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

Torsemide vs. Lasix: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu

Mankhwala osokoneza bongo Vs. Mnzanu

Torsemide ndi Lasix ndi mankhwala awiri omwe amagwiritsidwa ntchito poyang'anira edema ndi matenda oopsa, kapena kuthamanga kwa magazi. Edema ndiko kudzikundikira kwamadzimadzi mumatumba anu. Muzochitika zapamwamba, kudzikundikira kwamadzimadzi kumapangitsa kutupa kwenikweni kwa malekezero.

Torsemide ndi Lasix onse amadziwika kuti ndi okodzetsa, ndipo makamaka ndi gulu laling'ono lotchedwa loop diuretics. Ma diuretics ambiri ndi mankhwala omwe amathandiza thupi kusamalira madzimadzi owonjezera.

Kodi pali kusiyana kotani pakati pa torsemide ndi Lasix?

Torsemide ndi mankhwala okhawo omwe amamwa ndi mankhwala ndipo amadziwika kuti loop diuretic. Imagwira mu impso, makamaka poterera kwa Henle, potseka sodium ndi mankhwala enaake obwezeretsanso kudzera mwa kusokonekera kwa sodium, potaziyamu, ndi chloride cotransport. Izi zimapangitsa kuti madzi, sodium, ndi chloride atulutsidwe msanga ndi impso mumkodzo. Torsemide imapezeka ngati piritsi pakamwa mu mphamvu ya 5 mg, 10 mg, 20 mg, ndi 100 mg. Torsemide imapezekanso ngati yankho la jekeseni wa 10 mg / ml.

Lasix ndi mankhwala okhawo omwe mumadalira komanso mumakhalanso ndi diuretic. Lasix imasokonezanso mayendedwe a sodium, potaziyamu, ndi ma chloride. Izi pamapeto pake zimapangitsa kuti madzi, sodium, potaziyamu, ndi mankhwala enaake amamasulidwa ndi thupi. Lasix imapezeka ngati piritsi yamlomo mwamphamvu za 20 mg, 40 mg, ndi 80 mg. Ikupezekanso ngati yankho la jekeseni wa 10 mg / ml.

Kusiyanitsa kwakukulu pakati pa torsemide ndi Lasix
	Torsemide	Lasix
Gulu la mankhwala osokoneza bongo	Loop diuretic	Loop diuretic
Chizindikiro cha Brand / generic	Dzina Brand ndi generic zilipo	Dzina Brand ndi generic zilipo
Kodi generic / dzina lake ndi liti?	Demadex (Mtundu)	Furosemide (generic)
Kodi mankhwalawa amabwera mwa mawonekedwe ati?	Piritsi lapakamwa ndi yankho la jakisoni	Piritsi lapakamwa, yankho la m'kamwa, yankho la jakisoni
Kodi mulingo woyenera ndi uti?	10 mg mpaka 20 mg tsiku lililonse	40 mg mpaka 120 mg tsiku lililonse
Kodi mankhwalawa amatenga nthawi yayitali bwanji?	Nthawi yayitali (masiku mpaka masabata) komanso nthawi yayitali	Nthawi yayitali (masiku mpaka masabata) komanso nthawi yayitali
Ndani amagwiritsa ntchito mankhwalawa?	Akuluakulu	Makanda, ana, ndi akulu

Zomwe zimathandizidwa ndi torsemide ndi Lasix

Torsemide ndi Lasix zimagwiritsidwa ntchito poyang'anira edema mwa odwala omwe ali ndi vuto losweka mtima komanso losokonezeka mtima. Izi ndizikhalidwe za mtima ndi impso, motsatana, zomwe zimayambitsa kudzikundikira kwamadzimadzi ndipo zimawopseza moyo ngati sizichiritsidwa munthawi yake.

