Main >> Magunguna Vs. Aboki >> Cymbalta vs. Lexapro: Bambanci, kamance, kuma wanne ne mafi alheri a gare ku

Cymbalta vs. Lexapro: Bambanci, kamance, kuma wanne ne mafi alheri a gare ku

Magunguna vs. Aboki

Cymbalta da Lexapro sune magunguna guda biyu da aka fi amfani dasu don magance manyan cututtukan cututtuka (MDD) da rikicewar rikicewar gaba ɗaya (GAD). Babban rikicewar damuwa shine kiyasta zai shafi kimanin manya miliyan 16 a Amurka. An bayyana shi da ƙarancin yanayi don aƙalla tsawon makonni biyu. Marasa lafiya na iya nuna rashin sha'awar abubuwan da suka saba morewa ko ƙarancin ƙarfi. Wasu marasa lafiya suna fuskantar ciwo ba tare da wani sanannen sanadi ba.

Addamar da rikicewar damuwa shine kiyasta zai shafi 6,8 miliyan manya a Amurka. Yana tattare da yawan damuwa game da matsaloli iri-iri ciki har da kuɗi, iyali, lafiya, da kuma aiki. An gano shi da zarar marasa lafiya sun nuna wannan damuwa a cikin kwanaki fiye da ba aƙalla watanni shida ba.

Duk da yake ana amfani da Cymbalta da Lexapro don magance waɗannan yanayin da wasu da yawa, akwai wasu manyan bambance-bambance tsakanin magunguna biyu.

Menene manyan bambance-bambance tsakanin Cymbalta da Lexapro?

Cymbalta (duloxetine) magani ne na likitanci wanda aka nuna a kula da MDD da GAD. Cymbalta na cikin rukuni na magungunan rigakafin da aka sani da masu zaɓin maganin serotonin-norepinephrine reuptake (SNRIs). A cikin synapse na neuron, Cymbalta yayi tofin sake daukar duka norepinephrine da serotonin. Wannan yana barin masu ba da fassarar jijiyoyin jiki don samun wadatar matsayi akan yanayi da tasiri. Sauran SNRIs da zaku iya sani shine Effexor (venlafaxine) da Pristiq (desvenlafaxine).

Ana samun Cymbalta azaman 20 mg, 30 mg, da 60 mg na maganin kwalliya.

Lexapro (escitalopram) kuma magani ne na likitanci wanda aka nuna a kula da MDD da GAD. Lexapro na cikin rukuni na magungunan rigakafin da aka sani da masu zaɓin maganin serotonin reuptake (SSRIs). Lexapro yana aiki ta hanyar toshe reuptake na serotonin a cikin jigilar jigilar membrane. Wannan aikin yana barin mafi yawan serotonin kyauta a cikin synapse na neuron. Sauran SSRIs da ƙila kuka saba da su sun haɗa da Prozac, Zoloft, Celexa, ko Paxil.

Ana samun Lexapro azaman kwamfutar baka a karfin 5 MG, 10 MG, da 20 MG. Hakanan ana samun shi azaman maganin baka a cikin haɗakar 5 mg / 5 ml.

Babban bambanci tsakanin Cymbalta da Lexapro
	Cymbalta	Lexapro
Ajin magani	Mai zaɓin maganin serotonin-norepinephrine reuptake	Zaɓin maɓallin serotonin reuptake
Alamar alama / ta kowa	Brand da kuma janar akwai	Brand da kuma janar akwai
Menene sunan jimla?	Duloxetine	Escitalopram
Wani nau'i (s) ne miyagun ƙwayoyi ya shigo?	Maganin baka	Rubutun baka da maganin baka
Menene daidaitaccen sashi?	60 MG sau ɗaya a rana	10 MG sau ɗaya a rana
Yaya tsawon maganin al'ada?	Tsawon lokaci (watanni zuwa shekaru)	Tsawon lokaci (watanni zuwa shekaru)
Wanene yawanci yake amfani da magani?	Matasa da manya	Matasa da manya

Yanayin da Cymbalta da Lexapro suka kula da shi

Kamar yadda aka ambata a baya, Cymbalta da Lexapro duk an nuna su don magance manyan cututtukan ciki da rikicewar damuwa na gaba ɗaya. Cymbalta an yarda dashi don wasu alamomi na musamman masu alaƙa da cutar neuropathic da ciwon musculoskeletal. Waɗannan alamomin sun sanya Cymbalta baya ga sauran magungunan maganin ƙwaƙwalwa saboda shi kaɗai ne aka yarda da shi a cikin binciken da ya shafi ciwo. Lexapro wani lokacin ana amfani dashi ta hanyar lakabi don yanayi kamar cuta mai rikitarwa, bulimia nervosa, da cin abinci mai yawa.

