INaproxen vs. ibuprofen: Umahluko, ukufana, kwaye kukuphi okungcono kuwe
Iziyobisi Vs. UmhloboUkujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango inyangwa | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ
I-Naproxen kunye ne-ibuprofen zii-NSAID (iziyobisi ezichasayo ezingasebenziyo) ezisetyenziselwa ukunyanga iintlungu kunye nokudumba okuvela kwiimeko ezahlukeneyo. Ii-NSAID zisebenza ngokuthintela imichiza ebizwa ngokuba yi-prostaglandin. Iprostaglandin ibangela iintlungu kunye nokudumba. Ngokuthintela i-prostaglandin, ii-NSAIDs zinceda ukunyanga iintlungu kunye nokudumba. Zombini i-naproxen kunye ne-ibuprofen zaziwa njengee-NSAID kwaye zinokufana okuninzi, kodwa zinomahluko.
Nguwuphi umahluko ophambili phakathi kwe-naproxen vs ibuprofen?
I-Naproxen, okanye i-naproxen sodium, yaziwa ngegama lophawu, uNaprosyn, kunye ne-counter-counter njenge-Aleve. Ikwafumaneka kwifom yesiqhelo yodwa (ngommiselo, kunye ne-OTC kwidosi esezantsi) kwaye ngokudibeneyo namanye amayeza. I-Ibuprofen yaziwa ngamagama e-brand Motrin kunye ne-Advil, kwaye ikwafumaneka ngohlobo oluqhelekileyo lodwa kwaye ludibene namanye amayeza. Ukulinganisa kuyahluka ngokubonisa, kwaye idosi ye-OTC isezantsi kunedosi yokuyalela. Kwakhona, ibuprofen isebenza ngokufutshane kwaye idosiwe rhoqo kune-naproxen, esebenza ixesha elide kwaye inokuncitshiswa rhoqo.
Kuba omabini la machiza ayafumaneka kwindibaniselwano ezahlukeneyo, ezinje ngokukhohlela kunye namayeza abandayo kunye neendlela zokulala, xa ukhetha imveliso ye-OTC, licebo elihle ukubonisana nosokhemesti wakho ukuqinisekisa ukuba ukhetha imveliso echanekileyo iimpawu. Kwakhona, uninzi lweemveliso zokudibanisa eziqukethe i-naproxen okanye ibuprofen inokuba nemveliso engahambelaniyo neemeko zonyango okanye amanye amayeza onokuthi uwathathe. Xa ukhetha iyeza labantwana, soloko unxibelelana nogqirha wabantwana okanye usokhemesti ngedosi efanelekileyo esekwe kubudala bomntwana kunye nobunzima.
| Umahluko ophambili phakathi kwe-naproxen vs ibuprofen | ||
|---|---|---|
| INaproxen | Ibuprofen | |
| Iklasi yeziyobisi | NSAID | NSAID |
| Uhlobo lweBrith / generic | Brand kunye generic | Brand kunye generic |
| Ngubani igama lophawu? | UAleve, uAnaprox DS, uNaprosyn | UMotrin, uAdvil |
| Zeziphi iifom eza nalo iziyobisi? | Amacwecwe, caplets, softgels | Amacwecwe, caplets, softgels, iifom engamanzi |
| Ithini idosi esemgangathweni? | Abantu abadala i-OTC: 220 mg rhoqo kwiiyure eziyi-8 ukuya kwezi-12 Abantu abadala i-Rx: 250-500 mg rhoqo kwiiyure ezili-12 Thatha kunye nokutya | Abantu abadala i-OTC: 200 mg rhoqo kwiiyure ezi-4 ukuya kwezi-6 (ubuninzi be-1200 mg ngosuku) Abantu abadala i-Rx: 400-800 mg 3 ukuya kumaxesha ama-4 yonke imihla (ubuninzi be-3200 mg ngosuku-thetha noGqr) Thatha kunye nokutya |
| Lude kangakanani unyango oluqhelekileyo? | Iyahluka ngokubonisa | Iyahluka ngokubonisa |
| Ngubani oqhelekileyo usebenzisa amayeza? | Abantu abadala, abantwana abaneminyaka emi-2 nangaphezulu | Abantu abadala, abantwana iinyanga ezi-6 nangaphezulu |
Ngaba ufuna elona xabiso lilungileyo kwi-ibuprofen?
