Effexor vs.Zoloft: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu
Mankhwala osokoneza bongo Vs. MnzanuKuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndi kufananiza mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ
Effexor ndi Zoloft ndi mankhwala awiri odziwika omwe amawonetsedwa pochiza kukhumudwa, wamba thanzi lamisala chikhalidwe, mwa zina. Mankhwala onsewa amavomerezedwa ndi United States Food and Drug Administration (FDA).
Effexor ndi gawo la mankhwala otchedwa SNRIs (serotonin-norepinephrine reuptake inhibitors). SNRIs imakulitsa kuchuluka kwa serotonin ndi norepinephrine muubongo.
Zoloft (sertraline) ndi SSRI (serotonin reuptake inhibitor yosankha). SSRI imagwira ntchito powonjezera kuchuluka kwa serotonin muubongo.
Chithandizo ndi Effexor kapena Zoloft nthawi zambiri chimatsagana ndi psychotherapy ndi psychologist kapena dokotala wazamisala. Ngakhale Effexor ndi Zoloft ndi omwe amadziwika kuti ndi opanikizika, si ofanana. Pitirizani kuwerenga kuti mudziwe zambiri za mankhwala onsewa.
Kodi pali kusiyana kotani pakati pa Effexor ndi Zoloft?
Effexor ndi SNRI yodetsa nkhawa ndipo imapezeka mu mtundu (monga Effexor XR) ndi mawonekedwe achibadwa. Dzinalo ndi venlafaxine. Effexor imapezeka mu mawonekedwe apiritsi, komanso ngati kapisozi womasulidwa komanso pulogalamu yotulutsira kwina.
Zoloft ndi serotonin reuptake inhibitor (SSRI) yosankhidwa yomwe imapezeka pamitundu yonse komanso generic. Dzinalo ndi sertraline. Zoloft imapezeka m'mapiritsi ndi mawonekedwe amadzimadzi.
| Kusiyana kwakukulu pakati pa Effexor ndi Zoloft | ||
|---|---|---|
| Kuchita | Zoloft | |
| Gulu la mankhwala osokoneza bongo | SNRI (serotonin-norepinephrine reuptake inhibitor) | SSRI (serotonin reuptake inhibitor yosankha) |
| Chizindikiro cha Brand / generic | Brand ndi generic | Brand ndi generic |
| Kodi dzina lachibadwa ndi liti? | Katemera | Sertraline |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi, makapisozi otulutsa nthawi yayitali, mapiritsi otulutsa zowonjezera | Piritsi ndi madzi |
| Kodi mulingo woyenera ndi uti? | Mlingo wamba ndi XR 75 kapena 150 mg tsiku lililonse Taper pang'onopang'ono mukasiya | Mlingo wachikulire: 50-200 mg tsiku lililonse (200 mg patsiku) Taper pang'onopang'ono mukasiya |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Zimasintha | Zimasintha |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu | Akuluakulu; ana azaka zapakati pa 6 mpaka zaka 17 za OCD kokha |
Zinthu zomwe Effexor ndi Zoloft adachita
Effexor, momwe imatulutsira mwachangu, imawonetsedwa pamavuto akulu okhumudwitsa. Effexor XR (kutulutsa kwina) kumawonetsedwa pamavuto akulu okhumudwitsa, matenda amisala, nkhawa yamavuto, komanso mantha.
Zoloft amawonetsedwa chifukwa chothana ndi vuto lalikulu lachisoni, kukhumudwa kwambiri, mantha amantha, kusokonezeka kwachisoni, kusokonezeka kwa nkhawa pakati pa anthu, komanso matenda am'mbuyomu.
| Mkhalidwe | Kuchita | Zoloft |
| Kusokonezeka Kwakukulu (MDD) | Inde (mafomu a IR ndi XR) | Inde |
| Matenda amisala wamba | Inde (XR mawonekedwe okha) | Kutumiza |
| Matenda osokoneza bongo (OCD) | Kutumiza | Inde |
| Matenda amantha (PD) | Inde (XR mawonekedwe okha) | Inde |
| Post-traumatic stress disorder (PTSD) | Kutumiza | Inde |
| Matenda osokoneza bongo (SAD) | Inde (XR mawonekedwe okha) | Inde |
| Matenda a Premenstrual dysphoric (PMDD) | Kutumiza | Inde |
Kodi Effexor kapena Zoloft ndiwothandiza kwambiri?
