Pristiq vs. Effexor: 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
Kuposa Akuluakulu 16 miliyoni aku America kukhala ndi kupsinjika (kusokonezeka kwakukulu). Pristiq ndi Effexor ndi mankhwala awiri odziwika omwe amawonetsedwa pochiza kukhumudwa, wamba matenda amisala . Effexor XR (kutulutsa kotalikirapo) imathandizanso pazowonjezera nkhawa kusokonezeka, mantha, komanso nkhawa zamagulu. Mankhwala onsewa amavomerezedwa ndi United States Food and Drug Administration (FDA). Wyeth Pharmaceuticals LLC, wocheperako wa Pfizer, amapanga mankhwala onsewa m'ma fomu odziwika.
Pristiq ndi Effexor amadziwika m'gulu la mankhwala otchedwa SNRIs (serotonin-norepinephrine reuptake inhibitors). Amagwira ntchito poyang'anira kubwezeretsanso kwa ma neurotransmitters otchedwa serotonin ndi norepinephrine mu CNS (chapakati dongosolo lamanjenje), potero kumathandizira kuzindikiritsa kukhumudwa.
Tawonani momwe dzina la Pristiq lenileni ndi desvenlafaxine, ndipo dzina loti Effexor ndi venlafaxine. Mankhwalawa ndi ofanana kwambiri. Effexor (venlafaxine) ikapukusidwa, imasanduka metabolism yogwira ntchito - desvenlafaxine.
Ngakhale Pristiq ndi Effexor onse ndi SNRIs, ali ndi zosiyana, zomwe tidzafotokoza pansipa.
Kodi pali kusiyana kotani pakati pa Pristiq ndi Effexor?
Pristiq ndi Effexor onse ndi SNRI antidepressants omwe amapezeka mu mtundu komanso generic mawonekedwe. Mankhwala onsewa amavomerezedwa kuti agwiritsidwe ntchito kwa akulu.
Pristiq amapezeka ngati piritsi lotulutsira. Mlingo umasiyana, koma mulingo woyenera ndi 50 mg tsiku lililonse.
Effexor imapezeka piritsi, komanso ngati kapuleti womasulidwa komanso mawonekedwe apiritsi. Mlingo wamba ndi 75 kapena 150 mg tsiku lililonse (kukonzekera XR).
| Kusiyana kwakukulu pakati pa Pristiq ndi Effexor | ||
|---|---|---|
| Pristiq | Kuchita | |
| Gulu la mankhwala osokoneza bongo | SNRI | SNRI |
| Chizindikiro cha Brand / generic | Brand ndi generic | Brand ndi generic |
| Kodi dzina lachibadwa ndi liti? | Desvenlafaxine amathandizira (desvenlafaxine) | Venlafaxine hydrochloride (venlafaxine) |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi (kumasulidwa kwanthawi yayitali) | Piritsi, makapisozi otulutsa nthawi yayitali, mapiritsi otulutsa zowonjezera |
| Kodi mulingo woyenera ndi uti? | 50 mg tsiku lililonse | Zimasintha: mulingo woyenera ndi XR 75 kapena 150 mg tsiku lililonse |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Zimasintha | Zimasintha |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu | Akuluakulu |
Mukufuna mtengo wabwino pa Pristiq?
Lowani zidziwitso zamtengo wa Pristiq kuti mudziwe kuti mitengo isintha liti!
Pezani zidziwitso zamitengo
Zinthu zothandizira Pristiq ndi Effexor
Pristiq (Pristiq ndi chiyani?) Akuwonetsedwa kuti athetse vuto lalikulu lachisokonezo (MDD) mwa akuluakulu. Nthawi zina, Pristiq amalembedwa osalemba ntchito zina.
Effexor (kutulutsidwa mwachangu) akuwonetsedwa kuti athetse vuto lalikulu lachisoni. Effexor XR (Effexor ndi chiyani?) Amawonetsedwa pamavuto akulu okhumudwitsa, matenda amisala wamba, matenda amisala, komanso mantha.
| Mkhalidwe | Pristiq | Kuchita |
| Kusokonezeka kwakukulu | Inde | Inde (mafomu a IR ndi XR) |
| Matenda amisala wamba | Kutumiza | Inde (XR mawonekedwe okha) |
| Matenda a nkhawa zamagulu (chikhalidwe cha anthu) | Kutumiza | Inde (XR mawonekedwe okha) |
| Kusokonezeka kwamantha | Kutumiza | Inde (XR mawonekedwe okha) |
Kodi Pristiq kapena Effexor ndiyothandiza kwambiri?
