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Shahararrun magunguna a cikin manyan biranen Amurka 50

Shahararrun magunguna a cikin manyan biranen Amurka 50Kamfanin

Columbus, Ohio, da Las Vegas sun banbanta kamar yadda biranen biyu zasu iya zama. A Columbus, matsakaicin matsakaicin yanayi shine 62.5 ° F. A Las Vegas, yana da 80 ° F. Yawon shakatawa a Las Vegas yana da girma, yana kawo dala biliyan 60 a kowace shekara. Columbus bai ma kusantowa ba-duk jihar Ohio kawai ta kawo dala biliyan 46. Vegas na alfahari aƙalla wurare 125 Starbucks. Columbus? Kimanin 80 a cikin dukkanin yankin metro (kuma da yawa daga waɗannan suna cikin wasu kamfanoni masu sayarwa). Abu daya biranen biyu yi yi daidai? Lisinopril , maganin likita wanda yake maganin hawan jini da ciwon zuciya. A cikin biranen biyu, shine mafi yawan magungunan da aka ba da umarni tsakanin masu amfani da SingleCare.





Wannan ƙididdigar mai ban sha'awa tana buƙatar tambaya me ya sa ? Me ya sa shine Lisinopril wanda ya shahara sosai a Las Vegas da Columbus (ya cika samfuran a Phoenix, shima). Hakanan ya kara mana kwarin gwiwa game da shahararrun magunguna a wasu biranen, don haka muka bincika bayanan kuma muka gano wasu bayanai masu ban sha'awa (kuma a wasu lokuta, abin mamaki). Mai son sanin wane magani ne mafi yawan wajabta shi naka wuri? Jerin jerinmu na manyan jihohi 50 a Amurka yana ƙasa.



Amfetamine-dextroamfetamine

Mafi yawan magungunan da aka tsara a cikin New York; Birnin Chicago; Austin, Texas; Seattle; Denver; Atlanta; Raleigh, NC; Virginia Beach, Va.; Nashville, Tenn.; Jacksonville, Fla.; da Minneapolis, Minn.; Kansas City, Mo.

Idan ku ko yaranku suna da raunin rashin kulawa da hankali, yanayin ɗabi'a wanda ke tattare da rashin iya mayar da hankali, impulsivity, nutsuwa, da rashin kulawar lokaci, da alama kun ji amphetamine-dextroamfetamine -Kodayake kuna iya sanannun sanannun sunayen magungunan, Adderall da Mydayis. Wadannan magunguna suna taimakawa da hankali da kuma maida hankali, suna baiwa mutane masu ADHD damar zama masu kwazo a aiki ko makaranta. Amphetamine-dextroamphetamine ana amfani da shi (duk da cewa ba sau da yawa) don magance narcolepsy, matsalar bacci wanda ke barin mutane da yawan bacci da yawan bacci da rana.

Dangane da jerin jerin biranen da ke hade da amphetamine-dextroamphetamine, Karen Kier, Ph.D., RPh, darektan magunguna da bayanan kiwon lafiya a Jami’ar Ohio ta Arewa, ya nuna cewa yana da nasaba da yawan jama’a da kuma samar da ayyukan kiwon lafiya.

Tare da waɗancan manyan biranen za ku sami kyakkyawar dama ga likitocin yara, da samun dama ga asibitocin yara, da kuma [samun dama ga] ƙwararru a yankin ADHD ko ku manya ko yaro, in ji Keir, yana mai cewa mutanen karkara Yankuna na iya ba su da irin wannan hanyar don haka ba za su iya karɓar takardar sayan magani don magance yanayin ba.



Amoxicillin

Mafi yawan magungunan da aka tsara a cikin Los Angeles; Houston; San Diego; San Jose, Calif.; Washington, D.C; Dallas; Fort Worth, Texas; Arlington, Texas; da Long Beach, Calif.

Kwayar rigakafi ce ta kowa a cikin dangin penicillin, amoxicillin sananne ne ga kusan duk wanda ya sami sinus, kunne, ko wani kamuwa da cuta ta sama. A zahiri, ita ce mafi yawan kwayoyi masu ba da magani, tare da rubuce-rubuce miliyan 56.7 da aka rubuta a cikin 2016 kawai, a cewar Cibiyoyin Kula da Cututtuka da Cututtuka (CDC).

