Vyvanse vs.Adderall: Misiyano, kufanana, uye ndeipi iri nani kwauri
Zvinodhaka Vs. ShamwariKuongorora kwemishonga & misiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Adderall uye Vyvanse mishonga inokurudzira inogamuchirwa neKudya neDrug Administration (FDA) yekurapa varwere mukuru ADHD kana hudiki ADHD. Adderall inoshandiswawo kubata narcolepsy muvakuru kana vana; Vyvanse inoshandiswawo kune zvine mwero kusvika kune yakanyanya binge kudya kusagadzikana (BED) muvakuru.
Adderall ine kemikari dextroamphetamine / amphetamine (inonziwo amphetamine salts). Vyvanse ine lisdexamfetamine dimesylate, inozivikanwa seprodrug nekuti inotanga se lisdexamfetamine uye inoshandurwa kuita fomu yayo inoshanda, dextroamphetamine, mune iyo GI turakiti uye chiropa. Maitiro aya anoderedza kugona kwekushungurudzwa kweVyvanse. Vose Adderall naVivvanse vari Chirongwa II zvinodhaka, zvichireva kuti pane mukana wepamusoro wekushungurudzwa.
Zvese zvinodhaka zvinowanzovharwa neinishuwarenzi. Adderall naAdderall XR (yakawedzerwa-kuburitswa, kana kureba-kuita) zviripo muchiratidzo uye zvakajairika, nepo Vyvanse parizvino ichingowanikwa sezita rezita-mushonga.
Ndeupi mutsauko mukuru pakati peAdderall neVyvanse?
Adderall
Adderall inzvimbo yepakati yetsinga inokurudzira mushonga unoshandiswa pakurapa ADHD uye narcolepsy muvakuru nevana. Iyo inouya mune yekukurumidza-kuburitsa uye yakawedzera-kuburitsa kapuleti (XR) fomu; zvese zviri zviviri zvinowanikwa mu brand uye generic. Iro zita rekuti generic ndi dextroamphetamine / amphetamine.
Adderall inowanzo kufukidzwa neinishuwarenzi asi kushandisa generic kazhinji kunonyanya kudhura. Mushonga uyu unowanzo kutorwa kaviri kana katatu pazuva; imwe neimwe dhizaini inotora anenge maawa mana. Adderall XR inotorwa kamwe chete pazuva uye inogona kupedza maawa masere kusvika gumi nemaviri.
Adderall inouya nemhedzisiro yakawanda, kusangana kwezvinodhaka, uye kunyeverwa, mazhinji acho anogona kutarisirwa nekungwarira kuongorora uye kuenderera kuongorora.
Vyvanse
Vyvanse inzvimbo yepakati yetsinga inokurudzira mushonga unoshandiswa pakurapa ADHD muvanhu vakuru nevana, uye pakuenzanisira kusvika pakukomba zvakanyanya dambudziko rekudya muvanhu vakuru. Vyvanse inouya iri muchimiro chemubhadharo uye piritsi rinocheka uye rinowanikwa mu brand chete. Vyvanse inowanzo kuvharwa neinishuwarenzi asi nekuti inowanikwa muchiratidzo chete, varwere vanogona kunge vaine kopi yepamusoro, kunyangwe inishuwarenzi yega yega yakasiyana.
Zita remakemikari raVivvanse lisdexamfetamine, uye mushonga unoshanduka kuita dextroamphetamine mune iyo GI turakiti. Nekuda kweiyi michina, zvingave zvishoma mukana wekushungurudzwa kupfuura Adderall. Vyvanse inotorwa kamwe chete zuva nezuva mangwanani; chipimo chemushonga chinogona kutora kusvika maawa gumi nemana.
SaAdderall, Vyvanse inouya nemhedzisiro yakawanda, kudyidzana kwezvinodhaka, uye kunyeverwa, mazhinji acho anogona kutarisirwa nekungwarira kuongorora uye kuenderera kuongorora.
