Torsemide vs. Lasix: 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
Torsemide neLasix mishonga miviri yekunyorera inoshandiswa mukutungamira kweedema uye hypertension, kana kukwirira kweropa. Edema ndiko kuunganidzwa kwemvura munyama dzako. Muzviitiko zvemberi, kuunganidzwa kwemvura kunokonzera kuzvimba kunoonekwa kwemagumo.
Torsemide uye Lasix ese ari maviri akarongedzwa se diuretics, uye anonyatso kuve echikamu chidiki chinonzi loop diuretics. Dhiuretiki kazhinji mishonga inobatsira muviri kubata zvakawandisa mvura.
Ndeapi misiyano mikuru pakati petorsemide neLasix?
Torsemide imushonga-chete mushonga uye inozivikanwa seye loop diuretic. Inoshanda muitsvo, kunyanya muchikwiriso chinokwira chaHenle, nekuvharisa sodium nekloride reabsorption kuburikidza nekukanganisa nesodium, potasium, uye kloride cotransport. Izvi zvinoguma nekukurumidza kubuda kwemvura, sodium, uye kloride neitsvo mukati merini. Torsemide inowanikwa sehwendefa remuromo musimba re5 mg, 10 mg, 20 mg, uye 100 mg. Torsemide inowanikwawo semhinduro yejekiseni mune yakasungirirwa gumi mg / ml.
Lasix imushonga-chete chinodhaka uye zvakare chiuno chiura. Lasix inopindirana nesodhiya, potasium, uye kloride kutakura. Izvi pakupedzisira zvinoguma kuwanda kwemvura, sodium, potasium, uye kloride kuburitswa nemuviri. Lasix inowanikwa sehwendefa remuromo musimba re20 mg, 40 mg, uye 80 mg. Inowanikwawo semhinduro yejekiseni mune yakasungirirwa gumi mg / ml.
| Misiyano mikuru pakati petsemsemide neLasix | ||
|---|---|---|
| Torsemide | Lasix | |
| Kirasi yemishonga | Loop diuretic | Loop diuretic |
| Brand / generic chinzvimbo | Brand zita uye generic inowanikwa | Brand zita uye generic inowanikwa |
| Chii chinonzi generic / zita rezita? | Demadex (Brand) | Furosemide (zvakajairika) |
| Ndeapi mafomu (s) ayo mushonga unouya? | Oral piritsi uye jekiseni mhinduro | Hwendefa remuromo, mhinduro yemumuromo, jekiseni mhinduro |
| Ndeipi muyero wakajairwa? | 10 mg kusvika 20 mg zuva nezuva | 40 mg kusvika 120 mg zuva nezuva |
| Yakareba sei iyo yekurapa? | Ipfupi-nguva (mazuva kusvika mavhiki) uye yakareba-nguva | Ipfupi-nguva (mazuva kusvika mavhiki) uye yakareba-nguva |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vacheche, vana, uye vakuru |
Mamiriro ezvinhu anorapwa ne torsemide uye Lasix
Torsemide uye Lasix imwe neimwe inoshandiswa mukutungamira kweedema mune varwere vane chisingaperi uye congestive moyo kutadza uye kusingaperi renal kutadza. Aya ndiwo mamiriro emoyo neitsvo, zvichiteerana, izvo zvinotungamira mukuunganidzwa kwemvura uye zvinogona kutyisidzira hupenyu kana zvisina kurapwa nenzira yakakodzera.
Kurwara kwemoyo kusingaperi chiitiko chinofambira mberi umo moyo usinga gone kupomba ropa rine mweya wemuviri nemuviri nemazvo. Kukundikana kwemoyo kukundikana ndiyo mamiriro ekukurumidzira apo moyo waora uye wave kusakwanira pakudhonza zvekuti ropa rinosimukira nerutivi rweruboshwe rwemuviri rakamirira kupinda muvheyumu yekuruboshwe uye vozopihwa mweya mumapapu. Ichi chinoshamisa chinozivikanwawo seakadzikira ventricular ejection chidimbu. Iyi backup inotungamira kuedema, kuchengetedza kwemvura mumatumbu, uye kushandiswa kwe diuretics kunobatsira kudzora kuwanda kwemvura. Acute heart failure syndrome inoreva shanduko muzviratidzo zvekutadza kwemoyo zvichikonzera kukurumidza kurapwa. Aya mazwi dzimwe nguva anoshandiswa zvakasiyana.
