Celexa vs. Prozac: Bambanci, kamanceceniya, kuma wanene ya fi muku
Magunguna vs. AbokiBayanin magunguna & manyan bambance-bambance | Yanayin da aka bi | Inganci | Inshorar inshora da kwatancen farashi | Sakamakon sakamako | Hadin magunguna | Gargadi | Tambayoyi
Idan kun sami damuwa, damuwa, ko wasu yanayin da suka shafi lafiyar hankalinku, kuna cikin miliyoyin wasu a Amurka. Fiye da 17 miliyan Manya Ba'amurke suna da babbar cuta mai ɓarna (MDD, ko baƙin ciki), kuma kusan manya miliyan 7 suna da matsalar rashin tsoro gabadaya.
Celexa (citalopram) da Prozac (fluoxetine) su ne shahararrun magunguna guda biyu waɗanda aka tsara don baƙin ciki da sauran yanayin halayyar mutum. Yin amfani da magani tare da Celexa ko Prozac ana amfani dashi sau da yawa tare da psychotherapy tare da masanin ilimin psychologist ko likita na tabin hankali. Dukkanin magungunan antidepressant sun sami izinin Hukumar Abinci da Magunguna ta Amurka (FDA).
Wadannan magunguna suna daga cikin wani rukuni na kwayoyi da ake kira SSRIs, ko kuma masu hana magungunan sake maganin serotonin. SSRIs suna aiki ta ƙaruwa matakan serotonin, mai ba da labari, a cikin kwakwalwa. Wannan yana taimakawa inganta alamun rashin ƙarfi. Kodayake duka magungunan SSRIs ne, suna da wasu bambance-bambance, wanda zamu tattauna a ƙasa.
Menene manyan bambance-bambance tsakanin Celexa da Prozac?
Celexa (citalopram) magani ne na SSRI kuma ana samun sa a cikin alama da kuma iri. Celexa yana samuwa azaman kwamfutar hannu da maganin baka. Matsakaici na al'ada shine 20 MG kowace rana, amma sashi ya bambanta. Celexa kawai don amfani a manya. Ba a yarda da amfani da shi a cikin yara ba.
Prozac (fluoxetine) magani ne na SSRI. Akwai shi a duka nau'ikan iri da nau'ikan tsari. Ana samun Prozac a cikin kwamfutar hannu da sifar kwali da maganin baka. Kodayake yawan ya sha bamban, yawanci shi ne 20 MG sau ɗaya a rana. Ana iya amfani da Prozac a cikin manya don dukkan alamun a cikin ginshiƙi da ke ƙasa. Ana iya amfani da Prozac a cikin yara sama da shekaru 8 don ɓacin rai ko fiye da shekaru 7 don OCD.
| Babban banbanci tsakanin Celexa da Prozac | ||
|---|---|---|
| Celexa | Prozac | |
| Ajin magani | Mai zaɓin maganin serotonin reuptake (SSRI) | Mai zaɓin maganin serotonin reuptake (SSRI) |
| Alamar alama / ta kowa | Brand da janar | Brand da janar |
| Menene sunan jimla? | Citalopram | Fluoxetine |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Tablet, maganin baka | Tablet, capsule, maganin baka, a hade da olanzapine azaman Symbyax |
| Menene daidaitaccen sashi? | 20 MG sau ɗaya a rana (sashi ya bambanta) | 20 MG sau ɗaya a rana (sashi ya bambanta) |
| Yaya tsawon maganin al'ada? | Ya bambanta | Ya bambanta |
| Wanene yawanci yake amfani da magani? | Manya | Manya da yara da matasa don damuwa (sama da shekaru 8) ko OCD (sama da shekaru 7) |
Yanayin da Celexa da Prozac suka kula da shi
Celexa (Menene Celexa?) An nuna don kula da babbar cuta mai cuta (MDD). Masu ba da sabis na kiwon lafiya wasu lokuta suna ba da umarnin Celexa kashe-lakabin don wasu alamomin kuma.
Prozac (Menene Prozac?) An nuna shi don magance babbar damuwa (MDD) da cuta mai rikitarwa (OCD) a cikin yara, matasa, da manya. Ana amfani da Prozac don magance bulimia nervosa, rikicewar cutar dysphoric na premenstrual, da rikicewar tsoro. Ba a yarda da amfani da Prozac don amfani da shi a cikin yara da ke ƙasa da shekara 7 ba.
