I-Vyvanse vs.Adderall: Umahluko, ukufana, kwaye yeyiphi engcono kuwe
Iziyobisi Vs. UmhloboUkujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango inyangwa | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ
I-Adderall kunye neVivvanse ngamayeza avuselelayo avunywe nguLawulo lokutya kunye noLawulo lweziyobisi (i-FDA) ukunyanga abaguli I-ADHD yabantu abadala okanye i-ADHD yobuntwana. I-Adderall ikwasetyenziselwa ukunyanga i-narcolepsy kubantu abadala okanye ebantwaneni; IVivvanse ikwasetyenziselwa ukumodareyitha ukuya kubunzima bokutya kakhulu (BED) kubantu abadala.
I-Adderall iqulethe ikhemikhali i-dextroamphetamine / amphetamine (ekwabizwa ngokuba yi-amphetamine salts). IVivvanse iqulethe i-lisdexamfetamine dimesylate, eyaziwa ngokuba yi-prodrug kuba iqala njenge-lisdexamfetamine kwaye iguqulwe yasebenza, i-dextroamphetamine, kwi-GI tract kunye nesibindi. Obu buchule buthoba ukusetyenziswa gwenxa kweVyvanse. Bobabini u-Adderall kunye noVyvanse IShedyuli II iziyobisi, oko kuthetha ukuba kukho amandla aphezulu okuphathwa gadalala.
Omabini la machiza ahlawulwa yi-inshurensi. I-Adderall kunye ne-Adderall XR (ukukhutshwa okwandisiweyo, okanye ukusebenza ixesha elide) ziyafumaneka kwi-brand kunye ne-generic, ngelixa i-Vyvanse okwangoku ifumaneka kuphela njengesiyobisi esinegama lophawu.
Yintoni umahluko ophambili phakathi kweAdderall neVyvanse?
Adderall
I-Adderall sisistim se-nervous system esikhuthazayo esisetyenziswa kunyango lwe-ADHD kunye narcolepsy kubantu abadala nasebantwaneni. Iza kwifom yokukhutshwa kwangoko kunye ne-capsule (XR); zombini ziyafumaneka kwi-brand kunye ne-generic. Igama eliqhelekileyo ngu-dextroamphetamine / amphetamine.
I-Adderall ihlala igutyungelwe yi-inshurensi kodwa ukusebenzisa i-generic kuhlala kungabizi kakhulu. Eli yeza lihlala lithathwa kabini okanye kathathu ngemini; idosi nganye ihlala malunga neeyure ezine. I-Adderall XR ithathwa kanye ngemini kwaye inokuhlala iiyure ezisibhozo ukuya kwezili-12.
I-Adderall iza neziphumo ebezingalindelekanga ezininzi, ukuhlangana kweziyobisi, kunye nezilumkiso, uninzi lwazo olunokulawulwa ngokujonga ngononophelo kunye novavanyo oluqhubekayo.
Vyvanse
I-Vyvanse sisistim se-nervous system esikhuthazayo esisetyenziswa kunyango lwe-ADHD kubantu abadala nasebantwaneni, nakwimodareyitha yokutya kakhulu ukutya kubantu abadala. UVivvanse uza kwifomu yecapsule kunye nethebhulethi ehlafunwayo kwaye ufumaneka ngophawu kuphela. I-Vyvanse ihlala igutyungelwe yi-inshurensi kodwa ngenxa yokuba ifumaneka ngophawu kuphela, abaguli banokuba ne-copay ephezulu, nangona yonke i-inshurensi yahlukile.
Igama leekhemikhali likaVivvanse yi-lisdexamfetamine, kwaye ichiza lijika libe yi-dextroamphetamine kwiphecana le-GI. Ngenxa yale ndlela, kunokuba kuncinci ukuphathwa gadalala kune-Adderall. I-Vyvanse ithathwa kanye yonke imihla kusasa; idosi inokufikelela kwiiyure ezili-14.