Shafin da ke gaba yana ba da jerin abubuwan da Cymbalta da Lexapro suka bi da su. Yana iya ba ya haɗa da duk damar amfani, kuma ya kamata koyaushe ka tuntuɓi ƙwararrun likitocin ka don ganin ko ɗayan waɗannan magungunan ya dace da kai.

Yanayi	Cymbalta	Lexapro
Babban rikicewar damuwa	Ee	Ee
Rashin daidaituwar damuwa	Ee	Ee
Fibromyalgia	Ee	Ba
Jin zafi na musculoskeletal	Ee	Ba
Ciwon Neuropathic hade da ciwon sukari mellitus	Ee	Ba
Chemotherapy-haifar da neuropathy na gefe	Kashe-lakabi	Ba
Danniya urinary incontinence (maza)	Kashe-lakabi	Ba
Rashin cin abinci mai yawa	Ba	Kashe-lakabi
Bulimia nervosa	Ba	Kashe-lakabi
Rashin hankali mai rikitarwa	Ba	Kashe-lakabi
Rashin tsoro	Ba	Kashe-lakabi
Rashin damuwa na posttraumatic	Ba	Kashe-lakabi
Ciwon dysphoric na premenstrual	Ba	Kashe-lakabi
Fitar maniyyi da wuri	Ba	Kashe-lakabi

Shin Cymbalta ko Lexapro sun fi tasiri?

ZUWA meta-bincike nazarin karatu wanda aka kwatanta shi da duloxetine zuwa escitalopram da sauran gama gari na SSRI. Binciken ya gano cewa dangane da maganin babban damuwa, duloxetine ya kasa nuna babbar fa'ida dangane da nasarar magani a kan SSRIs. Koyaya, bisa ga wannan bita, marasa lafiya zasu iya dakatar da duloxetine saboda munanan abubuwan da suka faru. Na biyu meta-bincike maimaita wadannan binciken. Zai yiwu ba zai yiwu a ce idan Cymbalta ko Lexapro sun fi ɗayan kyau dangane da magance ɓacin rai. Increasedara yawan tasirin da ke faruwa tare da Cymbalta zai zama muhimmiyar mahimmin abin la'akari yayin zaɓar magani.

Verageaukar hoto da kwatancen farashi na Cymbalta vs. Lexapro

Cymbalta magani ne na takardar sayan magani wanda yawanci tsarin kasuwanci da na likitancin ke rufe shi. Farashin kuɗi na aljihu don Cymbalta 60 MG na iya zama sama da $ 300, amma tare da takaddun shaida daga SingleCare, zaku iya samun jigilar ta kusan $ 15 a shagunan sayar da magani.

Lexapro kuma magani ne na likitanci wanda yawanci tsarin kasuwanci da na Medicare ke rufe shi. Farashin kuɗi daga cikin aljihu don samarwar kwana 30 na Lexapro 10 MG na iya zama kusan $ 400. SingleCare yana ba da takaddun shaida don tsarin Lexapro, wanda zai iya rage farashin zuwa $ 10 ko ƙasa da haka.

katin rangwame

	Cymbalta	Lexapro
Yawanci inshora ke rufe shi?	Ee	Ee
Yawanci Medicare ke rufe shi?	Ee	Ee
Daidaitaccen sashi	30, 60 mg capsules	30, 10 MG allunan
Hanyar biyan kuɗaɗe na Medicare	Kasa da $ 10	Kasa da $ 10
SingleCare kudin	$ 15 +	$ 10 +