Bayani: Symbyax magani ne mai hade wanda yake dauke da sinadarin Prozac, fluoxetine, da kuma wani magani da ake kira olanzapine. Symbyax ana amfani dashi don magance cututtukan cututtukan da ke tattare da rikicewar rikicewar cuta kuma ana amfani dashi don baƙin ciki mai jurewa.
| Yanayi | Celexa | Prozac |
| Babban cututtukan cututtuka (MDD) | Ee | Ee |
| Rashin hankali-mai rikitarwa (OCD) | Kashe-lakabi | Ee |
| Bulimia nervosa | Kashe-lakabi | Ee |
| Rashin tsoro | Kashe-lakabi | Ee |
| Ciwon dysphoric na premenstrual | Kashe-lakabi | Ee |
| A hade tare da olanzapine (azaman Symbyax) don magance cututtukan cututtukan ciki masu alaƙa da cutar bipolar | Ba | Ee |
| A haɗe tare da olanzapine (azaman Symbyax) don baƙin ciki mai jure magani | Ba | Ee |
Shin Celexa ko Prozac sun fi inganci?
Nazarin idan aka kwatanta Celexa da Prozac kuma sun sami magunguna biyun suna da juriya sosai. Binciken ya kammala cewa Celexa yana da tasiri kamar Prozac don magance baƙin ciki, kuma marasa lafiya da suka ɗauki Celexa sun fara jin daɗin sauri fiye da marasa lafiyar da suka ɗauki Prozac.
ZUWA Nazarin 2018 ya duba gwaje-gwaje daban-daban na asibiti don sake nazarin magungunan 21, ciki har da Celexa da Prozac. Binciken ya kammala da cewa dukkan magungunan kashe kuzari sun fi tasiri fiye da placebo (kwayar da ba ta aiki) kuma Celexa da Prozac suna daga cikin wadanda za a iya hakuri da su. Sun kuma gano cewa Prozac yana cikin rukuni na ƙananan ƙwayoyin antidepressants.
Mai ba ku kiwon lafiya na iya ƙayyade wane magani ne zai fi muku kyau, gwargwadon yanayin lafiyar ku (s) da tarihin ku, da duk wani magani da kuka sha wanda zai iya hulɗa da Celexa ko Prozac.
Sami katin rangwame na kantin magani
Verageaukar hoto da kwatancen farashi na Celexa vs. Prozac
Yawancin inshora da shirin Medicare suna rufe Celexa da Prozac. Ficewa daga jaka zai iya ajiye adadi mai yawa na kudi. Samfurin-sunaye sunaye suna da tarin yawa sosai ko kuma baza'a rufe su ba.
Celexa na iya cin kuɗi kamar $ 65 don 30, 20 MG na zamani. Zaka iya amfani da kyautar SingleCare Celexa kyauta don adana kuɗi-kawo farashin ƙasa da ƙasa da $ 4.
Kudin tallace-tallace na Prozac na iya tafiyar da $ 15 ko fiye don 30, 20 MG jigilar kawunansu. Tare da takaddar Prozac kyauta daga SingleCare, farashin $ 4 ne don nau'ikan tsari a shagunan sayar da magani.
Tuntuɓi shirin inshorar ku don ingantaccen bayanin ɗaukar hoto akan Celexa ko Prozac.
| Celexa | Prozac | |
| Yawanci inshora ke rufe shi? | Ee (na gama gari) | Ee (na gama gari) |
| Yawanci an rufe shi ta Medicare Part D? | Ee (na gama gari) | Ee (na gama gari) |
| Daidaitaccen sashi | 30, 20 MG allunan | 30, 20 mg capsules |
| Hanyar biyan kuɗaɗe na Medicare | $ 0- $ 15 | $ 0- $ 20 |
| SingleCare kudin | $ 4- $ 20 | $ 4- $ 20 |
Illolin gama gari na Celexa vs. Prozac
Illolin dake tattare da Celexa sune bushewar baki, zufa, tashin zuciya, gudawa, yawan bacci ko rashin bacci, da matsalolin jima'i.
Abubuwan da aka fi sani da Prozac sune ciwon kai, jiri, jiri, rashin bacci, rashin cin abinci, tasirin jima'i, da damuwa, ko damuwa .
Lokacin da kuka cika ko cika rubutaccen maganin ku na Celexa ko Prozac, zaku karɓi jagorar magunguna wanda ke tattauna tasirin illa, gargaɗi, da sauran mahimman bayanai.
