Shin yana da haɗari a ɗauki Trulicity da metformin tare?
Bayanin MagungunaWadanda ke rayuwa da ciwon suga sun san yadda zai iya shafar rayuwar mutum. Nau'o'in sukari iri biyu, Rubuta 1 da Rubuta 2 , Dukansu na iya sanya rayuwar yau da kullun ta zama mai wahala. Labari mai dadi shine cewa magani ga ciwon sukari ya inganta sosai a cikin shekarun da suka gabata. Magunguna sune ɗayan mafi kyawun zaɓuɓɓukan magani ga mutanen da ke fama da ciwon sukari saboda suna iya taimakawa wajen daidaita matakan sukarin jini da kiyaye lafiyar jiki. Biyu daga cikin shahararrun magungunan ciwon sukari sune Trulicity da metformin. Dukansu suna magance ciwon Suga na 2, kuma wani lokacin, ana ɗaukarsu tare.
Shin Trulicity da metformin iri ɗaya ne?
Metforminwani magani ne na rigakafin ciwon sukari wanda ke kula da ciwon Suga na 2 ta hanyar taimakawa kula da lafiyar jiki ga insulin. Yana nufin ya zama wani ɓangare na babban shirin kulawa don ciwon Suga na 2 wanda ya haɗa da abinci da motsa jiki. Magungunan jiyya ne na layin farko don cutar siga ta Type 2 kuma ana iya haɗa shi da wasu magunguna waɗanda ake amfani dasu don magance cutar ta Suga ta biyu.
Gaskiyamagani ne mai suna wanda ake amfani dashi don magance cutar sikari ta 2 a haɗe da abinci mai kyau da motsa jiki. Gaskiya na taimakawa rage matakan sukarin jini ta hanyar inganta aikin insulin. Ana iya amfani da shi shi kaɗai ko kuma tare da wasu magunguna waɗanda suma suna magance cutar Suga ta 2. Hakanan yana rage haɗarin manyan lamura na zuciya da jijiyoyin jini kamar su bugun zuciya da shanyewar jiki don Ciwon sukari na 2 tare da abubuwan haɗarin zuciya da jijiyoyin jini.
Wasu lokuta ana iya ɗaukar Trulicity a lokaci ɗaya da metformin, wanda ba shi da aminci a yi shi a ƙarƙashin yanayin da ya dace. Bari muyi zurfin zurfin duba Trulicity da metformin don fahimtar mafi kyau lokacin da zai dace mu ɗauke su tare.
Shin Trulicity ko metformin sun fi kyau?
Diungiyar Ciwon Suga ta Amurka ta ba da shawarar metformin a matsayin farkon maganin cutar Suga ta 2. A cikin 2014 , An gabatar da Trulicity a cikin Amurka a matsayin allura wanda zai iya taimakawa inganta haɓakar glycemic a cikin manya da Ciwon sukari na 2. Ko da bayan an sanya Trulicity a kasuwa, har yanzu metformin yana riƙe da matsayinsa na farkon maganin zaɓaɓɓu ga Ciwon sukari na 2 saboda an tabbatar yana da matukar tasiri kuma ba shi da tsada. Metformin na iya sauke matakan HbA1C (haemoglobin) kamar kusan 1.5%, a cewar Johns Hopkins Magani . Har yanzu FDA ba ta ba da shawarar Trulicity don maganin farko na ciwon sukari na Type 2 ba, amma yana da tasiri wajen magance yanayin kuma an nuna ya sauke matakan HbA1C kamar yadda 0.5% zuwa 1.5% a cikin gwaji na asibiti.
Ajin magani
Metformin na cikin ƙungiyar magunguna da ake kira biguanides wanda ke rage adadin glucose wanda yake sha daga abinci kuma wanda hanta yake yi. Ana iya amfani da Metformin shi kaɗai ko a haɗa shi da wasu magunguna, gami da insulin.
