Mafi yawan magungunan da aka tanada a kowace jiha a cikin 2019

Kamfanin

A watan Agusta, mun fasa magungunan ƙwayoyi da aka cika galibi ta masu amfani da SingleCare , jerin da aka mamaye magungunan hawan jini da kuma maganin bitamin D. Yanzu muna yin duban tsanaki kan mafi yawan magungunan da aka tanada don shekara ta 2019-kuma yayin da da yawa daga cikinsu suka zoba, akwai wasu sabbin kari.

Mafi mahimmanci, duk da haka, shine abin da wannan jerin magunguna na yanzu ke gaya mana game da amfani da takardar sayan magani a duk faɗin hukumar a Amurka. Me yasa aka sanya wasu kwayoyi fiye da wasu? Shin shahararren magani yana da kyau ko mara kyau? Waɗanne yanayin kiwon lafiya ne suka fi yawa tsakanin Amurkawa?

Don neman amsoshin waɗannan tambayoyin, mun nemi likitoci biyu da su auna kan manyan magunguna na shekara kuma su faɗi ra'ayinsu game da abubuwan da ke faruwa. Ga abin da zasu fada.

Generic vs. alamun suna

Kowane ɗayan magunguna da aka rubuta a cikin jerin 2019 ana samun su ta hanyar tsari, wanda ke sa su zama masu arha da sauƙi a samu, in ji David Cutler, MD, likitan likitancin iyali a Cibiyar Kiwon Lafiya ta Providence Saint John .

Ba su ba ne labari ba ne, mashahurai, kwayoyi masu neman kuɗi da kuke karantawa a shafukan farko, in ji shi. Su ne magunguna a cikin ɗakin shan magani na kowa.

Me yasa wannan mahimmanci? Don masu farawa, magungunan sunaye suna haifar da duk tsadar marasa lafiya da tsadar jama'a na inshorar lafiya, in ji Joshua Septimus, MD, masanin ilimin likitanci a Houston Methodist . Tunda ana yarda da magungunan ƙwayoyi kamar yadda suke da kyau kamar waɗanda suke da alamun suna, sauyawa zuwa takaddun saɓo abu ne mai kyau.

Na yi matukar farin ciki da ganin cewa likitoci suna guje wa magunguna na suna saboda akwai lokacin da likitoci ke yawan rubuta rubutattun magunguna don masu tsada sosai, Dokta Septimus ya bayyana. Amma yanzu magungunan da aka ba da izini suna da mahimmanci, kuma suna da arha kuma suna da tsayayyun bayanai don tafiya tare da su.

Menene magungunan da aka fi ba da umarni suna gaya mana?

Abin sha'awa, mafi yawan kwayoyi da aka rubuta na 2019 sun faɗi cikin kaɗan daga cikin nau'ikan gama gari: magungunan hawan jini, maganin thyroid, maganin rigakafi, da magungunan ADHD.

Wannan yana da ma'ana, in ji Dokta Septimus, tunda hauhawar jini da hypothyroidism su ne manyan cututtukan manya. Amma ga sauran magunguna? Antibioticsila yawan magungunan rigakafi na yau da kullun zai zama sananne saboda mutane koyaushe zasu kamu da rashin lafiya kuma suna buƙatar magani, kuma jerin suna cike da wasu handfulan sauran magunguna na yau da kullun kamar masu maganin steroid da magungunan damuwa.

Kuna son ƙarin koyo game da mafi yawan magungunan da aka tsara na 2019, bisa ga bayanan SingleCare (wataƙila ɗayan da kuka sha yana cikin jerin!) Ko ku samo magungunan da suka fi yawa a cikin jihar ku a wannan shekara? Karanta yadda muka sha magani.

Menene mafi yawan magungunan da aka ba da umarni?

