I-Flonase vs.Nasonex: 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
Ngaba ukhathazwa yimpumlo egobileyo okanye erhabaxa, uthimla, kunye nokurhawuzela, amehlo anamanzi? Ukuba kunjalo, ungangomnye wabantu abazizigidi ezingama-50 baseMelika abanengxaki yokugula emzimbeni unyaka nonyaka. I-Flonase (i-fluticasone) kunye ne-Nasonex (i-mometasone) zimbini zonyango ezivunyiweyo ze-FDA ezisetyenziselwa unyango lweempawu zokungabikho komzimba. Ziyaziwa ngokuba zii-glucocorticoids, okanye ezaziwa njenge-steroids. Basebenza ngokunciphisa ukudumba nokuxinana kwiindinyana zempumlo, ngaloo ndlela behlisa iimpawu zokungabikho komzimba. Omabini la mayeza aziwa ngokuba zii-nasal steroids, kodwa i-Flonase kunye ne-Nasonex zinomahluko okhoyo, esiza kuwuchaza apha ngezantsi.
Yintoni umahluko ophambili phakathi kweFlonase neNasonex?
I-Flonase (i-fluticasone) yi-nasal corticosteroid, okanye edla ngokubizwa ngokuba yi-nasal steroid. Iyafumaneka ngugqirha kwifom yayo yohlobo oluqhelekileyo, kunye nangaphezulu kwe-counter (OTC) kwi-brand kunye ne-generic. Imveliso yegama le-OTC ibizwa ngokuba yi-Flonase Allergy Relief spray kwaye iyafumaneka kulwakhiwo lwabantu abadala kunye nokwenziwa kwabantwana. Ikwafumaneka kwisipreyi esincinci, esibizwa ngokuba yiFlonase Sensimist, kokubini abadala kunye nokwenziwa kwabantwana. IFlonase inokusetyenziswa kubantu abadala nakubantwana abaneminyaka emi-4 nangaphezulu.
I-Nasonex (i-mometasone) ikwayi-nasal steroid. Iyafumaneka kwi-brand kunye ne-generic, ngugqirha kuphela. Ingasetyenziswa kubantu abadala, kunye nabantwana abaneminyaka emi-2 nangaphezulu.
| Umahluko ophambili phakathi kweFlonase kunye neNasonex | ||
|---|---|---|
| UFlonase | I-Nasonex | |
| Iklasi yeziyobisi | I-corticosteroid yempumlo | I-corticosteroid yempumlo |
| Uhlobo lweBrith / generic | I-OTC: I-Brand kunye ne-generic I-Rx: Ngokwesiqhelo | I-Rx: I-Brand kunye ne-generic |
| Ngubani igama eliqhelekileyo? | Fluticasone propionate | IMometasone furoate |
| Zeziphi iifom eza nalo iziyobisi? | I-OTC: I-Flonase Allergy Relief spray (abantu abadala nabantwana) Isitshizi seempumlo seFlonase Sensimist (abantu abadala nabantwana) I-Rx: I-fluticasone eqhelekileyo | Ukutshiza ngeempumlo |
| Ithini idosi esemgangathweni? | Abantu abadala: 2 ukutshiza (i-50 mcg ngesitshizi ngasinye) kwimpumlo nganye mihla le okanye 1 ukutshiza kwimpumlo nganye kabini ngemini Abakwishumi elivisayo kunye nabantwana abaneminyaka emi-4 nangaphezulu: 1 ukutshiza kwilungu ngalinye lempumlo yonke imihla (inokunyuka okwethutyana iye kufafaze ama-2 kwimpumlo nganye ngemini, kwaye iphinde yehle kwakhona xa iimpawu zilawulwa) | Abantu abadala: 2 ukutshiza (i-50 mcg ngesitshizi ngasinye) kwimpumlo nganye kube kanye yonke imihla Abantwana abaneminyaka emi-2 ukuya ku-11 ubudala: |
| Lude kangakanani unyango oluqhelekileyo? | Ixesha elifutshane okanye ixesha elide (kuxhomekeke kwiimpawu kunye nomyalelo kagqirha) * thetha nogqirha ukuba umntwana wakho ufuna unyango ngaphezulu kweenyanga ezi-2 ngonyaka | Ixesha elifutshane okanye ixesha elide (kuxhomekeke kwiimpawu kunye nomyalelo kagqirha) * thetha nogqirha ukuba umntwana wakho ufuna unyango ngaphezulu kweenyanga ezi-2 ngonyaka |
| Ngubani oqhelekileyo usebenzisa amayeza? | Abantu abadala, abafikisayo, abantwana abaneminyaka eyi-4 nangaphezulu | Abantu abadala, abakwishumi elivisayo, abantwana abaneminyaka emi-2 nangaphezulu |
Iimeko eziphathwe yiFlonase vs.Nasonex
I-Flonase ibonakalisiwe kulawulo lweempawu zempumlo zonyaka okanye ezingapheliyo (unyaka wonke) i-nonallergic rhinitis (ukudumba kwempumlo) kubantu abadala nakubantwana abaneminyaka emi-4 nangaphezulu. I-nonallergic rhinitis yimeko apho ufumana khona iimpawu zempumlo ezifana ne-aleji okanye i-hay fever kodwa iimpawu azinaso isizathu esaziwayo. IFlonase ikwasetyenziswa off-ileyibheli yezinye iimeko ezininzi, ezichazwe ngezantsi.
