Bumex vs. Lasix: Misiyano, kufanana, uye izvo zviri nani kwauri
Zvinodhaka Vs. ShamwariKuongorora kwemishonga & misiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Bumex (bumetanide) uye Lasix (furosemide) mazita-diuretics anoshandiswa kudzikisira kuwanda kwemvura mumuviri. Iyo inozivikanwawo seedema, uku kuwanda kwemvura kunowanzoitika semhedzisiro yemamwe mamiriro, sekushaya moyo, hosha yeitsvo, uye chirwere chechiropa. Bumex neLasix zvinogona kubatsira kudzikisira kuwanda kwemvura uye kudzikamisa zviratidzo senge kufema kwekufema uye kuzvimba mumaoko kana makumbo.
Bumex neLasix vanoshanda nekudzivirira kudzokororwazve kwesodium uye chloride mune itsvo tubules, kusanganisira chiuno cheHenle. Se loop loop diuretics, Bumex neLasix block mvura inochengetedza uye inowedzera kubuda kweweti (diuresis). Iyi mishonga inowanzonziwo mapiritsi emvura.
Kunyangwe hazvo Bumex neLasix vachigovana zvakafanana, vane misiyano musimba uye muyero.
Ndeupi mutsauko mukuru pakati paBumex neLasix?
Bumex ndiro zita rekuti bumetanide. Kuenzaniswa neLasix, Bumex mushonga une simba zvakanyanya; Bumex ine makumi mana zvakapetwa zvine simba kupfuura Lasix mune vanhu vane zvakajairika itsvo basa. Izvi zvinoreva kune yega 1 mg yeBumex, zvinotora 40 mg yeLasix kuti iite zvakafanana. Sezvo Bumex shoma ichidikanwa, izvi zvinogona zvakare kureva njodzi yakaderera yemamwe mhedzisiro, senge ototoxicity .
Bumex inogona kutorwa se 0.5 mg, 1 mg, kana 2 mg piritsi remuromo. Inogona zvakare kuiswa jekiseni se 0.25 mg / 1 mL mhinduro. Mhedzisiro yepamusoro inoonekwa pakati peye kana maviri maawa mushure mekutungamira kwemuromo uye mukati memaminetsi gumi nemashanu kusvika makumi matatu mushure mekujowa IV. Dhiureti mhedzisiro inogona kugara kwe maawa mana kusvika matanhatu .
Bumex inowanzo kupihwa sehwendefa remumuromo mu 0.5 mg kusvika 2 mg imwe dosi. Nekudaro, kana zvikwanisiro zvisina kukwana zvakakwana, wechipiri kana wechitatu muyero unogona kupihwa mune mana kusvika mashanu-maawa nguva.
Lasix ndiro zita rekuti furosemide. Kuenzaniswa neBumex, Lasix mushonga wekare. Inowanikwa mune 20 mg, 40 mg, uye 80 mg mapiritsi emuromo pamwe neiyo 10 mg / 1 mL jekiseni. Lasix inotanga kushanda mukati meawa imwe kana maviri mushure mekutaurwa nemuromo. Iyo nguva yemitezo yemhedzisiro inowanzo kuve nezve maawa matanhatu kusvika masere .
Lasix inogona kupihwa sehwendefa yemumuromo mune 20 kusvika 80 mg imwe dosi. Mimwe mibairo inogona kupihwa mushure memaawa matanhatu kusvika masere kusvikira yakwana mhedzisiro. Pakupedzisira, dosing inoenderana nemamiriro ese ekurapwa.
