Mishonga yakatemerwa zvakanyanya mumatunhu ese mu2019

Kambani

MunaAugust, isu takatyora iyo mishonga yemishonga yakazadzwa kazhinji nevashandisi veSingleCare , rondedzero yaive yakatekeshera nemushonga weropa nemushonga vhitamini D. Zvino tava kunyatso tarisa pamishonga yakatemerwa zvakanyanya ye2019-uye nepo yakawanda yacho ichipindana, pane akati wandei ekuwedzera.

Zvinotonyanya kukosha, hazvo, ndizvo izvo runyorwa razvino rwemishonga rwunotiudza pamusoro pekushandisa mishonga yemishonga mubhodhi muUnited States. Nei mimwe mishonga ichinyorerwa kakawanda kupfuura mamwe? Kufarirwa kwemushonga kwakanaka here kana kuti kwakaipa? Ndeapi mamiriro ehutano ari akajairika pakati pevaAmerica?

Kuti tiwane mhinduro dzemibvunzo iyi, takabvunza varapi vaviri kuti vayese mumishonga yepamusoro yegore uye vagovane zvavanoziva nezve mafambiro acho. Hezvino zvavaifanira kutaura.

Generic vs. brand-zita zvinodhaka

Imwe neimwe yemishonga yekunyorera pane ye2019 rondedzero inowanikwa mune generic fomu, izvo zvinoita kuti zvive zvakachipa uye zviri nyore kuwana, anodaro David Cutler, MD, chiremba wemishonga yemhuri pa Providence Saint John's Health Centre .

Haasi iwo ebhuku, blockbuster, mishonga yekuita mari yaunoverenga nezvayo pamapeji ekutanga, anodaro. Iwo ndiwo mishonga iri mune yemunhu wese mushonga kabhineti.

Nei izvi zvichikosha? Kune kutanga, zita-marita zvinodhaka zvinotyaira ese murwere kunze-kwehomwe mari uye nemagariro mari einishuwarenzi yehutano, anodaro Joshua Septimus, MD, internist ku Houston Methodist . Sezvo madhiragi akajairika achigamuchirwa zvakawandisa seakanaka sezita rechiratidzo, iko kuchinjira kune zvakatemwa zvakajairika zvakanaka.

Ndiri kufara kwazvo kuona kuti vanachiremba vari kuenda kure nemazita-brand mishonga nekuti paive nenguva apo vanachiremba vaive vachinyora zvakanyanya mishonga yekudhura, Dr. Septimus anotsanangura. Asi ikozvino mishonga yakatemwa zvakajairika, uye zvakachipa uye vane dhata-refu yekuenda navo.

Ndezvipi zvinonyanya kunyorerwa mishonga inotiudza?

Sezvineiwo, iyo yakatemwa zvakanyanya madhiragi e2019 inowira mune mashoma ezvakajairwa zvikamu: kurapa kweropa mishonga, utachiona kurapwa, mishonga inorwisa mabhakitiriya, uye ADHD mishonga.

Izvi zvine musoro, anodaro Dr. Septimus, sezvo kukwirira kweropa uye hypothyroidism zviri zviviri zvezvirwere zvakajairika zvevakuru. Kana iri mimwe mishonga? Broad-spectrum mishonga inorwisa mabhakitiriya ingangogara ichizivikanwa nekuti vanhu vanogara vachirwara uye vachida kurapwa, uye rondedzero izere nehumushoma hwemamwe madhiragi akajairika senge steroid uye mishonga yekuzvidya mwoyo.

Unoda kudzidza zvakawanda nezve yakanyanya yakatemwa mishonga ye2019, zvinoenderana neSingleCare dhata (pamwe imwe yaunotora iri pane iyo rondedzero!) Kana tsvaga mushonga unonyanya kuwanikwa mudunhu rako gore rino? Verenga yedu yekudhakwa-ne-zvinodhaka kuputsika.

Ndeupi mushonga wakanyanya kunyorerwa?

