Methylprednisolone vs. prednisone: Kusiyana, kufanana, ndi zomwe zili bwino
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Methylprednisolone ndi prednisone ndizopanga ma glucocorticoids omwe amagwiritsidwa ntchito pamavuto osiyanasiyana. Mankhwalawa ndi ofanana kwambiri ndi mahomoni omwe amapangidwa ndi thupi lanu la adrenal gland. Mukapatsidwa mankhwala okwera kwambiri kuposa momwe thupi lanu limapangidwira lokha, imagwira ntchito m'njira zosiyanasiyana zoletsa zida zina zoteteza mthupi komanso zotupa monga leukotrienes, prostaglandins, kinins, ndi histamines. Njira imeneyi imathandizira kuti mankhwalawa azitha kuchiza matenda am'mapapo, zovuta zama autoimmune, ndi zovuta zotupa, kungotchulapo ochepa. Ngakhale mankhwala onsewa atha kugwiritsidwa ntchito pamavuto omwewo, pali kusiyana pakati pa awiriwa.
Kodi pali kusiyana kotani pakati pa methylprednisolone ndi prednisone?
Methylprednisolone ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito pamavuto osiyanasiyana kuphatikizapo mphumu, ulcerative colitis, nyamakazi ya nyamakazi, komanso kusokonezeka. Methylprednisolone ndichotengera cha prednisolone, ndipo momwe amagwirira ntchito zimapangitsa kuti ikhale yothandiza pamatenda osiyanasiyana otupa komanso chitetezo chamthupi. Methylprednisolone imadutsa ma membrane am'manja ndipo imamangiriza kuzomvera zomwe zimalepheretsa kaphatikizidwe ka mapuloteni ndikupanga ma cytokines. Ma Cytokines amatenga gawo lofunikira pakuwotcha. Mwa njira yomweyi, imayimitsanso kulowetsedwa kwa ma leukotrienes ndi zina zomwe zimayankha chitetezo cha mthupi. Izi zimapangitsa kuti mankhwalawa azigwira ntchito ngati anti-inflammatory and immunosuppressive agent.
Methylprednisolone imapezeka mu 4 mg, 8 mg, 16 mg, ndi 32 mg mapiritsi amlomo. Ikupezekanso mu mayankho omwe angaperekedwe ngati jakisoni wamitsempha kapena wamitsempha. Mapiritsi a methylprednisolone ndi Medrol. Methylprednisolone itha kugwiritsidwa ntchito kwa makanda, ana, komanso akulu.
Prednisone ndi mankhwala akuchipatala omwe amagwiritsidwanso ntchito m'matenda osiyanasiyana am'mimba komanso chitetezo chamthupi. Prednisone ndi chochokera ku cortisone ndipo imayenera kupukusidwa ndi chiwindi mu mawonekedwe ake, prednisolone, kuti iwoloke nembanemba yama cell. Ikadutsa nembanemba, makina ake amafanana ndi methylprednisolone chifukwa imalepheretsa kulowererapo kwa zotupa komanso zoteteza kumatenda.
Prednisone amathanso kutchedwa dzina lake Deltasone. Amapezeka mu 2.5 mg, 5 mg, 10 mg, 20 mg, ndi 50 mg mapiritsi amlomo. Ikupezekanso poyankha pakamwa.
| Kusiyana kwakukulu pakati pa methylprednisolone vs. prednisone | ||
|---|---|---|
| Methylprednisolone | Prednisone | |
| Gulu la mankhwala osokoneza bongo | Corticosteroid | Corticosteroid |
| Chizindikiro cha Brand / generic | Zolemba ndi generic zilipo | Zolemba ndi generic zilipo |
| Kodi dzina lake ndi ndani? | Medrol, SoluMedrol | Deltasone |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi lapakamwa, Njira yothetsera jakisoni | Piritsi lapakamwa, yankho lakamwa |
| Kodi mulingo woyenera ndi uti? | Mlingo woyambirira wa 4 mg mpaka 48 mg wokhala ndi titation potengera kuyankha ndi kuzindikira | Mlingo woyambirira wa 5 mg mpaka 60 mg ndikulemba potengera mayankho ndi kuzindikira |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Masiku asanu ndi limodzi mpaka milungu ingapo kapena kupitilira kutengera matenda. | Masiku asanu mpaka milungu ingapo kapena kupitilira kutengera matenda. |
| Ndani amagwiritsa ntchito mankhwalawa? | Makanda, ana, ndi akulu | Makanda, ana, ndi akulu |
Mukufuna mtengo wabwino pa prednisone?
