Zyban 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
Hutano hunobatsira hwekurega kusvuta hwakawanda. Kuderera kweropa uye kurovera kwemoyo kunouya nekukasira uye njodzi yekurwadziwa kwemoyo inoderera mumaawa mashoma sema24. Uyezve, cholesterol ichaita nani, njodzi yekenza inoderera uye immune system yako nemapfupa zvichawedzera kusimba.
Dzimwe nguva unoda rubatsiro rwakawedzerwa kurega, uye mishonga yemishonga inogona kubatsira. Miviri yemishonga inowanzo nyorwa yekurega kusvuta inosanganisira Zyban (bupropion Hcl Er) uye Chantix. Mishonga yese iri miviri inogamuchirwa neU.S.Food and Drug Administration (FDA) uye inoshandiswa kubatsira varwere vanoputa fodya, asi vanoshanda nenzira dzakasiyana uye vane mhedzisiro.
Ndeupi mutsauko mukuru pakati peZyban neCantix?
Zyban (bupropion Hcl Er) inowanikwa mu generic, se150 mg yakawedzeredzwa-mapiritsi ekuburitsa. Zyban haichawanikwi muzita rezita; pakutanga yaigadzirwa naGlaxoSmithKline. Inoshandiswa muvarwere vane makore gumi nemana zvichikwira; varwere zvakare vanofanira kuyera angangoita 89 lbs. Zyban inotangwa vhiki imwe pamberi pekusvuta zuva rekusiya, uye inotorwa kwemavhiki manomwe kusvika gumi nesere, paavhareji.
Chantix (varenicline) inowanikwa muzita rezita chete, se 0.5 mg uye 1 mg mapiritsi, uye inogadzirwa nekambani yemishonga Pfizer. Chantix, iyo inoshandiswa muvakuru chete, inotangwa vhiki imwe isati yasvika zuva rekurega kusvuta uye inotorwa kwemasvondo gumi nemaviri; varwere vanogona kuenderera kwemamwe mavhiki gumi nemaviri kana yekutanga kutenderera ikabudirira.
| Misiyano mikuru pakati peZyban naChantix | ||
|---|---|---|
| Chantix | Zyban | |
| Kirasi yemishonga | Aminoketone antidepressant, kuputa kumisa rubatsiro | Nicotinic agonist, kuputa kumisa rubatsiro |
| Brand / generic chinzvimbo | Generic | Brand |
| Chii chinonzi generic zita? | Bupropion | Varenicline |
| Ndeapi mafomu (s) ayo mushonga unouya? | Yakawedzerwa-kuburitsa piritsi | Mahwendefa |
| Ndeipi muyero wakajairwa? | Kutanga vhiki imwe usati wasvuta kusvuta zuva: 150 mg zuva nezuva kwemazuva matatu, uyezve 150 mg kaviri pazuva (angangoita maawa masere akaparadzaniswa) ipapo | 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? | 7-12 mavhiki; inosiyana | Mavhiki gumi nemaviri, anogona kuenderera mamwe mavhiki gumi nemaviri |
| Ndiani anowanzoshandisa mushonga? | Vakuru nevachiri kuyaruka vane makore gumi nemana zvichikwira, vanofanirwa kunge vari pamusoro pe40.5 kg | Vakuru vane makore gumi nemanomwe ekuberekwa zvichikwira |
Mamiriro ezvinhu akarapwa naZyban naChantix
Zyban (bupropion) uye Chantix (varenicline) zvese zvinoratidzwa senge rubatsiro rwekusvuta kuporesa kurapwa. Hapana mushonga une nicotine.
Zyban aminoketone antidepressant; ayo chaiwo mashandiro mukurega kusvuta kana kushushikana hakuzivikanwe asi zvinofungidzirwa kuti zvinodzivisa kutora kwe norepinephrine uye dopamine. Nekudaro, zvishuvo zveicotine zvinoderera uye zviratidzo zvekudzora zvadzikira.
