Celexa vs. Lexapro: 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
Huru kushungurudzika kusagadzikana, kunowanzo kunzi kungoita sekushushikana kana MDD, inofungidzirwa kukanganisa angangoita 216 mamirioni vanhu , kana 3% yehuwandu hwepasi rose. Iyo inoratidzirwa nemamiriro ekudzikira kweinenge vhiki mbiri nguva kuburikidza nemazhinji mamiriro. Varwere vanogona kuratidza kurasikirwa kwechido mune zviitiko zvavanowanzo farira kana kushaya simba. Ivo vanogona zvakare kunzwa kurwadziwa pasina chero chinozivikanwa chikonzero.
Kushungurudzika kunogona kurapwa nenzira dzakasiyana siyana. Counselling uye kurovedza muviri zvinogona kushanda pachezvazvo mune yakakura nhamba yezviitiko. Vamwe varwere vangangoda mishonga. Kune makirasi akati wandei emishonga yekudzvinyirira, uye chimwe chezvinyanyozivikanwa izvi ndidzo dzinosarudza serotonin reuptake inhibitors (SSRIs). Kune mishonga yakawanda mukirasi ino inosanganisira Prozac (fluoxetine), Zoloft (sertraline), uye Paxil (paroxetine). Pano tichakurukura Celexa (citalopram) uye Lexapro (escitalopram).
Ndeupi mutsauko mukuru pakati paCelexa naLexapro?
Celexa mushonga wekurapa unoratidzwa mukurapa kwekushungurudzika kukuru kwekushungurudzika. Inowanikwa pachena secitalopram uye ndeyake yeboka reanorwisa mweya anozivikanwa seSSRIs. Celexa inovhara iyo reuptake yeserotonin pane iyo neuronal membrane. Nekudzivirira serotonin reuptake nepombi yekufambisa, mushonga wacho unonyatso kusiya serotonin yemahara muiyo neuron synapse. Matanho epamusoro e serotonin anofambidzana nekuvandudzwa kwemanzwiro uye masimba emagetsi Chinhu chinoshanda, citalopram, ine maomeri maviri: R-citalopram uye S-citalopram. Iyo S-isomer inonyanya kukonzera iyo serotonin blockade inoita kuti citalopram ibudirire.
Celexa (Chii chinonzi Celexa?) Inowanikwa mune yemumuromo piritsi yekuumbwa musimba re10 mg, 20 mg, uye 40 mg. Inowanikwawo mumuromo wemvura mhinduro mune kuwanda kwe10 mg / 5 ml uye 20 mg / 5 ml.
Lexapro mumwe mushonga wekurapa unoratidzwa mukurapa kwekushungurudzika. Iyo generic fomu yeLexapro is escitalopram, uye ine iyo inonyanya kushanda isomer S-citalopram. Lexapro inoshanda nenzira imwecheteyo seCelexa nekuvhara serotonin reuptake.
Lexapro (Chii chinonzi Lexapro?) Inowanikwa sehwendefa remuromo musimba re5 mg, 10 mg, uye 20 mg. Inowanikwawo semhinduro yemumuromo mune 5 mg / 5 ml kusangana.
| Misiyano mikuru pakati paCelexa neLexapro | ||
|---|---|---|
| Celexa | Lexapro | |
| Kirasi yemishonga | Inosarudza serotonin reuptake inhibitor | Inosarudza serotonin reuptake inhibitor |
| Brand / generic chinzvimbo | Brand uye generic inowanikwa | Brand uye generic inowanikwa |
| Chii chinonzi generic zita? | Citalopram | Escitalopram |
| Ndeapi mafomu (s) ayo mushonga unouya? | Piritsi yemuromo uye mhinduro yemumuromo | Piritsi yemuromo uye mhinduro yemumuromo |
| Ndeipi muyero wakajairwa? | 20 mg kamwe pazuva | 10 mg kamwe pazuva |
| Yakareba sei iyo yekurapa? | Yakareba-nguva (mwedzi kusvika makore) | Yakareba-nguva (mwedzi kusvika makore) |
| Ndiani anowanzoshandisa mushonga? | Vechidiki nevakuru | Vechidiki nevakuru |
Unoda mutengo wakanakisa paCelexa?
