Dexamethasone vs. prednisone: Misiyano, kufanana, uye izvo zviri nani kwauri
Zvinodhaka Vs. ShamwariKuongorora kwezvinodhaka & misiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Ne COVID-19 munhau mazuva ese, zvinogona kunge wakambonzwa nezvekurapa steroid. Kana, kana iwe wakambove wemurwere wekukurumidzira mukamuri, zvinokwanisika kuti iwe wakarapwa nesteroids. Steroid mishonga inoshandiswa mune dzakasiyana siyana dzekukurumidzira mamiriro ekurapa pamwe neakawanda akawanda akaomarara uye asingagumi ekuputira mamiriro. Dexamethasone uye prednisone mishonga miviri yakatemerwa inogamuchirwa neUnited States Chikafu neDrug Administration (FDA).
Ose madhiragi ari corticosteroids, inozivikanwawo seglucocorticoids kana steroid. Ivo anoshandiswa kune akasiyana siyana ekuputira mamiriro mune akawanda nhengo masisitimu. Corticosteroids inoshanda nekukonzeresa metabolic mhedzisiro uye kugadzirisa mhinduro yemuviri kuzvidzivirira. Kunyangwe dexamethasone uye prednisone ese ari maviri maSteroid, ane misiyano, yatichatsanangura pazasi.
Ndeupi mutsauko mukuru pakati dexamethasone uye prednisone?
Dexamethasone (Dexamethasone coupons | Chii chinonzi Dexamethasone?) Iyo corticosteroid, kana steroid, mishonga. Kunyangwe iro zita rezita raizivikanwa seDecadron, iro zita rezita chigadzirwa hachisisiri kutengeswa. Dexamethasone inowanikwa seyakagadzirwa chigadzirwa, sehwendefa, jekiseni, mhinduro yemumuromo, uye mune zvigadzirwa zve ophthalmic. Dexamethasone inozivikanwa seyakareba-inoshanda mushonga. Hupenyu-hwayo maawa makumi matatu nemasere kusvika makumi manomwe nemaviri.
Prednisone (Prednisone coupons | Chii chinonzi Prednisone?) Iriwo steroid mushonga. Iro zita rechiratidzo re prednisone rinogona kunzi Deltasone, asi zita rechiratidzo harichawanikwe. Prednisone inowanikwa seyakagadzirwa chigadzirwa, sehwendefa, uye semhinduro yemuromo. Prednisone inozivikanwa senge yepakati-inoshanda zvinodhaka. Hupenyu hwayo hunenge maawa matatu kana mana. Oral prednisone inonyanya kutaurwa seyekukurumidza-kuburitsa piritsi, asi kune zvakare kunonoka-kuburitsa prednisone piritsi inonzi Rayos.
| Misiyano mikuru pakati pe dexamethasone uye prednisone | ||
|---|---|---|
| Dexamethasone | Prednisone | |
| Kirasi yemishonga | Corticosteroid (steroid), inozivikanwawo seglucocorticoid | Corticosteroid (steroid), inozivikanwawo seglucocorticoid |
| Brand / generic chinzvimbo | Generic | Generic, brand (Rayos- kunonoka-kuburitsa mapiritsi) |
| Chii chinonzi zita rechiratidzo? | Decadron (haisisiri kutengeswa) | Deltasone (haisisiri yekutengesa inowanikwa), Rays (anonoka-kuburitsa mapiritsi) |
| Ndeapi mafomu (s) ayo mushonga unouya? | Piritsi, jekiseni, mhinduro yemumuromo, madonhwe ophthalmic (ega uye akabatana nezvimwe zvinoshandiswa), mafuta ekuzora ophthalmic (pamwe chete nezvimwe zvinoshandiswa) | Hwendefa, yemuromo mhinduro |
| Ndeipi muyero wakajairwa? | Inoshanduka nechiratidzo uye mhinduro kurapa | Inoshanduka nechiratidzo uye mhinduro kurapa |
| Inguva yakareba sei kurapwa kwacho? | Ipfupi-nguva; inosiyana | Ipfupi-nguva; vamwe varwere vanotora-nguva-refu pasi pekuchengetedzwa nevanyori |
| Ndiani anowanzoshandisa mushonga? | Vakuru, dzimwe nguva muvana | Vakuru, dzimwe nguva muvana |
Unoda mutengo wakanakisa pane dexamethasone?
