kapena kupitilira mpaka zaka 65 | Akuluakulu ndi ana azaka zitatu kapena kupitilira apo |
Mukufuna mtengo wabwino pa Adderall?
Lowani ma Adderall machenjezo amtengo ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Zinthu zomwe Concerta ndi Adderall adachita
Concerta ndivomerezedwa ndi FDA kuti ichiritse ADHD mwa akulu, achinyamata , ndi ana azaka 6 kapena kupitilira apo. Kwa okalamba okalamba azaka 65 kapena kupitilira apo, Concerta samalimbikitsidwa.
Zizindikiro zazikulu za ADHD zimaphatikizapo kusasamala, kutengeka, kupupuluma, komanso kuchepa kwakanthawi. Omwe ali ndi ADHD amathanso kukumana ndi zikhalidwe zina zokhudzana ndi machitidwe, kuzindikira, komanso kusinthasintha kwa malingaliro.
Adderall ndivomerezedwa ndi FDA kuti athetse ADHD mu akuluakulu ndi ana. Amavomerezanso kuchiza matenda opatsirana pogonana, matenda ogona omwe amadziwika ndi kugona tulo masana komanso nthawi yayitali yakugona. Omwe amakhala ndi narcolepsy nthawi zambiri amayamba pa Provigil (modafinil) asanayese mankhwala ena ngati Adderall.
Concerta ndi Adderall zithandizanso kuchiza anthu omwe ali ndi ADHD ndi mavuto ena azaumoyo monga kukhumudwa, nkhawa, ndi / kapena matenda ochititsa munthu kusinthasintha zochitika . Komabe, awo osalemba Kugwiritsa ntchito izi zitha kukhala zotsutsana ndipo zikuwunikiridwa.
| Mkhalidwe | Konsati | Adderall |
| ADHD | Inde | Inde |
| Kugonana | Kutumiza | Inde |
| Kukhumudwa, kuda nkhawa, kapena kusinthasintha zochitika komwe kumalumikizidwa ndi ADHD | Kutumiza | Kutumiza |
Kodi Concerta kapena Adderall ndi yothandiza kwambiri?
Concerta ndi Adderall onse ndi mankhwala othandiza omwe amatha kuchiza ADHD. Komabe, mankhwala amodzi amakonda kuposa ena nthawi zina.
Mu 2018 kusanthula meta , zidapezeka kuti methylphenidate itha kukhala yabwino kwa ana ndi achinyamata ngati chithandizo choyamba cha ADHD. Kwa achikulire omwe ali ndi ADHD, amphetamines adanenedwa kuti ali bwino kuposa mankhwala ena. Kafukufukuyu adayerekezeranso mankhwala ena monga modafinil ndi atomoxetine, pakati pa ena.
Kusanthula kwina kwa meta kunawonetsa kuti zolimbikitsa zanthawi yayitali atha kukhala abwinoko kuposa zotulutsa zotulutsira msanga chifukwa amatha kumwa kamodzi tsiku lililonse osati kawiri kapena katatu patsiku. Kafukufukuyu adayerekezeranso zolimbikitsa ndi zosalimbikitsa monga bupropion, clonidine, ndi guanfacine. Ponseponse, zolimbikitsa zimapezeka kuti zimakhala zothandiza kuposa zosalimbikitsa za ADHD.
Ndibwino kuti mukambirane zosankha zanu zamankhwala ndi omwe amakuthandizani. Pambuyo pofufuza momwe mulili, dokotala wanu adzakhala wokonzeka kukupatsani mankhwala oyenera inu kapena mwana wanu.
Mukufuna mtengo wabwino pa Concerta?
Lowani zidziwitso zamitengo ya Concerta kuti mudziwe kuti mitengo isintha liti!
