Paxil vs.Lexapro: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu
Mankhwala osokoneza bongo Vs. MnzanuKuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndikufanizira mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ
Paxil ndi Lexapro ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito nthawi zambiri kuthana ndi vuto lalikulu la kukhumudwa (MDD) komanso matenda amisala (GAD). MDD imadziwika ndi kuchepa kwa milungu iwiri kapena kupitilira apo, nthawi zambiri kumatsagana ndi kutaya chidwi pazochitika zanthawi zonse komanso mphamvu zochepa. Odwala ena amamva ululu wopanda gwero lowonekera.
Matendawa amakhala ndi nkhawa yayikulu pazinthu zosiyanasiyana kuphatikiza ndalama, banja, thanzi, komanso ntchito. Amapezeka kuti odwala akakhala ndi nkhawa masiku ambiri kuposa miyezi isanu ndi umodzi.
Paxil ndi Lexapro ali mgulu la mankhwala opatsirana pogonana omwe amadziwika kuti serotonin reuptake inhibitors (SSRIs). Ma SSRI ena omwe amadziwika kuti ndi Prozac (fluoxetine), Zoloft (sertraline), ndi Celexa (citalopram).
Kodi pali kusiyana kotani pakati pa Paxil ndi Lexapro?
Paxil (Paxil ndi chiyani?) Imapezeka ngati mankhwala achibadwa otchedwa paroxetine, ndipo ndi a gulu la mankhwala opatsirana pogonana omwe amadziwika kuti serotonin reuptake inhibitors (SSRIs). Lexapro (Lexapro ndi chiyani?) Imagwira ntchito poletsa kubwezeretsanso kwa serotonin ya neurotransmitter papampu yotumiza ma neuronal. Izi zimasiya serotonin yaulere mu synapse ya neuron. Mulingo wapamwamba wa serotonin umagwira bwino pamachitidwe ndikukhudzidwa.
Paxil imapezeka ndi mankhwala piritsi lokhazikika komanso lotulutsidwa, komanso yankho la m'kamwa.
Lexapro imapezeka ngati escitalopram, komanso SSRI. Makina ake ndi ofanana ndi a paroxetine chifukwa amawonjezera serotonin yaulere. Lexapro imapezeka ngati piritsi yamlomo ndi yankho lamlomo.
| Kusiyana kwakukulu pakati pa Paxil ndi Lexapro | ||
|---|---|---|
| Paxil | Lexapro | |
| Gulu la mankhwala osokoneza bongo | Kusankha serotonin reuptake inhibitor | Kusankha serotonin reuptake inhibitor |
| Chizindikiro cha Brand / generic | Zolemba ndi generic zilipo | Zolemba ndi generic zilipo |
| Kodi dzina lachibadwa ndi liti? | Paroxetine | Kuyanjana |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Mapiritsi otulutsira pafupipafupi, mapiritsi otulutsidwa moyang'aniridwa, ndi yankho lamlomo | Mapiritsi ndi yankho pamlomo |
| Kodi mulingo woyenera ndi uti? | 20 mg kamodzi patsiku | 10 mg kamodzi patsiku |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Kutalika (miyezi mpaka zaka) | Kutalika (miyezi mpaka zaka) |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu | Achinyamata ndi achikulire |
Mukufuna mtengo wabwino pa Lexapro?
Lowani zidziwitso zamitengo ya Lexapro ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Zomwe amathandizidwa ndi Paxil ndi Lexapro
Paxil ndi Lexapro onse amawonetsedwa kuti amatha kuthana ndi vuto lalikulu lachisokonezo komanso matenda amisala wamba, koma amathandizanso mikhalidwe ina. Paxil imavomerezedwa pochiza matenda osokoneza bongo (OCD), mantha amantha, nkhawa zamagulu, komanso kupsinjika kwakanthawi koopsa (PTSD). Kwa amayi makamaka, Paxil amagwiritsidwa ntchito pochiza matendawa asanachitike msambo (PMDD) ndi kuwotcha kotentha komwe kumadza chifukwa cha kusamba. Itha kugwiritsidwa ntchito ngati chizindikiro, kapena popanda chilolezo cha Food and Drug Administration (FDA), kuti ikodwe msanga mwa amuna.
