Hydrocodone vs. oxycodone: Bambanci, kamance, kuma wanne ne mafi alheri a gare ku
Magunguna vs. AbokiBayanin magunguna & manyan bambance-bambance | Yanayin da aka bi | Inganci | Inshorar inshora da kwatancen farashi | Sakamakon sakamako | Hadin magunguna | Gargadi | Tambayoyi
Hydrocodone da oxycodone su biyu ne opioid magungunan ƙwayoyi da aka nuna don maganin matsakaici zuwa matsanancin ciwo, sau da yawa don ciwo mai tsanani. Dukansu magungunan ana sanya su azaman kwayoyi masu narkewa, wanda ke nufin sun kasance masu jaraba kuma suna da babbar dama ta zagi. Dukansu magungunan suna aiki ta hanyar ɗaure ga masu karɓar ciwo, da ake kira masu karɓar mu, a cikin kwakwalwa, wanda ke raunana ko toshe alamun sigina, kuma yana haifar da sauƙin ciwo. Saboda magungunan biyu suna da ƙarfi sosai, ana amfani dasu gaba ɗaya bayan tiyata, ko a cikin yanayi inda mai sauƙin ciwo mai sauƙi ba zai yi tasiri ba ko ba za a iya jure shi ba.
Menene manyan bambance-bambance tsakanin hydrocodone da oxycodone?
Akwai hanyoyi daban-daban na duka hydrocodone da oxycodone. Duk magungunan biyu sune Jadawalin II magunguna masu ciwo; wannan yana nufin cewa maganin na iya samun babban damar zagi.
Hydrocodone (Hydrocodone coupons | Menene Hydrocodone?) Anfi samunta azaman sunaye masu suna Norco ko Vicodin, wanda ya ƙunshi hydrocodone a haɗe tare da jinsin Tylenol (acetaminophen, galibi ana taƙaita shi kamar APAP). Ana iya samun Hydrocodone / APAP a cikin kwaya da kuma ta ruwa. Hakanan za'a iya samun Hydrocodone a hade tare da ibuprofen, kuma a hada magungunan tari, kamar su Hycodan syrup ko allunan (hydrocodone / homatropine) ko Tussionex dakatarwar (hydrocodone / chlorpheniramine). Kadai, ana iya samun hydrocodone a cikin magungunan da aka fadada-Zohydro ER (fitaccen sako) ko Hysingla ER.
Oxycodone (Oxycodone takardun shaida | Mene ne Oxycodone?) An ba da umarnin yawanci shi kaɗai, a matsayin jigilar OxyIR (fitowar gaggawa). Hakanan ana samunsa shi kaɗai a cikin wani magani mai dogon lokaci da ake kira OxyContin. Oxycodone ana samun shi a hade, kamar a cikin Percocet, wanda ya ƙunshi oxycodone da APAP.
Dukkanin kwayoyi sun bambanta a sashi ta hanyar shekaru da yanayin kuma gabaɗaya an tsara su a cikin mafi ƙanƙanci don mafi ƙarancin lokacin da zai yiwu. Duk jihohi suna da dokoki game da takardun magani na opioid, saboda potentialarfin ƙarfin su na zagi.
