I-Effexor vs.Zoloft: Umahluko, ukufana, kwaye kukuphi okungcono kuwe
Iziyobisi Vs. UmhloboUkujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango iphathwe | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ
I-Effexor kunye neZoloft ngamayeza amabini athandwayo aboniswe kunyango loxinzelelo, oluqhelekileyo impilo Yengqondo imeko, phakathi kwezinye iimeko. Omabini la mayeza amiselweyo avunyiwe yi-United States yokutya kunye noLawulo lweeMithi (i-FDA).
I-Effexor yinxalenye yeqela lamayeza abizwa ngokuba yi-SNRIs (serotonin-norepinephrine reuptake inhibitors). I-SNRI inyusa amanqanaba e-serotonin kunye ne-norepinephrine kwingqondo.
I-Zoloft (i-sertraline) yi-SSRI (i-serotonin reuptake inhibitor ekhethiweyo). I-SSRI isebenza ngokwandisa amanqanaba e-serotonin kwingqondo.
Unyango nge-Effexor okanye iZoloft ihlala ihamba kunye nonyango lwengqondo kunye nogqirha wezengqondo okanye ugqirha wezifo zengqondo. Nangona i-Effexor kunye neZoloft zizinto ezidumileyo zokuthomalalisa uxinzelelo, azifani. Qhubeka ufunda ukuze ufunde okungakumbi ngamayeza omabini.
Yintoni umahluko ophambili phakathi kwe-Effexor kunye neZoloft?
I-Effexor yi-SNRI yoxinzelelo kwaye iyafumaneka kwi-brand (njenge-Effexor XR) kunye nefom yohlobo oluqhelekileyo. Igama lesiqhelo ngu venlafaxine. I-Effexor iyafumaneka kwifomathi yethebhulethi, kwaye ikwakhona njengephilisi ekhulisiweyo kunye nepilisi yokukhupha eyandisiweyo.
I-Zoloft yinto ekhethiweyo ye-serotonin reuptake inhibitor (i-SSRI) efumaneka kuzo zombini i-brand kunye ne-generic. Igama eliqhelekileyo yi-sertraline. I-Zoloft ifumaneka kuzo zombini iipilisi kunye nefom yefayili.
| Umahluko ophambili phakathi kwe-Effexor kunye neZoloft | ||
|---|---|---|
| Umncedisi | Zoloft | |
| Iklasi yeziyobisi | I-SNRI (i-serotonin-norepinephrine reuptake inhibitor) | I-SSRI (i-serotonin reuptake inhibitor ekhethiweyo) |
| Uhlobo lweBrith / generic | Brand kunye generic | Brand kunye generic |
| Ngubani igama eliqhelekileyo? | IVenlafaxine | Sertraline |
| Zeziphi iifom eza nalo iziyobisi? | Ithebhulethi, iifomsile zokukhululwa ezandisiweyo, iipilisi zokukhululwa ezandisiweyo | Ithebhulethi kunye nolwelo |
| Ithini idosi esemgangathweni? | Ithamo eliqhelekileyo li-XR 75 okanye i-150 mg yonke imihla Taper ngokuthe chu xa uyeka | Idosi yabantu abadala: 50-200 mg yonke imihla (ubuninzi be-200 mg ngosuku) Taper ngokuthe chu xa uyeka |
| Lude kangakanani unyango oluqhelekileyo? | Iyahluka | Iyahluka |
| Ngubani oqhelekileyo usebenzisa amayeza? | Abantu abadala | Abantu abadala; abantwana abaneminyaka emi-6 ukuya kweli-17 kwi-OCD kuphela |
Imiqathango ephathwe ngu-Effexor noZoloft
I-Effexor, kwifom yayo yokukhululwa kwangoko, ibonakalisiwe kukuphazamiseka okukhulu koxinzelelo. I-Effexor XR (ukukhutshwa okwandisiweyo) kubonisiwe kukuphazamiseka okukhulu koxinzelelo, ukuphazamiseka koxinzelelo ngokubanzi, ukuphazamiseka koxinzelelo kwezentlalo, kunye noxinzelelo lwexhala.