KU kusanthula meta anayang'ana chitetezo ndi mphamvu ya Pristiq ndi Effexor. Ofufuzawo adazindikira kuti mankhwala onsewa anali ofanana potengera kuthandizira pochiza kukhumudwa, komanso zotsatirapo zake. Komabe, odwala omwe adatenga Pristiq anali ndi mseru wochepa kuposa odwala omwe adatenga Effexor.
Funsani wothandizira zaumoyo wanu kuti akuthandizeni. Ndi omwe amakupatsani chithandizo chamankhwala okha omwe angadziwe kuti ndi mankhwala ati omwe angakuthandizeni, kutengera matenda anu komanso mbiri yanu, komanso mankhwala aliwonse omwe mungatenge omwe angagwirizane ndi Pristiq kapena Effexor.
Pezani khadi yochotsera mankhwala
Kuphatikiza ndi kuyerekezera mtengo kwa Pristiq vs. Effexor
Inshuwaransi ndi Medicare Part D mapulani nthawi zambiri amalipira Pristiq. Mtengo wakuthumba wamapiritsi wamba 30, 50 mg ndi pafupifupi $ 380. Khadi laulere la SingleCare limatha kubweretsa mtengo wotsika mpaka $ 60.
Inshuwaransi ndi Medicare Part D mapulani nthawi zambiri amafotokoza Effexor XR (mtundu wofunsidwa kwambiri wa Effexor). Mtengo wapa thumba wamankhwala wamba 30, 150 mg makapisozi achibadwa ndi pafupifupi $ 140. Mutha kugwiritsa ntchito khadi yaulere ya SingleCare kuti mubweretse mtengo mpaka pafupifupi $ 15.
Momwe mapulani a inshuwaransi amasinthira ndipo amasintha, kambiranani ndi inshuwaransi yanu yazaumoyo kuti mumve zambiri.
| Pristiq | Kuchita | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde | Inde |
| Mlingo woyenera | 30, 50 mg mapiritsi otulutsidwa | 30, 150 mg makapisozi otulutsidwa |
| Wopanga Medicare wamba | $ 1- $ 7 | $ 0- $ 20 |
| Mtengo wosakwatiwa | $ 60- $ 80 | $ 15- $ 40 |
Zotsatira zoyipa za Pristiq vs. Effexor
Zotsatira zoyipa kwambiri za Pristiq ndi mseru, chizungulire, kusowa tulo, thukuta mopitirira muyeso, kudzimbidwa, kugona, kuchepa kwa njala, nkhawa, komanso mavuto azakugonana.
Zotsatira zoyipa kwambiri za Effexor XR ndi nseru, kugona, mkamwa mouma, thukuta, mavuto azakugonana, kuchepa kwa njala, ndi kudzimbidwa.
Zotsatira zina zoyipa zimatha kuchitika. Funsani akatswiri azachipatala anu kuti mupeze mndandanda wathunthu wazovuta.