Phunziro limodzi poyerekeza Effexor XR ndi Zoloft pochiza kukhumudwa ndikuwona kuti mankhwala onsewa anali ndi mphamvu zofananira komanso zimakhudzanso moyo, koma kuti Zoloft anali ndi zovuta zochepa. Komanso, odwala omwe adatenga Effexor anali ndi chiopsezo chowonjezeka cha kuthamanga kwa magazi.
Kufufuza mu Lancet adawunikiranso kafukufuku wambiri kuti apeze mankhwala opanikizika kwambiri. Ofufuzawo anayang'ana mankhwala 21 opatsirana pogonana (kuphatikizapo Effexor ndi Zoloft) ndipo adapeza kuti mankhwala onse opatsirana pogwira ntchito amakhala othandiza kuposa placebo. Effexor anapezeka kuti ndi imodzi mwa mankhwala opatsirana pogwira mtima, koma Zoloft anali wololera bwino.
Mankhwala othandiza kwambiri kwa inu akuyenera kutsimikiziridwa ndi omwe amakuthandizani azaumoyo, omwe angaganizire za mbiri yanu yazachipatala, matenda, ndi mankhwala ena omwe mumamwa omwe atha kuyanjana ndi Effexor kapena Zoloft.
Kuphatikiza ndi kuyerekezera mtengo kwa Effexor vs. Zoloft
Effexor XR, mtundu wodziwika bwino wa Effexor, umaphimbidwa ndi inshuwaransi yambiri komanso mapulani a Medicare. Mtundu wa generic udzakhala ndi copay yotsika, ndipo dzinalo likhoza kukhala ndi copay yayikulu kapena mwina silingaphimbidwe. Mtengo wapa thumba wamankhwala wamba 30, 150 mg makapisozi achibadwa ndi pafupifupi $ 140. Mutha kugwiritsa ntchito khadi yaulere ya SingleCare kuti mugule mankhwala omwe mumakhala nawo pafupifupi $ 15.
Zoloft nthawi zambiri imakhala ndi inshuwaransi komanso mapulani a Medicare. Generic Zoloft adzakhala ndi copay yotsika, pomwe dzina lake limatha kukhala ndi copay yayikulu kapena mwina silingaphimbidwe konse. Mtengo wa m'thumba wa Zoloft ndi pafupifupi $ 32 pa mapiritsi 30 a mapiritsi 100 a generic sertraline. Mutha kugwiritsa ntchito khadi yaulere ya SingleCare kuti muchepetse mtengo mpaka $ 10 ya Zoloft generic.
Momwe mapulani a inshuwaransi amasinthira ndipo amasintha, kambiranani ndi inshuwaransi yanu yazaumoyo kuti mumve zambiri.
| Kuchita | Zoloft | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde (generic) | Inde (generic) |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde (generic) | Inde (generic) |
| Kuchuluka | 30, 150 mg makapisozi otulutsidwa | 30, 100 mg mapiritsi |
| Wopanga Medicare wamba | $ 0- $ 20 | $ 0- $ 13 |
| Mtengo wosakwatiwa | $ 10- $ 40 | $ 9- $ 31 |
Zotsatira zoyipa za Effexor vs. Zoloft
Zotsatira zoyipa kwambiri za Effexor XR ndi nseru, kugona, mkamwa mouma, thukuta, mavuto azakugonana, kuchepa kwa njala, ndi kudzimbidwa.
Ambiri chokhwima zimachitikira Za Zoloft ndi nseru, kutsegula m'mimba, mavuto azakugonana, mkamwa wouma, kusowa tulo, ndi kugona.