| Misiyano mikuru pakati peBumex neLasix | ||
|---|---|---|
| Bumex | Lasix | |
| Kirasi yemishonga | Diuretic | Diuretic |
| Brand / generic chinzvimbo | Brand uye generic vhezheni iripo | Brand uye generic vhezheni iripo |
| Chii chinonzi generic zita? | Bumetanide | Furosemide |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa remuromo Mhinduro yejekiseni | Hwendefa remuromo Mhinduro yejekiseni |
| Ndeipi muyero wakajairwa? | Hwendefa remuromo: 0.5 kusvika 2 mg imwe dosi. Chechipiri kana chechitatu dosi inogona kupihwa mukati mana kusvika mashanu-maawa maawa. Maximum e10 mg pazuva. IM / IV jekiseni: 0.5 kusvika 1 mg. Chechipiri kana chechitatu dosi inogona kupihwa mumaawa maviri kana matatu emaawa. Maximum e10 mg pazuva. | Oral piritsi: 20 kusvika 80 mg imwe chete dosi. Chipiri chechipiri chinogona kupihwa maawa matanhatu kusvika masere gare gare. Dose inogona kuwedzerwa pane yakasarudzika nehungwaru hwechiremba. IM / IV jekiseni: 20 kusvika 40 mg single dose. Chipiri chechipiri chinogona kupihwa maawa maviri gare gare. Dose inogona kuwedzerwa pane yakasarudzika nehungwaru hwechiremba. |
| Yakareba sei iyo yekurapa? | Kurapa kwenguva pfupi kana kwenguva refu zvichienderana nemamiriro ari kurapwa | Kurapa kwenguva pfupi kana kwenguva refu zvichienderana nemamiriro ari kurapwa |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vakuru nevamwe vana zvinoenderana nehuremu |
Mamiriro akarapwa naBumex naLasix
Bumex neLasix ese ari maviri anoshandiswa kurapa kuunganidzwa kwemvura (edema) inokonzerwa nemamiriro akaita se congestive moyo kutadza, chiropa cirrhosis, chirwere chetsvo, uye kukundikana kwetsvo. Kuderedza kuwanda kwemvura kunogona kubatsira kudzikisira zviratidzo sekufema uye kufufutira mumaoko, makumbo, kana mudumbu.
Lasix zvakare FDA inobvumidzwa kurapa yakakwira BP (hypertension) muvakuru. Inogona kushandiswa yoga kana kusanganiswa nemimwe mishonga inodzvinyirira mweya kuti ubatsire kurapa yakakwira BP.
Bumex inogona zvakare kubatsira kurapa kukwirisa kweropa kana kuchishandiswa nemamwe anodzvinyirira eropa- kudzikamisa vamiririri. Nekudaro, Bumex ingangoshandiswa off-label yekurapa yakakwira BP.
| Mamiriro | Bumex | Lasix |
| Edema | Ehe | Ehe |
| Hypertension | Kunze-chitaridzi | Ehe |
Bumex kana Lasix inoshanda zvakanyanya here?
Bumex neLasix ese ari maviri anoshanda pakurapa edema. Nekudaro, Bumex inonyanya kusimba loop diuretic. Bumex zvakare ine yakanyanya bioavailability kupfuura Lasix. Zvinoreva, Bumex inonyanya kunyura mumuviri kupfuura Lasix.
Mune kuenzanisa kudzidza , bumetanide yakawanikwa iine 80% bioavailability apo furosemide yakawanikwa iine 40% bioavailability. Kunyangwe paine misiyano mu bioavailability, zvese Bumex neLasix zvakafanana mukubudirira kana zvapihwa muyero yakaenzana.
Inofananidzwa ne bumetanide uye furosemide, torsemide ine yakareba hafu yeupenyu. Kunyangwe torsemide iine hafu yeupenyu hwakareba kupfuura bumetanide, haina simba zvakanyanya kupfuura bumetanide (20 mg ye torsemide yakaenzana 1 mg ye bumetanide). Mune imwe kuongorora kwakarongeka , torsemide yakawanikwa ichinyanya kushanda kupfuura furosemide pakuderedza kuverengwa kwechipatara kunokonzerwa nekutadza kwemoyo. Torsemide uye furosemide zvakare vane mimwe misiyano izvo zvinogona kukanganisa mashandisiro avo.
Bvunza chiremba kuti uone yakanyanya kushanda loop diuretic kwauri. Anopa hutano anokwanisa kuongorora mamiriro ako ese usati waisa diuretic yakakodzera.
