Pristiq vs. Effexor: 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
Kupfuurisa Mamiriyoni gumi nematanhatu vakuru veAmerica vane kuora mwoyo (kukuru kwekuora mwoyo kusagadzikana). Pristiq naEffexor mishonga miviri inozivikanwa inoratidzirwa pakurapa kushushikana, zvakajairika hutano hwepfungwa mamiriro . Effexor XR (yakawedzerwa-kuburitswa) inobata zvakajairwa kushushikana kusagadzikana, kutya kusagadzikana, uye kushungurudzika munharaunda. Ose madhiragi anotenderwa neUnited States Chikafu neDrug Administration (FDA). Wyeth Pharmaceuticals LLC, inotsigirwa nePfizer, inogadzira zvese zvinodhaka mumazita ezita rezita.
Pristiq naEffexor vanoiswa muboka remishonga inonzi SNRIs (serotonin-norepinephrine reuptake inhibitors). Vanoshanda nekugadzirisa kudzokororwa kwemaurotransmitter anonzi serotonin uye norepinephrine muCNS (central nervous system), zvichidaro nekuvandudza zviratidzo zvekuora mwoyo.
Tarisa uone kuti zita raPristiq rakajairika sei desvenlafaxine, uye zita rakajairika raEffexor venlafaxine. Iyi mishonga yakafanana chaizvo. Kana Effexor (venlafaxine) ikaiswa muviri, inoshanduka kuita metabolite inoshanda-desvenlafaxine.
Kunyangwe Pristiq naEffexor vese vari maSNRIs, vane misiyano, yatichataura pazasi.
Ndeupi mutsauko mukuru pakati paPristiq naEffexor?
Pristiq naEffexor vese SNRI mishonga yekudzvinyirira inowanikwa muchiratidzo uye generic fomu. Zvese zvinodhaka zvinogamuchirwa kuti zvishandiswe muvakuru.
Pristiq inowanikwa seyakawedzerwa-kuburitsa piritsi. Dosing inogona kusiyana, asi muyero wakajairwa uri 50 mg zuva nezuva.
Effexor inowanikwa mune yepiritsi fomu, uye zvakare seyakawedzera-kuburitsa kapuleti uye yakawedzerwa-kuburitsa piritsi fomu. Iyo chaiyo dosi ndeye 75 kana 150 mg zuva nezuva (XR kuumbwa).
| Misiyano mikuru pakati paPristiq naEffexor | ||
|---|---|---|
| Pristiq | Effexor | |
| Kirasi yemishonga | SNRI | SNRI |
| Brand / generic chinzvimbo | Brand uye generic | Brand uye generic |
| Chii chinonzi generic zita? | Desvenlafaxine inotapira (desvenlafaxine) | Venlafaxine hydrochloride (venlafaxine) |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa (rakawedzerwa-kuburitswa) | Hwendefa, akawedzera-kuburitsa macapsule, akawedzera-kusunungura mapiritsi |
| Ndeipi muyero wakajairwa? | 50 mg zuva nezuva | Zvinosiyana: chiyero chinowanzoitwa XR 75 kana 150 mg zuva nezuva |
| Yakareba sei iyo yekurapa? | Zvinosiyana | Zvinosiyana |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vakuru |
Unoda akanakisa mutengo paPristiq?
Saina kuti Pristiq yambiro yemitengo uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu akarapwa naPristiq uye Effexor
Pristiq (Chii chinonzi Pristiq?) Inoratidzirwa pakurapa kukuru kwekushungurudzika kwepfungwa (MDD) kune vanhu vakuru. Dzimwe nguva, Pristiq inorayirwa off-label kune kumwe kushandiswa.
Effexor (pakarepo-kuburitswa) inoratidzirwa kubata zvakanyanya kushungurudzika kusagadzikana. Effexor XR (Chii chinonzi Effexor?) Inoratidzirwa kune yakanyanya kushushikana kusagadzikana, yakajairika kusagadzikana kusagadzikana, kusagadzikana kwevanhu kusagadzikana, uye kutya kutya.
| Mamiriro | Pristiq | Effexor |
| Huru kushungurudzika kusagadzikana | Ehe | Hongu (IR uye XR mafomu) |
| Chirwere chekuzvidya mwoyo | Kunze-chitaridzi | Ehe (XR fomu chete) |
| Kushungurudzika kwevanhu munharaunda (social phobia) | Kunze-chitaridzi | Ehe (XR fomu chete) |
| Panic kusagadzikana | Kunze-chitaridzi | Ehe (XR fomu chete) |
Pristiq kana Effexor inoshanda here?