| Babban bambance-bambance tsakanin hydrocodone da oxycodone | ||
|---|---|---|
| Hydrocodone | Oxycodone | |
| Ajin magani | Opiate (narcotic) maganin ciwo | Opiate (narcotic) maganin ciwo |
| Alamar alama / ta kowa | Brand da janar | Brand da janar |
| Menene sunan jimla? Menene sunan alamar? | Generic: hydrocodone, hydrocodone / APAP, da dai sauransu. Alamar: Zohydro ER, Hysingla ER Alamar: a hade tare da APAP: Norco, Lortab, Vicodin | Saukewa: oxycodone, oxycodone / APAP, da dai sauransu. Alamar: OxyIR, OxyContin Alamar: a hade tare da APAP: Percocet |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Tablet, kara-saki kwamfutar hannu, syrup a matsayin hade magani | Tablet, ƙara-saki kwamfutar hannu, na baka bayani |
| Menene daidaitaccen sashi? | Misali: Hydrocodone / APAP 5/325 MG: 1-2 kwamfutar hannu (s) kowane 4 zuwa 6 hours kamar yadda ake buƙata don zafi (ƙananan 8 allunan kowace rana) | Misali: Nan da nan saki kwamfutar hannu: 5 zuwa 15 MG kowane 4 zuwa 6 hours kamar yadda ake bukata OxyContin: 20 MG kowane 12 hours |
| Yaya tsawon maganin al'ada? | Shortan gajere, ana iya amfani dashi tsawon lokaci bisa yanayin da aka bi (kamar ciwo mai ɗorewa) da martani | Shortan gajere, ana iya amfani dashi tsawon lokaci bisa yanayin da aka bi (kamar ciwo mai ɗorewa) da martani |
| Wanene yawanci yake amfani da magani? | Manya | Manya |
Yanayin da hydrocodone da oxycodone suka bi da shi
Hydrocodone da oxycodone duka ana nuna su don gudanar da ciwo wannan ya isa sosai don buƙatar opioid, inda sauran jiyya (ba opioids) ba su isa ko jurewa
| Yanayi | Hydrocodone | Oxycodone |
| Gudanar da ciwo mai tsanani wanda ya isa ya buƙaci maganin cutar opioid kuma waɗanne hanyoyin magancewa basu isa ba | Ee | Ee |
Shin hydrocodone ko oxycodone yafi tasiri?
A cikin makafi biyu, sarrafa-wuribo karatu na hydrocodone vs oxycodone a cikin dakin daki na gaggawa, jin zafi ya zama daidai, a minti 30 kuma a minti 60 don duka hydrocodone ko oxycodone. Dukansu magungunan suna da sakamako iri ɗaya, tare da hydrocodone da ke haifar da ƙarin maƙarƙashiya fiye da ta oxycodone.
Wani karatu ya nuna hydrocodone / APAP da oxycodone / APAP suna da irin wannan tasirin dangane da jin zafi, amma shi oxycodone / APAP ya ninka sau 1.5 fiye da hydrocodone / APAP.
Dukansu hydrocodone da oxycodone suna da magungunan kashe ƙarfi mai ƙarfi tare da babban damar zagi, ana amfani da su lokacin da masu sauƙin ciwo ba su ba da sauƙi mai sauƙi ba, ko ba za a iya jurewa ba. Magunguna mafi inganci yakamata likitanka kawai ya ƙaddara, wanda zai kalli duk hoton yanayin lafiyarka, tarihinka, da sauran magungunan da kake sha.
Verageaukar hoto da kwatancen farashi na hydrocodone vs. oxycodone
Saboda dokokin jihohi daban-daban, idan kuna karɓar opioid a karon farko, da alama za ku karɓi ƙaramin adadi.
Takaddun magani na yau da kullun na allunan 20 na kwayar halitta hydrocodone-acetaminophen na iya cin kuɗi sama da $ 100. Tare da takaddun SingleCare, jigilar Vicodin ko Norco na iya tafiyar da $ 26- $ 41. Takaddun magani na al'ada na allunan oxycodone-acetaminophen 20 shine $ 25- $ 50. Farashin kuɗi daga cikin aljihu shine $ 10- $ 15 tare da takaddar SingleCare.
Nemi katin rangwame na SingleCare
| Hydrocodone | Oxycodone | |
| Yawanci inshora ke rufe shi? | Ee | Ee |
| Yawanci an rufe shi ta Medicare Part D? | Ee | Ee |
| Daidaitaccen sashi | # 20, hydrocodone / APAP 5/325 mg Allunan | # 20, allunan oxycodone / APAP 5/325 mg |
| Hankula Medicare Part D copay | $ 3-73 | $ 3-90 |
| SingleCare kudin | $ 26- $ 41 | $ 10- $ 15 |
Illolin gama gari na yau da kullun na hydrocodone vs. oxycodone
Abubuwan da aka fi sani da hydrocodone sune saurin haske, jiri, nutsuwa, jiri, da amai. Sauran illolin na iya haɗawa da maƙarƙashiya, damuwa, kumburin fata, rashin nutsuwa, da dogaro.
Abubuwan da suka fi dacewa na oxycodone sune tashin zuciya, maƙarƙashiya, amai, ciwon kai, pruritus (itching), rashin barci, jiri, raunin jiki, da bacci. Sauran illolin na iya haɗawa da bugun zuciya, bushe baki, damuwa, kumburin fata, da dogaro.
