Vyvanse vs. Ritalin: Bambance-bambance, kamance, 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
Rashin hankali na rashin kulawa da hankali (ADHD) yana shafar Mutane miliyan 6.1 a Amurka. Binciken marasa lafiya tare da ADHD yana da matakai da yawa. Marasa lafiya na iya nuna alamun bayyanar cututtuka kamar rashin sauraro lokacin da aka yi magana kai tsaye, rashin shirya don kammala ayyuka ko mantawa a cikin ayyukan yau da kullun. Marasa lafiya tare da ADHD na iya buƙatar masauki na musamman a cikin saituna kamar aji don samun nasarar kammala aikin su. Kwararren likita ne kawai zai iya tantance ADHD, amma da zarar an gano cutar, akwai zaɓuɓɓukan magani don taimaka wa waɗannan marasa lafiya fahimtar ƙwarewar aiki a cikin ayyukan yau da kullun.
Aya daga cikin nau'ikan jiyya mafi yawa don ADHD shine rukunin magungunan da aka sani da masu ƙwanƙwasa tsarin tsakiya (CNS). Vyvanse (lisdexamfetamine) da Ritalin (methylphenidate) magunguna biyu ne a cikin wannan aji. Sauran sanannun abubuwan kara kuzari sun hada da Adderall / Adderall XR (saltsin amphetamine), Concerta (methylphenidate Extended-release), Daytrana (methylphenidate), da Focalin / Focalin XR (dexmethylphenidate). Akwai zaɓuɓɓukan magani marasa motsawa don ADHD. Wadannan sun hada da Strattera (atomoxetine) da Intuniv ER (guanfacine).
Menene manyan bambance-bambance tsakanin Vyvanse da Ritalin?
Vyvanse (Menene Vyvanse?) Tsarin jijiya ne mai mahimmanci wanda aka yi amfani dashi don maganin ADHD da rashin cin abinci mai yawa. Ba a san ainihin hanyar yadda Vyvanse yake magance waɗannan rikice-rikice ba. Vyvanse yana canzawa zuwa aiki mai narkewa, dextroamphetamine. Amphetamines suna motsa sakin catecholamines, kamar su norepinephrine da dopamine, a cikin ƙwayar ƙwayar jijiyar neuron. Mun san waɗannan ƙananan ƙwayoyin cuta suna taka muhimmiyar rawa a cikin yanayi, tasiri, da kuma mai da hankali.
Hukumar hana fataucin miyagun ƙwayoyi (DEA) tana ɗaukar Vyvanse a matsayin jadawalin magungunan ƙwayoyi na II. Wannan saboda girman zagi ne, sabili da haka ana iya samun ƙuntatawa da jagororin samun Vyvanse wanda ya bambanta da jiha. Vyvanse maganin kwalliya ne na baka a cikin 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, and 70 mg. Hakanan ana samun Vyvanse a cikin kwamfutar hannu da ake taunawa a cikin ƙarfi iri ɗaya kamar yadda aka yi na kwantena.
Ritalin (Menene Ritalin?) Hakanan shine tsarin haɓaka mai juyayi na tsakiya wanda aka yi amfani dashi don maganin ADHD da narcolepsy. Ba a fahimta sosai yadda yake daidai. Ritalin shine mai sauƙin ƙarfin CNS. Maimakon haifar da sakin catecholamines, yana toshe sakewar waɗannan ƙwayoyin cutar a cikin mahaɗin neuron. Sakamakon ƙarshe shine barin ƙarin kwayar dopamine da norepinephrine a cikin synapse na neuron.
