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

I-Vyvanse vs.Ritalin: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

I-Vyvanse vs.Ritalin: Umahluko, ukufana, kwaye kukuphi okungcono kuweIziyobisi Vs. Umhlobo

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Ukuqwalaselwa kwentsilelo yokuchaphazeleka kwengqondo (ADHD) kuchaphazela 6.1 yezigidi zobomi eUnited States. Ukuchonga izigulana ezine-ADHD kunamanyathelo amaninzi. Izigulana zinokubonisa iimpawu ezinje ngokungamameli xa kuthethwa ngqo, ukusilela ukuzilungiselela ukugqiba imisebenzi okanye ukulibala kwimisebenzi yemihla ngemihla. Izigulana ezine-ADHD zisenokufuna indawo yokuhlala ekhethekileyo kuseto olufana negumbi lokufundela ukuze ugqibezele umsebenzi wabo. Ngugqirha kuphela onokuchonga i-ADHD, kodwa nje ukuba kufunyenwe isifo, kukho iindlela zonyango ezinokunceda abaguli baqonde umgangatho ophezulu wokusebenza kwimisebenzi yemihla ngemihla.



Olunye lweendlela eziqhelekileyo zonyango lwe-ADHD ludidi lwamayeza abizwa njengenkqubo ye-nervous system (CNS). IVivvanse (lisdexamfetamine) kunye neRitalin (methylphenidate) ngamayeza amabini ngaphakathi kweli klasi. Ezinye izinto ezaziwayo ezikhuthazayo zibandakanya iAdderall / Adderall XR (amphetamine salts), Concerta (methylphenidate-release-release), Daytrana (methylphenidate), kunye neFocalin / Focalin XR (dexmethylphenidate). Kukho iindlela zonyango ezinganyanzelisiyo ze-ADHD. Oku kubandakanya iStrattera (atomoxetine) kunye ne-Intuniv ER (guanfacine).

Nguwuphi umahluko ophambili phakathi kukaVyvanse noRitalin?

I-Vyvanse (Yintoni iVivvanse?) Yinkqubo ye-nervous system evuselelayo esetyenziswa kunyango lwe-ADHD kunye nokuphazamiseka ekutyeni. Indlela ngqo yokuba uVyvanse uziphatha njani ezi ngxaki ayaziwa. IVivvanse iguqulelwe kwimetabolite yayo esebenzayo, dextroamphetamine. Ii-Amphetamines zikhuthaza ukukhutshwa kwee-catecholamines, ezinje nge-norepinephrine kunye ne-dopamine, kwi-neuron synapse. Siyazi ukuba ezi neurotransmitters zidlala indima ebalulekileyo kwiimvakalelo, zichaphazele, kwaye zijolise.

I-Arhente yokuNyanzelisa iziyobisi (i-DEA) ibona uVyvanse ishedyuli II iziyobisi. Oku kungenxa yokusetyenziswa kwayo gadalala, kwaye ke kungakho izithintelo kunye nezikhokelo zokufumana iVivvanse eyahlukileyo ngurhulumente. I-Vyvanse sisiqwenga somlomo esifumaneka kwi-10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, kunye 70 mg. I-Vyvanse ikwafumaneka kwithebhulethi ehlafunwayo ngamandla afanayo nokwenziwa kwecapsule.



URitalin (Yintoni iRitalin?) Ikwayinkqubo ye-nervous system evuselelayo esetyenziselwa unyango lwe-ADHD kunye narcolepsy. Indlela yayo eyiyo nayo ayiqondakali ngokupheleleyo. URitalin yinto evuselelayo ye-CNS. Endaweni yokubangela ukuba kukhutshwe ii-catecholamines, kuthintela ukuphinda kufunyanwe kwezi neurotransmitters kwi-neuron synapse. Isiphelo sishiya i-dopamine yasimahla kunye ne-norepinephrine kwi-neuron synapse.

URitalin ukwahlelwa njenge- IShedyuli II ye-narcotic yi-DEA ngenxa yokusetyenziswa gwenxa kwayo. Iyafumaneka kwiipilisi ezikhutshwa kwangoko kwi-5 mg, 10 mg, kunye namandla e-20 mg. Ikwafumaneka ekwakhiweni kwe-capsule ende esebenza nge-10 mg, 20 mg, 30 mg, 40 mg, kunye namandla angama-60 mg.