Kulephera kwa mtima kwanthawi yayitali ndizomwe zimachitika pang'onopang'ono momwe mtima sungathe kupopera magazi okosijeni kudzera mthupi moyenera. Kulephera kwa mtima kuponderezana ndichinthu chofunikira kwambiri pomwe mtima wawonongeka ndikukhala wosakwanira kupopa mwakuti magazi amabwerera mbali yakumanzere ya thupi kudikirira kulowa mu ventricle yakumanzere kenako ndikupatsidwa mpweya m'mapapu. Chodabwitsachi chimadziwikanso kuti kachigawo kakang'ono kotulutsira ma ventricular ejection. Kubwezeretsa kumeneku kumabweretsa edema, kusungidwa kwamadzimadzi m'matumba, komanso kugwiritsa ntchito okodzetsa kumathandizira kuwongolera kuchuluka kwa madzimadzi. Matenda oopsa a mtima amatanthauza kusintha kwa zizindikilo za kulephera kwa mtima zomwe zimapangitsa kuti pakhale chithandizo chofulumira. Mawuwa nthawi zina amagwiritsidwa ntchito mosinthana.

Torsemide ndi Lasix onse amagwiritsidwanso ntchito poyang'anira matenda oopsa, kapena kuthamanga kwa magazi. Lasix nthawi zina amagwiritsidwa ntchito pochiza matenda oopsa kwambiri. Izi ndizomwe kuthamanga kwa magazi kumakhala kwakukulu kwambiri kumatha kuwononga ziwalo. Mavuto azadzidzidzi amatchedwa systolic magazi opitilira 180 mmHg kapena diastolic magazi opitilira 110 mmHg. Kugwiritsa ntchito Lasix motere kumawonedwa ngati kopanda chizindikiro chifukwa sikunavomerezedwe ndi Food and Drug Administration (FDA) kuti izi zidziwike.

Tchati chotsatirachi sichingalembetse ntchito iliyonse ya torsemide kapena Lasix. Ndi dokotala wanu yekha amene angadziwe ngati mankhwalawa ali oyenera matenda anu.

Mkhalidwe	Torsemide	Lasix
Edema yokhudzana ndi kupsinjika mtima kwa mtima (CHF)	Inde	Inde
Edema yokhudzana ndi kulephera kwa impso kosatha	Inde	Inde
Mankhwala othandizira a ascites	Inde	Kutumiza
Matenda oopsa	Inde	Inde
Edema yokhudzana ndi matenda am'mapapo osachiritsika (CLD)	Ayi	Inde
Edema yokhudzana ndi nephrotic syndrome	Ayi	Inde
Kuwongolera kwa edema ya m'mapapo yogwirizana ndi kuthiridwa magazi	Ayi	Kutumiza
Kuthamanga kwambiri kwa magazi / kuthamanga kwa magazi	Ayi	Kutumiza
Hypercalcemia yokhudzana ndi matenda am'mitsempha	Ayi	Kutumiza

Kodi torsemide kapena Lasix ndiyothandiza kwambiri?

Posachedwapa kusanthula meta poyerekeza torsemide ndi Lasix mwa odwala omwe ali ndi vuto la mtima (CHF). Ndemangayi idaphatikizapo maphunziro khumi ndi asanu ndi anayi komanso pafupifupi odwala 20,000. Zotsatira zake zidapeza kuti kugwiritsa ntchito torsemide kumalumikizidwa ndi kuchepa kwa kuchipatala kwa CHF. Torsemide imagwirizananso ndi kuchuluka kwakukulu kwa odwala omwe akukwaniritsa magwiridwe antchito poyerekeza ndi furosemide. Kusintha kwa magwiridwe antchito kumatanthauzidwa kuti kusintha kuchokera m'kalasi yachitatu / IV kupita m'kalasi I / II monga momwe New York Heart Association (NYHA) imanenera. Kugwiritsa ntchito Torsemide kumalumikizananso ndi chiopsezo chochepa chakufa kwamtima.

KU kubwerera, kuphunzira pagulu lofalitsidwa ndi American College of Cardiology adapeza kuti odwala omwe ali ndi vuto la mtima omwe adagonekedwa m'chipatala osagwiritsa ntchito diuretic asanamwalire komanso amafikanso kuchipatala akatulutsidwa pa diuretic.

