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

Cymbalta vs. Prozac: Bambanci, kamance, kuma wanne ne mafi alheri a gare kuMagunguna vs. Aboki

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Idan kai ko ƙaunatattunka sun sami damuwa, damuwa , ko wasu yanayi da suka shafi lafiyar hankali, ba kai kadai bane. Fiye da manya Amurkawa miliyan 16 suna da babban cututtukan ciki (wanda ake kira MDD, ko baƙin ciki), kuma kusan manya miliyan 7 sun kamu da cuta na rashin tsoro (GAD).



Cymbalta (duloxetine) da Prozac (fluoxetine) su ne shahararrun magunguna guda biyu da aka tsara don baƙin ciki da wasu yanayi da yawa. Dukansu magungunan likitanci sun sami izinin Hukumar Abinci da Magunguna ta Amurka (FDA). Yin amfani da magani tare da Cymbalta ko Prozac galibi ana haɗa shi tare da ilimin psychotherapy tare da masanin hauka ko likita na tabin hankali.

An rarraba Cymbalta a cikin ƙungiyar magunguna da ake kira SNRIs (serotonin-norepinephrine reuptake inhibitors). Suna aiki ta hanyar haɓaka matakan serotonin da norepinephrine a cikin kwakwalwa.

Prozac wani ɓangare ne na ƙungiyar ƙwayoyi da ake kira SSRIs (masu zaɓin maganin serotonin reuptake). SSRIs suna aiki ta ƙaruwa matakan serotonin a cikin kwakwalwa.



Menene manyan bambance-bambance tsakanin Cymbalta da Prozac?

Cymbalta (duloxetine) magani ne na SNRI. Akwai shi a duka alama da janar. Ana samun Cymbalta kawai a cikin kwantaccen tsari. Sashi ya bambanta, amma yawanci kashi shine MG 60 kowace rana. Ana amfani da Cymbalta a cikin manya amma ana iya amfani dashi a cikin samari don wasu yanayi (duba ginshiƙi).

Prozac (fluoxetine) magani ne na SSRI. Akwai shi a duka alama da janar. Prozac yana nan a cikin sifar kwamfutar hannu, kwalin capsule, kuma azaman maganin baka ne. Kodayake sashi ya bambanta, gwargwadon nauyin shine 20 MG sau ɗaya a rana. Ana iya amfani da Prozac a cikin manya don duk alamun da aka jera a cikin jadawalin da ke ƙasa. Hakanan za'a iya amfani da Prozac a cikin yara sama da shekaru 8 don ɓacin rai ko kuma sama da shekaru 7 don OCD.

Babban bambanci tsakanin Cymbalta da Prozac
Cymbalta Prozac
Ajin magani Serotonin-norepinephrine reuptake mai hanawa (SNRI) Mai zaɓin maganin serotonin reuptake (SSRI)
Alamar alama / ta kowa Brand da janar Brand da janar
Menene sunan jimla? Duloxetine Fluoxetine
Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? Capsules Tablet, kwantena, maganin baka; kuma ana samun sa a hade tare da olanzapine azaman Symbyax
Menene daidaitaccen sashi? Misali: 60 MG sau ɗaya a rana (sashi ya bambanta) Misali: 20 MG sau ɗaya kowace rana (sashi ya bambanta)
Yaya tsawon maganin al'ada? Ya bambanta Ya bambanta
Wanene yawanci yake amfani da magani? Manya da yara da matasa shekaru 7 zuwa sama don rikicewar rikicewar rikicewa ko shekaru 13 da tsufa don fibromyalgia Manya da yara da matasa don damuwa (sama da shekaru 8) ko OCD (sama da shekaru 7)

Yanayin da Cymbalta da Prozac suka kula da shi

Ana nuna Cymbalta don babban cututtukan ciki, ciwon neuropathic na ciwon sukari, da kuma ciwo mai raɗaɗi na tsofaffi. Hakanan za'a iya amfani dashi don rikicewar rikicewar hankali ga manya harma da yara shekaru 7 zuwa sama da kuma fibromyalgia a cikin manya da matasa shekaru 13 zuwa sama. Ba a yarda da Cymbalta don amfani da yara don ɓacin rai, ciwon neuropathic na ciwon sukari, ko ciwan jijiyoyin jiki na yau da kullun.



