Pristiq vs. Effexor: 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
Fiye da Manyan Amurkawa miliyan 16 samun damuwa (babbar cuta mai ɓarna). Pristiq da Effexor shahararrun magunguna ne guda biyu da aka nuna don maganin bakin ciki, abu ne gama gari yanayin lafiyar hankali . Effexor XR (ƙaddamarwa mai tsawo) kuma yana kula da gama gari damuwa rikice-rikice, rikicewar tsoro, da zamantakewar al'umma. Dukkanin magungunan sun sami karbuwa daga Hukumar Abinci da Magunguna ta Amurka (FDA). Wyeth Pharmaceuticals LLC, reshen kamfanin Pfizer, yana yin duka magungunan a cikin nau'ikan sunan-alama.
Pristiq da Effexor suna cikin rukunin magunguna da ake kira SNRIs (serotonin-norepinephrine reuptake inhibitors). Suna aiki ta hanyar daidaita batun sake dawo da kwayar cutar da ake kira serotonin da norepinephrine a cikin CNS (tsarin jijiyoyin tsakiya), don haka inganta cututtukan ciki.
Ka lura da yadda sunan Pristiq na gama gari yake desvenlafaxine, kuma sunan jabu na Effexor shine venlafaxine. Wadannan kwayoyi suna kama sosai. Lokacin da ake amfani da Effexor (venlafaxine), sai ya zama wani abu mai narkewa mai aiki - desvenlafaxine.
Kodayake Pristiq da Effexor duka SNRIs ne, suna da wasu bambance-bambance, wanda zamu zana a ƙasa.
Menene manyan bambance-bambance tsakanin Pristiq da Effexor?
Pristiq da Effexor duka magungunan SNRI ne masu ƙwarewa da ake samu a iri da tsari iri. Dukansu magunguna an yarda dasu don amfani dasu a manya.
Pristiq yana nan a matsayin ƙaramar kwamfutar da aka sake ta. Dosing na iya bambanta, amma daidaitaccen kashi shine 50 MG kowace rana.
Effexor yana nan a cikin sifar kwamfutar hannu, kuma a matsayin ƙaramin ɗan kwali wanda aka sake shi da kuma ƙara-fitowar ƙaramar kwamfutar hannu. Matsakaicin kashi shine 75 ko 150 MG kowace rana (XR formulation).
| Babban banbanci tsakanin Pristiq da Effexor | ||
|---|---|---|
| Pristiq | Effexor | |
| Ajin magani | SNRI | SNRI |
| Alamar alama / ta kowa | Brand da janar | Brand da janar |
| Menene sunan gama-gari? | Desvenlafaxine succinate (desvenlafaxine) | Venlafaxine hydrochloride (venlafaxine) |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Tablet (fadada-saki) | Tablet, kara-saki capsules, kara-saki Allunan |
| Menene daidaitaccen sashi? | 50 MG kowace rana | Bambanci: nau'in al'ada shine XR 75 ko 150 MG kowace rana |
| Yaya tsawon maganin al'ada? | Ya bambanta | Ya bambanta |
| Wanene yawanci yake amfani da magani? | Manya | Manya |
Kuna son mafi kyawun farashi akan Pristiq?
Yi rajista don faɗakarwar farashin Pristiq kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Yanayin da Pristiq da Effexor suka kula dashi
Pristiq (Menene Pristiq?) An nuna shi don maganin babbar matsalar damuwa (MDD) a cikin manya. Wani lokaci, ana rubuta Pristiq kashe-lakabin don wasu amfani.