| Misiyano mikuru pakati peAdderall neVyvanse | ||
|---|---|---|
| Adderall | Vyvanse | |
| Kirasi Yezvinodhaka | CNS Inokurudzira | CNS Inokurudzira |
| Brand / generic chinzvimbo | Brand uye generic inowanikwa | Brand chete |
| Chii chinonzi generic zita? | Dextroamphetamine / amphetamine | Lisdexamfetamine dimesylate |
| Chii chimiro chinopinda mushonga? | Hwendefa: 5, 7.5, 10, 12.5, 15, 20, 30 mg (Zvakare inouya yakawedzera-kuburitsa (XR) piritsi) | Makapu: 10, 20, 30, 40, 50, 60, 70 mg Chewable: 10, 20, 30, 40, 50, 60 mg |
| Ndeipi muyero wakajairwa? (Dosi dzinosiyana; mienzaniso yakapihwa mavhareji emadhiza) | ADHD muvakuru: 5 kusvika 40 mg pazuva, rakakamurwa kamwe, kaviri, kana katatu pazuva Narcolepsy muvakuru: 5 kusvika 60 mg pazuva, rakakamurwa kamwe, kaviri kana katatu pazuva ADHD muvana: Makore matatu kusvika mashanu ekuberekwa: 2.5 kusvika 40 mg pazuva rakakamurwa kamwe, kaviri, kana katatu pazuva Makore matanhatu nekure: 5 kusvika 40 mg pazuva rakakamurwa kamwe, kaviri, kana katatu pazuva Narcolepsy muvana: Makore matanhatu uye zvichikwira: 5 kusvika 60 mg pazuva rakakamurwa kamwe, kaviri, kana katatu pazuva | ADHD muvakuru kana vana (6 uye vakuru): 30 kusvika 70 mg kamwe kamwe pazuva mangwanani (chiyero chakakura chiri 70 mg pazuva) Binge kudya kusagadzikana (zvine mwero kusvika kwakakomba) muvanhu vakuru: 50 kusvika 70 mg mangwanani ega ega (inogona kutanga pa30 mg uye ichiwedzera; yakanyanya dose 70 mg pazuva)
|
| Yakareba sei iyo yekurapa? | Kwete kudzidza kwekushandisa kwenguva refu, varwere vanofanirwa kuongororwa kazhinji. Pasuru yekuisa inouya neyambiro: Kutungamirwa kweamphetamine kwenguva yakareba kunogona kutungamira mukutsamira kwezvinodhaka uye kunofanirwa kudzivirirwa. | Kwete kudzidza kweanopfuura masvondo mana; varwere vanofanirwa kutariswa zvakanyanya pavanenge vari kuVivvanse. Pasuru yekuisa inouya neyambiro: Kutungamirwa kweamphetamine kwenguva yakareba kunogona kutungamira mukutsamira kwezvinodhaka uye kunofanirwa kudzivirirwa. |
| Ndiani anowanzoshandisa mushonga? | Vakuru kana vana vane ADHD kana narcolepsy | Vakuru vane ADHD kana zvine mwero kune zvakanyanya binge-kudya kusagadzikana; vana vane ADHD |
Unoda mutengo wakanakisa paAdderall?
Saina kuAdderall mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu akarapwa naAdderall naVivvanse
Adderall inoshandiswa muvakuru nevana pakurapa ADHD kana narcolepsy. Vyvanse inoshandiswa muvakuru nevana pakurapa ADHD. Inoshandiswa zvakare kune vanhu vakuru kune zvine mwero kusvika zvakanyanya kudhakwa kudya chirwere.
| Mamiriro | Adderall | Vyvanse |
| ADHD (vana nevakuru) | Ehe | Ehe |
| Binge-kudya kusagadzikana (zvine mwero kusvika zvakanyanya) | Kwete | Ehe |
| Narcolepsy (vana nevakuru) | Ehe | Kwete |
Adderall kana Vyvanse inoshanda here?
Mune ongororo yekubudirira kweAdderall, rakaburitswa mu Zvinyorwa zveMatambudziko Ekutarisa , zvidzidzo zvitanhatu zvakaongororwa. Adderall yakawanikwa ichibudirira zvakanyanya pazviratidzo zvekusatarisira, kusagadzikana, kusagadzikana, uye hukasha. Chidzidzo chekiriniki che Adderall XR yakaratidza kuwedzera kwakanyanya pamusoro pe placebo maererano nemaitiro, kutarisisa, uye kusagadzikana.
Chidzidzo che2016 chakaburitswa muna Clinical Zvinodhaka Kuongorora vakawana Vyvanse achibatsira muvana, vachiri kuyaruka, uye vakuru vane ADHD. Mune chidzidzo chakaburitswa muna JAMA Psychiatry muna 2017, Vyvanse akawanikwa achibatsira mukudzivirira kudzokororazve dambudziko rekudya-binge. Chete 3.7% yeVavvanse varwere vakadzokazve, zvichienzaniswa ne32.1% yevarwere vanotora placebo.
