Wellbutrin vs.Prozac: Misiyano, kufanana, uye ndeipi iri nani kwauri
Zvinodhaka vs. Drug Wellbutrin uye Prozac mishonga yemishonga inorapa kushungurudzikaMisiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Wellbutrin (bupropion) uye Prozac (fluoxetine) mishonga inogona kurapa kuora mwoyo . Kunyanya, iyi mishonga inorayirwa kuti irape kushushikana kukuru kwekushungurudzika. Zviratidzo zvekushungurudzika kukuru kunogona kusanganisira kunzwa kwekusuwa kana kusava netariro, kurasikirwa kwekufarira mumabasa ezuva nezuva, uye matambudziko nekurara.
Wellbutrin uye Prozac zvinongowanikwa chete nemushonga kubva kuna chiremba kana mupi wehutano. Kunyangwe vachishandisa zvakafanana, Wellbutrin uye Prozac vanoshanda nenzira dzakasiyana uye vane mhedzisiro dzakasiyana. Ramba uchiverenga kuti udzidze zvakawanda nezve kufanana uye mutsauko pakati peWellbutrin neProzac.
Ndeupi mutsauko mukuru pakati peWellbutrin neProzac?
Wellbutrin aminoketone antidepressant iyo inozivikanwa zvakare nezita rayo regeneric, bupropion. Iyo chaiyo nzira iyo Wellbutrin inoshanda nayo haina kunyatsonzwisiswa. Nekudaro, iyo inofungidzirwa kuwedzera huwandu hwevamwe maurotransmitter anonzi norepinephrine uye dopamine muuropi. Ivo vanhu vane kushushikana vanogona kuve nekusaenzana kweaya maurotransmitter. Kusiyana nezvimwe zvinowanzo nzwa zvinodzvinyirira, Wellbutrin haina mhedzisiro pamazinga eserotonin.
Wellbutrin inowanikwa mune matatu akasiyana mafomati: pakarepo-kuburitsa (IR), yakasimbiswa-kuburitswa (SR), uye yakawedzera-kuburitswa (XL). Zvichienderana nefomu reyero, Wellbutrin inogona kutorwa kamwe, kaviri, kana katatu zuva nezuva. Chinhu chinoshanda muWellbutrin, bupropion, chinotengeswawo seZyban kutsigira kurega kuputa.
Prozac ndeimwe yemishonga inonyanyo rondedzerwa yekudzvinyirira. Iyo inozivikanwa zvakare neiyo generic zita fluoxetine. Prozac ndeyekirasi yemishonga inonzi inosarudza serotonin reuptake inhibitors (SSRIs). Iyi mishonga inoshanda nekuwedzera mazinga eiyo neurotransmitter serotonin kurerutsa zviratidzo zvekuora mwoyo.
Prozac inouya sezuva nezuva muromo wemuromo. Iyo chaiyo dosi inoenderana nemamiriro ari kurapwa. Prozac inowanikwawo sekanonoka-kuburitsa kapuleti inotorwa kamwe pasvondo.
| Musiyano uripo pakati peWellbutrin neProzac | ||
|---|---|---|
| Wellbutrin | Prozac | |
| Kirasi yemishonga | Aminoketone | Inosarudza serotonin reuptake inhibitor |
| Brand / generic chinzvimbo | Brand uye generic inowanikwa | Brand uye generic inowanikwa |
| Chii chinonzi generic zita? | Bupropion | Fluoxetine |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa remuromo | Oral capsule, Dkuregedza-kusunungurwa |
| Ndeipi muyero wakajairwa? | 100 mg katatu pazuva Chipimo chemushonga chinoenderana nemamiriro | 20 mg kamwe pazuva Chipimo chemushonga chinoenderana nemamiriro |
| Yakareba sei iyo yekurapa? | Nguva yakareba zvichienderana nemamiriro ari kurapwa | Nguva yakareba zvichienderana nemamiriro ari kurapwa |
| Ndiani anowanzoshandisa mushonga? | Vakuru | Vakuru; vana makore 8 zvichikwira (kushushikana) |
Mamiriro akarapwa naWellbutrin uye Prozac
Ese mafomu eWelbutrin anotenderwa neKudya neDrug Administration (FDA) kurapa kushushikana kukuru, kunonziwo kushushikana kukuru. Wellbutrin XL, iyo yakawedzera-kuburitsa fomu reWellbutrin, inobvumidzwa kudzivirira mwaka unokanganisa kusagadzikana (SAD), rudzi rwekushungurudzika kunoitika panguva yekuchinja kwemwaka. Wellbutrin dzimwe nguva inoshandiswa kure-chitaridzi kurapa bipolar kusagadzikana .