Saina kuCelexa yambiro yemitengo uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu anorapwa naCelexa naLexapro
Celexa naLexapro vese vari vaviri vanoratidzwa mukurapa kwehukuru kushungurudzika kusagadzikana. MDD inoratidzirwa nekureba (vhiki mbiri kana kupfuura) manzwiro ekuderera uye kudzikira kwesimba maseru. Varwere vanogona kusawana mufaro muzvinhu zvavainakidzwa nazvo kare. Lexapro inoratidzwa zvakare mukurapa kweakajairika kunetseka kusagadzikana (GAD). GAD inoratidzirwa nekugara kwenguva refu uye kushushikana kunetseka nezve dzakasiyana misoro. Celexa yanga ichishandiswa muGAD futi, kunyangwe iko kushandiswa kuchionekwa sengere-label nekuti iyo FDA haina kubvumidza Celexa yekushandisa iyi.
Celexa naLexapro vese vari vaviri vanoshandiswa-kuregedzwa mumatambudziko akasiyana siyana ari padhuze nepfungwa nekushushikana. Izvi zvinosanganisira kunyanyisa kukakamira kusagadzikana, kuvhunduka kusagadzikana, uye mushure mekutambudzika kushungurudzika kusagadzikana.
Izvi zvinotevera hazvina kuitirwa kuve runyorwa ruzere rwe zvingangoshandiswa zveCelexa neLexapro. Chete mupi wako wekuchengetedza hutano ndiye anogona kuongorora kusagadzikana kwako uye osarudza kuti ndeipi nzira yekurapa yakakunakira iwe.
| Mamiriro | Celexa | Lexapro |
| Huru kushungurudzika kusagadzikana | Ehe | Ehe |
| Aggression disorder (kuora mwoyo kwakabatana) | Kunze-chitaridzi | Kwete |
| Binge kudya kusagadzikana | Kunze-chitaridzi | Kunze-chitaridzi |
| Chirwere chekuzvidya mwoyo | Kunze-chitaridzi | Ehe |
| Kucherekedza kusagadzikana kusagadzikana | Kunze-chitaridzi | Kunze-chitaridzi |
| Panic kusagadzikana | Kunze-chitaridzi | Kunze-chitaridzi |
| Posttraumatic kusagadzikana kusagadzikana | Kunze-chitaridzi | Kunze-chitaridzi |
| Nguva isati yakwana ejaculation | Kunze-chitaridzi | Kunze-chitaridzi |
| Premenstrual dysphoric kusagadzikana | Kunze-chitaridzi | Kunze-chitaridzi |
| Kushungurudzika kwevanhu munharaunda | Kunze-chitaridzi | Kwete |
| Muviri dysmorphic kusagadzikana | Kwete | Kunze-chitaridzi |
| Bulimia nervosa | Kwete | Kunze-chitaridzi |
Celexa kana Lexapro inoshanda zvakanyanya here?
Yakasarudzika, yakapofumadza-bofu kudzidza zvakaitwa kuenzanisa Celexa naLexapro mukurapa kwekunze kweMDD. Muyero wezuva nezuva we40 mg weCelexa wakafananidzwa ne20 mg yezuva nezuva yedosi yeLexapro. Montgomery-Asberg Depression Rating Scale (MADRS) yaive chiyero chekuyera, uye hwaro hwepakutanga hwevatori vechikamu hwaive hwakakura kana kuti hwakaenzana ne30. Chikamu chepamusoro cheMADDRS chaizoratidza kushungurudzika kwakanyanya. Iwo MADRS mamakisi akaderera zvakanyanya muLexapro ruoko kupfuura ruoko rweCelexa, uye mutsauko uyu waive wakakosha. Lexapro zvakare yaive nevanhu vazhinji vanopindura pakurapa kwese. Kushivirira kwemishonga kwaive kwakafanana pakati pemapoka maviri.
