Trintellix 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
Vanopfuura mamirioni gumi nematanhatu vakuru veAmerica vane kuora mwoyo (chikuru kushungurudzika kusagadzikana), uye vangangoita mamirioni manomwe evakuru vane huwandu hwekuzvidya mwoyo kusagadzikana. Zviitiko zvenguva ichangopfuura senge COVID-19 denda, zvave zviri kunokonzera kushungurudzika kuvanhu vazhinji.
Trintellix (vortioxetine) uye Lexapro (escitalopram) mishonga miviri yemishonga inoshandiswa kuora mwoyo. Lexapro inoshandiswawo kunetseka. Mishonga yese iri miviri inogamuchirwa neUnited States Chikafu neDrug Administration (FDA).
Trintellix naLexapro vari chikamu cheboka remishonga inonzi SSRI (inosarudza serotonin reuptake inhibitors). SSRIs inoshanda nekuwedzera maserotonin muuropi, iyo inobatsira kugadzirisa zviratidzo zvekuora mwoyo. Kunyangwe Trintellix neLexapro ese ari maSSRIs, ane misiyano, yaticharondedzera pazasi.
Ndeupi mutsauko mukuru pakati peTrintellix neLexapro?
Trintellix (vortioxetine) mushonga weSSRI. Inowanikwa muzita rezita chete, mune fomu yepiritsi. Inogona kushandiswa muvakuru chete. Izvo hazvina kuongororwa muvana. Trintellix pakutanga yainzi Brintellix, asi iyo zita rakashandurwa kudzivirira kusavhiringidzika nemushonga unodzivirira mapepa unonzi Brilinta.
Lexapro (escitalopram) ndeye SSRI. Lexapro inowanikwa mune zvese mhando uye generic fomu uye sehwendefa kana yemuromo mhinduro. Lexapro inoshandiswa muvakuru nevechiri kuyaruka makore gumi nemaviri uye mukuru kushushikana, kana vakuru makore gumi nemasere nekure pamusoro pekushushikana
| Misiyano mikuru pakati peTrintellix neLexapro | ||
|---|---|---|
| Trintellix | Lexapro | |
| Kirasi yemishonga | SSRI (inosarudza serotonin reuptake inhibitor) | SSRI (inosarudza serotonin reuptake inhibitor) |
| Brand / generic chinzvimbo | Brand | Brand uye generic |
| Chii chinonzi generic zita? | Vortioxetine | Escitalopram |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa | Hwendefa, mhinduro |
| Ndeipi muyero wakajairwa? | Kutanga pa10 mg pazuva uye wedzera kusvika 20 mg pazuva kana uchiregererwa | 5 mg, 10 mg, kana 20 mg kamwe pazuva |
| Inguva yakareba sei kurapwa kwacho? | Zvinosiyana | Zvinosiyana |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vakuru nevechiri kuyaruka (gumi nemaviri emakore uye vakuru) |
Unoda mutengo wakanakisa paTrintellix?
Saina kuti Trintellix mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu anorapwa naTrintellix naLexapro
Trintellix inoratidzirwa kubata zvakanyanya kushungurudzika kusagadzikana (MDD). Iyo dzimwe nguva inoshandiswa off-label yeakajairika kunetseka kusagadzikana.
Lexapro inoratidzirwa kubata MDD muvakuru uye vachiri kuyaruka vane makore gumi nemaviri kusvika gumi nemana. Lexapro inoratidzwawo kuitira kurapwa kweakajairika kusagadzikana kusagadzikana muvanhu vakuru.
| Mamiriro | Trintellix | Lexapro |
| Kurwara kukuru kwekushushikana (MDD) | Ehe | Ehe |
| Yakajairika kunetseka kusagadzikana | Kunze-chitaridzi | Ehe |
Trintellix kana Lexapro inoshanda zvakanyanya here?