Mishonga iyi miviri yakaratidzirwa kuve inoshanda; zvisinei, munhu wese anoita zvakasiyana nemishonga. Bvunza chiremba wako nezvekuti ndeupi mushonga unganyanya kukodzera iwe kana mwana wako.
Unoda mutengo wakanakisa paVivvanse?
Sign up kune Vyvanse mutengo cherechedzo uye tsvaga kana mutengo wachinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kwe Vyvanse vs. Adderall
Inishuwarenzi inowanzovhara Adderall (brand uye generic) uye Vyvanse; mamwe mainshuwarenzi anosarudza zita-zita Adderall XR pamusoro peimwe generic imwe nzira, nekuda kwezvibvumirano zveinishuwarenzi.
Iwe unogona kusevha pamishonga yekunyorera neYegaCare coupons; tinya zvinongedzo kuti utarise kuchengetedza kwedu paAdderall neVyvanse.
| Adderall | Vyvanse | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Kazhinji; copay ichasiyana | Kazhinji; Vyvanse kazhinji haifarirwe uye ine yakakwira kunze-kwehomwe mutengo wevarwere veMedare D |
| Standard muyero | Semuenzaniso: generic Adderall 20 mg, 60 kuverenga, inotorwa sehwendefa rimwe chete kaviri pazuva | Muenzaniso: 50 mg, 30 kuverenga, inotorwa kamwe chete zuva nezuva mangwanani |
| Medicare Chikamu D copay | $ 7-78; inosiyana | $ 42-349; inosiyana |
| Imwe Care Mutengo | $ 31 | $ 313 |
Zvakajairika mhedzisiro yeAdderall vs. Vyvanse
Zvikanganiso zveAdderall :
Mumakore matanhatu kusvika gumi nemaviri, mhedzisiro inowanzoitika kurasikirwa nekudya, kushaya hope, kurwadziwa mudumbu, kushanduka kwemanzwiro, kurutsa, kutya, kusvotwa, nefivha.
Mumakore ekuyaruka kusvika pamakore gumi nemanomwe, akanyanya mhedzisiro mhedzisiro kurasikirwa nenzara, kurara kusagadzikana, kurwadziwa mudumbu, kurasikirwa uremu, uye kutya.
Muvanhu vakuru, zvinowanzoitika mhedzisiro yakaoma mukanwa, kurasikirwa nenzara, kushaya hope, kutemwa nemusoro, kuonda, kuda kurutsa, kushushikana, kushushikana, dzungu, tachycardia (kukurumidza kurova kwemoyo), manyoka, kushaya simba, uye hutachiona hwehuropi.
Zvimwe zvinokanganisa zveVivvanse :
Mhedzisiro inowanzoitika muvana, vachiri kuyaruka, uye / kana vakuru vane ADHD ndeye anorexia, kushushikana, kudzikira kwechido, kudzikira huremu, manyoka, dzungu, kuoma muromo, kushatirwa, kushaya hope, kusvotwa, kurwadziwa mudumbu kwepamusoro, uye kurutsa.
Mhedzisiro inowanzoitika muvanhu vakuru vane BED yakaoma mukanwa, kushaya hope, kushomeka kwekuda kudya, kuwedzera kurova kwemoyo, kuzvimbirwa, kunzwa jittery, uye kushushikana.
Bvunza nyanzvi yezvehutano kuti uwane rumwe ruzivo nezve mhedzisiro.
Kudyidzana Kwezvinodhaka zveVivvanse vs. Adderall
Adderall naVivvanse vane yakafanana chaizvo yekudyidzana zvinodhaka.
Tricyclic antidepressants, yakadai saElavil (amitriptyline) kana Pamelor (nortriptyline) inogona kuwedzera mhedzisiro yemhedzisiro mhedzisiro yeAdderall kana Vyvanse; varwere vanofanira kunyatsoongororwa.
Paxil (paroxetine) kana Prozac (fluoxetine) ndeye SSRI mishonga yekudzvinyirira iyo inogona kuwedzera njodzi serotonin chirwere painotorwa naAdderall kana Vyvanse. SNRI antidepressants senge Effexor (venlafaxine) inogona zvakare kuisa njodzi imwechete yeserotonin syndrome painotorwa naAdderall kana Vyvanse.