Prozac is FDA inogamuchirwa kurapa kukuru kushungurudzika kusagadzikana. Inotenderwawo kurapa obsessive-inomanikidza kusagadzikana (OCD) uye kuvhunduka kusagadzikana, pamwe nedambudziko rekudya rinonzi bulimia nervosa. Kana ikashandiswa pamwe neantipsychotic inonzi Zyprexa (olanzapine), Prozac inoshandiswa kurapa kushushikana kwezvikamu kune avo vane bipolar kusagadzikana. Vamwe vanhu vane kushushikana vanogona kusapindura kune imwe mishonga uye nekudaro, vanogona kupihwa Prozac uye Zyprexa (olanzapine). Prozac inotengeswa pasi pezita rakasiyana rezita rinonzi Sarafem kurapa premenstrual dysphoric kusagadzikana .
Wellbutrin uye Prozac zvakare vakadzidzira kurapwa kweADHD. Imwe ongororo yakawana kuti Wellbutrin akabatsira kunatsiridza zviratidzo yeADHD ichienzaniswa ne placebo.
| Mamiriro | Wellbutrin | Prozac |
| Kushungurudzika kukuru | Ehe | Ehe |
| Kushungurudzika kwakabatana nemwaka wepashure kukanganisa chirwere | Ehe | Kunze-chitaridzi |
| Kushungurudzika kwakabatana ne bipolar I kusagadzikana | Kunze-chitaridzi | Ehe |
| Kucherekedza-kumanikidza kusagadzikana (OCD) | Kwete | Ehe |
| Panic kusagadzikana | Kwete | Ehe |
| Bulimia nervosa | Kwete | Ehe |
| Premenstrual dysphoric disorder (PMDD) | Kwete | Ehe |
| Kutarisa-kushomeka kusagadzikana kwehutano (ADHD) | Kunze-chitaridzi | Kunze-chitaridzi |
Wellbutrin kana Prozac inoshanda zvakanyanya here?
Wellbutrin uye Prozac ndiwo anoshanda ekurapa mishonga yekurapa kushushikana. Iyo yakanyanya antidepressant inoenderana nezvinhu zvinoverengeka zvakaita semutengo, mhinduro yemunhu pakurapwa, uye mhedzisiro yemhedzisiro. Bvunza mupi wezvehutano pane akanakisa ekurapa maitiro emamiriro ako.
Sekureva kweumwe akapofomara kuenzanisa kudzidza , bupropion uye fluoxetine zvakawanikwa zvakafanana mukubata kwekurapa kwekushungurudzika. Chidzidzo ichi chakaitwa kweanopfuura vhiki nomwe uye chakashandisa iyo Hamilton Rating Scale yeKushungurudzika pakati pezvimwe zvishandiso kuongorora kugona kwekurapa. Ose maviri bupropion uye fluoxetine akabatsira kudzikisira kushushikana zviratidzo pasina zvakakomba zvakashata mhedzisiro
Poshi kuongorora kwakarongeka vakawana kuti Wellbutrin mushonga unoshanda uye wakachengeteka uchienzaniswa nemamwe antidepressants. Wellbutrin inogona kuve nemhedzisiro mhedzisiro kana ichienzaniswa neSSRIs. Izvo zvakare zvinokonzeresa mashoma ezvepabonde mhedzisiro uye kurema kuwana pane mamwe maanodzvinyirira
TO kuongorora kwakarongeka akawana kuti Prozac mushonga unoshanda kune akati wandei hutano hwepfungwa, kusanganisira kushushikana, bulimia, uye OCD. Prozac yakawanikwa ichinyanya kushanda kupfuura placebo mune zvimwe zvidzidzo mukati mekuongorora. Yakawanikwa zvakare ichishanda seAnafranil (clomipramine) yekurapa OCD.