Saina for dexamethasone mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu anorapwa ne dexamethasone uye prednisone
Dexamethasone uye prednisone zvine zviratidzo zvakafanana. Mishonga iyi miviri inoratidzwa kuti ishandiswe mumhando dzakasiyana siyana dzekuputira masisitimu akasiyana. Semuenzaniso, ese ari maviri mishonga anogona kushandiswa kweanorwara mamiriro, kana kwakajairika kurapwa kusingashande. Iyo allergic uye dermatologic mamiriro ayo dexamethasone uye prednisone anogona kurapa anosanganisira kuwedzera kwakanyanya kweasima, atopic kana kubata dermatitis, zvinodhaka hypersensitivity reaction, zvinogara kana mwaka wegore allergic rhinitis, Stevens-Johnson syndrome, uye chirwere cheserum.
Nekuti chikamu chimwe nechimwe chine zviratidzo zvakawanda, pane zvakawandisa kunyora. Mune chati iri pazasi, isu tinonyora mienzaniso yakati wandei yeboka rega rega. Bvunza wako mupi wezvehutano kuti uwane rumwe ruzivo.
| Mamiriro | Dexamethasone | Prednisone |
| Allergic uye dermatologic mamiriro (acute asthma exacerbations, dermatitis, rhinitis) | Ehe | Ehe |
| Endocrine kusagadzikana (adrenocortical insufficiency - pamwe chete nemamineralocorticoid drug yakadai sefludrocortisone, congenital adrenal hyperplasia) | Ehe | Ehe |
| Zvirwere zvepamuviri (enteritis, ulcerative colitis) | Ehe | Ehe |
| Hematology kusagadzikana (mamwe marudzi eanemia, idiopathic thrombocytopenic purpura) | Ehe | Ehe |
| Neoplastic zvirwere (leukemia, lymphoma) | Ehe | Ehe |
| Nervous system (kuwedzera kwakanyanya kweakawanda sclerosis, cerebral edema inosangana neyekutanga kana metastatic brain tumor, craniotomy, kana kukuvara kwemusoro) | Ehe | Ehe |
| Ophthalmic zvirwere (temporal arteritis, uveitis) | Ehe | Ehe |
| Zvirwere zvetsvo (idiopathic nephrotic syndrome, lupus) | Ehe | Ehe |
| Zvirwere zvekufema (mamwe marudzi etibhii kana mabayo) | Ehe | Ehe |
| Rheumatic kusagadzikana (mamwe marudzi eArthritis, lupus) | Ehe | Ehe |
Dexamethasone kana prednisone inoshanda zvakanyanya here?
Zvidzidzo zvichifananidza iwo maviri madhiragi musoro kusvika kumusoro zvakanyanya zvakatarisa kune dexamethasone vs. prednisone muvana vadiki vane hombe asthma. Poshi kudzokorora kwezvidzidzo yakatarisa dexamethasone vs. prednisone muvana vane kuwedzera kwakanyanya kweasima. Yakagumisa kuti humbowo hunotsigira kushandiswa kwechimwe chinodhaka. Ongororo yacho yakataura kuti dexamethasone inogona kunge iri nani inoshivirirwa, asi kuti kumwe kutsvagurudza kunodiwa.
Nekuti mushonga wega wega unogona kushandiswa kurapa akasiyana mamiriro ehutano, zvakaoma kutaura kuti mushonga upi unoshanda. Wako wekuchengeta hutano anogona kusarudza dexamethasone kana iwe uchida chimwe chinhu chakareba-kuita uye chine simba, kana prednisone kana iwe uchida chimwe chinhu chipfupi-chinoshanda. Mushonga wakanakira iwe unogona chete kusarudzwa nemupi wako wezvehutano, ndiani anogona kufunga nezve nhoroondo yako yekurapa nemamiriro, uye mimwe mishonga yaunotora iyo inogona kusangana ne dexamethasone kana prednisone.
Unoda mutengo wakanakisa pane prednisone?
Saina kuti uwane prednisone mitengo yambiro uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kwe dexamethasone vs. prednisone
Dexamethasone inowanzo kufukidzwa neinishuwarenzi yega uye Medicare. Mutengo wekunze-muhomwe wemapiritsi e30 4 mg unogona kuva $ 40 kana kudarika. Iine CouponCare koponi, iri pasi pe $ 10 pamakamuri anotora chikamu (Decadron coupons | Dhadhadha ruzivo).
Prednisone inowanzo kuvharwa neinishuwarenzi yakazvimirira uye Medicare. Mutengo wekunze-muhomwe wemapiritsi emakumi gumi emamiriyoni anenge madhora makumi maviri. Shandisa SingleCare coupon kuti utore mushonga wepasi pe $ 5.