Zotsatira zina zoyipa zimatha kuchitika. Funsani akatswiri azachipatala anu kuti mupeze mndandanda wathunthu wazovuta.
| Mphamvu | Zoloft | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Mutu | Inde | 1.5% | Inde | % sananene |
| Nseru | Inde | 30% | Inde | 26% |
| Kutsekula m'mimba | Inde | 8% | Inde | makumi awiri% |
| Kudzimbidwa | Inde | 9% | Inde | 6% |
| Kuchepetsa chilakolako | Inde | 10% | Inde | 7% |
| Kutuluka thukuta | Inde | khumi ndi chimodzi% | Inde | 7% |
| Matenda akumwa / mavuto azakugonana | Inde | 5-10% | Inde | 8% |
| Pakamwa pouma | Inde | khumi ndi zisanu% | Inde | 14% |
| Kugona | Inde | khumi ndi zisanu% | Inde | khumi ndi chimodzi% |
| Kusowa tulo | Inde | 18% | Inde | makumi awiri% |
| Chizungulire | Inde | 16% | Inde | 12% |
* magawo omwe atchulidwa ndi a Effexor XR, omwe amafotokozedwa kwambiri a Effexor.
Gwero: DailyMed ( Kuchita XR ), Tsiku ndi Tsiku (Zoloft)
Kuyanjana kwa mankhwala a Effexor vs. Zoloft
MaO inhibitors sayenera kugwiritsidwa ntchito pasanathe masiku 14 kuchokera ku Effexor kapena Zoloft. Kuphatikizana kungapangitse chiopsezo cha matenda a serotonin , mwangozi zoopsa zachipatala chifukwa cha serotonin yochulukirapo. Ma Triptan omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala, komanso mankhwala ena opondereza nkhawa, ma opioid, dextromethorphan, kapena wort ya St. John sayenera kugwiritsidwa ntchito limodzi ndi Effexor kapena Zoloft chifukwa choopsa cha matenda a serotonin.
Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga Advil, Motrin, ndi aspirin, kapena maanticoagulants monga warfarin, sayenera kutengedwa ndi Effexor kapena Zoloft chifukwa chowopsa magazi.
Musamwe mowa mukamamwa Effexor kapena Zoloft.
Kuyanjana kwina kwa mankhwala kumatha kuchitika. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagwiridwe antchito.
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Kuchita | Zoloft | Asipilini Alireza Zamgululi Meloxicam Naproxen | NSAIDs (nonsteroidal anti-inflammatory drugs) | Inde | Inde |
| Phenelzine Rasagiline Selegiline Zamgululi | MAOIs (Monoamine oxidase inhibitors) | Inde | Inde |
| Mowa | Mowa | Inde | Inde |
| Rizatriptan Sumatriptan Zolmitriptan | Zolemba | Inde | Inde |
| Dextromethorphan | Chifuwa suppressant | Inde | Inde |
| Warfarin | Wotsutsa | Inde | Inde |
| St. John's Wort | Zowonjezera | Inde | Inde |
| Citalopram Kuyanjana Fluoxetine Fluvoxamine Paroxetine Sertraline | Mankhwala opatsirana pogonana a SSRI | Inde | Inde |
| Chotsani Duloxetine Katemera | SNRI antidepressants | Inde | Inde |
| Amitriptyline Desipramine Imipramine Mzere wa Nortriptyline | TCA (tricyclic antidepressants) | Inde | Inde |
| Baclofen Chithandizo Cyclobenzaprine Metaxalone | Opumitsa minofu | Inde | Inde |
| Carbamazepine Divalproex ndi sodium Gabapentin Lamotrigine Levetiracetam Phenobarbital Phenytoin Pregabalin Topiramate | Ma anticonvulsants | Inde | Inde |
| Diphenhydramine | Kukhalitsa antihistamine | Inde | Inde |
Machenjezo a Effexor ndi Zoloft
- Effexor ndi Zoloft ali ndi chenjezo lakuda . Chenjezo la bokosi lakuda ndilo chenjezo loopsa kwambiri lomwe FDA (United States Food and Drug Administration) ikufuna. Ana, achinyamata, komanso achikulire (mpaka azaka 24) omwe amamwa mankhwala opondereza amakhala ndi chiopsezo chowonjezeka chodzipha komanso malingaliro. Odwala onse omwe amamwa mankhwala opatsirana pogonana ayenera kuyang'aniridwa mosamala.
- Odwala omwe amatenga Effexor kapena Zoloft ali pachiwopsezo cha matenda amtundu wa serotonin, zoopsa zachipatala zoopsa zomwe zimayambitsidwa ndi serotonin yambiri. Izi ndizotheka kwambiri ndi kuchuluka kwa mlingo komanso / kapena ngati mukumwa mankhwala ena omwe amachulukitsa serotonin. Yang'anirani zizindikiro zakukomoka, malungo, kunjenjemera, khunyu, ndi / kapena kusakhazikika.
