Cymbalta vs. Effexor: 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
Cymbalta (duloxetine) ndi Effexor (venlafaxine) ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga kukhumudwa ndi nkhawa. Nthawi zambiri amapatsidwa mankhwala ochepetsa nkhawa kuti athetse vuto lakukhumudwa. Zizindikiro zakukhumudwa kwakukulu zimatha kuphatikizira kukhumudwa komanso kutaya chidwi pazochitika za tsiku ndi tsiku.
Cymbalta ndi Effexor onse ali mgulu la mankhwala otchedwa serotonin ndi norepinephrine reuptake inhibitors (SNRIs). Amagwira ntchito poonjezera kupezeka kwa serotonin ndi norepinephrine muubongo. Mankhwalawa, kapena ma neurotransmitters, amakhulupirira kuti amathandizira pakuwuka kwamatenda amisala.
Pofuna kufananizira izi, dzina loti Effexor amathanso kutanthauza Effexor XR, dzina lokhalo lokhalo la Effexor lomwe likupezeka pamsika.
Kodi pali kusiyana kotani pakati pa Cymbalta ndi Effexor?
Cymbalta
Cymbalta ndi dzina la duloxetine. Amapezeka ngati kapisozi wotulutsa pakamwa mochedwa wokhala ndi mphamvu za 20 mg, 30 mg, kapena 60 mg. Nthawi zambiri amamwa ngati kapisozi kamodzi pakamwa kamodzi patsiku kutengera momwe akuchiritsiridwira. Mlingo waukulu patsiku ndi 120 mg ngakhale palibe umboni woti milingo yake wamkulu kuposa 60 mg perekani kuwonjezeka kwakukulu kwa phindu.
Cymbalta ili ndi theka la moyo wazaka pafupifupi 12. Amakonzedwa makamaka ndikuchotsa chiwindi ndi impso. Kugwiritsa ntchito kuyenera kupewedwa mwa iwo omwe ali ndi vuto lalikulu la chiwindi kapena impso.
Kuchita
Effexor ndi dzina la venlafaxine. Komabe, dzina loti Effexor limangopezeka ngati Effexor XR, kapena mapiritsi otulutsira venlafaxine. Effexor womasulidwa posachedwa adathetsedwa chifukwa amafunika kuthiridwa kangapo tsiku lonse ndipo amayambitsa mseru kuposa momwe amamasulira.
Effexor XR imabwera m'makapisozi pakamwa ndi mphamvu ya 37.5 mg, 75 mg, ndi 150 mg. Kusintha kumasiyana malinga ndi momwe akuchiritsira. Komabe, Effexor XR imangotengedwa kamodzi tsiku lililonse ndi mlingo wa 75 mg tsiku lililonse ndi 225 mg tsiku lililonse.
Monga Cymbalta, Effexor amapukusidwa m'chiwindi ndipo amakhala ndi theka la moyo wa mpaka maola 11 . Itha kugwiritsidwa ntchito kwa omwe ali ndi vuto la chiwindi kapena impso ngati mankhwala ochepa atengedwa.
| Kusiyana kwakukulu pakati pa Cymbalta ndi Effexor | ||
|---|---|---|
| Cymbalta | Kuchita | |
| Gulu la mankhwala osokoneza bongo | Serotonin ndi norepinephrine reuptake inhibitor (SNRI) | Serotonin ndi norepinephrine reuptake inhibitor (SNRI) |
| Chizindikiro cha Brand / generic | Ma brand ndi generic amapezeka | Ma brand ndi generic amapezeka |
| Kodi dzina lachibadwa ndi liti? | Duloxetine | Katemera |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Kapisozi wamlomo, kutulutsa kwina | Kapisozi wamlomo, kutulutsa kwina |
| Kodi mulingo woyenera ndi uti? | 60 mg kamodzi patsiku | 75 mg kamodzi patsiku |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Kutalika | Kutalika |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu ndi achinyamata | Akuluakulu ndi achinyamata |
Zomwe zimachitidwa ndi Cymbalta ndi Effexor
Cymbalta ndi FDA yovomerezedwa kuti athetse vuto lalikulu lachisokonezo (MDD) ndi matenda ovutika maganizo (GAD). Ikhoza kugwiritsidwanso ntchito kuthana ndi ululu wa fibromyalgia ndi matenda ashuga am'mimba, komanso kupweteka kwa minofu, tendon, ligament, ndi mafupa. Cymbalta nthawi zina imagwiritsidwa ntchito ngati chizindikiro cha zovuta zina zamavuto.
