Paxil vs.Lexapro: 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
Paxil neLexapro mishonga yemishonga inoshandiswa kazhinji kurapa kushushikana kukuru (MDD) uye yakajairika kunetseka kusagadzikana (GAD). MDD inoratidzirwa nemamiriro ekudzikira kwemavhiki maviri kana anopfuura, anowanzo kuperekedzwa nekurasikirwa kwechido mune zvakajairika zviitiko uye mashoma simba. Vamwe varwere vanozonzwa kurwadziwa pasina kwazvinobva sosi.
Chirwere chekuzvidya mwoyo chinowanzoonekwa nekunyanya kunetseka pamusoro pezvinhu zvakasiyana siyana zvinosanganisira mari, mhuri, hutano, uye basa. Inoonekwa kana varwere vachinge vachiratidza kunetseka pamusoro pemamwe mazuva pane kwete kwemwedzi mitanhatu.
Paxil neLexapro ndevekirasi yemishonga yekudzvinyirira inozivikanwa seinosarudza serotonin reuptake inhibitors (SSRIs). Zvimwe zvinowanzotarisirwa SSRIs zvinosanganisira Prozac (fluoxetine), Zoloft (sertraline), uye Celexa (citalopram).
Ndeupi mutsauko mukuru pakati pePaxil neLexapro?
Paxil (Chii chinonzi Paxil?) Inowanikwa seyakajairika mishonga inonzi paroxetine, uye ndeyeboka remishonga inodzvinyirira inozivikanwa seinosarudza serotonin reuptake inhibitors (SSRIs). Lexapro (Chii chinonzi Lexapro?) Inoshanda nekudzivirira iyo reuptake yeiyo neurotransmitter serotonin pane iyo neuronal membrane yekufambisa pombi. Ichi chiito zvinobudirira chinosiya yakasununguka serotonin muiyo neuron synapse. Iyo yepamusoro nhanho yeserotonin inoita yakanaka chiitiko mune yekunzwa uye kukanganisa.
Paxil inowanikwa nemushonga chete mune akajairwa uye anodzorwa-kusunungura mapiritsi, pamwe nemuromo mhinduro.
Lexapro inowanikwa nenzira yakajeka se escitalopram, uye zvakare iri SSRI. Maitiro ayo akafanana neaya eparoxetine mukuti inowedzera yemahara serotonin. Lexapro inowanikwa sehwendefa remuromo uye mhinduro yemumuromo.
Misiyano mikuru pakati pePaxil neLexapro | ||
---|---|---|
Paxil | 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? | Paroxetine | Escitalopram |
Ndeapi mafomu (s) ayo mushonga unouya? | Mapiritsi ekuburitsa akajairwa, mapiritsi-anodzorwa-uye mhinduro yemumuromo | Mahwendefa uye mhinduro yemumuromo |
Ndeipi muyero wakajairwa? | 20 mg kamwe pazuva | 10 mg kamwe pazuva |
Inguva yakareba sei kurapwa kwacho? | Yakareba-nguva (mwedzi kusvika makore) | Yakareba-nguva (mwedzi kusvika makore) |
Ndiani anowanzoshandisa mushonga? | Vakuru | Vechidiki nevakuru |
Unoda akanakisa mutengo paLexapro?
Saina kuLexapro mutengo wekuzivisa uye uone kana mutengo wachinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu anorapwa naPaxil uye Lexapro
Paxil naLexapro vese vari vaviri vanoratidzwa kuti vanorapa zvese zvakakura kushungurudzika kusagadzikana uye zvakajairika kusagadzikana kusagadzikana, asi ivo mumwe nemumwe vanobata mamwe marudzi emamiriro pamwe. Paxil inogamuchirwa mukurapa kweanokanganisa-kumanikidza kusagadzikana (OCD), kuvhunduka kusagadzikana, kusagadzikana kwepfungwa munharaunda, uye kunetsekana kwekushungurudzika kwepfungwa (PTSD). Mune vakadzi zvakanyanya, Paxil inoshandiswa kurapa premenstrual dysphoric disorder (PMDD) uye kupenya kunopisa kunoenderana nekuguma kuenda kumwedzi. Inogona kushandiswa off-label, kana pasina kubvumidzwa neKudya neDrug Administration (FDA), kuitira ejaculation isati yakwana muvarume.
Lexapro dzimwe nguva inoshandiswa kure-chitaridzi chekunyanyisa-kumanikidza kusagadzikana, bulimia nervosa, uye kudya zvakanyanya.
Iyi inotevera chati inopa rondedzero yemamiriro akabatwa naPaxil naLexapro. Zvinogona kusasanganisira zvese zvingangoshandiswa, uye iwe unofanirwa kugara uchikurukura nehutano hwepfungwa kana nyanzvi yezvepfungwa kuti uone kana imwe yemishonga iyi yakakunakira iwe.
