Amachiza athandwa kakhulu kwizixeko ezingama-50 zase-U.S

Inkampani

IColumbus, iOhio, kunye neLas Vegas zahlukile njengezixeko ezibini ezinokuba njalo. EColumbus, iqondo lobushushu eliphakathi ngama-62.5 ° F. ELas Vegas, ngama-80 ° F. Ukhenketho eLas Vegas lukhulu kakhulu, luzisa i-60 yeebhiliyoni zeedola ngonyaka. UColumbus akasondeli nokusondela — ilizwe lonke laseOhio lizisa kuphela i-46 yezigidigidi zeedola. I-Vegas ineendawo ezili-125 ze-Starbucks. UColumbus? Ngokuqhelekileyo ama-80 kuyo yonke indawo yemetro (kwaye uninzi lwazo luphakathi kwezinye iindawo zentengiso). Inye into le mizi mibini yenza sifana ngantoni? Lisinopril , amayeza kagqirha anyanga uxinzelelo lwegazi kunye nokusilela kwentliziyo. Kuzo zombini ezi zixeko, sesona siyobisi simiselweyo phakathi kwabasebenzisi be-SingleCare.

Ezi nkcukacha-manani zinomdla zicela umbuzo ngoba ? Ngoba yiLisinopril ithandwa kakhulu eLas Vegas naseColumbus (yabeka iitshathi ePhoenix, nayo). Ikwavuselele umdla wethu wokufuna ukwazi malunga namayeza athandwayo kwezinye iidolophu, ke sakhangela idatha kwaye safumanisa ulwazi olunomdla (kwaye kwezinye iimeko, luyothusa) ulwazi. Unomdla wokwazi ukuba leliphi iyeza eliqhele ukumiselwa eyakho indawo? Uluhlu lwethu lwamazwe angama-50 aphezulu eMelika lungezantsi.

Amphetamine-dextroamphetamine

Uninzi lweziyobisi ezimiselweyo eNew York; Chicago; UAustin, eTexas; Seattle; IDenver; IAtlanta; IRaleigh, NC; IVirginia Beach, Va .; ENashville, eTenn .; Jacksonville, Fla.; kunye neMinneapolis, Minn .; Isixeko saseKansas, Mo.

Ukuba wena okanye umntwana wakho unengxaki yokusilela kokuphazamiseka, imeko yokuziphatha ebonakaliswa kukungakwazi ukugxila, ukungxamiseka, ukungazinzi kunye nolawulo lwexesha elibi, mhlawumbi uvile amphetamine-dextroamphetamine -Nokuba unokuba uqhelene ngakumbi namagama eempawu zeziyobisi, Adderall kunye neMydayis. La mayeza anceda ngononophelo kunye noxinzelelo, ukuvumela abantu abane-ADHD ukuba bavelise ngakumbi emsebenzini okanye esikolweni. I-Amphetamine-dextroamphetamine iyasetyenziswa (nangona ingekho rhoqo) ukunyanga i-narcolepsy, ingxaki yokulala eshiya abantu bengalawuleki kwaye bezele kakhulu emini.

Ngokwoluhlu olude lweedolophu ezinxulunyaniswa ne-amphetamine-dextroamphetamine, Karen Kier, Ph.D., RPh, umlawuli wecandelo leziyobisi kunye nolwazi lwezempilo kwiYunivesithi yaseOhio eMntla, ithi ithi inxulumene nenani labemi kunye nokufumaneka kweenkonzo zononophelo lwempilo.

Ngezo zixeko zikhulu uzakufikelela ngcono koogqirha babantwana, ukufikelela ngcono kwizibhedlele zabantwana, kwaye [ukufikelela ngcono] kwiingcali kwindawo ye-ADHD nokuba umdala okanye ungumntwana, utshilo uKeir, esongeza ukuba abantu abasemaphandleni imimandla isenokungabi nalo uhlobo olufanayo lokufikelela kwaye ngenxa yoko mancinci amathuba okufumana iyeza lokunyanga imeko.

