Wellbutrin vs. Chantix: 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
Makorokoto-iwe wafunga kuzviita rega kusvuta ! Uri kuita sarudzo huru kune hutano hwako hwese. Pakarepo, kuwedzerwa kweropa uye kurova kwemoyo kuchaderera. Mukati mezuva rimwe chete, njodzi yako yekurwadziwa kwemoyo inoderera. Zvimwe zvakanaka zvinosanganisira cholesterol yakaderera, mukana wakaderera wekenza yemapapu , uye mapfupa akasimba uye immune system.
Dzimwe nguva, zvakaoma kurega kuputa wega, uye chiremba wako anogona kunge akataura nezve kushandisa mushonga kunokubatsira kuti urege kusvuta. Wellbutrin (bupropion hydrochloride) uye Chantix (varenicline tartrate), yakagadzirwa naPfizer, mishonga miviri inozivikanwa inoshandiswa kubatsira varwere kurega kuputa, uye inogamuchirwa neDFA yekurega kusvuta. Kunyangwe iwo ari maviri anoshandiswa nechinangwa chimwe chete, ane misiyano mizhinji.
Ndeupi mutsauko mukuru pakati peWellbutrin neCantix?
Wellbutrin imushonga unodzvinyirira, unorayirwa off-label yekurega kuputa. Hazvisi pachena kuti Wellbutrin anoshandira sei kuputa fodya, asi isu tinoziva kuti inobatsira kudzikisira zvishuwo uye zvakare inoderedza zviratidzo zvekusiya. Inowanikwa mune yekukurumidza-kuburitsa piritsi (generic) pamwe nekusimudzira-kuburitsa (SR) uye yakawedzera-kuburitsa (XL) piritsi. Iyo SR neXL mafomati ari maviri anowanikwa mune brand uye generic. Iyo SR inorayirwa kaviri pazuva uye iyo XL inorayirwa kamwe pazuva.
Chantix inyanzvi yekonotini — inobatanidza panogamuchirwa nicotine muuropi, zvekuti nicotine haigone. Inowanikwa muzita rezita mufomu yepiritsi. Hapana mushonga une nicotine.
| Misiyano mikuru pakati peWellbutrin vs. Chantix | ||
|---|---|---|
| Wellbutrin | Chantix | |
| Kirasi yemishonga | Aminoketone antidepressant | Nicotinic agonist kusvuta kumisa rubatsiro |
| Brand / generic chinzvimbo | Brand uye generic | Brand |
| Chii chinonzi generic zita? | Bupropion | Varenicline |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa SR piritsi (kusunungurwa kwakachengetedzwa, kaviri pazuva dosing) XL piritsi (yakawedzerwa-kuburitswa, kamwe-zuva nezuva dosing) | Hwendefa |
| Ndeipi muyero wakajairwa? | Kutanga vhiki imwe usati wasvuta kusvuta zuva: 150 mg SR zuva nezuva kwemazuva matatu, ipapo 150 mg SR kaviri pazuva | Tanga vhiki imwe usati wasvuta kusvuta zuva: 0.5 mg zuva nezuva kwemazuva matatu, uye 0.5 mg kaviri pazuva kwemazuva mana, uye 1 mg kaviri zuva nezuva mushure |
| Yakareba sei iyo yekurapa? | Zvinosiyana | Mavhiki gumi nemaviri, anogona kuenderera mamwe mavhiki gumi nemaviri |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vakuru |
Mamiriro ezvinhu akarapwa naWellbutrin vs. Chantix
Wellbutrin inorayirwa kure-chitaridzi semubatsiro wekusvuta kuporesa kurapwa. Wellbutrin inogona kupihwa kana kana isina nicotine kutsiva kurapa (NRT). Nicotine kutsiva kunogona kushandiswa muchimiro chenikotini chigamba kana lozenge, semuenzaniso, uye pamwe neWelbutrin, zvishuvo zvako zveicikotini zvinofanirwa kudzikira.
Wellbutrin (ese mafomu) inoratidzirwa yeakanyanya kushushikana kusagadzikana. Wellbutrin XL inoratidzirwawo kune mwaka unokanganisa kusagadzikana. Wellbutrin ine akasiyana siyana ekushambadzira-mazita, akatsanangurwa muchati pazasi.
