Kodi ndingasankhe chiyani pa OTC ndi mankhwala osokoneza bongo osasiya

Katswiri Wazamankhwala Ophunzitsa Zaumoyo Amadziwa Bwino

Timayamika asayansi ku SingleCare, ndipo timazindikira kufunikira kwawo kwa gulu lanu lazachipatala. Ichi ndichifukwa chake tinakhazikitsa mndandanda wathu wa Pharmacist Knows Best. Mwezi uliwonse wamankhwala wapakhomo, Ramzi Yacoub, Pharm.D., Atiphunzitsa zamankhwala, zaumoyo, kapena zaumoyo zomwe anthu wamba ayenera kudziwa. Kupatula apo, akatswiri azamankhwala amadziwa bwino kwambiri!

Sikuchedwa kwambiri kusiya kusuta. Chiwopsezo chanu chodwala ndikumwalira msanga chimachepetsedwa mukayima. Pali maubwino azaumoyo pamisinkhu iliyonse — ndipo mukangosiya kumene, amakulirakulira.

Pali mankhwala osiyanasiyana othandiza kusiya kusuta kuti akuthandizeni kusiya chizolowezichi. Ndikofunika kupeza chithandizo choletsa kusuta chomwe chimagwira ntchito bwino kwa inu komanso chomwe chingakuthandizeni kusiya ndudu zabwino.

ZOKHUDZA: Kodi kusuta kumawonjezera chiopsezo chanu chotenga COVID-19?

Kodi nchifukwa ninji kuli kovuta kwambiri kusiya kusuta?

Nicotine ndiye chinthu choyambirira chomwe chimayambitsa kusuta. Mukayesa kusiya kusuta, mutha kukhala ndi zizindikiro zakusuta kwa nicotine chifukwa thupi lanu limadalira zotsatira za chikonga. Zizindikiro zodziwika za kuchotsedwa kwa chikonga zimapsa mtima, kuda nkhawa, kugona tulo, komanso kudya kwambiri. Zovuta zomwe zimayambitsa zitha kukupangitsani kufuna kuyambiranso chizolowezichi, kuti mungowachotsa.

7 siyani kusuta zothandizira zomwe zimagwira ntchito

Mwamwayi, pali zosankha zingapo zomwe zimakuthandizani kuti muchepetse pang'onopang'ono chikonga ndikuchepetsa zizindikiritso zomwe zimapangitsa kukhala kovuta kusiya.

1. Chotupa chingamu
2. Nicotine lozenge
3. Chigamba cha chikonga
4. Chikonga inhaler
5. Utsi wamkati wamankhwala
6. Mapiritsi osakhala a nikotini (Chantix, Zyban)
7. Mankhwala osokoneza bongo

Pharmacotherapy yakusuta fodya imagwera m'magulu awiri akulu: mankhwala osinthira nikotini komanso mankhwala osasiya fodya.

Chithandizo chobwezeretsa chikonga (NRT)

Zodzikongoletsera m'malo zinthu perekani magawo osasinthasintha a chikonga omwe pang'onopang'ono amachepetsa pakapita nthawi.

Ma NRTs amapezeka m'njira zosiyanasiyana ndi mphamvu-pa-counter (OTC) ndi mankhwala. Amawonetsedwa ndi US Food and Drug Administration kuti igwiritsidwe ntchito masabata 8-12 koma itha kugwiritsidwa ntchito nthawi yayitali ngati inu ndi omwe akukuthandizani mukuwona kuti ndikofunikira.

OTC NRTs

Zogulitsa za OTC zonse zimapezeka kuchokera kumaina osiyanasiyana ndipo zimapezeka ngati zowonjezera. Zikuphatikizapo:

• Chingamu amatafunidwa pang'onopang'ono mpaka kumawira. Kenako ikani chingamu pakati pa tsaya ndi chingamu mpaka malirowo atha. Bwerezani izi mpaka zithunzithunzi zambiri zitatha (pafupifupi mphindi 30). Nicorette ndi dzina lodziwika bwino.
• Zolemba ayenera kuloledwa kupasuka pang'onopang'ono (pafupifupi mphindi 20-30) ndipo sayenera kutafuna kapena kumeza. Nicorette ndi dzina lodziwika bwino.
• Zigamba amagwiritsidwa ntchito pamalo oyera, owuma pakhungu lanu kumtunda kapena mkono wakunja. Zigamba zimatha kuvala kwa maola 16-24 ndipo chigamba chilichonse chiyenera kugwiritsidwa ntchito pamalo ena kuti mupewe kukwiya pakhungu. Nicoderm Cq ndi dzina lodziwika bwino.