Mamiriro | Paxil | Lexapro |
Kurwara kukuru kwekushushikana (kushushikana kukuru) (MDD) | Ehe | Ehe |
Yakajairika kunetseka kusagadzikana (GAD) | Ehe | Ehe |
Kucherekedza-kumanikidza kusagadzikana (OCD) | Ehe | Kunze-chitaridzi |
Panic kusagadzikana | Ehe | Kwete |
Kushungurudzika kwevanhu munharaunda | Ehe | Kwete |
Post-traumatic kusagadzikana kwepfungwa (PTSD) | Ehe | Kwete |
Premenstrual dysphoric disorder (PMDD) | Ehe | Kwete |
Kupisa kunopisa kwakabatana nekuguma kuenda kumwedzi | Ehe | Kwete |
Nguva isati yakwana ejaculation | Kunze-chitaridzi | Kwete |
Bulimia nervosa | Kwete | Kunze-chitaridzi |
Kudhakwa kudya | Kwete | Kunze-chitaridzi |
Paxil kana Lexapro inoshanda zvakanyanya here?
TO meta-ongororo akafananidza gumi nemaviri antidepressants, anosanganisira Paxil uye Lexapro, uye mhedzisiro yavo kushushikana. Vatsvagiri vakatsvaga kuenzanisa zvese kushanda uye kushivirira kwemishonga iyi. Iyo yakazoguma data yakaratidza kuti Lexapro yaive yakanyanya kushanda pakuvandudza mhedzisiro mu MDD. Lexapro yakaratidzawo kushivirira kunogamuchirwa, zvichitungamira kuvarwere vashoma vakarega kurapwa. Kubva pamhedzisiro iyi, Lexapro inoita kunge sarudzo inosarudzika kupfuura Paxil mu MDD.
Mune imwe meta-ongororo kudzidza, Paxil naLexapro vakaenzaniswa nemhedzisiro yavo kushushikana. Lexapro yakawanikwa ichinyanya kushanda kupfuura placebo uye yaibvumidzwa zvakanaka. Paxil, nepo yaibudirira futi, yaisashivirirwa zvakanaka uye yakatungamira kunhamba yepamusoro yekuregedza. Kubva pane iyi data, Lexapro inogona kuve yakasarudzika mune yakajairwa kunetseka kusagadzikana.
Unoda mutengo wakanakisa paPaxil?
Saina kuPaxil mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kwePaxil vs.Lexapro
Paxil imishonga yemishonga inowanzo kuvharwa nezvose zviri zviviri zvekutengeserana uye zveMedare zvirongwa zvemushonga. Mutengo wekunze kwehomwe wemwedzi mumwe unopihwa Paxil 20 mg unogona kudarika madhora mazana mana, asi nekoponi kubva kuSingleCare, unogona kuwana iyo generic yakaderera se $ 4 kuma Pharmacies ari kutora chikamu.
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 kudarika $ 400. SingleCare inopa coupon yegeneric Lexapro, iyo inogona kudzikisa mutengo kusvika kumadhora masere kana mashoma.
Paxil | Lexapro | |
Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Ehe |
Standard muyero | 30, 20 mg mahwendefa | 30, 10 mg mahwendefa |
Chaizvoizvo Medicare copay | Asingasviki $ 10 | Asingasviki $ 10 |
SingleCare mutengo | $ 4 + | $ 8 + |
Tora kadhi rekudzikisira chemishonga
Zvakajairika mhedzisiro mhedzisiro yePaxil vs. Lexapro
Paxil neLexapro vese vari maSSRI uye vane yakafanana mhedzisiro mhedzisiro, kunyangwe sekutsanangurwa kwataurwa pamusoro apa, kuitika kwezviitiko zvakashata zvinogona kusiyana zvakanyanya pakati pemishonga iyi miviri. Nausea inonyanya kuzivikanwa naPaxil kupfuura Lexapro, inoitika mu26% yevarwere kana ichienzaniswa ne5% chete neLexapro.
Somnolence, kana kukotsira, zvakare yakajairika nePaxil, inoitika mu23% yevarwere, zvinopesana chete ne6% muLexapro varwere.
Mhedzisiro mhedzisiro ndiyo chikonzero chekutanga varwere vachirega kurapwa nemishonga yekudzvinyirira, uye zvakakosha kuti uzive zvaunotarisira uye nekuita hurukuro nemunyori wako kana wemishonga. Iri harisi rondedzero izere yemhedzisiro. Rondedzero yakakwana inogona kuwanikwa kubva kune wako mupi wezvehutano.