NjengoAdderall, uVyvanse uza neziphumo ebezingalindelekanga ezininzi, unxibelelwano lweziyobisi, kunye nezilumkiso, uninzi lwazo olunokulawulwa ngokujonga ngononophelo kunye novavanyo oluqhubekayo.
| Umahluko ophambili phakathi kweAdderall kunye neVyvanse | ||
|---|---|---|
| Adderall | Vyvanse | |
| Iklasi yeziyobisi | Ukukhuthaza i-CNS | Ukukhuthaza i-CNS |
| Uhlobo lweBrith / generic | Brand kunye generic ziyafumaneka | Ibhrendi kuphela |
| Ngubani igama eliqhelekileyo? | I-Dextroamphetamine / amphetamine | I-Lisdexamfetamine dimesylate |
| Luhlobo luni lweziyobisi? | Ithebhulethi: 5, 7.5, 10, 12.5, 15, 20, 30 mg (Kukwenzeka kwithebhulethi ekhulisiweyo (XR)) | Njengezingxobo: 10, 20, 30, 40, 50, 60, 70 mg Ukuhlafuna: 10, 20, 30, 40, 50, 60 mg |
| Ithini idosi esemgangathweni? (Iidosi ziyahluka; imizekelo inikezelwe ziidosi eziphakathi) | I-ADHD kubantu abadala: 5 ukuya kwi-40 mg ngosuku, yahlulwe kanye, kabini, okanye kathathu ngemini I-narcolepsy kubantu abadala: i-5 ukuya kwi-60 mg ngosuku, yahlulwe kanye, kabini okanye kathathu mihla le I-ADHD ebantwaneni: Iminyaka emi-3-5 ubudala: 2.5 ukuya kuma-40 mg ngosuku yahlulwe kanye, kabini, okanye kathathu ngemini Iminyaka emi-6 nangaphezulu: 5 ukuya ku-40 mg ngosuku yahlulwe kanye, kabini, okanye kathathu ngemini I-narcolepsy ebantwaneni: Iminyaka emi-6 ubudala nangaphezulu: 5 ukuya kuma-60 mg ngosuku yahlulwe kanye, kabini, okanye kathathu ngemini | I-ADHD kubantu abadala okanye ebantwaneni (6 nangaphezulu): 30 ukuya ku-70 mg kanye yonke imihla kusasa (idosi ephezulu ngama-70 mg ngosuku) Ukutya ngokutya okuphakathi (ukumodareyitha ukuya kubukhali) kubantu abadala: 50 ukuya kwi-70 mg qho kusasa (inokuqala nge-30 mg kwaye inyuke; idosi ephezulu yi-70 mg ngosuku)
|
| Lude kangakanani unyango oluqhelekileyo? | Ayifundwanga ukusetyenziswa kwexesha elide, izigulana kufuneka zivavanywe rhoqo. Ukufakwa kwephakheji kuza nesilumkiso: Ulawulo lwee-amphetamines ixesha elide kunokukhokelela ekuxhomekekeni kweziyobisi kwaye kufuneka kuthintelwe. | Awufundanga ngaphezulu kweeveki ezi-4; abaguli kufuneka bajongwe ngokusondeleyo ngelixa baseVivvanse. Ukufakwa kwephakheji kuza nesilumkiso: Ulawulo lwee-amphetamines ixesha elide kunokukhokelela ekuxhomekekeni kweziyobisi kwaye kufuneka kuthintelwe. |
| Ngubani oqhelekileyo usebenzisa amayeza? | Abantu abadala okanye abantwana abane-ADHD okanye i-narcolepsy | Abantu abadala abane-ADHD okanye ukumodareyitha ukuya kubunzima bokutya kakhulu; abantwana abane-ADHD |
Ngaba ufuna elona xabiso lilungileyo kwiAdderall?