Umahluko ophambili phakathi kukaVyvanse kunye noRitalin
Vyvanse URitalin
Iklasi yeziyobisi Inkqubo ye-nervous system evuselelayo Inkqubo ye-nervous system evuselelayo
Uhlobo lweBrith / generic Ibhrendi kuphela Brand kunye generic ziyafumaneka
Ngubani igama eliqhelekileyo? ILisdexamfetamine Imethylphenidate
Zeziphi iifom eza nalo iziyobisi? Iphilisi yomlomo kunye nethebhulethi ehlafunwayo Ukukhutshwa kwangoko kwithebhulethi yomlomo kunye necapsule yomlomo esebenza ixesha elide
Ithini idosi esemgangathweni? 70 mg kanye yonke imihla 10 mg tablet kabini yonke imihla
Lude kangakanani unyango oluqhelekileyo? Ixesha elide (iinyanga ukuya kwiminyaka) Ixesha elide (iinyanga ukuya kwiminyaka)
Ngubani oqhelekileyo usebenzisa amayeza? Abantwana, abafikisayo kunye nabantu abadala Abantwana, abafikisayo kunye nabantu abadala

Ngaba ufuna elona xabiso libalaseleyo kwiVivvanse?

Bhalisela izilumkiso zexabiso leVivvanse kwaye ufumane ukuba amaxabiso atshintsha nini!



Fumana izilumkiso zamaxabiso

Imiqathango ephathwe nguVyvanse noRitalin

UVyvanse noRitalin basetyenziswa nganye kunyango lwe-ADHD. UVyvanse uvunyiwe kubantwana abaneminyaka emi-6 ubudala, kwaye uRitalin uvunyiwe kubantwana abaneminyaka emi-3 ubudala. Omabini la machiza anokusetyenziswa kulutsha nakubantu abadala.

UVivvanse uphethe uphawu lonyango kunyango lokutya okutya kakhulu. Ukutya utywala kubonakala ngokutya okugqithileyo kwindawo enye. Akusoloko kusenzeka ngenxa yesifo esisisiseko. Iimbaleki ezisebenzisa inani elikhulu leekhalori ngaphambi komnyhadala weembaleki ziyatya, kodwa azizukufuna nyango. Ngamaxesha athile, ukuzinkcinkca ngotywala luphawu lwesifo sempilo yengqondo, kwaye uVyvanse uvunyiwe ukuba anyange ukungalawuleki.



URitalin uvunyiwe kunyango lwe-narcolepsy. I-narcolepsy sisifo esibonakala ukozela kakhulu emini, ngenxa yesifo sokulala esinganyangekiyo. Iziphumo ezikhuthazayo zikaRitalin ziyaziwa ubuncinci ukuphelisa ukozela.

Oku ayenzelwanga ukuba ibe yitshathi ebandakanya konke ukusetyenziswa kwazo kwezi ziyobisi. Nxibelelana noochwephesha kwezonyango malunga nokusebenzisa uVyvanse noRitalin.



Imeko Vyvanse URitalin
I-ADHD Ewe Ewe
Ukuphazamiseka kwindlela otya ngayo Ewe Hayi
Ingqele Hayi Ewe
Ukudinwa kakhulu Hayi Ngaphandle kwelebheli
Uxinzelelo olukhulu lokudakumba Hayi Ngaphandle kwelebheli

Ikhadi lesaphulelo sokumiselwa

Ngaba uVyvanse okanye uRitalin usebenza ngakumbi?

Ngo-2017, a uphononongo olubanzi kwapapashwa ukuthelekisa iziphumo zezilingo ezingama-34 ezingenamsebenzi ngokuthelekisa iindlela zonyango ezahlukeneyo ze-ADHD, kubandakanya izinto ezisebenzayo kwiVyvanse naseRitalin. Iziphumo zolu hlalutyo zifumanise ukuba iimpawu ze-ADHD ziphuculwe kakhulu kwizigulana ezithatha uVyvanse, nangona zonke iindlela zonyango zisebenza. Esinye isiphumo esibalulekileyo sibonisa ukuba indibaniselwano yokukhupha imethylphenidate kwangoko, enje ngeRitalin, zezona zazinyamezeleka kakhulu. Ingqwalasela yokugqibela ebalulekileyo iya kuba yindleko yonyango. URitalin ebeqhele ukwenziwa generic iminyaka emininzi kwaye ngokubanzi ubiza kakhulu kuneVyvanse, efumaneka kuphela kwigama elenza igama lophawu.



Ngumboneleli wakho wezempilo kuphela onokugqiba ukuba loluphi unyango olulungele wena. Ngenxa yezizathu ezingaziwayo, ezinye iindlela zonyango zinokungasebenzi kakuhle kwezinye izigulana kunezinye. Umsebenzi wakho wezempilo uza kusebenza nawe ukufumana olona nyango lusebenzayo.

