Lomotil vs. Imodium: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu
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Lomotil (diphenoxylate / atropine) ndi Imodium (loperamide) ndi mankhwala awiri oletsa kutsegula m'mimba omwe amagwiritsidwa ntchito pochiza kutsekula m'mimba . Mankhwalawa amagwiranso ntchito chimodzimodzi kuti achepetse kuchuluka komanso kuchuluka kwa matumbo. Lomotil ndi Imodium amapangidwira kuti atenge matenda otsekula m'mimba kwakanthawi kochepa, omwe nthawi zambiri amatha pakatha masiku ochepa mutamwa mankhwalawo.
Nthaŵi zambiri, kutsekula m'mimba, ngakhale kumakhala kosasangalatsa, nthawi zambiri kumakhala kofatsa ndipo kumatha kokha. Chithandizo chachikulu cha kutsegula m'mimba ndikubwezeretsa madzi ndi ma electrolyte kuti muchepetse kuchepa kwa madzi. Komabe, mankhwala monga Lomotil ndi Imodium atha kukhala othandiza kutsekula m'mimba komanso matenda otsekula m'mimba omwe amabwera chifukwa cha matenda am'mimba (IBS).
Ngakhale kufanana kwawo pakugwiritsa ntchito, Lomotil ndi Imodium ali ndizosiyana zomwe ayenera kukumbukira. Mwachitsanzo, mankhwalawa amakhala ndi zinthu zosiyanasiyana ndipo ali ndi malire ake. Tionanso kusiyana kwawo ndi kufanana kwawo pano.
Kodi pali kusiyana kotani pakati pa Lomotil ndi Imodium?
Lomotil
Lomotil ndi dzina lamankhwala omwe amatha kupezeka ndi mankhwala. Lili ndi kuphatikiza kwa diphenoxylate (opioid) ndi atropine (mankhwala a anticholinergic).
Diphenoxylate ndiye chinthu choyamba chomwe chimamangirira ma opioid receptors m'matumbo kuti achepetse matumbo. Atropine imawonjezedwa kuti ifooketse kugwiritsa ntchito mankhwala osokoneza bongo popeza diphenoxylate ndi chinthu chokhacho chomwe chimayang'aniridwa.
Imodium
Imodium, yomwe imadziwikanso kuti Imodium AD, ndiye dzina loperamide. Mosiyana ndi Lomotil, Imodium itha kugulidwa pa kauntala (OTC). Chifukwa chake, imapezeka kwambiri.
Loperamide ndi opioid yopanga yomwe imamangiriza ma opioid receptors mumatumbo kuti achepetse kuyenda kwamatumbo. Imatsekanso mankhwala omwe amatchedwa acetylcholine ndipo amatsogolera kuchepa kwamadzimadzi ndi ma electrolyte. Chifukwa Imodium imakhala yopanda mphamvu m'katikati mwa manjenje (CNS), imatulutsa zovuta zochepa za CNS zomwe zimafala ndi ma opioid ena, kuphatikiza diphenoxylate.
