Amachiza amiselweyo kakhulu kwilizwe ngalinye ngo-2019

Inkampani

Ngo-Agasti, sayaphula amayeza amayeza agcwaliswa ikakhulu ngabasebenzisi beSingleCare , uluhlu olwalulawulwa ngamachiza oxinzelelo lwegazi kunye novithamini D. Ummiselo ngoku sijonga ngawona machiza amiselweyo e-2019-kwaye ngelixa uninzi lwazo ludibana, kukho izongezo ezintsha ezimbalwa.

Okuphawuleka ngakumbi, nangona kunjalo, yile nto uluhlu langoku lwamachiza lusixelela malunga nokusetyenziswa kwamayeza amiselweyo kwibhodi e-United States. Kutheni le nto amanye amachiza emiselweyo rhoqo kunamanye? Ngaba ukuthandwa kwesiyobisi kulungile okanye kubi? Zeziphi iimeko zempilo eziqhelekileyo kubantu baseMelika?

Ukufumana iimpendulo zale mibuzo, sacela oogqirha ababini ukuba balinganise iziyobisi eziphambili zonyaka kwaye babelane ngolwazi lwabo malunga neendlela. Nantsi into ebebeyithethile.

I-generic vs.

Onke amayeza amiselweyo kuluhlu lwe-2019 ayafumaneka ngohlobo oluqhelekileyo, nto leyo ebenza ukuba batshiphu kwaye kube lula ukufumaneka, utshilo uDavid Cutler, MD, ugqirha wosapho IZiko lezeMpilo likaPrince Saint John .

Ayizizo iinoveli, i-blockbuster, iziyobisi ezenza imali ufunda ngazo kumaphepha angaphambili, utsho. Zizo iziyobisi kwikhabhathi yamayeza yomntu wonke.

Kutheni kubalulekile nje oku? Kwabaqalayo, iziyobisi ezisebenzisa amagama ziqhuba zombini iindleko zesigulana ngaphandle kwe-epokothweni kunye neendleko zentlalo zeinshurensi yezempilo, utshilo uJoshua Septimus, MD, umfundi Umfundi waseHouston . Kuba amachiza enziwe afana nalawo enziwa ngumenzi amkelwe ngokubanzi njengokuba elungile njengophawu lwamagama, utshintsho kwimigqaliselo yohlobo oluqhelekileyo yinto elungileyo.

Ndonwabe kakhulu kukubona ukuba oogqirha bayasinda kumayeza egama-lophawu lwamagama kuba bekukho ixesha apho oogqirha bebebhala kakhulu imigqaliselo ebiza kakhulu, utshilo uGqirha Septimus. Kodwa ngoku amayeza amiselweyo ngokubanzi aqhelekileyo, kwaye ayabizi kwaye aneedatha ekudala ehamba nazo.

Zisixelela ntoni ezona ziyobisi zimiselweyo?

Into enomdla kukuba, ezona ziyobisi zimiselweyo ze-2019 ziwela kwiindidi zeendidi eziqhelekileyo: amayeza egazi, unyango lwe-thyroid, amayeza okubulala iintsholongwane kunye namayeza e-ADHD.

Iyavakala le nto, utsho uGqirha Septimus, kuba uxinzelelo lwegazi oluphezulu kunye ne-hypothyroidism zizifo ezibini eziqhelekileyo kubantu abadala. Ngokumalunga namanye amayeza? Amayeza okubulala iintsholongwane ebanzi aya kuhlala ithandwa kuba abantu baya kuhlala begula kwaye bafuna unyango, kwaye uluhlu luzaliswe zizinye iziyobisi eziqhelekileyo ezinje ngee-steroids kunye namayeza oxinzelelo.

Ngaba uyafuna ukufunda okungakumbi malunga nezona ziyobisi zimiselweyo ze-2019, ngokweedatha zeSingleCare (mhlawumbi enye oyithathayo ikuluhlu!) Okanye ufumane ichiza eliqhelekileyo kwilizwe lakho kulo nyaka? Funda ukwaphuka kweziyobisi ngamachiza.

Leliphi elona chiza limiselweyo?

