Lexapro vs. Prozac: Bambanci, kamanceceniya, 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
Idan kun sami damuwa, damuwa, ko wasu halaye na tunani waɗanda suka shafi lafiyar hankalinku, ba ku kaɗai ba. Fiye da Manyan Amurkawa miliyan 17 suna da babbar matsalar damuwa, kuma kusan manya miliyan 7 suna da cuta mai cike da damuwa. Ko da ma'amala da damuwar kwayar cuta (COVID-19) babban abin damuwa ne ga mutane da yawa.
Lexapro (escitalopram) da Prozac (fluoxetine) magunguna biyu ne da ake amfani da su don ɓacin rai da sauran rikice-rikice na tunani. Dukkanin magungunan antidepressant sun sami izinin Hukumar Abinci da Magunguna ta Amurka (FDA). Su wani ɓangare ne na ƙungiyar magunguna da ake kira SSRIs (masu zaɓin maganin serotonin reuptake). SSRIs suna aiki ta hanyar haɓaka matakan serotonin a cikin kwakwalwa, wanda hakan ke taimakawa inganta alamomin ɓacin rai. Kodayake duka magungunan suna da magungunan rigakafin SSRI, suna da wasu bambance-bambance, wanda zamu tattauna a ƙasa.
Menene manyan bambance-bambance tsakanin Lexapro da Prozac?
Lexapro (escitalopram) shine SSRI (mai zaɓin maganin serotonin reuptake). Akwai shi a alama da tsari iri kuma azaman kwamfutar hannu ko maganin baka. Hanyar da aka saba da ita shine 10 MG ko 20 MG sau ɗaya a rana.
Prozac (fluoxetine) SSRI ce kuma ana samunta cikin alama da kuma jima'i. Ana samun Prozac a cikin kwamfutar hannu da sifar kwali da kuma maganin baka. Yanayin ya bambanta, amma yawanci na kowa shine 20 MG sau ɗaya a rana.
| Babban bambance-bambance tsakanin Lexapro da Prozac | ||
|---|---|---|
| Lexapro | Prozac | |
| Ajin magani | SSRI (mai zaɓin maganin serotonin reuptake) | SSRI (mai zaɓin maganin serotonin reuptake) |
| Alamar alama / ta kowa | Brand da janar | Brand da janar |
| Menene sunan jimla? | Escitalopram | Fluoxetine |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Tablet, bayani | Tablet, kwantena, bayani Hakanan a hade tare da olanzapine azaman Symbyax |
| Menene daidaitaccen sashi? | 10 MG ko 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 da matasa (shekara 12 zuwa sama) | Yara, matasa, manya |
Kuna son mafi kyawun farashi akan Prozac?
Yi rajista don faɗakarwar farashin Prozac kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Yanayin da Lexapro da Prozac suka bi da shi
Lexapro an nuna shi don bi da MDD, ko kuma babbar matsalar damuwa (a cikin manya da matasa shekaru 12-17). Lexapro kuma ana nuna shi don maganin rikicewar rikicewar rikicewa a cikin manya.
Ana nuna Prozac don babbar cuta mai cuta da damuwa mai rikitarwa a cikin yara, matasa, da manya. Ba a yarda da amfani da Prozac don amfani da shi a cikin yara da ke ƙasa da shekara 7 ba. Ana amfani da Prozac don magance bulimia nervosa, rikicewar cutar dysphoric na premenstrual, da rikicewar tsoro. Symbyax (wanda shine magani mai hade wanda yake dauke da sinadarai a cikin Prozac, fluoxetine, tare da wani magani da ake kira olanzapine) ana amfani dashi don magance cututtukan cututtukan ciki masu alaƙa da cutar bipolar I kuma ana amfani dashi don baƙin ciki mai jure magani.