Lowani zidziwitso zamitengo ya prednisone ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Zomwe zimathandizidwa ndi methylprednisolone vs. prednisone
Methylprednisolone imagwiritsidwa ntchito pochiza matenda osiyanasiyana ndi zovuta. Zotsatira zake pamatenda amtunduwu zimapangitsa kuti zithandizire pamavuto am'mimba monga rheumatoid ndi psoriatic nyamakazi, spondylitis, ndi bursitis. Amagwiritsidwanso ntchito pochiza matenda oyipa a mphumu. Mankhwala a methylprednisolone amachititsa kuti azitha kuchiza matendawa monga matenda a rhinitis, kukhudzana ndi dermatitis, komanso kukhudzidwa kwa mankhwala. Amagwiritsidwanso ntchito mu endocrine, collagen, hematologic, m'mimba, ndi matenda amaso.
Prednisone imagwiritsidwanso ntchito kuthana ndi zovuta zambiri zotupa komanso zoteteza thupi zomwe zimafanana ndi methylprednisolone. Izi zikuphatikizapo rheumatic, kupuma, matupi awo sagwirizana, endocrine, collagen, hematologic, m'mimba, ndi ophthalmic.
Gome lotsatirali, ngakhale likukulira, silingalembetse kugwiritsa ntchito mankhwala awiriwa. Chonde funsani omwe akukuthandizani kuti mumve zambiri za momwe mungagwiritsire ntchito.
| Mkhalidwe | Methylprednisolone | Prednisone |
| Kobadwa nako adrenal hyperplasia | Inde | Inde |
| Nonsuppurative thyroiditis | Inde | Inde |
| Matenda a nyamakazi | Inde | Inde |
| Ankylosing spondylitis | Inde | Inde |
| Pachimake bursitis | Inde | Inde |
| Synovitis ya nyamakazi | Inde | Inde |
| Matenda a Psoriatic | Inde | Inde |
| Zokhudza lupus erythematosus | Inde | Inde |
| Matenda owopsa a seborrheic | Inde | Inde |
| Kwambiri psoriasis | Inde | Inde |
| Chamawonedwe neuritis | Inde | Inde |
| Matupi conjunctivitis | Inde | Inde |
| Chizindikiro sarcoidosis | Inde | Inde |
| Kutulutsa pneumonitis | Inde | Inde |
| Idiopathic thrombocytopenic purpura | Inde | Inde |
| Zilonda zam'mimba | Inde | Inde |
| Kuwonjezeka koopsa kwa Multiple Sclerosis | Inde | Inde |
Kodi methylprednisolone kapena prednisone ndiyothandiza kwambiri?
Pali njira zambiri zoyerekeza methylprednisolone ndi prednisone chifukwa chogwiritsa ntchito kwambiri. Mu njira zambiri zotupa, chithandizo cha corticosteroids chimangogwiritsidwa ntchito kwakanthawi kochepa pakuwonjezera kwakukulu kwa matendawa. Poyerekeza methylprednisolone ndi prednisone mwachindunji, 4 mg ya methylprednisolone ndiyofanana ndi 5 mg ya prednisone. Komabe, pamene mankhwala asinthidwa ndikuyang'aniridwa kuti ayankhe, aliyense atha kukhala othandiza.
Kafukufuku wina adayesa kuyerekezera zotsatira za methylprednisolone yolowa mkati kuti prednisone pakamwa mukulira koopsa kwa mphumu mwa ana. Magulu awiri azachipatala adasinthidwa mwachisawawa kuti alandire 30 mg ya methylprednisolone kapena 30 mg ya oral prednisone. Magulu onse awiriwa adalandira albuterol, ndipo ofufuza adasanthula kupumula kwamatenda, kuthamanga kwapamwamba (PEF), komanso kuwerengera kwa oximetry. Kuwerengedwa kunatengedwa pagulu lililonse patadutsa maola awiri, anayi, ndi maora sikisi atayamba kulandira chithandizo. Panalibe kusiyana kwakanema kapena kochulukirapo pakadutsa kalikonse pakati pa magulu awiriwa. Ofufuzawo adazindikira kuti prednisone yakumlomo ndi yomwe ingakhale chisankho chabwino chifukwa chotsika mtengo komanso kuwongolera kovuta.
Mukufuna mtengo wabwino kwambiri pa methylprednisolone?
