Toradol da Tramadol: Bambanci, kamanceceniya, kuma wanene ya fi muku
Magunguna vs. AbokiBayanin magunguna & manyan bambance-bambance | Yanayin da aka bi | Inganci | Inshorar inshora da kwatancen farashi | Sakamakon sakamako | Hadin magunguna | Gargadi | Tambayoyi
Toradol (ketorolac) da tramadol (janar Ultram) su ne magunguna guda biyu da ke ba da magani wanda Hukumar Abinci da Magunguna ta Amurka (FDA) ta amince da su don ciwo.
Toradol an lasafta shi azaman ƙwayar cuta mai kashe kumburi (NSAID). Toradol yana taimakawa rage zafi da rage kumburi. Ba a fahimci yadda Toradol ke aiki kwata-kwata ba amma ana tunanin yin aiki ta hanyar hana samar da prostaglandin. Prostaglandin yana haifar da ciwo da kumburi. Ta hanyar hana samar da prostaglandin, Toradol yana taimakawa da zafi da kumburi.
Tramadol an kasafta shi azaman maganin cututtukan opioid. Yana da wani Jadawalin DEA na IV abu mai sarrafawa, ma'ana yana da wasu ƙarfi na zagi da dogaro. Ba a fahimci yadda yake aiki kwata-kwata ba amma ana ganin ya kasance ta hanyar ɗaurewa ga masu karɓar opioid tare da hana reuptake na norepinephrine da serotonin, wanda ke haifar da sauƙin jin zafi.
Kodayake ana amfani da Toradol da tramadol don ciwo, suna da bambance-bambance da yawa. Ci gaba da karantawa a ƙasa don neman ƙarin bayani game da Toradol da tramadol.
Menene manyan bambance-bambance tsakanin Toradol da tramadol?
Toradol ( Menene Toradol? ) shine NSAID, ko kuma maganin rigakafin cututtukan cututtukan ƙwayoyin cuta. Ana samuwa ta sifa, kamar yadda ake yi wa ketorolac, kuma ana iya yi mata allura a cikin jijiya (IV, ko intravenous, allura) ko tsoka (IM, ko intramuscular, allura). Hakanan ana samun shi a cikin nau'in kwamfutar hannu, kamar allunan mg 10, kuma azaman fesa hanci wanda ake kira Sprix. Mai haƙuri dole ne ya sami fom na IV ko IM kafin amfani da nau'in kwamfutar hannu, kuma jimlar magani (IV / IM / tablet / spray na hanci) bai wuce kwana biyar ba. Wannan don iyakance haɗarin yiwuwar illa mai haɗari, kamar zub da jini na hanji.
Tramadol (Menene Tramadol?) Yanayi ne na Ultram. Yana da cututtukan opioid (mai rage zafi). Akwai shi a tsarin kwamfutar hannu, da kuma ƙara-sakin kwamfutar hannu da nau'in kwantena. Hakanan ana samunsa kamar Ultracet, wanda ya ƙunshi tramadol da acetaminophen (acetaminophen yana da nau'in Tylenol, wanda aka fi sani da APAP).
| Babban banbanci tsakanin Toradol da tramadol | ||
|---|---|---|
| Toradol | Tramadol | |
| Ajin magani | NSAID | Opioid maganin cutar |
| Alamar alama / ta kowa | Nau'in (ketorolac) | Na kowa |
| Menene sunan gama-gari? Menene sunan alamar? | Na kowa: ketorolac (ketorolac tromethamine) | Alamar: Ultram |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Injections na IV da IM, kwamfutar hannu, fesa hanci | Tablet, ƙara-saki kwantena, ƙara-saki kwamfutar hannu |
| Menene daidaitaccen sashi? | Tablet da aka yi amfani da shi azaman ci gaba na IV ko IM ketorolac. 20 MG sau ɗaya, sannan 10 MG kowane 4 zuwa 6 hours kamar yadda ake bukata. Matsakaicin 40 MG kowace rana Kada ya wuce 5 duka kwanakin magani | An rage nauyin a hankali har zuwa 50 MG zuwa 100 MG kowane 4 zuwa 6 hours Matsakaicin 400 MG kowace rana |
| Yaya tsawon maganin al'ada? | Kwanaki 5 ko ƙasa da hakan | An gajere, wasu marasa lafiya suna ci gaba na tsawon lokaci bisa ga umarnin mai bayarwa |
| Wanene yawanci yake amfani da magani? | Mutane masu shekaru 17 zuwa sama | Mutane masu shekaru 17 zuwa sama |
Yanayin da Toradol da Tramadol suka kula da shi
Ana nuna Toradol a cikin manya don gudanar da gajeren lokaci na ciwo mai tsanani mai tsanani, yawanci a cikin saitin bayan fage (bayan tiyata), wanda ke buƙatar sauƙin ciwo na matakin opioid. Jimlar tsawon jiyya tare da Toradol bai kamata ya wuce kwana biyar ba.
