Hydrocodone vs. oxycodone: 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
Hydrocodone uye oxycodone zviri zviviri opioid mishonga yemishonga inoratidzirwa yekurapa kwepakati kusvika kune kurwadziwa kwakanyanya, kazhinji kwekurwadziwa kwakanyanya. Ose madhiragi anoiswa muzvinodhaka, zvinoreva kuti vakapindwa muropa uye vane mukana wakakura wekushungurudzwa. Ose madhiragi anoshanda nekusunga kune ekugashira marwadzo, anonzi mu receptors, muuropi, ayo anoderedza kana kuvhara zviratidzo zvekurwadziwa, uye zvinoguma nekuzorora kwekurwadziwa. Nekuti madhiragi ese ari maviri ane simba kwazvo, anowanzo shandiswa mushure mekuvhiyiwa, kana mumamiriro ezvinhu apo marwadzo akapfava aisazoshanda kana kutadza kubvumidzwa.
Ndeupi mutsauko mukuru pakati pehydrocodone uye oxycodone?
Kune akawanda mafomati akasiyana eiri hydrocodone uye oxycodone. Ose madhiragi ari Kurongwa II mishonga yekurwadziwa; izvi zvinoreva kuti mushonga unogona kuva ne mikana yepamusoro yekushungurudzwa.
Hydrocodone (Hydrocodone coupons | Chii chinonzi Hydrocodone?) Inowanzo kuwanikwa semazita ezita reNorco kana Vicodin, ine hydrocodone inosanganiswa negeneral Tylenol (acetaminophen, inowanzo pfupikiswa seAPAP). Hydrocodone / APAP inogona kuwanikwa mune fomu yemapiritsi uye fomu remvura. Hydrocodone inogona zvakare kuwanikwa mukubatana neibuprofen, uye musanganiswa mishonga yekukosora, senge Hycodan manyuchi kana mapiritsi (hydrocodone / homatropine) kana kumiswa kweTussionex (hydrocodone / chlorpheniramine). Iga, hydrocodone inogona kuwanikwa mune yakawedzera-kuburitsa zvinodhaka Zohydro ER (yakawedzera-kuburitsa) kana Hysingla ER.
Oxycodone (Oxycodone coupons | Chii chinonzi Oxycodone?) Inowanzo gadzirirwa yega, seyakajairwa OxyIR (kuburitswa). Inowanikwawo yega mumushonga unoshanda kwenguva refu unonzi OxyContin. Oxycodone inowanzo kuwanikwa mukubatana, senge muPercocet, iyo ine oxycodone uye APAP.
Ose madhiragi anosiyana muyero nezera uye mamiriro uye kazhinji anotsanangurwa mune yakaderera dhosi yenguva ipfupi inogoneka. Nyika dzese dzine mitemo ine chekuita nemitemo yeopioid, nekuda kwesimba ravo rakasimba rekushungurudzwa.
| Misiyano mikuru pakati pehydrocodone uye oxycodone | ||
|---|---|---|
| Hydrocodone | Oxycodone | |
| Kirasi yemishonga | Opiate (narcotic) inorwadza | Opiate (narcotic) inorwadza |
| Brand / generic chinzvimbo | Brand uye generic | Brand uye generic |
| Chii chinonzi generic zita? Chii chinonzi zita rechiratidzo? | Generic: hydrocodone, hydrocodone / APAP, nezvimwe. Mutengo: Zohydro ER, Hysingla ER Mutengo: musanganiswa neAPAP: Norco, Lortab, Vicodin | Generic: oxycodone, oxycodone / APAP, nezvimwe. Mutengo: OxyIR, OxyContin Mutengo: musanganiswa neAPAP: Percocet |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa, yakawedzera-kuburitsa piritsi, manyuchi semubatanidzwa mushonga | Hwendefa, yakawedzera-kuburitsa piritsi, yemuromo mhinduro |
| Ndeipi muyero wakajairwa? | Semuenzaniso: Hydrocodone / APAP 5/325 mg: 1-2 mapiritsi (ma) maawa mana kusvika matanhatu sezvaanodiwa pakurwadziwa (mahwendefa masere masere pazuva) | Muenzaniso: Piritsi rekuburitsa ipapo: 5 kusvika 15 mg maawa mana kusvika matanhatu sezvaanodiwa OxyContin: 20 mg maawa gumi nemaviri ese |
| Yakareba sei iyo yekurapa? | Ipfupi-temu, inogona kushandiswa kwenguva yakareba zvichienderana nemamiriro ekurapwa (senge kurwadziwa kusingaperi) uye mhinduro | Ipfupi-temu, inogona kushandiswa kwenguva yakareba zvichienderana nemamiriro ekurapwa (senge kurwadziwa kusingaperi) uye mhinduro |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vakuru |
Mamiriro ezvinhu anorapwa nehydrocodone uye oxycodone
Hydrocodone uye oxycodone zvese zvinoratidzwa kune iyo manejimendi ekurwadziwa icho chakakomba zvakakwana kuda opioid, uko mamwe marapirwo (asiri-opioid) asina kukwana kana kushivirirwa
| Mamiriro | Hydrocodone | Oxycodone |
| Manejimendi ekurwadziwa kwakakomba zvakakwana kuda opioid analgesic uye ndeapi mamwe marapirwo asina kukwana | Ehe | Ehe |
Iko hydrocodone kana oxycodone inoshanda here?