Iwe unogona kunge wakambonzwa nezvazvo Zyban , ine chinhu chimwe chete chinoshanda (bupropion) saWellbutrin. Zyban inoratidzirwa kuti ishandiswe mukusvuta kurega kurapwa. Wellbutrin inowanzo shandiswa pakurega kuputa, kunyangwe hazvo isina kuratidzwa zviri pamutemo nekuda kwechinangwa ichi. Iyo inorondedzera ruzivo inoti , Wellbutrin SR haina kubvumirwa kuputa fodya; zvisinei, ine chinhu chimwe chete chinoshanda seyekurapa kuputa mushonga Zyban. Zvakangodaro, vanachiremba vanowanzo gadza Wellbutrin yekurega kuputa nechinangwa chekuvhara inishuwarenzi.
Chantix inoratidzirwa yekusvuta kuporesa kurapwa. Chantix haifanire kutorwa pamwe neNRT nekuti inogona kukonzeresa kusvotwa, kurutsa, kutemwa nemusoro, dzungu, kugumbuka mudumbu, uye kuneta.
| Mamiriro | Wellbutrin | Chantix |
| Rubatsiro rwekusvuta kurega kurapwa | Kunze-chitaridzi | Ehe |
| Huru kushushikana kwepfungwa (Wellbutrin kuburitswa nekukasira, SR, XL) | Ehe | Kwete |
| Mwaka unokanganisa kusagadzikana (Wellbutrin XL) | Ehe | Kwete |
| ADHD | Kunze-chitaridzi | Kwete |
| Kufutisa | Kunze-chitaridzi | Kwete |
| Bipolar kusagadzikana | Kunze-chitaridzi | Kwete |
| PTSD | Kunze-chitaridzi | Kwete |
| Zvemagariro kutya | Kunze-chitaridzi | Kwete |
| Kusagadzikana pabonde | Kunze-chitaridzi | Kwete |
Wellbutrin kana Chantix inoshanda here?
Iko kuchengetedzwa uye kushanda kwe bupropion kwakadzidzwa mune akati wandei miedzo , uchishandisa bupropion muchimiro cheZyban pamwe nekupa mazano. Muchidzidzo chemavhiki manomwe, bupropion yakaratidzirwa kuve inoshanda zvakanyanya kupfuura iyo placebo. Pamwedzi mitanhatu, varwere vakaita zvirinani pakudzivirira kurega mushure mekurapwa ne bupropion. Mune kumwe kuongorora, kurapwa ne bupropion kwaive zvakare kwakanyanya kushanda kupfuura nzvimbo inochengeterwa vanhu, kudzikisira chishuwo chekusvuta, uye kudzora zviratidzo zvekuregera (sekushatirwa, hasha, uye kuzvidya mwoyo).
Mumakiriniki ekuedzwa, Chantix akawanikwa kuderedza shungu yekusvuta , kuderedza zviratidzo zvekurega, uye kubatsira varwere kuramba vasingaregi. Zvidzidzo zviviri zvakafananidza Chantix nebupropion kune placebo kwemasvondo gumi nemaviri uye varwere vakateverwa kwemavhiki makumi mana mushure mekurapwa. Mune kumwe kuongorora, 44% yevarwere vanotora Chantix vakamira kuputa mukati memavhiki 9 kusvika 12, zvichienzaniswa ne30% yevarwere vanotora bupropion uye 17% yevarwere vanotora placebo. Chimwe chidzidzo chakaratidza zvakafanana mhedzisiro.
Zvidzidzo izvi zvakawana kuti ese ari maviri madhiragi aive nani pane iyo placebo, uye akagumisa kuti Chantix yainyanya kushanda kupfuura Zyban.
Mishonga iyi yese inogona kubatsira pakurapa kuputa fodya, asi munhu wese akasiyana nemabatiro aanoita mimwe mishonga. Mushonga unonyanya kushanda kwauri unogona kusarudzwa nachiremba wako, uyo anogona kutarisa mamiriro ako ekurapa uye nhoroondo, pamwe nemimwe mishonga yaunotora iyo inogona kusangana neWellbutrin kana Chantix.
Kuvhavha uye mutengo kuenzanisa kweWelbutrin vs. Chantix
Wellbutrin inowanzo kufukidzwa neinishuwarenzi uye Medicare Chikamu D, mune generic fomu yebupropion. Kukumbira zita rezita-zita kuchadhura uye kunogona kunge kusiri kuvharwa. Pasina inishuwarenzi, zita rezita Wellbutrin SR rinodhura madhora mazana mashanu nemakumi matanhatu nenomwe pamwedzi mumwe chete, nepo generic ichidhura zvakaderera seUS $ 15 neka SingleCare koponi.
