I-Provigil vs.Adderall: 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-Provigil kunye ne-Adderall ngamayeza amabini amiselweyo asetyenziswa kunyango lwe-narcolepsy kunye nezinye iingxaki. Ingqele sisifo sokulala esinganyangekiyo semithambo-luvo esichaphazela amandla engqondo okulawula ukulala kwakho kunye nokujikeleza kwemijikelezo. Oku kunokukhokelela ekulahlekeni kokulala ebusuku kwaye ngenxa yoko ukozela emini. Kuqikelelwa ukuba bangama-200,000 abantu eMelika une-narcolepsy . I-narcolepsy inokuchaphazela imisebenzi yemihla ngemihla kunye nokhuseleko lwabanye, njengoko umntu onesifo sokudlakazeliswa kwengqondo enokudinwa kakhulu xa eqhuba okanye esebenza ngezixhobo. I-Provigil kunye ne-Adderall zombini zivunyiwe kunyango lwe-narcolepsy kodwa ayilulo uhlobo olufanayo lweziyobisi, kwaye siza kuxoxa ngokwahluka kwabo.
Nguwuphi umahluko ophambili phakathi kukaProvigil noAdderall?
I-Provigil (modafinil) sisiyobisi esikhuthazayo esikhuthaza ukuvuka kodwa sahlukile kwezinye iinkqubo zemveli zemithambo-luvo (CNS) ezinje ngeAdderall. Indlela yokusebenza ethi Provigil ikhuthaze ukuvuka ayiqondwa ngokupheleleyo, nangona kucingelwa ukuba kwenziwa ngezenzo kwimimandla ethile yobuchopho. Ngelixa ezinye izikhuthazi ze-CNS zibonakala zisebenza ngeendlela ezibandakanya i-dopamine okanye iindlela ezihambelanayo, iProvigil ayibonakali ichaphazela ezi ndlela.
I-Provigil iyafumaneka kwiipilisi zomlomo kumandla e-100 mg kunye ne-200 mg. I-Provigil ithathwa njengeshedyuli IV yolawulo lweziyobisi yiArhente yoNyanzeliso lweziyobisi (i-DEA). I-Provigil kufuneka isetyenziswe ngononophelo kwizigulana ezinembali yokusebenzisa gwenxa iziyobisi.
I-Adderall yindibaniselwano yeetyuwa ze-amphetamine, equlathe umlinganiselo we-3 ukuya ku-1 we-dextroamphetamine (d-amphetamine) kunye ne-levoamphetamine (l-amphetamine). Sisiyobisi esisetyenziswa kunyango lwe-narcolepsy kwaye, ngokuxhaphakileyo, ingqalelo yokusilela kokuphazamiseka kwengqondo (ADHD).
Ezinye izikhuthazi ze-CNS onokuthi uqhelene nazo zibandakanya uRitalin, uFocalin, kunye noVivvanse. Iipilisi zomlomo ezikhutshwa ngokukhawuleza ze-Adderall ziyafumaneka kumandla e-5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg, 20 mg, kunye 30 mg. I-Adderall XR kukwenziwa kwecapsule eyandisiweyo kwaye iyafumaneka kumandla e-5 mg, 10 mg, 15 mg, 20 mg, 25 mg, kunye 30 mg.
I-DEA ibona iAdderall ishedyuli II iziyobisi. Ngenxa yokuba i-Adderall iyindlela yokwenza izinto kwaye inamandla okuphatha gadalala, kukho izithintelo kunye nezikhokelo zokufumana eli chiza, eyahluka ngurhulumente. I-Adderall kufuneka isetyenziswe ngononophelo kwizigulana ezinembali yokusebenzisa gwenxa iziyobisi.