Mune yakapofomara-bofu, inodzorwa ne placebo kudzidza yehydrocodone vs oxycodone mune yekukurumidzira kamuri yekugadzika, zororo rekurwadziwa raive rakafanana, pamaminitsi makumi matatu uye pamaminetsi makumi matanhatu kune ese mahydrocodone kana oxycodone. Ose madhiragi aive nemhedzisiro, nehydrocodone inokonzeresa kupatirwa zvishoma kudarika oxycodone.
Imwe kudzidza yakaratidza hydrocodone / APAP uye oxycodone / APAP kuva nemhedzisiro yakafanana maererano nekurwadziwa kwekurwadziwa, asi iyo oxycodone / APAP yaive yakapetwa ka 1.5 zvine simba kupfuura hydrocodone / APAP.
Ose mairi hydrocodone uye oxycodone ane painkillers akasimba ane mukana wakakura wekushungurudzwa, anoshandiswa kana maronda anorwadza asina kupa zororo rinoshanda, kana risingakwanise kubvumidzwa. Mushonga unoshanda zvakanyanya unofanirwa kusarudzwa nachiremba wako, anozotarisa mufananidzo wese wehutano hwako (s), nhoroondo, uye mimwe mishonga yauri kutora.
Kuvhavha uye mutengo kuenzanisa kwehydrocodone vs. oxycodone
Nekuda kwemitemo yenyika dzakasiyana, kana iwe uri kugamuchira opioid kekutanga, zvinokwanisika kuti iwe unogashira hushoma huwandu.
Chaizvoizvo chipiritsi chemapiritsi makumi maviri egeneric hydrocodone-acetaminophen inogona kuita anodarika $ 100. Iine CouponCare coupon, generic Vicodin kana Norco inogona kumhanya $ 26- $ 41. Yakajairwa kunyorerwa oxycodone-acetaminophen mahwendefa makumi maviri i $ 25- $ 50. Mutengo wekunze-muhomwe uri $ 10- $ 15 iine SingleCare koponi.
Tora kadhi reSpecialCare rekutora kadhi
| Hydrocodone | Oxycodone | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Ehe |
| Standard muyero | # 20, hydrocodone / APAP 5/325 mg mapiritsi | # 20, oxycodone / APAP 5/325 mg mapiritsi |
| Chaizvoizvo Medicare Chikamu D copay | $ 3-73 | $ 3-90 |
| SingleCare mutengo | $ 26- $ 41 | $ 10- $ 15 |
Zvakajairika mhedzisiro mhedzisiro yehydrocodone vs. oxycodone
Iwo akajairika mhedzisiro mhedzisiro yehydrocodone ndeyekureruka-musoro, dzungu, kunyorova, kusvotwa, uye kurutsa. Mimwe mhedzisiro inogona kusanganisira kupatira, kushushikana, kuputika kweganda, kuneta, uye kuvimba.
Mhedzisiro inowanzoitika yeoxycodone kusvotwa, kuzvimbirwa, kurutsa, kutemwa nemusoro, pruritus (kuchenesa), kushaya hope, dzungu, kushaya simba uye kurara. Mimwe mhedzisiro inogona kusanganisira kurovera, kuoma muromo, kushushikana, kuputika kweganda, uye kuvimba.
Mimwe mhedzisiro inogona kuitika. Bvunza wako mupi wezvehutano kuti uwane rumwe ruzivo nezve zvakashata mhedzisiro.