Ana nuna Prozac don babban damuwa da rikice-rikice-rikice (OCD) a cikin yara, matasa, da manya. Prozac kuma na iya magance bulimia nervosa, rikicewar 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 ya kunshi fluoxetine, sinadarin Prozac, tare da wani magani da ake kira olanzapine. Symbyax na iya magance cututtukan cututtukan da ke tattare da rikice-rikicen I ko ɓacin rai na rashin magani.

Wani lokaci likitoci kan rubuta wadannan magunguna kashe-lakabin don wasu amfani fiye da abin da aka nuna su.



Yanayi Cymbalta Prozac
Babban rikicewar damuwa Ee Ee
Rashin daidaituwar damuwa Ee Kashe-lakabi
Ciwon cututtukan cututtukan cututtukan ciwon sukari Ee Kashe-lakabi
Fibromyalgia Ee Kashe-lakabi
Jin zafi na musculoskeletal Ee Kashe-lakabi
Rashin hankali-mai rikitarwa (OCD) Kashe-lakabi Ee
Bulimia nervosa Ba 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 cuta mai rikitarwa KO don baƙin ciki mai jurewa Ba Ee
Gudanar da rikicewar damuwa Ee Ee

Shin Cymbalta ko Prozac sun fi tasiri?

Daya nazarin nazarin da yawa na kwatanta Cymbalta, Prozac, da wani magani da ake kira Effexor, zuwa placebo. Cymbalta da Prozac an same su da kamanceceniya cikin inganci da aminci ga marasa lafiya masu fama da damuwa.

Ganewar asali abu ne mai mahimmanci wajen yanke shawarar wane magani zai fi dacewa. Misali, idan alamar nuna damuwa ne, ko dai Prozac ko Cymbalta na iya zama zaɓi mai dacewa. Koyaya, idan ganewar asali shine OCD, Prozac yafi dacewa saboda an nuna shi don magance OCD yayin da Cymbalta ba. Kuma idan ganewar asali shine fibromyalgia, Cymbalta ya fi dacewa saboda an nuna shi don fibromyalgia, yayin da Prozac ba haka bane.



Mai ba ku kiwon lafiya na iya ƙayyade wane magani ne ya fi dacewa a gare ku, la'akari da cutar ku, tarihin lafiyar ku, da sauran yanayin kiwon lafiya, tare da duk magungunan da kuka sha waɗanda za su iya hulɗa da Cymbalta ko Prozac.

Verageaukar hoto da kwatancen farashi na Cymbalta vs. Prozac

Yawancin inshora da tsare-tsaren likitancin Medicare Part D sun rufe Cymbalta ko Prozac-zaɓar nau'in tsari zai haifar da tanadi mai tsada. Samfurin-sunaye sunaye suna da yawan biya mai yawa ko kuma baza a rufe su kwata-kwata ba.



Kudin aljihu na Cymbalta kusan $ 126 ne don 30, 60 MG jigilar kawunansu. Katin SingleCare kyauta zai taimaka maka adana kuɗi akan tsarin Cymbalta, kawo farashin zuwa ƙasa da $ 15.

Kudin daga aljihu don Prozac kusan $ 21 ne don # 30, 20 MG jigilar kawunansu. Kuna iya adana kuɗi a kan Prozac na yau da kullun tare da katin SingleCare, wanda zai iya kawo farashin gaba ɗaya zuwa kusan $ 4.



Tuntuɓi tsarin inshorar ku don bayanan ɗaukar hoto na yau da kullun akan Cymbalta ko Prozac.

Cymbalta 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)
Yawan 30, 60 mg capsules 30, 20 mg capsules
Hanyar biyan kuɗaɗe na Medicare $ 0- $ 20 $ 0- $ 20
SingleCare kudin $ 15 + $ 4- $ 20

Sakamakon illa na yau da kullun na Cymbalta vs. Prozac

Illolin dake tattare da Cymbalta sune yawan tashin zuciya, ciwon kai, bacci, rashi cin abinci, maƙarƙashiya, bushewar baki, da jiri.

Abubuwan da aka fi sani da Prozac sune ciwon kai, jiri, jiri, rashin bacci, rashin cin abinci, tasirin larurar jima'i, da damuwa ko damuwa.

Lokacin da kuka cika ko cika kayan aikin ku na Cymbalta ko Prozac, za ku karɓi jagorar magunguna wanda ke tattauna tasirin illa, gargaɗi, da sauran mahimman bayanai game da maganin ku.

Wannan ba cikakken lissafi bane na illa. Sauran, mawuyacin illa na iya faruwa. Tuntuɓi mai ba da kiwon lafiya don cikakken jerin abubuwan illa.