| Yanayi | Lexapro | Prozac |
| Babban cututtukan cututtuka (MDD) | Ee | Ee |
| Rashin daidaituwar damuwa | Ee | Kashe-lakabi |
| Rashin hankali mai rikitarwa (OCD) | Kashe-lakabi | Ee |
| Bulimia nervosa | Ba | Ee |
| Rashin tsoro | Kashe-lakabi | Ee |
| Ciwon dysphoric na premenstrual | Ba | Ee |
| An yi amfani dashi tare da olanzapine (Symbyax) don magance aukuwa na ɓacin rai da ke haɗuwa da cuta mai alaƙa da I | Ba | Ee |
| An yi amfani dashi tare da olanzapine (Symbyax) don baƙin ciki mai jure magani | Ba | Ee |
Shin Lexapro ko Prozac sun fi inganci?
Daya nazarin ya kalli Lexapro a hade tare da wasu magungunan rage zafin jiki. Lokacin kwatanta Lexapro zuwa Prozac, marubutan sun sami magungunan biyu suna da tasiri iri ɗaya.
Wani nazarin , wanda ya kasance bita game da karatu da yawa, idan aka kwatanta da masu maganin damuwa kuma da farko an gano Lexapro don ƙila ya zama mafi inganci kuma an fi haƙuri da shi fiye da sauran maganin rigakafin. Koyaya, lokacin da marubutan suka kalli karatun kai-da-kai kuma suka yi la'akari da duk bayanan, sun sami 'yan bambance-bambance tsakanin magungunan rigakafin cutar.
Magungunan kwantar da hankali suna ɗaukar weeksan makwanni don kaiwa ga cikakken tasirin su, don haka yayin shan antidepressant, yana da mahimmanci a bashi ɗan lokaci don aiki. Magungunan da suka fi dacewa a gare ku kawai likitan ku ne zai iya ƙayyade ku, wanda zai iya bincika tarihin lafiyar ku da yanayin (s), da kuma duk wasu magunguna da kuka sha waɗanda zasu iya hulɗa da Lexapro ko Prozac. Wani lokaci yakan ɗauki ɗan gwaji da kuskure don nemo maganin da yafi dacewa da ku.
Kuna son mafi kyawun farashi akan Lexapro?
Yi rajista don faɗakarwar farashin Lexapro kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Verageaukar hoto da kwatancen farashi na Lexapro vs. Prozac
Lexapro galibi an rufe shi ta inshora da Medicare Sashe na D. Mafi yawan nau'ikan jigilar yawanci suna da ƙaramar ƙaramar kuɗi, yayin da nau'ikan sunan alama yawanci yana da mafi girman biya ko kuma ba za a iya rufe shi kwata-kwata. Lexapro yana kashe kimanin $ 379 don 30, 10 mg na allunan suna ko $ 70 don 30, 10 MG na kwayar cuta. Kuna iya samun nau'in Lexapro na kuɗi kaɗan kamar $ 15 tare da katin SingleCare a shagunan sayar da magani.
Prozac kuma galibi an rufe shi da inshora da Medicare Sashe na D; zabar jaka zai adana kudade masu yawa. Alamar gabaɗaya tana da ƙari mafi girma ko kuma baza a rufe ta ba. Prozac yana kashe kimanin $ 600 don 30, 20 mg sunan suna, ko kuma sama da $ 30 don 30, 20 MG jigilar kawunansu. Kuna iya siyan Prozac na yau da kullun farawa daga $ 4 a wasu kantin magani waɗanda ke karɓar takardun shaida na SingleCare.
| Lexapro | Prozac | |
| Yawanci inshora ke rufe shi? | Ee (na asali) | Ee (na asali) |
| Yawanci an rufe shi ta Medicare Part D? | Ee (na asali) | Ee (na asali) |
| Daidaitaccen sashi | # 30, 10 MG allunan | # 30, 20 mg kawunansu |
| Hankula Medicare Part D copay | $ 0- $ 30 | $ 0- $ 12 |
| SingleCare kudin | $ 15- $ 50 | $ 4- $ 20 |
Illolin gama gari na gama gari na Lexapro vs. Prozac
Illolin dake tattare da Lexapro sune ciwon kai, jiri, matsalolin jima'i, yawan bacci, da rashin bacci.
