Buspirone vs. Xanax: 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
Kana iwe uri kusangana nezviratidzo zvekushushikana, iwe hausi wega uri-mamirioni makumi mana eAmerica, kana 18% yevagari, vane kushushikana. Buspirone (inozivikanwawo nezita rekuti BuSpar) uye Xanax (alprazolam) ndiwo maviri madhiragi-anotenderwa anti-kunetseka mishonga inozivikanwa nzira yekurapa yeakajairika kunetseka kusagadzikana. Kunyangwe buspirone uye Xanax ese ari maviri anxiolytics (zvinodhaka zvinoshandiswa mukurapa kwekushushikana), zvine misiyano inozivikanwa, iyo yatichataura pazasi.
Ndeupi mutsauko mukuru pakati pebuspirone neXanax?
Buspirone ndeye kusagadzikana mishonga uye haina hukama neXanax kemikari. Xanax inozivikanwa se benzodiazepine. Buspirone haichawanikwe muzita rayo rezita-zita reBuSpar-rinongowanikwa mune generic. Xanax inowanikwa mune zvese mhando uye generic. Buspirone inowanikwa mune yehwendefa fomu, nepo Xanax inowanikwa mune yekukurumidza-kuburitsa uye yakawedzeredzwa-kuburitsa piritsi pamwe nekutaurisa kwemuromo.
Buspirone (Buspirone coupons | Zvinyorwa zveBuspirone) iri muchikamu chemishonga, kana kirasi, yayo pachayo, uye haina hukama nechero mimwe mishonga inoshandiswa kushungurudzika. Nzira iyo buspirone inoshanda haina kunyatsonzwisiswa. Isu tinoziva kuti zvakasiyana nebenzodiazepines saXanax. Zvidzidzo zvakaratidza kuti buspirone inoshanda pane serotonin uye dopamine receptors.
Xanax (Xanax coupons | Xanax ruzivo) chikamu chekirasi hombe remishonga inozivikanwa se benzodiazepines. Benzodiazepines inoshanda nekuwedzera chiitiko pane zvinogamuchirwa zveiyo neurotransmitter inonzi gamma-aminobutyric acid (GABA). Izvi zvese zvinoitika muCNS (central nervous system). Benzodiazepines inogadzira inozorodza, kudzikamisa mhedzisiro uye inogona kutobatsira kusimudzira kurara painotorwa panguva yekurara. Xanax chinhu chinodzorwa uye chinoiswa se Purogiramu IV zvinodhaka .
| Misiyano mikuru pakati pebuspirone vs. Xanax | ||
|---|---|---|
| Buspirone | Xanax | |
| Kirasi yemishonga | Anti-kunetseka mishonga | Benzodiazepine |
| Brand / generic chinzvimbo | Generic | Brand uye generic |
| Chii chinonzi generic zita? Chii chinonzi zita rechiratidzo? | Mutengo: BuSpar (haichawanikwi sechiratidzo) | Generic: alprazolam |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa | Hwendefa (pakarepo-kusunungurwa) Yakawedzerwa-kuburitsa piritsi Oral kuisa pfungwa |
| Ndeipi muyero wakajairwa? | Pakutanga: 7.5 mg kaviri pazuva asi inogona kuwedzera zvishoma kana zvichidikanwa Avhareji yedosi inokwana 20 kusvika 30 mg zuva nezuva muzvikamu zvakapatsanurwa (semuenzaniso: 15 mg kaviri zuva nezuva kwehuwandu hwezuva nezuva hwe30 mg) | Yakajairwa renji: 0.25 mg kusvika ku0,5 mg yakatorwa katatu nguva zuva nezuva; chipimo chemushonga chinosiyana |
| Yakareba sei iyo yekurapa? | Ipfupi-refu kana refu-refu; bvunza chiremba | Ipfupi-nguva; vamwe varwere vanoshandisa nguva yakareba vachitariswa nachiremba |
| Ndiani anowanzoshandisa mushonga? | Vakuru Vana makore matanhatu zvichikwira (off-label) | Vakuru Vana makore manomwe nekure (off-label) |
Unoda akanakisa mutengo paXanax?