I-Zoloft ibonakalisiwe ukunyanga uxinzelelo olukhulu lokudakumba, ukuphazamiseka okungafunekiyo, ukuphazamiseka kwengqondo, ukuphazamiseka koxinzelelo lwasemva koxinzelelo, ukuphazamiseka koxinzelelo kwezentlalo, kunye nokuphazamiseka kwangaphambi kokuya exesheni.
| Imeko | Umncedisi | Zoloft |
| Ingxaki enkulu yoxinzelelo (MDD) | Ewe (iifom ze-IR kunye ne-XR) | Ewe |
| Ukuphazamiseka koxinzelelo ngokubanzi | Ewe (ifom yeXR kuphela) | Ngaphandle kwelebheli |
| Ingxaki yokujonga okunyanzelekileyo (i-OCD) | Ngaphandle kwelebheli | Ewe |
| Ukuphazamiseka kwengqondo (PD) | Ewe (ifom yeXR kuphela) | Ewe |
| Uxinzelelo lwasemva koxinzelelo lwasemva (PTSD) | Ngaphandle kwelebheli | Ewe |
| Ingxaki yoxinzelelo lwentlalo (SAD) | Ewe (ifom yeXR kuphela) | Ewe |
| Ukuphazamiseka kwangaphambi kokuya exesheni (PMDD) | Ngaphandle kwelebheli | Ewe |
Ngaba i-Effexor okanye iZoloft isebenza ngakumbi?
Isifundo esinye Uthelekise i-Effexor XR kunye neZoloft kunyango loxinzelelo kwaye bafumanisa ukuba omabini la machiza ayeneempembelelo ezifanayo kunye nefuthe elifanayo kubomi bobomi, kodwa iZoloft yayineziphumo ebezingalindelekanga ezimbalwa. Kwakhona, abaguli abathathe i-Effexor babenomngcipheko okhulayo woxinzelelo lwegazi.
Uhlalutyo kwi ILancet iphonononge uninzi lwezifundo ukukhangela eyona nto iphambili yoxinzelelo. Abaphandi bajonga i-21 ye-anti-depressants (kubandakanya i-Effexor kunye neZoloft) kwaye bafumanisa ukuba zonke izidambisi zisebenza ngakumbi kune-placebo. I-Effexor yafunyanwa njengenye ye-anti-depressants esebenzayo, kodwa iZoloft yanyamezela kangcono.
Elona chiza lisebenzayo kuwe kufuneka lichongwe ngumboneleli wakho wezempilo, onokuthi athathele ingqalelo imbali yakho yezonyango, iimeko zonyango, kunye namanye amayeza owathathayo anokuthi asebenzisane ne-Effexor okanye iZoloft.
Umyinge kunye nokuthelekiswa kweendleko ze-Effexor vs.Zoloft
I-Effexor XR, eyona nto idume kakhulu ye-Effexor, igutyungelwe zii-inshurensi ezininzi kunye nezicwangciso zokuyalela zeMedicare. Inguqulelo yohlobo oluqhelekileyo iya kuba nepopay esezantsi, kwaye igama lebrendi linokuba ne-copay ephezulu okanye lingenakho ukugqunywa. Ixabiso eliphuma epokothweni lommiselo oqhelekileyo wama-30, 150 mg wee-capsules eziqhelekileyo zi malunga ne- $ 140. Ungasebenzisa ikhadi lasimahla elilodwa lokuthenga i-generic prescription malunga ne- $ 15.
I-Zoloft ihlala igqunywe zii-inshurensi kunye nezicwangciso zonyango zeMedicare. UGeneric Zoloft uya kuba nepopay esezantsi, ngelixa igama lebranti linokuba nepopay ephezulu okanye lingenakugqunywa konke konke. Iindleko ezingaphandle kwe-pocket zeZoloft zimalunga ne- $ 32 yeepilisi ezingama-30 zeepilisi ezili-100 ze-generic sertraline. Ungasebenzisa ikhadi lasimahla le-SingleCare ukwehlisa ixabiso ukuya kwi- $ 10 ye-generic Zoloft.