Tramadol ana nuna shi a cikin manya waɗanda ke da matsanancin ciwo mai matsakaici zuwa matsakaici wanda ke buƙatar mai magance radadin opioid, lokacin da hanyoyin da ba na opioid ba su isa ko ba a jure su.
| Yanayi | Toradol | Tramadol |
| Gudanar da gajeren lokaci (kwanaki 5 ko lessasa) gudanar da matsanancin ciwo mai tsanani wanda ke buƙatar analgesia na matakin opioid, yawanci a cikin aikin bayan fage | Ee | Ba |
| Matsakaici zuwa matsanancin ciwo mai zafi a cikin manya (mai tsananin isa don buƙatar maganin opioid, lokacin da sauran jiyya basu isa ko jurewa ba) | Ba | Ee |
Shin Toradol ko tramadol sun fi tasiri?
ZUWA karatu a Indiya idan aka kwatanta da Toradol da tramadol don jin zafi bayan an gama tiyata a cikin manya 50. Dukansu magungunan an basu IM. Duk magungunan biyu sun haifar da raguwar ciwo, amma tramadol ya haifar da kyakkyawan maganin zafi fiye da Toradol a kowane awa, kuma an fi jurewa.
Wani karatu , a cikin Meziko, ya kalli magungunan biyu don jin zafi bayan an gama aikin kuma ya kwatanta Toradol na baki zuwa IM tramadol. Binciken ya gano cewa Toradol ya fi tramadol taimakawa wajen rage radadin ciwo.
Duk da cewa bincike daya ya nuna cewa tramadol ya fi kyau, kuma binciken daya ya nuna cewa Toradol ya fi kyau, duka binciken an yi su ne a wasu kasashe inda ake ba da kwayar ta tramadol a cikin tsoka.
A Amurka, an tsara tramadol a matsayin kwamfutar hannu ta baka a cikin asibitin marasa lafiya. Toradol, ko ketorolac, ana ba IV ko IM daga mai ba da sabis na kiwon lafiya, kuma mai yiwuwa a ci gaba da allunan baka har zuwa kusan kwanaki biyar. Sabili da haka, yana da wahala a fitar da waɗannan sakamakon dangane da abin da za'a umarce ku gaba ɗaya a nan Amurka Gabaɗaya, kowane magani na iya yin tasiri sosai wajen magance ciwo. Yawancin lokaci, dole ne a yi la'akari da wasu abubuwan.
Magungunan da suka fi dacewa a gare ku ya kamata likitan ku ya ƙaddara ku, wanda shine mafi kyawun tushen shawarwarin likita. Shi ko ita na iya yin la'akari da tarihin lafiyar ku da yanayin ku da kuma wasu ƙwayoyi da kuka sha waɗanda ke iya yin ma'amala da Toradol ko tramadol.
Verageaukar hoto da kwatancen farashin Toradol da tramadol
Toradol yawanci inshora ne ke rufe Toradol, kuma ɗaukar nauyin Medicare Part D ya bambanta. Kudin daga aljihun kuɗin Toradol na yau da kullun (20, 10 mg mg) kusan $ 50. Tare da takaddun SingleCare magunguna masu farawa suna farawa daga $ 18.
