Lomotil vs. Imodium: Misiyano, kufanana, uye izvo zviri nani kwauri
Dzidzo yehutanoKuongorora kwezvinodhaka & misiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Lomotil (diphenoxylate / atropine) uye Imodium (loperamide) mishonga miviri inorwisa manyoka iyo inoshandiswa kurapa zvakanyanya uye manyoka asingagumi . Iyi mishonga inoshanda nenzira dzakafanana dzekudzora huwandu uye kuwanda kwematumbu. Lomotil uye Imodium yakagadzirirwa kutorwa kwemanyoka epfupi-nguva, ayo anowanzo gadzirisa mukati memazuva mashoma mushure mekutora mushonga.
Muzviitiko zvakawanda, manyoka, kunyange chiri chiitiko chisingafadzi, chinowanzo nyoro uye chinoenda choga. Mushonga wekutanga wemanyoka kutsiva zvinwiwa uye maelectrolyte kuitira kudzivirira kupera simba kwemvura. Zvisinei, mishonga yakaita seLomotil neImodium inogona kubatsira pakurwara kwakawanda uye manyoka asingagumi anosangana neanoshungurudza ura (IBS).
Kunyangwe zvavo zvakafanana mukushandisa, Lomotil uye Imodium vane misiyano yekufunga nezvayo. Semuenzaniso, iyi mishonga ine zvinhu zvakasiyana uye ine zvimwe zvinogumira. Tichaongorora kusiyana kwavo uye kufanana kwavo pano.
Ndeupi mutsauko mukuru pakati peLomotil neImodium?
Lomotil
Lomotil ishoko rezita-chinodhaka iro rinogona kungowanikwa nemushonga. Inosanganisira mubatanidzwa we diphenoxylate (opioid) uye atropine (anticholinergic drug).
Diphenoxylate ndicho chinhu chekutanga chinosunga kune maopioid receptors mumatumbu kunonoka kutenderera kwemukati. Atropine inowedzerwa kuodza moyo kushandisa zvinodhaka sezvo diphenoxylate chinhu chinodzorwa choga.
Imodium
Imodium, zvakare yakanyorwa seImodium AD, ndiro zita rekuti loperamide. Kusiyana neLomotil, Imodium inogona kutengwa pamusoro pekambani (OTC). Naizvozvo, inowanikwa zvakanyanya.
Loperamide inogadzira opioid inosunga kune maopioid receptors mumatumbo madziro kunonoka kufamba kwematumbo. Inodzivirirawo kemikari inonzi acetylcholine uye inotungamira kudzikira kwemvura uye electrolyte kurasikirwa. Nekuti Imodium ine hushoma hwekumwa mukati mepakati tsinga system (CNS), inogadzira mashoma CNS mhedzisiro mhedzisiro ayo anowanzoonekwa nemamwe maopioid, kusanganisira diphenoxylate.
| Misiyano mikuru pakati peLomotil neImodium | ||
|---|---|---|
| Lomotil | Imodium | |
| Kirasi yemishonga | Antidiarrhea | Antidiarrhea |
| Brand / generic chinzvimbo | Brand uye generic vhezheni iripo | Brand uye generic vhezheni iripo |
| Chii chinonzi generic zita? | Diphenoxylate / Atropine | Loperamide |
| Ndeapi mafomu (s) ayo mushonga unouya? | Hwendefa remuromo Liquid mhinduro | Hwendefa remuromo Oral capsules Kumiswa kwemvura |
| Ndeipi muyero wakajairwa? | Manyoka akanyanya: Mahwendefa maviri (2.5 mg diphenoxylate / 0.025 mg atropine) kana zuva nezuva kusvika kudzora kwekutanga kwemanyoka kwaitika. Chirwere chisingaperi: Deredza iyo yekutanga dosi kune yekuchengetedza dosi (kazhinji mapiritsi maviri zuva nezuva) sekurairwa nachiremba. Ramba kana zviratidzo zvikasavandudzika mukati memazuva gumi. | Manyoka akanyanya: 4 mg pakutanga, uyezve 2 mg mushure mega chega chakasununguka. Kunonyanyisa dose yezuva: 16 mg Chirwere chisingaperi: Shandisa chiyero chekuchengetedza che4 kusvika 8 mg pazuva. Ramba kana zviratidzo zvikasavandudzika mukati memazuva gumi. |
| Inguva yakareba sei kurapwa kwacho? | Manyoka enguva pfupi-ekupedzisira anogadzikana mukati memazuva gumi. Kushandiswa kwenguva refu kunogona kudikanwa pakurwara kusingaperi. | Manyoka enguva pfupi-ekupedzisira anogadzikana mukati memazuva gumi. Kushandiswa kwenguva yakareba kunogona kudiwa kune chirwere chisingaperi. |
| Ndiani anowanzoshandisa mushonga? | Vakuru nevana vane makore gumi nematatu zvichikwira. | Vakuru nevana vane makore maviri ekuberekwa zvichikwira. Vana vari pasi pemakore matanhatu vanofanira kubvunza chiremba vasati vatora Imodium mvura. |
Unoda mutengo wakanakisa paLomotil?