Wannan ba cikakken lissafin sakamako bane. Sauran cututtuka masu illa na iya faruwa. Tuntuɓi mai ba da kiwon lafiya don cikakken jerin abubuwan illa.
| Celexa | Prozac | |||
| Sakamakon sakamako | Ana amfani? | Mitar lokaci | Ana amfani? | Mitar lokaci |
| Ciwon kai | Ee | > 2% (ba a bayar da rahoto daidai ba) | Ee | ashirin da daya% |
| Maƙarƙashiya | Ee | > 2% (ba a bayar da rahoto daidai ba) | Ee | 5% |
| Ciwan | Ee | ashirin da daya% | Ee | ashirin da daya% |
| Gudawa | Ee | 8% | Ee | 12% |
| Gumi | Ee | goma sha ɗaya% | Ba | - |
| Cutar maniyyi / lalatawar jima'i | Ee | 3% -6% | Ee | % ba a ruwaito ba |
| Bakin bushe | Ee | kashi ashirin | Ee | 10% |
| Bacci | Ee | 18% | Ee | 13% |
| Rashin bacci | Ee | goma sha biyar% | Ee | 16% |
| Rashin ci | Ee | % ba a ruwaito ba | Ee | goma sha ɗaya% |
| Tashin hankali / damuwa | Ee | 4% | Ee | 12% -13% |
Source: DailyMed ( Celexa ,, DailyMed ( Prozac )
Magungunan ƙwayoyi na Celexa vs. Prozac
Saboda duka magungunan guda biyu suna cikin rukuni ɗaya, suna da ma'amala iri ɗaya ta magunguna.
Kada kayi amfani da mai hana MAO (MAOI, ko monoamine oxidase inhibitor) a cikin kwanaki 14 na Celexa ko Prozac. Haɗuwa na iya ƙara haɗarin cututtukan serotonin , gaggawa na rayuwa mai barazanar rai saboda yawan serotonin. Triptans - magunguna na ƙaura, kamar su Imitrex (sumatriptan), da sauran antidepressants, kamar Elavil ko Cymbalta, bai kamata a yi amfani da su tare da Celexa ko Prozac ba saboda haɗarin cutar serotonin. Hakanan, mai hana maye tari, wanda ake samu a Robitussin-DM da sauran tari da kayan sanyi, ya kamata a kiyaye saboda shima yana iya haifar da cututtukan serotonin idan aka hada su da Celexa ko Prozac.
Sauran magungunan da zasu iya mu'amala da Celexa ko Prozac sun haɗa da magungunan da ba na steroidal ba (NSAIDs) kamar su ibuprofen ko magungunan kashe zafin jiki kamar Ultram (tramadol). Guji barasa lokacin shan Celexa ko Prozac.
Wannan ba cikakke bane game da ma'amala da ƙwayoyi. Tuntuɓi mai ba da lafiyar ku don cikakken jerin ma'amala da ƙwayoyi.
| Drug | Ajin magani | Celexa | Prozac |
| Rasagiline Selegiline Tranylcypromine | MAOI | Ee (keɓaɓɓen amfani da aƙalla kwanaki 14) | Ee (keɓaɓɓen amfani da aƙalla kwanaki 14) |
| Barasa | Barasa | Ee | Ee |
| Rizatriptan Sumatriptan Zolmitriptan | Masu fassara | Ee | Ee |
| St. John’s Wort | Kari | Ee | Ee |
| Warfarin | Anticoagulant | Ee | Ee |
| Codein Hydrocodone Morphine Oxycodone Tramadol | Opioid jin zafi | Ee | Ee |
| Dextromethorphan (a yawancin tari da kayan sanyi) | Mai hana tari | Ee | Ee |
| Azithromycin Clarithromycin Erythromycin | Magrolide maganin rigakafi | Ee | Ee |
| Asfirin Ibuprofen Meloxicam Nabumetone Naproxen | NSAIDs | Ee | Ee |
| Desvenlafaxine Duloxetine Venlafaxine | SNRI masu kwantar da hankali | Ee | Ee |
| Amitriptyline Tsammani Imipramine Nortriptyline | Magungunan antioxidric na Tricyclic | Ee | Ee |
| Flecainide Propafenone Thioridazine Vinblastine | Magunguna masu haɓaka ta enzyme CYP2D6 | Ee | Ee |
| Alprazolam Clonazepam Diazepam | Benzodiazepines | Ee | Ee |
Gargadi na Celexa da Prozac
Duk SSRIs, gami da Celexa da Prozac, suna da gargaɗin akwatin baƙi na kashe kansu. Gargadin akwatin baki shine gargadi mafi karfi da FDA ke buƙata. Yara, matasa, da samari (har zuwa shekaru 24) waɗanda ke shan maganin ƙwaƙwalwa suna da haɗarin tunanin kashe kansu da halaye. Duk marasa lafiya akan magungunan rigakafi ya kamata a kula dasu a hankali.