TO meta-ongororo (ongororo yezvidzidzo zvakawanda) yakaburitswa mu2018 yakaongorora makumi maviri neshanu antidepressants. Ose Trintellix neLexapro akawanikwa achishanda kupfuura mamwe antidepressants. Ivo vaviri vari nani vakashivirirwa kupfuura mamwe antidepressant futi.
TO kudzidza yakaitwa nemugadziri weTrintellix akagumisa kuti Trintellix neLexapro ese ari maviri anoshanda antidepressants. Chidzidzo ichi chakazivisawo kuti Trintellix yaive nezviitiko zvakakwirira zvemamwe mhedzisiro, senge kusvotwa uye kuchenesa kupfuura Lexapro.
Mubatsiri wako wezvehutano anogona kuona mushonga unoshanda kwazvo kwauri, uchifunga nezvehutano hwako uye nhoroondo pamwe nechero mishonga yaunotora inogona kubatana naTrintellix kana Lexapro.
Unoda akanakisa mutengo paLexapro?
Saina kuLexapro mutengo wekuzivisa uye uone kana mutengo wachinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kweTrintellix vs. Lexapro
Trintellix yakafukidzwa neinishuwarenzi yakawanda uye zvirongwa zveMedare Chikamu D. Nekudaro, zvakanakisa kutarisa nehurongwa hwako kuti uwane mamwe maficha ekuvhara. Trintellix inongowanikwa chete muzita rezita. Inogona kuita mari inodarika madhora mazana mashanu pamakumi matatu, makumi matatu emepiritsi. Iwe unogona kushandisa yemahara ImweCare koponi kudzikisa mutengo kusvika kungangoita madhora mazana matatu.
Lexapro inowanzo kuvharwa neinishuwarenzi uye Medicare Chikamu D. Iyo generic vhezheni inowanzove ine yakaderera copay. Iyo brand-zita chigadzirwa chinowanzove neakakwira zvakanyanya copay kana inogona kunge isingavharwe zvachose. Generic Lexapro inodhura madhora makumi manomwe pamakumi matatu, makumi matatu emamiriyoni mahwendefa. Kadhi reSingleCare rinogona kudzikisa mutengo wegeneral kusvika pamadhora masere.
| Trintellix | Lexapro | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Hongu (zvakajairika) |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Hongu (zvakajairika) |
| Standard muyero | 30, 20 mg mahwendefa | 30, 10 mg mahwendefa |
| Chaizvoizvo Medicare copay | $ 3- $ 14 | $ 0- $ 30 |
| SingleCare mutengo | $ 352- $ 365 | $ 8- $ 40 |
Tora kadhi rekudzikisira chemishonga
Zvakajairika mhedzisiro mhedzisiro yeTrintellix vs. Lexapro
Rutivi rwakanyanya kuzivikanwa rweTrintellix kushungurudza, izvo zvinowanzo nyoro kusvika pakuenzanisa uye zvinogara kwemavhiki maviri. Zvimwe zvinowanzoitika zviitiko zvakashata zvinosanganisira bonde mhedzisiro, kusvotwa, kuzvimbirwa, kurutsa, manyoka, kuoma muromo, uye dzungu.
Mhedzisiro inowanzoitika yeLexapro kutemwa nemusoro, kuda kurutsa, matambudziko epabonde, kukotsira, uye kushaya hope.
Nechirevo chega chega chitsva kana chakazadzwa cheTrintellix kana Lexapro, iwe uchagamuchira gwara remishonga rinokurukura mhedzisiro, kunyeverwa, uye rumwe ruzivo rwakakosha.
