Viibryd vs. Lexapro: Bambanci, kamanceceniya, kuma wanene yafi muku alheri
Magunguna vs. AbokiBayanin magunguna & manyan bambance-bambance | Yanayin da aka bi | Inganci | Inshorar inshora da kwatancen farashi | Sakamakon sakamako | Hadin magunguna | Gargadi | Tambayoyi
Viibryd (vilazodone) da Lexapro (escitalopram) sune magungunan ƙwayoyi masu amfani da suna don amfani da su don magance babbar matsalar damuwa (MDD). Dukkanin kwayoyi guda biyu na iya taimakawa wajen magance alamun rashin damuwa, wanda zai iya haɗawa da baƙin ciki na dogon lokaci, rashin kuzari, da canjin bacci. Viibryd ko Lexapro na iya yin oda bayan kimantawar likita ta hanyar mai ba da sabis na kiwon lafiya wanda ƙwararre ne a kan tabin hankali.
Dukansu Viibryd da Lexapro sune magungunan kashe jiki wanda da farko suke aiki don haɓaka aikin serotonin a cikin kwakwalwa. Serotonin wani ƙwararren ƙwayar cuta ne wanda aka yi imanin cewa yana taka muhimmiyar rawa a cikin yanayi da jin daɗin rayuwa. Viibryd da Lexapro suna aiki azaman serotonin reuptake inhibitors (SSRIs), wanda ke taimakawa wajen ƙara yawan matakan serotonin a cikin kwakwalwa.
Kodayake ana iya amfani da magungunan duka biyu don magance baƙin ciki, amma suna da ɗan bambanci game da yadda ake amfani da su da kuma yadda suke aiki.
Menene manyan bambance-bambance tsakanin Viibryd da Lexapro?
Rariya
Viibryd shine sunan suna na vilazodone. Asalin Abincin da Magunguna (FDA) ne ya amince da shi a cikin 2011 don magance babbar matsalar damuwa. A halin yanzu babu wadataccen sifa da ake samu a kasuwa. Baya ga kasancewa cikin sikandire na SSRI, Viibryd shima mai karɓar rashi ne mai karɓar 5-HT1A.
Viibryd yana zuwa a matsayin MG 10, 20 MG, da 40 mg na baka wanda ake sha sau ɗaya tare da abinci. Viibryd bazaiyi aiki sosai ba idan ba'a ɗauke shi da abinci ba. Ya kai matakin qarshe a cikin jini bayan awa biyar kuma yana da rabin rai na kimanin awanni 25 .
Lexapro
Lexapro shine sunan alamar escitalopram. An yarda da FDA a 2002 don kula da MDD a cikin manya da matasa masu shekaru 12 zuwa 17 shekaru. Baya ga ɓacin rai, Lexapro na iya magance rikicewar rikicewar gabaɗaya. Hakanan ana samun nau'ikan nau'ikan nau'ikan Lexapro akan kasuwa.
Ana iya ɗaukar Lexapro azaman kwamfutar hannu ta baka cikin ƙarfin 5 MG, 10 MG, ko 20 MG. Yawanci ana ɗauka sau ɗaya kowace rana tare da ko ba tare da abinci ba. Lexapro ya kai matakin jini mafi girma a cikin awanni biyar kuma yana da rabin rai na har zuwa 32 hours .
| Babban bambanci tsakanin Viibryd da Lexapro | ||
|---|---|---|
| Rariya | Lexapro | |
| Ajin magani | Mai Zaɓaɓɓen Maɓallin Serotonin Reuptake (SSRI) Agananan agonist 5-HT1A | Mai Zaɓaɓɓen Maɓallin Serotonin Reuptake (SSRI) |
| Alamar alama / ta kowa | Babu sifa iri daya | Nau'i da nau'ikan sigar akwai |
| Menene sunan gama-gari? | Vilazodone | Escitalopram |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Rubutun baka | Rubutun baka |
| Menene daidaitaccen sashi? | 20 MG sau ɗaya a rana | 20 MG sau ɗaya a rana |
| Yaya tsawon maganin al'ada? | Dogon lokaci | Dogon lokaci |
| Wanene yawanci yake amfani da magani? | Manya | Manya da matasa |
Yanayin da Viibryd da Lexapro suka kula dashi
Viibryd da Lexapro sune likitan kwantar da hankali na FDA wadanda aka yi amfani dasu don magance babbar matsalar damuwa. Ko dai za a iya ba da umarnin ko wane irin magani a haɗe tare da psychotherapy da canje-canje na rayuwa don taimakawa sauƙaƙa alamun cututtukan ciki.