| Kusiyana kwakukulu pakati pa Lomotil ndi Imodium | ||
|---|---|---|
| Lomotil | Imodium | |
| Gulu la mankhwala osokoneza bongo | Kutsekula m'mimba | Kutsekula m'mimba |
| Chizindikiro cha Brand / generic | Ma brand ndi generic amapezeka | Ma brand ndi generic amapezeka |
| Kodi dzina lachibadwa ndi liti? | Diphenoxylate / Atropine | Loperamide |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Piritsi lapakamwa Yankho lamadzimadzi | Piritsi lapakamwa Makapisozi apakamwa Kuyimitsidwa kwamadzimadzi |
| Kodi mulingo woyenera ndi uti? | Kutsekula m'mimba: Mapiritsi awiri (2.5 mg diphenoxylate / 0.025 mg atropine) kanayi tsiku lililonse mpaka atha kutsekula m'mimba. Kutsekula m'mimba: Pezani mlingo woyambirira wa mankhwala osamalira (kaŵirikaŵiri mapiritsi 2 tsiku lililonse) monga mwa malangizo a dokotala. Siyani ngati zizindikilo zikuwonjezeka pasanathe masiku 10. | Kutsekula m'mimba: 4 mg koyambirira, kenako 2 mg pakatha chimbudzi chilichonse. Pazipita tsiku mlingo: 16 mg Kutsekula m'mimba: Gwiritsani ntchito mlingo wa 4 mpaka 8 mg patsiku. Siyani ngati zizindikilo zikuwonjezeka pasanathe masiku 10. |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Kutsekula m'mimba kwakanthawi kochepa komwe kumatha pakatha masiku 10. Kugwiritsa ntchito nthawi yayitali kumafunikira kutsekula m'mimba. | Kutsekula m'mimba kwakanthawi kochepa komwe kumatha pakatha masiku 10. Kugwiritsa ntchito nthawi yayitali kumafunikira kutsekula m'mimba. |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu ndi ana azaka 13 kapena kupitilira apo. | Akuluakulu ndi ana azaka 2 kapena kupitirira. Ana ochepera zaka 6 ayenera kufunsa dokotala asanamwe madzi a Imodium. |
Mukufuna mtengo wabwino pa Lomotil?
Lowani ma chenjezo amtengo wa Lomotil kuti mudziwe kuti mitengo isintha liti!
Pezani zidziwitso zamitengo
Zomwe amathandizidwa ndi Lomotil ndi Imodium
Lomotil imavomerezedwa ndi FDA ngati njira yothandizira kutsekula m'mimba. Izi zikutanthauza kuti Lomotil imalimbikitsidwa ngati mankhwala owonjezera limodzi ndi njira zoyambira zothandizira monga kuteteza kuchepa kwa madzi m'thupi.
Monga Lomotil, Imodium ndivomerezedwa ndi FDA kuti athetse mitundu ingapo yamatenda. Imodium ingagwiritsidwe ntchito pochiza Kutsekula m'mimba kwa apaulendo komanso kutsekula m'mimba komwe kumadza chifukwa cha mankhwala monga chemotherapy. Lomotil ndi Imodium amathanso kuchiza matenda otsekula m'mimba omwe amayamba chifukwa cha matenda am'mimba (IBS).
Kutsekula m'mimba kumatanthauzidwa kuti kumakhala ndi malo otayirira katatu kapena kupitilira apo tsiku limodzi. Kutsekula m'mimba nthawi zambiri kumakhala kofatsa ndipo nthawi zambiri sikungodutsa tsiku limodzi kapena awiri. Kupha poizoni pachakudya ndi chimodzi mwazinthu zomwe zimayambitsa matenda otsekula m'mimba kwambiri.
Kutsekula m'mimba ndiwovuta kwambiri ndipo imatha kupitilira milungu inayi nthawi imodzi. Zizindikiro za kutsekula m'mimba zimatha zokha kapena kumatha nthawi yayitali, zomwe zimafunikira chithandizo ndi mankhwala.
| Mkhalidwe | Lomotil | Imodium |
| Kutsekula m'mimba | Inde | Inde |
| Kutsekula m'mimba kwa apaulendo | Inde | Inde |
| Kutsekula m'mimba | Inde | Inde |
| Kutsekula m'mimba chifukwa cha Chemotherapy | Inde | Inde |
Kodi Lomotil kapena Imodium ndiyothandiza kwambiri?
Lomotil ndi Imodium ndi omwe amagwiritsidwa ntchito kwambiri poletsa kutsekula m'mimba. Onsewa ndi othandiza ndipo amagwira ntchito mwachangu kuti athetse matenda otsekula m'mimba. Mankhwala abwino kwambiri kwa inu amadalira momwe mulili, zomwe ziyenera kuyesedwa ndi omwe amakupatsaniumoyo.
Izi zikunenedwa, Imodium ikhoza kukhala mankhwala othandiza kwambiri. Ngakhale palibe mayesero azachipatala omwe amafanizira Lomotil ndi Imodium, kafukufuku wina akuwonetsa kuti Imodium ndi njira yabwino yochizira kutsekula m'mimba. Wakhungu kawiri, kuphunzira crossover adapeza kuti loperamide inali yayikulu kuposa diphenoxylate yothandizira kutsekula m'mimba ngakhale pang'ono-kawiri.