• Amlodipine (generic Norvasc) uye lisinopril (generic Zestril, kana Prinivil)
• Amoxicillin
• Levothyroxine sodium uye Synthroid
• Amphetamine-dextroamphetamine (generic Adderall)
• Kunyorwa vhitamini D
• Prednisone
• Alprazolam (generic Xanax)
• Sildenafil

Amlodipine uye lisinopril

Yakawanda inowanzo nyorerwa: Kuwedzera kweropa
Zvinyorwa zvinozivikanwa kwazvo mu: Alaska, Alabama, Arkansas, Connecticut, Delaware, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming

Kuwedzera kweropa ibasa rakajairika rinorapwa zviri nyore, uye kune bhenefiti inoshamisa mukuitora iri pasi pekutonga-kusanganisira nengozi yakadzikira yekurwara kwemoyo nesitiroko, sekureva kwaDr. Cutler. Uye handicho chete chikonzero cheBP amlodipine uye lisinopril dzakakurumbira izvozvi, zvimwe.

Maitiro ekuongorora ari kutsanangura ane hypertension adzikiswa, zvichiunza vanhu vazhinji muchikamu chekuonekwa kuti une BP, anotsanangura Dr. Cutler.

Ari kureva a 2017 kugadzirisa kune nhungamiro dzakatangwa kare muna 2003; iyo American College yeCardiology uye iyo American Heart Association yakabvisa chikamu chehypertension uye ndokurongazve mamwe madanho ekumisikidzwa neBP. Zvaifungidzirwa kuti shanduko iyi yaizotara vanhu vazhinji sevane BP, kunyanya vechidiki, uye zvaigona kutungamira kupindira kwekutanga.

Kusvika pari kuenda mishonga iyi miviri, Dr. Septimus anoti ese maACE inhibitors (senge lisinopril) uye calcium chiteshi blockers (senge amlodipine) inzira dzinogamuchirwa dzekurapa BP, neamlodipine iri nyore kushandisa mishonga ine yakaderera divi. mhedzisiro uye lisinopril sarudzo yakachengeteka kune vanhu vane chirwere cheshuga kana chirwere chemwoyo.

Amoxicillin

Yakawanda inowanzo nyorerwa: Hutachiona hutachiona hwenzeve, mhino, nehuro
Chinyorwa chinonyanya kufarirwa mu: California, Washington, D.C., Maryland, New Jersey, Texas

Dr. kudana kwechinomwe amoxillin hwaro hwekurapa hwehutachiona hwekufema, kusanganisira nzeve nzeve uye strep huro, iyo inobatsira kutsanangura kuti sei waive mushonga wakakurumbira mumatunhu mana gore rino.

Kana iwe ukatarisa panonyanya kunyorwa maantibayoti magwaro, zviri muvana, sezvo ivo vachiwanzo kurapwa kazhinji kune izvozvi mamiriro, anodaro.

Nepo chero munhu akambopedza nguva akatenderedza vana achiziva kuti iwo magineti ehutachiona uye hutachiona, kuchine kumwe kunetsekana pakati pechiremba nezve mwero unorayirwa maantibayoti - kunyanya kana achishandiswa kurapa hutachiona kwete hutachiona, zvinobatsira kuwedzera mitengo yemishonga inorwisa mabhakitiriya.

Kune zvakawanda zvakaedza kuitwa kudzikisa kusakosha kwemaantibhakitiriya kuburikidza utariri zvirongwa, Dr. Cutler vanodaro. Vanhu vanofanirwa kuziviswa zvakanyanya nezve njodzi dzinounzwa nekushandisa zvakawandisa, zvisina basa, uye zvinokuvadza.

Levothyroxine sodium uye Synthroid

Yakawanda inowanzo nyorerwa: Hypothyroidism
Chinyorwa chinonyanya kuzivikanwa mu: Arizona, Colorado, Florida, Idaho, Montana, Oregon, Puerto Rico, Virgin Islands

Hypothyroidism, mamiriro umo utachiona hunomira kugadzira mahormone akakwana kudzora mashandiro emuviri, chinokanganisa zvakanyanya vashanu kubva pavanhu zana veAmerica , paNational Institute of Diabetes uye Digestive uye Kidney Zvirwere.

