Lexapro vs. Prozac: 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
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Lexapro (escitalopram) ndi Prozac (fluoxetine) ndi mankhwala awiri ogwiritsidwa ntchito kukhumudwa ndi zovuta zina zamaganizidwe. Mankhwala onse opanikizika amavomerezedwa ndi US Food and Drug Administration (FDA). Ndi ena mwa gulu la mankhwala otchedwa SSRIs (serotonin reuptake inhibitors). SSRIs imagwira ntchito poonjezera ma serotonin muubongo, omwe amathandizira kusintha zizindikilo za kukhumudwa. Ngakhale mankhwala onsewa ndi SSRI antidepressants, ali ndi zosiyana, zomwe timakambirana pansipa.
Kodi pali kusiyana kotani pakati pa Lexapro ndi Prozac?
Lexapro (escitalopram) ndi SSRI (serotonin reuptake inhibitor yosankha). Imapezeka pamtundu ndi generic mawonekedwe komanso ngati piritsi kapena yankho lamlomo. Mlingo wake ndi 10 mg kapena 20 mg kamodzi patsiku.
Prozac (fluoxetine) ndi SSRI ndipo imapezeka pamtundu ndi generic. Prozac imapezeka piritsi ndi kapisozi kapenanso yankho pakamwa. Mlingowu umasiyanasiyana, koma mlingo wamba ndi 20 mg kamodzi patsiku.
| Kusiyana kwakukulu pakati pa Lexapro ndi Prozac | ||
|---|---|---|
| Lexapro | Prozac | |
| Gulu la mankhwala osokoneza bongo | SSRI (serotonin reuptake inhibitor yosankha) | SSRI (serotonin reuptake inhibitor yosankha) |
| Chizindikiro cha Brand / generic | Brand ndi generic | Brand ndi generic |
| Kodi dzina lachibadwa ndi liti? | Kuyanjana | Fluoxetine |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi, yankho | Piritsi, kapisozi, yankho Komanso kuphatikiza olanzapine ngati Symbyax |
| Kodi mulingo woyenera ndi uti? | 10 mg kapena 20 mg kamodzi tsiku lililonse (kuchuluka kwake kumasiyana) | 20 mg kamodzi tsiku lililonse (kuchuluka kwake kumasiyana) |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Zimasintha | Zimasintha |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu ndi achinyamata (azaka 12 zakubadwa kapena kupitilira) | Ana, achinyamata, achikulire |
Mukufuna mtengo wabwino pa Prozac?
Lowani zidziwitso zamitengo ya Prozac ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Zomwe amathandizidwa ndi Lexapro ndi Prozac
Lexapro amawonetsedwa kuti amachiza MDD, kapena vuto lalikulu lokhumudwa (mwa akulu ndi achinyamata azaka zapakati pa 12-17). Lexapro amadziwikanso kuti azitha kuchiza matenda achikulire mwa akulu.
Prozac imawonetsedwa chifukwa chachisokonezo chachikulu chachisokonezo komanso kusokonezeka kwa ana, achinyamata, komanso achikulire. Prozac sivomerezedwa kuti igwiritsidwe ntchito kwa ana ochepera zaka 7. Prozac imagwiritsidwanso ntchito pochiza bulimia nervosa, premenstrual dysphoric disorder, ndi mantha amantha. Symbyax (yomwe ndi mankhwala osakaniza omwe ali ndi mankhwala a Prozac, fluoxetine, pamodzi ndi mankhwala ena otchedwa olanzapine) amagwiritsidwa ntchito pochiza matenda okhumudwa omwe amabwera chifukwa cha kupuma kwa bipolar I ndipo amagwiritsidwanso ntchito kupsinjika kopanda mankhwala.
| Mkhalidwe | Lexapro | Prozac |
| Matenda Aakulu Achisoni (MDD) | Inde | Inde |
| Matenda amisala wamba | Inde | Kutumiza |
| Matenda osokoneza bongo (OCD) | Kutumiza | Inde |
| Bulimia mantha | Ayi | Inde |
| Kusokonezeka kwamantha | Kutumiza | Inde |
| Matenda a premenstrual dysphoric | Ayi | Inde |
| Amagwiritsidwa ntchito limodzi ndi olanzapine (Symbyax) pochiza magawo okhumudwa omwe amabwera chifukwa cha matenda ochititsa munthu kusinthasintha zochitika | Ayi | Inde |
| Amagwiritsidwa ntchito limodzi ndi olanzapine (Symbyax) pakukhumudwa kosagwiritsa ntchito mankhwala | Ayi | Inde |
Kodi Lexapro kapena Prozac ndiyothandiza kwambiri?