| Pristiq | Kuchita * | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Nseru | Inde | 22% | Inde | 30% |
| Pakamwa pouma | Inde | khumi ndi chimodzi% | Inde | khumi ndi zisanu% |
| Kudzimbidwa | Inde | 9% | Inde | 9% |
| Kuchepetsa chilakolako | Inde | 5% | Inde | 10% |
| Chizungulire | Inde | 13% | Inde | 16% |
| Kugona | Inde | 4% | Inde | khumi ndi zisanu% |
| Kusowa tulo | Inde | 9% | Inde | 18% |
| Kutuluka thukuta | Inde | 10% | Inde | khumi ndi limodzi% |
| Kuchepetsa libido | Inde | 4% | Inde | 5% |
| Mavuto akuthwa | Inde | 1% | Inde | 10% |
| Mphamvu / kuwonongeka kwa erectile | Inde | 3% | Inde | 5% |
* magawo omwe atchulidwa ndi a Effexor XR, omwe amafotokozedwa kwambiri a Effexor
Gwero: DailyMed ( Pristiq ), Tsiku Lililonse ( Kuchita Zamgululi
Kuyanjana kwa mankhwala a Pristiq vs. Effexor
Kugwiritsira ntchito SNRI antidepressants ndi MAO inhibitors kumatha kuonjezera chiopsezo cha matenda a serotonin , zomwe zingawononge moyo. Pristiq kapena Effexor ayenera kupatulidwa ku MAOI masiku asanu ndi awiri mpaka 14, kutengera kuti ndi mankhwala ati omwe amayimitsidwa kaye. Pristiq kapena Effexor sayenera kumwa ndi mankhwala ena omwe amachulukitsa ma serotonin, monga ma SNRI kapena SSRI antidepressants, triptans for migraines, ndi opioids, pachifukwa chomwecho. Komanso, dextromethorphan ya chifuwa, yomwe imapezeka ku Robitussin-DM komanso mitundu ina yambiri ya chifuwa ndi kuzizira, iyenera kupewedwa, chifukwa imatha kupangitsanso matenda a serotonin akaphatikizidwa ndi Pristiq kapena Effexor.
Mankhwala ena omwe amatha kulumikizana ndi Pristiq kapena Effexor ndi ma NSAIDs (non-steroidal anti-inflammatory drugs) monga aspirin kapena ibuprofen, ndi anticoagulants (oponda magazi) ngati warfarin. Pewani mowa mukatenga Pristiq kapena Effexor.
Pristiq akamwedwa ndi mankhwala omwe amapukusidwa ndi enzyme yotchedwa cytochrome P 2D6, mankhwala enawo amatha kukula kwambiri ndipo amatha kukhala poizoni. Mlingo kusintha kungafunike. Effexor alibe kulumikizana uku.
Ili si mndandanda wathunthu wazomwe zimachitika ndi mankhwala. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagwiridwe antchito.
| Mankhwala osokoneza bongo | Gulu la mankhwala osokoneza bongo | Pristiq | Kuchita |
| Isocarboxazid Mzere Phenelzine Selegiline Tranylcypromine | MAOIs (monoamine oxidase inhibitors) | Inde | Inde |
| Rizatriptan Sumatriptan Zolmitriptan | Zolemba | Inde | Inde |
| St. John's Wort | Zowonjezera | Inde | Inde |
| Codeine Hydrocodone Morphine Oxycodone Zamgululi | Opioids | Inde | Inde |
| Dextromethorphan (m'mafupa ambiri ndi mankhwala ozizira) | Chifuwa suppressant | Inde | Inde |
| Chotsani Duloxetine Katemera | SNRI antidepressants | Inde | Inde |
| Citalopram Kuyanjana Fluoxetine Fluvoxamine Paroxetine Sertraline | Mankhwala opatsirana pogonana a SSRI | Inde | Inde |
| Amitriptyline Desipramine Imipramine Mzere wa Nortriptyline | Tricyclic antidepressants | Inde | Inde |
| Asipilini Zamgululi Meloxicam Nabumetone Naproxen | NSAIDs (nonsteroidal anti-inflammatory drugs) | Inde | Inde |
| Warfarin | Wotsutsa | Inde | Inde |
| Fentamini | Wothandizira kuchepa thupi | Inde | Inde |
| Atomoxetine Zamgululi Nebivolol Perphenazine Tolterodine | Mankhwala osokoneza bongo ndi enzyme CYP2D6 | Inde | Ayi |
Machenjezo a Pristiq ndi Effexor
Onse opatsirana pogonana, kuphatikiza Pristiq ndi Effexor, ali ndi chenjezo lolemba zodzipha. Chenjezo la nkhonya ndiye chenjezo lalikulu kwambiri lomwe a FDA amafunikira. Ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opondereza amakhala ndi chiopsezo chowonjezeka chodzipha komanso malingaliro. Odwala onse pa mankhwala opatsirana pogonana ziyenera kuyang'aniridwa mosamala.