TO meta-ongororo akatarisa kuchengetedzeka nekubudirira kwaPristiq uye Effexor. Vatsvakurudzi vakagumisa kuti madhiragi ese ari maviri aive akafanana maererano nekubudirira pakurapa kushushikana, pamwe nemhedzisiro. Nekudaro, varwere vakatora Pristiq vaive neshungu shoma pane varwere vakatora Effexor.
Bvunza wako mupi wezvehutano nezvezvehutano. Chete mupi wako wekuchengetedza hutano ndiye anogona kuona kuti ndeupi mushonga uri nani kwauri, zvichibva pahutano hwako (s) uye nhoroondo, pamwe nemimwe mishonga yaunotora iyo inogona kusangana naPristiq kana Effexor.
Tora kadhi rekudzikisira chemishonga
Kuvhavha uye mutengo kuenzanisa kwePristiq vs. Effexor
Inishuwarenzi uye Medicare Chikamu D zvirongwa zvinowanzovhara Pristiq. Mutengo wekunze-muhomwe weyakajairwa kunyorerwa 30, 50 mg mahwendefa akajairwa anenge madhora mazana matatu nemakumi masere. Kadhi reSingleCare remahara rinogona kuunza mutengo kusvika pasi pe $ 60.
Inishuwarenzi uye Medicare Chikamu D zvirongwa zvinowanzovhara Effexor XR (iyo inonyanya kufarirwa mhando yeEffexor). Mutengo wekunze-muhomwe weyakajairwa kunyorerwa 30, 150 mg generic capsules anenge madhora zana nemakumi mana. Iwe unogona kushandisa yemahara SingleCare kadhi kuunza mutengo pasi kusvika ungangoita $ 15.
Sezvo zvirongwa zveinishuwarenzi zvichisiyana uye zvichichinja, bata chirongwa chehutano cheinishuwarenzi cheruzivo rwezvino.
| Pristiq | Effexor | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Ehe |
| Standard muyero | 30, 50 mg akawedzeredzwa-mahwendefa | 30, 150 mg akawedzera-kusunungura macapsule |
| Chaizvoizvo Medicare copay | $ 1- $ 7 | $ 0- $ 20 |
| SingleCare mutengo | $ 60- $ 80 | $ 15- $ 40 |
Zvakajairika mhedzisiro mhedzisiro yaPristiq vs. Effexor
Mhedzisiro inowanzoitika yaPristiq kushungurudzika, dzungu, kushaya hope, kudikitira zvakanyanya, kuzvimbirwa, kurara, kushomeka kwekuda kudya, kushushikana, uye matambudziko epabonde evarume.
Mhedzisiro inowanzoitika yeEffexor XR kushungurudzika, kurara, kuoma mukanwa, kudikitira, matambudziko epabonde, kuderera kwechido, uye kupatira.
Mimwe mhedzisiro inogona kuitika. Bvunza nyanzvi yezvehutano kuti uwane yakazara rondedzero yemhedzisiro.
| Pristiq | Effexor * | |||
| Side Migumisiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Nausea | Ehe | 22% | Ehe | 30% |
| Muromo wakaoma | Ehe | gumi neimwe% | Ehe | gumi neshanu% |
| Kuzvimbirwa | Ehe | 9% | Ehe | 9% |
| Kuderedza kudya | Ehe | 5% | Ehe | 10% |
| Dzungu | Ehe | 13% | Ehe | 16% |
| Kurara | Ehe | 4% | Ehe | gumi neshanu% |
| Kusarara | Ehe | 9% | Ehe | 18% |
| Kudikitira | Ehe | 10% | Ehe | gumi neimwe% |
| Yakadzikira libido | Ehe | 4% | Ehe | 5% |
| Kunetsa kukanda | Ehe | 1% | Ehe | 10% |
| Kushaya simba / erectile kudzvinyirira | Ehe | 3% | Ehe | 5% |
* zvikamu zvakanyorwa ndezveExpexor XR, iyo inowanzo rongedzerwa kuumbwa kweEffexor
Kwayaka: DailyMed ( Pristiq ), Zuva Nezuva ( Effexor XR)
Kubatana kwezvinodhaka kwaPristiq vs. Effexor
Kushandisa SNRI antidepressants ine MAO inhibitors kunogona kuwedzera njodzi ye serotonin chirwere , iyo inogona kutyisidzira hupenyu. Pristiq kana Effexor anofanirwa kupatsanurwa kubva paMAOI nemazuva manomwe kusvika gumi nemana, zvichienderana nekuti ndeupi mushonga unomiswa kutanga. Pristiq kana Effexor haifanire kutorwa nemimwe mishonga inowedzera mazinga eserotonin, seimwe SNRI kana SSRI mishonga yekudzvinyirira, triptans yemigraines, uye maopioid, nekuda kwechikonzero chimwe chete. Zvakare, iyo yekudzvinyirira inodzvinyirira dextromethorphan, iyo inowanikwa muRobitussin-DM pamwe nezvimwe zvakawanda zvekukosora uye zvigadzirwa zvinotonhora, inofanirwa kudzivirirwa, sezvo ichigona zvakare kukonzera serotonin syndrome kana ichibatanidzwa naPristiq kana Effexor.
