Trintellix 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
Oposa 16 miliyoni aku America ali nawo kukhumudwa (chachikulu kukhumudwa), ndipo pafupifupi 7 miliyoni achikulire ali ndi vuto la nkhawa. Zochitika zaposachedwa ngati mliri wa COVID-19, zakhala gwero la nkhawa kwa anthu ambiri.
Trintellix (vortioxetine) ndi Lexapro (escitalopram) ndi mankhwala awiri omwe amagwiritsidwa ntchito pamavuto. Lexapro imagwiritsidwanso ntchito nkhawa. Mankhwala onsewa amavomerezedwa ndi United States Food and Drug Administration (FDA).
Trintellix ndi Lexapro ndi amodzi mwa mankhwala omwe amatchedwa SSRIs (serotonin reuptake inhibitors). SSRIs imagwira ntchito powonjezera ma serotonin muubongo, zomwe zimathandizira kukonza zizindikilo za kukhumudwa. Ngakhale Trintellix ndi Lexapro onse ndi ma SSRIs, ali ndi zosiyana, zomwe tidzafotokoza pansipa.
Kodi pali kusiyana kotani pakati pa Trintellix ndi Lexapro?
Trintellix (vortioxetine) ndi mankhwala a SSRI. Imapezeka mu dzina la dzina lokha, piritsi. Itha kugwiritsidwa ntchito kwa akulu okha. Sipanaphunzire mwa ana. Trintellix poyamba amatchedwa Brintellix, koma dzina linasinthidwa kupewa chisokonezo ndi mankhwala antiplatelet wotchedwa Brilinta.
Lexapro (escitalopram) ndi SSRI. Lexapro imapezeka m'mitundu yonse komanso mawonekedwe apiritsi komanso piritsi kapena yankho lamlomo. Lexapro imagwiritsidwa ntchito kwa achikulire ndi achinyamata azaka 12 kapena kupitilira apo kukhumudwa, kapena achikulire zaka 18 kapena kupitilira nkhawa.
| Kusiyana kwakukulu pakati pa Trintellix ndi Lexapro | ||
|---|---|---|
| Zamgululi | Lexapro | |
| Gulu la mankhwala osokoneza bongo | SSRI (serotonin reuptake inhibitor yosankha) | SSRI (serotonin reuptake inhibitor yosankha) |
| Chizindikiro cha Brand / generic | Mtundu | Brand ndi generic |
| Kodi dzina lachibadwa ndi liti? | Vortioxetine | Kuyanjana |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi | Piritsi, yankho |
| Kodi mulingo woyenera ndi uti? | Yambani pa 10 mg patsiku ndikuwonjezeka mpaka 20 mg patsiku ngati mukulekerera | 5 mg, 10 mg, kapena 20 mg kamodzi tsiku lililonse |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Zimasintha | Zimasintha |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu | Akuluakulu ndi achinyamata (azaka 12 zakubadwa kapena kupitilira) |
Mukufuna mtengo wabwino pa Trintellix?
Lowani zidziwitso zamitengo ya Trintellix kuti mudziwe kuti mitengo isintha liti!
Pezani zidziwitso zamitengo
Zinthu zomwe Trintellix ndi Lexapro adachita
Trintellix imasonyezedwa kuti imachiza matenda aakulu a kukhumudwa (MDD). Nthawi zina amagwiritsidwa ntchito osalemba chifukwa cha matenda amisala wamba.
Lexapro amawonetsedwa kuti amachiza MDD mwa akulu ndi achinyamata azaka 12-17. Lexapro amawonetsedwanso pochiza matenda okhudzana ndi nkhawa mwa akulu.
| Mkhalidwe | Zamgululi | Lexapro |
| Matenda Aakulu Achisoni (MDD) | Inde | Inde |
| Matenda amisala wamba | Kutumiza | Inde |
Kodi Trintellix kapena Lexapro ndi yothandiza kwambiri?
KU kusanthula meta (kusanthula kwamaphunziro ambiri) lofalitsidwa mu 2018 adayesa 21 antidepressants. Trintellix ndi Lexapro onse anapezeka kuti ndi othandiza kwambiri kuposa mankhwala ena opatsirana pogonana. Onsewa anali ololera bwino kuposa mankhwala ena opatsirana.
KU kuphunzira wochitidwa ndi wopanga Trintellix adatsimikiza kuti Trintellix ndi Lexapro onse ndi othandiza. Kafukufukuyu adanenanso kuti Trintellix adakhala ndi zovuta zina, monga mseru komanso kuyabwa kuposa Lexapro.