Nthawi zina Lexapro imagwiritsidwa ntchito ngati chizindikiro chazovuta zopitilira muyeso, bulimia nervosa, ndi kudya kwambiri.
Tchati chotsatirachi chimapereka mndandanda wazomwe zathandizidwa ndi Paxil ndi Lexapro. Sizingaphatikizepo zomwe zingagwiritsidwe ntchito, ndipo nthawi zonse muzifunsira kwa akatswiri azaumoyo kapena zamisala kuti muwone ngati imodzi mwa mankhwalawa ndi yoyenera kwa inu.
| Mkhalidwe | Paxil | Lexapro |
| Matenda akulu okhumudwa (kukhumudwa kwakukulu) (MDD) | Inde | Inde |
| Matenda a nkhawa wamba (GAD) | Inde | Inde |
| Matenda osokoneza bongo (OCD) | Inde | Kutumiza |
| Kusokonezeka kwamantha | Inde | Ayi |
| Matenda amisala | Inde | Ayi |
| Post-traumatic stress disorder (PTSD) | Inde | Ayi |
| Matenda a Premenstrual dysphoric (PMDD) | Inde | Ayi |
| Kutentha kotentha komwe kumakhudzana ndi kusintha kwa thupi | Inde | Ayi |
| Kuthamangira msanga | Kutumiza | Ayi |
| Bulimia mantha | Ayi | Kutumiza |
| Kudya kwambiri | Ayi | Kutumiza |
Kodi Paxil kapena Lexapro ndi yothandiza kwambiri?
KU kusanthula meta poyerekeza antidepressants 12, kuphatikiza Paxil ndi Lexapro, ndi zomwe zimakhudza kukhumudwa. Ochita kafukufuku amayesa kuyerekezera kuthandizira komanso kulekerera kwa mankhwalawa. Zotsatira zake zidawonetsa kuti Lexapro inali yothandiza kwambiri pakukwaniritsa zotsatira za MDD. Lexapro adawonetsanso kulolerana kovomerezeka, zomwe zimapangitsa odwala ochepa omwe adasiya mankhwala. Kuchokera pazotsatira izi, Lexapro akuwoneka ngati wosankhidwa kuposa Paxil mu MDD.
Mwa wina kusanthula meta kuphunzira, Paxil ndi Lexapro adafaniziridwa pazotsatira zawo pa nkhawa. Lexapro inapezeka kuti inali yothandiza kwambiri kuposa placebo ndipo inalekerera bwino. Paxil, ngakhale anali wothandiza, adalekerera bwino ndipo zidapangitsa kuti anthu ambiri asiye. Kutengera ndi izi, Lexapro atha kusankhidwa ndi matenda amtendere.
Mukufuna mtengo wabwino pa Paxil?
Lowani zidziwitso zamitengo ya Paxil ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Kuyerekeza ndi kuyerekezera mtengo kwa Paxil vs. Lexapro
Paxil ndi mankhwala omwe amapatsidwa ndi mankhwala komanso mankhwala a Medicare. Mtengo wamthumba wa mwezi umodzi wa Paxil 20 mg utha kukhala wopitilira $ 400, koma ndi coupon yochokera ku SingleCare, mutha kupeza generic yotsika $ 4 kuma pharmacies omwe akutenga nawo mbali.
