Wellbutrin vs. Chantix: 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
Zabwino zonse — mwasankha kutero lekani kusuta ! Mukupanga chisankho chabwino pamoyo wanu wonse. Pomwepo, kuthamanga kwa magazi ndi kugunda kwa mtima kwanu kumachepa. Pasanathe tsiku limodzi, chiopsezo chanu chodwala matenda a mtima chidzachepa. Maubwino ena amaphatikizapo cholesterol m'munsi, mwayi wotsika wa khansa yamapapo , komanso mafupa olimba komanso chitetezo chamthupi.
Nthawi zina, zimakhala zovuta kusiya kusuta wekha, ndipo adotolo mwina atanena kuti mukugwiritsa ntchito mankhwala akuchipatala kuti akuthandizeni kuti musasute. Wellbutrin (bupropion hydrochloride) ndi Chantix (varenicline tartrate), yopangidwa ndi Pfizer, ndi mankhwala awiri odziwika omwe amagwiritsidwa ntchito kuthandiza odwala kusiya kusuta, ndipo amavomerezedwa ndi FDA kuti asiye kusuta. Ngakhale onse amagwiritsidwa ntchito chimodzimodzi, amasiyana mosiyanasiyana.
Kodi pali kusiyana kotani pakati pa Wellbutrin ndi Chantix?
Wellbutrin ndi mankhwala ochepetsa nkhawa, omwe amaperekedwa osalemba chifukwa chosiya kusuta. Sizikudziwika bwino kuti Wellbutrin amagwirira ntchito bwanji kusuta fodya, koma tikudziwa kuti zimathandizira kuchepetsa kulakalaka komanso kumachepetsa zisonyezo zakusiya. Imapezeka piritsi lotulutsa mwachangu (generic) komanso pulogalamu yokhazikika (SR) ndi pulogalamu yotulutsa (XL). Mapangidwe a SR ndi XL onse amapezeka pamtundu komanso generic. SR imaperekedwa kawiri patsiku ndipo XL imaperekedwa kamodzi patsiku.
Chantix ndi wokonda nicotinic agonist — amamangirira zolumikizira za chikonga muubongo, kotero kuti chikonga sichingathe. Imapezeka mu dzina la piritsi. Ngakhale mankhwalawa alibe chikonga.
| Kusiyana kwakukulu pakati pa Wellbutrin vs. Chantix | ||
|---|---|---|
| Wellbutrin | Chantix | |
| Gulu la mankhwala osokoneza bongo | Aminoketone antidepressant | Nicotinic agonist kusuta fodya thandizo |
| Chizindikiro cha Brand / generic | Brand ndi generic | Mtundu |
| Kodi dzina lachibadwa ndi liti? | Bupropion | Mzere |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi Piritsi SR (kumasulidwa mosasunthika, kawiri kawiri tsiku lililonse) Pulogalamu ya XL (kutulutsa kotalikirapo, dosing kamodzi patsiku) | Piritsi |
| Kodi mulingo woyenera ndi uti? | Yambitsani sabata imodzi musanasute tsiku: 150 mg SR tsiku lililonse masiku atatu, kenako 150 mg SR kawiri patsiku | Yambani sabata limodzi musanasiye kusuta: 0.5 mg tsiku lililonse kwa masiku atatu, kenako 0,5 mg kawiri tsiku lililonse kwa masiku 4, kenako 1 mg kawiri tsiku lililonse pambuyo pake |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Zimasintha | Masabata 12, atha kupitilira milungu ina 12 |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu | Akuluakulu |
Zomwe amathandizidwa ndi Wellbutrin vs. Chantix
Wellbutrin amalembedwa kuti asakhale ngati chothandizira kusuta fodya. Wellbutrin itha kulembedwa kapena popanda mankhwala osokoneza bongo a nicotine (NRT). Kusintha kwa nikotini kumatha kugwiritsidwa ntchito ngati chikonga cha chikonga kapena lozenge, mwachitsanzo, komanso pamodzi ndi Wellbutrin, zolakalaka zanu zimatha kuchepa.
Wellbutrin (mitundu yonse) imawonetsedwa pamavuto akulu okhumudwa. Wellbutrin XL imawonetsedwanso pamavuto okhudzana ndi nyengo. Wellbutrin ili ndi mitundu ingapo yamalemba osagwiritsidwa ntchito, yofotokozedwera pansipa.