Torsemide uye Lasix ese ari maviri anoshandiswa mukutungamira kwehypertension, kana kukwirira kweropa. Lasix dzimwe nguva inoshandiswa kure-chitambi mukurapa kwehutachiona hwakanyanya. Iyi ndiyo mamiriro apo kukwira kweropa kwakanyanya kunogona kukonzera kukuvara kwemitezo. Yehuwandu hwehutachiona hwakanyanya hunotsanangurwa se systolic BP pamusoro pe180 mmHg kana diastolic reropa pamusoro pe110 mmHg. Iko kushandiswa kweLasix nenzira iyi kunoonekwa sekure-label nekuti haina kubvumidzwa neKudya neDrug Administration (FDA) kwechiratidzo ichi.
Chati inotevera inogona kusanyora kushandiswa kwese kwetsemsemide kana Lasix. Chiremba wako chete ndiye anogona kuona kana imwe yemishonga iyi yakakodzera mamiriro ako.
| Mamiriro | Torsemide | Lasix |
| Edema inosangana ne congestive moyo kutadza (CHF) | Ehe | Ehe |
| Edema inosangana nekusingaperi renal kutadza | Ehe | Ehe |
| Kurapa kurapa kwe ascites | Ehe | Kunze-chitaridzi |
| Hypertension | Ehe | Ehe |
| Edema inosangana nechirwere chisingaperi chemapapu (CLD) | Kwete | Ehe |
| Edema inosangana nephrotic syndrome | Kwete | Ehe |
| Kutungamira kwepulmonary edema inosanganisirwa neropa chigadzirwa kuwedzerwa | Kwete | Kunze-chitaridzi |
| Hypertensive kukurumidzira / hypertensive emergency | Kwete | Kunze-chitaridzi |
| Hypercalcemia inosangana neoplastic chirwere | Kwete | Kunze-chitaridzi |
Torsemide kana Lasix inoshanda zvakanyanya here?
A ichangopfuura meta-ongororo achifananidza torsemide uye Lasix mune varwere vane congestive moyo kutadza (CHF). Kuongorora uku kwaisanganisira gumi nezvipfumbamwe zvidzidzo uye vangangoita zviuru makumi maviri zvevarwere. Mhedzisiro yacho yakawana kuti torsemide kushandiswa kwaibatanidzwa neiyo yakaderera mwero yekuchipatara kweCHF. Torsemide inosanganisirwa nenhamba yakakwira zvakanyanya yevarwere vanowana kuvandudzwa kwehunhu muhunhu zvichienzaniswa nefurosemide. Kuvandudza kwekushanda kwakatsanangurwa sekuvandudza kubva kukirasi III / IV kuenda kukirasi I / II sekutsanangurwa neNew York Heart Association (NYHA). Torsemide kushandiswa kwaibatanidzwawo nenjodzi yakaderera yekufa kwemoyo.
TO kudzokorora, cohort kudzidza rakaburitswa neAmerican College yeCardiology rakawana kuti varwere vane kusakwana kwemoyo avo vakaiswa muchipatara vasina kushandisa diuretic vasati vafa vane huwandu hwekufa uye kuwedzerazve zvipatara pavanoburitswa pane chiuno chinosveta.
Iyo pharmacokinetics uye pharmacodynamics, kana mashandiro anoita mishonga mumuviri, wetsemsemide neLasix zvakasiyana. Torsemide ine bioavailability yakakwira yeinosvika makumi masere muzana mushure mekutora dosi nemuromo. Lasix kutora kunonyanya kutarisirwa, uye kuvapo kwechikafu kunogona kunonoka mhinduro. Torsemide yakapetwa kaviri senge furosemide pane milligram kusvika milligram kuenzanisa.