Trulicity shine sunan sunan magunguna wanda ake kira dulaglutide, wanda yake cikin rukunin magunguna da ake kira GLP-1 agonists receptor. Wadannan nau'ikan magunguna suna magance cutar sikari ta 2 ta hanyar zaburar da kwayar halittar insulin da rage karfin hanta yin glucose. Trulicity shine allurar da ba ta insulin ba wacce ke da kyau don sarrafa matakan glucose na jini tare da ƙananan haɗarin hypoglycemia. Ba maye gurbin insulin bane kuma baya iya maganin Ciwon sukari na 1 na musamman. Idan aka kwatanta da sauran agonists masu karɓar GLP-1 kamarBydureon (karin bayani) da Victoza (liraglutide), Trulicity yana da tasiri kamar yadda yake rage matakan Hgb-A1c.
Dangantaka: Kwatanta Trulicity vs. Victoza
Daidaita daidaito
Metformin yana samuwa azaman kwamfutar hannu a cikin ƙarfin ƙarfin 500 MG, 850 MG, da 1000 MG. Hakanan ana samun shi azaman ƙaramin kwamfutar hannu da aka saki a cikin ƙarfin sashi na 500 MG, 750 MG, 1000 MG, kuma azaman maganin baka tare da zaɓuɓɓukan ƙarfin sashi iri ɗaya. Da daidaitaccen kashi na metformin domin Ciwan suga na 2 shine MG 500 da ake sha sau biyu a rana ko 850 MG da ake sha sau daya a rana tare da abinci. Adadin metformin da kuke buƙatar ɗauka zai bambanta dangane da alamunku na musamman da tarihin lafiyar ku, saboda haka koyaushe yana da kyau kuyi magana da ƙwararrun masu kiwon lafiya game da wane ƙarfin ƙarfin ƙwayar metformin ya dace muku.
Trulicity yana samuwa ne kawai azaman allura amma ana iya bayar dashi ta ƙarfin0.75 mg / 0.5 mL, 1.5 mg / 0.5 mL, 3 mg / 0.5 mL, ko 4.5 mg / 0.5 mL a kowane alkalami guda. Abun farko da aka ba da shawarar na Trulicity don magance cutar ciwon sikari ta 2 ita ce 0.75 MG ana sanya shi azaman allurar subcutaneous sau ɗaya a mako. Mai ba da sabis na kiwon lafiya na iya ƙara yawan Trulicity dosing akan lokaci don ƙarin sarrafa glycemic, amma mafi girma na Trulicity na iya haifar da ƙarin sakamako masu illa, musamman tashin zuciya. Tattaunawa da ƙwararren likita shine hanya mafi kyau don ƙarin koyo game da menene ƙarfin ƙarfin Trulicity yayi daidai a gare ku.
Kudin
Metformin magani ne mai arha wanda yakai farashi daga kusan $ 8 zuwa kusan $ 150 ba tare da inshora ba. Kamar kowane magani, farashin zai hau ko ƙasa ya dogara da adadin allunan da aka siya. Babban hanya don adana kuɗi akan metformin shine ta amfani da a coupon na metformin hakan na iya sauke adadin da kuka biya zuwa $ 4.
Trulicity magani ne mai tsada sosai, musamman ga mutanen da ba su da inshorar lafiya. Ba tare da inshorar lafiya ba, yana cin kuɗi sama da $ 1,440 don allura guda na Trulicity. Wasu tsare-tsaren inshorar lafiya na iya taimakawa wajen biyan babban tsada na Trulicity, da kuma takardun shaida na yanar gizo kamar SingleCare’s Trulicity coupon na iya sauke farashin zuwa $ 771.34 a kowace allura. Maƙerin kamfanin Trulicity, Eli Lilly da Kamfanin, suma suna ba da rangwamen rangwamen alkalami na Trulicity ga marasa lafiyar da suka cancanta.
