Vyvanse vs. Ritalin: 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
Kucherechedzwa kwekushomeka kwehutano kusagadzikana (ADHD) kunokanganisa 6.1 mamirioni ehupenyu muUnited States. Kuongorora varwere vane ADHD kune matanho akawanda. Varwere vanogona kuratidza zviratidzo senge kusateerera kana zvichitaurwa kwazviri, kutadza kurongeka kupedzisa mabasa kana kukanganwa mumabasa ezuva nezuva. Varwere vane ADHD vangangoda pekugara munzvimbo dzakadai sekirasi kuti vabudirire kupedza basa ravo. Chiremba chete ndiye anogona kuongorora ADHD, asi kana ongororo ikaitwa, pane nzira dzekurapa kubatsira varwere ava kuona mhando yepamusoro yekushanda muzviitiko zvezuva nezuva.
Imwe yemhando dzakajairika dzekurapa kweADHD ikirasi yemishonga inozivikanwa senge central nervous system (CNS) zvinokurudzira. Vyvanse (lisdexamfetamine) uye Ritalin (methylphenidate) mishonga miviri mukati mekirasi ino. Zvimwe zvinozivikanwa zvinokurudzira zvinosanganisira Adderall / Adderall XR (amphetamine salts), Concerta (methylphenidate yakawedzera-kuburitswa), Daytrana (methylphenidate), uye Focalin / Focalin XR (dexmethylphenidate). Iko kune asiri-anokurudzira ekurapa sarudzo dzeADHD. Izvi zvinosanganisira Strattera (atomoxetine) uye Intuniv ER (guanfacine).
Ndeupi mutsauko mukuru pakati paVivvanse naRitalin?
Vyvanse (Chii chinonzi Vyvanse?) Inzvimbo yepakati yetsinga inosimudzira inoshandiswa pakurapa ADHD uye binge-yekudya chirwere. Iyo chaiyo mashandiro ekuti Vyvanse anobata sei matambudziko aya haazivikanwe. Vyvanse inoshandurwa kuita metabolite yayo inoshanda, dextroamphetamine. Amphetamines inosimudzira kuburitswa kwecatecholamines, senge norepinephrine uye dopamine, kupinda muiyo neuron synapse. Isu tinoziva aya maurotransmitter anoita basa rakakomba mukushushikana, kukanganisa, uye kutarisa.
Iyo Drug Enforcement Agency (DEA) inoona Vyvanse chirongwa chechipiri chinodhaka. Izvi zvinokonzeresa kugona kwayo kwakanyanya, uye nekudaro panogona kunge paine zvirambidzo uye nhungamiro yekuwana Vyvanse inosiyana nenyika. Vyvanse mukanwa kapisi inowanikwa mu10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, uye 70 mg. Vyvanse inowanikwawo mupiritsi inotsengwa mune masimba akafanana neiyo capsule fomati.
Ritalin (Chii chinonzi Ritalin?) Zvakare iri pakati yenisisitimu inosimudzira inoshandiswa pakurapa ADHD uye narcolepsy. Maitiro acho chaiwo haana kunyatsonzwisiswa. Ritalin yakanyanya kupfava CNS inosimudzira. Panzvimbo pekukonzeresa kuburitswa kwecatecholamines, inovhara iyo reuptake yeavo maurotransmitter mune iyo neuron synapse. Mhedzisiro mhedzisiro iri kusiya imwe yemahara dopamine uye norepinephrine mune iyo neuron synapse.
Ritalin anoiswa zvakare se Purogiramu II narcotic neDEA nekuda kwekugona kwayo kushungurudzwa. Inowanikwa mune ekukurumidza-kuburitsa mapiritsi mu5 mg, 10 mg, uye 20 mg simba. Inowanikwawo mune refu-inoshanda kapuleti kuumbwa mu10 mg, 20 mg, 30 mg, 40 mg, uye 60 mg simba.