Ana nuna Effexor (sakin nan da nan) don magance babbar matsalar damuwa. Ana nuna Effexor XR (Menene Effexor?) Ana nuna shi don babbar cuta ta baƙin ciki, rikicewar rikice-rikice gama gari, rikicewar rikicewar zamantakewa, da rikicewar tsoro.
| Yanayi | Pristiq | Effexor |
| Babban rikicewar damuwa | Ee | Ee (nau'ikan IR da XR) |
| Rashin daidaituwar damuwa | Kashe-lakabi | Ee (nau'in XR kawai) |
| Rikicin zamantakewar al'umma (zamantakewar al'umma) | Kashe-lakabi | Ee (nau'in XR kawai) |
| Rashin tsoro | Kashe-lakabi | Ee (nau'in XR kawai) |
Shin Pristiq ko Effexor sun fi tasiri?
ZUWA meta-bincike ya kalli aminci da ingancin Pristiq da Effexor. Masu binciken sun kammala cewa duka kwayoyi sun yi kama da juna dangane da inganci wajen magance bakin ciki, da kuma illa masu illa. Koyaya, marasa lafiyar da suka sha Pristiq basu da yawan tashin zuciya kamar marasa lafiyar da suka sha Effexor.
Tuntuɓi mai ba da lafiyar ku don shawarar likita. Kwararrun likitocin ku kawai zasu iya tantance wane magani ne yafi muku kyau, gwargwadon yanayin lafiyar ku (s) da tarihin ku, da kuma duk wani magani da zaku sha wanda zai iya mu'amala da Pristiq ko Effexor.
Sami katin rangwame na kantin magani
Verageaukar hoto da kwatancen farashi na Pristiq vs. Effexor
Inshora da shirin Medicare Sashe na D galibi suna rufe Pristiq. Farashin kuɗi na aljihu na takaddun magani na yau da kullun na 30, 50 MG kwayoyi kusan $ 380. Kyauta katin SingleCare na iya kawo farashin ƙasa da $ 60.
Inshora da shirin Medicare Sashe na D galibi suna rufe Effexor XR (mafi shahararren nau'in da aka tsara na Effexor). Farashin kuɗin aljihu na takaddun magani na yau da kullun na 30, 150 MG yakai kimanin $ 140. Kuna iya amfani da katin SingleCare kyauta don kawo farashin ƙasa da kusan $ 15.
Kamar yadda tsare-tsaren inshora suka bambanta kuma zasu iya canzawa, tuntuɓi shirin inshorar lafiyar ku don bayanin ɗaukar hoto na yanzu.
| Pristiq | Effexor | |
| Yawanci inshora ya rufe? | Ee | Ee |
| Yawanci an rufe shi ta Medicare Part D? | Ee | Ee |
| Daidaitaccen sashi | 30, 50 MG da aka sake saki | 30, 150 mg fadada-sakewa capsules |
| Hanyar biyan kuɗaɗe na Medicare | $ 1- $ 7 | $ 0- $ 20 |
| SingleCare kudin | $ 60- $ 80 | $ 15- $ 40 |
Illolin yau da kullun na Pristiq vs. Effexor
Illolin da suka fi dacewa na Pristiq sune tashin zuciya, jiri, rashin bacci, yawan zufa, maƙarƙashiya, bacci, rage abinci, damuwa, da matsalolin jima'i na maza.
Sakamakon illa na yau da kullun na Effexor XR shine tashin zuciya, bacci, bushe baki, gumi, matsalolin jima'i, rage ci, da maƙarƙashiya.
Sauran sakamako masu illa na iya faruwa. Tuntuɓi ƙwararrun likitocin ku don cikakken jerin abubuwan illa.