Effexor XR ndivomerezedwa ndi FDA kuti athetse vuto lalikulu lachisokonezo (MDD), matenda ovutika maganizo (GAD), matenda a chikhalidwe cha anthu (SAD), ndi panic disorder (PD). Nthawi zina amagwiritsidwanso ntchito pochiza matenda osokoneza bongo (OCD), premenstrual dysphoric disorder (PMDD), ndi ululu.
| Mkhalidwe | Cymbalta | Kuchita |
| Kusokonezeka kwakukulu | Inde | Inde |
| Matenda amisala wamba | Inde | Inde |
| Matenda amisala | Kutumiza | Inde |
| Kusokonezeka kwamantha | Kutumiza | Inde |
| Ashuga zotumphukira za m'mitsempha | Inde | Kutumiza |
| Fibromyalgia | Inde | Kutumiza |
| Kupweteka kwaminyewa yaminyewa | Inde | Kutumiza |
| Matenda osokoneza bongo | Ayi | Kutumiza |
| Matenda a premenstrual dysphoric | Ayi | Kutumiza |
Kodi Cymbalta kapena Effexor ndiyothandiza kwambiri?
Mphamvu ya Cymbalta kapena Effexor zimatengera momwe akuchiritsira. Kafukufuku wowerengeka kwambiri adafanizira mwachindunji Cymbalta ndi Effexor. Komabe, poyerekeza ndi placebo, Cymbalta ndi Effexor ndizothandiza kwambiri pochiza matenda monga kukhumudwa kwakukulu.
Kafukufuku wina adalemba mayesero angapo azachipatala ndipo adapeza kuti venlafaxine ndiyabwino chithandizo chanthawi yochepa kukhumudwa kwakukulu kuposa duloxetine. Venlafaxine, mankhwala opangira Effexor, amathanso kusankhidwa kwa iwo omwe samayankha bwino kuchipatala choyambirira ndi serotonin reuptake inhibitors (SSRIs) kapena tricyclic antidepressants (TCAs). Komabe, kafukufukuyu anapeza kuti panalibe kusiyana kwakukulu pakuyankha ndi kuyankha pakati pa duloxetine ndi venlafaxine.
Kuwunikanso mwadongosolo poyerekeza venlafaxine, duloxetine, ndi mankhwala ena opatsirana monga paroxetine, fluoxetine, ndi fluvoxamine. Poyerekeza ndi njira zina, venlafaxine idapezeka kuti ndi imodzi mwamankhwala othandiza kwambiri. Komabe, venlafaxine ndi duloxetine adadziwika kuti ndi ena mwa mankhwala ochepetsa nkhawa, okhudzana ndi zovuta zake.
Funsani wothandizira zaumoyo yemwe amagwiritsa ntchito njira zamankhwala kuti akuthandizeni.
Kuphunzira ndi kuyerekezera mtengo wa Cymbalta vs. Effexor
Cymbalta ndi dzina lodziwika bwino la mankhwala omwe amagwiritsidwa ntchito pakukhumudwa. Mtundu wa generic, duloxetine, nthawi zambiri umaphimbidwa ndi Medicare ndi mapulani a inshuwaransi. Pakupezeka kwamasiku 30, mitengo yamalonda ingapitirire $ 470. Ndi coupon ya SingleCare Cymbalta, mtengo wamtunduwu umayamba pa $ 15 kuma pharmacies omwe akutenga nawo mbali.