Pharmacokinetics ndi pharmacodynamics, kapena momwe mankhwala amagwirira ntchito mthupi, a torsemide ndi Lasix ndizosiyana. Torsemide ali ndi bioavailability wambiri pafupifupi 80% atamwa mankhwala pakamwa. Kuyamwa kwa Lasix sikungadziwikiratu, ndipo kupezeka kwa chakudya kungachedwetse kuyankha. Torsemide imakhala yamphamvu kwambiri kuposa furosemide pa milligram mpaka milligram poyerekeza.

Kutengera ndi zomwe zapezazi, othandizira anu azaumoyo atha kusankha kuyamba ndi torsemide pochiza kupsinjika kwa mtima wanu, koma Lasix iyenso ndi chisankho chovomerezeka. American Heart Association (AHA) imalemba mndandanda wa torsemide, Lasix, ndi wina wozungulira diuretic, bumetanide, monga njira zovomerezeka zochiritsira matenda amtima osatha . Palinso mitundu ina ya okodzetsa yomwe ingagwiritsidwe ntchito, kuphatikiza thiazide diuretics, pochiza mtima. Madokotala okha ndi omwe angasankhe mankhwala omwe angakuthandizeni.

Kuphunzira ndi kuyerekezera mtengo wa torsemide vs. Lasix

Torsemide ndi mankhwala achibadwa, opangidwa ndi mankhwala omwe nthawi zambiri amapangidwa ndi mapulani a inshuwaransi yamalonda ndi Medicare. Mtengo wa torsemide wopanda inshuwaransi ndi pafupifupi $ 36. Ndi coupon yochokera ku SingleCare, mutha kupeza chilolezo chanu cha torsemide kwa $ 9.

Lasix ndi dzina la mankhwala, mankhwala akuchipatala omwe nthawi zambiri amapangidwa ndi mapulani a inshuwaransi yamalonda ndi Medicare. Mtengo wa dzina Lasix wopanda inshuwaransi ukhoza kukhala wopitilira $ 50. Ndi coupon ya SingleCare, mutha kupeza Lasix generic pamtengo wotsika $ 4.

	Torsemide	Lasix
Nthawi zambiri amakhala ndi inshuwaransi?	Inde	Inde
Nthawi zambiri amakhala ndi Medicare Part D?	Inde	Inde
Kuchuluka	30, 20 mg mapiritsi	30, 20 mg mapiritsi
Wopanga Medicare wamba	Osakwana $ 10	Osakwana $ 10
Mtengo wosakwatiwa	$ 9- $ 33	$ 4- $ 12

Zotsatira zoyipa za torsemide vs. Lasix

Zochita za torsemide ndi Lasix zitha kubweretsa zovuta zina komanso zovuta kwa odwala ena. Chifukwa cha makina awo, kukodza kwambiri ndimomwe zimakhalira. Nthawi zambiri, tikulimbikitsidwa kuti mutenge mlingo wa torsemide kapena Lasix koyambirira kwa tsiku chifukwa kukodza kwambiri kumakhala kotchuka m'maola mutangomaliza kumwa mankhwala. Kutenga mankhwalawa masana kapena usiku kumatha kubweretsa kudzuka usiku chifukwa chofunikira kukodza, ndipo izi zitha kusokoneza moyo wabwino.

Mutu ndi chizungulire zimanenedwa ndi torsemide ndi Lasix. Izi ndizodziwika kwambiri mukamayamba mankhwala koma ziyenera kusintha pakapita nthawi. Ngati sizikusintha kapena zikuvutitsa, muyenera kukambirana izi ndi omwe akukuthandizani.

Odzetsa ali ndi zotsatira zabwino pakukhudzika kwa mtima, ndipo izi ziyenera kuyereredwa ndi zovuta zomwe zingachitike. Mndandanda wotsatirawu sutanthauza kuti ukhale ndi zotsatirapo zonse za mankhwalawa. Chonde funsani wamankhwala wanu kapena wamankhwala kuti mumve mndandanda wonse.