Mwinanso mudamvapo Zyban , yomwe ili ndi chinthu chomwecho (bupropion) monga Wellbutrin. Zyban imawonetsedwa kuti ingagwiritsidwe ntchito pakusuta fodya. Wellbutrin nthawi zambiri imagwiritsidwa ntchito poletsa kusuta, ngakhale sizinafotokozeredwe mwanjira imeneyi. Kufotokozera zambiri akuti , Wellbutrin SR sichivomerezedwa chifukwa cha kusuta fodya; komabe, ili ndi chinthu chimodzimodzi chogwiritsira ntchito mankhwala osuta fodya Zyban. Komabe, madokotala nthawi zambiri amalamula Wellbutrin kuti asiye kusuta kuti apeze inshuwaransi.
Chantix imasonyezedwa chifukwa cha kusuta fodya. Chantix sayenera kutengedwa ndi NRT chifukwa zingayambitse mseru, kusanza, kupweteka mutu, chizungulire, kukhumudwa m'mimba, ndi kutopa.
| Mkhalidwe | Wellbutrin | Chantix |
| Thandizo pakusiya kusuta | Kutumiza | Inde |
| Kusokonezeka kwakukulu (Wellbutrin kumasulidwa mwachangu, SR, XL) | Inde | Ayi |
| Matenda osokoneza nyengo (Wellbutrin XL) | Inde | Ayi |
| ADHD | Kutumiza | Ayi |
| Kunenepa kwambiri | Kutumiza | Ayi |
| Matenda osokoneza bongo | Kutumiza | Ayi |
| PTSD | Kutumiza | Ayi |
| Kuopa anthu | Kutumiza | Ayi |
| Kulephera kugonana | Kutumiza | Ayi |
Kodi Wellbutrin kapena Chantix ndiyothandiza kwambiri?
Chitetezo ndi mphamvu ya bupropion adaphunziridwa angapo mayesero , pogwiritsa ntchito bupropion mu mawonekedwe a Zyban limodzi ndi upangiri. Pakafukufuku wamasabata asanu ndi awiri, bupropion adawonetsedwa kuti ndiwothandiza kwambiri kuposa placebo. Kwa miyezi isanu ndi umodzi, odwala adachita bwino kudziletsa atachiritsidwa ndi bupropion. Pakafukufuku wina, chithandizo cha bupropion chidalinso chothandiza kwambiri kuposa maloboti, kuchepetsa chidwi chosuta, ndikuchepetsa zizindikilo zakusiya (monga kukwiya, mkwiyo, ndi nkhawa).
M'mayesero azachipatala, Chantix adapezeka kuchepetsa chilakolako chofuna kusuta , kuchepetsa zizindikiritso za kusiya, komanso kuthandiza odwala kudziletsa. Kafukufuku awiri anayerekezera Chantix ndi bupropion ndi placebo kwa milungu 12 ndipo odwala adatsatiridwa kwa milungu 40 atalandira chithandizo. Pakafukufuku umodzi, odwala 44% omwe amatenga Chantix adasiya kusuta milungu 9 mpaka 12, poyerekeza ndi 30% ya odwala omwe amatenga bupropion ndi 17% ya odwala omwe amatenga placebo. Kafukufuku wina adawonetsanso zotsatira zofananira.
Kafukufukuyu adapeza kuti mankhwala onsewa anali abwinoko kuposa placebo, ndipo adazindikira kuti Chantix analiwothandiza pang'ono kuposa Zyban.
Mankhwala onsewa atha kukhala othandiza pochiza kusuta fodya, koma aliyense ndi wosiyana ndi momwe amachitira ndi mankhwala ena. Mankhwala othandiza kwambiri kwa inu angadziwe ndi dokotala wanu, yemwe angayang'ane matenda anu ndi mbiri yanu, komanso mankhwala ena aliwonse omwe mungamwe omwe atha kuyanjana ndi Wellbutrin kapena Chantix.
Kuyerekeza ndi kuyerekezera mtengo wa Wellbutrin vs. Chantix
Wellbutrin nthawi zambiri imakhala ndi inshuwaransi ndi Medicare Part D, mu generic form of bupropion. Kupempha dzina ladzinalo kudzakhala kokwera mtengo kwambiri ndipo mwina sikungaphimbidwe. Popanda inshuwaransi, Wellbutrin SR imawononga pafupifupi $ 541 pamwezi umodzi, pomwe generic imawononga $ 15 ndi coupon ya SingleCare.