Monoamine oxidase inhibitors (MAOIs), senge selegiline, pamwe chete naAdderall kana Vyvanse, zvinogona kukonzera dambudziko rehypertensive, uye kutungamira kurufu. MAOIs haafanire kushandiswa mukati memazuva gumi nemana kubva kuAdderall kana Vyvanse. Adderall kana Vyvanse vanogona zvakare kubatana nemishonga yeropa.
| Zvinodhaka | Kirasi Yezvinodhaka | Adderall | Vyvanse |
| Prozac (fluoxetine) Paxil (paroxetine) Celexa (citalopram) Zoloft (sertraline) Lexapro (escitalopram) | SSRI mishonga yekudzvinyirira | Ehe | Ehe |
| Elavil (amitriptyline) Pamelor (nortriptyline) | Tricyclic antidepressants | Ehe | Ehe |
| Effexor (venlafaxine), Pristiq (desvenlafaxine), Cymbalta (duloxetine) | SNRI mishonga yekudzvinyirira | Ehe | Ehe |
| Desyrel (trazodone), Wellbutrin (bupropion) | Zvimwe zvinodzvinyirira | Ehe | Ehe |
| Selegiline, tranylcypromine | MAO inhibitors | Ehe | Ehe |
| Ropa rekumanikidza mishonga | Mapato ese | Ehe | Ehe |
| Axert (almotriptan), Imitrex (sumatriptan), Maxalt (rizatriptan), Zomig (zolmitriptan), Relpax (eletriptan) | Kusarudza serotonin receptor agonists ye migraine | Ehe | Ehe |
| Prevacid (lansoprazole), Prilosec (omeprazole), Protonix (pantoprazole) | PPI (Proton pump inhibitors) | Ehe | Ehe |
Urwu runyorwa rusarura. Bvunza wako mupi wezvehutano nezveimwe yakasarudzika kuongororwa kwekubatana kwezvinodhaka nemishonga yako.
Yambiro dzaVivvanse neAdderall
Adderall naVivvanse vane yambiro yakafanana:
- Yambiro yakasimba yekushandisa zvisirizvo / kushungurudzwa, kunyanya nekushandisa kwenguva refu. Kushandisa zvisizvo kunogona kukonzeresa kufa kamwe kamwe kana matambudziko emwoyo uye zvimwe zvakakomba zvemwoyo mhedzisiro muvarwere.
- Kamwe kamwe rufu rwakamhan'arwa, kunyangwe nemaitiro akajairwa. Vakuru nevaya vane kusagadzikana kwemoyo kana chero matambudziko akakomba emwoyo vari panjodzi huru.
- Kuwedzera kweropa kunogona kuwedzera, kazhinji zvishoma chete, asi dzimwe nguva zvakanyanya. Varwere vanofanirwa kuongororwa.
- Preexist psychosis inogona kuwedzera. Varwere vanofanirawo kuongororwa kune zvimwe zviratidzo zvehutano hwepfungwa, senge hutsinye.
- Vana vanofanirwa kuongororwa nekuda kwekukura kudzvinyirira.
- Kutora chikumbaridzo kunogona kudzikiswa.
- Kuvhiringidzika kwekuona kunogona kuitika.
- Varwere vanofanirwa kuongororwa nezvechiitiko chaRaynaud (kutenderera kushoma kusvika kumagumo).
- Serotonin syndrome inogona kuitika. Varwere vanofanirwa kunyatso kuongororwa uye kutsvaga kurapwa kwekukurumidzira kana chimwe chezviratidzo izvi chikaitika:
- Chimiro chepfungwa chinoshanduka (kushungurudzika, kufungidzira, delirium, uye coma)
- Kukurumidza kurova kwemoyo, kushanduka kweropa, dzungu, kudikitira, kuyerera
- Kudedera, kuomarara, kusabatana
- Kufenda
- Zviratidzo zvemudumbu (kuda kurutsa, kurutsa, manyoka)
Inowanzo bvunzwa mibvunzo nezve Vyvanse vs. Adderall
Chii chinonzi Adderall?
Adderall chinhu chinokurudzira kurapa ADHD muvakuru uye vana uye narcolepsy muvakuru nevana.
Chii chinonzi Vyvanse?