Bhalisela izilumkiso zamaxabiso e-ibuprofen kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Iimeko eziphathwe nge-naproxen kunye ne-ibuprofen
I-Naproxen kunye ne-ibuprofen ngamayeza amabini athandwayo asetyenziselwa ukunyanga iintlungu kunye nokudumba. Omabini la machiza abonakalisiwe ukukhulula iimpawu kunye neempawu zesifo samathambo, i-osteoarthritis, iintlungu eziphakathi ukuya kweziphakathi, kunye ne-dysmenorrhea ephambili (iintlungu zokuya exesheni). I-Naproxen ikwaboniswa ukukhululeka kweempawu ze-tendonitis, i-bursitis, i-acute gout, i-ankylosing spondylitis, kunye ne-Polyarticular juvenile idiopathic arthritis.
| Imeko | INaproxen | Ibuprofen |
| Irheumatoid Arthritis Osteoarthritis | Ewe | Ewe |
| Tendonitis Isifo seBursitis Igawuthi ebukhali | Ewe | Ngaphandle kwelebheli |
| I-Ankylosing spondylitis I-Polyarticular yolutsha idiopathic arthritis | Ewe | Ngaphandle kwelebheli |
| Intlungu ethambileyo ukuya kumodareyitha | Ewe | Ewe |
| I-dysmenorrhea ephambili | Ewe | Ewe |
Ngaba i-naproxen okanye ibuprofen isebenza ngakumbi?
Ezimbini ezingenamsebenzi, ezingaboniyo, ezilawulwa yi-placebo izifundo Ukuthelekisa i-naproxen ne-ibuprofen ye-osteoarthritis emadolweni, wajonga zozibini iziyobisi kwiveki enye, kwi-OTC (ezantsi) iidosi, kwaye wafumanisa ukuba omabini la machiza ayesebenza ekwehliseni iintlungu. I-Naproxen yafunyanwa ukuba isebenze kancinci, kwaye isebenze ngakumbi ekunciphiseni iintlungu zasebusuku. Omabini la machiza ayanyamezeleka.
Esinye isifundo esincinci ukuthelekisa i-naproxen ne-ibuprofen wafumanisa ukuba zozibini iziyobisi ziluncedo ekunciphiseni ukuqina, iintlungu zokuphumla, iintlungu zentshukumo, iintlungu zasebusuku, ukuphazamiseka kwesi sifo ngemisebenzi yemihla ngemihla, kunye nobungqongqo besifo ngokubanzi. I-Naproxen yafunyanwa ukuba isebenze ngakumbi kolu phando. Izigulana ezininzi ziye zafumana iziphumo ebezingalindelekanga, ubukhulu becala imiba ye-GI ethambileyo; Nangona kunjalo, esinye isigulana esithatha i-naproxen saye sopha nge-GI.
Kunyaka-20 uphononongo lweeNSAID , Ababhali baqaphela ubunzima ekukhetheni i-NSAID kwaye bathi Rhoqo, ukhetho lwe-analgesic lusekwe kumava obuqu kunokuba kububungqina. Baqhubeka besithi uninzi lwezifundo zibaluleke kakhulu, endaweni yeemeko ezingapheliyo, kwaye ezi zifundo azikwazi ukumisela ngokufanelekileyo ukuba yeyiphi i-NSAID efanelekileyo. Ababhali bagxininisa ukubaluleka kokusebenzisa eyona idosi iphantsi ye-NSAID elona xesha lifutshane. Bacebisa ukuba xa iTylenol (i-acetaminophen) ingonelanga, kungcono ukuqala ngedosi esezantsi ye-ibuprofen (kunye namayeza ukukhusela isisu kwabo basemngciphekweni omkhulu weziphumo ze-GI).