TO meta-ongororo yakaitwa kuti ienzanise kushanda kweCelexa uye iri kushanda s-isomer, Lexapro. Zvidzidzo zvipfumbamwe zvakashandiswa mukuongorora zvakataurirana zvese zvine mwero uye zvakanyanya kushushikana. Pakati pezvidzidzo, imwe yemhando mbiri yezviyero yakashandiswa; iyo MADRS kana iyo Hamilton Kushushikana Kwekuyera Scale (HAMD). Mushure mekuverengera kwekusiyana pakati pezvidzidzo, Lexapro akaratidzirwa kuve akakwirira kunaCelexa mukurapa kwekushushikana zvine mwero uye kwakanyanya. Musiyano wacho waive wakakura uye wakakosha kuchipatara.
Pakupedzisira, chiremba wako chete ndiye anogona kusarudza kuti ndeupi kurapwa kwakanakira iwe. Nguva dzose bvunza chiremba wako usati waita chero shanduko kuhurongwa hwako hwekurapa.
Unoda akanakisa mutengo paLexapro?
Saina kuLexapro mutengo wekuzivisa uye uone kana mutengo wachinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kwaCelexa vs. Lexapro
Celexa mushonga wekurapa uyo unovharwa nezvose zviri zviviri zvekutengeserana uye zveMedicare zvirongwa zveinishuwarenzi. Wepakati mutengo wekutengesa wekutengesa kwemazuva makumi matatu eCelexa 20 mg ingangoita madhora makumi matanhatu nemashanu. Nekoponi kubva kuSingleCare, unogona kuwana generic pasi pe $ 4.
Lexapro zvakare iri mishonga yemishonga inowanzo kuvharwa nezvose zviri zviviri zvekutengeserana uye zveMedare zvirongwa zvemushonga. Mutengo wekunze-muhomwe wekutengeswa kwemazuva makumi matatu kweLexapro 10 mg unogona kusvika pamadhora zana nemakumi masere. SingleCare inopa generic Lexapro coupon, iyo inounza mutengo kusvika pasi pe $ 15 kuma pharmacies anotora chikamu.
Tora kadhi reSpecialCare rekutora kadhi
| Celexa | Lexapro | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare? | Ehe | Ehe |
| Standard muyero | 30, 20 mg mahwendefa | 30, 10 mg mahwendefa |
| Chaizvoizvo Medicare copay | Asingasviki $ 10 | Asingasviki $ 10 |
| SingleCare mutengo | $ 4- $ 20 | $ 15- $ 70 |
Zvakajairika mhedzisiro mhedzisiro yaCelexa vs. Lexapro
Celexa naLexapro zvakafanana nemakemikari asi zvinosiyana pane zvavanogona kuita mhedzisiro. Somnolence inowirirana mhedzisiro pakati peese SSRIs. Lexapro yakanzi inokonzera kushushikana mu6% yevarwere, nepo kushushikana kwakataurwa mu2% ye varwere paCelexa .
Zvirwere zvemudumbu mhedzisiro zvinowanzoitika neLexapro. Varwere veLexapro vakataura chiitiko chepamusoro chekusvotwa, dyspepsia, uye manyoka kupfuura varwere veCelexa vakataura. Kuderera kwepabonde kutyaira kwakamhan'arwa nekushandisa SSRI asi zvinoita kunge kwakanyanya muLexapro kupfuura Celexa.