Lexapro kuma an yarda da FDA don magance rikicewar rikicewar gaba ɗaya (GAD). Kodayake ba a yarda da damuwa ba, Viibryd an yi nazari a cikin gwaji na asibiti domin maganin damuwa. Viibryd ko Lexapro wani lokaci ana iya amfani dashi ta hanyar lakabi don magance cuta mai rikitarwa (OCD).
| Yanayi | Rariya | Lexapro |
| Babban rikicewar damuwa | Ee | Ee |
| Rashin daidaituwar damuwa | Kashe-lakabi | Ee |
| Rashin hankali-tilasta cuta | Kashe-lakabi | Kashe-lakabi |
Shin Viibryd ko Lexapro yafi tasiri?
A cikin ɗaya bazuwar, gwaji na asibiti, vilazodone da escitalopram an kwatanta kai-da-kai tsakanin samfurin marasa lafiya 50. Hamilton Tashin sikelin sikelin (HAM – A) da ƙididdigar ƙididdigar ƙimar Hamilton (HAM-D) an saukar da su a cikin ƙungiyoyin maganin biyu. Koyaya, an sami escitalopram don rage ƙimar HAM-A da HAM-D fiye da vilazodone (P<0.0001).
A cikin bita na tsari, escitalopram ya kasance idan aka kwatanta da wasu magungunan rage damuwa guda shida , ciki har da fluoxetine, citalopram, da sertraline. Wannan binciken ya sake nazarin maganganu masu yawa kuma ya gano cewa escitalopram ya fi tasiri kuma ya sauƙaƙe alamun alamun saurin sauri fiye da sauran SSRIs.
Idan aka kwatanta da placebo, ko babu magani, Viibryd da Lexapro zaɓuɓɓuka ne masu tasiri don magance baƙin ciki. Koyaya, bambance-bambancen yadda mutum yake amsawa na iya taka muhimmiyar rawa game da yadda tasirin antidepressant zai iya zama. Sabili da haka, yana da mahimmanci a tuntuɓi mai ba da lafiya don shawarwarin likita lokacin farawa ko sauyawa zuwa wani sabon maganin rage damuwa .
Verageaukar hoto da kwatancen farashi na Viibryd vs. Lexapro
Viibryd yana samuwa ne kawai azaman magani mai suna. Saboda wannan dalili, yana iya zama zaɓi mafi tsada idan aka kwatanta da sauran magungunan kashe kumburi. Wasu shirye-shiryen Medicare da inshora na iya ɗaukar Viibryd. Matsakaicin farashin tsabar kudi na Viibryd ya kusan $ 389. Yin amfani da coupon na SingleCare Viibryd na iya rage farashin zuwa $ 278 a manyan kantunan da ke shiga.
Ana samun Lexapro azaman suna da iri na magani. Idan aka kwatanta da Viibryd, zaɓi ne mai arha. Hakanan an rufe shi da yawancin shirin Medicare da tsare-tsaren inshora. Matsakaicin farashin tsabar kudi na Generic Lexapro yana kusan $ 177. Tare da takaddun rangwame daga SingleCare, zaka iya samun jigilar kusan $ 15.
| Rariya | Lexapro | |
| Yawanci inshora ya rufe? | Ee | Ee |
| Yawanci an rufe shi ta Medicare Part D? | Ee | Ee |
| Yawan | 20 MG sau ɗaya a rana (yawancin allunan 30) | 20 MG sau ɗaya a rana (yawancin allunan 30) |
| Hanyar biyan kuɗaɗe na Medicare | $ 1 - $ 11 | $ 0– $ 30 |
| SingleCare kudin | $ 278 + | $ 15 + |
Sakamakon illa na yau da kullun na Viibryd vs. Lexapro
Illolin dake tattare da cutar Viibryd sune gudawa, tashin zuciya, bushewar baki, ciwon kai, da yawan zufa. Sauran cututtukan da za su iya faruwa sun hada da jiri, bacci, rashin bacci, da ciwon gabobi (arthralgia), da sauransu.