Lexapro ndi mankhwala omwe amalembedwa ndi malonda ndi mankhwala a Medicare. Mtengo wakunja kwa masiku 30 wa Lexapro 10 mg utha kukhala wopitilira $ 400. SingleCare imapereka coupon ya generic Lexapro, yomwe imatha kutsitsa mtengo mpaka $ 8 kapena kuchepera.
| Paxil | Lexapro | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde | Inde |
| Mlingo woyenera | 30, 20 mg mapiritsi | 30, 10 mg mapiritsi |
| Wopanga Medicare wamba | Osakwana $ 10 | Osakwana $ 10 |
| Mtengo wosakwatiwa | $ 4 + | $ 8 + |
Pezani khadi yochotsera mankhwala
Zotsatira zoyipa za Paxil vs.Lexapro
Paxil ndi Lexapro onse ndi ma SSRIs ndipo ali ndi mbiri yofananira, ngakhale monga kafukufuku amene wanenedwa pamwambapa akusonyeza, kuchitika kwa zovuta izi kumatha kusiyanasiyana pakati pa mankhwalawa. Nausea imafala kwambiri ndi Paxil kuposa Lexapro, yomwe imachitika mwa 26% ya odwala poyerekeza ndi 5% yokha ndi Lexapro.
Kusungunuka, kapena kugona, kumakhalanso kofala kwambiri ndi Paxil, yomwe imapezeka mwa 23% mwa odwala, poyerekeza ndi 6% mwa odwala Lexapro.
Zotsatira zoyipa ndizo chifukwa chachikulu chomwe odwala amasiya kulandira mankhwala opatsirana pogonana, ndipo ndikofunikira kudziwa zomwe muyenera kuyembekezera ndikukambirana ndi omwe akukulemberani kapena wamankhwala. Ili si mndandanda wathunthu wazovuta. Mndandanda wathunthu ungapezeke kuchokera kwa omwe amakupatsani zaumoyo.
| Paxil | Lexapro | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Nseru | Inde | 26% | Inde | 5% |
| Pakamwa pouma | Inde | 18% | Inde | 5% |
| Kutuluka thukuta | Inde | khumi ndi chimodzi% | Inde | 5% |
| Kutsekula m'mimba | Inde | 12% | Inde | 8% |
| Kudzimbidwa | Inde | 14% | Inde | 3% |
| Dyspepsia | Ayi | awiri% | Inde | 3% |
| Chizungulire | Inde | 13% | Ayi | n / A |
| Kusinza | Inde | 2. 3% | Inde | 6% |
| Mutu | Inde | 18% | Ayi | n / A |
| Kuchepetsa chilakolako | Inde | 6% | Inde | 3% |
| Kuchepetsa libido | Ayi | 3% | Inde | awiri% |
Gwero: Paxil ( Tsiku ndi Tsiku ) Mpumi ( Tsiku ndi Tsiku )
Kuyanjana kwa mankhwala a Paxil vs. Lexapro
Paxil ndi Lexapro aliwonse amapukusidwa ndi cytochrome P-450 enzyme system. Paxil ndi choletsa champhamvu cha CYP2D6. Mwachitsanzo, Codeine, imapukusidwa ndi morphine ndi CYP2D6. Odwala omwe amamwa Paxil angafunike kuchuluka kwa codeine kuti athe kupweteka. Mwinanso, odwala omwe amatenga codeine ndi Paxil pamodzi omwe amasiya Paxil angafunikire kuti mankhwala awo a codeine asinthidwe kuti apewe zovuta zomwe zingawononge moyo wawo monga kuchepa kwa kupuma.
Lexapro ndi gawo lalikulu la CYP2C19 ndi CYP3A4, komanso choletsa chofooka cha CYP2D6. Kugwiritsa ntchito Lexapro ndi tricyclic antidepressants, monga amitriptyline, kumatha kuwonjezera chiopsezo cha kutalikirana kwa QT ndi matenda a serotonin. Mwambiri, kuphatikiza uku kuyenera kupewedwa.
Mndandanda wotsatirawu sikuti ukhale mndandanda wathunthu wamagwiritsidwe azamankhwala. Ndibwino kuti mufunsane ndi omwe amakupatsirani kapena wamankhwala kuti mupeze mndandanda wathunthu wamaulendo ndi upangiri wazachipatala.