Sakamakon illa na yau da kullun na Cymbalta vs. Lexapro

Cymbalta da Lexapro suna da damar haifar da irin wannan tasirin, kodayake wasu suna iya fuskantar ɗaya ko ɗaya wakilin. Nausea, alal misali, kawai an ruwaito shi a cikin 5% na marasa lafiya da ke shan Lexapro a cikin gwajin asibiti tare da 23% na marasa lafiya da ke shan Cymbalta. Duk da yake yawan tashin zuciya ba koyaushe abu ne mai dorewa ba, yana iya tasiri ga rayuwar mutum. Zai iya faruwa a cikin weeksan makonnin farko na farfaɗo, kuma an ba da cewa waɗannan kwayoyi gabaɗaya suna ɗaukar ko'ina daga makonni biyu zuwa shida don nuna tasiri a kan ɓacin rai ko alamun alamun damuwa, tashin zuciya na iya zama dalili na katsewa da wuri kafin fa'idar gaskiya ta an san magani.

Gumi, ko zufa, na faruwa a irin wannan matakin tsakanin magungunan biyu. Hakanan wannan tasirin na iya shafar rayuwar mutum ta yau da kullun da mutuncin kansa, kuma yana iya zama dalilin da marassa lafiya suka zaɓi dakatar da maganin.

Jerin masu zuwa ba shine nufin cikakken jerin abubuwan da zasu faru ba. Da fatan za a tuntuɓi likitan magunguna, likita, ko kuma wani ƙwararren likita don cikakken jerin abubuwan da ke iya illa.

	Cymbalta	Lexapro
Sakamakon sakamako	Ana amfani?	Mitar lokaci	Ana amfani?	Mitar lokaci
Ciwan	Ee	2. 3%	Ee	5%
Bakin bushe	Ee	13%	Ee	5%
Gumi	Ee	6%	Ee	5%
Gudawa	Ee	9%	Ee	8%
Maƙarƙashiya	Ee	9%	Ee	3%
Dyspepsia	Ba	n / a	Ee	3%
Dizziness	Ee	9%	Ba	n / a
Bacci	Ee	10%	Ee	6%
Ciwon kai	Ee	14%	Ba	n / a
Pressureara karfin jini	Ee	kashi biyu	Ba	n / a
Rage ci	Ee	7%	Ee	3%
Rage libido	Ba	n / a	Ee	kashi biyu

Source: Cymbalta ( DailyMed ) Labarai DailyMed )

Magungunan ƙwayoyi na Cymbalta vs. Lexapro

Cymbalta da Lexapro kowannensu ya canza daga tsarin enzyme na cytochrome a cikin hanta. Cymbalta babban mahimmin abu ne na CYP1A2, kuma matsakaici mai hana CYP2D6. Yana da mahimmanci a lura cewa wasu marasa lafiya na iya fama da rikicewar hankali ban da baƙin ciki da rikicewar damuwa. Yawancin marasa lafiya da ke fama da larurar hankali ana bi da su da amphetamines. Cymbalta na iya ƙara yawan ƙwayoyin amphetamines ta hanawar CYP2D6. Mara lafiyar da ke shan wannan haɗin ya kamata a kula sosai.

Lexapro babban ginshiki ne na CYP2C19 da CYP3A4, kuma mai hana ƙarfi na CYP2D6.

Yin amfani da Lexapro tare da tricyclic antidepressants, kamar amitriptyline, na iya ƙara haɗarin tsawan QT da kuma ciwon serotonin. Gabaɗaya, ya kamata a guji wannan haɗuwa.

Jerin mai zuwa ba shine nufin cikakken jerin hulɗar miyagun ƙwayoyi ba. Zai fi kyau tuntuɓi mai ba ku ko likitan magunguna don cikakken jerin.