Kwete yekusavhiringidzwa neWellbutrin, iyo zvakare ine bupropion, Zyban inoshandiswa chete pakurega kuputa fodya nepo Wellbutrin fomu yebupropion ichishandiswa kwaMajor Depression Disorder uye Mwaka WemaAffective Disorder. Iyi mishonga miviri haichinjiki. Zvisinei, vamwe vanachiremba vanopa Wellbutrin off-label yekurega kuputa.
Chantix inoshanda nekuvharidzira nicotine receptors. Nekudaro, iyo yepakati yetsinga system haigone kumisikidza yekusimbisa / mubairo sisitimu inosangana neikotini, uye iwe unozonzwa kushoma kwepfungwa uye nemuviri kunakirwa nekusvuta. Chantix inoderedzawo zviratidzo zvekuputa fodya.
| Mamiriro | Zyban | Chantix |
| Kusvuta kurega | Ehe | Ehe |
Zyban kana Chantix inoshanda here?
Kuchengetedzwa uye kushanda kweZyban kwakadzidzwa mune akati wandei miedzo , uchishandisa Zyban pamwe nekuraira. Muchidzidzo chemavhiki manomwe, Zyban yakaratidzirwa kuve yakanyanyisa kushanda kupfuura placebo. Pamwedzi mitanhatu, varwere vakaita zvirinani pakudzivirira kurega mushure mekurapwa naZyban. Mune kumwe kuongorora, kurapwa naZyban kwaive zvakare kwakanyanya kushanda kupfuura placebo, kudzikisira chishuwo chekusvuta, uye kudzora zviratidzo zvekuregera (sekushatirwa, hasha, uye kuzvidya mwoyo).
Mukuchipatara miedzo weChantix, mushonga uyu wakawanikwa kuti uderedze chishuwo chekusvuta, kudzora zviratidzo zvekusiya, uye kubatsira varwere kuramba vachirega. Chimwe chidzidzo chakafananidza Chantix naZyban kune placebo. Chidzidzo chacho chakawana kuti madhiragi ese ari maviri ari nani pane placebo, uye akagumisa kuti Chantix yainyanya kushanda kupfuura Zyban.
Mushonga unoshanda zvakanyanya unofanirwa kuongororwa nachiremba wako, uchifunga nezvehutano hwako (s), nhoroondo, uye mimwe mishonga yauri kutora iyo inogona kubatana naZyban kana Chantix.
Kuvhavha uye mutengo kuenzanisa kweZyban vs. Chantix
Zyban majeniki anowanzo kufukidzwa neinishuwarenzi pamwe neMedicare Chikamu D. Pasina inishuwarenzi, kupihwa kwemwedzi mumwe kweiyo generic Zyban inodhura madhora makumi mapfumbamwe. Unogona kudzikisa mutengo uyu kusvika kumadhora makumi mashanu- neshoma nekaponi kamwechete zvichienderana nekwazvinotengesa mishonga.
NaCantix, iwe unozotanga nedhidhi yakaderera (iyo yekutanga mwedzi kurongedza), uye wozoenderera nekuzadza inoenderera mwedzi kurongedza mwedzi wechipiri newechitatu. Chantix inowanzo kuvharwa neinishuwarenzi uye Medicare Chikamu D, ine akasiyana macopay. Pasina inishuwarenzi, yekutanga mwedzi kurongedza inodhura angangoita madhora mazana mashanu nemakumi mashanu nemashanu uye mwedzi unoenderera rongedza rinotora madhora mazana mashanu. Iwe unogona kudzikisa mutengo wezvigadzirwa zveChantix neSingleCare koponi.