Kuma yayin amfani da kwayoyin cuta masu yawa da / ko marasa amfani na iya haifar da matsala, amoxicillin tabbas yana da matsayinsa. Idan an gano ku tare da strep, mashako, ciwon huhu, tonsillitis, ɗayan ɗayan cututtukan da aka ambata, ko ma kamuwa da cutar fitsari, amoxicillin galibi shine layin farko na kariya. Koran? Saboda yaduwar cututtukan da ke jurewa kwayoyin cutar, maganin ba zai iya yin tasiri a wasu yankuna na kasar ba, ma'ana likitanku zai buƙaci ba da umarnin wani abu, Kier ya yi bayani.

Abin farin ciki, idan kuna zaune a ɗayan biranen da ke sama, wannan tabbas ba zai zama batun ba (aƙalla ba tukuna ba). Kier ya ce masu ba da kula da lafiya suna bayar da umarni ne bisa dogaro da rubutattun hanyoyin juriya a yankunansu, kuma gaskiyar cewa wadannan biranen suna fitar da magungunan amoxicillin da yawa ya nuna cewa tasirinsa a wadannan wurare har yanzu yana ci gaba.



Lisinopril

Mafi yawan magungunan da aka tsara a Phoenix; Columbus, Ohio; Las Vegas; Sacramento, Calif.; Tulsa, Okla.; da Oklahoma City

Mun riga mun ambata lisinopril, amma don faɗaɗa- lisinopril yana ɗaya daga cikin magunguna da yawa a cikin rukunin mai hana ACE (angiotensin-converting enzyme), wanda ake amfani da shi don magance hauhawar jini, hawan jini, da kuma raunin zuciya. Har ila yau, wani lokacin ana ba da shi ga marasa lafiya da ciwon sukari saboda yana taimakawa kiyaye aikin koda, in ji Kier.

Duk inda kake zama, wannan shine sosai shahararren magani. A cikin 2016, lisinopril an tsara shi fiye da Mutane miliyan 100 , wanda ke da ma'anar la'akari CDC ƙididdiga nuna cewa Amurkawa miliyan 75 suna da cutar hawan jini. Amma me yasa lambobi mafi girma a Phoenix, Columbus, Las Vegas, Sacramento, Kansas City, Tulsa, da Oklahoma City?

Kier ya yi hasashen cewa mai yiwuwa shirin kiwon lafiya ne ya haifar da shi-ma'ana, cewa ko menene dalili, marasa lafiya da ke zaune a waɗannan biranen suna da tsare-tsaren kiwon lafiya waɗanda suka fi son marasa lafiya su yi amfani da lisinopril a kan irin magungunan. Wannan, in ji ta, za a iya bayanin ta da cewa lisinopril na ɗaya daga cikin farkon masu hana ACE zuwa jigilar abubuwa, wanda ya sa ba ta da tsada sosai.



Amlodipine ya cika

Mafi yawan magungunan da aka tsara a Philadelphia; Boston; Charlotte, NC; Indianapolis; Milwaukee; New Orleans; da Omaha, Neb.

Wani magungunan hawan jini, amyadincin beylate shine tashar toshe alli wanda kuma yake magance ciwon kirji na tsawon lokaci. Kamar lisinopril, ana amfani da shi sosai kuma yana da araha bisa laákari da gaskiyar cewa abin ya zama gama gari tun da wuri, in ji Kier, ya ƙara da cewa marasa lafiya suna da amsa da kyau game da maganin amlodipine. Ta ce sananne ne ko'ina (fiye da 75 miliyan mutane suna ɗauka), amma na Philly, Boston, Charlotte, Indianapolis, Milwaukee, New Orleans, da Omaha?

Wannan na iya zama wani yanayi ne na tsarin kiwon lafiya, ko kuma ya danganta da cikakkiyar lafiyar mazauna birni. Sauran abubuwan da suka danganci kiwon lafiya na iya sa waɗannan mazaunan birni su fi dacewa don neman likita don hawan jini.



