Cymbalta vs.Lyrica: Kusiyana, kufanana, ndi iti yomwe ili yabwino kwa inu
Mankhwala osokoneza bongo motsutsana ndi mankhwala osokoneza bongo a Cymbalta ndi Lyrica onse amafunsidwa kuti athetse kupweteka kwa minofu ndi mitsempha. Timawafanizira, kotero mutha kusankha ndi dokotala njira yomwe ingakuthandizeni.Kuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndikufanizira mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ
Cymbalta ndi Lyrica amachiza matenda osiyanasiyana, koma onsewo ndi mankhwala ovomerezeka a matenda ashuga a m'mitsempha ya m'mitsempha komanso fibromyalgia. Cymbalta ndi serotonin norepinephrine reuptake inhibitor (SNRI) pomwe Lyrica ndi analgesic ndi anticonvulsant. Zimagwira mosiyana koma zonsezi zitha kugwiritsidwa ntchito pochiza kupweteka kwa minofu ndi mitsempha. Gwiritsani ntchito ndondomekoyi kuyerekezera Cymbalta ndi Lyrica ndikuphunzira zambiri za momwe amagwirira ntchito, momwe amathandizira, komanso zovuta zake.
Kodi pali kusiyana kotani pakati pa Cymbalta ndi Lyrica?
Cymbalta (duloxetine) ndi mankhwala omwe amamwa mankhwala omwe amagwiritsidwa ntchito kuthana ndi zovuta zosiyanasiyana kuphatikiza matenda ashuga amitsempha ndi fibromyalgia. Mwinanso amadziwika kwambiri chifukwa chodziwika kuti amathandizira kukhumudwa kwakukulu komanso kusokonezeka kwa nkhawa. Amadziwika kuti serotonin norepinephrine reuptake inhibitor (SNRI) ndipo imagwira ntchito powonjezera serotonin ndi norepinephrine, ma neurotransmitters awiri omwe amadziwika kuti amatenga gawo m'mikhalidwe ndi malingaliro. Udindo wake pothana ndi ululu umaganiziridwanso chifukwa cha zochita zake pa serotonin ndi norepinephrine.
Ma SNRI ena monga Pristiq (desvenlafaxine), Effexor (venlafaxine), ndi Savella (milnacipran) savomerezeka pazizindikiro zokhudzana ndi zowawa zamitsempha. Cymbalta imapezeka m'makapisozi pakamwa pamphamvu za 20 mg, 30 mg, 40 mg, ndi 60 mg.
Lyrica (pregabalin) ndi mankhwala omwe amalandilidwa omwe amalandiridwanso pochiza matenda ashuga a m'mimba komanso fibromyalgia. Lyrica imakhalanso ndi ziwonetsero zina zamatenda monga khunyu ndi mitundu ina ya zowawa zamitsempha. Lyrica amadziwika kuti ndi mankhwala ochepetsa ululu, kapena opewetsa ululu, komanso anticonvulsant. Lyrica imagwira ntchito pochepetsa kufalitsa kwa mawayilesi munjira zamitsempha. Ndi mankhwala ofanana ndi mankhwala ena, Neurontin (gabapentin).
Lyrica amawerengedwa kuti ndi chinthu cholamulidwa ndi Drug Enforcement Agency (DEA) chifukwa chodalira komanso kuzunza. Lyrica imamvera malamulo aboma ndi boma omwe amapereka malamulo pazinthu zoyendetsedwa.
Lyrica imapezeka ngati kapisozi wamlomo m'njira zosiyanasiyana kuphatikiza 25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg, ndi 300 mg. Imapezekanso ngati yankho la 20 mg / ml ya m'kamwa komanso makapisozi otulutsidwa mu 82.5 mg, 165 mg, ndi 330 mg.
