Naproxen vs. ibuprofen: 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
Naproxen uye ibuprofen maNSAID (nonsteroidal anti-anogumbura zvinodhaka) anoshandiswa kurapa kurwadziwa nekuzvimba kubva kwakasiyana mamiriro. NSAIDs dzinoshanda nekudzivirira kemikari inonzi prostaglandin. Prostaglandin inokonzera kurwadziwa nekuzvimba. Nekudzivirira prostaglandin, NSAID dzinobatsira kurapa kurwadziwa nekuzvimba. Ose naproxen uye ibuprofen anozivikanwa seNSAID uye ane zvakawanda zvakafanana, asi iwo ane misiyano.
Ndeupi mutsauko mukuru pakati naproxen vs. ibuprofen?
Naproxen, kana naproxen sodium, inozivikanwa nezita rezita, Naprosyn, pamwe nepamusoro-e-counter saAleve. Iyo zvakare inowanikwa mune generic fomu yega (nemushonga, uye OTC mune yakaderera dosi) uye mukubatana nemimwe mishonga. Ibuprofen inozivikanwa nemazita ezvinonzi Motrin naAdvil, uye inowanikwawo mune generic fomu yega uye pamwe nemimwe mishonga. Kuisa mishonga kunosiyana nechiratidzo, uye iyo OTC dosi yakadzikira pane muyero wekunyorerwa. Zvakare, ibuprofen ipfupi-inoshanda uye inosvinwa kakawanda kupfuura naproxen, iyo iri kuita kwenguva refu uye inogona kuderedzwa zvishoma.
Nekuti madhiragi ese ari maviri anowanikwa mumusanganiswa wakasiyana siyana, senge akawanda kukosora uye kutonhora mishonga pamwe nekurara, paunotora chigadzirwa cheOTC, izano rakanaka kubvunza wako wemishonga kuti uone kuti urikusarudza chakakodzera chigadzirwa chako zviratidzo. Zvakare, zvizhinji zvezvinhu zvakasanganiswa zvine naproxen kana ibuprofen inogona kunge iine chigadzirwa chingave chisingaenderane neako mamiriro ezvehutano kana mamwe mishonga (s) yaungave uchitora. Paunenge uchisarudza mushonga wevana, gara uchibvunza kuna chiremba wevana kana wemishonga for dosing yakakodzera zvinoenderana nezera remwana uye huremu.
| Misiyano mikuru pakati naproxen vs. ibuprofen | ||
|---|---|---|
| Naproxen | Ibuprofen | |
| Kirasi yemishonga | NSAID | NSAID |
| Brand / generic chinzvimbo | Brand uye generic | Brand uye generic |
| Chii chinonzi zita rechiratidzo? | Aleve, Anaprox DS, Naprosyn | Motrin, Advil |
| Ndeapi mafomu (s) ayo mushonga unouya? | Mahwendefa, caplets, softgels | Mahwendefa, caplets, softgels, mafomu emvura |
| Ndeipi muyero wakajairwa? | Vakuru OTC: 220 mg maawa masere kusvika gumi nemaviri ese Vakuru Rx: 250-500 mg maawa gumi nemaviri ese * Tora nechikafu | Vakuru OTC: 200 mg maawa mana kusvika matanhatu ega ega (yakanyanya 1200 mg pazuva) Vakuru Rx: 400-800 mg 3 kusvika ku4 nguva zuva nezuva (yakanyanya 3200 mg pazuva - bvunza Dr) * Tora nechikafu |
| Inguva yakareba sei kurapwa kwacho? | Inoshanduka nechiratidzo | Inoshanduka nechiratidzo |
| Ndiani anowanzoshandisa mushonga? | Vakuru, vana makore maviri zvichikwira | Vakuru, vana mwedzi mitanhatu zvichikwira |
Unoda yakanakisa mutengo paibuprofen?