| Mankhwala osokoneza bongo | Gulu la mankhwala osokoneza bongo | Paxil | Lexapro |
| Almotriptan Eletriptan Oxitriptan | 5HT Agonist / Triptans (othandizira ma antimigraine) | Inde | Inde |
| Amphetamine mchere Dexmethylphenidate Methylphenidate | Amphetamine | Inde | Inde |
| Alosetron Ondansetron Ramosetron | Otsutsa a 5HT3 (odana ndi nseru) | Inde | Inde |
| Aripiprazole | Mankhwala oletsa antipsychotic | Inde | Inde |
| Asipilini Zamgululi Naproxen Diclofenac | Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) | Inde | Inde |
| Bemiparin Enoxaparin Heparin | Maantibayotiki | Inde | Inde |
| Bupropion | Dopamine / norepinephrine reuptake inhibitor | Inde | Inde |
| Buspirone | Kuda nkhawa | Inde | Inde |
| Carbamazepine | Wosakanikirana | Ayi | Inde |
| Esomeprazole Omeprazole | Proton pump inhibitor | Ayi | Inde |
| Fluconazole | Zosakanikirana | Ayi | Inde |
| Fluoxetine Citalopram Sertraline | SSRIs | Inde | Inde |
| Mzere | Maantibayotiki | Inde | Inde |
| Pimozide | Mankhwala oletsa antipsychotic | Inde | Inde |
| Selegiline Phenelzine Rasagiline | Monoamine oxidase inhibitor (MAOI) | Inde | Inde |
| St. John's Wort | Mankhwala owonjezera azitsamba | Inde | Inde |
| Hydrochlorothiazide Chlorthalidone Metolazone | Odzetsa okodzetsa | Inde | Inde |
| Codeine Zamgululi | Opiate ochepetsa ululu | Inde | Inde |
| Amitriptyline Clomipramine Doxepin Mzere wa Nortriptyline | Tricyclic antidepressants | Inde | Inde |
| Katemera Chotsani | Kusankha norepinephrine / serotonin reuptake inhibitor (SNRIs) | Inde | Inde |
Machenjezo a Paxil ndi Lexapro
Paxil, Lexapro, ndi ma SSRI ena samapereka mpumulo pomwepo wazizindikiro zapanikizika kapena nkhawa. Zimatenga masabata awiri kuti azindikire kusintha kwa odwala ambiri, mpaka milungu inayi kapena isanu ndi umodzi kuti azindikire zotsatira zake. Odwala atha kusiya kumwa mankhwala ndikukhulupirira kuti sizithandiza ngati sakudziwa zakuchedwaku.
Chithandizo cha Paxil ndi Lexapro chitha kukulitsa malingaliro ofuna kudzipha ndi malingaliro pakati pa achinyamata ndi achikulire, makamaka koyambirira kwa chithandizo chisanachitike. Odwalawa ayenera kuyang'aniridwa mosamala ngati mankhwalawa akuwoneka kuti ndi ofunikira. Kusintha kwa mankhwala kungakhale kofunikira ngati zizindikiro zadzidzimuka kapena zikukula. Odwala omwe ali ndi MDD atha kukhala ndi vuto lakukhumudwa kapena malingaliro ofuna kudzipha ngati akumwa kapena ayi.
Matenda a Serotonin akuti ndi ma SSRIs onse, kuphatikiza Paxil ndi Lexapro. Izi ndizomwe zimakhudzana ndi kuchuluka kwa serotonin ndipo zimatha kupangitsa wodwalayo kukhala wamanjenje, wamisala, komanso kuwonjezeka kwa mtima. Izi zitha kubweretsedwa pogwiritsa ntchito mankhwala awiri a serotonergic limodzi. Tchulani zambiri zomwe zaperekedwa pamwambapa komanso olemba zilembo kuti muthe kupewa kuyanjana ndi mankhwalawa.
Ma SSRIs, kuphatikiza Paxil ndi Lexapro, sayenera kuthetsedwa modzidzimutsa chifukwa odwala akhoza kukhala ndi zizindikiritso zakutha. Ngati kusiya chithandizo ndikuwona kuti ndikofunikira kwa omwe amakupatsani, muyenera kumachotsa pang'onopang'ono mankhwalawa.
Mafunso omwe amafunsidwa pafupipafupi za Paxil vs. Lexapro
Kodi Paxil ndi chiyani?