Tramadol galibi inshora ne ke rufe shi kuma Medicare Part D. Kudin aljihun tramadol (60, 50 mg mg) kusan $ 43. Zaka iya samun tramadol ta hanyar rangwamen rangwame na SingleCare na $ 12 ya danganta da wane kantin magani kake amfani dashi.
| Toradol | Tramadol | |
| Yawanci inshora ya rufe? | Ee (na gama gari) | Ee |
| Yawanci an rufe shi ta Medicare Part D? | Ya bambanta | Ee |
| Daidaitaccen sashi | 20, 10 MG allunan | 60, 50 MG Allunan |
| Hankula Medicare Part D copay | $ 15-239 | $ 0- $ 47 |
| SingleCare kudin | $ 18- $ 38 | $ 12- $ 20 |
Sami katin rangwame na kantin magani
Illolin yau da kullun na Toradol da tramadol
Abubuwan da suka fi dacewa na Toradol sune cututtukan ciki (GI) a cikin yanayi, gami da ciwon ciki, rashin narkewar abinci, da tashin zuciya. Sauran cututtukan GI na iya faruwa, kamar maƙarƙashiya, gudawa, da amai. Ciwon kai ma na iya faruwa tare da Toradol.
Abubuwan da aka fi sani da tramadol sune tashin zuciya, maƙarƙashiya, ciwon kai, jiri, da bacci.
Wannan ba cikakken jerin tasirin tasiri bane. Sauran abubuwa marasa kyau na iya faruwa. Tuntuɓi mai ba da lafiyar ku don ƙarin bayani game da illa.
| Toradol | Tramadol | |||
| Tasirin Side | Ana amfani? | Mitar lokaci | Ana amfani? | Mitar lokaci |
| Ciwon ciki | Ee | > 10% | Ee | 1-5% |
| Rashin narkewar abinci | Ee | > 10% | Ee | 5-13% |
| Ciwan | Ee | > 10% | Ee | 24-40% |
| Maƙarƙashiya | Ee | 1-10% | Ee | 24-46% |
| Gudawa | Ee | 1-10% | Ee | 5-10% |
| Amai | Ee | 1-10% | Ee | 9-17% |
| Ciwon kai | Ee | > 10% | Ee | 18-32% |
| Itching | Ee | 1-10% | Ee | 8-11% |
| Dizziness | Ee | 1-10% | Ee | 26-33% |
| Bacci | Ee | 1-10% | Ee1 | 16-25% |
Source: DailyMed ( Toradol / ketorolac), DailyMed ( tramadol )
Hadin magunguna na Toradol da tramadol
Toradol na iya mu'amala da masu hana yaduwar jini irin su heparin ko warfarin, kuma ya kamata a kula da marassa lafiyar a hankali idan akan wannan haɗin magunguna. Bai kamata a dauki Toradol tare da sauran NSAIDs ba, saboda yiwuwar zubar jini ta GI da kuma ƙarin illoli. Shan Toradol tare da diuretics na iya kara haɗarin gazawar koda (koda). Bai kamata a sha Toradol da wasu magungunan hawan jini ba (ACE inhibitors ko ARBs) saboda haduwar na iya haifar da matsalar koda, musamman ma ga majiyyatan da ke fama da rashin ruwa. Toaukar Toradol tare da magungunan rigakafin SSRI na iya ƙara haɗarin zubar jini na GI kuma ya kamata a guje shi.
Bai kamata a sha Tramadol da benzodiazepines, wasu magungunan CNS masu zafin rai, ko kuma barasa ba. Bai kamata a sha kwayar Tramadol da kwayoyin kara serotonin ba (SSRI, SNRI, ko tricyclic antidepressants; triptans; masu narkar da tsoka; da masu hana MAO) saboda haduwar na iya haifar da mummunan yanayin rayuwa da ake kira serotonin syndrome. MAADI ya raba Tramadol da aƙalla kwanaki 14. Tramadol kuma yana mu'amala da magunguna waɗanda ke haifar da enzyme ko masu hanawa.