Sauran gargadi:
- Ciwon ƙwayar cuta na Serotonin lamari ne mai barazanar barazanar rai wanda yawan kwayar serotonin ya haifar. Marassa lafiyar da ke shan Celexa ko Prozac ya kamata a kula da su don alamu da alamomin ciwo na serotonin, kamar su hallucinations, seizures, bugun zuciya ko canjin hawan jini, da tashin hankali. Marasa lafiya ya kamata su nemi likita na gaggawa idan ɗayan waɗannan alamun sun faru. Marasa lafiya da ke shan wasu ƙwayoyi waɗanda ke ƙara matakan serotonin (triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, dextromethorphan, amphetamines, St. John's Wort, da MAOIs) suna cikin haɗarin kamuwa da cutar serotonin.
- Lokacin katse Celexa ko Prozac, bayyanar cututtuka kamar tashin hankali na iya faruwa. Ya kamata a shanye magani a hankali kuma ba za a taɓa tsayawa kwatsam ba. Mai ba ku kiwon lafiya na iya ba ku shawara kan hanya mafi kyau don dakatar da Celexa ko Prozac.
- Ya kamata a yi amfani da Celexa ko Prozac tare da taka tsantsan a cikin marasa lafiyar da ke kamawa.
- Hyponatremia (low sodium) saboda ciwo na rashin lafiyar kwayar cutar antidiuretic (SIADH) na iya faruwa kuma zai iya zama mai tsanani. Kwayar cututtukan na iya haɗawa da ciwon kai, wahalar tattara hankali, matsalar ƙwaƙwalwar ajiya, rikicewa, rauni, da rashin kwanciyar hankali, wanda na iya haifar da faɗuwa. Marasa lafiya yakamata su nemi maganin gaggawa idan alamun sun bayyana, kuma ya kamata a dakatar da SSRI.
- Guji SSRIs a cikin marasa lafiya tare da ƙananan ƙananan ƙananan ƙwayoyin cuta (ƙyamar-rufe glaucoma).
- SSRIs na iya ƙara haɗarin zubar jini. Haɗarin zubar jini yana ƙaruwa tare da amfani da asfirin, NSAIDs, ko warfarin.
- Kada ka tuƙa ko sarrafa inji har sai ka san yadda Celexa ko Prozac ke shafar ka.
- Yi amfani da Celexa ko Prozac tare da taka tsantsan a cikin marasa lafiya masu fama da matsalar koda.
- A cikin al'amuran da ba kasafai ake samun su ba, ana samun rahotannin rashin kuzari da halayen rashin kuzari / halayen anafilaxis, waɗanda suka mutu. Idan ka gamu da kumburi ko alamun rashin lafiyan, to ka daina shan Celexa ko Prozac, kuma ka nemi maganin gaggawa.
- Celexa ko Prozac na iya haifar da tsawan QT da arrhythmia na ventricular, wanda zai iya zama barazanar rai. Wasu marasa lafiya suna cikin haɗari mafi girma saboda yanayin likita ko wasu magunguna. Tambayi mai ba ku lafiya idan Celexa ko Prozac suna cikin lafiya.
Ya kamata a yi amfani da Celexa ko Prozac ne kawai a cikin ciki idan fa'idar ga uwa ta fi haɗarin da ke cikin jariri girma. Dakatar da shan magani na iya haifar da komawar ciki ko damuwa. Ya kamata a kimanta marasa lafiya bisa la'akari da yanayin. Mai ba da lafiyar ku na iya auna haɗari da fa'idodi na amfani da SSRI yayin ciki. Yaran da suka kamu da cutar ga SSRIs a cikin watanni uku na uku sun haɓaka rikitarwa da ke buƙatar dogon lokacin asibiti, taimakon numfashi, da kuma ciyar da bututu. Idan ka riga ka ɗauki Celexa ko Prozac kuma ka gano cewa kana da juna biyu, tuntuɓi mai ba da kiwon lafiya kai tsaye don jagora.
Abubuwan da suka Shafi:
Tambayoyi akai-akai game da Celexa vs. Prozac
Menene Celexa?
Celexa shine SSRI (mai zaɓin maganin serotonin reuptake). Celexa yana magance baƙin ciki a cikin manya. Sunan mai suna Celexa shine citalopram.
Menene Prozac?
Prozac shine mai SSRI ko mai zaɓin maganin serotonin reuptake. Prozac yana magance baƙin ciki, rikicewar rikice-rikice, bulimia nervosa, rikicewar cutar dysphoric na premenstrual, da rikicewar tsoro. Prozac yana samuwa a cikin alama da ta gama gari. Sunan Prozac na gaba ɗaya shine fluoxetine.