Machenjezo ena ndi awa:
- Pristiq ndi Effexor saloledwa kuchiza odwala.
- Matenda a Serotonin ndizowopsa, zoopsa zomwe zimadza chifukwa cha kuchuluka kwa serotonin yambiri. Odwala omwe amatenga Pristiq kapena Effexor ayenera kuyang'aniridwa mosamala pazizindikiro za serotonin syndrome, monga kuyerekezera zinthu m'maganizo, khunyu, kusintha kwa kuthamanga kwa magazi, komanso kusakhazikika. 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.
- Pristiq kapena Effexor atha kukweza kuthamanga kwa magazi. Onetsetsani kuthamanga kwa magazi nthawi zonse. Ngati muli ndi vuto la kuthamanga kwa magazi kapena vuto la mtima, funsani omwe amakuthandizani musanatenge Pristiq kapena Effexor.
- SNRIs 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.
- Pewani ma SNRIs kapena muzigwiritsa ntchito mosamala kwa odwala omwe ali ndi ma angles osatetezedwa (anatseka-glaucoma). Funsani wothandizira zaumoyo wanu ngati muli pachiwopsezo.
- Mukasiya kutenga Pristiq kapena Effexor, funsani wothandizira zaumoyo wanu kuti azikhala ndi pulogalamu yojambula. Kusiya mwadzidzidzi kumatha kuyambitsa zizindikilo zobwerera m'mbuyo monga nseru, kunjenjemera, chisokonezo, ndi khunyu. Kuchepetsa mlingo pang'onopang'ono kungathandize kupewa izi.
- Hyponatremia (otsika sodium) chifukwa cha matenda osayenera a antidiuretic hormone secretion (SIADH) atha kuchitika. Odwala amatha kupwetekedwa mutu, kuvutika kuganizira, kukumbukira kukumbukira, kusokonezeka, kufooka, komanso kusakhazikika, zomwe zingayambitse kugwa. Milandu yayikulu imatha kuchitika. Odwala ayenera kupeza chithandizo chadzidzidzi ngati zizindikiro zikuchitika, ndikusiya SNRI.
- Osayendetsa kapena kugwiritsa ntchito makina mpaka mutadziwa momwe Pristiq kapena Effexor amakukhudzirani.
- Lankhulani ndi wothandizira zaumoyo wanu za kugwiritsa ntchito Pristiq kapena Effexor ngati muli ndi mbiri yakugwa.
- Nthawi zambiri, pakhala pali malipoti a zotupa ndi zosokoneza zomwe zimachitika / systemic anaphylaxis reaction kapena angioedema. Ngati mukumana ndi zotupa kapena zosafunikira, siyani kumwa Pristiq kapena Effexor ndikupita kuchipatala mwachangu. Musatenge Pristiq kapena Effexor ngati muli ndi zovuta zina mwazosakaniza.
- Nthawi zambiri matenda am'mapapo am'mimba komanso eosinophilic pneumonia adalumikizidwa ndi mankhwalawa. Ngati mukumwa Pristiq kapena Effexor ndikukhala ndi mpweya wochepa, chifuwa, kapena chifuwa, pitani kuchipatala mwachangu.
- Pristiq kapena Effexor ayenera kugwiritsidwa ntchito pokhapokha 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 kutengera phindu logwiritsa ntchito SNRI panthawi yapakati. Ma Neonates omwe amapezeka ndi SNRIs m'gawo lachitatu lachitatu akhala ndi zovuta zomwe zimafunikira kuchipatala kwakanthawi, chithandizo cha kupuma, komanso kudyetsa chubu. Ngati muli kale pa Pristiq kapena Effexor ndipo mukudziwa kuti muli ndi pakati, funsani omwe akukuthandizani nthawi yomweyo.
- Pristiq: Kumeza piritsi lonse, ndi madzi. Osatafuna, kuphwanya, kusungunula, kapena kugawa mapiritsiwo.
- Effexor XR: Kumeza kapisozi wathunthu ndi madzi. Musagawane, kuphwanya, kutafuna, kapena kuyika kapisozi m'madzi. Kapenanso, mutha kutsegula kapisozi, kuwaza zomwe zili mu supuni ya maapulosi, ndipo nthawi yomweyo mumezere chisakanizocho, kenako ndikumwa madzi.