	Torsemide	Lasix
Zotsatira zoyipa	Zoyenera?	Pafupipafupi	Zoyenera?	Pafupipafupi
Mutu	Inde	7.3	Inde	Osati lipoti
Kukodza kwambiri	Inde	6.7	Inde	Osati lipoti
Chizungulire	Inde	3.2	Inde	Osati lipoti
Rhinitis	Inde	2.8	Ayi	n / A
Asthenia	Inde	2.0	Ayi	n / A
Kutsekula m'mimba	Inde	2.0	Inde	Osati lipoti
Zovuta za ECG	Inde	2.0	Ayi	n / A
Chifuwa chikuwonjezeka	Inde	2.0	Ayi	n / A
Kudzimbidwa	Inde	1.8	Inde	Osati lipoti
Nseru	Inde	1.8	Inde	Osati lipoti
Matenda a Arthralgia	Inde	1.8	Ayi	n / A
Dyspepsia	Inde	1.6	Ayi	n / A
Chikhure	Inde	1.6	Ayi	n / A
Myalgia	Inde	1.6	Ayi	n / A
Kupweteka pachifuwa	Inde	1.2	Ayi	n / A
Kusowa tulo	Inde	1.2	Ayi	n / A
Mantha	Inde	1.1	Inde	Osati lipoti
Pancreatitis	Ayi	n / A	Inde	Osati lipoti
Jaundice	Ayi	n / A	Inde	Osati lipoti
Anorexy	Ayi	n / A	Inde	Osati lipoti
Tinnitus / kutaya kumva	Ayi	n / A	Inde	Osati lipoti
Masomphenya olakwika	Ayi	n / A	Inde	Osati lipoti
Matenda a hyperglycemia	Ayi	n / A	Inde	Osati lipoti
Kuphipha kwa minofu	Ayi	n / A	Inde	Osati lipoti

Gwero: DailyMed ( Torsemide Tsiku ndi Tsiku ( Lasix )

Kuyanjana kwa mankhwala a torsemide vs. Lasix

Torsemide, ikaperekedwa ndi ma opiate monga codeine kapena fentanyl, itha kuchepa kwa diuretic. Torsemide ndi Lasix amathanso kukhala opangitsa kuti hypotension ya orthostatic mwa odwala omwe amamwa mankhwala ali ndi codeine. Orthostatic hypotension imafotokoza za kusintha kwadzidzidzi kwa kuthamanga kwa magazi komwe kumachitika mukamadzuka mwadzidzidzi mutakhala kapena kugona pansi. Zingakusiyeni mukumva chizungulire, mutu wopepuka, kukomoka, nseru, kapena kusokonezeka. Itha kukhala kwakanthawi kochepa kwambiri. Ngati zimatenga nthawi yayitali (kupitilira mphindi zochepa), muyenera kukambirana izi ndi dokotala wanu.

Mukamwedwa ndi torsemide kapena Lasix, mankhwala osagwiritsa ntchito ma anti-inflammatory (NSAIDs) atha kubweretsa kuchepa kwa impso ndi kuchepa kwa diuretic. Celecoxib, COX-2 NSAID, imagwiritsidwa ntchito ndi ma enzyme omwe amaletsedwa ndi torsemide. Izi zimabweretsa kuthekera kokulitsa kwambiri ma plasma a celecoxib mthupi. Kuwonjezeka kwa ma plasma m'masiku ano kumakhala ndi chiopsezo chowonjezeka cha sitiroko komanso zochitika zina zazikulu zamtima.

Tebulo lotsatirali silikutanthauza kuphatikiza zochitika zilizonse zomwe zingachitike ndi mankhwala. Chonde funsani dokotala wanu kapena wamankhwala kuti mupeze mndandanda wathunthu. Musanapatsidwe torsemide kapena Lasix, onetsetsani kuti wothandizira zaumoyo wanu akudziwa mankhwala onse omwe mukumwa.