Saina kuti Xanax yemitengo yambiro uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu anorapwa ne buspirone uye Xanax
Buspirone uye Xanax zvinonyanya kushandiswa mukutungamira kwekushushikana kwekushushikana uye zvinogona kubatsira mukuzorora kwenguva pfupi yezviratidzo zvekushushikana, kunyangwe kusagadzikana kunosangana nezviratidzo zvekushushikana. Xanax inoshandiswa zvakare kurapa kutyisa kusagadzikana, kana kuvhunduka kwekutya, uine kana pasina agoraphobia (kutya nzvimbo dzakazara, kana kutya kusiya imba). Mishonga iyi yese inoshandiswa off-label kune akasiyana mamiriro, akatsanangurwa pazasi.
| Mamiriro | Buspirone | Xanax |
| Kutungamira kwekushushikana kwekushushikana | Ehe | Ehe |
| Yepfupi-yenguva zororo rezviratidzo zvekushushikana | Ehe | Ehe |
| Yepfupi-yenguva zororo rekushushikana kwakabatana nekuora mwoyo zviratidzo | Ehe | Ehe |
| Kurapa kwekutya kusagadzikana, uine kana usina agoraphobia | Kunze-chitaridzi | Ehe |
| Kukurumidza kudzikama kwemurwere akashungurudzika | Kwete | Kunze-chitaridzi |
| Doro rinobvisa delirium / doro rekusiya chirwere | Kunze-chitaridzi | Kunze-chitaridzi |
| Kusarara | Kwete | Kunze-chitaridzi |
| Bruxism (meno achikuya) | Kunze-chitaridzi | Kunze-chitaridzi |
| Chemotherapy-inosanganisirwa yekufungidzira kushungurudza uye kurutsa | Kwete | Kunze-chitaridzi |
| Delirium | Kwete | Kunze-chitaridzi |
| Kushungurudzika | Kunze-chitaridzi | Kunze-chitaridzi |
| Kudengenyeka kwakakosha | Kwete | Kunze-chitaridzi |
| Tardive dyskinesia (inodzokorora, isingazvibate mafambiro, anowanzo kukonzerwa nekushandisa kwenguva refu kwemishonga inorwisa antipsychotic) | Kunze-chitaridzi | Kunze-chitaridzi |
| Post-inoshungurudza kusagadzikana kusagadzikana | Kunze-chitaridzi | Kunze-chitaridzi |
| Tinnitus (kurira munzeve) | Kwete | Kunze-chitaridzi |
| Premenstrual chirwere | Kunze-chitaridzi | Kunze-chitaridzi |
Ko buspirone kana Xanax inoshanda zvakanyanya here?
Mune chidzidzo uchienzanisa buspirone uye Xanax , ese madhiragi akawanikwa achishanda zvakaenzana pakurapa zviratidzo zvekushushikana, uye buspirone yakawanikwa iine mashoma mhedzisiro uye mashoma ekudzora zviratidzo kupfuura Xanax.
Imwe kudzidza akatarisa buspirone uye Xanax, pamwe neValium (diazepam), uye nemhedzisiro yekurara masikati. Chidzidzo chacho chakawana buspirone inokonzera kukotsira kushoma kwemishonga iyi mitatu. Nezuva rechinomwe, mutsauko uripakati pemishonga maererano nehusiku hwekurara hwakanga husina kukosha, asi varwere vakatora alprazolam kana diazepam vaive nekunonoka kupindura nguva pane anoonekwa maitiro akayedza-mashandiro ebvunzo. Vanyori vakapedzisa kuti kunyangwe iwo madhiragi akafanana achishanda, buspirone inogona kunge iri nani kune varwere uko masikati machenjedzo akakosha.
Mushonga unonyanya kushanda kwauri unofanirwa kusarudzirwa nachiremba wako, uyo anogona kutarisa mamiriro ako ekurapa uye nhoroondo, pamwe nemimwe mishonga yaunotora.
Unoda mutengo wakanakisa paBuspirone?