Paxil ndi mankhwala ochepetsa kupsinjika mtima omwe amagwiritsidwa ntchito pochiza kukhumudwa kwakukulu komanso kusokonezeka kwa nkhawa, mwazinthu zina. Lexapro imapezeka ngati piritsi la 10 mg, 20 mg, 30 mg, ndi mphamvu za 40 mg. Ikupezekanso ngati yankho lamlomo.
Lexapro ndi chiyani?
Lexapro ndi mankhwala ochepetsa nkhawa omwe amagwiritsidwa ntchito pochiza kukhumudwa kwakukulu komanso matenda amisala. Lexapro imapezeka ngati piritsi la 5 mg, 10 mg, ndi mphamvu za 20 mg. Ikupezekanso ngati yankho lamlomo.
Kodi Paxil ndi Lexapro ali ofanana?
Paxil ndi Lexapro onse ndi opatsirana pogonana omwe amadziwika kuti ndi serotonin reuptake inhibitors, koma si ofanana. Zonsezi zimagwiritsidwa ntchito pochiza matenda aakulu okhumudwa komanso matenda ovutika maganizo, koma Paxil ali ndi zizindikiro zina zovomerezeka.
Kodi Paxil kapena Lexapro ndibwino?
Zambiri zikusonyeza Lexapro atha kusankhidwa kuposa Paxil chifukwa chokhala ndi zotsatira zabwino zamankhwala komanso kukhala ndi mbiri yabwino pothana ndi kukhumudwa. Kuchita bwino pakati pa awiriwa kungafanane ndi chithandizo cha nkhawa, koma kulekerera kwa Lexapro kumapangitsa kukhala kosavuta.
Kodi ndingagwiritse ntchito Paxil kapena Lexapro ndili ndi pakati?
Paxil ndi m'gulu D mankhwalawa ali ndi pakati, kutanthauza kuti amadziwika kuti amayambitsa vuto la fetus ndipo sayenera kugwiritsidwa ntchito ali ndi pakati. Lexapro ali ndi pakati C, zomwe zikutanthauza kuti sipanakhale maphunziro okwanira aanthu kuti athetse chitetezo. Lexapro iyenera kugwiritsidwa ntchito pokhapokha ngati chiopsezo cha mayi wosapatsidwa chithandizo chikuposa chiopsezo cha kuvulaza kwa mwana.
Kodi ndingagwiritse ntchito Paxil kapena Lexapro ndi mowa?
Mowa umatha kuwonjezera zoopsa za Paxil ndi Lexapro. Kumwa mowa ndikumwa mankhwalawa kumatha kuyambitsa vuto lalikulu la psychomotor, ndipo pachifukwa ichi, odwala amalangizidwa kuti asamamwe mowa ngati atamwa Paxil kapena Lexapro.
Kodi Paxil ndiye SSRI yabwino kwambiri yokhudza nkhawa?
Kafukufuku akuwonetsa kuti Paxil sangakhale chisankho chabwino kwambiri cha SSRI chifukwa cha nkhawa chifukwa cholekerera. Paxil imayambitsa zovuta zina zoyipa ndipo sizimapereka mphamvu zambiri.
Kodi ndi chiyani chabwino kuposa Paxil pa nkhawa?
Lexapro imaperekanso mphamvu ku Paxil yokhala ndi mbiri yabwino yolekerera. Gulu lina la mankhwala atha kukhalanso othandiza pakuthandizira matenda amisala, kusankha norepinephrine inhibitors (SNRIs). Izi zikuphatikiza Effexor XR (venlafaxine) ndi Cymbalta (duloxetine).
Kodi ndiyenera kutenga Paxil yochuluka motani kuti ndikhale ndi nkhawa?
Kwa odwala ambiri, 20 mg kamodzi tsiku lililonse ndi njira yothandiza yothandizira nkhawa. Ngati kuwonjezeka kuli kofunika, Paxil ikhoza kuwonjezeka ndi 10 mg patsiku sabata iliyonse mpaka 50 mg patsiku.