Wothandizira zaumoyo wanu amatha kudziwa mankhwala omwe angakuthandizeni kwambiri, poganizira zaumoyo wanu komanso mbiri yanu komanso mankhwala aliwonse omwe mungatenge omwe angagwirizane ndi Trintellix kapena Lexapro.
Mukufuna mtengo wabwino pa Lexapro?
Lowani zidziwitso zamitengo ya Lexapro ndikupeza kuti mitengo ikasintha liti!
Pezani zidziwitso zamitengo
Kuwerengera ndi kuwerengera mtengo kwa Trintellix vs. Lexapro
Trintellix imakhala ndi inshuwaransi yambiri komanso mapulani a Medicare Part D. Komabe, ndibwino kuti mufufuze ndi pulani yanu kuti mumve zambiri. Trintellix imangopezeka mu dzina ladzina. Ikhoza kulipira ndalama zoposa $ 500 pa mapiritsi # 30, 20 mg. Mutha kugwiritsa ntchito coupon yaulere ya SingleCare kuti muchepetse mtengo kukhala pafupifupi $ 350.
Lexapro nthawi zambiri imakhala ndi inshuwaransi ndi Medicare Part D. Mtundu wa generic nthawi zambiri umakhala ndi ma copay ochepa. Chopanga dzina lake nthawi zambiri chimakhala ndi copay yayikulu kwambiri kapena sichingaphimbidwe konse. Generic Lexapro amawononga pafupifupi $ 70 pa # 30, 10 mg mapiritsi achibadwa. Khadi la SingleCare limatha kutsitsa mtengo wapafupipafupi pafupifupi $ 8.
| Zamgululi | Lexapro | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde (generic) |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde | Inde (generic) |
| Mlingo woyenera | 30, 20 mg mapiritsi | 30, 10 mg mapiritsi |
| Wopanga Medicare wamba | $ 3- $ 14 | $ 0- $ 30 |
| Mtengo wosakwatiwa | $ 352- $ 365 | $ 8- $ 40 |
Pezani khadi yochotsera mankhwala
Zotsatira zoyipa za Trintellix vs. Lexapro
Zotsatira zoyipa kwambiri za Trintellix ndi mseru, womwe nthawi zambiri umakhala wofatsa mpaka pang'ono ndipo umatha pafupifupi milungu iwiri. Zochitika zina zoyipa zimaphatikizaponso zotsatira zoyipa zogonana, nseru, kudzimbidwa, kusanza, kutsegula m'mimba, mkamwa mouma, komanso chizungulire.
Zotsatira zoyipa kwambiri za Lexapro ndizopweteka mutu, mseru, mavuto azakugonana, kugona, ndi kugona tulo.
Ndi mankhwala atsopano kapena atsopano a Trintellix kapena Lexapro, mudzalandira chitsogozo cha mankhwala chomwe chimakambirana za zovuta, machenjezo, ndi zina zofunika.
Ili si mndandanda wathunthu wazotsatira. Zotsatira zina zoyipa zimatha kuchitika. Funsani omwe amakuthandizani kuti mupeze mndandanda wazomwe zingachitike.
| Zamgululi | Lexapro | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Mutu | Inde | % sananene | Inde | 24% |
| Nseru | Inde | 21-32% | Inde | 18% |
| Kusokonezeka / kutha kwa kugonana | Inde | 16-34% | Inde | 14% |
| Kutsekula m'mimba | Inde | 7-10% | Inde | 8% |
| Kudzimbidwa | Inde | 3-6% | Inde | 3% |
| Pakamwa pouma | Inde | 6-8% | Inde | 9% |
| Kusinza | Ayi | - | Inde | 13% |
| Chizungulire | Inde | 6-9% | Inde | 5% |
| Kusowa tulo | Ayi | - | Inde | 12% |
* zoyipa zimadalira mlingo
Gwero: DailyMed ( Zamgululi ), Tsiku Lililonse ( Lexapro )
Kuyanjana kwa mankhwala a Trintellix vs. Lexapro
Chifukwa mankhwala onsewa ali mgulu limodzi, ali ndi machitidwe ofanana azamankhwala.
MAOI (monoamine oxidase inhibitors) amalumikizana ndi Trintellix ndi Lexapro. Kugwiritsa ntchito kwawo kuyenera kulekanitsidwa ndi masiku 14-21, kutengera dongosolo la chithandizo. Kuphatikiza kwa MAOI ndi Trintellix kapena Lexapro kungapangitse ngozi matenda a serotonin , zoopsa zachipatala zoopsa chifukwa cha serotonin buildup.