Saina iwe kune yeBuspirone yambiro yemitengo uye tsvaga kana mutengo uchinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kwebuspirone vs. Xanax
Buspirone uye Xanax zvinowanzo kufukidzwa neinishuwarenzi pamwe neMedicare Chikamu D, kunyangwe copays ichisiyana. Iro zita-zita Xanax inodhura zvakanyanya uye inogona kunge isina kuvharwa, kana kana ikafukidzwa, unogona kunge uine kopayakakwira zvakanyanya.
Buspirone inowanzo tenderera pamadhora makumi mapfumbamwe asi iwe unogona kuiwana kweinosvika madhora mana nekushandisa iro cheteCare koponi kuma Pharmacies ari kutora chikamu. Generic Xanax mitengo inotangira pamadhora makumi matatu kusvika pamadhora makumi matanhatu asi iwe unogona kuwana mushonga we1 mg, 60 mapiritsi e $ 10- $ 20 nekisheni reSingleCare.
Edza iyo SingleCare dhisikaundi kadhi
| Buspirone | Xanax | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Hongu (generic; brand inogona kunge isina kuvharwa kana kuve neakakwira kwazvo copay) |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Hongu (generic; brand inogona kunge isina kuvharwa kana kuve neakakwira kwazvo copay) |
| Standard muyero | # 60, 10 mg mahwendefa | # 60, 0.5 mg mahwendefa |
| Chaizvoizvo Medicare copay | $ 0- $ 16 | $ 0- $ 33 |
| SingleCare mutengo | $ 4- $ 20 (zvinoenderana nekhemisi) | $ 10- $ 20 (zvinoenderana nekhemisi) |
Zvakajairika mhedzisiro mhedzisiro ye buspirone vs. Xanax
Mhedzisiro inowanzoitika yakaipa ye buspirone dzungu, musoro, uye kushaya simba. Varwere vanogona zvakare kusangana nesvoto, kutya, kureruka musoro, uye / kana kufara.
Mhedzisiro inowanzoitika yeXanax ndeye sedation, dzungu, uye kushaya simba. Mimwe mhedzisiro mhedzisiro inogona kuitika inosanganisira huremu husina musoro, matambudziko ekurangarira, kuvhiringidzika, kuoma muromo, kusagadzikana, euphoria, pfari, vertigo, shanduko yekuona, kutaura kwakadzikira, matambudziko epabonde, kutemwa nemusoro, koma, kufema mweya (kunonoka kufema, kusawana oxygen yakakwana), uye / kana GI (gastrointestinal) zviratidzo zvakaita sekugumbuka mudumbu, kuda kurutsa, kuzvimbirwa, kana manyoka.
Mimwe mhedzisiro inogona kuitika. Bvunza nyanzvi yezvehutano kuti uwane yakazara rondedzero yemhedzisiro.
| Buspirone | Xanax | |||
| Side Migumisiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kugara | Ehe | 4% (yakafanana ne placebo) | Ehe | 41-77% |
| Kutemwa nemusoro | Ehe | 6% | Ehe | 12.9% (asi yakaderera pane placebo) |
| Dzungu | Ehe | 12% | Ehe | 1.8-30% |
| Kushaya simba | Ehe | piri% | Ehe | 6-7% |
Kwayaka: DailyMed ( buspirone ), Zuva Nezuva ( Xanax )
Kubatana kwezvinodhaka zve buspirone uye Xanax
MAOIs (monoamine oxidase inhibitors) haifanire kushandiswa mukati memazuva gumi nemana ebuspirone, nekuti musanganiswa unogona kukonzera serotonin chirwere kana kuwedzerwa kweropa.
Buspirone uye Xanax zvese zvinogadziriswa, kana kugadziriswa, neiyo enzyme inonzi cytochrome-P 450 3A4 (CYP 3A4). Mimwe mishonga inodzivisa CYP3A4, kudzivirira buspirone kana Xanax kubva pakuitwa metabolism, uye inotungamira kune yakavakirwa buspirone kana Xanax (uye nezvimwe zvinokanganisa). Izvi zvinosanganisira diltiazem, erythromycin, uye mamwe akati wandei. Izvo zvakakosha kuti uzive kuti grapefruit muto unogona kutitadzisa metabolism ye buspirone kana Xanax.