Sakamakon sakamako
Metformin na iya haifar da tabbaci sakamako masu illa Wannan yana da kyau mu sani. Anan akwai wasu sanannun sakamako masu illa na metformin:
- Ciwan
- Gas
- Kumburin ciki
- Bwannafi
- Maƙarƙashiya
- Rage nauyi
- Gudawa
- Rashin ƙarfi
- Jin sanyi
Anan akwai sanannun tasirin sakamako na Gaskiya da mutane suke fuskanta:
- Ciwon ciki
- Rage ci
- Ciwan
- Amai
- Gudawa
- Hanyoyin yanar gizo na allura kamar kumburi, zafi, ko itching
Tashin zuciya yana daya daga cikin illolin da ke tattare da Trulicity; game da 8% zuwa 29% na mutanen da ke shan magani suna ba da rahoton jin ƙyamar kwana biyu zuwa uku bayan karɓar kashi. Wannan yana wucewa ga mafi yawan mutane bayan sati na biyu na jinyar su, amma ga waɗanda har yanzu suke jin wani tashin hankali bayan wannan, ga wasu hanyoyi don taimaka mata tafi: Ku ci ƙananan abinci, ku ci abinci mara kyau, kuma ku daina cin abinci lokacin da kuka ji cikakken abinci.
Kodayake yana da wuya, duka Trulicity da metformin na iya haifar da mummunar illa. Idan kana shan ko dai magani kuma ka fara fuskantar wahalar numfashi, kumburin fuska ko wuya, ko amya, to ya kamata ka nemi shawarar likita kai tsaye. Waɗannan alamun alamun rashin lafiyan ne, wanda zai iya zama barazanar rai ba tare da saurin magani ba.
Wadannan illolin na metformin da Trulicity ba cikakke bane. Kwararren likita na iya ba ku cikakken jerin abubuwan illa waɗanda za ku iya fuskanta idan kuka sha ko dai magunguna.
Risks da ƙuntatawa
Kodayake metformin yana da matukar tasiri wajen magance cutar siga ta Type 2, bai kamata kowa ya sha ba. Metformin bazai iya zama madaidaicin magani ga mutanen da suke da:
- Raunin rashin ƙarfi na koda
- Etoananan ƙwayar cuta ko ƙwayar cuta na yau da kullum
- Koda ko ciwon hanta
- Ajiyar zuciya
Metformin ya zo tare da gargaɗin dambe don ƙarin haɗarin kamuwa da lactic acidosis, wanda shine yanayin inda yawan lactic acid ke tarawa a cikin jini kuma yana haifar da rauni, ciwon ciki, gudawa, da numfashi mara kyau. Ya kamata ku nemi gaggawa na likita idan kuna shan metformin kuma kuna da alamun bayyanar lactic acidosis.
Akwai iyakantattun bayanai dangane da ko metformin yana da aminci ga mata masu ciki da masu shayarwa. Karatun bai nuna cikakkiyar cikakkiyar ma'amala tsakanin amfani da metformin ba a lokacin daukar ciki da lahani na haihuwa ko ɓarna. Nazarin asibiti ya nuna cewa metformin yana gabatar da kansa a madarar nono, amma babu wadatattun bayanai don tantance yadda yake shafar jarirai masu shayarwa.
Gaskiya ba shine magani mai dacewa ga waɗanda suke da:
- Tarihi na sirri ko na iyali na medullary thyroid carcinoma
- Yawancin nau'in cututtukan neoplasia na endocrine 2 (MEN 2)
- Ciwan ciwon sukari
- Matsalolin Pancreas kamar su pancreatitis
Ba a yarda da gaskiya ba ga marasa lafiyar da ke ƙasa da shekaru 18.
Hakanan yana da gargaɗin dambe, amma don ƙarin haɗarin kamuwa da cututtukan C-cell na thyroid.GLP-1 masu karɓar agonists kamar Trulicity sun haifar da cututtukan thyroid a cikin ƙananan yara da beraye a bayanan da suka dace na asibiti, amma ba a sani ba ko ko Trulicity zai haifar da kwayar cutar C-cell ta thyroid a cikin mutane. Sabili da haka, mutanen da ke fama da cutar kansa ba za su sha Trulicity ba.
