Zyban vs. Chantix: Bambanci, 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
Amfanin barin shan taba yana da yawa. Pressureananan hawan jini da bugun zuciya suna zuwa kusan nan da nan kuma haɗarin kamuwa da ciwon zuciya yana raguwa cikin ƙasa da awanni 24. Bugu da ƙari, cholesterol zai inganta, haɗarin cutar kansa yana raguwa kuma garkuwar jikinku da ƙasusuwa zasu sami ƙarfi.
Wasu lokuta kuna buƙatar ƙarin taimako don barin, kuma maganin likita zai iya taimakawa. Biyu daga cikin magungunan da aka fi ba da magani don dakatar da shan taba sun hada da Zyban (bupropion Hcl Er) da Chantix. Dukkanin magungunan sun sami amincewar Hukumar Abinci da Magunguna ta Amurka (FDA) kuma ana amfani dasu don taimakawa marasa lafiya tare da dakatar da shan taba, amma suna aiki a hanyoyi daban-daban kuma suna da tasiri daban-daban.
Menene manyan bambance-bambance tsakanin Zyban da Chantix?
Zyban (Bupropion Hcl Er) ana samunsa ta hanyar amfani, kamar yadda allunan 150 mg suka ƙaddara. Ba a sake samun Zyban da sunan suna ba; asalinta GlaxoSmithKline ne yayi shi. Ana amfani dashi a cikin marasa lafiya 14 da mazan; marasa lafiya kuma dole ne su auna akalla 89 lbs. An fara Zyban sati ɗaya kafin ranar shan taba ta daina, kuma ana ɗauka na makonni 7-12, a matsakaita.
Ana samun Chantix (varenicline) a cikin sunan suna kawai, kamar yadda 0.5 mg da 1 mg tablets, kuma kamfanin magani ne Pfizer ke yin sa. Chantix, wanda ake amfani dashi a cikin manya kawai, ana farawa sati ɗaya kafin ranar daina shan sigari kuma ana ɗaukar shi tsawon makonni 12; marasa lafiya na iya ci gaba na wasu makonni 12 idan zagayen farko ya yi nasara.
| Babban bambance-bambance tsakanin Zyban da Chantix | ||
|---|---|---|
| Chantix | Zyban | |
| Ajin magani | Aminoketone antidepressant, taimakon dakatar da shan taba | Nicotinic agonist, taimakon dakatar da shan taba |
| Alamar alama / ta kowa | Na kowa | Alamar |
| Menene sunan gama-gari? | Bupropion | Varenicline |
| Wani nau'i (s) ne miyagun ƙwayoyi ya shigo? | Fadada-saki kwamfutar hannu | Allunan |
| Menene daidaitaccen sashi? | Fara mako guda kafin shan sigari ya bar: 150 MG kowace rana don kwanaki 3, sannan 150 MG sau biyu a rana (aƙalla awanni 8) bayan haka | Fara sati daya kafin shan sigari ya daina: 0.5 MG kowace rana don kwanaki 3, sannan 0.5 MG sau biyu a rana don kwanaki 4, sannan 1 MG sau biyu kowace rana bayan haka |
| Yaya tsawon maganin al'ada? | 7-12 makonni; ya bambanta | Makonni 12, na iya ci gaba da wasu makonni 12 |
| Wanene yawanci yake amfani da magani? | Manya da samari masu shekara 14 zuwa sama, dole ne su wuce 40.5 kg | Manya shekara 17 zuwa sama |
Yanayin da Zyban da Chantix suka kula da shi
Zyban (bupropion) da Chantix (varenicline) duka ana nuna su a matsayin taimako don maganin shan sigari. Babu wani magani da ya ƙunshi nicotine.
Zyban aminoketone antidepressant ne; ainihin yadda yake a cikin dakatar da shan sigari ko ɓacin rai ba a san shi ba amma ana tsammanin zai hana karɓar norepinephrine da dopamine. Ta yin haka, sha'awar nicotine ya ragu kuma an rage alamun bayyanar.
Kada a rude da Wellbutrin, wanda kuma ya hada da bupropion, ana amfani da Zyban ne kawai don dakatar da shan sigari yayin da ake amfani da nau'in Wellbutrin na bupropion don Babban Cutar Cutar Cutar da Cutar Yanayi. Magungunan biyu basa canzawa. Koyaya, wasu likitocin suna rubuta Wellbutrin kashe-lakabin don daina shan taba.
Chantix yana aiki ta hana masu karɓar nicotine. Ta yin hakan, tsarin juyayi na tsakiya ba zai kunna tsarin karfafawa / ladabi da ke hade da nicotine ba, kuma za ku ji daɗin nishaɗin hankali da na jiki daga shan sigari. Chantix kuma yana rage alamun bayyanar shan sigari.
| Yanayi | Zyban | Chantix |
| Shan sigari | Ee | Ee |
Shin Zyban ko Chantix sun fi tasiri?