| Pristiq | Effexor * | |||
| Tasirin Side | Ana amfani? | Mitar lokaci | Ana amfani? | Mitar lokaci |
| Ciwan | Ee | 22% | Ee | 30% |
| Bakin bushe | Ee | goma sha ɗaya% | Ee | goma sha biyar% |
| Maƙarƙashiya | Ee | 9% | Ee | 9% |
| Rage yawan ci | Ee | 5% | Ee | 10% |
| Dizziness | Ee | 13% | Ee | 16% |
| Bacci | Ee | 4% | Ee | goma sha biyar% |
| Rashin bacci | Ee | 9% | Ee | 18% |
| Gumi | Ee | 10% | Ee | goma sha ɗaya% |
| Rage libido | Ee | 4% | Ee | 5% |
| Matsalar fitar maniyyi | Ee | 1% | Ee | 10% |
| Rashin ƙarfi / rashin ƙarfi | Ee | 3% | Ee | 5% |
* percentididdigar da aka lissafa don Effexor XR ne, mafi yawancin rubutaccen tsari na Effexor
Source: DailyMed ( Pristiq ,, DailyMed ( Effexor XR)
Maganganun ƙwayoyi na Pristiq vs. Effexor
Yin amfani da magungunan SNRI tare da masu hana MAO na iya ƙara haɗarin cututtukan serotonin , wanda zai iya zama barazanar rai. Pristiq ko Effexor dole ne a raba su da MAOI har zuwa kwana bakwai zuwa 14, gwargwadon abin da aka fara dakatar da magani. Bai kamata a sha Pristiq ko Effexor tare da wasu magungunan da ke kara yawan kwayar serotonin ba, kamar sauran magungunan SNRI ko SSRI, masu saurin kaura, da opioids, saboda wannan dalili. Hakanan, ya kamata a guji mai hana maganin tari, wanda ake samu a Robitussin-DM da sauran kayan tari masu yawa da sanyi, domin shima yana iya haifar da ciwon serotonin idan aka hada shi da Pristiq ko Effexor.
Sauran magungunan da zasu iya mu'amala da Pristiq ko Effexor sun hada da NSAIDs (magungunan da ba na steroidal ba) kamar su aspirin ko ibuprofen, da kuma masu ba da magani (masu ba da jini) kamar warfarin. Guji shan giya yayin shan Pristiq ko Effexor.
Idan aka sha Pristiq tare da wani magani wanda ake amfani da shi wanda ake kira cytochrome P 2D6, sauran maganin na iya ginawa zuwa matakan da suke da yawa kuma zasu iya zama mai guba. Ana iya buƙatar daidaitaccen sashi. Effexor bashi da wannan hulɗar.
Wannan ba cikakke bane game da ma'amala da ƙwayoyi. Tuntuɓi mai ba da lafiyar ku don cikakken jerin hulɗar magunguna.
| Drug | Ajin magani | Pristiq | Effexor |
| Isocarboxazid Linezolid Phenelzine Selegiline Tranylcypromine | MAOIs (monoamine oxidase masu hanawa) | Ee | Ee |
| Rizatriptan Sumatriptan Zolmitriptan | Masu fassara | Ee | Ee |
| St. John’s Wort | Kari | Ee | Ee |
| Codein Hydrocodone Morphine Oxycodone Tramadol | Opioids | Ee | Ee |
| Dextromethorphan (a yawancin tari da kayan sanyi) | Mai hana tari | Ee | Ee |
| Desvenlafaxine Duloxetine Venlafaxine | SNRI masu kwantar da hankali | Ee | Ee |
| Citalopram Escitalopram Fluoxetine Fluvoxamine Paroxetine Sertraline | SSRI masu maganin ciwon ciki | Ee | Ee |
| Amitriptyline Tsammani Imipramine Nortriptyline | Magungunan antioxidric na Tricyclic | Ee | Ee |
| Asfirin Ibuprofen Meloxicam Nabumetone Naproxen | NSAIDs (magungunan anti-inflammatory marasa steroid) | Ee | Ee |
| Warfarin | Anticoagulant | Ee | Ee |
| Bututun mai | Wakilin rage nauyi | Ee | Ee |
| Atomoxetine Metoprolol Nebivolol Perphenazine Tolterodine | Magunguna masu haɓaka ta enzyme CYP2D6 | Ee | Ba |
Gargadi na Pristiq da Effexor
Duk masu kwantar da hankula, ciki har da Pristiq da Effexor, suna da gargadin dambe game da kashe kansu. Gargadi mai ban tsoro shine mafi girman gargaɗi da FDA ke buƙata. Yara, matasa, da samari (har zuwa shekaru 24) waɗanda ke shan ƙwayoyin cuta suna da haɗarin tunanin kashe kansu da ɗabi'unsu. Duk marasa lafiya magungunan antidepressant ya kamata a hankali sanya idanu.