Iyi inotevera runyorwa haina kuitirwa kuti ive izere runyorwa rweakashata zviitiko. Ndokumbirawo ubvunze wemishonga, chiremba, kana mumwe chiremba wezvekurapa kuti uwane yakazara rondedzero yemhedzisiro.
| Celexa | Lexapro | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Asthenia | Ehe | 1% | Kwete | n / a |
| Nausea | Ehe | 4% | Ehe | 5% |
| Muromo wakaoma | Ehe | 1% | Ehe | 5% |
| Kudikitira | Kwete | n / a | Ehe | 5% |
| Kusvipa | Ehe | 1% | Kwete | n / a |
| Manyoka | Kwete | n / a | Ehe | 8% |
| Kuzvimbirwa | Kwete | n / a | Ehe | 3% |
| Dyspepsia | Kwete | n / a | Ehe | 3% |
| Dzungu | Ehe | piri% | Kwete | n / a |
| Kukotsira | Ehe | piri% | Ehe | 6% |
| Kusagadzikana | Ehe | 1% | Kwete | n / a |
| Kuderedza kudya | Kwete | n / a | Ehe | 3% |
| Yakadzikira libido | Kwete | n / a | Ehe | piri% |
Kwayaka: Celexa ( Zuva Nezuva Lexapro ( Zuva Nezuva )
Kubatana kwezvinodhaka kwaCelexa vs. Lexapro
Nekuda kwekufanana kwavo kwemakemikari, Celexa naLexapro vane chimiro chakafanana chekudyidzana kwezvinodhaka. Ose madhiragi aya anogadziriswa kuburikidza neiyo cytochrome P450 enzyme system. Celexa inzvimbo huru yeCYP2C19 uye CYP3A4, diki substrate yeCYP2D6, uye isina simba inhibitor yeCYP2D6. Lexapro ndiyo substrate huru yeCYP2C19 uye CYP3A4 uye isina simba inhibitor yeCYP2D6.
Celexa naLexapro vanogona kuwedzera iyo serum kuwanda kweantipsychotic, senge aripiprazole, kuburikidza nekudzivirira kwavo CYP2D6. Kana kushandiswa kunowirirana kuchidikanwa, varwere vanofanirwa kuongororwa nezve mhedzisiro yeanorapa mishonga. Mune vamwe varwere, kuderera kwemushonga weantipsychotic kunogona kudikanwa.
Yakasimba CYP3A4 inducers, senge antiepileptic mumiriri carbamazepine, inogona kuwedzera metabolism yeCelexa neLexapro. Therapy modification inogona kudikanwa kudzivirira iyi mhando yekudyidzana.
Iyi inotevera rondedzero haina kuitirwa kuti ive izere runyorwa rwekudyidzana zvinodhaka. Zvakanakisisa kubvunza chiremba wako kana wemishonga kuti uwane yakazara runyorwa.
| Zvinodhaka | Kirasi Yezvinodhaka | Celexa | Lexapro |
| Acalabrutinib Dabrafenib Erdafitinib Gilteritinib Ibrutinib | Antineoplastics | Ehe | Ehe |
| Almotriptan Eletriptan Oxitriptan | 5HT Agonist / Triptans (antimigraine vamiririri) | Ehe | Ehe |
| Dexmethylphenidate Methylphenidate | Amphetamine | Ehe | Ehe |
| Alosetron Ondansetron Ramosetron | 5HT3 Vapikisi (anti-nausea vamiririri) | Ehe | Ehe |
| Apixaban Edoxaban | Antiplatelets | Ehe | Ehe |
| Aripiprazole | Antipsychotic | Ehe | Ehe |
| Aspirin Ibuprofen Naproxen Diclofenac | Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs) | Ehe | Ehe |
| Bemiparin Enoxaparin Heparin | Anticoagulants | Ehe | Ehe |
| Bupropion | Dopamine / norepinephrine reuptake inhibitor | Ehe | Ehe |
| Buspirone | Kufunganya | Ehe | Ehe |
| Carbamazepine | Anticonvulsant | Ehe | Ehe |
| Enzalutamide | Chemotherapy mumiririri | Ehe | Ehe |
| Esomeprazole Omeprazole | Proton pombi inhibitor | Ehe | Ehe |
| Fluconazole | Antifungal | Ehe | Ehe |