Kusiyana kwakukulu pakati pa Cymbalta ndi Lyrica | ||
---|---|---|
Cymbalta | Lyrica | |
Gulu la mankhwala osokoneza bongo | SNRI | Ma analgesic / anticonvulsant |
Chizindikiro cha Brand / generic | Zolemba ndi generic zilipo | Zolemba ndi generic zilipo |
Kodi dzina lachibadwa ndi liti? | Duloxetine | Pregabalin |
Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Kapisozi | Mapiritsi otulutsidwa nthawi yomweyo komanso owonjezera, yankho la m'kamwa |
Kodi mulingo woyenera ndi uti? | 60 mg kamodzi patsiku | 50- 100 mg katatu tsiku lililonse |
Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Nthawi yayitali | Nthawi yayitali |
Ndani amagwiritsa ntchito mankhwalawa? | Achinyamata ndi achikulire | Ana ndi achinyamata (kugwa kokha), akulu |
Zomwe amathandizidwa ndi Cymbalta ndi Lyrica
Cymbalta imagwiritsidwa ntchito pamagwiritsidwe osiyanasiyana. Amagwiritsidwa ntchito pochiza matenda osokoneza bongo komanso nkhawa. Amawonetsedwanso pochiza fibromyalgia, kupweteka komwe kumayambitsidwa ndi matenda ashuga, komanso kupweteka kwakanthawi komwe kumakhudzana ndi matenda amisempha monga osteoarthritis ndi ululu wammbuyo. Nthawi zina Cymbalta imagwiritsidwa ntchito ngati cholembera kuti muchepetse kupsinjika kwamikodzo (SUI). Kugwiritsa ntchito kopanda chizindikiro kumatanthauza kugwiritsa ntchito posonyeza momwe sikunavomerezedwe ndi Food and Drug Administration (FDA).
Lyrica imagwiritsidwa ntchito ngati mankhwala oletsa kupweteka kwa m'mitsempha yokhudzana ndi ululu monga matenda ashuga amanjenje, matenda am'mbuyo a neuralgia, fibromyalgia, ndi kuvulala kwa msana. Lyrica imavomerezedwanso ngati chithandizo chothandizira kugwidwa pang'ono. Lyrica imagwiritsanso ntchito zilembo zingapo, kuphatikiza matenda amisala ndi matenda amisala.
Mkhalidwe | Cymbalta | Lyrica |
Ashuga zotumphukira za m'mitsempha | Inde | Inde |
Ululu wokhudzana ndi postherpetic neuralgia | Ayi | Inde |
Ululu wokhudzana ndi kuvulala kwa msana | Ayi | Inde |
Kupweteka kwaminyewa yaminyewa | Inde | Ayi |
Fibromyalgia | Inde | Inde |
Chithandizo chothandizana ndi kugwidwa pang'ono | Ayi | Inde |
Kusokonezeka kwakukulu | Inde | Ayi |
Matenda amisala wamba | Inde | Kutumiza |
Matenda amisala | Ayi | Kutumiza |
Kusokonezeka maganizo | Kutumiza | Ayi |
Kodi Cymbalta kapena Lyrica ndiyothandiza kwambiri?
Matenda osokoneza bongo mayesero wotchedwa Combo-DN Study poyerekeza zotsatira za kuchuluka kwa cymbalta ndi Lyrica kokha, komanso kuphatikiza kwa odwala omwe monotherapy sanathandize kuthana ndi zowawa zokhudzana ndi matenda ashuga. Kafukufukuyu anapeza kuti kusintha kwa ululu kunali kofanana kwa odwala pa Cymbalta pamodzi, Lyrica yekha, komanso kuphatikiza awiriwo. Ngakhale idalephera kuwonetsa kuti gulu lililonse lamankhwala linali lopambana, idapereka umboni kuti njira zitatu zonse zamankhwala ndizabwino komanso zothandiza pakumva kuwawa kwa matenda ashuga.
Kuwunika kosiyana kuphunzira adatsimikiza kuti Cymbalta itha kukhala yothandiza kwambiri pochiza matenda amitsempha okhudzana ndi matenda ashuga, ngakhale Lyrica itha kukhala ndi kulolerana bwino kwa odwala malinga ndi mbiri yake.
Izi sizitanthauza kukhala upangiri wa zamankhwala. Ndi dokotala wanu komanso gulu lazachipatala lokha lomwe lingadziwe mankhwala omwe angakuthandizeni inu ndi matenda anu.