Kune rimwe divi, mimwe mishonga ndeye CYP3A4 inducers uye inomhanyisa metabolism ye buspirone kana Xanax (uye semhedzisiro, buspirone kana Xanax yaisazoshanda). Iyi mishonga inosanganisira carbamazepine, phenytoin, rifampin, uye barbiturates senge phenobarbital.
Buspirone kana Xanax haifanire kutorwa neopioid painkillers, nekuda kwekuwedzera njodzi yekuzorora, kufema, uye kuwandisa, pamwe kutotungamira kurufu. Kana pasina kumwe kusanganiswa kwemushonga kunogoneka, murwere anofanirwa kuwana ese madhiragi padosi yakadzika kwazvo uye kwenguva ipfupi yenguva, uye anyatso kutariswa.
Buspirone kana Xanax zvakare haifanire kutorwa pamwe nemamwe maCNS depressants, anosanganisira doro, antipsychotic, antidepressants (kusanganisira SSRIs seProzac), sedating antihistamines, uye anticonvulsants. Zvichienderana nekubatanidzwa, panogona kuve nenjodzi yakawedzera yeserotonin syndrome, CNS kushushikana (kunonoka kwekuita kwehuropi), uye kuora mwoyo kwepfungwa (kunonoka kuita, semuenzaniso, kana uchityaira).
Kumwe kudyidzana kwezvinodhaka kunogona kuitika. Bvunza wako mupi wezvehutano nezvezvehutano.
| Zvinodhaka | Kirasi Yezvinodhaka | Buspirone | Xanax |
| Phenelzine Rasagiline Selegiline Tranylcypromine | MAO inhibitors | Ehe | Kwete |
| Diltiazem Erythromycin Itraconazole Ketoconazole Nefazodone Ritonavir Verapamil Muchero wemazambiringa | CYP3A4 inhibitors | Ehe | Ehe |
| Carbamazepine Phenobarbital Phenytoin Rifampin | CYP3A4 inducers | Ehe | Ehe |
| Codeine Fentanyl Oxycodone Morphine Tramadol | Opioid | Ehe | Ehe |
| Doro | Doro | Ehe | Ehe |
| Amitriptyline Citalopram Desipramine Desvenlafaxine Duloxetine Escitalopram Fluoxetine Fluvoxamine Imipramine | Zvinodzvinyirira | Ehe | Ehe |
| Baclofen Carisoprodol Cyclobenzaprine Metaxalone | Tsandanyama dzinozorodza | Ehe | Ehe |
| Divalproex sodium Gabapentin Lamotrigine Levetiracetam Pregabalin Topiramate | Anticonvulsants | Ehe | Ehe |
| Diphenhydramine | Kugara antihistamines | Ehe | Ehe |
| Lo Loestrin Fe, nezvimwe | Mishonga yekudzivirira | Kwete | Ehe |
Yambiro dze buspirone uye Xanax
Buspirone
- Buspirone haifanire kutorwa mukati memazuva gumi nemana emonoamine oxidase inhibitor (MAOI) senge phenelzine, tranylcypromine, rasagiline, kana selegiline. Iko kusanganisa kunogona kutungamira mukuwedzera kwengozi muropa, kana mamiriro anonzi serotonin syndrome. Serotonin chirwere chinotyisidzira hupenyu chinogona kuitika kana maserotonin akanyanya kukwirira. Kana zvikaitika, zvinowanzoitika nekuda kwechinodhaka kana musanganiswa wemishonga (seanodzvinyirira) iyo yakasimudza mwero weserotonin zvakanyanya. Serotonin syndrome inogona kuva yakapfava (kudedera, manyoka) kusvika kune yakanyanya (kupisa uye kubatwa) uye inogona kutungamira kurufu kana ikasarapwa.
- Usatyaire kana kushandisa michina kusvikira iwe waziva kuti buspirone inokukanganisa sei.
- Varwere vane chiropa kana itsvo matambudziko havafanirwe kushandisa buspirone.
- Buspirone yakadzidzwa mumhuka dzine nhumbu uye haina kuratidza kukuvadza kune fetus, asi hapana zvidzidzo zvakakwana mumadzimai akazvitakura. Naizvozvo, buspirone inongofanirwa kushandiswa mukuzvitakura kana zvichinyatso kudikanwa uye kana ichibvumidzwa neOB yako / GYN.