Phunziro limodzi anayang'ana Lexapro kuphatikiza mankhwala ena ambiri opatsirana. Poyerekeza Lexapro ndi Prozac, olembawo adapeza kuti mankhwala onsewa ndi ofanana.
Kafukufuku wina , yomwe inali kuwunika kwamaphunziro ambiri, poyerekeza antidepressants ndipo poyambirira idapeza Lexapro kukhala yothandiza komanso yololera bwino kuposa mankhwala ena opatsirana. Komabe, olembawo atayang'ana maphunziro am'mutu ndi mutu ndikuwona zonse zomwe adapeza, adapeza kusiyana kochepa pakati pa opanikizika.
Odwala nkhawa amatenga milungu ingapo kuti akwaniritse zonse, chifukwa chake mukamamwa mankhwala ochepetsa nkhawa, ndikofunikira kuti mupatse nthawi yogwira ntchito. Mankhwala othandiza kwambiri kwa inu angadziwike kokha ndi omwe amakuthandizani pa zaumoyo, omwe angayang'ane mbiri yanu yazachipatala, komanso mankhwala ena aliwonse omwe mungatenge omwe angayanjane ndi Lexapro kapena Prozac. Nthawi zina zimatenga mayesero pang'ono kuti mupeze mankhwala omwe amakuthandizani kwambiri.
Mukufuna mtengo wabwino pa Lexapro?
Lowani zidziwitso zamitengo ya Lexapro kuti mupeze kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Kuwerenga ndi kuyerekezera mtengo kwa Lexapro vs. Prozac
Lexapro nthawi zambiri imakhala ndi inshuwaransi ndi Medicare Part D. Mtundu wa generic nthawi zambiri umakhala ndi ma copay ochepa kwambiri, pomwe dzina lamasamba nthawi zambiri limakhala ndi ma copay apamwamba kwambiri kapena osaphimbidwa konse. Lexapro amawononga pafupifupi $ 379 pa 30, 10 mg mapiritsi a dzina kapena $ 70 pa 30, 10 mg mapiritsi achibadwa. Mutha kupeza Lexapro generic pamtengo wokwana $ 15 ndi khadi ya SingleCare kuma pharmacies omwe akutenga nawo mbali.
Prozac imapezekanso ndi inshuwaransi ndi Medicare Part D; kusankha generic kudzapulumutsa ndalama zambiri. Chizindikirocho chimakhala ndi copay yayikulu kwambiri kapena sichitha kuphimbidwa. Prozac amawononga $ 600 pa 30, 20 mg ma makapisozi, kapena kupitirira $ 30 pa 30, 20 mg makapisozi achibadwa. Mutha kugula Prozac ya generic kuyambira $ 4 kuma pharmacies ena omwe amalandira makuponi a SingleCare.
| Lexapro | Prozac | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde (generic) | Inde (generic) |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde (generic) | Inde (generic) |
| Mlingo woyenera | # 30, 10 mg mapiritsi | # 30, 20 mg makapisozi |
| Chitsanzo cha Medicare Part D copay | $ 0- $ 30 | $ 0- $ 12 |
| Mtengo wosakwatiwa | $ 15- $ 50 | $ 4- $ 20 |
Zotsatira zoyipa za Lexapro vs. Prozac
Zotsatira zoyipa kwambiri za Lexapro ndizopweteka mutu, mseru, mavuto azakugonana, kugona, ndi kugona tulo.
Zotsatira zoyipa kwambiri za Prozac ndimutu, mseru, kugona, kusowa tulo, kusowa chilakolako, komanso mantha / nkhawa.
Ndi mankhwala atsopano aliwonse a Lexapro kapena Prozac, mudzalandira chitsogozo cha mankhwala chomwe chimakambirana za zovuta, machenjezo, ndi zina zofunika.
Ili si mndandanda wathunthu wazotsatira. Zotsatira zina zoyipa zimatha kuchitika. Funsani wothandizira zaumoyo wanu kuti muwone mndandanda wa zotsatirapo zake.
| Lexapro | Prozac | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Mutu | Inde | 24% | Inde | makumi awiri ndi mphambu imodzi% |
| Nseru | Inde | 18% | Inde | makumi awiri ndi mphambu imodzi% |
| Kutsekula m'mimba | Inde | 8% | Inde | 12% |
| Kusokonezeka / kutha kwa kugonana | Inde | 14% | Inde | % sananene |
| Pakamwa pouma | Inde | 9% | Inde | 10% |
| Kusinza | Inde | 13% | Inde | 13% |
| Kusowa tulo | Inde | 12% | Inde | 16% |
| Kutaya njala | Inde | % sananene | Inde | khumi ndi chimodzi% |
| Mantha / nkhawa | Ayi | - | Inde | 12-13% |
Gwero: DailyMed ( Kameme ), Tsiku Lililonse ( Prozac )
Kuyanjana kwa mankhwala a Lexapro vs. Prozac
Chifukwa mankhwala onsewa ali mgulu limodzi, amakhala ndi machitidwe ofanana azamankhwala.
