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Tramadol da Hydrocodone: Bambanci, kamanceceniya, kuma wanne ya fi muku

Magunguna vs. Aboki

Tramadol da hydrocodone wasu magunguna ne guda biyu da ake amfani da su don magance ciwo wanda ba a sauƙaƙa sauƙi tare da maganin rashin magani na opioid. Dukansu magunguna na iya magance matsakaici zuwa mai tsananin ciwo bayan tiyata ko a cikin mawuyacin yanayi kamar su ciwon daji. Koyaya, don yawancin lokuta na ciwo, ba opioid far yawanci ana fara gwadawa.

Dukansu tramado l da hydrocodone suna aiki ta hanyar ɗaure ga masu karɓar opioid don canza yadda mutum yake amsa zafi. A matsayin maganin opioids, sun fi karfi fiye da matsakaita mai rage radadin ciwo. Saboda haka, waɗannan kwayoyi suna buƙatar ziyarar tare da likita don kimanta ciwonku.

Menene manyan bambance-bambance tsakanin Tramadol da Hydrocodone?

Tramadol shine sunan gama gari na Ultram, Ultram ER, da ConZip. Lissafi ne na Jadawalin IV bisa ga DEA wanda ke nufin yana da ɗan damar zagi. Yayinda yake ɗaure ga masu karɓar opioid, hakanan yana iya haɓaka ayyukan sauran ƙwayoyin cuta kamar norepinephrine da serotonin.

Hydrocodone shine sunan gama gari na Zohydro ER da Hysingla ER. Hakanan ana ɗaukar Hydrocodone azaman kwamfutar hannu mai haɗuwa tare da acetaminophen ƙarƙashin sunayen sunaye Vicodin ko Lortab. Ba kamar tramadol ba, hydrocodone magani ne na Jadawalin II DEA wanda ke da haɗarin zagi.

Babban banbanci tsakanin Tramadol da Hydrocodone
	Tramadol	Hydrocodone
Ajin magani	Opioid	Opioid
Alamar alama / ta kowa	Ana samun wadataccen tsari	Ana samun wadataccen tsari
Menene sunan gama-gari? Menene sunan alamar?	Na kowa: Tramadol Alamar: Ultram, Ultram ER	Na kowa: Hydrocodone Alamar: Zohydro ER, Hysingla ER, Vicodin (haɗe da acetaminophen), Lortab (haɗe da acetaminophen), Norco (haɗe da acetaminophen)
Wani nau'i (s) ne miyagun ƙwayoyi ya shigo?	Rubutun baka Rubutun baka, fadada-saki Maganin baka Dakatar da baka	Rubutun baka Rubutun baka, fadada-saki Maganin baka Maganin baka
Menene daidaitaccen sashi?	Ultram: 50 zuwa 100 MG kowane 4 zuwa 6 hours kamar yadda ake bukata Ultram ER: 100 MG kowane awa 24	Zohydro ER: 10 MG kowane 12 hours Hysingla ER: 20 MG kowane awa 24 Vicodin, Lortab, Norco (hade da acetaminophen): 5 zuwa 10 MG kowane 4 zuwa 6 hours kamar yadda ake buƙata
Yaya tsawon maganin al'ada?	Kullum kamar yadda ake buƙata. Lokacin jiyya ya dogara da umarnin likitanku.	Kullum kamar yadda ake buƙata. Lokacin jiyya ya dogara da umarnin likitanku.
Wanene yawanci yake amfani da magani?	Manya shekaru 18 zuwa sama	Manya shekaru 18 zuwa sama

Yanayin da Tramadol da Hydrocodone suka kula da shi

Tramadol da hydrocodone duk an nuna su don magance ciwo. Yawancin lokaci ana ba su umarni idan kuna da matsakaici zuwa matsanancin ciwo, musamman ma daga yanayi irin su ciwon daji. Dukkanin magungunan ana amfani dasu galibi don ciwo bayan rauni da tiyata.

Yanayi	Tramadol	Hydrocodone
Matsakaici zuwa ciwo mai tsanani	Ee	Ee
Jin zafi na kullum	Ee	Ee
Jin zafi daga rauni ko bayan tiyata	Ee	Ee
Ciwon daji	Ee	Ee

Shin Tramadol ko Hydrocodone sun fi inganci?

Tramadol da hydrocodone duka maganin opioids ne masu tasiri don ciwo. Akwai karatu da yawa da ke gwada tasirin su. Saboda hydrocodone yana da Jadawalin II opiate, ana iya ɗaukar shi mafi ƙarfi kodayake ya zo da babbar dama don zalunci. Tramadol na iya samun ƙarancin amfani da cuta da kuma illa mai sauƙi.