Aminci da inganci na Zyban an yi nazarin su da yawa gwaji , ta amfani da Zyban tare da yin nasiha. A cikin binciken makonni bakwai, an nuna Zyban yana da tasiri sosai fiye da placebo. A watanni shida, marasa lafiya sun fi kyau a kiyaye kamewa bayan an kula da su da Zyban. A wani binciken kuma, jiyya tare da Zyban ya ma fi tasiri sosai fiye da placebo, yana rage sha'awar shan sigari, da kuma rage alamun bayyanar cututtuka (kamar su fushi, fushi, da damuwa).
A asibiti gwaji na Chantix, an gano magungunan ne don rage sha'awar shan sigari, rage bayyanar cututtuka, da kuma taimaka wa marasa lafiya kiyaye kamewa. Studyaya daga cikin binciken ya kwatanta Chantix zuwa Zyban zuwa placebo. Binciken ya gano cewa duka magungunan sun fi placebo kyau, kuma an kammala cewa Chantix ya fi Zyban tasiri.
Magunguna mafi inganci yakamata likitan ku kawai ya tantance, la'akari da yanayin lafiyar ku, tarihin ku, da sauran magungunan da kuke sha waɗanda zasu iya hulɗa da Zyban ko Chantix.
Verageaukar hoto da kwatancen farashi na Zyban vs. Chantix
Zyban generics yawanci ana rufe inshora tare da Medicare Sashe na D. Ba tare da inshora ba, wadatar wata ɗaya na tsarin Zyban kusan $ 90. Kuna iya rage wannan farashin zuwa $ 50-80 tare da takaddun SingleCare dangane da kantin magani na gida.
Tare da Chantix, zaka fara da ƙaramin kashi (farkon watan fakiti), sannan ka ci gaba da cike fakitin watan mai zuwa wata na biyu da na uku. Chantix galibi inshora ne da Medicare Sashe na D, tare da masu sauya kuɗi masu canzawa. Ba tare da inshora ba, fakitin watan farawa yana kashe kusan $ 515 kuma fakitin watan mai ci gaba yana kashe kusan $ 500. Zaka iya rage farashin kayayyakin Chantix tare da takaddar SingleCare.
| Zyban | Chantix | |
| Yawanci inshora ya rufe? | Ee (na gama gari) | Yawancin lokaci; na iya buƙatar izini na farko da / ko samun babban biya |
| Yawanci an rufe shi ta Medicare Part D? | Ee (na gama gari) | Yawancin lokaci; 'yan sanda sun bambanta sosai |
| Daidaitaccen sashi | 150 MG kowace rana don kwanaki 3 sannan 150 MG sau biyu a rana | 0.5 MG kowace rana don kwanaki 3, sannan 0.5 MG sau biyu a rana na kwanaki 4, sannan 1 MG sau biyu a rana (ana amfani da fara farawa wata ɗaya, sannan ana amfani da fakitin ci gaba) |
| Hankula Medicare Part D copay | Matsakaicin $ 3-64; ya bambanta | $ 25-578; ya bambanta |
| SingleCare kudin | $ 58 | $ 400 don fara farawa, $ 452 don ci gaba da shirya |
Sakamakon illa na yau da kullun na Zyban da Chantix
Baya ga mummunan sakamako / gargaɗi, waɗanda aka bayyana a ƙasa, kowane magani ya zo tare da yiwuwar cutarwa. Zyban yawanci ana sanya shi tare da facin nicotine (wanda kuma aka sani da maganin maye gurbin nicotine, ko NRT), kuma ƙididdigar tasirin sakamako na iya zama mafi girma yayin amfani da Zyban a haɗe da nicotine.
Illolin dake tattare da Zyban sune rashin bacci, bushe baki, da jiri. Mafi munin illolin Chantix sune tashin zuciya, ciwon ciki, ciwon kai, da rashin bacci.
Jagorar magani, tare da cikakken bayani game da maganin, za'a baku tare da sabon ko sake cika rubutaccen magani na Zyban ko Chantix. Tuntuɓi mai ba da lafiya don cikakken lissafin illolin.
| Sakamakon sakamako | Zyban: ya dace? | Zyban: kashi | Chantix: zartar? | Chantix: kashi |
| Ciwan | Ee | 9% | Ee | 30% |
| Ciwon ciki | Ee | 3% | Ee | 7% |
| Rashin bacci / matsalar bacci | Ee | 40% | Ee | 18% |
| Mafarki mara kyau | Ee | 5% | Ee | 13% |
| Ciwon kai | Ba | - | Ee | goma sha biyar% |
| Gajiya | Rare | ba a ba da% ba | Ee | 7% |
| Dizziness | Ee | 10% | Ee | M:% ba a ba |
| Bakin bushe | Ee | 10% | Ee | 6% |
Sources: DailyMed (Chantix) kuma DailyMed (Zyban)
Magungunan ƙwayoyi na Zyban vs. Chantix
Zyban yana da mahimmancin ma'amala da ƙwayoyi, dalla-dalla a cikin jadawalin da ke ƙasa. Yawancin hulɗar magungunan ƙwayoyi ne saboda enzymes da ake kira CYP2B6 da CYP2D6. Wasu misalai sune magungunan kamawa da Digoxin, maganin zuciya. Ya kamata a guji giya yayin da yake Zyban.