I-Nasonex isetyenziselwa unyango lweempawu zeempumlo ze ngamaxesha athile onyaka kunye ne-rhinitis engapheliyo kubantu abadala kunye nabantwana abaneminyaka emi-2 nangaphezulu. Isetyenziselwa ukuthintela ukwaliwa kwamaxesha ngamaxesha kubantu abadala nakubantwana abaneminyaka eli-12 nangaphezulu, kunye nokunyanga ii-polyps zeempumlo kubantu abadala nakubantwana abaneminyaka eli-18 nangaphezulu. I-Nasonex ikwanokusetyenziswa kwelebheli engaphandle, echazwe ngezantsi.
| Imeko | UFlonase | I-Nasonex |
| Ulawulo lweempawu zempumlo zonyaka okanye ezingapheliyo i-rhinitis | Ewe (iminyaka emi-4 nangaphezulu) | Ngaphandle kwelebheli |
| Unyango lweempawu zeempumlo zonyaka kunye nokugula okungapheliyo kwe-rhinitis | Ngaphandle kwelebheli | Ewe, iminyaka emi-2 nangaphezulu |
| Iprophylaxis (uthintelo) lwe-rhinitis yamaxesha onyaka | Ngaphandle kwelebheli | Ewe, uneminyaka eli-12 nangaphezulu |
| Unyango lwe polyp ngeempumlo | Ngaphandle kwelebheli | Ewe, iminyaka eyi-18 nangaphezulu |
| I-rhinosinusitis yebhaktiriya ebonakalayo, inxulumene nezibulala-zintsholongwane | Ngaphandle kwelebheli | Ngaphandle kwelebheli |
| Intsholongwane ye-rhinosinusitis yokunceda | Ngaphandle kwelebheli | Ngaphandle kwelebheli |
| I-rhinosinusitis engapheliyo | Ngaphandle kwelebheli | Ngaphandle kwelebheli |
Ngaba iFlonase okanye iNasonex isebenza ngakumbi?
Kwisifundo seenyanga ezintathu ngokuthelekisa uFlonase kunye naseNasonex kwizigulana ezingama-459 (iminyaka eyi-12-77 iminyaka) ye rhinitis engapheliyo , omabini la machiza afunyenwe esebenza ngokufanayo kwaye enyamezeleka.
Enye, encinci iiveki ezisibhozo ukufunda Izigulane ezingama-75 ezine-rhinitis ye-allergen zafika kwisigqibo esifanayo: I-Flonase ne-Nasonex zisebenza ngokufanayo ekunyangeni iimpawu zokungabikho komzimba.
Esona siyobisi sisebenzayo sinokuchongwa nguwe nogqirha wakho, onokuthi athathele ingqalelo iimeko zonyango kunye nembali yezonyango, kunye namanye amayeza owathathayo.
Ukufunda kunye nokuthelekiswa kweendleko zeFlonase vs.
I-Flonase ngokubanzi igutyungelwe luninzi lweinshurensi kunye neMedicare Icandelo D kwifom yalo yohlobo oluqhelekileyo, i-fluticasone. Iinguqu ezahlukeneyo ze-OTC zegama lophawu lwegama elithi Flonase zihlala zingagutyungelwanga. I-Nasonex ihlala igutyungelwe zizicwangciso zeinshurensi ezininzi kunye neMedicare Icandelo D kwi-generic yayo, i-mometasone. Igama lophawu lwechiza ngalinye alinakugutyungelwa okanye linokugutyungelwa ngecopay ephezulu.