Kubva pane izvi zvakawanikwa, wako mupi wezvehutano anogona kusarudza kutanga ne torsemide kana uchirapa yako congestive moyo kutadza, asi Lasix ichavewo sarudzo inogamuchirwa. IAmerican Heart Association (AHA) inonyora torsemide, Lasix, uye imwe imwe loop diuretic, bumetanide, senzira inogamuchirwa yekurapa yekusingaperi kwemoyo kutadza . Kune mamwezve marudzi e diuretics anogona kushandiswa, kusanganisira thiazide diuretics, mukurapa kwekutadza kwemoyo. Vanachiremba chete ndivo vanogona kusarudza kuti ndeupi kurapwa kwakanakira iwe.
Kuvhavha uye mutengo wekuenzanisa we torsemide vs. Lasix
Torsemide ndeye generic, mishonga yemushonga iyo inowanzo kufukidzwa nezvose zviri zviviri zvekutengeserana uye Medicare inorayirwa inishuwarenzi zvirongwa. Mutengo we torsemide usina inishuwarenzi uri madhora makumi matatu nemasere. Nekoponi kubva kuSingleCare, iwe unogona kuwana yako torsemide kunyorerwa kweashoma kunge $ 9.
Lasix izita-zita, mushonga wekurapa uyo unowanzo kuvharwa nezvose zviri zviviri zvekutengesera uye Medicare inorayirwa inishuwarenzi zvirongwa. Mutengo wezita-zita Lasix usina inishuwarenzi unogona kudarika madhora makumi mashanu. Uine SingleCare koponi, unogona kuwana generic Lasix yakaderera se $ 4.
| Torsemide | Lasix | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Ehe |
| Zvakawanda | 30, 20 mg mahwendefa | 30, 20 mg mahwendefa |
| Chaizvoizvo Medicare copay | Asingasviki $ 10 | Asingasviki $ 10 |
| SingleCare mutengo | $ 9- $ 33 | $ 4- $ 12 |
Zvakajairika mhedzisiro mhedzisiro ye torsemide vs. Lasix
Izvo zviito zve torsemide uye Lasix zvinogona kutungamira kune mamwe asingadiwe mhedzisiro uye zviitiko zvakashata kune vamwe varwere. Nekuda kwemaitiro avo, kunyanyisa kuita weti kwakajairika mhedzisiro. Muzviitiko zvakawanda, zvinokurudzirwa kutora yako dosi yeiyo torsemide kana Lasix kutanga kwezuva sezvo kukosheswa kwakanyanya kunowanzo kuve kwakakurumbira mumaawa nguva pfupi mushure mekutora yako dosi. Kutora mishonga iyi gare gare masikati kana husiku kunogona kutungamira kuhusiku nguva yekumuka nekuda kwekuda kuita weti, uye izvi zvinogona kukanganisa hunhu hwehupenyu.
Kutemwa nemusoro uye dzungu zvinonzi zvine mbiri torsemide uye Lasix. Izvi zvinowanzo nyanya kutaurwa paunotanga kurapwa asi zvinofanirwa kuvandudza nenguva. Kana ivo vasina kuvandudza kana vari kunyanya kunetsa, iwe unofanirwa kukurukura izvi mhedzisiro nemupi wako.