Cymbalta Prozac
Sakamakon sakamako Ana amfani? Mitar lokaci Ana amfani? Mitar lokaci
Ciwon kai Ee 14% Ee ashirin da daya%
Ciwan Ee 2. 3% Ee ashirin da daya%
Bacci / bacci Ee 9% Ee 13%
Gudawa Ee 9% Ee 12%
Maƙarƙashiya Ee 9% Ee 5%
Bakin bushe Ee 13% Ee 10%
Cutar maniyyi / lalatawar jima'i Ee 2-4% Ee % ba a ruwaito ba
Rashin bacci Ee 9% Ee 16%
Dizziness Ee 9% Ee 9%
Rashin cin abinci Ee 7% Ee goma sha ɗaya%
Tashin hankali / damuwa Ee 3% Ee 13%

Source: DailyMed ( Cymbalta ,, DailyMed ( Prozac )

Magungunan ƙwayoyi na Cymbalta vs. Prozac

MAO mai hana (MAOI, ko monoamine oxidase inhibitor) ba za a yi amfani da magunguna yayin shan Cymbalta ko Prozac, ko na ɗan lokaci kafin ko bayan shan Cymbalta ko Prozac. Haɗuwa na iya ƙara haɗarin cututtukan serotonin , gaggawa na rayuwa mai barazanar rai saboda yawan serotonin. Triptans, wadanda sune magungunan ƙaura, kamar su Imitrex (sumatriptan), da sauran magungunan kashe rai, bai kamata ayi amfani dasu a haɗe da Cymbalta ko Prozac ba saboda haɗarin cutar serotonin. Hakanan, mai hana maganin tari, dextromethorphan, wanda aka samu a Robitussin-DM da yawancin tari da kayan sanyi, ya kamata a guji saboda shima yana iya haifar da cututtukan serotonin idan aka hada shi da Cymbalta ko Prozac.

Guji barasa lokacin shan Cymbalta 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. Faɗa wa likitanka game da duk magungunan da kake sha, haɗe da takardar sayan magani, kan-kan-kan-kan (OTC), da bitamin.

Drug Ajin magani Cymbalta Prozac
Rasagiline
Selegiline
Tranylcypromine
MAOI Ee Ee
Barasa Barasa Ee Ee
Rizatriptan
Sumatriptan
Zolmitriptan
Masu fassara Ee Ee
St. John’s Wort Kari Ee Ee
Warfarin Anticoagulant Ee Ee
Codein
Hydrocodone
Wayar lantarki
Methadone
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 Ba Ee
Asfirin
Ibuprofen
Meloxicam
Nabumetone
Naproxen
NSAIDs Ee Ee
Citalopram
Escitalopram
Fluoxetine
Fluvoxamine
Paroxetine
Sertraline
SSRI masu maganin ciwon ciki Ee Ee
Desvenlafaxine
Duloxetine
Venlafaxine
SNRI masu kwantar da hankali Ee Ee
Amitriptyline
Tsammani
Imipramine
Nortriptyline
Magungunan antioxidric na Tricyclic Ee Ee
Baclofen
Carisoprodol
Cyclobenzaprine
Metaxalone
Relaxarfafa tsoka Ee Ee
Carbamazepine
Divalproex sodium / valproic acid
Gabapentin
Lamotrigine
Levetiracetam
Phenobarbital
Phenytoin
Pregabalin
Topiramate
Anticonvulsants Ee Ee
Flecainide
Propafenone
Thioridazine
Vinblastine
Magunguna masu haɓaka ta enzyme CYP2D6 Ee Ee
Alprazolam
Clonazepam
Diazepam
Lorazepam
Benzodiazepines Ee Ee

Gargadi na Cymbalta da Prozac

Magungunan kwantar da hankali, gami da Cymbalta 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) masu shan magungunan ƙwarin guiwa suna cikin haɗarin tunanin kashe kansu da ɗabi'unsu. Duk wanda ya sha magungunan rage damuwa ya kamata a sanya ido sosai.

