Sifumene iyeza elaziwa kakhulu kwilizwe ngalinye ngo-2020

Inkampani

Ekuboneni kokuqala, iAlaska kunye neNew Mexico abanakubonakala ngathi banokufana. Ukanti, babelana ngesiyobisi sinye. Ngoba? Ngelixa izinto ezininzi zitshintshile ngo-2020, inye into engeyiyo imfuno yabantu yamayeza kagqirha.

Kuwo wonke unyaka, i-SingleCare iyaqhubeka nokubonelela ngezaphulelo kwimigqaliselo efunwa ngabantu, nokuba yeyokugula okwenzeka ngamaxesha athile kwiindawo ezinokuthintela izifo okanye amayeza entliziyo kwiimeko ezinganyangekiyo. Abaphandi be-SingleCare bahlalutye idatha yethu yommiselo yowama-2020 kwaye bafumana olona nyango luzaliswe kuwo onke amazwe.

Ke leliphi iyeza elidumileyo apho uhlala khona? Kwaye ngoba? Funda ukuze ufumane.

Uninzi lweziyobisi eziqhelekileyo eziqhelekileyo zikarhulumente:

1. ILisinopril (iPrinivil / iZestril)
2. Vitamin D
3. I-Levothyroxine sodium (iSynthroid)
4. Amoxicillin (Amoxil)
5. I-Amlodipine besylate (iNorvasc)
6. Ibuprofen (iMotrin)
7. I-Amphetamine / dextroamphetamine (Adderall)
8. IAlprazolam (Xanax)

Yiya kurhulumente ngemeko yokophuka

1. ILisinopril (iPrinivil)

Uninzi lweziyobisi ezimiselweyo eAlaska, Arkansas, Delaware, Iowa, Idaho, Illinois, Massachusetts, Minnesota, Missouri, Montana, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Texas, Virginia, Vermont, Washington Wyoming

Fumana ikhuphoni ye-lisinopril

I-Lisinopril liyeza elinyanga uxinzelelo lwegazi (uxinzelelo lwegazi) —imeko eqhelekileyo e-U.S. Phantse isiqingatha sabo bonke abantu abadala bahlala nayo, ngokwe Amaziko e-U.S. OLawulo noKuthintela izifo (I-CDC). Kwaye kukho ubungqina be-anecdotal ukuba ubhubhane we-COVID-19 (kunye noxinzelelo oluzisayo) uqhuba loo manani aphezulu. Baninzi abantu abanokufuna iphepha le-lisinopril, elinokuthi lichaze inxenye yesizathu sokuba yileOlona nyango luthandwayo phakathi kwabasebenzisi be-SingleCare phantse isiqingatha se-50.

Amayeza afana ne-lisinopril (i-ACE inhibitor) ayekisa imithambo yegazi kwaye ayithintele ukunciphisa, isenza kube lula ngentliziyo ukupompa igazi ngemithambo yakho. Ngenxa yokuba i-lisinopril i-generic, ayibizi, kwaye iyasebenza, imiselwe ngokubanzi ngaphezulu kweminyaka engama-20.

Ukongeza, i-lisinopril inezibonelelo ezibonakalayo ekunciphiseni ukuqhubela phambili kwesifo sezintso, ngakumbi kubantu abanesifo seswekile, utsho UBarry Gorlitsky ,MD,nephrologist kunyeumbhali webhlog KidneyAide. Iyanciphisa uxinzelelo entliziyweni, inciphise ukusweleka kwabo banesifo sentliziyo, kwaye iphucula ukusebenza kwentliziyo. Yindlela yokuqala yokulwa uxinzelelo lwegazi olucetyiswayo kwizigulana ezisencinci kunye nezindala imibutho emininzi yezonyango , kubandakanyaUmbutho wentliziyo yaseMelika.

Kuzo zonke ezi zizathu, u-lisinopril uyinkosi, utshilo uGqirha Gorlitsky.