Ritalin kuma an lasafta shi azaman Jadawalin II narcotic ta DEA saboda tasirin cin zarafinta. Akwai shi a cikin fitarwa nan da nan a cikin 5 MG, 10 MG, da ƙarfin 20 MG. Hakanan ana samun shi a cikin ƙirar aiki mai ɗorewa a cikin 10 MG, 20 MG, 30 MG, 40 MG, da ƙarfin 60 MG.
| Babban bambance-bambance tsakanin Vyvanse da Ritalin | ||
|---|---|---|
| Vyvanse | Ritalin | |
| Ajin magani | Tsarin juyayi na tsakiya mai kara kuzari | Tsarin juyayi na tsakiya mai kara kuzari |
| Alamar alama / ta kowa | Nau'i kawai | Brand da kuma janar akwai |
| Menene sunan jimla? | Lisdexamfetamine | Methylphenidate |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Oral capsule da chewable kwamfutar hannu | Sanarwa kai tsaye kan kwamfutar hannu da maganin kaifin baki na dogon lokaci |
| Menene daidaitaccen sashi? | 70 MG sau ɗaya a rana | 10 MG kwamfutar hannu sau biyu a rana |
| Yaya tsawon maganin al'ada? | Tsawon lokaci (watanni zuwa shekaru) | Tsawon lokaci (watanni zuwa shekaru) |
| Wanene yawanci yake amfani da magani? | Yara, matasa, da manya | Yara, matasa, da manya |
Kuna son mafi kyawun farashi akan Vyvanse?
Yi rajista don faɗakarwar farashin Vyvanse kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Yanayin da Vyvanse da Ritalin suka kula da shi
Ana amfani da Vyvanse da Ritalin kowannensu wajen maganin ADHD. Vyvanse an yarda da shi a cikin yara masu ƙarancin shekaru 6, kuma an yarda da Ritalin a cikin yara masu ƙarancin shekaru 3. Ana iya amfani da magungunan biyu a cikin matasa da manya.
Vyvanse yana ɗauke da alamar magani a cikin matsalar cin abincin binge. Yawan cin abinci mai yawa yana cike da yawan maye a zama ɗaya. Ba koyaushe bane saboda wata cuta mai asali. 'Yan wasan da ke cinye adadin adadin kuzari masu yawa kafin wani wasan motsa jiki suna cin abinci mai yawa, amma ba za su buƙaci magani ba. A wasu lokuta, cin abinci mai yawa alama ce ta rashin lafiyar ƙwaƙwalwar ƙwaƙwalwa, kuma an yarda da Vyvanse don magance matsalar yawan cin abinci.
Ritalin an yarda dashi a cikin maganin narcolepsy. Narcolepsy cuta ce da ke tattare da yawan bacci da rana, yawanci saboda cutar bacci mai ɗaci. Abubuwan da ke haifar da tasirin Ritalin sananne ne aƙalla ɓangare na sauƙaƙe wannan bacci.
Wannan ba ana nufin ya zama jadawalin hada-hadar dukkan hanyoyin amfani da wadannan kwayoyi guda biyu ba. Tuntuɓi ƙwararren likitanku don duk yiwuwar amfani da Vyvanse da Ritalin.
| Yanayi | Vyvanse | Ritalin |
| ADHD | Ee | Ee |
| Rashin cin abinci mai yawa | Ee | Ba |
| Narcolepsy | Ba | Ee |
| Tsananin gajiya | Ba | Kashe-lakabi |
| Babban rikicewar damuwa | Ba | Kashe-lakabi |
Katin rangwame na takardar sayan magani
Shin Vyvanse ko Ritalin sun fi tasiri?
A cikin 2017, a cikakken nazari an buga shi don kwatanta sakamakon gwajin gwaji 34 da aka gwada zaɓuka daban-daban na magani don ADHD, gami da abubuwan aiki a cikin Vyvanse da Ritalin. Sakamakon wannan binciken ya gano cewa alamun ADHD sun fi inganta a cikin marasa lafiya da ke shan Vyvanse, kodayake duk zaɓuɓɓukan maganin suna da tasiri. Wani mahimmin sakamako ya nuna cewa haɗakarwar sakin nan da nan na methylphenidate, kamar su Ritalin, sune mafi kyawu da haƙuri. Considerationaya daga cikin mahimman bayanai masu mahimmanci zai kasance tsadar magani. Ritalin ya kasance gama gari tsawon shekaru kuma gabaɗaya ya fi Vyvanse tsada sosai, wanda kawai ke cikin samfuran sunaye.
Sai kawai mai ba da lafiyar ku zai iya yanke shawarar wane magani ne mafi kyau a gare ku. Don dalilan da ba a sani ba, wasu jiyya na iya zama ƙasa da tasiri a wasu marasa lafiya fiye da wasu. Kwararrun likitocin ku zasu yi aiki tare da ku don neman magani mafi inganci.