Mimwe mishonga inogona kubatana naPristiq kana Effexor inosanganisira maNSAID (asiri-steroidal anti-anogumbura madhiragi) senge aspirin kana ibuprofen, uye anticoagulants (ropa rakatetepa) sewarfarin. Dzivisa doro paunotora Pristiq kana Effexor.
Kana Pristiq akatorwa nemushonga unogadziriswa neenzyme inonzi cytochrome P 2D6, mumwe mushonga unogona kuvaka kusvika pamatanho akakwirira uye anogona kuita chepfu. Chipimo chemushonga chinogona kudikanwa. Effexor haina kubatana uku.
Iri harisi runyorwa ruzere rwekubatana kwezvinodhaka. Bvunza wako mupi wezvehutano kuti uwane runyorwa rwakakwana rwekudyidzana kwezvinodhaka.
| Zvinodhaka | Kirasi yemishonga | Pristiq | Effexor |
| Isocarboxazid Linezolid Phenelzine Selegiline Tranylcypromine | MAOIs (monoamine oxidase inhibitors) | Ehe | Ehe |
| Rizatriptan Sumatriptan Zolmitriptan | Triptans | Ehe | Ehe |
| Wort St. | Kuwedzera | Ehe | Ehe |
| Codeine Hydrocodone Morphine Oxycodone Tramadol | Opioid | Ehe | Ehe |
| Dextromethorphan (mune akawanda chikosoro uye zvigadzirwa zvinotonhora) | Kukosora kudzvinyirira | Ehe | Ehe |
| Desvenlafaxine Duloxetine Venlafaxine | SNRI mishonga yekudzvinyirira | Ehe | Ehe |
| Citalopram Escitalopram Fluoxetine Fluvoxamine Paroxetine Sertraline | SSRI mishonga yekudzvinyirira | Ehe | Ehe |
| Amitriptyline Desipramine Imipramine Nortriptyline | Tricyclic antidepressants | Ehe | Ehe |
| Aspirin Ibuprofen Meloxicam Nabumetone Naproxen | NSAIDs (nonsteroidal anti-anogumbura zvinodhaka) | Ehe | Ehe |
| Warfarin | Anticoagulant | Ehe | Ehe |
| Phentermine | Kurema kwekurema mumiririri | Ehe | Ehe |
| Atomoxetine Metoprolol Nebivolol Perphenazine Tolterodine | Zvinodhaka zvinogadziriswa ne enzyme CYP2D6 | Ehe | Kwete |
Nyevero dzaPristiq uye Effexor
Zvese antidepressant, kusanganisira Pristiq uye Effexor, vane yambiro yebhokisi yekuzviuraya. Nyevero yebhokisi ndiyo yambiro yakakomba inodiwa neDFA. Vana, vachiri kuyaruka, uye vechidiki (kusvika pamakore makumi maviri nemana) vanotora mishonga yekudzvinyirira vane njodzi yekuzviuraya nemafambiro. Varwere vese pa mishonga inodzvinyirira inofanira kunyatsoongororwa.
Dzimwe yambiro dzinosanganisira:
- Pristiq naEffexor havabvumidzwe kurapa varwere vevana.