Ngaba ufuna elona xabiso lilungileyo kwiRitalin?

Bhalisela izilumkiso zamaxabiso eRitalin kwaye ufumane ukuba amaxabiso atshintsha nini!



Fumana izilumkiso zamaxabiso

Umyinge kunye nokuthelekiswa kweendleko zeVyvanse vs.Ritalin

UVyvanse lunyango lonyango olugqitywa yi-inshurensi yorhwebo. Ukugqitywa kwezicwangciso zeMedare kuyahluka okanye kufuna ukuba kwenziwe okhethekileyo. Ixabiso eliphuma epokothweni leVyvanse 70mg linokuba yi- $ 471. Ikhuphoni evela kwi-SingleCare inokuzisa ixabiso kwi $ 322 kwii-pharmacy ezikhethiweyo.

URitalin liyeza likagqirha elihlala ligutyungelwe yinshurensi yorhwebo. Ukugqitywa kwezicwangciso zeMedare kuyahluka okanye kufuna ukuba kwenziwe okhethekileyo. URitalin uhlala ethengisa malunga ne- $ 85, kodwa ngesigqebhezana esivela kwi-SingleCare, abaguli banokufumana i-genital Ritalin ngemali encinci njenge- $ 15.

Vyvanse URitalin
Ngokuqhelekileyo i-inshurensi? Ewe Ewe
Ngokuqhelekileyo igutyungelwe yiMedicare? Ngokunokwenzeka ngokugunyaziswa kwangaphambili Ngokunokwenzeka ngokugunyaziswa kwangaphambili
Umthamo osemgangathweni 30, 70 mg njengezingxobo Iipilisi ze-30, 10 mg
I-Medicare copay eqhelekileyo Eyahlukileyo Eyahlukileyo
Ixabiso elilodwa $ 322- $ 341 $ 15- $ 55

Iziphumo eziqhelekileyo ezichaphazelekayo zeVivvanse vs.Ritalin

IVivvanse kunye neRitalin zombini zizikhuthazi ze-CNS, kwaye ke zinoluhlu olufanayo lweziphumo ebezingalindelekanga ezinokubakho. Uncwadi oluvela kuLawulo lokuTya kunye noLawulo lweziyobisi (i-FDA) aluchazi ukuphindaphinda kweziganeko ezimbi ezivela eRitalin. Phantse i-1 kuzo zonke izigulana ezi-2.5 ezithatha uVyvanse ngamava okungalali. Ngesi sizathu, iVivvanse kunye nezinye izinto ezikhuthazayo kufuneka zithathwe kwangoko emini.

Ezinye iziphumo ebezingalindelekanga ezinxulumene neVivvanse kunye neRitalin zibandakanya ukuncipha kokutya, iintlungu eziphezulu zesisu, isicaphucaphu kunye nokugabha. Ezi ziphumo zingakhokelela ekulahlekeni kwesisindo, kwaye izigulana kufuneka zijongwe ngenxa yesi siphumo.

Oku ayenzelwanga ukuba ibe luluhlu olubanzi lweziphumo ebezingalindelekanga. Nceda uqhagamshelane nosokhemesti wakho okanye ugqirha wezempilo ukuze ufumane uluhlu olupheleleyo lweziphumo ebezingalindelekanga.

Vyvanse URitalin
Imiphumela Iyasebenza? Rhoqo Iyasebenza? Rhoqo
Ukuphuthelwa Ewe 39% Ewe Ayichazwanga
Ukunciphisa ukutya Ewe 22% Ewe Ayichazwanga
Intlungu ephezulu esiswini Ewe 12% Ewe Ayichazwanga
Ukucaphuka Ewe 10% Ewe Ayichazwanga
Ukuhlanza Ewe 9% Ewe Ayichazwanga
Ukuthoba umzimba Ewe 9% Ewe Ayichazwanga
Isicaphucaphu Ewe 6% Ewe Ayichazwanga
Umlomo owomileyo Ewe 5% Ewe Ayichazwanga
Ukuba nesiyezi Ewe 5% Ewe Ayichazwanga

Umthombo: Vyvanse (Yonke imihla) URitalin (Yonke imihla)

Ukudibana kweziyobisi kwiVyvanse vs.Ritalin

Ukudityaniswa kweVyvanse okanye iRitalin ene-monoamine oxidase inhibitors kuyangqinelana. Olu dibaniso lwala machiza akufuneki lusetyenziswe kwizigulana. I-MAOI antidepressants icothisa i-amphetamine metabolism, yonyusa ifuthe le-amphetamine ekukhutshweni kwe-norepinephrine kunye nezinye i-monoamines ezivela kwiziphelo zemithambo-luvo ezibangela iintloko kunye nezinye iimpawu zoxinzelelo lwexinzelelo.