Kuvhavha uye mutengo kuenzanisa kweBumex vs. Lasix
Bumex izita-zita zvinodhaka. Nekudaro, mazhinji Medicare uye zvirongwa zveinishuwarenzi zvinovhara iyo generic vhezheni yeBumex, bumetanide. Ivhareji yemari mutengo weBumex yakatenderedza $ 85 zvichienderana nekhemisi yaunotenga kubva. Uine Bumex SingleCare koponi, unogona kudzikisa mutengo uyu kusvika pamadhora makumi maviri nemaviri, kana kushoma, uchitenga fomu regeneric kune mamwe ma pharmacy.
Lasix iri zvakare zita rechiratidzo zita iro rinowanikwa seyakajairika vhezheni. Iyo generic fomu, furosemide, inowanzo kuvharwa neakawanda maMedare uye zvirongwa zveinishuwarenzi. Nekasi kopasi reLasix, unogona kutarisira kubhadhara mutengo unodhura we $ 4. Tarisa nekemufesi yako yemunharaunda kuti uenzanise mutengo weiyo Lasix mushonga pasina inishuwarenzi kune mutengo wayo neKegaCare kadhi.
| Bumex | Lasix | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Ehe |
| Standard muyero | 1 mg kamwe pazuva (huwandu hwemapiritsi makumi matatu) | 20 mg kamwe chete pazuva (huwandu hwemapiritsi e30) |
| Chaizvoizvo Medicare copay | $ 0– $ 1 | $ 0– $ 4 |
| SingleCare mutengo | $ 22 + | $ 4 + |
Tora kadhi rekudzikisira chemishonga
Zvakajairika mhedzisiro mhedzisiro yeBumex vs. Lasix
Bumex naLasix vanogovana zvakafanana mhedzisiro. Mhedzisiro inowanzoitika yeBumex neLasix ndidzo tsandanyama dzemhasuru kana kushaya simba, dzungu, kuruma (pruritus), musoro, uye kuda kurutsa. Iyi mhedzisiro inogona zvakare kuve zviratidzo zve kupera mvura mumuviri nekuda kwekuwedzera kwemvura kubuda mumuti. Tsvina yemhasuru inogona kuitika semhedzisiro yekurasikirwa ne potassium.
Sezvo loop diuretics, Bumex neLasix zvinogona zvakare kukonzera zvine njodzi kudzikira kweropa, kana hypotension. Muzviitiko zvakakomba, Bumex naLasix zvinogona zvakare kukonzera kutadza kunzwa kana kurasikirwa kwekunzwa. Kuomarara kwe tinnitus kunowanzoenderana nemutero wechirwere chinopihwa, kunyanya kana iyo diuretic ikapihwa mune yakakwira doses kupfuura yakajairwa.
| Bumex | Lasix | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Tsandanyama tsandanyama | Ehe | 1.1% | Ehe | * |
| Dzungu | Ehe | 1.1% | Ehe | * |
| Hypotension | Ehe | 0.8% | Ehe | * |
| Kutemwa nemusoro | Ehe | 0.6% | Ehe | * |
| Nausea | Ehe | 0.6% | Ehe | * |
| Kutadza kunzwa | Ehe | 0.5% | Ehe | * |
| Itching | Ehe | 0.4% | Ehe | * |
* haina kutaurwa
Kakawanda hakubvi pane data kubva kumusoro-kuenda-kumusoro kutongwa. Izvi zvinogona kunge zvisiri runyorwa ruzere rwemhedzisiro mhedzisiro inogona kuitika. Ndokumbira utarise kuna chiremba wako kana mupi wezvehutano kuti udzidze zvimwe.
Kwayaka: DailyMed ( Bumex ), Zuva Nezuva ( Lasix )
Kubata kwezvinodhaka zveBumex vs. Lasix
Bumex neLasix ndiwo ma diuretiki ane kusangana kwakafanana kwemimwe mishonga. Nekuti Bumex naLasix vakaratidzirwa kukonzera kutadza kunzwa, havafanirwe kushandiswa nemimwe mishonga ine mhedzisiro yakafanana. Semuenzaniso, Bumex naLasix vanofanirwa kudzivirirwa kune avo vari kutora aminoglycoside antibiotics, ayo anozivikanwa kuva ne njodzi yekutadza kunzwa . Iyi njodzi inowedzerwawo apo Bumex kana Lasix inotorwa pamwe chete nechimwe chiuno chinosveta chinonzi ethacrynic acid.