Illolin dake tattare da Lexapro sune yawan tashin zuciya, ciwon kai, gudawa, yawan zufa, da bushewar baki. Sauran sakamako masu illa na Lexapro na iya haɗawa da maƙarƙashiya da alamomin mura.
Viibryd da Lexapro, kamar sauran magungunan kara kuzari , na iya haifar da canje-canje a cikin ci. Wannan na iya haifar da karin nauyi ko rage nauyi a cikin wasu mutane.
Dukansu Viibryd da Lexapro Hakanan yana iya haifar da tasirin lalata . Yin amfani da ko dai antidepressant na iya haifar da raguwar sha'awar jima'i (libido). Viibryd da Lexapro suma suna iya haifarda lalatawar jima'i, kamar rashin karfin maza, da kuma matsalolin fitar maniyyi. Saboda Viibryd shima yana aiki ne azaman mai karɓar mai karɓa na 5-HT1A, yana iya samun ƙananan haɗarin tasirin sakamako na jima'i fiye da Lexapro.
| Rariya | Lexapro | |||
| Sakamakon sakamako | Ana amfani? | Mitar lokaci | Ana amfani? | Mitar lokaci |
| Gudawa | Ee | 26% | Ee | 8% |
| Maƙarƙashiya | Ba | - | Ee | 3% |
| Karuwar gumi | Ee | * | Ee | 5% |
| Ciwan | Ee | 22% | Ee | goma sha biyar% |
| Bakin bushe | Ee | 8% | Ee | 6% |
| Rashin narkewar abinci | Ee | kashi biyu | Ee | 3% |
| Alamun mura kamar na mura | Ba | - | Ee | 5% |
| Ciwon kai | Ee | goma sha biyar% | Ee | 24% |
| Dizziness | Ee | 6% | Ee | 5% |
| Bacci | Ee | 4% | Ee | 6% |
| Rashin bacci | Ee | 7% | Ee | 9% |
| Matsaloli | Ee | 1% | Ee | * |
| Appetara yawan ci | Ee | 1% | Ee | * |
| Karuwar nauyi | Ee | 1% | Ee | * |
| Rage yawan ci | Ee | * | Ee | 3% |
| Hadin gwiwa | Ee | kashi biyu | Ee | * |
| Cutar rashin karfin jiki | Ee | 3% | Ee | 3% |
| Fitar maniyyi | Ee | 1% | Ee | 9% |
| Rage libido | Ee | 4% | Ee | 3% |
* ba'a ruwaito ba
Mitar ba ta dogara da bayanai daga gwajin kai-da-kai. Wannan na iya zama ba cikakken jerin illolin da zasu iya faruwa ba. Da fatan za a koma zuwa likitanku ko mai ba da sabis na kiwon lafiya don ƙarin koyo.
Source: DailyMed ( Rariya ,, DailyMed ( Lexapro )
Hadin magunguna na Viibryd vs. Lexapro
Ya kamata a guji Viibryd da Lexapro yayin shan magungunan hana yaduwar kwayar cutar ta monoamine (MAOIs), kamar selegiline da phenelzine. Bai kamata a dauki Viibryd ko Lexapro cikin kwanaki 14 da daina amfani da MAOI ba ko kuma a sami karuwar cutar serotonin. Viibryd da Lexapro suma yakamata a guji su ko sanya musu ido tare da wasu magungunan serotonergic kamar maganin kara kuzari, wanda hakan na iya kara barazanar kamuwa da cutar serotonin.
Yakamata a kula da amfani da Viibryd ko Lexapro yayin shan wani maganin kashe kumburi wanda ba na steroid ba (NSAID) ko maganin hana yaduwar jini. Shan waɗannan kwayoyi tare na iya ƙara haɗarin zubar jini.