Saina iwe kuLomotil yemitengo yambiro uye uone kana mutengo uchinja!
Wana machenjedzo emitengo
Mamiriro ezvinhu akarapwa naLomotil uye Imodium
Lomotil FDA-inogamuchirwa senzira yekurapa yemanyoka. Izvi zvinoreva kuti Lomotil inokurudzirwa senzira yekuwedzera kurapa pamwe chete nenzira dzekurapa dzakadai sekudzivirira kupera mvura mumuviri.
Kufanana neLomotil, Imodium iri FDA-inogamuchirwa kurapa akati wandei marudzi emanyoka. Imodium inogona kushandiswa kurapa Manyoka emufambi pamwe nemanyoka anokonzerwa nemishonga senge chemotherapy. Lomotil uye Imodium inogona zvakare kurapa manyoka asingagumi anokonzerwa nekutsamwa kwe bowel syndrome (IBS).
Dhairrhea inowanzo tsanangurwa sekuva nezvituru zvakasununguka katatu kana kupfuura muzuva rimwe. Manyoka akanyanya anowanzo nyoro uye kazhinji haagare anopfuura rimwe kana mazuva maviri. Kudya muchetura ndechimwe chezvinyanya kukonzera manyoka akanyanya.
Chirwere chisingaperi yakanyanya kuoma uye inogona kugara kweanopfuura vhiki ina panguva. Zviratidzo zvemanyoka zvinogona kuenda zvega kana kugara kwenguva yakareba, izvo zvingangoda kurapwa nemushonga.
| Mamiriro | Lomotil | Imodium |
| Manyoka akanyanya | Ehe | Ehe |
| Manyoka emufambi | Ehe | Ehe |
| Chirwere chisingaperi | Ehe | Ehe |
| Chemotherapy-inosangana nemanyoka | Ehe | Ehe |
Lomotil kana Imodium inoshanda zvakanyanya here?
Lomotil uye Imodium ndizvo zvinonyanya kushandiswa antidiarrheal agents. Ose anoshanda uye anoshanda nekukurumidza kuti abvise zviratidzo zvemanyoka. Mushonga wakanakisa kwauri uchaenderana neyakajairika mamiriro ako, ayo anofanirwa kuongororwa neako mupi wezvehutano.
Izvo zvataurwa, Imodium inogona kunge iri mishonga inoshanda zvakanyanya. Kunyangwe paine pasina kiriniki miedzo inonyatso kuenzanisa Lomotil neImodium, zvimwe zvidzidzo zvinoratidza kuti Imodium ndiyo sarudzo inosarudzwa yekurapa manyoka. Bofu-mbiri, kudzidza crossover vakawana kuti loperamide yakanga iri nani pane diphenoxylate yekurapa manyoka kunyangwe pairi 2.5-fold yakaderera dosi.