Ukusetyenziswa kweVyvanse okanye iRitalin eneearhente ezahlukeneyo ze-serotonergic kunokunyusa ukubakho kwesifo se-serotonin. Esi sifo sinokubangela ukuba isigulana sizive siphazamisekile, siba nesiyezi, kwaye sonyuse nenqanaba lentliziyo. Iiarhente zeSerotonergic zibandakanya iintlobo zokuthintela uxinzelelo njengokukhetha i-serotonin reuptake inhibitors, i-tricyclic antidepressants, kunye ne-5HT3 antagonists.

URitalin uthathiwe uyaziwa ngokuchasene neziphumo ezichasayo zoxinzelelo lwegazi eziqhelekileyo ezinje nge-lisinopril, benazepril, losartan, kunye irbesartan. Izigulana ezinexinzelelo oluphezulu lwegazi kufuneka ziphephe iRitalin.

Olu luhlu lulandelayo alwenzelwanga ukuba lube luluhlu olupheleleyo lokunxibelelana kweziyobisi. Kungcono udibane nogqirha wakho okanye usokhemisti uluhlu olupheleleyo.

Iziyobisi Iklasi yeziyobisi Vyvanse URitalin
Selegiline
Isocarboxazid
IPhenelzine
Umgca we-Linezolid
I-Monoamine oxidase inhibitors (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) Ewe Ewe
ISumatriptan
Rizatriptan
Eletriptan
Zolmitriptan
INaratriptan
Frovatriptan
I-5HT3 Iintshaba (iTriptans) Ewe Ewe
Desipramine
Inkqubo yokukhusela
Amitriptyline
Umgca weNortriptyline
I-Tricyclic yoxinzelelo Ewe Ewe
Lisinopril
IRamipril
KwiBenazepril
Enalapril
Quinapril
Ifosinopril
I-Angiotensin-eguqula i-enzyme (ACE) inhibitors Hayi Ewe
ILosartan
Irbesartan
Valsartan
UOlmesartan
I-Angiotensin receptor blockers (ii-ARBs) Hayi Ewe
ICarvedilol
Imitha
Atenolol
Nebivolol
Beta-iibhlokhi Hayi Ewe

Izilumkiso zikaVyvanse noRitalin

IVivvanse kunye neRitalin ziishedyuli II zeziyobisi, kwaye ke ngoko zinamandla aphezulu okuphathwa gadalala nokusetyenziswa gwenxa. La mayeza kufuneka athathwe ngokuchanekileyo njengoko kuyalelwe, kwaye abaguli kufuneka babekwe esweni ngokusondeleyo ngababoneleli babo bezempilo ngelixa bekula mayeza.

Ukufa ngesiquphe, ukubetha, kunye nokubanjwa kwentliziyo kuye kwaxelwa kwizigulana ezithatha izikhuthazi ze-CNS, kwaneedosi ezicetyiswayo. Ukufa ngesiquphe kwenzekile ebantwaneni nakwishumi elivisayo abanesifo sentliziyo. Ngesi sizathu, ukusetyenziswa kweVyvanse kunye neRitalin kufuneka kuthintelwe kwizigulana ezinembali yesifo semithambo okanye isifo esaziwayo sentliziyo.

Izikhuthazi ze-CNS zinokunyusa ukuphazamiseka kwendlela yokuziphatha kwizigulana ezinengxaki yokuphazamiseka kwengqondo. Ezi zigulana kufuneka zibekwe iliso ngokusondeleyo ukuba izikhuthazi ze-CNS ziyimfuneko. Izigulana zeBipolar zinokufumana iziqendu ezixubeneyo okanye ezomntu ngelixa zikhuthaza i-CNS.

Imibuzo ebuzwa rhoqo malunga neVyvanse vs.Ritalin

Yintoni iVavvanse?

UVyvanse sisiyobisi sonyango esisetyenziselwa ukunyanga ingxaki yokuphazamiseka kwengqondo kunye nokutya kakhulu. I-Vyvanse yinkqubo ye-nervous system evuselelayo kwaye ishedyuli II elawulwa yinto njengoko ihlelwe yi-DEA. Iyafumaneka njengecapsule okanye ithebhulethi ehlafunwayo kumandla aqala kwi-10 mg ukuya kwi-70 mg.