Utachiona hwakadzika hunowanzowanzoita autoimmune mamiriro pasina chinozivikanwa chinokonzeresa kana kudzivirira, Dr. Cutler anodaro, achiwedzera kuti zviratidzo zvinogona kunge zvakavanzika, senge kuneta kana kupatirwa. Vanhu vane hypothyroidism vanogonawo kurwadziwa pamwe chete kana musuru, ganda rakaoma, kuenda kumwedzi zvisina kujairika, kana kuwedzera uremu.

Levothyroxine sodium ndizvo zvinozivikanwa sekutsiva kwehutachiona, uye Dr. Septimus anoti inozivikanwa nekuti hapana mimwe mishonga inogona kutsiva iyo inorasikirwa nehormone hormone. Nekutenda, anoti zvakare levothyroxine sodium ine mwero wepamusoro wekubudirira uye inobatsira vazhinji vevarwere vanozvitora.

Amphetamine-dextroamphetamine (generic Adderall)

Yakawanda inowanzo nyorerwa: ADHD
Chinyorwa chinonyanya kufarirwa mu: Michigan, North Dakota, Rhode Island, Utah

Amphetamine-dextroamphetamine inowanzo gadzirirwa kurapwa kwe ADHD zviratidzo , iyo inogona kubva pane kusagadzikana uye kunetseka kuisa pfungwa mukuzeya uye kusarongeka kutonga, sekureva kwaDkt Septimus. Pamwe pamwe nekuti vanhu vazhinji vari kuongororwa kuti vane ADHD, kusanganisira vana vadiki , uyu mukurumbira wezvinodhaka uyu unoramba uchikura nekuti unowanzoonekwa wakachengeteka uye unoshanda-uye wave kuwanikwa muchimiro chakajairika.

Iyo chaiyo mashandiro ekuti amphetamine-dextroamphetamine inobatsira sei varwere (kunze kwekushanda munzvimbo yepakati tsinga) haina kunyatsonzwisiswa, asi zvinoenderana ADDitude Magazini , mushonga uyu wakadzidzwa zvakanyanya kwemakumi emakore uye unoita kunge usiri kukonzera kunetseka kukuru kwehutano kune ruzhinji rwevarwere vanozvitora.

Vanotengesa kunze

Mishonga yasara pane ye2019 runyorwa haikwane mune chero epamusoro zvikamu, asi yaive nhamba yekutanga yakatemwa mushonga mumatunhu avo.

Kunyorwa vhitamini D

Yakawanda inowanzo nyorerwa: Vitamin D kushomeka
Chinyorwa chinonyanya kuzivikanwa mu: New York

Chiremba vhitamini D. , mushonga wepamusoro muNew York, unoshandiswa kurapa kushomeka kwevhitamini D. Asi Dr. Septimus vanoti chokwadi chekuti chiri kupihwa zvinowanzo ratidzira kuti varapi vachiri kuongorora vithamini D, maitiro US Inodzivirira Services Task Force yambira kupokana. Paunenge uchitora mushonga wevitamin D unogona kunge uchidikanwa kune vashoma vevarwere vanhu (sevaya vane osteoporosis), zvinogona kunge zvichinyorerwa zvisina basa mune zvimwe zviitiko zvakawanda.

Prednisone

Yakawanda inowanzo nyorerwa: Kuzvimba
Chinyorwa chinonyanya kufarirwa mu: Maine

Kunyora mapatani ehutachiona hwehutachiona hutachiona, bronchitis, mabayo, uye sinusitis ingangove nei zvakanyanya zvideo akavharirwa muMaine gore rino. Iyo corticosteroid inobata akasiyana mamiriro ekuzvimba uye ekuzvimiririra mamiriro, Dr. Septimus anoti vamwe vanachiremba vanongoda kuvimba nazvo kana murwere achinyunyuta nekuzvimba, kurwadziwa, kana kusagadzikana nekuda kwechirwere chakakomba kana chisingaperi. Kutora prednisone kunogona kutungamira kune akati wandei mhedzisiro , iyo inova yakaoma zvakanyanya kana iwe uchiitora kwenguva refu, saka zvakanaka kuti haisi kunyanyoshandiswa pamusoro penyika.