- Serotonin syndrome yakakomba, inotyisidzira hupenyu inokonzerwa nekuvakwa kweserotonin yakawandisa. Varwere vanotora Pristiq kana Effexor vanofanirwa kunyatso tariswa zviratidzo nezviratidzo zveSerotonin syndrome, sekunyepedzera, kufenda, shanduko yeropa, uye kushungurudzika. Varwere vanofanirwa kutsvaga kurapwa kwekukurumidza kana chimwe chezviratidzo izvi chikaitika. Varwere vanotora mimwe mishonga inowedzera serotonin mazinga (triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, dextromethorphan, amphetamines, St. John's Wort, uye MAOIs) vari pangozi yakanyanya yeserotonin syndrome.
- Pristiq kana Effexor anogona kukwidza kuwedzera kweropa. Chengetedza BP nguva dzose. Kana uine BP yakakwira kana matambudziko emwoyo, bvunza wako mupi wezvehutano usati watora Pristiq kana Effexor.
- SNRIs inogona kuwedzera njodzi yekubuda ropa. Iyo njodzi inowedzera pamwe nekushandisa pamwe kwe aspirin, NSAIDs, kana warfarin.
- Kushanda kwemania kana hypomania kunogona kuitika. Mune varwere vane bipolar kusagadzikana, antidepressant inogona kukonzeresa yakavhenganiswa / manic episode.
- Dzivisa SNRIs kana kushandisa nekuchenjerera kune varwere vane isina kurapwa maatomiki madiki makona (angle-kuvhara glaucoma). Kumbira mupiki wako wezvehutano kana iwe uri panjodzi.
- Paunomira kutora Pristiq kana Effexor, bvunza wako mupi wezvehutano nezvehurongwa hwekubata. Kuregedza nekukasira kunogona kukonzera kubvisa zviratidzo sekusvotwa, kudedera, kuvhiringidzika, uye kugwinha. Kuderedza muyero zvishoma nezvishoma kunogona kubatsira kudzivirira izvi zviratidzo.
- Hyponatremia (yakaderera sodium mazinga) nekuda kwechirwere cheasina kukodzera antidiuretic hormone secretion (SIADH) inogona kuitika. Varwere vanogona kutemwa nemusoro, kunetsekana kuisa pfungwa, kukanganisika kwendangariro, kuvhiringidzika, kushaya simba, uye kusagadzikana, zvinogona kutungamira mukudonha. Zvimwe zviitiko zvakakomba zvinogona kuitika. Varwere vanofanirwa kutsvaga kurapwa nechimbichimbi kana zviratidzo zvikaitika, uye vorega SNRI.
- Usatyaire kana kushandisa michina kusvikira iwe waziva kuti Pristiq kana Effexor inokukanganisa sei.
- Taura nemupi wako wezvehutano nezve kushandisa Pristiq kana Effexor kana iwe uine nhoroondo yekubatwa.
- Muzviitiko zvisingawanzoitika, pakave nemishumo yekumhanyisa uye kusagadzikana kwemaitiro / systemic anaphylaxis maitiro kana angioedema. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Usatora Pristiq kana Effexor kana uri weergoria kune chero zvigadzirwa.
- Kazhinji kesi dzekupindirana kwemapapu chirwere uye eosinophilic pneumonia zvakabatana nemishonga iyi. Kana iwe uri kutora Pristiq kana Effexor uye uine kupfupika kwemweya, kukosora, kana kusagadzikana pachifuva, tsvaga kurapwa nekukurumidza.
- Pristiq kana Effexor inongofanirwa kushandiswa mukuzvitakura kana rubatsiro kuna amai rukuru pane njodzi kumwana. Kumisa mishonga kunogona kukonzera kudzokazve kwekushushikana kana kushushikana. Naizvozvo, varwere vanofanirwa kuongororwa pane imwe nyaya-ne-kesi hwaro. Mubatsiri wako wehutano anogona kuyera njodzi nekukanganisa kushandisa SNRI panguva yekuzvitakura. Neonates yakaratidzirwa kune SNRIs mune yechitatu trimester yakagadzira matambudziko anoda kugara kwenguva refu muchipatara, rutsigiro rwekufema, uye kudya kwepombi. Kana iwe uchitova paPristiq kana Effexor uye ukaona kuti une nhumbu, bata wako wekuchengetedza hutano nekukurumidza.
- Pristiq: Medza piritsi rakazara, nemvura. Usatsvage, kupwanya, kuputsa, kana kukamura mahwendefa.