Hakanan mutanen da ke ɗaukar Trulicity na iya samun ƙarin haɗarin cutar pancreatitis, hypoglycemia, ciwon koda mai tsanani, cututtukan ciki, da matsalolin ciki mai tsanani.Akwai iyakantattun bayanai kan yadda Trulicity ke shafar mata masu ciki da masu shayarwa, amma dangane da karatun dabbobi, za a iya samun haɗari ga fetan tayi da aka fallasa wa miyagun ƙwayoyi a lokacin daukar ciki.
Mata masu ciki za su ɗauki Trulicity ne kawai idan fa'idojin da ke tattare da shi sun fi ƙarfin tasirinsa, bisa ga umarnin masana'antar.Mai ba da lafiyar ku na iya ba ku ƙarin bayani kan ko Gaskiya ta dace da ku bisa ga tarihin lafiyar ku.
Kwatanta Trulicity vs. metformin | ||
|---|---|---|
| Gaskiya | Metformin | |
| Ajin magani | Glucagon-kamar peptide-1 agonist | Biguanide |
| Daidaitaccen sashi da siffofin | 0.75 MG na allura a aski sau ɗaya a mako a cikin ciki, cinya, ko babba | 500 MG da aka sha sau biyu a rana ko 850 MG da aka sha sau ɗaya a rana tare da abinci |
| Risks / ƙuntatawa don la'akari |
|
|
| Sakamakon sakamako |
|
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| Matsakaicin farashi ba tare da inshora ba | $ 1,440 + a kowace allura | $ 100 + kowace wata |
| Learnara koyo | Detailsarin Bayanin Trulicity | Detailsarin bayanan metformin |
Shan Trulicity da metformin tare
Wasu mutanen da ke da ciwon sukari Na Biyu na iya buƙatar Trulicity kuma metformin don cimma burin sukarin jinin su. Wannan yana da lafiya a yi tare da yardar likita. Wasu lokuta ana rubuta marasa lafiya duka Trulicity da metformin saboda suna iya samun wani tasiri na aiki tare, in ji su Ben Tanner , PA, wanda ya kafa azumiwell.com . Amana tana ƙara ƙoshin abinci, tana jinkirta ɓoye ciki, kuma tana ƙaruwa samarwar insulin na jikinku. Metformin gabaɗaya yana taimakawa daidaitawa da daidaita matakan sikarin jininka (ta hanyar rage haɓakar glucose a cikin hanta, tsakanin sauran abubuwa).
Shan kwayoyi biyun a lokaci guda na iya nufin shan kwayar metformin ta yau da kullun ta Trulicity. Mai ba da sabis na kiwon lafiya na iya canza jigilar kowane magani dangane da burin sukarin jini, alamomi, da tarihin lafiya. Bi umarnin likitanku da umarnin masana'antun don shan magunguna, kamar shan metformin tare da abinci, don tabbatar da aminci da inganci.
Wasu karatun, kamar su Nazarin AWARD-10 , sun nuna cewa idan aka haɗu da Trulicity tare da metformin da SGLT-2 mai hanawa, cewa zai iya zama magani mai inganci da haƙuri sosai ga mutanen da ke da ciwon Suga na 2.
Yana da mahimmanci a san abubuwan da zasu iya illa kafin shan Trulicity da metformin a lokaci guda.Zai yiwu a sami sakamako masu illa daga ɗauka duka a lokaci guda, kamar ƙananan ƙarancin jini. Saboda wannan dalili, tabbas yana da kyau a yi amfani da ƙananan ƙwayoyi a farko idan kuna ɗaukar su duka tare. Sannan za ku iya daidaitawa a hankali, gwargwadon yadda jikinku yake, in ji Tanner.
Yi magana da mai ba da lafiyar ka don ƙarin koyo game da ɗaukar Trulicity da metformin a lokaci guda. Shi ko ita ma za su iya gaya muku idan akwai wani dalili da ya sa ba za ku sha magunguna biyu a lokaci guda ba.
