Eyona >> Iziyobisi Vs. Umhlobo >> I-Tramadol vs. oxycodone: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

I-Tramadol vs. oxycodone: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

Iziyobisi Vs. Umhlobo

I-Tramadol kunye ne-Oxycodone kukuthomalalisa iintlungu ezibhalwe ngugqirha ezinokumiselwa wena ukuba ube neentlungu eziphakathi nendawo xa ezinye iindlela zonyango zingasebenzi. I-Tramadol kunye ne-oxycodone zidibana kunye ne-opioid receptors kwingqondo yokunciphisa ukuhanjiswa kwempawu zentlungu. Zingasetyenziselwa ukunyanga iintlobo ezahlukeneyo zeentlungu kubandakanya iintlungu ze-musculoskeal kunye nentlungu yasemva koqhaqho. Ngelixa zinokusetyenziswa kwiintlungu ezifanayo, la machiza mabini ahlukile kwaye ahlukile omnye komnye.

Nguwuphi umahluko ophambili phakathi kwe-tramadol kunye ne-oxycodone?

I-Tramadol (i-Tramadol coupons | Yintoni i-Tramadol?) Ngugqirha opioid analgesic osetyenziselwa ukunyanga iintlungu ezichazwe njengemodareyitha ukuya kwezomeleleyo apho i-counter-counter okanye ezinye iindlela ezingezizo ze-opioid ziye zasilela ukunceda. Ingasetyenziselwa kwiintlungu ezibuhlungu ezinjengeentlungu zasemva kokusebenza apho kusengqiqweni ukucinga ukuba ukhetho olunamandla oluncinci lunokushiya isigulana kwintlungu engenangqondo. I-Tramadol inxibelelana nee-mu-opioid receptors kwinkqubo ye-nervous system (CNS). Oku kuguqula ukuqonda komzimba kunye nokuphendula kwintlungu ngokunyuka kweentlungu. I-Tramadol ikwathintela ukuphinda kuthathwe i-norepinephrine kunye ne-serotonin neurotransmitters, ekwabandakanyeka kwindlela eyehlayo.

Xa i-tramadol ekuqaleni yayifika kwintengiso, yayingachazwa njengesixhobo esilawulwayo. Ngo-2014, uLawulo lokuNyanzeliswa kweziyobisi (i-DEA) lwaphinda lwabeka i-tramadol njengesixhobo esilawulwayo seShedyuli IV. I-Tramadol inakho ukusetyenziswa gwenxa okanye ukusetyenziswa gwenxa, kwaye ukusetyenziswa kwayo kufuneka kubekwe esweni ngokusondeleyo.

I-Tramadol iyafumaneka njengecwecwe lomlomo kuzo zombini iindlela zokukhululwa kwangoko kunye nokukhululwa okwandisiweyo. Ikwafumaneka kwithebhulethi ngokudibeneyo ne-acetaminophen, isithako esisebenzayo kwiTylenol engaphezulu kwekhawuntari.

I-Oxycodone (i-Oxycodone coupons | Yintoni i-Oxycodone?) Ikwangumyalelo we-opioid pain reliever. I-Oxycodone ibophelela kwii-opioid receptors kwindlela ye-CNS ebangela ukuthintela kwindlela enyukayo yentlungu. Oku kuguqula umbono kunye nokuphendula kwintlungu kwaye kubangele uxinzelelo lwe-CNS ngokubanzi.

I-Oxycodone sisixhobo esilawulwayo seShedyuli II. Inamandla aphezulu kakhulu okulutha, ukuxhatshazwa kunye nokusetyenziswa gwenxa.

I-Oxycodone iyafumaneka njengecwecwe lomlomo kuzo zombini iindlela zokukhululwa kwangoko kunye nokukhululwa okwandisiweyo. Ikwafumaneka kwimixube eyidibanisa ne-acetaminophen, i-aspirin, ibuprofen, naloxone, okanye i-naltrexone.

