Tramadol 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
Tramadol neOxycodone mishonga yekurapa inorapwa inogona kupihwa kwauri kuti uwane marwadzo epakati nepakati kana kumwe kurapwa kusati kwashanda. Tramadol uye oxycodone inosangana neopioid receptors muuropi kudzikisa kutapudza kwemasaini ekurwadziwa. Dzinogona kushandiswa kurapa akasiyana marwadzo marudzi anosanganisira musculoskeletal marwadzo uye post-yekuvhiya kurwadziwa. Kunyange iwo achizogona kushandiswa mumhando dzakarwadza dzakafanana, iyi mishonga miviri yakasarudzika uye yakasiyana kubva kune imwe.
Ndeupi mutsauko mukuru pakati peTramadol uye oxycodone?
Tramadol. Inogona zvakare kushandiswa mukurwadziwa kwakanyanya kunorwadza senge post-oparesheni painonzwisisika kufunga kuti sarudzo dzisina simba dzinosiya murwere achirwadziwa zvisina musoro. Tramadol inopindirana ne mu-opioid receptors mune yepakati tsinga system (CNS). Izvi zvinoshandura kuona kwemuviri uye kupindura kune marwadzo kuburikidza nenzira dzinokwira dzekutambudzika. Tramadol inodzivirira zvakare kuitwazve kwe norepinephrine uye serotonin neurotransmitters, ayo anobatanidzwawo munzira inodonha.
Kana tramadol yakatanga kuuya kumusika, haina kuiswa muchikwata seyakadzorwa chinhu. Muna 2014, Drug Enforcement Administration (DEA) yakadzokororazve tramadol seChirongwa IV chinodzorwa. Tramadol ine mukana wekushungurudzwa kana kushandiswa zvisirizvo, uye mashandisirwo ayo anofanirwa kuongororwa zvakanyanya.
Tramadol inowanikwa sehwendefa remuromo mune ese ekukurumidza-kuburitsa uye akawedzera-kusunungura mafomu. Inowanikwawo muhwendefa musanganiswa neacetaminophen, chinhu chinoshanda mu-pamusoro-pe-counter Tylenol.
Oxycodone (Oxycodone coupons | Chii chinonzi Oxycodone?) Zvakare inonyorwa opioid pain reliever. Oxycodone inosunga kune maopioid receptors mune CNS nzira inokonzeresa kuvharira munzira yekukwira yekurwadziwa. Izvi zvinoshandura maonero uye mhinduro kumarwadzo uye zvinokonzeresa zvakasarudzika CNS kushungurudzika.
Oxycodone chirongwa chePurogiramu II chinodzorwa. Iyo ine yakanyanya kwazvo mukana wekupindwa muropa, kushungurudzwa, uye kushandisa zvisirizvo.
Oxycodone inowanikwa sehwendefa remuromo mune zvese zviri nyore-kuburitsa uye kuwedzerwa-kusunungura mafomu. Inowanikwawo muzvimiro zvinozvisanganisa neacetaminophen, aspirin, ibuprofen, naloxone, kana naltrexone.
| Misiyano mikuru pakati pe tramadol uye oxycodone | ||
|---|---|---|
| Tramadol | Oxycodone | |
| Kirasi yemishonga | Mu-opioid analgesic | Opioid analgesic |
| Brand / generic chinzvimbo | Brand uye generic inowanikwa | Brand uye generic inowanikwa |
| Chii chinonzi zita rechiratidzo? | Ultram, Ultram ER, ConZip | Roxicodone, Oxycontin, Oxaydo, Xtampza ER |
| Ndeapi mafomu (s) ayo mushonga unouya? | Yekukurumidza-kuburitsa uye yakawedzerwa-kuburitsa piritsi | Pakarepo-kuburitsa uye kuwedzerwa-kuburitsa piritsi, yemumuromo emvura inosimbisa |
| Ndeipi muyero wakajairwa? | 50 mg maawa mana kusvika matanhatu ega ega | 5 mg kusvika 15 mg maawa mana kusvika matanhatu |
| Yakareba sei iyo yekurapa? | Mazuva manomwe kana mashoma | Mazuva manomwe kana mashoma |
| Ndiani anowanzoshandisa mushonga? | Vana vane makore gumi nemaviri zvichikwira, vakuru | Vacheche, vana, vakuru |
Mamiriro ezvinhu anorapwa ne tramadol uye oxycodone
Tramadol inoratidzwa mune manejimendi ekurwadziwa kunoiswa senge zvine mwero kusvika zvakanyanya. Inogona kushandiswa mukurwadziwa kwakanyanya, senge kurwadziwa kwepashure pekushanda, kunyangwe iko kushandiswa kwayo kuchingogumira mukushandisa kwenguva pfupi, kazhinji mazuva matatu kusvika manomwe. Tramadol inogona kushandiswa mukusingaperi kurwadziwa kwekutambudzika, asi haisi kazhinji sarudzo yekutanga yechiratidzo ichi.