Abubuwan da aka fi sani da Prozac sune ciwon kai, jiri, jiri, rashin bacci, rashin cin abinci, fargaba / damuwa.
Tare da kowane sabon magani ko wanda aka sake cikawa na Lexapro ko Prozac, zaku karɓi jagorar magunguna wanda ke tattauna tasirin lahani, gargaɗi, da sauran mahimman bayanai.
Wannan ba cikakken lissafin sakamako bane. Sauran illoli na iya faruwa. Tuntuɓi mai ba da kiwon lafiya don cikakken jerin abubuwan illa.
| Lexapro | Prozac | |||
| Sakamakon sakamako | Ana amfani? | Mitar lokaci | Ana amfani? | Mitar lokaci |
| Ciwon kai | Ee | 24% | Ee | ashirin da daya% |
| Ciwan | Ee | 18% | Ee | ashirin da daya% |
| Gudawa | Ee | 8% | Ee | 12% |
| Cutar maniyyi / lalatawar jima'i | Ee | 14% | Ee | % ba a ruwaito ba |
| Bakin bushe | Ee | 9% | Ee | 10% |
| Bacci | Ee | 13% | Ee | 13% |
| Rashin bacci | Ee | 12% | Ee | 16% |
| Rashin ci | Ee | % ba a ruwaito ba | Ee | goma sha ɗaya% |
| Tashin hankali / damuwa | Ba | - | Ee | 12-13% |
Source: DailyMed ( Lexapro ,, DailyMed ( Prozac )
Magungunan ƙwayoyi na Lexapro vs. Prozac
Saboda duka magungunan guda biyu suna cikin rukuni ɗaya, suna da ma'amala iri ɗaya ta magunguna.
MAOIs (monoamine oxidase hanawa) kada ayi amfani dasu cikin kwanaki 14 na Lexapro ko Prozac. Haɗuwa na iya ƙara haɗarin cututtukan serotonin , gaggawa na barazanar rai saboda rashin lafiyar serotonin. Triptans da ake amfani da su don magance ƙaura, kamar Imitrex (sumatriptan), da sauran magungunan ƙwarin gwiwa, kamar Elavil ko Cymbalta, bai kamata a yi amfani da su tare da Lexapro ko Prozac ba saboda haɗarin cutar serotonin. Hakanan, mai hana maye tari-dextromethorphan - wanda ake samu a Robitussin-DM da sauran wasu kayan tari da kayan sanyi - ya kamata a kiyaye saboda shima yana iya haifar da ciwon serotonin idan aka hada shi da Lexapro ko Prozac.
Sauran magungunan da zasu iya mu'amala da Lexapro ko Prozac sun hada da magungunan macrolide irin su Zithromax, NSAIDs (wadanda ba kwayoyi masu kashe kumburi) kamar su ibuprofen, ko magungunan kashe zafin jiki irin su Ultram (tramadol). Ya kamata a guji giya yayin shan Lexapro ko Prozac.
Wannan ba cikakke bane game da ma'amala da ƙwayoyi. Tuntuɓi mai ba da lafiyar ku don cikakken jerin hulɗar magunguna.