Unokufumana i-generic Flonase ejikeleze i-11 yeedola kunye ne-generic Nasonex esezantsi njenge- $ 13.50 nge-SingleCare coupon.
| UFlonase | I-Nasonex | |
| Ngokuqhelekileyo i-inshurensi? | I-OTC: hayi Rx: ewe | Ewe, generic |
| Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare? | I-OTC: hayi Rx: ewe | Ewe, generic |
| Umthamo osemgangathweni | Iyunithi e-1 | Iyunithi e-1 |
| Uhlobo oluqhelekileyo lweMedicare Part D | $ 0- $ 20 | $ 15- $ 145 |
| Ixabiso elilodwa | $ 11- $ 29 | $ 13.50 + |
Iziphumo eziqhelekileyo ezichaphazelekayo zeFlonase kunye neNasonex
Zombini iFlonase kunye neNasonex ziyanyamezeleka kakuhle zizigulana. Ezona mpawu zixhaphakileyo kuwo omabini la machiza yintloko, iimpawu zesifuba, isicaphucaphu / ukugabha kunye nokukhohlela. Ezinye iziphumo ebezingalindelekanga ezidweliswe kuwo omabini la machiza zenzeke kumaza afanayo njenge-placebo (amayeza angasebenziyo), anjengeempumlo zeempumlo nomqala obuhlungu.
Ezinye iziphumo ebezingalindelekanga zinokwenzeka. Qhagamshelana nomboneleli wakho wezempilo uluhlu olupheleleyo lweziphumo ebezingalindelekanga.
| UFlonase | I-Nasonex | |||
| Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
| Intloko ebuhlungu | Ewe | 6.6% –16.1% | Ewe | 26% |
| Isihlunu / ukugabha | Ewe | 2.6% –4.8% | Ewe | 2-5% |
| Khohlela | Ewe | 3.6% -3.8% | Ewe | 7% |
| Iimpawu zesifo sombefu | Ewe | 3.3% –7.2% | Ewe | 2-5% |
Umthombo: DailyMed ( UFlonase ), Yonke imihla ( I-Nasonex )
Ukudibana kweziyobisi kweFlonase kunye neNasonex
I-Flonase kunye ne-Nasonex zombini zicutshungulwa, okanye zenziwe i-metabolic, yi-enzyme ebizwa ngokuba yi-cytochrome-P 450 3A4, eyaziwa ngokuba yi-CYP3A4. Le enzyme ibandakanyeka kwimetabolism yamachiza amaninzi. Ezinye iziyobisi zinokuyithintela le enzyme, kwaye icothise i-enzyme ekuqhubeni i-Flonase okanye i-Nasonex, enokuthi ikhokelele ekwakhiweni kwe-nasal steroid kwaye ibangele ukwanda kweempembelelo ze-steroid. Ke ngoko, ii-inhibitors ezomeleleyo ze-CYP3A4 akufuneki zithathwe ngokudibeneyo neFlonase okanye iNasonex, kuba xa zidibene ziya kubangela iziphumo ebezingalindelekanga zeFlonase okanye iNasonex.
Olunye unxibelelwano lunokwenzeka. Hlola nomboneleli wakho wezempilo malunga neengcebiso zonyango.
| Iziyobisi | Iklasi yeziyobisi | UFlonase | I-Nasonex |
| Atazanavir Clarithromycin Ukudibana Indinavir Itraconazole Ketoconazole Lopinavir I-Nefazodone UNelfinavir Ritonavir Saquinavir Voriconazole | I-CYP3A4 eyomeleleyo inhibitors | Ewe | Ewe |
Izilumkiso zeFlonase kunye neNasonex
- Iziphumo zalapha ekhaya zinokuthi zivele kwi-nasal steroids, kubandakanya i-nosebleeds, i-nasal ulceration, yendawo UCandida (igwele) usulelo, ukubetheka kwempumlo ngeempumlo, kunye nokuphilisa inxeba.
- I-Nasal steroids inokubangela i-glaucoma okanye i-cataract. Ukuba unalo naluphi na utshintsho kumbono, okanye ukuba unembali yokunyuka koxinzelelo lwe-intraocular, i-glaucoma, kunye / okanye i-cataract, kuya kufuneka ujongeke kufutshane ngugqirha wamehlo. Kwakhona, ukuba usebenzisa i-Flonase okanye i-Nasonex ixesha elide okanye unayo nayiphi na impawu yamehlo, kufuneka uqhagamshelane rhoqo ne-ophthalmologist.
- Ukuba impendulo ye-hypersensitivity iyenzeka (iimpawu zinokubandakanya irhashalala, ukuphefumla kancinci, ukudumba kobuso okanye ulwimi), yeka ukusebenzisa iFlonase okanye iNasonex kwangoko, kwaye ufune unyango olukhawulezileyo.
- I-Steroids icinezela amajoni omzimba, ngenxa yoko uthambekele kusulelo ngelixa usebenzisa isitshizi sempumlo se-steroid.
- Kubantwana, ukukhula kufuneka kujongwe ngokusondeleyo kuba i-steroids inokubangela ukunciphisa ukukhula kwesantya. Elona dose lisezantsi, okwexeshana lifutshane, kufuneka lisetyenziswe.
- Ukucinezelwa kwe-adrenal yimeko enqabileyo enokwenzeka. Ukuba oku kuyenzeka, i-nasal steroid kufuneka icothwe kancinci kuyekiswe (ii-steroids akufuneki ziyekwe ngesiquphe).