Mapiritsi a Effexor XR amapezeka kuti mugule ndi mankhwala. Ma mapiritsi a Generic Effexor XR nthawi zambiri amakhala ndi Medicare komanso mapulani a inshuwaransi. Ndi mtengo wapakati wozungulira $ 145, Effexor XR ndiotsika mtengo kuposa Cymbalta. Komabe, kugwiritsa ntchito coupon ya Effexor XR kuchokera ku SingleCare kumatha kubweretsanso mtengo. Funsani wamankhwala wanu kuti mumupatse mankhwalawo kuti muwapeze pafupifupi $ 15.
| Cymbalta | Kuchita | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde | Inde |
| Kuchuluka | Mapiritsi 30 | Mapiritsi 30 |
| Wopanga Medicare wamba | $ 0– $ 89 | $ 0 mpaka $ 1 |
| Mtengo wosakwatiwa | $ 15 + | $ 15 + |
Zotsatira zoyipa za Cymbalta vs. Effexor
Zotsatira zoyipa kwambiri za Cymbalta zimaphatikizapo kunjenjemera, kupweteka mutu, pakamwa pouma, kusanza kapena kuwodzera, kudzimbidwa, ndi kutopa. Cymbalta ingayambitsenso kutsekula m'mimba, kuchepa kwa njala, thukuta, komanso kupweteka m'mimba, pakati pazovuta zina.
Zotsatira zoyipa kwambiri za Effexor ndi nseru, kupweteka mutu, pakamwa pouma, kufooka, ndi kusadziletsa. Kuchita bwino kungayambitsenso tulo, kudzimbidwa, chizungulire, kutsegula m'mimba, ndi kuchepa kwa njala.
Onse a Cymbalta ndi a Effexor amathanso kuyambitsa kutsika kwa kugonana (libido). Komabe, Effexor awonetsedwa kuti amachititsa mavuto ambiri okhudzana ndi kugonana kuposa Cymbalta.
Onani tebulo ili m'munsi pazotsatira zina zoyipa za Cymbalta ndi Effexor.
| Cymbalta | Kuchita | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Nseru | Inde | 2. 3% | Inde | 4% |
| Mutu | Inde | 14% | Inde | awiri% |
| Pakamwa pouma | Inde | 13% | Inde | khumi ndi zisanu% |
| Kusinza | Inde | 10% | Inde | awiri% |
| Kufooka | Ayi | - | Inde | awiri% |
| Kutopa | Inde | 9% | Ayi | - |
| Kusowa tulo | Inde | 9% | Inde | awiri% |
| Kudzimbidwa | Inde | 9% | Inde | 9% |
| Chizungulire | Inde | 9% | Inde | 16% |
| Kutsekula m'mimba | Inde | 9% | Inde | 8% |
| Kuchepetsa chilakolako | Inde | 7% | Inde | * |
| Kuchuluka thukuta | Inde | 6% | Inde | 1% |
| Kupweteka m'mimba | Inde | 5% | Inde | * |
| Kuchepetsa libido | Inde | 3% | Inde | 5% |
| Masomphenya achilendo | Inde | 3% | Inde | 4% |
| Kugunda kwa mtima | Inde | awiri% | Inde | awiri% |
* sananene
Pafupipafupi sizidalira zomwe zimayesedwa pamutu. Izi sizingakhale mndandanda wathunthu wazovuta zomwe zingachitike. Chonde onani dokotala wanu kapena wothandizira zaumoyo kuti mudziwe zambiri.
Gwero: DailyMed ( Cymbalta ), Tsiku Lililonse ( Kuchita )
Kuyanjana kwa mankhwala a Cymbalta vs. Effexor
Cymbalta ndi Effexor siziyenera kugwiritsidwa ntchito ndi monoamine oxidase inhibitors (MAOIs) monga selegiline ndi phenelzine. Cymbalta kapena Effexor sayenera kugwiritsidwa ntchito masiku 14 atasiya MAOI. Apo ayi, pali chiopsezo chowonjezeka cha matenda a serotonin, vuto lalikulu lomwe lingafune chithandizo chadzidzidzi.