Dhiureti ane mhedzisiro inobatsira mukushanda kwemoyo, uye izvi zvinofanirwa kuyerwa zvichikonzerwa nemhedzisiro. Iyi inotevera rondedzero haina kuitirwa kuti ive yese-inosanganisira zvinokwanisika mhedzisiro mhedzisiro yemishonga iyi. Ndokumbirawo ubvunze wemishonga wako kana wehutano wezvehutano kuti uwane yakazara runyorwa
| Torsemide | Lasix | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kutemwa nemusoro | Ehe | 7.3 | Ehe | Hazvina kutaurwa |
| Kunyanyisa kuita weti | Ehe | 6.7 | Ehe | Hazvina kutaurwa |
| Dzungu | Ehe | 3.2 | Ehe | Hazvina kutaurwa |
| Rhinitis | Ehe | 2.8 | Kwete | n / a |
| Asthenia | Ehe | 2.0 | Kwete | n / a |
| Manyoka | Ehe | 2.0 | Ehe | Hazvina kutaurwa |
| Kusagadzikana kweECG | Ehe | 2.0 | Kwete | n / a |
| Kukosora kuwedzera | Ehe | 2.0 | Kwete | n / a |
| Kuzvimbirwa | Ehe | 1.8 | Ehe | Hazvina kutaurwa |
| Nausea | Ehe | 1.8 | Ehe | Hazvina kutaurwa |
| Arthralgia | Ehe | 1.8 | Kwete | n / a |
| Dyspepsia | Ehe | 1.6 | Kwete | n / a |
| Huro inorwadza | Ehe | 1.6 | Kwete | n / a |
| Myalgia | Ehe | 1.6 | Kwete | n / a |
| Kurwadziwa pachifuva | Ehe | 1.2 | Kwete | n / a |
| Kusarara | Ehe | 1.2 | Kwete | n / a |
| Kutya | Ehe | 1.1 | Ehe | Hazvina kutaurwa |
| Pancreatitis | Kwete | n / a | Ehe | Hazvina kutaurwa |
| Jaundice | Kwete | n / a | Ehe | Hazvina kutaurwa |
| Anorexy | Kwete | n / a | Ehe | Hazvina kutaurwa |
| Tinnitus / kurasikirwa kwekunzwa | Kwete | n / a | Ehe | Hazvina kutaurwa |
| Kuona kwakashata | Kwete | n / a | Ehe | Hazvina kutaurwa |
| Hyperglycemia | Kwete | n / a | Ehe | Hazvina kutaurwa |
| Tsvina yemhasuru | Kwete | n / a | Ehe | Hazvina kutaurwa |
Kwayaka: DailyMed ( Torsemide Mazuva eseMed ( Lasix )
Kubata kwezvinodhaka zve torsemide vs. Lasix
Torsemide, painotarisirwa neopiates senge codeine kana fentanyl, inogona kuve neakadzikira diuretic mhedzisiro. Torsemide uye Lasix inogona zvakare kuve yakanyanya kuita kuti ikonzere orthostatic hypotension kune varwere vanotora chero mushonga necodeine. Orthostatic hypotension inotsanangura mamiriro ekuchinja kamwe-kamwe muropa rinoitika kana iwe uchimuka kamwe kamwe kubva pakugara kana kurara pasi. Zvinogona kukusiya uchinzwa dzungu, musoro usina musoro, kupera simba, kusvotwa, kana kuvhiringidzika. Zvinogona kungogara kwenguva pfupi. Kana ikatora kwenguva yakareba (inopfuura maminetsi mashoma), iwe unofanirwa kukurukura izvi nachiremba wako.
Kana ikatorwa ne torsemide kana Lasix, asiri-steroidal anti-anogumbura zvinodhaka (NSAIDs) zvinogona kukonzera kuderera kweitsvo kushanda uye kudzikisira diuretic mhedzisiro. Celecoxib, iyo COX-2 NSAID, inogadziriswa neiyo enzyme inorambidzwa ne torsemide. Izvi zvinoguma nekwaniso yekukwirisa kwepamusoro kweplasma kuwanda kwe celecoxib mumuviri. Aya mazinga eplasma akakwirira nekufamba kwenguva anotakura njodzi yekurohwa uye zvimwe zviitiko zvakakomba zvemoyo.