| Misiyano mikuru pakati paVivvanse naRitalin | ||
|---|---|---|
| Vyvanse | Ritalin | |
| Kirasi yemishonga | Central nervous system inosimudzira | Central nervous system inosimudzira |
| Brand / generic chinzvimbo | Brand chete | Brand uye generic inowanikwa |
| Chii chinonzi generic zita? | Lisdexamfetamine | Methylphenidate |
| Ndeapi mafomu (s) ayo mushonga unouya? | Oral capsule uye chewable piritsi | Pakarepo-kuburitsa piritsi yemuromo uye yakareba-inoshanda yemuromo capsule |
| Ndeipi muyero wakajairwa? | 70 mg kamwe pazuva | 10 mg piritsi kaviri pazuva |
| Yakareba sei iyo yekurapa? | Yakareba-nguva (mwedzi kusvika makore) | Yakareba-nguva (mwedzi kusvika makore) |
| Ndiani anowanzoshandisa mushonga? | Vana, vachiri kuyaruka, uye vakuru | Vana, vachiri kuyaruka, uye vakuru |
Unoda mutengo wakanakisa paVivvanse?
Sign up kune Vyvanse mutengo cherechedzo uye tsvaga kana mutengo wachinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu akarapwa naVivvanse naRitalin
Vyvanse naRitalin imwe neimwe inoshandiswa pakurapa ADHD. Vyvanse inobvumidzwa muvana vadiki semakore matanhatu, uye Ritalin anotenderwa muvana vadiki se3 makore. Zvese zvinodhaka zvinogona kushandiswa mukuyaruka nevakuru.
Vyvanse anotakura chiratidzo chekurapwa mu binge-kudya chirwere. Kunyanya kudya kunoratidzwa nekunyanyisa kwechikafu mune imwechete kugara. Izvo hazvisi nguva dzose nekuda kwechirwere chiri pasi. Vatambi vanodya huwandu hwakawanda hwe macalorie pamberi pechiitiko chemitambo vari kudya zvakanyanya, asi hazvidi kurapwa. Dzimwe nguva, kudhakwa kudya chiratidzo chechinetso chepfungwa chepfungwa, uye Vyvanse akagamuchirwa kurapwa chirwere chekudya-binge.
Ritalin akagamuchirwa mukurapa kwehunhu. Narcolepsy chirwere chinoratidzwa nekunyanyisa kukotsira masikati, kazhinji nekuda kwechirwere chisingaperi chehope. Iyo inokonzeresa mhedzisiro yaRitalin inozivikanwa kuti inokwana zvishoma kubvisa kurerutsira uku.
Izvi hazvifanirwe kuitirwa zvese-zvinosanganisira chati yezvose zvingabvira kushandiswa kwemishonga iyi miviri. Bvunza wako wezvechiremba nezvese zvingabvira kushandiswa kwaVyvanse naRitalin.
| Mamiriro | Vyvanse | Ritalin |
| ADHD | Ehe | Ehe |
| Binge-kudya kusagadzikana | Ehe | Kwete |
| Narcolepsy | Kwete | Ehe |
| Kuneta kwakanyanya | Kwete | Kunze-chitaridzi |
| Huru kushungurudzika kusagadzikana | Kwete | Kunze-chitaridzi |
Kadhi yekunyorera kadhi
Vyvanse kana Ritalin inoshanda here?
Muna 2017, a nzwisisika ongororo rakaburitswa kuti rienzanise mhedzisiro yemiyedzo makumi matatu neshanu yakaenzaniswa tichienzanisa nzira dzakasiyana dzekurapa kweADHD, kusanganisira izvo zvinoshanda muVivvanse neRitalin. Mhedzisiro yeiyi ongororo yakawana kuti zviratidzo zveADHD zvainyanya kuvandudzwa muvarwere vanotora Vyvanse, asi sarudzo dzese dzekurapa dzakashanda. Chimwe chakakosha mhedzisiro inoratidza kuti methylphenidate yekukurumidza-kuburitsa kusanganisa, senge Ritalin, ndiyo yakanyanya kushivirirwa. Imwe yekupedzisira yakakosha kufunga ingangove yekurapa mutengo. Ritalin anga ari akajairwa kwemakore mazhinji uye kazhinji anodhura zvakanyanya kupfuura Vyvanse, iyo inongowanikwa chete muzita rezita-zita.
Chete mupi wako wezvehutano anogona kusarudza kuti ndeupi kurapwa kwakanakira iwe. Nezvikonzero zvisingazivikanwe, kumwe kurapa kunogona kusashanda zvakanyanya kune vamwe varwere kupfuura vamwe. Nyanzvi yako yehutano inoshanda pamwe newe kuti uwane kurapwa kwakanyanya.