Chantix inowanzo kufukidzwa neinishuwarenzi pamwe neMedicare Chikamu D. Pasina inishuwarenzi, yekutanga-mwedzi kurongedza kweChantix inodhura pakati pe $ 500- $ 600, uye mwedzi unoenderera-pack pack inodhura pasi pe $ 450 nekushandisa iyo SingleCare kadhi rekudzora
| Wellbutrin | Chantix | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Hongu (generic; brand inogona kuve yakakwira kopay kana inoda mvumo yekutanga) | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Hongu (zvakajairika) | Ehe |
| Standard muyero | # 60, 150 mg mapiritsi eSR | 1 kutanga mwedzi kurongedza kana 1 kuenderera kwemwedzi kurongedza |
| Chaizvoizvo Medicare Chikamu D copay | $ 0- $ 47 | $ 25- $ 578 |
| SingleCare mutengo | $ 15- $ 40 | $ 450 + |
Zvakajairika mhedzisiro mhedzisiro yeWelbutrin uye Chantix
Mhedzisiro inowanzoitika yeWelbutrin musoro, kuoma muromo, kuda kurutsa, kushaya hope, kuzvimbirwa, uye dzungu. Iwo akajairika mhedzisiro mhedzisiro yeCantix ane musoro, kuda kurutsa, kushaya hope, uye zvisizvo kurota. Iwe uchagamuchira gwara rekurapa, neruzivo nezve mhedzisiro, ine nyowani kana yekuzadza zvakare mushonga weWellbutrin kana Chantix. Mimwe mhedzisiro yakaipa inogona kuitika. Bvunza wako mupi wezvehutano kuti uwane yakazara rondedzero yemhedzisiro
| Wellbutrin | Chantix | |||
| Side Migumisiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kutemwa nemusoro | Ehe | 26% | Ehe | 15-19% * |
| Muromo wakaoma | Ehe | 17% | Ehe | 4-6% |
| Nausea | Ehe | 13% | Ehe | 16-30% |
| Kuzvimbirwa | Ehe | 10% | Ehe | 5-8% |
| Kupererwa nechido | Ehe | 5% | Ehe | 1-2% |
| Kusarara / kunetseka kurara | Ehe | gumi neimwe% | Ehe | 18-19% |
| Zvisina kujairika / zvakajeka zviroto | Kwete | N / a | Ehe | 9-13% |
| Dzungu | Ehe | 7% | Ehe | Yakataurwa senge inowanzoitika |
| Kudedera | Ehe | 6% | Ehe | Yakataurwa sekusawanzoitika |
| Kufunganya | Ehe | 5% | Ehe | % haina kutaurwa |
| Kudikitira | Ehe | 6% | Kwete | N / a |
| Mapundu | Ehe | 5% | Ehe | 1-3% |
| Tinnitus | Ehe | 6% | Ehe | Yakataurwa sekusawanzoitika |
* Zvinosiyana maererano nedosiSource: Mazuva eseMed ( Wellbutrin ), Zuva Nezuva ( Chantix )
Kubatana kwezvinodhaka kweWelbutrin vs. Chantix
Kunyange Wellbutrin inogona kushandiswa pamwe chete neNRT, Chantix haifanirwe kushandiswa neicotine nekuda kwenjodzi yekuwedzera mhedzisiro. Doro harifanirwe kushandiswa naWellbutrin kana Chantix.
Wellbutrin ine kumwe kudyidzana kwezvinodhaka. Wellbutrin haifanire kushandiswa pamwe chete neMao inhibitors - mashandisiro avo anofanirwa kupatsanurwa nemazuva gumi nemana. Wellbutrin inogona zvakare kudyidzana neakasiyana anticonvulsants, antidepressants, antipsychotic, benzodiazepines, opioid, kana beta blockers. Kumwe kudyidzana kwezvinodhaka kunogona kuitika. Bvunza wako mupi wezvehutano kuti uwane yakazara runyorwa rwekudyidzana zvinodhaka.