Umahluko ophambili phakathi kweProvigil kunye neAdderall | ||
---|---|---|
Provigil | Adderall | |
Iklasi yeziyobisi | Ukukhuthaza ukukhuthaza ukuvusa (psychostimulant) | Isikhuthazi sentliziyo esiphakathi |
Uhlobo lweBrith / generic | Brand kunye generic ziyafumaneka | Brand kunye generic ziyafumaneka |
Ngubani igama eliqhelekileyo? | Imodafinil | Iityuwa ze-Amphetamine (d-amphetamine kunye ne-l-amphetamine) |
Zeziphi iifom eza nalo iziyobisi? | Amacwecwe omlomo | Amacwecwe omlomo kunye neepilisi zokukhululwa ezandisiweyo |
Ithini idosi esemgangathweni? | 200 mg kanye yonke imihla | I-5 mg kanye okanye kabini imihla ngemihla ifikelela kwi-60 mg / ngosuku |
Lude kangakanani unyango oluqhelekileyo? | Ixesha elide (elingenammiselo) | Ixesha elide (elingenammiselo) |
Ngubani oqhelekileyo usebenzisa amayeza? | Abafikisayo abaneminyaka eli-17 ubudala nangaphezulu; abantu abadala | Abantwana kunye nolutsha oluneminyaka eli-3 ubudala nangaphezulu; abantu abadala |
Imiqathango ephathwe nguProvigil noAdderall
I-Provigil kunye ne-Adderall zombini zivunyiwe yi-Food and Drug Administration (i-FDA) kunyango lwe-narcolepsy, kodwa ichiza ngalinye linezinye izikhombisi ngokunjalo. I-Adderall iqhele ukumiselwa ukubonisa ukunyanga i-ADHD. I-Provigil isetyenzisiwe ngaphandle kwelebheli kunyango lwe-ADHD. Ukusetyenziswa kwelebheli ngaphandle kwelebheli kukusetyenziswa kwamayeza okubonisa okungakhange kuvunywe nguLawulo lwezoKutya kunye noLawulo lweziyobisi (FDA). I-Provigil yamkelwe kwezinye iingxaki ezinxulumene nokulala, kubandakanya utshintsho lomsebenzi wokuphazamiseka kunye nokuphefumla ubuthongo.
Imeko | Provigil | Adderall |
Ingqele | Ewe | Ewe |
Ukuqwalaselwa kwengxaki yokuchaphazeleka kwengqondo (ADHD) | Ngaphandle kwelebheli | Ewe |
Umsebenzi weShift wokulala | Ewe | Hayi |
Ukuphefumla kokulala okuthintelayo | Ewe | Hayi |
Ukudinwa | Ngaphandle kwelebheli | Hayi |
Ngaba iProvigil okanye iAdderall isebenza ngakumbi?
IAmerican Academy of Sleep Medicine ipapashe indlela esemgangathweni yokusebenza izikhokelo , ezibandakanya zombini i-Provigil kunye ne-Adderall njengeearhente ezifanelekileyo kunyango lwe-narcolepsy kunye nokulala kakhulu. Omabini la mayeza anokubangela ukuba ube ngumkhwa, kodwa imeko yeAddallall ibonisa amandla ayo okwakha imikhwa kunye nokuxhatshazwa kuxhaphake kakhulu. Imodafinil ibonakalisiwe ukuba inezehlo ezisezantsi zeziganeko ezigwenxa kwaye inyamezeleke kakuhle ngaphandle kwamandla okuphathwa gadalala xa kuthelekiswa nezinye izikhuthazi ze-CNS. Ngenxa yezi zizathu, kuthathwa ngokuba lunyango lokuqala lonyango lwe-narcolepsy.
Ngumboneleli wakho wezempilo kuphela onokuthi afumane isifo se-narcolepsy kwaye athathe isigqibo sokuba loluphi unyango olulungele wena.
Umyinge kunye nokuthelekiswa kwexabiso leProvigil ngokuchasene neAdderall
I-Provigil liyeza likagqirha elihlala ligutyungelwe yinshurensi yorhwebo. Ukugqitywa kwezicwangciso zeMedare kuyahluka okanye kufuna ukuba kwenziwe okhethekileyo. I-Provigil inokubiza ngaphezulu kwe- $ 950 ngaphandle kwe-pocket, kodwa ngekhuphoni evela kwi-SingleCare, unokufumana unikezelo lweentsuku ezingama-30 ze-generic ngaphantsi kwe- $ 60.
I-Adderall yonyango lonyango elihlala ligutyungelwe yinshurensi yorhwebo. Ukugqitywa kwezicwangciso zeMedicare nako kunokuhluka okanye kufuna ukuba kwenziwe okhethekileyo. Ixabiso elingaphandle kwepokotho leAdderall lingangaphezulu kwe- $ 300. Nge-singleCare unokuthenga ifom yesiqhelo ngokungaphantsi kakhulu. Veza nje isigqebhezana se-SingleCare Adderall kwii-pharmacy ezikhethiweyo kwaye ubuze i-generic.