Iyi haisi rondedzero izere yemhedzisiro. Mimwe mhedzisiro yakaipa inogona kuitika. Bvunza wako mupi wezvehutano kuti uwane izere runyorwa rweanogona kuitika mhedzisiro
| Trintellix * | Lexapro | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kutemwa nemusoro | Ehe | % haina kutaurwa | Ehe | 24% |
| Nausea | Ehe | 21-32% | Ehe | 18% |
| Ejaculation kusagadzikana / kusagadzikana pabonde | Ehe | 16-34% | Ehe | 14% |
| Manyoka | Ehe | 7-10% | Ehe | 8% |
| Kuzvimbirwa | Ehe | 3-6% | Ehe | 3% |
| Muromo wakaoma | Ehe | 6-8% | Ehe | 9% |
| Kukotsira | Kwete | - | Ehe | 13% |
| Dzungu | Ehe | 6-9% | Ehe | 5% |
| Kusarara | Kwete | - | Ehe | 12% |
* mhedzisiro inoenderana nedosi
Kwayaka: DailyMed ( Trintellix ), Zuva Nezuva ( Lexapro )
Kubatana kwezvinodhaka zveTrintellix vs. Lexapro
Nekuti ese ari maviri madhiragi ari muchikamu chimwe chete, ane kusangana kwakafanana kwezvinodhaka.
MAOI (monoamine oxidase inhibitors) inofambidzana naTrintellix naLexapro. Kushandisa kwavo kunofanirwa kupatsanurwa nemazuva gumi nemana kusvika gumi nemasere, zvichienderana nehurongwa hwemunhu mumwechete hwekurapa. Iko kusanganiswa kweMAOI neTrintellix kana Lexapro kunogona kuwedzera njodzi ye serotonin chirwere , hupenyu hunotyisidzira hupenyu hwekurumidzira nekuda kweserotonin buildup.
Triptans inoshandiswa kurapa migraines, yakadai seImitrex (sumatriptan), uye mamwe mishonga yekudzvinyirira, saElavil kana Cymbalta, haifanire kushandiswa musanganiswa neTrintellix kana Lexapro nekuda kwenjodzi yeserotonin syndrome. Zvakare, iyo yekudzvinyirira inodzvinyirira dextromethorphan-iyo inowanikwa muRobitussin-DM pamwe nezvimwe zvakawanda zvekukosora uye zvinotonhora zvigadzirwa - inofanirwa kudzivirirwa sezvo ichigona zvakare kukonzera serotonin syndrome kana ichibatanidzwa neTrintellix kana Lexapro.
Mimwe mishonga inogona kubatana neTrintellix kana Lexapro inosanganisira isiri-steroidal anti-inflammatory drug (NSAIDs), senge aspirin kana ibuprofen, uye anticoagulants (ropa rakapfava), sewarfarin. Dzivisa doro paunotora Trintellix kana Lexapro.
Iri harisi runyorwa ruzere rwekubatana kwezvinodhaka. Bvunza wako mupi wezvehutano kuti uwane izere runyorwa rwekudyidzana kwemishonga.
| Zvinodhaka | Kirasi yemishonga | Trintellix | Lexapro |
| Phenelzine Rasagiline Selegiline Tranylcypromine | MAOI | Ehe | Ehe |
| Doro | Doro | Ehe | Ehe |
| Rizatriptan Sumatriptan Zolmitriptan | Triptans | Ehe | Ehe |
| Wort St. | Kuwedzera | Ehe | Ehe |
| Warfarin | Anticoagulant | Ehe | Ehe |
| Codeine Hydrocodone Morphine Oxycodone Tramadol | Opioid | Ehe | Ehe |
| Dextromethorphan (mune akawanda chikosoro uye zvigadzirwa zvinotonhora) | Kukosora kudzvinyirira | Ehe | Ehe |
| Azithromycin Clarithromycin Erythromycin | Macrolide mishonga inorwisa mabhakitiriya | Kwete | Ehe |
| Aspirin Ibuprofen Meloxicam Nabumetone Naproxen | NSAIDs | Ehe | Ehe |
| Desvenlafaxine Duloxetine Venlafaxine | SNRI mishonga yekudzvinyirira | Ehe | Ehe |
| Amitriptyline Desipramine Imipramine Nortriptyline | Tricyclic antidepressants | Ehe | Ehe |
| Alprazolam Clonazepam Diazepam | Benzodiazepines | Kwete | Ehe |
Yambiro dzaTrintellix naLexapro
Ese SSRIs, kusanganisira Trintellix naLexapro, vane yambiro yebhokisi yekuzviuraya. 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:
- Serotonin syndrome yakakomba, inotyisidzira hupenyu inokonzerwa nekuvakwa kweserotonin yakawandisa. Varwere vanotora Trintellix kana Lexapro vanofanirwa kuongororwa zvakaringana zviratidzo nezviratidzo zveSerotonin syndrome yakadai sekufungidzira, kufenda, kushanduka kweropa, nekushungurudzika. 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 panjodzi huru yeserotonin syndrome.