Saina kuibuprofen mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu anorapwa naproxen uye ibuprofen
Naproxen uye ibuprofen mishonga miviri inozivikanwa inoshandiswa kurapa kurwadziwa nekuzvimba. Ose madhiragi anoratidzwa kuti abvise zviratidzo nezviratidzo zve rheumatoid arthritis, osteoarthritis, kurwadziwa kwakapfava kusvika pakati nepakati, uye dysmenorrhea yekutanga (kumwedzi). Naproxen inoratidzirwawo kuzorora kwezviratidzo zve tendonitis, bursitis, acute gout, ankylosing spondylitis, uye Polyarticular vechidiki idiopathic arthritis.
| Mamiriro | Naproxen | Ibuprofen |
| Rheumatoid arthritis Osteoarthritis | Ehe | Ehe |
| Tendonitis Bursitis Gout yakasimba | Ehe | Kunze-chitaridzi |
| Ankylosing spondylitis Polyarticular vechidiki idiopathic arthritis | Ehe | Kunze-chitaridzi |
| Hunyoro kusvika pakati nepakati marwadzo | Ehe | Ehe |
| Yakanyanya dysmenorrhea | Ehe | Ehe |
Iko naproxen kana ibuprofen inoshanda zvakanyanya here?
Maviri akasarudzika, maviri-mapofu, anodzorwa-eaboobo zvidzidzo achifananidza naproxen ne ibuprofen yeosteoarthritis yemabvi, akatarisa ese madhiragi kwevhiki rimwe chete, kuOTC (yakaderera) doses, uye akaona kuti ese ari maviri madhiragi aibudirira mukuderedza marwadzo. Naproxen yakawanikwa ichibudirira zvishoma, uye ichinyanya kushanda mukuderedza marwadzo ehusiku. Zvese zvinodhaka zvaive zvakanyatsoshivirirwa.
Chimwe chidzidzo chidiki kuenzanisa naproxen ne ibuprofen vakawana ese madhiragi achibatsira mukuderedza kuomarara, kurwadziwa kwekuzorora, kurwadziwa kwekufamba, kurwadziwa kwehusiku, kupindirwa kwechirwere nemabasa ezuva nezuva, uye huwandu hwehosha. Naproxen yakawanikwa ichibudirira pachidzidzo ichi. Varwere vazhinji vakawana mhedzisiro, kazhinji zvinyoro nyaya dzeGI; zvisinei, mumwe murwere anotora naproxen akange aine GI akabuda ropa.
Mumakore makumi maviri kuongorora kweNSAIDs , vanyori vakaziva kunetsekana mukusarudza NSAID uye vakataura kuti Kazhinji, kusarudzwa kweanalgesic kunobva pane zvaunoziva pane humbowo. Vanoenderera mberi vachitaura kuti zvidzidzo zvakawanda ndezveakakomba, kwete zvemamiriro ezvinhu asingagumi, uye kuti izvi zvidzidzo hazvigone kuona kuti ndeipi NSAID iri nani. Vanyori vanosimbisa kukosha kwekushandisa iyo yakaderera dosi yeNSAID kwenguva pfupi yenguva. Ivo vanokurudzira kuti kana Tylenol (acetaminophen) isingakwani, zvakanakisa kutanga nedosi yakaderera yeibuprofen (pamwe nemishonga yekudzivirira dumbu kune avo vari panjodzi huru yeGI mhedzisiro).
Nekuti humbowo hwacho hahuna kujeka, mushonga unoshanda zvakanyanya unofanirwa kutariswa nachiremba wako, anozofunga nezvehutano hwako uye nhoroondo, nemimwe mishonga yauri kutora.
Unoda mutengo wakanakisa pane naproxen?
Saina kuti uwane mari yekuzivisa mutengo uye uwane kana mutengo uchinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kwe naproxen vs. ibuprofen
Naproxen uye ibuprofen vakatemerwa mutengo, mune ese OTC uye Rx vhezheni. Zvese zvinodhaka zvinowanzovharwa neinishuwarenzi uye Medicare Chikamu D mune fomu-simba fomu. Chairo chipepa che naproxen chingave chemakumi matanhatu nemashanu, 500 mg mapiritsi uye zvinodhura madhora makumi matatu- $ 40 pasina inishuwarenzi. Chairo chinyoreso chebuprofen chingave chemakumi matatu, 800 mg mapiritsi uye inodhura madhora gumi nemasere pasina inishuwarenzi. Inishuwarenzi uye Medicare Chikamu D macopay achasiyana zvichienderana nechirongwa. Iwe unogona kusevha mari uchishandisa imwecheteCare koponi pane naproxen uye ibuprofen.