- Zizindikiro zolekerera, monga kusakhazikika, zimatha kuchitika mukasiya Effexor kapena Zoloft. Odwala ayenera kusiya kumwa mankhwalawa pang'onopang'ono ndipo osayima mwadzidzidzi. Wopereka chithandizo chazaumoyo wanu amatha kukupatsani nthawi yolemba.
- Gwiritsani ntchito mosamala kwa odwala omwe ali ndi khunyu kapena matenda osokoneza bongo.
- Pali chiopsezo cha hyponatremia (low sodium) chifukwa cha matenda osavomerezeka a antidiuretic hormone secretion (SIADH). Zizindikiro za SIADH zitha kuphatikizira kupweteka kwa mutu, kuvutika kuganizira, kukumbukira kukumbukira, kusokonezeka, kufooka, komanso kusakhazikika, komwe kumatha kuyambitsa kugwa. Funsani chithandizo mwachangu ngati zizindikiro zachitika.
- Pewani Effexor kapena Zoloft mwa odwala omwe ali ndi khungu lotseka la glaucoma.
- Effexor kapena Zoloft atha kuwonjezera ngozi yakutuluka magazi. Kuwonjezeka kumeneku kumachitika chifukwa chogwiritsa ntchito ma NSAID kapena warfarin.
- Kutaya njala ndi / kapena kuchepa thupi kumatha kuchitika.
- Effexor kapena Zoloft ayenera kugwiritsidwa ntchito mu mimba ngati wothandizira zaumoyo wanu akuwona kuti mapindulowo amaposa zoopsa. Effexor kapena Zoloft atha kubweretsa zovuta zazikulu kwa mwanayo, makamaka akatengedwa m'gawo lachitatu lachitatu. Ngati muli pa Effexor kapena Zoloft kale ndikupeza kuti muli ndi pakati, lemberani omwe akukuthandizani nthawi yomweyo.
- Njira yothetsera Zoloft m'kamwa imakhala ndi mowa 12%.
- Effexor imatha kuwonjezera kuthamanga kwa magazi. Onetsetsani kuthamanga kwa magazi musanachitike komanso mukamalandira chithandizo ndi Effexor. Gwiritsani ntchito mosamala odwala omwe ali ndi kuthamanga kwa magazi kapena mavuto amtima.
Mafunso omwe amafunsidwa pafupipafupi za Effexor vs. Zoloft
Kodi Effexor ndi chiyani?
Effexor ndi SNRI yodetsa nkhawa. Effexor amathandizira kukhumudwa (komwe kumatchedwanso kusokonezeka kwakukulu kapena kukhumudwa kwakukulu) mwa akulu. Effexor XR (kutulutsidwa kwanthawi yayitali) amathandizira kukhumudwa, nkhawa zamagulu, matenda amantha, komanso nkhawa yanthawi zonse. Dzinalo la Effexor ndi venlafaxine.
Kodi Zoloft ndi chiyani?
Zoloft (sertraline) ndi SSRI (yosankha serotonin reuptake inhibitor) yomwe imawonetsedwa ngati chithandizo chazovuta zazikulu, kukakamizidwa kuchita zinthu mopanikizika, mantha amisala, kupsinjika kwakutsogolo, kusokonezeka kwa nkhawa pagulu, komanso matenda am'mimba asanakwane.
Kodi Effexor ndi Zoloft ndi ofanana?
Effexor ndi Zoloft sizofanana. Effexor ndi gawo la gulu la mankhwala lotchedwa SNRIs, kapena serotonin-norepinephrine reuptake inhibitors. SNRIs imagwira ntchito serotonin ndi norepinephrine. Mankhwala ena mgulu la SNRI ndi Cymbalta (duloxetine) ndi Pristiq (desvenlafaxine).
Zoloft ndi gawo la mankhwala osokoneza bongo otchedwa SSRIs, kapena serotonin reuptake inhibitors. SSRIs imagwira ntchito serotonin. Mankhwala ena mgululi la SSRI ndi Prozac ( fluoxetine ), Celexa (citalopram), Lexapro ( kutuloji ), Luvox (fluvoxamine), ndi Paxil (paroxetine).