Kuna son mafi kyawun farashi akan Ritalin?
Yi rajista don faɗakarwar farashin Ritalin kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Verageaukar hoto da kwatancen farashi na Vyvanse vs. Ritalin
Vyvanse magani ne na likitanci wanda yawanci inshorar kasuwanci ke rufe shi. Verageaukar hoto ta shirin Medicare na iya bambanta ko buƙatar keɓance na musamman da za'a yi. Farashin aljihu don Vyvanse 70mg na iya zama $ 471. Takaddun shaida daga SingleCare na iya kawo farashin zuwa $ 322 a zaɓi kantin magani.
Ritalin magani ne na likitanci wanda yawanci ke rufe inshorar kasuwanci. Verageaukar hoto ta shirin Medicare na iya bambanta ko buƙatar keɓance na musamman da za'a yi. Ritalin yawanci yana sayarwa kusan $ 85, amma tare da takaddun shaida daga SingleCare, marasa lafiya na iya samun jigilar Ritalin na ɗan ƙasa da $ 15.
| Vyvanse | Ritalin | |
| Yawanci inshora ke rufe shi? | Ee | Ee |
| Yawanci Medicare ke rufe shi? | Zai yiwu tare da izini na farko | Zai yiwu tare da izini na farko |
| Daidaitaccen sashi | 30, 70 mg capsules | 30, 10 MG allunan |
| Hanyar biyan kuɗaɗe na Medicare | Mai canzawa | Mai canzawa |
| SingleCare kudin | $ 322- $ 341 | $ 15- $ 55 |
Sakamakon illa na yau da kullun na Vyvanse vs. Ritalin
Vyvanse da Ritalin dukkansu abubuwan kara kuzari ne na CNS, sabili da haka suna da irin wannan jerin tasirin tasirin. Litattafai daga Hukumar Abinci da Magunguna (FDA) ba ta ayyana yawan munanan abubuwan da ke faruwa daga Ritalin ba. Kusan 1 a cikin kowane marasa lafiya 2.5 da ke shan Vyvanse suna fuskantar rashin bacci. Saboda wannan dalili, yakamata a sha Vyvanse da sauran abubuwan kara kuzari da wuri.
Sauran illolin da suka shafi Vyvanse da Ritalin sun hada da rage ci, ciwon ciki na sama, jiri, da amai. Wadannan illolin na iya haifar da asarar nauyi mai yawa, kuma ya kamata a kula da marasa lafiya don wannan tasirin.
Wannan ba ana nufin ya zama cikakken jerin abubuwan illa ba. Da fatan za a tuntuɓi likitan ku ko ƙwararrun likitanku don cikakken jerin abubuwan illa.
| Vyvanse | Ritalin | |||
| Sakamakon sakamako | Ana amfani? | Mitar lokaci | Ana amfani? | Mitar lokaci |
| Rashin bacci | Ee | 39% | Ee | Ba a bayyana ba |
| Rage ci | Ee | 22% | Ee | Ba a bayyana ba |
| Ciwan ciki na sama | Ee | 12% | Ee | Ba a bayyana ba |
| Rashin fushi | Ee | 10% | Ee | Ba a bayyana ba |
| Amai | Ee | 9% | Ee | Ba a bayyana ba |
| Rage nauyi | Ee | 9% | Ee | Ba a bayyana ba |
| Ciwan | Ee | 6% | Ee | Ba a bayyana ba |
| Bakin bushe | Ee | 5% | Ee | Ba a bayyana ba |
| Dizziness | Ee | 5% | Ee | Ba a bayyana ba |
Source: Vyvanse (DailyMed) Ritalin (DailyMed)
Hadin magunguna na Vyvanse vs. Ritalin
Haɗuwa da ko dai Vyvanse ko Ritalin tare da hana ƙwayoyin cuta na monoamine. Wadannan haɗuwa da waɗannan kwayoyi bai kamata a yi amfani dasu a cikin marasa lafiya ba. Magungunan maganin MAOI suna jinkirin maganin amphetamine, suna ƙara tasirin amphetamine akan sakin norepinephrine da sauran monoamines daga jijiyoyin da ke haifar da ciwon kai da sauran alamun rikici na hauhawar jini.