Ma Triptan omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala, monga Imitrex (sumatriptan), ndi mankhwala ena opewetsa kupsinjika, monga Elavil kapena Cymbalta, sayenera kugwiritsidwa ntchito limodzi ndi Trintellix kapena Lexapro chifukwa cha chiwopsezo cha matenda a serotonin. Komanso dextromethorphan ya chifuwa - yomwe imapezeka ku Robitussin-DM komanso mitundu ina yambiri ya chifuwa ndi mankhwala ozizira - iyenera kupewedwa chifukwa ingayambitsenso matenda a serotonin akaphatikizidwa ndi Trintellix kapena Lexapro.
Mankhwala ena omwe amatha kulumikizana ndi Trintellix kapena Lexapro amaphatikizapo mankhwala osagwiritsa ntchito zotupa (NSAIDs), monga aspirin kapena ibuprofen, ndi anticoagulants (oponda magazi), monga warfarin. Pewani mowa mukamamwa Trintellix kapena Lexapro.
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 | Zamgululi | Lexapro |
| Phenelzine Rasagiline Selegiline Zamgululi | MAOIs | Inde | Inde |
| 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 | Opioids | Inde | Inde |
| Dextromethorphan (m'mafupa ambiri ndi mankhwala ozizira) | Chifuwa suppressant | Inde | Inde |
| Azithromycin Clarithromycin Mankhwalawa | Ma Macrolide maantibayotiki | Ayi | 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 |
| Alprazolam Clonazepam Diazepam | Benzodiazepines | Ayi | Inde |
Machenjezo a Trintellix ndi Lexapro
Ma SSRIs onse, kuphatikiza Trintellix ndi Lexapro, ali ndi chenjezo lolembedwa lodzipha. Ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opondereza amakhala ndi chiopsezo chowonjezereka chofuna kudzipha komanso kuchita. Odwala onse pa mankhwala opatsirana pogonana ziyenera kuyang'aniridwa mosamala.
Machenjezo ena ndi awa:
- Matenda a Serotonin ndizowopsa, zoopsa zomwe zimadza chifukwa cha kuchuluka kwa serotonin yambiri. Odwala omwe amatenga Trintellix kapena Lexapro 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.
- SSRIs imatha kuwonjezera ngozi yakutaya magazi. Chiwopsezo chikuwonjezeka ndikugwiritsa ntchito ma aspirin, ma NSAID, kapena warfarin.
- Kukhazikitsa mania kapena hypomania kumatha kuchitika. Odwala omwe ali ndi vuto losinthasintha zochitika, wopanikizika amatha kutulutsa gawo losakanikirana.
- Pewani ma SSRIs kapena muzigwiritsa ntchito mosamala kwa odwala omwe ali ndi ma angles omwe sanapangidwe (anatseka-glaucoma). Trintellix ndi Lexapro zimatha kuyambitsa mavuto amaso monga kupweteka kwa diso, kusintha masomphenya, kufiira, ndi kutupa. Funsani wothandizira zaumoyo wanu ngati muli pachiwopsezo.
- Hyponatremia (otsika sodium) 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, ndikusiya SSRI.
- Mukasiya Lexapro, zizindikiro zakutha monga kusokonezeka kumatha kuchitika. Odwala ayenera kusiya kumwa mankhwalawa pang'onopang'ono ndipo osayima mwadzidzidzi.
- Trintellix imatha kusinthidwa mwadzidzidzi ngati kuli kofunikira, koma wopanga amalimbikitsa taper yayifupi kuti apewe zizindikilo monga kupweteka kwa mutu komanso kupsinjika kwa minofu. Wothandizira zaumoyo wanu akhoza kukulangizani za njira yabwino yoletsera Trintellix kapena Lexapro.
- Osayendetsa kapena kugwiritsa ntchito makina mpaka mutadziwa momwe Trintellix kapena Lexapro imakukhudzirani.
- Lankhulani ndi wothandizira zaumoyo wanu za kugwiritsa ntchito Trintellix kapena Lexapro ngati muli ndi mbiri yakugwa.
- Nthawi zambiri, pakhala pali malipoti a zotupa ndi zosokoneza / machitidwe amachitidwe a anaphylaxis omwe apha. Ngati mukumana ndi zotupa kapena zosavomerezeka, lekani kumwa Trintellix kapena Lexapro ndikupita kuchipatala nthawi yomweyo.
- Lexapro imatha kuyambitsa kutalikirana kwa QT ndi ventricular arrhythmia. Odwala ena amakhala pachiwopsezo chachikulu chifukwa cha matenda kapena mankhwala ena. Funsani omwe akukuthandizani ngati Lexapro ali otetezeka kwa inu.