A daya nazarin manyan makarantu , tramadol tare da acetaminophen an kwatanta shi da hydrocodone tare da acetaminophen a cikin marasa lafiya da ke fama da ciwo daga dusar ƙafa. Kimanin marasa lafiya 400 sun kasu kashi biyu suna karɓar magani ɗaya ko ɗayan. Sakamako ya gano cewa duka magunguna suna ba da taimako mai sauƙi a cikin awanni huɗu dangane da placebo.

A wani gwajin asibiti , hydrocodone tare da acetaminophen an kwatanta shi da tramadol a cikin marasa lafiya 68. Waɗannan marasa lafiya sun isa sashen gaggawa don ciwo na musculoskeletal a cikin haɗin gwiwa, ƙashi, ko tsokoki. Sakamako ya gano cewa hydrocodone tare da acetaminophen yana ba da ƙarin taimako mai zafi idan aka kwatanta da tramadol dangane da ƙimar ciwo tare da sikelin analog na gani (VAS).

A cikin wani fitina biyu , hydrocodone tare da acetaminophen an kwatanta shi da tramadol a marasa lafiya 118 da ke fama da cutar kansa. Tramadol ya nuna rage radadin ciwo a cikin kashi 62% na marasa lafiya idan aka kwatanta da kashi 56.5% na marasa lafiya da ke da hydrocodone. Koyaya, sauƙin ciwo ya kasance daidai a cikin ƙungiyoyin biyu. Tramadol an gano shi don samar da sakamako mai sauki da hydrocodone.

Ko an sanya muku tramadol ko hydrocodone ya dogara sosai da ƙimar cutar ku. Yayin da kake nazarin ciwon ka, likitanka zai kalli cikakken tarihin lafiyar ka, duk wani tarihin cin zarafi, da duk wani magani wanda zai iya haifar da cudanya da kwayoyi. Sabili da haka, magungunan ciwo suna da keɓaɓɓun mutane kuma suna buƙatar shawarar likita don ƙayyade abin da zai fi tasiri a gare ku.

Verageaukar hoto da kwatancen farashi na Tramadol da Hydrocodone

Tramadol yana nan a matsayin kwaya daya tak. Yawancin lokaci ana rufe shi ta Medicare kuma mafi yawan tsare-tsaren inshora. Matsakaicin kudin samarda kwalayen tramadol guda sittin 50 yakai $ 40. Kuna adana ƙarin tare da takaddun SingleCare don jigilar tramadol a kantin magani na gida.

Hydrocodone magani ne na yau da kullun wanda Medicare ke rufe shi kuma mafi yawan tsare-tsaren inshora. Kudin hydrocodone ya banbanta tsakanin tsare-tsaren inshora daban-daban. Norco wanda ke dauke da hydrocodone da acetaminophen na iya aiki a tsadar $ 317. Tare da takaddun SingleCare, zaku iya tsammanin adana ƙarin akan takardar sayan magani don hydrocodone tare da acetaminophen.

	Tramadol	Hydrocodone
Yawanci inshora ya rufe?	Ee	Ee
Yawanci Medicare ke rufe shi?	Ee	Ee
Daidaitaccen sashi	50 MG Allunan (samar da 60) Ya dogara da takardar likitan ku	5-325 mg Allunan (wadatar 100) Ya dogara da takardar likitan ku
Hanyar biyan kuɗaɗe na Medicare	$ 40	$ 317
SingleCare kudin	$ 15	$ 18

Sakamakon illa na yau da kullun na Tramadol da Hydrocodone

Tramadol da hydrocodone na iya haifar da irin wannan tasirin. Saboda dukansu suna shafar tsarin juyayi na tsakiya (CNS), dukansu na iya haifar da dizziness, bacci, da gajiya. Wadannan magunguna na iya haifar da illa ga ciki kamar su maƙarƙashiya ko ciwon ciki. Tashin zuciya, amai, bushewar baki, da kuma ciwon kai wasu cutarwa ne na daban.

Tramadol na iya haifar da gudawa, rashin narkewar abinci, da gumi ga wasu mutane. A gefe guda, hydrocodone na iya haifar da haɓakar ruwa (edema) ko spasms na tsoka a cikin wasu mutane. Gabaɗaya, illolin illa na yau da kullun na iya haɗuwa tsakanin waɗannan magungunan biyu tunda suna cikin aji ɗaya.