| Zyban | Chantix | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Hongu (zvakajairika) | Kazhinji; ingangoda mvumo yepamberi uye / kana kuve neopopay yakakwira |
| Inowanzo kufukidzwa neMedare Chikamu D? | Hongu (zvakajairika) | Kazhinji; copays anosiyana zvakanyanya |
| Standard muyero | 150 mg zuva nezuva kwemazuva matatu uye 150 mg kaviri pazuva | 0.5 mg zuva nezuva kwemazuva matatu, uye 0.5 mg kaviri pazuva kwemazuva mana, uye 1 mg kaviri zuva nezuva (kutanga pakiti kunoshandiswa mwedzi wekutanga, uye kuenderera kwepaki kunoshandiswa) |
| Chaizvoizvo Medicare Chikamu D copay | Avhareji $ 3-64; inosiyana | $ 25-578; inosiyana |
| SingleCare mutengo | $ 58 | $ 400 yekutanga pack, $ 452 yekuenderera irori |
Zvakajairika mhedzisiro mhedzisiro yeZyban uye Chantix
Pamusoro pemhedzisiro yakakomba / yambiro, izvo zvinotsanangurwa pazasi, mushonga wega wega unouya pamwe nemhedzisiro inogona kuitika. Zyban inowanzo gadzwa pamwe ne chikakananda chigamba (inozivikanwawo seinikotini kutsiva kurapa, kana NRT), uye mhedzisiro mhedzisiro muzana inogona kuve yakakwira apo Zyban inoshandiswa mukubatana neikotini.
Mhedzisiro inowanzoitika yeZyban kusarara, kuoma muromo, uye dzungu. Mhedzisiro yakajairika yeCantix kushungurudzika, kurwadziwa mudumbu, kutemwa nemusoro uye kushaya hope.
Gwara rekurapa, neruzivo rwakadzama nezve iyo mishonga, iwe uchapihwa kwauri nyowani kana kudzoreredza mushonga weZyban kana Chantix. Bvunza wako mupi wezvehutano kuti uwane yakazara rondedzero yemhedzisiro.
| Side maitiro | Zyban: inoshanda? | Zyban: muzana | Chantix: inoshanda? | Chantix: muzana |
| Nausea | Ehe | 9% | Ehe | 30% |
| Dumbu kurwadziwa | Ehe | 3% | Ehe | 7% |
| Kusarara / kunetseka kurara | Ehe | 40% | Ehe | 18% |
| Zviroto zvisina kujairika | Ehe | 5% | Ehe | 13% |
| Kutemwa nemusoro | Kwete | - | Ehe | gumi neshanu% |
| Kuneta | Kazhinji | % haina kupihwa | Ehe | 7% |
| Dzungu | Ehe | 10% | Ehe | Kakawanda:% haina kupihwa |
| Muromo wakaoma | Ehe | 10% | Ehe | 6% |
Zvinyorwa: DailyMed (Chantix) uye DailyMed (Zyban)
Kubatana kwezvinodhaka zveZyban vs. Chantix
Zyban ine huwandu hwakakura hwekudyidzana kwezvinodhaka, zvakatsanangurwa muchati pazasi. Mazhinji ekubatana kwezvinodhaka anokonzerwa nema enzymes anonzi CYP2B6 uye CYP2D6. Mimwe mienzaniso yekubata mishonga pamwe neDigoxin, mushonga wemwoyo. Doro rinofanira kudzivirirwa uri paZyban.
Kubva pane hunhu hwemushonga, Chantix haina hukama hwakakosha hwezvinodhaka. Chantix haisati yadzidzwa nezve kuchengetedzeka pamwe neZyban. Apo Chantix yaidzidzwa pamwe chete neicikine kutsiva kurapa, kuitika kwemhedzisiro senge kusvotwa, kutemwa nemusoro, kurutsa, dzungu, kuzvimbirira, uye kuneta, kwaive kwakakwirira zvakanyanya kupfuura neicikotini chete.