Alprazolam

Yakawanda inowanzo nyorerwa: Kufunganya
Chinyorwa chinonyanya kufarirwa mu: Tennessee

Nekukurumidza kupora kwezviratidzo zvine chekuita nekutya kurwisa kana phobias, alprazolam inowanzo gadzirirwa kubatsira vanhu kubata nemamiriro ezvinhu akaoma sekufamba nendege kana iwe uchitya kubhururuka. Ipo Xanax inogona kunyorerwa kusagadzikana kushushikana , inosarudza serotonin reuptake inhibitors (SSRIs) kana imwe mishonga yekurwisa kushushikana ingangoshandiswa.

Kana chiri chikonzero nei alprazolam (Xanax) ingave yakakurumbira kudaro, Dr. Septimus anoti inoshanda nekukurumidza kupfuura mimwe mishonga mukirasi yayo, ichiiita yakanaka mamiriro ezvinhu anoda kukurumidza kutanga kwechiito.

[Zvisinei], izvo zvakare zvinoita kuti kugona kwayo kuve kwakakwirira zvakanyanya, anonyevera. Icho mushonga wakanaka kana uchishandiswa zvakachengeteka, asi zvine hungwaru.

Sildenafil

Yakawanda inowanzo nyorerwa: Erectile kusagadzikana
Chinyorwa chinonyanya kufarirwa mu: Hawaii

Sildenafil , aka iyo erectile dysfunction piritsi Viagra , yaive yepamusoro yakatemwa mushonga muHawaii gore rino. Pakazara, nyanzvi dzinoziva kuti sildenafil iri kupihwa kazhinji nekuti yakabatsirwa kubva ku kuderera kukuru mumutengo kumashure muna 2017 pazvakazowanikwa mune generic fomu. Kunyangwe ichiri kunyanya kushandiswa nevapfumi vane nzira dzekutenga zvisina kukosha, zvinodhaka zvekuvaraidza, mutengo wepasi wakabvumira varwere vazhinji vane erectile kudzvinyirira kushandisa kurapwa.

Nyika-ne-nyika kuparara

Alaska: Lisinopril
Alabama: Amlodipine
Arkansas: Lisinopril
Arizona: Levothyroxine sodium
California: Amoxicillin
Colorado: Levothyroxine sodium
Connecticut: Amlodipine
Washington, DC: Amoxicillin
Delaware: Lisinopril
Florida: Levothyroxine sodium
Georgia: Amlodipine
Hawaii: Sildenafil
Iowa: Lisinopril
Idaho: Levothyroxine sodium
Illinois: Lisinopril
Indiana: Lisinopril
Kansas: Lisinopril
Kentucky: Lisinopril
Louisiana: Amlodipine
Massachusetts: Lisinopril
Maryland: Amoxicillin
Maine: Prednisone
Michigan: Amphetamine-dextroamphetamine
Minnesota: Lisinopril
Missouri: Lisinopril
Mississippi: Amlodipine
Montana: Levothyroxine sodium
North Carolina: Lisinopril
North Dakota: Amphetamine-dextroamphetamine
Nebraska: Lisinopril
New Hampshire: Lisinopril
New Jersey: Amoxicillin
New Mexico: Lisinopril
Nevada: Lisinopril
New York: Vhitamini D
Ohio: Lisinopril
Oklahoma: Lisinopril
Oregon: Levothyroxine sodium
Pennsylvania: Lisinopril
Puerto Rico: Synthroid (zita-zita re levothyroxine sodium)
Rhode Island: Amphetamine-dextroamphetamine
Maodzanyemba Carolina: Amlodipine
Maodzanyemba Dakota: Lisinopril
Tennessee: Alprazolam
Texas: Amoxicillin
Utah: Amphetamine-dextroamphetamine
Virginia: Lisinopril
Virgin Islands: Levothyroxine sodium
Vermont: Lisinopril
Washington: Lisinopril
Wisconsin: Lisinopril
West Virginia: Lisinopril
Wyoming: Lisinopril

Ruzivo rwakakurumbira rwemishonga yemishonga inoratidza zvinyorwa zvinonyanya kuzadzwa kuburikidza neSingleCare ye2019, kusanganisa maopioid uye uremu-kurasikirwa nemishonga.