Xanax
- Xanax inouya neyebhokisi yambiro, yambiro yakasimba inodiwa neDFA. Xanax (kana chero benzodiazepine) haifanire kutorwa neopioid painkillers nekuda kwenjodzi yekunyanyisa kusuruvara, kuora mwoyo kwakanyanya, coma, uye / kana kufa. Kana mubatanidzwa we benzodiazepine uye opioid usingakwanise kudzivirirwa, murwere anofanirwa kupihwa yakaderera dosi yenguva pfupi uye otariswa zvakanyanya. Varwere havafanirwe kutyaira kana kushandisa michina kudzamara mhedzisiro yemushonga ichizivikanwa.
- Xanax inogona kukonzera kutsamira mumuviri uye nepfungwa - njodzi inowedzera nemadosi epamusoro, nguva refu yekushandisa, kana nhoroondo yekushandisa zvinodhaka / doro. Nekuti varwere vane dambudziko rekutya vanowanzo shandisa mwero weXanax, panogona kuve nenjodzi yepamusoro yekuvimba.
- Kana iwe ukatora Xanax, tora chete sekurairwa. Usatore mamwe madosi.
- Paunenge uchirega Xanax, bvunza chiremba wako chirongwa chekutora mushonga zvishoma nezvishoma. Izvi zvinokubatsira kudzivirira zviratidzo zvekusiya, izvo zvinogona kusanganisira: kufenda, kushungurudzika, kuvhiringidzika, kurova kwemwoyo nekukurumidza, vertigo, uye zvimwe zviratidzo. Varwere vane kusagadzikana kwekutora vari pangozi yakanyanya yekubvisa zviratidzo.
- Pane njodzi yekuzviuraya kune varwere vane kushushikana. Varwere vane kushushikana vanofanirwa kurapwa neanodzvinyirira uye vanofanirwa kutariswa zvakanyanya.
- Xanax inofanira kushandiswa nekuchenjerera kune varwere vane matambudziko emapapu senge COPD kana kurara kufema.
- Taura nachiremba wako nezve kugadzirisa iyo Xanax kana uine matambudziko echiropa.
- Xanax iri pa Beers 'Chinyorwa (zvinodhaka zvinogona kunge zvisina kukodzera kushandiswa kune vakura vakuru). Nekuti vakuru vakura vanowedzera kunzwisisika kune benzodiazepines, kune njodzi yakawedzera yekukanganisa kwekuziva, delirium, kudonha, kutsemuka, uye kupunzika kwemotokari kana Xanax yashandiswa.
- Xanax haifanire kushandiswa mukubata, nekuti inogona kukonzera kukuvadza kune fetus. Kana iwe urikutotora buspirone kana Xanax uye woziva kuti une pamuviri, bata OB / GYN yako nekukasira.
Inowanzo bvunzwa mibvunzo nezve buspirone vs. Xanax
Chii chinonzi buspirone?
Buspirone mushonga unoshandiswa kunetseka. Inowanikwa mune generic fomu uye inowanzo kuvharwa neinishuwarenzi.
Chii chinonzi Xanax?
Xanax chikamu chebenzodiazepine chikamu chemishonga. Iyo inoshandiswa kusagadzikana uye kutya chirwere. Inowanikwa mune zvese mhando uye generic, uye sekukurumidza-kuburitsa kana kuwedzerwa-kuburitsa piritsi. Xanax inowanzo kufukidzwa neinishuwarenzi mune generic fomu yealprazolam asi inogona kuvharwa kune yakakwira copay mufomu-zita fomu.
Mimwe benzodiazepines iwe yaungangodaro wakanzwa nezvayo inosanganisira Ativan (lorazepam), Klonopin (clonazepam), uye Valium (diazepam). Nekuti Xanax chinhu chinodzorwa chine mukana wekushungurudzwa, zvinokurudzirwa kuzvichengeta kubva pasingawanikwe nevana, zviri nani kuvharirwa, kana zvichibvira.
Buspirone neXanax zvakafanana here?
