Waukulu >> Mankhwala Osokoneza Bongo Vs. Mnzanu >> Jardiance vs. Invokana: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu

Jardiance vs. Invokana: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu

Jardiance vs. Invokana: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inuMankhwala 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





Ngati muli ndi matenda a shuga a mtundu wachiwiri, dokotala wanu angakulimbikitseni imodzi mwa mankhwala ashuga otchedwa Jardiance kapena Invokana. Jardiance (yopangidwa ndi Boehringer-Ingelheim) ndi Invokana (yopangidwa ndi Janssen Pharmaceuticals) ndi mankhwala awiri omwe amadziwika kuti amathandizira mtundu wa 2 shuga. Ali mgulu la mankhwala otchedwa SGLT2 (sodium-glucose cotransporter-2) zoletsa. Amagwira ntchito pothandiza impso kuchotsa shuga m'magazi kudzera mumkodzo, potero amachepetsa shuga m'magazi.



Kodi pali kusiyana kotani pakati pa Jardiance vs. Invokana?

Kusiyana kwakukulu pakati pa Jardiance ndi Invokana
Makhalidwe Invokana
Gulu la mankhwala osokoneza bongo SGLT2 choletsa SGLT2 choletsa
Chizindikiro cha Brand / generic Mtundu Mtundu
Kodi dzina lachibadwa ndi liti? Empagliflozin (sichikupezeka mawonekedwe achilengedwe) Canagliflozin (sichikupezeka mawonekedwe achilengedwe)
Kodi mankhwalawa amabwera mwa mawonekedwe ati? Piritsi: 10 mg, 25 mg
(empagliflozin imapezekanso ndi metformin pophatikiza mankhwala omwe amatchedwa Synjardy, komanso linagliptin ku Glyxambi)
Piritsi: 100 mg, 300 mg
(canagliflozin imapezekanso ndi metformin pophatikiza mankhwala omwe amatchedwa
Kuyankhulana
Kodi mulingo woyenera ndi uti? 10 mg m'mawa uliwonse; itha kukulira mpaka 25 mg m'mawa uliwonse 100 mg m'mawa uliwonse; itha kuwonjezeka mpaka 300 mg m'mawa uliwonse
Kodi mankhwalawa amatenga nthawi yayitali bwanji? Zimasintha Zimasintha
Ndani amagwiritsa ntchito mankhwalawa? Akuluakulu omwe ali ndi matenda a shuga amtundu wa 2 Akuluakulu omwe ali ndi matenda a shuga amtundu wa 2

Mukufuna mtengo wabwino kwambiri pa Jardiance?

Lowani zidziwitso zamitengo ya Jardiance kuti mudziwe kuti mitengo isintha liti!

Pezani zidziwitso zamitengo

Zomwe zimachitidwa ndi Jardiance vs. Invokana

Jardiance (Jardiance ndi chiyani?) Amagwiritsidwa ntchito, pamodzi ndi zakudya ndi masewera olimbitsa thupi, kupititsa patsogolo shuga m'magazi mwa akulu omwe ali ndi matenda a shuga a mtundu wachiwiri, ndikuchepetsa chiopsezo cha kufa kwamtima (CV) mwa akulu omwe ali ndi matenda amtundu wa 2 ndikukhazikika Matenda a CV .



Invokana imagwiritsidwanso ntchito, kuwonjezera pa zakudya komanso masewera olimbitsa thupi, kupititsa patsogolo kuwongolera shuga m'magazi mwa achikulire omwe ali ndi matenda amtundu wachiwiri. Amagwiritsidwanso ntchito pochepetsa chiopsezo cha zochitika zazikulu za CV mwa akulu omwe ali ndi matenda a shuga a mtundu wachiwiri komanso matenda amtima. Chizindikiro chachitatu ndikuchepetsa chiopsezo cha matenda a impso kumapeto, kuwirikiza kawiri kwa serum creatinine, kufa kwa CV, ndikugonekedwa kuchipatala chifukwa cha kulephera kwa mtima mwa akulu omwe ali ndi matenda a shuga a 2 komanso matenda ashuga nephropathy ndi albuminuria.

Mankhwalawa sayenera kugwiritsidwa ntchito kuchiritsa matenda ashuga amtundu wa 1 kapena matenda ashuga ketoacidosis.