Kuphunzira ndi kuyerekezera mtengo wa Cymbalta vs.Lyrica
Cymbalta ndi mankhwala akuchipatala omwe generic yake imakonda kukhala ndi mapulani a inshuwaransi yamalonda ndi Medicare. Popanda inshuwaransi, kupezeka mwezi umodzi kumatha kukuwonongerani $ 470. Ndili ndi kuponi ya generic Cymbalta (Duloxetine Hcl), mtengo wanu uli pafupifupi $ 10.
Lyrica ndi mankhwala omwe amapatsidwa ndi inshuwaransi yamalonda komanso ya Medicare mu mawonekedwe ake. Kupereka kwa mwezi umodzi ku Lyrica kumatha kukuwonongerani $ 287 popanda inshuwaransi. Choponi cha mawonekedwe achibadwa zitha kuchepetsa mtengo wanu osakwana $ 15.
Cymbalta | Lyrica | |
Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
Nthawi zambiri amakhala ndi Medicare Part D? | Inde | Inde |
Kuchuluka | 30, 60 mg makapisozi | 30, 75 mg makapisozi |
Wopanga Medicare wamba | Zimasiyanasiyana kutengera dongosolo | Zimasiyanasiyana kutengera dongosolo |
Mtengo wosakwatiwa | $ 8 + | $ 14 + |
Zotsatira zoyipa za Cymbalta vs.Lyrica
Mbiri zoyipa za Cymbalta ndi Lyrica zimasiyanasiyana wina ndi mzake mwazinthu zina. Mwachitsanzo, wopanga a Cymbalta adanenanso kuti odwala ambiri adamva kupweteka kwa mutu pazoyeserera zamankhwala, pomwe izi sizinachitike ku Lyrica konse. Thukuta ndi kutsekula m'mimba zimanenedwa ndi Cymbalta koma osati ndi Lyrica.
Lyrica imagwirizanitsidwa ndi chizungulire komanso kuwodzera, ndipo izi zimatha kukhala zovuta kuyendetsa ndikuchita ntchito za tsiku ndi tsiku. Lyrica imalumikizidwanso ndi kusawona bwino, kunenepa, komanso kusungira kwamadzimadzi komwe kungakhudzenso moyo.
Izi sizitanthauza kuti pakhale mndandanda wazotsatira zoyipa zonse. Ngati mukumva izi kapena zina zoyipa ndipo zikuvutitsa kapena kupilira, muyenera kufunsa omwe adakulemberani.
Cymbalta | Lyrica | |||
Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
Nseru | Inde | 2. 3% | Ayi | n / A |
Pakamwa pouma | Inde | 13% | Inde | 5% |
Kutuluka thukuta | Inde | 6% | Ayi | n / A |
Kutsekula m'mimba | Inde | 9% | Ayi | n / A |
Kudzimbidwa | Inde | 9% | Inde | 4% |
Kudzikweza | Ayi | n / A | Inde | awiri% |
Chizungulire | Inde | 9% | Inde | makumi awiri ndi mphambu imodzi% |
Kusinza | Inde | 10% | Inde | 12% |
Mutu | Inde | 14% | Ayi | n / A |
Kuchuluka kwa magazi | Inde | awiri% | Ayi | n / A |
Kuchepetsa chilakolako | Inde | 7% | Ayi | n / A |
Edema zotumphukira | Ayi | n / A | Inde | 9% |
Kulemera | Ayi | n / A | Inde | 4% |
Edema | Ayi | n / A | Inde | awiri% |
Ataxia | Ayi | n / A | Inde | 3% |
Vertigo | Ayi | n / A | Inde | 3% |
Kusokonezeka | Ayi | n / A | Inde | awiri% |
Masomphenya owoneka bwino | Ayi | n / A | Inde | 4% |
Gwero: Cymbalta ( Tsiku ndi Tsiku Lyrica ( Tsiku ndi Tsiku )
Kuyanjana kwa mankhwala a Cymbalta vs. Lyrica
Cymbalta iyenera kugwiritsidwa ntchito mosamala ndi mankhwala ena a serotonergic. Kuwonjezeka kwa serotonin kwalumikizidwa ndi matenda a serotonin. Matenda a Serotonin amadziwika ndi zizindikiro monga kupweteka mutu, kusokonezeka, kutuluka thukuta, nseru, ndi kutsegula m'mimba. Mankhwala a serotonergic amaphatikizapo serotonin reuptake inhibitors (SSRIs) monga fluoxetine kapena paroxetine, mankhwala azitsamba othandizira St. John's Wort, ndi gulu la triptan la migraine monga eletriptan kapena almotriptan. Lyrica ilibe mgwirizano ndi mankhwala a serotonergic.