Ngenxa yokuba ubungqina bungenakuphikiswa, olona nyango lusebenzayo kufuneka lugqitywe ngugqirha wakho, oya kuthi ayiqwalasele imeko yakho yonyango kunye nembali, kunye namanye amayeza owathathayo.
Ngaba ufuna elona xabiso lililo kwi-naproxen?
Bhalisela izilumkiso zamaxabiso e-naproxen kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Umyinge kunye neendleko zokuthelekisa i-naproxen vs. ibuprofen
I-Naproxen kunye ne-ibuprofen zixabiso elifanelekileyo, kwi-OTC kunye ne-Rx version. Omabini la machiza ahlala egutyungelwe yinshurensi kunye neMedicare Icandelo D kwifom yamandla kagqirha. Ummiselo oqhelekileyo we-naproxen ungangama-60, 500 mg amacwecwe kunye neendleko malunga ne-30- $ 40 ngaphandle kwe-inshurensi. Umyalelo oqhelekileyo we-ibuprofen uya kuba ngowama-30, 800 mg iipilisi kunye neendleko malunga ne- $ 18 ngaphandle kwe-inshurensi. I-inshurensi kunye ne-Medicare Icandelo D iikopi ziya kwahluka ngokusekwe kwisicwangciso. Ungagcina imali usebenzisa i-SingleCare coupon kwi-naproxen kunye ne-ibuprofen.
| INaproxen | Ibuprofen | |
| Ngokuqhelekileyo ihlawulwa yi-inshurensi? | Ewe-amandla amiselweyo kuphela | Ewe-amandla amiselweyo kuphela |
| Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare? | Ewe-amandla amiselweyo kuphela | Ewe-amandla amiselweyo kuphela |
| Umthamo osemgangathweni | # 60, 500 amacwecwe mg | # 30, 800 amacwecwe mg |
| Icandelo eliqhelekileyo le-Medicare copay Icandelo D | $ 0-20 | $ 0-22 |
| Ixabiso elilodwa | $ 9- $ 20 | $ 5- $ 8 |
Iziphumo ebezingalindelekanga ze-naproxen vs ibuprofen
Ngenxa yokuba i-naproxen kunye ne-ibuprofen zombini zii-NSAID, iziphumo ebezingalindelekanga ziyafana kuwo omabini amayeza. Iziphumo ebezingalindelekanga zixhaphakileyo sisisu (GI) esibandakanya ukubetha kwentliziyo, iintlungu zesisu, ukuqunjelwa, kunye / okanye urhudo. Abanye abaguli bafumana isicaphucaphu, isiyezi okanye iintloko.
Nxibelelana noochwepheshe bezonyango ukuze ufumane uluhlu olupheleleyo lweziphumo ebezingalindelekanga.