| Drug | Ajin Magunguna | Lexapro | 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 (keɓaɓɓen amfani da aƙalla makonni biyar) | Ee (keɓaɓɓen amfani da aƙalla makonni biyar) |
| Alprazolam Clonazepam Diazepam | Benzodiazepines | Ee | Ee |
Gargadi na Lexapro da Prozac
Duk SSRIs, gami da Lexapro da Prozac, suna da gargaɗin ɗan kashe kai. 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 gargaɗin sun haɗa da:
- Ciwon Serotonin mummunan lamari ne, mai barazanar rai wanda ya haifar da haɓakar serotonin da yawa. Marasa lafiya da ke ɗaukar Lexapro ko Prozac ya kamata a kula da kyau don alamu da alamomin ciwo na serotonin kamar su hallucinations, seizures, and agitation. 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 dakatar da Lexapro ko Prozac, bayyanar cututtuka kamar tashin hankali na iya faruwa. Marasa lafiya yakamata su daina shan ƙwaya a hankali kuma ba za su daina tsawa ba. Mai ba ku kiwon lafiya na iya ba ku shawara kan hanya mafi kyau don dakatar da Lexapro ko Prozac.
- A cikin marasa lafiyar da ke da rauni, ya kamata a yi amfani da Lexapro ko Prozac tare da taka tsantsan.
- Hyponatremia (ƙananan sodium) saboda ciwo na rashin kwayar cutar kwayar cuta mai ƙyama (SIADH) na iya faruwa. Marasa lafiya na iya fuskantar ciwon kai, wahalar tattara hankali, matsalar ƙwaƙwalwar ajiya, rikicewa, rauni, da rashin kwanciyar hankali, wanda na iya haifar da faɗuwa. Mafi munanan lokuta na iya faruwa. Marasa lafiya yakamata su nemi maganin gaggawa idan alamu suka bayyana, kuma ya kamata a dakatar da SSRI.
- Ya kamata a kauce wa SSRIs a cikin marasa lafiya tare da ƙananan ƙananan ƙananan ƙwayoyin cuta (ƙyamar-rufe glaucoma).
- SSRIs na iya ƙara haɗarin zubar jini. Haɗarin yana ƙaruwa tare da amfani da asfirin, NSAIDs, ko warfarin.
- Kunna mania ko hypomania na iya faruwa. A cikin marasa lafiya da ke fama da cutar bipolar, mai maganin ƙwaƙwalwar ƙwaƙwalwa na iya haifar da wani abu mai haɗari / cuta.
- Kada ku fitar da mota ko aiki har sai kun san yadda Lexapro ko Prozac ke shafar ku.
- Yi amfani da hankali a cikin marasa lafiya da matsalolin koda.
- A cikin al'amuran da ba kasafai ake samun su ba, ana samun rahotannin rashin kuzari da halayen rashin kuzari / halayen anafilaxis, wanda zai iya zama na mutuwa. Idan kun ji kurji ko alamun rashin lafiyan, ku daina shan Lexapro ko Prozac kuma ku nemi magani nan da nan.
- SSRIs na iya haifar da asarar nauyi mai yawa, musamman a cikin marasa lafiya masu taurin zuciya ko marasa lafiya marasa ƙarfi, galibi tare da Prozac. Ya kamata a kula da canje-canje a cikin nauyi yayin jiyya.
- Lexapro ko Prozac na iya haifar da tsawan QT da arrhythmia na ventricular. Wasu marasa lafiya suna cikin haɗari mafi girma saboda yanayin likita ko wasu magunguna. Tambayi mai ba ku lafiya idan Lexapro ko Prozac suna cikin lafiya.
- Prozac na iya haifar da damuwa, tashin hankali, ko rashin barci.
Ya kamata a yi amfani da Lexapro ko Prozac ne kawai a cikin ciki idan fa'idar ga uwar ta fi haɗarin da ke cikin jariri girma. Dakatar da shan magani na iya haifar da komawar ciki ko damuwa. Sabili da haka, 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 kun riga kun kasance akan Lexapro ko Prozac kuma gano kuna da ciki, tuntuɓi mai ba da sabis ɗin kiwon lafiya kai tsaye.
Tambayoyi akai-akai game da Lexapro vs. Prozac
Menene Lexapro?
Lexapro ne mai SSRI (mai zaɓin maganin serotonin reuptake inhibitor) wanda ake amfani dashi don damuwa da damuwa. Akwai shi a cikin nau'ikan iri da na asali (escitalopram).