Chantix haifanirwe kushandiswa pamwe chete doro , zvirinani kusvikira iwe waziva kuti Chantix inokanganisa sei kugona kwako kutsungirira doro. Bvunza wako mupi wezvehutano kuti uwane rumwe ruzivo.
| Zvinodhaka (s) | Kirasi yemishonga | Zyban | Chantix |
| Chikakananda | Nicotine kutsiva kurapa | Kwete | Ehe |
| Tegretol (carbamazepine), Neurontin (gabapentin), Lamictal (lamotrigine), Phenobarbital, Dilantin (phenytoin), Trileptal (oxcarbazepine), Topamax (topiramate), Depakote (divalproex sodium) | Kutora mishonga, mimwe inoshandiswawo kune bipolar disorder | Ehe | Kwete |
| Klonopin (clonazepam), Valium (diazepam), Ativan (lorazepam) | Benzodiazepines | Ehe | Kwete |
| Plavix (clopidogrel) | Antiplatelet | Ehe | Kwete |
| Doro | Doro | Ehe | Ehe |
| Lanoxin (digoxin) | Cardiac glycoside | Ehe | Kwete |
| Lopressor kana Toprol XL (metoprolol), Tenormin (atenolol), Inderal (propranolol) | Beta-blockers | Ehe | Kwete |
| Risperdal (risperidone), Haldol (haloperidol) | Antipsychotic | Ehe | Kwete |
| Effexor (venlafaxine), Pamelor (nortriptyline), Paxil (paroxetine), Prozac (fluoxetine), Zoloft (sertraline) | Zvinodzvinyirira | Ehe | Kwete |
| Ultram (tramadol), Codeine | Marwadzo | Ehe | Kwete |
| Eldepryl (selegiline), Parnate (tranylcypromine) | MAO Inhibitors | Ehe | Kwete |
Rondedzero yekudyidzana kwezvinodhaka zveZyban yakarebesa kunyora pano; bvunza wako mupi wezvehutano kuti uwane rumwe ruzivo.
Yambiro yeZyban uye Chantix
Zyban yambiro:
Zyban inouya neyambiro yebhokisi dema (yambiro yakasimba sekudiwa neDFA, inoratidza njodzi yezviitiko zvakakomba kana kutyisidzira hupenyu) zvekuzviuraya. Zyban ine bupropion, inodzvinyirira, uye mishonga yekudzvinyirira inogona kuwedzera njodzi yekuzviuraya kufunga uye maitiro mune varwere vane makore makumi maviri nemana ekuberekwa uye vadiki. Varwere uye vanovachengeta vanofanirwa kuziva nezve chero shanduko dzemamiriro ekunze, kufungidzira, kufungidzira, kunyepedzera, kufunga kwekuuraya, hutsinye, kuvengana, kushungurudzika, kushushikana, uye kutya. Chero murwere anotora Zyban, zvisinei nezera, anofanirwa kuongororwa zvakanyanya. Heano mamwe yambiro:
- Njodzi yemania kana psychosis; iyo njodzi inogona kuve yakakwira kune varwere vane bipolar kusagadzikana.
- Zyban inogona kukonzeresa; iyo njodzi inoenderana neyadhi. Iyo dose haifanire kupfuura 300 mg pazuva. Zvimwe zvehutano zvinogona kuwedzera njodzi yekubatwa.
- Zyban inogona kukonzera kukwirira kweropa; chengetedza BP kana uchitora Zyban.
- Vamwe varwere vanogona kunge vari panjodzi ye glaucoma; bvunza ophthalmologist wako kuti uwane rumwe ruzivo.
- Yakakomba, inogona kutyisidzira hupenyu kuita kweganda (Stevens-Johnson syndrome) inogona kuitika; bata mubatsiri wako wezvehutano nekukurumidza kana iwe ukagadzira kuputika kweganda.