Sauran gargaɗin sun haɗa da:
- Pristiq da Effexor ba su da izinin kula da marasa lafiyar yara.
- Cutar Serotonin cuta ce mai tsanani, mai barazanar rai sakamakon lalacewar ƙwayar serotonin da yawa. Marasa lafiyar da ke shan Pristiq ko Effexor ya kamata a kula da kyau don alamomi da alamomin ciwo na serotonin, kamar su hallucinations, seizures, canje-canje a 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 magungunan da ke ƙara yawan kwayar serotonin (triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, dextromethorphan, amphetamines, St. John's Wort, da MAOIs) suna cikin haɗarin kamuwa da cutar serotonin.
- Pristiq ko Effexor na iya haifar da hawan jini. Kula da hawan jini akai-akai. Idan kana da cutar hawan jini ko matsalolin zuciya, tuntuɓi likitanka kafin shan Pristiq ko Effexor.
- SNRIs na iya ƙara haɗarin zub da 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 ƙwaƙwalwa na iya haifar da wani abu mai gauraye / cuta.
- Guji SNRIs ko amfani da hankali a cikin marasa lafiya tare da ƙananan ƙananan ƙananan ƙwayoyin cuta (ƙyamar-rufe glaucoma). Tambayi mai ba ku lafiya idan kuna cikin haɗari.
- Lokacin da ka daina shan Pristiq ko Effexor, tambayi likitocinka don jadawalin tapering. Rushewar ba zato ba tsammani na iya haifar da alamun janyewar ciki kamar tashin zuciya, rawar jiki, rikicewa, da kamuwa. Rage allurai a hankali zai iya taimakawa kauce wa waɗannan alamun.
- Hyponatremia (ƙananan matakan 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 zai iya haifar da faɗuwa. Mafi yawan lokuta masu tsanani na iya faruwa. Marasa lafiya ya kamata su nemi maganin gaggawa idan bayyanar cututtuka ta faru, kuma dakatar da SNRI.
- Kada ku tuƙa ko sarrafa inji har sai kun san yadda Pristiq ko Effexor ke shafar ku.
- Yi magana da mai baka kiwon lafiya game da amfani da Pristiq ko Effexor idan kana da tarihin kamuwa.
- A cikin al'amuran da ba kasafai ake samun su ba, ana samun rahotannin rashin kuzari da halayen rashin kuzari / rashin lafiyar rashin lafiyar jiki ko angioedema. Idan kun gamu da kumburi ko alamun rashin lafiyan, ku daina shan Pristiq ko Effexor kuma ku nemi jinya nan da nan. Kada ku ɗauki Pristiq ko Effexor idan kuna rashin lafiyan kowane ɗayan abubuwan.
- Areananan batutuwa na cututtukan huhu da ke cikin mahaifa da cututtukan huhu na eosinophilic an haɗa su da waɗannan magunguna. Idan kuna shan Pristiq ko Effexor kuma suna da numfashi mai ƙaranci, tari, ko rashin jin daɗin kirji, nemi likita nan da nan.
- Ya kamata a yi amfani da Pristiq ko Effexor 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. Sabili da haka, ya kamata a kimanta marasa lafiya bisa la'akari da yanayin. Mai ba da lafiyar ku na iya auna haɗari dangane da fa'idodi na amfani da SNRI yayin ɗaukar ciki. Yaran da suka kamu da cutar SNRIs a cikin watanni uku na uku sun ci gaba da rikitarwa da ke buƙatar dogon lokacin asibiti, taimakon numfashi, da kuma ciyar da bututu. Idan kun riga kun kasance akan Pristiq ko Effexor kuma gano cewa kuna da juna biyu, tuntuɓi mai ba ku kiwon lafiya nan da nan.