Menene Prozac?
Prozac shine SSRI wanda ke kula da baƙin ciki, rikicewar rikice-rikice, bulimia nervosa, cututtukan dysphoric na premenstrual, da rikicewar tsoro. Sunan sa na gaba shine fluoxetine. Prozac yana samuwa a cikin alama da ta gama gari.
Shin Lexapro da Prozac iri daya ne?
Lexapro da Prozac duk suna cikin rukunin SSRI na magungunan ƙwayoyi. Suna kama, 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 Celexa (citalopram), Luvox (fluvoxamine), Paxil (paroxetine), da Zoloft (sertraline).
Wani rukuni na kwayoyi da kuka taɓa jin labarinsu shine ƙungiyar SNRI ta ƙwayoyi, wanda ya haɗa da Cymbalta (duloxetine), Effexor (venlafaxine), da Pristiq (desvenlafaxine).
Shin Lexapro ko Prozac ne mafi kyau?
Karatuttukan (duba sama) suna nuna Lexapro da Prozac don suyi tasiri iri ɗaya. Tuntuɓi mai ba da lafiyar ku, wanda zai iya taimaka muku sanin ko Lexapro ko Prozac na iya zama mafi zaɓin a gare ku.
Zan iya amfani da Lexapro ko Prozac yayin da nake da juna biyu?
Yana da ya dogara —Ka tuntuɓi mai ba ka lafiya don shawara. Shi ko ita za su auna fa'idodin shan antidepressant da 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 matsala.
Idan kun riga kun kasance akan Lexapro ko Prozac kuma gano cewa kuna da ciki, tuntuɓi OB-GYN ɗinku nan da nan don shawara. Idan kaine shayarwa , tuntuɓi OB-GYN ɗin ku ma.
Zan iya amfani da Lexapro ko Prozac tare da barasa?
A'a. Lexapro ko Prozac bai kamata a sha da giya ba, saboda haɗuwa na iya ƙara haɗarin ɓacin rai na numfashi (yin jinkirin numfashi, rashin samun isashshen oxygen) da ƙara nishaɗi da bacci da kuma rashin faɗakarwa. Haɗin zai iya ƙara damuwa da / ko baƙin ciki.
Wanne ne mafi kyawun SSRI don damuwa?
Yayinda ake amfani da benzodiazepines kamar Xanax (alprazolam) sau da yawa a cikin gajeren lokacin magance damuwa, ana ba da umarnin SSRI a matsayin magani na dogon lokaci don damuwa. Mafi kyawun SSRI don damuwa, kodayake, shine wanda yafi dacewa daku. Tambayi mai ba ku kiwon lafiya idan SSRI zai taimaka wajen magance damuwar ku.
Shin Prozac yana da kyau don damuwa?
Ana nuna shi don ɓacin rai da sauran yanayi, Prozac wani lokacin ana sanya shi a lakabin lakabi don damuwa. A cikin nazarin asibiti, 12% zuwa 13% na marasa lafiya da ke shan Prozac sun sami tsoro ko damuwa. Tuntuɓi mai ba da lafiyar ku don shawarar likita.
Shin Prozac zai iya sanya ku damuwa?
Prozac na iya samun wasu illoli akan tsarin juyayi kamar rashin barci, rawar jiki, damuwa, ko damuwa, wanda zai iya sa ku ji daɗi. Koyaya, jin alamun alamun girgiza, bugun zuciya mai sauri, ko tashin hankali na iya zama alamun cututtukan serotonin (duba sama don gargaɗi). Idan ka lura da canje-canje a yanayin tunani ko daidaito, canje-canje a cikin bugun zuciya ko hawan jini, da / ko alamun GI (gastrointestinal) kamar su gudawa, wannan na iya zama cutar serotonin. Zai iya zama barazanar rai, don haka nemi taimakon gaggawa na gaggawa.