Chantix nthawi zambiri amakhala ndi inshuwaransi komanso Medicare Part D. Popanda inshuwaransi, paketi yoyambira mwezi wa Chantix imawononga pakati pa $ 500- $ 600, ndipo paketi yopitilira mwezi imagula pansi pa $ 450 pogwiritsa ntchito khadi yotsitsa ya SingleCare.
| Wellbutrin | Chantix | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde (generic; mtundu umatha kukhala ndi copay yayikulu kapena ungafune chilolezo isanachitike) | Inde |
| Nthawi zambiri amakhala ndi Medicare Part D? | Inde (generic) | Inde |
| Mlingo woyenera | # 60, 150 mg mapiritsi a SR | Phukusi loyamba la mwezi umodzi kapena Phukusi limodzi la mwezi umodzi |
| Chitsanzo cha Medicare Part D copay | $ 0- $ 47 | $ 25- $ 578 |
| Mtengo wosakwatiwa | $ 15- $ 40 | $ 450 + |
Zotsatira zoyipa za Wellbutrin ndi Chantix
Zotsatira zoyipa kwambiri za Wellbutrin ndizopweteka, pakamwa pouma, nseru, kusowa tulo, kudzimbidwa, komanso chizungulire. Zotsatira zoyipa kwambiri za Chantix ndikumutu, mseru, kusowa tulo, ndi maloto achilendo. Mukalandira chitsogozo cha mankhwala, chokhudzana ndi zotsatirapo zake, ndi mankhwala atsopano kapena owonjezerapo a Wellbutrin kapena Chantix. Zotsatira zina zoyipa zimatha kuchitika. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wa zotsatirapo zake.
| Wellbutrin | Chantix | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Mutu | Inde | 26% | Inde | 15-19% * |
| Pakamwa pouma | Inde | 17% | Inde | 4-6% |
| Nseru | Inde | 13% | Inde | 16-30% |
| Kudzimbidwa | Inde | 10% | Inde | 5-8% |
| Kutaya njala | Inde | 5% | Inde | 1-2% |
| Kusowa tulo / vuto kugona | Inde | khumi ndi chimodzi% | Inde | 18-19% |
| Maloto achilendo / owoneka bwino | Ayi | N / A | Inde | 9-13% |
| Chizungulire | Inde | 7% | Inde | Adanenedwa pafupipafupi |
| Kugwedezeka | Inde | 6% | Inde | Adanenedwa kuti ndi kawirikawiri |
| Kuda nkhawa | Inde | 5% | Inde | % sananene |
| Kutuluka thukuta | Inde | 6% | Ayi | N / A |
| Kutupa | Inde | 5% | Inde | 1-3% |
| Tinnitus | Inde | 6% | Inde | Adanenedwa kuti ndi kawirikawiri |
* Zimasiyanasiyana malinga ndi mlingo Wellbutrin ), Tsiku Lililonse ( Chantix )
Kuyanjana kwa mankhwala a Wellbutrin vs. Chantix
Ngakhale Wellbutrin itha kugwiritsidwa ntchito limodzi ndi NRT, Chantix sayenera kugwiritsidwa ntchito ndi chikonga chifukwa chowopsa chowonjezera mavuto. Mowa sayenera kugwiritsidwa ntchito ndi Wellbutrin kapena Chantix.
Wellbutrin ili ndi machitidwe ena ambiri azamankhwala. Wellbutrin sayenera kugwiritsidwa ntchito limodzi ndi MAO inhibitors-ntchito yawo iyenera kupatulidwa ndi masiku osachepera 14. Wellbutrin itha kulumikizananso ndi ma anticonvulsants, antidepressants, antipsychotic, benzodiazepines, opioids, kapena beta blockers. Kuyanjana kwina kwa mankhwala kumatha kuchitika. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagwiridwe antchito.