Njengoko izicwangciso zeinshurensi ziyahluka kwaye zihlala zitshintsha, nxibelelana nesicwangciso sakho seinshurensi yezempilo ngolwazi olukhoyo ngoku
| Umncedisi | Zoloft | |
| Ngokuqhelekileyo i-inshurensi? | Ewe (generic) | Ewe (generic) |
| Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare? | Ewe (generic) | Ewe (generic) |
| Ubungakanani | I-30, i-150 mg yeepilisi ezandisiweyo zokukhutshwa | Iipilisi ze-30, 100 mg |
| I-Medicare copay eqhelekileyo | $ 0- $ 20 | $ 0- $ 13 |
| Ixabiso elilodwa | $ 10- $ 40 | $ 9- $ 31 |
Iziphumo eziqhelekileyo ezichaphazelekayo ze-Effexor vs Zoloft
Iziphumo eziqhelekileyo ezichaphazelekayo ze-Effexor XR ziyisicaphucaphu, ukulala, umlomo owomileyo, ukujuluka, iingxaki zesini, ukunciphisa ukutya kunye nokuqhaqha.
Eyona ixhaphakileyo iimpendulo ezingalunganga I-Zoloft isicaphucaphu, urhudo, iingxaki zesondo, umlomo owomileyo, ukulala nokungalali.
Ezinye iziphumo ezibi zinokwenzeka. Nxibelelana neengcali zonyango lwakho uluhlu olupheleleyo lweziphumo ebezingalindelekanga.
| Umzami | Zoloft | |||
| Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
| Intloko ebuhlungu | Ewe | 1.5% | Ewe | % ayixelwanga |
| Isicaphucaphu | Ewe | 30% | Ewe | 26% |
| Urhudo | Ewe | 8% | Ewe | Amashumi amabini% |
| Ukuqunjelwa | Ewe | 9% | Ewe | 6% |
| Ukunciphisa ukutya | Ewe | 10% | Ewe | 7% |
| Ukubila | Ewe | Shumi elinanye% | Ewe | 7% |
| Ukuphazamiseka kumchamo / iingxaki zesondo | Ewe | 5-10% | Ewe | 8% |
| Umlomo owomileyo | Ewe | Shumi elinantlanu% | Ewe | 14% |
| Ukulala | Ewe | Shumi elinantlanu% | Ewe | Shumi elinanye% |
| Ukuphuthelwa | Ewe | 18% | Ewe | Amashumi amabini% |
| Ukuba nesiyezi | Ewe | 16% | Ewe | 12% |
* Iipesenti ezidwelisiweyo ze-Effexor XR, ulwakhiwo oluqhelekileyo olumiselweyo lwe-Effexor.
Umthombo: DailyMed ( I-Effexor XR ), DailyMed (Zoloft)
Ukusebenzisana kweziyobisi kwe-Effexor vs Zoloft
Ii-inhibitors ze-MAO akufuneki zisetyenziswe kwiintsuku ezili-14 ze-Effexor okanye iZoloft. Indibaniselwano inokunyusa umngcipheko isifo se-serotonin , likaxakeka olusongela ubomi ngenxa yeserotonin egqithisileyo. Ii-Triptans ezisetyenziselwa ukunyanga i-migraines, kunye nezinye i-anti-depressants, i-opioids, i-dextromethorphan, okanye i-St. John's wort akufuneki isetyenziswe ngokudibeneyo ne-Effexor okanye iZoloft ngenxa yomngcipheko wesifo se-serotonin.
Izidakamizwa ezichasayo ezichasayo (i-NSAID) ezifana ne-Advil, Motrin, kunye ne-aspirin, okanye i-anticoagulants ezifana ne-warfarin, akufanele zithathwe kunye ne-Effexor okanye iZoloft ngenxa yokunyuka kwegazi.