Tramadol yave ichishandiswa mukuzorora mune isina kugadzikana gumbo chirwere mune varwere vakave nebudiriro shoma kana vasina zvachose nemishonga yechinyakare. Uku kushandiswa kunoonekwa sekure-chitaridzi, zvichireva kuti haina kubvumidzwa neKudya neDrug Administration (FDA) yerudzi urwu rwekushandisa.
Oxycodone inoratidzwa zvakare mukutungamira kwekutambudzika kunoenzanisirwa senge zvine mwero kusvika zvakanyanya. Inogona kushandiswa mukurwadziwa kwakanyanya, asi mashandisiro ayo anofanirwa kuve akaganhurirwa kumazuva matatu kusvika manomwe. Oxycodone inogona kushandiswa mukurwadziwa kusingaperi zvakare. Nekuda kwekukuvadza kwayo kwakanyanya CNS kushushikana, oxycodone inofanirwa kuverengerwa zvishoma nezvishoma mudosi.
| Mamiriro | Tramadol | Oxycodone |
| Kutambudzika kwakanyanya kunosarudzwa seyakaenzana kusvika kune yakaoma | Ehe | Ehe |
| Kurwara kusingaperi | Ehe | Ehe |
| Nguva isati yakwana ejaculation | Kunze-chitaridzi | Kwete |
| Isina gumbo gumbo chirwere | Kunze-chitaridzi | Kwete |
Ko tramadol kana oxycodone inoshanda zvakanyanya?
Oxycodone yakagara ichionekwa seyakasimba kupfuura tramadol. Marwadzo ekudzora anowanzo fananidzwa pahwaro hwe morphine yakaenzana dosing . Oxycodone inokwana ka15 zvine simba kudarika morphine, nepo tramadol iri simba risingakoshe kana ichienzaniswa ne morphine.
Poshi kudzidza uchienzanisa marwadzo ekurwadziwa mushure mekuvhiyiwa kumeso uchishandisa tramadol uye oxycodone. Muchidzidzo ichi, mishonga iyi yaiiswa mukati mehutachiona kuburikidza nemudziyo unodzorwa nemurwere. Kudzora marwadzo kwakawanikwa kwakafanana pakati pemapoka maviri, pasina misiyano pakati pezviviri. Tramadol haikonzere kufema kushushikana kusvika padanho rinoita oxycodone. Nekudaro, varwere vakasangana neusea yakawanda ne tramadol. Vatsvakurudzi vakagumisa kuti tramadol yakapa zororo rekurwadziwa rakaenzana neoxycodone pasina njodzi yekufema zvakanyanya.
Kuvhavha uye mutengo kuenzanisa kwetramadol vs. oxycodone
Tramadol inowanzo kufukidzwa neMedare uye zvirongwa zveinishuwarenzi zvemishonga, kunyange zvimwe zvikanganiso zvingashanda. Mukupindura kuchirwere cheopioid, vazhinji vachirayira kukwana uye nhungamiro yakatanga kushanda mu2019. Medicare Chikamu D vanobatsirwa avo vane opiate naive vanogumira kune yemazuva manomwe-mushonga paunotanga kuzadza opiate. (Opiate naive inotsanangurwa seisina kutora opiate mumazuva makumi matanhatu apfuura.) Mushure memazuva manomwe, kana mumwe mushonga uchidikanwa, vanyoreri vanogona kupa kwenguva yakareba. Iko kune kusarudzika kumitemo iyi, senge hospice uye kuchengetedzwa kwakanangana nekenza. Zvimwe zvinorwadza zvisingaperi zvinokonzeresa zvinotsanangudza kusarudzika futi. Mazhinji ehurongwa hweinishuwarenzi marongero akagamuchira zvakaenzana zvakafanana kune avo vanowana. Pharmacies anogona zvakare kunge aine avo chaiwo marongero ekuzadza opiate mishonga.