Mankhwala a NRTs

Mapangidwe amankhwala a NRT amapezeka kokha pansi pa dzina la Nicotrol ndipo amapezeka ngati:

• Kukoka kukonzekera kumapumidwa pakamwa kangapo patsiku. Zitha kuyambitsa mkwiyo pakamwa kapena pakhosi mukamagwiritsa ntchito inhaler. Nicotrol ndi dzina lodziwika bwino.
• Kutulutsa m'mphuno amathiridwa pamphuno kangapo patsiku. Zimatha kuyambitsa mphuno kapena pakhosi mukayamba kuzigwiritsa ntchito.

Musanayambe chinthu chilichonse cha NRT, nthawi zonse muyenera kufunsa omwe amakuthandizani, makamaka:

• Amayi omwe ali ndi pakati kapena akuyamwitsa
• Anthu omwe ali ndi matenda ashuga, mphumu, kapena mtima
• Anthu omwe ali ndi kuthamanga kwa magazi kapena kugunda kwamtima mosasinthasintha

Muyenera kusiya kumwa mankhwala a NRT ndikuyimbira omwe akukuthandizani ngati muli ndi izi: kusuta, chizungulire, kusanza, kapena kugunda kwamtima kosazolowereka.

Zida zosasiya kusuta

Ngati simungagwiritse ntchito mankhwala a NRT chifukwa cha thanzi lanu, kapena mukudziwa kuti simukumbukira kuti mumagwiritsa ntchito kangapo patsiku, pali mankhwala awiri osuta omwe amapezeka pama piritsi:

• Chantix (varenicline tartrate)
• Zyban (bupropion hydrochloride)

Zyban imapezeka mu mawonekedwe achibadwa, koma Chantix imangopezeka ngati mtundu.

Zonsezi zimasiya kusuta zothandizira zimakhudza mankhwala muubongo wanu kuti muchepetse kulakalaka kwanu kwa chikonga ndipo amatengedwa kawiri patsiku. Kutalika kwa chithandizo cha mankhwalawa nthawi zambiri kumakhala milungu 12, koma ngati mwakwanitsa kusiya kusuta, itha kugwiritsidwa ntchito nthawi yayitali kuti muchepetse kusuta kusuta.

Mankhwala osachotsa pakamwa kuti asiye kusuta

Kwa osuta omwe sanachite bwino ndi imodzi mwa mankhwalawa, asing'anga ena amapereka mankhwala ena osalemba kuthandiza. Kuchotsa pamakalata kumangotanthauza kuti savomerezedwa ndi a FDA pantchito imeneyi. Malinga ndi American Cancer Society , izi mungachite monga nortriptyline (antidepressant), clonidine (antihypertensive), cytisine (chomera chophatikizira), ndi naltrexone (opiate antagonist).

Zotsatira zoyipa zosuta fodya

A FDA adachenjeza za kumwa mankhwalawa koma adazindikira kuti maubwino osiyiratu kusuta kuposa chiwopsezo chomwa mankhwalawa. Zowopsa zimakhudzana ndi zovuta zam'mutu ndipo mukawona zosintha pamachitidwe anu mukamamwa mankhwalawa, muyenera kudziwitsidwa kwa dokotala wanu ndikusiya kumwa mankhwalawo.

Zotsatira zoyipa za Chantix zimaphatikizapo kunyoza, mavuto ogona, kudzimbidwa, mpweya, kusanza.

Kwa Zyban, zovuta zoyipa zimaphatikizira pakamwa pouma, kusowa tulo, chizungulire, kudzimbidwa, nseru.

Ngati mukuganiza zamankhwala kuti musiye kusuta, lankhulani ndi omwe amakuthandizani pazachipatala kapena wamankhwala.

ZOKHUDZA: Kodi muyenera kutenga Wellbutrin kuti musiye kusuta?

Yerekezerani kusuta fodya mankhwala osokoneza bongo

Dzina la mankhwala osokoneza bongo	Fomu	Rx / OTC	Zotsatira zoyipa	Kutchuka *	Mtengo wapakati	Coupon ya SingleCare
Nicorette	Chotupa chingamu	OTC	Kusintha kwamalingaliro, kuwodzera, kuvuta kuganizira, kuchuluka kwa njala, kupweteka ndi kupweteka, kudzimbidwa	# 1	$ 26.78	Pezani coupon
Chantix	Piritsi losakhala chikonga	Rx	Nseru, mavuto ogona, kudzimbidwa, mpweya, kusanza	#mbiri	$ 487.35	Pezani coupon
Nicorette	Nicotine lozenge	OTC	Kusintha kwa thupi, kutopa, kusokoneza, kunenepa, kupweteka kapena kupweteka, kudzimbidwa	# 3	$ 23.69	Pezani coupon
Nicotrol NS	Utsi wamkati wamankhwala	Rx	Mphuno kapena pakhosi	# 4	$ 473.40	Pezani coupon
Nicotrol	Chikonga inhaler	Rx	Kupsa pakamwa kapena pakhosi	# 5	$ 450.54	Pezani coupon
Nicoderm Cq	Chigamba cha chikonga	OTC	Ntchito malo mkwiyo, chizungulire, mutu, m'mimba kukwiya	# 6	$ 88.94	Pezani coupon
Zyban	Piritsi losakhala chikonga	Rx	Pakamwa pouma, kusowa tulo, chizungulire, kudzimbidwa, nseru	# 7	$ 272.34	Pezani coupon