MAOIs (monoamine oxidase inhibitors) sayenera kugwiritsidwa ntchito pasanathe masiku 14 kuchokera ku Lexapro kapena Prozac. Kuphatikizana kungapangitse chiopsezo cha matenda a serotonin , mwangozi zoopsa zachipatala chifukwa cha kuchuluka kwa serotonin. Ma Triptan omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala, monga Imitrex (sumatriptan), komanso mankhwala ena opewetsa kupsinjika, monga Elavil kapena Cymbalta, sayenera kugwiritsidwa ntchito limodzi ndi Lexapro kapena Prozac chifukwa chowopsa cha matenda a serotonin. Komanso, dextromethorphan ya chifuwa-yomwe imapezeka ku Robitussin-DM komanso mitundu ina ya chifuwa ndi mankhwala ozizira-iyenera kupewedwa chifukwa ingayambitsenso matenda a serotonin akaphatikizidwa ndi Lexapro kapena Prozac.
Mankhwala ena omwe amatha kulumikizana ndi Lexapro kapena Prozac amaphatikiza maantibayotiki a macrolide monga Zithromax, NSAIDs (non-steroidal anti-inflammatory drugs) monga ibuprofen, kapena mankhwala opha ululu monga Ultram (tramadol). Mowa ayenera kupewedwa mukamamwa Lexapro kapena Prozac.
Ili si mndandanda wathunthu wazomwe zimachitika ndi mankhwala. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagwiridwe antchito.
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Kameme | Prozac |
| Rasagiline Selegiline Zamgululi | MAOIs | Inde (gwiritsani ntchito masiku osachepera 14) | Inde (gwiritsani ntchito masiku osachepera 14) |
| Mowa | Mowa | Inde | Inde |
| Rizatriptan Sumatriptan Zolmitriptan | Zolemba | Inde | Inde |
| St. John's Wort | Zowonjezera | Inde | Inde |
| Warfarin | Wotsutsa | Inde | Inde |
| Codeine Hydrocodone Morphine Oxycodone Zamgululi | Kupweteka kwa opioid kumachepetsa | Inde | Inde |
| Dextromethorphan (m'mafupa ambiri ndi mankhwala ozizira) | Chifuwa suppressant | Inde | Inde |
| Azithromycin Clarithromycin Mankhwalawa | Mankhwala a Macrolide | Inde | Inde |
| Asipilini Zamgululi Meloxicam Nabumetone Naproxen | NSAIDs | Inde | Inde |
| Chotsani Duloxetine Katemera | SNRI antidepressants | Inde | Inde |
| Amitriptyline Desipramine Imipramine Mzere wa Nortriptyline | Tricyclic antidepressants | Inde | Inde |
| Zamgululi Zamgululi Thioridazine Vinblastine | Mankhwala osokoneza bongo ndi enzyme CYP2D6 | Inde (gwiritsirani ntchito osachepera milungu isanu) | Inde (gwiritsirani ntchito osachepera milungu isanu) |
| Alprazolam Clonazepam Diazepam | Benzodiazepines | Inde | Inde |
Machenjezo a Lexapro ndi Prozac
Ma SSRIs onse, kuphatikiza Lexapro ndi Prozac, ali ndi chenjezo lolembedwa lodzipha. Ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana amakhala ndi chiopsezo chowonjezeka chodzipha ndi malingaliro. Odwala onse omwe ali ndi antidepressants ayenera kuyang'aniridwa mosamala.
Machenjezo ena ndi awa:
- Matenda a Serotonin ndizowopsa, zoopsa zomwe zimayambitsidwa ndi kuchuluka kwa serotonin yochulukirapo. Odwala omwe amatenga Lexapro kapena Prozac ayenera kuyang'aniridwa mosamala pazizindikiro za matenda a serotonin monga kuyerekezera zinthu, kukomoka, komanso kusokonezeka. Odwala ayenera kupeza chithandizo chamankhwala mwadzidzidzi ngati izi zikuchitika. Odwala omwe amamwa mankhwala ena omwe amachulukitsa kuchuluka kwa serotonin (triptans, tricyclic antidepressants, fentanyl, lithiamu, tramadol, tryptophan, buspirone, dextromethorphan, amphetamines, St. John's wort, ndi MAOIs) ali pachiwopsezo chachikulu cha matenda a serotonin.