Umahluko ophambili phakathi kwe-tramadol kunye ne-oxycodone
	I-Tramadol	Oxycodone
Iklasi yeziyobisi	I-opioid analgesic	Iintlungu ze-opioid
Uhlobo lweBrith / generic	Brand kunye generic ziyafumaneka	Brand kunye generic ziyafumaneka
Ngubani igama lophawu?	I-Ultram, i-Ultram ER, i-ConZip	Roxicodone, Oxycontin, Oxaydo, Xtampza ER
Zeziphi iifom eza nalo iziyobisi?	Ukukhutshwa kwangoko kunye nepilisi eyandisiweyo	Ukukhutshwa kwangoko kunye nepilisi eyandisiweyo, ukugxila kolwelo lomlomo
Ithini idosi esemgangathweni?	50 mg zonke iiyure ezi-4 ukuya kwezi-6	5 mg ukuya kwi-15 mg qho kwiiyure ezi-4 ukuya kwezi-6
Lude kangakanani unyango oluqhelekileyo?	Iintsuku ezisi-7 okanye ngaphantsi	Iintsuku ezisi-7 okanye ngaphantsi
Ngubani oqhelekileyo usebenzisa amayeza?	Abantwana abaneminyaka eli-12 ubudala nangaphezulu, abantu abadala	Iintsana, abantwana, abantu abadala

Iimeko zonyango lwe-tramadol kunye ne-oxycodone

I-Tramadol ibonakalisiwe kulawulo lwentlungu echazwe njengemodareyitha ukuya kubukhali. Ingasetyenziselwa kwiintlungu ezibuhlungu, ezinjengeentlungu zasemva kokusebenza, nangona ukusetyenziswa kwayo kufanele kuthintelwe ekusebenziseni ixesha elifutshane, ngesiqhelo kwiintsuku ezintathu ukuya kwezisixhenxe. I-Tramadol inokusetyenziswa kulawulo lweentlungu ezingapheliyo, nangona ingelulo ukhetho lokuqala kwesi sibonakaliso.

I-Tramadol isetyenziselwe isiqabu kwisifo semilenze esingazinzanga kwizigulana ezinempumelelo encinci okanye ezingaphumeleliyo kunyango lwesintu. Olu setyenziso luthathwa njengelebhile, nto leyo ethetha ukuba ayivunywanga luLawulo lwezoKutya kunye noLawulo lweziyobisi (FDA) kolu hlobo lokusetyenziswa.

I-Oxycodone ikwaboniswa kulawulo lweentlungu ezichazwe njengemodareyitha ukuya kwezobukhali. Ingasetyenziswa kwiintlungu ezibuhlungu, kodwa ukusetyenziswa kwayo kufuneka kuthintelwe kwiintsuku ezintathu ukuya kwezisixhenxe. I-Oxycodone ingasetyenziselwa kwiintlungu ezingapheliyo. Ngenxa yeziphumo zayo zokudakumba ezibi ze-CNS, i-oxycodone kufuneka ibhalwe ngokuthe chu kunyuswe idosi.

Imeko	I-Tramadol	Oxycodone
Intlungu ebuhlungu echazwe njengemodareyitha ukuya kubukhali	Ewe	Ewe
Intlungu engapheliyo	Ewe	Ewe
Ukunyuka kwangaphambili	Ngaphandle kwelebheli	Hayi
Isifo somlenze esingazinzanga	Ngaphandle kwelebheli	Hayi

Ngaba i-tramadol okanye i-oxycodone isebenza ngakumbi?

I-Oxycodone kudala ithathwa njengeyona inamandla kune-tramadol. Ukuthomalalisa iintlungu kuthelekiswa ngesiqhelo kwisiseko se morphine dosing elinganayo . I-Oxycodone iyi-1.5 yamaxesha anamandla ngakumbi kune-morphine, ngelixa i-tramadol inegunya elingenakuthelekiswa nanto xa kuthelekiswa ne-morphine.