Bhalisela izilumkiso zamaxabiso eAdderall kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Imiqathango ephethwe nguAdderall noVyvanse
I-Adderall isetyenziselwa abantu abadala kunye nabantwana kunyango lwe-ADHD okanye i-narcolepsy. IVivvanse isetyenziselwa abantu abadala kunye nabantwana kunyango lwe-ADHD. Isetyenziselwa abantu abadala ukumodareyitha ukuya kubunzima bokutya kakhulu.
| Imeko | Adderall | Vyvanse |
| I-ADHD (abantwana kunye nabantu abadala) | Ewe | Ewe |
| Ukuphazamiseka kwindlela yokutya ukutya kakhulu | Hayi | Ewe |
| I-narcolepsy (abantwana kunye nabantu abadala) | Ewe | Hayi |
Ngaba i-Adderall okanye i-Vyvanse isebenza ngakumbi?
Kuhlalutyo lokusebenza kweAdderall, epapashwe kwi Ijenali yokuPhazamiseka kwengqondo , izifundo ezithandathu zahlolwa. I-Adderall yafunyanwa isebenza ngokukuko kwiimpawu zokungaqwalaselwa, ukungasebenzi kakuhle, ukungxamiseka, kunye nobundlongondlongo. Isifundo seklinikhi IAdderall XR ibonakalise ukuphucuka okubonakalayo ngaphezulu kwe-placebo ngokweendlela zokuziphatha, ingqalelo, kunye noxinzelelo.
Uphononongo luka-2016 olupapashwe kwi Uphando lweKlinikhi lweziyobisi ifumanise ukuba uVyvanse uluncedo ebantwaneni, kulutsha nakwabantu abadala abane-ADHD. Kuphononongo olupapashwe kwi IJAMA yengqondo Ngo-2017, uVyvanse wafunyanwa eluncedo ekuthinteleni ukubuyela ekuphazamiseni ukutya. Kuphela yi-3.7% yezigulana zikaVyvanse ezibuyele umva, xa kuthelekiswa ne-32.1% yezigulana ezithatha indawo ye-placebo.
Omabini la machiza abonakalisiwe ukuba ayasebenza; Nangona kunjalo, wonke umntu usabela ngokwahlukileyo kumayeza. Nxibelelana nogqirha wakho malunga nokuba leliphi iyeza elifanele wena okanye umntwana wakho.
Ngaba ufuna elona xabiso libalaseleyo kwiVivvanse?
Bhalisela izilumkiso zexabiso leVivvanse kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Umyinge kunye nokuthelekiswa kweendleko zeVyvanse vs.Adderall
I-inshurensi ihlala igubungela i-Adderall (uphawu kunye nolo luqhelekileyo) kunye neVyvanse; Ezinye i-inshurensi zikhetha igama le-brand Adderall XR ngaphezulu kwendlela eyenziweyo, ngenxa yeekhontrakthi zeinshurensi.
Ungagcina amayeza amiselweyo ngamakhuphoni e-SingleCare; cofa amakhonkco ukujonga ukonga kwethu kwiAdderall naseVyvanse.
| Adderall | Vyvanse | |
| Ngokuqhelekileyo ihlawulwa yi-inshurensi? | Ewe | Ewe |
| Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare? | Ngokwesiqhelo; I-copay iya kwahluka | Rhoqo; I-Vyvanse ihlala ingakhethwanga kwaye inexabiso eliphezulu ukuphuma epokothweni kwizigulana ze-Medicare D |
| Umthamo osemgangathweni | Umzekelo: i-generic Adderall 20 mg, 60 count, ithathwa njengethebhulethi enye kabini ngemini | Umzekelo: 50 mg, 30 count, ithathwa kanye yonke imihla kusasa |
| Icandelo le-Medicare Icandelo D | $ 7-78; iyahluka | Iidola ezingama-42-349; iyahluka |
| Ixabiso elinye | $ 31 | $ 313 |
Iziphumo eziqhelekileyo ezichaphazelekayo zeAdderall vs.Vavvanse
Iziphumo ebezingalindelekanga zeAdderall :
Kwiminyaka emithandathu ukuya kweli-12, iziphumo ebezingalindelekanga ezixhaphakileyo kukuphelelwa ngumdla, ukungalali, iintlungu esiswini, ukutshintsha kwemozulu, ukugabha, ukoyika, isicaphucaphu kunye nomkhuhlane.