Paxil | Lexapro | |||
Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
Nausea | Ehe | 26% | Ehe | 5% |
Muromo wakaoma | Ehe | 18% | Ehe | 5% |
Kudikitira | Ehe | gumi neimwe% | Ehe | 5% |
Manyoka | Ehe | 12% | Ehe | 8% |
Kuzvimbirwa | Ehe | 14% | Ehe | 3% |
Dyspepsia | Kwete | piri% | Ehe | 3% |
Dzungu | Ehe | 13% | Kwete | n / a |
Kukotsira | Ehe | 2. 3% | Ehe | 6% |
Kutemwa nemusoro | Ehe | 18% | Kwete | n / a |
Kuderedza kudya | Ehe | 6% | Ehe | 3% |
Yakadzikira libido | Kwete | 3% | Ehe | piri% |
Kunobva: Paxil ( Zuva Nezuva Lexapro ( Zuva Nezuva )
Kubata kwezvinodhaka zvePaxil vs.Lexapro
Paxil neLexapro imwe neimwe inogadziriswa necytochrome P-450 enzyme system. Paxil yakasimba inhibitor yeCYP2D6. Codeine, semuenzaniso, inogadziriswa morphine neCYP2D6. Varwere vanotora Paxil vangangoda mwero wakakwira wecodeine kuti vawane kuzorora kwakakwana kwekurwadziwa. Neimwe nzira, varwere vanotora codeine nePaxil pamwe vanorega Paxil vangangoda kuti yavo yekodhekisi idzoreredzwe pasi kuti vadzivise zviitiko zvinogona kutyisidzira hupenyu zvakaita sekuderera kwekufema
Lexapro ndiyo huru substrate yeCYP2C19 uye CYP3A4, uye isina simba inhibitor yeCYP2D6. Iko kushandiswa kweLexapro ine tricyclic antidepressants, senge amitriptyline, kunogona kuwedzera njodzi yekuwedzera kweQT uye serotonin syndrome. Kazhinji, kusanganiswa uku kunofanirwa kudzivirirwa.
Iyi inotevera rondedzero haina kuitirwa kuti ive izere runyorwa rwekudyidzana zvinodhaka. Zvakanakisisa kubvunza wako mupi kana wemishonga kuti uwane yakazara runyorwa rwekudyidzana uye zvekurapa kuraira.
Zvinodhaka | Kirasi yemishonga | Paxil | Lexapro |
Almotriptan Eletriptan Oxitriptan | 5HT Agonist / Triptans (antimigraine vamiririri) | Ehe | Ehe |
Amphetamine munyu Dexmethylphenidate Methylphenidate | Amphetamine | Ehe | Ehe |
Alosetron Ondansetron Ramosetron | 5HT3 Vapikisi (anti-nausea vamiririri) | 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 | Kwete | Ehe |
Esomeprazole Omeprazole | Proton pombi inhibitor | Kwete | Ehe |
Fluconazole | Antifungal | Kwete | Ehe |
Fluoxetine Citalopram Sertraline | SSRIs | Ehe | Ehe |
Linezolid | Mishonga inorwisa mabhakitiriya | 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 |
Codeine Tramadol | Opiate pain reliever | Ehe | Ehe |
Amitriptyline Clomipramine Doxepin Nortriptyline | Tricyclic antidepressants | Ehe | Ehe |
Venlafaxine Desvenlafaxine | Kusarudza norepinephrine / serotonin reuptake inhibitor (SNRIs) | Ehe | Ehe |
Yambiro dzePaxil uye Lexapro
Paxil, Lexapro, uye mamwe maSSRI haapi rubatsiro rwekukurumidza rwezviratidzo zvekushushikana kwepfungwa kana kusagadzikana kusagadzikana. Zvinowanzo tora mavhiki maviri kuona chero shanduko muvarwere vazhinji, uye kusvika kumavhiki mana kusvika matanhatu kuti vazive mhedzisiro yemushonga. Varwere vanogona kurega mishonga yavo nekutenda kuti haina basa kana ivo vasingazive nezve kunonoka uku.
Paxil neLexapro kurapa kunogona kuwedzera kuzviuraya uye kufunga pakati pevechidiki nevakuru vechidiki, kunyanya mumatanho ekutanga ekurapa pasati pawanikwa chero rudzi rwekuregererwa. Varwere ava vanofanirwa kuongororwa zvakanyanya kana kurapwa uku kuchionekwa sekukosha kwachiremba. Shanduko yekurapa inogona kudikanwa kana zviratidzo zvikangoerekana zvamuka kana kuwedzera kuipa. Varwere vane MDD vanogona kusangana nekuwedzera kwekushushikana kana kuzviuraya pfungwa kana ivo vari kutora antidepressant mishonga.