Finasteride

Mafi yawan magungunan da aka tsara a San Francisco

An sayar a ƙarƙashin sunayen sunaye Proscar kuma Propecia , finasteride magani ne na magani da aka yi amfani da shi don magance karuwancin prostate (wanda aka sani a asibiti kamar hyperplasia mai saurin ciwo, ko BPH) da ƙarancin namiji, in ji Jeff Fortner, Pharm.D., farfesa a kantin magani a Jami'ar Pacific a cikin Forest Grove, Oregon. BPH yana shafar 50% na maza tsakanin shekarun 51 zuwa 60 har zuwa 90% (wow!) A cikin rukunin 80+. Don haka, ba abin mamaki ba ne a gan shi a cikin jerin shahararrun magunguna-musamman ganin cewa BPH na iya haifar da matsaloli kamar matsalar yin fitsari da cututtukan fitsari.

Magungunan magani suna aiki, Dr. Fortner yayi bayani, ta hanyar toshe hanyar canzawa tsakanin testosterone da dihydrotesterone (ko DHT). Wannan toshewar neyana ba da izinin yin aikinta, ko hakan na nufin yaƙar zubewar gashi ko kuma magance ƙanƙarawar ƙugu (ko duka). Abin baƙin cikin shine, miyagun ƙwayoyi ya zo tare da wasu sakamako masu illa na gaba - don haka tabbatar da magana da likitanka game da fa'idodi da cutarwa na magana da shi. Hakanan, ku sani cewa yayin amfani da finasteride wani lokaci a kashe lakabin mata tare da hirsutism (yanayin da ke tattare da haɓakar gashi mai yawa), gaba ɗaya, mata ya kamata su guje ma sarrafawa magani saboda yanayin sa don haifar da lahani na haihuwa, Dr. Fortner ya ce.



Me yasa ya shahara a Garin Fog? Wannan wani sirri ne, musamman tunda yawan mazaunan garin ba maza bane (ragin kusan 50-50 ne).

Asfirin

Mafi yawan magungunan da aka tsara a Detroit

Asfirin yawanci magani ne kan-kan-kan da ake amfani dashi don magance zafi, kumburi, da zazzabi. Wannan magungunan magani mai shekaru 200 shima yana da matukar amfani a matsayin mai rage jini - yawancin marasa lafiya suna amfani da shi don taimakawa wajen hana shanyewar jiki da kuma daskarewar jini. Koyaya, da Heartungiyar Zuciya ta Amurka yana ba da shawara game da amfani da shi don wannan dalili sai dai idan kun riga kun sami abin da ya shafi zuciya (don haka yi magana da likitanka kafin ƙara shi zuwa tsarin ku).



Kodayake yawancin mutane suna biya ne kawai daga aljihunsu don asfirin, amma wasu tsare-tsaren inshora zasu rufe shi idan likita ya ba da umarnin. Wannan na iya bayyana dalilin da ya sa ya zama sananne a Detroit - fiye da 25% na mace-mace a cikin jihar Michigan a 2013 sun kasance ne saboda cututtukan zuciya da bugun jini, a cewar wani rahoto da Ma'aikatar Kiwon Lafiyar Jama'a ta Michigan . Shin wannan yana nufin likitoci suna aiki tare da marasa lafiya don rage wannan adadin? Mai yiwuwa!

Levothyroxine sodium

Mafi yawan magungunan da aka tsara a cikin Albuquerque, N.M; Tucson, Ariz.; Mesa, Ariz.; Colorado Springs, Colo.; da Portland, Ore.

Levothyroxine - sanannun sunayen sunayeLevothroid, Levoxyl , Synthroid , Taya , da Unithroid —Da anyi amfani dashi hypothyroidism Kier ya ce, (ƙananan matakan thyroid), goiter (kara girman thyroid), da wasu nau'ikan cututtukan kansa. A takaice, maganin wani nau'in maganin maye gurbin hormone ne. Tana aiki, in ji ta, ta hanyar samar da sigar roba wacce jikin ba zai wadatar da ita ba, ta yadda za ta daidaita matakan sinadarin thyroid (wanda zai yi kadan, idan aka gano shi).

Kodayake yana da wahala a iya tantancewa da kowane irin tabbaci, Kier ya ce shaharar levothyroxine a cikin waɗannan biranen Kudu maso Yamma uku na iya kasancewa da alaƙa da jinsi. Kididdiga ta nuna hakan yawancin jama'ar Asalin Amurkawa suna zaune ne a cikin takamaiman jihohi 10 —Sabon Mexico da Arizona kasancewar su biyu. Hakazalika, wasu bincike sun nuna cewa 'yan asalin ƙasar Amurka suna da alamun cutar ta thyroid . Tana tsammanin yiwuwar haɗin kai. Amma ga Colorado Springs da Portland-wannan shine ra'ayin kowa.