Wina kuphunzira crossover poyerekeza loperamide, diphenoxylate, ndi codeine yothandizira kutsekula m'mimba. Asanalandire chithandizo, 95% ya omwe adatenga nawo gawo adakumana ndi changu monga chizindikiro chawo chachikulu cha kutsegula m'mimba. Kafukufukuyu anapeza kuti loperamide ndi codeine zinali zothandiza kwambiri kuposa diphenoxylate yothandiza. Diphenoxylate idapezeka kuti ili ndi zovuta zambiri pomwe loperamide imawonetsedwa kuti ili ndi zochepa.
Kuwerenga ndi kuyerekezera mtengo wa Lomotil vs. Imodium
Ambiri mwa Medicare Part D ndi mapulani a inshuwaransi samakhudza dzina lotchedwa Lomotil. Komabe, mapulani ambiri a inshuwaransi amatenga mtundu wa mankhwalawo. Madongosolo a Medicare Part D akuyenera kuphimba diphenoxylate / atropine kutengera momwe mumafotokozera. Mtengo wapakati wamalonda wa Lomotil wamba ndi pafupifupi $ 38. Funsani ku pharmacy yanu kuti muwone ngati mungagwiritse ntchito khadi yosungira ndalama. Makuponi a SingleCare Lomotil amatha kuchepetsa mtengo kuti mulipire pafupifupi $ 12.
Imodium ndi mankhwala a OTC omwe sangakhale ndi Medicare ndi mapulani a inshuwaransi. Zolinga zina zitha kuphimba mawonekedwe achibadwa ndi mankhwala. Ndibwino kuti muyang'ane fomu yanu ya inshuwaransi kuti mutsimikizire. Mtengo wapakati wa loperamide ndi pafupifupi $ 26. Ndi kuchotsera kwa SingleCare, mutha kupeza mapiritsi a generic loperamide pafupifupi $ 14. Kuti mugwiritse ntchito ndalama za OTC, mufunikirabe kupeza mankhwala ochokera kwa dokotala wanu .
| Lomotil | Imodium | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Ayi | Ayi |
| Nthawi zambiri amakhala ndi Medicare? | Ayi | Ayi |
| Mlingo woyenera | 2.5 mg diphenoxylate / 0.025 mg atropine, kuchuluka kwa mapiritsi 30 | 2 mg, kuchuluka kwa mapiritsi 30 |
| Wopanga Medicare wamba | $ 0 mpaka $ 150 | $ 0- $ 99 |
| Mtengo wosakwatiwa | $ 12 | $ 14 |
Zotsatira zoyipa za Lomotil vs. Imodium
Zotsatira zoyipa za Lomotil zimaphatikizapo kugona, chizungulire, ndi nseru. Poyerekeza ndi Imodium, Lomotil atha kukhala ndi zovuta zina za CNS kuphatikiza kupweteka mutu, kupumula, komanso kusokonezeka.
Zotsatira zoyipa kwambiri zomwe zimakhudzana ndi Imodium ndi kudzimbidwa . Zotsatira zina zoyipa zimaphatikizapo chizungulire, nseru, m'mimba kapena m'mimba.
Mlingo waukulu, zovuta zoyipa za Lomotil ndi Imodium zitha kuphatikizira kugona, kuyerekezera zinthu m'maganizo, ndi ulesi. Zotsatira zoyipa monga kupuma pang'ono (kupuma kwamatenda) amathanso kuchitika ndi mankhwala owopsa.
| Lomotil | Imodium | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Kudzimbidwa | Ayi | - | Inde | 5.3% |
| Chizungulire | Inde | * sananene | Inde | 1.4% |
| Nseru | Inde | * | Inde | 1.8% |
| Kukokana m'mimba | Inde | * | Inde | 1.4% |
| Kusanza | Inde | * | Inde | * |
| Pakamwa pouma | Inde | * | Inde | * |
| Kusinza | Inde | * | Inde | * |
| Mutu | Inde | * | Ayi | - |
| Kusakhazikika | Inde | * | Ayi | - |
| Kusokonezeka | Inde | * | Ayi | - |
Izi sizingakhale mndandanda wathunthu wazovuta zomwe zingachitike. Chonde onani dokotala wanu kapena wothandizira zaumoyo kuti mudziwe zambiri.