Lowani zidziwitso zamitengo ya methylprednisolone ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Kuphunzira ndi kuyerekezera mtengo wa methylprednisolone vs. prednisone
Methylprednisolone ndi mankhwala akuchipatala omwe amapezeka ndi mapulani onse a inshuwaransi komanso Medicare. Njira yamasiku asanu ndi limodzi yamapiritsi 21 a mphamvu ya 4 mg itha kukhala ngati $ 100 ya dzina lake. Ndi coupon yochokera ku SingleCare, mutha kupeza methylprednisolone yotsika $ 15.
Prednisone ndi mankhwala akuchipatala omwe amakhala ndi mapulani a inshuwaransi yamalonda komanso Medicare. Mtengo wapakatikati wa prednisone ndi pafupifupi $ 22 pamapiritsi khumi a 20 mg. Mutha kupeza mankhwalawa pansi pa $ 4 ndi coupon ya SingleCare.
Ndikofunika kudziwa kuti kumatenda ena, ma corticosteroids sangatetezedwe ndi mankhwala, koma atha kupezeka ndi Medicare Part B. Katswiri wanu wamafuta atha kukupatsirani zambiri pakufalitsa.
| Methylprednisolone | Prednisone | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amakhala ndi Medicare? | Inde | Inde |
| Mlingo woyenera | 21, 4 mg mapiritsi | 10, 20 mg mapiritsi |
| Wopanga Medicare wamba | Nthawi zambiri<$10 but may vary depending on the plan | Nthawi zambiri<$10 but may vary depending on the plan |
| Mtengo wosakwatiwa | $ 15 + | $ 4- $ 6 |
Zotsatira zoyipa za methylprednisolone ndi prednisone
Prednisone imagwiritsidwa ntchito ndi metabolite prednisolone ndi chiwindi. Prednisolone ndi methylprednisolone ndizofanana kwambiri, motero zotsatira zake zoyipa zimayenderana.
Glucocorticoids amadziwika kuti amayambitsa kusamvana kwamadzimadzi ndi ma electrolyte komwe kumatha kubweretsa kusungika kwa sodium ndi madzimadzi, kuthamanga kwa magazi, ndipo nthawi zina, kulephera kwa mtima. Methylprednisolone ndi prednisone amathanso kubweretsa kufooka kwa minofu ndikuchepa kwa minofu. Glucocorticoids amadziwika kuti akusokoneza m'mimba ndipo amatha kuyambitsa nseru, kusanza, kapena kuphulika m'mimba. Steroids imatha kuchepetsa kuchira kwa mabala. Kugwiritsa ntchito methylprednisolone ndi prednisone kwa nthawi yayitali kumachedwetsa kukula kwa ana, ndipo pachifukwa ichi, kugwiritsa ntchito kwawo kuyenera kuchepetsedwa kwakanthawi kochepa kuti akwaniritse kukhululukidwa kwa zizindikilo.
Glucocorticoids imatha kusokoneza kuyankha kwa thupi ku insulin. Odwala omwe amalandira mankhwalawa kwa nthawi yayitali amatha kukhala ndi mwayi wokudwala matenda ashuga kuwirikiza kanayi. Odwala omwe amadalira jakisoni wa jakisoni kapena mankhwala ena opatsirana ndi matenda a shuga amayenera kuwonjezera mlingo wawo akakhala pa steroids. Si zachilendo kwa odwala matenda ashuga omwe amawona kukwera kwa shuga m'magazi awo ngakhale pamlingo wochepa kwambiri wa steroids.
Tebulo lotsatirali siliyenera kukhala mndandanda wazotsatira zake. Chonde funsani wamankhwala kapena dokotala wanu kuti mupeze mndandanda wathunthu wazovuta zonse.
| Methylprednisolone | Prednisone | |||
| Kusungidwa kwa sodium | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Kusungidwa kwamadzimadzi | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Matenda oopsa | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kulephera kwa mtima | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kulemera | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Minofu kufooka | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kufooka kwa mafupa | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kutyoka mafupa ataliatali | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Chilonda chachikulu | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Pancreatitis | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kutalika kwa m'mimba | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Wosokonekera bala bala | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Nkhope erythema | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kuchuluka thukuta | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Mutu | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Vertigo | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Khalidwe limasintha | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kupondereza kukula | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Kukaniza kwa insulin | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
| Glaucoma | Inde | Osatanthauziridwa | Inde | Osatanthauziridwa |
Gwero Methylprednisolone (Tsiku Lililonse) Prednisone (Tsiku Lililonse)
Kuyanjana kwa mankhwala a methylprednisolone ndi prednisone
Methylprednisolone ndi prednisone ndi gawo lililonse la cytochrome P450 enzyme 3A4. Njira ya enzyme ya P450 m'chiwindi imayambitsa kagayidwe ka mankhwala ambiri, chifukwa chake pali kuthekera kogwirizana ndimankhwala ambiri.