Nye ukufunda Uthelekiso lokulawula iintlungu emva kotyando lobuso usebenzisa i-tramadol kunye ne-oxycodone. Kolu phononongo, amachiza afakwa ngaphakathi ngaphakathi ngesixhobo esilawulwa sisigulana. Ulawulo lwezinhlungu lwafunyanwa lufana phakathi kwala maqela mabini, kungekho mahluko manani phakathi kwala maqela mabini. I-Tramadol ayibangeli uxinzelelo lokuphefumla ukuya kwinqanaba le-oxycodone. Nangona kunjalo, abaguli bafumana isicaphucaphu ngakumbi nge-tramadol. Abaphandi bagqibe kwelokuba i-tramadol ibonelela ngesiqabu seentlungu xa kuthelekiswa ne-oxycodone ngaphandle komngcipheko woxinzelelo lokuphefumla.

Ukufunyanwa kunye nokuthelekiswa kweendleko ze-tramadol kunye ne-oxycodone

I-Tramadol ihlala igutyungelwe yi-Medicare kunye nezicwangciso zeinshurensi yokuthengisa iziyobisi, nangona kusenokwenzeka umda othile. Ukuphendula ubhubhane we-opioid, uninzi lokuyalela ukusikelwa umda nezikhokelo yaqala ukusebenza ngo-2019. Abaxhamli be-Medicare Icandelo D aba-opiate naive balinganiselwe kumyalelo weentsuku ezisixhenxe xa kugcwaliswa i-opiate. (I-Opiate naive ichazwa njengongakhange ithathe i-opiate kwiintsuku ezingama-60 ezidlulileyo.) Emva kweentsuku ezisixhenxe, ukuba kufuneka amayeza ongezelelweyo, abagqirha banokumisela ixesha elide. Kukho ukungafani kule mithetho, njenge-hospice kunye nokunyamekela okunxulumene nomhlaza. Ezinye izifo ezingapheliyo zentlungu zifanelekile ukuba zichazwe ngaphandle. Uninzi lwezicwangciso zeinshurensi yorhwebo zamkele umda ofanayo kubaxhamli bazo. Iikhemesti nazo zinokuba nemigaqo-nkqubo yazo ekhethekileyo yokugcwalisa amayeza e-opiate.

Iindleko ze-tramadol zinokuxabisa ngaphezulu kweedola ezingama-60 kwiipilisi ezingama-60 zamandla angama-50 mg. Ngekhuphoni evela kwi-SingleCare, ungawuthenga lo myalelo ngaphezulu nje kwe- $ 12.

Ixabiso lentengiso leOxycodone linokuba ngaphezulu kweedola ezili-150 kwiipilisi ezili-120 zamandla ali-10 mg. Ngekhuphoni evela kwi-SingleCare, ungawuzalisa lo myalelo ungaphantsi kwe- $ 40 kwii-pharmacy ezikhethiweyo.

Fumana ikhadi lesaphulelo somntu ongatshatanga

	I-Tramadol	Oxycodone
Ngokuqhelekileyo i-inshurensi?	Ewe, ngokusikelwa umda	Ewe, ngokusikelwa umda
Ngokuqhelekileyo igutyungelwe yiMedicare?	Ewe, ngokusikelwa umda	Ewe, ngokusikelwa umda
Umthamo osemgangathweni	Iipilisi ze-60, 50 mg	Iipilisi ze-120, 10 mg
I-Medicare copay eqhelekileyo	Ngokuqhelekileyo ngaphantsi kwe- $ 10	Ngokuqhelekileyo ngaphantsi kwe- $ 10
Ixabiso elilodwa	Iidola ezili-12- $ 30	$ 37- $ 52

Iziphumo eziqhelekileyo ezichaphazelekayo ze-tramadol kunye ne-oxycodone

Iziphumo ebezingalindelekanga ze-tramadol kunye ne-oxycodone ikakhulu ngenxa yokunxibelelana nenkqubo ye-nervous system. Omabini la machiza anokubangela iintloko, ukozela, kunye nesiyezi ngenxa yexinzelelo lwe-CNS. Iziganeko ezimbi zinokuba nzima kwaye zinokuthintela imisebenzi yesiqhelo yemihla ngemihla.