Sauran gargadi:

  • Ciwon ƙwayar cuta na Serotonin lamari ne mai barazanar barazanar rai wanda yawan kwayar serotonin ya haifar. Marasa lafiya da ke shan Cymbalta ko Prozac ya kamata a kula da su don alamomin sirotonin da alamun cutar, kamar su hallucinations, seizures, bugun zuciya ko canjin hawan jini (kamar hawan jini), da tashin hankali. Nemi magani na gaggawa idan ɗayan waɗannan alamun sun faru. Shan wasu magungunan da ke kara yawan sinadarin serotonin (triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, dextromethorphan, amphetamines, St. John's Wort, da MAOIs) suna ƙara haɗarin cutar serotonin.
  • Lokacin dakatar da Cymbalta ko Prozac, bayyanar cututtuka kamar tashin hankali na iya faruwa. Mai ba ku kiwon lafiya na iya ba ku shawara kan hanya mafi kyau don dakatar da Cymbalta ko Prozac, tare da jinkirin jadawalin taper. Kada a taɓa dakatar da Cymbalta ko Prozac kwatsam.
  • Yi amfani da hankali a cikin marasa lafiyar da ke fama da rauni ko waɗanda ke da cutar bipolar.
  • 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. Nemo magani na gaggawa kuma dakatar da Cymbalta ko Prozac idan alamu sun bayyana.
  • Guji SSRIs a cikin marasa lafiya tare da ƙananan ƙananan ƙananan ƙwayoyin cuta (ƙyamar-rufe glaucoma).
  • SSRIs na iya ƙara haɗarin zubar jini - wannan haɗarin yana ƙaruwa tare da amfani da asfirin, NSAIDs, ko warfarin.
  • Kada ka tuƙa ko sarrafa inji har sai ka san yadda Cymbalta ko Prozac ke shafar ka.
  • Yi amfani da hankali a cikin marasa lafiya da matsalolin koda.
  • Cymbalta ko Prozac na iya canza matakan sukarin jini a cikin marasa lafiya da ciwon sukari. Wannan yana buƙatar saka idanu kuma yana iya buƙatar daidaitaccen sashi don magungunan ciwon sukari.
  • Cymbalta ko Prozac na iya haifar da canjin nauyi. Cymbalta na iya haifar da haɓaka ko asara, yayin da Prozac na iya haifar da raunin nauyi. Kula da nauyi yayin jiyya tare da Cymbalta ko Prozac.
  • Ya kamata a yi amfani da Cymbalta ko Prozac 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. Koyaya, yaran da suka kamu da cutar zuwa SNRI (kamar Cymbalta) ko kuma SSRI (kamar Prozac) a cikin watanni uku na uku sun sami rikice-rikicen da ke buƙatar dogon asibiti, taimakon numfashi, da kuma ciyar da bututu. Idan ka riga ka ɗauki Cymbalta ko Prozac kuma ka gano cewa kana da juna biyu, tuntuɓi mai ba da kiwon lafiya kai tsaye don jagora.
  • Cymbalta da Prozac suna kan Jerin giya (magungunan da bazai dace da tsofaffi ba). Tuntuɓi mai ba da lafiyar ku don ganin idan Cymbalta ko Prozac lafiya gare ku.

Sauran gargaɗin Cymbalta:

  • Cymbalta capsules ya kamata a haɗiye su duka kuma ana iya ɗauka tare da ko ba tare da abinci ba. Kada a tauna, murkushewa, ko buɗe kawunon.
  • Akwai lokuta na matsalolin hanta a cikin mutanen da ke ɗaukar Cymbalta-waɗannan na iya zama m. Yi shawara da likitanka nan da nan kuma ka daina shan Cymbalta idan ka ci gaba da alamun cutar jaundice ko matsalolin hanta. Mutanen da ke da matsalolin hanta da / ko shan giya mai yawa kada su sha Cymbalta.
  • Cymbalta na iya haifar da hauhawar jini (digo na hawan jini lokacin da kake tsaye), faduwa, da / ko suma. Faduwa na iya haifar da karaya ko asibiti.
  • M halayen na iya faruwa. Zasu iya kasancewa ne saboda yanayin da ake kira erythema multiforme ko ciwo na Stevens-Johnson. Dakatar da shan Cymbalta kuma sanar da likitanka nan da nan don jagora idan ka ci gaba da blisters, peeling rash, ko fata raunuka. Idan alamomin sun yi tsanani, nemi magani na gaggawa.
  • Cymbalta na iya haifar da matsalar fitsari. Sanar da likitanka idan kana da matsalar yin fitsari.
  • Lura da hawan jini yayin shan Cymbalta.
  • Kada ku sha Cymbalta idan kuna da ciwon hanta mai saurin ciwo ko cirrhosis.
  • Kada ku sha Cymbalta idan kuna da cutar koda mai tsanani.