Amoxicillin

Uninzi lweziyobisi ezimiselweyo eLos Angeles; EHouston; ISan Diego; San Jose, Calif .; Washington, D.C.; Dallas; Fort Worth, eTexas; Arlington, eTexas; kunye neLong Beach, iCalif.

Iyeza eliqhelekileyo losapho lwe-penicillin, ifumobillin uqhelene phantse kuye nawuphina umntu okhe wahlangabezana nesono, indlebe, okanye olunye usulelo oluphezulu lokuphefumla. Ngapha koko, sesona sifo sichaza rhoqo isigulana, sinemiyalelo engama-56.7 yezigidi ebhalwe ngo-2016 kuphela, ngokuka Amaziko oLawulo noThintelo lwezifo (I-CDC).

Kwaye ngelixa ukusetyenziswa rhoqo kunye / okanye ukusebenzisa i-antibiotiki ngokungeyomfuneko kunokuba yingxaki, ngokuqinisekileyo i-amoxicillin inendawo yayo. Ukuba ufunyaniswe une-strep, i-bronchitis, inyumoniya, i-tonsillitis, esinye sezi zifo sele zikhankanyiwe, okanye usulelo lomchamo, i-amoxicillin ihlala iyindlela yokuqala yokuzikhusela. Umqolomba? Ngenxa yokwanda kosulelo olunganyangekiyo ngamayeza, ichiza lisenokungasebenzi kwimimandla ethile yelizwe, oko kuthetha ukuba ugqirha wakho kuya kufuneka anike enye into, u-Kier ucacisa.

Ngethamsanqa, ukuba uhlala kwesinye sezi zixeko zingasentla, oku ngekhe kube ngumcimbi (ubuncinci okwangoku). U-Kier uthi ababoneleli ngezempilo bathambekele ekumiseleni ngokusekwe kwiipateni zokuchasa ezibhaliweyo kwimimandla yabo, kwaye inyani yokuba ezi zixeko zikhupha imigqaliselo emininzi ye-amoxicillin ibonisa ukuba ukusebenza kwezi ndawo kusaqhubeka.

Lisinopril

Uninzi lweziyobisi ezimiselweyo ePhoenix; EColumbus, eOhio; Las Vegas; Sacramento, Calif .; UTulsa, Okla .; kunye neSixeko sase-Oklahoma

Sele sitshilo nge-lisinopril, kodwa ukwandisa- lisinopril lelinye lamayeza amaninzi kwi-ACE inhibitor (i-enzyme eguqula i-angiotensin), esetyenziselwa ukunyanga uxinzelelo lwegazi, uxinzelelo lwegazi kunye nokusilela kwentliziyo. Ngamanye amaxesha kunikwa izigulana ezineswekile kuba iyanceda ukugcina ukusebenza kwezintso, utshilo uKier.

Nokuba uhlala phi, le yi kakhulu amayeza athandwayo. Ngo-2016, i-lisinopril yamiselwa ngaphezulu kwe- Izigidi ezili-100 zabantu , evakalayo xa ucinga Iinkcukacha manani zeCDC bonisa ukuba izigidi ezingama-75 zaseMelika zinoxinzelelo lwegazi. Kodwa kutheni amanani aphezulu ePhoenix, eColumbus, eLas Vegas, eSacramento, eKansas City, eTulsa nase-Oklahoma City?

U-Kier uqikelela ukuba kusenokwenzeka ukuba sisicwangciso sezempilo esiqhutywa-oko kukuthi, nokuba kungasiphi na isizathu, abaguli abahlala kwezi zixeko bathanda ukuba nezicwangciso zempilo ezikhetha abaguli ukuba basebenzise i-lisinopril ngaphezulu kweziyobisi ezifanayo. Uthi, oku kungacaciswa yinto yokuba i-lisinopril yenye ye-ACE inhibitors yokuqala ukuya kubenzi, nto leyo eyenze yabiza kakhulu.

Amlodipine besylate

Uninzi lweziyobisi ezimiselweyo ePhiladelphia; IBoston; UCharlotte, NC; Indianapolis; IMilwaukee; ENew Orleans; kunye ne-Omaha, Neb.