- Gwiritsani ntchito Lexapro mosamala kwa odwala omwe ali ndi vuto la impso.
Trintellix kapena Lexapro 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. Wopereka chithandizo chamankhwala amatha kuyeza zoopsa kutengera phindu logwiritsa ntchito SSRI panthawi yapakati. Ma Neonates omwe amapezeka ndi SSRIs m'gawo lachitatu lachitatu akhala ndi zovuta zomwe zimafunikira kuchipatala kwakanthawi, chithandizo cha kupuma, komanso kudyetsa chubu. Ngati muli pa Trintellix kapena Lexapro ndipo mukudziwa kuti muli ndi pakati, funsani omwe akukuthandizani nthawi yomweyo.
Mafunso omwe amafunsidwa pafupipafupi za Trintellix vs. Lexapro
Kodi Trintellix ndi chiyani?
Trintellix ndi SSRI, kapena serotonin reuptake inhibitor yosankha. Ikupezeka mu dzina la dzina ndipo imagwiritsidwa ntchito kuthana ndi kukhumudwa kwa akulu.
Lexapro ndi chiyani?
Lexapro ndi SSRI. Lexapro imatha kuthana ndi kukhumudwa komanso kuda nkhawa. Amapezeka mu mawonekedwe amtundu komanso generic (escitalopram).
Kodi Trintellix ndi Lexapro ali ofanana?
Trintellix ndi Lexapro 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), Prozac (fluoxetine), ndi Zoloft (sertraline).
Gulu lina la mankhwala omwe mudamvapo ndi mankhwala a SNRI, omwe amaphatikizapo Cymbalta (duloxetine), Effexor (venlafaxine), ndi Pristiq (desvenlafaxine).
Kodi Trintellix kapena Lexapro ndibwino?
Onani gawo ili pamwambapa pazothandiza-pali zochepa kwambiri poyerekeza Trintellix ndi Lexapro mwachindunji. Kafukufuku akuwonetsa kuti mankhwala onsewa ndi othandiza komanso ololera chimodzimodzi, ngakhale mankhwala onsewa ali ndi zovuta zomwe zimatha kukhala zovuta kwa anthu ena, monga kunyansidwa kapena zoyipa zakugonana.
Wothandizira zaumoyo wanu amatha kudziwa kuti ndi mankhwala ati omwe angakuthandizeni, poganizira zochitika zanu zapadera. Mwachitsanzo, ngati mtengo ndiwomwe umatsimikizira, Lexapro generic itha kukhala yotsika mtengo, ndipo mutha kutsatira malamulowo. Kapena, ngati zovuta zakugonana ndizodetsa nkhawa, mutha kuchita bwino ndi Trintellix, yomwe imatha kukhala ndi zovuta zochepa zogonana.
Kodi nditha kugwiritsa ntchito Trintellix kapena Lexapro ndili ndi pakati?
Funsani wothandizira zaumoyo wanu kwa upangiri. Adzawona zabwino zakumwa mankhwala opanikizika 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 pa Trintellix kapena Lexapro ndipo mukudziwa kuti muli ndi pakati, funsani OB-GYN anu nthawi yomweyo kuti akuthandizeni. Ngati muli kuyamwitsa , Funsani OB-GYN wanu.
Kodi ndingagwiritse ntchito Trintellix kapena Lexapro ndi mowa?
Ayi. Trintellix kapena Lexapro sayenera kumwedwa ndi mowa chifukwa kuphatikiza kumatha kuwonjezera chiopsezo cha kupuma (kupumira pang'ono, kusapeza mpweya wokwanira) ndikuwonjezera kutopa ndi kugona, komanso kusokoneza chidwi. Kuphatikizaku kungapangitsenso nkhawa ndi kukhumudwa.
Kodi Trintellix imasiyana bwanji ndi ma antidepressants ena?
Trintellix amachita ngati wotsutsana, agonist, komanso pang'ono agonist wa ma serotonin receptors ambiri kuti athandizire kukhumudwa. Mankhwala ena m'kalasi la SSRI, monga Lexapro, amagwira ntchito powonjezera zochitika za serotonin mkati mwa dongosolo lamanjenje.
Kodi Trintellix imapangitsa kunenepa?
Zachipatala maphunziro adawonetsa kuti Trintellix sichimakhudza kulemera. Panalibe kusiyana pakulemera pakati pa anthu omwe adatenga Trintellix ndi anthu omwe adatenga placebo (mapiritsi osagwira). Deta yotsatsa pambuyo pake imanenanso za kunenepa koma sikunena kuti ndi anthu angati omwe adapeza kunenepa. Funsani akatswiri azachipatala ngati kunenepa kuli kovuta.