Musa ukusela utywala ngelixa uthatha i-Effexor okanye iZoloft.
Olunye unxibelelwano lweziyobisi lunokwenzeka. Nxibelelana nomboneleli wakho wezempilo uluhlu olupheleleyo lokudibana kwamachiza.
| Iziyobisi | Iklasi yeziyobisi | Umncedisi | Zoloft | I-Aspirin Umgqube Ibuprofen Meloxicam INaproxen | Ii-NSAID (iziyobisi ezichasayo ezingasebenziyo) | Ewe | Ewe |
| IPhenelzine I-Rasagiline Selegiline I-Tranylcypromine | Ii-MAOIs (Monoamine oxidase inhibitors) | Ewe | Ewe |
| Utywala | Utywala | Ewe | Ewe |
| Rizatriptan ISumatriptan Zolmitriptan | IiTriptans | Ewe | Ewe |
| Dextromethorphan | Isikhohlisi esisicinezelayo | Ewe | Ewe |
| IWarfarin | I-Anticoagulant | Ewe | Ewe |
| Wort eSt | Isongezelelo | Ewe | Ewe |
| Citalopram I-Escitalopram IFluoxetine IFluvoxamine Paroxetine Sertraline | I-SSRI yoxinzelelo | Ewe | Ewe |
| I-Desvenlafaxine Duloxetine IVenlafaxine | I-SNRI yoxinzelelo | Ewe | Ewe |
| Amitriptyline Desipramine Imipramine Umgca weNortriptyline | I-TCA (i-tricyclic antidepressants) | Ewe | Ewe |
| Baclofen ICarisoprodol ICyclobenzaprine Imetaxalone | Ukuphumla kwezihlunu | Ewe | Ewe |
| ICarbamazepine I-Divalproex sodium IGabapentin ILamotrigine Levetiracetam IPhenobarbital IPhenytoin IPregabalin Ipiramidi ephezulu | IiAnticonvulsants | Ewe | Ewe |
| Idiphenhydramine | Ukuhlala kwi-antihistamine | Ewe | Ewe |
Izilumkiso zeEffexor kunye neZoloft
- I-Effexor kunye neZoloft bane isilumkiso sebhokisi emnyama . Isilumkiso sebhokisi emnyama sisilumkiso esiqatha esifunwa yi-FDA (e-United States yokutya kunye noLawulo lweeDrug). Abantwana, abakwishumi elivisayo, kunye nabantu abadala abancinci (ukuya kuthi ga kubudala beminyaka eyi-24) abathatha amayeza okulwa noxinzelelo banomngcipheko okhulayo wokucinga ngokuzibulala kunye nokuziphatha. Zonke izigulana ezithatha i-antidepressants kufuneka zijongwe ngononophelo.
- Izigulana ezithatha i-Effexor okanye i-Zoloft zisengozini ye-serotonin syndrome, imeko engxamisekileyo yezonyango esongela ubomi ebangelwa yi-serotonin eninzi. Oku kunokwenzeka ngakumbi ngokunyuka kwedosi kunye / okanye ukuba uthatha amanye amayeza anyusa i-serotonin. Ukubeka iliso kwiimpawu zokuba nemibono, umkhuhlane, ukungcangcazela, ukuxhuzula, kunye / okanye ukuphazamiseka.
- Iimpawu zokurhoxa, ezinje ngokuxhokonxa, zinokwenzeka xa uyeka i-Effexor okanye iZoloft. Izigulana kufuneka zilicofe iyeza kancinci kwaye zingaze ziyeke ngesiquphe. Umboneleli wakho wezempilo angakunika ishedyuli yokuthinta.
- Sebenzisa ngononophelo kwizigulana ezinokuxhuzula okanye ukuphazamiseka kwengqondo.
- Kukho umngcipheko wehyponatremia (isodiyam ephantsi) ngenxa yesifo se-secretion esingalunganga se-antidiuretic hormone (SIADH). Iimpawu ze-SIADH zingabandakanya intloko, ubunzima bokugxila, ukukhubazeka kwememori, ukudideka, ubuthathaka kunye nokungazinzi, okunokubangela ukuwa. Funa unyango ngokukhawuleza ukuba iimpawu zenzeka.