Mkhalidwe Makhalidwe Invokana
Phatikizani ndi zakudya ndi masewera olimbitsa thupi kuti muchepetse kuwongolera kwa glycemic mwa akulu omwe ali ndi mtundu wachiwiri wa matenda ashuga Inde Inde
Kuchepetsa chiopsezo chakufa kwamtima mwa akulu omwe ali ndi matenda amtundu wa 2 ndikukhazikitsa matenda amtima Inde Ayi
Kuchepetsa chiopsezo cha mavuto akulu amtima mwa akulu omwe ali ndi matenda a shuga a mtundu wachiwiri ndikukhazikitsa matenda amtima Ayi Inde
Kuchepetsa chiopsezo cha matenda a impso, kumapeto kwa seramu creatinine, kufa kwamtima, komanso kulandilidwa kuchipatala chifukwa cha kulephera kwa mtima mwa akulu omwe ali ndi matenda a shuga a mtundu wachiwiri komanso matenda ashuga omwe ali ndi albinuria Ayi Inde

Kodi Jardiance kapena Invokana ndiyothandiza kwambiri?

Pakati pa khungu lakhungu kawiri, lolamulidwa ndi placebo, masabata 24 kuphunzira ya Jardiance monga monotherapy (yogwiritsidwa ntchito yokha) mu 986 mtundu wa 2 odwala matenda ashuga, chithandizo ndi Jardiance chidapangitsa kutsika kwa HbA1c (muyeso wamawonekedwe a glucose m'miyezi ingapo yapitayi), kuchepa kwama glucose m'magazi, komanso kuchepa thupi. Kuphatikiza ndi mankhwala ena a shuga kapena insulin, Jardiance adachitanso chimodzimodzi pakusintha manambala monga HbA1c.



Mu sabata la 26, lomwe lili ndi khungu lakhungu kawiri kuphunzira ya Invokana ngati monotherapy (yogwiritsidwa ntchito yokha) mwa odwala 582 amtundu wachiwiri wa matenda ashuga, chithandizo cha Invokana chidatsitsa kuchuluka kwa HbA1c, kusala kudya komanso postprandial (mukatha kudya) shuga, kulemera pang'ono, komanso kuthamanga kwa magazi. Monga Jardiance, ataphunzira limodzi ndi mankhwala ena a shuga kapena insulin, Invokana adachitanso chimodzimodzi pakusintha manambala monga HbA1c.

Mankhwala othandiza kwambiri ayenera kutsimikiziridwa ndi dokotala wanu, yemwe angayang'ane chithunzi chonse cha matenda anu, mbiri yanu, ndi mankhwala ena omwe mukumwa.

Pezani khadi yochotsera mankhwala



Kuphunzira ndi kuyerekezera mtengo kwa Jardiance vs. Invokana

Popanda inshuwaransi, Jardiance imawononga pafupifupi $ 625 ndipo Invokana amawononga pafupifupi $ 600 pamasiku 30. Jardiance mwina itha kulipiridwa ndi inshuwaransi kuposa Invokana; Komabe, mitengo imasiyanasiyana kotero kuti ndibwino kuti mufunsane ndi kampani yanu ya inshuwaransi kapena dongosolo la Medicare Part D kuti mumve zambiri. Mutha kusunga ndalama ndi SingleCare pa Jardiance-kupeza mankhwala omwe mumalandira $ 434- $ 500-ndi Invokana, kulipira pafupifupi $ 450 pa 30 count, mapiritsi a 300mg.

Makhalidwe Invokana
Nthawi zambiri amakhala ndi inshuwaransi? Inde Zimasiyanasiyana mwa pulani
Nthawi zambiri amakhala ndi Medicare Part D? Inde Zimasiyanasiyana mwa pulani
Mlingo woyenera # 30, 25 mg mapiritsi # 30, 300 mg mapiritsi
Wopanga Medicare wamba $ 19-612 $ 25- $ 568
Mtengo wosakwatiwa $ 434- $ 500 $ 450

Zotsatira zoyipa za Jardiance vs. Invokana

Ndi Jardiance ndi Invokana, zovuta zoyipa kwambiri ndimatenda amtundu wamaliseche, omwe amapezeka mwa amuna ndi akazi, koma makamaka kwa akazi. Matenda a mumikodzo ndi omwe amadza chifukwa cha mankhwalawa. Zotsatira zina zoyipa za mankhwalawa ndi monga ludzu, kukodza kwambiri, ndi nseru.