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Wellbutrin | Chantix |
| Chikonga | Chithandizo chobwezeretsa chikonga | Ayi | Inde |
| Mowa | Mowa | Inde | Inde |
| Carbamazepine Divalproex ndi sodium Gabapentin Lamotrigine Zamgululi Phenobarbital Phenytoin Topiramate | Ma anticonvulsants | Inde | Ayi |
| Clonazepam Diazepam MulembeFM | Benzodiazepines | Inde | Ayi |
| Amitriptyline Citalopram Desipramine Chotsani Duloxetine Kuyanjana | Mankhwala opatsirana | Inde | Ayi |
| Phenelzine Rasagiline Selegiline Zamgululi | MaO zoletsa | Inde | Ayi |
| Codeine Fentanyl Hydrocodone Mpweya wabwino Methadone Morphine Zamgululi | Opioids | Inde | Ayi |
| Haloperidol Risperidone Thioridazine | Mankhwala oletsa antipsychotic | Inde | Ayi |
| Atenolol Zamgululi Zamgululi | Oletsa Beta | Inde | Ayi |
| Clopidogrel | Chotupa | Inde | Ayi |
| Digoxin | Mtima glycoside | Inde | Ayi |
Machenjezo a Wellbutrin ndi Chantix
Machenjezo a Wellbutrin:
- Wellbutrin amabwera ndi chenjezo lakuda lakuda (chenjezo lamphamvu kwambiri monga amafunira a FDA) lodzipha. Ma anti-depressant, monga bupropion, amatha kuonjezera chiopsezo chamalingaliro ofuna kudzipha mwa odwala azaka 24 kapena kupitilira apo. Odwala ndi omwe amawasamalira ayenera kudziwa kusintha kulikonse kwamalingaliro, kuyerekezera zinthu m'maganizo, kuyerekezera zinthu m'maganizo, zonyenga, malingaliro ofuna kudzipha, nkhanza, nkhanza, kukwiya, nkhawa, ndi / kapena mantha. Wodwala aliyense wotenga Wellbutrin, mosasamala kanthu za msinkhu wake, ayenera kuyang'aniridwa mosamala pazizindikirozi.
- Pali chiopsezo cha mania kapena psychosis-chiopsezo chimakhala chachikulu kwa odwala omwe ali ndi vuto losinthasintha zochitika.
- Wellbutrin ikhoza kuyambitsa khunyu. Chiwopsezo chimakhala chokhudzana ndi mlingo-mlingowo uyenera kuwonjezeka pang'onopang'ono ndipo usapitirire 300 mg patsiku. Matenda ena amathanso kuwonjezera chiopsezo cha kugwidwa. Funsani akatswiri azaumoyo kuti mumve zambiri.
- Chifukwa Wellbutrin imatha kuyambitsa kuthamanga kwa magazi, kuthamanga kwa magazi kuyenera kuyang'aniridwa mukamamwa Wellbutrin.
- Odwala ena atha kukhala pachiwopsezo cha glaucoma. Funsani dokotala wanu wa maso kuti mumve zambiri.
- Matenda a Stevens-Johnson amatha kuchitika. Izi ndizowopsa, zomwe zimawopseza moyo, khungu. Lumikizanani ndi omwe amakuthandizani azaumoyo mukangotuluka khungu.
Wellbutrin nthawi zambiri sagwiritsidwa ntchito pathupi, ndipo imayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo lingathandize kuti mwana akhale pachiwopsezo. Osuta omwe ali ndi pakati ayenera kulimbikitsidwa kuti asiye kusuta pogwiritsa ntchito njira zamakhalidwe asanagwiritse ntchito Wellbutrin. Funsani wanu OB-GYN kwa upangiri.
Machenjezo a Chantix:
- Chantix ali ndi chenjezo la nkhonya pazochitika zazikulu za neuropsychiatric. Matenda okhumudwa, malingaliro ofuna kudzipha, kuyesa kudzipha, komanso kudzipha kwatchulidwa mwa odwala omwe amatenga Chantix. Muyenera kusiya Chantix ndikulumikizana ndi omwe amakuthandizani azaumoyo nthawi yomweyo mukayamba kusokonezeka, kudana, kukhumudwa, kapena kusintha machitidwe kapena malingaliro omwe siachilendo, kapena mukakhala ndi malingaliro ofuna kudzipha. Odwala pa Chantix ayenera kuyang'aniridwa mosamala.
- Pali chiopsezo cha hypersensitivity kapena angioedema, komwe ndikutupa kwa nkhope, pakamwa, kumapeto, ndi khosi. Imani Chantix ndipo pitani kuchipatala ngati izi zikuchitika.
- Monga Wellbutrin, matenda a Stevens-Johnson atha kulumikizana ndi omwe amakuthandizani ngati mutayamba kuphulika pakhungu.
- Pakhoza kukhala ndi mwayi wochulukirapo wazomwe zimachitika pamtima - dziwitsani omwe akukuthandizani zaumoyo pazizindikiro zatsopano kapena zoyipa zamatenda amtima.
- Samalani kuyendetsa mpaka mutadziwa momwe Chantix amakukhudzirani. Kuvulala mwangozi kwachitika chifukwa chakugona kapena chizungulire kuchokera ku Chantix.