| Naproxen | Ibuprofen | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Hongu - mushonga-simba chete | Hongu - mushonga-simba chete |
| Inowanzo kufukidzwa neMedare Chikamu D? | Hongu - mushonga-simba chete | Hongu - mushonga-simba chete |
| Standard muyero | # 60, 500 mg mahwendefa | # 30, 800 mg mahwendefa |
| Chaiwo Medicare copay Chikamu D | $ 0-20 | $ 0-22 |
| SingleCare mutengo | $ 9- $ 20 | $ 5- $ 8 |
Side mhedzisiro ye naproxen vs. ibuprofen
Nekuti naproxen uye ibuprofen ese ari maNSAID, mhedzisiro yakafanana kune ese ari maviri mishonga. Mhedzisiro inowanzoitika ndeye gastrointestinal (GI) iyo inosanganisira kurwadziwa kwehana, kurwadziwa mudumbu, kuzvimbirwa, uye / kana manyoka. Vamwe varwere vanonzwawo kusvotwa, dzungu kana kutemwa nemusoro.
Bvunza nyanzvi yezvehutano kuti uwane yakazara rondedzero yemhedzisiro.
| Naproxen | Ibuprofen | |||
| Side Migumisiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kushungurudza | Ehe | 3-9% | Ehe | 1-16% |
| Nausea | Ehe | 3-9% | Ehe | 1-16% |
| Marwadzo emudumbu | Ehe | 3-9% | Ehe | 1-16% |
| Kuzvimbirwa | Ehe | 3-9% | Ehe | 1-16% |
| Manyoka | Ehe | <3% | Ehe | 1-16% |
| Kutemwa nemusoro | Ehe | 3-9% | Ehe | 1-3% |
| Dzungu | Ehe | 3-9% | Ehe | 3-9% |
| Kukotsira | Ehe | 3-9% | Kwete | - |
| Pruritus (kuchenesa) | Ehe | 3-9% | Ehe | 3-9% |
| Tinnitus (kurira munzeve) | Ehe | 3-9% | Ehe | 1-3% |
| Edema (kuzvimba) | Ehe | 3-9% | Ehe | 1-3% |
| Dyspnea (kupfupika kwemweya) | Ehe | 3-9% | Kwete | - |
Kwayaka: DailyMed (naproxen) , Zuva Nezuva ( ibuprofen )
Kubatana kwezvinodhaka zve naproxen vs. ibuprofen
Naproxen kana ibuprofen haifanire kutorwa neanticoagulant yakadai seCoumadin (warfarin), nekuti izvi zvinogona kuwedzera njodzi yekubuda ropa. Kutora naproxen kana ibuprofen nedzimwe NSAID, senge aspirin, zvinogona zvakare kuwedzera njodzi yekubuda ropa pamwe nemhedzisiro yeGI. Naproxen kana ibuprofen inogona kudyidzana nemishonga yakawanda yeropa, kusanganisira ACE inhibitors, angiotensin receptor blockers, beta blockers, uye diuretics. Ose madhiragi aya anopindirana nemakirasi akati wandei eanodzvinyirira, pamwe zvichikonzera kubuda ropa (zvinogona kutyisidzira hupenyu), pamwe nesodiyamu yakaderera. Bvunza nyanzvi yezvehutano kuti uwane yakazara runyorwa rwekudyidzana kwezvinodhaka.