• Amlodipine (Generic Norvasc) da lisinopril (generic Zestril, ko Prinivil)
• Amoxicillin
• Levothyroxine sodium da Synthroid
• Amphetamine-dextroamphetamine (jigilar Adderall)
• Takaddun bitamin D
• Prednisone
• Alprazolam (na asali Xanax)
• Sildenafil

Amlodipine da lisinopril

Mafi yawan lokuta an tsara don: Hawan jini
Mafi yawan shahararrun magunguna a: Alaska, Alabama, Arkansas, Connecticut, Delaware, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming

Hawan jini wani yanayi ne na yau da kullun da ake saurin magance shi, kuma akwai fa'ida mai yawa wajen shawo kanta-ciki har da rage barazanar kamuwa da ciwon zuciya da shanyewar jiki, a cewar Dokta Cutler. Kuma wannan ba shine kawai dalilin cutar hawan jini ba amlodipine kuma lisinopril suna da mashahuri a yanzu, ko dai.

An rage ka'idojin binciken da ke bayyana wanda ke da hauhawar jini, wanda ya kawo karin mutane cikin rukunin da ake bincikar su da cutar hawan jini, in ji Dr. Cutler.

Yana maganar wani Sabunta 2017 zuwa jagororin da aka kafa a 2003; Kwalejin Kwalejin Zuciya ta Amurka da Heartungiyar Zuciya ta Amurka sun cire wani nau'in prehypertension kuma sun sake tsara wasu ƙididdigar matakan don hauhawar jini. An kiyasta cewa wannan aikin zai rarraba mutane da yawa kamar masu cutar hawan jini, musamman ma matasa, kuma zai iya haifar da sa hannun farko.

Har zuwa lokacin da wadannan kwayoyi biyu suka tafi, Dr. Septimus ya ce duka masu hana ACE (kamar lisinopril) da masu toshe tashar calcium (kamar amlodipine) hanyoyi ne karbabbu don magance cutar hawan jini, tare da amlodipine kasancewa mai sauƙin amfani da magani tare da ƙananan gefe sakamako da lisinopril wani zaɓi mafi aminci ga mutanen da suma ke da ciwon sukari ko cututtukan zuciya.

Amoxicillin

Mafi yawan lokuta an tsara don: Cututtukan ƙwayoyin cuta na kunne, hanci, da maƙogwaro
Mafi shahararren takardar sayan magani a: California, Washington, DC, Maryland, New Jersey, Texas

Dr. kira na bakwai amoxicillin gadon magani don cututtukan numfashi, gami da cututtukan kunne da makogwaro, wanda ke taimakawa bayanin dalilin da ya sa ya zama sanannen magani a cikin jihohi huɗu a wannan shekara.

Idan ka kalli inda aka rubuta mafi yawan maganin rigakafin, yana cikin yara, tunda ana yawan bi da su sau da yawa saboda waɗancan yanayin, in ji shi.

Duk da yake duk wanda ya taɓa ɓata lokaci kusa da yara ya san su maganadisu ne na ƙwayoyin cuta da cututtuka, har yanzu akwai damuwa tsakanin likitoci game da yawan kuɗin da ake ba da maganin rigakafi-musamman idan aka yi amfani da su don magance cututtukan ƙwayoyin cuta maimakon na ƙwayoyin cuta, wanda ke ba da gudummawa zuwa kara yawan kwayoyin juriya.

Akwai ƙoƙari masu yawa da ke gudana don rage tasirin da ba dole ba ga maganin rigakafi ta hanyar wakilci shirye-shirye, in ji Dokta Cutler. Ya kamata mutane su fadakar da su game da haɗarin da yawan amfani da kwayoyin cuta ke haifarwa, da ba dole ba, da cutarwa.

Levothyroxine sodium da Synthroid

Mafi yawan lokuta an tsara don: Hypothyroidism
Mafi shahararren takardar sayan magani a: Arizona, Colorado, Florida, Idaho, Montana, Oregon, Puerto Rico, Virgin Islands

Hypothyroidism, yanayin da thyroid ya daina yin isasshen hormone don tsara ayyukan jiki, yana shafar kusan biyar daga cikin 100 Amurkawa , da Cibiyar Kula da Ciwon Suga da cututtukan narkewar abinci da koda.