Mutengo we tramadol unogona kuita mutengo wakawanda kupfuura madhora makumi matanhatu emakumi matanhatu ematafura esimba re50 mg. Nekoponi kubva kuSingleCare, unogona kutenga mushonga uyu kungodarika $ 12.
Wepakati mutengo wekutengesa weOxycodone unogona kudarika madhora zana nemakumi mashanu pamakumi mapfumbamwe ematafura esimba regumi. Nekoponi kubva kuSingleCare, unogona kuzadza uyu mushonga wepasi pemadhora makumi mana kumasarudzo emishonga.
Tora kadhi reSpecialCare rekutora kadhi
| Tramadol | Oxycodone | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Hongu, nekukanganisa | Hongu, nekukanganisa |
| Inowanzo kufukidzwa neMedare? | Hongu, nekukanganisa | Hongu, nekukanganisa |
| Standard muyero | 60, 50 mg mahwendefa | 120, 10 mg mahwendefa |
| Chaizvoizvo Medicare copay | Kazhinji isingasviki $ 10 | Kazhinji isingasviki $ 10 |
| SingleCare mutengo | $ 12- $ 30 | $ 37- $ 52 |
Zvakajairika mhedzisiro mhedzisiro ye tramadol uye oxycodone
Iyo mhedzisiro mhedzisiro ye tramadol uye oxycodone zvinonyanya kukonzerwa nekubatana kwavo neiyo yepakati tsinga system. Ose madhiragi angangokonzeresa musoro, kukotsira, uye dzungu nekuda kwavo CNS kushungurudzika mhedzisiro. Izvo zviitiko zvakashata zvinogona kuve zvakakomba uye zvinogona kudzvinyirira zvakajairwa zvezuva nezuva zviitiko.
Opiate pain relievers inozivikanwa nekukonzeresa kuzvimbirwa, dzimwe nguva zvakanyanya. Zvinogona kunge zvichidikanwa kutora zvigadziri zvetsoka uchiri pamarwadzo ekudzora. Kuzvimbirwa kwenguva refu kungangoda marasha akaomarara.
Iyi inotevera chati haina kuitirwa kuti ive yakazara rondedzero yemhedzisiro. Ndokumbirawo ubvunze chiremba wezvekurapa senge chiremba wako kana wemishonga kuti uwane yakazara runyorwa.
| Norco | Vicodin | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kukotsira | Ehe | 16% -25% | Ehe | Hazvina kutsanangurwa |
| Kutemwa nemusoro | Ehe | 18% -32% | Ehe | Hazvina kutsanangurwa |
| Dzungu / Kuchena musoro | Ehe | 26% -33% | Ehe | Hazvina kutsanangurwa |
| Kuzvimbirwa | Ehe | 24% -46% | Ehe | Hazvina kutsanangurwa |
| Nausea | Ehe | 24% -40% | Ehe | Hazvina kutsanangurwa |
| Kusvipa | Ehe | 9% -17% | Ehe | Hazvina kutsanangurwa |
| Pruritus | Ehe | 8% -11% | Ehe | Hazvina kutsanangurwa |
| Kudikitira | Ehe | 6% -9% | Ehe | Hazvina kutsanangurwa |
| Dyspepsia | Ehe | 5% -13% | Ehe | Hazvina kutsanangurwa |
| Muromo wakaoma | Ehe | 5% -10% | Ehe | Hazvina kutsanangurwa |
| Manyoka | Ehe | 5% -10% | Ehe | Hazvina kutsanangurwa |
Kunobva: Tramadol ( Zuva Nezuva Oxycodone (Mazuva eseMed )
Kubatana kwezvinodhaka zve tramadol vs. oxycodone
Iko kushandiswa kwe tramadol uye oxycodone nedzimwe CNS zvinodzvinyirira zvinodhaka zvinofanirwa kudzivirirwa pazvinogoneka. Zvinodhaka zvakaita sealprazolam uye diazepam, pamwe neapiiate painkillers, zvinogona kukonzera mwero une njodzi weCNS kushungurudzika kana uchishandiswa netramadol kana oxycodone. Varwere vanogona kuratidza zvakanyanya kufema mweya, kusuruvara kwakadzika, kudzikira kweropa, coma, kana kufa.