| Zvinodhaka | Kirasi Yezvinodhaka | Naproxen | Ibuprofen |
| Coumadin (warfarin) | Anticoagulant / ropa rakatetepa | Ehe | Ehe |
| Aspirin Dzimwe NSAIDs | NSAIDs | Ehe | Ehe |
| Zestril (lisinopril) Vasotec (enalapril) | ACE inhibitors | Ehe | Ehe |
| Cozaar (losartan) Avapro (irbesartan) Benicar (olmesartan) Diovan (valsartan) | ARB (angiotensin receptor blockers) | Ehe | Ehe |
| Lopressor Toprol XL (metoprolol) Tenormin (atenolol) | Beta anovharira | Ehe | Ehe |
| Lasix (furosemide) Hydrochlorothiazide | Diuretics | Ehe | Ehe |
| Lexapro (escitalopram) Celexa (citalopram) Paxil (paroxetine) Prozac (fluoxetine) Zoloft (sertraline) | SSRI (inosarudza serotonin reuptake inhibitors) | Ehe | Ehe |
| Elavil (amitriptyline) Pamelor (nortriptyline) | Tricyclic antidepressants | Ehe | Ehe |
| Effexor (venlafaxine) Pristiq (desvenlafaxine) Cymbalta (duloxetine) | SNRI (serotonin uye norepinephrine reuptake inhibitors) | Ehe | Ehe |
| Lanoxin (digoxin) | Cardiac glycoside | Ehe | Ehe |
| Lithium | Antimanic mumiriri | Ehe | Ehe |
| Methotrexate | Antimetabolite | Ehe | Ehe |
| Cyclosporine | Immunosuppressant | Ehe | Ehe |
| Antacids | Antacids | Ehe | Ehe |
| Carafate (sucralfate) | Protectant | Ehe | Kwete |
| Questran (cholestyramine) | Bheri asidhi sequestrant | Ehe | Ehe |
Yambiro dze naproxen vs. ibuprofen
Nekuti zvese naproxen uye ibuprofen maNSAID, ivo vane yambiro dzakafanana:
- Iko kune yambiro yebhokisi (yambiro yakasimba seinodiwa neDFA):
- Zviitiko zvemoyo zvemwoyo , zvakaita se chirwere chemwoyo kana sitiroko , iyo inogona kuuraya, inogona kuitika. Iyo njodzi inogona kuitika kutanga kwekurapa uye kuwedzera nekushandisa kwenguva refu.
- Iko kushandiswa kwe naproxen kana ibuprofen kunopesana mune mamiriro ekuvhiya kweCABG.
- Kune njodzi yakawandisa yekubuda ropa kweGI, ulceration, kana kupora kwemudumbu kana ura, izvo zvinogona kuuraya. Izvi zvinogona kuitika chero nguva uye pasina yambiro. Varwere vakwegura kana vane nhoroondo yechirwere chechirwere chechirwere uye / kana kubuda ropa kweGI vari pangozi yakanyanya. Nekuda kweidzi njodzi, varwere vanofanirwa kushandisa yakaderera dhosi yenguva ipfupi inogoneka.
- NSAIDs haifanire kushandiswa muvarwere vane nhoroondo yepashure yekusagadzikana kweasthma, senge asthma, rash, kana anaphylaxis, nekuda kwenjodzi yekukomba, inogona kuuraya anaphylactic reaction mune ava varwere.
- Varwere havafanirwe kurapwa neNSAIDs mushure mekurwadziwa kwemoyo.
- Pane njodzi diki yehuturu kuchiropa; varwere vanofanirwa kuziva zviratidzo zvakadai sekusvotwa, kuneta, kuneta, manyoka, kuchenesa, jaundice, kurudyi kwepamusoro quadrant unyoro, uye zviratidzo zvakaita sefuru, uye kutsvaga kurapwa kwekukurumidzira kana zviratidzo zvikaitika.
- Hypertension (yakakwira BP) inogona kuitika kana kuwedzera.
- NSAIDs hadzifanirwe kushandiswa mune varwere vane moyo kutadza.
- Kushandiswa kwenguva refu kunogona kukonzera kukuvara kwetsvo. Varwere vanofanirwa kuongororwa nezveitsvo uye havafanire kushandisa maNSAID kana paine kukanganisika kweitsvo.
- Varwere vane asthma, nasal polyps, uye aspirin senitivity (aspirin-sensitive asthma) inofanirwa kudzivirira NSAIDs.
- Kuita kwakakomba kweganda, uko kunogona kusanganisira exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), uye chepfu epidermal necrolysis (TEN) m iyo inogona kuuraya uye ikaitika pasina yambiro. Varwere vanofanirwa kumisa iyo NSAID uye vatsvage kurapwa kana paine chiratidzo cheganda kugadzirisa.
- Anemia yakaitika kune varwere vanorapwa neNSAIDs; varwere vanofanirwa kuongororwa kana zviratidzo kana zviratidzo zvekushaya ropa zvikaitika.
- NSAIDs, nekudzora kuzvimba uye kupisa muviri, zvinogona kuita kuti zvive zvakaoma kuona hutachiona.
- Varwere pane maNSAID marefu-nguva vanofanirwa kuongororwa nguva nenguva neCBC uye chem chimiro.