Tora kadhi reSpecialCare rekutora
Tarira: Zvichienderana nehutachiona, kufukidzwa kweMedare kunogona kuwira pasi peChikamu B kana Chikamu D.
| Dexamethasone | Prednisone | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare? | Ehe | Ehe |
| Standard muyero | 4 mg mapiritsi makumi matatu | 20 mg mahwendefa gumi |
| Chaizvoizvo Medicare copay | $ 0- $ 1 | $ 0- $ 1 |
| SingleCare mutengo | $ 10 | $ 5 |
Zvakajairika mhedzisiro mhedzisiro ye dexamethasone vs. prednisone
Kana iwe uchinge warayirwa steroid mishonga, zvakakosha kutora mishonga sekurairwa, uye nekukanda muyero sekurairwa nemupi wako wezvehutano paunorairwa kuti uite kudaro. Pazasi pane runyorwa rweimwe mhedzisiro mhedzisiro inogona kuitika pamwe ne dexamethasone kana prednisone. Iyi haisi rondedzero izere yemhedzisiro. Bvunza wako mupi wezvehutano nezve runyorwa ruzere rwemhedzisiro.
| System | Zvinogona kuitika mhedzisiro ye dexamethasone kana prednisone |
| Allergic | Allergic reaction, anaphylaxis, angioedema |
| Mwoyo | Kusungwa kwemoyo / arrhythmia, kuwedzera kwemoyo, shanduko mukurova kwemoyo, kudonha kweropa, moyo kutadza, hypertension, edema, syncope, tachycardia, thromboembolism |
| dermatologic | Acne, allergic dermatitis, yakaoma / scaly ganda, erythema (kutsvuka), kukanganisika ronda kupora, kuwedzera kudikitira, kuputika |
| Endocrine | Yakadzikira carbohydrate / glucose kushivirira, kukura kweiyo cushingoid nyika, hyperglycemia (yakakwira shuga yeropa), hirsutism (yakawandisa bvudzi kukura), kumwedzi kutadza, kudzvinyirira kwekukura kwevarwere vevana |
| Fluid / electrolyte kusagadzikana | Congestive moyo kutadza, kuyerera kwemvura, potasiamu kurasikirwa, sodium chengetedzo |
| Uturu | Kuwedzera kudya, kuda kurutsa, pancreatitis, peptic ulcer, kupera kweiyo diki uye rakakura ura, ulcerative esophagitis |
| Musculoskeletal | Kurasikirwa kwemhasuru, kushaya simba kwemhasuru, osteoporosis, mapfupa marefu kutsemuka, tendon kuputika, vertebral compression fractures |
| Neurological / psychiatric | Kushushikana, kushushikana, kusagadzikana kwepfungwa, euphoria, kutemwa nemusoro, kuwedzerwa kusagadzikana nepapillemaema (pseudotumor cerebri) kazhinji zvichitevera kumiswa kwekurapwa, kushaya hope, kushanduka kwemanzwiro, neuropathy, paresthesia, hunhu hunoshanduka, vertigo. |
| Ophthalmic | Glaucoma, cataract, kusaona zvakanaka |
| Zvimwe | Mafuta asina kujairika anoisa, kuwedzera kubata kune zvirwere zvinotapukira , hiccups, mwedzi kumeso, kurema kuwedzera |
Kwayaka: DailyMed ( dexamethasone ), Zuva Nezuva ( zvideo )
Kubatana kwezvinodhaka zve dexamethasone vs. prednisone
Varwere vanotora anticoagulant, senge warfarin, vanofanirwa kuongororwa pavanotora mushonga we steroid. Mishonga inoshandiswa chirwere cheshuga ingangoda kuchinjika nekuti maSteroid anogona kukanganisa huwandu hweropa. Mimwe mishonga inogadziriswa ne enzyme inonzi CYP3A4 inogona kukanganisa metabolism yesteroid, inoda kuwedzerwa kuyerwa. Iri harisi runyorwa ruzere rwekubatana kwezvinodhaka. Bvunza wako mupi wezvehutano kuti uwane izere runyorwa rwekudyidzana kwezvinodhaka.
| Zvinodhaka | Kirasi yemishonga | Dexamethasone | Prednisone |
| Warfarin | Anticoagulant | Ehe | Ehe |
| Digoxin | Cardiac glycoside | Ehe | Ehe |
| Glipizide Glyburide Insulin Metformin Pioglitazone | Antidiabetic vamiririri | Ehe | Ehe |
| Carbamazepine Phenobarbital Phenytoin Rifampin | CYP3A4 enzyme inducers | Ehe | Ehe |
| Azithromycin Erythromycin Ketoconazole | CYP3A4 enzyme inhibitors | Ehe | Ehe |
| Aspirin Ibuprofen Meloxicam Naproxen | NSAIDs | Ehe | Ehe |
Yambiro dze dexamethasone uye prednisone
Yambiro dze corticosteroid kurapwa ne dexamethasone kana prednisone inosanganisira:
- Kazhinji, iyo sema kana anaphylactic maitiro anogona kuitika. Tsvaga kurapwa kwekukurumidzira kana izvi zvikaitika.