Elinye ichiza loxinzelelo lwegazi, amlodipine besylate Isithinteli secalcium esinyangayo iintlungu zesifuba esinganyangekiyo. Njenge-lisinopril, isetyenziswa ngokubanzi kwaye ifikeleleka kakhulu ngokusekelwe kwinto yokuba iqale yenziwa generic kwangethuba, utshilo u-Kier, esongeza ukuba izigulana zihlala ziphendula kakuhle kwi-amlodipine besylate. Uthi iyathandwa naphi na (engaphezulu kwe 75 yezigidi abantu bayayithatha), kodwa ke iPhilly, iBoston, iCharlotte, i-Indianapolis, iMilwaukee, iNew Orleans, ne-Omaha?

Le isenokuba yenye imeko esekwe kwisicwangciso sempilo, okanye inokuba inento yokwenza nempilo iyonke yabahlali besi sixeko. Eminye imiba enxulumene nempilo inokubenza abahlali basezidolophini ngakumbi ukuba bafune unyango kwezonyango lwegazi.

Ukugqitywa kwefinasteride

Uninzi lweziyobisi ezimiselweyo eSan Francisco

Kuthengiswa phantsi kwamagama egama Iproscar kwaye Ukuchaneka , ifinishi Iyeza lonyango elisetyenziselwa ukunyanga iprostate eyandisiweyo (eyaziwa njengeklinikhi njenge-benign prostatic hyperplasia, okanye i-BPH) kunye nenkqayi yamadoda, utshilo uJeff Fortner, Pharm.D., Unjingalwazi wekhemesti kwiYunivesithi yasePacific eForest Grove, eOregon. I-BPH ichaphazela I-50% yamadoda phakathi kweminyaka engama-51 nama-60 ukuya kuma-90% (wow!) kudidi lwama-80 +. Ke, ayimangalisi ukuyibona kuluhlu lwamayeza athandwayo-ngakumbi xa ucinga ukuba i-BPH inokubangela iingxaki ezinje ngokuchama kunye nokusuleleka kwimichamo.

Umsebenzi weziyobisi, uGqirha Fortner ucacisa, ngokuthintela inkqubo yokuguqula phakathi kwe testosterone kunye ne-dihydrotesterone (okanye i-DHT). Kukucinywa okoivumela amayeza ukuba enze umsebenzi wawo, nokuba oko kuthetha ukulwa nokulahleka kweenwele okanye ukunyanga iprostate eyandisiweyo (okanye zombini). Ngelishwa, iyeza liza neziphumo ebezingalindelekanga-ke qiniseka ukuba uthethe nogqirha wakho malunga neenzuzo kunye nobubi bokuthetha. Kwakhona, yazi ukuba ngelixa i-finasteride ngamanye amaxesha isetyenziswa ngaphandle kwelebheli yabasetyhini abane-hirsutism (imeko ebonakaliswa kukukhula kweenwele okugqithileyo), ngokubanzi, abantu basetyhini kufuneka baphephe nokuba ukuphatha iyeza ngenxa yokuthambeka kwayo okubangela iziphene zokuzalwa ezinzima, utshilo uGqirha Fortner.

Kutheni le nto ithandwa kwiDolophu yeNkungu? Oku kuyimfihlakalo, ngakumbi kuba abemi esixekweni ayingoyena mntu ubhinqileyo (ukuphazamiseka kuhle kakhulu ngama-50-50).

I-Aspirin

Uninzi lweziyobisi ezimiselweyo eDetroit

I-Aspirin Ngokwesiqhelo iyeza elingaphezulu kwekhawunta elisetyenziselwa ukunyanga iintlungu, ukudumba, kunye nomkhuhlane. Lo mayeza uneminyaka engama-200 ukwanceda kakhulu njenge-thinner yegazi-izigulana ezininzi ziyayisebenzisa ukunceda ukuthintela ukubetha kunye nokugungxwa kwegazi. Nangona kunjalo, Umbutho wentliziyo yaseMelika icebisa ngokuchasene nokuyisebenzisela le njongo ngaphandle kokuba sele ufumene isiganeko esimalunga nentliziyo (ke thetha nogqirha wakho ngaphambi kokuba usongeze kwirejimeni yakho).