Unoda mutengo wakanakisa paRitalin?
Sign up kune Ritalin mutengo machenjedzo uye tsvaga kuti kana mutengo wachinja!
Wana machenjedzo emitengo
Kuvhavha uye mutengo kuenzanisa kweVivvanse vs.Ritalin
Vyvanse imishonga inorapwa inowanzo kuvharwa neinishuwarenzi yekutengesa. Kufungidzirwa neMedhipare zvirongwa zvinogona kusiyana kana kuda zvakasarudzika zvisati zvaitwa. Mutengo wekunze kwehomwe weVivvanse 70mg unogona kuve $ 471. Iyo coupon kubva kuSingleCare inogona kuunza mutengo kusvika kumadhora mazana matatu nemakumi maviri nemaviri pane akasarudzwa mafarmasi
Ritalin imishonga yemishonga inowanzo kuvharwa neinishuwarenzi yekutengesa. Kufungidzirwa neMedhipare zvirongwa zvinogona kusiyana kana kuda zvakasarudzika zvisati zvaitwa. Ritalin anowanzoita mari inosvika madhora makumi masere nemashanu, asi nekoponi kubva kuSingleCare, varwere vanogona kuwana genital Ritalin nemari inosvika $ 15.
| Vyvanse | Ritalin | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare? | Zvichida nemvumo yepamberi | Zvichida nemvumo yepamberi |
| Standard muyero | 30, 70 MG capsules | 30, 10 mg mahwendefa |
| Chaizvoizvo Medicare copay | Variable | Variable |
| SingleCare mutengo | $ 322- $ 341 | $ 15- $ 55 |
Zvakajairika mhedzisiro mhedzisiro yaVivvanse vs. Ritalin
Vyvanse naRitalin vese vari vaviri vanokurudzira CNS, uye nekudaro vane runyorwa rwakafanana rweimwe mhedzisiro. Zvinyorwa kubva kuKudya neDrug Administration (FDA) hazvitsanangure kuwanda kwezviitiko zvakashata kubva kuRitalin. Vanenge vangangoita 1 mune vese varwere ve2,5 vanotora Vyvanse vanowana kushaya hope. Neichi chikonzero, Vyvanse uye zvimwe zvinokurudzira zvinofanirwa kutorwa pakutanga kwezuva.
Mimwe mhedzisiro mhedzisiro ine chekuita neVivvanse naRitalin inosanganisira kuderera kwechido, kurwadziwa kwepamusoro mudumbu, kuda kurutsa, uye kurutsa. Iyi mhedzisiro inogona kukonzeresa pakurasikirwa nekurema, uye varwere vanofanirwa kuongororwa nekuda kweichi chiitiko.
Izvi hazvirevi kuti ive yakazara rondedzero yemhedzisiro. Ndokumbirawo ubvunze wemishonga wako kana wehutano wezvehutano kuti uwane yakazara rondedzero yemhedzisiro
| Vyvanse | Ritalin | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kusarara | Ehe | 39% | Ehe | Hazvina kutsanangurwa |
| Kuderedza kudya | Ehe | 22% | Ehe | Hazvina kutsanangurwa |
| Kumusoro kurwadziwa kwepamuviri | Ehe | 12% | Ehe | Hazvina kutsanangurwa |
| Kushatirwa | Ehe | 10% | Ehe | Hazvina kutsanangurwa |
| Kusvipa | Ehe | 9% | Ehe | Hazvina kutsanangurwa |
| Kurera huremu | Ehe | 9% | Ehe | Hazvina kutsanangurwa |
| Nausea | Ehe | 6% | Ehe | Hazvina kutsanangurwa |
| Muromo wakaoma | Ehe | 5% | Ehe | Hazvina kutsanangurwa |
| Dzungu | Ehe | 5% | Ehe | Hazvina kutsanangurwa |
Kwayaka: Vyvanse (Mazuva eseMed) Ritalin (Mazuva eseMed)
Kubatana kwezvinodhaka zveVyvanse vs.Ritalin
Iko kusanganiswa kweiyo Vyvanse kana Ritalin ine monoamine oxidase inhibitors inopesana. Iko kusanganiswa kwemishonga iyi hakufanirwe kushandiswa muvarwere. MAOI antidepressants anononoka amphetamine metabolism, achiwedzera iyo amphetamine mhedzisiro pakuburitswa kwe norepinephrine uye mamwe ma monoamines kubva kumagumo etsinga zvichikonzera kutemwa nemusoro uye zvimwe zviratidzo zvehosha yehypertensive.