- Pristiq: Haɗa kwamfutar hannu duka, tare da ruwa. Kada ku tauna, murƙushe, narke, ko raba allunan.
- Effexor XR: Swalwal kwalliya da ruwa. Kada a rarraba, murkushewa, tauna, ko sanya kawunon a cikin ruwa. Ko kuma, zaku iya buɗe kawun ɗin, ku yayyafa abubuwan da ke ciki a cikin cokali na applesauce, kuma nan da nan ku haɗi ruwan, ku biyo bayan shan gilashin ruwa.
Tambayoyi akai-akai game da Pristiq vs. Effexor
Menene Pristiq?
Pristiq shine mai kwantar da hankalin SNRI. Pristiq yana maganin bacin rai ga manya. Sunan mahaifa shine desvenlafaxine.
Menene Effexor?
Effexor kuma magungunan SNRI ne. Effexor yana magance baƙin ciki a cikin manya. Effexor XR (ƙarin saki) yana magance baƙin ciki, rikicewar zamantakewar jama'a, rikicewar tsoro, da rikicewar rikicewar gabaɗaya. Sunan mahaifa na Effexor shine venlafaxine.
Shin Pristiq da Effexor iri daya ne?
Magunguna suna kama da juna. Lokacin da Effexor ke narkewa a jiki, sai ya zama desvenlafaxine, sinadarin aiki na Pristiq. Magungunan guda biyu suna kama da juna amma suna da wasu bambance-bambance, kamar su kashi, farashi, yawan tasirinda yake faruwa, da kuma mu'amalar magani.
Shin Pristiq ko Effexor ne mafi kyau?
Dukansu magunguna iri ɗaya suke dangane da inganci. Mai ba da lafiyar ku zai iya yi muku jagora game da wane irin magani ne zai dace da ku.
Shin zan iya amfani da Pristiq ko Effexor yayin da nake da juna biyu?
Tuntuɓi mai ba da lafiya don shawara. Shi ko ita za su auna fa'idar shan antidepressant vs. haɗarin ga jariri . Neonates da aka fallasa zuwa wasu magungunan antidepressants, gami da SNRIs ko SSRIs (zaɓaɓɓun maɓuɓɓugan maganin serotonin kamar Prozac), a cikin watanni uku na ciki, sun sami manyan matsaloli.
Idan kun riga kun kasance akan Pristiq ko Effexor kuma kun 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 Pristiq ko Effexor tare da barasa?
A'a. Bai kamata a sha Pristiq ko Effexor 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 lalata faɗakarwa. Haɗuwa zai iya ƙara damuwa da damuwa.
Shin Pristiq yana taimakawa da damuwa?
Kodayake ana nuna Pristiq ne kawai don magance bakin ciki, amma wasu likitocin suna sanya shi a lakabin-lakabin don damuwa. Koyaya, a cikin gwaji na asibiti , 3% na marasa lafiya waɗanda suka ɗauki Pristiq 50 mg (ƙimar da aka ba da shawara) sun sami damuwa a matsayin sakamako mai illa. Wasu mutane suna buƙatar gwadawa magunguna daban-daban don ganin wanne yafi kyau. Tuntuɓi mai ba da lafiyar ku don ƙarin bayani.
Shin Pristiq shine mai daidaita yanayin?
Ana amfani da ƙwayoyi da aka sanya su azaman masu daidaita yanayi don magance rikicewar rikicewar ciki. An nuna Pristiq don magance bakin ciki. Paukar Pristiq na iya sa yanayinka ya sami kwanciyar hankali, amma ba a sanya shi a matsayin mai daidaita yanayin ba. Pristiq shine mai kwantar da hankalin SNRI.
Shin venlafaxine shine SNRI?
Ee. Effexor (venlafaxine) SNRI ne. Sauran SNRIs don ɓacin rai sun haɗa da Pristiq (desvenlafaxine), Fetzima (levomilnacipran), da Cymbalta (duloxetine).