Provigil | Adderall | |
Ngokuqhelekileyo ihlawulwa yi-inshurensi? | Ewe | Ewe |
Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare? | Hayi | Hayi |
Umthamo osemgangathweni | Iipilisi ze-30, 200 mg | Iipilisi ze-60, 30 mg |
I-Medicare copay eqhelekileyo | n / A | n / A |
Ixabiso elilodwa | $ 60- $ 270 | Jonga ixabiso nosokhemesti |
Iziphumo eziqhelekileyo ezichaphazelekayo zeProvigil vs.Adderall
Ngelixa i-Provigil kunye ne-Adderall zibangela izehlo ezichaseneyo ezifanayo, idatha kubukho beziphumo ebezingalindelekanga ezivela kwiAdderall ayifumaneki kwiphakheji yokufaka. Omabini la machiza ayaziwa ukuba abangela iziphumo ebezingalindelekanga ezimandundu ezifana noxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu) kunye ne-tachycardia (ukunyuka kwentliziyo). I-Provigil kunye ne-Adderall zombini ziyaziwa ukuba zibangela ukulahleka kwesidlo ngokunjalo.
I-Provigil inokubangela iintloko kunye nesicaphucaphu kwinani lezigulana. Ezi ziphumo zingachaphazela ubomi bemihla ngemihla kunye nemveliso, kwaye ukuba ziyaphazamisa kwaye ziyaqhubeka, kuya kufuneka uthethe nomboneleli wakho ukuxoxa ngezinye iindlela. Sukuyeka ngequbuliso ukuthatha la mayeza ngaphandle kolwazi lomboneleli wakho njengoko unokufumana iimpawu zokurhoxa.
Olu luhlu lulandelayo alujoliswanga ekubeni luluhlu olubandakanya konke lweziphumo ebezingalindelekanga ezinokubakho. Kuya kufuneka unxibelelane nomboneleli wakho wezempilo uluhlu olupheleleyo lweziphumo ebezingalindelekanga.
Provigil | Adderall | |||
Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
Intloko ebuhlungu | Ewe | 3. 4% | Hayi | n / A |
Isicaphucaphu | Ewe | Shumi elinanye% | Hayi | n / A |
Uvalo | Ewe | 7% | Hayi | n / A |
Ixhala | Ewe | 5% | Hayi | n / A |
Iintlungu zesifuba | Ewe | 3% | Hayi | n / A |
Igazi elonyukayo | Ewe | 3% | Ewe | Ayichazwanga |
Tachycardia | Ewe | Mbini% | Ewe | Ayichazwanga |
Ngokucofa | Ewe | Mbini% | Ewe | Ayichazwanga |
Ukuphuthelwa | Ewe | 5% | Ewe | Ayichazwanga |
Ukuphelelwa ngumdla wokutya | Ewe | 4% | Ewe | Ayichazwanga |
Ukuhlanza | Hayi | n / A | Ewe | Ayichazwanga |
Ukuhla ukusinda | Hayi | n / A | Ewe | Ayichazwanga |
Umlomo owomileyo | Ewe | 4% | Ewe | Ayichazwanga |
Ukuba nesiyezi | Ewe | 5% | Ewe | Ayichazwanga |
Umthombo: Provigil ( Yonke imihla IAdderall ( Yonke imihla )
Ukudibana kweziyobisi neProvigil ngokuchasene neAdderall
I-Adderall kufuneka ithintelwe ngokudibeneyo ne-monoamine oxidase inhibitors (i-MAOIs) efana ne-selegiline kunye ne-Linezolid. I-MAO inhibitors icothisa i-amphetamine metabolism, yonyusa ifuthe le-amphetamine ekukhutshweni kwe-norepinephrine kunye nezinye i-monoamines ezivela kwiziphelo zemithambo-luvo ezibangela iintloko kunye nezinye iimpawu zobunzima bexinzelelo. Ngelixa kungaziwa ukuba iProvigil ineziphumo ezifanayo xa inikwa ii-MAOIs, kuyacetyiswa ukuba kuthintelwe olu dibaniso.