Mishonga inokanganisa maserotonergic receptors, senge fluoxetine kana sertraline, inofanira kushandiswa zvine hungwaru kune varwere vanotora tramadol kana oxycodone. Iko kune mukana wekuwedzera mukana weiyo serotonin syndrome, iyo inogona kuratidzirwa nekuwedzera kwemoyo kurovera, kuwedzerwa kweropa, kuvhiringidzika, uye kudedera.
Iyi tafura inotevera haina kuitirwa kuti ive izere runyorwa rweanogona kusangana madhiragi. Bvunza chiremba wezvekurapa kuti uwane runyorwa rwakakwana uye kuraira kwekudyidzana.
| Zvinodhaka | Kirasi Yezvinodhaka | Tramadol | Oxycodone |
| Alprazolam Clonazepam Diazepam Midazolam Triazolam Temazepam | Benzodiazepines | Kwete | Ehe |
| Cannabidiol (CBD) Cannabis Dronabinol | Cannabinoids | Ehe | Ehe |
| Carbamazepine Phenobarbital | Anti-pfari | Ehe | Ehe |
| Dabrafenib Erdafitinib | Immunosuppressive vamiririri | Ehe | Ehe |
| Desmopressin | Vasopressor | Ehe | Ehe |
| Aprepitant Fosaprepitant | Antiemetics | Kwete | Ehe |
| Granisetron Dolasetron Ondansetron Palonosetron Ramosetron Tropisetron | 5HT3 Vapikisi | Ehe | Kwete |
| Hydrochlorothiazide Furosemide Torsemide Spironolactone | Diuretics | Ehe | Ehe |
| Isoniazid | Antitubercular | Kwete | Ehe |
| Naltrexone | Opiate anopikisa | Ehe | Ehe |
| Phenelzine Linezolid | Monoamine oxidase inhibitors | Ehe | Ehe |
| Oxycodone | Opiate | Ehe | Ehe |
| Pramipexole Ropinirole | Dopamine agonists | Ehe | Ehe |
| Wedzerikure | Uricosuric | Kwete | Ehe |
| Ritonavir Ombitasvir Paritaprevir Dasabuvir | Mishonga inorwisa utachiona | Ehe | Ehe |
| Zolpidem | Sedative | Ehe | Ehe |
| Fluoxetine Sertraline Paroxetine | Kusarudza serotonin reuptake inhibitors | Ehe | Ehe |
Yambiro dze tramadol uye oxycodone
Kunwa doro kunofanirwa kudzivirirwa mune varwere vanotora oxycodone. Doro rinogona kuwedzera iyo serum yevasungwa ye oxycodone uye nekudaro inosimudzira iyo CNS inoshungurudza mhedzisiro. Izvi zvinogona kutungamira kumatanho ane njodzi ekufema kushushikana.
Vamiririri vangangoda kugadzirisa iyo dosi kana dosi yenguva yeiri tramadol kana oxycodone mune varwere vane kukuvara kwechiropa kana kukanganiswa kweitsvo.
Tramadol uye oxycodone vane nhumbu yekamu C, zvichireva kuti hapana zvidzidzo zvevanhu zvinoratidza kukuvara kana kuchengetedzeka muvarwere vane nhumbu. Kushandiswa kwemishonga iyi kunofanirwa kungogumira mukushandisa kwakakodzera chete. Oxycodone iripo mumukaka wemukaka wamamai vanoyamwisa; saizvozvowo, vanaamai vanoyamwisa vanofanirwa kushandisa chete oxycodone kana bhenefiti iri pachena kukunda njodzi. Tramadol haifanire kushandiswa mukuyamwisa vanaamai sezvo iyo inoshanda metabolite ine simba uye inogona kukonzeresa kubvisa opioid muvacheche.