- NSAIDs hadzifanirwe kushandiswa mumadzimai ane nhumbu kutanga pamasvondo makumi matatu ekubata (yetatu trimester) nekuti zvinogona kukonzera kuvharwa nguva isati yasvika ye fetal ductus arteriosus. Munguva yekutanga uye yechipiri trimester, bvunza wako mupi wehutano. NSAIDs dzinogona zvakare kukanganisa ovulation; bvunza wako mupi wezvehutano kana iwe uri kuyedza kubata pamuviri.
Inowanzo bvunzwa mibvunzo nezve naproxen vs. ibuprofen
Chii chinonzi naproxen?
Naproxen iNSAID (nonsteroidal anti-inflammatory drug) inoshandiswa kurapa kurwadziwa nekuzvimba. Inowanikwa mune zvese mhando uye generic, uye mushonga pamwe neOTC.
Chii chinonzi ibuprofen?
Ibuprofen zvakare iri NSAID inobata marwadzo epakati nepakati uye kuzvimba. Inowanikwa mune zvese mhando uye generic ine mushonga kana seOTC.
Ko naproxen uye ibuprofen zvakafanana here?
Ose madhiragi aya maNSAID anotenderwa neDFA. Nekuti zvese zviri zviviri NSAIDs, naproxen uye ibuprofen zvine zvakawanda zvakafanana asi zvakare zvine misiyano. Ona pamusoro kuti uwane ruzivo. Dzimwe NSAID dzinosanganisira Celebrex (celecoxib, iyo COX-2 inhibitor), Mobic (meloxicam), aspirin, uye Relafen (nabumetone). Tylenol (acetaminophen) haisi NSAID asi inowanzo kuwanikwa padyo neNSAID pasherufu. Tylenol inobatsira kupisa uye kurwadziwa asi isingarape kuzvimba.
Iko naproxen vs. ibuprofen iri nani here?
Sezvakakurukurwa pamusoro, naproxen uye ibuprofen zvakafanana uye zvinogona zvese kushanda mukuderedza marwadzo uye kuzvimba. Ivo vane yakafanana mhedzisiro uye njodzi. Kazhinji, inyaya yezvaunoda iwe kuti ndeupi ungave mushonga uri nani kwauri. Bvunza wako mupi wezvehutano kuti akutungamire.
Ndinogona here kushandisa naproxen vs. ibuprofen ndichiri nepamuviri?
Naproxen, ibuprofen, kana chero NSAID haifanire kushandiswa mune yechitatu trimester yepamuviri nekuti inogona kukonzera kuvharwa nguva isati yasvika ye fetal ductus arteriosus. Nemhaka yekuti hapana ruzivo rwakakwana pamusoro pekushandiswa kweNSAID mumadzimai mune mamwe matanho epamuviri, bvunza OB / GYN yako. Kana iwe parizvino uchishandisa naproxen kana ibuprofen uye ukaona kuti une nhumbu, bvunza chiremba wako kuti akutungamire.
Ndinogona here kushandisa naproxen vs. ibuprofen nedoro?
Kwete. Kutora naproxen kana ibuprofen uye kunwa doro kunogona kuwedzera zvakanyanya njodzi ye gastritis (kuzvimba kwekudzivirira mudumbu mbichana) uye kubuda kwemudumbu.
Chii chinoitika kana iwe ukatora naproxen uye ibuprofen pamwechete?
Usatore naproxen uye ibuprofen pamwechete. Tarisa mavara ako; zvirinani zvakadaro, bvunza wako wemishonga, kunyanya nezvibatanidzwa zvigadzirwa, kuti uve nechokwadi chekuti iwe uri kungotora imwe NSAID panguva. Kutora zvese zviri zviviri kunogona kuwedzera njodzi yemhedzisiro pamwe nekubuda mudumbu uye maronda.
Iko naproxen musuru inozorodza kana inorwadza inouraya?
Naproxen haisi nyanzvi yekuzorodza mhasuru; mushonga unorwadza uye unobatsirawo nekuzvimba. Dzimwe dzinozivikanwa mhasuru dzinozorodza dzinosanganisira Flexeril (cyclobenzaprine) kana Skelaxin (metaxalone). Zvinogona kuvhiringidza nekuti kunyangwe naproxen iri pachokwadi isiri yekuzorodza mhasuru, inogona kubatsira hunyoro kusvika pakuenzanisa marwadzo emhasuru, saka dzimwe nguva vanhu vanofunga nezvayo seyakareruka mhasuru.