Ezinxulumene: Unyango lwegazi kunye nonyango

Mbini. Vitamin D

Uninzi lweziyobisi ezimiselweyo kwi IAlabama, eKentucky, eNew York, eNtshona Virginia

Fumana isigqebhezana sevithamini D

Ufunxa ivithamin D ngokwendalo xa uchitha ixesha elangeni, kwaye ikwangaphakathi ukutya okuninzi okutyayo . Kodwa kwiindawo ezithile ezinokukhanya kwelanga okuncinci okanye ukufikelela kwimveliso entsha, amanqanaba e-vitamin D anokuwela ngokukhawuleza ngaphantsi kwesiqhelo. Intsingiselo, inokuba sisiseko kwikhabhinethi yakho yamayeza.

Ukunqongophala kukaVitamin D kuqhelekile, kwaye kuye kwaba njalo idityaniswe Ukudakumba, ukudinwa okungapheliyo, ukutyeba kakhulu, isifo seswekile, uxinzelelo lwegazi, i-fibromyalgia, kunye ne-osteoporosis, phakathi kwezinye izinto. Abanye, ukongezwa ngaphezulu kwekhawuntari kwanele. Ukufumana idosi ephezulu, unokufuna iyeza.

I-Vitamin D ixhaphake kakhulu kubantu abanesiphene kunye / okanye njengenxalenye yesicwangciso sonyango sokuthintela okanye ukucothisa ukuqhubela phambili kwe-osteoporosis, utshilo uGqirha Emmel. Ihlala ichazwa kwizigulana ezindala, ezinokuthi zichaze ukuba kutheni le nto iluhlu oluphezulu eWest Virginia I-3 ephezulu yabemi abadala elizweni.

Ngenxa yokunqongophala kukaVitamin D, ngokuqhelekileyo kunxulunyaniswa nokukhanya kwelanga okungonelanga, uGqirha Emmel uthi ayothusi into yokuba kuluhlu oludume kakhulu eNew York, ngenxa yemozulu. Wayenokudideka ngakumbi malunga namanye amazwe kolu luhlu, kodwa ngokujonga ivithamin D yayingumyalelo wokuba uphakamise uluhlu kuluhlu lwamazwe amaninzi. kunyaka ophelile, Kubekho ukwehla okubonakalayo ekuthandeni kwayo ngo-2020. Mhlawumbi oko kuthetha ukuba abantu abaninzi bebesebenza ngaphandle kwalo nyaka njengoko amanyathelo okutshixa abagcina kwezinye iisetingi zentlalo.

Ezinxulumene: Ingakanani ivithamin D ekufuneka ndiyithathile?

3. I-Levothyroxine sodium (iSynthroid)

Uninzi lweziyobisi ezimiselweyo kwi IArizona, eColorado

Fumana ikhuphoni yesodiyam levothyroxine

I-Levothyroxine inceda ukubuyisa amanqanaba ehomoni ye-thyroid ibuyele esiqhelweni kubantu abane-thyroid engasebenziyo (ekwabizwa ngokuba yi-hypothyroidism). Ingxaki yempilo eqhelekileyo e-U.S., Echaphazela 5 kubantu abangama-100 kwilizwe liphela.

Iimpawu zibandakanya ukudinwa, ukuzuza ubunzima, ukuqhina, ukonyusa ubushushu kubanda, ukucheba iinwele, kunye noxinzelelo. Le meko inokuza ngokwendalo (ngamanye amaxesha ngenxa yokuguga). Inokubangelwa kukonzakala (njengentsholongwane okanye imitha) kuyo, okanye ukususwa, idlala lengqula. I-Hypothyroidism ichongwa xa umsebenzi wegazi ubonakalisa amanqanaba asezantsi e-thyroid.

Kutheni levothyroxine ithandwa kangaka eArizona naseColorado? Le meko ixhaphake kakhulu kwabasetyhini nakubantu abangaphezulu kweminyaka engama-60, ngoko ke mhlawumbi inani labantu kuloo mazwe lichaza oko, utshilo uGqirha Emmel. (IArizona, enyanisweni, inepesenti ephezulu abafazi kunamadoda , kwaye ikwinqanaba eliphezulu kwi abantu abadala -Kodwa iColorado yaziwa ngokuba akukho.) Kuqheleke kakhulu ke ngoko ayothusi into yokuba libone eli yeza likufutshane nemiyalelo esetyenzisiweyo.