Ukunciphisa iintlungu kuyaziwa ukuba kubangele ukuqhina, ngamanye amaxesha kubenzima. Kunokuba yimfuneko ukuthatha izitulo ezithomalalisa iintlungu ngelixa ususa iintlungu. Ukuqhinwa ixesha elide kunokufuna laxatives ngqwabalala.

Le tshathi ilandelayo ayenzelwanga ukuba ibe luluhlu olubanzi lweziphumo ebezingalindelekanga. Nceda unxibelelane nengcali yezonyango efana nogqirha wakho okanye usokhemesti ukuze ufumane uluhlu olupheleleyo.

	Norco	Vicodin
Imiphumela	Iyasebenza?	Rhoqo	Iyasebenza?	Rhoqo
Ukozela	Ewe	16% -25%	Ewe	Ayichazwanga
Intloko ebuhlungu	Ewe	18% -32%	Ewe	Ayichazwanga
Isiyezi / Intloko ekhanyayo	Ewe	26% -33%	Ewe	Ayichazwanga
Ukuqunjelwa	Ewe	24% -46%	Ewe	Ayichazwanga
Isicaphucaphu	Ewe	24% -40%	Ewe	Ayichazwanga
Ukuhlanza	Ewe	9% -17%	Ewe	Ayichazwanga
Pruritus	Ewe	8% -11%	Ewe	Ayichazwanga
Ukubila	Ewe	6% -9%	Ewe	Ayichazwanga
Dyspepsia	Ewe	5% -13%	Ewe	Ayichazwanga
Umlomo owomileyo	Ewe	5% -10%	Ewe	Ayichazwanga
Urhudo	Ewe	5% -10%	Ewe	Ayichazwanga

Imvelaphi Yonke imihla Ioksijini (Yonke imihla )

Ukudibana kweziyobisi kwe-tramadol kunye ne-oxycodone

Ukusetyenziswa kwe-tramadol kunye ne-oxycodone kunye nezinye iziyobisi zoxinzelelo lwe-CNS kufuneka kuthintelwe xa kunokwenzeka. Iziyobisi ezinje nge-alprazolam kunye ne-diazepam, kunye nezinye i-opiate painkillers, zinokubangela inqanaba eliyingozi lokudakumba kwe-CNS xa isetyenziswa kunye ne-tramadol okanye i-oxycodone. Izigulana zinokubonisa uxinzelelo olukhulu lokuphefumla, ukudakumba okunzulu, uxinzelelo lwegazi oluphantsi, isiqaqa, okanye ukufa.

Iziyobisi ezichaphazela ii-receptors ze-serotonergic, ezinjenge-fluoxetine okanye i-sertraline, kufuneka zisetyenziswe ngononophelo kwizigulana ezithatha i-tramadol okanye i-oxycodone. Kukho ukubakho kokunyuka kwesifo se-serotonin, esinokubonakaliswa kukunyuka kwenqanaba lentliziyo, uxinzelelo lwegazi oluphezulu, ukudideka kunye nokungcangcazela.

Le theyibhile ilandelayo ayenzelwanga ukuba ibe luluhlu olupheleleyo lokudibana kweziyobisi. Nxibelelana neengcali zonyango ukuze ufumane uluhlu olupheleleyo kunye neengcebiso malunga nonxibelelwano.

