Dexamethasone vs. prednisone: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu

Mankhwala osokoneza bongo Vs. Mnzanu

Kuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndikufanizira mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ

Ndi COVID-19 munkhani tsiku lililonse, zikuwoneka kuti mwamvapo zamankhwala a steroid. Kapena, ngati mwakhalapo wodwala wachipatala mwadzidzidzi, ndizotheka kuti mwalandira mankhwala a steroids. Mankhwala a Steroid amagwiritsidwa ntchito munthawi zambiri zamankhwala mwadzidzidzi komanso zina zambiri zowopsa komanso zotupa. Dexamethasone ndi prednisone ndi mankhwala awiri omwe amavomerezedwa ndi United States Food and Drug Administration (FDA).

Mankhwala onsewa ndi corticosteroids, omwe amadziwikanso kuti glucocorticoids kapena steroids. Amagwiritsidwa ntchito pazinthu zosiyanasiyana zotupa m'makina ambiri. Corticosteroids imagwira ntchito poyambitsa zovuta zamagetsi ndikusintha mayankho amthupi mthupi. Ngakhale dexamethasone ndi prednisone onse ndi ma steroids, ali ndi zosiyana, zomwe tidzafotokoze pansipa.

Kodi pali kusiyana kotani pakati pa dexamethasone ndi prednisone?

Dexamethasone (Dexamethasone coupons | Dexamethasone ndi chiyani?) Ndi mankhwala a corticosteroid, kapena steroid, mankhwala. Ngakhale dzinalo limadziwika kuti Decadron, dzina ladzinalo silikupezeka malonda. Dexamethasone imapezeka ngati mankhwala opangidwa ndi generic, monga piritsi, jakisoni, yankho la m'kamwa, komanso mankhwala amaso. Dexamethasone amadziwika kuti ndi mankhwala omwe akhala akugwiritsidwa ntchito kwanthawi yayitali. Hafu ya moyo wake ndi maola 36-72.

Prednisone (Prednisone coupons | Prednisone ndi chiyani?) Ndi mankhwala a steroid. Dzina la prednisone lingatchulidwe kuti Deltasone, koma dzina lake silikupezeka. Prednisone imapezeka ngati mankhwala achibadwa, monga piritsi, komanso ngati yankho lokamwa. Prednisone amadziwika kuti ndi mankhwala osokoneza bongo. Hafu ya moyo wake ndi pafupifupi maola atatu kapena anayi. Orn prednisone nthawi zambiri imafotokozedwa ngati piritsi lotulutsira mwachangu, koma palinso piritsi lotchedwa Rayn.

Kusiyana kwakukulu pakati pa dexamethasone ndi prednisone
	Dexamethasone	Prednisone
Gulu la mankhwala osokoneza bongo	Corticosteroid (steroid), yemwenso amadziwika kuti glucocorticoid	Corticosteroid (steroid), yemwenso amadziwika kuti glucocorticoid
Chizindikiro cha Brand / generic	Zowonjezera	Generic, brand (Rayos- mapiritsi otulutsidwa mochedwa)
Kodi dzina lake ndi ndani?	Decadron (sichikupezeka malonda)	Deltasone (sichikupezeka malonda), Magetsi (mapiritsi otulutsidwa mochedwa)
Kodi mankhwalawa amabwera mwa mawonekedwe ati?	Piritsi, jakisoni, yankho la m'kamwa, madontho ophthalmic (okha komanso kuphatikiza zosakaniza zina), mafuta ophthalmic (kuphatikiza zosakaniza zina)	Piritsi, yankho la m'kamwa
Kodi mulingo woyenera ndi uti?	Zimasiyanasiyana ndikuwonetsa komanso kuyankha kuchipatala	Zimasiyanasiyana ndikuwonetsa komanso kuyankha kuchipatala
Kodi mankhwalawa amatenga nthawi yayitali bwanji?	M'masiku ochepa patsogolo; zimasiyanasiyana	M'masiku ochepa patsogolo; odwala ena amatenga nthawi yayitali pansi pa chisamaliro cha oyang'anira
Ndani amagwiritsa ntchito mankhwalawa?	Akuluakulu, nthawi zina mwa ana	Akuluakulu, nthawi zina mwa ana

Mukufuna mtengo wabwino pa dexamethasone?