Amachiza eSerotonergic adityaniswe neAdderall anokunyusa imeko ye-serotonin syndrome. Esi sifo sinokubangela ukuba isigulana sizive siphazamisekile, siba nesiyezi, kwaye sonyuse nenqanaba lentliziyo. Izinto eziqhelekileyo zokuthintela uxinzelelo ezinje nge-serotonin reuptake inhibitors ekhethiweyo kunye ne-norepinephrine reuptake inhibitors inomsebenzi we-serotonergic kwaye kufuneka isetyenziswe ngononophelo ngokudibeneyo ne-Adderall.
Le theyibhile ilandelayo ayidwelisi lonke unxibelelwano olunokubakho lweProvigil kunye neAdderall. Nxibelelana nosokhemesti okanye ugqirha wakho ukufumana uluhlu olupheleleyo kunye neengcebiso zonyango.
Iziyobisi | Iklasi yeziyobisi | Provigil | Adderall |
Selegiline Isocarboxazid IPhenelzine Umgca we-Linezolid | I-Monoamine oxidase inhibitors (i-MAOIs) | Ewe | Ewe |
IFluoxetine Paroxetine Sertraline Citalopram I-Escitalopram | Ukukhetha i-serotonin reuptake inhibitors (i-SSRIs) | Ewe | Ewe |
IVenlafaxine Duloxetine I-Desvenlafaxine | Ukukhetha inorepinephrine reuptake inhibitors (SNRIs) | Hayi | Ewe |
Isodium bicarbonate I-lactate yesodium | I-Antacid | Hayi | Ewe |
Wort eSt | Isongezelelo | Ewe | Ewe |
Ipiramidi ephezulu | Isifo sephepha | Hayi | Ewe |
I-Tramadol | Ukunciphisa iintlungu ze-opioid | Hayi | Ewe |
ISumatriptan Rizatriptan Eletriptan Zolmitriptan INaratriptan Frovatriptan | I-5HT3 Iintshaba (iTriptans) | Hayi | Ewe |
Desipramine Inkqubo yokukhusela Amitriptyline Umgca weNortriptyline | I-Tricyclic yoxinzelelo | Hayi | Ewe |
Omeprazole Esomeprazole IPantoprazole URabeprazole ILansoprazole | Iiproton pump inhibitors (PPI) | Hayi | Ewe |
Izilumkiso zikaProvigil noAdderall
I-Provigil kunye ne-Adderall nganye inxulunyaniswa nokonyuka kweziganeko zentliziyo ezinje ngesifuba kunye nokubetha. I-Adderall inxulunyaniswe nokwanda kwemivumbo kunye ne-infyoction ye-myocardial. Oku kunokuba kunokwenzeka ukuba kwenzeke kwizigulana ezineemeko zentliziyo esele zikho. Abagqatswa kufuneka bahlole le meko kwaye basebenzise isilumkiso esigqibeleleyo ekumiseleni la machiza kwizigulana ezinokuba nokungaqheleki kwentliziyo.
I-Provigil kunye ne-Adderall zidibene nokonyuka okuphakathi koxinzelelo lwegazi kunye nenqanaba lentliziyo. Ezi paramitha kufuneka zibekwe esweni xa abaguli bethatha izikhuthazi.
I-Provigil kunye ne-Adderall zinokunyusa ukuphazamiseka kwendlela yokuziphatha kwizigulana ezinengxaki yokuphazamiseka kwengqondo. Ezi zigulana kufuneka zijongwe ngononophelo ukuba ngaba izinto ezikhuthazayo ziyimfuneko. Izigulana ezinembali ebalulekileyo yengqondo zinokuba semngciphekweni omkhulu.
Ukusetyenziswa kwexesha elide kweAdderall ebantwaneni nakwishumi elivisayo kunxulunyaniswe noxinzelelo lokukhula. Izigulana ezifumana ukukhula kancinci ngelixa kukhuthazo zinokukhuthazwa ukuba zinqumamise unyango okwexeshana. Amaxesha amaninzi, ababoneleli ngezempilo bancomela ukuthatha amakhefu kunyango xa abantwana bengekho esikolweni, njengeempelaveki, iiholide, kunye nekhefu lasehlotyeni.
Kubekho iimeko zeProvigil kunye neAdderall yokuphathwa gadalala kwabafundi beekholeji. Banokuthatha iziyobisi, ngamanye amaxesha ngaphezulu kweedosi ezicetyiswayo, ukonyusa ukuphaphama ngeenjongo zokufunda kunye neeyure ezinde zemveliso.