Gwero: DailyMed ( Lomotil ), Tsiku Lililonse ( Imodium )
Kuyanjana kwa mankhwala a Lomotil vs. Imodium
Lomotil imatha kulumikizana ndi mankhwala monga monoamine oxidase inhibitors (MAOIs) ndi CNS depressants. Kutenga MAOI, monga selegiline kapena phenelzine, ndi Lomotil kumawonjezera chiopsezo cha matenda oopsa, kapena kuthamanga kwa magazi koopsa. Chiwopsezo chazovuta zitha kuwonjezekanso mukamamwa mankhwala osokoneza bongo a CNS monga barbiturates, benzodiazepines, ndi zopumulira minofu .
Mosiyana ndi Lomotil, Imodium imakonzedwa kwambiri m'chiwindi ndi michere monga michere ya CYP3A4 ndi enzyme ya CYP2C8. Mankhwala omwe amaletsa, kapena kutseka, michere iyi imatha kukulitsa milingo ya Imodium m'magazi. Zotsatira zake, kumwa mankhwalawa palimodzi kumatha kuonjezera ngozi zoyipa.
| Mankhwala osokoneza bongo | Gulu la Mankhwala | Lomotil | Imodium |
| Selegiline Phenelzine Isocarboxazid Zamgululi | Monoamine oxidase inhibitors (MAOIs) | Inde | Ayi |
| Phenobarbital Pentobarbital Alprazolam MulembeFM Zamgululi Oxycodone | Zokhumudwitsa za CNS | Inde | Inde |
| Saquinavir Chinthaka | CYP3A4 zoletsa | Ayi | Inde |
| Gemfibrozil | CYP2C8 zoletsa | Ayi | Inde |
| Quinidine Ritonavir | P-glycoprotein inhibitors | Ayi | Inde |
Ili si mndandanda wathunthu wazomwe zimachitika ndi mankhwala. Chonde funsani dokotala musanamwe mankhwalawa.
Machenjezo a Lomotil ndi Imodium
Lomotil sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 6 chifukwa chowopsa cha kupuma komanso kupsinjika kwa CNS. Omwe ali ndi vuto la jaundice kapena hypersensitivity ku diphenoxylate kapena atropine ayeneranso kupewa kugwiritsa ntchito Lomotil.
Imodium akuti imayambitsa Torsades de Pointes , Kumangidwa kwa mtima, ndi kufa atamwedwa mopitilira muyeso woyenera. Ndikulimbikitsidwa kuti mumangotenga gawo lochepa lofunikira monga mwalangizidwa ndi omwe amakuthandizani. Imodium sayenera kugwiritsidwa ntchito kwa ana ndi makanda ochepera zaka ziwiri chifukwa chowopsa cha kupuma komanso kukhumudwa kwa CNS.
Lomotil ndi Imodium sayenera kugwiritsidwa ntchito pochiza matenda otsekula m'mimba omwe amayamba chifukwa cha matenda a bakiteriya. Mankhwalawa sayenera kugwiritsidwa ntchito pochiza matenda otsekula m'mimba omwe amayamba chifukwa cha zamoyo monga Clostridium difficile ndipo Salmonella .
Funsani dokotala ngati muli ndi matenda musanamwe mankhwalawa. Ndikulimbikitsidwa kumwa mankhwalawa ndi upangiri wa zamankhwala kuchokera kwa omwe amakuthandizani.
Mafunso omwe amafunsidwa pafupipafupi za Lomotil vs. Imodium
Lomotil ndi chiyani?