Mafunso omwe amafunsidwa kawirikawiri za Pristiq vs. Effexor
Pristiq ndi chiyani?
Pristiq ndi SNRI wodetsa nkhawa. Pristiq amathandizira kukhumudwa kwa akulu. Dzinalo ndi desvenlafaxine.
Kodi Effexor ndi chiyani?
Effexor imakhalanso yothetsa nkhawa ya SNRI. Effexor amathandizira kukhumudwa kwa akulu. Effexor XR (kumasulidwa kwanthawi yayitali) amathandizira kukhumudwa, nkhawa zamagulu, matenda amantha, komanso nkhawa yanthawi zonse. Dzinalo la Effexor ndi venlafaxine.
Kodi Pristiq ndi Effexor ali ofanana?
Mankhwalawa ndi ofanana kwambiri. Effexor ikaphatikizidwa mu thupi, imasandulika desvenlafaxine, chinthu chogwira ntchito cha Pristiq. Mankhwala awiriwa ndi ofanana koma ali ndi zosiyana, monga muyezo, mtengo, zoyipa zamomwe zimachitikira, komanso kulumikizana kwa mankhwala.
Kodi Pristiq kapena Effexor ali bwino?
Mankhwala onsewa ndi ofanana pankhani yothandiza. Wothandizira zaumoyo wanu akhoza kukutsogolerani za mankhwala omwe angakhale oyenera kwa inu.
Kodi nditha kugwiritsa ntchito Pristiq kapena Effexor ndili ndi pakati?
Funsani wothandizira zaumoyo wanu kuti akuthandizeni. Adzawona zabwino za kumwa mankhwala opanikizika motsutsana ndi chiopsezo kwa mwanayo . Ma Neonates omwe amapezeka ndi mankhwala opatsirana pogonana, kuphatikiza ma SNRIs kapena ma SSRIs (serotonin reuptake inhibitors ngati Prozac), mu trimester yachitatu ya mimba, adakumana ndi zovuta zazikulu.
Ngati muli kale pa Pristiq kapena Effexor ndipo mukudziwa kuti muli ndi pakati, funsani OB-GYN anu nthawi yomweyo kuti akuthandizeni. Ngati muli kuyamwitsa , Funsani OB-GYN wanu.
Kodi ndingagwiritse ntchito Pristiq kapena Effexor ndi mowa?
Ayi. Pristiq kapena Effexor sayenera kumwedwa ndi mowa chifukwa kuphatikiza kumatha kuwonjezera chiopsezo cha kupuma (kupumira pang'onopang'ono, kusapeza mpweya wokwanira) ndikuwonjezera kutopa ndi kugona, komanso kusokoneza chidwi. Kuphatikizaku kungapangitsenso nkhawa ndi kukhumudwa.
Kodi Pristiq amathandiza ndi nkhawa?
Ngakhale kuti Pristiq amangotchulidwa kuti amachiza kukhumudwa, madokotala ena amalemba kuti ndi chizindikiro cha nkhawa. Komabe, mu mayesero azachipatala , 3% ya odwala omwe adatenga Pristiq 50 mg (mlingo woyenera) adakumana ndi nkhawa ngati zovuta zina. Anthu ena amafunika kuyesa mankhwala osiyanasiyana kuti muwone zomwe zikugwira ntchito bwino. Funsani omwe akukuthandizani kuti mumve zambiri.
Kodi Pristiq ndiwokhazikika?
Mankhwala osokoneza bongo amagwiritsidwa ntchito pochiza matenda osokoneza bongo. Pristiq akuwonetsa kuti amathandizira kukhumudwa. Kutenga Pristiq kumatha kukupangitsani kukhala osakhazikika, koma sichimadziwika kuti chokhazikika. Pristiq ndi SNRI wodetsa nkhawa.
Kodi venlafaxine ndi SNRI?
Inde. Effexor (venlafaxine) ndi SNRI. Ma SNRI ena okhumudwa ndi awa: Pristiq (desvenlafaxine), Fetzima (levomilnacipran), ndi Cymbalta (duloxetine).