I-Levothyroxine ngamanye amaxesha isetyenziselwa ukunyanga ezinye iingxaki ze-thyroid, njengomhlaza we-thyroid.

Ezinxulumene: Unxibelelwano ngamayeza e-thyroid

4. Amoxicillin (Amoxil)

Uninzi lweziyobisi ezimiselweyo kwi California

Fumana i-amoxicillin coupon

Kusenokwenzeka ukuba ukhe weva nge-amoxicillin ngaphambili-yenye yezona zintsholongwane zithandwa kakhulu kwi-penicillin class. Isetyenziselwa ukunyanga usulelo lwebacteria, utshilo uGqirha Emmel. Xa isetyenziswe ngokuchanekileyo, inokuba sisixhobo esinamandla ngokuchasene nezifo ezinje ngomqala womqala, usulelo lwendlebe lwebacteria, inyumoniya, kunye nosulelo lokuphefumla.

Ngelishwa, iyasetyenziswa ukunyanga izifo ezinokubangelwa ziintsholongwane, utshilo uGqirha Emmel. Kwaye ngenxa yokuba i-amoxicillin ayinyangi ukusuleleka kwintsholongwane, oko kuthetha ukuba kumiselwe ngaphezulu.

Umyalelo omnye kwabathathu weyeza lokubulala iintsholongwane awunyanzelekanga, ngokuka i-CDC . Ukusetyenziswa gwenxa kwezi ziyobisi kungakhokelela Ukuchasana neentsholongwane , imeko eyenzekayo xa iintsholongwane kunye neentsholongwane zingasaphenduli kumayeza, zisenza ukuba unyango lube nzima ukunyanga kwaye lube yingozi kakhulu.

Kodwa, ulwazi ngayo luyakhula kwiminyaka yakutshanje. Inyaniso yokuba i-amoxicillin yayiyeyona Rx ithandwayo kumazwe asixhenxe ngo-2019, kodwa inye kuphela kulo nyaka inokuba luphawu lokuba oogqirha bayichaza ngokukhululekileyo kunangaphambili.

Ezinxulumene: Kwenzeka ntoni ukuba awugqibi i-antibiotics?

5. Amlodipine besylate (eNorvasc)

Uninzi lweziyobisi ezimiselweyo kwi IConnecticut, eLouisiana, eMississippi, eNew Jersey

Fumana ikhuphoni ye-amlodipine besylate

Njengelungu leklasi yamayeza abizwa ngokuba yi-calcium channel blockers (CCB), i-amlodipine besylate inyanga uxinzelelo lwegazi (uxinzelelo lwegazi) kunye ne-angina (iintlungu zesifuba ezibangelwa kukuncipha kwegazi ukuya entliziyweni).

Lunyango olukhuselekileyo kwaye alubizi mali ininzi, utshilo uGqirha Emmel. Ngokufana ne-lisinopril, indibaniselwano yokusetyenziswa kwemeko eqhelekileyo, kunye neendleko zayo eziphantsi, zikhokelela ekusebenziseni okuphezulu kakhulu.

Uxinzelelo lwegazi oluphezulu lunxulunyaniswa nomngcipheko owandayo wokubethwa sisifo, isifo sentliziyo, kunye neengxaki zezintso, onke la mayeza kwiklasi yeCCB anceda ukuthintela. Ukongeza, i-lisinopril ibisezindabeni kulo nyaka njenge umngcipheko onokubakho yeengxaki xa wosulelwe yi-COVID-19. Nangona uphando lwalungahambelani, kwaye oogqirha bancomela izigulana baqhubeke nokuthatha ii-ACE inhibitors zabo, le nkxalabo inokuba ikhokelele kwimbonakalo yokuthandwa kwamanye amachiza-njenge-amlodipine-kwiindawo ezibethwe yintsholongwane, njengeLouisiana neNew Jersey.