Corticosteroids amagwiritsidwa ntchito kwambiri kwa odwala omwe amakhalanso ndi othandizira ena a immunosuppressant. Kulamulira momwe thupi limayankhira pakuika ziwalo ndi zovuta zina za autoimmune zitha kufunikira kugwiritsa ntchito wopitilira muyeso wothandizira. Wothandizira wina akhoza kukhudza kagayidwe ka wina, koma atha kugwiritsidwabe ntchito ngati atayang'aniridwa moyenera. Mwachitsanzo, tacrolimus ndi cyclosporine ndi omwe amaletsa CYP 3A4. Izi zitha kubweretsa kuchuluka kwa seramu ya methylprednisolone kapena prednisone ikagwiritsidwa ntchito limodzi. Pakhala pali zovuta zam'magazi zomwe zimagwiritsidwa ntchito nthawi imodzi ya cyclosporine ndi methylprednisolone, ngakhale izi ndizosowa.
Odzetsa okodzetsa amathandizira kusungunula mawonekedwe amadzimadzi mthupi mwa kusefa potaziyamu. Mukaperekedwa ndi methylprednisolone kapena prednisone, komabe, pali kuthekera kwakuti thupi lingataye potaziyamu wambiri. Izi zitha kukhala ndi zotsatira zoyipa pamtima. Odwala omwe akuyenera kutenga izi limodzi ayenera kuyang'anitsitsa mawonekedwe awo a electrolyte.
Tebulo lotsatirali si mndandanda wazovuta zonse zomwe zingachitike. Chonde funsani omwe akukuthandizani kuti mupeze mndandanda wathunthu.
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Methylprednisolone | Prednisone |
| Zamgululi Dabrafenib Erdafitinib Ivosidenib Larotrectinib Tofacitinib Upadacitinib | Signal transduction inhibitors (STI): Ma Immunosuppressants | Inde | Inde |
| Denosumab Natalizumab Nivolumab Ocrelizumab Sarilumab Siltuximab | Immunoglobulins: Ma Immunosuppressants | Inde | Inde |
| Tacrolimus | Calcineurin inhibitor: Immunosuppressant | Inde | Inde |
| Cyclosporine | Kuzungulira peptide: Immunosuppressant | Inde | Inde |
| Wopatsa chidwi Zosintha | Wotsutsa wa NK1: Wotsutsa-kunyoza | Inde | Inde |
| Ketoconazole Chinthaka | Azole antifungals | Inde | Inde |
| Kuchotsetsa | Vasopressin analogi | Inde | Inde |
| Diltiazem | Njira yoletsa calcium | Inde | Inde |
| Isoniazid Rifampin | Antitubercular | Inde | Inde |
| Phenytoin | Wosakanikirana | Inde | Inde |
| Bumetanide Furosemide Torsemide | Zojambula za Loop | Inde | Inde |
| Asipilini Zamgululi Naproxen Diclofenac Meloxicam Alireza | NSAIDs | Inde | Inde |
| Chlorthalidone Hydrochlorothiazide | Odzetsa okodzetsa | Inde | Inde |
Machenjezo a methylprednisolone ndi prednisone
Corticosteroids imatha kubisa zizindikiro za matenda ndipo imachedwetsa kupezeka kwa matenda atsopano. Kugwiritsa ntchito methylprednisolone ndi prednisone kwa nthawi yayitali kumatha kuyambitsa matenda amaso ndi khungu.
Sipanakhale maphunziro oyendetsedwa bwino a corticosteroids mwa amayi apakati, chifukwa chake kugwiritsa ntchito kwawo pobereka kumayenera kuchitika pokhapokha zikawonekeratu kuti phindu limaposa zoopsa zilizonse. Makanda obadwa kwa amayi omwe amagwiritsa ntchito corticosteroids panthawi yoyembekezera ayenera kuwonedwa chifukwa cha hypoadrenalism.
Corticosteroids, makamaka pamlingo waukulu, idzalepheretsa thupi kutulutsa ma antibodies katemera akaperekedwa. Katemera sangakhale othandiza kwa odwala omwe amalandira ma steroids. Katemera wamoyo, monga nthomba, sayenera kuperekedwa kwa odwala omwe amalandira chithandizo cha corticosteroid. Odwala omwe amatenga ma immunosuppressive agents ali pachiwopsezo chachikulu chotenga matenda kuchokera ku katemera wamoyo.