Imwe kudzidza crossover uchienzanisa loperamide, diphenoxylate, uye codeine yekurapa chirwere chisingaperi. Vasati varapwa, 95% yevatori vechikamu vakaona kukurumidza sechiratidzo chavo chikuru chemanyoka. Chidzidzo chacho chakawana kuti loperamide uye codeine zvainyanya kushanda kupfuura diphenoxylate yekuzorora. Diphenoxylate yakawanikwa iine yakanyanya mhedzisiro mhedzisiro apo loperamide yakaratidzirwa kuva neiyo shoma.
Kuvhavha uye mutengo kuenzanisa kweLomotil vs. Imodium
Mazhinji Medicare Chikamu D uye zvirongwa zveinishuwarenzi hazvivhare zita-zita rekuti Lomotil. Nekudaro, marongero mazhinji einishuwarenzi anovhara iyo generic vhezheni yechirwere. Medicare Chikamu D zvirongwa zvinofanirwa kuvhara diphenoxylate / atropine zvinoenderana neyakafukidzwa yako. Ivhareji mutengo wekutengesa we generic Lomotil iri madhora makumi matatu nemasere. Tarisa nekemisi yako kuti uone kana uchikwanisa kushandisa kadhi rekuchengetedza mari. SingleCare Lomotil coupon inogona kudzikisa mutengo kuitira kuti ubhadhare madhora gumi nemaviri.
Imodium mushonga weOTC uyo ungangodaro usina kuvharwa neMedare uye zvirongwa zveinishuwarenzi. Zvimwe zvirongwa zvinogona kuvhara fomu generic nemushonga. Zvakanakisisa kutarisa hurongwa hweinishuwarenzi fomu kuti uve nechokwadi. Ivhareji mutengo we loperamide uri madhora makumi maviri nematanhatu. Uine SingleCare dhisikaundi, unogona kuwana generic loperamide mapiritsi angangoita $ 14. Kuti utore mukana wekuchengetedzwa kweOTC, uchatofanira kuwana mushonga kubva kuna chiremba wako .
| Lomotil | Imodium | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Kwete | Kwete |
| Inowanzo kufukidzwa neMedare? | Kwete | Kwete |
| Standard muyero | 2.5 mg diphenoxylate / 0.025 mg atropine, huwandu hwemapiritsi makumi matatu | 2 mg, huwandu hwemapiritsi makumi matatu |
| Chaizvoizvo Medicare copay | $ 0– $ 150 | $ 0– $ 99 |
| SingleCare mutengo | $ 12 | $ 14 |
Zvakajairika mhedzisiro mhedzisiro yeLomotil vs. Imodium
Mhedzisiro yemhedzisiro yeLomotil inosanganisira kurara, dzungu, uye kuda kurutsa. Kuenzaniswa neImodium, Lomotil inogona kunge iine mamwe maCS mhedzisiro anosanganisira kutemwa nemusoro, kusagadzikana, uye kusagadzikana.
Iyo inowanzoitika mhedzisiro mhedzisiro inosanganiswa neImodium ndeye kuvimbiswa . Zvimwe zvinowanzoitika mhedzisiro zvinosanganisira dzungu, kuda kurutsa, uye mudumbu kana mudumbu kupwanya.
Mune mizinga yepamusoro, zvakakomba mhedzisiro yeLomotil uye Imodium inogona kusanganisira kukotsira kwakanyanya, kuona zvisipo, uye kupera simba. Yakakomba mhedzisiro mhedzisiro senge kunonoka kufema (kufema kushushikana) kunogona zvakare kuitika neine chepfu mishonga.
| Lomotil | Imodium | |||
| Side Migumisiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Kuzvimbirwa | Kwete | - | Ehe | 5.3% |
| Dzungu | Ehe | * haina kutaurwa | Ehe | 1.4% |
| Nausea | Ehe | * | Ehe | 1.8% |
| Dumbu rinorwadza | Ehe | * | Ehe | 1.4% |
| Kusvipa | Ehe | * | Ehe | * |
| Muromo wakaoma | Ehe | * | Ehe | * |
| Kukotsira | Ehe | * | Ehe | * |
| Kutemwa nemusoro | Ehe | * | Kwete | - |
| Kusadzikama | Ehe | * | Kwete | - |
| Kuvhiringidzika | Ehe | * | Kwete | - |
Izvi zvinogona kunge zvisiri rondedzero izere yemhedzisiro mhedzisiro inogona kuitika. Ndokumbira utarise kuna chiremba wako kana mupi wezvehutano kuti udzidze zvimwe.