Izizathu zokuba iyeza elinye linokumiselwa ngaphezulu kwelinye ziyahluka. I-Lisinopril lunyango lokuqala olungcono kunyango lwexinzelelo xa isigulana sinesifo seswekile, ukusilela kwentliziyo, kunye nokuhlaselwa sisifo sentliziyo kwangaphambili, ngokukaGqirha Emmel. Okwangoku, i-amlodipine ikwanceda ukunyanga i-angina (exhaphakileyo ebangelwa sisifo semithambo), isenza ukuba iyeza elinokubakho ukuba linikezelwe ukuba isigulana siyasokola. Kungenzeka ukuba amazwe apho i-amlodipine ithandwa kakhulu ineziganeko eziphezulu ze-angina.

Ezinxulumene: Ngawaphi amanqanaba oxinzelelo lwegazi aqhelekileyo?

6.Ibuprofen (iMotrin)

Uninzi lweziyobisi ezimiselweyo kwi IFlorida, Georgia, Hawaii, Maryland

Fumana ibuprofen coupon

Uninzi lwabantu lufikelele kwi-ibuprofen ngaxa lithile ebomini babo. Eli chiza lingasebenziyo lokulwa nokudumba (i-NSAID) linceda ukunciphisa iintlungu kunye nokudumba. Inyanga intloko, iintlungu zemisipha, umkhuhlane kunye nokudumba ngokudibeneyo, kunye nezinye iimeko ezahlukeneyo. Ingathengwa ngaphezulu kwekhawuntara ngeedosi ezisezantsi.

Iidosi ezinamandla ze-ibuprofen zinokumiselwa kwizigulana ezineengxaki ezingapheliyo, njenge-arthritis kunye ne-endometriosis.I-Ibuprofen 400 mg, 600 mg, kunye ne-800 mg ngamandla kagqirha. Oogqirha banokuba njalo ukumisela oku rhoqo ukuthintela ukusetyenziswa kweopioid, utsho uJoanna Lewis, uFarm.D., umsunguli we Isikhokelo samayeza .

IFlorida inelona nani liphezulu labemi abalupheleyo, kwaye iHawaii ikwindawo yesi-7 kolu luhlu — enokuthi ichaze into ebambekayo kulo myalelo kula mazwe.

Njenge anti-ukudumba, uGqirha Lewis uthi ibuprofen inokuba luncedo kwizifo ezininzi ezahlukeneyo, ephawula ukuba ikwangumyalelo oqhelekileyo onikwa abantu emva kokubeleka.

Ezinxulumene: Iidosi zebuprofen

7. Amphetamine / dextroamphetamine (Adderall)

Uninzi lweziyobisi ezimiselweyo kwi I-Indiana, Kansas, Maine, Michigan, North Dakota, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Wisconsin

Fumana i-amphetamine / dextroamphetamine coupon

I-Amphetamine / dextroamphetamine sisiyobisi esikhuthazayo esisetyenziselwa ukunyanga ukungahambi kakuhle kwengqondo (ADHD). Isetyenziswa kakhulu kubantwana abakwiminyaka yokuhamba isikolo nakubantu abadala abancinci, ke ukubonwa kwabantu ngokuqinisekileyo kuya kuchaza nakuphi na ukungangqinelani ekusetyenzisweni kwayo kwimimandla yonke, uGqirha Emmel ucebisa. Inyaniso, I-Indiana kunye ne-South Carolina ziphakathi kwamazwe amahlanu aphezulu okuchongwa kwe-ADHD. Kwaye konke ngaphandle kwe-South Dakota kunye ne-Utah zinamazinga aphezulu okuchongwa kwe-ADHD, ngokwe i-CDC .

Amayeza kucingelwa ukuba anciphisa ukungazinzi kwaye aphucule uxinzelelo. Kuyimpumelelo kakhulu xa isetyenziswa njengenxalenye yesicwangciso sonyango esibanzi esineendlela ezahlukeneyo zonyango.

Njengeinkqubo ye-nervous central ivuselela,i-amphetamine / dextroamphetamine inokunyanga i-narcolepsy-ingxaki yokulala ephawulwe ngeziqendu ezingapheliyo zokudinwa kwemini kunye nexesha lokulala ngesiquphe, elingalawulekiyo).