Sauran sakamako masu illa na iya faruwa. Tuntuɓi mai ba da lafiyar ku don ƙarin bayani game da mummunar illa.
Magungunan ƙwayoyi na hydrocodone vs. oxycodone
Shan hydrocodone ko oxycodone tare da wasu magunguna waɗanda ake amfani da su ta hanyar enzyme da ake kira CYP3A4 ko CYP2D6 na iya haifar da hulɗar magunguna. Wadannan kwayoyi an san su da masu hana enzyme kuma sun hada da maganin rigakafin macrolide, azole antifungals, da kuma masu hana kariya. Amfani da su tare da hydrocodone ko oxycodone na iya haifar da babban matakin opioid, wanda zai iya zama haɗari sosai.
Sauran kwayoyi, waɗanda aka sani da masu haifar da ciki, suna da tasirin akasi, suna rage matakin opioid yadda ba shi da tasiri ko kuma zai iya haifar da bayyanar cututtuka.
Amfani da benzodiazepines ko wasu CNS masu baƙin ciki (gami da wasu magungunan opioid) a haɗe tare da hydrocodone ko oxycodone na iya haifar da hauhawar jini, ɓacin rai na numfashi, zurfin nutsuwa, rashin lafiya, da mutuwa.
Shan hydrocodone ko oxycodone tare da kwayoyi masu ƙara serotonin na iya ƙara haɗarin ciwon serotonin. Wadannan kwayoyi sun hada da magungunan SSRI da SNRI, masu tricyclic antidepressants, masu shakatawa na tsoka, masu hana MAO (bai kamata a yi amfani da masu hana MAO ba a cikin kwanaki 14 na hydrocodone ko oxycodone), da kuma mawuyacin hali na ƙaura. Tuntuɓi mai ba da lafiyar ku don cikakken jerin hulɗar magunguna.
| Drug | Ajin Magunguna | Hydrocodone | Oxycodone |
| Erythromycin Biaxin (clarithromycin) | Magrolide maganin rigakafi | Ee | Ee |
| Diflucan (fluconazole) Nizoral (ketoconazole) | Azole antifungals | Ee | Ee |
| Norvir (ritonavir) | Masu hana kariya | Ee | Ee |
| Rifampin Tegretol (carbamazepine) Dilantin (phenytoin) | CYP3A4 masu ba da haske | Ee | Ee |
| Xanax (alprazolam) Valium (diazepam) Ativan (lorazepam) Klonopin (sannazepam) | Benzodiazepines | Ee | Ee |
| Methadone Tylenol tare da codeine (APAP / codeine) Duragesic (fentanyl) Morphine Duk wani nau'ikan hydrocodone ko oxycodone | Opioids | Ee | Ee |
| Barasa | Barasa | Ee | Ee |
| Flexeril (cyclobenzaprine) Skelaxin (metaxalone) | Relaxarfafa tsoka | Ee | Ee |
| Imitrex (sumatriptan) Maxalt (rizatriptan) | Masu fassara | Ee | Ee |
| Prozac (fluoxetine) Paxil (paroxetine) Zoloft (sertraline) Celexa (citalopram) Lexapro (escitalopram) | SSRI maganin kashe jiki | Ee | Ee |
| Pamelor (nortriptyline) Elavil (amitriptyline) | Magungunan antioxidric na Tricyclic | Ee | Ee |
| Cymbalta (duloxetine) Effexor (venlafaxine) Pristiq (desvenlafaxine) | SNRI masu kwantar da hankali | Ee | Ee |
| Hydrochlorothiazide Lasix (furosemide) | Diuretics | Ee | Ee |
| Azilect (rasagiline) Eldepryl (selegiline) Yanayin jiki (tranylcypromine) | MAO masu hanawa | Ee | Ee |
| Cogentin (benztropine) Benadryl (diphenhydramine) Ditropan (oxybutynin) Detrol (tolterodine) | Magungunan Anticholinergic | Ee | Ee |
Gargadi na hydrocodone da oxycodone
Akwai wani gargadi na dambe akan hydrocodone da oxycodone, wanda shine gargadi mafi karfi da FDA ke buƙata. Sauran gargaɗin sun haɗa da:
- Opioids suna da haɗarin jaraba, zagi, da rashin amfani, wanda zai haifar da yawan shan ƙwaya da mutuwa. Ya kamata a tantance marasa lafiya don haɗari kafin ɗaukar opioid kuma ya kamata a sanya musu ido akai-akai.