Kwayaka: DailyMed ( Lomotil ), Zuva Nezuva ( Imodium )
Kubatana kwezvinodhaka zveLomotil vs. Imodium
Lomotil inogona kudyidzana nemishonga yakaita se monoamine oxidase inhibitors (MAOIs) uye CNS depressants. Kutora MAOI, senge selegiline kana phenelzine, neLomotil kunogona kuwedzera njodzi yedambudziko rehypertensive, kana kutyisa BP. Ngozi yemhedzisiro inokanganisa inogona zvakare kuwedzerwa uchitora CNS inodzvinyirira zvinodhaka senge barbiturates, benzodiazepines, uye tsandanyama dzinozorodza .
Kusiyana neLomotil, Imodium inonyanya kugadziriswa muchiropa nema enzymes senge CYP3A4 enzyme uye CYP2C8 enzyme. Zvinodhaka zvinodzivisa, kana kuvharira, izvi enzymes zvinogona kuwedzera mazinga eImodium muropa. Nekuda kweizvozvo, kutora mishonga iyi pamwechete kunogona kuwedzera njodzi yemhedzisiro.
| Zvinodhaka | Kirasi Yezvinodhaka | Lomotil | Imodium |
| Selegiline Phenelzine Isocarboxazid Tranylcypromine | Monoamine oxidase inhibitors (MAOIs) | Ehe | Kwete |
| Phenobarbital Pentobarbital Alprazolam Lorazepam Trazodone Oxycodone | CNS kuora mwoyo | Ehe | Ehe |
| Saquinavir Itraconazole | CYP3A4 inhibitors | Kwete | Ehe |
| Gemfibrozil | CYP2C8 inhibitors | Kwete | Ehe |
| Quinidine Ritonavir | P-glycoprotein inhibitors | Kwete | Ehe |
Iri harisi rondedzero izere yekudyidzana kwemishonga. Ndokumbirawo ubvunze chiremba wako usati watora iyi mishonga.
Yambiro dzeLomotil uye Imodium
Lomotil haifanire kushandiswa muvana vari pasi pemakore matanhatu ekuberekwa nekuda kwenjodzi yekuwedzera yekufema uye CNS kushushikana. Avo vane chipingaidzo chendunduru kana inozivikanwa hypersensitivity kune diphenoxylate kana atropine vanofanirwa zvakare kudzivirira kushandisa Lomotil.
Imodium inonzi yakonzera Torsades de Pointes , kusungwa kwemoyo, uye kufa kana zvatorwa zvakakwira kupfuura zviyero zvakakurudzirwa. Zvinokurudzirwa kutora chete shoma inodiwa chipimo chemushonga sekurairwa nemupi wako wezvehutano. Imodium haifanirwe kushandiswa muvacheche nevacheche isingasviki makore maviri ekuberekwa nekuda kwenjodzi yekufema uye CNS kushushikana.
Lomotil uye Imodium hazvifanirwe kushandiswa kurapa manyoka anokonzerwa nehutachiona hutachiona. Iyi mishonga haifanirwe kushandiswa kurapa manyoka ayo anokonzerwa nezvipuka zvakaita se Clostridium difficile uye Salmonella .
Bvunza chiremba wako kana uine chero mamiriro ekurapa usati watora iyi mishonga. Zvinokurudzirwa kutora mishonga iyi nemazano ekurapa kubva kumupi wako wezvehutano.
Inowanzo bvunzwa mibvunzo nezve Lomotil vs. Imodium
Chii chinonzi Lomotil?