- Gwema i-Effexor okanye iZoloft kwizigulana ezineglaucoma yokuvalwa kwekona.
- I-Effexor okanye iZoloft inokunyusa umngcipheko wokopha. Lo mngcipheko ukwanda ngokusetyenziswa ngokudibeneyo kwee-NSAID okanye i-warfarin.
- Ukuphulukana nomdla wokutya kunye / okanye ukwehla kobunzima kunokwenzeka.
- I-Effexor okanye iZoloft kufuneka isetyenziswe kuphela kwi ukukhulelwa ukuba umboneleli wakho wezempilo ugqiba ukuba izibonelelo zingaphezulu komngcipheko. I-Effexor okanye iZoloft inokubangela iingxaki ezinkulu emntwaneni, ngakumbi ukuba zithathiwe kwitrimester yesithathu. Ukuba sele ukwi-Effexor okanye iZoloft kwaye ufumanisa ukuba ukhulelwe, nxibelelana nomboneleli wakho wezempilo kwangoko.
- Isisombululo somlomo seZoloft sine-12% yotywala.
- I-Effexor inokunyusa uxinzelelo lwegazi. Jonga uxinzelelo lwegazi ngaphambi kunye nangexesha lonyango nge-Effexor. Sebenzisa ngononophelo kwizigulana ezinengxaki yoxinzelelo lwegazi okanye iingxaki zentliziyo.
Imibuzo ebuzwa rhoqo malunga ne-Effexor vs.Zoloft
Yintoni i-Effexor?
I-Effexor yi-SNRI yoxinzelelo. U-Effexor uphatha ukudakumba (okwabizwa ngokuba kukuphazamiseka kwengqondo okanye uxinzelelo olukhulu) kubantu abadala. I-Effexor XR (ukukhutshwa okwandisiweyo) inyanga uxinzelelo, uxinzelelo lwentlalo, ukuphazamiseka kovalo, kunye noxinzelelo ngokubanzi loxinzelelo. Igama eliqhelekileyo le-Effexor yi-venlafaxine.
Yintoni iZoloft?
I-Zoloft (i-sertraline) yi-SSRI (ekhethiweyo ye-serotonin reuptake inhibitor) eboniswe kunyango lwesifo sokudakumba, ukuphazamiseka okunyanzelekileyo, ukuphaphazela, ukuphazamiseka koxinzelelo lwasemva koxinzelelo, ukuphazamiseka koxinzelelo kwezentlalo, kunye nokuphazamiseka kwangaphambi kokuya exesheni.
Ngaba i-Effexor kunye neZoloft ziyafana?
I-Effexor kunye neZoloft azifani. I-Effexor yinxalenye yeklasi yeziyobisi ebizwa ngokuba yi-SNRIs, okanye i-serotonin-norepinephrine reuptake inhibitors. Umsebenzi we-SNRI kwi-serotonin kunye ne-norepinephrin. Amanye amachiza kwiklasi ye-SNRI yiCymbalta (duloxetine) kunye nePristiq (desvenlafaxine).
I-Zoloft yinxalenye yeklasi yeziyobisi ebizwa ngokuba yi-SSRI, okanye i-serotonin reuptake inhibitors ekhethiweyo. Umsebenzi we-SSRI kwi-serotonin. Amanye amachiza kwiklasi ye-SSRI yamayeza yiProzac ( fluoxetine ), UCelexa (citalopram), Lexapro ( ifumanayipram ), Luvox (fluvoxamine), kunye ne Paxil (paroxetine).
Olunye umahluko phakathi kwe-Effexor kunye neZoloft luchaziwe apha ngasentla.
Ngaba i-Effexor okanye iZoloft ingcono?