• Amlodipine (generic Norvasc) kunye ne-lisinopril (generic Zestril, okanye Prinivil)
• Amoxicillin
• I-Levothyroxine sodium kunye ne-Synthroid
• I-Amphetamine-dextroamphetamine (i-generic Adderall)
• Uvithamini D omiselweyo
• IPrednisone
• Alprazolam (generic Xanax)
• ISildenafil

Amlodipine kunye ne-lisinopril

Ezona ziqhelekileyo ukumiselwa: Igazi elonyukayo
Eyona migaqo ithandwayo e: Alaska, Alabama, Arkansas, Connecticut, Delaware, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, IOhio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming

Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo ephathwa ngokulula, kwaye kukho isibonelelo esikhulu ekuyilawuleni-kubandakanya umngcipheko omncinci wokuhlaselwa sisifo sentliziyo kunye nokufa icala, ngokukaGqirha Cutler. Kwaye ayisosizathu sokuba uxinzelelo lwegazi oluphezulu ludle ngoku amlodipine kwaye lisinopril zithandwa kakhulu ngoku, nokuba.

Inkqubo yokuchonga ichaza ukuba ngubani one-hypertension yehlisiwe, izisa abantu abaninzi kwicandelo lokuchongwa ukuba bane-high blood, ucacisa uGqirha Cutler.

Ubhekisa ku Uhlaziyo luka-2017 isikhokelo esasekwa ngaphambili ngo-2003; Ikholeji yaseMelika yeCardiology kunye neAmerican Heart Association isuse isigaba soxinzelelo lwengqondo kwaye iphinde ihlengahlengise amanye amanqanaba oxinzelelo lwegazi. Kwaqikelelwa ukuba olu tshintsho luza kudwelisa abantu abaninzi njengabanoxinzelelo oluphezulu lwegazi, ngakumbi abantu abadala abancinci, kwaye kunokubangela ungenelelo lwangaphambili.

Ukuya kuthi ga ngoku la mayeza mabini, uGqirha uSeptimus uthi bobabini i-ACE inhibitors (njenge lisinopril) kunye ne-calcium channel blockers (njenge-amlodipine) ziindlela ezamkelekileyo zokunyanga uxinzelelo lwegazi oluphezulu, kunye ne-amlodipine iyeza elisebenziseka ngokulula elisezantsi iziphumo kunye ne-lisinopril yindlela ekhuselekileyo kubantu abanesifo seswekile okanye isifo sentliziyo.

Amoxicillin

Ezona ziqhelekileyo ukumiselwa: Usulelo lwegciwane endlebeni, empumlweni nasemqaleni
Eyona migqaliselo ithandwayo e: California, Washington, D.C., Maryland, New Jersey, Texas

UGqr. iifowuni zesixhenxe ifumobillin isiseko sonyango lwezifo zokuphefumla, kubandakanya usulelo lwendlebe kunye ne-strep throat, enceda ukucacisa ukuba kutheni yayisesona siyobisi sithandwayo kumazwe amane kulo nyaka.

Ukuba ujonga apho kubhalwa khona uninzi lwee-antibiotics, ngabantwana, kuba bahlala bephathwa rhoqo kwezi meko, utshilo.

Ngelixa nabani na okhe wachitha ixesha ekujikelezeni abantwana esazi ukuba ziimagnethi zentsholongwane kunye nosulelo, kusekho inkxalabo phakathi koogqirha malunga nenqanaba lokumiselwa kwee-antibiotics-ngakumbi xa zisetyenziselwa ukunyanga ukusuleleka kwintsholongwane kunaleyo yintsholongwane, enegalelo ukunyuka kwamazinga okuchasana neyeza lokubulala iintsholongwane.

Kukho iinzame ezibanzi eziqhubekayo zokunciphisa ukubhencwa okungafunekiyo kwiintsholongwane ubugosa iinkqubo, uGqirha Cutler uthi. Abantu kufuneka baziswe ngakumbi ngobungozi obubangelwa kukusetyenziswa gwenxa kweyeza, okungeyomfuneko, kunye nobungozi.

I-Levothyroxine sodium kunye ne-Synthroid

Ezona ziqhelekileyo ukumiselwa: IHypothyroidism
Eyona migqaliselo ithandwayo e: Arizona, Colorado, Florida, Idaho, Montana, Oregon, Puerto Rico, Islands Islands

I-Hypothyroidism, imeko apho i-thyroid iyeka ukwenza i-hormone eyaneleyo yokulawula imisebenzi ebalulekileyo yomzimba, ichaphazela ngokukhawuleza bahlanu kwabali-100 baseMelika , KwiZiko leSizwe leSwekile kunye neZigulo kunye neZifo zeZintso.