* Kutchuka kwa mankhwala osokoneza bongo kutengera mtundu wa SingleCare. Mankhwala odziwika kwambiri otha kusuta (# 1) ali ndi mankhwala ambiri omwe amadzaza ndi mankhwala asanu ndi awiri omwe atchulidwa pamwambapa pakati pa Januware 1, 2019 ndi Meyi 30, 2020.

ZOKHUDZA: Wellbutrin vs. Chantix

Mafunso ofunsidwa kawirikawiri

Kodi kusiya kusuta kumatanthauza chiyani?

Kusuta fodya ndi njira yosiya kusuta fodya. Fodya uli ndi mankhwala otchedwa chikonga. Nicotine imamwa mankhwala osokoneza bongo ndipo imayambitsa zizindikiritso zakusuta (kulakalaka, kunyansidwa, kusakwiya, kusinthasintha kwa malingaliro, kunenepa, ndi zina zambiri), zomwe zimapangitsa kuti kusiya kusuta kukhale kovuta.

Kodi kusuta fodya ndi chiyani?

Pali magawo awiri azinthu zosiya kusuta:

1. Chithandizo chobwezeretsa chikonga : Gum, lozenges, zigamba, zopopera m'mphuno, ndi ma inhalers omwe amakhala ndi nikotini wocheperako poyerekeza ndi kusuta komanso kumachepetsa zizindikiritso zakusuta.
2. Mankhwala osasiya fodya : Mankhwala am'kamwa omwe mulibe chikonga koma amachepetsa zizindikiritso zakudzuka, monga zilakolako.

Kodi chithandizo chothandiza kwambiri chosiya kusuta ndi chiyani?

Palibe yothandiza konsekonse yosiya kusuta thandizo. Katswiri wazachipatala atha kukuthandizani kupeza njira yabwino kwambiri yosiya kusuta.

Njira zochotsera chikonga zimathandizanso ndipo zimawonjezera kutha kwa 150% mpaka 200% . Chantix akuti kuthandiza anthu ambiri kusiya kusuta kuposa chikonga cha chikonga, bupropion, kapena placebo, koma mayesero amodzi azachipatala sanaulule kufunika kwa ziwerengero pakati pazogulitsa. Komabe, kafukufuku wina adapeza kuti Chantix inali yothandiza kwambiri kuposa Zyban .

Chidziwitso: E-ndudu sizothandiza kuletsa kusuta. Kafukufuku ambiri akuwonetsa kuti e-ndudu ndi zida zina zotulutsa mpweya sizimachepetsa kwambiri kugwiritsa ntchito ndudu, malinga ndi Pakati pa Kuledzera .

Ndi mapiritsi ati omwe mungamwe kuti musiye kusuta?

Chantix ndi Zyban ndi mitundu iwiri yamapiritsi omwe mungamwe kuti musiye kusuta. Komabe, palinso mankhwala ena osalemba ma capsule kapena mapiritsi omwe dokotala angakupatseni kutengera momwe mulili. Izi zikuphatikiza clonidine (piritsi), kutchfuneralhome (capsule), ndi naltrexone (piritsi).

Kodi kusiya kusuta ndi kwaulere?

Kuleka kusuta kumatha kukhala kwaulere ndi inshuwaransi. Pafupifupi mapulani onse a inshuwaransi yazaumoyo (Msika, Medicaid, ndi Medicare Gawo D) amalipira njira zochizira kusuta.

Ngati mulibe inshuwaransi yazaumoyo, mutha kupulumutsirabe pa kusuta kwa mankhwala osokoneza bongo ndi makuponi opanga ndi makhadi ochotsera, monga SingleCare.

ZOKHUDZA: Momwe mungatulutsire kwaulere Chantix (ngakhale wopanda inshuwaransi)

Ndingatani kuti ndisiye kusuta popanda mankhwala?

Mutha kusiya kusuta popanda mankhwala. Mankhwala am'magulu komanso kusiya kuzizira sizomwe zimayambitsa kusuta. Omwe amatenga nawo gawo pamapulogalamu otha kusuta omwe ali mgulu 50% mpaka 130% zowonjezereka kuti asiye kusuta. Kuphatikiza apo, kusiya kuzizira komanso kupewa fodya palimodzi kungakhale njira yathanzi kusiya kusuta. Komabe, zizindikilo zakutha kwa njirayi zitha kukhala zowopsa kuposa pulogalamu pang'onopang'ono yopanga mankhwala osintha a chikonga.