Kwiminyaka yokufikisa eyi-13 ukuya kwi-17, iziphumo ebezingalindelekanga ezixhaphakileyo kukuphulukana nomdla wokutya, ukungalali kakuhle, iintlungu esiswini, ukunciphisa umzimba kunye novalo.
Kubantu abadala, iziphumo ebezingalindelekanga eziqhelekileyo ngumlomo owomileyo, ukuphelelwa ngumdla, ukungalali, intloko ebuhlungu, ukwehla kobunzima, isicaphucaphu, ixhala, ukuphazamiseka, isiyezi, itachycardia (ukubetha kwentliziyo okukhawulezileyo), urhudo, ubuthathaka, kunye nosulelo lomchamo.
Iziphumo ebezingalindelekanga zeVyvanse :
Iziphumo ebezingalindelekanga ezixhaphakileyo ebantwaneni, abakwishumi elivisayo, kunye / okanye kubantu abadala abane-ADHD yianorexia, unxunguphalo, ukuncipha kokutya, ukunciphisa umzimba, urhudo, isiyezi, umlomo owomileyo, ukuba nochuku, ukuqaqanjelwa sisisu, isicaphucaphu, iintlungu esiswini kunye nokugabha.
Iziphumo ebezingalindelekanga eziqhelekileyo kubantu abadala abane-BED ngumlomo owomileyo, ukuphuthelwa, ukuncipha kokutya, ukonyuka kwentliziyo, ukuqhinwa, ukuziva ujittery kunye noxinzelelo.
Nxibelelana noochwephesha wakho ngolwazi oluthe kratya malunga neziphumo ebezingalindelekanga.
Ukudibana kweziyobisi kwiVyvanse vs Adderall
I-Adderall kunye neVyvanse zineprofayile efanayo yokusebenzisana kweziyobisi.
I-Tricyclic antidepressants, efana ne-Elavil (amitriptyline) okanye i-Pamelor (nortriptyline) inokunyusa iziphumo zentliziyo yeAdderall okanye iVivvanse; abaguli kufuneka bajongwe ngononophelo.
I-Paxil (i-paroxetine) okanye i-Prozac (i-fluoxetine) zii-SSRI zokulwa noxinzelelo ezinokuthi zonyuse umngcipheko Iiserotonin isifo xa ithathwa neAdderall okanye iVyvanse. I-SNRI antidepressants efana ne-Effexor (venlafaxine) inokuba ngumngcipheko ofanayo we-serotonin syndrome xa ithathwa ne-Adderall okanye i-Vyvanse.
I-Monoamine oxidase inhibitors (i-MAOIs), efana ne-selegiline, ngokudibeneyo ne-Adderall okanye i-Vyvanse, inokubangela ingxaki yoxinzelelo lwegazi, kwaye ikhokelele ekufeni. Ii-MAOI akufuneki zisetyenziswe kwisithuba seentsuku ezili-14 emva kweAdderall okanye iVyvanse. I-Adderall okanye i-Vyvanse inokusebenzisana namayeza oxinzelelo lwegazi.