- Mukasiya Lexapro kapena Prozac, zizindikilo zakutha monga kusokonezeka kumatha kuchitika. Odwala ayenera kusiya kumwa mankhwalawa pang'onopang'ono ndipo osayima mwadzidzidzi. Wothandizira zaumoyo wanu akhoza kukulangizani za njira yabwino yoletsera Lexapro kapena Prozac.
- Odwala omwe agwidwa ndi khunyu, Lexapro kapena Prozac ayenera kugwiritsidwa ntchito mosamala.
- Hyponatremia (sodium wocheperako) chifukwa cha matenda osavomerezeka a antidiuretic hormone secretion (SIADH) atha kuchitika. Odwala amatha kupwetekedwa mutu, kuvutika kuganizira, kukumbukira kukumbukira, kusokonezeka, kufooka, komanso kusakhazikika, komwe kumatha kubweretsa kugwa. Milandu yayikulu imatha kuchitika. Odwala ayenera kupeza chithandizo chadzidzidzi ngati zizindikiro zikuchitika, ndipo SSRI iyenera kuyimitsidwa.
- SSRIs iyenera kupewedwa mwa odwala omwe ali ndi ma angles osatetezedwa (anatseka-glaucoma).
- SSRIs imatha kuwonjezera ngozi yakutaya magazi. Chiwopsezo chikuwonjezeka ndikugwiritsa ntchito ma aspirin, ma NSAID, kapena warfarin.
- Kukhazikitsa kwa mania kapena hypomania kumatha kuchitika. Odwala omwe ali ndi vuto losinthasintha zochitika, wopanikizika amatha kutulutsa gawo losakanikirana.
- Osayendetsa kapena kugwiritsa ntchito makina mpaka mutadziwa momwe Lexapro kapena Prozac imakukhudzirani.
- Gwiritsani ntchito mosamala kwa odwala omwe ali ndi vuto la impso.
- Nthawi zambiri, pakhala pali malipoti a zotupa ndi zosokoneza zomwe zimachitika / systemic anaphylaxis reaction, zomwe zitha kupha. Ngati mukumana ndi zotupa kapena zosavomerezeka, lekani kumwa Lexapro kapena Prozac ndipo pitani kuchipatala nthawi yomweyo.
- SSRIs imatha kubweretsa kuchepa kwakukulu, makamaka kwa odwala onenepa kwambiri kapena odwala bulimic, makamaka ndi Prozac. Kusintha kwa kulemera kuyenera kuyang'aniridwa panthawi ya chithandizo.
- Lexapro kapena Prozac imatha kuyambitsa kutalikitsa kwa QT ndi ventricular arrhythmia. Odwala ena amakhala pachiwopsezo chachikulu chifukwa cha matenda kapena mankhwala ena. Funsani omwe amakuthandizani ngati Lexapro kapena Prozac ali otetezeka kwa inu.
- Prozac imatha kubweretsa nkhawa, mantha, kapena kugona tulo.
Lexapro kapena Prozac ayenera kugwiritsidwa ntchito pathupi ngati phindu kwa mayi ndiloposa chiopsezo kwa mwana. Kuyimitsa mankhwalawa kumatha kuyambitsanso kukhumudwa kapena kuda nkhawa. Chifukwa chake, odwala amayenera kuwunikidwa pamlanduwu. Wothandizira zaumoyo wanu amatha kuyeza zoopsa poyerekeza ndi phindu logwiritsa ntchito SSRI panthawi yapakati. Ma Neonates omwe amapezeka ku SSRI m'gawo lachitatu lachitatu akhala ndi zovuta zomwe zimafunikira kuchipatala kwakanthawi, chithandizo cha kupuma, komanso kudyetsa chubu. Ngati muli kale pa Lexapro kapena Prozac ndikupeza kuti muli ndi pakati, funsani omwe akukuthandizani nthawi yomweyo.
Mafunso omwe amafunsidwa kawirikawiri za Lexapro vs. Prozac
Lexapro ndi chiyani?
Lexapro ndi SSRI (serotonin reuptake inhibitor) yomwe imagwiritsidwa ntchito kupsinjika ndi nkhawa. Amapezeka pamtundu uliwonse komanso generic (escitalopram).