| INaproxen | Ibuprofen | |||
| Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
| Isitshisa | Ewe | 3-9% | Ewe | 1-16% |
| Isicaphucaphu | Ewe | 3-9% | Ewe | 1-16% |
| Intlungu zesisu | Ewe | 3-9% | Ewe | 1-16% |
| Ukuqunjelwa | Ewe | 3-9% | Ewe | 1-16% |
| Urhudo | Ewe | <3% | Ewe | 1-16% |
| Intloko ebuhlungu | Ewe | 3-9% | Ewe | 1-3% |
| Ukuba nesiyezi | Ewe | 3-9% | Ewe | 3-9% |
| Ukozela | Ewe | 3-9% | Hayi | - |
| Pruritus (ukurhawuzelela) | Ewe | 3-9% | Ewe | 3-9% |
| I-Tinnitus (ukukhala ezindlebeni) | Ewe | 3-9% | Ewe | 1-3% |
| Edema (ukudumba) | Ewe | 3-9% | Ewe | 1-3% |
| IDyspnea (ukuphefumla okufutshane) | Ewe | 3-9% | Hayi | - |
Umthombo: Yonke imihla (naproxen) , Yonke imihla ( ibuprofen )
Ukudibana kweziyobisi nge-naproxen vs. ibuprofen
INaproxen okanye ibuprofen akufuneki ithathwe nge-anticoagulant efana neCoumadin (warfarin), kuba oku kungonyusa umngcipheko wokopha. Ukuthatha i-naproxen okanye ibuprofen kunye nezinye ii-NSAID, ezinjenge-aspirin, nako kunokunyusa umngcipheko wokopha kunye neziphumo ebezingalindelekanga ze-GI. INaproxen okanye ibuprofen inokusebenzisana namayeza amaninzi oxinzelelo lwegazi, kubandakanya i-ACE inhibitors, i-angiotensin receptor blockers, i-beta blockers kunye ne-diuretics. Omabini la machiza ayanxibelelana neeklasi ezininzi ze-anti-depressants, ezinokubangela ukopha (okunokubangela ukusongela ubomi), kunye ne-sodium esezantsi. Nxibelelana neengcali zonyango lwakho uluhlu olupheleleyo lokunxibelelana kweziyobisi.
| Iziyobisi | Iklasi yeziyobisi | INaproxen | Ibuprofen |
| ICoumadin (iwarfarin) | I-Anticoagulant / igazi elincinci | Ewe | Ewe |
| I-Aspirin Ezinye ii-NSAID | Ii-NSAID | Ewe | Ewe |
| UZestril (lisinopril) IVasotec (enalapril) | I-ACE inhibitors | Ewe | Ewe |
| UCozaar (losartan) I-Avapro (irbesartan) IBenicar (olmesartan) UDiovan (valsartan) | I-ARB (i-angiotensin receptor blockers) | Ewe | Ewe |
| Lopressor Itrolol XL (metoprolol) I-tenormin (atenolol) | Ibhlokhi yeBeta | Ewe | Ewe |
| I-Lasix (furosemide) IHydrochlorothiazide | Womchamo | Ewe | Ewe |
| ILexapro (esitalitalopram) UCelexa (citalopram) I-Paxil (iparoxetine) Iprozac (fluoxetine) Zoloft (sertraline) | I-SSRI (i-serotonin reuptake inhibitors ekhethiweyo) | Ewe | Ewe |
| I-Elavil (amitriptyline) I-Pamelor (inortriptyline) | I-Tricyclic yoxinzelelo | Ewe | Ewe |
| I-Effexor (venlafaxine) IPristiq (desvenlafaxine) ICymbalta (duloxetine) | I-SNRI (i-serotonin kunye ne-norepinephrine reuptake inhibitors) | Ewe | Ewe |
| ILanoxin (digoxin) | Iglycoside yentliziyo | Ewe | Ewe |
| ILithium | Ummeli we-Antimanic | Ewe | Ewe |
| Imethotrexate | Antimetabolite | Ewe | Ewe |
| ICclosporine | Ugonyo | Ewe | Ewe |
| IiAntacids | IiAntacids | Ewe | Ewe |
| IKarafate (isalralfate) | Ukukhusela | Ewe | Hayi |
| I-Questran (icholestyramine) | I-asidi ye-asidi elandelayo | Ewe | Ewe |
Izilumkiso zenaproxen vs. ibuprofen
Ngenxa yokuba zombini i-naproxen kunye ne-ibuprofen zii-NSAID, zinezilumkiso ezifanayo:
- Kukho isilumkiso esibhokisiweyo (isilumkiso esomeleleyo njengoko kufunwa yi-FDA):
- Iziganeko zentliziyo ye-thrombotic , njenge isifo sentliziyo okanye ukubetha , ezinokubulala, zinokwenzeka. Umngcipheko unokuvela kwangoko kunyango kunye nokwanda ngokusetyenziswa kwexesha elide.
- Ukusetyenziswa kwe-naproxen okanye ibuprofen kuyaphikiswa kuseto lotyando lwe-CABG.