Pakhoza kukhala chiopsezo cha matenda a serotonin pamene Cymbalta kapena Effexor amatengedwa limodzi ndi mankhwala ena a serotonergic. Mankhwala a serotonergic amaphatikizapo serotonin reuptake inhibitors (SSRIs) ndi tricyclic antidepressants (TCAs). Chenjezo liyenera kugwiritsidwa ntchito mukamagwiritsa ntchito mankhwala osokoneza bongo a cymbalta kapena Effexor.
Mankhwala monga paroxetine kapena fluoxetine amatha kusokoneza kagayidwe ka Cymbalta ndikuwonjezera magazi ake. Izi zitha kubweretsa chiopsezo chowonjezeka cha zovuta zoyipa ndi Cymbalta.
Cymbalta ndi Effexor ziyenera kugwiritsidwa ntchito mosamala kapena kupewa ndi mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs) ndi anticoagulants. Kugwiritsa ntchito mankhwalawa palimodzi kumatha kuonjezera kutaya magazi.
| Mankhwala osokoneza bongo | Gulu la mankhwala osokoneza bongo | Cymbalta | Kuchita |
| Selegiline Phenelzine Rasagiline | Monoamine oxidase inhibitors (MAOIs) | Inde | Inde |
| Paroxetine Sertraline Fluoxetine | Kusankha serotonin reuptake inhibitors (SSRIs) | Inde | Inde |
| Amitriptyline Clomipramine Mzere wa Nortriptyline | Tricyclic antidepressants (TCAs) | Inde | Inde |
| Asipilini Zamgululi Naproxen Diclofenac | Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) | Inde | Inde |
| Warfarin | Maantibayotiki | Inde | Inde |
Funsani katswiri wa zamankhwala pazinthu zina zomwe zingagwiritsidwe ntchito ndi mankhwala
Machenjezo a Cymbalta ndi Effexor
Kulephera kwa chiwindi kudanenedwa ndikugwiritsa ntchito Cymbalta. Mwa iwo omwe ali ndi mbiri yakumwa mowa mopitirira muyeso kapena kuwonongeka kwa chiwindi, Cymbalta iyenera kupewedwa. Kugwiritsa ntchito Cymbalta kuyenera kuthetsedwa mwa iwo omwe amakhala ndi zizindikilo za kufooka kwa chiwindi, monga jaundice.
Kugwiritsa ntchito Cymbalta kapena Effexor kumakhala ndi chiopsezo cha matenda a serotonin, omwe amapezeka pakakhala serotonin yochulukirapo muubongo. Zizindikiro za matenda a serotonin zimatha kuphatikizira kuthamanga kwa mtima, kuthamanga kwa magazi, thukuta, kunjenjemera, ndi malungo.
Cymbalta ndi Effexor zingayambitse kuthamanga kwa magazi. Omwe ali ndi mbiri yakuthamanga magazi ayenera kuyang'aniridwa akamalandira chithandizo cha Cymbalta kapena Effexor.
Cymbalta ndi Effexor ziyenera kugwiritsidwa ntchito mosamala kwa iwo omwe ali ndi mbiri yokhudzana ndi kupuma koopsa kapena khunyu. Mankhwalawa amatha kuyambitsa matenda a mania, hypomania, kapena khunyu mwa anthu ena.
Funsani wothandizira zaumoyo kuti akuchenjezeni ndi zomwe mungachite ndi Cymbalta ndi Effexor.
Mafunso omwe amafunsidwa pafupipafupi za Cymbalta vs. Effexor
Kodi Cymbalta ndi chiyani?
Cymbalta ndi dzina la duloxetine. Amagwiritsidwa ntchito pochiza kukhumudwa kwakukulu komanso nkhawa. Amagwiritsidwanso ntchito kuthana ndi matenda ashuga amanjenje am'mimba komanso fibromyalgia. Cymbalta imapezeka mu makapisozi otulutsidwa ochulukirapo mwamphamvu za 20 mg, 30 mg, kapena 60 mg.
Kodi Effexor ndi chiyani?