Drug	Ajin magani	Cymbalta	Lexapro
Acalabrutinib Dabrafenib Erdafitinib Gilteritinib Ibrutinib	Antineoplastics	Ee	Ee
Almotriptan Eletriptan Oxitriptan	5HT Agonist / Triptans (wakilan antimigraine)	Ee	Ee
Gishirin Amphetamine Dexmethylphenidate Methylphenidate	Amfetamines	Ee	Ee
Rariya Ondansetron Ramosetron	5HT3 Masu adawa (wakilan anti-tashin zuciya)	Ba	Ee
Apixaban Edoxaban	Antiplatelet	Ee	Ee
Aripiprazole	Antipsychotic	Ee	Ee
Asfirin Ibuprofen Naproxen Diclofenac	Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs)	Ee	Ee
Bemiparin Enoxaparin Heparin	Anticoagulants	Ba	Ee
Fashewa	Dopamine / norepinephrine reuptake mai hanawa	Ba	Ee
Buspirone	Jin tsoro	Ee	Ee
Carbamazepine	Mai cin nasara	Ba	Ee
Enzalutamide	Chemotherapy wakili	Ba	Ee
Esomeprazole Omeprazole	Proton famfo mai hanawa	Ba	Ee
Fluconazole	Antifungal	Ba	Ee
Fluoxetine Duloxetine Paroxetine Sertraline	SSRIs	Ee	Ee
Hydroxychloroquine	Aminoquinolone / Antimalarial	Ba	Ee
Linezolid	Maganin rigakafi	Ee	Ee
Metaxalone	Masu shakatawa na tsoka	Ee	Ee
Pimozide	Antipsychotic	Ba	Ee
Selegiline Phenelzine Rasagiline	Monoamine oxidase mai hanawa (MAOI)	Ee	Ee
St. John’s Wort	Karin ganye	Ee	Ee
Hydrochlorothiazide Chlorthalidone Metolazone	Kwayar cutar Thiazide	Ba	Ee
Tramadol	Mai cire zafi mai zafi	Ee	Ee
Amitriptyline Clomipramine Doxepin Nortriptyline	Magungunan antioxidric na Tricyclic	Ee	Ee
Venlafaxine	Mai zaɓin maganin norepinephrin / serotonin (SNRIs)	Ee	Ee

Gargadi na Cymbalta da Lexapro

Cymbalta da Lexapro ba za su samar da gafara nan da nan na alamun ko dai cuta na baƙin ciki ko rashin damuwa. Zai ɗauki mafi ƙarancin makonni biyu don lura da kowane canji a cikin yawancin marasa lafiya, kuma har zuwa makonni huɗu zuwa shida don sanin cikakken tasirin maganin. Yana da mahimmanci marassa lafiya su fahimci wannan saboda haka basa dakatar da shan magani ba tare da bata lokaci ba tare da imanin cewa baya aiki.

Marasa lafiya tare da MDD na iya fuskantar mummunan ɓacin rai ko tunanin kisan kai ko suna shan magungunan rage damuwa. Waɗannan yanayin na iya tsananta har sai an sami gafara. Cymbalta da Lexapro far na iya haɓaka tunanin kashe kai da tunani tsakanin matasa da matasa, musamman ma a farkon matakan magani kafin a samu kowane irin gafara. Dole ne a kula da waɗannan marasa lafiya a hankali idan wannan magani yana da mahimmanci a matsayin likita. Canjin canjin yanayi na iya zama dole idan bayyanar cututtuka ba zato ba tsammani ta tashi ko ta ƙara muni.

Akwai rahotanni game da gazawar hanta, wani lokacin na mutuwa, tare da Cymbalta. Wadannan sharuɗɗan na iya gabatarwa tare da ciwon ciki da haɓaka enzymes hanta tare da ko ba tare da jaundice ba. Yin amfani da giya na iya ƙara wannan haɗarin, sabili da haka ya kamata a guji wannan haɗuwa.

An bayar da rahoton ciwo na Serotonin tare da duk SSRIs da SNRIs, gami da Cymbalta da Lexapro. Wannan yanayin ne wanda yake da alaƙa da ƙananan matakan serotonin kuma zai iya haifar da haƙuri jin daɗaɗuwa, damuwa, da samun ƙarar zuciya. Ana iya kawo wannan ta amfani da magungunan serotonergic guda biyu tare. Yana da mahimmanci a koma ga bayanin masana'antun game da hulɗar miyagun ƙwayoyi lokacin da aka tsara waɗannan magunguna.

Tambayoyi akai-akai game da Cymbalta vs. Lexapro

Menene Cymbalta?

Cymbalta magani ne na maganin ƙwaƙwalwar ƙwaƙwalwa wanda aka yi amfani da shi don magance babban baƙin ciki, rikicewar rikice-rikice na gaba ɗaya, da cututtukan cututtukan neuropathic da ƙwayoyin cuta. Ana samun Cymbalta azaman kwantaccen bakin cikin 20 MG, 30 MG, da ƙarfin 60 MG.