Lomotil mushonga wekunyorerwa unoshandiswa senzira yekurapa yemanyoka. Lomotil inowanikwa mu brand-zita uye generic vhezheni. Inogona kutorwa kune yakashata kana isingaperi manyoka muvakuru uye vana vane makore gumi nematatu ekuberekwa nekure.
Chii chinonzi Imodium?
Imodium ndeye over-the-counter (OTC) mushonga uyo FDA-inogamuchirwa kurapa manyoka. Imodium inowanzo shandiswa kurapa manyoka eTraveller kunyangwe ichikwanisawo kurapa manyoka asingaperi anokonzerwa neBS. Imodium inogona kubata vakuru nevana vane makore maviri ekuberekwa uye zvichikwira.
Lomotil uye Imodium zvakafanana here?
Kwete. Lomotil neImodium hazvina kufanana. Kunyangwe ivo vachishanda nenzira dzakafanana, Lomotil inogona kuwanikwa chete nemushonga. Imodium inogona kutengwa pamusoro pekambani.
Lomotil kana Imodium iri nani here?
Lomotil neImodium imishonga inoshanda kurapa manyoka. Vamwe tsvagiridzo yakaratidza kuti hapana musiyano wakakosha mukubudirira pakati pezviviri. Zvisinei, zvimwe zvidzidzo vakaratidza kuti Imodium inoshanda zvakanyanya uye zviri nani kushivirira. Bvunza chiremba wako nezve yakanakisa yekurapa sarudzo iyo yakakodzera iwe.
Ndinogona here kushandisa Lomotil kana Imodium nepamuviri?
Vamwe vanachiremba vanogona kubvumidza kushandiswa kweLomotil kana Imodium panguva yepamuviri chete kana zvichidikanwa. Zvikasadaro, Lomotil uye Imodium hazviwanzo kukurudzirwa panguva yekuzvitakura nekuda kwekugona kwekukuvara kwechibereko. Taura nachiremba wako nezve antidiarrhea sarudzo iwe paunenge uine pamuviri.
Ndinogona here kushandisa Lomotil kana Imodium nedoro?
Hazvikurudzirwi kunwa doro uchishandisa Lomotil kana Imodium. Lomotil uye Imodium zvinogona kukonzeresa migumisiro yakadai sekukotsira uye dzungu. Kunwa doro kunogona kuwedzera izvi mhedzisiro.
Nei Lomotil inorambidzwa?
Lomotil haisi mushonga wakarambidzwa. Nekudaro, icho Chirongwa V zvinhu zvinodzorwa sekutsanangurwa neDEA. Izvi zvinoreva kuti pane mukana wekushandisa zvisizvo uye kushungurudza kana uchishandisa mushonga uyu. Nayo pachayo, diphenoxylate, chinhu chikuru chinoshanda cheLomotil, chinhu cheShedhiyo II chine mukana wakakura wekushungurudzwa.
Unogona here kutora Lomotil kwenguva refu?
Lomotil haina kukurudzirwa kuti ishandiswe anopfuura mazuva gumi yeanyoka manyoka. Mune zvimwe zviitiko, Lomotil inogona kushandiswa kwekushandisa kwenguva refu, kunyanya pakurwara kusingaperi. Kushandiswa kwenguva refu kweLomotil kunofanirwa kuongororwa nachiremba.
Chii chinoitika kana Imodium isingamise manyoka?
Imodium inofanira kubvisa zviratidzo zvemanyoka manyoro mukati maawa makumi mana nemasere. Kana iwe ukawana chero cheanotevera, iwe unofanirwa kufonera chiremba wako nekukasira:
- Ropa muzvigaro
- Fivha kana tembiricha iri pamusoro pe101.3 ° F
- Kutambudzika kwakanyanya kwepamuviri
- Kupfuura matanhatu kana anopfuura akasununguka zvituru pazuva
- Dhairrhea inotora kupfuura maawa makumi mana nemasere
- Zviratidzo zvakaita sekuremerwa musoro, kuvhiringidzika, kurwadziwa pachipfuva, kana malaise