Makhalidwe Invokana
Zotsatira zoyipa Zoyenera? Pafupipafupi Zoyenera? Pafupipafupi
Zamgululi Inde 7.6-9.3% * Inde 4.4-5.9% *
Matenda opatsirana pogonana Inde Mkazi: 5.4-6.4%
Amuna: 1.6-3.1%
Inde Mkazi: 10.6-11.6%
Amuna: 3.8-4.2%
Matenda opatsirana apamwamba Inde 3.1-4% Ayi -
Ludzu Inde 1.5-1.7% Inde 2.4-2.8%
Kuchuluka pokodza Inde 3.2-3.4% Inde 4.6-5.1%
Nseru Inde 1.1-2.3% Inde 2.1-2.3%

* Makulidwe chifukwa chosiyanasiyana. Gwero DailyMed (Jardiance ), DailyMed (Invokana)

Kuyanjana kwa mankhwala a Jardiance vs. Invokana

Invokana amalumikizana ndi mankhwala amtima a Lanoxin (digoxin) ndi mankhwala omwe amapangira UGT (mankhwala omwe amapangika ndi ma enzyme ena) omwe amaphatikizapo rifampin, phenytoin, phenobarbital, ndi ritonavir.



Onse Jardiance ndi Invokana amalumikizana ndi okodzetsa monga Lasix (furosemide) ndi hydrochlorothiazide, komanso insulin ndi mankhwala ena ashuga monga metformin. Funsani wothandizira zaumoyo wanu kuti akuthandizeni.

Mankhwala osokoneza bongo Gulu la Mankhwala Makhalidwe Invokana
Rifampin
Phenytoin
Phenobarbital
Ritonavir
Othandizira a UGT Ayi Inde
Lanoxin (digoxin) Ma glycosides amtima Ayi Inde
Lasix (furosemide)
Hydrochlorothiazide
Okodzetsa Inde Inde
Glucophage (metformin) Chinsinsi cha insulini Inde Inde

Machenjezo a Jardiance vs. Invokana

Chifukwa Jardiance ndi Invokana ndi ma SGLT2 zoletsa, amagawana machenjezo omwewo:



  • Chifukwa choopsa kutsika magazi, BP iyenera kuyang'aniridwa. Samalani kwambiri ndi odwala omwe amatenga okodzetsa, okalamba, odwala impso, komanso odwala kuthamanga kwa magazi. Kutaya madzi m'thupi kumatha kuchitika.
  • Malipoti a ketoacidosis (shuga wambiri wamagazi; ma ketoni acidic omwe amakhala mumkodzo) zachitika mwa odwala omwe ali mu SGLT2 inhibitors. Izi zitha kukhala zazikulu, kapena zakupha. Zizindikiro zimaphatikizaponso ludzu, kukodza pafupipafupi, mseru, kupweteka m'mimba, kufooka, mpweya wonunkhira zipatso, komanso kusokonezeka. Funani chithandizo chadzidzidzi, ndipo mankhwalawa ayenera kuthetsedwa. Odwala omwe ali pachiwopsezo chachikulu cha ketoacidosis amaphatikizira kuchepa kwa insulin, kuchepa kwa kalori chifukwa chodwala kapena opaleshoni, kumwa mowa mopitirira muyeso, ndi matenda am'mimba.
  • SGLT2 inhibitors atha kuyambitsa mavuto a impso . Dokotala wanu adzayesa ntchito yanu ya impso, ndikuganizira zinthu zomwe zimawonjezera chiopsezo cha impso, monga mankhwala ophatikizana ndi zina zamankhwala.
  • Pali chiopsezo chowonjezeka cha matenda opatsirana amkodzo (UTI) komanso matenda opatsirana pogonana (vulvovaginal candidiasis mwa akazi; Candida balanitis mwa amuna, nthawi zambiri amuna osadulidwa).
  • Kugwiritsa ntchito insulini kapena mankhwala ena ashuga kumatha kuonjezera chiopsezo cha hypoglycemia (shuga wotsika magazi) mukamamwa SGLT2 inhibitor.
  • Ngati hypersensitivity imachitika (zizindikilo zosavomerezeka monga kutupa, kutsekeka kwa pakhosi, ndi zina), mankhwalawa ayenera kusiya ndipo muyenera kupeza chithandizo chadzidzidzi.
  • Kuchuluka kwa cholesterol cha LDL kumatha kuchitika; cholesterol iyenera kuyang'aniridwa.
  • Zovuta, zowopseza moyo Chilonda cha Fournier (necrotizing fasciitis ya perineum, matenda oyambitsa bakiteriya) akuti. Odwala amayenera kuwunikidwa nthawi yomweyo ngati zizindikirazi zikuchitika: kupweteka, kukoma mtima, kufiira, kapena kutupa kumaliseche kapena perianal, malungo, kapena malaise.