Nangona uninzi lwabantu luhlawula nje epokothweni iasprini, ezinye izicwangciso zeinshurensi ziya kuyigubungela ukuba ichazwe ngugqirha. Oku kungachaza ukuba kutheni ithandwa eDetroit- ngaphezulu kwama-25% abantu abaswelekileyo eMichigan ngonyaka ka-2013 ngenxa yesifo sentliziyo kunye nokubetha, ngokutsho kwengxelo elungiselelwe Isebe laseMichigan lezeMpilo yoLuntu . Ngaba oku kuthetha ukuba oogqirha bayasebenza nezigulana ukuthoba elo nani? Ngokuqinisekileyo kunokwenzeka!

Isodiyam yeLevothyroxine

Uninzi lweziyobisi ezimiselweyo eAlbuquerque, NM; ETucson, eAriz .; IMesa, iAriz .; Imithombo yeColorado, iColo .; kunye nePortland, i-Ore.

I-Levothyroxine -Yaziwa ngamagama egamaIVevothroid, Levoxyl , Synthroid , ITirosint , kunye Unithroid —Isetyenziselwa ukunyanga hypothyroidism (amanqanaba asezantsi e-thyroid), i-goiter (i-thyroid eyandisiweyo), kunye neentlobo ezithile zomhlaza we-thyroid, utshilo uKier. Ngamafutshane, iyeza luhlobo lonyango olubuyisela i-hormone. Isebenza, utshilo, ngokubonelela ngenguqulelo yokwenziwa kwehomoni umzimba ongayenzi ngokwaneleyo, ngaloo ndlela kulawulwa amanqanaba ehomoni ye-thyroid (eya kuba sezantsi, inikwe uxilongo).

Nangona kunzima ukufumanisa ngayo nayiphi na inqanaba lokuqiniseka, u-Kier uthi ukuthandwa kwe-levothyroxine kwezi zixeko zintathu zise Mzantsi-ntshona kunganxulunyaniswa nemfuza. Izibalo zibonisa ukuba uninzi lwabantu baseMelika boMthonyama bahlala kwiindawo ezithile ezili-10 -INew Mexico neArizona zibabini kuzo. Ngokufanayo, Olunye uphando lubonisa ukuba aboMthonyama baseMelika bathambekele kwisifo se-thyroid . Ukrokrela unxibelelwano olunokubakho. Ngokubhekisele kwiColorado Springs kunye nePortland-leyo yeyiphi na into eqikelelwayo.

IFluzone quadrivalent

Uninzi lweziyobisi ezimiselweyo e-Oakland, Calif.

Ngaba uwufumene umkhuhlane wakho? Ukuba uhlala e-Oakland, mhlawumbi kunjalo-lelona nyango lidumileyo kwicala eliqaqambileyo le-bay. Kusenokungafuneki ukuba sichaze ukuba uthini umkhuhlane okanye kutheni kubalulekile, kodwa ukuba kunjalo: umkhuhlane we-quadrivalent ugonyo olukhusela kwiintlobo ezine zentsholongwane enokubulala. Wonke umntu ongaphezulu kweminyaka yeenyanga ezi-6 kufuneka ayifumane, kwaye ikhuselwe yi-inshurensi. Ukutsiba umkhuhlane kuyingozi kwishishini, iingcali zithi— Abantu abangama-61,200 wasweleka ngenxa yeengxaki ezinxulumene nomkhuhlane kwisizini ye-2018-2019 (bekunjalo 80,000 kunyaka ongaphambili ).