Yin amfani da Vyvanse ko Ritalin tare da wasu magungunan serotonergic na iya haɓaka yiwuwar cutar serotonin. Wannan cututtukan na iya haifar da jin daɗin mai haƙuri, rashin hankali, da samun ƙarar zuciya. Magungunan serotonergic sun hada da nau'o'in magungunan antidepressants kamar masu zaɓin maganin serotonin reuptake, tricyclic antidepressants, da 5HT3 antagonists.
Ritalin da aka ɗauka sananne ne don magance tasirin hawan jini na magungunan hawan jini na yau da kullun kamar lisinopril, benazepril, losartan, da irbesartan. Marasa lafiya da ke da cutar hawan jini ya kamata su guji Ritalin.
Jerin mai zuwa ba shine nufin cikakken jerin hulɗar miyagun ƙwayoyi ba. Zai fi kyau tuntuɓi likitanka ko likitan magunguna don cikakken jerin.
| Drug | Ajin Magunguna | Vyvanse | Ritalin |
| Selegiline Isocarboxazid Phenelzine Linezolid | Monoamine oxidase masu hanawa (MAOIs) | Ee | Ee |
| Fluoxetine Paroxetine Sertraline Citalopram Escitalopram | Masu zaɓin maganin serotonin masu zaɓe (SSRIs) | Ee | Ee |
| Venlafaxine Duloxetine Desvenlafaxine | Masu zaɓin maganin maimaita norepinephrine (SNRIs) | Ee | Ee |
| Sumatriptan Rizatriptan Eletriptan Zolmitriptan Naratriptan Frovatriptan | 5HT3 Antagonists (Triptans) | Ee | Ee |
| Tsammani Protriptyline Amitriptyline Nortriptyline | Magungunan antioxidric na Tricyclic | Ee | Ee |
| Lisinopril Ramipril Benazepril Enalapril Quinapril Fosinopril | Angiotensin-converting enzyme (ACE) masu hanawa | Ba | Ee |
| Losartan Irbesartan Valsartan Olmesartan | Iotwararrun masu karɓa na Angiotensin (ARBs) | Ba | Ee |
| Carvedilol Metoprolol Atenolol Nebivolol | Masu hana Beta | Ba | Ee |
Gargadi na Vyvanse da Ritalin
Vyvanse da Ritalin sune jadawalin kayan maye na II, sabili da haka suna da matukar ƙarfin zagi da rashin amfani. Wajibi ne a ɗauki waɗannan magungunan daidai kamar yadda aka umurta, kuma dole ne a kula da marasa lafiya ta hanyar masu ba da lafiya yayin da suke kan waɗannan magunguna.
Ba zato ba tsammani, bugun jini, da kuma kamawar zuciya an bayar da rahoton ga marasa lafiya da ke shan abubuwan kara kuzari na CNS, ko da kuwa a allurai da aka ba da shawarar. Ba zato ba tsammani ya faru a cikin yara da matasa waɗanda ke da lahani na zuciya. Saboda wannan dalili, ya kamata a guji amfani da Vyvanse da Ritalin a cikin marasa lafiya da ke da tarihin cututtukan jijiyoyin jini ko kuma sanannun cututtukan zuciya.
CNS masu kara kuzari na iya kara rikicewar halayyar marasa lafiya da cututtukan tabin hankali. Wadannan marasa lafiya ya kamata a sanya musu ido sosai idan abubuwan da ke motsa CNS sun zama dole. Marasa lafiya na bipolar na iya fuskantar cakudawa ko al'amuran mutane yayin da suke kan kara kuzari na CNS.
Tambayoyi akai-akai game da Vyvanse vs. Ritalin
Menene Vyvanse?