Onse a Cymbalta ndi Lyrica ayenera kugwiritsidwa ntchito mosamala ndi mankhwala opatsirana pogonana a tricyclic monga amitriptyline ndi nortriptyline. Ayeneranso kugwiritsidwa ntchito mosamala kapena kupewa ndi monoamine oxidase inhibitors (MAOIs) monga selegiline.
Izi sizitanthauza kuti pakhale mndandanda wokhudzana ndi mankhwala. Muyenera kufunsa wamankhwala kapena dokotala wanu kuti mumve nawo mndandanda wathunthu.
Mankhwala osokoneza bongo | Gulu la Mankhwala | Cymbalta | Lyrica |
Almotriptan Eletriptan Oxitriptan | 5HT Agonist / Triptans (othandizira ma antimigraine) | Inde | Ayi |
Amphetamine mchere Dexmethylphenidate Methylphenidate | Amphetamine | Inde | Inde |
Aripiprazole | Mankhwala oletsa antipsychotic | Inde | Inde |
Asipilini Zamgululi Naproxen Diclofenac | Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) | Inde | Ayi |
Buspirone | Kuda nkhawa | Inde | Inde |
Fluoxetine Citalopram Paroxetine Kuyanjana | SSRIs | Inde | Ayi |
Hydroxychloroquine | Aminoquinolone /Antimalarial | Ayi | Inde |
Mzere | Maantibayotiki | Inde | Ayi |
Metaxalone | Opumitsa minofu | Inde | Inde |
Pimozide | Mankhwala oletsa antipsychotic | Ayi | Inde |
Selegiline Phenelzine Rasagiline | Monoamine oxidase inhibitor (MAOI) | Inde | Inde |
St. John's Wort | Mankhwala owonjezera azitsamba | Inde | Ayi |
Zamgululi | Opiate ochepetsa ululu | Inde | Inde |
Amitriptyline Clomipramine Doxepin Mzere wa Nortriptyline | Tricyclic antidepressants | Inde | Inde |
Machenjezo a Cymbalta ndi Lyrica
Cymbalta sichidzatulutsa msanga kupweteka, kusokonezeka kwa nkhawa, kapena matenda amisala. Zitenga masabata osachepera awiri kuti muone kusintha kulikonse kwa odwala ambiri, mpaka milungu inayi mpaka isanu ndi umodzi kuti azindikire zotsatira zake. Osasiya msanga mankhwala anu ndikukhulupirira kuti sikugwira ntchito musanalankhule ndi omwe anakupatsani.
Odwala omwe ali ndi vuto la kukhumudwa atha kukhala ndi vuto lakukhumudwa kapena malingaliro ofuna kudzipha kaya akumwa kapena ayi. Izi zitha kukulirakulira mpaka kukhululukidwa kukwaniritsidwa. Cymbalta zitha kukulitsa malingaliro ofuna kudzipha pakati pa achinyamata ndi achinyamata, makamaka kumayambiriro kwa chithandizo. Odwalawa ayenera kuyang'aniridwa mosamala ngati mankhwalawa akuwoneka kuti ndi ofunikira. Kusintha kwa mankhwala kungakhale kofunikira ngati zizindikiro zadzidzimuka kapena zikukula.
Mankhwala a antiepileptic, monga Lyrica , adalumikizidwanso ndi malingaliro ofuna kudzipha. Odwala omwe amayamba Lyrica akuyenera kuyang'aniridwa kuti awoneke kapena kukulira kukhumudwa.