- Kukho umngcipheko owandayo wokuphuma kwegazi kwi-GI, izilonda, okanye ukubola kwesisu okanye amathumbu, anokubulala. Oku kunokwenzeka nanini na ngaphandle kwesixwayiso. Izigulana esele zikhulile okanye ezinembali yesifo sezilonda kunye / okanye ukopha kwe-GI zisemngciphekweni omkhulu. Ngenxa yobungozi, abaguli kufuneka basebenzise elona dose lisezantsi ngeli xesha lifutshane.
- Ii-NSAIDs akufuneki zisetyenziswe kwizigulana ezinembali yangaphambi kokungaziphathi kakuhle, ezinje ngesifuba, irhashalala, okanye i-anaphylaxis, ngenxa yomngcipheko wempendulo ye-anaphylactic ebukhali, enokubulala kwezi zigulana.
- Izigulana akufuneki ziphathwe nge-NSAID emva kokuhlaselwa sisifo sentliziyo.
- Kukho umngcipheko omncinci wetyhefu kwisibindi; abaguli kufuneka bazi imiqondiso enjengobucaphucaphu, ukudinwa, ukonqena, urhudo, ukurhawuzelela, i-jaundice, ukuthamba kwangaphambi kwesine, kunye neempawu ezinje ngomkhuhlane, kwaye bafune unyango olungxamisekileyo ukuba ngaba iimpawu zenzeka.
- Uxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu) lunokwenzeka okanye lubi.
- Ii-NSAIDs mazingasetyenziswa kwizigulana ezinesifo sentliziyo.
- Ukusetyenziswa kwexesha elide kunokubangela ukulimala kwezintso. Izigulana kufuneka zibekwe esweni umsebenzi wezintso kwaye akufuneki zisebenzise ii-NSAID ukuba kukho ukungasebenzi kakuhle kwezintso.
- Izigulana ezine-asthma, i-nasal polyps, kunye ne-aspirin sensitivity (i-aspirin-sensitive asthma) kufuneka iphephe ii-NSAID.
- Ukusabela okunamandla kwesikhumba, okunokubandakanya i-exfoliative dermatitis, iStevens-Johnson Syndrome (SJS), kunye ne-epidermal necrolysis (TEN) m enokubulala kwaye yenzeke ngaphandle kwesixwayiso. Izigulana kufuneka ziyeke i-NSAID kwaye zifune unyango ukuba ngaba kukho uphawu lokuphendula kwesikhumba.
- I-anemia yenzekile kwizigulana eziphathwe nge-NSAIDs; abaguli kufuneka babekwe esweni ukuba ngaba iimpawu ze-anemia zenzeka.
- Ii-NSAID, ngokunciphisa ukudumba kunye nomkhuhlane, zinokwenza kube nzima ngakumbi ukufumanisa usulelo.
- Izigulana kwii-NSAID zexesha elide kufuneka zibekwe esweni rhoqo nge-CBC kunye neprofayile yeekhem.
- Ii-NSAID akufanele zisetyenziswe kwabasetyhini abakhulelweyo ukuqala kwiiveki ezingama-30 zokukhulelwa (i-trimester yesithathu) kuba kunokubangela ukuvalwa kwangoko kwe-fetus ductus arteriosus. Kuyo yonke ikota yokuqala neyesibini, nxibelelana nomboneleli wakho wezempilo. Ii-NSAID nazo zinokuphazamisa i-ovulation; qhagamshelana nomboneleli wakho wezempilo ukuba uzama ukukhulelwa.
Imibuzo ebuzwa rhoqo malunga ne-naproxen vs ibuprofen
Yintoni i-naproxen?
I-Naproxen yi-NSAID (ichiza elingelilo ukutshabalalisa) elisetyenziselwa ukunyanga iintlungu kunye nokudumba. Iyafumaneka kuzo zombini i-brand kunye ne-generic, kunye ne-odokotela kunye ne-OTC.