Wannan ba cikakke bane game da ma'amala da ƙwayoyi. Sauran hulɗar miyagun ƙwayoyi na iya faruwa. Tuntuɓi mai ba da lafiyar ku don cikakken jerin takardar sayan magani da hulɗar magungunan OTC tare da Toradol da tramadol.
| Drug | Ajin Magunguna | Toradol | Tramadol |
| Heparin Warfarin | Anticoagulants | Ee | Ee (warfarin) |
| Asfirin Ibuprofen Meloxicam Nabumetone Naproxen | NSAIDs | Ee | Ba |
| Furosemide Hydrochlorothiazide | Diuretics | Ee | Ee |
| Lithium | Antimanic wakili | Ee | Ee |
| Samun bayanai | Antimetabolite | Ee | Ee |
| Benazepril Candesartan Enalapril Irbesartan Lisinopril Losartan Ramipril Telmisartan Valsartan | Masu hana ACE ARB (masu hana masu karɓa na angiotensin) | Ee | Ee |
| Carbamazepine Phenytoin | Magungunan antiepileptic | Ee | Ee |
| Citalopram Escitalopram Fluoxetine Fluvoxamine Paroxetine Sertraline | SSRI masu maganin ciwon ciki | Ee | Ee |
| Alprazolam Clonazepam Diazepam Temazepam | Benzodiazepines | Ee (clonazepam da diazepam) | Ee |
| Codein Fentanyl Hydrocodone Methadone Morphine Oxycodone | Opioids | Ba | Ee |
| Barasa | Barasa | Ee | Ee |
| Duloxetine Desvenlafaxine Venlafaxine | SNRI masu kwantar da hankali | Ee | Ee |
| Amitriptyline Tsammani Imipramine Nortriptyline | Magungunan antioxidric na Tricyclic | Ee | Ee |
| Rizatripta Sumatriptan | Masu fassara | Ee | Ee |
| Baclofen Cyclobenzaprine Metaxalone | Relaxarfafa tsoka | Ba | Ee |
| Phenelzine Selegiline Tranylcypromine | MAOI (MAO masu hanawa) | Ba | Ee (keɓaɓɓen amfani da aƙalla kwanaki 14) |
| Digoxin | Cardiac glycoside | Ba | Ee |
| Benztropine Dicyclomine Diphenhydramine Tolterodine | Magungunan Anticholinergic | Ba | Ee |
| Clarithromycin Erythromycin Fluconazole Ketoconazole Ritonavir | Masu hana CYP3A4 | Ba | Ee |
| Bupropion Fluoxetine Paroxetine Quinidine | Masu hana CYP2D6 | Ee (bupropion, fluoxetine, paroxetine) | Ee |
Gargadi na Toradol da Tramadol
Gargaɗi na Toradol (ketorolac):
- Toradol (ketorolac) allunan kawai za'a iya amfani dasu azaman ci gaba da magani bayan bin IV ko IM, idan an buƙata. Adadin tsawon lokacin ketorolac bai kamata ya wuce kwana biyar ba.
- Kada a yi amfani da allunan Toradol (ketorolac) a cikin yara, kuma kada a yi amfani da su don ƙarami ko ciwo mai tsanani.
- Matsakaicin adadin yau da kullun na Toradol (ketorolac) shine 40 MG. Theara kashi sama da 40 MG kowace rana ba zai inganta jinƙan ciwo ba, amma zai haɓaka damar sakamako mai tsanani.
- Toradol (ketorolac) na iya haifar da manyan matsaloli na GI, gami da gyambon ciki, zub da jini, ko ɓarnawar ciki ko hanji, wanda zai iya zama na mutuwa. Kowane ɗayan waɗannan abubuwan na iya faruwa ba tare da gargaɗi ba. Toradol (ketorolac) an hana shi (ba za a yi amfani da shi ba) a cikin marasa lafiya da ke fama da cutar ulcer, marasa lafiya da cutar GI ta kwanan nan, da marasa lafiya da ke fama da tarihin cutar olsa ko ta GI. Marasa lafiya tsofaffi suna cikin haɗari mafi girma ga abubuwan GI.
- NSAIDs na iya haifar da haɗarin haɗarin mummunan lamarin zuciya, kamar ciwon zuciya ko bugun jini, wanda zai iya zama m. Haɗarin na iya faruwa da wuri a cikin jiyya, kuma haɗarin yana ƙaruwa tare da tsawon lokacin jiyya.