Zakhalapo malipoti a kulephera kwa chiwindi, nthawi zina amapha, ndi Cymbalta. Milanduyi imatha kubwera ndikumva kupweteka m'mimba komanso michere yayikulu ya chiwindi yokhala ndi jaundice kapena yopanda. Kumwa mowa kumatha kuwonjezera ngoziyi, chifukwa chake kuyenera kupewedwa.
Lyrica ndi chinthu cholamulidwa chifukwa chitha kugwiritsidwa ntchito molakwika ndi kuzunza. Chenjezo liyenera kugwiritsidwa ntchito musanayambe mankhwala a Lyrics kwa wodwala yemwe ali ndi mbiri yabanja kapena yabanja yogwiritsa ntchito mankhwala osokoneza bongo.
Mafunso omwe amafunsidwa pafupipafupi za Cymbalta vs.Lyrica
Kodi Cymbalta ndi chiyani?
Cymbalta ndi mankhwala ochepetsa kupsinjika mtima omwe amagwiritsidwa ntchito pochiza kukhumudwa kwakukulu, matenda amisala wamba, ndi matenda osiyanasiyana amitsempha ndi mafupa. Cymbalta ili mgulu la mankhwala omwe amadziwika kuti serotonin-norepinephrine reuptake inhibitors (SNRIs). Cymbalta imapezeka ngati kapisozi wamlomo mu 20 mg, 30 mg, ndi 60 mg mphamvu.
Kodi Lyrica ndi chiyani?
Lyrica ndi mankhwala akuchipatala omwe amadziwika kuti analgesic ndi anticonvulsant. Amagwiritsidwa ntchito pochiza khunyu komanso zowawa zokhudzana ndi matenda amitsempha ndi fibromyalgia. Lyrica imapezeka mwamphamvu mosiyanasiyana m'mapiritsi apompopompo komanso otulutsidwa, komanso yankho lamlomo.
Kodi Cymbalta ndi Lyrica ndizofanana?
Ngakhale Cymbalta ndi Lyrica ndizothandiza pamatenda amtundu wofanana wokhudzana ndi zowawa, sizofanana. Cymbalta ndi antidepressant omwe zochita zawo zimayendetsedwa kudzera muzochita pa serotonin ndi norepinephrine. Lyrica ndi analgesic ndi anticonvulsant omwe zochita zake zimachedwetsa kufalitsa kwa mitsempha.
Kodi Cymbalta kapena Lyrica ndibwino?
Cymbalta ndi Lyrica onse awonetsedwa kuti ndi otetezeka komanso ogwira ntchito ngati monotherapy komanso kuphatikiza mankhwala. Ndi njira iti yamankhwala yomwe ingakuthandizeni kutengera momwe muliri, mbiri yanu yazachipatala, komanso zomwe dokotala akuganiza kuti ndi zabwino kwa inu.
Kodi nditha kugwiritsa ntchito Cymbalta kapena Lyrica ndili ndi pakati?
A FDA amatenga gawo la mimba ya Cymbalta C, kutanthauza kuti sipanakhale maphunziro okwanira aanthu kuti athetse chitetezo. Ndi Cymbalta, zotsatira zosakhala za teratogenic zawonedwa mwa ana akhanda kutsatira kuyang'anira kwa Cymbalta ali ndi pakati. Izi zimaphatikizapo kupuma, kupuma movutikira, ndi kunjenjemera. Mwambiri, mankhwala aliwonse ayenera kugwiritsidwa ntchito pokhapokha phindu kwa mayi limaposa chiopsezo cha mwana wosabadwayo.
Kodi ndingagwiritse ntchito Cymbalta kapena Lyrica ndi mowa?
Odwala ayenera kupewa kumwa kwambiri ngati atenga Cymbalta kapena Lyrica. Mowa umatha kuwonjezera zotsatira zoyipa zamankhwala onsewa ndipo utha kuyambitsa kuwonongeka kwakukulu kwama psychomotor. Ndi Cymbalta makamaka, mowa umachulukitsa kuchepa kwa chiwindi.