Zyban inongofanirwa kushandiswa panguva yekuzvitakura kana mukana unobatsira uchiruramisa njodzi ingangove kumucheche. Vaputi vane nhumbu vanofanirwa kukurudzirwa kurega kuputa kuburikidza nehunhu hwekuita usati washandisa Zyban. Zyban package yekuisa inoti nekuda kwenjodzi kumwana, vanaamai vanoyamwisa vanofanirwa kumira kuyamwisa kana kumisa Zyban. Bvunza wako mupi wezvehutano kuti akupe mazano.
Chantix yambiro:
Chantix inouya neyebhokisi yambiro yezviitiko zvakakomba zveeuropsychiatric. 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 Heano dzimwe yambiro dzakabatana neCantix:
- Ngozi ye hypersensitivity kana angioedema, iko kuzvimba kwechiso, muromo, (rurimi, miromo, uye matadza), magumo, uye mutsipa. Mira Chantix uye utsvage kurapwa kwekukurumidzira kana izvi zvikaitika.
- Sezvo naZyban, Stevens-Johnson syndrome inogona kuitika. Bata wako mupi wezvehutano nekukurumidza kana iwe ukagadzira kuputika kweganda.
- Unogona kuwedzera mukana wezviitiko zvemoyo. zivisa wako mupi wezvehutano nezvezvitsva kana kuwedzera zviratidzo zvehutano hwemwoyo.
- Shandisa kungwarira kutyaira kana kushandisa michina kusvika iwe waziva kuti Chantix inokukanganisa sei iwe; kukuvara netsaona kwakaitika nekuda kwekurara kana dzungu.
Vanamai vane pamuviri chenjerai nezvechantix mhedzisiro pane fetus. SaZyban, vaputi vane nhumbu vanofanirwa kukurudzirwa kurega kuputa kuburikidza nehunhu hwekuita. Iyo Chantix package yekuisa inotaura kuti nekuda kwenjodzi kumwana, vanaamai vanoyamwisa vanofanirwa kumira kuyamwisa kana kumisa Chantix.
Varwere paChantix vanofanirwa kuongororwa zvakanyanya.
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. Zvisinei, ruzivo rwezvinodhaka ruchine yambiro imwechete uye varwere vanofanirwa kutariswa zvakanyanya pavanenge vari paZyban kana Chantix.
Inowanzo bvunzwa mibvunzo nezve Zyban vs. Chantix
Chii chinonzi Zyban?
Zyban (bupropion) mushonga unoshandiswa semubatsiro pakurapa kuputa fodya.
Chii chinonzi Chantix?
Chantix (varenicline) mushonga unoshandiswa semubatsiro pakurapa kuputa fodya.
Zyban naChantix zvakafanana here?
Kwete. Zvese zvinodhaka zvinoshanda nenzira dzakasiyana kubatsira mukurapa kwekurega kuputa. Zyban chaiyo mashandiro haazivikanwe asi anofungidzirwa kuve ane hukama nedopamine uye norepinephrine. Chantix inoshanda nekuvharidzira nicotine receptors, uye nekuvharira iyo yekusimbisa uye yekupa mubayiro manzwiro mukati epakati tsinga system. Hapana mushonga une nicotine. Ivo zvakare vane mutengo wakasiyana, kudyidzana kwezvinodhaka, mhedzisiro, uye yambiro, sezvakatsanangurwa pamusoro.
Zyban kana Chantix zvirinani here?
Wese munhu anoita zvakasiyana nemishonga yakasiyana. Chiremba wako chete ndiye anogona kuona kuti ndeupi mushonga wakanakira iwe, uchifunga nhoroondo yako yekurapa, mamiriro ehutano, uye mimwe mishonga yauri kutora.
Pane here imwe nzira yeChantix?
Ikozvino paripo hapana generic imwe nzira yeCantix.
Chantix inobatsira kurega kuputa?
Ehe. Chantix inogona kubatsira kudzikisira shungu dzako dzekusvuta uye kubatsira nezviratidzo zvekuregera.