Vyvanse magani ne na likitanci da aka yi amfani da shi don magance raunin rashin kulawa da cuta da kuma matsalar yawan cin abinci. Vyvanse shine tsarin juyayi na tsakiya wanda ke motsawa kuma shine jadawalin II mai sarrafa abu kamar yadda DEA ta tsara shi. Akwai shi azaman kwali ko ƙaramin tabo a ƙarfin da ya fara daga 10 MG zuwa 70 MG.
Menene Ritalin?
Ritalin magani ne na likitanci da ake amfani dashi don magance raunin rashin kulawa da cututtuka da narcolepsy. Ritalin shine tsarin kulawa mai juyayi na tsakiya kuma shine jadawalin II mai sarrafa abu kamar yadda DEA ya tsara. Ana samunsa azaman kwamfutar hannu-saki nan da nan cikin 5 MG, 10 MG, da ƙarfin 20 MG. Hakanan ana samun shi azaman tsararren aiki na tsawon lokaci a cikin kawunn baka wanda ya fara daga 10 MG zuwa 60 MG.
Shin Vyvanse da Ritalin iri ɗaya ne?
Duk da yake duka Vyvanse da Ritalin suna kula da ADHD kuma an lasafta su azaman masu ƙarfafa CNS, ba iri ɗaya suke ba. Vyvanse yana aiki don haɓaka catecholamines a cikin ƙwayar jijiyoyin jiki ta hanyar motsa fitowar su, yayin da Ritalin ya toshe sake ɗaukar catecholamines ta yadda zai bar ƙarin catecholamines kyauta a cikin synapse na neuronal.
Shin Vyvanse ko Ritalin sun fi kyau?
Dukansu Vyvanse da Ritalin an tabbatar da ingancinsu wajen magance ADHD. Nazarin ya nuna cewa Vyvanse na iya nuna ci gaba mafi girma a cikin alamun cututtuka, amma Ritalin ya fi tasiri kuma yana haifar da ƙananan tasirin sakamako masu illa.
Shin zan iya amfani da Vyvanse ko Ritalin yayin da nake da juna biyu?
Vyvanse da Ritalin suna dauke da rukunin masu ciki C ta FDA. Wannan yana nufin ba a sami cikakken karatun ɗan adam don ƙayyade aminci ba. Amfani da amphetamines a lokacin daukar ciki na iya haifar da haɗarin haihuwa da wuri da ƙarancin haihuwa. Yaran da aka haifa na iya fuskantar alamun cirewar. Ya kamata a yi amfani da waɗannan ƙwayoyin ne kawai lokacin da fa'idodi suka fi haɗarin haɗari.
Zan iya amfani da Vyvanse ko Ritalin tare da barasa?
Yin amfani da barasa na iya ƙara yawan ƙwayoyin jini na ƙwayoyin da ke da alaƙa da amphetamine, sabili da haka ya kamata a guji shan barasa lokacin da ake waɗannan magunguna.
Menene mafi kusa magani ga Vyvanse?
Vyvanse yana canzawa cikin jiki zuwa mai aiki mai narkewa, dexmethylphenidate. Dexmethylphenidate shine sashi mai aiki a cikin hanyoyin Focalin.
Menene sabon magani ADHD?
Jornay sabon juzu'i ne na kwayar maganin methylphenidate. Abu ne na musamman a cikin cewa kuna shan shi da daddare kafin kwanciya, kuma tare da jinkirin fitarwa, ana sakin ƙwaya mai aiki a cikin hanji da safe. An nuna shi ya haifar da ƙarancin rashin barci kamar yadda tsofaffin magungunan methylphenidate suke.
Wane magani ADHD ne kwatankwacin Vyvanse?
Lisdexamfetamine, sinadarin aiki a cikin Vyvanse, an canza shi cikin jiki zuwa dextroamphetamine. Dextroamphetamine shine mai aiki a cikin ƙwayoyin Adderall. Tsarin Adderall XR, da kuma jigilar su, yawanci sau ɗaya a kowace rana suna yin kama da Vyvanse.
Shin akwai wata hanya mafi arha ga Vyvanse?
Focalin da Focalin XR sune masu aiki na Vyvanse kuma suna da tsarin tsari a kasuwa. Wadannan an rufe su gaba ɗaya ta inshora. SingleCare yana ba da katunan ajiyar waɗannan hanyoyin.