Umsebenzi we-thyroid ophantsi uqhelekile kwimeko yokuzimela ngaphandle kokubangela okanye ukuthintela, utshilo uGqirha Cutler, esongeza ukuba imiqondiso inokubonakala ngokufihlakeleyo, njengokudinwa okanye ukuqhina. Abantu abane-hypothyroidism banokufumana iintlungu ngokudibeneyo okanye kwezihlunu, ulusu olomileyo, ukuya exesheni ngokungaqhelekanga, okanye ukuzuza ubunzima.

Isodiyam yeLevothyroxine yinto eyaziwayo njengokutshintshwa kwedlala lengqula, kwaye uGqirha Septimus uthi ithandwa kuba ngenene azikho ezinye iziyobisi ezinokuthi zithathe indawo yelahleko yedlala lengqula. Ngombulelo, ukwatsho ukuba i-levothyroxine sodium ineqondo eliphezulu lokusebenza kwaye inceda uninzi lwezigulana eziyithathayo.

I-Amphetamine-dextroamphetamine (i-generic Adderall)

Ezona ziqhelekileyo ukumiselwa: I-ADHD
Eyona migqaliselo ithandwayo eMichigan, North Dakota, Rhode Island, Utah

Amphetamine-dextroamphetamine iqhele ukumiselwa ukuba inyangwe Iimpawu ze-ADHD , ezinokuthi ziqale ukusuka kuxinzelelo kunye nobunzima bokugxila ekugxininiseni nasekugwebeni okungalunganga, ngokukaGqirha Septimus. Ngokuhambelana nenyaniso yokuba abantu abaninzi bafumanisa ukuba bane-ADHD, kubandakanya abantwana abancinci , Ukuthandwa kweli chiza kuyaqhubeka nokukhula kuba kuthathwa ngokuba kukhuselekile kwaye kuyasebenza-kwaye ngoku iyafumaneka kwifomu yohlobo oluqhelekileyo.

Inkqubo ngqo yendlela i-amphetamine-dextroamphetamine inceda ngayo abaguli (ngaphandle kokusebenza kwinkqubo ye-nervous system) ayiqondakali ngokupheleleyo, kodwa ngokwe I-ADDitude Magazine , iyeza lifundwe ngokubanzi kumashumi eminyaka kwaye kubonakala ngathi alibangeli ngxaki kwezempilo kuninzi lwezigulana ezizithathayo.

Abathengisi

Amachiza aseleyo kuluhlu lwe-2019 awalungene nakwezinye kwezi ndidi zingasentla, kodwa yayilelona nani lichaziweyo kwishishini labo.

Uvithamini D omiselweyo

Ezona ziqhelekileyo ukumiselwa: Ukusilela kweVitamin D
Eyona mayeza ithandwayo e: New York

Ummiselo ivithamini D. , Elona chiza liphezulu eNew York, lisetyenziselwa ukunyanga ukunqongophala kukavithamini D. Kodwa uGqirha Septimus uthi inyani yokuba ibekwa ngokuxhaphakileyo ibonisa ukuba oogqirha basaqhubeka nokuhlola ivithamin D, isenzo IiNkonzo zoThintelo ze-US icebise ngokuchasene. Ngelixa uthatha amayeza ka-vitamin D kunokuba yimfuneko kwizigulana (njengalezo zine-osteoporosis), kusenokwenzeka ukuba zichazwe ngokungeyomfuneko kwezinye iimeko ezininzi.

IPrednisone

Ezona ziqhelekileyo ukumiselwa: Ukudumba
Eyona migqaliselo ithandwayo e: Maine

Ukumisela iipatheni zosulelo lokuphefumla njenge-bronchitis, inyumoniya, kunye nesinusitis kusenokwenzeka ukuba kutheni kangaka ubume wabethelwa eMaine kulo nyaka. I-corticosteroid ephatha iimeko ezahlukeneyo zokudumba kunye nokuzimela, uGqirha Septimus uthi abanye oogqirha kunokwenzeka ukuba bathembele kuyo xa isigulana sikhalaza ngokudumba, iintlungu, okanye ukungonwabi ngenxa yesimo esibi okanye esinganyangekiyo. Ukuthatha i-prednisone kunokukhokelela kwiqela imiphumela , eziba nzima ngakumbi ngokuthatha ixesha elide, ke kulungile ukuba ayisetyenziswa gwenxa kwilizwe liphela.