Dangane da halaye na miyagun ƙwayoyi, Chantix bashi da mahimmancin ma'amala da ƙwayoyi. Ba a yi nazarin Chantix ba don aminci a haɗe tare da Zyban. Lokacin da aka yi nazarin Chantix a hade tare da maganin maye gurbin sinadarin nicotine, faruwar illoli kamar su tashin zuciya, ciwon kai, amai, jiri, rashin narkewar abinci, da gajiya, sun fi na nicotine kadai.
Kada a yi amfani da Chantix a haɗe tare da barasa , aƙalla har sai kun san yadda Chantix ke shafar ku ikon jure wa maye. Tuntuɓi mai ba da lafiyar ku don ƙarin bayani.
| Drug (s) | Ajin magani | Zyban | Chantix |
| Nicotine | Maganin maye gurbin Nicotine | Ba | Ee |
| Tegretol (carbamazepine), Neurontin (gabapentin), Lamictal (lamotrigine), Phenobarbital, Dilantin (phenytoin), Trileptal (oxcarbazepine), Topamax (topiramate), Depakote (divalproex sodium) | Magunguna masu kamawa, wasu ma ana amfani dasu don cutar bipolar | Ee | Ba |
| Klonopin (clonazepam), Valium (diazepam), Ativan (lorazepam) | Benzodiazepines | Ee | Ba |
| Ciwon ciki (clopidogrel) | Antiplatelet | Ee | Ba |
| Barasa | Barasa | Ee | Ee |
| Lanoxin (digoxin) | Cardiac glycoside | Ee | Ba |
| Lopressor ko Toprol XL (metoprolol), Tenormin (atenolol), Inderal (propranolol) | Masu hana Beta | Ee | Ba |
| Risperdal (risperidone), Haldol (haloperidol) | Magungunan maganin ƙwaƙwalwa | Ee | Ba |
| Effexor (venlafaxine), Pamelor (nortriptyline), Paxil (paroxetine), Prozac (fluoxetine), Zoloft (sertraline) | Magungunan Magunguna | Ee | Ba |
| Ultram (tramadol), Codeine | Maganin ciwo | Ee | Ba |
| Eldepryl (selegiline), Parnate (tranylcypromine) | MAO Masu hanawa | Ee | Ba |
Jerin ma'amala da kwayoyi don Zyban yayi tsayi da yawa don lissafa a nan; tuntuɓi mai ba da lafiyar ku don ƙarin bayani.
Gargadi na Zyban da Chantix
Gargadin Zyban:
Zyban ya zo tare da gargaɗin akwatin baƙar fata (gargaɗi mafi ƙarfi kamar yadda FDA ta buƙata, yana nuna haɗarin abubuwa masu haɗari ko barazanar rai) na kashe kansu. Zyban yana dauke da bupropion, antidepressant, kuma antidepressants na iya kara haɗarin tunanin kashe kai da halayyar marasa lafiya yan shekaru 24 da ƙananan. Marasa lafiya da masu kula da su ya kamata su lura da duk wani canjin yanayi, tunanin rayuwa, rashin nutsuwa, yaudara, akidar kisan kai, ta'adi, gaba, tashin hankali, tashin hankali, da firgici. Duk wani mai haƙuri da ke shan Zyban, ba tare da la'akari da shekaru ba, ya kamata a sanya masa ido sosai. Anan akwai ƙarin gargaɗi:
- Hadarin mania ko tabin hankali; haɗarin na iya zama mafi girma a cikin marasa lafiya da ke fama da cutar bipolar.
- Zyban na iya haifar da kamuwa; haɗarin yana da alaƙa da kashi. Yankin bai kamata ya wuce 300 MG kowace rana ba. Sauran yanayin kiwon lafiya na iya ƙara haɗarin kamuwa.
- Zyban na iya haifar da hawan jini; kula da hawan jini yayin shan Zyban.
- Wasu marasa lafiya na iya zama cikin haɗari ga glaucoma; tuntuɓi likitan ido don ƙarin bayani.
- M, yiwuwar halayen fata masu barazanar rai (Stevens-Johnson ciwo) na iya faruwa; tuntuɓi mai ba da sabis na kiwon lafiya kai tsaye idan ka ɓullo da fata.