Kuvhavha uye mutengo kuenzanisa kweWellbutrin vs. Prozac
Ivhareji mutengo weWelbutrin XL isina inishuwarenzi iri kutenderera $ 194. Wellbutrin XL inowanikwa mune generic fomu iyo inowanzo kuvharwa nevazhinji Medicare uye hutano inishuwarenzi zvirongwa. Nekadhi reSingleCare rekutora kadhi, unogona kukwanisa kudzikisa mutengo weiyo generic Wellbutrin XL kusvika kumadhora mashanu, zvinoenderana nedosi uye huwandu hwakatemwa.
Prozac inowanikwa mune generic fomu. Inowanzovharwa nezvakawanda zvirongwa zveinishuwarenzi. Mari yepakati yemari yeProzac iri madhora mazana matatu. Nekudaro, mutengo wacho unosiyana zvichienderana nedosi uye huwandu hwakatemwa. Kadhi reSpecialCare rekutora kadhi re generic Prozac inowanikwa, iyo inogona kubatsira kudzikisa mutengo kusvika kumadhora mana.
| Wellbutrin | Prozac | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Ehe | Ehe |
| Zvakawanda | Mahwendefa makumi matatu | 30 makapisi |
| Chaizvoizvo Medicare copay | $ 0– $ 2 | $ 12 |
| SingleCare mutengo | $ 5 | $ 4– $ 20 |
Zvakajairika mhedzisiro mhedzisiro yeWelbutrin vs. Prozac
Mhedzisiro inowanzoitika yeWelbutrin yakaoma mukanwa, kuda kurutsa, dzungu, kushaya hope, kushungurudzika mudumbu, kushushikana, kurova moyo, uye kudikitira. Wellbutrin inogona zvakare kukonzera tsandanyama aches, mapundu, uye kuchenesa. Huremu shanduko zvakare zvataurwa paunenge uchishandisa Wellbutrin. Zvisinei, Wellbutrin inowanzoita kuti uwedzere kuonda kupfuura kuwedzera uremu.
Mhedzisiro inowanzoitika kana Prozac inosanganisira kusagadzikana pabonde, kudzikira pabonde kutyaira, manyoka, kuzvimba, kusvotwa, kuneta, dzungu, uye kurara. Prozac inogona zvakare kukonzera kuputika, zviratidzo zvekurwara-kuita, uye kudedera. Huremu shanduko dzakataurwawo neProzac.
Yakanyanya mhedzisiro mhedzisiro yeWelbutrin neProzac inosanganisira yakawedzera kushushikana uye pfungwa dzekuzviuraya kana maitiro. Tsvaga kurapwa nekukasira kana iwe uchinge wawedzera kuwedzera kushushikana zviratidzo. Iwe unofanirwa zvakare kutsvaga kurapwa kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita Wellbutrin kana Prozac. Zviratidzo zveanokanganisa maitiro zvinosanganisira mikoko, kunetseka kufema, kana kuzvimba kwechiso kana huro.
| Wellbutrin | Prozac | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Nausea | Ehe | 13% | Ehe | 22% |
| Kuzvidya mwoyo | Ehe | 3% | Ehe | 8% |
| Muromo Wakaoma | Ehe | 17% | Ehe | 9% |
| Kuzvimbirwa | Ehe | 10% | Ehe | 5% |
| Manyoka | Ehe | 5% | Ehe | gumi neimwe% |
| Kutambudzika kwemhasuru | Ehe | piri% | Kwete | - |
| Kufunganya | Ehe | 5% | Ehe | 12% |
| Mapundu | Ehe | 5% | Ehe | 4% |
| Dzungu | Ehe | 7% | Ehe | 9% |
| Kukotsira | Ehe | piri% | Ehe | 12% |
| Kudedera | Ehe | 6% | Ehe | 9% |
| Kusarara | Ehe | gumi neimwe% | Ehe | 19% |
| Yakadzikira libido | Kwete | - | Ehe | 4% |
| Palpitations | Ehe | piri% | Ehe | 1% |
Kunobva: Zuva Nezuva (Wellbutrin SR) , DailyMed (Prozac)
Kupindirana kwezvinodhaka kweWelbutrin vs. Prozac
Wellbutrin haifanire kusanganiswa ne monoamine oxidase inhibitor (MAOI), senge selegiline kana phenelzine. Kutora Wellbutrin neMAOI kunogona kuwedzera njodzi yekuwedzera kweropa. Prozac inofanirawo kudzivirirwa ne MAOI. Kubatanidza Prozac neMAOI kunogona kuwedzera njodzi ye serotonin chirwere , mamiriro anogona kuda kuiswa muchipatara. Wellbutrin kana Prozac haifanire kutorwa mukati memazuva gumi nemana ekumisa MAOI.