Serotonin chirwere yakataurwa nezvose SSRIs, kusanganisira Paxil neLexapro. Ichi chiitiko chakanangana neasina kukwirira mazinga eserotonin uye zvinogona kukonzera kuti murwere anzwe kushungurudzika, kutenderera, uye nekuwedzera kuwanda kwemoyo. Izvi zvinogona kuunzwa nekushandiswa kwemaviri serotonergic zvinodhaka pamwechete. Tarisa kune ruzivo rwakapihwa pamusoro pamwe nevakagadziri vanonyora kuti vabatsire kudzivirira kusangana kwemishonga.
SSRIs, kusanganisira Paxil neLexapro, haifanire kumiswa nekukasira sezvo varwere vanogona kuona zviratidzo zvekurega. Kana kurega kurapa kuchinzi kwakakodzera nemupi wako, iwe unofanirwa kubviswa zvishoma nezvishoma pamishonga iyi.
Inowanzo bvunzwa mibvunzo nezve Paxil vs. Lexapro
Chii chinonzi Paxil?
Paxil mushonga unodzvinyirira unoshandiswa pakurapa kwekushungurudzika kukuru uye huwandu hwekunetseka, pakati pemamwe mamiriro. Lexapro inowanikwa sehwendefa remuromo mu10 mg, 20 mg, 30 mg, uye 40 mg simba. Inowanikwawo semhinduro yemuromo.
Chii chinonzi Lexapro?
Lexapro mushonga unodzvinyirira unoshandiswa pakurapa kwekushungurudzika kukuru uye huwandu hwehutachiona hwehutachiona. Lexapro inowanikwa sehwendefa yemuromo mu5 mg, 10 mg, uye 20 mg simba. Inowanikwawo semhinduro yemuromo.
Paxil neLexapro zvakafanana here?
Paxil neLexapro vese antidepressants anosarudzwa senge serotonin reuptake inhibitors, asi iwo haana kufanana. Ivo vaviri anoshandiswa pakurapa kwehukuru kushungurudzika kusagadzikana uye kwakajairika kusagadzikana kusagadzikana, asi Paxil inotakura zvimwe zvinowiridzwa zviratidzo.
Paxil kana Lexapro iri nani here?
Dhata inoratidza kuti Lexapro inogona kusarudzika kupfuura Paxil nekuda kwekuve nezvakanaka zviono zvekiriniki uye kuva neyakareruka mhedzisiro mhedzisiro yekurapa kushungurudzika Kubudirira pakati pezviviri kunogona kufanana mukurapa kwekuzvidya mwoyo, asi kushivirira kwaLexapro kunoita kuti ive inodiwa.
Ndinogona here kushandisa Paxil kana Lexapro ndichiri nepamuviri?
Paxil chikamu che D chinodhaka mukuzvitakura, zvichireva kuti inozivikanwa inozivikanwa nekukuvadza fetus uye haifanire kushandiswa mukuzvitakura. Lexapro ane nhumbu chikamu C, zvichireva kuti hapasati pave nezvakakwana zvidzidzo zvevanhu kuona kuchengetedzeka. Lexapro inofanira kungoshandiswa chete apo njodzi yekusatarisika kushushikana muna amai ichipfuura njodzi yekukuvara kwechibereko.
Ndinogona here kushandisa Paxil kana Lexapro nedoro?
Doro rinogona kuwedzera huturu hwePaxil uye Lexapro. Kunwa doro uchinwa mishonga iyi kunogona kukonzera kukanganisika kwepfungwa, uye nekuda kwechikonzero ichi, varwere vanorayirwa kuti vadzivise doro kana vakatora Paxil kana Lexapro.
Paxil ndiyo yakanakisa SSRI yekushushikana here?
Zvidzidzo zvinoratidza kuti Paxil inogona kunge isiri iyo yakanakisa SSRI sarudzo yekuzvidya mwoyo nekuda kwekusashivirira kwayo kwakashata. Paxil inokonzeresa kukwirisa kwezvimwe zvinokanganisa mhedzisiro uye hazvireve kuti zvinopa kushanda kwakanyanya.
Chii chiri nani pane Paxil yekufunganya?
Lexapro inopa kushanda kwakafanana kuPaxil ine mbiri yekushivirira. Imwe kirasi yemishonga inogona zvakare kuve yakakosha pakurapa kweakajairika kunetseka kusagadzikana, kusarudza norepinephrine inhibitors (SNRIs). Izvi zvinosanganisira Effexor XR (venlafaxine) uye Cymbalta (duloxetine).
Yakawanda sei Paxil yandinofanira kutora yekuzvidya mwoyo?
Kune vazhinji varwere, 20 mg kamwe zuva nezuva iri dosi inoshanda yekurapwa kwekushushikana. Kana kuwedzerwa kuchidikanwa, Paxil inogona kuwedzerwa ne10 mg pazuva pazuva mukati mevhiki kusvika pa50 mg pazuva.