Trintellix vs. Prozac: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu
Mankhwala osokoneza bongo Vs. MnzanuKuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndi kufananiza mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ
Funsani anzanu apamtima kapena achibale anu ndipo mupeza kuti pafupifupi aliyense adakumana ndi mavuto nthawi ina m'miyoyo yawo. Matenda okhumudwa akasintha kukhala chofooketsa komanso chokhalitsa, zimatha kusintha moyo m'mbali zonse. Malinga ndi NIH , Matenda akulu okhumudwitsa (MDD) amakhudza anthu pafupifupi 17.3 miliyoni aku America. Ngati mwapezeka kuti muli ndi nkhawa yayikulu, mutha kupatsidwa mankhwala ngati Trintellix kapena Prozac.
Trintellix (vortioxetine) ndi Prozac (fluoxetine) ndi awiri mankhwala opatsirana pogonana zomwe zimagwiranso ntchito chimodzimodzi. Mankhwala onsewa amakulitsa zotsatira za serotonin, neurotransmitter yofunika kwambiri muubongo. Trintellix ndi Prozac amaletsa kubwezeretsanso kwa serotonin kuti izitha kuwongolera momwe akumvera. Ngakhale mankhwala onsewa ndi ofanana, ali ndi mtengo wosiyanasiyana, zotsatirapo zake, komanso momwe amagwiritsidwira ntchito.
Kodi pali kusiyana kotani pakati pa Trintellix ndi Prozac?
Trintellix imangopezeka ngati mankhwala osokoneza bongo pomwe Prozac imapezeka m'njira zambiri. Chifukwa palibe njira ina ya Trintellix, itha kukhala yokwera mtengo kugula.
Ngakhale kuti mankhwala onse opanikizika amatha kugwiritsidwa ntchito ngati chithandizo chamavuto akulu, Prozac itha kugwiritsidwanso ntchito kuthana ndi zovuta zina zamatenda amisala. Mwachitsanzo, Prozac ikhozanso kuthandizira matenda osokoneza bongo (OCD) mwazinthu zina (onani Zinthu zomwe Trintellix ndi Prozac zili pansipa).
Prozac ndi gulu la mankhwala opatsirana pogonana omwe amadziwika kuti serotonin reuptake inhibitors (SSRIs) pomwe Trintellix sanagawidwe m'gulu linalake la mankhwala opatsirana. Trintellix ndi gulu la mankhwala ena opatsirana pogonana.
Trintellix amatengedwa ngati piritsi limodzi tsiku lililonse. Prozac nthawi zambiri amatengedwa kamodzi tsiku lililonse ngakhale imabweranso ngati piritsi lokhazikitsidwa sabata iliyonse. Komabe, piritsi lotchedwa Prozac sabata iliyonse lasiya. M'malo mwake, madokotala ena amatha kupereka mtundu wa Prozac womwe ungachedwe kutulutsidwa m'malo mwake.
| Kusiyana kwakukulu pakati pa Trintellix ndi Prozac | ||
|---|---|---|
| Zamgululi | Prozac | |
| Gulu la mankhwala osokoneza bongo | Wopanikizika Zina | Wopanikizika Kusankha serotonin reuptake inhibitor (SSRI) |
| Chizindikiro cha Brand / generic | Dzina Brand yekha | Ma brand ndi generic amapezeka |
| Kodi dzina lachibadwa ndi liti? | Vortioxetine | Fluoxetine |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi lapakamwa | Makapisozi apakamwa |
| Kodi mulingo woyenera ndi uti? | 10 mg kamodzi tsiku lililonse | 20 mg kamodzi patsiku |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Nthawi yayitali kapena yayitali monga mwadongosolo la dokotala | Nthawi yayitali kapena yayitali monga mwadongosolo la dokotala |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu azaka 18 kapena kupitilira apo | Akuluakulu ndi ana azaka 8 kapena kupitirira (kuchiza MDD) |
Zinthu zomwe Trintellix ndi Prozac adachita
Trintellix amavomerezedwa ndi FDA kuti athetse vuto lalikulu lachisoni. Matenda akulu okhumudwa, omwe amadziwikanso kuti kukhumudwa kwakukulu kapena kukhumudwa kwamankhwala, amadziwika ndi zizindikiro monga kumangokhalira kumva chisoni kapena kutaya mtima komanso kuchepa mphamvu, njala, kusinkhasinkha, ndi kudzidalira. Kukhumudwa kwakukulu kumatha kubweretsanso ku malingaliro ofuna kudzipha ndikusintha kwamakhalidwe.