Lowani zidziwitso zamitengo ya dexamethasone ndikupeza kuti mitengo ikasintha liti!

Pezani zidziwitso zamitengo

Zomwe zimathandizidwa ndi dexamethasone ndi prednisone

Dexamethasone ndi prednisone ali ndi mawonekedwe ofanana. Mankhwala onsewa amawonetsedwa kuti amagwiritsidwa ntchito m'malo osiyanasiyana otupa amachitidwe osiyanasiyana. Mwachitsanzo, mankhwala onsewa atha kugwiritsidwa ntchito ngati ali ndi vuto losagwirizana ndi mankhwala, pomwe chithandizo chamankhwala wamba sichothandiza. Matenda omwe dermatologic omwe dexamethasone ndi prednisone amatha kuthandizira ndi monga kuwonjezeka kwa mphumu, atopic kapena kukhudzana ndi dermatitis, kusintha kwa mankhwala osokoneza bongo, kusatha kwanthawi yayitali kapena nyengo zina, rhinitis, matenda a Stevens-Johnson, ndi matenda a seramu.

Chifukwa gulu lirilonse liri ndi zisonyezo zambiri, pali zochuluka kwambiri zoti musazitchule. Mu tchati chili pansipa, tilemba zitsanzo zingapo pagulu lililonse. Funsani omwe akukuthandizani kuti mumve zambiri.

Mkhalidwe	Dexamethasone	Prednisone
Matupi awo sagwirizana ndi dermatologic (kuwonjezeka kwakukulu kwa mphumu, dermatitis, rhinitis)	Inde	Inde
Matenda a Endocrine (kusakwanira kwa adrenocortical-molumikizana ndi mankhwala a mineralocorticoid monga fludrocortisone, congenital adrenal hyperplasia)	Inde	Inde
Matenda am'mimba (enteritis, ulcerative colitis)	Inde	Inde
Matenda a Hematology (mitundu ina ya kuchepa kwa magazi, idiopathic thrombocytopenic purpura)	Inde	Inde
Matenda a neoplastic (leukemia, lymphoma)	Inde	Inde
Mchitidwe wamanjenje (kuwonjezeka kwakukulu kwa multiple sclerosis, ubongo edema womwe umalumikizidwa ndi chotupa chaubongo kapena metastatic brain, craniotomy, kapena mutu kuvulala)	Inde	Inde
Matenda a maso (temporical arteritis, uveitis)	Inde	Inde
Matenda a impso (idiopathic nephrotic syndrome, lupus)	Inde	Inde
Matenda opuma (mitundu ina ya chifuwa chachikulu kapena chibayo)	Inde	Inde
Matenda enaake (mitundu ina ya nyamakazi, lupus)	Inde	Inde

Kodi dexamethasone kapena prednisone ndiyothandiza?

Kafukufuku woyerekeza mankhwala awiriwa mutu ndi mutu amayang'ana kwambiri dexamethasone vs. prednisone mwa ana aang'ono omwe ali ndi mphumu yovuta. Chimodzi kuwunika kwamaphunziro anayang'ana dexamethasone vs. prednisone mwa ana omwe amakula kwambiri ndi mphumu. Idamaliza kunena kuti umboni umathandizira kugwiritsa ntchito mankhwalawa. Ndemangayi idanenanso kuti dexamethasone itha kulekerera bwino, koma kuti pakufunika kafukufuku wina.