Sauran gargaɗin Prozac:

  • 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, ka daina shan Prozac, kuma ka nemi magani na gaggawa.
  • 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 Prozac ya kasance lafiya gare ku.

Tambayoyi akai-akai game da Cymbalta vs. Prozac

Menene Cymbalta?

Cymbalta, wanda aka sani da sunansa na duloxetine, shine SNRI, ko serotonin-norepinephrine reuptake inhibitor. Cymbalta, wanda ke samuwa a cikin nau'ikan iri da sifa, yana magance baƙin ciki, damuwa, fibromyalgia, ciwo daga cututtukan cututtukan cututtukan sukari, da ciwo na musculoskeletal.

Menene Prozac?

Prozac, wanda aka san shi da sunansa na asali, fluoxetine, shine 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 nau'ikan alama da nau'ikan tsari.

Shin Cymbalta da Prozac iri daya ne?

Cymbalta da Prozac sun yi kama, amma ba iri daya ba. Cymbalta shine mai hana SNR ko serotonin-norepinephrine reuptake. Wasu sauran SNRIs sun haɗa da Effexor (venlafaxine) da Pristiq (desvenlafaxine).

Prozac SSRI ne. Sauran magungunan SSRI da kuka taɓa ji sun haɗa da Celexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), Paxil (paroxetine), da Zoloft (sertraline).

Shin Cymbalta ko Prozac ne mafi kyau?

Nazarin ya nuna cewa Cymbalta da Prozac sun yi kama da juna ta fuskar aminci da inganci.

Mafi kyawun magani a gare ku kawai likitan ku ne zai iya ƙayyade ku wanda zai iya la'akari da cutar ku, alamun ku, yanayin lafiyar ku, da tarihin ku, tare da duk wasu magunguna da kuka sha wanda zai iya hulɗa da Cymbalta ko Prozac.

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

Yaran da suka kamu da cutar zuwa wasu magungunan rigakafin ciki, ciki har da Cymbalta ko Prozac, a cikin watanni uku na ciki sun sami matsaloli masu tsanani. Wadannan rikice-rikicen sun hada da dogon asibiti, ciyar da bututu, da kuma taimakon numfashi.

Idan kana shan Cymbalta ko Prozac kuma ka gano cewa kana da juna biyu, sai ka shawarci likitanka. Idan kaine shayarwa , tuntuɓi OB-GYN ɗin ku ma.

Zan iya amfani da Cymbalta ko Prozac tare da barasa?

A'a Cymbalta ko Prozac bai kamata a haɗasu da barasa ba. Haɗuwa yana ƙara haɗarin ɓacin rai na numfashi-mai saurin yin numfashi, da rashin samun isashshen iskar oxygen-kuma na iya ƙara nishaɗi da bacci da nakasa faɗakarwa.

Wanne maganin rage damuwa ya fi Prozac kyau?

Duk masu kwantar da hankula sun shiga cikin gwaji mai yawa don nuna aminci da inganci. Duk da yake Prozac na iya yin tasiri sosai, ba ya aiki ga kowa, saboda mutane suna amsa daban da magunguna daban-daban. Idan kuna shan Prozac kuma kuna jin ba ya aiki bayan shan shi tsawon makonni shida zuwa takwas, tuntuɓi mai ba ku kiwon lafiya don shawarar likita.

Ta yaya Cymbalta ya bambanta da sauran magungunan kashe kumburi?

SNRI magunguna kamar Cymbalta suna aiki akan serotonin da norepinephrine a cikin kwakwalwa, yayin da magungunan SSRI kamar Prozac ke aiki akan serotonin. Hakanan ana nuna Cymbalta don magance wasu nau'ikan ciwo, kamar fibromyalgia, ciwon musculoskeletal, da ciwon neuropathic mai ciwon sukari, ban da baƙin ciki da damuwa.

Wanene bai kamata ya sha Cymbalta ba?

Mutanen da ke shan magungunan ƙwaƙwalwa a cikin rukunin magungunan monoamine oxidase (MAOI) bai kamata su sha Cymbalta ba. Sauran magunguna suna hulɗa tare da Cymbalta (duba ginshiƙi a sama). Tambayi mai ba ku lafiya game da cutar serotonin, kuma idan magungunan da kuka sha suna da haɗari tare da Cymbalta.

Hakanan, bai kamata a yi amfani da Cymbalta a cikin yara don ɓacin rai, ciwon neuropathic na ciwon sukari, ko ciwo mai raɗaɗi na tsoka ba.


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