Iziyobisi	Iklasi yeziyobisi	I-Tramadol	Oxycodone
IAlprazolam IClonazepam Diazepam IMidazolam I-Triazolam I-Temazepam	IiBenzodiazepines	Hayi	Ewe
ICannabidiol (CBD) Ikhonkco Dronabinol	IiCannabinoids	Ewe	Ewe
ICarbamazepine IPhenobarbital	Ulwaphulo-mthetho	Ewe	Ewe
Dabrafenib Erdafitinib	Iiarhente zokuzikhusela emzimbeni	Ewe	Ewe
Unyuselwa	Umncedisi	Ewe	Ewe
Inqabileyo Ifosaprepitant	Izinto zokulwa	Hayi	Ewe
IGranisetron Dolasetron Ondansetron IPalonosetron NdinguRamosetron ITropisetron	5HT3 Abachasi	Ewe	Hayi
IHydrochlorothiazide Furosemide I-Torsemide I-Spironolactone	Womchamo	Ewe	Ewe
Isoniazid	Intsholongwane	Hayi	Ewe
I-Naltrexone	Opiate olichasayo	Ewe	Ewe
IPhenelzine Umgca we-Linezolid	I-Monoamine oxidase inhibitors	Ewe	Ewe
Oxycodone	Opiate	Ewe	Ewe
Ipramipexole Ropinirole	Dopamine agonists	Ewe	Ewe
Iiprobene	Uricosuric	Hayi	Ewe
Ritonavir IOmbitasvir IParitaprevir Dasabuvir	Izinto zokulwa neentsholongwane	Ewe	Ewe
Zolpidem	Sedative	Ewe	Ewe
IFluoxetine Sertraline Paroxetine	Ukukhetha i-serotonin reuptake inhibitors	Ewe	Ewe

Izilumkiso ze-tramadol kunye ne-oxycodone

Ukusetyenziswa kotywala kufuneka kuthintelwe kwizigulana ezithatha i-oxycodone. Utywala bunokunyusa uxinzelelo lwe-serum ye-oxycodone kwaye ke yonyuse iziphumo zoxinzelelo lwe-CNS. Oku kunokukhokelela kumanqanaba ayingozi oxinzelelo lokuphefumla.

Abagqirha banokufuna ukuba bahlengahlengise idosi okanye ixesha lokudosa zombini i-tramadol okanye i-oxycodone kwizigulana ezinomonakalo wesibindi okanye ukungasebenzi kakuhle kwezintso.

I-Tramadol kunye ne-oxycodone ludidi C lokukhulelwa, okuthetha ukuba akukho zifundo zabantu ezibonisa ukonzakala okanye ukhuseleko kwizigulana ezikhulelweyo. Ukusetyenziswa kwala machiza kufuneka kuthintelwe ekusebenziseni okuyimfuneko kuphela. I-Oxycodone ikhona kubisi lwebele loomama abancancisayo; Kananjalo, oomama abancancisayo kufuneka basebenzise i-oxycodone kuphela xa isibonelelo ngokucacileyo sigqithile kumngcipheko. I-Tramadol akufuneki isetyenziswe koomama abancancisayo kuba i-metabolite yayo inamandla kwaye inokubangela ukurhoxa kwe-opioid kwiintsana.

I-Tramadol kunye ne-oxycodone nganye inokubakho okuphezulu kokuxhatshazwa, ukusetyenziswa gwenxa, ukuxhomekeka komzimba kunye neziyobisi. Kuya kufuneka zisetyenziswe kuphela xa zonke ezinye iindlela zonyango ezingasebenziyo zigqityiwe. Ukusetyenziswa kwabo kufuneka kuthintelwe nje kwixesha elifutshane kangangoko kunokwenzeka. Ukuba isigulana sithathe i-opiate pain relievers ixesha elide, banokuthi bathambekele kwiimpawu zokurhoxa ukuba bayayeka ngesiquphe. Ukuyekiswa emva kwethamo eliphezulu kunye nokusetyenziswa kwexesha elide kwe-opioid analgesics kufuneka kwenziwe ngokujonga ugqirha.