- Don tabbatar da cewa fa'idodi na opioids sun fi haɗarin haɗarin jaraba, shan ƙwayoyi, da rashin amfani da amfani, kamfanonin magani dole ne su ilimantar da masu samar da lafiya. Dole ne masu samar da lafiya su kammala REMS (Risididdigar Riskar da Mitaddamar da )addamarwa) shirin ilimi mai gamsarwa, ba da shawara ga marasa lafiya da masu kula da kowace takardar sayen magani, kuma su jaddada mahimmancin karanta jagorar magunguna, wanda aka bayar da kowane takardar sayan magani.
- Opioids na iya haifar da mai tsanani, mai barazanar rai, ko ɓacin rai na numfashi. Ya kamata a kula da marasa lafiya, musamman ma a farkon fara magani da bin sauye sauye.
- Haɗarin haɗari, musamman ma daga yara, na iya haifar da yawan karɓuwa fiye da kima. Yakamata a umarci marasa lafiya su amintar da opioids daga isar yara.
- Ciwon shan inna na opioid zai iya haifar da amfani da opioid na tsawon lokaci yayin daukar ciki kuma yana iya zama barazanar rai idan ba a gane shi ba kuma ba a kula da shi ba.
- Yin amfani da opioids tare da wasu magunguna wanda enzyme cytochrome P 450 3A4 ke haɓaka na iya ƙara matakan opioid da haifar da ƙarin illa da kuma mummunan haɗarin numfashi.
- Amfani da magungunan benzodiazepine kamar Xanax (alprazolam), Valium (diazepam), ko wasu masu ɓacin rai na CNS, kamar sauran opioids (ko giya), na iya haifar da zurfin tashin hankali, ɓacin rai na numfashi, coma, da mutuwa, kuma ya kamata a guji idan hakan ta yiwu. Marasa lafiya waɗanda ke ɗaukar wannan haɗin saboda wasu hanyoyin da ba sa aiki dole ne a sanya musu ido sosai.
Sauran gargadi da sabawa sun hada da:
- Kada a yi amfani da Hydrocodone ko oxycodone a cikin marasa lafiya da ke fama da matsanancin damuwa na numfashi, mai saurin ciwo ko ciwon asma a cikin yanayin da ba a kula da shi ba, toshewar hanji, ko kuma ji daɗin wani sinadaran.
- Kada a yi amfani da Hydrocodone ko oxycodone a cikin marasa lafiya da ke fama da cutar huhu ko tsofaffi ko marasa lafiya masu rauni.
- Rashin ƙarancin adrenal na iya faruwa, yawanci bayan wata ɗaya. Nemi magani idan ɗayan waɗannan alamun sun faru: tashin zuciya, amai, rashin abinci, gajiya, rauni, jiri, da saukar karfin jini.
- Hydrocodone ko oxycodone na iya haifar da matsanancin cutar hawan jini.
- Kada kayi amfani da hydrocodone ko oxycodone a cikin marassa lafiyar da basuda hankali ko kuma suna cikin suma.
- Hydrocodone ko oxycodone na iya ƙara haɗarin kamuwa da marasa lafiya da cuta mai kamawa.
- Hydrocodone ko oxycodone bazai kamata a cire kwatsam ba amma yakamata a hankali a hankali.
- Kada ka tuƙa ko sarrafa inji har sai ka san yadda maganin yake shafar ka.
- Opioids marasa tsaro na iya zama mummunan haɗari ga kowa a cikin gida, gami da baƙi. Ajiye amintacce, daga gani da isa ga yara, kuma a cikin wurin da wasu baza su iya isa gareshi ba. Tambayi ma'aikacin lafiyar ku yadda zaku zubar da kwayoyin opioids marasa amfani a yankin ku.
Saboda babu karatu mai kyau a cikin mata, hydrocodone ko oxycodone bai kamata ayi amfani dasu a cikin ciki ba sai dai idan fa'idodi sun fi haɗari. Dogon amfani da opioids a lokacin daukar ciki, ko don amfani da lafiya ko amfani da shi ba tare da magani ba, na iya haifar da dogaro da jikin jariri, wanda ke haifar da cututtukan cirewar cikin yara ba da jimawa ba bayan haihuwa.