Prozac imavomerezedwanso ndi FDA kuti ithetse vuto lalikulu lachisoni. Prozac itha kugwiritsidwanso ntchito ngati chithandizo chamavuto ena amisala monga matenda osokoneza bongo (OCD) ndi mantha amantha. Prozac itha kugwiritsidwanso ntchito kuchiza Bulimia mantha , matenda ovuta kudya omwe amaphatikizapo kudya kwambiri ndi kuyeretsa. Pogwiritsidwa ntchito ndi mankhwala oletsa antipsychotic otchedwa Zyprexa (olanzapine), Prozac imatha kuthana ndi zovuta zapanikizika komanso kupsinjika kwa mankhwala.
Mankhwala onsewa nthawi zina amatha kugwiritsidwa ntchito ngati chizindikiro cha nkhawa komanso zovuta zina monga ADHD . Onani tchati pansipa kuti mugwiritse ntchito mankhwalawa.
| Mkhalidwe | Zamgululi | Prozac |
| Kusokonezeka kwakukulu | Inde | Inde |
| Matenda osokoneza bongo (OCD) | Kutumiza | Inde |
| Kusokonezeka kwamantha | Kutumiza | Inde |
| Matenda okhumudwa omwe amabwera chifukwa cha kusinthasintha zochitika | Ayi | Inde |
| Bulimia mantha | Ayi | Inde |
| Matenda osokoneza bongo | Ayi | Kutumiza |
| Nkhawa | Kutumiza | Kutumiza |
| Matenda a chidwi cha kuchepa kwa mphamvu (ADHD) | Kutumiza | Kutumiza |
Kodi Trintellix kapena Prozac ndiyothandiza kwambiri?
Mankhwala opatsirana pogonana a Trintellix ndi SSRI monga Prozac awonetsedwa kuti ndi othandiza pakuchepetsa zizindikilo zakukhumudwa poyerekeza popanda chithandizo chilichonse. Chifukwa Trintellix ndi mankhwala atsopano poyerekeza ndi Prozac, pakadali pano palibe maphunziro omwe akuyerekezedwa ndi ziwirizi.
Malinga ndi maphunziro azachipatala , vortioxetine ndi yothandiza kuthana ndi vuto lalikulu lachisoni kwa iwo omwe sakupeza bwino ndi mankhwala ena opatsirana pogonana. Kafukufuku atatu kuchokera padziwe la maphunziro a 27 adapeza kuti vortioxetine idakulitsa kukhumudwa mwa anthu omwe sanapeze mpumulo ku mankhwala monga Wellbutrin SR (bupropion SR) ndi Effexor (venlafaxine).
Mmodzi kuphunzira , mankhwala oponderezedwa ndi fluoxetine, mankhwala othandizira a Prozac, amakhala ndi moyo wabwino kwa iwo omwe ali ndi vuto la kupsinjika ndi / kapena nkhawa. Ngakhale kuti kafukufukuyu sanaphatikizepo Trintellix, imaphatikizaponso ma SSRI ena monga Lexapro (escitalopram) ndi Paxil (paroxetine).
Chithandizo cha kukhumudwa chimakhala chapadera kwambiri. Ndikofunika kukambirana ndi dokotala kuti akusankhireni njira yabwino kwambiri yothandizira.
Kuwerengera ndi kuwerengera mtengo kwa Trintellix vs. Prozac
Trintellix ingagulidwe ngati piritsi ya 5 mg, 10 mg, kapena 20 mg. Ngakhale kulibe mtundu wa generic womwe ulipo pano, Trintellix imaphimbidwa ndi Medicare Part D komanso mapulani ambiri a inshuwaransi. Mtengo wapakati wazogulitsa wa Trintellix wopanda inshuwaransi umatha kuthamanga $ 400- $ 600. Ngati mukufuna kugula Trintellix ku pharmacy yakwanuko, mutha kuwona ngati angavomereze khadi yosungira ya SingleCare. Ndi SingleCare mutha kutsitsa mtengo wamtengo wapatali mpaka $ 377.35 kutengera mankhwala omwe mukupitako.