Ke ithini malunga ne-Oakland enabantu abakhe uluhlu lokufumana ugonyo lwabo? U-Kier ubonakalisa ukuba yinkqubo esebenzayo yokuthengisa. Enye ye-HMO yesizwe inkulu e-Oakland, kwaye umbutho-oqinisekisa ipesenti enkulu yabahlali base-Oakland-wenza umsebenzi omkhulu wokufumana igama malunga nokubaluleka komkhuhlane kunye nokubonelela ngamathuba amaninzi abantu ukuba bafumane iifoto zabo . Banenkqubo efanelekileyo kakhulu, utshilo.

IAlprazolam

Uninzi lweziyobisi ezimiselweyo eTampa, Fla.

IAlprazolam sisiyobisi esichasene noxinzelelo, esithengiswa phantsi kwegama lophawu Xanax . UXanax ukwiklasi yamachiza abizwa ngokuba yi-benzodiazepines, kwaye la mayeza athile (ngelixa esebenza kakhulu ekunyangeni uxinzelelo olunamandla) ayakhobokisa, singasathethi ke ngokubekwa ngokweengcali ezithile (enye Uphononongo lwamva nje Ndide ndafumanisa ukuba oogqirha bamisela ii-benzos ngokuhamba rhoqo, ngaphandle kwenkxalabo kuluntu lonke lwezonyango malunga nokulutha kwazo). Nangona kunjalo, unxunguphalo yingxaki yokwenyani phakathi kwabantu abadala eUnited States. Ngamashumi amane ezigidi zabantu abadala abaneminyaka eyi-18 nangaphezulu abanengxaki yokuxhalaba, ngokuka Ixhala kunye noMbutho woXinzelelo eMelika .

UGqirha Fortner uthi, ngaphandle koxinzelelo oluya kubangelwa kukuhlala esoyika izaqhwithi ezitshisayo kunye neenkanyamba, akanakucinga nangayiphi na ingcaciso ethe ngqo malunga nokuba kutheni ukusetyenziswa kweXanax kungaphezulu eTampa. Isixeko senze, nangona kunjalo, kutshanje sikhundla I-74 kwi-100 ephezulu yezona zixeko zixineneyo uluhlu. Mhlawumbi oko kunika umbono kwibali elisemva kwedatha.

Vitamin D

Uninzi lweziyobisi ezimiselweyo e-El Paso, eTexas; Fresno, Calif .; ILouisville, eKy .; Miami; IMemphis, iTenn .; IBaltimore, Md.; kunye neSan Antonio

Vitamin D iyabhidisa njengoko kufuneka. Kuqikelelwa ukuba i-1 yezigidigidi zabantu kwihlabathi liphela banesiphene se-vitamin D, ngokwe IHarvard TH Isikolo seChan seMpilo kaRhulumente . Kodwa kuthetha ntoni kanye ukusilela? Kwaye ukuba wena are ukusilela (ngakumbi ukuba uhlala kwilizwe elisemantla), zingaphi ii-IUs ekufuneka uzenzile ukubuyisa umva ukusilela? Iimpendulo zixhomekeke kwiinguqu ezininzi, kodwa nabani na onenkxalabo kufuneka athethe nodokotela malunga nokuhlolwa kwegazi ukujonga amanqanaba. Ukuba zicinyiwe, kuyakufuneka usebenze nomboneleli wakho wezempilo kwisicwangciso esihle sokuncedisa kuba ivithamin D ibalulekile kuyo yonke into ukusuka kwimood ukuya kwimpilo yethambo nangaphaya.

Ngaba uya kuwufuna ummiselo wokoqobo? Ewe, oko kuxhomekeke. Uninzi lwabantu luyithenga ngaphezulu kwekhawuntari. Kukho iimeko zonyango, nangona kunjalo, ezinokuthi zinike amayeza amiselweyo, utshilo uKier. Siza kusebenzisa amayeza ka-vitamin D kwizigulana ezingaphumeleli kwezintso kuba [ngenxa yemeko yazo] imizimba yabo ayinakho ukuguqula ivithamin D [eqhelekileyo] kwifom abayifunayo, utshilo uKier.