Chantix atha kuvulaza mwana ngati agwiritsidwa ntchito panthawi yapakati, ndipo sayenera kugwiritsidwa ntchito. M'maphunziro azinyama, Chantix adapangitsa kuchepa kwa fetus ndikuchepetsa kubereka kwa ana. Monga Wellbutrin, osuta omwe ali ndi pakati ayenera kulimbikitsidwa kuti asiye kusuta pogwiritsa ntchito machitidwe.
Mu 2016, the Adatero a FDA kuti chiwopsezo cha zovuta zoyipa zamaganizidwe kuchokera ku Zyban ndi Chantix chitha kukhala chocheperako kuposa momwe zimaganiziridwapo kale kuti phindu la kusiya kusuta limaposa chiopsezo chogwiritsa ntchito mankhwalawa. Ngakhale lipotilo likunena za Zyban, Wellbutrin ili ndi chinthu chimodzimodzi, bupropion. Mosasamala kanthu, chidziwitso cha mankhwalawa chimakhalabe ndi machenjezo omwewo ndipo odwala ayenera kuyang'aniridwa bwino ali ku Wellbutrin kapena ku Chantix.
Mafunso omwe amafunsidwa pafupipafupi za Wellbutrin vs. Chantix
Wellbutrin ndi chiyani?
Wellbutrin ndi mankhwala ochepetsa kupsinjika mtima omwe amagwiritsidwa ntchito popanda (kapena osagwiritsa ntchito mankhwala osokoneza bongo) kuti athandize odwala kusiya kusuta.
Chantix ndi chiyani?
Chantix ndi mankhwala omwe amagwiritsidwa ntchito kuthandiza odwala kusiya kusuta.
Kodi Wellbutrin ndi Chantix ndi ofanana?
Ayi, sizofanana. Wellbutrin ndi antidepressant yomwe imathandizira kuchepetsa kulakalaka kwa chikonga, pomwe Chantix imagwira ntchito makamaka pamankhwala a chikonga. Alinso ndi zosiyana zina, zomwe zafotokozedwa pamwambapa.
Kodi Wellbutrin kapena Chantix ndibwino?
Mankhwala onsewa ndi othandiza odwala kuti asiye kusuta. Ngati mukufuna kugwiritsa ntchito mankhwala osinthira mankhwala a chikonga kuwonjezera pa mankhwala akuchipatala, Wellbutrin ndi chisankho chabwino chifukwa chitha kutengedwa ndi NRT, ndipo Chantix sayenera kutengedwa limodzi ndi NRT. Funsani dokotala ngati Wellbutrin kapena Chantix angakhale abwinoko kwa inu.
Kodi nditha kugwiritsa ntchito Wellbutrin kapena Chantix ndili ndi pakati?
Ayi. Ngati muli ndi pakati, funsani omwe akukuthandizani. Wellbutrin ndi Chantix sagwiritsidwa ntchito kwenikweni kwa amayi apakati. Ngati mukumutenga Wellbutrin kapena Chantix ndikupeza kuti muli ndi pakati, lemberani OB-GYN mwachangu kuti akutsogolereni.
Kodi ndingagwiritse ntchito Wellbutrin kapena Chantix ndi mowa?
Ayi. Wellbutrin wokhala ndi mowa amatha kuwonjezera ngozi yakugwidwa.
Kodi ndi bwino kusiya kusuta, Chantix kapena Wellbutrin?
Mankhwala onsewa athandiza odwala kusiya kusuta, koma ndibwino kuti mulankhule ndi dokotala kuti mukambirane ngati Chantix kapena Wellbutrin angakhale mankhwala oyenera kwa inu, poganizira zaumoyo wanu, mbiri yanu, ndi mankhwala ena omwe mumamwa.
Zimatenga nthawi yayitali bwanji kuti Chantix ayambe kugwira ntchito?
Zitha kutenga milungu ingapo kuti Chantix ayambe kugwira ntchito. Dokotala wanu angakuuzeni kuti mutenge Chantix kwa milungu 12. Muyamba ndi paketi ya mwezi woyambira, kenako ndikupitiliza ndi mwezi wopitilira. Pambuyo pa masabata 12, dokotala wanu adzasankha ngati mukufuna kutenga Chantix kwa masabata ena 12.
Kodi Wellbutrin ayamba kugwira ntchito mwachangu bwanji?
Zitha kutenga milungu ingapo kutenga Wellbutrin (wopanda kapena NRT) mpaka mutawona kusiyana. Funsani dokotala wanu kuti mudziwe kuti mutenge nthawi yayitali bwanji Wellbutrin.