Pezani zidziwitso zamitengo
Kuyerekeza ndi kuyerekezera mtengo wa Concerta vs.Adderall
Concerta imapezeka ngati piritsi lotulutsa zowonjezera. Generic Concerta nthawi zambiri imaphimbidwa ndi ambiri a Medicare ndi mapulani a inshuwaransi. Mtengo wapakati wogulitsa wa Concerta ukhoza kuwononga $ 300 pamapiritsi 30. Kwa iwo omwe akufuna kusunga zochuluka pamankhwala omwe akupatsidwa, khadi ya kuchotsera ya SingleCare itha kugwiritsidwa ntchito. Ngakhale mutakhala ndi inshuwaransi, mutha kugwiritsa ntchito khadi yochotsera m'malo mwa chikopa chambiri kuti muchepetse mtengo wa Concerta mpaka $ 130.
Adderall imaphimbidwa ndi ambiri Medicare ndi mapulani a inshuwaransi akapatsidwa ngati generic. Mtengo wapakati wa Adderall utha kukhala wopitilira $ 150. Komabe, ndi khadi yotsitsa ya SingleCare, mutha kugwiritsa ntchito mwayi wosunga ndalama zochepetsera mtengo mpaka $ 33. Mutha kuwona chida chosakira cha SingleCare kuti muwone momwe mungasungire. Mitengo imatha kusiyanasiyana kutengera mankhwala omwe mungapite.
Yesani khadi ya kuchotsera ya SingleCare
| Konsati | Adderall | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amakhala ndi Medicare? | Inde | Inde |
| Mlingo woyenera | 18 mg, kuchuluka kwa mapiritsi 30 | 30 mg, kuchuluka kwa mapiritsi 60 |
| Wopanga Medicare wamba | $ 230 | $ 7 mpaka $ 78 |
| Mtengo wosakwatiwa | $ 128 + | $ 33- $ 37 |
Zotsatira zoyipa za Concerta vs.Adderall
Zotsatira zoyipa zomwe zimakhudzana ndi Concerta ndi Adderall zimaphatikizapo kupweteka mutu, pakamwa pouma, nseru, ndi kugona tulo. Zotsatira zina zoyipa zimaphatikizapo nkhawa, chizungulire, ndi kukwiya.
Zoyambitsa za CNS monga Concerta ndi Adderall amadziwikanso kuti amachepetsa njala. Pachifukwa ichi, mankhwalawa amatha kubweretsa kuchepa kwa anthu ena.
Zotsatira zoyipa za Concerta ndi Adderall zimaphatikizapo kuchuluka kwa kuthamanga kwa magazi komanso kugunda kwa mtima, makamaka kwa iwo omwe ali ndi mavuto amtima kapena kuthamanga kwa magazi . Zotsatirazi zitha kubweretsa zovuta zina ngati siziyang'aniridwa moyenera.
| Konsati | Adderall | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Mutu | Inde | 22% | Inde | * sananene |
| Pakamwa pouma | Inde | 14% | Inde | * |
| Nseru | Inde | 13% | Inde | * |
| Kusowa tulo | Inde | 12% | Inde | * |
| Kuda nkhawa | Inde | 8% | Inde | * |
| Chizungulire | Inde | 7% | Inde | * |
| Kuchepetsa chilakolako | Inde | 25% | Inde | * |
| Kukwiya | Inde | 6% | Inde | * |
| Kupweteka m'mimba | Inde | 6% | Inde | * |
| Kuchuluka thukuta | Inde | 5% | Ayi | - |
Uwu sungakhale mndandanda wathunthu. Funsani dokotala wanu kapena wamankhwala pazotsatira zomwe zingachitike.
Gwero: DailyMed ( Konsati ), Tsiku Lililonse ( Adderall )
Kuyanjana kwa mankhwala a Concerta vs.Adderall
Concerta ndi Adderall ziyenera kupewedwa mukamagwiritsa ntchito mankhwala ena. Mankhwalawa sayenera kumwedwa ndi monoamine oxidase inhibitor (MAOI). Sayeneranso kumwedwa pasanathe masiku 14 atasiya mankhwala a MAOI. Kutenga Concerta kapena Adderall ndi MAOI kumawonjezera ngozi zakubwera chifukwa cha kuthamanga kwambiri kwa magazi, kapena matenda oopsa.