| Zvinodhaka | Kirasi Yezvinodhaka | Wellbutrin | Chantix |
| Chikakananda | Nicotine kutsiva kurapa | Kwete | Ehe |
| Doro | Doro | Ehe | Ehe |
| Carbamazepine Divalproex sodium Gabapentin Lamotrigine Oxcarbazepine Phenobarbital Phenytoin Topiramate | Anticonvulsants | Ehe | Kwete |
| Clonazepam Diazepam Lorazepam | Benzodiazepines | Ehe | Kwete |
| Amitriptyline Citalopram Desipramine Desvenlafaxine Duloxetine Escitalopram | Zvinodzvinyirira | Ehe | Kwete |
| Phenelzine Rasagiline Selegiline Tranylcypromine | MAO inhibitors | Ehe | Kwete |
| Codeine Fentanyl Hydrocodone Hydromorphone Methadone Morphine Tramadol | Opioid | Ehe | Kwete |
| Haloperidol Risperidone Thioridazine | Antipsychotic | Ehe | Kwete |
| Atenolol Metoprolol Propranolol | Beta anovharira | Ehe | Kwete |
| Clopidogrel | Antiplatelet | Ehe | Kwete |
| Digoxin | Cardiac glycoside | Ehe | Kwete |
Yambiro dzeWellbutrin uye Chantix
Wellbutrin yambiro:
- Wellbutrin inouya neye nhema bhokisi yambiro (yambiro yakasimba sekudiwa neDFA) yekuzviuraya. Mishonga yekudzvinyirira, senge bupropion, inogona kuwedzera njodzi yekuzviuraya pfungwa uye maitiro mune varwere vane makore makumi maviri nemana zvichidzika. Varwere nevanovachengeta vanofanirwa kuziva chero shanduko mune manzwiro, kuona zvisizvo, kufungidzira, kunyepedzera, kufunga kwekuuraya, hutsinye, kuvengana, kushungurudzika, kushushikana, uye / kana kutya. Chero murwere anotora Wellbutrin, zvisinei nezera, anofanirwa kutariswa zvakanyanya nezviratidzo nezviratidzo izvi.
- Pane njodzi yemamia kana psychosis-iyo njodzi yakakwira kune varwere vane bipolar disorder.
- Wellbutrin inogona kukonzera kubatika. Ngozi iyi ine chekuita nedosi - iro dosi rinofanira kuwedzerwa zvishoma uye harifanirwe kudarika 300 mg pazuva. Zvimwe zvehutano zvinogona zvakare kuwedzera njodzi yekubatwa. Bvunza nyanzvi yezvehutano kuti uwane rumwe ruzivo.
- Nekuti Wellbutrin inogona kukonzera kukwirisa kweropa, BP inofanira kuongororwa panguva yaunenge uchitora Wellbutrin.
- Vamwe varwere vanogona kunge vari panjodzi ye glaucoma. Bvunza ophthalmologist wako kuti uwane rumwe ruzivo.
- Stevens-Johnson syndrome inogona kuitika. Ichi chakakomba, chinogona kutyisidzira hupenyu, kugadzirisa ganda. Bata wako mupi wezvehutano nekukurumidza kana iwe ukagadzira kuputika kweganda.
Wellbutrin haigone kushandiswa mukuzvitakura, uye inofanira kungoshandiswa chete kana mukana ungabatsire kungoisa njodzi kune iyo fetus. Vaputi vane nhumbu vanofanirwa kukurudzirwa kurega kuputa kuburikidza nehunhu hwekuita usati washandisa Wellbutrin. Bvunza OB-GYN yako kune mazano.
Chantix yambiro:
- Chantix ine yambiro yebhokisi yezviitiko zvakakomba zveurouropsychiatric. Kushungurudzika, kufunga kwekuzviuraya, kuedza kuzviuraya, uye kuzviuraya kwakapedzwa kune varwere vanotora Chantix. Iwe unofanirwa kurega kutora Chantix uye bata wako mupi wezvehutano nekukurumidza 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 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 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 uchinga Varwere paChantix vanofanirwa kuongororwa zvakanyanya.
- Pane njodzi ye hypersensitivity kana angioedema, iko kuzvimba kwechiso, muromo, magumo, uye mutsipa. Mira Chantix uye utsvage kurapwa kwekukurumidzira kana zviratidzo izvi zvikaitika.
- Sezvakaita Wellbutrin, Stevens-Johnson syndrome inogona Kubata wako mupi wezvehutano nekukurumidza kana iwe ukagadzira kuputika kweganda.
- Panogona kunge paine mukana wakawedzera zvishoma wezviitiko zvemoyo — zivisa mupi wezvehutano nezvezvitsva kana zviratidzo zvekuwedzera zvehutano hwemwoyo.