Tramadol uye oxycodone imwe neimwe ine mikana yakakura yekushungurudzwa, kushandisa zvisizvo, kutsamira mumuviri, uye kupindwa muropa. Ivo vanofanirwa chete kushandiswa kana dzimwe dzese dzisiri-opiate kurapwa sarudzo dzapera. Kushandisa kwavo kunofanirwa kuve kushoma kune ipfupi kwetemu sezvinobvira. Kana murwere anga achitora opiate marwadzo ekudzora kwenguva yakareba, vanogona kukonzeresa kubvisa zviratidzo kana vakamira nekukurumidza. Kuregedza mushure meyero yepamusoro uye kushandiswa kwenguva yakareba kweopioid analgesics kunofanirwa kuitwa nachiremba anotarisa.
Opiate marwadzo ekudzora anofanirwa chete kushandiswa muvana pazvinenge zvichidikanwa; kazhinji mu-mu-murwere marongero mavanogona kuongororwa. Njodzi yakanyanya yekufema mweya inoita kuti mishonga iyi ive nenjodzi muvana.
Inowanzo bvunzwa mibvunzo nezve tramadol vs. oxycodone
Chii chinonzi tramadol?
Tramadol iri mu-opioid agonist pain reliever inowanikwa nemushonga chete. Icho Chirongwa IV chinodzorwa chinhu. Inowanikwa sehwendefa remuromo mukuburitsa-kusunungura uye kuwedzeredza-kusunungura mafomu.
Chii chinonzi oxycodone?
Oxycodone inonzi opioid agonist pain reliever inowanikwa nemushonga chete. Iyo Chirongwa II narcotic uye inokonzeresa kukosha CNS kushushikana. Inowanikwa sehwendefa remuromo mukuburitsa-kusunungura uye kuwedzeredza-kusunungura mafomu.
Ko tramadol uye oxycodone zvakafanana here?
Kunyange ese ari maviri tramadol uye oxycodone ari opiate marwadzo anodzora, iwo haana kufanana. Oxycodone iri Chirongwa II narcotic uye inokonzeresa kukosha kweCS kushungurudzika, kusanganisira mweya wekufema. Tramadol Chirongwa IV chinodzorwa chinhu uye hachikonzere huwandu hwakawanda hwekufema kushushikana.
Ko tramadol kana oxycodone iri nani here?
Oxycodone is 1.5 times simba re morphine, nepo tramadol ichingova chidimbu chemasimba e morphine. Nekudaro, ongororo yakaitwa pane varwere mushure mekuvhiya vakawana zororo rakafanana rekurwadziwa nemishonga iyi miviri. Tramadol inokonzeresa kushushikana kwekufema, asi mimwe mhedzisiro, senge kusvotwa, inogona kuve yakaipa neTramadol.
Ndinogona here kushandisa tramadol kana oxycodone ndichiine nhumbu?
Iko kushandiswa kwe tramadol kana oxycodone kana nhumbu ichifanira kungogumira pane pazvinenge zvichinyanya kudikanwa sezvo panga pasina maitiro akasarudzika, akadzora ekuedza kwevanhu kuratidza kuchengetedzeka kwavo. Kubatsira kwekushandisa kunofanira kukunda njodzi iyi, uye vacheche vanofanirwa kuongororwa neopioid kubvisa chirwere kana mishonga iyi ichishandiswa kwenguva refu.
Ndinogona here kushandisa tramadol kana oxycodone nedoro?
Varwere vanotora tramadol kana oxycodone vanofanirwa kudzivirira kunwa doro. Doro rinogona kusimudzira kushungurudzika kweCNS kweiyi madhiragi, izvo zvinogona kutungamira kuzviitiko zvakakomba zvakakomba sekufema kushushikana, kufenda, kana kufa.
Ko tramadol opiate here?
Ehe. Tramadol inopindirana neiyo mu-opioid receptor kudzikisira kutapudza kwemasaini ekurwadziwa muCSS. Yakagadzirwa zvakagadzirwa, uye inofungidzirwa kuti haina kupindwa muropa kupfuura mamwe marwadzo eopioid anodzora.
Ko tramadol musuru inozorodza here?
Kwete, tramadol haisi yekuzorodza mhasuru. Maitiro ayo ekuita anosanganisira kurwadziwa kwekutapurirana chiratidzo asi haibate zvakananga musuru basa.