| Iziyobisi | Iklasi yeziyobisi | Adderall | Vyvanse |
| Iprozac (fluoxetine) I-Paxil (iparoxetine) UCelexa (citalopram) Zoloft (sertraline) ILexapro (esitalitalopram) | I-SSRI yoxinzelelo | Ewe | Ewe |
| I-Elavil (amitriptyline) I-Pamelor (inortriptyline) | I-Tricyclic yoxinzelelo | Ewe | Ewe |
| I-Effexor (venlafaxine), iPristiq (desvenlafaxine), iCymbalta (duloxetine) | I-SNRI yoxinzelelo | Ewe | Ewe |
| IDesyrel (trazodone), iWellbutrin (bupropion) | Ezinye iziyobisi | Ewe | Ewe |
| I-Selegiline, tranylcypromine | I-MAO inhibitors | Ewe | Ewe |
| Unyango lwegazi | Zonke iindidi | Ewe | Ewe |
| Axert (almotriptan), Imitrex (sumatriptan), Maxalt (rizatriptan), Zomig (zolmitriptan), Relpax (eletriptan) | Ukukhetha i-serotonin receptor agonists ye-migraine | Ewe | Ewe |
| Prevacid (lansoprazole), Prilosec (omeprazole), Protonix (pantoprazole) | I-PPI (iProton pump inhibitors) | Ewe | Ewe |
Olu luhlu olukhethiweyo. Nxibelelana nomboneleli wakho wezempilo kuvavanyo lomntu ngamnye lokunxibelelana neziyobisi kunye namayeza akho.
Izilumkiso zaseVivvanse naseAdderall
UAdderall noVyvanse banezilumkiso ezifanayo:
- Isilumkiso esomeleleyo sokusetyenziswa gwenxa / gadalala, ngakumbi ngokusetyenziswa ixesha elide. Ukusetyenziswa gwenxa kunokubangela ukufa ngesiquphe okanye iingxaki zentliziyo kunye nezinye iziphumo ezibi zentliziyo kwizigulana.
- Ukufa ngesiquphe kuye kwaxelwa, kwaneedosi eziqhelekileyo. Abantu abadala kunye nabo banesifo sentliziyo okanye naziphi na iingxaki ezinzulu zentliziyo zisengozini ephezulu.
- Uxinzelelo lwegazi lunokunyuka, ngesiqhelo kuphela kancinci, kodwa ngamanye amaxesha kakhulu. Izigulana kufuneka zijongwe.
- Ingqondo yengqondo esele ikho inokuba mandundu. Izigulana kufuneka zijongwe nezinye iimpawu zempilo yengqondo, ezinjengobundlongondlongo.
- Abantwana kufuneka babekwe iliso kuxinzelelo lokukhula.
- Umbundu wokubanjwa unokuhla.
- Ukuphazamiseka okubonakalayo kunokwenzeka.
- Izigulana kufuneka zivavanywe kwimeko kaRaynaud (ukusikelwa umda ukusasazeka ukuya kwiiphelo).
- Iserotonin syndrome inokwenzeka. Izigulana kufuneka zijongwe ngononophelo kwaye zifune unyango olungxamisekileyo ukuba kukho naziphi na kwezi mpawu:
- Utshintsho lobume bengqondo (ukuphazamiseka, ukubona izinto ezingekhoyo, ukungxama, kunye nekhoma)
- Ukubetha kwentliziyo okukhawulezayo, ukuhla koxinzelelo lwegazi, isiyezi, ukubila, ukugungxula
- Ukududuzela, ukuqina, ukungqinelani
- Ukuxhuzula
- Iimpawu zesisu (isicaphucaphu, ukugabha, urhudo)
Imibuzo ebuzwa rhoqo malunga neVyvanse vs Adderall
Yintoni iAdderall?
I-Adderall sisikhuthazi esisetyenziselwa ukunyanga i-ADHD kubantu abadala nasebantwaneni kunye nakwinkunkuma kubantu abadala nasebantwaneni.
Yintoni iVavvanse?
UVivvanse sisikhuthazi esisetyenziselwa ukunyanga i-ADHD kubantu abadala nasebantwaneni kwaye simodareyitha ukuya kwisifo sokutya kakhulu kubantu abadala.
Ngaba uVyvanse noAdderall bayafana?
Ziyafana kakhulu neziphumo ebezingalindelekanga ezifanayo, ukuhlangana kweziyobisi, kunye nezilumkiso. Umthamo kunye namaxabiso ayahluka. Umahluko omnye phakathi kukaVivvanse noAdderall kukuba iVivvanse sisixhobo sokwenza iziyobisi, kwaye iguqula ibe yi-dextroamphetamine kwiphecana le-GI, elehlisa amandla okuphathwa gadalala.