- Chenjerera kutyaira kusvikira iwe waziva kuti Chantix inokubata sei. Kukuvara kwenjodzi kwakaitika nekuda kwekurara kana dzungu kubva kuChantix.
Chantix inogona kukuvadza iyo fetus kana ikashandiswa panguva yepamuviri, uye kazhinji haifanire kushandiswa. Mukudzidza kwemhuka, Chantix yakakonzera kudzikira kwehuremu hwe fetus uye kudzikira kubereka muvana. Sezvakaita naWellbutrin, vaputi vane nhumbu vanofanirwa kukurudzirwa kurega kuputa kuburikidza nehunhu hwekuita.
Muna 2016, iyo FDA yakashuma kuti njodzi yehutano hwakakomba hwepfungwa mhedzisiro kubva kuZyban uye Chantix inogona kunge yakadzikira pane zvakambofungidzirwa uye kuti bhenefiti yekurega kuputa inodarika njodzi dzekushandisa mishonga iyi. Kunyangwe hazvo chirevo ichi chichireva Zyban, Wellbutrin ine chinhu chimwe chete chinoshanda, bupropion. Zvisinei, ruzivo rwezvinodhaka ruchine yambiro imwechete uye varwere vanofanirwa kutariswa zvakanyanya paWellbutrin kana Chantix.
Inowanzo bvunzwa mibvunzo nezve Wellbutrin vs. Chantix
Chii chinonzi Wellbutrin?
Wellbutrin inorwisa mishonga inodzvinyirira iyo inoshandiswa kure-chitaridzi (ine kana isina nicotine kutsiva kurapa) kubatsira varwere kurega kuputa.
Chii chinonzi Chantix?
Chantix imushonga yemishonga inoshandiswa kubatsira varwere kurega kuputa.
Wellbutrin naCantix vakafanana here?
Kwete, ivo havana kufanana. Wellbutrin is antidipressant iyo inobatsira kudzikisira nicotine zvishuwo, nepo Chantix inoshanda zvakanyanya pane nicotine receptors. Vane mimwe misiyano zvakare, yakadomwa pamusoro.
NdiWellbutrin kana Chantix zvirinani?
Mishonga iyi miviri inoshanda pakubatsira varwere kurega kuputa. Kana iwe uchida kushandisa nicotine kutsiva kurapa mukuwedzera kune ekurapa mishonga, Wellbutrin ichave iri nani sarudzo nekuti inogona kutorwa pamwe neNRT, uye Chantix haifanire kutorwa pamwe neNRT. Kumbira chiremba wako kana Wellbutrin kana Chantix angave ari nani kwauri.
Ndinogona here kushandisa Wellbutrin kana Chantix ndichiri nepamuviri?
Kwete. Kana iwe uri nepamuviri, bvunza wako mupi wehutano. Wellbutrin uye Chantix hazviwanzoshandiswa mumadzimai ane pamuviri. Kana iwe urikutotora Wellbutrin kana Chantix uye uone kuti iwe une nhumbu, bata wako OB-GYN nekukurumidza kuti utungamirirwe.
Ndinogona here kushandisa Wellbutrin kana Chantix nedoro?
Kwete. Wellbutrin nedoro inogona kuwedzera njodzi yekubatwa.
Chii chiri nani kurega kusvuta, Chantix kana Wellbutrin?
Mishonga iyi yese yakabatsira varwere kurega kuputa, asi zvakanakisa kutaura nachiremba wako uye nekukurukura kana Chantix kana Wellbutrin ingave iri mishonga yakakodzera kwauri, uchifunga nezvehutano hwako, nhoroondo, uye mimwe mishonga yaunotora.
Zvinotora nguva yakareba sei kuti Chantix itange kushanda?
Zvinogona kutora mavhiki mashoma kuti Chantix itange kushanda. Chiremba wako anogona kukuudza kuti utore Chantix kwemavhiki gumi nemaviri. Iwe unozotanga nepakeji yemwedzi wekutanga, uye wozoenderera nekuenderera kwemwedzi kurongedza. Mushure memavhiki gumi nemaviri, chiremba wako achasarudza kana iwe uchida kutora Chantix kwemamwe mavhiki gumi nemaviri.
Inokurumidza sei kutanga Wellbutrin kushanda?
Zvinogona kutora mavhiki mashoma ekutora Wellbutrin (uine kana usina NRT) kusvikira waona mutsauko. Bvunza chiremba wako kuti uone kuti unofanira kutora nguva yakareba sei Wellbutrin.