Prozac ndi chiyani?
Prozac ndi SSRI yomwe imathandizira kutaya mtima, kukakamizidwa kuchita zinthu mopanikizika, bulimia nervosa, premenstrual dysphoric disorder, ndi mantha mantha. Dzina lake lenileni ndi fluoxetine. Prozac imapezeka pamtundu komanso generic.
Kodi Lexapro ndi Prozac ali ofanana?
Lexapro ndi Prozac onse ali mgulu la SSRI la mankhwala. Ndi ofanana, koma osafanana ndendende. Ali ndi zosiyana, monga tafotokozera pamwambapa. Mankhwala ena a SSRI omwe mwina mwamvapo ndi awa: Celexa (citalopram), Luvox (fluvoxamine), Paxil (paroxetine), ndi Zoloft (sertraline).
Gulu lina la mankhwala omwe mudamvapo ndi mankhwala a SNRI, omwe amaphatikizapo Cymbalta (duloxetine), Effexor (venlafaxine), ndi Pristiq (desvenlafaxine).
Kodi Lexapro kapena Prozac ili bwino?
Kafukufuku (onani pamwambapa) akuwonetsa Lexapro ndi Prozac kuti nawonso akhale ogwira mtima. Funsani omwe akukuthandizani, omwe angakuthandizeni kudziwa ngati Lexapro kapena Prozac sangasankhe bwino.
Kodi nditha kugwiritsa ntchito Lexapro kapena Prozac ndili ndi pakati?
Icho zimadalira —Funsani malangizo kwa omwe amakuthandizani pa zaumoyo. Adzafufuza zaubwino wopeza mankhwala opatsirana pogonana motsutsana ndi chiopsezo cha mwanayo. Ma Neonates omwe amapezeka ndi mankhwala opatsirana pogonana, kuphatikiza ma SSRIs, mu trimester yachitatu yapakati, ali ndi zovuta.
Ngati muli kale pa Lexapro kapena Prozac ndipo mukudziwa kuti muli ndi pakati, funsani OB-GYN anu nthawi yomweyo kuti akuthandizeni. Ngati muli kuyamwitsa , Funsani OB-GYN wanu.
Kodi ndingagwiritse ntchito Lexapro kapena Prozac ndi mowa?
Ayi. Lexapro kapena Prozac sayenera kumwedwa ndi mowa, chifukwa kuphatikiza kumatha kuwonjezera chiopsezo cha kupuma (kupumira pang'ono, kusapeza mpweya wokwanira) ndikuwonjezera kutopa ndi kugona komanso kulepheretsa kukhala tcheru. Kuphatikizaku kungapangitsenso nkhawa komanso / kapena kukhumudwa.
Kodi SSRI yabwino kwambiri yokhudzana ndi nkhawa ndi iti?
Ngakhale benzodiazepines monga Xanax (alprazolam) nthawi zambiri amagwiritsidwa ntchito pochiza nkhawa kwakanthawi, ma SSRIs nthawi zambiri amaperekedwa ngati chithandizo chanthawi yayitali cha nkhawa. SSRI yabwino kwambiri yokhudzana ndi nkhawa, ndiyomwe imagwira ntchito bwino kwa inu. Funsani omwe amakuthandizani ngati SSRI ikuthandizani kuthana ndi nkhawa yanu.
Kodi Prozac ndi yabwino kuda nkhawa?
Chosonyeza kukhumudwa ndi zina, Prozac nthawi zina amalembedwa kuti asakhale ndi nkhawa. M'maphunziro azachipatala, 12% mpaka 13% ya odwala omwe amatenga Prozac adanjenjemera kapena kuda nkhawa. Funsani wothandizira zaumoyo wanu kuti akuthandizeni.
Kodi Prozac ingakupangitseni kukhala achinyengo?
Prozac imatha kukhala ndi zovuta zina pamanjenje monga kusowa tulo, kunjenjemera, kuda nkhawa, kapena mantha, zomwe zingakupangitseni kumva kuti ndinu achabechabe. Komabe, kumva zizindikiro zakunjenjemera, kugunda kwamtima, kapena kusakhazikika kungakhale zizindikilo za serotonin syndrome (onani pamwambapa machenjezo). Mukawona kusintha kwa malingaliro kapena kulumikizana, kusintha kwa kugunda kwa mtima kapena kuthamanga kwa magazi, ndi / kapena GI (m'mimba) zizindikilo monga kutsekula m'mimba, izi zitha kukhala matenda a serotonin. Zitha kupha moyo, chifukwa chake pitani kuchipatala mwadzidzidzi.