Mankhwala a ADHD monga Concerta ndi Adderall amatha kuwonjezera kuthamanga kwa magazi. Anthu omwe amamwa mankhwala a kuthamanga kwa magazi, kapena antihypertensives, atha kuwona kuchepa kwa mankhwalawa akamamwa mankhwala olimbikitsa.
Mlingo wa anticonvulsants ndi mankhwala a serotonergic angafunike kusintha mukamamwa Concerta kapena Adderall. Kutenga Concerta kapena Adderall ndi mankhwalawa kumatha kukulitsa kuchuluka kwamagazi ndikupangitsa zovuta.
Adderall amathanso kuyanjana ndi mankhwala omwe amaletsa michere ya CYP2D6 m'chiwindi. Mankhwala monga quinidine ndi ritonavir amatha kusokoneza kagayidwe ka Adderall ndikuwonjezera magazi ake. Kutenga mankhwalawa palimodzi kungapangitse kuti pakhale zovuta zina zomwe zimakhudzana ndi Adderall.
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Konsati | Adderall |
| Selegiline Isocarboxazid Phenelzine | Monoamine oxidase inhibitors (MAOIs) | Inde | Inde |
| Losartan Lisinopril Kutumiza Amlodipine | Zotsutsana | Inde | Inde |
| Phenytoin Phenobarbital Primidone | Ma anticonvulsants | Inde | Inde |
| Fluoxetine Sertraline Zamgululi Citalopram | Mankhwala a Serotonergic | Inde | Inde |
| Quinidine Ritonavir Paroxetine Fluoxetine | CYP2D6 zoletsa | Ayi | Inde |
Izi sizingakhale mndandanda wathunthu wazomwe zingachitike mukamagwiritsa ntchito mankhwala osokoneza bongo. Funsani dokotala ndi mankhwala onse omwe mukumwa.
Machenjezo a Concerta ndi Adderall
Concerta ndi Adderall ali Gawo II zinthu zoyendetsedwa molingana ndi DEA. Izi zikutanthauza kuti mankhwalawa amatha kuthana ndi nkhanza komanso kudalira. Kusiya mwadzidzidzi kwa zolimbikitsa kumatha kubweretsa zizindikiritso zakutha monga kutopa, kunjenjemera, komanso mavuto atulo. Ndikofunika kugwiritsa ntchito mankhwalawa ndi mankhwala ochokera kwa dokotala.
Zoyambitsa za CNS zapezeka kuti zimawonjezera chiopsezo cha sitiroko, matenda amtima, komanso kufa mwadzidzidzi mwa anthu ena. Anthu omwe adakhalapo zikhalidwe za mtima monga mavuto amtundu wamtima kapena cardiomyopathy ayenera kupewa kugwiritsa ntchito mankhwala osokoneza bongo monga Concerta kapena Adderall.
Mankhwala osokoneza bongo amatha kuwonjezera kuthamanga kwa magazi komanso kugunda kwa mtima pamlingo woyenera. Omwe ali ndi mavuto m'maderawa ayenera kugwiritsa ntchito mankhwala opatsa mphamvu mosamala. Kupanda kutero, kuwunika koyeserera kwa magazi ndikofunikira.
Concerta ndi Adderall zimatha kukhudza magawo amakulidwe a ana zikagwiritsidwa ntchito kwakanthawi. Kutalika ndi kulemera ziyenera kuyezedwa nthawi ndi nthawi pa ana pazomwe zimalimbikitsa.
Mafunso omwe amafunsidwa pafupipafupi za Concerta vs.Adderall
Concerta ndi chiyani?
Concerta ndi dzina la mapiritsi otulutsa methylphenidate owonjezera. Ndivomerezedwa ndi FDA kuti ichiritse ADHD kwa akulu ndi ana azaka 6 kapena kupitilira apo. Concerta amatengedwa kamodzi tsiku lililonse kapena wopanda chakudya.
Kodi Adderall ndi chiyani?