Methylprednisolone ndi prednisone zitha kusintha zotsatira zoyesedwa pakhungu kapena zina zoyeserera. Pazotsatira zolondola kwambiri, mankhwala a steroid amayenera kuyimitsidwa kutatsala masiku ochepa kuti ayesedwe.
Steroids imayenera kuperekedwa kwaufupi momwe mungathere kukwaniritsa zomwe mukufuna. Ngati kugwiritsa ntchito mankhwala otalikitsa kwa nthawi yayitali ndikofunikira kuchipatala, akuyenera kusungidwa pamlingo wochepa kwambiri.
Mafunso omwe amafunsidwa pafupipafupi za methylprednisolone vs. prednisone
Kodi methylprednisolone ndi chiyani?
Methylprednisolone ndi yopangidwa ndi glucocorticoid yomwe imagwiritsidwa ntchito kuthana ndi zovuta zosiyanasiyana zotupa ndi autoimmune. Imapezeka ngati piritsi lokamwa komanso ngati jakisoni. Chithandizo chofala kwambiri ndi masiku asanu ndi limodzi amamwa.
Kodi prednisone ndi chiyani?
Prednisone ndi glucocorticoid yomwe imasakanizidwa ndi chiwindi mmaonekedwe ake, prednisolone. Amagwiritsidwanso ntchito m'matenda ambiri otupa komanso oteteza thupi. Prednisone imapezeka m'mapiritsi amlomo ndi m'mayankho am'kamwa. Kugwiritsa ntchito kwambiri prednisone nthawi zambiri kumakhala masiku asanu.
Kodi methylprednisolone ndi prednisone ndizofanana?
Ngakhale onsewa ndi glucocorticoids, methylprednisolone ndi prednisone sizofanana ndendende. Prednisone iyenera kupangika ndi thupi momwe imagwirira ntchito, prednisolone, kuti ikhudze thupi. Mlingo wa 4 mg wa methylprednisolone ndi wofanana ndi 5 mg prednisone.
Kodi methylprednisolone kapena prednisone ndiyabwino?
Methylprednisolone ndi prednisone aliyense amatha kukwaniritsa kuchotsera chizindikiritso pamene mankhwala ake ayambitsidwa moyenera. Zokakamira pakamwa zitha kusankhidwa kuposa njira zopangira jakisoni chifukwa chotsika mtengo komanso kusamalira kosavuta.
Kodi nditha kugwiritsa ntchito methylprednisolone kapena prednisone ndili ndi pakati?
Methylprednisolone ndi prednisone ndi omwe ali pachiwopsezo chotenga mimba C. Izi zikutanthauza kuti palibe maphunziro owongoleredwa omwe akuwonetsa kuti mankhwalawa ndiabwino pathupi. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu likapambana chiwopsezo.
Kodi ndingagwiritse ntchito methylprednisolone kapena prednisone ndi mowa?
Mowa umasakanizidwa ndi chiwindi. Kumwa mowa mopitirira muyeso kungakhudze thupi kutulutsa prednisone mu mawonekedwe ake. Mowa ndi glucocorticoids zitha kukhala ndi zotsatirapo zoyipa m'matumbo. Kumwa mowa kumachepetsedwa bwino panthawi yamankhwala a steroid.
Kodi methylprednisolone ndi steroid yamphamvu?
Ngakhale methylprednisolone ndi pafupifupi 20% yamphamvu kuposa prednisone, ndi gawo limodzi mwa magawo asanu okha mwa mphamvu zina za glucocorticoids monga dexamethasone kapena betamethasone. Komabe, ndi yamphamvu kasanu kuposa hydrocortisone.
Zimatenga nthawi yayitali bwanji kuti igwiritse ntchito methylprednisolone? / Kodi methylprednisolone ikuchita mwachangu?
Methylprednisolone imayamba mwachangu. Imafika pachimake pakadutsa ola limodzi kapena awiri mutamwa, ndipo mkati mwa ola limodzi lokhala ndi intravenous dose. Imapukusidwa ndi chiwindi kukhala ma metabolites osagwira ntchito omwe amatuluka mkodzo. Hafu ya moyo wa methylprednisolone ndi 18 mpaka maola 36 zomwe zikutanthauza kuti zingatenge masiku 2 mpaka 7 kuti athetse mankhwalawa mthupi lonse.