Mankhwala osokoneza bongo	Gulu la mankhwala osokoneza bongo	Torsemide	Lasix
Codeine Zamgululi Fentanyl	Opiate ululu amachepetsa	Inde	Inde
Phenylephrine Pseudoephedrine	Zodzikongoletsera m'mphuno	Inde	Inde
Wophatikizira Zosakanikirana	Bisphosphonates	Inde	Inde
Aliskiren	Renin-zoletsa	Inde	Inde
Gentamicin Zamgululi Neomycin Streptomycin	Aminoglycosides	Inde	Inde
Amiodarone	Wosakanikirana	Inde	Inde
Benazepril Wolemba Enalapril Lisinopril Quinapril	Angiotensin-otembenuza ma enzyme inhibitors (ACE inhibitors)	Inde	Inde
Zamgululi Naproxen Alireza Meloxicam	NSAIDs	Inde	Inde
MulembeFM Losartan Olmesartan Telmisartan Zamgululi	Angiotensin receptor blockers (ma ARB)	Inde	Inde
Omeprazole Esomeprazole Pantoprazole Lansoprazole	Proton pump pump inhibitors	Inde	Inde
Warfarin	Magazi ocheperako	Inde	Ayi
Phenytoin	Antiepileptic	Inde	Inde
Metronidazole	Wotsutsa-opatsirana	Inde	Ayi
Fluconazole Miconazole	Zosakaniza	Inde	Ayi
Fluoxetine Citalopram Kuyanjana Sertraline	Kusankha ma serotonin reuptake inhibitors	Inde	Inde

Machenjezo a torsemide ndi Lasix

Torsemide ndi Lasix amakhala pachiwopsezo cha tinnitus komanso kutayika kwakanthawi kapena kwakanthawi. Kulephera kotereku kumawoneka kofala kwambiri Lasix ikamayendetsedwa ndi jakisoni wofulumira, kwa odwala omwe ali ndi vuto la impso, kapena akamamwa mankhwalawa kuposa momwe amafunira. Zitha kuchitika ndi mankhwala amkamwa. Pachifukwa ichi, kulowetsedwa kwamitsempha mosalekeza kumakondedwa kuposa jakisoni wofulumira, ndipo kuwunika kuyenera kuchitidwa kwa odwala omwe ali ndi vuto la impso.

Mukamagwiritsa ntchito Lasix pothandizana ndi mankhwala a ascites, mankhwalawa amayamba bwino kuchipatala. Kutha kwadzidzidzi kwamadzimadzi ndi kusalinganika kwa ma electrolyte kumatha kubweretsa kufooka kwa chiwindi kwa odwala omwe ali ndi matenda a chiwindi kapena chiwindi. Kuwunika momwe maziko a wodwala amakhalira komanso momwe akupitilira poyambitsa mankhwala kumachitika bwino kuchipatala. Kugwiritsa ntchito Lasix mu ascites kumangophatikizidwa kuwonjezera pa otsutsana ndi aldosterone.

Odwala omwe ali ndi ma diuretics aliwonse, kuphatikiza ma diuretics a loop, ali pachiwopsezo chakuchepa kwamadzimadzi komanso kusalinganika kwa ma electrolyte. Odwala omwe ali pa torsemide ndi Lasix ayenera kuyang'aniridwa ndi zizindikilo monga mkamwa wouma, ludzu, kufooka, ulesi, kupweteka kwa minofu ndi kukokana, hypotension, ndi tachycardia (kuchuluka kwa kugunda kwa mtima). Kusamvana kwa Electrolyte kumatha kuphatikizira kloride, sodium, ndi / kapena potaziyamu wambiri. Ndi ma diuretics otsekemera, hypokalemia, kapena potaziyamu yotsika, ndiimodzi mwazovuta kwambiri zama electrolyte. Kuchuluka kwa magazi urea nayitrogeni (BUN) amathanso kuchitika. Dokotala wanu amatha kuchita magazi nthawi ndi nthawi kuti azitha kuyang'anira kuchuluka kwanu kwamagetsi.

Mafunso omwe amafunsidwa pafupipafupi za torsemide vs. Lasix

Kodi torsemide ndi chiyani?

Torsemide ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito poyang'anira edema ndi matenda oopsa. Ndi diuretic yoloka ndipo imagwira ntchito pochotsa madzi owonjezera kuchokera pakatikati mwa ziphuphu. Torsemide imapezeka m'mapiritsi amkamwa mu mphamvu ya 5 mg, 10 mg, ndi 20 mg. Ikupezekanso ngati yankho la jakisoni wokwana 10 mg / ml.