Shin Celexa da Prozac iri daya ne?
Celexa da Prozac duka magunguna ne na SSRI. Kamar wannan, suna kama da juna amma ba daidai bane. Suna da wasu bambance-bambance, kamar yadda aka zayyana a sama. Sauran magungunan SSRI da kuka taɓa ji sun haɗa da Lexapro (escitalopram), Luvox (fluvoxamine), Paxil (paroxetine), da Zoloft (sertraline).
Wani rukuni na magungunan rigakafin cutar da kuka ji labarinsa shine serotonin da norepinephrine reuptake inhibitors (SNRI), wanda ya haɗa da Cymbalta (duloxetine), Effexor (venlafaxine), da Pristiq (desvenlafaxine).
Shin Celexa ko Prozac ya fi kyau? / Shin Prozac ya fi Celexa tasiri?
Dangane da karatun asibiti (duba sashin da ke sama), duka magungunan suna da inganci kuma an jure su da kyau. Saboda mutane suna ba da amsa daban-daban ga magunguna daban-daban, mai ba ku kiwon lafiya na iya taimaka ƙayyade idan Celexa ko Prozac na iya zama muku magani mai dacewa a gare ku.
Zan iya amfani da Celexa ko Prozac yayin da nake da juna biyu?
Tuntuɓi mai ba da lafiyar ku don shawarar likita. Shi ko ita za su auna fa'idodin wani antidepressant vs. haɗarin ga jariri . Yaran da suka kamu da cutar ga wasu magungunan rigakafin ciki, gami da SSRIs, a cikin watanni uku na ciki, sun sami manyan matsaloli.
Idan kun riga kuna shan Celexa ko Prozac kuma sun gano cewa kuna da ciki, nemi shawarar OB-GYN ɗinku nan da nan don shawara. Idan kaine shayarwa , tuntuɓi OB-GYN ɗin ku ma.
Zan iya amfani da Celexa ko Prozac tare da barasa?
A'a. Celexa ko Prozac bai kamata a haɗasu da barasa ba. Haɗuwa na iya ƙara haɗarin ɓacin rai na numfashi-mai saurin yin numfashi, da rashin samun isashshen iskar oxygen-da kuma ƙara nishaɗi da bacci da kuma ta da hankali. Haɗin zai iya ƙara damuwa da / ko baƙin ciki.
Shin citalopram da fluoxetine iri ɗaya ne?
Citalopram nau'ikan sifa ne na Celexa, kuma fluoxetine shine nau'in kwayar cutar Prozac. Dukansu magungunan suna cikin nau'in SSRI na magungunan ƙwayoyi. Suna kama, amma ba daidai bane. Suna da wasu bambance-bambance, kamar yadda aka zayyana a sama.
Wanne antidepressant yana da ƙananan sakamako masu illa?
Duk masu maganin kara kuzari suna da tasirin illa. Tuntuɓi mai ba da lafiyar ku don shawarar likita. Wasu marasa lafiya suna jin daɗin Celexa, yayin da wasu suka fi kyau tare da Prozac. Kowane mutum yana da amsa daban-daban game da magani, don haka mai ba da lafiyar ku zai iya jagorantarku.
Shin Celexa yana da kyau ga damuwa?
Celexa a halin yanzu an yarda dashi ne kawai don amfani cikin damuwa. Yawancin masu ba da sabis na kiwon lafiya suna ba da alamar lakabin Celexa don damuwa, kodayake. Tambayi mai ba ku lafiya idan Celexa ya dace da ku.
Shin ya fi kyau a ɗauki Celexa da dare?
Dangane da bayanin saiti, zaku iya ɗaukar Celexa da safe ko yamma. Zai fi kyau ka zaɓi lokacin da za ka tuna da shan magungunan ka a kusan lokaci ɗaya kowace rana. Idan magungunan sun sa ku gaji, kuna iya gwada shan shi da daddare.
Shin Celexa na iya shafar ku ta hanyar jima'i?
Ee, mai yiwuwa. Celexa (da SSRIs, gami da Prozac, suma) suna da illolin jima'i . Celexa na iya shafar libido a cikin maza da mata da kuma inzali a cikin maza. SSRIs na iya haifar da fifiko (rashin buƙata, mai raɗaɗi, tsawa mai tsayi). Koyaya, ba duk marasa lafiya bane waɗanda ke ɗaukar SSRI suke shafar jima'i. Ci gaba da tattaunawa tare da mai ba da kiwon lafiya ta yadda idan ka gamu da larurar lalata yayin shan SSRI, zai iya canza shan magani idan ya cancanta.