Chifukwa mankhwala aliwonse amatha kugwiritsidwa ntchito pochiza matenda osiyanasiyana, ndizovuta kunena kuti ndi mankhwala ati omwe ndi othandiza kwambiri. Wothandizira zaumoyo wanu angasankhe dexamethasone ngati mukufuna china chake chomwe chingatenge nthawi yayitali komanso champhamvu, kapena prednisone ngati mukufuna china chosachedwa. Mankhwala abwino kwa inu angadziwike kokha ndi omwe amakuthandizani azaumoyo, omwe angaganizire za mbiri yanu yazachipatala, ndi mankhwala ena omwe mumamwa omwe atha kuthandizana ndi dexamethasone kapena prednisone.

Mukufuna mtengo wabwino pa prednisone?

Lowani zidziwitso zamitengo ya prednisone ndikupeza kuti mitengo ikasintha liti!

Pezani zidziwitso zamitengo

Kuphunzira ndi kuyerekezera mtengo wa dexamethasone vs. prednisone

Dexamethasone nthawi zambiri imakhala ndi inshuwaransi yapadera komanso Medicare. Mtengo wapa thumba wamapiritsi 30 30 mg ukhoza kukhala $ 40 kapena kupitilira apo. Ndi coupon ya SingleCare, ndi ochepera $ 10 pama pharmacies omwe akutenga nawo mbali (Ma coupon a Decadron | Zambiri za Decadron).

Prednisone nthawi zambiri imaphimbidwa ndi inshuwaransi yapadera komanso Medicare. Mtengo wamthumba wamapiritsi 10 20 mg ndi pafupifupi $ 20. Gwiritsani ntchito coupon ya SingleCare kuti mupeze mankhwala ochepera $ 5.

Pezani khadi yotsitsa ya SingleCare

Chidziwitso: Kutengera ndi matendawa, kufotokozera kwa Medicare kumatha kugwera Gawo B kapena Gawo D.

	Dexamethasone	Prednisone
Nthawi zambiri amakhala ndi inshuwaransi?	Inde	Inde
Nthawi zambiri amakhala ndi Medicare?	Inde	Inde
Mlingo woyenera	4 mg mapiritsi 30	20 mg mapiritsi 10
Wopanga Medicare wamba	$ 0- $ 1	$ 0- $ 1
Mtengo wosakwatiwa	$ 10	$ 5

Zotsatira zoyipa za dexamethasone vs. prednisone

Mukapatsidwa mankhwala a steroid, ndikofunikira kumwa mankhwalawa monga momwe adanenera, ndikuwonjezera mlingoyo malinga ndi zomwe wothandizira zaumoyo wanu akulangizani. Pansipa pali mndandanda wazovuta zomwe zingachitike ndi dexamethasone kapena prednisone. Ili si mndandanda wathunthu wazotsatira. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wazovuta.

Dongosolo	Zotsatira zoyipa za dexamethasone kapena prednisone
Matupi awo sagwirizana	Thupi lawo siligwirizana, anaphylaxis, angioedema
Mtima	Kumangidwa kwa mtima / arrhythmia, kukulitsa kwa mtima, kusintha kwa kugunda kwa mtima, kugwa kwa magazi, kulephera kwa mtima, kuthamanga kwa magazi, edema, syncope, tachycardia, thromboembolism
dermatologic	Ziphuphu, zotupa, matenda owuma / khungu, erythema (kufiira), kuwonongeka kwa bala, kuwonjezeka thukuta, zidzolo
Endocrine	Kuchepetsa kulolerana kwama carbohydrate / glucose, kukula kwa dziko la cushingoid, hyperglycemia (shuga wambiri wamagazi), hirsutism (kukula kopitilira muyeso wa tsitsi), kusakhazikika msambo, kupondereza kukula kwa odwala
Kusokonezeka kwamadzimadzi / electrolyte	Kulemera kwa mtima, kusungira madzi, potaziyamu kutayika, kusungidwa kwa sodium
M'mimba	Kuchuluka njala, nseru, kapamba, zilonda zam'mimba, kutuluka kwa m'matumbo ang'ono ndi akulu, ulcerative esophagitis
Mafupa a mafupa	Kutayika kwa minofu, kufooka kwa minofu, kufooka kwa mafupa, mafupa ataliitali, kuphulika kwa tendon,
Mitsempha / misala	Kugwedezeka, kukhumudwa, kusakhazikika kwamaganizidwe, chisangalalo, kupweteka mutu, kuchuluka kwa kupsinjika kwa papillemaema (pseudotumor cerebri) nthawi zambiri kutsatira kusiya kwa chithandizo chamankhwala, kusowa tulo, kusinthasintha kwamaganizidwe, neuropathy, paresthesia, kusintha kwa umunthu, chizungulire
Ophthalmic	Glaucoma, cataract, kusawona bwino
Zina	Mafuta osadziwika bwino, amachititsa kuti matenda opatsirana , hiccups, nkhope yamwezi, kunenepa