Prozac ingagulidwe m'mitundu yonse komanso mitundu. Ngati mwalamulidwa Prozac, dokotala wanu amatha kukupatsani mtundu wa fluoxetine. Monga Trintellix ndi mankhwala ena opatsirana, Prozac imakutidwa ndi ambiri Medicare ndi mapulani a inshuwaransi. Mtengo wapakatikati wa Prozac wapafupifupi ndi $ 100. Ndi khadi yochotsera ya SingleCare, mutha kuyembekezera kulipira mpaka $ 4.
| Zamgululi | Prozac | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amadzazidwa ndi Medicare? | Inde | Inde |
| Mlingo woyenera | Mapiritsi a 10 mg (kupezeka kwa masiku 30) | Mapiritsi a 20 mg (kupezeka kwa masiku 30) |
| Wopanga Medicare wamba | $ 40.19 | $ 0- $ 12 |
| Mtengo wosakwatiwa | $ 377.35 | $ 4 |
Zotsatira zoyipa za Trintellix vs. Prozac
Trintellix ndi Prozac, monga mankhwala ena opatsirana pogonana, atha kuyambitsa chimodzimodzi zotsatira zoyipa s zomwe zimakhudza kugaya chakudya, dongosolo lamanjenje (CNS), ndi thupi lathunthu.
Zotsatira zoyipa kwambiri za Trintellix zimaphatikizapo nseru, kutsegula m'mimba, chizungulire, ndi pakamwa pouma. Zotsatira zoyipa kwambiri za Prozac zimaphatikizapo kunyoza, kupweteka mutu, kusowa tulo, mantha, nkhawa, ndi kutsegula m'mimba. Zotsatira zoyipa za mankhwalawa nthawi zambiri zimakhala zofatsa ndipo zimatha pambuyo pogwiritsa ntchito moyenera.
Onse opatsirana pogonana amathanso kuyambitsa zovuta zina monga Kulephera kugonana kapena kuchepa kwa libido (kuyendetsa kugonana).
Prozac imatha kuyambitsa kuwonda komwe kumatha kuwoneka ngati anorexia nthawi zina. Trintellix sanawonetsedwe kuti imayambitsa kusintha kulikonse monga kulemera kapena kuchepa thupi.
Zotsatira zoyipa zina za mankhwalawa zimatha kuphatikizira kusokonezeka kapena kutengeka ndi mphamvu ya thupi. Ngati mukuvutika kupuma, zotupa zazikulu, kapena ming'oma, pitani kuchipatala mwachangu.
| Zamgululi | Prozac | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Nseru | Inde | 32% | Inde | 22% |
| Mutu | Inde | * sananene | Inde | makumi awiri ndi mphambu imodzi% |
| Kusowa tulo | Ayi | - | Inde | 19% |
| Mantha | Ayi | - | Inde | 13% |
| Nkhawa | Ayi | - | Inde | 12% |
| Kutsekula m'mimba | Inde | 7% | Inde | khumi ndi chimodzi% |
| Chizungulire | Inde | 9% | Inde | 9% |
| Pakamwa pouma | Inde | 8% | Inde | 9% |
| Kudzimbidwa | Inde | 6% | Inde | 5% |
| Kusanza | Inde | 6% | Inde | 3% |
| Maloto achilendo | Inde | 3% | Inde | 1% |
| Kuyabwa | Inde | 3% | Inde | 3% |
| Kudzikweza | Inde | 1% | Inde | 3% |
| Kudzimbidwa | Inde | * | Inde | 8% |
| Kulephera kugonana / Kuchepetsa libido | Inde | 20% akazi / 14% amuna | Inde | 4% |
| Kuchepetsa thupi | Ayi | - | Inde | awiri% |
Izi sizingakhale mndandanda wathunthu wazovuta zomwe zingachitike. Chonde onani dokotala wanu kapena wothandizira zaumoyo kuti mudziwe zambiri.