Ezinxulumene: Unyango lwe-ADHD kunye namayeza

8. IAlprazolam (Xanax)

Uninzi lweziyobisi ezimiselweyo kwi ETennessee

Fumana isigqebhezana sealprazolam

Ngo-Epreli, iingxelo zaqala ukujikeleza ukuba amayeza okulwa nexhala, njenge-alprazolam, ayesonyuka ngokuthandwa— phezulu 34% . Mhlawumbi ayothusi ke loo nto, ukuba eli yeza lifikelele phezulu kuluhlu lukarhulumente omnye kulo nyaka. Ingakumbi eTennessee, ebekwe njengombuso kunye amaqondo aphezulu oxinzelelo ebutsheni balo nyaka.

Ilungu leklasi yamayeza abizwa ngokuba yi-benzodiazepines, i-alprazolam isebenza ngokwenza iikhemikhali zendalo esele zisemzimbeni ukwenza isiphumo sokuthomalalisa inkqubo ye-nervous system.
Njengamayeza amaninzi okulwa noxinzelelo, iziphumo ebezingalindelekanga zealprazolam zixhaphake kakhulu xa kuqala amayeza naxa uphuma kuwo. Iimpawu zokurhoxa zinokubakho xa uyeka i-alprazolam ebandayo turkey. Ngesi sizathu, abaguli kufuneka basebenze noogqirha babo ukunciphisa idosi yabo kancinci ukuba bathatha isigqibo sokuyeka ukuthatha eli yeza.

Ezinxulumene: Ngama-62% abantu baseMelika abanamaxhala, ngokophando olutsha

Uninzi lwamachiza amiselweyo kuwo onke amazwe

1. IAlaska: Lisinopril
2. Alabama: Vitamin D
3. IArkansas: Lisinopril
4. Arizona: Isodiyam yeLevothyroxine
5. California: Amoxicillin
6. IColorado: Isodiyam yeLevothyroxine
7. Unxibelelwano: Amlodipine besylate
8. Delaware: Lisinopril
9. IFlorida: Ibuprofen
10. Jojiya: Ibuprofen
11. IHawaii: Ibuprofen
12. Iowa: Lisinopril
13. Idaho: Lisinopril
14. I-Illinois: Lisinopril
15. I-Indiana: Amphetamine / dextroamphetamine
16. EKansas: Amphetamine / dextroamphetamine
17. EKentucky: Vitamin D
18. ELouisiana: Amlodipine besylate
19. EMassachusetts: Lisinopril
20. EMaryland: Ibuprofen
21. Maine: Amphetamine / dextroamphetamine
22. EMichigan: Amphetamine / dextroamphetamine
23. IMinnesota: Lisinopril
24. EMissouri: Lisinopril
25. Mississippi: Amlodipine besylate
26. EMontana: Lisinopril
27. North Carolina: Lisinopril
28. EMantla Dakota: Amphetamine / dextroamphetamine
29. Nebraska: Lisinopril
30. ENew Hampshire: Lisinopril
31. Enew Jersey: Amlodipine besylate
32. ENew Mexico: Lisinopril
33. INevada: Lisinopril
34. Inew York: Vitamin D
35. EOhio: Lisinopril
36. Oklahoma: Lisinopril
37. Oregon: Lisinopril
38. IPennsylvania: Amphetamine / dextroamphetamine
39. Isiqithi iRhode: Amphetamine / dextroamphetamine
40. UMzantsi Carolina: Amphetamine / dextroamphetamine
41. EMzantsi Dakota: Amphetamine / dextroamphetamine
42. Tennessee: IAlprazolam
43. ETexas: Lisinopril
44. Utah: Amphetamine / dextroamphetamine
45. IVirginia: Lisinopril
46. IVermont: Lisinopril
47. Washington: Lisinopril
48. IWisconsin: Amphetamine / dextroamphetamine
49. ENtshona Virginia: Vitamin D
50. Ukuza: Lisinopril

Ulwazi oludumileyo lwamachiza amayeza lubonisa ezona zikripthi zigcwaliswe nge-singleCare ukusuka nge-1 kaJanuwari 2020 ukuya kwi-Okthobha 31, 2020, ngaphandle kwe-opioids kunye neziyobisi ezilahlekileyo.