Gwero: DailyMed ( dexamethasone ), Tsiku Lililonse ( mbalambanda )

Kuyanjana kwa mankhwala a dexamethasone vs. prednisone

Odwala omwe amamwa anticoagulant, monga warfarin, ayenera kuyang'aniridwa akamamwa mankhwala a steroid. Mankhwala omwe amagwiritsidwa ntchito pa matenda ashuga angafunikire kusintha chifukwa ma steroids amathanso kukhudza kuchuluka kwa magazi m'magazi. Mankhwala ena omwe amapangika ndi enzyme yotchedwa CYP3A4 atha kukhudza kagayidwe kake ka steroid, komwe kumafunikira kusintha kwa mlingo. Ili si mndandanda wathunthu wazomwe zimachitika ndi mankhwala. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagwiridwe antchito.

Mankhwala osokoneza bongo	Gulu la mankhwala osokoneza bongo	Dexamethasone	Prednisone
Warfarin	Wotsutsa	Inde	Inde
Digoxin	Mtima glycoside	Inde	Inde
Glipizide Glyburide Insulini Metformin Pioglitazone	Maantibayotiki	Inde	Inde
Carbamazepine Phenobarbital Phenytoin Rifampin	CYP3A4 imathandizira ma enzyme	Inde	Inde
Azithromycin Mankhwalawa Ketoconazole	CYP3A4 enzyme inhibitors	Inde	Inde
Asipilini Zamgululi Meloxicam Naproxen	NSAIDs	Inde	Inde

Machenjezo a dexamethasone ndi prednisone

Machenjezo a mankhwala a corticosteroid ndi dexamethasone kapena prednisone ndi awa:

• Nthawi zambiri, matupi awo sagwirizana kapena anaphylactic amatha. Funsani chithandizo chadzidzidzi ngati izi zichitika.
• Kugwiritsa ntchito dexamethasone kapena prednisone kumatha kukulitsa kuthamanga kwa magazi, kuyambitsa kusungidwa kwa sodium ndi madzi, komanso kutayika kwa potaziyamu. Steroids ayenera kugwiritsidwa ntchito mosamala kwa odwala omwe ali ndi vuto la mtima, kuthamanga kwa magazi, komanso / kapena mavuto a impso.
• Steroids imatha kuyambitsa calcium. Izi zitha kubweretsa kukula kocheperako kwa ana komanso kufooka kwa mafupa msinkhu uliwonse. Gwiritsani ntchito mosamala.
• Pali kuyanjana pakati pa kugwiritsidwa ntchito kwa steroid ndikumaluka kwa khoma lamanjenje lamanzere lamitsempha yamitsempha yam'mimba posachedwa. Steroids ayenera kupewedwa kapena kugwiritsidwa ntchito mosamala kwambiri mwa odwalawa.
• Steroids imatha kubweretsa kusintha kwa hypothalamic-pituitary-adrenal (HPA) axis, kapena kusakwanira kwa adrenal, komanso kusakwanira kwa glucocorticosteroid, atalandira chithandizo. Kulephera kwa Adrenocortical, komwe kumatha kupitilira miyezi ingapo kutha kwa steroid, kumatha kuchitika ngati ma steroids ayimitsidwa mwachangu kwambiri. Chiwopsezo chimatha kuchepetsedwa poyika pang'onopang'ono mankhwala a steroid. Komanso, mlingo woyenera kwambiri uyenera kugwiritsidwa ntchito.
• Chifukwa chakuti ma steroids amapondereza chitetezo cha mthupi, odwala omwe amathandizidwa ndi ma steroids amatenga matendawa, makamaka ndi kuchuluka kwa ma steroids. Steroids imatha kukulitsa matenda am'fungusowa ndipo sayenera kugwiritsidwa ntchito ngati izi sizingachitike popewa mankhwala osokoneza bongo.
• Nthomba ndi chikuku zingakhale zoopsa kwambiri kapena zakupha kwa odwala omwe amamwa mankhwala otchedwa steroids, chifukwa cha chitetezo cha mthupi. Pewani kukhudzana ndi nthomba ndi chikuku. Ngati mwawululidwa, pitani kuchipatala nthawi yomweyo.
• Odwala omwe amalandira mankhwala osokoneza bongo a steroids sayenera kulandira katemera wamoyo.
• Steroids imatha kubweretsa kukhathamira kwa intraocular, cataract, glaucoma, ndi / kapena matenda amaso. Odwala omwe amakhala ndi zizindikilo zamaso, kapena omwe amagwiritsa ntchito ma steroids kwa milungu yopitilira isanu ndi umodzi, ayenera kuwona dokotala wa maso. Steroids yamlomo sayenera kugwiritsidwa ntchito pochiza optic neuritis kapena ocular herpes simplex.
• Steroids ayenera kugwiritsidwa ntchito mosamala kwa odwala omwe ali ndi vuto la m'mimba komanso / kapena mavuto a chiwindi.
• Steroids imatha kusintha kusintha kwa malingaliro, kusintha kwa umunthu, kusowa tulo, kapena mawonekedwe amisala. Funsani wothandizira zaumoyo wanu nthawi yomweyo ngati muwona kusintha kulikonse pamikhalidwe kapena machitidwe.
• Tsatirani dongosolo la dosing ndi tapering la mankhwala anu a corticosteroid. Osasiya ma steroid mwadzidzidzi kapena osayang'aniridwa ndi omwe amakuthandizani.
• Kugwiritsa ntchito Steroid panthawi yoyembekezera kumatha kupangitsa kuti mwana akhale ndi phala kapena mavuto pakukula / kunenepa. Steroids ayenera kugwiritsidwa ntchito pathupi ngati phindu liposa zoopsa zake. Ngati mukumwa kale mankhwala a steroid ndikupeza kuti muli ndi pakati, pitani kuchipatala nthawi yomweyo.

Mafunso omwe amafunsidwa pafupipafupi za dexamethasone vs. prednisone

Kodi dexamethasone ndi chiyani?

Dexamethasone ndi mankhwala a steroid omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana.

Kodi prednisone ndi chiyani?

Monga dexamethasone, prednisone ndi mankhwala a steroid omwe amagwiritsidwa ntchito m'malo osiyanasiyana otupa chifukwa chotsutsana ndi zotupa.

Kodi dexamethasone ndi prednisone ndizofanana?

Ngakhale ndizofanana, sizofanana ndendende. Zomwe zili pamwambazi ndizofanizira pakati pa mankhwala awiriwa. Mankhwala ena a steroid omwe mwina mudamvapo za awa Medrol (methylprednisolone), chibadul , ndi hydrocortisone.

Kodi dexamethasone kapena prednisone ndiyabwino? / Kodi dexamethasone ndiotetezeka kuposa prednisone?