Lithium inofanira kudzivirirwa neBumex kana Lasix. Lithium mazinga anowedzerwa apo Lithium inotorwa pamwe neimwe yeaya diuretics, ayo anogona kutungamira kune lithium chepfu.
Zvinodhaka senge probenecid, indomethacin, uye sucralfate zvinogona kukanganisa diuretic uye antihypertensive mhedzisiro yeBumex neLasix. Naizvozvo, iyi mishonga inofanirwa kuongororwa kana kudzivirirwa uri paBumex kana Lasix.
Kunyangwe antihypertensive zvinodhaka dzimwe nguva zvinotorwa neBumex kana Lasix kurapa yakakwira BP, muyero wavo ungangoda kuchinjwa. Kubatanidza Bumex kana Lasix ine angiotensin-inoshandura enzyme inhibitors kana angiotensin II receptor blockers inogona kutungamira kune yakashata mhedzisiro. Njodzi yekumanikidza kweropa zvine ngozi (hypotension) inowedzerwa kana chiuno chiine mishonga inotorwa nemushonga wehypertensive. Uye zvakare, renal function inogona zvakare kukanganiswa kana izvi diuretics zvatorwa nemushonga wehypertensive.
| Zvinodhaka | Kirasi Yezvinodhaka | Bumex | Lasix |
| Gentamicin Tobramycin Amikacin Streptomycin | Aminoglycoside mishonga inorwisa mabhakitiriya | Ehe | Ehe |
| Ethacrynic asidhi | Loop diuretic | Ehe | Ehe |
| Lithium | Antimanic mumiriri | Ehe | Ehe |
| Wedzerikure | Antigout mumiriri | Ehe | Ehe |
| Indomethacin | Nonsteroidal anti-inflammatory drug (NSAID) | Ehe | Ehe |
| Sucralfate | Protectant | Ehe | Ehe |
| Lisinopril Losartan Amlodipine | Antihypertensives | Ehe | Ehe |
Bvunza nyanzvi yezvehutano kune kumwe kudyidzana kwezvinodhaka
Yambiro dzeBumex neLasix
Iko kushandiswa kweiyo loop diuretics seBumex kana Lasix kunogona kutungamira kune yakawandisa mvura uye electrolyte kupera. Izvi zvinogona kutungamira mukushaya mvura mumamiriro akakomba. Naizvozvo, Bumex naLasix vanofanirwa kungotorwa mumadosi akakodzera vachitungamirwa nemupi wezvehutano.
Mukuwedzera pakukanganisa calcium uye sodium mazinga, Bumex neLasix zvinogona kukonzera hypokalemia, kana yakadzika kwazvo potasiyamu s . Potassium-inodzivirira diuretic senge spironolactone inogona kupihwa kubatsira kudzora mazinga e potassium.
Mune avo vane chiropa cirrhosis, kwakanyanya kusaenzana kwe electrolyte kunogona kutungamira kune hepatic encephalopathy kana kufenda.
Bumex naLasix vakaratidzirwa kukonzera ototoxicity, izvo zvinogona kutungamira mukukanganisa kwekunzwa kana kurasikirwa kwekunzwa. Sezvo dosi repazasi reBumex richidikanwa kuti riite mhedzisiro seyakaenzana Lasix dose, njodzi yeototoxicity inogona kunge yakaderera neBumex. Zvakadaro, mizinga mizhinji ye loop diuretics inogona kuwedzera njodzi yekukanganisa kwekunzwa.
Bumex neLasix havafanirwe kushandiswa kune avo vane allergies kune zvigadzirwa mune chero mushonga.
Bvunza mupi wezvehutano nezve dzimwe yambiro uye chengetedzo dzakabatana neBumex kana Lasix.
Inowanzo bvunzwa mibvunzo nezve Bumex vs. Lasix
Chii chinonzi Bumex?