Kusiyana kwina pakati pa Effexor ndi Zoloft kwafotokozedwa pamwambapa.
Kodi Effexor kapena Zoloft ndibwino?
Mankhwala aliwonse angakhale othandiza, koma aliyense amayankha mosiyanasiyana mankhwala osiyanasiyana. Mankhwala abwino kwambiri amatha kutsimikiziridwa ndi omwe amakuthandizani azaumoyo, omwe angaganizire mbiri yanu yazachipatala ndi mankhwala ena omwe mumamwa omwe atha kuyanjana ndi Effexor kapena Zoloft.
Kodi nditha kugwiritsa ntchito Effexor kapena Zoloft ndili ndi pakati?
Kutenga Effexor kapena Zoloft mu trimester yachitatu kumatha kubweretsa zovuta zazikulu kwa mwanayo, zomwe zimapangitsa kuti mugone nthawi yayitali, kudyetsa mapaipi, komanso kupuma. Effexor kapena Zoloft imangotchulidwa pakakhala ndi pakati pomwe maubwino ake amaposa ngozi ndipo ngati palibe njira ina yotetezeka yomwe ingapezeke. Ngati mukumutenga kale Effexor kapena Zoloft ndikupeza kuti muli ndi pakati, funsani omwe akukuthandizani kuti akuthandizeni.
Kodi ndingagwiritse ntchito Effexor kapena Zoloft ndi mowa?
Ayi. Ngakhale mankhwala sayenera kugwiritsidwa ntchito ndi mowa. Kuphatikiza mankhwala opanikizika, monga Effexor kapena Zoloft, ndi mowa, kumatha kukulitsa kukhumudwa kapena zizindikilo za nkhawa, kufooketsa kuganiza ndi kukhala tcheru, ndikuwonjezera zovuta zakukhala pansi ndi kugona.
Kodi Zoloft ndibwino kukhala ndi nkhawa kapena kukhumudwa?
Zoloft amawonetsedwa chifukwa chachisoni chachikulu (kukhumudwa). Zoloft sichiwonetsedwa chifukwa cha matenda amisala wamba, koma imawonetsedwa chifukwa cha mantha, nkhawa zamagulu, ndi OCD. Wothandizira zaumoyo wanu amatha kudziwa mankhwala abwino kwambiri kwa inu, kutengera matenda anu ndi zina monga mbiri yanu yazachipatala ndi mankhwala ena omwe mungamwe omwe angagwirizane ndi Zoloft.
Kodi Zoloft angawonjezere nkhawa?
Zoloft amatha kuthana ndi kukhumudwa komanso mitundu ina yamavuto. Komabe, anthu ena zimawachitikira nkhawa kapena kukhumudwa , makamaka poyambira chithandizo. Ngati mutenga Zoloft ndikudandaula kapena kukhumudwa, funsani omwe akukuthandizani kuti akuthandizeni.
Komanso, malingaliro ofuna kudzipha amatha kuchitika nthawi zina, ndipo chiopsezo chimakhala chachikulu kwa odwala mpaka zaka 24. Ngati muli ndi malingaliro ofuna kudzipha, pitani kuchipatala. Onetsetsani kuti okondedwa anu amadziwa za kuthekera kwa malingaliro ofuna kudzipha komanso / kapena machitidwe, kuti athe kukhala tcheru pazomwe zingachitike ndikuthandizani kupeza chithandizo chamankhwala ngati kuli kofunikira.
Kodi ndi bwino kutenga Zoloft m'mawa kapena usiku?
Kulemba zidziwitso kwa Zoloft sikutanthauza nthawi yabwino yamasana kuti mutenge. Nthawi yabwino patsiku ndi pamene mudzakumbukire kutenga tsiku lililonse. Komanso, ngati Zoloft amakupangitsani kuti mugone, mungafune kutenga usiku. Kwa anthu ena, Zoloft amachititsa kugona. Ngati Zoloft ayambitsa tulo, mungafune kumwa m'mawa. Mutha kufunsa amene akukulemberani ngati akufuna kupereka nthawi yoyenera.