Lasix ndi chiyani?

Lasix ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito poyang'anira edema ndi matenda oopsa. Imeneyi ndi yotulutsa diuretic. Lasix imapezeka m'mapiritsi amlomo mwamphamvu a 20 mg, 40 mg, ndi 80 mg. Ikupezekanso ngati yankho la jakisoni wokwana 10 mg / ml.

Kodi torsemide ndi Lasix ndizofanana?

Torsemide ndi Lasix onse ndi okodzetsa koma samasiyana kwenikweni. Torsemide ndi wamphamvu kwambiri kuposa Lasix. Lasix imakhala ndi ziwonetsero zingapo zogwiritsiridwa ntchito.

Kodi torsemide kapena Lasix ndibwino?

Torsemide imalumikizidwa ndi kuchepa kwachipatala kwa CHF poyerekeza ndi Lasix. Amagwirizananso ndi kuchuluka kwakusintha kwamankhwala kwa odwala a CHF komanso kufa kwakuchepa kokhudzana ndi matenda amtima poyerekeza ndi Lasix.

Kodi ndingagwiritse ntchito torsemide kapena Lasix ndili ndi pakati?

Torsemide ndi gawo la mimba B, kutanthauza kuti palibe maphunziro anyama omwe asonyeza kuvulaza kwa fetus ndipo sipanakhaleko maphunziro mwa amayi apakati. Sayenera kugwiritsidwa ntchito pokhapokha ngati pakufunika kutero. Lasix ndi gawo la mimba C, kutanthauza kuti sipanakhale mayeso azachipatala oyang'aniridwa bwino kuti akhazikitse chitetezo. Lasix iyenera kugwiritsidwa ntchito pokhapokha phindu likaposa chiwopsezo chake.

Kodi ndingagwiritse ntchito torsemide kapena Lasix ndi mowa?

Kumwa mowa kumatha kubweretsa kuchepa kwa madzi m'thupi komanso kusalinganizana kwama electrolyte. Torsemide ndi Lasix, akamamwa mowa, atha kukulitsa chiwopsezo cha kuchepa kwa madzi m'thupi komanso kusalinganizana kwa ma electrolyte.

Kodi torsemide ndiyothandiza kwambiri kuposa furosemide mu kulephera kwamtima?

Kafukufuku waposachedwa poyerekeza torsemide motsutsana ndi furosemide akuwonetsa kuti torsemide itha kuphatikizidwa ndi zotsatira zabwino zamankhwala kwa odwala kulephera kwamtima poyerekeza ndi furosemide, kuphatikiza kuchepa kwa chipatala, magwiridwe antchito, komanso kuchepa kwamatenda amtima. Torsemide imakhalanso ndi theka la moyo ndipo imagwira ntchito kwakanthawi m'thupi.

Kodi torsemide imakhala yovuta pa impso?

Torsemide iyenera kugwiritsidwa ntchito mosamala kwambiri kwa odwala matenda aimpso. Hypovolemia, kapena kutsika kwamadzimadzi, komwe kumayambitsidwa ndi diuretic, kumatha kukhala koopsa kwa odwala omwe ali ndi matenda a impso omwe analipo kale.

Ndi diuretic yanji yamphamvu kuposa Lasix?

Torsemide ndi wamphamvu kwambiri kuposa Lasix mu milligram pa milligram poyerekeza ndipo yakhala ikugwirizanitsidwa ndi zotsatira zabwino zamankhwala poyerekeza ndi Lasix.

Kodi cholowa m'malo mwa Lasix ndi chiyani?

Torsemide amalowa m'malo mwa Lasix pomwe zotsatira zachipatala sizikupezeka ndi Lasix. Zonsezi ndizomwe zimagwiritsidwa ntchito poyang'anira edema ndi chithandizo cha matenda oopsa, koma torsemide yasonyezedwa kuti ndi yamphamvu kwambiri.