Iyi tafura inotevera haina kuitirwa kusanganisa zvese zvingangoitika kusangana kwezvinodhaka. Ndokumbirawo ubvunze chiremba wako kana wemishonga kuti uwane yakazara runyorwa. Usati wapihwa torsemide kana Lasix, ita shuwa kuti mupi wezvehutano anoziva mishonga yese yauri kutora.
| Zvinodhaka | Kirasi yemishonga | Torsemide | Lasix |
| Codeine Tramadol Fentanyl | Opiate kurwadziwa kunoderedza | Ehe | Ehe |
| Phenylephrine Pseudoephedrine | Nasal decongestants | Ehe | Ehe |
| Alendronate Ibandronate | Bisphosphonates | Ehe | Ehe |
| Aliskiren | Renin-inhibitors | Ehe | Ehe |
| Gentamicin Tobramycin Neomycin Streptomycin | Aminoglycosides | Ehe | Ehe |
| Amiodarone | Antiarrhythmic | Ehe | Ehe |
| Benazepril Captopril Enalapril Lisinopril Quinapril | Angiotensin-inoshandura enzyme inhibitors (ACE inhibitors) | Ehe | Ehe |
| Ibuprofen Naproxen Celecoxib Meloxicam | NSAIDs | Ehe | Ehe |
| Candesartan Losartan Olmesartan Telmisartan Valsartan | Angiotensin receptor blockers (ARBs) | Ehe | Ehe |
| Omeprazole Esomeprazole Pantoprazole Lansoprazole | Proton pump pump inhibitors | Ehe | Ehe |
| Warfarin | Ropa rakatetepa | Ehe | Kwete |
| Phenytoin | Antiepileptic | Ehe | Ehe |
| Metronidazole | Anti-hutachiona | Ehe | Kwete |
| Fluconazole Miconazole | Antifungals | Ehe | Kwete |
| Fluoxetine Citalopram Escitalopram Sertraline | Kusarudza serotonin reuptake inhibitors | Ehe | Ehe |
Yambiro dze torsemide uye Lasix
Torsemide uye Lasix inotakura njodzi ye tinnitus uye kwenguva pfupi kana kwenguva refu kurasikirwa kwekunzwa. Rudzi rwekushomeka rwunoita kunge rwunowanzoitika kana Lasix ichiitiswa nekukurumidza jekiseni, kune varwere vane urema hwekuremara, kana pakuisa mishonga iyi kumusoro kupfuura zvinokurudzirwa. Izvo zvinogona zvakare kuitika nemuromo torsemide kurapa. Nechikonzero ichi, kuenderera mukati mekubaya infusion kuno sarudzwa pamusoro pekukurumidza jekiseni, uye kuongorora kunofanira kuitwa mune varwere vane renal kusakwana.
Paunenge uchishandisa Lasix mune yekubatana kurapwa kwe ascites, kurapwa kunonyanya kutangwa muchipatara marongero. Kamwe kamwe kupera kwemvura uye kusaenzana kwe electrolyte kunogona kudzikisira hepatic coma kune varwere vane chirwere chechiropa kana cirrhosis. Kuongorora hwaro hwepakutanga hwemurwere uye chinzvimbo chiri kuenderera pakutangisa kurapwa zvinonyanya kuitwa muchimiro chechipatara. Iko kushandiswa kweLasix mu ascites kunoitirwa chete kuve mukuwedzera kune aldosterone vapikisi.
Varwere pane chero diuretics, kusanganisira loop diuretics, vari panjodzi yekudzikira kwemvura uye kusaenzana kwemagetsi. Varwere pane torsemide uye Lasix vanofanirwa kuongororwa nezviratidzo nezviratidzo zvakaita semuromo wakaoma, nyota, kushaya simba, kuneta, kurwadziwa kwemhasuru uye kupenga, hypotension, uye tachycardia (yakawedzera kurova kwemoyo). Kusanzwisisika kweElectrolyte kunogona kusanganisira yakakwira kana yakadzika mazinga echloride, sodium, uye / kana potasium. Iine loop diuretics, hypokalemia, kana yakaderera potasium, ndiyo imwe yeanowanzo nyonganiso yemagetsi. Kuwedzera kwehuwandu hweropa urea nitrogen (BUN) inogona zvakare kuitika. Chiremba wako anogona kuita nguva nenguva kuteura ropa kuti atarise yako mwero we electrolyte.
Inowanzo bvunzwa mibvunzo nezve torsemide vs. Lasix
Chii chinonzi torsemide?