Vyvanse chinhu chinokurudzira kurapa ADHD muvanhu vakuru uye vana uye zvine mwero kune zvakanyanya kudhakwa kwekudya chirwere muvanhu vakuru.
Vyvanse naAdderall zvakafanana here?
Izvo zvakafanana chaizvo nemimwe mhedzisiro mhedzisiro, kudyidzana kwezvinodhaka, uye kunyeverwa. Dosing uye mitengo zvinosiyana. Musiyano mumwe pakati paVivvanse neAdderall ndewekuti Vyvanse mushonga, uye unoshandura kuita dextroamphetamine mugiripi reGI, iro rinodzikisira mukana wekushungurudzwa.
Ndezvipi zviri nani: Adderall kana Vyvanse?
Zvinoenderana. Wese munhu ane maitiro akasiyana kumishonga yakasiyana. Chiremba wako anogona kukubatsira kusarudza mushonga uyo wakanakira iwe, zvichibva pane yako nhoroondo yekurapa uye zvaunoda. Semuenzaniso, kana mutengo chiri chinhu chinogadzirisa, Adderall inogona kunge iri sarudzo iri nani. Uye kana iwe uchinetseka nezve kushungurudzwa, Vyvanse inogona kunge iri bheji iri nani.
Ndinogona here kushandisa Adderall kana Vyvanse ndichiri nepamuviri?
Kwete. Adderall naVivvanse vanofanirwa kudzivirirwa vari vaviri panguva yekuzvitakura kana kuyamwa. Kana iwe ukava nepamuviri paunenge watova pamushonga uyu, bvunza waunonyorera nekukurumidza kuti uwane zano.
Ndinogona here kushandisa Adderall kana Vyvanse nedoro?
Kwete. Mishonga yacho miviri ine njodzi kwazvo sangana nedoro .
Adderall: Doro rakawandisa rinogona kuwedzera kurova kwemoyo uye kuwedzerwa kweropa, izvo zvinogona kutonyanya kutyisa mukubatana neAdderall. Iyo inogona kutotungamira kune yekurwara kwemoyo kana sitiroko uye kuwedzera njodzi yehuswa hwehupfu.
Vyvanse: Doro rinogona kudzikisira zvimwe zvinokonzeresa zveVivvanse, uye Vyvanse inogona kudzora mhedzisiro yedoro. Nekuda kweizvozvo, munhu wacho anogona kuyedza kushandisa imwe kana zvese zvinodhaka uye anopedzisira anyanyisa.
Kune zvimwe zvakawanda mhedzisiro zvinogona kukonzereswa nekusanganisa doro neVyvanse, senge: shanduko inoshamisa mukumanikidza kweropa, kuwedzera kurova kwemoyo, kurwadziwa pachipfuva, kurohwa nemoyo, sitiroko, njodzi yekubatwa nechisimba, hutsinye, paranoia, kuvhiringidzika, kuona zvisipo, nezvimwe.
Uyezve, doro rinogona kuwedzera ADHD.
Vyvanse ane mashoma mhedzisiro pane Adderall?
Iyo mhedzisiro mhedzisiro yakafanana uye inogona kusanganisira: kuoma muromo, kurasikirwa nenzara, kushaya hope, kurwadziwa nemusoro, kuonda, kuda kurutsa, kushushikana, kushushikana, dzungu, tachycardia, uye manyoka, pakati pemimwe mhedzisiro.
Unogona here kusanganisa Adderall uye Vyvanse?
Kwete. Izvo zvinowedzera zvinokonzeresa zvinogona kukonzera kurova kwemwoyo nekukasira, BP, kana zvimwe zvinokanganisa. Izvo zvakare zvakapetwa kurapa uye hazvidiwe kuti ushandise zvese zviri zviviri.
Zvakawanda sei Vyvanse zvakaenzana neAdderall?
Kune akasiyana mafomu ekushandisa evashandi vezvehutano kushandisa shanduko pakati pemishonga, kana zvichidikanwa. Kutora shanduko kunogona kunge kusiri iko chaiko, uye zvinogona kutora zvishoma kuyedza uye kukanganisa kana uchichinja pakati pemishonga iyi.
Rangarira, iwo mushonga unoshanda zvakanyanya unofanirwa kusarudzwa nachiremba wako anozotarisa mufananidzo wese wehutano hwako (s), nhoroondo yehutano, uye mimwe mishonga inogona kubatana naVivvanse kana Adderall