Ukuthomalalisa iintlungu kufuneka kusetyenziswe kuphela ebantwaneni xa kufanelekile; ngokwesiqhelo kwisimo se-in-patient apho banokujongwa khona. Umngcipheko omkhulu woxinzelelo lokuphefumla wenza ukuba la mayeza abe yingozi kakhulu ebantwaneni.

Imibuzo ebuzwa rhoqo malunga ne-tramadol kunye ne-oxycodone

Yintoni i-tramadol?

I-Tramadol sisixhobo sokuthomalalisa iintlungu esikwi-opioid agonist esifumaneka ngugqirha kuphela. Yinto elawulwa yiShedyuli IV. Iyafumaneka njengecwecwe lomlomo ekukhutshweni kwangoko kunye nakwindlela eyandisiweyo yokukhutshwa.

Yintoni ioxycodone?

I-Oxycodone sisixhobo sokudambisa iintlungu se-opioid agonist esifumaneka ngugqirha kuphela. Ishedyuli II ye-narcotic kwaye ibangela uxinzelelo lwe-CNS ebalulekileyo. Iyafumaneka njengecwecwe lomlomo ekukhutshweni kwangoko kunye nakwindlela eyandisiweyo yokukhutshwa.

Ngaba i-tramadol kunye ne-oxycodone ziyafana?

Ngelixa zombini i-tramadol kunye ne-oxycodone zizidambisa iintlungu, azifani. I-Oxycodone yiShedyuli II ye-narcotic kwaye ibangela uxinzelelo lwe-CNS, kubandakanya nokudakumba. I-Tramadol sisixhobo esilawulwayo seShedyuli IV kwaye asibangeli inani elibalulekileyo loxinzelelo lokuphefumla.

Ngaba i-tramadol okanye i-oxycodone ingcono?

I-Oxycodone ngamaxesha e-1.5 amandla e-morphine, ngelixa i-tramadol liqhekeza nje lamandla e-morphine. Nangona kunjalo, isifundo esenziwe kwizigulana ezisemva kotyando sifumene ukukhululeka kwentlungu efanayo ngamachiza omabini. I-Tramadol ibangela uxinzelelo lokuphefumla, kodwa ezinye iziphumo ebezingalindelekanga, zinokuba mbi ngeTramadol.

Ndingayisebenzisa i-tramadol okanye i-oxycodone ngelixa ndikhulelwe?

Ukusetyenziswa kwe-tramadol okanye i-oxycodone xa ukhulelwe kufuneka kuthintelwe kuphela xa kunyanzelekile njengoko kungakhange kubekho zilingo zabantu, ezilawulwayo zokulawula ukhuseleko. Isibonelelo sokusetyenziswa kufuneka sigqithise umngcipheko, kwaye neentsana kufuneka zijongwe kwi-opioid yokurhoxisa isifo ukuba la machiza asetyenziswa ixesha elide.

Ndingayisebenzisa i-tramadol okanye i-oxycodone ngotywala?

Izigulana ezithatha i-tramadol okanye i-oxycodone kufuneka ziphephe ukusebenzisa utywala. Utywala bunokonyusa uxinzelelo lwe-CNS kwezi ziyobisi, ezinokuthi zikhokelele kwiziganeko ezimbi ezinje ngokudakumba, ukuphefumla, okanye ukufa.

Ngaba i-tramadol yi-opiate?

Ewe. I-Tramadol inxibelelana ne-mu-opioid receptor ukunciphisa ukuhanjiswa kweempawu zentlungu kwi-CNS. Yenziwe ngendlela yokwenziwa, kwaye kucingelwa ukuba ayinabungozi kangako kunezinye iintlungu ze-opioid.

Ngaba i-tramadol sisihlaziyi semisipha?

Hayi, i-tramadol ayisiyisihlaziyi semisipha. Indlela esebenza ngayo ibandakanya ukuhanjiswa kwempawu zentlungu kodwa akuchaphazeli ngokuthe ngqo ukusebenza kwemisipha.