- Effexor XR: Kumedza capsule izere nemvura. Usaparadzanise, kupwanya, kutsenga, kana kuisa iyo capsule mumvura. Neimwe nzira, iwe unogona kuvhura iyo kapuleti, nekusasa zvirimo pane chipunu cheapurosiuce, uye nekukurumidza kumedza musanganiswa, uchiteverwa nekumwa girazi remvura.
Inowanzo bvunzwa mibvunzo nezve Pristiq vs. Effexor
Chii chinonzi Pristiq?
Pristiq ndeye SNRI inodzvinyirira. Pristiq anobata kushushikana muvakuru. Zita regeneral desvenlafaxine.
Chii chinonzi Effexor?
Effexor zvakare SNRI inodzvinyirira. Effexor inobata kushushikana muvakuru. Effexor XR (yakawedzeredzwa-kuburitswa) inobata kushushikana, kusagadzikana kwevanhu kusagadzikana, kutya kwekutya, uye zvakajairika kusagadzikana kusagadzikana. Zita regeneral reEffexor ndi venlafaxine.
Pristiq naEffexor vakafanana here?
Iyo mishonga yakafanana. Kana Effexor ikaiswa muviri mumuviri, inoshanduka kuita desvenlafaxine, chinhu chinoshanda chePristiq. Iyo mishonga miviri yakafanana asi ine mimwe misiyano, senge mune muyero, mutengo, padivi mhedzisiro mitengo yezvinoitika, uye kudyidzana kwemishonga.
Pristiq kana Effexor ari nani here?
Mishonga iyi miviri yakafanana maererano nekubudirira. Mubatsiri wako wezvehutano anogona kukutungamira maererano nemushonga unogona kukodzera iwe.
Ndinogona here kushandisa Pristiq kana Effexor ndichiri nepamuviri?
Bvunza wako mupi wezvehutano kuti akupe mazano. Iye achayera mabhenefiti e kutora antidipressant vs. njodzi kumwana . Neonates inoratidzirwa kune mamwe antidepressants, anosanganisira SNRIs kana SSRIs (inosarudza serotonin reuptake inhibitors seProzac), mune yechitatu trimester yepamuviri, vaita matambudziko akakomba.
Kana iwe uchitova paPristiq kana Effexor uye ukaona kuti une nhumbu, bvunza OB-GYN yako nekukurumidza kuti uwane zano. Kana uri kuyamwisa , Bvunza OB-GYN yako zvakare.
Ndinogona here kushandisa Pristiq kana Effexor nedoro?
Kwete. Pristiq kana Effexor haifanire kutorwa nedoro nekuti mubatanidzwa unogona kuwedzera njodzi yekufema mweya (kunonoka kufema, kusawana oxygen yakakwana) uye kuwedzera kugadzikana uye kukotsira, uye kukanganisa kurinda. Iko kusanganisa kunogona zvakare kuwedzera kushungurudzika uye kushushikana.
Pristiq anobatsira here nekuzvidya mwoyo?
Kunyangwe Pristiq achingoratidzwa kurapa kushushikana, vamwe vanachiremba vanozvinyorera izvo-kureketa kwekushushikana. Nekudaro, mu kliniki miedzo , 3% yevarwere vakatora Pristiq 50 mg (iyo inokurudzirwa dosi) vakashushikana senge mhedzisiro. Vamwe vanhu vanofanirwa kuyedza mishonga yakasiyana kuti uone zvinoshanda zvakanyanya. Bvunza wako mupi wezvehutano kuti uwane rumwe ruzivo.
Pristiq inodzikamisa mafungiro here?
Zvinodhaka zvinotsanangurwa semafungidziro emanzwiro anowanzo shandiswa kurapa bipolar kusagadzikana. Pristiq inoratidzirwa kurapa kushushikana. Kutora Pristiq kunogona kuita kuti mweya wako unzwe kugadzikana, asi hauna kuiswa seyakagadzikana mafungiro. Pristiq ndeye SNRI inodzvinyirira.
Venlafaxine iri SNRI here?
Ehe. Effexor (venlafaxine) ndeye SNRI. Dzimwe SNRI dzekuora mwoyo dzinosanganisira Pristiq (desvenlafaxine), Fetzima (levomilnacipran), uye Cymbalta (duloxetine).