Zyban kawai za'a yi amfani dashi yayin ciki idan fa'idar da za'a samu ta halatta haɗarin da tayi. Yakamata a karfafa masu shan sigari masu ciki su daina shan sigari ta hanyoyin dabaru kafin amfani da Zyban. Da Zyban kunshin saka ya ce saboda haɗarin da ke tattare da jaririn, ya kamata uwaye masu shayarwa su daina shayarwa ko kuma su daina Zyban. Tuntuɓi mai ba da lafiya don shawara.
Gargadin Chantix:
Chantix ya zo tare da gargaɗin dambe game da abubuwan da ke faruwa game da cututtukan zuciya. Rashin hankali, tunanin kashe kansa, yunƙurin kashe kansa, da kammala kashe kansa an ba da rahoton ga marasa lafiya da ke shan Chantix. Ya kamata ku daina shan Chantix kuma ku tuntuɓi mai ba da lafiyarku nan da nan idan kuka ci gaba da tashin hankali, ƙiyayya, halin baƙin ciki, ko canje-canje a cikin halayya ko tunanin da ba na al'ada ba, ko kuma idan kun fuskanci tunanin kashe kansa. Anan akwai ƙarin gargaɗin da ke hade da Chantix:
- Hadarin rashin kuzari ko angioedema, wanda ke kumburin fuska, bakin, (harshe, leɓɓa, da gumis), tsauraran matakai, da wuya. Dakatar da Chantix kuma nemi likita na gaggawa idan hakan ta faru.
- Kamar yadda yake tare da Zyban, rashin lafiyar Stevens-Johnson na iya faruwa. Tuntuɓi mai ba da kiwon lafiya kai tsaye idan ka ci gaba da fatar fata.
- Zai yiwu yiwuwar haɓaka abubuwan da suka shafi zuciya da jijiyoyin jini; sanar da likitan ka game da sababbin cututtukan cututtukan zuciya.
- Yi amfani da taka tsantsan ko kayan aiki har sai kun san yadda Chantix ya shafe ku; raunin da ya faru na haɗari ya faru ne saboda bacci ko jiri.
Iyaye masu ciki suyi hattara da tasirin Chantix akan tayi. Kamar yadda yake tare da Zyban, ya kamata a ƙarfafa masu shan sigari masu ciki su daina shan sigari ta hanyar dabarun ɗabi'a. Chantix kunshin saka ya ce saboda haɗarin da ke tattare da jariri, ya kamata uwaye masu shayarwa su daina shayarwa ko kuma su daina Chantix.
Ya kamata a kula da marasa lafiya akan Chantix.
A cikin 2016, da FDA ta ruwaito cewa haɗarin mummunar tasirin lafiyar ƙwaƙwalwa daga Zyban da Chantix na iya zama ƙasa da yadda ake zato kuma amfanin amfanin shan sigari ya fi haɗarin amfani da waɗannan magunguna. Ba tare da la'akari ba, bayanan magunguna har yanzu yana dauke da gargaɗi iri ɗaya kuma ya kamata a kula da marasa lafiya sosai yayin Zyban ko Chantix.
Tambayoyi akai-akai game da Zyban vs. Chantix
Menene Zyban?
Zyban (bupropion) magani ne da ake amfani dashi azaman taimako don magance shan sigari.
Menene Chantix?
Chantix (varenicline) magani ne da ake amfani dashi azaman taimako wajen magance shan sigari.
Shin Zyban da Chantix iri daya ne?
A'a. Duk waɗannan kwayoyi suna aiki ta hanyoyi daban-daban don taimakawa wajen magance shan sigari. Ba a san ainihin aikin Zyban ba amma ana tsammanin yana da alaƙa da dopamine da norepinephrine. Chantix yana aiki ta hanyar toshe masu karɓar nicotine, kuma ta hanyar hana ƙarfafawa da sakamako a cikin tsarin kulawa na tsakiya. Babu wani magani da ya ƙunshi nicotine. Hakanan suna da farashi daban-daban, hulɗar miyagun ƙwayoyi, sakamako masu illa, da faɗakarwa, kamar yadda bayani ya gabata a sama.
Shin Zyban ko Chantix sun fi kyau?
Kowa ya sha bamban da magunguna daban-daban. Likitan ku kawai zai iya tantance wane magani ne mafi kyau a gare ku, la'akari da tarihin lafiyar ku, yanayin lafiyar ku, da sauran magunguna da kuke sha.
Shin akwai wani zaɓi ga Chantix?
A halin yanzu babu wani madaidaicin madaidaici zuwa Chantix.
Shin Chantix yana taimakawa dakatar da shan taba?
Ee. Chantix na iya taimakawa rage sha'awar shan taba da taimako tare da bayyanar cututtuka.