- Akukho datha yaneleyo malunga nokusetyenziswa kwe-nasal steroids kwi ukukhulelwa , ke, kuya kufuneka ubonane nogqirha wakho ngaphambi kokuba uthathe iPlonase okanye iNasonex ukuba ukhulelwe. Ukuba sele uthatha i-Flonase okanye i-Nasonex kwaye ufumanisa ukuba ukhulelwe, nxibelelana nomboneleli wakho wezempilo ukuze akukhokele.
Imibuzo ebuzwa rhoqo malunga neFlonase vs.Nasonex
Yintoni uFlonase?
I-Flonase yi-nasal steroid esetyenziselwa ukunyanga iimpawu zokungabikho komzimba. Ingasetyenziselwa abantu abadala kunye nabantwana abaneminyaka emi-4 nangaphezulu. Iyafumaneka ngugqirha kunye ne-OTC.
Yintoni i-Nasonex?
I-Nasonex yi-nasal steroid esetyenziselwa ukunyanga iimpawu zempumlo kubantu abadala nakubantwana abaneminyaka emi-2 nangaphezulu. Ingasetyenziselwa ukunyanga ii-polyps ngeempumlo kwizigulana ezineminyaka eli-18 nangaphezulu, kunye nokuthintela ukungabikho komzimba kwizigulana ezineminyaka eli-12 nangaphezulu. Iyafumaneka ngugqirha kuphela.
Ngaba iFlonase neNasonex ziyafana?
UFlonase kunye neNasonex banokufana okuninzi. Zizo zombini i-nasal steroids ezisetyenziselwa ukunyanga iimpawu zempumlo. Banokwahluka okwahlukeneyo, njengakwizalathiso zokusetyenziswa, ukubakho, kunye nexabiso. Ezinye i-nasal steroids onokuba weva ngazo zibandakanya i-Nasacort (triamcinolone) kunye ne-Rhinocort Allergy (budesonide), kunye ne-Dymista ebandakanya i-nasal steroid (i-fluticasone) kunye ne-antihistamine (azelastine).
Unokuthelekisa amanye amachiza okwaliwa kula maphepha alandelayo:
Ngaba iFlonase okanye iNasonex ingcono?
IFlonase okanye iNasonex kubonakala ngathi injalo ngokusebenza ngokulinganayo ekuncedeni ukuphucula iimpawu zeempumlo kwaye zombini ziyanyamezeleka. Unokucela ugqirha wakho akuncede uthathe isigqibo leliphi ichiza kunokuba kokona kulungileyo kuwe-ngamanye amaxesha kuthatha ixesha lokulinga kunye neempazamo ukufumana elona chiza lisebenza ngcono kuwe.
Ndingayisebenzisa iFlonase okanye iNasonex ngelixa ndikhulelwe?
Kuyaxhomekeka. Flonase okanye iNasonex inokukhuseleka ukuyisebenzisa xa ukhulelwe , nangona kungekho datha ingako. Jonga i-OB-GYN yakho ukukhokela.
Ndingayisebenzisa iFlonase okanye iNasonex ngotywala?
IFlonase okanye iNasonex inokuba njalo ezinye iindlela ezikhuselekileyo kunyango lwesintu lokunganyangeki ukuba ufuna ukusela okanye zimbini. Jonga umboneleli wakho wezempilo ukuze uqiniseke ukuba utywala buyahambelana nawo nawaphi na amayeza owathathayo, okanye naziphi na iimeko zonyango onazo.
Leliphi elona xesha lilungileyo lokuthatha i-Flonase?
Ixesha lomhla alibalulekanga. Ungathatha idosi yakho yemihla ngemihla kusasa okanye ngokuhlwa. Kukulungele ukukhetha ixesha oya kuhlala ukhumbula ukuthatha i-Flonase yonke imihla.
Ngaba i-Flonase i-antihistamine okanye i-decongestant?
I-Flonase yi-nasal steroid, enceda ekunciphiseni ukudumba kwempumlo kunye nokudibana.
Ngaba ungayisebenzisa yonke imihla i-Nasonex?
I-Nasonex kufuneka isetyenziswe yonke imihla xa ifuneka ukuze isebenze kakuhle. Umzekelo, ukuba uhlala uneempawu zokungabikho komzimba ukusuka ngo-Epreli ukuya kuJuni, unokufuna ukuqala ukusebenzisa i-Nasonex iiveki ezimbini ngaphambi kokuba ufumane iimpawu kwaye uqhubeke nokuyisebenzisa yonke imihla kude kube lixesha apho ungasenazo iimpawu zokwaliwa komzimba. Ukuba unempawu zonyaka, thetha nogqirha wakho malunga nokusebenzisa i-Nasonex unyaka wonke.