Kubatana kwezvinodhaka kwehydrocodone vs. oxycodone
Kutora hydrocodone kana oxycodone nemimwe mishonga inogadziriswa ne enzyme inonzi CYP3A4 kana CYP2D6 inogona kukonzera kudyidzana kwemishonga. Iyi mishonga inozivikanwa se enzyme inhibitors uye inosanganisira macrolide antibiotics, azole antifungals, uye protease inhibitors. Kuvashandisa pamwe nehydrocodone kana oxycodone kunogona kukonzera mazinga epamusoro eopioid, anogona kuva nenjodzi huru.
Mimwe mishonga, inozivikanwa seye inducers, ine mhedzisiro inopesana, kudzikisa huwandu hweopioid kuitira kuti isashande kana kuti inogona kukonzera kubvisa zviratidzo.
Kushandisa benzodiazepines kana mamwe maCNS ekudzvinyirira (kusanganisira mamwe maopioid mishonga) pamwe nehydrocodone kana oxycodone kunogona kutungamira kune hypotension, kufema kushushikana, kwakadzika sedation, coma uye kufa.
Kutora hydrocodone kana oxycodone nemishonga inowedzera serotonin kunogona zvakare kuwedzera njodzi yeserotonin syndrome. Iyi mishonga inosanganisira SSRI uye SNRI antidepressants, tricyclic antidepressants, mhasuru relaxants, MAO inhibitors (MAO inhibitors haifanire kushandiswa mukati memazuva gumi nemana ehydrocodone kana oxycodone), uye triptans yemigraine. Bvunza wako mupi wezvehutano kuti uwane yakazara runyorwa rwekudyidzana zvinodhaka.
| Zvinodhaka | Kirasi Yezvinodhaka | Hydrocodone | Oxycodone |
| Erythromycin Biaxin (clarithromycin) | Macrolide mishonga inorwisa mabhakitiriya | Ehe | Ehe |
| Diflucan (fluconazole) Nizoral (ketoconazole) | Azole antifungals | Ehe | Ehe |
| Norvir (ritonavir) | Protease inhibitors | Ehe | Ehe |
| Rifampin Tegretol (carbamazepine) Dilantin (phenytoin) | CYP3A4 inducers | Ehe | Ehe |
| Xanax (alprazolam) Valium (diazepam) Ativan (lorazepam) Klonopin (clonazepam) | Benzodiazepines | Ehe | Ehe |
| Methadone Tylenol ine codeine (APAP / kodhi) Duragesic (fentanyl) Morphine Chero mamwe marudzi ehydrocodone kana oxycodone | Opioid | Ehe | Ehe |
| Doro | Doro | Ehe | Ehe |
| Flexeril (cyclobenzaprine) Skelaxin (metaxalone) | Tsandanyama dzinozorodza | Ehe | Ehe |
| Imitrex (sumatriptan) Maxalt (rizatriptan) | Triptans | Ehe | Ehe |
| Prozac (fluoxetine) Paxil (paroxetine) Zoloft (sertraline) Celexa (citalopram) Lexapro (escitalopram) | SSRI mishonga yekudzvinyirira | Ehe | Ehe |
| Pamelor (nortriptyline) Elavil (amitriptyline) | Tricyclic antidepressants | Ehe | Ehe |
| Cymbalta (duloxetine) Effexor (venlafaxine) Pristiq (desvenlafaxine) | SNRI mishonga yekudzvinyirira | Ehe | Ehe |
| Hydrochlorothiazide Lasix (furosemide) | Diuretics | Ehe | Ehe |
| Azilect (rasagiline) Eldepryl (selegiline) Mushonga (tranylcypromine) | MAO inhibitors | Ehe | Ehe |
| Cogentin (benztropine) Benadryl (diphenhydramine) Ditropan (oxybutynin) Detrol (tolterodine) | Anticholinergic zvinodhaka | Ehe | Ehe |
Yambiro yehydrocodone uye oxycodone
Iko kune yambiro yebhokisi pane hydrocodone uye oxycodone, inova yambiro yakasimba inodiwa neDFA. Dzimwe yambiro dzinosanganisira:
- Opioid ine njodzi yekupindwa muropa, kushungurudzwa, uye kushandiswa zvisizvo, izvo zvinogona kutungamira mukuwedzeredza uye kufa. Varwere vanofanirwa kuongororwa nezve njodzi vasati vatora opioid uye vanofanirwa kuongororwa nguva nenguva.