- Kada a yi amfani da Toradol (ketorolac):
- a cikin yanayin aikin tiyata na CABG
- a cikin marasa lafiyar da suka kamu da bugun zuciya kwanan nan
- a cikin marasa lafiya masu fama da matsalolin koda da kuma marasa lafiya da ke cikin haɗarin gazawar koda saboda rashin ruwa a jiki
- kafin wani babban tiyata
- a cikin aiki da haihuwa
- a cikin marasa lafiya waɗanda ke ɗaukar wasu NSAIDs
- a cikin marasa lafiya tare da tsananin zuciya / edema
- a cikin marasa lafiya tare da wasu halaye na jini ko kuma cikin haɗarin zubar jini.
- Toradol (ketorolac) na iya haifar da sabon hauhawar jini ko hauhawar jini (hawan jini).
- Wasu marasa lafiya suna buƙatar daidaitaccen sashi, gami da majinyatan da suke da shekaru 65 ko sama da haka, marasa lafiya waɗanda nauyinsu bai kai 110 lbs ba, da marasa lafiya da ke ɗauke da sinadarin creatinine.
- Toradol (ketorolac) na iya haifar da wani halin rashin kuzari, wanda zai iya zama na mutuwa. Marasa lafiya tare da Sample's triad kada ya sha ketorolac.
- Hanyoyin fatar jiki na iya faruwa, gami da cututtukan fata, Stevens-Johnson Syndrome (SJS), da cututtukan epidermal necrolysis (TEN), wanda zai iya zama m. Marasa lafiya ya kamata su daina shan ketorolac a duk wata alama ta fatar jiki kuma su nemi likita na gaggawa.
- Bai kamata a yi amfani da Toradol (ketorolac) a ƙarshen ciki ba, saboda hakan na iya haifar da rufewar ductus arteriosus da wuri, wanda zai haifar da matsalolin zuciya ko ma mutuwar ɗan tayi.
Gargadin Tramadol:
- Tramadol na da damar yin zagi, amfani da shi, da kuma maye, wanda zai iya haifar da yawan ƙwayoyi da mutuwa. Yourauki magunguna kamar yadda aka tsara . Kada ku ɗauki ƙarin allurai ko amfani da magani don wasu yanayi fiye da wanda aka tsara shi.
- Mai tsanani, barazanar rai na barazanar rai (jinkirin numfashi) na iya faruwa. Dole ne a kula da marasa lafiya don damuwa na numfashi, musamman a lokacin farawa na jiyya kuma tare da kowane canji cikin kashi. Marasa lafiya tsofaffi da marasa lafiya da ke fama da wasu matsaloli na yau da kullun irin su cutar huhu suna cikin haɗari mafi girma don ɓacin rai.
- Shigar da haɗari daga kowa, musamman yara, na iya haifar da mummunar shan kwayar tramadol. Nesa daga inda yara zasu isa, zai fi dacewa a kulle da maɓalli. Rashin damuwa na numfashi na rayuwa da mutuwa sun faru a cikin yara waɗanda suka karɓi tramadol. Wasu daga cikin shari'ar sun faru ne bayan an cire tonsil ko cire adenoid.
- Amfani da tramadol tare da wasu opioids, benzodiazepines, ko wasu CNS (tsarin jijiyoyi na tsakiya) masu ɓacin rai na iya haifar da mummunan baƙin ciki na numfashi, zurfin nutsuwa, rashin lafiya, ko mutuwa. Idan ba za a iya kauce wa haɗuwa ba, ya kamata a yi amfani da kaso mafi ƙanƙanci don mafi ƙanƙanci, kuma ya kamata a sa ido sosai a kan mai haƙuri.
- An sami kamuwa a cikin majinyatan da ke shan tramadol, koda kuwa a allurai na al'ada. Marasa lafiya da ke shan wasu ƙwayoyi (kamar su SSRI, SNRI, ko tricyclic antidepressants, opioids, ko MAO masu hanawa) ko marasa lafiya da ke da tarihin kamuwa suna cikin haɗari mafi girma.
- Marasa lafiya waɗanda ke kashe kansu ko kuma masu saurin kamu da kwayoyi kada su sha tramadol.
- Saka idanu hawan jini - ƙarancin jini na iya faruwa.