Iko kushandiswa kweiyo Vyvanse kana Ritalin ine akasiyana serotonergic vamiririri kunogona kuwedzera mukana weiyo serotonin syndrome. Iyi syndrome inogona kukonzera kuti murwere anzwe kunetsekana, kunzwa dzungu, uye kuve nekuwedzera kwemoyo kurova. Serotonergic vamiririri vanosanganisira akasiyana antidepressants senge anosarudza serotonin reuptake inhibitors, tricyclic antidepressants, uye 5HT3 vanopikisa.
Ritalin akatorwa anozivikanwa kurwisa antihypertensive mhedzisiro yemishonga inowanzoita BP yakanyanya se lisinopril, benazepril, losartan, uye irbesartan. Varwere vane yakakwira yakakwira BP vanofanira kudzivirira Ritalin.
Iyi inotevera rondedzero haina kuitirwa kuti ive izere runyorwa rwekudyidzana zvinodhaka. Zvakanakisisa kubvunza chiremba wako kana wemishonga kuti uwane yakazara runyorwa.
| Zvinodhaka | Kirasi Yezvinodhaka | Vyvanse | Ritalin |
| Selegiline Isocarboxazid Phenelzine Linezolid | Monoamine oxidase inhibitors (MAOIs) | Ehe | Ehe |
| Fluoxetine Paroxetine Sertraline Citalopram Escitalopram | Kusarudza serotonin reuptake inhibitors (SSRIs) | Ehe | Ehe |
| Venlafaxine Duloxetine Desvenlafaxine | Kusarudza norepinephrine reuptake inhibitors (SNRIs) | Ehe | Ehe |
| Sumatriptan Rizatriptan Eletriptan Zolmitriptan Naratriptan Frovatriptan | 5HT3 Vanopikisa (Triptans) | Ehe | Ehe |
| Desipramine Protriptyline Amitriptyline Nortriptyline | Tricyclic antidepressants | Ehe | Ehe |
| Lisinopril Ramipril Benazepril Enalapril Quinapril Fosinopril | Angiotensin-inoshandura enzyme (ACE) inhibitors | Kwete | Ehe |
| Losartan Irbesartan Valsartan Olmesartan | Angiotensin receptor blockers (ARBs) | Kwete | Ehe |
| Carvedilol Metoprolol Atenolol Nebivolol | Beta-blockers | Kwete | Ehe |
Yambiro dzaVivvanse naRitalin
Vyvanse naRitalin zvirongwa zveNarcotic zvechipiri, uye nekudaro vane mukana wakakura kwazvo wekushungurudzwa nekushandisa zvisizvo. Iyi mishonga inofanirwa kutorwa chaizvo sekurairwa, uye varwere vanofanirwa kutariswa zvakanyanya nevanovapa hutano pavari pamishonga iyi.
Kamwe kamwe kufa, kurohwa sitiroko, uye kusungwa kwemoyo zvakataurwa kune varwere vanotora CNS zvinokurudzira, kunyangwe pazviyero zvinokurudzirwa. Kamwe kamwe kufa kwakaitika muvana nevechiri kuyaruka vane kusagadzikana kwemoyo. Nechikonzero ichi, kushandiswa kwaVyvanse naRitalin kunofanirwa kudzivirirwa kune varwere vane nhoroondo yecoronary arteri chirwere kana vane inozivikanwa yemoyo zvisizvo.
CNS zvinokurudzira zvinogona kuwedzera kusagadzikana kwehunhu muvarwere vane pre-huripo hwepfungwa kusagadzikana. Varwere ava vanofanirwa kuongororwa zvakanyanya kana CNS zvinokurudzira zvichidikanwa. Bipolar varwere vanogona kusangana nezvakavhenganiswa kana manic episheni pavanenge vari CNS zvinokurudzira.
Inowanzo bvunzwa mibvunzo nezve Vyvanse vs. Ritalin
Chii chinonzi Vyvanse?