IProvigil inxulunyaniswe neziganeko zesifo sikaStevens-Johnson syndrome (SJS). I-SJS luhlobo lokuphendula okunamandla kwesikhumba apho i-blister yolusu kunye ne-peels ishiya iintlungu, iindawo eziluhlaza kulusu. Oku kunokukhokelela kolunye usulelo olubi, kubandakanya i-sepsis.
Ukuba ufumene uxabana neProvigil, iAdderall, okanye iziyobisi ezifanayo, akufuneki uzithathe.
Imibuzo ebuzwa rhoqo malunga neProvigil vs Adderall
Yintoni iProvigil?
I-Provigil sisiyobisi sonyango esikhuthaza ukuvuka kwaye sisetyenziselwa ukunyanga i-narcolepsy. Kucatshangelwa njengento elawulwayo yi-DEA. I-Provigil iyafumaneka njengecwecwe lomlomo kumandla amabini, i-100 mg, kunye ne-200 mg.
Yintoni iAdderall?
I-Adderall sisikhuthazi se-CNS esisetyenziselwa unyango lwe-narcolepsy kunye ne-ADHD. Ithathelwa ingqalelo ishedyuli II narcotic yi-DEA ngenxa yokusetyenziswa gwenxa kwayo kwaye iyafumaneka ngugqirha kuphela. I-Adderall iyafumaneka kumandla ohlukeneyo kuzo zombini iipilisi zokukhululwa kunye neepilisi ezandisiweyo zokukhupha.
Ngaba u-Provigil no-Adderall bayafana?
I-Provigil kunye ne-Adderall nganye inyanga i-narcolepsy, kodwa ayifani. Inkqubo ka-Provigil ayiqondakali ngokupheleleyo, kodwa u-Adderall uyaziwa ukuba usebenza kwiindlela zenkqubo ye-nervous system. I-Adderall ithathwa njengomlutha ngakumbi kunye namandla aphezulu okuphathwa gadalala kuneProvigil.
Ngaba iProvigil okanye iAdderall ingcono?
I-Provigil kunye ne-Adderall zombini ziindlela zokhetho ezifanelekileyo zonyango lwe-narcolepsy. I-Provigil ithathwa ngokubanzi njengonyango lodidi lokuqala lwe-narcolepsy ngenxa yokuba ineprofayili yokunyamezelana okungcono.
Ndingayisebenzisa iProvigil okanye iAdderall ngelixa ndikhulelwe?
I-Provigil kunye ne-Adderall ludidi C lokukhulelwa, oko kuthetha ukuba akukho zifundo zaneleyo, ezilawulwayo zokumisela ukhuseleko. La machiza kufuneka asetyenziswe kuphela xa ukhulelwe xa isibonelelo ngokucacileyo sigqithile kumngcipheko.
Ndingayisebenzisa iProvigil okanye iAdderall ngotywala?
Izigulana ezikwiProvigil naseAdderall kufuneka zinciphise ukusela kwazo. Ngokukodwa, utywala bunokunyusa i-serum egazini ye-Adderall, kwaye ngenxa yoko ukusetyenziswa kotywala kubalulekile kufuneka kuthintelwe.
Ngaba iProvigil yinto elawulwayo?
I-Provigil ithathwa njengeshedyuli IV yolawulo lweziyobisi yi-Arhente yokuNyanzeliswa kweziyobisi (i-DEA) ngenxa yesakhono sayo sokwenza imikhwa. Kufuneka isetyenziswe ngononophelo kwizigulana ezinembali yokusebenzisa gwenxa iziyobisi.
Ngaba iPerigil iyakunceda ujolise?
I-Provigil inceda ukumisela umjikelo wokulala, kukhokelela kumjikelo wokulumkisa ngakumbi kunye nemveliso kunye nokulala okungcono. Isetyenziswa ngaphandle kwelebheli kunyango lwe-ADHD.
Ngaba ungathatha imodafinil yonke imihla?
I-Provigil yinto elawulwayo kwaye inokwenza imikhwa. Izigulana ekumele ukuba zihlala ixesha elide kuzo kufuneka zijongwe ngokusondeleyo kwiimpawu zokuxhomekeka okanye zokuphathwa gadalala.