Nokuba sisiyobisi sinokusebenza, kodwa wonke umntu uphendula ngendlela eyahlukileyo kumayeza ahlukeneyo. Olona nyango lubalaseleyo lunokuchongwa ngumboneleli wakho wezempilo, onokujonga imbali yakho yezonyango kunye namanye amayeza owathathayo anokuthi asebenzisane ne-Effexor okanye iZoloft.
Ndingayisebenzisa i-Effexor okanye iZoloft ngelixa ndikhulelwe?
Ukuthatha i-Effexor okanye iZoloft kwitrimester yesithathu kunokubangela iingxaki ezinkulu emntwaneni, oko kukhokelela kulaliswa esibhedlele ixesha elide, ukondla ityhubhu kunye nenkxaso yokuphefumla. I-Effexor okanye i-Zoloft imiselwe kuphela xa ukhulelwe xa izibonelelo zingaphezulu komngcipheko kwaye ukuba akukho enye indlela ekhuselekileyo ekhoyo. Ukuba sele uthatha i-Effexor okanye iZoloft kwaye ufumanisa ukuba ukhulelwe, nxibelelana nomboneleli wakho wezempilo ngengcebiso yezonyango.
Ndingayisebenzisa i-Effexor okanye iZoloft ngotywala?
Hayi. Akukho siyobisi kufuneka sisetyenziswe ngotywala. Ukudibanisa i-anti-depressant, efana ne-Effexor okanye i-Zoloft, notywala, kunokubangela ukudakumba okanye iimpawu zoxinzelelo, kuthintele ukucinga kunye nokuphaphama, kunye nokunyusa iziphumo zokudakumba nokozela.
Ngaba iZoloft ilunge ngakumbi ngoxinzelelo okanye uxinzelelo?
I-Zoloft ibonakalisiwe kukuphazamiseka kwengqondo (uxinzelelo). I-Zoloft ayiboniswanga ukuphazamiseka koxinzelelo ngokubanzi, kodwa ibonakalisiwe kukuphazamiseka, ukuphazamiseka koxinzelelo kwezentlalo kunye ne-OCD. Umboneleli wakho wezempilo unokumisela amayeza afanelekileyo kuwe, kuxhomekeke kwisifo sakho kunye nezinye izinto ezinje ngembali yakho yezonyango kunye namanye amayeza owathathayo anokusebenzisana noZoloft.
Ngaba i-Zoloft inokukhathazeka ngakumbi?
I-Zoloft inokunyanga uxinzelelo kunye neentlobo ezithile zokuphazamiseka koxinzelelo. Nangona kunjalo, abanye abantu banamava ukwanda koxinzelelo okanye ukuphazamiseka , ngakumbi xa uqala unyango. Ukuba uthatha uZoloft kwaye uzive uxhalabile okanye uphazamisekile, nxibelelana nomboneleli wakho wezempilo ngengcebiso yezonyango.
Kwakhona, iingcinga zokuzibulala zinokwenzeka kwezinye iimeko, kwaye umngcipheko uphezulu kwizigulana ukuya kuthi ga kubudala beminyaka engama-24. Ukuba ucinga ngokuzibulala, funa unyango olungxamisekileyo. Qiniseka ukuba abantu obathandayo bayazi malunga nokucinga ngokuzibulala kunye / okanye indlela yokuziphatha, ukuze babenako ukuphaphamela nayiphi na imiba enokubakho kwaye bakuncede ufune unyango ukuba kukho imfuneko yoko.
Ngaba kungcono ukuthatha iZoloft kusasa okanye ebusuku?
Ulwazi lokumisela iZoloft aluchazi elona xesha lilungileyo lokuyithatha. Elona xesha lilungileyo lomhla kuxa uya kukhumbula ukulithatha yonke imihla. Kwakhona, ukuba iZoloft ikwenza wozele, unokufuna ukuyithatha ebusuku. Kwabanye abantu, uZoloft ubangela ukulala. Ukuba uZoloft ubangela ukulala, unokufuna ukuyithatha kusasa. Ungabuza umgqirha wakho ukuba ngaba uphakamisa ixesha elinconywayo.