Torsemide mushonga wekurapa unoshandiswa mukutungamira kweedema uye neBP. Icho chiuno chinosveta uye chinoshanda nekubvisa yakawandisa fluid kubva munzvimbo yepakati yetishu. Torsemide inowanikwa mumapiritsi emuromo musimba re5 mg, 10 mg, uye 20 mg. Iyo zvakare inowanikwa seyakajoinha mhinduro mune yevasungwa ye10 mg / ml.
Chii chinonzi Lasix?
Lasix imushonga yemishonga inoshandiswa mukutungamira kweedema uye neBP. Ichowo chiuno chine diuretic. Lasix inowanikwa mumapiritsi emuromo musimba re20 mg, 40 mg, uye 80 mg. Iyo zvakare inowanikwa seyakajoinha mhinduro mune yevasungwa ye10 mg / ml.
Torsemide neLasix zvakafanana here?
Torsemide uye Lasix ese ari maviri mairi diuretics asi haana kunyatso kufanana. Torsemide ine simba rakapetwa kaviri seLasix. Lasix inotakura huwandu hwakawanda hwezviratidzo zvekushandisa.
Torsemide kana Lasix iri nani here?
Torsemide inosanganisirwa nemitengo yakaderera yezvipatara zveCHF zvichienzaniswa neLasix. Iyo zvakare inosanganisirwa neiyo yepamusoro nhanho yekuvandudzwa kwekiriniki muvarwere veCF uye nemitengo yakaderera yekufa inoenderana nechirwere chemoyo kana ichienzaniswa zvakananga neLasix.
Ndinogona here kushandisa torsemide kana Lasix ndichiri nepamuviri?
Torsemide ane nhumbu chikamu B, zvichireva kuti hapana zvidzidzo zvemhuka zvakaratidza kukuvara kwemwana uye hakuna kuve nezvidzidzo mumadzimai akazvitakura. Haifanire kushandiswa kunze kwekunge zvakakodzera. Lasix ndeyekuzvitakura chikamu C, zvichireva kuti pakange pasina anodzorwa-zvakanaka makiriniki miedzo yekumisikidza chengetedzo Lasix inongofanirwa kushandiswa chete kana mabhenefiti acho achidarika njodzi.
Ndinogona here kushandisa torsemide kana Lasix nedoro?
Doro kunwa kunogona kutungamira mukushaya mvura uye kusaenzana kwemagetsi. Torsemide naLasix, painotorwa nedoro, inogona kuwedzera zvakanyanya njodzi yekushomeka kwemvura uye kusaenzana kwemagetsi.
Torsemide inoshanda zvakanyanya kupfuura furosemide mumoyo kutadza?
Meta-ongororo ichangoburwa ichienzanisa torsemide maringe nefurosemide inoratidza kuti torsemide inogona kuve yakabatana nezvakanaka mhedzisiro mhedzisiro mukundikana kwevarwere zvichienzaniswa nefurosemide, kusanganisira yakaderera chipatara mitengo, inovandudzwa mamiriro ekushanda, uye kudzikira kwehutano hwemoyo. Torsemide zvakare ane hwakareba hafu-hupenyu uye anoshanda kwenguva yakareba kwenguva mumuviri.
Iyo torsemide yakaoma pane itsvo here?
Torsemide inofanira kushandiswa nekuchenjerera kune varwere vane chirwere cheitsvo. Hypovolemia, kana yakaderera mvura vhoriyamu, inokonzerwa ne diuretic, inogona kunyanya kutyisa kune varwere vane pre-iripo chirwere cheitsvo.
Ndeupi diuretic wakasimba kupfuura Lasix?
Torsemide ine simba rakapetwa kaviri seLasix mu milligram pa milligram kuenzanisa uye yanga ichibatanidzwa neyakagadziriswa makiriniki mhedzisiro kana ichienzaniswa neLasix.
Chii chinotsiva Lasix?
Torsemide inotsiviwa neLasix apo zvipatara zvisingawanikwe neLasix. Ivo vaviri loop diuretics anoshandiswa mune edema manejimendi uye kurapwa kwehypertension, asi torsemide yakaratidzirwa kuve ine simba.