Kunyange ivo vari vaviri vachibata kushushikana, vanoshanda zvakasiyana. Nzira iyo buspirone inoshanda haina kunyatsonzwisiswa asi inosanganisira serotonin uye dopamine. Xanax (uye mimwe mishonga mubenzodiazepine kirasi) inoshanda paGABA zvinogamuchirwa muuropi.
Iko buspirone kana Xanax zvirinani?
Mukuchipatara zvidzidzo , ese madhiragi akaratidzirwa kuve anoshanda zvakaenzana kune kushushikana. Nekudaro, buspirone inogona kukonzera kukotsira kushoma masikati.
Izvo zviri kutaurwa, ese ari maviri madhiragi anozivikanwa kwazvo. Nekuti munhu wese akasiyana, zvakanaka kuti ubvunze nachiremba wako uye iye / anogona kuongorora ako aripo zviratidzo uye nhoroondo yekurapa pamwe nemimwe mishonga yaunotora, kuti uone kana buspirone kana Xanax iri nani kwauri.
Ndinogona here kushandisa buspirone kana Xanax ndichiri nepamuviri?
Buspirone ndeye nhumbu B. Kudzidza mumhuka hakuna kuratidza kukuvadza kune fetus, asi hapana zvidzidzo zvakakwana mumadzimai akazvitakura. Naizvozvo, buspirone inongofanirwa kushandiswa mukuzvitakura kana mabhenefiti akakunda njodzi, uye pasi pekutarisirwa kweOB / GYN yako.
Xanax chikamu chepamuviri D. Kutora mushonga uine nhumbu kunogona kukuvadza mwana, uye hakufanirwe kushandiswa. Kana iwe urikutotora buspirone kana Xanax uye woziva kuti une pamuviri, bata OB / GYN yako nekukasira.
Ndinogona here kushandisa buspirone kana Xanax nedoro?
Kwete. Iko kusanganiswa kwe buspirone kana Xanax nedoro kunogona kuva zvine ngozi zvikuru kana kutouraya. Pamwe chete, doro pamwe ne buspirone kana Xanax zvinogona kutungamira kuCNS kushushikana (kunonoka kuita kwehuropi), kufema kushushikana (kunonoka kufema uye kusawana oxygen yakakwana), uye kutotungamira kukoma uye / kana kufa.
Ko buspirone inoita kuti unzwe sei?
Mushure mevhiki kana zvakadaro, apo buspirone inotanga kurovera mukati, iwe unotanga kunzwa kusanyanya kunetseka. Iwe unogona zvakare kusangana nezvimwe zvinokanganisa, senge dzungu, kurwadziwa nemusoro, kana kushaya simba. Kana yako dhizaini ichifanira kuwedzerwa, chiremba wako anowedzera zvishoma nezvishoma muyero saka mhedzisiro inoderedzwa. Kana paine chero mhedzisiro iri kunyanya kunetsa, tarisa mukati nemupi wako wekuchengeta hutano.
Zvinotora nguva yakareba sei kuti buspirone ikande mukati?
Buspirone haitangi kushanda nekukasira. Zvinogona kutora vhiki imwe chete kana maviri kuti utange kushanda, uye ungangonzwa musana kusvika mavhiki mana kusvika matanhatu.
Ko buspirone inogona kutsiva Xanax?
Pamwe. Buspirone uye Xanax vanoshanda zvakasiyana, asi ivo vaviri vanobata kunetseka. Varwere vanotora buspirone vanowanzoona kushoma sedation. Kumbira chiremba wako kana imwe yemishonga iyi yakakunakira iwe.
Ko buspirone inokubatsira iwe kurara here?
Buspirone haina kunzi inokonzera sedation. Nekudaro, kana kushushikana kwako kuri nani pane zvese nekuti uri kutora buspirone, unogona kurara zvirinani nekuda kwekunzwa kushomeka kunetseka. Mukati zvekuchipatara zvidzidzo , 10% yevarwere vakatsimwaira, asi 9% yevarwere vari kutora placebo (piritsi risingashandi) vakashumawo kunzwa hope. Zvakare, 3% yevarwere vakataura kushaya hope, asi 3% yevarwere vari kutora placebo vakaonawo kushaya hope.