Sauran cututtukan da ke tattare da tramadol da hydrocodone masu haɗari na iya haɗawa da damuwa, ɓacin rai, ko wasu rikicewar hauka. Hakanan halayen rashin lafiyar yana yiwuwa kuma yana iya haɗawa da kurji, flushing, da ciwon kirji.

	Tramadol	Hydrocodone
Tasirin Side	Ana amfani?	Mitar lokaci	Ana amfani?	Mitar lokaci
Maƙarƙashiya	Ee	24-46%	Ee	goma sha ɗaya%
Dizziness	Ee	26-33%	Ee	3%
Ciwan	Ee	24-40%	Ee	10%
Ciwon kai	Ee	18-32%	Ee	4%
Bacci	Ee	16-25%	Ee	5%
Amai	Ee	9-17%	Ee	3%
Chinganƙara (Pruritus)	Ee	8-11%	Ee	3%
Rashin ƙarfi	Ee	6-12%	Ee	4%
Gumi	Ee	6-9%	Ba	-
Rashin narkewar abinci	Ee	5-13%	Ba	-
Bakin bushe	Ee	5-10%	Ee	3%
Gudawa	Ee	5-10%	Ba	-
Edema	Ba	-	Ee	1%
Ciwon numfashi	Ba	-	Ee	1%
Magungunan tsoka	Ba	-	Ee	1%
Ciwon baya	Ba	-	Ee	1%

* Nemi likita ko likitan magunguna don duk illolin da zasu iya haifarwa.

Source: DailyMed (Tramadol HCl) , DailyMed (Zohydro ER) .

Magungunan ƙwayoyi na Tramadol da Hydrocodone

Tramadol da hydrocodone suna da irin wannan ma'amala da wasu magunguna. Saboda suna haɗuwa a cikin hanta, suna yawan yin ma'amala da wasu kwayoyi waɗanda ke shafar enzymes na hanta.

Magungunan da ke hana CYP3A4 da CYP2D6 enzymes na hanta sun hada da erythromycin, ketoconazole, da ritonavir wanda zai iya ƙara matakin opioids a cikin jiki kuma ya ƙara haɗarin illa. Magungunan da ke haifar da CYP3A4 hanta enzymes sun hada da carbamazepine da phenytoin wanda zai iya rage matakin opioids a cikin jiki kuma ya rage tasirinsu.

Tramadol da hydrocodone suma suna iya yin ma'amala da wasu magungunan da ke da tasirin CNS. Wadannan nau'ikan magungunan sun hada da antidepressants, anticonvulsants, benzodiazepines, shakatawa na tsoka, da sauran su. Shan opioids tare da maganin kara kuzari wanda ke kara serotonin na iya kara haɗarin ciwon serotonin, mummunan yanayin da ke buƙatar kulawar gaggawa na gaggawa.

Dangane da lakabin magani na FDA, tramadol na iya ma'amala da digoxin da warfarin. Rahotannin sun gano wasu lokuta da ba kasafai ake samun irin cutar ta digoxin ba da kuma tasirin warfarin. Alamar FDA don hydrocodone kuma ta ambaci cewa laxatives masu ƙarfi na iya rage tasirin hydrocodone a cikin jiki.

Ba'a ba da shawarar shan giya yayin amfani da opioids. Barasa na iya haɗuwa da illolin opioids kamar su bacci da jiri.

Drug	Ajin Magunguna	Tramadol	Hydrocodone
Erythromycin Clarithromycin Telithromycin Rifampin	Maganin rigakafi	Ee	Ee
Ketoconazole Itraconazole	Wakilin Antifungal	Ee	Ee
Ritonavir Atazanavir Darunavir Indinavir Lopinavir Saquinavir	Mai hana kariya	Ee	Ee
Phenytoin Carbamazepine	Mai cin nasara	Ee	Ee
Escitalopram Fluoxetine Paroxetine Sertraline Citalopram	Mai zaɓin maganin serotonin reuptake (SSRI) antidepressant	Ee	Ee
Venlafaxine Milnacipran Duloxetine Desvenlafaxine	Serotonin-norepinephrine reuptake inhibitor (SSNRI) antidepressant	Ee	Ee
Doxepin Amitriptyline Clomipramine Tsammani Imipramine Nortriptyline	TCA antidepressant	Ee	Ee
Naratriptan Rizatriptan Sumatriptan Zolmitriptan	Triptan	Ee	Ee
Alprazolam Clonazepam Diazepam Lorazepam	Benzodiazepine	Ee	Ee
Rasagiline Isocarboxazid Phenelzine Selegiline Tranylcypromine	Monoamine oxidase mai hanawa (MAOI)	Ee	Ee
Cyclobenzaprine Metaxalone	Relaxarfafa tsoka	Ee	Ee
Lactulose	Mai karfi laxative	Ba	Ee
Digoxin	Cardiac glycoside	Ee	Ba
Warfarin	Anticoagulant	Ee	Ba

* Wannan bazai zama cikakken jerin duk ma'amalar maganin miyagun ƙwayoyi ba. Tuntuɓi likita tare da duk magungunan da za ku iya sha.