Invokana ali ndi machenjezo enanso:

  • Pali chenjezo la bokosi lomwe limabwera ndi Invokana, chenjezo lamphamvu kwambiri monga momwe a FDA (Food and Drug Administration) amafunira, pankhani yodulidwa ziwalo.
    • M'mayesero azachipatala, panali chiopsezo chowonjezeka chochepetsedwa m'miyendo mwa odwala omwe akutenga Invokana, mwa odwala omwe ali ndi matenda a CV kapena omwe ali pachiwopsezo cha matenda a CV. Odulidwa pafupipafupi anali kumapazi ndi pakati, ngakhale ena anali okhudza miyendo. Odwala ena adadulidwa kangapo kapena kudula ziwalo zonse ziwiri. Musanayambe Invokana, muyenera kukambirana ndi adotolo za zomwe mungachite kuti mudulidwe. Ngati mutenga Invokana, muyenera kuyang'anitsitsa matenda opatsirana, kupweteka, kupweteka, zilonda, kapena zilonda m'miyendo yakumunsi, ndipo siyani kumwa Invokana ndikupita kuchipatala ngati izi zichitika.
  • Pali chiopsezo chowonjezeka chophwanya mafupa ndi Invokana.

Jardiance kapena Invokana sanalimbikitsidwe panthawi yachiwiri ndi yachitatu yamaimidwe apakati. Chifukwa cha chiwopsezo chazovuta zoyipa pa impso za mwana, sizikulimbikitsidwa kugwiritsa ntchito mankhwalawa mukamayamwitsa.

Mafunso omwe amafunsidwa pafupipafupi okhudza Jardiance vs. Invokana

Jardiance ndi chiyani?

Jardiance, yomwe imakhala ndi mankhwala empagliflozin, ndi mankhwala m'kalasi la mankhwala lotchedwa SGLT2 inhibitors, omwe amagwira ntchito pothandiza kuchotsa shuga m'thupi kudzera mumkodzo. Jardiance imapangidwa ndi Boehringer-Ingelheim ndipo imagulitsidwa ndi Boehringer-Ingelheim ndi Eli Lilly ndi Company.

Kodi Invokana ndi chiyani?

Invokana, yomwe ili ndi mankhwalawa canagliflozin, imakhalanso mankhwala m'kalasi la mankhwala lotchedwa SGLT2 inhibitors, omwe amagwira ntchito pothandiza kuchotsa shuga m'thupi kudzera mumkodzo.

Kodi Jardiance vs. Invokana ndiyofanana?

Chifukwa ali mgulu lomweli la mankhwala, ali ndi kufanana kochuluka, koma zosiyana zina pazotsatira zoyipa, kuchuluka kwa mankhwala, kulumikizana ndi mankhwala, machenjezo, ndi zina zambiri, zatchulidwa pamwambapa.

Kodi Jardiance vs. Invokana ndiyabwino?

Izi zimadalira. Mankhwala onsewa awonetsa kuti ndi othandiza, monga tafotokozera pamwambapa. Sipanakhalepo kafukufuku woyerekeza mankhwala awiriwa mutu ndi mutu. Dokotala wanu akhoza kukuthandizani kusankha ngati Jardiance kapena Invokana ndiabwino kwa inu.

Kodi ndingagwiritse ntchito Jardiance vs. Invokana ndili ndi pakati?

Palibe mankhwala omwe amalimbikitsidwa panthawi yachiwiri ndi yachitatu yamitundumimba. Komanso, sikulimbikitsidwa kugwiritsa ntchito mankhwalawa mukamayamwitsa chifukwa chowopsa cha impso za mwana.

Ngati mukuyamba kale Jardiance kapena Invokana ndikupeza kuti muli ndi pakati, funsani dokotala kuti akuwongolereni. Kuwongolera shuga pa nthawi ya mimba ndikofunikira kwambiri; Komabe, zikuwoneka kuti dokotala wanu akusinthani mankhwala anu kuti mukwaniritse kuwongolera kwa glucose mosamala.

Kodi ndingagwiritse ntchito Jardiance vs. Invokana ndi mowa?

Mowa ndi chinthu chimodzi chomwe chingayambitse ketoacidosis. Lankhulani ndi dokotala ngati mumamwa mowa musanatenge Jardiance kapena Invokana.

Kodi ndi mankhwala ati ofanana ndi a Invokana?

Invokana ali mgulu lomweli la mankhwala koma osafanana ndendende ndi Jardiance, Farxiga (dapagliflozin), ndi Steglatro (ertugliflozin).

Kodi Jardiance ndi mankhwala owopsa?

Mankhwala aliwonse amabwera ndi chiopsezo cha zotsatirapo ndi machenjezo. Funsani dokotala wanu kuti muwone ngati Jardiance ndi mankhwala abwino komanso oyenera kwa inu.

Kodi Invokana akuchotsedwa pamsika?

Pakadali pano, Invokana akadali pamsika. A FDA adachita mu 2017 pokhudzana ndi chiwopsezo chowonjezeka chodulidwa ziwalo m'munsi mwa odwala omwe ali ndi matenda amtima.