Fluzone mai quadrivalent

Mafi yawan magungunan da aka tsara a Oakland, Calif.

Shin har yanzu kun sami harbin mura? Idan kuna zaune a Oakland, mai yiwuwa haka ne - shine mafi mashahuri magani a gefen haske na bay. Wataƙila ba za mu buƙaci bayyana abin da harbin mura yake ba ko kuma me ya sa yake da mahimmanci, amma kawai idan: da quadrivalent mura harbi maganin alurar riga kafi ne wanda ke kariya daga ƙwayoyin cuta huɗu masu saurin haɗari. Duk wanda ya wuce watanni 6 ya kamata ya same shi, kuma inshora ke rufe shi. Tsallakewa da kamuwa da cutar mura cuta ce mai haɗari, masana sun ce- 61,200 mutane ya mutu daga rikitarwa masu alaƙa da mura a cikin kakar 2018-2019 (ya kasance 80,000 shekarar da ta gabata ).

To menene game da Oakland wanda ke sa mutane layi domin samun allurar rigakafin su? Kier ya danganta shi ga ingantaccen shirin talla. Ofayan manyan HMO na ƙasa yana da hedkwata a Oakland, kuma ƙungiyar — wacce ke tabbatar da ɗumbin mazaunan Oakland - tana da babban aiki na isar da sanarwa game da mahimmancin kamuwa da cutar mura da samar da dama mai yawa ga mutane don karɓar harbe-harben su . Suna da kyakkyawan shiri a wurin, in ji ta.

Alprazolam

Mafi yawan magungunan da aka wajabta a Tampa, Fla.

Alprazolam maganin rigakafin tashin hankali ne, wanda aka siyar a ƙarƙashin sunan suna Xanax . Xanax yana cikin rukunin magungunan da aka sani da benzodiazepines, kuma waɗannan magungunan na musamman (yayin da suke da matukar tasiri wajen magance tsananin damuwa) suna jaraba, ba ma maganar yawan cika doka kamar yadda wasu masana suka ce (ɗaya binciken kwanan nan har ma sun gano cewa likitoci suna ba da umarnin benzos tare da ƙaruwa akai-akai, duk da damuwar da ke tattare da ƙungiyar likitocin game da yanayin lalatarsu). Koyaya, damuwa matsala ce ta gaske tsakanin manya a cikin Amurka. Arbain miliyan arba'in masu shekaru 18 zuwa sama suna fama da rikicewar damuwa, a cewar Xiungiyar Tashin hankali da Depacin Cutar Amurka .

Dokta Fortner ya ce, duk da damuwar da za ta haifar ta rayuwa tare da yawan tsoron guguwa da guguwa, ba zai iya tunanin wani takamaiman bayani game da dalilin da ya sa amfani da Xanax zai fi girma a Tampa ba. Birnin yayi, duk da haka, kwanan nan ya sami matsayi 74th a saman 100 mafi yawan biranen da aka fi damuwa jerin. Wataƙila wannan yana ba da hango cikin labarin bayan bayanan.

Vitamin D

Mafi yawan magungunan da aka tsara a El Paso, Texas; Fresno, Calif; Louisville, Ky.; Miami; Memphis, Tenn.; Baltimore, Md.; da San Antonio

Vitamin D yana da rikitarwa kamar yadda ya wajaba. Kimanin mutane biliyan 1 a duk duniya suna fama da karancin bitamin D, a cewar Harvard T.H. Makarantar Chan na Kiwon Lafiyar Jama'a . Amma menene ainihin ma'anar gurgunta? Kuma idan kun ne rashi (mafi yuwuwa idan kuna zaune a jihar arewa), IU nawa kuke buƙatar ɗauka don juya rashi? Amsoshin sun dogara da masu canji da yawa, amma duk wanda ke da damuwa ya kamata yayi magana da likitansu game da gwajin jini don bincika matakan. Idan ba su tafi ba, kuna buƙatar yin aiki tare da mai ba ku kiwon lafiya a kan kyakkyawan tsarin haɓaka saboda bitamin D yana da mahimmanci ga komai daga yanayi zuwa lafiyar ƙashi da ƙari.