IAlprazolam

Ezona ziqhelekileyo ukumiselwa: Ixhala
Eyona migqaliselo aziwayo e: Tennessee

Ukukhululeka ngokukhawuleza kweempawu ezinxulumene nohlaselo loloyiko okanye i-phobias, alprazolam kumiselwe ukunceda abantu ukuba bajongane neemeko ezinzima njengokuhamba ngenqwelomoya xa usoyika ukubhabha. Ngelixa iXanax inokumiselwa uxinzelelo olungapheliyo , i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo okanye amanye amayeza alwa noxinzelelo kunokwenzeka ukuba asetyenziswe.

Isizathu sokuba i-alprazolam (i-Xanax) inokuba ithandwa kangaka, uGqirha Septimus uthi isebenza ngokukhawuleza kakhulu kunamanye amachiza eklasini yayo, iyenza ilungele iimeko ezifuna ukuqala ngokukhawuleza kwento.

[Nangona kunjalo], loo nto yenza ukuba ukuba likhoboka layo libe likhulu kakhulu, ulumkisa. Sisiyobisi esihle xa sisetyenziswa ngokukhuselekileyo, kodwa ngobuchule.

ISildenafil

Ezona ziqhelekileyo ukumiselwa: Ukungasebenzi kakuhle kwe-Erectile
Eyona migqaliselo ithandwayo: eHawaii

ISildenafil ipilisi yokungasebenzi kakuhle Viagra , yayilelona chiza liphezulu limiselweyo eHawaii kulo nyaka. Ngokubanzi, iingcali ziyazi ukuba i-sildenafil imiselwa rhoqo kuba izuze kwi-a ukwehla okukhulu kwiindleko umva ngo-2017 xa yafumaneka kwifomu yohlobo oluqhelekileyo. Nangona isasetyenziswa ngokuxhaphakileyo zizigulana ezizizityebi ezineendlela zokuthenga izinto ezingabalulekanga, iziyobisi, ixabiso lentengo esezantsi livumele abaguli abanganyangekiyo ukuba basebenzise unyango.

Ukwahlukana ngokwamazwe ngurhulumente

I-Alaska: iLisinopril
Alabama: Amlodipine
IArkansas: ILisinopril
IArizona: I-sodium yeLevothyroxine
ICarlifonia: Amoxicillin
IColorado: ILevothyroxine sodium
Ikhonkco: Amlodipine
IWashington, DC: Amoxicillin
IDelaware: iLisinopril
IFlorida: Isodiyam yeLevothyroxine
IGeorgia: Amlodipine
IHawaii: ISildenafil
Iowa: Lisinopril
Idaho: I-sodium yeLevothyroxine
I-Illinois: iLisinopril
I-Indiana: iLisinopril
IKansas: iLisinopril
IKentucky: iLisinopril
ELouisiana: Amlodipine
EMassachusetts: eLisinopril
EMaryland: Amoxicillin
IMaine: IPrednisone
IMichigan: Amphetamine-dextroamphetamine
IMinnesota: iLisinopril
EMissouri: eLisinopril
I-Mississippi: I-Amlodipine
IMontana: ILevothyroxine sodium
North Carolina: iLisinopril
EMantla Dakota: Amphetamine-dextroamphetamine
Nebraska: Lisinopril
INew Hampshire: iLisinopril
ENew Jersey: Amoxicillin
ENew Mexico: iLisinopril
INevada: iLisinopril
ENew York: Vitamin D
IOhio: iLisinopril
I-Oklahoma: iLisinopril
IOregon: Isodiyam yeLevothyroxine
IPennsylvania: Lisinopril
EPuerto Rico: I-Synthroid (igama lophawu lwe-levothyroxine sodium)
IRhode Island: Amphetamine-dextroamphetamine
UMzantsi Carolina: Amlodipine
EMzantsi Dakota: Lisinopril
Tennessee: IAlprazolam
I-Texas: Amoxicillin
I-Utah: Amphetamine-dextroamphetamine
IVirginia: iLisinopril
Iziqithi zeVirgin: I-Levothyroxine sodium
IVermont: iLisinopril
IWashington: Lisinopril
IWisconsin: iLisinopril
ENtshona Virginia: eLisinopril
Ukuza: I-Lisinopril

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