Thyroidananan aikin maganin karoid shine mafi yawan yanayin rashin lafiyar jiki ba tare da sananne ko rigakafin ba, Dokta Cutler ya ce, yana ƙara da cewa alamun na iya zama da dabara, kamar gajiya ko maƙarƙashiya. Hakanan mutanen da ke da hypothyroidism na iya fuskantar haɗin gwiwa ko ciwon tsoka, bushewar fata, haila mara kyau, ko riba mai nauyi.

Levothyroxine sodium shine abin da aka sani da maye gurbin ka, kuma Dr. Septimus ya ce yana da mashahuri saboda da gaske babu wasu kwayoyi da za su iya maye gurbin ɓarkewar thyroid. Abin godiya, ya kuma ce levothyroxine sodium yana da ƙimar tasiri sosai kuma yana taimaka wa yawancin marasa lafiya waɗanda ke shan shi.

Amphetamine-dextroamphetamine (jigilar Adderall)

Mafi yawan lokuta an tsara don: ADHD
Mafi shahararren takardar sayan magani a cikin: Michigan, Dakota ta Arewa, Tsibirin Rhode, Utah

Amfetamine-dextroamfetamine an tsara shi sosai don maganin ADHD bayyanar cututtuka , wanda zai iya kasancewa daga motsa jiki da wahalar tattarawa zuwa ga jujjuya ra'ayi da rashin kyakkyawan hukunci, a cewar Dr. Septimus. Tare da cewa ana binciken yawancin mutane da ADHD, har da yara kanana , Shahararren wannan magani ya ci gaba da ƙaruwa saboda ana ɗauka gaba ɗaya amintacce kuma mai tasiri-kuma yanzu ana saminsa cikin sifa.

Ba a fahimci ainihin yadda amphetamine-dextroamphetamine ke taimaka wa marasa lafiya ba (ban da aiki a cikin tsarin kulawa na tsakiya), amma bisa ga ADDitude Mujalla , An yi nazarin ƙwayoyi sosai a cikin shekaru da yawa kuma ya bayyana ba zai haifar da babbar damuwa ga lafiyar yawancin marasa lafiya da ke shan ta ba.

Masu fita waje

Sauran magungunan da ke cikin jerin na 2019 bai dace da kowane ɗayan rukunnan da ke sama ba, amma sun kasance lamba ta farko da aka ba da magani a jihohin su.

Takaddun bitamin D

Mafi yawan lokuta an tsara don: Rashin Vitamin D
Mafi shahararren takardar sayan magani a: New York

Sayan magani bitamin D. , babban magani a New York, ana amfani dashi don magance rashi bitamin D. Amma Dokta Septimus ya ce gaskiyar cewa ana ba da umarnin sosai yana nuna cewa likitoci suna ci gaba da bincika bitamin D, aikin Tasungiyar Ayyuka na Rigakafin Amurka ya shawarci kan. Duk da yake shan bitamin D na iya zama wajibi don ƙananan masu haƙuri (kamar waɗanda ke da osteoporosis), mai yiwuwa ana ba da umarnin ba dole ba a cikin wasu lamura da yawa.

Prednisone

Mafi yawan lokuta an tsara don: Kumburi
Mafi shahararren takardar sayan magani a cikin: Maine

Bayyanar da alamu don cututtukan cututtukan numfashi kamar mashako, ciwon huhu, da cutar sinusitis tabbas mai yiwuwa ne sosai prednisone An fitar da shi a cikin Maine wannan shekara. Corticosteroid wanda ke kula da nau'ikan yanayin kumburi da yanayin rayuwa, Dokta Septimus ya ce wasu likitocin sun fi dacewa da dogaro da shi lokacin da mai haƙuri ya koka da kumburi, ciwo, ko rashin jin daɗi saboda mummunan yanayi ko rashin lafiya. Shan prednisone na iya haifar da da yawa sakamako masu illa , wanda ya zama mafi tsanani duk tsawon lokacin da ka ɗauka, don haka yana da kyau cewa ba a cika yin amfani da shi a duk faɗin ƙasar ba.