Gwero: DailyMed ( Zamgululi ), Tsiku Lililonse ( Prozac )
Kuyanjana kwa mankhwala a Trintellix vs. Prozac
Trintellix ndi Prozac onse amasinthidwa ndi Michere CYP pachiwindi. Mankhwala ena omwe amakhudza ma enzyme awa amatha kusintha momwe Trintellix kapena Prozac imagwiritsidwira ntchito ndi thupi. Kutenga mankhwala aliwonse ndi CYP2D6 inhibitor monga bupropion kapena quinidine kumatha kuyambitsa kuchuluka kwa Trintellix kapena Prozac mthupi. Kuchuluka kwamankhwala osokoneza bongo kumatha kubweretsa chiopsezo chowonjezeka chazovuta.
Komanso, ma inducers a CYP amatha kuchepa kwa Trintellix kapena Prozac mthupi. Mankhwala monga carbamazepine ndi phenytoin amatha kuchepetsa mphamvu ya mankhwalawa. Nthawi zina, mankhwala opatsirana pogonana angafunike kusinthidwa mukamamwa mankhwala omwe amathandizira CYP.
Chifukwa Trintellix ndi Prozac zimawonjezera kuchuluka kwa serotonin muubongo, ayenera kugwiritsidwa ntchito mosamala ndi mankhwala ena omwe amachitanso chimodzimodzi. Mankhwala osokoneza bongo a serotonergic monga sertraline, venlafaxine, ndi amitriptyline amatha kuonjezera chiwopsezo cha matenda a serotonin akatengedwa ndi Trintellix kapena Prozac (onani Machenjezo a Trintellix ndi Prozac).
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Zamgululi | Prozac |
| Bupropion Paroxetine Quinidine | CYP2D6 zoletsa | Inde | Inde |
| Carbamazepine Phenytoin Rifampin | Othandizira a CYP | Inde | Inde |
| Phenelzine Selegiline Isocarboxazid | Monoamine oxidase inhibitors (MAOIs) | Inde | Inde |
| Sertraline Paroxetine Duloxetine Mirtazapine Katemera Amitriptyline Desipramine Zamgululi Fentanyl Lifiyamu Buspirone Zamgululi St. John's Wort | Mankhwala a Serotonergic | Inde | Inde |
| NSAIDs Asipilini Warfarin | Mankhwala osokoneza bongo omwe amasokoneza magazi | Inde | Inde |
* Funsani katswiri pa zamankhwala ena.
Machenjezo a Trintellix vs. Prozac
Kugwiritsa ntchito mankhwala opatsirana kumawonjezera chiopsezo chofuna kudzipha mwa anthu ena, makamaka achinyamata ndi ana. Ndikofunika kuwunika zovuta izi ndikupeza upangiri kuchipatala ngati zingachitike.
Kutenga Trintellix kapena Prozac ndi mankhwala ena opatsirana pogonana kumatha kuyambitsa matenda a serotonin , mkhalidwe woopsa komanso wowopsa. Ma opioid ena monga fentanyl ndi tramadol amathanso kuwonjezera chiopsezo cha matenda a serotonin. Zizindikiro za matenda a serotonin zimatha kuphatikizira kutentha thupi, kusakhazikika, kugwedezeka, ophunzira otukuka, ndi kutsegula m'mimba. Ngati mukumane ndi izi, pitani kuchipatala mwachangu.
Kutenga Trintellix kapena Prozac yokhala ndi magazi ochepetsa magazi monga aspirin ndi warfarin kumatha kuwonjezera ngozi yakutaya magazi. Kutenga mankhwalawa palimodzi kungayambitse magazi komanso zironda zam'mimba.
Trintellix ndi Prozac zimatha kuyambitsa hyponatremia, kapena sodium yotsika modabwitsa m'magazi. Hyponatremia Nthawi zambiri imalumikizidwa ndi matenda amadzimadzi oyenera antidiuretic hormone (SIADH).
Trintellix ndi Prozac zitha kuonjezera ngozi ya glaucoma, kapena kuthamanga kwambiri kwa magazi m'maso. Glaucoma imatha kubweretsa kuwonongeka kwamitsempha yamawonedwe ndi khungu ngati sichichiritsidwa.