Gargaɗi musamman ga acetaminophen (APAP) wanda galibi akan same shi a haɗe tare da hydrocodone ko oxycodone sune:
- Acetaminophen na iya haifar da halayen fata kamar su cututtukan cututtukan fata (AGEP), Stevens-Johnson Syndrome (SJS), da epidermal necrolysis mai guba (TEN), wanda zai iya zama m. Marasa lafiya ya kamata su nemi magani na gaggawa idan tasirin fata ya auku.
- Akwai haɗarin gazawar hanta saboda APAP. Ya kamata likitanku ya gaya muku iyakar adadin APAP na yau da kullun da za ku iya sha, kuma ya kamata ku bincika wasu magunguna da kuka sha don APAP (kamar NyQuil).
- Rashin kumburi ko rashin kuzari na iya faruwa. Nemi magani na gaggawa idan ɗayan waɗannan alamun da alamomin sun faru: kumburin fuska, baki, da maƙogwaro, damuwa na numfashi, urticaria, rash, pruritus, da amai.
Tambayoyi akai-akai game da hydrocodone vs. oxycodone
Menene hydrocodone?
Hydrocodone shine mai kashe cututtukan opioid wanda ake amfani dashi don magance ciwo wanda baya amsawa ga masu sauƙin ciwo. Ana samunsa a cikin tsari iri-iri, galibi tare da acetaminophen a cikin hanyar Norco.
Menene oxycodone?
Oxycodone shine mai magance radadin opioid wanda ake amfani dashi don magance ciwo wanda baya amsawa ga masu saurin rage ciwo. Ana samunsa a cikin tsari iri-iri, sau da yawa ta kansa (a cikin sakin gaggawa da na faɗaɗawa) da kuma yawanci tare da acetaminophen a cikin hanyar Percocet.
Shin hydrocodone da oxycodone iri daya ne?
Dukansu magunguna suna da karfi na maganin cutar opioid. Duk da yake suna da kamanceceniya sosai, suna da wasu bambance-bambance, kamar a cikin allurai, da aka zayyana a sama.
Shin hydrocodone ko oxycodone ya fi kyau?
A cikin karatun, duka kwayoyi sun nuna don samar da tasiri mai sauƙi na ciwo. Koyaya, magungunan biyu suna da ƙarfi sosai tare da babban damar zalunci. Tuntuɓi mai ba da lafiyar ku shawara ta musamman.
Zan iya amfani da hydrocodone ko oxycodone yayin da nake da juna biyu?
Ya kamata ku yi amfani da hydrocodone ko oxycodone yayin da kuke ciki sai dai idan likitanku ya ƙayyade cewa fa'idar da ke gare ku ta fi haɗarin da tayi rai. Hakanan, yin amfani da opioids na tsawon lokaci yayin daukar ciki na iya haifar da dogaro a cikin dan tayi, kuma zai iya haifar da ciwo mai saurin cire opioid.
Zan iya amfani da hydrocodone ko oxycodone tare da barasa?
A'a Hydrocodone ko oxycodone bazai taɓa amfani da giya ba. Haɗin zai iya haifar da zurfin laulayi, ɓacin rai, laulayi, ko mutuwa.
Kuna iya ɗaukar hydrocodone da oxycodone tare?
A'a. Kada a yi amfani da Hydrocodone da oxycodone tare. Haɗin zai iya zama mai haɗari sosai kuma yana haifar da baƙin ciki ko mutuwa. Wannan shine dalili guda daya da yasa yake da matukar mahimmanci a zubarda tsofaffin magungunan opioids lokacin da ba'a buqatar su. Tambayi likitan ku yadda za a zubar da magunguna a wani wuri kusa da ku.
Me yasa wasu mutane ke amfani da hydrocodone don tasirin wasanni?
Yayin rage ciwo, opioids kamar hydrocodone ko oxycodone na iya haifar da euphoric sakamako . Opioids suna da babbar dama ga shan ƙwayoyi. Lokacin shan shan opioid, yi amfani da shi kamar yadda aka tsara. Kada ku ɗauki ƙarin allurai, kuma kada ku haɗu da barasa. Tambayi likitanku ko likitan magunguna game da hulɗar magunguna. Zubar da magani lokacin da ba kwa buƙatar sa; kar a ajiyeshi zuwa wani lokaci. Zai iya zama haɗari ga kowa a cikin gida.