Palibe zambiri zomwe zikufanizira mankhwala awiriwo mwachindunji. Kuwunikanso kumodzi kwamaphunziro adatsimikiza kuti mankhwalawa ndiolandilidwa pochiza ana omwe ali ndi mphumu yoopsa. Chifukwa pali zisonyezo zosiyanasiyana pakusagwiritsa ntchito mankhwala a steroid, wothandizira zaumoyo wanu adzaganizira momwe akuchiritsiridwirani ndi mbiri yanu yazachipatala ndi mankhwala ena omwe mumamwa, posankha mankhwala omwe angakuthandizeni.

Pankhani yachitetezo, ma steroids onse atha kukhala ndi zotsatirapo zoyipa (onani gawo la Machenjezo), ndipo ena akhoza kukhala owopsa. Wothandizira zaumoyo wanu adzasankha mankhwala omwe angakhale otetezeka kwa inu ndikupatseni njira yachidule kwambiri yothandizira. Nthawi zambiri, mumachotsa steroid kuti musayime mwadzidzidzi. Izi zimathandiza kuti adrenal glands abwerere mwakale.

Kodi ndingagwiritse ntchito dexamethasone kapena prednisone ndili ndi pakati?

Corticosteroids monga dexamethasone kapena prednisone awonetsedwa kuti angavulaze mwana wosabadwayo m'mitundu yambiri akamaperekedwa m'miyeso yofanana ndi momwe munthu angatenge, zomwe zimapangitsa kuchuluka kwa mkamwa mwa ana. Steroids itha kuchititsanso kuti muchepetse kukula ndikuchepetsa kunenepa. Sipanapezeke maphunziro okwanira, owongoleredwa bwino a dexamethasone kapena prednisone mwa amayi apakati. Chifukwa chake, dexamethasone kapena prednisone iyenera kugwiritsidwa ntchito pathupi pokhapokha ngati phindu likuposa chiopsezo cha mwana wosabadwayo. Makanda obadwa kwa amayi omwe alandila kwambiri ma steroids panthawi yomwe ali ndi pakati ayenera kuwonedwa ngati ali ndi zizindikiro za hypoadrenalism.

Kodi ndingagwiritse ntchito dexamethasone kapena prednisone ndi mowa?

Kawirikawiri, mowa sayenera kusakanizidwa ndi steroids. Funsani wothandizira zaumoyo wanu kuti akuthandizeni.

Kodi dexamethasone ndi steroid yamphamvu?

Dexamethasone imatenga nthawi yayitali ndipo ndi amaonedwa kuti ndi wamphamvu, kapena wamphamvu, steroid . Ndiwowonjezera 25 kuposa hydrocortisone. Mlingo woyambirira wa dexamethasone umatha kusiyana ndi 0,75 mpaka 9 mg patsiku, kutengera momwe akuchiritsidwira. Mlingo wofunikira umasiyanasiyana ndipo uyenera kukhala payekhapayekha kutengera momwe akuchiritsidwira ndi kuyankha mankhwala.

Kodi prednisone ndi Decadron ndizofanana?

Prednisone ndi Decadron (dexamethasone) onsewa ndi ma steroids, omwe amagwiritsidwa ntchito pamatenda osiyanasiyana komanso / kapena mthupi, koma ali ndi zosiyana, monga tafotokozera pamwambapa. Mwachitsanzo, Decadron (dexamethasone) ndiwothandiza kwambiri komanso amatenga nthawi yayitali kuposa prednisone.

Kodi dexamethasone imagwira ntchito mwachangu motani?

Zimatengera momwe mankhwala amaperekedwera. Popeza jekeseni, dexamethasone iyamba kugwira ntchito mwachangu. Kutengedwa pakamwa ngati piritsi, zotsatira zake zimatha kutenga ola limodzi mpaka maola angapo.