Shin kuna buƙatar takardar sayan magani na ainihi? To, wannan ya dogara. Yawancin mutane suna siyan ta a kan kanti. Akwai wasu yanayin kiwon lafiya, duk da haka, da za su iya sa takardar magani ta zama dole, in ji Kier. Za mu yi amfani da bitamin D a cikin marasa lafiya wadanda ke fama da cutar koda saboda [halin da suke ciki] jikinsu ba zai iya canza bitamin D na yau da kullun zuwa irin da suke bukata ba, in ji Kier.

Marasa lafiya da cututtukan hanta, pancreas, da hanjina iya buƙatar buƙatar sigar-ƙarfin sigar na ƙarin. Me muke nufi da ƙarfin takardar sayan magani? Yana da yawa-50,000 IUs a kowane kwali, yawanci ana ɗauka sau ɗaya a mako. A kwatancen, babban shawarar da ake bayarwa ga matsakaicin baligi shine 600 IUs kowace rana .

Kamar lisinopril, Kier yana zargin babban adadin kwayar bitamin D shine shirin kiwon lafiya wanda aka kore shi (tabbas ba shi da alaƙa da cutar koda-Florida a zahiri tana da ƙananan matakan gazawar koda fiye da sauran jihohi, a cewar Gidauniyar Kidney ta kasa ). Dokta Fortner kuma yana al'ajabi idan yawan amfani da hasken rana yana da alaƙa da shi, saboda hakan na iya haifar da karancin bitamin D, in ji shi.

Rushewar gari-gari na shahararrun magungunan likitanci

  1. New York: Amphetamine-dextroamphetamine
  2. Los Angeles: Amoxicillin
  3. Chicago: Amphetamine-dextroamphetamine
  4. Houston: Amoxicillin
  5. Phoenix: Lisinopril
  6. Philadelphia: Amlodipine ya cika
  7. San Antonio: Vitamin D
  8. San Diego: Amoxicillin
  9. Dallas: Amoxicillin
  10. San Jose, Calif.: Amoxicillin
  11. Austin, Texas: Amphetamine-dextroamphetamine
  12. Jacksonville, Fla.: Amfetamine-dextroamphetamine
  13. Fort Worth, Texas: Amoxicillin
  14. Columbus, Ohio: Lisinopril
  15. San Francisco: Finasteride
  16. Charlotte, NC: Amlodipine ya cika
  17. Indianapolis: Amlodipine mai ɗorewa
  18. Seattle: Amphetamine-dextroamphetamine
  19. Denver: Amphetamine-dextroamphetamine
  20. Washington, DC: Amoxicillin
  21. Boston: Amlodipine ya cika
  22. El Paso, Texas: Vitamin D
  23. Detroit: Asfirin
  24. Nashville, Tenn.: Amphetamine-dextroamphetamine
  25. Portland, Oregon: Levothyroxine Sodium
  26. Memphis, Tenn.: Vitamin D
  27. Birnin Oklahoma: Lisinopril
  28. Las Vegas: Lisinopril
  29. Louisville, Ky.: Vitamin D
  30. Baltimore, Md .: Vitamin D
  31. Milwaukee: Amlodipine ya cika
  32. Albuquerque, NM: Levothyroxine Sodium
  33. Tucson, Ariz.: Levothyroxine Sodium
  34. Fresno, Calif.: Vitamin D
  35. Mesa, Ariz.: Levothyroxine Sodium
  36. Sacramento, Calif.: Lisinopril
  37. Atlanta: Amphetamine-dextroamphetamine
  38. Kansas City, Mo.: Amphetamine-dextroamphetamine
  39. Colorado Springs, Colo.: Levothyroxine Sodium
  40. Miami: Vitamin D
  41. Raleigh, NC: Amphetamine-dextroamphetamine
  42. Omaha, Neb .: Amlodipine ya cika
  43. Long Beach, Calif: Amoxicillin
  44. Virginia Beach, Va.: Amphetamine-dextroamphetamine
  45. Oakland, Calif.: Fluzone adananan abubuwa
  46. Minneapolis: Amphetamine-dextroamphetamine
  47. Tulsa, Okla.: Lisinopril
  48. Arlington, Texas: Amoxicillin
  49. Tampa, Fla.: Alprazolam
  50. New Orleans: Amlodipine ya cika

Shahararren bayanin magungunan likitanci yana nuna rubutun da aka cika mafi yawa ta hanyar SingleCare don 2019, ban da opioids da ƙwayoyi masu raunin nauyi.