Gargadi na Tramadol da Hydrocodone

Tramadol da hydrocodone suna ɗauke da gargaɗi game da jaraba da zagi idan ba a yi amfani da su ba kamar yadda aka tsara. Yin jaraba na iya haifar da dogaro da jiki wanda zai iya haifar da bayyanar cututtuka idan aka dakatar da miyagun ƙwayoyi don kowane dalili. Fitowar alamun cutar na iya haɗawa da damuwa, rashin bacci, da tashin hankali.

Samun fiye da yadda aka tsara na maganin opioids na iya kara barazanar wuce gona da iri, coma, da mutuwa. Illolin rayuwa masu barazanar rai irin su matsanancin damuwa na numfashi da wauta na iya faruwa tare da yawan abin sama. Saboda wannan dalili, ba a ba da shawarar opioids a cikin yara saboda ƙarin haɗarin matsalolin numfashi da mutuwa .

Ba a ba da shawarar shan giya ko shan wasu magungunan CNS tare da opioids. Wannan saboda suna ƙara haɗarin tasirin CNS kamar kwantar da hankali, jinkirin numfashi, coma, da mutuwa. Kodayake ana bukatar karin bayanai, sabo bincike ya nuna cewa tramadol na iya samun haɗarin mutuwa gabaɗaya idan aka kwatanta da magungunan anti-inflammatory.

Dukansu tramadol da hydrocodone suna cikin rukunin masu ciki C. Saboda haka, ba a ba da shawarar galibi ga mata masu ciki ko masu shayarwa saboda haɗarin cutarwa ga jaririn da ke ciki. Nemi shawarar likita idan kuna da ciki ko shirin ciki.

Tambayoyi akai-akai game da Tramadol da Hydrocodone

Menene tramadol?

Tramadol magani ne na opioid da ake amfani da shi don magance matsakaici zuwa matsanancin ciwo. Magunguna ne na Jadawalin IV wanda ke buƙatar takardar sayan magani da kimanta cutar ta likita. Ana samunsa a cikin sakin saki kai tsaye da kuma faɗaɗaɗɗen tsari dangane da tsananin ciwo.

Menene hydrocodone?

Hydrocodone magani ne na opioid wanda zai iya magance matsakaici zuwa mai tsanani. Magunguna ne na Jadawalin II wanda zai iya samun babban damar zagi da dogaro. Ana samunsa a cikin siɗaɗaɗɗen tsari da kuma kwaya mai hade da acetaminophen.

Shin tramadol da hydrocodone iri daya ne?

Kodayake dukansu opioids ne, tramadol da hydrocodone ba ɗaya bane. Suna da amfani iri ɗaya dangane da azabar da kuke fuskanta. Amma kuma suna zuwa cikin nau'ikan sashi daban-daban kuma suna da wasu tasiri daban-daban da kuma hulɗar miyagun ƙwayoyi.

Shin tramadol ko hydrocodone sun fi kyau?

Nazarin ya nuna cewa tramadol da hydrocodone suna da tasiri sosai wajen ciwo. Wasu rahotanni sun nuna cewa tramadol na da lahanin laulayi idan aka kwatanta da hydrocodone. Koyaya, wasu nazarin sun nuna cewa hydrocodone yafi karfi kuma yana samar da ƙarin taimako mai zafi a cikin wasu mutane.

Shin tramadol ya fi ƙarfin codeine?

Dukansu tramadol da codeine suna iya rage radadin ciwo kuma dukkansu ana ɗaukarsu masu rauni ne. Koyaya, suna iya bambanta cikin tasirin su da amfanin su. Ba kamar tramadol ba, ana iya amfani da codeine a matsayin mai hana tari.

Shin tramadol ɗan iska ne?

Ee. Tramadol narcotic ne mai kaifin zina. An yi shi ne da roba kuma yana cikin ajin magani iri ɗaya kamar sauran masu magance radadin opioid. A matsayin magani na Jadawalin IV, yana da ƙarancin damar zagi da dogaro idan aka kwatanta da sauran opioids.