Kukuphi okungcono: iAdderall okanye iVyvanse?
Kuyaxhomekeka. Wonke umntu uneempendulo ezahlukeneyo kumayeza ahlukeneyo. Ugqirha wakho unokukunceda ukhethe ichiza elilungele wena, ngokusekwe kwimbali yakho yezonyango kunye neemfuno. Umzekelo, ukuba iindleko zizinto ezichazayo, i-Adderall inokuba lukhetho olungcono. Kwaye ukuba ukhathazekile malunga nokuphathwa gadalala, uVyvanse unokubheja ngcono.
Ndingayisebenzisa iAdderall okanye iVivvanse ngelixa ndikhulelwe?
Hayi. UAdderall noVyvanse kufuneka bobabini bathintelwe ngexa lokukhulelwa okanye ukuncancisa. Ukuba ukhulelwe ngelixa sele uneli yeza, nxibelelana nommeli wakho kwangoko ngengcebiso.
Ndingayisebenzisa iAdderall okanye iVivvanse ngotywala?
Hayi. Omabini la mayeza ayingozi kakhulu kuwo xuba notywala .
Adderall: Utywala obuninzi bunokunyusa izinga lokubetha kwentliziyo kunye noxinzelelo lwegazi, olunokuba yingozi kakhulu ngokudibanisa neAdderall. Inokude ikhokelele ekuhlaselweni yintliziyo okanye kukuhlaselwa sistroke kwaye kwandise umngcipheko wetyhefu yotywala.
Vyvanse: Utywala bunokunciphisa ezinye zezinto ezikhuthazayo zeVivvanse, kwaye iVivvanse inokunciphisa ezinye iziphumo zotywala. Ngenxa yoko, umntu unokuzama ukusebenzisa esinye sazo zombini okanye zombini iziyobisi kwaye ekugqibeleni agqithise.
Zininzi ezinye iziphumo ezinokuthi zibangelwe kukuxuba utywala kunye neVyvanse, ezinje: ngotshintsho olukhulu kuxinzelelo lwegazi, ukonyuka kwentliziyo, iintlungu esifubeni, isifo sentliziyo, ukubetha, umngcipheko wokubanjwa, ubundlongondlongo, iparanoa, ukudideka, ukubona izinto ezingekhoyo, nokunye okuninzi.
Ukongeza, utywala bunokuba mandundu nge-ADHD.
Ngaba iVavvanse ineziphumo ebezingalindelekanga ezimbalwa kuneAdderall?
Iziphumo ebezingalindelekanga ziyafana kwaye zinokubandakanya: umlomo owomileyo, ukuphelelwa ngumdla, ukungalali, intloko ebuhlungu, ukwehla kobunzima, isicaphucaphu, ixhala, ukuphazamiseka, isiyezi, i-tachycardia, kunye norhudo, phakathi kwezinye iziphumo ebezingalindelekanga.
Ungadibanisa iAdderall neVyvanse?
Hayi. Iziphumo ezongeziweyo zinokubangela ukubetha kwentliziyo okukhawulezayo, uxinzelelo lwegazi oluphezulu, okanye ezinye iziphumo ebezingalindelekanga. Ikwalunyango oluphindiweyo kwaye akukho mfuneko yokusebenzisa zombini.
Yimalini uVavvanse olingana noAdderall?
Kukho izicelo ezahlukeneyo zabaqeqeshi bezempilo abanokuzisebenzisa ukuguqula i-dosing phakathi kwamayeza, ukuba kukho imfuneko. Ukuguqula iinguqu kunokuba kungachanekanga, kwaye kunokuthatha uvavanyo oluncinci kunye nephutha xa utshintsha phakathi kwala mayeza.
Khumbula, olona nyango lusebenzayo kufuneka lumiselwe kuphela ngugqirha wakho oza kujonga umfanekiso opheleleyo weemeko (zonyango) zakho, imbali yezempilo, kunye namanye amayeza anokusebenzisana noVyvanse okanye u-Adderall