- Marasa lafiya da larurar hankali ko cikin suma ba za su sha tramadol ba.
- Marasa lafiya tare da toshewar GI bai kamata su sha tramadol ba.
- Lokacin dakatar da tramadol, ya kamata a shanye magungunan kuma ba za a tsayar da hanzari ba, don kauce wa bayyanar cututtuka.
- Mahimmancin halayen anaphylactic masu haɗari da ƙarancin rai sun faru, sau da yawa bayan an fara amfani da maganin farko. Sauran halayen rashin lafiyar sun hada da pruritus (itching), amya, bronchospasm, angioedema, epidermal necrolysis mai guba, da kuma ciwo na Stevens-Johnson. Idan kana da ɗayan waɗannan alamun, to ka daina shan tramadol ka nemi likita na gaggawa.
- Kada ka tuƙa ko sarrafa inji har sai ka san yadda kake yi da tramadol.
- Yin amfani da opioids na dogon lokaci, kamar su tramadol, yayin daukar ciki na iya haifar da ciwon mara na opioid.
Tambayoyi akai-akai game da Toradol da Tramadol
Menene Toradol?
Toradol shine NSAID wanda ke taimakawa tare da ciwo da kumburi, galibi ana amfani dashi bayan tiyata. Ana samunsa azaman allurar IV ko IM kuma azaman kwamfutar hannu. Ana iya ɗaukar nau'in kwamfutar hannu azaman ci gaba da ƙirƙirar IV ko IM. Adadin tsawon lokacin yin maganin ketorolac dole ne ya kasance kwana biyar ko lessasa.
Menene tramadol?
Tramadol mai karfi ne mai kashe zafi, ko maganin opioid. Sunan mahaifa ne na Ultram. Ana iya wajabta shi lokacin da sauran magungunan marasa magani na opioid ba su da ƙarfi sosai ko ba a jure su.
Shin Toradol da tramadol iri daya ne?
A'a. Toradol da tramadol sun banbanta ta yadda suke aiki kuma suna da wasu bambance-bambance da yawa, kamar su abubuwa masu haɗari da ma'amala da ƙwayoyi, da bayani dalla-dalla.
Shin Toradol ko tramadol ya fi kyau?
A cikin karatun (duba sama), sakamakon ya bambanta. A zahiri, kodayake, magungunan biyu suna da matsayi a cikin maganin ciwo da / ko kumburi. Magungunan da yafi kyau a gare ku za a iya ƙayyade ku ta hanyar likitan ku. Kowane ɗayan waɗannan magungunan yana da damar hulɗa da ƙwayoyi da kuma yanayin kiwon lafiyar da basu dace ba. Mai ba da lafiyar ku shine mafi kyawun tushe don ƙayyade wane magani ne mafi kyawu a gare ku.
Shin zan iya amfani da Toradol ko tramadol yayin da nake da juna biyu?
A'a. Amfani da Toradol yayin da take da ciki na iya haifar da matsalolin zuciya ga ɗan tayi ko ma mutuwa. Kuma amfani da kwayar tramadol a cikin ciki na iya haifar da cutar da tayi. Yin amfani da kwayar tramadol tsawon lokaci a cikin ciki na iya haifar da wani yanayi mai barazanar rayuwa wanda ake kira ciwo na karban haihuwa opioid.
Zan iya amfani da Toradol ko tramadol tare da barasa?
A'a. Amfani da Toradol tare da barasa yana da haɗari kuma yana iya ƙara haɗarin zubar jini na hanji. Yin amfani da tramadol tare da barasa na iya ƙara haɗarin mummunar matsalar numfashi kuma har ma yana iya haifar da suma ko mutuwa.
Shin Toradol yana sanya ku bacci?
A wasu marasa lafiya, Toradol yana haifar da bacci. Wannan yana faruwa a cikin 1% zuwa 10% na marasa lafiya. Abubuwan da aka fi sani da Toradol sune ciwon ciki, rashin narkewar abinci, jiri, da ciwon kai.
Yaya sauri Toradol ke aiki?
Toradol (ketorolac) Allunan sun fara aiki cikin kusan awa ɗaya, kuma tasirin da aka samu shine awanni biyu zuwa uku.