- Kuona kuti mabhenefiti eopioid anodarika njodzi yekupindwa muropa, kushandisa zvinodhaka, uye kushandisa zvisirizvo, makambani emishonga anofanirwa kudzidzisa vanopa hutano. Vanoona nezvehutano vanofanirwa kuzadza REMS (Risk Evaluation uye Mitigation Strategic) -inowirirana chirongwa chedzidzo, nyatso kuraira varwere nevachengeti nemushonga wega wega, nekusimbisa kukosha kwekuverenga gwara remishonga, iro rinopihwa nemushonga wega wega.
- Opioid inogona kukonzera zvakakomba, kutyisidzira hupenyu, kana kuuraya mweya wekufema. Varwere vanofanirwa kuongororwa, kunyanya pakutanga kwekurapwa uye kutevera shanduko yedosi.
- Kungoitika netsaona, kunyanya nevana, kunogona kukonzera kuwandisa kwekufa. Varwere vanofanirwa kurairwa kuchengetedza maopioid pasingasvike vana.
- Neonatal opioid kubvisa syndrome inogona kukonzera kushandiswa kwenguva refu kweopioid panguva yekuzvitakura uye kunogona kutyisidzira hupenyu kana kusinga zivikanwe nekurapwa.
- Kushandisa maopioid nemimwe mishonga inogadziriswa neiyo enzyme cytochrome P 450 3A4 inogona kuwedzera maopioid uye inokonzeresa mhedzisiro uye inogona kuuraya mweya wekufema.
- Kushandisa benzodiazepine mishonga yakadai saXanax (alprazolam), Valium (diazepam), kana mamwe maCNS anodzvinyirira, senge mamwe maopioid (kana doro), zvinogona kukonzera kunyorova kwakadzama, kushushikana kwekufema, coma, uye kufa, uye kunofanirwa kudzivirirwa kana zvichibvira. Varwere vanotora musanganiswa uyu nekuda kweimwe nzira isiri kushanda vanofanirwa kutariswa zvakanyanya.
Dzimwe yambiro uye zvinopesana zvinosanganisira:
- Hydrocodone kana oxycodone haifanire kushandiswa mune varwere vane yakakosha yekufema kushushikana, kwakanyanya kana kwakanyanya bronchial asthma mune isingatariswe mamiriro, gastrointestinal kuvharirwa, kana hypersensitivity kune chero zvigadzirwa.
- Hydrocodone kana oxycodone haifanire kushandiswa mune varwere vane chisingaperi pulmonary chirwere kana vakwegura kana vakaremara varwere.
- Kusakwana kweAdrenal kunogona kuitika, kazhinji mushure memwedzi mumwe. Tsvaga kurapwa kana chimwe chezviratidzo izvi chikaitika: kusvotwa, kurutsa, anorexia, kuneta, kushaya simba, dzungu, uye yakaderera BP.
- Hydrocodone kana oxycodone inogona kukonzera kukomba kwakanyanya kweropa.
- Usashandise hydrocodone kana oxycodone mune varwere vane hurema hwekuziva kana vari pakoma.
- Hydrocodone kana oxycodone inogona kuwedzera njodzi yekubatwa nevarwere vane matambudziko ekubatwa.
- Hydrocodone kana oxycodone haifanire kubviswa nekukasira asi inofanira kutorwa zvishoma nezvishoma.
- Usatyaire kana kushandisa michina kusvikira iwe waziva kuti mushonga unokubata sei.
- Maopioid asina kuchengetedzwa anogona kuve njodzi inouraya kune chero munhu ari mumba, kusanganisira vashanyi. Chengetedza zvakachengeteka, pasingaonekwe uye panosvika vana, uye munzvimbo isingasvikirwe nevamwe. Kumbira nyanzvi yako yehutano kuti ungarase sei maopioid asina kushandiswa munzvimbo yako.
Nekuti hapana zvakanyatso chengetedzwa zvidzidzo mumadzimai, hydrocodone kana oxycodone haifanire kushandiswa mukuzvitakura kunze kwekunge mabhenefiti akakurisa njodzi. Kugara uchishandisa maopioid panguva yekuzvitakura, kungave kwekurapa kana kwekusashandisa, kunogona kukonzera kutsamira mumuviri mumwana, zvichitungamira kune neonatal opioid kubvisa syndrome nguva pfupi mushure mekuzvarwa.