Menene Lexapro?

Lexapro magani ne na maganin kashe kumburi wanda aka yi amfani dashi don magance babban damuwa da rikicewar damuwa na gaba ɗaya. Ana samun Lexapro azaman kwamfutar baka a cikin 5 MG, 10 MG, da ƙarfin 20 MG. Hakanan ana samunsa azaman maganin baka.

Shin Cymbalta da Lexapro iri daya ne?

Duk da yake duka Cymbalta da Lexapro suna magance baƙin ciki da damuwa, ba ɗaya suke ba. Cymbalta yana toshe sake maganin duka serotonin da norepinephrine a cikin synapse na neuronal, yayin da Lexapro ke toshe maganin serotonin kawai. Cymbalta yana ɗauke da ƙarin alamomi don rikicewar ciwo.

Shin Cymbalta ko Lexapro ya fi kyau?

Cymbalta da Lexapro sun bayyana suna da tasiri iri ɗaya wajen magance bakin ciki. Manyan-nazarin-bincike da yawa na karatu da yawa sun nuna cewa mafi girman yawan abubuwan da ke faruwa tare da Cymbalta na iya zama dalilin gwada Lexapro da farko a cikin mafi yawan marasa lafiya.

Shin zan iya amfani da Cymbalta ko Lexapro yayin da nake da juna biyu?

Hukumar Abinci da Magunguna (FDA) ta ɗauki duka Cymbalta da nau'in ciki na Lexapro C, ma'ana babu cikakken ilimin ɗan adam don ƙayyade lafiya. Tare da Cymbalta, an lura da cututtukan da ba na teratogenic ba a cikin jarirai sabbin yara biyo bayan gwamnatin Cymbalta yayin da take da juna biyu. Wadannan sun hada da wahalar numfashi, matsalar wahala, da rawar jiki. Tare da amfani da Lexapro, nazarin dabba ya nuna illar teratogenic ga ɗan tayi, gami da cututtukan zuciya da jijiyoyin jini, kuma an ƙaddara cewa yana ƙetare mahaifa. Saboda waɗannan dalilai, amfani da Cymbalta ko Lexapro a cikin ciki dole ne a auna shi da haɗarin cutar ga ɗan tayi.

Zan iya amfani da Cymbalta ko Lexapro tare da barasa?

Barasa na iya ƙara tasirin mai guba na Cymbalta da Lexapro. Shan shan giya yayin shan wadannan kwayoyi na iya haifar da nakasawar kwakwalwa, kuma saboda wannan dalili, an shawarci marasa lafiya da su guji shaye-shaye idan suna shan Cymbalta ko Lexapro. Kamar yadda aka tattauna a baya, shan barasa yayin Cymbalta yana ƙaruwa da yiwuwar rashin ciwon hanta.

Shin Cymbalta yana taimakawa da damuwa?

Cymbalta an yarda dashi don magance rikicewar rikicewar gaba ɗaya. Ya kamata a ilimantar da marasa lafiya da cewa magani ba zai samar da gafara nan da nan na alamun tashin hankali ba, kuma wasu marasa lafiya na iya buƙatar ƙarin magani don abubuwan tashin hankali.

Shin Cymbalta yana faranta maka rai?

Cymbalta yana aiki ta haɓaka norepinephrine da serotonin. Wadannan neurotransmitters suna taka muhimmiyar rawa a cikin yanayi ko tasiri. Marasa lafiya waɗanda ke shan Cymbalta na iya bayar da rahoton jin daɗin farin ciki ko rashin takaici, musamman bayan makonni huɗu zuwa shida na jiyya.

Shin Cymbalta yana canza halinka?

Cymbalta zai shafi yanayi ta hanyar ƙara yawan norepinephrine da serotonin. Ga yawancin marasa lafiya, wannan yana haifar da canji mai kyau ga lafiyar hankalinsu. Idan kun lura da mummunan canji a cikin kanku ko kuma wanda kuke kulawa yayin shan Cymbalta, haɗe da tunanin kashe kansa ko akida, nemi taimako nan da nan.