Effexor ndi dzina la venlafaxine. Amagwiritsidwa ntchito pochiza vuto lalikulu lachisokonezo, matenda ovutika maganizo, matenda a nkhawa, komanso mantha. Nthawi zonse Effexor yatha; Komabe, mapiritsi a Effexor XR amapezeka mwamphamvu za 37.5 mg, 75 mg, ndi 150 mg.
Kodi Cymbalta ndi Effexor ndizofanana?
Cymbalta ndi Effexor onse ndi serotonin ndi norepinephrine reuptake inhibitors (SNRIs). Koma si mankhwala omwewo. Kuphatikiza pa kuthana ndi kukhumudwa kwakukulu ndi nkhawa, Cymbalta ndi FDA yomwe imavomerezedwa kuti ithetse mitundu ina ya ululu wamitsempha. Mbali inayi, Effexor ndi FDA yovomerezedwa kuti athetse zoopsa komanso nkhawa zamagulu.
Kodi Cymbalta kapena Effexor ndiyabwino?
Odwala matenda opanikizika amatengera momwe akuchiritsira komanso mankhwala ena omwe munthu angamwe. Venlafaxine ikhoza kukhala njira yothandiza kwambiri pakanthawi kochepa pakukhumudwa. Komabe, itha kukhala ndi kulolerana kocheperako kuposa Cymbalta potengera zovuta, monga kukanika kugonana.
Kodi ndingagwiritse ntchito Cymbalta kapena Effexor ndili ndi pakati?
Palibe kafukufuku wosatsimikizika yemwe wasonyeza kuti Cymbalta kapena Effexor atha kukhala otetezeka panthawi yapakati. Wopanikizika ayenera kugwiritsidwa ntchito panthawi yoyembekezera ngati maubwino akupitilira zovuta zomwe zingakhalepo. Nthawi zina, Cymbalta kapena Effexor angafunike kugwiritsidwa ntchito poletsa zizindikilo zakukhumudwa panthawi yapakati. Funsani othandizira azaumoyo kuti akalandire malangizo musanagwiritse ntchito Cymbalta kapena Effexor mukakhala ndi pakati.
Kodi ndingagwiritse ntchito Cymbalta kapena Effexor ndi mowa?
Mowa pang'ono pang'ono ndiwotetezeka mukamamwa Cymbalta kapena Effexor. Komabe, kumwa mowa poyambira kumwa mankhwala ndi Cymbalta kapena Effexor kumatha kubweretsa chizungulire kapena kuwodzera. Atha kulangizidwa kuti musiye kumwa mowa mpaka patatha masiku ochepa mutayamba kumwa mankhwala.
Kodi Effexor imakhudza kukumbukira?
Palibe umboni kuti Effexor imakhudza mwachindunji kukumbukira. Effexor XR amadziwika kuti amachititsa hyponatremia, kapena magulu otsika a sodium m'magazi, makamaka ngati okodzetsa akumwetsedwanso. Zizindikiro za hyponatremia zimaphatikizapo kupweteka mutu, kusokonezeka, komanso kuwonongeka kwa kukumbukira. Dokotala wanu angakulimbikitseni kuyimitsa Effexor XR mpaka hyponatremia itasintha.
Kodi njira ina yabwino ndi iti ya cymbalta?
Cymbalta ndi serotonin yosankha ndi norepinephrine reuptake inhibitor (SNRI). Ma SNRI ena amaphatikizapo Effexor (venlafaxine), Pristiq (desvenlafaxine) , ndi Savella (milnacipran). Lankhulani ndi wothandizira zaumoyo za zomwe mungachite kuti muchepetse kupanikizika.
Kodi kuchoka kwa Effexor kumakhala koipa bwanji?
Mlingo wa Effexor uyenera kuchepetsedwa pang'onopang'ono kuti uteteze zizindikiritso zoopsa zakusiya. Kusiya mwadzidzidzi kwa Effexor kumatha kubweretsa zizindikilo monga nseru, chizungulire, kusanza, kulota maloto, kukwiya, komanso kupweteka mutu. Zizindikiro zakutha kwa Effexor zitha kuphatikizaponso paresthesias, kapena kumenyedwa pakhungu.