Yambiro yakanangana neacetaminophen (APAP) iyo inowanzo kuwanikwa pamwe chete nehydrocodone kana oxycodone ndeiyi:
- Acetaminophen inogona kukonzera kukomba kwakakomba kweganda senge acute generalized exanthematous pustulosis (AGEP), Stevens-Johnson Syndrome (SJS), uye chepfu epidermal necrolysis (TEN), inogona kuuraya. Varwere vanofanirwa kutsvaga kurapwa nekukurumidza kana kuita kweganda kuchiitika.
- Pane njodzi yekutadza kwechiropa nekuda kweAPAP. Chiremba wako anofanira kukuudza huwandu hwezuva nezuva hweAPAP hwaunogona kutora, uye iwe unofanirwa kutarisa mimwe mishonga yaunotora yeAPAP (yakadai seNyQuil).
- Hypersensitivity kana anaphylaxis inogona kuitika. Tsvaga kurapwa kwekukurumidzira kana chimwe chezviratidzo nezviratidzo ichi chikaitika: kuzvimba kwechiso, muromo, nehuro, kufema, urticaria, mapundu, pruritus, uye kurutsa.
Inowanzo bvunzwa mibvunzo nezve hydrocodone vs. oxycodone
Chii chinonzi hydrocodone?
Hydrocodone inonzi opioid painkiller inoshandiswa kurapa kurwadziwa kusingapindure kune anonyaradza marwadzo. Inowanikwa mune akasiyana mafomati, kazhinji neacetaminophen muchimiro cheNorco.
Chii chinonzi oxycodone?
Oxycodone inorwadzisa opioid inoshandiswa kurapa kurwadziwa kusingapindure kune anonyaradza marwadzo. Inowanikwa mune akasiyana mafomati, kazhinji neayo ega (mune ese ekukurumidza-kuburitsa uye akawedzeredzwa-mafomu mafomu) uye zvakare kazhinji neacetaminophen muchimiro chePercocet.
Iko hydrocodone uye oxycodone zvakafanana here?
Mishonga iyi miviri yakasimba opioid analgesics. Kunyangwe ivo vakafanana chaizvo, vane mimwe misiyano, senge mune dosing, yakatsanangurwa pamusoro.
Iko hydrocodone kana oxycodone iri nani here?
Muzvidzidzo, ese ari maviri madhiragi aratidzira kupa anoshanda ekunyaradza marwadzo. Nekudaro, ese ari maviri madhiragi akasimba aine mukana wepamusoro wekushungurudzwa. Bvunza wako mupi wezvehutano nezvezano rakasarudzika.
Ndinogona here kushandisa hydrocodone kana oxycodone nepamuviri?
Iwe haufanire kushandisa hydrocodone kana oxycodone uchiri nepamuviri kunze kwekunge chiremba wako aona kuti bhenefiti kwauri inodarika njodzi kumucheche. Zvakare, kushandisa maopioid kwenguva refu panguva yepamuviri kunogona kukonzera kutsamira mumwana, uye kunogona kutungamira kune neonatal opioid kubvisa syndrome.
Ndinogona here kushandisa hydrocodone kana oxycodone nedoro?
Kwete. Hydrocodone kana oxycodone haifanire kushandiswa nedoro. Iko kusanganisa kunogona kutungamira mukudzika sedation, kufema kushushikana, coma, kana kufa.
Unogona here kutora hydrocodone uye oxycodone pamwechete?
Kwete Hydrocodone uye oxycodone hazvifanirwe kushandiswa pamwechete. Iko kusanganisa kunogona kuve nenjodzi uye kunotungamira mukufema kushushikana kana kufa. Ichi ndicho chimwe chikonzero nei zvichikosha kurasa maopioid ekare ekurapwa paasingachadiwe. Kumbira wemishonga kuti ungarasa sei mishonga panzvimbo iri padyo newe.
Nei vamwe vanhu vachishandisa hydrocodone yekuvaraidza mhedzisiro?
Ndichiri kudzikamisa kurwadziwa, maopioid akadai sehydrocodone kana oxycodone anogona zvakare kuburitsa euphoric mhedzisiro . Maopioid ane mukana wakakura wekushandisa zvinodhaka. Paunenge uchitora mushonga weopioid, ingoshandisa sekurairwa. Usatore mimwe mibairo, uye usasanganise nedoro. Kumbira chiremba wako kana wemishonga nezve kudyidzana kwemishonga. Rasa mushonga iwe pausingachade; usazvichengetera imwe nguva. Inogona kuve nenjodzi kunaani zvake ari mumusha.