Adderall imakhala ndi amphetamine ndi dextroamphetamine salt. Amavomerezedwa kuchiza ADHD ndi narcolepsy mwa akulu ndi ana azaka zitatu kapena kupitilira apo. Adderall amapezeka ngati mankhwala achibadwa ndipo nthawi zambiri amamwedwa maola anayi kapena asanu ndi limodzi.
Kodi Concerta ndi Adderall ndizofanana?
Ayi. Ngakhale zimagwira ntchito mofananamo, Concerta ndi Adderall zimakhala ndi zinthu zosiyanasiyana. Concerta imabwera ngati piritsi lotulutsa nthawi yayitali pomwe Adderall amabwera ngati piritsi lotulutsira mwachangu.
Kodi Concerta kapena Adderall ndibwino?
Concerta ndi Adderall onse ndi mankhwala othandiza a ADHD. Ena maphunziro onetsani kuti Concerta ndiyabwino kwa ana ndi achinyamata pomwe Adderall ndiyabwino kwa akulu. Concerta itha kusankhidwanso pamlingo wake wamasiku onse. Ndikofunika kuti mukambirane zomwe mungachite ndi dokotala kuti mudziwe mankhwala abwino pamatenda anu.
Kodi nditha kugwiritsa ntchito Concerta kapena Adderall ndili ndi pakati?
Pali palibe maphunziro okwanira akunena kuti Concerta kapena Adderall ndi otetezeka mwa amayi omwe ali ndi pakati. Chifukwa cha chiwopsezo cha kupunduka kwa kubadwa, mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu likaposa chiwopsezo chake. Lankhulani ndi dokotala ngati mukuganiza za mankhwala a ADHD mukakhala ndi pakati kapena mukuyamwitsa.
Kodi ndingagwiritse ntchito Concerta kapena Adderall ndi mowa?
Sikulimbikitsidwa kuti muzimwa mowa mukamagwiritsa ntchito Concerta kapena Adderall. Ngakhale zitha kukhala zabwino pang'ono, mankhwala osokoneza bongo amatha kukulitsa zovuta zakumwa zoledzeretsa kapena mosemphanitsa. Kumwa mowa kumalumikizananso kwambiri nkhanza ndi kudalira ndi Concerta kapena Adderall.
Ndi angati mg wa Concerta wofanana ndi Adderall?
1 mg wa methylphenidate ndi pafupifupi ofanana mpaka 0,5 mg wa amphetamine salt. Komabe, chifukwa Concerta ili ndi mtundu wa methylphenidate womasulidwa, mulingo wofananawo sungakhale wowonekera bwino. Lankhulani ndi omwe amakuthandizani pazakusintha kwa mankhwala a ADHD.
Kodi Concerta imakupatsani mphamvu?
Monga cholimbikitsira cha CNS, Concerta imatha kuthandizira kukulitsa mphamvu zamagetsi komanso kutsitsimuka kwathunthu komanso kukhala tcheru. Methylphenidate nthawi zina amaperekedwa ngati chithandizo chamankhwala osokoneza bongo kuti athandize kuthana ndi tulo tambiri masana. Komabe, zotsatirazi zitha kuchititsanso kuti anthu ena asowe tulo.
Kodi Concerta imagwiritsidwa ntchito pakukhumudwa?
Chogwiritsira ntchito cha Concerta chaphunziridwa pochiza kukhumudwa. Kafukufuku wina adapeza kuti methylphenidate idathandizira kukweza mtima ndikukhala bwino okalamba okhumudwa . Nthawi zina, Concerta itha kugwiritsidwa ntchito ngati cholembera kuti ichiritse kukhumudwa, makamaka kwa iwo omwe ali ndi ADHD komanso kukhumudwa.
Chifukwa chiyani madokotala amalamula Concerta m'malo mwa Adderall?
Dokotala wanu akhoza kukupatsani Concerta pa Adderall pazifukwa zilizonse. Concerta nthawi zambiri imaperekedwa kwa akulu ndi ana omwe amakonda mapiritsi kamodzi patsiku. Pamapeto pake, malingaliro a dokotala wanu amachokera pa kuwunika kwawo kwachipatala komanso zomwe adakumana nazo.