Dopaminergic zvinodhaka senge levodopa uye amantadine inogona kusangana naWelbutrin. Kushandisa iyi mishonga neWelbutrin kunogona kuwedzera njodzi yemhedzisiro, sekuzorora, dzungu, uye kudedera.
Iko kushandiswa kwema nonsteroidal anti-anogumbura zvinodhaka (NSAIDs) kana warfarin inofanirwa kudzivirirwa kana kuongororwa paunenge uchitora Prozac. Uku kudyidzana kwezvinodhaka kunogona kukonzera njodzi yekubuda ropa.
Prozac inogona zvakare kudyidzana nedzimwe serotonergic zvinodhaka senge mamwe maopioid, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors (SNRIs), mishonga yekubvuta, uye inosimbisa mafungiro. Kutora iyi mishonga neProzac kunogona kuwedzera njodzi yeserotonin syndrome.
| Zvinodhaka | Kirasi yemishonga | Wellbutrin | Prozac |
| Selegiline Rasagiline Isocarboxazid Phenelzine | MAOI | Ehe | Ehe |
| Levodopa Amantadine | Dopaminergic | Ehe | Kwete |
| Pimozide Thioridazine | Antipsychotic | Ehe | Ehe |
| Fentanyl Tramadol | Opioid | Ehe | Ehe |
| Amitriptyline Nortriptyline Imipramine Desipramine | Tricyclic antidepressant | Ehe | Ehe |
| Venlafaxine Desvenlafaxine Duloxetine | SNRIs | Ehe | Ehe |
| Wort St. | Herbs | Ehe | Ehe |
| Phenytoin Fosphenytoin | Antiepileptic | Ehe | Ehe |
| Lithium | Maitiro ekudzikamisa | Ehe | Ehe |
| Ibuprofen Naproxen Aspirin | NSAIDs | Kwete | Ehe |
| Warfarin | Anticoagulant | Kwete | Ehe |
* Bvunza nyanzvi yezvehutano nezve kumwe kudyidzana kwezvinodhaka
Yambiro dzeWellbutrin uye Prozac
Mavara maviri emishonga eWelbutrin neProzac ane nhema bhokisi renyevero nezve kuzviuraya pfungwa uye maitiro. Panogona kunge paine njodzi yekuwedzera kwekushushikana kwakanyanya paunenge uchitora Wellbutrin kana Prozac. Tsvaga kurapwa nekukurumidza kana zviratidzo zvako zvikasavandudzika kana ukasangana nepfungwa dzekuzviuraya nemaitiro.
Panogona kuve nenjodzi yekuwedzera yekubatwa nekutora Wellbutrin, kunyanya mune yakakwira madosi. Iko kushandiswa kweWellbutrin zvakare kwakabatana neyakawedzera njodzi yekuwedzera kweropa, mania, psychosis, uye glaucoma mune vamwe vanhu. Bvunza mupi wezvehutano kana iwe uine nhoroondo yemamiriro aya usati watora Wellbutrin.
SaWelbutrin, Prozac zvakare ine njodzi yekubatwa, mania, uye glaucoma. Uye zvakare, kushandiswa kweProzac kunogona zvakare kuwedzera njodzi yeserotonin syndrome. Zviratidzo uye zviratidzo zve serotonin syndrome zvinosanganisira kuvhiringidzika, kukurumidza kwemoyo, uye kuomarara kwemhasuru, pakati pevamwe. Low sodium mazinga (hyponatremia), moyo mutinhimira matambudziko (QT kuwedzeredza), uye kubuda kweropa zvisina kujairika kwakaudzwawo Prozac mune vamwe vanhu.