- SSRIs 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 SSRIs kana kushandisa nekuchenjerera kune varwere vane isina kurapwa maatomiki madiki angles (angle-kuvhara glaucoma). Trintellix neLexapro zvinogona kukonzera matambudziko ekuona senge kurwadziwa kwemaziso, kuchinja kwemaonero, kutsvuka, uye kuzvimba. Kumbira mupiki wako wezvehutano kana iwe uri panjodzi.
- Hyponatremia (yakaderera sodium mazinga) nekuda kwechirwere cheasina kukodzera antidiuretic hormone secretion (SIADH) inogona kuitika. Varwere vanogona kurwadziwa nemusoro, kunetseka kuisa pfungwa, kukanganisika kwendangariro, kuvhiringidzika, kushaya simba, uye kusagadzikana, izvo zvinogona kukonzera kudonha. Zvimwe zviitiko zvakakomba zvinogona kuitika. Varwere vanofanirwa kutsvaga kurapwa nechimbichimbi kana zviratidzo zvikaitika, uye vorega SSRI.
- Kana uchirega Lexapro, kubvisa zviratidzo sekushushikana kunogona kuitika. Varwere vanofanirwa kubvisa mushonga zvishoma nezvishoma uye vasingazombomira nekukasira.
- Trintellix inogona kubatwa kamwe kamwe kana zvichidikanwa, asi iyo inogadzira inokurudzira mupfupi taper kudzivirira zviratidzo senge kutemwa nemusoro uye mhasuru kushushikana. Mutapi wako wezvehutano anogona kukuraira iwe nenzira yakanak yekumisa Trintellix kana Lexapro.
- Usafambisa kana kushandisa michina kusvikira iwe waziva kuti Trintellix kana Lexapro inokukanganisa sei.
- Taura nemupi wako wezvehutano nezve kushandisa Trintellix kana Lexapro kana iwe uine nhoroondo yekubatwa.
- Muzviitiko zvisingawanzoitika, pakave nemishumo yekukurumidza uye kusagadzikana kweanogadzirisa / systemic anaphylaxis maitiro anga achiuraya. 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 uchinge uchinge uchinge uchinge uchinge uchinge uchiita.
- Lexapro inogona kukonzera kuwedzera kweQT uye ventricular arrhythmia. Vamwe varwere vari panjodzi huru nekuda kwemamiriro ekurapa kana imwe mishonga. Kumbira mupi wako wezvehutano kana Lexapro yakachengeteka kwauri.
- Shandisa Lexapro nekuchenjerera kune varwere vane matambudziko eitsvo.
Trintellix kana Lexapro 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. Mutapi wako wezvehutano anogona kuyera njodzi nekukanganisa kushandisa SSRI panguva yekuzvitakura. Neonates yakaratidzwa kune SSRIs mune yechitatu trimester yakagadzira matambudziko anoda kugara kwenguva refu muchipatara, rutsigiro rwekufema, uye kudya kwepombi. Kana iwe uchitova paTrintellix kana Lexapro uye uone kuti iwe une pamuviri, bata wako mupi wezvehutano nekukurumidza.
Inowanzo bvunzwa mibvunzo nezve Trintellix vs. Lexapro
Chii chinonzi Trintellix?