- Iko kushandiswa kwe dexamethasone kana prednisone kunogona kuwedzera kuwedzera kweropa, zvichikonzera kuchengetwa kwesodium nemvura, uye kurasikirwa kwe potassium. Steroid inofanira kushandiswa nekuchenjerera kune varwere vane kutadza kwemoyo, kuwedzerwa kweropa, uye / kana matambudziko eitsvo.
- Steroid inogona kukonzera calcium kurasikirwa. Izvi zvinogona kutungamira mukudzora kukura muvana uye osteoporosis pazera ripi zvaro. Shandisa nokungwarira.
- Iko kune kusangana pakati pekushandisa steroid uye kuruboshwe kwemadziro akasununguka emadziro kuputika mushure mechangobva kuitika myocardial infarction. Steroid inofanira kudzivirirwa kana kushandiswa nekuchenjerera kwakanyanya muvarwere ava.
- Steroid inogona kukonzera kudzoserwa hypothalamic-pituitary-adrenal (HPA) axis kudzvinyirira, kana kushaya adrenal kukwana, pamwe neinogona glucocorticosteroid kusakwana, mushure mekurapwa. Adrenocortical insufficiency, iyo inogona kupfuurira kwemwedzi mushure mekurega steroid, inogona kuitika kana steroid inomiswa nekukurumidza. Iyo njodzi inogona kudzikiswa nekupora zvishoma nezvishoma iyo steroid mishonga. Zvakare, iyo yakaderera inogoneka dosi inofanira kushandiswa.
- Nekuti maSteroid anodzvinyirira immune system, varwere vari kurapwa neasteroids vanonyanya kubatwa nezvirwere, kunyanya nemadhora epamusoro eSteroids. Steroid inogona kuwedzera hutachiona hutachiona uye haifanirwe kushandiswa mune izvi zviitiko kunze kwekunge ichida kudzora hupenyu hunotyisidzira zvinodhaka.
- Chickenpox uye gwirikwiti zvinogona kutonyanya kukuvadza kana kutouraya kune varwere vanotora steroid, nekuda kweakadzivirirwa immune system. Dzivisa kusangana nehuku uye gwirikwiti. Kana iwe ukafumurwa, tsvaga kurapwa kubva ipapo.
- Varwere vanogamuchira immunosuppressive doses e steroids havafanirwe kugamuchira mushonga mupenyu.
- Steroid inogona kukonzera kuwedzera kweiyo intraocular kumanikidza, cataract, glaucoma, uye / kana maziso eziso. Varwere vanokudziridza zviratidzo zvemaziso, kana vanoshandisa steroid kweanopfuura vhiki nhanhatu, vanofanirwa kuona ophthalmologist. Oral steroids haifanire kushandiswa kurapa optic neuritis kana inoshanda ocular herpes simplex.
- Steroid inofanira kushandiswa nekuchenjerera kune varwere vane mamiriro emudumbu uye / kana matambudziko echiropa.
- Steroid inogona kukonzera kushanduka kwemanzwiro, hunhu kuchinja, kushaya hope, kana kuratidzwa kwepfungwa. Bvunza wako mupi wezvehutano nekukasira kana iwe ukaona chero shanduko mune manzwiro kana maitiro
- Tevedza dosing uye tapering chirongwa cheako corticosteroid kurapa. Usarega steroid nekukurumidza kana pasina tarisiro kubva kune wako mupi wehutano.
- Steroid kushandiswa mukuzvitakura kunogona kukonzera kuti mwana ave nemukana wekupenga kana matambudziko nekukura / kuwedzera huremu. Steroid inongofanirwa kushandiswa mukuzvitakura kana mabhenefiti akakunda njodzi. Kana iwe uri kutotora mushonga we steroid uye uone kuti iwe une nhumbu, bvunza wako mupi wezvehutano nekukurumidza.
Inowanzo bvunzwa mibvunzo nezve dexamethasone vs. prednisone
Chii chinonzi dexamethasone?