Yintoni uRitalin?

URitalin lunyango lonyango olusetyenziswa kunyango lwengxaki yokuphazamiseka kwengqondo kunye nokuqaqanjelwa sisisu. I-Ritalin yinkqubo ye-nervous system evuselelayo kwaye ishedyuli II elawulwa yinto njengoko ihlelwe yi-DEA. Iyafumaneka njengepilisi ekhutshwa kwangoko kwi-5 mg, 10 mg, kunye namandla e-20 mg. Ikwafumaneka njengokuqulunqwa kwexesha elide kwiifomsile zomlomo ukusuka kwi-10 mg ukuya kwi-60 mg.

Ngaba uVyvanse noRitalin bayafana?

Ngelixa zombini uVyvanse kunye noRitalin banyanga i-ADHD kwaye bahlelwa njengezikhuthazi ze-CNS, abafani. UVyvanse usebenza ekonyusa ii-catecholamines kwi-synapse ye-neuronal ngokukhuthaza ukukhululwa kwabo, ngelixa i-Ritalin ibhloka ukuphinda ithathe ii-catecholamines ukuze ishiye ngokufanelekileyo ii-catecholamines kwi-neuronal synapse.

Ngaba uVyvanse okanye uRitalin ungcono?

Zombini uVyvanse kunye noRitalin zibonakaliswe zisebenza ngokunyanga i-ADHD. Izifundo zibonisa ukuba uVyvanse unokubonisa ukuphucuka okukhulu kwiimpawu zempawu, kodwa iRitalin iyabiza kakhulu kwaye ikhokelela kwizinga eliphantsi leziphumo ebezingalindelekanga.

Ndingayisebenzisa iVivvanse okanye iRitalin ngelixa ndikhulelwe?

UVivvanse noRitalin bathathelwa ingqalelo njengodidi C lokukhulelwa yi-FDA. Oku kuthetha ukuba khange kubekho zifundo zoluntu zaneleyo ukumisela ukhuseleko. Ukusetyenziswa kwe-amphetamines ngexesha lokukhulelwa kunokukhokelela kumngcipheko okhulayo wokuzalwa ngaphambi kwexesha kunye nobunzima bokuzalwa. Iintsana zisenokufumana iimpawu zokurhoxa. La machiza kufuneka asetyenziswe kuphela xa izibonelelo ngokucacileyo zingaphezulu komngcipheko.

Ngaba ndingasebenzisa uVyvanse okanye uRitalin ngotywala?

Ukusetyenziswa kotywala kunokunyusa ukugxila kwegazi kwi-serum yeziyobisi ezinxulumene ne-amphetamine, ke ngoko utywala kufuneka kuthintelwe xa ukule mayeza.

Leliphi elona chiza lisondeleyo kuVivvanse?

I-Vyvanse iguqulwe emzimbeni kwi-metabolite yayo esebenzayo, i-dexmethylphenidate. I-Dexmethylphenidate sisixhobo esisebenzayo kwifomula yeFocalin.

Leliphi iyeza elitsha le-ADHD?

I-Jornay yindlela entsha yokulibaziseka-yokukhululwa kwe-methylphenidate. Ikhethekile ekubeni uyithatha ebusuku ngaphambi kokulala, kwaye ngokukhutshwa okulibazisekileyo, ichiza elisebenzayo likhutshwa emathunjini kusasa. Kubonakalisiwe ukuba kubangela ukulala okungaphantsi kuneendlela ezindala zemethylphenidate.

Ngawaphi amayeza e-ADHD athelekiswa neVyvanse?

I-Lisdexamfetamine, eyona nto isebenzayo kwiVyvanse, iguqulwe emzimbeni ukuya kwi-dextroamphetamine. I-Dextroamphetamine sisixhobo esisebenzayo kwifomathi yeAdderall. Iifomathi ze-Adderall XR, kunye nee-genics zazo, zihlala kanye njengethamo lemihla ngemihla elifana neVivvanse.

Ngaba ikhona enye indlela ebiza ixabiso eliphantsi kuneVyvanse?

I-Focalin kunye ne-Focalin XR zii-metabolites ezisebenzayo ze-Vyvanse kwaye zineefomeric kwimarike. Ezi zihlala zigutyungelwe kakuhle yinshurensi. I-SingleCare ikwabonelela ngamakhadi okonga kwezi fom.