Saboda Viibryd da Lexapro sunadaran sunadaran cikin hanta ne, kwayoyi masu canza tasirin wasu hanta enzymes zasu iya shafar shan su. Wasu kwayoyin cuta da kwayoyin cuta na iya kara matakan Viibryd da Lexapro a cikin jini, wanda hakan na iya haifar da barazanar cutarwa. Sauran kwayoyi kamar wasu masu maganin cutar na iya rage matakan jini na Viibryd da Lexapro, wanda zai iya rage tasirin su gaba daya.
Lexapro sananne ne wanda zai iya haifar da rikicewar rikicewar zuciya da ake kira QT tsawaitawa. Shan Lexapro tare da wasu magungunan antipsychotic kamar aripiprazole ko quetiapine na iya kara haɗarin tsawan QT.
| Drug | Ajin magani | Rariya | Lexapro |
| Selegilin Phenelzine Rasagiline | Monoamine oxidase masu hanawa (MAOIs) | Ee | Ee |
| Paroxetine Sertraline Fluoxetine | Zaɓuɓɓukan maganin serotonin reuptake (SSRIs) | Ee | Ee |
| Venlafaxine Desvenlafaxine Duloxetine | Serotonin norepinephrine reuptake masu hanawa (SNRIs) | Ee | Ee |
| Amitriptyline Clomipramine Nortriptyline | Magungunan maganin tricyclic (TCAs) | Ee | Ee |
| Bupropion | Aminoketone | Ee | Ee |
| Buspirone | Rashin hankali | Ee | Ee |
| Asfirin Ibuprofen Naproxen Diclofenac | Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs) | Ee | Ee |
| Warfarin | Anticoagulants | Ee | Ee |
| Digoxin | Cardiac glycoside | Ee | Ee |
| Sumatriptan Rizatriptan Eletriptan | Masu fassara | Ee | Ee |
| Ketoconazole Itraconazole | Antifungals | Ee | Ee |
| Ritonavir | Masu hana kariya | Ee | Ee |
| Clarithromycin | Maganin rigakafi | Ee | Ee |
| Carbamazepine Phenytoin | Anticonvulsants | Ee | Ee |
| Aripiprazole Clozapine Quetiapine | Magungunan maganin ƙwaƙwalwa | Ba | Ee |
Tuntuɓi ƙwararren masanin kiwon lafiya don sauran hanyoyin hulɗa da ƙwayoyi.
Gargadi na Viibryd da Lexapro
Magungunan maganin ƙwaƙwalwa kamar Viibryd ko Lexapro na iya ƙara haɗarin tunanin kashe kansa, musamman ga matasa marasa lafiya. Waɗanda ke shan Viibryd ko Lexapro ya kamata a kula da su saboda mummunan baƙin ciki da tunanin kisan kai.
Masu zaɓin maganin serotonin reuptake (SSRIs) suna da damar haifar da cututtukan serotonin, mummunan yanayin da ke faruwa lokacin da akwai kwayar serotonin da yawa a cikin kwakwalwa. Hadarin ya karu lokacin da aka sha magungunan kashe kwayoyin cuta tare da wasu magungunan serotonergic. Alamomi da alamomin ciwo na serotonin na iya haɗawa da saurin bugun zuciya, ƙaruwar hawan jini, zufa, rawar jiki, da zazzabi.
Wasu mutane za a iya bincika su don tarihin rikicewar rikice-rikice kafin fara magani tare da Viibryd ko Lexapro. Waɗannan magungunan kwantar da hankalin na da damar da za su iya amfani da mania ko hypomania a cikin wasu mutanen da ke fama da cutar bipolar.
Viibryd da Lexapro ya kamata a manna su ko kuma a daina su a hankali idan an buƙata. Rushewar kwatsam na antidepressants na iya ƙara haɗarin bayyanar cututtuka.
Tuntuɓi mai ba da kiwon lafiya don wasu ƙarin faɗakarwa da kiyayewa.