Trintellix ndeye SSRI, kana kusarudza serotonin reuptake inhibitor. Inowanikwa mune zita rezita fomu uye inoshandiswa kurapa kushushikana muvakuru.
Chii chinonzi Lexapro?
Lexapro ndeye SSRI. Lexapro inogona kubata kushungurudzika uye kusagadzikana. Inowanikwa mune zvese mhando uye generic (escitalopram) fomu.
Trintellix naLexapro vakafanana here?
Trintellix naLexapro vese vari muchikamu cheSRIRI chemushonga. Ivo vakafanana, asi kwete zvakangofanana. Ivo vane misiyano, sezvakatsanangurwa pamusoro. Mimwe mishonga yeSRIRI yaungangonzwa nezvayo inosanganisira Celexa (citalopram), Luvox (fluvoxamine), Paxil (paroxetine), Prozac (fluoxetine), uye Zoloft (sertraline).
Imwe kirasi yemishonga yaungangonzwa nezvayo ndeye SNRI kirasi yemishonga, inosanganisira Cymbalta (duloxetine), Effexor (venlafaxine), uye Pristiq (desvenlafaxine).
Trintellix kana Lexapro iri nani here?
Ona chikamu chiri pamusoro pamusoro pekushanda-pane dhata diki kwazvo uchienzanisa Trintellix neLexapro zvakananga. Zvidzidzo zvinoratidza kuti zvese zvinodhaka zvinoshanda uye zvakafanana zvinoregererwa, kunyangwe zvese zviri zviviri zvinodhaka zvine mhedzisiro inogona kunetsa kune vamwe vanhu, senge kusvotwa kana mitezo yebonde.
Mubatsiri wako wehutano anogona kuona kuti ndeupi mushonga uri nani kwauri, uchitora mamiriro ako akasarudzika. Semuenzaniso, kana mutengo chiri chinhu chinogadzirisa, generic Lexapro inogona kunge ichidhura, uye iwe unenge uine mukana wekutevedzera mutemo. Kana, kana mitezo yepabonde iri kunetsekana, unogona kuita zvirinani naTrintellix, iyo inogona kuve nemhedzisiro yepabonde.
Ndinogona here kushandisa Trintellix kana Lexapro ndichiri nepamuviri?
Bvunza wako mupi wehutano kune mazano. Iye anozoyera mabhenefiti ekutora antidepressant maringe nenjodzi kumwana. Neonates yakaratidzirwa kune mamwe antidepressants, anosanganisira SSRIs, mune yechitatu trimester yepamuviri, vakaita matambudziko.
Kana iwe uchitova paTrintellix kana Lexapro uye ukaona kuti une nhumbu, bvunza OB-GYN yako nekukurumidza kuti uwane zano. Kana uri kuyamwisa , Bvunza OB-GYN yako zvakare.
Ndinogona here kushandisa Trintellix kana Lexapro nedoro?
Kwete. Trintellix kana Lexapro 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.
Trintellix inosiyana sei nedzimwe mishonga yekudzvinyirira?
Trintellix inoshanda semupikisi, agonist, uye chikamu agonist yemazhinji serotonin receptors kubatsira kuora mwoyo zviratidzo. Mimwe mishonga mukirasi yeSSRI, saLexapro, inoshanda nekuwedzera chiitiko che serotonin munharaunda yepakati yetsinga.
Trintellix inokonzera kuwedzera uremu here?
Clinical zvidzidzo yakaratidza kuti Trintellix haina kukanganisa huremu. Pakanga pasina mutsauko mukuchinja kwekurema pakati pevanhu vakatora Trintellix nevanhu vakatora placebo (isingashande piritsi). Post-kushambadzira dhata inotaura nezvehuremu asi haitaure iyo muzana yevanhu vakawana huremu. Bvunza nyanzvi yako yehutano kana huremu hunowanikwa.