| Fluoxetine Duloxetine Paroxetine Sertraline | SSRIs | Ehe | Ehe |
| Hydroxychloroquine | Aminoquinolone / Antimalarial | Ehe | Ehe |
| Linezolid | Mishonga inorwisa mabhakitiriya | Ehe | Ehe |
| Cyclobenzaprine Metaxalone | Tsandanyama dzinozorodza | Ehe | Ehe |
| Pimozide | Antipsychotic | Ehe | Ehe |
| Selegiline Phenelzine Rasagiline | Monoamine oxidase inhibitor (MAOI) | Ehe | Ehe |
| Wort St. | Mishonga yekuwedzera | Ehe | Ehe |
| Hydrochlorothiazide Chlorthalidone Metolazone | Thiazide diuretics | Ehe | Ehe |
| Tramadol | Opiate pain reliever | Ehe | Ehe |
| Amitriptyline Clomipramine Doxepin Nortriptyline | Tricyclic antidepressants | Ehe | Ehe |
| Venlafaxine | Inosarudza norepinephrine reuptake inhibitor (SNRI) | Ehe | Ehe |
Nyevero dzaCelexa naLexapro
Inosarudza serotonin reuptake inhibitors, kusanganisira Celexa naLexapro, usatange kugadzirisa zviratidzo nekukasira. Kazhinji, shanduko muzviratidzo zvinotora mashoma masvondo maviri kuti vacherechedze, nevarwere vazhinji vachida angangoita mavhiki mana kusvika matanhatu kuti vaone kana mushonga uyu uchikanganisa zviratidzo zvavo.
Vakuru uye vana vanotambura neMDD vanowanzotambura nekuzviuraya. Izvi zvinogona kuwedzera kana MDD isina kurapwa zvakakwana, kana kusarapwa zvachose. Zvimwe zvidzidzo zvakaratidza kuti mishonga inodzvinyirira, kusanganisira SSRIs, inogona kuwedzera kuzviuraya muvana nevakuru vechidiki. Vese varwere vanotora SSRI vanofanirwa kuongororwa zvakanyanya, uye SSRIs inongofanirwa kushandiswa muvana nevakuru vechidiki kana rubatsiro rwacho rwanyanyisa kupfuura njodzi yacho.
SSRIs haifanire kumiswa kamwe kamwe. Varwere vanogona kuona zviratidzo zvekudzora senge kuda kurutsa, kurutsa, dzungu, uye kutemwa nemusoro. Chiremba anoona nzira yakanakisa yekutapa Celexa naLexapro kana kurapwa kuchizomiswa.
Celexa anga achizivikanwa nekukonzera kuwedzera kweQT. Uku kusajairika mune iyo electrocardiogram inozivikanwa neTorsade de Pointes (TdP) uye ventricular tachycardia. Izvi zvinogona kuve zvakakomba divi mhedzisiro uye zvinogona kutungamira mukufa kamwe kamwe. Njodzi yematambudziko emoyo inokwira nedosi, uye nekuda kweichi chikonzero, varwere havafanirwe kutora anopfuura makumi mana emvura pazuva.
Serotonin syndrome yakataurwa nezvose SSRIs. Ichi chiitiko chakanangana neasina kukwirira mazinga eserotonin uye zvinogona kukonzera kuti murwere anzwe kushushikana, kutenderera, uye kuwedzerwa kurova kwemoyo. Izvi zvinogona kuunzwa nekushandiswa kwemaviri serotonergic zvinodhaka pamwechete. Izvo zvakakosha kuti utaure kune iro ruzivo rwemugadziri pamusoro pekudyidzana kwemishonga kana uchipa mishonga iyi.
Inowanzo bvunzwa mibvunzo nezve Celexa vs. Lexapro
Chii chinonzi Celexa?
Celexa mushonga weanodzvinyirira mishonga. Icho chiri chekirasi yemishonga inozivikanwa sekusarudza serotonin reuptake inhibitors. Iyo inorayirwa kurapa kwakanyanya kushushikana kusagadzikana, uye inoshanda nekuwedzera iripo serotonin muiyo neuron synapse. Celexa inowanikwa mu10 mg, 20 mg, uye 40 mg simba.