Tambayoyi akai-akai game da Viibryd vs. Lexapro
Menene Viibryd?
Viibryd wani magani ne mai suna wanda ake amfani dashi don magance babbar matsalar damuwa (MDD). Sunan suna ne na vilazodone. Viibryd yayi aiki azaman mai zaɓin maganin serotonin reuptake (SSRI) da ɗan agonist mai karɓar 5-HT1A. Yawanci ana ɗauka azaman 20 mg mg sau ɗaya kowace rana tare da abinci.
Menene Lexapro?
Lexapro magani ne mai suna wanda aka yarda da FDA don magance babbar cuta mai ɓarna (MDD). An kuma yarda da shi don magance rikicewar rikicewar gaba ɗaya (GAD). Sunan Lexapro na asali shine escitalopram. Lexapro magani ne na SSRI wanda ake sha sau ɗaya kowace rana.
Shin Viibryd da Lexapro iri daya ne?
Viibryd da Lexapro suna aiki iri ɗaya don magance yanayin lafiyar kwakwalwa, amma ba iri ɗaya bane. Viibryd yayi aiki azaman SSRI kuma agonist na 5-HT1A na ɓoye yayin da Lexapro ke aiki da farko azaman SSRI. Kodayake Viibryd da Lexapro duk an yarda dasu don magance babbar damuwa, Lexapro kuma an yarda dashi don magance damuwa.
Shin Viibryd ne ko Lexapro ya fi kyau?
Mafi alherin maganin damuwa shine wanda kuka fi dacewa dashi. Viibryd da Lexapro duka magunguna ne masu amfani da kwayoyi don ɓacin rai. Idan aka kwatanta da Lexapro, Viibryd na iya haifar da ƙananan tasirin tasirin jima'i.
Shin zan iya amfani da Viibryd ko Lexapro yayin da nake da juna biyu?
Magungunan Magunguna kamar Viibryd ko Lexapro na iya zama lafiya ɗauka yayin ciki. Koyaya, babu wadatattun shaidun asibiti da zasu nuna cewa Viibryd ko Lexapro suna da cikakkiyar lafiya ko haɗari a ɗauka yayin ciki. Wadannan kwayoyi ya kamata a sha kawai idan fa'idodi sun fi karfin kasada. Tuntuɓi mai ba da sabis na kiwon lafiya don shawarwarin likita game da shan ƙwayoyin cuta yayin ɗaukar ciki.
Zan iya amfani da Viibryd ko Lexapro tare da barasa?
Sha a cikin matsakaici ba zai haifar da wata illa ba idan kun kasance a kan daidaitaccen magani tare da Viibryd ko Lexapro. Koyaya, yin amfani da giya na iya ƙara haɗarin illa, kamar jiri, bacci, da rikicewa. Tuntuɓi mai ba da kiwon lafiya game da amincin magungunan ƙwaƙwalwa yayin shan barasa.
Shin Viibryd yana da kyau don damuwa?
An yi amfani da sinadarin aiki a cikin Viibryd, vilazodone, don maganin damuwa. Dangane da gwaji na asibiti, vilazodone na iya zama an tasiri magani zaɓi don rikicewar damuwa (GAD). Ana buƙatar ƙarin bincike ko da yake. A halin yanzu, Viibryd ba FDA ta amince da shi don magance damuwa.
Wani lokaci mafi kyau na rana don ɗaukar Viibryd?
Ya kamata a sha Viibryd a lokaci guda a kowace rana. Ya danganta da yadda jikinka yake amsar magani, zai fi kyau ka sha Viibryd da safe ko da yamma. Yawancin likitoci suna ba da shawarar shan Viibryd da safe tare da karin kumallo.
Menene zai faru idan na sha Viibryd ba tare da abinci ba?
Viibryd bazai yi tasiri ba idan aka ɗauke shi ba tare da abinci ba. Wannan saboda Viibryd yana da nutsuwa sosai yayin gudanar dashi tare da abinci. Idan aka kwatanta da yadda yake sha da abinci, yawan shan Viibryd ba tare da abinci yana da ƙasa da kusan ba hamsin% .