Bumex izita-zita loop loop diuretic iyo inowanikwawo seyakajairika mushonga unonzi bumetanide. Inoshanda nekudzivirira iyo reabsorption ye sodium uye chloride muitsvo kubatsira kubvisa kuwanda kwemvura mumuviri. Inowanzo kupihwa sehwendefa remuromo mune muyero we0,5 kusvika 2 mg. Nekudaro, inogona zvakare kupihwa sejekiseni.
Chii chinonzi Lasix?
Lasix ndiro zita rekuti furosemide. SaBumex, Lasix ndeye chiuno chinosveta chinobatsira kurapa edema, kana kuunganidzwa kwemvura mumuviri. Lasix inobatsira kubata avo vane congestive moyo kutadza, chirwere chechiropa, uye chirwere cheitsvo. Iyo inowanzo kuitiswa seye 20 kusvika ku80 mg yemuromo dose, kunyangwe iri kuitiswawo sejekiseni.
Bumex naLasix zvakafanana here?
Ose maviri Bumex neLasix ndiwo ma diuretiki e loop anowedzera weti kubuda kuti ubvise huwandu hwemvura. Kunyangwe ivo vari mukirasi imwechete yezvinodhaka, vakaiswa zvakasiyana. Izvo zvinosiyanawo mukugona uye kunwa ( bioavailability ). Bumex inotanga kushanda nekukurumidza kupfuura Lasix, asi mhedzisiro yayo inogara kwenguva ipfupi.
Bumex kana Lasix iri nani here?
Bumex yakanyanyisa diuretic kupfuura Lasix. Zvinotora muhombe muhombe weLasix kuti uwane mhedzisiro yakafanana nedosi repasi reBumex. Iko kunwiwa kweBumex kuri zvakare kufungidzira kupfuura kweLasix. Nekudaro, kana ikapihwa muyero yakaenzana, Bumex neLasix vane zvakafanana kushanda kwese. Chiremba anoongorora nezve cardiology uye mwoyo mamiriro ezvinhu achakwanisa kuona yakanakisa diuretic yako.
Ndinogona here kushandisa Bumex kana Lasix ndichiri nepamuviri?
Iko hakuna kukwana kwakaringana pane kuchengetedzeka kwekushandisa Bumex kana Lasix panguva yekuzvitakura. Bumex kana Lasix inofanira kungoshandiswa panguva yekuzvitakura kana mabhenefiti akakunda njodzi dzinogona kuitika kumucheche. Izvo hazviwanzo kukurudzirwa kutora Bumex kana Lasix uchiyamwa. Bvunza wako mupi wezvehutano usati watora Bumex kana Lasix kana iwe uri nepamuviri.
Ndinogona here kushandisa Bumex kana Lasix nedoro?
Mhedzisiro yedoro inogona kusangana neinogona kuve mhedzisiro mhedzisiro yeBumex neLasix. Kunwa doro uri paBumex kana Lasix kunogona kutungamira mukuwedzera mhedzisiro, sedzungu uye kusvotwa. Kazhinji hazvikurudzirwi kunwa zvakawandisa doro paunenge uri pane chiuno chine diureti.
Bumex yakaipa kune itsvo here?
Bumex inonyanya kubviswa kuburikidza neitsvo. Ngozi yemhedzisiro yakaipa kubva kuBumex inowedzerwa kana itsvo dzako dzisingashande nemazvo. Naizvozvo, itsvo basa rinofanira kuongororwa paunenge uchitora Bumex. Kana itsvo ikadzikira, Bumex ingangoda kumiswa.
Bumex potassium iri kuparara here?
Bumex is diuretic ine simba inogona kuwedzera weti kubuda kwehuwandu hwemvura. Nenzira imwecheteyo, kushandiswa kweBumex kunogona kutungamira mukurasikirwa kwemvura uye maelectrolita. Nekuda kweizvozvo, Bumex inogona kuwedzera kubuda kwe potassium kubva mumuviri. Izvi zvinogona kutungamira mukushaya mvura uye pasi potasiamu mazinga.
Bumex yakasimba zvakadii kupfuura Lasix?
Bumex ine makumi mana zvakapetwa zvine simba kupfuura Lasix. Zvinoreva, 1 mg yeBumex yakaenzana ne40 mg yeFurosemide.