Prozac ikhozanso kukhudza kugunda kwa mtima. Kutenga Prozac kumatha kuonjezera chiwopsezo cha mitima yachilendo makamaka kwa iwo omwe adziwa kale mavuto amtima kapena arrhythmias.
Mafunso omwe amafunsidwa kawirikawiri za Trintellix vs. Prozac
Kodi Trintellix ndi chiyani?
Trintellix (vortioxetine) ndi anti-depressant FDA-yomwe idavomerezedwa mu 2013 yothandizira matenda akulu okhumudwa. Nthawi zambiri amatengedwa ngati piritsi la 10 mg kamodzi tsiku lililonse kapena wopanda chakudya. Trintellex tsopano ikuvomerezedwa kuti igwiritsidwe ntchito kwa akulu okha.
Prozac ndi chiyani?
Prozac ndi anti-depressant ya SSRI yomwe imagwiritsidwa ntchito kuthana ndi vuto lalikulu lachisoni. Itha kugwiritsidwanso ntchito kuthana ndi zovuta zina monga OCD, mantha, ndi bulimia. Prozac nthawi zambiri amatengedwa ngati piritsi la 20 mg kamodzi tsiku lililonse kukhumudwa.
Kodi Trintellix ndi Prozac ali ofanana? / Nchiyani chimapangitsa Trintellix kukhala chosiyana?
Ayi. Trintellix ndi Prozac sizofanana. Trintellix ndi dzina latsopanolo lokhalo lomwe limavomerezedwa kuthana ndi kukhumudwa kwa akulu. Prozac imapezeka ngati dzina la mankhwala kapena mankhwala achibadwa omwe angagwiritsidwe ntchito kuthana ndi kukhumudwa kwa akulu ndi ana azaka 8 kapena kupitilira apo.
Kodi Trintellix kapena Prozac ili bwino?
Pakadali pano, palibe mayeso azachipatala pamutu poyerekeza Trintellix ndi Prozac. Komabe, mankhwala onse akuchipatala amathandiza kuthetsa zizindikilo za kukhumudwa. Malingana ndi momwe mulili, dokotala wanu akhoza kukupatsirani wina.
Kodi nditha kugwiritsa ntchito Trintellix kapena Prozac ndili ndi pakati?
Trintellix kapena Prozac ayenera kugwiritsidwa ntchito kokha pa mimba ngati maubwino apitilira zoopsa zake. Kutenga Trintellix kapena Prozac panthawi yoyembekezera kumatha kuonjezera chiopsezo cha zopunduka zobadwa. Lankhulani ndi dokotala ngati muli ndi pakati kapena mukuyamwitsa musanatenge mankhwalawa.
Kodi ndingagwiritse ntchito Trintellix kapena Prozac ndi mowa?
Sikulimbikitsidwa kuti mugwiritse ntchito mankhwalawa. Kutenga Trintellix kapena Prozac mukumwa mowa kumatha kuonjezera ngozi zoyipa monga chizungulire komanso kuwodzera.
Zimatenga nthawi yayitali bwanji kuti Trintellix ayambe kugwira ntchito?
Monga antidepressants ena, Trintellix siyimayamba kugwira ntchito nthawi yomweyo. Ngakhale zingatenge masabata awiri kuti ayambe kumva zabwino za Trintellix, zimatha kutenga milungu inayi kapena kupitilira apo kuti mumve mankhwalawa.
Zotsatira zoyipa za Trintellix ndi ziti?
Zotsatira zoyipa kwambiri za Trintellix ndi nseru, kusanza, ndi kudzimbidwa. Zotsatira zina zoyipa za Trintellix zimaphatikizapo pakamwa pouma komanso chizungulire.
Kodi Trintellix imathandizira pakuwunika?
Trintellix itha kuthandiziramo m'njira zina. Amagwiritsidwa ntchito makamaka pochiza matenda okhumudwa omwe atha kuphatikizira kutopa, kusintha kwa njala, komanso mavuto okhala ndi chidwi. Powonjezera milingo ya serotonin ndikuchepetsa zipsinjo zakukhumudwa, Trintellix itha kuthandizira kuwunika.