Lomotil ndi mankhwala omwe amagwiritsidwa ntchito ngati mankhwala othandizira kutsekula m'mimba. Lomotil imapezeka m'maina azizindikiro komanso generic. Itha kumwa mankhwala otsekula m'mimba mwa akulu kapena ana omwe ali ndi zaka 13 kapena kupitirira.
Kodi Imodium ndi chiyani?
Imodium ndi mankhwala osokoneza bongo (OTC) omwe amavomerezedwa ndi FDA kuti athetse m'mimba. Imodium imagwiritsidwa ntchito pochiza matenda otsekula m'mimba a Traveler ngakhale amathanso kutsekula m'mimba komwe kumayambitsidwa ndi IBS. Imodium imatha kuchiza akulu ndi ana azaka 2 kapena kupitirira.
Kodi Lomotil ndi Imodium ndizofanana?
Ayi. Lomotil ndi Imodium sizofanana. Ngakhale amagwira ntchito mofananamo, Lomotil imatha kupezeka ndi mankhwala. Imodium ingagulidwe pakauntala.
Kodi Lomotil kapena Imodium ndibwino?
Lomotil ndi Imodium onse ndi mankhwala othandiza kuthana ndi kutsekula m'mimba. Ena kufufuza yawonetsa kuti palibe kusiyana kwakukulu pakuchita bwino pakati pa ziwirizi. Komabe, ena maphunziro awonetsa kuti Imodium ndiyothandiza komanso yololera bwino. Funsani dokotala wanu za chithandizo chabwino kwambiri chomwe mungachite.
Kodi nditha kugwiritsa ntchito Lomotil kapena Imodium ndili ndi pakati?
Madokotala ena amatha kuloleza kugwiritsa ntchito Lomotil kapena Imodium panthawi yapakati pokhapokha ngati kuli kofunikira. Kupanda kutero, Lomotil ndi Imodium samalimbikitsidwa panthawi yoyembekezera chifukwa chotheka kuvulaza mwana. Lankhulani ndi dokotala wanu pazomwe mungachite pochepetsa matenda otsekula m'mimba mukakhala ndi pakati.
Kodi ndingagwiritse ntchito Lomotil kapena Imodium ndi mowa?
Sikoyenera kumwa mowa mukamagwiritsa ntchito Lomotil kapena Imodium. Lomotil ndi Imodium zimatha kuyambitsa zovuta monga kugona ndi chizungulire. Kumwa mowa kumatha kuwonjezera zotsatirazi.
Chifukwa chiyani Lomotil yoletsedwa?
Lomotil si mankhwala oletsedwa. Komabe, ndi Ndandanda V mankhwala olamulidwa monga adasankhidwa ndi DEA. Izi zikutanthauza kuti pali kuthekera kogwiritsa ntchito molakwika mankhwalawa. Payekha, diphenoxylate, chinthu chachikulu chogwiritsira ntchito Lomotil, ndi chinthu cha Pulogalamu II chomwe chimatha kuzunza.
Kodi mungatenge nthawi ya Lomotil?
Lomotil siyikulimbikitsidwa kuti igwiritsidwe ntchito kuposa masiku 10 chifukwa cha kutsegula m'mimba kwambiri. Nthawi zina, Lomotil itha kugwiritsidwa ntchito nthawi yayitali, makamaka kutsekula m'mimba. Kugwiritsa ntchito Lomotil kwakanthawi kuyenera kuyang'aniridwa ndi dokotala.
Kodi chimachitika ndi chiyani ngati Imodium siyimitsa kutsegula m'mimba?
Imodium iyenera kuthana ndi matenda otsekula m'mimba mkati mwa maola 48. Ngati mukumane ndi izi, muyenera kuyimbira dokotala nthawi yomweyo:
- Magazi pansi
- Malungo kapena kutentha pamwamba pa 101.3 ° F
- Kupweteka kwambiri m'mimba
- Kudutsa mipando isanu ndi umodzi kapena kupitilira apo patsiku
- Kutsekula m'mimba komwe kumatenga nthawi yayitali kuposa maola 48
- Zizindikiro monga kupepuka kwambiri, kusokonezeka, kupweteka pachifuwa, kapena kufooka