Alprazolam

Mafi yawan lokuta an tsara don: Tashin hankali
Mafi shahararren takardar sayan magani a cikin: Tennessee

Don saurin saurin bayyanar cututtukan da ke tattare da hare-haren tsoro ko ɓarna, alprazolam yawanci an tsara shi ne don taimakawa mutane su jimre da yanayi mai wuya kamar tafiya ta jirgin sama lokacin da kake jin tsoron tashi. Duk da yake ana iya tsara Xanax don damuwa na kullum , masu zaɓin maganin serotonin reuptake (SSRIs) ko wasu magungunan anti-tashin hankali ana iya amfani da su.

Dangane da dalilin da yasa alprazolam (Xanax) zai iya zama sananne sosai, Dr. Septimus ya ce yana aiki da sauri fiye da sauran magunguna a ajinsa, yana mai da shi dacewa ga yanayin da ke buƙatar saurin aiki da sauri.

[Koyaya], wannan ma yana sa jarabar sa ta zama mafi girma, ya yi kashedi. Kyakkyawan magani ne idan aka yi amfani dashi lafiya, amma a hankali.

Sildenafil

Mafi yawan lokuta an tsara don: Cutar rashin karfin jiki
Mafi shahararren takardar sayan magani a cikin: Hawaii

Sildenafil , a.k.a kwayar cutar rashin karfin maza Viagra , shi ne babban magani da aka ba da umurni a Hawaii a wannan shekara. Gabaɗaya, masana sun san cewa sildenafil ana yin ta akai-akai saboda ana amfani da shi daga a Babban faɗuwar farashi a cikin 2017 lokacin da aka samo shi ta hanyar tsari. Kodayake har yanzu mafi yawan marasa lafiya marasa lafiya ke amfani da su tare da hanyoyin siye marasa mahimmanci, magungunan nishaɗi, ƙimar farashi mai ƙima ta ba da dama ga marasa lafiya da cutar rashin ƙarfi don amfani da maganin.

Lalacewar jihohi-jiha

Alaska: Lisinopril
Alabama: Amlodipine
Arkansas: Lisinopril
Arizona: Levothyroxine sodium
Kalifoniya: Amoxicillin
Colorado: Levothyroxine sodium
Connecticut: Amlodipine
Washington, DC: Amoxicillin
Delaware: Lisinopril
Florida: Levothyroxine sodium
Georgia: Amlodipine
Hawaii: Sildenafil
Iowa: Lisinopril
Idaho: Levothyroxine sodium
Illinois: Lisinopril
Indiana: Lisinopril
Kansas: Lisinopril
Kentucky: Lisinopril
Louisiana: Amlodipine
Massachusetts: Lisinopril
Maryland: Amoxicillin
Maine: Prednisone
Michigan: Amphetamine-dextroamphetamine
Minnesota: Lisinopril
Missouri: Lisinopril
Mississippi: Amlodipine
Montana: Levothyroxine sodium
Arewacin Carolina: Lisinopril
North Dakota: Amphetamine-dextroamphetamine
Nebraska: Lisinopril
Sabuwar Hampshire: Lisinopril
New Jersey: Magunguna
New Mexico: Lisinopril
Nevada: Lisinopril
New York: Vitamin D
Ohio: Lisinopril
Oklahoma: Lisinopril
Oregon: Levothyroxine sodium
Pennsylvania: Lisinopril
Puerto Rico: Synthroid (suna-alama don levothyroxine sodium)
Tsibirin Rhode: Amphetamine-dextroamphetamine
South Carolina: Amlodipine
Dakota ta Kudu: Lisinopril
Tennessee: Alprazolam
Texas: Amoxicillin
Utah: Amphetamine-dextroamphetamine
Virginia: Lisinopril
Tsibirin Tsibiri: Levothyroxine sodium
Vermont: Lisinopril
Washington: Lisinopril
Wisconsin: Lisinopril
West Virginia: Lisinopril
Wyoming: Lisinopril

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