Izigulane ezinezifo zesibindi, i-pancreas, kunye namathumbuunokufuna inguqu yamandla kagqirha-amayeza Sithetha ukuthini ngamandla kagqirha? Kuninzi-i-50,000 IUs kwi-capsule nganye, ihlala ithathwa kanye ngeveki. Xa kuthelekiswa, ingcebiso ngokubanzi yomntu omdala ophakathi yile Ii-IU ezingama-600 ngosuku .

Njenge lisinopril, u-Kier ukrokrela ukuba inani eliphakamileyo le-vitamin D lisisicwangciso sezempilo esiqhutywa (ngokuqinisekileyo asihambelani nesifo sezintso-iFlorida inamanqanaba asezantsi okusilela kwezintso kunamanye amazwe, ngokwe Isiseko seNtso seSizwe ). UGqr. Fortner uyazibuza nokuba ukusebenzisa i-sunscreen rhoqo kunento yokwenza nayo, kuba oko kungakhokelela ekuswelekeni kwe-vitamin D, utshilo.

Ukwaphuka kwesiXeko ngeSixeko kweyona mithi yamayeza ithandwayo

1. ENew York: Amphetamine-dextroamphetamine
2. Los Angeles: Amoxicillin
3. IChicago: Amphetamine-dextroamphetamine
4. IHouston: Amoxicillin
5. IPhoenix: iLisinopril
6. IPhiladelphia: Amlodipine besylate
7. San Antonio: Vitamin D
8. ISan Diego: Amoxicillin
9. IDallas: Amoxicillin
10. San Jose, Calif: Amoxicillin
11. UAustin, eTexas: Amphetamine-dextroamphetamine
12. IJacksonville, iFla: Amphetamine-dextroamphetamine
13. Fort Worth, eTexas: Amoxicillin
14. IColumbus, eOhio: Lisinopril
15. ISan Francisco: IFinasteride
16. UCharlotte, NC: Amlodipine besylate
17. I-Indianapolis: Amlodipine besylate
18. Seattle: Amphetamine-dextroamphetamine
19. IDenver: Amphetamine-dextroamphetamine
20. IWashington, DC: Amoxicillin
21. IBoston: Amlodipine besylate
22. El Paso, eTexas: Vitamin D
23. I-Detroit: I-Aspirin
24. INashville, iTenn: Amphetamine-dextroamphetamine
25. EPortland, e-Oregon: ILevothyroxine Sodium
26. IMemphis, iTenn: Vitamin D
27. Isixeko sase-Oklahoma: iLisinopril
28. ILas Vegas: iLisinopril
29. ILouisville, eKy: Vitamin D
30. IBaltimore, Md: Vitamin D
31. IMilwaukee: Amlodipine besylate
32. IAlbuquerque, NM: ILevothyroxine Sodium
33. I-Tucson, Ariz.: I-Levothyroxine Sodium
34. Fresno, Calif: IVithamin D
35. I-Mesa, Ariz.: I-Levothyroxine Sodium
36. Sacramento, Calif.: Lisinopril
37. IAtlanta: Amphetamine-dextroamphetamine
38. Isixeko saseKansas, Mo: Amphetamine-dextroamphetamine
39. Imithombo yeColorado, iColo.: ILevothyroxine Sodium
40. Miami: Vitamin D
41. IRaleigh, NC: Amphetamine-dextroamphetamine
42. I-Omaha, Neb .: I-Amlodipine besylate
43. Ibhantshi elide, iCalif: Amoxicillin
44. IVirginia Beach, iVa.: Amphetamine-dextroamphetamine
45. Oakland, Calif: I-Fluzone Quadrivalent
46. IMinneapolis: Amphetamine-dextroamphetamine
47. I-Tulsa, i-Okla: I-Lisinopril
48. IArlington, eTexas: Amoxicillin
49. ITampa, iFla.: IAlprazolam
50. ENew Orleans: Amlodipine besylate

Ulwazi oludumileyo lwamayeza amayeza lubonisa ezona zikripthi zigcwaliswe nge-singleCare ye-2019, ngaphandle kweeopioid kunye neziyobisi ezilahlekayo.