Dexamethasone isteroid chinodhaka chinoshandiswa pakurapa kwakasiyana siyana kweanopisa mamiriro.
Chii chinonzi prednisone?
Kunge dexamethasone, prednisone imushonga weSteroid uyo unoshandiswa mumamiriro akasiyana siyana ekuputira ayo ekurwisa-kupisa mhedzisiro.
Dexamethasone uye prednisone zvakafanana here?
Kunyangwe iwo akafanana, iwo haana kunyatso kufanana. Ruzivo rwuri pamusoro apa fananidzo inobatsira pakati pemishonga iyi miviri. Mimwe steroid mishonga yaungangodaro wakanzwa nezvayo inosanganisira Medrol (methylprednisolone), kuuchi , uye hydrocortisone.
Dexamethasone kana prednisone zvirinani here? / Dexamethasone yakachengeteka kupfuura prednisone here?
Iko hakuna yakawanda data kuenzanisa iyo miviri mishonga zvakananga. Imwe ongororo yezvidzidzo akagumisa kuti chero mushonga unogamuchirwa pakurapa vana vane kuwedzera kwakanyanya kweasthma. Nekuti pane akawanda maratidziro akasiyana ekushandiswa kwemushonga weSteroid, wako mupi wezvehutano anozofunga mamiriro ari kurapwa pamwe neyako nhoroondo yezvekurapa uye mimwe mishonga yaunotora, kana uchisarudza kuti ndeupi mushonga uri nani kwauri.
Panyaya yekuchengeteka, ese maSteroid ane mukana wemhedzisiro (ona Yambiro chikamu), uye mamwe anogona kunge akakomba. Anopa hutano hwako achasarudza kuti ndeupi mushonga wakachengeteka kwauri uye anokupa nzira ipfupi yekurapa inogoneka. Kazhinji, iwe unobvisa steroid kuitira kuti usamire nekukasira. Izvi zvinobatsira adrenal glands ako kudzokera kune zvakajairika basa.
Ndinogona here kushandisa dexamethasone kana prednisone ndichiri nepamuviri?
Corticosteroids senge dexamethasone kana prednisone yakaratidzirwa kukuvadza fetus mumarudzi mazhinji kana ikapihwa muyero wakaenzana nedosi ingatorwa nemunhu, zvichikonzera kuwanda kwenzvimbo yakatsemuka muvana vemhuka. Steroid inogona zvakare kukonzera kukura kwekudzivirira uye kudzikira kuberekwa uremu. Pakave pasina kwakaringana, kwakanyatso chengetedzwa zvidzidzo zve dexamethasone kana prednisone mune vakadzi vane nhumbu. Naizvozvo, dexamethasone kana prednisone inofanirwa kushandiswa mukuzvitakura chete kana bhenefiti ichidarika njodzi kumucheche. Vacheche vakaberekerwa vanaamai vakagashira yakakwira dosteroid panguva yekuzvitakura inofanirwa kucherechedzwa kune zviratidzo zvehypoadrenalism.
Ndinogona here kushandisa dexamethasone kana prednisone nedoro?
Kazhinji, doro harifanirwe kusanganiswa nesteroid. Bvunza wako mupi wezvehutano nezvezvehutano.
Is dexamethasone yakasimba steroid?
Dexamethasone ndeyekureba-kuita uye iri inofungidzirwa kuva yakasimba, kana yakasimba, steroid . Iyo yakapetwa ka25 zvine simba kupfuura hydrocortisone. Iyo yekutanga dhizeti ye dexamethasone inogona kusiyana kubva pa0.75 kusvika 9 mg pazuva, zvichienderana nemamiriro ari kurapwa. Zvinodiwa zvechipimo zvinosiyana uye zvinofanirwa kuve zvakasarudzika zvichienderana nemamiriro ari kurapwa uye kupindura kurapwa.
Prednisone uye decadron zvakafanana here?
Prednisone naDecadron (dexamethasone) ari maviri maSteroid, anoshandiswa mumhando dzakasiyana dzekuputira uye / kana autoimmune mamiriro, asi ane misiyano, sezvakatsanangurwa pamusoro. Semuenzaniso, Decadron (dexamethasone) ine simba uye inoshanda-yakareba kupfuura prednisone.
Dexamethasone inoshanda nekukurumidza sei?
Zvinoenderana nekuti mushonga unopihwa sei. Yakapihwa jekiseni, dexamethasone ichatanga kushanda nekukurumidza. Inotorwa nemuromo sehwendefa, mhedzisiro yacho inogona kutora kubva paawa imwe kusvika kumaawa akati wandei.