Yintoni ibuprofen?
I-Ibuprofen ikwayi-NSAID ephatha iintlungu ezinobulali ukuya kweziphakathi kunye nokudumba. Iyafumaneka kuzo zombini ii-brand kunye ne-generic ngomyalelo okanye njenge-OTC.
Ngaba i-naproxen kunye ne-ibuprofen ziyafana?
Omabini la machiza zii-NSAID ezivunywe yi-FDA. Ngenxa yokuba zombini ii-NSAID, i-naproxen kunye ne-ibuprofen zinokufana okuninzi kodwa zinokwahluka. Jonga ngasentla ngeenkcukacha. Ezinye ii-NSAID zibandakanya ICelebrex (celecoxib, i-COX-2 inhibitor), Imikhosi (meloxicam), aspirin, kunye noRelafen (nabumetone). I-Tylenol (i-acetaminophen) ayisiyi-NSAID kodwa ihlala ifumaneka kufutshane ne-NSAID kwishelufa. I-Tylenol iluncedo kumkhuhlane nakwiintlungu kodwa ayinyangi ukudumba.
Ngaba i-naproxen vs ibuprofen ibhetele?
Njengoko kuchaziwe apha ngasentla, i-naproxen kunye ne-ibuprofen ziyafana kwaye zinokusebenza zombini ekunciphiseni iintlungu kunye nokudumba. Zineempembelelo ezifanayo kunye nobungozi. Rhoqo, ngumbandela wokhetho lwakho ngokobuqu ukuba leliphi na eliza kuba lelakho iyeza elingcono. Qhagamshelana nomboneleli wakho wezempilo ukuze akukhokele.
Ngaba ndingayisebenzisa i-naproxen vs ibuprofen ngelixa ndikhulelwe?
I-Naproxen, ibuprofen, okanye nayiphi na i-NSAID akufuneki isetyenziswe kwitrimester yesithathu yokukhulelwa kuba inokubangela ukuvalwa kwangoko kwe-fetus ductus arteriosus. Ngenxa yokuba akukho lwazi lwaneleyo malunga nokusetyenziswa kwe-NSAID kwabasetyhini ngamanye amanqanaba okukhulelwa, nxibelelana ne-OB / GYN yakho. Ukuba ngoku usebenzisa i-naproxen okanye ibuprofen kwaye ufumanisa ukuba ukhulelwe, nxibelelana nogqirha wakho ukuze akukhokele.
Ndingayisebenzisa i-naproxen vs ibuprofen ngotywala?
Hayi. Ukuthatha i-naproxen okanye ibuprofen kunye nokusela utywala kunokuwonyusa kakhulu umngcipheko wesisu (ukudumba kwethambo elikhuselayo lesisu) kunye nokopha emathunjini.
Kwenzeka ntoni ukuba uthatha i-naproxen kunye ne-ibuprofen kunye?
Musa ukuthatha i-naproxen kunye ne-ibuprofen kunye. Jonga iilebhile zakho; kungcono, buza ikhemesti yakho, ngakumbi ngemveliso yokudibanisa, ukuqinisekisa ukuba uthatha i-NSAID enye ngexesha. Ukuthatha zombini kunokunyusa umngcipheko weziphumo ebezingalindelekanga kunye nokopha esiswini kunye nezilonda.
Ngaba i-naproxen sisihlaziyi semisipha okanye sisibulala zintlungu?
I-Naproxen ayisiyiyo isixhobo sokuhlaziya izihlunu; lunyango lwentlungu kwaye luyanceda nokudumba. Ezinye izinto ezithandwayo zokuphumla kwezihlunu zibandakanya iFlexeril (cyclobenzaprine) okanye iSkelaxin (metaxalone). Ingadideka kuba nangona i-naproxen ingeyiyo into yokuphumla kwezihlunu, inokunceda ukuba ithambe kwaye ibenokumodareyitha iintlungu zemisipha, ngamanye amaxesha abantu bayayicinga njengesihlaziyi semisipha.