Vyvanse mushonga unorapwa unoshandiswa pakurapa kwekushomeka kwekusagadzikana kwehutano pamwe nedambudziko rekudya-binge. Vyvanse inzvimbo yepakati sisitimu inokurudzira uye iri chirongwa II chinodzorwa chinhu chakarongedzwa neDEA. Inowanikwa sekapuleti kana piritsi inotsengwa mumasimba kubva pa10 mg kusvika 70 mg.
Chii chinonzi Ritalin?
Ritalin mushonga wekurapa unoshandiswa pakurapa kwekushomeka kwehutano kusagadzikana pamwe nehutachiona. Ritalin inzvimbo yepakati sisitimu inosimudzira uye chirongwa chechipiri chinodzorwa chinhu chakarongedzwa neDEA. Inowanikwa sehwendefa rekuburitsa nekukasira mu5 mg, 10 mg, uye 20 mg simba. Iyo zvakare inowanikwa seyakareba-inoshanda yekuumbwa mumuromo macapsule anotangira kubva 10 mg kusvika 60 mg.
Vyvanse naRitalin zvakafanana here?
Nepo vese vari vaviri Vyvanse naRitalin vachirapa ADHD uye vachirondedzerwa seCNS zvinokurudzira, hazvina kufanana. Vyvanse inoshanda kuwedzera catecholamines muiyo neuronal synapse nekumutsa kusunungurwa kwavo, nepo Ritalin achivharira kutora zvakare kwecatecholamines kuti vabudirire kusiya mamwe mahara catecholamines muiyo neuronal synapse.
Vyvanse kana Ritalin vari nani here?
Vaviri Vyvanse naRitalin vakaratidzirwa kushanda mukurapa ADHD. Zvidzidzo zvinoratidza kuti Vyvanse inogona kuratidza kuvandudzika kukuru muzviratidzo, asi Ritalin inodhura uye inotungamira kune yakaderera mwero yemhedzisiro.
Ndinogona here kushandisa Vyvanse kana Ritalin ndichiri nepamuviri?
Vyvanse naRitalin vanoonekwa sevane nhumbu chikamu C neDFA. Izvi zvinoreva kuti pakange pasina kukwana kwevanhu zvidzidzo kuti vaone kuchengetedzeka. Iko kushandiswa kweamphetamines panguva yekuzvitakura kunogona kutungamira kune yakawedzera njodzi yekuzvarwa nguva isati yakwana uye huremu hwekuzvarwa huremu. Vacheche vanogona kuona zviratidzo zvekurega. Iyi mishonga inofanirwa kushandiswa chete kana mabhenefiti acho achinyanyisa kupfuura njodzi.
Ndinogona here kushandisa Vyvanse kana Ritalin nedoro?
Kunwa doro kunogona kuwedzera serum kuwanda kweropa kweanomiririra amphetamine, nekudaro doro rinofanira kudzivirirwa kana uri pamishonga iyi.
Ndeupi mushonga wepedyo kuna Vyvanse?
Vyvanse inoshandurwa mumuviri kuita yayo inoshanda metabolite, dexmethylphenidate. Dexmethylphenidate ndicho chinhu chinoshanda muFocalin formulations.
Ndeupi mutsva mushonga weADHD?
Jornay inyowani inononoka-kuburitsa kugadzirwa kwemethylphenidate. Izvo zvakasarudzika mukuti iwe unozvitora husiku usati warara, uye nekusununguka kunonoka, mushonga unoshanda unoburitswa mumatumbu mangwanani. Izvo zvakaratidzirwa kukonzera kushoma kushaya hope kupfuura yekare methylphenidate mafomu.
Ndeupi mushonga weADHD wakaenzana naVivvanse?
Lisdexamfetamine, chinhu chinoshanda muVyvanse, chinoshandurwa mumuviri kuita dextroamphetamine. Dextroamphetamine ndiyo inoshandiswa muAdderall formulations. Adderall XR mafomati, pamwe nemajeniki avo, anowanzo kuve dosing yezuva nezuva yakafanana neyaVivvanse.
Iko kune imwe nzira isingadhuri kune Vyvanse?
Focalin uye Focalin XR ndiwo anoshanda mametabolite eVyvanse uye ane akajairika mafomu pamusika. Izvi zvinowanzo kufukidzwa zvakanaka neinishuwarenzi. SingleCare inopawo makadhi ekuchengetedza mafomu aya.