Chii chinonzi Lexapro?
Lexapro imishonga inorwisa antipressant. Icho chiri chekirasi yemishonga inozivikanwa sekusarudza serotonin reuptake inhibitors. Iyo inorayirwa kurapa kwakanyanya kushushikana kusagadzikana, uye inoshanda nekuwedzera iripo serotonin muiyo neuron synapse. Lexapro inowanikwa mu5 mg, 10 mg, uye 20 mg simba.
Ivo Celexa naLexapro vakafanana here?
Celexa naLexapro vese mishonga yekudzvinyirira mukirasi imwechete, zvisinei, ivo havana kufanana. Celexa musanganiswa werusaruro weR-enantiomer uye S-enantiomer yeCitalopram. Lexapro ine chete S-enantiomer, inova ndiyo inonyanya kushanda isomer inokonzeresa iyo serotonergic mhedzisiro.
Celexa kana Lexapro zviri nani here?
Meta-ongororo yemapfumbamwe akaparadzaniswa emakiriniki miedzo muvarwere vane mwero kusvika kwakanyanya kwakanyanya kushungurudzika kusagadzikana kwakaratidza kuti Lexapro yakaburitsa kuderera kwakakura zvakanyanya mukuora mwoyo chikamu kupfuura zvakaitwa naCelexa. Kuderera kukuru muzvikamu kunoratidza kuwedzera kwakanyanya kwezviratidzo zvekuora mwoyo, uye vaongorori vakafunga kuti Lexapro ndiyo yaive mushonga wepamusoro.
Ndinogona here kushandisa Celexa kana Lexapro ndichiri nepamuviri?
Celexa naLexapro vane nhumbu yekamu C, zvichireva kuti hapasati pave nezvakakwana zvidzidzo zvevanhu kuona kugona. Zvidzidzo zvemhuka zvakaratidza teratogenic mhedzisiro pane fetus, kusanganisira nemoyo mhedzisiro mhedzisiro, uye zvakatemwa kuti Celexa naLexapro vanoyambuka placenta yemunhu. Nechikonzero ichi, kushandiswa kwaCelexa kana Lexapro mukuzvitakura kunofanirwa kuyerwa kubva pane zvinogona kukuvadza mwana. Vanachiremba vanogona kusarudza dzimwe sarudzo dzekurapa kushushikana panguva yepamuviri.
Ndinogona here kushandisa Celexa kana Lexapro nedoro?
Doro rinogona kuwedzera huturu hweSSRIs. Kunwa doro uchitora Celexa kana Lexapro kunogona kukonzera kukanganisika kwepfungwa, uye nekuda kwechikonzero ichi varwere vanorayirwa kuti varege doro kana vakatora Celexa kana Lexapro.
Celexa yakanakira kushushikana here?
Celexa ave achishandiswa asiri-label kune akajairwa kunetseka kusagadzikana. Izvi zvinoreva kuti haina kubvumidzwa kune ichi chiratidzo neKudya neDrug Administration (FDA), asi inowanzo shandiswa mukuita. Nekudaro, Lexapro inogamuchirwa mukushandiswa kweakajairika kusagadzikana kusagadzikana.
Celexa kana Lexapro inowedzera kuwedzera huremu here?
Mune zvidzidzo zvinodzorwa, varwere veCelexa vakawana 0.5 kg kupfuura varwere pa placebo. Dzidzo dzinodzorwa dzinosanganisira Lexapro haina kuratidza mutsauko mukuwedzera huremu uchienzaniswa ne placebo. Kurema kwehuremu hakusi kunetsekana kwakakosha nemushonga.
Celexa anobatsira nehasha here?
Celexa haana chiratidzo chinotenderwa chekurapa kutsamwa kana hutsinye. Nekudaro, yave ichishandiswa kure-chitambi kurapa hutsinye hune hukama nehurema. Izvo zvakakosha kuti urangarire kuti varwere vanopfuura makore makumi matanhatu havafanirwe kutora anopfuura makumi maviri mg pazuva.