Tsvaga zano rezvechiremba kubva kune wekuchengetedza hutano usati watanga kurapwa naWellbutrin kana Prozac.
Inowanzo bvunzwa mibvunzo nezve Wellbutrin vs. Prozac
Chii chinonzi Wellbutrin?
Wellbutrin iri aminoketone antidepressant iyo FDA inogamuchirwa kurapa kushushikana kukuru kwekushungurudzika. Iyo inouya mukukurumidza-kuburitswa, kusimbiswa-kusunungurwa, uye kuwedzerwa-kusunungura fomu. Kunze kwekurapa kushushikana kukuru kwekushungurudzika, Wellbutrin XL inobvumidzwawo kudzivirira mwaka unokanganisa kusagadzikana. Iro generic zita reWellbutrin bupropion.
Chii chinonzi Prozac?
Prozac inosarudza serotonin reuptake inhibitor (SSRI) iyo FDA inogamuchirwa kurapa kushushikana kukuru kwekushushikana. Se SSRI inodzvinyirira, Prozac inogona zvakare kubata kushushikana kwakabatana ne bipolar kusagadzikana. Prozac inobvumidzwawo kurapa mamwe mamiriro ehutano hwepfungwa, kusanganisira OCD, panic disorder, bulimia, uye premenstrual dysphoric disorder (saSarafem). Prozac inouya mune yemazuva ese kana yevhiki yemuromo capsule. Zita rakajairika reProzac ndiro fluoxetine .
Wellbutrin uye Prozac zvakafanana here?
Ose Wellbutrin uye Prozac mishonga yekudzvinyirira asi inoshanda nenzira dzakasiyana. Wellbutrin aminoketone inoshanda nekuwedzera iwo mazinga e norepinephrine uye dopamine muuropi. Prozac ndeye SSRI inoshanda nekuwedzera iwo mazinga e serotonin muuropi. Chiremba anoona nezvechirwere chepfungwa anogona kupa mishonga iyi kuti arape hutano hwakasiyana, kunyanya kushushikana.
Wellbutrin kana Prozac zvirinani here?
Wellbutrin uye Prozac zvakafanana zvinobudirira pakurapa kushushikana. Iyo yakanyanya antidepressant ndiyo inokonzeresa mashoma mhedzisiro uye inodhura zvakanyanya, zvichienderana nemamiriro ezvinhu. Wellbutrin inokonzera zvishoma zvinokanganisa bonde uye kurema kupfuura SSRIs seProzac. Dzimwe SSRIs dzinosanganisira Paxil (paroxetine), Zoloft (sertraline), Lexapro (escitalopram), uye Celexa (citalopram). Prozac inogona kunge yakakodzera kupfuura Wellbutrin kurapa kushushikana mune mumwe munhu ane bipolar disorder, bulimia, kana OCD. Mishonga yekudzvinyirira inowanzo shanda zvirinani pamwe ne psychotherapy.
Ndinogona here kushandisa Wellbutrin kana Prozac ndichiri nepamuviri?
Wellbutrin inogona kunyorerwa kurapa kuora mwoyo panguva yekuzvitakura . Nekudaro, panogona kuve nenjodzi yekuremara kwekuberekwa uye kupererwa nepamuviri paunenge uchishandisa Wellbutrin panguva yekuzvitakura. Prozac haina kukurudzirwa panguva yekunonoka kubata nhumbu nekuda kwenjodzi yeplmonary hypertension, mweya wekufema, uye mamwe matambudziko mumucheche. Wellbutrin uye Prozac vanogona kupfuura mukaka wemukaka. Bvunza mupi wehutano usati watora antidipressant uchiri nepamuviri kana kuyamwisa.
Ndinogona here kushandisa Wellbutrin kana Prozac nedoro?
Izvo hazviwanzo kukurudzirwa kunwa doro uchitora Wellbutrin kana Prozac. Kubatanidza doro nemishonga yekudzvinyirira kunogona kuwedzera njodzi yemhedzisiro sekukotsira uye dzungu. Naizvozvo, kunwa doro kunofanirwa kuongororwa kana kuderedzwa paunenge uchitora Wellbutrin kana Prozac.
